Medicaid Project Manager

Job ID: NC-91111)

Remote HIE Medicaid PM (15+) with UAT, vendor/contract/payer/claims management experience

Location: Raleigh, NC (NCDIT-HIEA)
Duration: 11 Months

Skills:
Utilize healthcare claims expertise to clarify requirements, evaluate technical impacts, and track UAT issue resolution Required    7     Years
Provide project management oversight of vendor implementation projects to ensure compliance with contractual requirements.    Required    7     Years
Develop integrated project plans and manage scope, schedule, requirements, risks, communication, and change control.    Required    5     Years
Provide regular project reporting, including progress, risks, blockers, and decisions for stakeholders.     Required    3     Years

Description:
Typical Experience: 84+ months

The HIE Medicaid Services (HMS) program was created to formally recognize and structure the partnership between NC HIEA and NC Medicaid. The goal of the program is to leverage NC HealthConnex to support NC Medicaid’s quality and population health eƯorts by improving data exchange. The Senior IT Project Manager is responsible for leading complex, high-impact technical projects associated with the implementation of improved and
enhanced care management data exchange processes via NC HealthConnex. This work is federally funded under an existing Advance Planning Document (APD). Beyond the work with NC Medicaid, the Senior IT Project Manager is responsible for engaging with other payers to support exchange of claims and other supplementary information. n collaboration with the HIEA Program Manager, the HMS Senior IT Project Manager, and the HMS Program Lead, the role manages assigned HMS workstreams and supports oversight of the technical implementation vendor in close collaboration with NC Medicaid. This role requires expertise in applying recognized project management methodologies, understanding complex systems and claims exchange, and requires significant collaboration and stakeholder management across multiple internal divisions, vendors, and external state agencies.