IT Healthcare Consultant - Project Manager - Consultant

Please ensure you attach the SC Cover Sheet, a valid Right to Represent, and the candidate’s resume with full legal first name, and last name. Withdrawn candidates will not be permitted to be replaced. If you would like to use a sub vendor, only 1 level deep, please submit the Sub Vendor usage form. The State of South Carolina is looking for an IT Healthcare Consultant - Project Manager - Consultant.

Why is this position open: New position - This position is located within the Bureau of Medicaid Systems, and this position will focus on the MMIS systems, including replacement systems to be implemented. This is a repost of posting ID 12761 due to skill requirement updates - please do not submit resources that were previously interviewed for posting 12761., The South Carolina Department of Health & Human Services (CLIENT) is the State Medicaid Agency for South Carolina. CLIENT is looking for an IT Healthcare Consultant - Project Manager - Consultant for Medicaid Systems Operational Management. This position is located within the Bureau of Medicaid Systems, and this position will focus on the MMIS systems, including replacement systems to be implemented. Our work is very fast paced, and this position will frequently be required to work outside of normal business hours to support releases and unplanned incidents. As most of our team works hybrid, this position will be required to work onsite for no less than 3 days per week. Our office is located at 1801 Main Street Columbia SC 29205. SCOPE OF THE PROJECT CLIENT 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. PRE-EMPLOYMENT CHECKS

• Criminal background check
• Drug test
• Confidentiality agreement, * 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.
• Conduct vendor management including monitoring service level agreements.
• Design and develop desk aides and process flows for new and existing service lines.
• Train team members to use desk aides, process flows, and ticketing system to perform operational support.
• 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 user acceptance testing.
• 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.
• 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.

Work Location Schedule: Fully Onsite for 30-90 days (1801 Main Street, Columbia, SC 29210) - schedule will turn to hybrid (no less than 3 days per week onsite) at the manager’s discretion. Candidate Location: Candidate MUST be a SC resident or willing to relocate to SC prior to starting the role at their own expense., * 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).

• 3+ years of prior experience managing system operations and or administrative program functions in healthcare environment.
• 5+ years of experience in project/program management - managing system implementations or enhancements.
• 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.

ADDITIONAL SKILLS / DUTIES

• Excellent communication skills with staff ranging from frontline to executive management.
• Ability to manage work and provide guidance.
• Experience assigning/overseeing team workload.
• Knowledge of system development lifecycle.
• Strong documentation and process management ability.

Paid Holidays/Paid Time Off (PTO) Medical/Dental Insurance Group Accident/Critical Illness Insurance Life Insurance 401 (K)

DataSoft Technologies is a highly recognized provider of professional IT Consulting services in the US. Founded in 1994, DataSoft Technologies, Inc. provides staff augmentation services for Information Technology and Automotive Services. Our team member benefits include