Project Manager MMIS Medicaid - contract - Columbia, SC

Project Manager (MMIS Medicaid Systems
Operations)
Location: Columbia,
SC Hybrid (3 days in office, 2 days remote

Interview Process: 1 round,
Virtual/Online
Duration: 12 Months
Employment Type: Contract
Experience Required: 06+ Years

Candidate
location: Candidate MUST be a SC resident or willing to relocate to SC
prior to starting the role at their own expense.

Project Scope:

seeking an experienced IT Healthcare
Consultant – Project Manager to serve as the lead for MMIS Medicaid
Systems Operational Management. The consultant will oversee teams
responsible for supporting business-critical Medicaid operations, including MCO
enrollment, claims and encounter processing, payment processing, production
support, and related healthcare system functions.

The consultant will coordinate with internal
teams, external vendors, cybersecurity teams, enterprise architecture teams,
and business stakeholders to ensure reliable system operations, incident
resolution, compliance adherence, and continuous process improvement.

Key Responsibilities:

Medicaid System Operations Management

• Lead and
  oversee operational support activities for MMIS, Encounter Processing
  Systems, and supporting healthcare applications.
• Manage teams
  supporting production operations, helpdesk functions, interface/EDI
  support, and stakeholder monitoring.
• Ensure
  operational processes meet business objectives and service-level
  expectations.

Incident & Issue Management

• Manage
  production incidents, issues, escalations, and resolution activities.
• Ensure
  incidents are properly documented, tracked, escalated, and resolved within
  required timelines.
• Identify
  operational risks and implement mitigation strategies.
• Maintain
  documentation of decisions, actions, and resolutions.

Vendor & Stakeholder Management

• Coordinate
  with external vendors, cybersecurity teams, enterprise architecture teams,
  and business stakeholders.
• Manage
  vendor deliverables, communications, and issue resolution.
• Ensure
  effective collaboration between technical and business teams.

Project & Release Management

• Support
  system implementations, enhancements, and operational improvements.
• Oversee
  release management activities, including:
• Stakeholder
  communication
• Implementation
  planning
• Readiness
  assessments
• Post-production
  monitoring
• Support
  change management activities, backlog grooming, and approval processes.

Compliance & Process Management

• Ensure
  compliance with CMS, SSA, security policies, and organizational standards.
• Monitor
  security findings and ensure corrective actions are completed.
• Develop,
  maintain, and enforce Standard Operating Procedures (SOPs).
• Identify
  opportunities for operational improvement.

Team Leadership

• Provide
  leadership, guidance, and workload management for support teams.
• Promote
  collaboration, accountability, and effective communication.
• Support a
  professional and productive team environment.

Required Skills & Experience:

·        5+ years of
experience managing healthcare system operations or administrative programs.

·        5+ years of
experience supporting claims and/or encounter processing systems.

·        5+ years of
project management experience managing system implementations, enhancements, or
operational projects.

·        3+ years of
experience managing external vendors providing system development/support
services.

·        Experience with
incident management, production support, and issue escalation.

·        Ability to
participate in after-hours/on-call support when required.

·        Strong knowledge
of Software Development Life Cycle (SDLC).

·        Excellent
documentation, communication, and stakeholder management skills.

Preferred Skills:

·        Experience
managing Medicaid Enterprise Systems (MES/MMIS) operations.

·        Knowledge of
Medicaid eligibility, enrollment, claims, and encounter processing concepts.

·        Experience
preparing executive presentations and operational reports.

·        Experience with
ticketing systems.

·        Experience
creating SOPs and operational documentation.

·        AWS Cloud
Certifications

Education
Bachelor’s degree in Technical, Business, Healthcare, or related field.
(5+ years of equivalent experience in business/systems analysis or
application development may substitute.)