DHB Project Manager- Mid Level

Typical Experience : 36-60 months

NC DHHS Division of Health Benefits Provider Operations monitors the enrollment and credentialing of NC Medicaid Providers. In this position you will be responsible for Project management within the Unit.

Job Description :

The Provider Operations Project Manager will assume project management duties in Provider Operations, overseeing the daily activities of new initiatives and monitoring of ongoing projects specific to Project Management, Communications, Training, and Healthy Opportunities (PM / Comm / Training / HO). The Provider Operations Project Manager will :

Assisting to identify, evaluate, and resolve complex issues and collaborate closely with leadership and others to develop, implement, and expand new program initiatives.

Oversee new initiatives as assigned, to include participation in planning and development meetings, educational meetings with vendor and state staff throughout implementation, monitoring of work to ensure schedules are maintained and deadlines met, and to minimize uncertainty, maintain effective communication by keeping the customers educated and informed.

Oversee the development and accuracy of provider communications to stakeholders and vendors as well as effective communicate cross functionally with Provider Operations Teams and all other sections within DHB and the Fiscal Agent

Assess, analyze, and establish processes and procedures to ensure the accuracy of provider participation and that the Division does not enroll or retain fraudulent entities or non-participating providers.

Manage the oversight, monitoring, and direct operational performance of vendors, designing applicable protocols / tools / forms to ensure contractual compliance as assigned.

Skills :

Knowledge of NC Medicaid programs and familiarity with Provider Operations.

Excellent analytical, critical thinking and problem-solving skills.

Communication and interpersonal skills.

Attention to details to ensure accuracy in assigned work.

Ability to negotiate and resolve conflicts.

Building commitment within the team.

Required / Desired Skills

Skill

Required / Desired

Amount

of Experience

Knowledge of NC Medicaid programs and familiarity with Provider Operations

Required

Years

Excellent analytical, critical thinking and problem-solving skills

Required

Years

Communication and interpersonal skills

Required

Years

Attention to details to ensure accuracy in assigned work

Required

Years

Ability to negotiate and resolve conflicts

Required

Years

Building commitment within the team

Required

Years

Questions

No.

Question

Question1

Absences greater than two weeks MUST be approved by CAI management in advance, and contact information must be provided to CAI so that the resource can be reached during his or her absence. The Client has the right to dismiss the resource if he or she does not return to work by the agreed upon date. Do you accept this requirement?

Question2

Hybrid expectation is 4 days a month ONSITE. Do you accept this requirement?

Question3

Candidate must be able to attend a webcam interview. Do you accept this requirement?

Question4

Please list candidate s email address.

Question5

Please indicate how soon this candidate is available to start work. Vendors are encouraged to submit candidates that are available for the duration of the assignment.

Question6

Vendor must notify the agency if any portion of the requirements listed in this task order is to be outsourced to other countries. Do you accept this requirement?

Question7

Candidates submitted above the rate of - will not be considered. Do you accept this requirement?

Question8

Payment for all approved hours will be paid at the straight hourly rate regardless of the total hours worked by the engaged resource. It is the responsibility of the supplier to adhere to any applicable compensation laws including payment for overtime hours. Do you accept this requirement?

Question9

Please confirm you have thoroughly validated, and attest to the accuracy of, the credentials listed throughout this candidate s VectorVMS profile and resume pursuant to Section 5.2.5 of ITS-009440. Do you confirm?