Roles and Responsibilities

Assists in cross-functional activities aimed at effectively overseeing Medicaid Programs. • Collaborates closely with the Product Manager to establish direct and hybrid reporting relationships and staff, prioritize tasks, assign accountabilities, and define roles/responsibilities to obtain necessary resources not under direct supervision, while ensuring optimal performance and compliance levels.
Engages and communicates with workgroups, including Product Managers, Product Owners, and Business Leads, to deliver product outcomes.
Possesses extensive knowledge and comprehension of products across healthcare functions and business segments that align with departmental objectives.
Conducts research and provides recommendations for the development and implementation of new product initiatives, including enhancements to existing products. • Offers feedback and input to senior decision-makers to devise long-term strategic options for product solutions.
Demonstrates experience in Medicaid/Healthcare and/or Managed Care domains.
Exhibits a strong understanding of the CMS MITA Framework encompassing Medicaid Business Architecture, Information Architecture, and Technical Architecture initiatives and activities.
Previously involved in Medicaid applications, preferably in Pharmacy Functional Areas.
Confirms business owners’ needs through various communication and meeting methods, translating them into detailed and actionable requirements when necessary.
Delivers in-person, conference call, or virtual training sessions on product knowledge, usage, and implementation.
Proficient in documenting database queries to analyze performance indicators, assess survey data, and define success criteria for testing and product acceptance.
Ensures compliance with all relevant policies and procedures.
Supports the product lifecycle from concept to implementation.
Evaluates emerging products and partners to gauge their potential value or risk to the department, providing recommendations on which modern technologies to invest in or leverage.
Adheres to Product Management guidelines.
Researches and gathers information required by the Product Manager to evaluate and analyze the work conducted by Medicaid Subject Matter Experts (SMEs), Business and Technical Leads, Data Leads, Engineers, and Architects, ensuring that the requested business capabilities, implemented design, and delivered functionality meet the stakeholders’ needs.
Familiarity with the CMS Certification process.
Performs additional assigned duties.