Healthcare PM

Job ID: NC-644249 (911990607)Healthcare PM with Medicaid, MITA Business, UCD, MMIS, product management, project management methodologies and Agile experienceLocation: Raleigh, NC (NCDHHS)Duration: 12monthsInterview: Webcam Interview OnlyPositions:1(1/1)Skills :Extensive Knowledge of Medicaid and Managed Care systems or solutions Required 7 YearsExtensive Knowledge of the MITA Business, Information and Technical architecture framework Required 5 YearsIn-depth knowledge and understanding of products, systems, and solutions across functions and business segments in healthcare Required 7 YearsExperience directing the conception, development and implementation of new product initiatives, including enhancements, and platform migrations Required 5 YearsDemonstrated ability to establish cross-functional workgroups that provide effective definition and oversight of the Medicaid Systems Architecture Required 7 YearsExtensive experience in development of Executive Level Business Presentations, Business Case Justifications and Performance Metric Development Required 5 YearsExcellent verbal and written communication skills with the ability present to both technical and business audiences. Required 7 YearsKnowledge of user centered design (UCD), product management, project management methodologies, and requirements elicitation Required 5 YearsExtensive familiarity with business intelligence, analytical and reporting tools, data analysis, data integration, mapping, modeling, and governance Required 7 YearsExperience in the implementation of an MMIS, or other cloud based health care claims processing or eligibility system project Required 5 YearsExperience participating or leading projects using an Agile methodology in coordination with a Systems Integrator Highly desired 5 YearsBackground, certifications, or related knowledge and understanding of cloud based frameworks Highly desiredNC Department of Health and Human Services (DHHS) Information Technology Division (ITD) is seeking a Systems Modernization Manager (SMM) to perform work for the federally-required Medicaid Enterprise System (MES) replacement project. The SMM will expressly engage with and oversee work performed by the enterprise architecture, systems integration and data management areas of the program. The SMM will work integrally as a member of the MES leadership team and will perform both strategic and tactical assignments on behalf of the Program Director. The SMM will be directly responsible for the outcomes of the MES Integrator who is slated to manage the re-engineering and integration of systems and features within the cloud frameworks. The SMM is accountable for ensuring the MES Integrator strategy for networking, cloud, data management, data governance, and integration testing all enable the desired business outcomes as represented, realized and supported by the deployed systems. This role will evaluate and analyze work done by IT Architects, Business and Technical Leads, Data Leads, Engineers, to ensure the business requested capability is deployed and properly integrated upon delivery.The SMM will serve as a member of the management team providing strategic leadership that translates technical and business strategies to maximum productivity commensurate with the best interest of NC Medicaid. This SMM is responsible for overseeing the architectural definition, and implementation of highly complex and innovative solutions. In addition the role will participate within an industry best-practice Enterprise Architecture methodology overseeing the implementation transition to operation of various vendor-provided technology solutions. This role must be able to collaborate with product line and business process owners to evaluate needs and translate them into highly effective integrated systems. Establishes cross-functional workgroups that provide effective oversight of the Medicaid Enterprise Architecture. Develops plans that meet the architecture or technology needs of the organization which align with business priorities, strategies, goals, emerging technologies, industry trends and economic viability. The SMM leads the development and execution of the governance frameworks for technology systems delivery and operations transition with support from the systems integrator.This role is responsible for oversight of the creation of several comprehensive technology and information architectures related to various functional business solutions, while providing strategic direction throughout the implementation process and ensuring that the solution aligns with the MES vision and strategy. In addition, the role will include oversight and compliance with Federal and Statewide Technical Architecture requirements, risk identification and planning. The SMM provides input to senior level decision-makers to develop long-range strategic alternatives for solutions.The SMM should possess a strong and diverse background in both traditional and modern business solution and application architecture concepts, tools and practices. The SMM must have working knowledge of various platforms including legacy, service oriented and cloud-based solution architectures. The SMM will direct risk evaluation and compliance management processes, drive infrastructure planning, engineering and deployment. In addition this role oversees the formulation of IT policies, procedures, and performance management processes and measures. This role may also address the ability to improve operational system efficiency and service delivery effectiveness across all relevant business and technology platforms.Required Knowledge, Skills, and Abilities Requirements:-Experience in the implementation, operations, and maintenance of an MMIS, or other health care claims processing or eligibility system project;– Extensive ability to plan, design and implement complex Medicaid business solution in collaboration with functional solution vendors.-Knowledge of the MITA Business, Information and Technical architecture framework– Extensive familiarity with architectural evaluation, design and analysis of enterprise wide systems throughout the full implementation life cycle including procurement through operations– Experience overseeing and aligning vendor-based application solutions and architectures to deliver robust system solutions that will align with Medicaid Modular System Integration goals and objectives– Extensive familiarity with application programming interfaces and service-oriented design and development to assure seamless integration between various Vendor Functional Modules offered as SaaS or Cloud Hosted Solutions.– Ability to identify customer requirements, analyze alternatives and conduct product recommendations related to software, platform and network configurations.– Ability to closely collaborate and ensure functional solutions comply with Enterprise Architecture and CMS 7 Standards and conditions– Experience working within TOGAF, FEA or other Enterprise Architecture frameworks– Strong ability to perform as a high functioning architecture team leader within a highly flexible and loosely coupled environment, supporting multiple concurrent business-oriented development workstreams.– Strong leadership and guidance on test planning, automation and continuous improvement and deployment processes• Ability to lead and provide guidance on Data Management Strategy definition and enforcement-Understands project portfolio management processes and deliverables, project management methodology, and business requirements elicitation techniques and documentation.– Superior communication to ensure stakeholders, project managers, developers, and software vendors are aligned with the software development process– In depth understanding of business continuity, backup, recovery, high availability and archiving implementation and oversight to ensure vendor solutions align with State expectations– Experience with data integration and data mapping to ensure interoperability between vendor solutions and MES modules-Ensures compliance with all applicable policies and procedures.-Fluently discuss the financial and/or operational benefits associated with proposed product capabilities.-Professional demeanor; ability to establish rapport and work well with others– Proficiency with the use of Microsoft Word, Excel, PowerPoint, Visio and Project-Performs other duties as assigned which may include managing direct and hybrid reporting relationships of subordinate staffPreferred Knowledge, Skills and Abilities:– Familiarity with healthcare and healthcare insurance solutions and information architectures, especially Medicaid or similar industry– Familiarity with HIPAA rules and regulations– Familiarity with CMS certification processes– Experience drafting and evaluating RFP’s or other procurement documents– Knowledge of Federal and State procurement and contract policies statutes, rules and regulations– Knowledge of Medicaid and Managed Care– Experience in development of Executive Level Business Presentations, Business Case Justifications and Performance Metric Development– In-depth knowledge and understanding of products across functions and business segments in healthcare that meet departmental goals.– Experience in analysis of performance indicators and evaluation of survey data to define successful criteria for testing and product acceptance.In addition, this role performs other duties as assigned which may include managing direct and hybrid reporting relationships of subordinate staff.RTR-644249.docx