Medicaid Management Information Systems (MMIS) Associate Director

State of MaineAugusta, ME
$84,698 - $120,266Onsite

About The Position

The MMIS Associate Director provides business systems and technical leadership for MIHMS and other components of the MES. The position oversees critical technology systems and associated vendors, supports OMS to appropriately understand and plan for the impacts of large systems implementations, and drives MaineCare to continually look for ways to strategically improve its systems in ways that benefit staff, members, and providers in alignment with MaineCare’s priorities. The position will supervise and provide leadership direction to 2-3 direct reports and 14-15 indirect reports and will work highly collaboratively with MaineCare’s fiscal agent to ensure that teams are aligned with OMS and DHHS business needs and priorities. This position will be a member of the OMS Senior Management Team. In that capacity, the position will serve as a senior level liaison to other teams within and outside OMS, promote cross-team collaboration and communication, lead complex technology-related initiatives, contribute to budget and legislative planning, advise senior and executive leaders on MES topics and issues, and provide updates on project progress and advancements of key priorities. To accomplish this, the person in this position must understand how the teams’ work is connected to the work of other teams within OMS and other state agencies. As a senior leader within the office, this position must be able to understand, professionally and confidently represent, and promote the work, values, and priorities of the division, Office, and Department to both internal and external audiences. The person in this position must be able to think critically and creatively, be solution-oriented, take a high degree of initiative, show good judgment, and work under minimal supervision.

Requirements

  • A 10-year combination of education, training, and/or professional experience in health plan administration, project management, systems analysis, business analysis, or related field demonstrating knowledge of project management concepts, systems improvement, and the ability to develop and implement business plans.
  • At least five (5) years of information technology management.
  • At least three (3) years of supervisory experience.
  • Excellent leadership skills, and a proven ability to direct, oversee, and motivate others through complex work and to build strong working relationships with colleagues at all levels.
  • Significant experience implementing IT contract and vendor management best practices for large-scale technology systems.
  • Experience managing technology projects through the Software Development Life Cycle, including knowledge of change management processes, practices, and tools and the ability to read, understand, and interpret technical documentation.
  • Proven record of success synthesizing complex data and other technical information into well-formed analyses, conclusions, and recommendations, and clearly communicating verbally and in writing for both technical and non-technical audiences.
  • Ability and motivation to effectively develop and/or manage multiple short- and long-term projects with diverse interested parties and partners internal and external to the team and agency and to adapt to changing circumstances and priorities.

Nice To Haves

  • Experience with and knowledge of the Medicaid program and/or other health and human services programs serving low-income populations
  • Lived experience with Medicaid and/or other health-related social needs common to individuals and families receiving Medicaid coverage
  • Experience in health plan administration
  • Experience managing one or more large technology platforms that support health plan administration, claims processing, public sector programs, and/or social services programs

Responsibilities

  • Supervising teams to ensure that work is appropriately assigned, prioritized, scheduled, and executed in accordance with agreed upon plans and supporting direct reports to learn and grow.
  • Developing a working knowledge of MIHMS and associated systems and applications while being able to elicit, assess, and incorporate others’ more detailed subject matter expertise.
  • Making decisions and/or providing recommendations to other senior leadership regarding approaching and prioritizing system changes and operational issues.
  • Reviewing and responding to escalated issues, questions, and decisions from team members, other colleagues, or the fiscal agent.
  • Reviewing and approving MIHMS system changes before they move to development.
  • Assessing fiscal agent adherence to and performance against contract requirements, negotiating with the fiscal agent, and drafting new fiscal agent contract language based on changing business needs.
  • Overseeing and providing strategic advisement on the process to request and secure enhanced federal funding for the MES from the Centers for Medicare & Medicaid Services (CMS), and contributing to such requests related to MIHMS.
  • Strategically engaging with CMS related to enhanced federal funding requests and contributing to the development of such requests.
  • Monitoring new state and federal initiatives and regulations that will have major MIHMS impacts and working with the fiscal agent and OMS colleagues to coordinate response and planning.

Benefits

  • 13 paid holidays
  • 12 days of sick leave
  • 3+ weeks of vacation leave annually
  • Health Insurance Coverage – The State of Maine pays 85%-100% of employee-only premiums ($12,845.82 - $15,112.76 annual value), depending on salary.
  • Health Insurance Premium Credit – Participation decreases employee-only premiums by 5%.
  • Dental Insurance – The State of Maine pays 100% of employee-only dental premiums ($395.72 annual value).
  • Retirement Plan – The State contributes the equivalent of 18.91% of the employee's pay towards the Maine Public Employees Retirement System (MainePERS).
  • Six weeks of fully paid parental leave for all employees who are welcoming a child—including non-birthing and adoptive parents.
  • Additional, unpaid leave may also be available, under the Family and Medical Leave Act.
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