Job Id: SC-12761 (911090722)
Hybrid/Local Healthcare PM (AWS must/15+) with claims/encounter processing, vendor/incident management, MES, Medicaid eligibility/enrollment/MMIS, EDI experience
Location: Columbia, SC (SCDHHS)
Duration: 12 Months
Work Location: Hybrid (3 days in office, 2 days remote). Onsite for 30-90 days – schedule will turn to hybrid at the managers’ discretion.
Candidate Location: Candidate MUST be a SC resident or willing to relocate to SC prior to starting the role at their own expense.
Skills:
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
• AWS Cloud Certifications
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.
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
-Excellent communication skills with staff ranging from frontline to executive management
Job Description:
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
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