Sr System Modernization Project Manager

Essential Duties and Responsibilities:

- Oversee daily operations including staffing, performance monitoring, quality assurance oversight, training, subcontractor management, auditing, and compliance.

- Ensure project compliance with all applicable requirements of the client's regulations as well as corporate policies.

- Manage direct reports including developing performance goals and objectives.

- Manage subcontractors that provide services to program.

- Manage audits of operations.

- Collaborate with other managers to ensure effective coordination of activities.

- Develop and implement operational policies and procedures in collaboration with other key stakeholders.

- Establish and maintain effective relationships with clients and other external entities.

- Oversee the development and implementation of innovative methodologies to improve service levels and overall operational efficiency.

- Manage the project's quality assurance and training programs as well as corrective actions to ensure compliance.

- Monitor performance against key indicators established internally or by the clients.

- Develop solutions to issues or complex problems.

- Manage, perhaps through subordinate supervisors, the coordination of the activities of a section or department with responsibility for results, including costs, methods and staffing.

- In some instances this manager may be responsible for a functional area and not have any subordinate employees.

- Work on issues of diverse scope where analysis of situation or data requires evaluation of a variety of factors, including an understanding of current business trends.

- Follow processes and operational policies in selecting methods and techniques for obtaining solutions.

- Act as advisor to subordinate(s) to meet schedules and/or resolve problems.

- Develop and administer schedules, performance requirements; may have budget responsibilities.

- Frequent interaction with subordinate employees, customers, and/or functional peer group managers, normally involving matters between functional areas, other company divisions or units, or customers and the company.

- Often must lead a cooperative effort among members of a project team.

- Receive assignments in the form of objectives and determine how to use resources to meet schedules and goals.

- Provide guidance to subordinates within the latitude of established company policies.

- Recommend changes to policies and establish procedures that affect immediate organization(s).

Minimum Requirements

- Bachelor's Degree in related field.
- 7-10 years of relevant professional experience required.

- Equivalent combination of education and experience considered in lieu of degree.

- Experience with CMS Medicaid Streamline Modular Certification (SMC) and related outcomes required.

- Experience researching state Medicaid enrollment documentation and regulations required.

- Experience defining and designing Medicaid enrollment and reconciliation solutions ...