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

Daily Duties / Responsibilities

Operations & System Management

• Oversee, coordinate, and support daily operations of:
  • Medicaid Management Information System (MMIS)
  • Encounter Processing System
  • Other supporting enterprise applications
• Coordinate with vendors, Office of Cyber Security, Enterprise Architecture, and other internal/external stakeholders.
• Ensure operational stability, system availability, and timely issue resolution.

Team Leadership & Workforce Management

• Lead, motivate, and manage cross-functional operational support teams.
• Oversee teams responsible for:
  • Production support
  • Help Desk operations
  • Interface/EDI support
  • Stakeholder monitoring and communication
• Foster a safe, professional, and productive work environment.
• Assign, monitor, and balance team workloads to ensure operational efficiency.

Incident & Issue Management

• Oversee incident, problem, and issue management processes.
• Ensure proper documentation, tracking, escalation, and resolution of all ticket types.
• Coordinate timely resolution of production incidents.
• Handle internal and external escalations and communicate resolutions to appropriate stakeholders.
• Identify operational risks and implement corrective actions.
• Maintain complete documentation of operational decisions and resolutions.

Compliance & Governance

• Ensure compliance with CMS, SSA, and other regulatory security requirements.
• Monitor audit findings and recommendations through to successful completion.
• Collaborate with contract monitors to establish and track Service Level Agreements (SLAs).
• Ensure adherence to organizational policies, procedures, and governance standards.

Change & Release Management

• Oversee release management activities, including:
  • Stakeholder communication
  • Pre-implementation planning
  • Readiness assessments
  • Post-implementation monitoring
• Support change management by:
  • Coordinating backlog grooming
  • Maintaining work queues
  • Ensuring compliance with approval gates and change control processes

Process Improvement & Documentation

• Develop, implement, and monitor Standard Operating Procedures (SOPs).
• Ensure operational practices align with documented SOPs.
• Notify teams and stakeholders when operational processes deviate from established procedures.
• Drive continuous process improvements across operational functions.

Stakeholder Communication

• Respond promptly to internal and external inquiries.
• Maintain effective communication with:
  • Business stakeholders
  • Executive leadership
  • Vendors
  • Technical teams
• Provide operational updates, status reports, and issue resolutions.

Required Skills (Ranked by Importance)

• Bachelor's degree in Technical, Business, Healthcare, or a related field.
  • Equivalent experience (5 years in business/systems analysis or computer systems development) may substitute for education.
• 5 years of experience managing system operations or administrative functions supporting:
  • Healthcare claims processing
  • Encounter processing systems
• 5 years of project management experience leading:
  • System implementations
  • System enhancements
• 3 years of experience managing external vendors responsible for system development and support.
• Ability to participate in on-call incident management and provide after-hours production support.
• AWS Cloud Certifications.

Preferred Skills

• Experience managing operations of Medicaid Enterprise Systems.
• Strong knowledge of:
  • Medicaid eligibility
  • Enrollment
  • MMIS domain concepts
• Experience preparing executive presentations and operational reports.
• Experience using ticketing systems for incident and service management.
• Experience developing Standard Operating Procedures (SOPs) for new system implementations.

Additional Skills

• Excellent written and verbal communication skills with audiences ranging from frontline staff to executive leadership.
• Strong leadership and team management capabilities.
• Experience assigning, managing, and overseeing team workloads.
• Knowledge of the Software Development Life Cycle (SDLC).
• Strong documentation, process management, and operational governance skills.
• Ability to coordinate cross-functional teams and drive operational excellence.
• Excellent organizational, analytical, and problem-solving skills.
• Strong stakeholder management and vendor coordination experience.

Join our dynamic team in Columbia, SC, where you can leverage your expertise in IT healthcare consulting and project management to make a significant impact in the healthcare sector.