Job Description: This project is focused on the replacement of the client Medicaid Management Information System (MMIS). This project also supports the client 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 Replacement MMIS project is a multi-year effort to replace the clients MMIS and related applications with more modern capabilities along with corresponding business operations services.The goal of the RMMIS program will be incremental and modular in nature with a focus on configurable and scalable integrations, which allow for more flexibility and reduces time and cost necessary to respond to the client enhancements.DAILY DUTIES / RESPONSIBILITIES:The Replacement MMIS Business Integration Lead will work with the Program Manager and the Lead Project Manager and will support the Project Management team to ensure the commercial principles, business goals and values of the project are met.Duties include:Perform business process analysis and performance assessments for the assigned projectsTrain and mentor team members in delivering high quality business solutions that meet the overall strategy and visionBuild positive relationships with clients and proactively address specific needsLead business design sessions within assigned modules and work streamsAdvocate and lead business integration in support of the RMMIS ASO projectProvide backup role to the ASO product ownerDrive, though dynamic discussion, efficient configuration of data within the core modules of RMMIS projectsProvide liaison role between business and IT verticalsEnsure project deliverables for each project connect to the operational principlesCoordinate priorities and resources between multiple projects.Provide updates on status and issues for all assignmentsParticipate in scheduled operational meetings and routine team leads meetingsLead cross-functional meetings and produce business designs that integrate functionality across modulesFacilitate sessions to effectively resolve issues if any.Provide recommendations of appropriate resources if necessary to ensure assignments are completed within given time and budget.Create and maintain key performance indicators to indicate project progress toward business integration goals.REQUIRED SKILLS (RANK IN ORDER OF IMPORTANCE):At least ten years of experience in commercial healthcare.At least five years’ experience in State Medicaid payer system integration and deliveryExperience with inner workings of cross functional projectsFamiliarity with Medicaid Information Technology Architecture (MITA) business architecture principles.Familiarity with standard data structures, electronic data interchange, processes and related file formats.Knowledge of Federal Certification requirements and processes is preferable.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 client from frontline workers to Executive Staff as well as the Contractor(s).PREFERRED SKILLS (RANK IN ORDER OF IMPORTANCE):Large business and technology integrationCommercial integrations with Medicaid or other Government operationsProject managementREQUIRED EDUCATION:Bachelor's degree requiredPMP required10 years of experience in commercial healthcareREQUIRED CERTIFICATIONS:PMP CertificationThe major sub-project components of the Replacement MMIS Program are:Provider ManagementAnalyticsAccounting and FinanceCommercial Administrative Services Organization (ASO) for FFS ClaimsSupporting the projects are:Technical IntegrationProject Management IntegrationCommercial IntegrationSkills :Administrative - Verbal Communication Skills - Yes - 1 - Expert - Currently Using - 6 + YearsAdministrative - Written Communication Skills - Yes - 1 - Expert - Currently Using - 6 + YearsEducation - Bachelor's Degree - Yes - 1 - Expert - Currently Using - 6 + YearsMMIS - Medicaid Management Informaiton System - • Experience with the Medicaid Information Technology Architecture (MITA) principles and framework - Yes - 1 - Expert - Currently Using - 6 + YearsMMIS - Medicaid Management Informaiton System - Commercial healthcare - Yes - 1 - Expert - Currently Using - 6 + YearsMMIS - Medicaid Management Informaiton System - Knowledge of Federal Certification requirements and processes - Yes - 1 - Expert - Currently Using - 6 + YearsProgram Management - Project Management Professional (PMP) certification - No - 1 - Expert - Currently Using - 6 + YearsSpecialties - Medicaid or Healthcare Delivery Systems - Yes - 1 - Expert - Currently Using - 6 + YearsSpecialties - Integration - No - 1 - Expert - Currently Using - 6 + YearsSpecialties - Project Management - No - 1 - Expert - Currently Using - 6 + YearsAdditional Skills: Experience with inner workings of cross functional projects (required, expert, currently using, 6+years); Familiarity with standard data structures, electronic data interchange, processes and related file formats (required, expert, currently using, 6+years); Interest, skill and ability to innovate including business processes, methods/procedures, and technology (required, expert, currently using, 6+years); Commercial integrations with Medicaid or other Government operations (preferred, expert, currently using, 6+years)Note :Remote Work Availability: 100%VIVA is an equal opportunity employer. All qualified applicants have an equal opportunity for placement, and all employees have an equal opportunity to develop on the job. This means that VIVA will not discriminate against any employee or qualified applicant on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status
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