Project Manager (PMP) with Medicaid, MMIS, healthcare, insurance, IT and government experience

IN4140-1

 

Project Manager (PMP) with Medicaid, MMIS, healthcare, insurance, IT and government experience

 

Location: Columbia SC

Duraiton: 12 months

Positons: 1

 

SCOPE OF THE PROJECT:

The Medicaid Member Management project is one of the most complex IT projects for the State of South Carolina. It is a multi-year effort to replace the State’s aging Medicaid Eligibility Determination System

(MEDS) and will involve state-of-the-art technologies and substantial collaboration efforts.

 

DAILY DUTIES / RESPONSIBILITIES:

The Medicaid Member Management Project Manager is responsible for managing cost, schedule, scope, and quality of all activities and deliverables on the project. The PM will manage a mid-sized team, and will oversee vendor support activities associated with the project.Duties include:

Building a project plan and executing to that plan.

Managing project expenses within the allocated budget.

Managing project risks and issues.

Ensuring that all deliverables and activities are completed with high quality and in a timely fashion.

Reporting on project status and strategies orally and in writing.

Providing advice on procurement and implementation strategies.

Overseeing the deliverables of a software development organization.

Coordinating with the legacy Medicaid Management Information System

(MMIS) and Medicaid Eligibility Determination System (MEDS) teams to ensure a smooth transition to new technologies and processes.

Coordinating with outside entities, including vendors for other systems/services, providers, professional associations, and other State agencies.

Other duties as assigned.

 

SCDHHS is seeking a leader with the information technology knowledge, vendor management, and interpersonal skills necessary to enable success on this high-visibility project.

 

The Medicaid Member Management Project Manager role has four major

attributes: project management skills, vendor management skills, people skills, and domain knowledge in healthcare insurance.

Candidates must display excellence in all areas. Strong background in project management in a healthcare insurance information technology environment.

Demonstrated successful leadership and management experience with supervisory responsibilities.

Deep knowledge of healthcare insurance principles and processes.

Understanding of, and experience with, IT development and implementation projects.

Vendor management experience.

Project planning experience, including effort estimation on technical tasks and resource allocation.

Superb written and oral communications skills, including the ability to give presentations to executive management. Strong proficiency in English is required.

Impeccable integrity. This project will have very high visibility and will impact significant expenditures of public funds. Candidates must be confident with their abilities to make correct decisions and the courage to speak out when necessary.

Willingness and ability to effectively engage with people and organizations on a continuous basis.

Medicaid eligibility system/business operations experience.

Medicaid Management Information System (MMIS) experience Medicaid operations experience.

Public sector experience is a plus.

 

REQUIRED EDUCATION:

Bachelors degree in a technical, business, or healthcare field.

 

REQUIRED CERTIFICATIONS:

None required. Project management certification from a recognized source (PMI, DoD, etc.) is desirable.

 

 

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