Project Manager

TALENT Software Services; Columbia (SC); On-site; USD 90,000 - 130,000; Full time

Job summary

TALENT Software Services seeks an IT Healthcare Consultant - Project Manager to lead MMIS Medicaid Systems operational management in Columbia, SC. The role covers enrollment, claims, encounter processing, and related support functions.

You will oversee operations, vendor relationships, incident management, and SOP-driven process improvements while guiding diverse teams to meet mission-critical objectives. Onsite with a 12-month engagement.

Qualifications

• Bachelor's degree in a technical, business, or healthcare field is required.
• 5+ years of equivalent experience in business/systems analysis or computer systems development may substitute.
• 3+ years managing system operations/administrative programs in healthcare.

Responsibilities

• Oversee operations for MMIS, Encounter Processing System, and related systems.
• Coordinate with vendors, security, and enterprise architecture teams.
• Manage vendor SLAs and incident escalation processes.
• Design desk aides and process flows for new service lines.
• Train staff to use desk aides, processes, and ticketing systems.
• Lead production support, helpdesk, interface/EDI, and user acceptance testing.
• Oversee incident/issue management, documentation, and timely resolutions.
• Ensure compliance with CMS/SSA security findings and resolutions.
• Promote workforce engagement and a safe, productive environment.
• Oversee release management, pre/post-implementation readiness, and stakeholder comms.
• Support change management with backlog grooming and approval gates.

Skills

Project management

Incident management

Vendor management

Stakeholder communication

Training

Process documentation

SOP development

Change management

Team leadership

Team workload management

Education

Bachelor's degree in technical, business, or healthcare field

Tools

Ticketing software

Job description

Job Title: IT Healthcare Consultant - Project Manager - Consultant

Job Location: Columbia, SC, 29210, Onsite

Job Duration: 12 Months

Job Summary

• The client is looking for an IT Healthcare Consultant - Project Manager - Consultant who will be the lead for MMIS Medicaid Systems Operational Management.
• This position will lead teams that support business-critical operations for MCO enrollment, claims and encounter processing and payment and other support functions.

Job Description

• 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.
• Conduct vendor management including monitoring service level agreements.
• Design and develop desk aides and process flows for new and existing service lines.
• Train team members to use desk aides, process flows, and ticketing system to perform operational support.
• 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 user acceptance testing.
• 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 compliance with security (CMS, SSA, etc.) and monitors all findings and recommendations to completion.
• Promotes workforce engagement and a safe, professional, and productive work environment for all team members
• Implements, monitors and follows Standard Operating Procedures and alerts team when practice differs from SOP.
• Oversees release management activities stakeholder communication, pre-implementation planning, readiness checks, and post-implementation monitoring.
• Provide support to change management by performing and coordinating backlog grooming and maintenance and ensuring compliance with appropriate approval gates.

Required Skills

• Bachelor's degree in technical, business, or healthcare field. 5+ years of equivalent experience in business/systems analysis and/or computer systems development/modification may be substituted.
• 3+ years of prior experience managing system operations and or administrative program functions in healthcare environment.
• 5+ years of experience in project/program management – managing system implementations or enhancements.
• Ability to provide incident management on call and after hours

Preferred Skills

• 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.
• AWS Cloud Certifications

Additional Skills

• 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