Medicare MMIS Delivery Manager

Job: TDM MMIS

Location: Atlanta or Remote with 25% travel whenever required

Duration: 6+ months contract to Hire

Skills: MMIS, Medicaid, Claims

Job Duties:

• Responsible for managing Healthcare Products, from design to deployment, and implementation support efforts
• Should be able to contribute in building and maintaining modern applications with cloud native architecture
• Manage top-down oversight throughout the entire execution to ensure successful delivery in adherence stakeholder goals
• Lead a team of Scrum Master/Managers and ensure progress and address any questions or challenges regarding projects
• Should be able to own the delivery team as a supervisor and manage their performance
• Assign and oversee the daily tasks of technical personnel while ensuring all subordinates are actively working toward established milestones
• Ensure processes are adhere, and product vision is implemented in timely manner
• Understanding risks, dependencies and increasing value delivered through the project / product life
• Update and maintain all production technologies ensuring proper maintenance and installation
• Develop comprehensive project/ product plans that merge customer requirements with company goals and coordinate various managers and technical, as required
• Ensure the team maintains the required documentation for knowledge management
• Determine and define clear deliverables, roles and responsibilities for staff members required for specific projects or initiatives
• Ability to work well with diverse teams, including developers, engineers, architects, quality assurance, and operations.
• Execute all aspects of large construction projects, refresh, retrofits, from planning to implementation to completion
• Approves concept designs, deliver project schedule assign and allocate resources
• Manages internal staff, hiring, mentoring, training and evaluating
• Hire and manage contractors, architects, engineers and interface
• Prepare and develop budget and manages the maintenance of the master budget and schedule
• Documents all phases of the project prepares project status reports for Sr Management on a recurring basis throughout the project, checking milestones

Qualifications

Required:

• 10+ years of overall IT experience
• 5+ years of managerial experience
• Deep functional knowledge of Healthcare processes specially Medicaid Business
• Must have good experience in Reference code/data sets required in Claims adjudication including not limited to CPT, CDT, HCPCS, ICDs.
• Candidate should have hands-on experience on claims processing and Adjudication processes.
• Must have good experience with claims processing concepts, along with the provider, member enrolment and care management concepts.
• Candidate should have hands-on experience and strong knowledge on processing payouts, Account receivables and Receipts creation.
• Must have prior experience or understanding in configuring benefits or programs in claims system across various sub-systems.
• Aware of the Cloud native architecture along with understanding of associated technologies
• Demonstrated understanding of Project Management processes, strategies and methods
• Experience mentoring, coaching and developing rising talent in the technology department
• Excellent time management and organizational skills and experience establishing guidelines in these areas for others
• Strong sense of personal accountability regarding decision-making and supervising department teams
• Experience working in a high-level collaborative environment and promoting a teamwork mentality
• Managerial experience applying analytical thinking and problem-solving skills
• Ability to predict challenges and seek to proactively head-off obstacles
• Exposure to Enterprise architecture/development.
• NoSQL, Microservices, Cloud knowledge

Good to Have:

• Agile/Scrum Certification is a plus
• Hands on Development experience in prior roles