IT - SCDHHS - IT Healthcare Consultant - Project Manager - Consultant

Abacus Service Corporation

Columbia, SC

JOB DETAILS
SKILLS
Amazon Web Services (AWS), Business Analysis, Business Operations, Business Solutions, Business Support, Centers for Medicare and Medicaid Services (CMS), Change Management, Claims Processing, Cloud Computing, Communication Skills, Computer Systems, Consulting, Contract Management, Department of Health and Human Services, Documentation, Electronic Data Interchange (EDI), Enterprise Architecture, Health Information Technology, Healthcare, Help Desk, Incident Management, Information Technology Consulting, Internet Security, Maintain Compliance, Managed Care, Medicaid, On Call, Operational Support, Operations Management, Payment Processing, People Management, Presentation/Verbal Skills, Problem Solving Skills, Procedure Development, Process Management, Production Support, Project Estimates, Project/Program Management, Release Management/Engineering, Reporting Skills, Security Compliance, Service Level Agreement (SLA), Social Security Administration, Software Development Lifecycle (SDLC), Staff Motivation, Standard Operating Procedures (SOP), System Operations, Systems Administration/Management, Systems Analysis, Team Lead/Manager, Time Management, Vendor/Supplier Management, Willing to Travel
LOCATION
Columbia, SC
POSTED
5 days ago

Position Information

Position TypeStaff AugmentationHours/Week40
Billing TypeHourlyShiftDay
Projected Start Date08/25/2026Start Time8:00 AM
Projected End Date/Duration12 Months from projected start dateEnd Time5:00 PM
Bid Limit Per Vendor2Number of Positions1
Desired Career LevelExperienced Non-managerMinimum Education LevelBachelor's Degree
WeekendNone  

Manager Information

Hiring Manager NameSOSC AdminHiring Manager Emailscmsp@knowledgeservices.com
Hiring Manager Phonenot providedMSP Delivery SpecialistHustedt, Lexi  

Position Location

Address1801 Main StreetCityColumbia
StateSouth CarolinaZip29210
CountryUNITED STATES  

Requirements

Travel RequiredNoSecurity RequiredYes
Onboarding Category


The following are required for bid submission:
  • Resume
  • R2R
  • Cover Letter
  • Meets Work Location
Please ensure you attach the SC Cover Sheet (attached), a valid Right to Represent, and the candidate's resume with full legal first name, and last name. Withdrawn candidates will not be permitted to be replaced. If you would like to use a sub vendor, only 1 level deep, please submit the Sub Vendor usage form.

The State of South Carolina is looking for an IT Healthcare Consultant - Project Manager - Consultant
Why is this position open: New position - This position is located within the Bureau of Medicaid Systems, and this position will focus on the MMIS systems, including replacement systems to be implemented
Will close to submissions on 07/23 at 5:00PM EST.
Interview Process: 1 round, Virtual/Online
Duration of the Contract: 12 months
Possibility for Extension: Yes
Work Location: Hybrid (3 days in office, 2 days remote). Onsite for 30-90 days - schedule will turn to hybrid at the managers discretion.
Candidate Location: Candidate MUST be a SC resident or willing to relocate to SC prior to starting the role at their own expense.

Full job description attached & required/preferred skills are stated below.

Education
Bachelor's degree in a technical, business, or healthcare field. 5+ years of equivalent experience in business/systems analysis and/or computer systems development/modification may be substituted.

Skill
5+ years of prior experience managing system operations and or administrative program functions for claims and/or encounter processing in healthcare environment.

Skill
5+ years of experience in project management – managing system implementations or enhancements.

Skill
3+ years of experience managing external vendors who provide system development.

Skill
Ability to provide incident management on call and after hours

Certification
AWS Cloud Certifications
Preferred Skills
Skill Type
Skill Name

Skill
Prior experience managing operations of Medicaid Enterprise systems.

Skill
Knowledge of system development lifecycle

Skill
Knowledge of Medicaid eligibility, enrollment, and MMIS domain concepts

Skill
Experience with ticketing software

Skill
Experience with writing standard operating procedures for new system implementations.

