IN4630-1
Project Manager (PMP) with medicaid (MMIS), SDLC, HIPAA, CMS Certification, MITA, MECT and insurance/healthcare/government experience
Location: Columbia SC
Duration: 12+ months
Positions: 1
Previous experience in health care related information technology, insurance information technology, Medicaid Management Information Systems (MMIS), Medicaid eligibility, or social services eligibility, while not absolutely necessary, will be helpful.
This position requires excellent communications and leadership skills including effective oral and written communication.
The Replacement MMIS project is among the most complex IT projects taken on by the client. This project is a multi-year effort to replace the State’s aging Medicaid systems with a multi-tier application environment that requires modern technologies, technical practices and substantial collaboration with a variety of stakeholders. The new MEDS project, while not quite as comprehensive in scope of the replacement MMIS, is also complex and equally vital to the effective administration of the Medicaid program. The Independent Verification and Validation process will be used to provide feedback on the new systems’ quality, performance, and scheduling to both client management and CMS, the federal agency responsible for the oversight and the funding for this project. The IV&V lead will be responsible for putting together a team of at least two other individuals in order to carry out this work.
OBJECTIVES TO BE FULFILLED BY CANDIDATE:
- Define the needed IV&V team members
- Develop a Verification and Validation Plan
- Should have, or propose the tools necessary for an IV&V team to successfully create & execute the Verification and Validation Plan.
- Perform independent review of deliverables and processes
- Identify areas of risk to systems and schedules; ensure findings are documented clearly so the State can use the information in its decision-making process
- Provides recommendations of risk mitigation or contingency options
- Identify deviations from plans or execution of those plans that may jeopardize theproject(s)
- Can perform all objectives without conflict of interest (or appearance thereof) and remain neutral with observations/decisions involving all impacted parties
- Ensures all proper communications have been identified, documented and are taking place
- Ensures that proper Change Management processes and governance is in place and being followed
- Ensures that project requirements are correct, complete, accurate, and are testable.
- Ensure requirements have been traced through all phases of the SDLC.
- Identifies defects of requirements not being met and/or areas of process improvement; provides recommendations for corrective actions.
- Perform independent testing to ensure that requirements are meeting all project scope and requirements
- Ensures that Configuration Management process is being followed
- Ensures that HIPAA/Security processes are being followed
- Teams with appropriate parties to ensure that CMS Certification will be successful
- Provide reports detailing the work planned, the work currently in progress, and work recently completed.
- Provide flexibility in terms of role, activities, tools methods and documentation and to adapt to the projects’ needs.
- Ensure that all parties are meeting their contract obligations.
REQUIRED SKILLS (RANK IN ORDER OF IMPORTANCE):
- Medicaid Management Information System (MMIS) experience
- Medicaid eligibility system/business operations experience.
- Have the ability to create a work plan, assign and lead IV&V team resources with tasks
- Effective oral and written communication skills (English)
PREFERRED SKILLS (RANK IN ORDER OF IMPORTANCE):
- Familiar with Medicaid Information Technology Architecture (MITA)
- Familiar with Medicaid Enterprise Certification Toolkit (MECT)
- Commercial insurance and/or health care data experience
- Public sector experience is a plus.
REQUIRED EDUCATION:
Bachelor’s degree in a technical, business, or field. Master’s degree is desirable. Years of experience can substitute for formal education.
REQUIRED CERTIFICATIONS:
None required. Technical and/or Project management certifications from recognized sources are desirable.
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