IT Healthcare Consultant - Project Manager (Consultant)Location: Columbia, SC (Onsite required minimum 3 days/week - hybrid role)
Team Size: 5+
Dress Code: Business Casual, occasionally more formal
This position sits within the Bureau of Medicaid Systems and will focus on MMIS systems, including replacement systems currently being implemented. This is a fast-paced environment, and the role will frequently require work outside normal business hours to support releases and unplanned incidents. Most of the team works hybrid; this position will be
required to work onsite at least 3 days per week at the Columbia, SC office.
Scope of the ProjectClient is looking for an IT Healthcare Consultant - Project Manager - Consultant who will lead MMIS Medicaid Systems Operational Management. This role will lead teams supporting business-critical operations including MCO enrollment, claims and encounter processing, payment processing, and other support functions.
Daily Duties / 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, 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 the ticketing system to perform operational support.
- Maintain an effective organizational team and motivate diverse staff to accomplish mission-critical operations and objectives; teams provide production support, helpdesk, interface/EDI support, and stakeholder monitoring and user acceptance testing.
- Oversee incident and issue management; ensure documentation, tracking, escalation, and resolution for all ticket types, and timely resolution of production issues.
- Identify and mitigate operational issues and ensure decisions and actions are well documented.
- Handle internal and external escalations and requests, ensuring satisfactory resolution and clear communication of issues/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 findings/recommendations through to completion.
- Promote workforce engagement and a safe, professional, and productive work environment for all team members.
- Implement, monitor, and follow Standard Operating Procedures, and alert the team when practice differs 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/maintenance and ensuring compliance with appropriate approval gates.
Required Skills- 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 be substituted.
- 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, 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 / Duties- 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.
