Technical Project Manager III, Medicaid, Fee-for-Service

MedImpact•San Diego, CA

1d•$110,982 - $199,769•Onsite

About The Position

MedImpact Healthcare Systems, Inc. is looking for extraordinary people to join our team! Why join MedImpact? Because our success is dependent on you; innovative professionals with top notch skills who thrive on opportunity, high performance, and teamwork. We look for individuals who want to work on a team that cares about making a difference in the value of healthcare. At MedImpact, we deliver leading edge pharmaceutical and technology related solutions that dramatically improve the value of health care. We provide superior outcomes to those we serve through innovative products, systems, and services that provide transparency and promote choice in decision making. Our vision is to set the standard in providing solutions that optimize satisfaction, service, cost, and quality in the healthcare industry. We are the premier Pharmacy Benefits Management solution! Job Description Summary Using the industry’s best practices for project management along with a solid working knowledge of the system development life cycle and IT Infrastructure deployment, the GPS Technical Project Manager III plans, directs, and coordinates Information Technology projects and programs related to Government Programs products and services to ensure that project goals are accomplished within prescribed time frames. The position is responsible for ensuring project goals and requirements are met on schedule, within budget and are successfully completed The Technical Project Manager III adheres and adapts to current processes. Identifies and recommends improvements to current practices. Manages escalated issues and demonstrates appropriate escalation of issues as needed. Leads the efforts of a multi-disciplinary project team through various stages of the project lifecycle, including vision and scope, requirements analysis, solution, design, development, and implementation. Requires close partnership with internal/external client counterparts, Information Technology (IT), Government Programs and Services, the Enterprise and GPS Project Management Offices, Operations, Health Services, and other departments as needed throughout the duration of the project. The position works in partnership with the centralized GPS Department as well as with enterprise-wide functional leaders, stakeholders and project team members to manage complex Information Technology projects across multiple programs, including Medicaid programs (State FFS program, Medicare/Medicaid Program (MMP), Medicaid Managed Care (MMCO), Children’s Health Insurance Plan (CHIP) as well as other public federally-facilitated or state-based programs.

Requirements

BS/BA and 8+ years’ experience or equivalent combination of education and experience, and 4 years of SME in respective areas
This position requires experience with Medicaid or Government health, with a strong preference for Medicaid Fee-For-Service experience.
Proficient with Microsoft Office (Word/Excel/PowerPoint), MS Outlook and MS Project.
Must be proficient with Project Scheduling Software.
Experience in all phases of software development lifecycle and IT infrastructure deployments preferred
Must have good negotiation skills, well-developed facilitation and collaboration skills
Proven leader and team player
Strong client management skills
Ability to work in a matrix management organization
Driven and committed to overcome obstacles and deliver the project on time
Delivery-focused, yet flexible and creative when called upon
Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists.
Ability to define problems, collect data, establish facts, and draw valid conclusions.
Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations.
Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, percentages, area, circumference, and volume.
Ability to apply concepts of basic algebra and geometry.
Ability to read, analyze, and interpret the most complex documents.
Ability to respond effectively to the most sensitive inquiries or complaints.
Composure
Decision Quality
Organizational Agility
Problem Solving
Customer Focus
Drive for Results
Peer Relations
Time Management
Dealing with Ambiguity
Learning on the Fly
Political Savvy

Nice To Haves

Familiarity with MedImpact developed applications helpful (MedAccess, MedResponse, etc.)
PMP certification is highly desired
Prior experience in PBM, pharmaceutical, or managed healthcare industry is a plus

Responsibilities

Defines project objectives/goals; determines the scope of each project as well as the project charter.
Coordinates with key project personnel for requirements, technical analysis, design, and documentation of solutions to meet business requirements and drive technical problem resolution.
Facilitates and manages vendor selection process and vendor onboarding process.
Develops and coordinates the project plan by identifying project deliverables, milestones, scheduling, and required tasks.
Uses planning and analytical skills in support of requirements gathering, writing functional specifications, SQL queries and test plan development activities.
Helps ensure solution design meets standard architecture considerations and approval to include Standard database structures, (2) Code standards (3) Common components and reusable programs, (4) Security and Performance levels, (5) System interfaces and dependencies.
Helps ensure that infrastructure design meets standard architecture considerations for high availability, redundancy, and disaster recovery.
Working with stakeholders and Resource Management, determines staffing requirements and allotment of available resources to each project phase.
Works with assigned project staff and/or clients to gather and document project requirements.
Communicates with project team to outline work plan, assign duties, responsibilities, and scope of authority.
Ensures that all responsibilities are clearly communicated, from requirements gathering to working with QA department to ensure solid quality assurance plan.
Facilitates regular project status meetings to assess progress versus milestones and identify areas of potential concern in adequate time in order to mitigate risk.
Tracks projects and issues closely, fosters collaboration from both the business and technology groups and leads issue resolution meetings during projects.
Manages risks throughout the project by identifying, communicating, tracking, and mitigating.
Meets with project personnel to provide technical advice and to resolve problems.
Ensures all follow-up action items are owned and closed out by the relevant owners
Manages and monitors project status by establishing a regular meeting schedule with project teams.
Directs and coordinates activities of project personnel to ensure project progress is on schedule and outstanding items or issues are successfully resolved.
Creates and communicates regular status reports for management, clients, and the project team.
Provides formal and ad-hoc updates to management as required.
Prepares project status reports and keeps clients and others informed of project status and related issues.
Ensures completeness of all project documentation throughout the project lifecycle and for obtaining appropriate approvals at each phase of the project.
Participates in reviewing, monitoring, and gaining appropriate approvals for project documentation throughout the project lifecycle including Vision and Scope, Technical Specifications, Architecture Specifications and Objectives of the Project.
Ensures completeness of all project documentation throughout the project lifecycle and for obtaining appropriate approvals at each phase of the project.
Monitors and manages project constraints including scopes, cost, timeline, resources, and risks.
Assumes responsibility for delivery by ensuring all components of the project are successfully completed (including lessons learned documentation.
Coordinates and interfaces with other departments for project transition.
Mentor less experienced project managers.
Strong emphasis on strategic thinking as it relates to the management of assigned projects and on-going use of the solution.
Communicates well with technical and business stakeholders.
Builds and maintains good working relationships with team members, vendors and other departments involved in projects.