Medicaid Operations Consultant Puerto Rico SLI Government Solutions is A GLI® Professional Services Company. SLI Government Solutions (SLI) is exclusively focused on helping government agencies improve the quality of services they provide, and attaining positive outcomes for system modernization projects and program improvement initiatives. SLI has specialized expertise in program design and development, program improvement strategies, child welfare, and child support programs. We are a leading provider of Independent Verification and Validation, Quality Assurance, Program Management, and Test Management for large technology-intensive application development projects such as Medicaid, Eligibility, Child Support Enforcement, Transportation, and Unemployment Insurance/Labor. SLI is looking for someone to be responsible for transferring MMIS management and operations knowledge and techniques to Medicaid Program staff that will be managing and operating the PRMMIS. Duties & Responsibilities include, but not limited to: Provides assistance to the Medicaid Program staff for the management and operation of the MMIS. Reviews MMIS issues and helps determine best solution for resolution. Provides guidance and direction for PRMMIS day to day operations and activities. Identifies risks and monitors progress of MMIS operations, including SLAs and KPIs. Assist in training Medicaid Program staff to manage and operate key functional areas of the MMIS, i.e. Help Desk, Surveillance Utilization Review Experience, Education, Skills and Credentials: 15 years of relevant experience that demonstrates progressive responsibility including 10 years of experience in a functional and/or Operational management role on an MMIS development or maintenance environment Consulting level experience with multiple business areas Able to excel in a face-paced environment with tight deadlines Excellent oral and written communication skills Desired Familiarity with a Managed Care operating model Project management experience and PMP certification Ability to read, speak, and write in Spanish language is preferred. DDI and operations experience preferred Knowledge of Medicaid Information Technology Architecture (MITA) principles and framework. Knowledge and understanding of the Medicaid Enterprise Certification Toolkit (MECT) checklists Candidates must be confident with their abilities to make correct decisions Willingness and ability to effectively engage with people and organizations on a continuous basis. Hours/Availability: Full Time Travel: Ability to travel 75% We offer excellent paid benefits that include: Comprehensive Health & Dental Insurance 100% Paid Life Insurance Paid Holidays 401k Savings Plan (with 50% Matching Contribution) This job description should not be interpreted as all-inclusive; it is intended to identify major responsibilities and requirements of the job. The incumbent may be requested to perform other job-related task and responsibilities than those stated above. SLI is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status. More information can be found on our website: www.sligov.com ("Medicaid" OR "Operations" OR "Consultant" OR "Medicaid Operations Consultant" OR "Medicaid Operations" OR "Medicaid Program" OR "Operational Management" OR "MMIS" OR "MMIS development" OR "MMIS maintenance environment" OR "MITA" OR "MITA principles" OR "Medicaid Information Technology Architecture" OR "MITA Framework" OR "MECT" OR "MECT checklists" OR "Bilingual" OR "Spanish-speak" OR "DDI" "Travel" OR "Road Warrior" OR "Medicaid" OR "Operations" OR "Consultant" OR "Medicaid Operations Consultant" OR "Medicaid Operations" OR "Medicaid Program" OR "Operational Management" OR "MMIS" OR "MMIS development" OR "MMIS maintenance environment" OR "MITA" OR "MITA principles" OR "Medicaid Information Technology Architecture" OR "MITA Framework" OR "MECT" OR "MECT checklists" OR "Bilingual" OR "Spanish-speak" OR "DDI" "Travel" OR "Road Warrior" OR "Medicaid" OR "Operations" OR "Consultant" OR "Medicaid Operations Consultant" OR "Medicaid Operations" OR "Medicaid Program" OR "Operational Management" OR "MMIS" OR "MMIS development" OR "MMIS maintenance environment" OR "MITA" OR "MITA principles" OR "Medicaid Information Technology Architecture" OR "MITA Framework" OR "MECT" OR "MECT checklists" OR "Bilingual" OR "Spanish-speak" OR "DDI" "Travel" OR "Road Warrior" ) SDL2017
