Medicaid Provider Systems Implementation Sr Manager

Maximus
Morgantown, US
$180K a year
Full-time

Description & Requirements Maximus Enterprise Services division is seeking a Medicaid Provider Systems Implementation Sr Manager.

The candidate must have 10+ years of provider business operations and / or implementation with Medicaid Enterprise Systems.

Also, the candidate must have a minimum of 5 years of experience with MITA architecture, preferably Provider Enrollment and Provider Management business processes.

Previous experience delivering software solutions within the Medicaid space is required. 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. 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. EEO Statement Active military service members, their spouses, and veteran candidates often embody the core competencies Maximus deems essential, and bring a resiliency and dependability that greatly enhances our workforce.

We recognize your unique skills and experiences, and want to provide you with a career path that allows you to continue making a difference for our country.

We're proud of our connections to organizations dedicated to serving veterans and their families. If you are transitioning from military to civilian life, have prior service, are a retired veteran or a member of the National Guard or Reserves, or a spouse of an active military service member, we have challenging and rewarding career opportunities available for you.

A committed and diverse workforce is our most important resource. Maximus is an Affirmative Action / Equal Opportunity Employer.

Maximus provides equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status or disabled status.

Pay Transparency Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.

Annual salary is just one component of Maximus's total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards.

Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off.

Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience.

An applicant's salary history will not be used in determining compensation. Maximus will comply with regulatory minimum wage rates and exempt salary thresholds in all instances.

Annual Base Pay Minimum for this Position $ 120,000.00 Annual Base Pay Maximum for this Position $ 180,000.00 *

3 days ago
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