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S2Tech

Project Manager – Medicaid Provider Management

S2Tech

. Lead end-to-end planning, coordination, execution, monitoring, and completion of inbound and outbound Provider Management Module interfaces .

Posted 9/17/2026full-timeHarrisburg • Missouri • United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit
Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in managing complex IT project management activities, including system implementation and integration, while ensuring alignment with Medicaid operational outcomes and stakeholder requirements. Proficient in coordinating multiple vendor platforms and facilitating technical discussions across diverse teams.

Highest-signal resume keywords
Project Management Professional CertificationMedicaid Management Information Systems ExperienceREST and SOAP APIs KnowledgeSystems Development Life Cycle UnderstandingAzure DevOps Experience

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills
IT Project ManagementSystem ImplementationIntegration CoordinationChange Request ManagementImpact AnalysisTesting Phases ManagementDependency TrackingRisk ManagementData Quality AssuranceOperational Readiness
Soft Skills
Strong Written CommunicationFacilitation SkillsNegotiation SkillsConflict ResolutionIndependent Operation
Tools & Technologies
Microsoft ProjectAzure DevOpsJiraPower BITableauMicrosoft TeamsExcelWordPowerPointVisio
Certifications & Qualifications
Project Management Professional Certification
Industry Keywords
Medicaid Enterprise SystemsProvider ManagementHealth InformaticsCMS CertificationHIPAA EDI TransactionsNational Plan and Provider Enumeration SystemProvider EnrollmentCredentialingOperational ReadinessMulti-Vendor Integration

Tech Stack

Tools & technologies
AzurePMPSOAPTableauTFS

About the role

Key responsibilities & impact
  • Lead end-to-end planning, coordination, execution, monitoring, and completion of inbound and outbound Provider Management Module interfaces
  • Coordinate interface activities from Interface Control Document development through connectivity, development, testing, deployment, and operational readiness
  • Develop, maintain, and baseline interface delivery schedules, work breakdown structures, milestones, and dependencies aligned with the Integrated Master Schedule
  • Track critical-path activities and technical prerequisites across vendors, integration teams, Commonwealth teams, and external data partners
  • Drive interface milestones through System Integration Testing, User Acceptance Testing, regression testing, interface mock runs, Operational Readiness Reviews, and production implementation
  • Maintain ownership, due dates, dependencies, risks, and completion criteria for interface activities
  • Ensure interface work supports business requirements and Medicaid operational outcomes
  • Drive complex assignments and workstreams through completion across multiple teams
  • Identify stalled decisions, unresolved dependencies, technical blockers, and delivery risks
  • Develop mitigation plans, recovery strategies, and corrective actions
  • Identify downstream impacts on modules, testing, business operations, implementation readiness, and CMS certification
  • Follow issues and action items through verified closure
  • Hold internal teams, vendors, and external partners accountable for deliverables, decisions, and dates
  • Escalate issues with clear options, impacts, and recommended actions
  • Serve as primary project management point of contact for Provider Management interface activities
  • Coordinate daily with Commonwealth stakeholders, program leadership, vendors, integration teams, and external interface partners
  • Organize and facilitate Joint Interface Working Groups, technical walkthroughs, Joint Application Development sessions, planning meetings, and issue-resolution sessions
  • Manage competing vendor priorities and drive consensus
  • Communicate interface dependencies, delivery risks, and technical issues to technical and non-technical audiences
  • Confirm interface designs align with approved business and functional requirements
  • Support traceability across requirements, interface specifications, development, testing, defects, and implementation evidence
  • Identify cross-module impacts involving Medicaid enterprise components
  • Confirm testing covers data quality, reconciliation, exception handling, error processing, operational workflows, and end-to-end outcomes
  • Maintain risk, issue, action, dependency, assumption, and decision logs
  • Track and resolve interface defects, change requests, action items, and design decisions through governance processes
  • Perform impact analysis for proposed changes
  • Support formal change control and document schedule, resource, technical, and operational impacts
  • Prepare recovery plans for schedule slippage, missed dependencies, resource constraints, and unresolved technical decisions
  • Produce status reports covering interface health, milestones, dependencies, testing, risks, decisions, and corrective actions
  • Develop executive dashboards, milestone reports, critical-path analyses, readiness assessments, and testing metrics
  • Translate technical information into executive-level summaries
  • Present emerging risks and recommended actions to program leadership
  • Maintain meeting documentation, decision records, and closed-loop action-item tracking
  • Coordinate CMS certification documentation, traceability, testing results, and operational evidence
  • Support implementation planning, operational readiness, production cutover, transition, and post-implementation stabilization

