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Project Management HIPPA Relationship Management Specialist
(Jobs in Raleigh, N
 
Requirement id 144193
Job title Specialist
Job location in Raleigh, NC
Skills required IT Systems, MS PROJECT, Adobe Software Products, Project Management HIPPA Relationship Ma
Open Date 03-Nov-2023
Close Date
Job type Contract
Duration 12 Months
Compensation DOE
Status requirement ---
Job interview type ---
   Email Recruiter: coolsoft
Job Description Specialist: IT Systems, MS PROJECT, Adobe Software Products, Project Management HIPPA Relationship Ma

Hybrid

Start date :11/27/2023

End date :11/26/2024

Submission deadline :11/08/2023

Client info :NCDHHS-MA

Description :

The PBM Product Integration Specialist will serve as a member of the DHHS Medicaid Enterprise System (MES) Program within the Product Management space. This position will support the product manager to 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 supporting 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 actively work with the Pharmacy Business to develop the business process documents, create user stories, business case scenarios, identify user acceptance test case scenarios, research, and document in relation to Medicaid initiatives and strategic goals. The Product Integration Specialist goes hand in hand for the Product Manager and Core Business team and represents DHHS business functions within NC Medicaid and functions within the Product Management Space. This position sometimes may require interacting 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.
• Supports cross-functional activities that provide effective oversight of Medicaid Programs.
• Works closely with the Product Manager in achieving 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 communicates with workgroups around product deliverables with Product Managers, Product Owners, Business Leads.
• In-depth knowledge and understanding of products across functions and business segments in healthcare that meet departmental goals.
• Ability to research and recommend the 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.
• Must have experience with Medicaid/Health Care and/or Managed Care areas.
• Good understanding of CMS MITA Framework across Medicaid Business Architecture, Information Architecture and Technical Architecture initiatives and activities.
• Prior experience with Medicaid applications and preferably across Pharmacy Functional Areas.
• Through a variety of communication/meeting methods, confirm the business owner needs and help translate them into detailed and actionable requirements as needed.
• Provide in-person, conference calls, or virtual training on product knowledge, usage, and implementation.
• Able to document database queries to analyze performance indicators, evaluate survey data, define successful criteria for testing and product acceptance.
• Ensures compliance with all applicable policies and procedures.
• Supporting the product lifecycle from conception through implementation.
• 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 modern technologies to invest in or lev
 
Call 502-379-4456 Ext 100 for more details. Please provide Requirement id: 144193 while calling.
 
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(Specialist: IT Systems, MS PROJECT, Adobe Software Products, Project Management HIPPA Relationship Ma in Raleigh, NC)
     
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