Healthcare BA/PM (PMP) with data structures/EDI, federal certification, MITA and commercial healthcare/Medicaid payer system integration experience

Request ID: IN-8119-1 (9106906118)

Healthcare BA/PM (PMP) with data structures/EDI, federal certification, MITA and commercial healthcare/Medicaid payer system integration experience

Location: Columbia CLIENT
Duration: 12+ Months

REQUIRED SKILLS (RANK IN ORDER OF IMPORTANCE):
• At least ten years of experience in commercial healthcare.
• At least five years’ experience in State Medicaid payer system integration and delivery
• Experience with inner workings of cross functional projects
• Familiarity with Medicaid Information Technology Architecture (MITA) business architecture principles.
• Familiarity with standard data structures, electronic data interchange, processes and related file formats.
• Knowledge of Federal Certification requirements and processes is preferable.
• Interest, skill and ability to innovate including business processes, methods/procedures, and technology.
• Ability to effectively work and communicate, in both oral and written, with all levels of the Agency from frontline workers to Executive Staff as well as the Contractor(s).

PREFERRED SKILLS (RANK IN ORDER OF IMPORTANCE):
• Large business and technology integration
• Commercial integrations with Medicaid or other Government operations
• Project management
• Public Sector Government Experience

REQUIRED EDUCATION:
Bachelor Degree

REQUIRED CERTIFICATIONS:
PMP Certification

Category Name Required Importance Level Last Used Experience
Administrative Verbal Communication Skills Yes 1 Expert Currently Using 6 + Years
Administrative Written Communication Skills Yes 1 Expert Currently Using 6 + Years
Education Bachelor’s degree in a technical or business field Yes 1 Expert Currently Using 4 – 6 Years
Miscellaneous Multi-business unit integrations No 1 Advanced Within 2 Years 4 – 6 Years
MMIS – Medicaid Management Informaiton System • Experience with the Medicaid Information Technology Architecture (MITA) principles and framework Yes 1 Expert Currently Using 4 – 6 Years
MMIS – Medicaid Management Informaiton System Commercial healthcare Yes 1 Expert Currently Using 6 + Years
MMIS – Medicaid Management Informaiton System Knowledge of Federal Certification requirements and processes Yes 1 Expert Currently Using 4 – 6 Years
Program Management EXPERIENCE WITH PROJECT MANAGEMENT OF LARGE ENTERPRISE LEVEL PROJECTS WITH PROVEN IMPLEMENTATION SUCCESS No 1 Advanced Within 2 Years 4 – 6 Years
Program Management Project Management experience No 1 Advanced Within 2 Years 4 – 6 Years
Program Management Project Management Professional (PMP) certification No 1 Advanced Within 2 Years 4 – 6 Years
Specialties Public Sector No 1 Advanced Within 2 Years 4 – 6 Years

Additional Skills:
• At least five years’ experience in State Medicaid payer system integration and delivery
• Experience with inner workings of cross functional projects
• Familiarity with standard data structures, electronic data interchange, processes and related file formats.
• Interest, skill and ability to innovate including business processes, methods/procedures, and technology.

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