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Seeking an IT Project Manager with experience supporting Medicaid Systems, and this position will focus on the MMIS systems, including replacement systems to be implemented. This a long term contract (12 month minimum) with a possibility of extension. Candidate must be a resident of South Carolina and commutable distance to Columbia, SC as this is a hybrid position - 3x a week in office.
What You Will Do In The Role:

• Consultant will be the lead for MMIS Medicaid Systems Operational Management.
• Lead teams that support business-critical operations for MCO enrollment, claims and encounter processing and payment and other support functions.
• 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.
• Maintain 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.
• 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 Experience:

• 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 managing external vendors who provide system development.

Preferred Experience:

• Prior experience managing operations of Medicaid Enterprise systems.
• Knowledge of system development lifecycle.
• Knowledge of Medicaid eligibility, enrollment, and MMIS domain concepts.
• Experience with ticketing software.
• Experience with writing standard operating procedures for new system implementations.

Required Education:

• Bachelor’s degree in a technical, business, or healthcare field.

Certifications:

• AWS Cloud Certifications (Preferred)