IT Healthcare Project Manager – MMIS Operations

Job Overview:

Pay Range: $66.50hr - $71.50hr

Requirement/Must Have:

• 5-10 years of experience in IT Healthcare Project Management.
• Experience with MMIS Medicaid Systems Operational Management.
• Knowledge of MCO enrollment, claims, and encounter processing.
• Experience with vendor management and monitoring service level agreements.
• Familiarity with security compliance standards such as CMS and SSA.
• Experience with incident and issue management systems.
• Knowledge of release management and change management processes.

Responsibilities:

• Oversee, coordinate, and perform operations and support activities for MMIS, Encounter Processing System, and other supporting systems.
• Coordinate communication with vendors, cybersecurity teams, and enterprise architecture.
• Conduct vendor management including monitoring service level agreements.
• Design and develop desk aides and process flows for new and existing service lines.
• Train team members to use desk aides, process flows, and ticketing systems to perform operational support.
• Maintain an effective organizational team and motivate diverse staff to accomplish mission critical operations and objectives.
• Provide production support, helpdesk management, interface/EDI support, and stakeholder monitoring.
• Oversee incident and issue management, ensuring documentation, tracking, escalation, and resolution for all ticket types.
• Identify and mitigate operational issues and ensure decisions and actions are well-documented.
• Handle internal and external escalations and requests to ensure they are satisfactorily resolved.
• Ensure compliance with security standards and monitor all findings and recommendations to completion.
• Promote workforce engagement and a professional work environment for all team members.
• Implement, monitor, and follow Standard Operating Procedures.
• Oversee release management activities including stakeholder communication, pre-implementation planning, and readiness checks.
• Provide support to change management by performing and coordinating backlog grooming and maintenance.

Skills:

• MMIS.
• Medicaid Systems.
• Project Management.
• Vendor Management.
• Encounter Processing.
• EDI Support.
• User Acceptance Testing.
• Release Management.
• Change Management.
• SLA Monitoring.

Qualification And Education:

• Strong verbal and written communication skills.
• Excellent communication and presentation skills.
• Ability to communicate effectively with stakeholders.