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QA Experience Communication Skills Communications Manager
(Jobs in Columbia, SC
 
Requirement id 106381
Job title Manager
Job location in Columbia, SC
Skills required Quality Management, Business Data Models, Healthcare Insurance, QA Experience Communication Skills Commu
Open Date 05-May-2020
Close Date
Job type Contract
Duration 12 Months
Compensation DOE
Status requirement ---
Job interview type ---
   Email Recruiter: coolsoft
Job Description Manager: Quality Management, Business Data Models, Healthcare Insurance, QA Experience Communication Skills Commu

Start Date :06/02/2020
Submission Deadline :05/12/2020

Client Info : Department of Health and Human Services

Description :

SCOPE OF THE PROJECT:

The Eligibility and Enrollment Member Management Project is one of the largest IT projects for the State of South Carolina. It is a multi-year effort to replace the States aging Medicaid Eligibility Determination System and other member management applications with a modern, service oriented architecture based system. This project will be very complex and will demand exceptionally high quality team members.

DAILY DUTIES / RESPONSIBILITIES:

The Quality Manager is responsible for a PMI-oriented approach and methodology to ensuring DDI (Design, Development, and Implementation) process conformance, as well as assisting in monitoring and controlling the quality of project deliverables. The majority of the system development work will be performed by IBM.

Duties include:

• Understanding of solution requirements, monitoring development execution, and performing validation of deliverables against original requirements as expressed in a requirements traceability matrix.
• Assist the Project Management Organization in the design and implementation of templates relating to quality management processes to be used as organizational process assets throughout SC DHHS projects.
• Coordinating with the projects Independent Validation and Verification entity regarding Quality Audits, requirements validation, and total quality management (Kaizen process development).
• Assist project director and project manager in the development of technical metrics for compliance with industry best practices and standards as defined by CMS and the MITA-Mature Medicaid Information Systems suite of standards.
• Documenting and analyzing agency business processes and recommending improvements.
• Documenting and analyzing data requirements and relationships.
• Participating in the requirements management processes, including change control, version control, tracking and status reporting, and traceability.
• Providing requirements interpretation and guidance to test teams.
• Proactively identifying risks, issues, and action items leading to possible solutions; risk resolution techniques highly desired, including mitigation, transference, avoidance, and where required, acceptance.
• Interacting with internal and external organizations (i.e. vendors, State and Federal government agencies, State providers and beneficiaries, and other stakeholders).
• Participating in standup of business operations supporting the Eligibility and Enrollment Member Management Project.
• Consolidating defect tracking and resolution efforts of the User Acceptance Team lead and respective staff, developing testing activity protocols, and developing techniques and standards for use in defect tracking and resolution.
• Cultivating a specialized team of field-based eligibility and enrollment staff assigned to testing activities, and packaging their results for resolution by software development teams in the software development lifecycle.
• Planning for, conducting, and reporting on testing and other quality assurance activities.
• Support activities to gain approval for certification for the system from state and federal partners.
• Other duties as assigned.
Subject matter areas include member related eligibility determination, enrollment and disenrollment, eligibility inquiry, capitation premium payment, health insurance premium payment, Medicare premium payment, premium invoice, program policy, and state plan. Familiarity with the Affordable Care Act and impacts on Medicaid eligibility and member related processes is also beneficial.

REQUIRED SKILLS (RANK IN ORDER OF IMPORTANCE):

• Quality management experience on major IT healthcare syst
 
Call 502-379-4456 Ext 100 for more details. Please provide Requirement id: 106381 while calling.
 
Other jobs in SC: Beaufort (1), Blythewod (2), Blythewood (3), Charleston (17), Columbia (37), Greenville (4), Hartsville (2), North Charleston (2), Overland Park (1), San Francisco (1), SENECA (4), South Carolina (1), Spartanburg (3), Unknown (2),
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(Manager: Quality Management, Business Data Models, Healthcare Insurance, QA Experience Communication Skills Commu in Columbia, SC)
     
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