Attachment:
Primary Work Location:
1801 Main Street, Columbia, SC 29210
 
Company / Department culture (why do you enjoy working for the company –
selling points for potential candidates):
The South Carolina Department of Health & Human Services (SCDHHS) is the State Medicaid Agency for South Carolina. SCDHHS is looking for an IT Healthcare Consultant - Project Manager - Consultant for Medicaid Systems Operational Management.
This position is located within the Bureau of Medicaid Systems, and this position will focus on the MMIS systems, including replacement systems to be implemented. Our work is very fast paced, and this position will frequently be required to work outside of normal business hours to support releases and unplanned incidents. As most of our team works hybrid, this position will be required to work onsite for no less than 3 days per week. Our office is located 1801 Main Street Columbia SC 29210.
Scope of the project:
SCDHHS is looking for an IT Healthcare Consultant - Project Manager - Consultant who will be the lead for MMIS Medicaid Systems Operational Management. This position will lead teams that support business-critical operations for MCO enrollment, claims and encounter processing and payment and other support functions.
Position:
IT Healthcare Consultant - Project Manager -
Consultant
 
Pre-employment Checks (drug, credit, criminal, motor vehicle)? Criminal background check, Drug, and Confidentially agreement.

Daily Duties / Responsibilities:

  • Oversee, coordinate, and perform operations and support activities for MMIS, Encounter Processing System, and other supporting systems. To include communication and coordination with vendors, Office of Cyber Security, Enterprise Architecture, etc.
  • Maintains an effective organizational team and motivates diverse staff to accomplish mission critical operations and objectives. These teams provide production support, helpdesk, interface/EDI support, and stakeholder monitoring and
  • Oversee incident and issue management. Ensures documentation, tracking, escalation and resolution for all ticket types. Ensures timely resolution of production issues.
  • Identifies and mitigates operational issues and ensures decisions and actions are well-documented.
  • Handles internal and external escalations and requests and ensures they are satisfactorily resolved, communicating issues and outcomes to appropriate personnel. Ensures work is assigned appropriately and escalations are resolved in a timely and effective manner.
  • Ensures compliance with security (CMS, SSA, etc.) and monitors all findings and recommendations to completion.
  • Works with contract monitor to ensure SLAs are set and monitored.
  • Responds promptly to inquiries.
  • Promotes workforce engagement and a safe, professional, and productive work environment for all team members
  • Implements, monitors and follows Standard Operating Procedures and alerts team when practice differs from SOP.
  • Oversees release management activities stakeholder communication, pre-implementation planning, readiness checks, and post-implementation monitoring.
  • Provide support to change management by performing and coordinating backlog grooming and maintenance and ensuring compliance with appropriate approval gates.
 
Required Skills (rank in order of
Importance):
  • Bachelor's degree in a technical, business, or healthcare field. 5+ years of equivalent experience in business/systems analysis and/or computer systems development/modification may be substituted.
  • 5+ years of prior experience managing system operations and or administrative program functions for claims and/or encounter processing in healthcare environment.
  • 5+ years of experience in project management – managing system implementations or enhancements.
  • 3+ years of experience manage external vendors who provide system development.
  • Ability to provide incident management on call and after hours
  • AWS Cloud Certifications
Preferred Skills (rank in order of
Importance):
  • Prior experience managing operations of Medicaid Enterprise systems.
  • Ability to make presentations and prepare reports.
  • Knowledge of Medicaid eligibility, enrollment, and MMIS domain concepts
  • Experience with ticketing software
  • Experience with writing standard operating procedures for new system implementations.

ADDITIONAL SKILLS/DUTIES:
-Excellent communication skills with staff ranging from frontline to executive management
- Ability to manage work and provide guidance
-Experience assigning/overseeing team workload
- Knowledge of system development lifecycle
-Strong documentation and process management ability
-Excellent communication skills with staff ranging from frontline to executive management
 

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About the Company

A

Abacus Service Corporation