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Enterprise Project Manager - Executive - Quality Assurance Analyst

InterSources Inc.

Columbia, SC

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JOB DETAILS
SKILLS
Analysis Skills, Artificial Intelligence (AI), Best Practices, Bug Tracking/Defect Management, Business Analysis, Business Model, Business Operations, Business Processes, Business Skills, Centers for Medicare and Medicaid Services (CMS), Change Control, Cloud Applications, Cloud Computing, Communication Skills, Data Analysis, Data Modeling, Department of Health and Human Services, Develop Methodologies, Documentation, ERP (Enterprise Resource Planning), Federal Government, Health Information Technology, Health Insurance, ISO (International Organization for Standardization), Identify Issues, Information Architecture, Information Technology & Information Systems, Information Technology Consulting, Information Technology Software, International Electro-Technical Commission (IEC), Internet Security, Logistics, Medicaid, Medicare, Metrics, Online Marketing, Oracle, Outsourcing, Presentation/Verbal Skills, Process Analysis, Process Improvement, Project Control, Project Schedule, Project/Program Management, Quality Assurance, Quality Management, Quality Monitoring, Requirements Management, Risk, Risk Analysis, Semantic Reasoner, Software Development, Source Code/Configuration Management (SCM), Standards Development, State Government, System Integration (SI), System Operations, Team Lead/Manager, Test Plan/Schedule, Testing, Traceability, User Experience Design (UXD), User Interface Design, Web Programming, Writing Skills
LOCATION
Columbia, SC
POSTED
30+ days ago
Title:Enterprise Project Manager - Executive - Quality Assurance Analyst
Location:Columbia SC 29201
On-site/Remote/Hybrid: Hybrid (3 days in office, 2 days remote) after 30-90 days fully onsite
Duration: 12 Months
Interview Process: 1 round Virtual/Online
No of submissions: 2
No of Positions: 1

Scope: The Eligibility and Enrollment Member Management Project is one of the largest IT projects for the State of South Carolina. It focuses on SCDHHS Medicaid Eligibility system. This project will be very complex and will demand exceptionally high quality team members.

Job Description:
DAILY DUTIES / RESPONSIBILITIES:
The Quality Manager is responsible for a PMI-oriented approach and methodology to ensuring DDI (Design, Development, and Implementation) process conformance, as well as assisting in monitoring and controlling the quality of project deliverables.

Duties include:
• Understanding of solution requirements, monitoring development execution, and performing validation of deliverables against original requirements as expressed in a requirements traceability matrix.
• Assist the Project Management Organization in the design and implementation of templates relating to quality management processes to be used as organizational process assets throughout SC DHHS projects.
• Assist project director and project manager in the development of technical metrics for compliance with industry best practices and standards as defined by CMS and the 'MITA-Mature' Medicaid Information Systems suite of standards.
• Documenting and analyzing agency business processes and recommending improvements.
• Documenting and analyzing data requirements and relationships.
• Participating in the requirements management processes, including change control, version control, tracking and status reporting, and traceability.
• Providing requirements interpretation and guidance to test teams.
• Proactively identifying risks, issues, and action items leading to possible solutions; risk resolution techniques highly desired, including mitigation, transference, avoidance, and where required, acceptance.
• Interacting with internal and external organizations (i.e. vendors, State and Federal government agencies, State providers and beneficiaries, and other stakeholders).
• Consolidating defect tracking and resolution efforts of the User Acceptance Team lead and respective staff, developing testing activity protocols, and developing techniques and standards for use in defect tracking and resolution.
• Planning for, conducting, and reporting on testing and other quality assurance activities.
• Support activities to gain approval for certification for the system from state and federal partners.
• Help identify project schedules to ensure all dependencies from a testing and logistics perspective are accounted for.

Other duties as assigned.
Subject matter areas include member related eligibility determination, enrollment and disenrollment, eligibility inquiry, capitation premium payment, health insurance premium payment, Medicare premium payment, premium invoice, program policy, and state plan.
Familiarity with the Affordable Care Act and impacts on Medicaid eligibility and member related processes is also beneficial

REQUIRED SKILLS (RANK IN ORDER OF IMPORTANCE):
• 3+ years of Quality management experience on major IT healthcare systems development
• 3+ years' experience in healthcare insurance IT software/systems implementations performing
duties described in the "Daily Duties/Responsibilities” section above.
• Experience using modern commercial rules engines and their respective orchestration layers.

REQUIRED EDUCATION:
Bachelor Degree or equivalent experience; Master's Degree preferred.

PREFERRED SKILLS (RANK IN ORDER OF IMPORTANCE):
• Medicaid eligibility system/business operations experience
• Understanding of the Medicaid Information Technology Architecture (MITA)
• Understanding of the Medicaid Enterprise Certification Toolkit (MECT)
• Experience in an outsourced IT development project.

ADDITIONAL DUTIES/ SKILLS:
• Ability to properly document quality audit and monitoring and controlling activities.
• Ability to interpret business process and business data models. • Experience in creating solution
metrics within an IT healthcare solution environment.
• Superb written and oral communication skills, including the ability to give presentations to executive management.
• Impeccable integrity. This project will have very high visibility and will impact significant expenditures
of public funds. Candidates must be confident with their abilities to make correct decisions and the
courage to speak out when necessary.
• Willingness and ability to effectively engage with people and organizations on a continuous basis.

About Us:
InterSources Inc, is a Small, Woman, and Minority-Owned Business Enterprise, ISO/IEC 27001, SOC 2 Type 2 certified company with massive 18+ years of diversified experience in providing IT Consulting Services, Artificial Intelligence, Data Analysis, Application Development, Cloud Services, Cybersecurity, Digital Marketing, ERP Management, Custom Software Development, Web Development, UI/ UX Design, System Integration, QA Support etc. We make reasonable accommodations for clients and employees, and we do not discriminate based on any protected attribute including race, religion, color, national origin, gender sexual orientation, gender identity, age, or marital status. We also are a Google Cloud and Oracle partner company.

About the Company

I

InterSources Inc.

It’s all about harnessing the real power of data. InterSources Inc was founded in 2007 providing intelligent data solutions to clients across industries and geographies.

Over the years, we have built products on Business Intelligence & Big Data platform simplifying and transforming the way business intelligence and real-time data analytics empower Corporations and end-users using Softwares like Tableau, Business Objects, MicroStrategy, etc.

In the process, we have enabled companies to use data analytics to help better understand, predict and influence consumer behavior, identify new market opportunities as they emerge, provide to users the data they need, alert the user when and why key business metrics have changed and enable them to make smart decisions.

COMPANY SIZE
100 to 499 employees
INDUSTRY
Computer/IT Services
FOUNDED
2007
WEBSITE
https://www.intersourcesinc.com/

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