Medicaid (CMS) PM

InnoSoul•Raleigh, NC

13h•Onsite

About The Position

The IT Project Quality Manager (PQM) will aide with oversight and delivery of projects focused on Enterprise IT platform modernization in addition to providing support of certification of new functionality. The PQM will provide consistent, timely updates on schedule and demonstrate a track record of managing projects delivering large projects within a complex, matrix organization. The candidate is required to have knowledge or experience managing projects for deploying systems using the Agile Scrum methodologies. Excellent communications skills required. The candidate must be well organized and exhibit excellent follow-up and follow-through skills. This role will consult with the MES Project Manager who serves as the lead for the portfolio. This role will exhibit strong analytical skills contributing to the identification and analysis of risks, issues, lessons learned, action items, technical team performance metrics, and will maintain crosswalks, and associated documentation within those areas. Preparation of managerial reports for approval by the MES Program Director (MPD) and distribution to the stakeholders is also a key task. This resource will assist with leading IT stakeholder analysis and evaluation of the State Business Process Model's (BPM) alignment with or deviation from the Centers for Medicaid Medicare Services (CMS)-defined standards and conditions for IT systems. This resource may interface with Division Leadership and DHHS Subject Matter Experts (SME) as required to complete the work. This role is focused on monitoring and managing project delivery, certification and compliance. It is also focused on coaching peers in Agile methodologies. Participation in drafting procurement documentation, Request for Proposals (RFPs) is key aspect. Interface with business stakeholders will occur daily. The selected candidate must be a results-oriented individual with a very strong work ethic and must be able to demonstrate excellent IT Project Management, negotiation, communication and problem-solving skills. This position will be responsible for working with senior-level business executives, IT personnel, and business program resources to execute project requirements and manage stakeholder expectations. This role will work with the MES Quality Assurance Unit and the selected vendor(s) to complete implementation of the systems.

Requirements

Knowledge of Enterprise IT Systems, system integration principles, and associated program, project, quality and test management best practices.
Has an understanding of CMS' Seven Standards and Conditions and the Medicaid program
Demonstrated ability to manage multiple priorities and projects, function in a fast-paced moving constantly changing, deadline driven environment
Proficient use of Microsoft Project, Word, Excel, PowerPoint, Access, and Adobe software
Skills in persuasion, negotiation, relationship management, conflict resolution, and effective oral and written communication at all levels
Knowledge of planning, design and implementation of a Vendor Quality Management program including the policy, framework and procedures
Seven Years experience with Enterprise IT Systems, system integration principles, and associated program, project, quality and test management best practices.
Seven Years experience with CMS' Seven Standards and Conditions and the Medicaid program
Seven Years demonstrated ability to manage multiple priorities and projects, function in a fast-paced moving constantly changing, deadline driven environment
Seven Years proficient use of Microsoft Project, Word, Excel, PowerPoint, Access, and Adobe software
Seven Years skills in persuasion, negotiation, relationship management, conflict resolution, and effective oral and written communication at all levels
Seven Years knowledge of planning, design and implementation of a Vendor Quality Management program including the policy, framework and procedures
Seven Years experience managing projects for deploying systems using the Agile Scrum methodologies.
Seven Years experience with MMIS, HIT and HIE.
Seven Years experience with Enterprise IT platform modernization.
Seven Years experience with certification of new functionality.
Seven Years experience providing consistent, timely updates on schedule.
Seven Years experience managing projects delivering large projects within a complex, matrix organization.
Seven Years experience with strong analytical skills contributing to the identification and analysis of risks, issues, lessons learned, action items, technical team performance metrics, and will maintain crosswalks, and associated documentation within those areas.
Seven Years experience in preparation of managerial reports for approval by the MES Program Director (MPD) and distribution to the stakeholders.
Seven Years experience leading IT stakeholder analysis and evaluation of the State Business Process Model's (BPM) alignment with or deviation from the Centers for Medicaid Medicare Services (CMS)-defined standards and conditions for IT systems.
Seven Years experience interfacing with Division Leadership and DHHS Subject Matter Experts (SME) as required to complete the work.
Seven Years experience monitoring and managing project delivery, certification and compliance.
Seven Years experience coaching peers in Agile methodologies.
Seven Years experience in drafting procurement documentation, Request for Proposals (RFPs).
Seven Years experience interfacing with business stakeholders daily.
Seven Years experience working with senior-level business executives, IT personnel, and business program resources to execute project requirements and manage stakeholder expectations.
Seven Years experience working with the MES Quality Assurance Unit and the selected vendor(s) to complete implementation of the systems.
Seven Years experience in creating, updating and maintaining quality reporting and communicate performance trends to program management.
Seven Years experience identifying trends and overseeing projects to lead continuous improvement and problem-solving efforts to improve quality
Seven Years experience aggregating and analyzing quality data and recommending methods for improving product and service quality, design and/or business processes.
Seven Years experience monitoring, identifying, and analyzing performance metrics in order to provide constructive feedback, maintain high-service levels, and increase production system efficiency.
Seven Years experience coordinating with stakeholders to ensure all program review findings are identified, tracked. Ensuring a mitigation plan is in place with defined dates for resolution.
Seven Years experience reviewing product history and lessons learned from design validation sources, current production quality, and warranty data to identify and drive preventive measures to ensure optimal quality of each project as it is implemented.
Seven Years experience acting as liaison to federal program reviewers and State and DHHS Project Monitoring Oversight teams.
Seven Years experience following up with management on all exceptions and corrective actions pertaining to quality reviews by staff.
Seven Years experience ensuring the utilization of industry best practices for compliance with CMS and State-defined performance standards.
Seven Years experience performing pre-contract support, including vendor pre-qualification (RFI and IFB, RFP, and RFQ)
Seven Years experience evaluating documents to determine acceptability based on business unit needs and Federal/State standards
Seven Years experience developing goals and metrics for measuring and managing supplier quality
Seven Years experience mitigating vendor risk and creating third party contingency plans
Seven Years experience assisting in validation of IT systems, evaluation of requirements, and testing.
Seven Years experience assisting in the planning, design and implementation of a Quality Management framework including the policy, and procedures
Seven Years experience overseeing the quality review process, including risk assessment and due diligence through partnerships with Legal, business unit and security to ensure all requirements are met.
Seven Years experience participating in design, code, and test inspections throughout product life cycle to identify issues from a quality assurance viewpoint.
Seven Years experience thoroughly understanding and complying with quality policies and procedures, and verifying deliverables meet expected quality requirements.
Seven Years experience participating as a quality assurance technical representative at other project meetings. Presents quality assurance technical status' and issues at milestone reviews.
Seven Years experience as subject matter expert in associated risk and quality management methodology
Seven Years experience reviewing vendor risk assessment outputs to ensure risk has been appropriately assessed
Seven Years experience delivering reporting from the risk management platform and team presentations to stakeholders
Seven Years experience aiding in design, creation and delivery of program training to internal business unit stakeholders
Seven Years experience ensuring departmental documents and activities are performed in compliance with applicable laws, regulatory standards and company policies and procedures
Seven Years experience participating in team's preparation and involvement in regulatory examinations
Seven Years experience assisting with the creation of policies and procedures
Seven Years experience analyzing data to drive recommendations
Seven Years experience challenging and providing process improvement strategies on existing procedures and processes across the team and risk organization to achieve efficiencies.
Seven Years experience with SOC reports, Business Continuity Planning, Inherent Risk and Entity Level Controls
Seven Years experience creating, modifying, and extracting reports and dashboards to communicate key metrics.
Seven Years experience creating and implementing a quality management and risk management process
Seven Years experience building the methodology to measure and improve vendor quality

