CMS Certification Manager
Cayuse Holdings
Project Manager II
Cayuse Holdings
full-time
Posted on:
Origin: • 🇺🇸 United States
Visit company websiteSalary
💰 $102,190 - $145,974 per year
Job Level
Mid-LevelSenior
About the role
- A Project Manager II will manage the Provider Enrollment and Management System (PEMS) Plus Credentialing project. PEMS is HHSC’s system for enrolling providers into the Medicaid program. Providers must be enrolled to deliver services to Medicaid clients and receive payment from HHSC or the Medicaid Managed Care Organizations (MCO) and/or the Dental Maintenance Organizations (DMO). In addition to Medicaid enrollment, providers must also be credentialed by the MCOs and DMOs that they contract with. The credentialing process ensures providers have appropriate qualifications to provide the services they are contracting for. For example, a physician’s license would be verified through the credentialing process. This project will ensure the credentialing process is fully integrated into the PEMS application to streamline provider enrollment and reduce the number of steps providers must take to get enrolled and credentialed. The Project Manager II for the PEMS Plus Credentialing project and support activities as needed. This role will manage and lead the project of integrating the credentialing application used by MCOs/DMOs into PEMS. This role will report to governance committees on the activities of the project. The PM will identify, record, and ensure trading. The PM will be responsible for delivering quality products that meet the state's desired operational and technical requirements. This position performs all duties and responsibilities in accordance with the Mission, Vision, and Core Values of Cayuse. Responsibilities Coordinating duties and responsibilities with PEMS Sprint Teams and Provider Services. Development, maintenance, and monitoring of integrated project timelines in coordination with PEMS project timelines. Ensuring that the project plan maintains tasks, schedules, and status updates as well as disseminating information to team members. Oversight and reporting of critical path dependencies between PEMS projects. Communicating project status, issues, and risks to department management, HHSC vendors, Provider Services and PEMS sprint teams. Developing mitigation plans as necessary. Communicating status of program initiatives to department management and other impacted stakeholders. Planning and managing efficient project meetings and documenting key decisions. Designing strategies to mitigate or avoid identified project risks and difficulties. Other duties as assigned .
Requirements
- Required certification in Project Management by a recognized project management organization. Scrum Master a plus. Minimum of three (3) years of progressive broad-based information systems, system integration and project delivery experience. Experience working with external vendors and/or Quality Assurance efforts a plus. 7 Required Experience in management of large-scale IT projects, including system integration, resource management, procurement transition and vendor management. 7 Required Experience with Medicaid Enterprise Systems, including Medicaid Management Information Systems (MMIS). 7 Required Ability to identify problems, evaluate alternatives, and implement effective solutions; to develop and evaluate policies and procedures; to prepare reports. 7 Required Demonstrated ability to meet tight deadlines. 7 Required Experience with Medicaid business operations. 7 Required Experience overseeing the planning and execution of major projects, including facilitation and documentation of high-level critical path dependencies across multiple projects. 7 Required Experience successfully leading meetings and facilitating discussions between multiple stakeholder groups, including vendors. 7 Required Ability to establish project goals and objectives that support the state and HHS strategic plans as well as federal directives. 7 Required Proven ability to work successfully with technical and non-technical groups and manage multiple responsibilities. 4 Required certifications in Project Management by a recognized project management organization. 3 Preferred Knowledge of Texas Medicaid programs. 2 Preferred Experience with Texas Health and Human Services programs. 2 Preferred Experience with provider enrollment systems. 1 Preferred Scrum Master certification preferred. Must be able to pass a background check. May require additional background checks as required by projects and/or clients at any time during employment. Minimum Skills: Exceptional interpersonal skills with the ability to communicate in a clear, professional, and articulate manner. Exceptional verbal and written communication skills. Excellent organizational, analytical, and problem-solving skills with high-level attention to detail. Proven ability to multitask and prioritize in a fast past environment with changing priorities; adaptable to change and a quick learner. Must be self-motivated and able to work well independently as well as on a multi-functional team. Ability to handle sensitive and confidential information appropriately Proficient in MS Office, Word, Outlook, PowerPoint, and Excel.
