Senior Consultant- Project Manager
About The Position
As a senior consultant- project manager in NYSTEC’s Data Services and Management practice area, you will collaborate with team members to lead the planning, execution, and delivery of projects for the “Claims & Financial” portfolio within eMedNY, the Medicaid Management Information System (MMIS). You will oversee vendor-delivered projects involving claims adjudication, financial reporting, and related initiatives in the Claims Processing and Financial modules, ensuring delivery on time, within scope and budget, and in compliance with NYS requirements and federal and state Medicaid regulations. The role includes coordinating cross-functional teams and stakeholders, managing project plans and risks, assessing the operational and technology impacts of system changes, and supporting quality assurance, testing, and implementation readiness. The position requires a bachelor’s degree and five years of related project management experience, or an equivalent combination of advanced education, training, and experience. The target base salary is $84,497 to $109,846 per year. Applicants must be authorized to work in the United States without current or future visa sponsorship.
Requirements
- Knowledge of Medicaid claims adjudication processes, provider reimbursement methodologies, and financial reporting, or demonstrated ability to learn the subject area quickly.
- Proficiency with project management tools such as Microsoft Project, Jira, or Azure DevOps.
- Bachelor’s degree in business administration, information technology, or healthcare administration, and five years of related project management experience; an equivalent combination of advanced education, training, and experience will be considered.
- Authorization to work in the United States without the need for visa sponsorship now or in the future.
Nice To Haves
- PMP, CAPM, or equivalent project management certification.
- Experience with CMS requirements.
- Experience with project management methodologies in a government IT setting.
- Three years of experience in healthcare IT or Medicaid/MMIS environments.
Responsibilities
- Lead end-to-end project management for initiatives in the Claims & Financial portfolio, aligning work with project objectives, timelines, and regulatory requirements.
- Manage project scope, schedules, budgets, risks, and deliverables according to established project management methodologies and the Software Development Life Cycle (SDLC).
- Coordinate business analysts, developers, testers, vendors, and subject matter experts to support successful project execution.
- Oversee initiatives involving claims processing, adjudication, pricing updates, provider payments, financial transactions, reconciliation, and reporting.
- Develop understanding of eMedNY, CMS guidelines, and applicable state and federal regulations to support compliant project implementation.
- Assess how system changes affect business operations, technology, policies, training, communications, and provider experience.
- Work with internal and external stakeholders to set priorities, resolve challenges, and align on project objectives.
- Facilitate project meetings, steering committee and executive briefings, and status updates; communicate progress, risks, and recommendations to leadership.
- Identify and mitigate project risks, manage stakeholder expectations, and escalate critical issues as needed.
- Support quality assurance, including deliverable reviews, user acceptance testing (UAT), defect resolution, and implementation readiness.
- Ensure project deliverables and system enhancements meet quality standards and regulatory and compliance requirements.
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What This Job Offers
Job Type
Full-time
Career Level
Senior
