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Medicaid Domain Expert

S2 Tech
Harrisburg, PA Full Time
POSTED ON 3/8/2025
AVAILABLE BEFORE 6/8/2025

Medicaid Domain Expert

Location : Harrisburg, PA

About Us :

Known for "Delighting the Client" through performance, innovation, and an employee-centric culture, S2Tech is a fast-growing IT consulting company serving clients in over a quarter of the United States. We are widely recognized as a leading provider of both technical and business services in support of Health and Human Services related projects. Feel free to learn more at www.s2tech.com.

Why S2Tech? :

  • Stable privately-owned company with a strong reputation for building long-term client relationships through the delivery of consistent value-based service
  • 25 years providing IT and Business services to private customers and government programs throughout the United States
  • Expansive client portfolio and active projects - employees benefit from innovative project exposure and in-house skill development training / courses
  • Corporate culture that emphasizes the importance of family and promotes healthy work-life balance
  • Offer competitive pay and a range of benefits including :
  • Medical / Dental / Vision Insurance - insurance premium assistance provided
  • Additional Insurance (Life, Disability, etc.)
  • Paid Time Off (Vacation & Sick Leave)
  • 401(k) Retirement Savings Plan & Health Savings Account
  • Various training courses to promote continuous learning
  • Corporate Wellness Program
  • Be part of a company that gives back through its non-profit organization, Fortune Fund, which was launched in 2001. The goal of the Fortune Fund is to close the rural / urban divide by ensuring children in rural communities in India and the United States understand the importance of education & are aware of professional career opportunities allowing them to link their professional & educational goals

Responsibilities :

  • Medicaid Expertise & Analysis :
  • Serve as the primary authority on Medicaid regulations, policies, and operational challenges

  • Analyze the current MMIS, identifying gaps, inefficiencies, and opportunities for enhancement
  • Research industry best practices and emerging trends to inform recommendations for a modular MMIS solution
  • Consulting & Advisory Services :
  • Provide expert consulting to support the development and implementation of the new modular MMIS

  • Collaborate with project managers, IT teams, and quality assurance professionals to ensure alignment with Medicaid requirements
  • Advise on strategic initiatives to enhance system performance, compliance, and operational efficiency
  • Quality Assurance & IVV Oversight :
  • Support Independent Verification and Validation (IVV) activities by developing testing strategies, reviewing system functionality, and preparing detailed IVV reports

  • Ensure that proposed system enhancements meet all regulatory and quality standards
  • Assist in establishing performance metrics and quality benchmarks for the new MMIS modules
  • Stakeholder Engagement & Communication :
  • Work closely with internal and external stakeholders, including officials, healthcare providers, and technical teams

  • Facilitate meetings, workshops, and briefings to communicate findings, recommendations, and project status
  • Prepare and deliver executive-level reports and presentations that clearly articulate analysis, risks, and opportunities
  • Process Improvement & Change Management :
  • Identify opportunities for business process re-engineering to streamline Medicaid operations

  • Recommend and help implement change management strategies to support a smooth transition from the current system to the new modular solution
  • Assist in the development of training and support materials for end users and project teams
  • Qualifications :

  • Education & Experience :
  • Bachelor's degree in Health Administration, Public Health, Information Systems, Business, or a related field. Advanced degrees are a plus

  • Minimum of 5 years of direct experience working with Medicaid systems, preferably with hands-on experience in MMIS
  • Demonstrated expertise in Medicaid regulatory environments and operational best practices
  • Technical & Consulting Skills :
  • Proven track record in conducting in-depth system analysis, business process re-engineering, and performance improvement initiatives

  • Experience in project management consulting, with a strong understanding of PMO functions and quality assurance methodologies
  • Familiarity with Independent Verification and Validation (IVV) processes in healthcare or government IT projects
  • Communication & Interpersonal Skills :
  • Exceptional written and verbal communication skills, with the ability to translate complex technical and regulatory issues into clear, actionable insights

  • Strong stakeholder management skills, with experience working with diverse teams and external agencies
  • Ability to facilitate collaborative workshops and lead strategic discussions
  • Certifications (Preferred) :
  • Relevant certifications such as CBAP, PMP, or healthcare-specific qualifications

  • Certifications in quality assurance or IVV processes are a plus
  • S2Tech is committed to hiring and retaining a diverse workforce. We are an equal opportunity employer making decisions without regard to age, race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other protected class.

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