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Associate Director, Provider Management
Eden Prairie, Minnesota
Contract Position
It appears that you have already applied to this job.
Applied on September 28, 2020
Job Id #42541 Posted July 17, 2020


Description:

  • Looking for a SME for provider enrollment

Projects the candidate will be working on:

  • TN Provider OMMS implementation project. The State of TN is moving off of their current provider MMIS and migrating to the OMMS Provider Solution.
  • Managed Medicaid Services (OMMS) Product. There are additional provider management features to be built into the OMMS product for deployment in all three in-flight implementations

Ideal Background:

  • MMIS Experience
  • Provider enrollment operational experience
  • Experience grooming features & writing requirements.

Experience:

  • MMIS background

Top Requirements:

  • Provider enrollment operational experience
  • Gathering and documentation of business requirements
  • Grooming of agile features.

Team and Team size:

  • Resource will be a member of a team of other like resources
  • Current 2 WSL’s and 1 BA. This position will cover for current WSL out on FMLA.
  • The OMMS Product team is comprised of 25+ functional SMEs and business analysts that develop product requirements and user acceptance criteria

Job Responsibilities:

  • Act as the key SME for provider management processes
  • Track enhancement and Capital features
  • Groom Member specific features
  • Create acceptance criteria
  • Gather business requirements
  • Prioritize multiple demands and ideas based on available resources and client commitments
  • Navigate and influence multiple cross-functional teams in a complex work environment
Top Responsibilities
  • Required (MS Suite)
  • Perferred (ALM, Rally, Jira, Confluence, Aha!)

Required Qualifications:

  • Bachelors degree or equivalent
  • Experience gathering requirements from business and product teams
  • 5+ years of experience in the Medicaid area
  • 5+ years of experience working on Provider requirements for State Medicaid systems (MMIS)
  • Demonstrated experience with provider enrollment and management processes
  • Experience maintaining visibility on day-to-day activities with project teams and ensuring sufficient face-time with key executive stakeholders
  • Demonstrated experience partnering with stakeholders (client and internal) to ensure the proper strategy, plan, alignment, integration & visibility
  • Ability to work with team members across the country
  • Ability to adapt to changing schedule or priorities
  • Ability to work with minimal guidance
Preferred Qualifications:
  • Prior experience consulting government clients
  • Experience with MMIS or commercial off-the-shelf products and related solutions
  • Advanced industry degrees or MBA
  • Previous Health and Human Services (HHS) experience in public and/or private sector (Medicaid-focus)
  • Prior experience with SalesForce
  • Ability to balance strategic thinking with the urgency to drive work forward
  • Highly skilled in communications (both verbal and written), negotiation, and conflict management
  • Project Management Experience
  • Provider Correspondence design and workflow

INTERVIEW PROCESS:

  • a. How many rounds? 2 rounds. My Provider Team Lead and then myself
  • b. Video vs. phone? Phone
  • c. How technical will the interviews be? Medium, meaning the person needs an understanding of Provider MMIS

Horizontal is proud to be an Equal Opportunity and Affirmative Action Employer. We seek to provide employment opportunities to talented, qualified candidates regardless of race, color, sex/gender including gender identity and/or expression, national origin, religion, sexual orientation, disability, marital status, citizen status, veteran status, or any other protected classification under federal, state or local law.

In addition, Horizontal will provide reasonable accommodations for qualified individuals with disabilities. If you need to request a reasonable accommodation in order to complete the application or interview process, please contact hr@horizontal.com.

All applicants applying must be legally authorized to work in the country of employment.

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