Nice To Haves

Six Sigma Certification
MITA knowledge or experience
Agile, PMP certifications or other related experience

Responsibilities

QA Validation Support -Creating, updating and maintaining quality reporting and communicate performance trends to program management.
Identifying trends and overseeing projects to lead continuous improvement and problem-solving efforts to improve quality
Aggregating and analyzing quality data and recommending methods for improving product and service quality, design and/or business processes.
Monitoring, identifying, and analyzing performance metrics in order to provide constructive feedback, maintain high-service levels, and increase production system efficiency.
Coordinating with stakeholders to ensure all program review findings are identified, tracked. Ensuring a mitigation plan is in place with defined dates for resolution.
Reviewing product history and lessons learned from design validation sources, current production quality, and warranty data to identify and drive preventive measures to ensure optimal quality of each project as it is implemented.
Acting as liaison to federal program reviewers and State and DHHS Project Monitoring Oversight teams.
Following up with management on all exceptions and corrective actions pertaining to quality reviews by staff.
Ensure the utilization of industry best practices for compliance with CMS and State-defined performance standards.
Perform pre-contract support, including vendor pre-qualification (RFI and IFB, RFP, and RFQ)
Evaluate documents to determine acceptability based on business unit needs and Federal/State standards
Develop goals and metrics for measuring and managing supplier quality
Mitigate vendor risk and create third party contingency plans
Assist in validation of IT systems, evaluation of requirements, and testing.
Assist in the planning, design and implementation of a Quality Management framework including the policy, and procedures
Oversees the quality review process, including risk assessment and due diligence through partnerships with Legal, business unit and security to ensure all requirements are met.
Participates in design, code, and test inspections throughout product life cycle to identify issues from a quality assurance viewpoint.
Thoroughly understands and complies with quality policies and procedures, and verifies deliverables meet expected quality requirements.
Participates as a quality assurance technical representative at other project meetings. Presents quality assurance technical status' and issues at milestone reviews.
Considered subject matter expert in associated risk and quality management methodology
Review vendor risk assessment outputs to ensure risk has been appropriately assessed
Delivers reporting from the risk management platform and team presentations to stakeholders
Aid in design, creation and delivery of program training to internal business unit stakeholders
Ensure departmental documents and activities are performed in compliance with applicable laws, regulatory standards and company policies and procedures
Participate in team's preparation and involvement in regulatory examinations
Assist with the creation of policies and procedures
Analyze data to drive recommendations
Challenges and provides process improvement strategies on existing procedures and processes across the team and risk organization to achieve efficiencies.
Creates, modifies, and extracts reports and dashboards to communicate key metrics.
Create and Implement a quality management and risk management process
Build the methodology to measure and improve vendor quality