IT Healthcare Project Manager; MMIS

IT Healthcare Consultant – Project Manager (MMIS Operations)

Location:

Columbia, SC (Hybrid – Minimum 3 Days Onsite) Position Type:
Contract Industry: Healthcare / Medicaid / Government

We are seeking an experienced IT Healthcare Consultant – Project Manager to lead operational management activities for a large-scale Medicaid Management Information System (MMIS) environment. This role is responsible for overseeing business-critical Medicaid system operations, including managed care organization (MCO) enrollment, claims and encounter processing, payment operations, release management, incident management, vendor coordination, and operational support. The ideal candidate has a strong background managing healthcare technology operations, Medicaid systems, and cross-functional technical teams in a fast-paced production environment.

• Medicaid Systems Operations
• Lead day-to-day operations for MMIS, Encounter Processing Systems, and related healthcare applications
• Oversee production support, help desk operations, EDI/interface support, and operational monitoring
• Ensure business-critical Medicaid systems remain available, stable, and compliant
• Coordinate with internal IT teams, vendors, cybersecurity, and enterprise architecture groups

• Project & Operational Management
• Manage system implementations, enhancements, and operational initiatives
• Develop project plans, timelines, and operational readiness strategies
• Coordinate release planning, implementation activities, readiness assessments, and post-implementation monitoring
• Support change management activities, including backlog grooming and approval processes

• Incident & Vendor Management
• Lead incident management activities, including issue tracking, escalation, and resolution
• Coordinate internal and external stakeholders to resolve production issues quickly and effectively
• Manage third-party vendors responsible for system development and support
• Monitor vendor performance and service level agreements (SLAs)

• Team Leadership
• Lead and mentor cross-functional operational support teams
• Assign workloads and monitor team performance
• Foster a collaborative, professional, and customer-focused work environment
• Provide guidance and operational direction to technical staff

• Compliance & Process Improvement
• Ensure compliance with healthcare and regulatory security requirements
• Develop, maintain, and improve Standard Operating Procedures (SOPs)
• Identify operational risks and implement process improvements
• Prepare operational reports, executive presentations, and status updates

• Bachelor's degree in Information Technology, Business, Healthcare, or a related field OR equivalent professional experience
• 5+ years of experience managing healthcare system operations involving claims and/or encounter processing
• 5+ years of IT project management experience supporting system implementations or enhancements
• 3+ years of experience managing third-party vendors providing application development or support services
• Experience leading production support and operational teams
• Strong knowledge of incident management, release management, and change management processes
• Ability to provide on-call and after-hours operational support when required
• Excellent communication, leadership, and organizational skills

• Experience managing Medicaid Enterprise or MMIS operations
• Knowledge of Medicaid eligibility, enrollment, claims, and encounter processing
• Experience with ticketing and incident management systems
• Experience developing Standard Operating Procedures (SOPs)
• AWS Cloud Certification
• Experience presenting to executive leadership and preparing operational reports

• Medicaid Management Information Systems (MMIS)
• Healthcare Claims Processing
• Encounter Processing
• Release Management
• Change Management
• Incident Management
• Service Desk Operations
• Vendor Management
• Ticketing Systems
• AWS (Preferred)

• Hybrid schedule with a minimum of three days onsite each week
• Fast-paced production support environment
• Occasional evening and weekend work required to support releases and critical production incidents
• Collaborative team supporting mission-critical healthcare systems

• Experienced healthcare IT Project Manager with strong Medicaid operations expertise
• Proven leader of technical operations and production support teams
• Skilled at managing vendors, releases, incidents, and cross-functional initiatives
• Excellent communicator comfortable working with technical teams, business stakeholders, vendors, and executive leadership
• Organized, proactive, and capable of managing multiple high-priority initiatives simultaneously

Why Apply?

This is an opportunity to lead critical Medicaid technology operations supporting healthcare services for citizens across the state. You'll work on high-impact enterprise systems while collaborating with experienced technology professionals in a dynamic, mission-driven environment.