• Columbia, SC
  • $78 Per Hour
  • Quick Apply
5 days ago

Job Description

Job Title: IT Healthcare Consultant - Project Manager - Consultant
Job Location: Columbia, SC, 29210, Onsite
Job Duration: 12 Months

Job Summary:
  • The client 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.
Job Description:
  • 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.
  • 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 system to perform operational support.
  • 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 user acceptance testing.
  • 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.
  • 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:
  • Bachelor's degree in technical, business, or healthcare field. 5+ years of equivalent experience in business/systems analysis and/or computer systems development/modification may be substituted.
  • 3+ years of prior experience managing system operations and or administrative program functions in healthcare environment.
  • 5+ years of experience in project/program management managing system implementations or enhancements.
  • Ability to provide incident management on call and after hours
Preferred Skills:
  • 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.
  • AWS Cloud Certifications
Additional Skills:
  • 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


Numbers & Facts

LocationColumbia, SC
Salary$78 Per Hour

Skills

  • Acceptance Testingunmatched
  • Amazon Web Services (AWS)unmatched
  • Business Analysisunmatched
  • Business Operationsunmatched
  • Business Solutionsunmatched
  • Business Supportunmatched
  • Centers for Medicare and Medicaid Services (CMS)unmatched
  • Change Managementunmatched
  • Claims Processingunmatched
  • Cloud Computingunmatched
  • Communication Skillsunmatched
  • Computer Systemsunmatched
  • Consultingunmatched
  • Documentationunmatched
  • Electronic Data Interchange (EDI)unmatched
  • Enterprise Architectureunmatched
  • Health Information Technologyunmatched
  • Healthcareunmatched
  • Healthcare Administrationunmatched
  • Help Deskunmatched
  • Incident Managementunmatched
  • Information Technology Consultingunmatched
  • Internet Securityunmatched
  • Maintain Complianceunmatched
  • Managed Careunmatched
  • Medicaidunmatched
  • On Callunmatched
  • Operational Supportunmatched
  • Operations Managementunmatched
  • Payment Processingunmatched
  • People Managementunmatched
  • Presentation/Verbal Skillsunmatched
  • Problem Solving Skillsunmatched
  • Procedure Developmentunmatched
  • Process Flowunmatched
  • Process Managementunmatched
  • Production Supportunmatched
  • Project/Program Managementunmatched
  • Release Management/Engineeringunmatched
  • Reporting Skillsunmatched
  • Security Complianceunmatched
  • Service Level Agreement (SLA)unmatched
  • Social Security Administrationunmatched
  • Software Development Lifecycle (SDLC)unmatched
  • Staff Motivationunmatched
  • Standard Operating Procedures (SOP)unmatched
  • System Operationsunmatched
  • Systems Administration/Managementunmatched
  • Systems Analysisunmatched
  • Team Lead/Managerunmatched
  • Time Managementunmatched
  • Vendor/Supplier Managementunmatched

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