Job ID: SC-7502 (913990723)
Hybrid/Local Curam Consultant (Curam certification must) with HCR, CGIS, Medicaid/MMIS/MEDS, Vendor Management, agile/scrum/waterfall healthcare/insurance experience
Location: Columbia, SC (SCDHHS)
Duration: 12 Months
Hybrid (3 days onsite, 2 days remote) & Candidate must be a CURRENT SC resident. No relocation allowed.
Required Skills (rank in order of Importance):
– Bachelor’s degree in Computer Science, Engineering, Technical Science or equivalent industry experience
– Minimum of three (3) years of technical experience with IBM Cúram framework; must have experience HCR and CGIS
– Cúram Certification
– Experience delivering in waterfall, scrum, agile, and other methodologies
– Experience profiling and troubleshooting IBM Cúram Out of the Box and custom code
– Excellent written and verbal communication skills and strong cognitive ability especially with respect to understanding, documenting, and describing complex technical subjects to both technical and non-technical business users
– Excellent problem solving skills
– Demonstrated teamwork and collaboration in a professional setting Preferred Skills (rank in order of Importance):
– Vendor Management experience
– Knowledge of healthcare insurance principles and processes
– Medicaid operations experience
– Public sector and/or academic environment experience is a plus
– Medicaid Management Information System (MMIS) experience
Scope of the project:
The Eligibility and Enrollment Member Management Project is one of the largest IT projects for the State of South Carolina. It is a multi-year effort to replace the State’s aging Medicaid Eligibility Determination System and other member management applications with a multi-tier application environment that requires modern technologies, technical practices and substantial collaboration with a variety of stakeholders. This system will utilize Cúram’s social program management platform and will be configured/implemented by the State in partnership with designated vendors. SC uses the social program management platform from Cúram in the provision of services. This software combines the advantages of commercial off-the-shelf software, an enterprise platform and service-oriented architecture with the business and technical flexibility required to implement solutions to meet agency objectives.
Daily Duties / Responsibilities:
The Senior Cúram Operations Consultant will serve as the on-site technical resource for the Member Management Replacement Project leadership and team. The Senior Cúram Operations Consultant is responsible for providing guidance to SCDHHS and MMRP vendors related to Operations and Maintenance of the IBM Cúram software including requirements, designs and development activities/deliverables. The consultant will work with the team’s business analysts, subject matter experts, system integrator and designated vendors, as well as the Enterprise Services team to meet the project goals.
Duties include:
– Serves as a technical resource, providing technical/analytical guidance to project team and vendors; provide advice on best practices for utilizing IBM Cúram software for meeting stated business needs
– Identifies, reviews, approves approaches/proposed solutions to meeting business requirements utilizing IBM Cúram software; communicates risks and concerns related to proposed solutions and offers alternative solutions as appropriate.
– Conducts demonstrations and develops proofs of concept utilizing IBM Cúram software, as appropriate, to verify the feasibility of proposed IT approaches/solutions
– Conducts and coordinates data mapping and gap analysis to determine if the IBM Cúram software meets business needs
– Ensures transition from DDI implementation to Operations is successful and knowledge is transferred to the Operations team.
– Uses knowledge of IBM Cúram framework to consult with development leads in resolving issues and meeting business requirements
– Assists in managing work between IBM, System Integrator team, other vendors and Legacy Systems team to ensure a smooth transition between Medicaid Eligibility Determination System (MEDS) and Cúram while ensuring that the legacy Medicaid Management Information System (MMIS) continues to provide the appropriate information
– Collaborates with project leadership, business analysts, subject matter experts, technical managers and development leads on business requirements, functional and non-functional specifications, technical design specifications and integration component requirements
– Works with the Analysis and Testing Manager, Production Manager and vendors to ensure that all deliverables are completed timely and meet quality standards
– Reports on project status and strategies orally and in writing; communicates any known issues or risks to MMRP leadership and appropriate team members in a timely manner
– Collaborates with SCDHHS agency staff and vendors on implementation requirements
– Interprets, translates, and communicates highly technical concepts to both business and technical MMRP team members and stakeholders
– Assists with technical analysis of the IBM Cúram releases
– Other duties as assigned
SCMSP_Candidate_Cover_Sheet_Updated (1).docx