Project Manager – Medicaid Eligibility Systems, Policies, Operations and Communications

This is a fully remote position, open to applicants in Hawaii.

📋 Description

• Conduct research on Medicaid policies and regulations pertinent to H.R. 1

• Convert policy, program, and operational requirements into system specifications and implementation tasks

• Lead and manage workstream activities, which include timelines, deliverables, resources, risks, issues, and overall project performance

• Act as the main point of contact between Med-QUEST, BerryDunn, project teams, vendors, and external stakeholders

• Oversee Jira tracking and status updates for activities related to H.R. 1

• Organize regular workstream meetings, client/vendor interactions, leadership discussions, follow-up tasks, and inter-workstream dependencies

• Review workstream documents, meeting minutes, client-facing materials, standard operating procedures, templates, trackers, and process documentation

• Identify risks, blockers, decisions, and dependencies, and coordinate their resolution

• Act as a senior systems advisor on system implementations, Medicaid claims, and operational effects

• Communicate, provide status updates, and offer strategic insights to clients, vendors, leadership, and project stakeholders

• Assist in the planning, execution, and implementation across various workstreams for Medicaid initiatives related to H.R. 1

⛳️ Requirements

• Proven experience in conducting research on policy and federal regulations, translating findings into policy directives, system requirements, and operational guidance

• Familiarity with Medicaid member eligibility processes, enhancements to enterprise systems, membership renewals, and disenrollments

• Excellent leadership, communication, facilitation, organizational skills, and attention to detail

• Understanding of quality assurance/control procedures and proactive issue management

• Capability to work effectively within a team and coordinate across various stakeholders

• Experience using Jira or similar project management platforms

• Background in coordinating regular meetings and ensuring workstream alignment

• Experience reviewing project documentation and client-facing materials for quality assurance and completeness

• Strong proficiency in Microsoft applications and artificial intelligence tools

• Prior consulting experience, experience with state Medicaid agencies, and/or experience with software vendors is preferred

• At least three (3) years of experience in a similar project management, program management, or consulting role within the last five (5) years

• Bachelor's Degree (BA/BS)—Four years of relevant experience may substitute for a degree

• Experience in supporting healthcare, government, public sector, or Medicaid initiatives is preferred

• Experience managing complex projects involving multiple stakeholders and workstreams

• Proven experience leading project teams and coordinating with clients, vendors, and leadership

• Experience in managing project timelines, risks, issues, and deliverables

• Availability during Hawaii Standard Time (HST) working hours

• Willingness to travel approximately 30%–50% of the time, including trips to Hawaiʻi

🏝️ Benefits

• Comprehensive benefits promoting physical, mental, career, social, and financial well-being

• Reasonable accommodations provided for application, interview, and essential job functions

• Commitment to equal employment opportunity in the workplace

• Focus on learning, development, and a culture of well-being