Molina Medicaid Solutions - DHHR

Bridging the Rivers ofChange TogetherWest Virginia MMIS Re-ProcurementSolicitation: MED13006ROLE RESPONSIBILITIES SKILL SETproblems as appropriate in theadministration of Molina site activities Provides personal leadership thatencourages employee productivity andresponsiveness to the needs of thecustomer Ensures programs are established tocomply with all relevant federal, State andlocal regulationsMedical/Dental DeputyAccountManager/OperationsManagerMedical/DentalApplicationManagerMedical/DentalSystemsManager(SystemsManagementLead)POS SystemManagerFills the role of the MMIS accountmanager in that person’s absencePlays an active role in day-to-daymanagement of the account so as to beknowledgeable and aware of all issues,concerns and requirements includingintegration management between medical/dental and POSServes as the operations manager,managing staff assigned to all operationalbusiness activities, day-to-day operationsof the MMIS and fiscal agent operationsManages configuration activities formodifications and enhancementsMonitors routine system maintenanceOversees changes in rate or fee schedulesMonitors changes required to remaincompliant with federal regulations andstandardsManages changes initiated by the Bureauto achieve strategic objectives, implementnew programs, and mature businesscapabilitiesPlans, develops, tests, implements, andmaintains the West Virginia MMISAssists with management of MMISReplacement DDIAssists with management of certificationtasksManages systems staff, including themodification and enhancement poolManages day to day client interactionplanning and implementation, additions,changes and major modifications insupport of pharmacy applicationsInitiates and implements improvements inBachelor’s degree or four years directlyrelevant experienceFive years of Medicaid operations orMedicaid fiscal agent operationsexperience or other large healthcare claimsprocessing organizationPreference given to candidates withMedicaid fiscal agent operationsexperienceBachelor’s degree or four yearsdemonstrated experience in a state or fiscalagent Medicaid environmentFive years of Medicaid MMIS experienceHighly knowledgeable in qualityassurance/control proceduresStrong documentation and reportingbackgroundProactive problem management skillsExperience and incident changemanagementCandidates with implementationexperience in Health PAS preferredBachelor’s degree, preferably in computerscience, information systems, or relatedfield, or four years experience in theposition for a state Medicaid agency orfiscal agentEight years of directly relevant experiencemanaging an organization unit within aMedicaid agency or fiscal agent or otherlarge healthcare claims processingorganizationBachelors degree in computer science orrelated field, including business dataprogramming, business systems analysis,computer accounting, computer andinformation systems, computer servicingtechnologies, information systems14.4-2