Health Insurance Experience Resource Management Manager (Jobs in COLUMBIA, SC)   Requirement id 70727 Job title Manager Job location in Columbia, SC Skills required Financial Management, Project Management Skills, Management Skills, Health Insurance Experience Resource Man Open Date 14-Jun-2018 Close Date Job type Not specified Duration 12 Months Compensation DOE Status requirement --- Job interview type Phone Screen and Face to Face interview    Email Recruiter: coolsoft Job Description Manager: Financial Management, Project Management Skills, Management Skills, Health Insurance Experience Resource Man Description : SCOPE OF THE PROJECT: The Fee for Service Operations Director is responsible for a broad range of the operational activities that includes payment services, provider enrollment and management. Oversees both department staff and major contracts for delivering these services. Identifies and articulates root cause and predictive analysis of policy and procedural changes of ongoing Fee for Service Operations. Recommends and oversees implementation of program improvement initiatives, including establishment of key performance indicators (KPIs) to assess business unit performance over time. Under general supervision, manages, monitors and coordinates all tasks associated within the Fee for Service Operations. This includes managing costs, schedule, scope, and quality of all activities and deliverables on project. Responsible for developing, operating, and incrementally improving a catalog of services related to all operations functions within SCDHHS. The articulation of these services shall adhere to the Medicaid Information Technology Architecture (MITA) 3.0 business architecture. DAILY DUTIES / RESPONSIBILITIES: Within defined deadlines, candidate will provide functional services to include: • Performs fundamental supervisory and leadership functions in accordance with Department policies and procedures, best practices and Federal and State rules and regulations, especially with regard to Equal Employment Opportunity Commission (EEOC) standards. Maintains an effective organizational team and motivates diverse staff to accomplish mission critical operations and objectives. Promotes workforce engagement. • Directs the Fee for Service Operations supporting the agencys fee for service claims processing, provide customer service, and provider enrollment and management functions. Includes the design, implementations, and management of processes procedures, and governance to achieve and maintain efficient and effective Provider Services. Responsible for establishing, tracking, and reporting on Provider Services performance metrics, and using these metrics to operate a continue services improvement effort. Coordinate provider services activity with other departmental business units, include health and program policy, project management, new health initiatives, and external contractors. Serves as a Provider Services subject matter and technical expert to agency and external stakeholders. • Responsible for review and assessment of all Fee for service Operations business units for potential program improvement intervention, business unit reorganization, and introduction of KPIs to monitor program performance. Responsible for performing agency-wide analysis to determine which existing business units belong in single, coherent Fee for service Operations organization and which belong in other verticals. Also responsible for identifying new business units necessary for efficient and effective Fee for service operations management which may include establishment of new integration within the agency, securing vendors to perform business operations, or a combination thereof.. Provides analysis, design, and oversight for integration of existing programs into agency operations. • Responsible for establishing a reporting and analytics service for Fee for Service Operations, including KPI and performance dashboards, root cause analysis, and other reporting to improve operational awareness for all relevant business units. Will work in conjunction with the Office of Information management (OIM) Enterprise Services unit to define and establish data and reporting services necessary to complete this effort. Will work in conjunction with OIM Project management office (PMO) to align program KPIs to the Information Technology Infrastructure Library (ITIL) Version 3.0. • Responsible for supporting the articulation and design of common workflow processes (e.g. m   Call 502-379-4456 Ext 100 for more details. Please provide Requirement id: 70727 while calling.   Other jobs in SC: Beaufort (1), Blythewod (2), Blythewood (3), Charleston (17), Columbia (37), Greenville (4), Hartsville (2), North Charleston (2), Overland Park (1), San Francisco (1), SENECA (4), South Carolina (1), Spartanburg (3), Unknown (2),    Financial Management job openings in other states Jobs List VDOT IT Purchasing Analyst (729333) Create date: 15-Feb-2024 Hybrid start date :03/04/2024 End date :06/30/2024 submission deadline :2/20/2024 client info :VDOT Description : *Local Richmond, VA candidates required for occasional onsite work *Candidate will telework. May be required to repo.... (This job is for - job Jobs in VA Richmond Analyst - (in Richmond, VA)) VDOT Network Project Manager PMP (725739) Create date: 14-Dec-2023 Hybrid Start date :12/29/2023 End date :06/30/2024 Submission deadline : 12/19/2023 Client info : VDOT Description : *Local Richmond, VA candidates only please *Candidate MUST possess PMP certification through PMI or VITAs PM certif.... (This job is for - job Jobs in VA Richmond Manager - (in Richmond, VA)) DAS-IT Consultant 3/ ITC3 (710519) Create date: 24-May-2023 start date : 06/12/2023 End date : 06/30/2024 submission deadline : 05/30/2023 client info : DAS Note : * Please submit contractors who can work Hybrid – 2 days in office per week. This is a potential multi year opportunity. Description.... (This job is for - job Jobs in OH Columbus Consultant - (in Columbus, OH)) Business Analyst/Consultant IV -114783-SP Create date: 01-Mar-2023 Start date : 03/27/2023 End Date : 06/30/2023 Submission deadline : March 8, 2023, at 4:00PM CST. Client Info : UW - Madison Note : * Interview Process: Zoom w/camera on. Number of rounds (1 to 2) * Duration: Contract ending on June 30, 2023, with possibility of extension. .... (This job is for - job Jobs in WI Madison Analyst - (in Madison, WI)) DevOps Engineer III - 112796 - SP Create date: 06-Jan-2023 start date: 01/30/2023 End date: 06/30/2023 submission deadline: January 13, 2023, at 4:00PM CST; client info : UW - Madison Note : * Interview Process: Zoom w/camera on. Number of rounds (1) * Duration: Contract through 6/30/2023, with the possibility through 12 months .... (This job is for - EIB Jobs in WI Madison Engineer - (in Madison, WI))     (Manager: Financial Management, Project Management Skills, Management Skills, Health Insurance Experience Resource Man in Columbia, SC)

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