The Executive Office of Health and Human Services is seeking a dynamic Interdepartmental Project Manager to provide project management support to the RI Medicaid - Managed Care Organization (MCO) team managing services through Managed Care contracts, Non-Emergency Transportation, and Long-Term Care programs administered by the Executive Office of Health and Human Services (EOHHS). The Interdepartmental project manager will assist and support the Medicaid managed care contract team in the oversight and administration of the Medicaid managed care program in various capacity, including: All aspects of program development, monitoring, oversight. Liaise between EOHHS and managed care vendors by providing direct support and management of managed care vendors for day-to-day operations. Support and manage adherence to contractual requirements of managed care vendors and support corrective action plans with vendors, when necessary. Facilitate monthly vendor oversight meetings and capture meeting action items and follow-up with EOHHS staff. Support continuous quality improvement of vendors and identify areas of process improvements for vendors and internal management. Support compliance to Federal and State rules and regulations for the Medicaid managed care program. Support contracting efforts, including amendments, procurement and program design development. Review and synthesize data and provide recommendations to EOHHS leadership. Research best practices to support member engagement and continuous process improvement strategies for the managed care program. Support the development of active contract management. Knowledgeable of state procurement activities and research best practices to enhance program improvements and vendor management.
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
Job Type
Full-time
Career Level
Manager