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Posted: Monday, January 8, 2018 5:00 AM

DHMH is seeking a Candidate to design, implement, administer, manage and maintain a Client's electronic claim capturing, management and adjudication system in conjunction with administering a drug utilization review system to meet the Federal requirements of the Omnibus Budget Reconciliation Act of 1990 (OBRA 90). The program changes and evolves and the need for flexible, responsive technology to manage cost effective patient care and appropriately adjudicate the pharmacy claims is vital to the success of the Program.

DUTIES AND RESPONSIBILITIES.

* The Candidate's responsibilities include overall Client's Implementation project governance and direction, and risk management as needed. Duties shall focus on project monitoring, control, team integration, change integration, and corrective action as needed.

* The Candidate shall support the management and planning of all efforts associated with the project to include: development and management of work plans, define and manage individual project deliverable as a part of the overall program deliverables, manage the expectations of all stakeholders, manage budgets, organizing and addressing emerging project requirements, manage project relationships, manage one or more project teams in delivering the projects and communicate and manage tasks and activities to a schedule with the teams.

* The Candidate shall participate in collaborative architecture groups associated with the project.

* The Candidate shall participate in the Client's procurement process, including development of requirements and supporting documents.

* The Candidate shall serve as the Project Manager during any portfolio review meeting with the Agency on the Client's project. The Candidate shall serve as the lead presenter during any stakeholder meetings related to this project.

* The Candidate shall serves as subject matter expert and provide guidance to the Client , related to all aspects of this project.

* The Candidate shall monitor and perform quality assurance project reviews during the implementation of the Client's Project

* The Candidate shall manage the project to be delivered through effective expectation setting, communications, change management control, budget control and management, and overall business understanding of the project needs.

* The Candidate shall actively monitor and support the Client's vendor project management team's efforts, to include: project plan, scope management, budget management, resource management, time management (activities and task planning), communications, risk, procurement, quality assurance and testing, user training, program / project delivery, transition planning and on-going maintenance and support management.

* The Candidate shall manage Client's vendor assignments, contract issue and assigned tasks. Conduct quality assurance reviews of vendor output, and develop acceptance criteria for vendor supported tasks.

Qualifications

* Candidate should have 5+ years of Experience as Project Control Specialist

* Demonstrate experience in Pharmacy Point of Sale claim processing, implementation/customization activities, and knowledge of multiple POS electronic claim management systems or Pharmacy Benefit Management (PBM) systems.

* Demonstrate Project Control Specialist Experience in a Pharmacy POS ECMS implementation.

* Prior experience in a leadership role in prior projects that were delivered into production.

* The extent the proposed personnel demonstrates experience in the complete systems development lifecycle from project inception through operations and maintenance,

* Demonstrate experience with planning and implementing new custom or COTS software applications, hardware solutions, data warehouses and reporting systems; and

* Demonstrate excellent command of the English language and professional communications skills.

* The Candidate shall provide expertise and assist in the procurement process to obtain a POS ECMS system that will integrate current functionality and develop new and innovative functionality required to implement opportunities offered through the Affordable Care Act, such as the extension of the manufacturer drug rebate program, Medicaid expansion, the 340B discount program and medication therapy management.

* The Candidate shall provide support during the implementation phase of the POS ECMS system, including Maryland Medicaid specific customization.

* The Candidate shall assist in all aspects of the procurement and implementation of the POS vendor and serve as Project Manager and support DHMH contractors and State personnel. Responsibilities include overall project planning, governance and management. Duties shall focus on project planning, monitoring and control, and serving as primary liaison with the Department and stakeholders.

* The Candidate shall ensure the appropriate application of the Project Management Institute's (PMI) Project Management Body of Knowledge (PMBOK) and the State's Systems Development Lifecycle (SDLC) in managing the project.

* The Candidate shall work collaboratively with stakeholder groups to define requirements and system specifications, define procurement strategies, write procurements as necessary, and monitor POS ECMS implementation project progress.

SDL2017


Associated topics: chief program officer, cpo, manage, manager, management, monitor, product manager, project manager, relationship manager, task

Source: http://www.jobs2careers.com/click.php?id=4716566015.96


• Location: Baltimore

• Post ID: 29848617 baltimore
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