IT Healthcare Project Manager / MMIS Operations Lead

ADN Group; Columbia (SC); Hybrid; USD 85,000 - 125,000; Part time

Job summary

ADN Group is seeking an IT Healthcare Project Manager / MMIS Operations Lead to support the State of South Carolina's Medicaid Enterprise Systems, driving MMIS and encounter processing operations from Columbia, SC.

The role is onsite for 30-90 days, then hybrid, contracted on a 12+ month W2 basis, leading operations, vendor performance, incident management, and security compliance with CMS/SSA standards.

Qualifications

• 5+ years in Project/Program Management overseeing healthcare system implementations or enhancements.
• 3+ years managing system operations/administrative programs within a healthcare domain.
• Strong background in Medicaid systems (MMIS), MCO enrollment, claims, or encounter processing (Highly Preferred).
• Experience with ticketing systems, SOP authoring, and SLA governance.
• Bachelor's degree in Business, Tech, Healthcare (or equivalent practical experience).

Responsibilities

• Lead daily operations, production support, EDI/interface workflows, and UAT teams for Medicaid Enterprise Systems (MMIS).
• Manage vendor performance, monitor critical SLAs, and oversee release/change management pipelines.
• Drive incident management, ticketing escalations, and root-cause resolution (including on-call/after-hours operational oversight).
• Develop operational process flows, desk aides, and SOPs for healthcare service lines.
• Ensure end-to-end security compliance with CMS and SSA standards.

Skills

Project management

Healthcare domain experience

Vendor management

Incident management

SLA governance

Education

Bachelor's degree in Business/Tech/Healthcare

Tools

Ticketing systems

Job description

Hiring: IT Healthcare Project Manager / MMIS Operations Lead

Location: Columbia, SC (Onsite first 30-90 days, then Hybrid)

Contract: 12+ Months (High likelihood of extension)

Engagement Type: Contract – W2.

We are actively recruiting an experienced IT Healthcare Project Manager / Operations Lead to support the State of South Carolina (SCDHHS) in driving enterprise MMIS and Medicaid Encounter Processing operations.

Role Highlights:

• Lead daily operations, production support, EDI/interface workflows, and UAT teams for Medicaid Enterprise Systems (MMIS).
• Manage vendor performance, monitor critical SLAs, and oversee release/change management pipelines.
• Drive incident management, ticketing escalations, and root-cause resolution (including on-call/after-hours operational oversight).
• Develop operational process flows, desk aides, and SOPs for healthcare service lines.
• Ensure end-to-end security compliance with CMS and SSA standards.

Key Requirements:

• 5+ years in Project/Program Management overseeing healthcare system implementations or enhancements.
• 3+ years managing system operations/administrative programs within a healthcare domain.
• Strong background in Medicaid systems (MMIS), MCO enrollment, claims, or encounter processing (Highly Preferred).
• Experience with ticketing systems, SOP authoring, and SLA governance.
• Bachelor's degree in Business, Tech, Healthcare (or equivalent practical experience).
• Must currently reside in South Carolina or be willing to relocate to Columbia, SC prior to start.