Project Manager

About the role

The client is looking for an IT Healthcare Consultant – Project Manager – Consultant who will serve as 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.

Responsibilities

• Oversee, coordinate, and perform operations and support activities for MMIS, Encounter Processing System, and other supporting systems, including communication and coordination with vendors, Office of Cyber Security, Enterprise Architecture, and other stakeholders.
• 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 systems to perform operational support.
• Maintain an effective organizational team and motivate diverse staff to accomplish mission-critical operations and objectives.
• Provide production support, helpdesk, interface/EDI support, stakeholder monitoring, and user acceptance testing.
• Oversee incident and issue management, ensuring documentation, tracking, escalation, and resolution for all ticket types.
• Ensure timely resolution of production issues and identify and mitigate operational issues.
• Handle internal and external escalations and requests, ensuring satisfactory resolution and communicating outcomes to appropriate personnel.
• Ensure work is assigned appropriately and escalations are resolved in a timely and effective manner.
• Ensure compliance with security requirements (CMS, SSA, etc.) and monitor all findings and recommendations to completion.
• Promote workforce engagement and maintain a safe, professional, and productive work environment.
• Implement, monitor, and follow Standard Operating Procedures, alerting the team when practices differ from SOP.
• Oversee release management activities, including stakeholder communication, pre-implementation planning, readiness checks, and post-implementation monitoring.
• Support change management by performing and coordinating backlog grooming and maintenance and ensuring compliance with appropriate approval gates.

Requirements

• 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 substitute for the degree.
• 3+ years of prior experience managing system operations and/or administrative program functions in a healthcare environment.
• 5+ years of experience in project/program management, including 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 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 the system development lifecycle.
• Strong documentation and process management ability.