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Complete Description:
DHCF’s Health Care Operations Administration (HCOA) has a need for a senior technical project manager. The senior technical project manager will serve as the lead project manager as DHCF works to rebuild its internal third party liability (TPL) team. The agency’s third party liability team is responsible for recouping funds from other insurance firms providing coverage for existing Medicaid recipients. The senior technical project manager will work with DHCF to analyze the agency’s existing, outdated TPL policies and procedures and refine those policies and procedures to ensure they are consistent with industry best practices. The senior project manager will also review existing TPL reports from the Medicaid Management Information System (MMIS) and ensure they are capturing the appropriate information to effective manage the agency’s TPL recovery efforts. Additionally, the senior project manager will develop staff training on the new processes and procedures as well as MMIS reports as the agency brings in new TPL resources. Lastly, the senior project manager will assist the District is developing its statement of work for its TPL recovery contract.
Skills:
Project management experience
Required 10 Years 3 - Expert
State Medicaid TPL policy and procedure experience
Required 8 Years 3 - Expert
Medicaid Management Information Systems (MMIS) and TPL reporting experience
Required 5 Years 3 - Expert
Experience interfacing with TPL recovery contractors
Required 2 Years 3 - Expert
Staff training experience
Required 3 Years 3 - Expert
Experience writing requests for proposals
Required 2 Years 3 - Expert
Bachelor’s Degree or OR 8 years of work experience in Medicaid TPL
Required 8 Years 3 – Expert
If the candidate has at least 8 years of experience with Medicaid TPL then a Degree is not required. Please acknowledge and confirm if the candidate meets the Degree requirement OR the 8 years of Medicaid TPL experience.
