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HIPPA Stakeholders Manager
(Jobs in Indianapolis, IN)
 
Requirement id 113042
Job title Manager
Job location in Indianapolis, IN
Skills required Data Management, Strong Analytical Skills, HIPPA, Stakeholders
Open Date 15-Jan-2021
Close Date
Job type Contract
Duration 6 Months
Compensation DOE
Status requirement ---
Job interview type ---
   Email Recruiter: coolsoft
Job Description Manager: Data Management, Strong Analytical Skills, HIPPA, Stakeholders

Candidate must be our W2 Employee.

Job Description:

The Division of Medicaid (DOM) is seeking a Project Manager for the implementation of a cloud-based Software as a Service (SaaS) Enterprise Master Person Index (EMPI). The EMPI will be used by DOM to maintain accurate identity management (Medicaid beneficiary identity data) across the DOM enterprise. Medicaid beneficiary identity data can include Medicaid ID, name, gender, date of birth, race, ethnicity, social security number, current address, contact information, and insurance information.

The Centers for Medicare and Medicaid Services (CMS) has mandated the Medicaid Information Technology Architecture (MITA) strategic vision for all State Medicaid Agencies. A core component of the MITA vision and framework is the collection, aggregation, and utilization of Medicaid beneficiary clinical data by State Medicaid Agencies. This Medicaid beneficiary clinical data will come primarily from clinical systems such as Electronic Health Records (EHRs) via interfaces to external stakeholders such as Medicaid providers, the Coordinated Care Organizations (CCOs) and the State of Mississippis Health Information Network, MS-HIN.

The Division of Medicaid (DOM) is implementing an Agency-wide Enterprise Master Person Index, or EMPI, the EMPI will provide new Medicaid identity management services for DOM to programs including the Medicaid Enterprise System (MES) / Medicaid Replacement Project (MRP), provide identity management in partnership with the Mississippi Department of Human Services (MDHS) for the DOM – MDHS Health and Human Services Transformation Project (HHSTP), as well as support other DOM Agency programs and systems with identity management services including the existing Clinical Data Interoperability Program (CDIP) EMPI. The new, Agency-wide DOM EMPI will provide a source of truth for Medicaid beneficiaries, and allow multiple, disparate DOM programs, systems and services, and the DOM-MDHS HHSTP, to access and validate Medicaid beneficiary identities in real-time.

DOMs multiple systems contribute to duplicate identities across the agency, which causes challenges as there is no single source of truth for identities. With the implementation of the EMPI solution, DOM expects each Medicaid beneficiary to be assigned a unique identifier, so they are represented only once across multiple DOM systems. Below is a description of two of DOMs major projects that must be addressed by the initial EMPI solution.

Health and Human Services Transformation Project (HHSTP):

In April 2017, the Mississippi State Legislature passed HB 1090, also known as the Medicaid and Human Services Transparency and Fraud Prevention Act or the Hope Act, that mandated comprehensive fraud and abuse measures for both DOM and Mississippi Department of Human Services (MDHS) to implement over several years. One of the components of the Hope Act was the development of a real-time eligibility verification service to be used by both agencies to improve program integrity. DOM and MDHS make up two of the key agencies in the Health and Human Services environment and jointly provide services to many of the same Mississippians. Currently, the State provides access to quality health care for over 720,000 of 2.9 million Mississippians and provides Supplemental Nutrition Assistance Program (SNAP) and Temporary Assistance for Needy Families (TANF) benefits to approximately 460,000 recipients (also known as clients, beneficiaries, or members). Crossover between the two agencies is estimated at 65%. The leadership of both agencies is committed to partnering together to improve services, coordination, and lower cost for the State.

The Health and Human Services Transformation Project (HHSTP) was established with a goal to develop an interoperable Health and Human Services model that provides coordinated client services, reduces fra
 
Call 502-379-4456 Ext 100 for more details. Please provide Requirement id: 113042 while calling.
 
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(Manager: Data Management, Strong Analytical Skills, HIPPA, Stakeholders in Indianapolis, IN)
     
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