Robotics Prcocess Automation, LLC
Overview
The Provider Services unit (formerly Operations Management Claims Administration) supports Medicaid and CHIP Services (MCS) providers with Fee-for-Service (FFS) claims management, support, and administrative appeals for both long-term care, and acute care; provider enrollment; and Electronic Visit Verification (EVV). Responsibilities
Experience in management of large-scale IT projects , including
system integration, resource management, procurement transition
and
vendor management . Experience with Medicaid Enterprise Systems , including
Medicaid Management Information Systems (MMIS) . Ability to identify problems, evaluate alternatives , and
implement effective solutions ; to
develop
and
evaluate policies
and
procedures ; to
prepare
reports . Demonstrated ability
to
meet tight deadlines . Experience with Medicaid business operations . Experience overseeing the planning
and
execution
of major projects, including
facilitation
and
documentation
of
high-level critical path dependencies across multiple projects . Experience successfully leading meetings
and
facilitating discussions
between multiple stakeholder groups, including vendors. Ability to establish project goals
and
objectives
that support the state and
HHS strategic plans
as well as federal directives. Proven ability to work successfully with technical and non-technical groups
and
manage multiple responsibilities . Excellent analytical, problem-solving, and coordination skills . Experience and judgment to plan and accomplish goals
and
independently perform
a variety of complicated tasks; a wide degree of creativity and latitude is expected. Oral
and
written communication skills . Required certification in Project Management
by a recognized project management organization. Knowledge of Texas Medicaid programs
- preferred Experience with Texas Health and Human Services programs
– Preferred Experience with provider enrollment systems
– Preferred Role details
The worker will serve as a Project Manager for the PEMS Plus Credentialing project and support activities as needed. The worker will manage and lead the project of integrating the credentialing application used by MCOs/DMOs into PEMS. The worker will report to governance committees on the activities of the project. The worker will identify, record, and ensure trading partners are aware of critical path dependencies, integration points and oversee testing plans. The worker will work closely with the Director of Provider Services, and the Deputy Associate Commissioner for MCS Operations Management. This Project Manager will oversee and lead the work of other project staff to ensure tasks are assigned, tracked and completed timely and accurately. The worker will be responsible for delivering quality products that meet the state's desired operational and technical requirements. The worker will have considerable latitude to use their experience and judgement to ensure successful completion of their assigned tasks. The worker will be required to multi-task, analyze priorities, communicate clearly, and set expectations for the phases of the project. The worker will be responsible for communicating with multiple internal and external stakeholders including program and technical staff, and other contracted and vendor resources. The worker will participate in meetings, track deliverables and schedules, and alert management of any issues that may impact providers. The services to be provided include, but are not limited to the following: Coordinating duties and responsibilities with PEMS Sprint Teams and Provider Services. Development, maintenance, and monitoring of integrated project timelines in coordination with PEMS project timelines. Ensuring that the project plan maintains tasks, schedules, and status updates as well as disseminating information to team members. Oversight and reporting of critical path dependencies between PEMS projects. Communicating project status, issues, and risks to department management, HHSC vendors, Provider Services and PEMS sprint teams. Developing mitigation plans as necessary. Communicating status of program initiatives to department management and other impacted stakeholders. Planning and managing efficient project meetings and documenting key decisions. Designing strategies to mitigate or avoid identified project risks and difficulties. Required certification in Project Management by a recognized project management organization. Scrum Master a plus. Resumes will not be accepted from applicants outside of Texas. The worker will be required to travel as needed to the primary work location in the Austin office. Remote work may be considered in accordance with HHSC Telework Policies, which includes in-office attendance. ROBOTIC PROCESS AUTOMATION LLC is an equal opportunity employer inclusive of female, minority, disability and veterans, (M/F/D/V). Hiring, promotion, transfer, compensation, benefits, discipline, termination and all other employment decisions are made without regard to race, color, religion, sex, sexual orientation, gender identity, age, disability, national origin, citizenship/immigration status, veteran status or any other protected status. ROBOTIC PROCESS AUTOMATION LLC will not make any posting or employment decision that does not comply with applicable laws relating to labor and employment, equal opportunity, employment eligibility requirements or related matters. Nor will ROBOTIC PROCESS AUTOMATION LLC require in a posting or otherwise U.S. citizenship or lawful permanent residency in the U.S. as a condition of employment except as necessary to comply with law, regulation, executive order, or federal, state, or local government contract
