Job Description
In this role, you will be responsible for the end-to-end planning, coordination, execution, and monitoring of all interface and integration workstreams related to a Medicaid/MMIS Provider Management Module. You will serve as the pivotal operational bridge connecting client stakeholders, the PMM solution vendor, downstream module vendors, integration broker/API gateway teams, and PMO leadership.
The ideal candidate blends proven project management disciplines with a solid understanding of system integration lifecycles (APIs, batch exchanges, EDI, web services) within large-scale public sector health information systems.
Interface Lifecycle & Workstream Management
• End-to-End Coordination: Direct and monitor the planning, definition, development, end-to-end testing, and deployment of all inbound and outbound PMM interfaces (e.g., trading partner data exchanges, verification agencies, internal module integrations, and federal clearinghouses).
• Scope & Schedule Control: Build, maintain, and baseline detailed interface delivery schedules and work breakdown structures (WBS) aligned with the MMIS Integrated Master Schedule (IMS).
• Dependency & Critical Path Tracking: Proactively map cross-module interface dependencies, tracking technical prerequisite tasks between the PMM contractor, integration broker teams, and legacy/external data exchange partners.
• Milestone Delivery: Drive interface milestones from conceptual interface control documentation (ICD) through development, connectivity setup, system integration testing (SIT), user acceptance testing (UAT), and operational readiness review (ORR).
Stakeholder Liaison & Vendor Integration
• Vendor & Department Liaison: Serve as the primary project management point of contact for PMM interface matters, interfacing daily between Department leads, MMIS PMO leadership, and module vendor project teams.
• Facilitate Technical Working Groups: Organize, facilitate, and steer recurring Joint Interface Working Groups, technical walkthroughs, and Joint Application Development (JAD) sessions.
• CMS Certification Support: Coordinate documentation and testing evidence required for Centers for Medicare & Medicaid Services (CMS) Outcomes-Based Certification (OBC) / Medicaid Enterprise Certification Toolkit (MECT) milestones tied to provider data exchange.
Governance, Risk & Issue Management
• Roadblock Identification & Resolution: Act as a proactive problem solver, identifying technical blockers, schedule slippages, and scope friction early; formulate and execute risk mitigation strategies and corrective action plans.
• Action Item & Change Control: Track and resolve all interface action items, defects, and change requests through formal Change Management Board (CMB) governance processes.
• Status Reporting & Executive Visibility: Deliver clear, data-driven status reporting, weekly dashboard metrics, burndown charts, and executive escalation briefs regarding interface health, milestones, and testing velocity.
Requirements
• Minimum Experience: At least four (4) years of structured IT project management experience leading multi-stakeholder system implementation, integration, or modernization projects.
• Required Certification: Active Project Management Professional (PMP®) certification in good standing (Project Management Institute).
• Healthcare / MMIS / State Government Domain: Demonstrable experience working on Medicaid Management Information System (MMIS), state Department of Human Services / Health agency projects, or comparable large-scale health information IT programs.
• Interface & Integration Familiarity: Direct experience coordinating system interfaces, APIs (REST/SOAP), EDI transactions, batch file transfers (SFTP), and enterprise data integration pipelines across disparate vendor platforms.
• SDLC Process Knowledge: Comprehensive understanding of the Systems Development Life Cycle (SDLC), Agile/Scrum and Waterfall delivery models, and testing phases (Unit, SIT, UAT, Regression, Interface Mock Runs).
• Education: Bachelor's degree in Business Administration, Information Systems, Computer Science, Health Informatics, or a related discipline from an accredited college or university.
• Location & Presence: Preferred to be located in or willing to commute to Harrisburg, PA, with the ability to participate in scheduled on-site team meetings and client sessions. Will consider exceptional remote candidates.
Preferred Skills & Competencies
• Provider Module Expertise: Prior hands-on familiarity with Medicaid Provider Management / Provider Enrollment & Screening modules, Electronic Visit Verification (EVV) integrations, or National Plan and Provider Enumeration System (NPPES) interfaces.
• Healthcare Interoperability Standards: Exposure to healthcare communication standards and frameworks (e.g., HIPAA EDI 274/837/835, HL7/FHIR, MITA 3.0 framework).
• Results-Driven Leadership: Demonstrated self-starter mindset with the ability to drive consensus across competing priorities among independent vendor organizations and state clients.
• Superior Communication: Outstanding oral and written presentation skills, with proven success conveying complex interface architecture timelines to non-technical executive stakeholders.
Tools & Technology
• Work Tracking & Backlog: Azure DevOps (ADO) / TFS for user story management, defect tracking, work item boards, and backlog grooming.
• Scheduling: Microsoft Project
• Productivity & Reporting: Microsoft Office Suite (Teams, Excel, Word, PowerPoint, SharePoint) and business intelligence reporting (Power BI or Tableau dashboards).
Key Deliverables
• Detailed PMM Interface Master Work Plan and milestone schedule updates.
• Interface Traceability & Readiness Tracker (tracking ICD sign-offs, development completion, connectivity test logs, and end-to-end testing sign-offs).
• Weekly Interface Status Dashboards, risk registers, and critical path dependency analyses.
• Joint Interface Working Group agendas, detailed technical minutes, and closed-loop action item registers.
• Inputs to CMS Certification operational evidence artifacts for provider module data exchanges.
