Job Description

IT Healthcare Consultant Project Manager Consultant

Location: Columbia, SC 29210 Work Arrangement: Hybrid 3 days onsite and 2 days remote Initial Onsite Requirement: Candidate may be required to work fully onsite for the first 3090 days. The hybrid schedule will begin at the manager's discretion. Contract Duration: 12 months Interview Process: One virtual interview Candidate Location: Candidate must currently reside in South Carolina or be willing to relocate to South Carolina at their own expense before starting.

Position Overview

This position will focus on the Medicaid Management Information System, including existing MMIS platforms and replacement systems being implemented. The consultant will lead teams supporting business-critical Medicaid operations, including Managed Care Organization enrollment, claims and encounter processing, payment operations, production support, help desk services, EDI/interface support, and stakeholder monitoring. The environment is fast-paced, and the selected consultant must be available to support production releases, critical incidents, and unplanned issues outside normal business hours when required.

Key Responsibilities

• Lead operational management and production-support activities for MMIS, the Encounter Processing System, and related Medicaid systems.
• Coordinate activities with external vendors, the Office of Cyber Security, Enterprise Architecture, business stakeholders, and technical teams.
• Lead and motivate teams responsible for production support, help desk operations, EDI and interface support, and stakeholder monitoring.
• Oversee incident, issue, and ticket management processes, including documentation, assignment, tracking, escalation, and timely resolution.
• Provide on-call and after-hours incident-management support for production releases and unplanned system issues.
• Identify, document, and mitigate operational risks and production issues.
• Manage internal and external escalations and ensure issues are assigned, communicated, and resolved effectively.
• Oversee external vendors responsible for system development, maintenance, enhancements, and production support.
• Work with contract-monitoring teams to establish, track, and enforce service-level agreements.
• Ensure compliance with applicable CMS, SSA, cybersecurity, and operational requirements.
• Monitor security findings and recommendations through completion.
• Develop, implement, monitor, and maintain Standard Operating Procedures.
• Identify operational practices that do not align with approved SOPs and coordinate corrective actions.
• Oversee release-management activities, including stakeholder communications, implementation planning, readiness assessments, approval gates, and post-implementation monitoring.
• Support change-management activities through backlog grooming, backlog maintenance, documentation, and governance compliance.
• Assign and oversee team workloads while ensuring mission-critical operational objectives are met.
• Prepare reports, presentations, status updates, issue summaries, and executive-level communications.
• Promote a professional, collaborative, safe, and productive working environment.

Required Qualifications

• Bachelor's degree in a technical, business, healthcare, information systems, or related field.

Substitution: Five or more years of equivalent experience in business analysis, systems analysis, or computer systems development and modification may substitute for the degree requirement.

• Five or more years of experience managing system operations or administrative program functions involving healthcare claims and/or encounter processing.
• Five or more years of project-management experience leading system implementations, replacements, upgrades, or enhancements.
• Three or more years of experience managing external vendors that provide system development or technical services.
• Ability and willingness to provide on-call and after-hours incident-management support.
• Current AWS Cloud certification.

Preferred Qualifications

• Experience managing the operations of Medicaid Enterprise Systems.
• Knowledge of Medicaid eligibility, enrollment, managed care, claims, encounters, payments, and MMIS domain concepts.
• Knowledge of the System Development Life Cycle.
• Experience using incident-management, service-management, or ticketing software.
• Experience developing Standard Operating Procedures for new system implementations.
• Experience overseeing release management, change management, production support, and operational readiness.
• Ability to create executive presentations, operational reports, incident summaries, and project documentation.
• Experience assigning work and overseeing the workload of technical or operational teams.
• Strong documentation, process-management, and organizational skills.

Required Professional Skills

• Excellent written and verbal communication skills.
• Ability to communicate effectively with frontline staff, technical teams, vendors, senior leadership, and executive management.
• Strong leadership and team-management capabilities.
• Strong incident, escalation, risk, and issue-management skills.
• Ability to manage multiple priorities in a fast-paced, business-critical healthcare environment.
• Ability to provide clear direction and guidance to technical and operational teams.
• Strong analytical, decision-making, documentation, and problem-solving skills.

About Us: InterSources Inc

InterSources Inc is a Small, Woman, and Minority-Owned Business Enterprise, ISO/IEC 27001, SOC 2 Type 2 certified company with massive 18+ years of diversified experience in providing IT Consulting Services, Artificial Intelligence, Data Analysis, Application Development, Cloud Services, Cybersecurity, Digital Marketing, ERP Management, Custom Software Development, Web Development, UI/ UX Design, System Integration, QA Support etc. We make reasonable accommodations for clients and employees, and we do not discriminate based on any protected attribute including race, religion, color, national origin, gender sexual orientation, gender identity, age, or marital status. We also are a Google Cloud and Oracle partner company.

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