IT - Scdhhs - IT Healthcare Consultant - Project Manager - Consultant

SCOPE OF THE PROJECT: SCDHHS is looking for an IT Healthcare Consultant- Project Manager- Consultant who will be the lead for MMIS Medicaid Systems Operational Management. This position will lead teams that support business-critical operations for MCO enrollment, claims and encounter processing and payment and other support functions DAILY DUTIES / RESPONSIBILITIES: " 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 and " Oversee incident and issue management. Ensures documentation, tracking, escalation and resolution for all ticket types. Ensures timely resolution of production issues. " Identifies and mitigates operational issues and ensures decisions and actions are well-documented. " Handles internal and external escalations and requests and ensures they are satisfactorily resolved, communicating issues and outcomes to appropriate personnel. Ensures work is assigned appropriately and escalations are resolved in a timely and effective manner. " Ensures compliance with security (CMS, SSA, etc.) and monitors all findings and recommendations to completion. " Works with contract monitor to ensure SLAs are set and monitored. " Responds promptly to inquiries. " Promotes workforce engagement and a safe, professional, and productive work environment for all team members " Implements, monitors and follows Standard Operating Procedures and alerts team when practice differs from SOP. " Oversees release management activities 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 (RANK IN ORDER OF IMPORTANCE): " 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. " 5+ years of prior experience managing system operations and or administrative program functions for claims and/or encounter processing in healthcare environment. " 5+ years of experience in project management managing system implementations or enhancements. " 3+ years of experience manage external vendors who provide system development. " Ability to provide incident management on call and after hours PREFERRED SKILLS (RANK IN ORDER OF IMPORTANCE): " 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. " AWS Cloud Certifications