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TWK_1171 Medicaid PM position with State of Texas | Remote within the State of Texas | Local to Texas profiles only at Remote, Remote, USA
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Requirement details:

Internal job ID:TWK_1171Medicaid PM   

State of Texas

work location will be at 701 W. 51st Street,

Austin, TX 78751 ##
remote within the State of Texas

Note: Candidates must be within the State of Texas. Out of State candidates will not be considered.

Public Sector (State / Federal / Local Govt.) Client Experience profiles highly Preferred

Local to Texas profiles Preferred.

Required Skills:

L
ooking  for a Medicaid PM (don't send just a PM or someone who worked at hospital application e.t.c). looking for someone who worked at GOV agencies (federal or state level)
Required 8 Years Experience with Medicaid Enterprise Systems.
Required  8 Years Ability to analyze and evaluate various technology solutions and architectures, especially as they relate to Medicaid Enterprise Systems
Preferred 8 Years Experience with Texas Medicaid processes and policies.
Preferred 8 Years Ability to establish project goals and objectives that support the State and HHS strategic plans as well as federal directives

Level
Description

8 or more years
of experience, relies on experience and judgment to plan and accomplish goals,
independently performs a variety of complicated tasks, a wide degree of
creativity and latitude is expected. Certification in Project Management by a
recognized project management organization or Scrum Master a plus.

Job Description

Project managers
are the people in charge of a specific project or projects within a company. As
the project manager, your job is to plan, budget, oversee and document all
aspects of the specific project you are working on. Project managers might work
by themselves or be in charge of a team to get the job done.

The Project
Manager will manage and lead the project of integrating the credentialing data
used by Managed Care Organizations (MCOs) into the Provider Enrollment
Management System (PEMS). PEMS is HHSCs system for enrolling providers into
the Medicaid program. Providers must be enrolled in order to deliver services
to Medicaid clients and receive payment from HHSC or the Medicaid MCOs. The
credentialing process ensures providers have appropriate credentials to provide
the services for which they choose to enroll. For example, a physicians
license would be verified through the credentialing process. This project will
ensure the credentialing process is fully integrated into the PEMS application
to streamline provider enrollment and reduce the number steps providers must
take to get enrolled and credentialed. 

The PM
will report to the governance committees, including the MMIS Executive Steering
Committee on the activities of the project. The Worker will identify, record,
and ensure trading partners are aware of critical path dependencies,
integration points and oversee testing plans. This position will work
closely with the Director and the Deputy Associate Commissioner for Medicaid
and CHIP Services, Operations Management.  

This will be a
key role in ensuring the success of the integration of credentialing data in
the PEMS.

The Project
Manager, PEMS Credentialing Integration (PEMSCI) will be responsible for:

Development
and maintenance of PEMSCI project timelines. 

Monitoring and
managing project quality and cost to ensure that project deliverables are
acceptable, fulfill the terms of the project contract or specifications, and
are completed within budget.

Managing
project resources to assign tasks, ensure appropriate representation of key
areas, and identify resources needs for management attention. 

Developing and
maintaining project management framework documentation including risk
registers, project schedules, budgets, monitoring reports, change requests, and
other project management documentation.

Communicating
status between Medicaid and CHIP Services program areas, HHSC Information
Technology (IT), the PEMS system vendor, MCOs, and the Enrollment Broker.

Analyze data
sets ensuring all credentialing elements are identified and integrated into the
application. 

Communicating
status of program initiatives to HHS leadership, including executive steering
committees

Conducting regular
presentations to large groups to discuss project requirements, gather feedback,
manage action items, and manage project status. 

SKILLS
AND QUALIFICATIONS

Years

Required

Experience

8

Required

Experience in
management of large-scale IT projects, including vendor management.

8

Required

Experience with
Medicaid Enterprise Systems.

8

Required

Experience in
identifying problems, evaluate alternatives, and implement effective
solutions; to develop and evaluate policies and procedures; to prepare
reports; and to plan, and assign the work of others

8

Required

Experience
overseeing the planning and execution of major IT systems, including
facilitation and documentation of high-level critical path dependencies
across multiple systems.

8

Required

Ability to
analyze and evaluate various technology solutions and architectures,
especially as they relate to Medicaid Enterprise Systems

8

Required

Demonstrated ability
to meet tight deadlines.

8

Required

Experience
successfully leading meetings and facilitating discussion between multiple
stakeholder groups, including vendors.

8

Required

Excellent
analytical, problem-solving, coordination and communication skills.

8

Preferred

Experience with
Texas Medicaid processes and policies.

8

Preferred

Ability to
establish project goals and objectives that support the State and HHS
strategic plans as well as federal directives

8

Preferred

Proven ability
to work successfully with technical and non-technical groups and manage
multiple responsibilities.

8

Preferred

Experience and
judgment to plan and accomplish goals and independently perform a variety of
complicated tasks; a wide degree of creativity and latitude is expected.

--

Thanks & Regards

Sekhar | Sr.IT Technical Recruiter

Tekwings LLC

Email : [email protected][email protected]

Mobile : +1  469-900-0456

Hangouts:  [email protected]  / [email protected]

LinkedIn Group: https://www.linkedin.com/groups/10421204/

LinkedIn: https://www.linkedin.com/in/sekhar-u-27b11a166/

Keywords: cprogramm rlang information technology Connecticut Idaho Texas
[email protected]
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Fri Oct 27 21:39:00 UTC 2023

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