Job Description

Healthcare Project ManagerTitle: Healthcare Project ManagerInterview Process: 1 round, Virtual/OnlineDuration of the Contract: 12 monthsPossibility for Extension: YesWork Location: Hybrid (3 days in office, 2 days remote). Onsite for 30-90 days - schedule will turn to hybrid at the manager’s discretion.Candidate Location: Candidate MUST be a SC resident or willing to relocate to SC prior to starting the role at their own expense.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, and other stakeholders.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.Oversee incident and issue management, ensuring documentation, tracking, escalation, and resolution for all ticket types. Ensure 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 while communicating issues and 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 through completion.Work with contract monitors to establish and monitor Service Level Agreements (SLAs).Respond promptly to inquiries.Promote workforce engagement and maintain a safe, professional, and productive work environment for all team members.Implement, monitor, and enforce Standard Operating Procedures (SOPs), notifying the team when practices differ from established procedures.Oversee release management activities, including stakeholder communication, pre-implementation planning, readiness checks, and post-implementation monitoring.Support change management by coordinating backlog grooming and maintenance while ensuring compliance with required approval gates.REQUIRED SKILLS (Ranked in Order of Importance):Bachelor’s degree in a technical, business, or healthcare-related field. Five (5) or more years of equivalent experience in business/systems analysis and/or computer systems development/modification may be substituted.Five (5)+ years of experience managing system operations and/or administrative program functions for claims and/or encounter processing within a healthcare environment.Five (5)+ years of project management experience managing system implementations and enhancements.Three (3)+ years of experience managing external vendors responsible for system development.Ability to provide incident management support on-call and after hours.AWS Cloud Certifications.PREFERRED SKILLS (Ranked in Order of Importance):Prior experience managing operations of Medicaid Enterprise Systems (MMIS/MES).Ability to prepare reports and deliver presentations.Knowledge of Medicaid eligibility, enrollment, and MMIS domain concepts.Experience with ticketing software.Experience writing Standard Operating Procedures (SOPs) for new system implementations.ADDITIONAL SKILLS / DUTIES:Excellent communication skills with staff ranging from frontline personnel to executive management.Ability to manage work assignments and provide team guidance.Experience assigning and overseeing team workloads.Knowledge of the System Development Life Cycle (SDLC).Strong documentation and process management skills.Excellent communication and stakeholder management abilities across all organizational levels.

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