Medicaid IT Project Manager - Columbia SC​/Hybrid

Medicaid Healthcare IT Project Manager

Location:
Columbia SC Hybrid (3 days in office, 2 days remote).

Contract: 12 months

The IT Healthcare Consultant
- Project Manager
- Advanced will be assigned to projects for the South Carolina Department of Health and Human Services (SCDHHS), the Medicaid Agency for SC.

Candidates who enjoy working on complex, change-oriented projects will find this position attractive.

SCDHHS is seeking an IT Healthcare Consultant
- Project Manager
- Advanced to assist with implementation of changes as well as small-to-large projects for the MMIS and related subsystems.

The principal duties of this position are to evaluate agency needs, as‑is and to‑be business processes, and technical designs to provide analysis and advice on strategies for information technology solutions and non‑technical solutions. The IT Healthcare Consultant
- Project Manager
- Advanced will serve in the lead role to coordinate a team of business analysts responsible for providing detailed analysis and documenting business processes and requirements.

• Coordinate standard operating procedures for system change efforts with a team of business analysts.
• Ensure change classification, evaluation, and prioritization occurs according to procedures associated with relevant systems.
• Provide support and guidance to business analyst team members to facilitate the requirements development and management processes.
• Serve as a liaison between the business programs community and the IT organization to provide technical solutions to meet user needs.
• Possess expertise in the business unit(s) they support, as well as an understanding of the IT organization’s systems and capabilities.
• Analyze business partner's operations to understand their strengths and weaknesses to determine opportunities to automate processes and functions.
• Assist in business process redesign and documentation as needed for new technology.
• Translate high-level business requirements into functional specifications for the IT organization and manage changes to such specifications. Educate the IT organization on the direction of the business.
• Negotiate agreements and commitments by facilitating communication between business unit(s) and IT from initial requirements to final implementation.
• Possess an understanding of technological trends and use this knowledge to bring solutions to business units supported to enhance the enterprise's competitive edge.
• Execute requirements development, including elicitation, analysis, specification and validation.
• Document and analyze agency business processes and recommend improvements.
• Document and analyze data requirements and relationships.
• Participate in the requirements management processes, including change control, version control, tracking and status reporting, and traceability.
• Provide requirements interpretation and guidance to technical and test teams.
• Proactively identify risks, issues, and action items leading to possible solutions.
• Interact with internal and external organizations (i.e. vendors, State and Federal government agencies, State providers and beneficiaries, and other stakeholders).
• Make recommendations for buy versus build decision.
• Research business rules, requirements, and models.
• Maintain business rules, requirements, and models in a repository.
• Other project-related duties.

• 5 years’ experience in government IT projects as a business analyst or related duties
• 5 years’ experience eliciting, mining, and documenting business rules, processes
• 5 years of Medicaid experience
• Superb written and oral communications skills, including the ability to write requirements and Use Cases
• Experience and ability to obtain business processes and requirements information by interviewing business personnel and by mining laws, regulations, and policy documents
• Knowledge of formal business process documentation
• Understanding of business modeling techniques, including the use of graphical process flow software
• Ability to effectively communicate to executive management, line management, project management, and team members

Bachelor’s degree in a technical, business, or healthcare field. Experience in lieu of a degree year by year is acceptable.

• General subject‑matter expertise as it relates to Medicaid or other healthcare insurance experience (project or operations)
• MMIS experience (project or operations)
• Microsoft Office Project/Project Server