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Executive Order 11246, Section 503 & VEVRAA EOE, including disability/vets
MITA PMP Commercial Healthcare Developer
(Jobs in Columbia, SC)
 
Requirement id 74949
Job title Developer
Job location in Columbia, SC
Skills required Verbal Communication, Written And Verbal Communication Skills, MITA, PMP Commercial Healthcare
Open Date 31-Oct-2018
Close Date
Job type Contract
Duration 12 Months
Compensation DOE
Status requirement ---
Job interview type ---
Apply
   Email Recruiter: coolsoft
Job Description Developer: Verbal Communication, Written And Verbal Communication Skills, MITA, PMP Commercial Healthcare

SCOPE OF THE PROJECT:
SCDHHS is the State Medicaid Agency for South Carolina. This project is focused on the replacement of the States Medicaid Management Information System (MMIS). The project is a major undertaking for SCDHHS and requires major transformation of culture, processes and technology. This project also supports the Departments transition from primarily a fee-for-service payor of claims towards a program and policy driver for health outcomes primarily through managed care programs.

The Replacement MMIS project is a multi-year effort to replace the States aging MMIS and related applications with more modern capabilities along with corresponding business operations services.

The goal of the RMMIS program will be incremental and modular in nature with a focus on configurable and scalable integrations, which allow for more flexibility and reduces time and cost necessary to respond to federal and state enhancements.

A key strategy of the project is to remove Medicaid-specific requirements in order to allow for easier customization, increased vendor competition, and reduced cost. SCDHHS intends to retain control over policy, business rules, and reference data. SCDHHS retains control over an Operational Data Store (ODS) and all EDI components.

The major sub-project components of the Replacement MMIS Program are:

? Provider Management
? Analytics
? Accounting and Finance
? Commercial Administrative Services Organization (ASO) for FFS Claims

Supporting the projects are:

? Technical Integration
? Project Management Integration
? Commercial Integration

DAILY DUTIES / RESPONSIBILITIES:
The Replacement MMIS Business Integration Lead will work with the Project Director and the Lead Project Manager and will support the Project Management team to ensure the commercial principles, business goals and values of the project are met.

Duties include:
• Perform business process analysis and performance assessments for the assigned projects
• Train and mentor team members in delivering high quality business solutions that meet the overall strategy
and vision
• Build positive relationships with clients and proactively address specific needs
• Lead business design sessions within assigned modules and work streams
• Advocate and lead business integration in support of the RMMIS ASO project
• Provide backup role to the ASO product owner
• Drive, though dynamic discussion, efficient configuration of data within the core modules of RMMIS
projects
• Provide liaison role between business and IT verticals
• Ensure project deliverables for each project connect to the operational principles
• Coordinate priorities and resources between multiple projects.
• Provide updates on status and issues for all assignments
• Participate in scheduled operational meetings and routine team leads meetings
• Lead cross-functional meetings and produce business designs that integrate functionality across modules
• Facilitate sessions to effectively resolve issues if any.
• Provide recommendations of appropriate resources if necessary to ensure assignments are completed within given time and budget.
• Create and maintain key performance indicators to indicate project progress toward business integration
goals.

REQUIRED SKILLS (RANK IN ORDER OF IMPORTANCE):
• At least ten years of experience in commercial healthcare.
• Experience with inner workings of cross functional projects
• Familiarity with Medicaid Information Technology Architecture (MITA) business architecture principles.
• Familiarity with standard data structures, electronic data interchange, processes and related file formats.
• Knowledge of Federal Certification requirements and processes is preferable.
• Interest, skill and ability to inno
 
Call 502-379-4456 Ext 100 for more details. Please provide Requirement id: 74949 while calling.
 
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(Developer: Verbal Communication, Written And Verbal Communication Skills, MITA, PMP Commercial Healthcare in Columbia, SC)
     
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