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Project Management - Enterprise
Ref No.: 14-00275
Location: Columbia, South Carolina
12 Months
Department of Health and Human Services
Columbia SC


Company / Department culture (why do you enjoy working for the company selling points for potential candidates):

SCDHHS is the State Medicaid Agency for South Carolina. This project is focused on the replacement of the State's 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 Department's 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 project's strategy supports significant innovation in MMIS thinking and mindset and is aligned with MMIS innovation at the national-level as well.


Experienced leaders with a proven ability to transform organizations, processes and information technology are ideal fits and experience with Medicaid, MMIS and/or large transformative information technology projects (especially in health care) are desired. Candidates who enjoy innovating across a complex, change-oriented environment while working with a motivated team will find this position attractive.

Why is this position open (new role, increased work load, new dept, resignation, promotion)?
If backfill Position What separated the candidate you initially selected from all the other resumes presented?

This is a new position needed to provide support for the MMIS Replacement Project.

What types of staffing challenges or headaches have you experienced in the past?
  • Commuting candidates not understanding the challenges of an onsite position
  • Candidates who have been effective leaders in Medicaid or larger IT projects when the strategy/approach was provided to them, however they do not have experience or skill in developing strategy which is required given the level of innovation required for this position.
  • Candidates who lacked knowledge of the federal Medicaid requirements and/or were unable to build relationships with federal partners.
  • Candidates who either did not have the experience or understanding the need to participate in RFI/RFP development, evaluation and management. This position will oversee a significant acquisition of business and technology services. Experience with Enterprise Business Intelligence (BI) is preferred
  • Candidates whose ability to communicate, written and orally, were not adequate for the level of position.
  • Candidates who lacked government experience and were unable to adapt to some of the processes, policies and at times pace certain portions of the project work required.
  • During or after the implementation period, the duties of this position may be transitioned from a consulting role to a full-time/on-going employee role. The consultant would have the option of applying for that position at that time.
Scope of the project:
SCDHHS is the State Medicaid Agency for South Carolina. This project is focused on the replacement of the State's 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 Department's transition from a FFS claims payment system to a managed care-centric MMIS.

The Replacement MMIS project is a multi-year effort to replace the State's aging MMIS and related applications with more modern capabilities along with corresponding performance based analytical tools. The State's innovative strategy includes the selection and management of a Reporting and Analytics Project Manager to assist with creating and supporting an enterprise Business Intelligence (BI); predictive analytics; and support of the Data Warehouse. This includes but not limited to, information governance, requirements gathering, report development, support of end-users, management of SCDHHS data assets, generating demand for usage of data.

This expanded features include managing health outcomes as an integral part of managing contractor performance; managing other contractor performance items; and greater management of provider over-utilization, under-utilization, and access to care issues.

This position will provide the project management role for the implementation of the Reporting and Analytics and oversee the transition to on-going operations, and support the CMS certification of the Reporting and Analytics portion of the MMIS replacement project.

Position:
Medicaid Management Information System (MMIS) Project Manager
Open to visa transfer? Yes No
Start Date:
Negotiable, as soon as feasible
Duration:
12 months
Possibility of Extension?
Yes or NO
Bill Rate: Public Sector/Gov't Experience Required?
Yes or NO Yes
REMOTE WORK POSSIBILITY YES OR NO?
Consultant will be required to work in Columbia, SC with minimal remote work.
estimated budget:
Pre-employment Checks (drug, credit, criminal, motor vehicle)?

Criminal Background Check
Previous employment

Daily Duties / Responsibilities:
The Replacement MMIS Reporting and Analytics Project Manager is responsible for managing cost, schedule, scope, and quality of all activities and deliverables on the Reporting & Analytics portion of the MMIS project. The PM will manage a mid-sized team, and will participate as part of the project management leadership for the overall MMIS replacement project (the project management team is comprised of about 5 PMs each managing major portions of the overall project).

Duties include:
  • Building a project plan and executing to that plan.
  • Determining and managing project expenses within the allocated budget.
  • Managing project risks and issues.
  • Directing the activities of Business Analysts/Subject Mater Experts (SMEs) in the development of project documents.
  • Manage the implementation
  • Ensure that all deliverables and activities are completed with high quality and in a timely fashion.
  • Reporting on project status and strategies orally and in writing to the Replacement MMIS Project Director, Project Management Office Director, project partners and other major initiative projects leads.
  • Providing advice on procurement and implementation strategies.
  • Coordinating with outside entities, including vendors for other systems/services, providers, professional associations, and other State agencies.
  • Other duties as assigned.

Required Skills (rank in order of Importance):
  • Experience with managing the implementation of major (multi-million dollar) projects.
  • Knowledge of Medicaid Information Technology Architecture (MITA) principles and framework.
  • Knowledge of Federal Certification requirements and processes is preferable.
  • Knowledge of Medicaid.
  • Interest, skill and ability to innovate including business processes, methods/procedures, and technology.
  • Ability to effectively work and communicate, in both oral and written, with all levels of the Agency from frontline workers to Executive Staff as well as the Contractor(s).
{C} Impeccable integrity. This project will have very high visibility and will impact significant expenditures of public funds. Candidates must be confident with their abilities to make correct decisions and the courage to speak out when necessary.
{C} Willingness and ability to effectively engage with people and organizations on a continuous basis.
{C} At least 5 years of Medicaid or healthcare experience.
{C} At least 2 years of healthcare fraud and abuse experience.
Preferred Skills (rank in order of Importance):
  • Enterprise Business Intelligence
  • Predictive Analytics
  • Data Warehouse
  • Project Governance
  • Fraud & Abuse
  • Knowledge of key tools such as Oracle, SQL Server, and SAS.


Required Education:
Bachelor Degree, preferred
Required Certifications:
PMP Certification, preferred

Skills
Skills:
Category Name Required Importance Level Last Used Experience
Education Medicaid Management Information System (MMIS) experience Yes 1 Expert Within 6 Months 4 - 6 Years
MMIS - Medicaid Management Informaiton System Healthcare Fraud and Abuse Yes 2 Advanced Within 6 Months 2 - 4 Years
MMIS - Medicaid Management Informaiton System IT Healthcare Systems Yes 1 Advanced Within 6 Months 4 - 6 Years
MMIS - Medicaid Management Informaiton System Medicaid Yes 1 Expert Within 6 Months 4 - 6 Years
MMIS - Medicaid Management Informaiton System MITA - Medicaid Information Technology Architecture Yes 1 Advanced Within 6 Months 4 - 6 Years
Additional Skills: