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IT Healthcare Consultant
Ref No.: 14-00613
Location: Columbia, South Carolina
Department of Health and Human Services
Columbia, SC
1 year

The individual in this position will fulfill an important IV&V role for two of the largest mission critical programs for the South Carolina Department of Health and Human Services. The programs are the Replacement Medicaid Management Information System (RMMIS) and the Eligibility and Enrollment Member Management (EEMMS) programs. This position will provide leadership to Independent Verification and Validation (IV&V) team serving as the IV&V Director.

The RMMIS program is a multi-project effort that combines enterprise-scale IT implementation and business operations transformation with the potential to substantially impact the way that SCDHHS does business. This program must transform business policy/procedures, replace aging technology, and support cultural change. Likewise, the EEMSS program is replacing the state's aging Medicaid eligibility system and driving process change away from manual paper-driven processes toward automated online transactions.

These projects are funded in partnership between the State of South Carolina and the federal Centers for Medicare and Medicaid Services (CMS) and as such require IV&V oversight on behalf of CMS. To meet both the needs of SCDHHS and CMS, this team must operate with precision and impeccable integrity. The IV&V Director and team must be self-starters and be able to function with minimal supervision and oversight.

Candidates who enjoy working on complex, change-oriented projects with motivated team members will find this position attractive.

The IV&V Director is responsible for cost, schedule, and results of verification and validation activities for the RMMIS and EEMMS programs for SCDHHS and CMS. Duties include:
Define and staff the needed IV&V team members
Access the current Verification and Validation Plan, update as needed and maintain it using project management tools
Perform independent review of project deliverables and processes according to accepted industry standards and guidelines as well as specific CMS guidance
Identify areas of risk to cost, schedule, scope, and quality on the projects
Provide recommendations on risk mitigation or contingency options
Identify deviations from plans or execution of those plans that may jeopardize the program(s)
Perform all objectives without conflict of interest (or appearance thereof) and remain neutral with observations/decisions involving all impacted parties
Ensure all proper communications have been identified, documented and are taking place
Review program deliverables to the extent necessary to confirm their quality
Document findings of IV&V activities so that SCDHHS and CMS can use the information in their decision-making processes
Participate in quality and testing activities to the extent necessary to confirm that these processes are properly identifying defects and that the defects are being addressed
Serve as "honest broker in investigating post-implementation issues with systems and business operations
Provide reports detailing the work planned, the work currently in progress, and work recently completed.

Category Name Required Importance Level Last Used Experience
Education Bachelor of Arts Degree Yes 1
Miscellaneous Independent Verification & Validation (IV&V) Yes 1 Lead Within 6 Months 6 + Years
Miscellaneous Large Project Experience (exceeding 100,000 hours and at least 2 years duration Yes 1 Expert
Miscellaneous Prinicipal author of IV&V reports to CMS Yes 1
MMIS - Medicaid Management Informaiton System US Code and Code of Federal Regulations (CFR) regarding the Medicaid program Yes 1 Expert 2 - 4 Years
MMIS - Medicaid Management Informaiton System MECT - Medicaid Enterprise Certification Toolkit Yes 1 Expert 2 - 4 Years
MMIS - Medicaid Management Informaiton System MITA - Medicaid Information Technology Architecture Yes 1 Expert 1 - 2 Years
Program Management Supervisory Leadership Experience Yes 1 Lead Currently Using 6 + Years
Specialties Public Sector Yes 1