Job Title : Senior IT Healthcare Project Manager - Medicaid MMIS Operations
Position OverviewLead the operational management of business-critical Medicaid systems supporting enrollment, claims, encounter processing, payments, and related healthcare functions. This role combines project management, production operations, vendor coordination, incident management, and release oversight within a fast-paced healthcare technology environment.
What You'll Do - Lead operational support for MMIS, encounter processing, and supporting healthcare systems.
- Coordinate with vendors, cybersecurity, enterprise architecture, and internal stakeholders.
- Manage incident, issue, and escalation processes through resolution.
- Oversee release management, implementation readiness, and post-release monitoring.
- Monitor vendor performance and service level agreements.
- Develop desk aides, process flows, and standard operating procedures.
- Train team members on operational processes and ticketing procedures.
- Lead production support, helpdesk, interface/EDI support, stakeholder monitoring, and user acceptance testing activities.
- Ensure compliance with security requirements and operational standards.
- Support change management through backlog grooming and operational readiness.
Required Qualifications - Bachelor's degree in a technical, business, or healthcare field. Equivalent experience in business/systems analysis or computer systems development/modification may be substituted.
- 3+ years of experience managing healthcare system operations or administrative program functions.
- 5+ years of project or program management experience leading system implementations or enhancements.
- Experience managing incident, issue, and operational support activities.
- Vendor management and cross-functional coordination experience.
- Strong documentation, process management, and communication skills.
- Ability to provide on-call and after-hours incident support.
Preferred Qualifications - Experience managing Medicaid Enterprise or MMIS operations.
- Knowledge of Medicaid eligibility, enrollment, and MMIS domain concepts.
- Experience with ticketing software.
- Experience writing standard operating procedures for new system implementations.
- AWS Cloud certification.
- Experience preparing presentations and reports.
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