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LU-Medicaid Product Manager - 100% Remote

FOCUSED HR SOLUTIONS LLC

LU-Medicaid Product Manager - 100% Remote

Raleigh, NC
Full Time
Paid
  • Responsibilities

    ** This position is 100% remote. All work must be completed in the United States. Candidates must work EST business hours. **

    Our direct client has an opening for Medicaid Product Manager # 707165. This position is for 12+ months, with option of extension, and will be worked remotely within the United States.

    If you are interested, please submit the following:

    YOUR CURRENT RESUME

    YOUR HOURLY RATE

    Below is the job description – Resumes due ASAP –

    Description:

    The IT Product Manager will serve as a member of the DHHS Medicaid Enterprise System (MES) Program as a critical leader. This position will champion our departments key strategies with the goal of creating the opportunity for healthier outcomes for our citizens through clinical and technological innovation. This position is responsible for providing independent product oversight for NCDHHS Medicaid, specifically the Pharmacy Benefits Management (PBM). Expert knowledge of Medicaid Pharmacy Benefits Management processes, intended outcomes, and pain points is essential. This oversight may include development and monitoring of the Medicaid Managed Care product strategies, while collaborating with other DHHS divisions and external stakeholders to develop and implement targeted strategies to streamline processes. This position will create user stories, technology roadmaps and customer research in relation to Medicaid initiatives and strategic goals. The IT Product Manager represents DHHS business functions within NC Medicaid and functions as the 'ambassador' and diplomat between Medicaid and other organizations such as IT teams. This position will interact with the NC Medicaid Business Information Analytics Office, DHHS Data Office, Information Technology Division, Privacy and Security Office, Policy Office, General Counsel, Office of Procurement, Contracts and Grants, among others.

    • Leads and direct cross-functional activities that provide effective oversight of Medicaid Programs.

    • Manages direct and hybrid reporting relationships and staff, sets priorities, establishes accountabilities, and defines roles/responsibilities to secure necessary resources not under direct supervision, while maintaining peak levels of performance and compliance.

    • Collaborates and develops workgroups around product deliverables with Product Owners, Business Leads, Technical Leads and Management.

    • In-depth knowledge and understanding of products across functions and business segments in healthcare that meet departmental goals.

    • Directing the conception, development and implementation of new product initiatives, including current product enhancements.

    • Provides feedback and input to senior level decision-makers to develop long-range strategic alternatives for product solutions.

    • Communicate project goals and timelines, next steps and results to team members, project managers and the executive team.

    • Through a variety of communication/meeting methods, determines the customer’s needs, leads product discovery and translates these into detailed and actionable requirements for the MES PMU.

    • Able to assess emerging products and partners to measure and address their potential value or risk to the department, as well as make recommendations on which new technologies to invest in or leverage.

    • Provide in-person, conference calls, or virtual trainings on product knowledge, usage and implementation.

    • Use database queries to analyze performance indicators, evaluate survey data, define successful criteria for testing and product acceptance.

    • Fluently discuss the financial and/or operational benefits associated with proposed product capabilities.

    • Ensures compliance with all applicable policies and procedures.

    • Manages the product lifecycle from conception through implementation.

    • Performs other duties as assigned.

    In addition the IT Product Manager is responsible for the successful development of IT systems in support of the Medicaid program. The Product Manager will expressly engage with the business owners to develop the strategy behind how each MES module will support the business requirements definition and will own the translation and specification of all functional requirements. The Product Manager will work integrally with MES IT Program Managers and the MES Systems Integrator to manage the launch of features and systems. The Product Manager will evaluate and analyze work done by Medicaid SMEs, Business and Technical Leads, Data Leads, Engineers, and Architects to ensure the business requested capability, implemented design, and delivered functionality is successful and useful to the stakeholders. Medicaid/Health Care and or Managed Care experience is required.

    Required/Desired Skills:

    Expert knowledge of Medicaid Pharmacy Benefits Management (PBM) processes, roles, and intended outcomes. - Required - 2 Years

    Knowledge of Enterprise IT Systems, system integration principles, and associated change management best practices. - Required - 7 Years

    Has an understanding of CMS’ Seven Standards and Conditions and the Medicaid program - Required - 7 Years

    Demonstrated ability to manage multiple priorities and projects, function in a fast-paced moving constantly changing, deadline driven environment - Required - 7 Years

    Proficient use of Microsoft Project, Word, Excel, PowerPoint, Access, and Adobe software - Required - 7 Years

    Skills in persuasion, negotiation, relationship management, conflict resolution, and effective oral and written communication at all levels - Required - 7 Years

    Proven track record of launching successful user-focused products preferably in the enterprise, analytics or healthcare space. - Required - 7 Years

    Previous experience creating business use cases, requirements, and process maps/data flows - Required - 7 Years

    Experience working in a combination of business analysis, product management, project management and/or software application development. - Required - 7 Years

    Excellent communication skills and attention to detail with specific experience developing, editing, and presenting summaries, reports, and complex in - Required - 7 Years

    Proven experience and working knowledge of agile development methodologies, environment and tools. - Highly desired - 7 Years

    Experience using or implementing Cloud technologies IaaS, PaaS, SaaS. - Highly desired - 7 Years

    Experience handling HIPAA and PII data. - Required - 7 Years

    7+ years of experience in product management in a healthcare or government setting - Highly desired - 7 Years

    Managed Care knowledge or experience - Required - 7 Years

    MITA knowledge or experience - Required - 7 Years

    Medicaid Program knowledge or related HealthCare Information System experience - Required - 7 Years

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    This is a remote position.