Job Description: The Client is looking for an IT Healthcare Consultant - Project Manager - Consultant
The Senior Cram Operations Consultant will serve as the on-sight technical resource for the Member Management Replacement Project leadership and team. The Senior Cram Operations Consultant is responsible for providing guidance to the client vendors related to Operations and Maintenance of the IBM Cram software including requirements designs and development activities/deliverables. The consultant will work with the teams 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 Cram software for meeting stated business needs
Identifies reviews approves approaches/proposed solutions to meeting business requirements utilizing IBM Cram software; communicates risks and concerns related to proposed solutions and offers alternative solutions as appropriate.
Conducts demonstrations and develops proofs of concept utilizing IBM Cram 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 Cram 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 Cram 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 Cram 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 the client 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 Cram releases
Other duties as assigned.
Required Skills (Rank in order of importance):
Bachelors degree in computer science Engineering Technical Science or equivalent industry experience.
Minimum of three (3) years of technical experience with IBM Cram framework; must have experience HCR and CGIS.
Cram Certification.
Experience delivering in waterfall scrum agile and other methodologies
Experience profiling and troubleshooting IBM Cram 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.
Preferred Skills (Rank in order of importance):
Vendor Management experience
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.
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