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

Info Way Solutions LLC

Columbia, SC, SC

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JOB DETAILS

SKILLS

Business Operations, Business Support, Centers for Medicare and Medicaid Services (CMS), Change Management, Claims Processing, Consulting, Contract Management, Department of Health and Human Services, Documentation, Electronic Data Interchange (EDI), Enterprise Architecture, Health Information Technology, Help Desk, Incident Management, Information Technology Consulting, Internet Security, Maintain Compliance, Managed Care, Medicaid, Operational Support, Operations Management, Payment Processing, Problem Solving Skills, Production Support, Project Estimates, Project/Program Management, Release Management/Engineering, Security Compliance, Service Level Agreement (SLA), Social Security Administration, Staff Motivation, Standard Operating Procedures (SOP), System Operations, Systems Administration/Management, Team Lead/Manager, Time Management

LOCATION

Columbia, SC, SC

POSTED

1 day ago

Job Title: Project Manager- Medicaid Systems Operational Management.

Location: Columbia, SC

Client: South Carolina Department of Health & Human Services (SCDHHS) is the State Medicaid Agency for South Carolina

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.

About the Company

Info Way Solutions LLC

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