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
CategoryNameRequiredImportanceLevelLast UsedExperience
AdministrativeVerbal Communication SkillsYes1ExpertCurrently Using6 + Years
AdministrativeWritten Communication SkillsYes1ExpertCurrently Using6 + Years
EducationBachelor’s degree in a technical or business fieldYes1ExpertCurrently Using4 – 6 Years
MiscellaneousMulti-business unit integrationsNo1AdvancedWithin 2 Years4 – 6 Years
MMIS – Medicaid Management Informaiton System• Experience with the Medicaid Information Technology Architecture (MITA) principles and frameworkYes1ExpertCurrently Using4 – 6 Years
MMIS – Medicaid Management Informaiton SystemCommercial healthcareYes1ExpertCurrently Using6 + Years
MMIS – Medicaid Management Informaiton SystemKnowledge of Federal Certification requirements and processesYes1ExpertCurrently Using4 – 6 Years
Program ManagementEXPERIENCE WITH PROJECT MANAGEMENT OF LARGE ENTERPRISE LEVEL PROJECTS WITH PROVEN IMPLEMENTATION SUCCESSNo1AdvancedWithin 2 Years4 – 6 Years
Program ManagementProject Management experienceNo1AdvancedWithin 2 Years4 – 6 Years
Program ManagementProject Management Professional (PMP) certificationNo1AdvancedWithin 2 Years4 – 6 Years
SpecialtiesPublic SectorNo1AdvancedWithin 2 Years4 – 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.