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The Provider Services unit (formerly Operations Management Claims Administration) supports Medicaid and CHIP Services (MCS) providers with Fee-for-Service (FFS) claims management, support, and administrative appeals for both long-term care, and acute care; provider enrollment; and Electronic Visit Verification (EVV). Responsibilities
Experience in management of large-scale IT projects , including
system integration, resource management, procurement transition
and
vendor management . Experience with Medicaid Enterprise Systems , including
Medicaid Management Information Systems (MMIS) . Ability to identify problems, evaluate alternatives , and
implement effective solutions ; to
develop
and
evaluate policies
and
procedures ; to
prepare
reports . Demonstrated ability
to
meet tight deadlines . Experience with Medicaid business operations . Experience overseeing the planning
and
execution
of major projects, including
facilitation
and
documentation
of
high-level critical path dependencies across multiple projects . Experience successfully leading meetings
and
facilitating discussions
between multiple stakeholder groups, including vendors. Ability to establish project goals
and
objectives
that support the state and
HHS strategic plans
as well as federal directives. Proven ability to work successfully with technical and non-technical groups
and
manage multiple responsibilities . Excellent analytical, problem-solving, and coordination skills . Experience and judgment to plan and accomplish goals
and
independently perform
a variety of complicated tasks; a wide degree of creativity and latitude is expected. Oral
and
written communication skills . Required certification in Project Management
by a recognized project management organization. Knowledge of Texas Medicaid programs
- preferred Experience with Texas Health and Human Services programs
– Preferred Experience with provider enrollment systems
– Preferred Role details
The worker will serve as a Project Manager for the PEMS Plus Credentialing project and support activities as needed. The worker will manage and lead the project of integrating the credentialing application used by MCOs/DMOs into PEMS. The worker will report to governance committees on the activities of the project. The worker will identify, record, and ensure trading partners are aware of critical path dependencies, integration points and oversee testing plans. The worker will work closely with the Director of Provider Services, and the Deputy Associate Commissioner for MCS Operations Management. This Project Manager will oversee and lead the work of other project staff to ensure tasks are assigned, tracked and completed timely and accurately. The worker will be responsible for delivering quality products that meet the state's desired operational and technical requirements. The worker will have considerable latitude to use their experience and judgement to ensure successful completion of their assigned tasks. The worker will be required to multi-task, analyze priorities, communicate clearly, and set expectations for the phases of the project. The worker will be responsible for communicating with multiple internal and external stakeholders including program and technical staff, and other contracted and vendor resources. The worker will participate in meetings, track deliverables and schedules, and alert management of any issues that may impact providers. The services to be provided include, but are not limited to the following: Coordinating duties and responsibilities with PEMS Sprint Teams and Provider Services. Development, maintenance, and monitoring of integrated project timelines in coordination with PEMS project timelines. Ensuring that the project plan maintains tasks, schedules, and status updates as well as disseminating information to team members. Oversight and reporting of critical path dependencies between PEMS projects. Communicating project status, issues, and risks to department management, HHSC vendors, Provider Services and PEMS sprint teams. Developing mitigation plans as necessary. Communicating status of program initiatives to department management and other impacted stakeholders. Planning and managing efficient project meetings and documenting key decisions. Designing strategies to mitigate or avoid identified project risks and difficulties. Required certification in Project Management by a recognized project management organization. Scrum Master a plus. Resumes will not be accepted from applicants outside of Texas. The worker will be required to travel as needed to the primary work location in the Austin office. Remote work may be considered in accordance with HHSC Telework Policies, which includes in-office attendance. ROBOTIC PROCESS AUTOMATION LLC is an equal opportunity employer inclusive of female, minority, disability and veterans, (M/F/D/V). Hiring, promotion, transfer, compensation, benefits, discipline, termination and all other employment decisions are made without regard to race, color, religion, sex, sexual orientation, gender identity, age, disability, national origin, citizenship/immigration status, veteran status or any other protected status. ROBOTIC PROCESS AUTOMATION LLC will not make any posting or employment decision that does not comply with applicable laws relating to labor and employment, equal opportunity, employment eligibility requirements or related matters. Nor will ROBOTIC PROCESS AUTOMATION LLC require in a posting or otherwise U.S. citizenship or lawful permanent residency in the U.S. as a condition of employment except as necessary to comply with law, regulation, executive order, or federal, state, or local government contract
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