Medicaid Enterprise Systems Manager

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BerryDunn — Assurance, Tax and Consulting

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501 - 1000 Mitarbeiter

Gegründet 1974

🏥 Gesundheitswesen

🛡️ Versicherung

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Healthcare • Insurance • Legal

BerryDunn ist eine preisgekrönte Wirtschaftsprüfungs- und Beratungsgesellschaft mit einer 50-jährigen Geschichte, die sich der Erbringung außergewöhnlicher Dienstleistungen in den Bereichen Wirtschaftsprüfung, Steuern und Beratung widmet. Das Unternehmen konzentriert sich darauf, enge Partnerschaften mit seinen Kunden zu bilden, um maßgeschneiderte Lösungen zu liefern, die bedeutende Ergebnisse erzielen. Die Expertenteams arbeiten in verschiedenen Sektoren und helfen sowohl öffentlichen als auch privaten Institutionen, Finanzen zu optimieren, Risiken zu reduzieren und Geschäftsprozesse zu verbessern, stets mit dem Engagement für den Erfolg der Kunden.

Beschreibung

• Lead and support delivery of Medicaid Enterprise System initiatives for State Medicaid Agencies (SMAs) and other Health and Human Services (HHS) agencies, including system modernization, implementation oversight and program advisory • Serve as a key client interface, providing guidance to agency stakeholders and supporting informed decision-making • Manage and coordinate across complex, multi-stakeholder environments, including vendors, system integrators, and government entities at territory, state, and federal levels • Support vendor oversight, performance monitoring, and implementation activities to help ensure alignment with program objectives • Identify, manage, and communicate project status, risks, and issues driving timely resolution and maintaining stakeholder alignment • Lead and support the development and maturation of program and project governance structures, including PMO- or PgMO-aligned frameworks • Lead and contribute to strategic planning, funding and acquisition, program and project management, and vendor management services • Lead and contribute to the development of key MES deliverables such as Concepts of Operations (ConOps), Advance Planning Documents (APDs), MES Roadmaps, MITA State Self-Assessments (SS-As), Requests for Proposals (RFPs), and engagement and federal reporting artifacts • Provide subject matter expertise in Medicaid domains such as eligibility and enrollment, claims, financial management, and provider management, advising on impacts of federal regulations, State Plan Amendments (SPAs), waivers, policy changes, operations, and process improvements • Provide system and implementation expertise including knowledge of Medicaid and HHS vendor marketplace, procurement processes, and system implementation life cycles • Support system integration and interoperability efforts, including coordination with federal data hubs and integration across MES modulars and related human services programs (e.g. SNAP, TANF) • Lead, develop, and manage staff in support of their professional development journeys and engagement responsibilities • Contribute to business development efforts and practice growth initiatives

🎯 Anforderungen

• 10-15+ years of experience in Medicaid, Health and Human Services (HHS), or public sector consulting • Significant experience supporting Medicaid Enterprise Systems (MES) initiatives, including large-scale modular system implementations • Demonstrated experience delivering within a consulting services environment, including strategic planning, funding and acquisition, program and project management, and vendor management services • Proven ability to manage complex, multi-stakeholder environments, including government agencies, vendors, system integrators, and federal partners • Experience managing or overseeing vendor performance, accountability for delivery outcomes • Experience engaging with and advising executive-level stakeholders at the HHS and Medicaid territory, state, and/or federal levels, including the ability to influence decisions and communicate effectively • Experience working within structured project, program, or portfolio governance frameworks (e.g. PMO or PgMO) • Demonstrated experience leading project teams including mentoring, coaching, and performance management • Strong knowledge of and experience with Medicaid Management Information Systems (MMIS), Eligibility and Enrollment (E&E) Systems, and/or other modular Medicaid and HHS agency-level IT solutions • Proven ability to adapt to shifting priorities and evolving client needs in a fast-paced environment • A collaborative, team-oriented approach and the ability to work effectively with cross-functional stakeholders and vendor partners • Strong active listening skills, with the ability to understand client and team needs, respond with empathy, and incorporate feedback constructively • Ability to manage multiple concurrent workstreams, often with limited notice, while maintaining high-quality standards and meeting critical deadlines.

🏖️ Vorteile

• Eligible employees have access to benefits that go beyond what’s expected to support their physical, mental, career, social, and financial well-being. Visit our website for a complete list of benefits and a look into our culture: Experience BerryDunn.