MAKE STRATEGY A REALITY | ACCELERATE YOUR GROWTH | CHOOSE YOUR PATH
As the worlds leading change and transformation consultancy were helping businesses move from strategy to reality by taking a pragmatic and practical approach to build solutions that last.
Were seeking a Project Manager - Medicaid Enterprise Systems SME in our Health & Human Services Practice to help us take vision to value and create lasting impact.
SUMMARY
North Highland is seeking to hire a Project Management - Medicaid Enterprise System - SME Consultant to support our client with a transformational initiative to modernize its Medicaid Enterprise Systems MES.
As the MES Subject Matter Expert SME you will provide technical leadership and thought partnership on system architecture federal Centers for Medicare & Medicaid Services CMSMedicaid Information Technology Architecture MITA compliance integration management and best-practice vendor evaluation.
YOU WILL
Guide North Highland and client teams on MMISMES current-state system assessment modular solution design and procurement strategy for all relevant modules such as MMIS EDW provider and claims.
Lead or contribute to drafting the Integration Management Plan IMP and multi-year MES modernization roadmap ensuring alignment with CMS certification and MITA frameworks.
Facilitate requirements-gathering sessions and support interface data and modular integration planning.
Analyze adapt and implement industry and peer-state best practices for requests for proposals RFPs statements of work SOWs evaluation tools and transition planning.
Advise on MES contractual operational and compliance considerations including federal advance planning documents APDs and ongoing CMS certification and reporting requirements.
Support training and preparation for evaluation committees advise throughout proposal review negotiation and vendor selection.
Identify and address integration modularity and procurement risks as part of team risk management discipline.
Serve as a bridge between business and technical teams to ensure all solutions meet user needs compliance standards and operational readiness.
Actively participate in regular project meetings workshops and deliverable reviews.
IDEALLY WED LIKE
5 years of direct experience with MES or MMIS including a lead or SME role on at least one state modularization or modernization initiative.
Demonstrated expertise in CMS certification MITA assessment APD processes and best-practice modular Medicaid information technology design and delivery.
Hands-on experience in enterprise integration modular system architecture and multi-vendor environments.
Familiarity with major MES or MMIS vendors and solutions for example Gainwell Conduent Optum or similar.
Outstanding written and verbal communication skills with ability to draft deliverables and facilitate technicalnon-technical stakeholder sessions.
Strong collaboration skills with experience in consulting system integrator or multidisciplinarystate teams.
Experience supporting Medicaid information technology procurements RFPSOW development evaluation contracting.
Direct involvement in vendor selection technical review committees andor benefits system transformations. Prior consulting public sector or system integrator experience in Medicaid or health information technology modernization.
We strive to offer competitive compensation and benefits while maintaining flexibility for both the employee and the North Highland. Total Rewards associated with this position include an hourly rate from 85.00 - 90.00 as well as a basic benefits package for temporary employees and paid time off PTO.Applicants must be authorized to work in the United States without the need for visa sponsorship by North Highland. Work visa sponsorship will not be provided either now or in the future for this position. This is a temporary employee W2 opportunity.North Highland is an equal opportunity employer and we adhere to all applicable laws and regulations to ensure a fair and equitable workplace. All qualified applicants will receive fair and impartial consideration without regard to race color sex gender identity religion national origin age sexual orientation disability veteran status or any other characteristic protected by law. We handle all information in accordance local privacy standards and maintain strict confidentiality.