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Jobs in Columbia, SC

Project Manager OR Healthcare Consultant

Excelraise, LLC

Columbia, SC

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JOB DETAILS
SALARY
$70–$80 Per Hour
JOB TYPE
Contractor
SKILLS
Business Operations, Business Support, Claims Processing, Consulting, Health Information Technology, Healthcare Management, Information Technology Consulting, Managed Care, Medicaid, Operations Management, Payment Processing, Project/Program Management, System Operations, Systems Administration/Management, Team Lead/Manager
QUALIFICATIONS
  • Bachelor’s degree in a technical, business, or healthcare field. 5+ years of equivalent experience in business/systems analysis and/or computer systems development/modification may be substituted.
  • 5+ years of prior experience managing system operations and or administrative program functions for claims and/or encounter processing in healthcare environment.
  • 5+ years of experience in project management – managing system implementations or enhancements.
  • 3+ years of experience managing external vendors who provide system development.
  • Ability to provide incident management on call and after hours
  • AWS Cloud Certifications (Preferred Skills)
  • Prior experience managing operations of Medicaid Enterprise systems.
  • Knowledge of system development lifecycle
  • Knowledge of Medicaid eligibility, enrollment, and MMIS domain concepts
  • Experience with ticketing software
  • Experience with writing standard operating procedures for new system implementations.
RESPONSIBILITIES
  • Oversee, coordinate, and perform operations and support activities for MMIS, Encounter Processing System, and other supporting systems. To include communication and coordination with vendors, Office of Cyber Security, Enterprise Architecture, etc.
  • Maintains an effective organizational team and motivates diverse staff to accomplish mission critical operations and objectives. These teams provide production support, helpdesk, interface/EDI support, and stakeholder monitoring and Oversee incident and issue management. Ensures documentation, tracking, escalation and resolution for all ticket types. Ensures timely resolution of production issues.
  • Identifies and mitigates operational issues and ensures decisions and actions are well-documented.
  • Handles internal and external escalations and requests and ensures they are satisfactorily resolved, communicating issues and outcomes to appropriate personnel. Ensures work is assigned appropriately and escalations are resolved in a timely and effective manner.
  • Ensures compliance with security (CMS, SSA, etc.) and monitors all findings and recommendations to completion.
  • Works with contract monitor to ensure SLAs are set and monitored.
  • Responds promptly to inquiries.
  • Promotes workforce engagement and a safe, professional, and productive work environment for all team members
  • Implements, monitors and follows Standard Operating Procedures and alerts team when practice differs from SOP.
  • Oversees release management activities stakeholder communication, pre-implementation planning, readiness checks, and post-implementation monitoring.
  • Provide support to change management by performing and coordinating backlog grooming and maintenance and ensuring compliance with appropriate approval gates.
LOCATION
Columbia, SC
POSTED
2 days ago

Looking for an IT Healthcare Consultant - Project Manager - Consultant who will be the lead for MMIS Medicaid Systems Operational Management. This position will lead teams that support business-critical operations for MCO enrollment, claims and encounter processing and payment and other support functions.

***This is Hybrid Position (3 days in office, 2 days remote). Onsite for 30-90 days - schedule will turn to hybrid at the managers discretion***

About the Company

E

Excelraise, LLC

Excelraise is a leader in consulting and technology. We help enterprises transform and thrive in a changing world through strategic consulting and operational leadership. At Excelraise, we outperform the competition and stay ahead of the innovation curve. 

HEADQUARTERS
Englewood, CO, US
INDUSTRY
Computer/IT Services

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