IT Healthcare Consultant - Project Manager - Consultant
Novalink Solutions
Full-time
On-site
Columbia, South Carolina, United States
Consulting
Candidates with significant experience with Operations and Maintenance or DDI of
Cúram’s HCR and CGIS products is mandatory. Vendors, please do not submit
candidates without Operations and Maintenance or DDI experience in Cúram’s HCR and
CGIS products. This position will utilize technical expertise to provide guidance to
support the Operations and Maintenance of Cúram Global Income Support (CGIS) and
Cúram’s Health Care Reform (HCR) modules as part of the Eligibility and Enrollment
Member Management Project, a large project whose team brings significant experience
along with an “entrepreneurial” or “startup” attitude and approach. The team is a mixture
of state personnel, industry focused information technology professionals and
experienced consultants. We are seeking individuals who are highly productive, very
flexible, and can work effectively in an environment where ambiguity is common. Team
members are expected to contribute with minimal supervision and be self-motivated. The
project demands for individuals who are strong collaborators, who want to make a
positive contribution to the State of South Carolina, can understand top-level goals and
objectives, and drive toward them.
This position could carry over to other projects as directed by the PMO director or
Member Management Replacement Project Director.
Candidates who enjoy working on complex, change-oriented projects with motivated
team members will find this position attractive.
SCOPE OF THE PROJECT:
The Eligibility and Enrollment Member Management Project is one of the largest IT
projects for the State of South Carolina. It is a multi-year effort to replace the State’s
aging Medicaid Eligibility Determination System and other member management
applications with a multi-tier application environment that requires modern technologies,
technical practices and substantial collaboration with a variety of stakeholders. This
system will utilize Cúram’s social program management platform and will be
configured/implemented by the State in partnership with designated vendors. SC uses the
social program management platform from Cúram in the provision of services. This
software combines the advantages of commercial off-the-shelf software, an enterprise
platform and service-oriented architecture with the business and technical flexibility
required to implement solutions to meet agency objectives.
The Senior Cúram Operations Consultant will serve as the on-sight technical resource for the
Member Management Replacement Project leadership and team. The Senior Cúram
Operations Consultant is responsible for providing guidance to SCDHHS and MMRP vendors
related to Operations and Maintenance of the IBM Cúram software including requirements,
designs and development activities/deliverables. The consultant will work with the team’s
business analysts, subject matter experts, system integrator and designated vendors, as well as
Enterprise Services team to meet the project goals.
Duties include:
• Serves as a technical resource, providing technical/analytical guidance to project team
and vendors; provide advice on best practices for utilizing IBM Cúram software for
meeting stated business needs
• Identifies, reviews, approves approaches/proposed solutions to meeting business
requirements utilizing IBM Cúram software; communicates risks and concerns related to
proposed solutions and offers alternative solutions as appropriate.
• Conducts demonstrations and develops proofs of concept utilizing IBM Cúram software,
as appropriate, to verify the feasibility of proposed IT approaches/solutions
• Conducts and coordinates data mapping and gap analysis to determine if the IBM Cúram
software meets business needs
• Ensures transition from DDI implementation to Operations is successful and knowledge
is transferred to the Operations team.
• Uses knowledge of IBM Cúram framework to consult with development leads in
resolving issues and meeting business requirements
• Assists in managing work between IBM, System Integrator team, other vendors and
Legacy Systems team to ensure a smooth transition between Medicaid Eligibility
Determination System (MEDS) and Cúram while ensuring that the legacy Medicaid
Management Information System (MMIS) continues to provide the appropriate
information
• Collaborates with project leadership, business analysts, subject matter experts, technical
managers and development leads on business requirements, functional and non-functional
specifications, technical design specifications and integration component requirements
• Works with the Analysis and Testing Manager, Production Manager and vendors to
ensure that all deliverables are completed timely and meet quality standards
• Reports on project status and strategies orally and in writing; communicates any known
issues or risks to MMRP leadership and appropriate team members in a timely manner
• Collaborates with SCDHHS agency staff and vendors on implementation requirements
• Interprets, translates, and communicates highly technical concepts to both business and
technical MMRP team members and stakeholders
• Assists with technical analysis of the IBM Cúram releases
• Other duties as assigned
REQUIRED SKILLS (RANK IN ORDER OF
IMPORTANCE):
PREFERRED SKILLS (RANK IN ORDER OF
IMPORTANCE):
• Vendor Management experience
Bachelor's degree in Computer
Science, Engineering, Technical
Science or equivalent industry
experience
• Minimum of three (3) years of
technical experience with IBM Cúram
framework; must have experience
HCR and CGIS
• Cúram Certification
• Experience delivering in waterfall,
scrum, agile, and other methodologies
• Experience profiling and
troubleshooting IBM Cúram Out of the
Box and custom code
• Excellent written and verbal
communication skills and strong
cognitive ability especially with
respect to understanding, documenting,
and describing complex technical
subjects to both technical and non-
technical business users
• Excellent problem solving skills
• Demonstrated teamwork and
collaboration in a professional setting
• Knowledge of healthcare insurance
principles and processes
• Medicaid operations experience
• Public sector and/or academic
environment experience is a plus
• Medicaid Management Information
System (MMIS) experience
REQUIRED EDUCATION:
Bachelor’s degree in a technical or related
field