Requirements

What you’ll need
  • Bachelor’s degree in Business Administration, Information Systems, Computer Science, Health Informatics, Project Management, or a related field
  • Active Project Management Professional certification in good standing
  • At least four years of structured IT project management experience leading system implementation, integration, or modernization projects involving multiple stakeholder groups
  • Demonstrated experience personally owning and driving complex workstreams from planning through implementation and closure
  • Experience supporting Medicaid Management Information Systems, Medicaid Enterprise Systems, state health and human services programs, or comparable large-scale healthcare technology initiatives
  • Direct experience coordinating system interfaces and integrations across multiple vendor platforms
  • Working knowledge of REST and SOAP APIs, web services, EDI transactions, SFTP or batch exchanges, and enterprise data-integration pipelines
  • Strong understanding of the Systems Development Life Cycle, Agile and Waterfall delivery methods, and testing phases including Unit Testing, System Integration Testing, User Acceptance Testing, regression testing, and interface mock runs
  • Demonstrated experience managing integrated schedules, critical-path dependencies, risks, issues, action items, decisions, defects, and change requests
  • Proven ability to facilitate technical and business discussions involving state stakeholders, vendors, developers, architects, business analysts, testing teams, and executive leadership
  • Strong written communication, presentation, facilitation, negotiation, and conflict-resolution skills
  • Ability to operate independently, manage ambiguity, challenge assumptions constructively, and drive work through completion with limited supervision
  • Preferred: seven or more years of IT project or program management experience
  • Preferred: experience supporting a large-scale state Medicaid modernization initiative
  • Preferred: experience from a state agency, client advisory, program management, quality assurance, or independent oversight perspective
  • Preferred: familiarity with Medicaid Provider Management or Provider Enrollment and Screening solutions
  • Preferred: understanding of provider enrollment, credentialing, screening, revalidation, ownership disclosure, provider master data, and program integrity processes
  • Preferred: experience coordinating Provider Management interfaces with Claims, Financial Management, Pharmacy, Electronic Visit Verification, Member Eligibility, Enterprise Data Warehouse and Reporting, or other Medicaid modules
  • Preferred: experience with National Plan and Provider Enumeration System, OIG or LEIE, licensing boards, financial institutions, managed care organizations, or other provider-related external interfaces
  • Preferred: exposure to HIPAA EDI transactions, HL7, FHIR, and MITA
  • Preferred: experience supporting CMS certification, operational readiness, implementation planning, or production cutover activities
  • Preferred: experience recovering a delayed or at-risk multi-vendor integration workstream
  • Experience with Azure DevOps, TFS, Jira, or similar work-item, backlog, defect, and dependency management tools
  • Experience with Microsoft Project or comparable enterprise scheduling tools
  • Experience with Microsoft Teams, Excel, Word, PowerPoint, Visio, and SharePoint
  • Experience with Power BI, Tableau, or similar reporting and dashboard tools
  • Experience with process-flow, dependency-mapping, and workflow-documentation tools

Benefits

Comp & perks
  • Medical / Dental / Vision Insurance – insurance premium assistance provided
  • Additional Insurance (Life, Disability, etc.)
  • Paid Time Off
  • 401(k) Retirement Savings Plan & Health Savings Account
  • Various training courses to promote continuous learning
  • Corporate Wellness Program
  • Employee-centric culture emphasizing family and work-life balance
  • Innovative project exposure and in-house skill development training/courses
  • Non-profit Fortune Fund focused on education and career awareness in rural communities