ITS53ProjManEHSFY14004ProjectManagerHSNClaimsSystemPetro.doc

Specifications for ITS53 Staff Augmentation Posting

[Document Number: ITS53_ProjMan-EHS-FY14-004] [Project Manager ] X New Posting

__ RePosting: _ _ No suitable resumes received, reposted with no changes (please do not resubmit resumes)

__ Reposted with skill set edits

__ Reposted with different title, higher maximum rate

General Requirements:

CORI requirements: _X_MUST BE COMPLETED

__ Other (including special requirements):

Interview requirements: __x in person

__ Other:

Total number of positions sought: _1_ Maximum acceptable hourly rate: $ 100 May be filled PRIOR TO CLOSE DATE: X Yes _ _No Additional Resume Submission Specifications and Requirements:

· Maximum number of resumes per ITS53 Vendors: _4_TOTAL

· Resumes must be emailed to: EOHHS-ITContactorResumes@ MassMail.state.ma.us

· The subject line of the email must read: ITS53_ProjMan-EHS-FY14-004

· No phone calls please – email questions to: ___ kara.banderier@state.ma.us

· Indicate on resume if candidate is presently working for another State Agency or has worked for another State Agency within the past 12 months (if so, indicate State Agency name)

· Include candidate Pay Rate in the email that accompanies the resume

· Rates are all-inclusive (travel and any additional expenses are included in the rate)

· Right to represent

· Third party status

Worksite Address: 100 Hancock Street, Quincy, MA Contract Length: Through 6/30/14 Project(s) Duration: end of project Hours per Week: 40 Submission Deadline: FRIDAY, January 17, 2014 Other Schedule Related:

Rate Card Title from the Rate Card posted on Comm-PASS: Project Manager – Position Summary:

Project Manager

General Description

HSN Claims System Project Manager The Health Safety Net Office administers a fund that pays Massachusetts acute hospitals and community health centers for care provided to low income uninsured and underinsured Massachusetts residents. The Health Safety Net Office is seeking a contractor to research claims processing issues, and to manage the tracking and resolution of the issues identified.

Duties

· Research Health Safety Net claims in order to identify possible processing and pricing issues

· Identify the cause of issues that are identified, and develop methods to address them

· Manage the implementation of methods to resolve issues that are identified

· Manage the priorities of the HSN claims system development team

· Communicate with both providers and internal partners regarding the HSN claims system

Preferred Qualifications

· Demonstrated project management experience

· General knowledge of, and experience with health care provider billing systems and/or claim processing systems

· Specific knowledge of, and experience with the Medicaid Management Information System (MMIS), MassHealth claims, and/or Health Safety Net claims

· Ability to communicate effectively both orally and in writing, both with internal partners and external stakeholders

· Ability to troubleshoot and solve problems

· Ability to act independently and work collaboratively

· Sound judgment, analytical skills, and creativity