Project Manager (Healthcare)
GTS America - Columbia, SC

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SCOPE OF THE PROJECT:
THE TECHNICAL LEAD WILL PROVIDE DELIVERABLE QUALITY ASSESSMENT, CONTRIBUTE TOWARD MANAGEMENT OF RISKS NORMALLY ENCOUNTERED IN LARGE, PUBLIC-SECTOR PROJECTS AS SCDHHS UPDATES OR REPLACES THEIR AGING STRUCTURED MAINFRAME SYSTEMS.

DAILY DUTIES / RESPONSIBILITIES:
ATTEND PROJECT MEETINGS
DEVELOP FORMAL ASSESSMENT REPORTS
PERFORM INDEPENDENT REVIEW OF PROJECT DELIVERABLES AND PROCESSES
IDENTIFY AREAS OF RISK TO COST, SCHEDULE, SCOPE AND QUALITY
PROVIDE RECOMMENDATIONS PERTAINING TO RISK MITIGATION OR CONTINGENCY OPTIONS
IDENTIFY DEVIATIONS FROM PLANS OR EXECUTION OF PLANS THAT MAY JEOPARDIZE THE PROJECT.
PERFORM OBJECTIVES WHILE REMAINING NEUTRAL WITH OBSERVATIONS/DECISIONS INVOLVING ALL PARTIES
ENSURE ALL PROPER COMMUNICATIONS ARE IDENTIFIED, DOCUMENTED, AND TAKE PLACE
CONFIRM QUALITY THROUGHOUT THE PROJECT
DOCUMENT FINDINGS FOR STATE AND CMS REFERENCE IN DECISION-MAKING
DEVELOP PLANS AND ASSIST WITH FORMAL GATE REVIEWS AS NEEDED
PARTICIPATE IN QUALITY AND TESTING ACTIVITIES, IF NECESSARY, TO ENSURE THAT DEFECTS ARE IDENTIFIED AND ADDRESSED
SERVE AS ‘HONEST BROKER’ IN INVESTIGATING POST-IMPLEMENTATION ISSUES WITH SYSTEMS, VENDORS, AND BUSINESS OPERATIONS
PROVIDE REPORTS DETAILING WORK PLANNED, IN PROGRESS, AND RECENTLY COMPLETED
PERFORM DAILY RISK / ISSUE REVIEWS,
BE ACCOUNTABLE FOR IN-DEPTH PROJECT KNOWLEDGE
CONTRIBUTE KNOWLEDGE OF CMS AND MITA REGULATIONS AND CHANGES

REQUIRED SKILLS (RANK IN ORDER OF IMPORTANCE):
1. IT PROJECT LEAD OR MANAGEMENT EXPERIENCE
2. STRONG UNDERSTANDING HEALTH INSURANCE CONCEPTS (ELIGIBILITY, CLAIMS, PROVIDER MANAGEMENT)
3. EFFECTIVE COMMUNICATION
4. SOLID UNDERSTANDING OF LEGAL PRINCIPLES, ESP AS RELATES TO PUBLIC HEALTHCARE
5. ABILITY TO DELIVER CRITICISM IN A NON-ACCUSATORY MANNER

PREFERRED SKILLS (RANK IN ORDER OF IMPORTANCE):
1. MEDICAID EXPERIENCE
2. MMIS SYSTEM EXPERIENCE
3. MEDICAID IT ARCHITECTURE (MITA)
4. STATE MEDICAID MANUAL
5. MEDICAID ENTERPRISE CERTIFICATION TOOLKIT (MECT)

REQUIRED CERTIFICATIONS:
ITIL WOULD BE NICE TO HAVE.
AGILE WOULD BE NICE TO HAVE.

REQUIRED EDUCATION:
BACHELOR’S DEGREE


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