Responsbilities:

Oversee, coordinate, and perform operations and support activities for MMIS, Encounter Processing System, and other supporting systems. To include communication and coordination with vendors, Office of Cyber Security, Enterprise Architecture, etc.
Maintains an effective organizational team and motivates diverse staff to accomplish mission-critical operations and objectives. These teams provide production support, helpdesk, interface/EDI support, and stakeholder monitoring
Oversee incident and issue management. Ensure documentation, tracking, escalation and resolution for all ticket types. Ensure timely resolution of production issues.
Identify and mitigate operational issues, ensuring decisions and actions are well-documented.
Handle internal and external escalations and requests, ensuring they are satisfactorily resolved by communicating issues and outcomes to appropriate personnel. Ensures work is assigned appropriately and escalations are resolved in a timely and effective manner.
Ensure compliance with security (CMS, SSA, etc.) and monitor all findings and recommendations to completion.
Work with the contract monitor to ensure SLAs are set and monitored.
Respond promptly to inquiries.
Promotes workforce engagement and a safe, professional, and productive work environment for all team members
Implement, monitor, and follow Standard Operating Procedures (SOPs) and alert the team when practice differs from SOP.
Oversee release management activities, including stakeholder communication, pre-implementation planning, readiness checks, and post-implementation monitoring.
Provide support to change management by performing and coordinating backlog grooming and maintenance and ensuring compliance with appropriate approval gates.

Required Skills

Bachelor’s degree in a technical, business, or healthcare field. 5+ years of equivalent experience in business/systems analysis and/or computer systems development/modification may be substituted.
Five or more years of prior experience managing system operations and/or administrative program functions for claims and/or encounter processing in a healthcare environment.
Five or more years of experience in project management – managing system implementations or enhancements.
Three or more years of experience managing external vendors who provide system development.
Ability to provide incident management on call and after hours
AWS Cloud Certifications

Preferred Skills

Prior experience managing operations of Medicaid Enterprise systems.
Ability to make presentations and prepare reports.
Knowledge of Medicaid eligibility, enrollment, and MMIS domain concepts
Experience with ticketing software
Experience with writing standard operating procedures for new system implementations.

IT Project Manager (Medicaid)

Quick Overview

Job Description

Skills

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