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Executive Order 11246, Section 503 & VEVRAA EOE, including disability/vets
MITA Commercial Healthcare Benefits Enrollments PMP Certification Claims Payment C
 
Requirement id 120276
Job title Consultant
Job location in Columbia, SC
Skills required Written And Verbal Communication Skills, Bachelors Degree, Medicaid Information Technology Architecture (MITA), MITA Commercial Healthcare Benefits Enro
Open Date 09-Nov-2021
Close Date
Job type Contract
Duration 12 Months
Compensation DOE
Status requirement ---
Job interview type ---
Apply
   Email Recruiter: coolsoft
Job Description Consultant: Written And Verbal Communication Skills, Bachelors Degree, Medicaid Information Technology Architecture (MITA), MITA Commercial Healthcare Benefits Enro

Start Date :12/3/2021

Submission Deadline :11/16/2021

Client Info :Department of Health and Human Services

Note :

* INTERVIEW PROCESS (who will conduct i/v, phone or in-person, how many rounds of i/vs)?

Interviews will be conducted via phone and/or Microsoft Teams video conferencing.

* SCHEDULE INTERVIEW: How soon can you schedule an interview (date / times)?

Description :

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 Program Manager 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
 
Call 502-379-4456 Ext 100 for more details. Please provide Requirement id: 120276 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),
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(Consultant: Written And Verbal Communication Skills, Bachelors Degree, Medicaid Information Technology Architecture (MITA), MITA Commercial Healthcare Benefits Enro in Columbia, SC)
     
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