Job Details

SC-10480-1

Daily duties / responsibilities:

The Senior Cram Operations Consultant will serve as the on-sight technical resource for the Member Management Replacement Project leadership and team. The Senior Cram Operations Consultant is responsible for providing guidance to SCDHHS and MMRP vendors related to Operations and Maintenance of the IBM Cram software including requirements, designs and development activities/deliverables. The consultant will work with the team's business analysts, subject matter experts, system integrator and designated vendors, as well as the Enterprise Services team to meet the project goals.

Duties include:

1. Serves as a technical resource, providing technical/analytical guidance to project team and vendors; provide advice on best practices for utilizing IBM Cram software for meeting stated business needs.
2. Identifies, reviews, approves approaches/proposed solutions to meeting business requirements utilizing IBM Cram software; communicates risks and concerns related to proposed solutions and offers alternative solutions as appropriate.
3. Conducts demonstrations and develops proofs of concept utilizing IBM Cram software, as appropriate, to verify the feasibility of proposed IT approaches/solutions.
4. Conducts and coordinates data mapping and gap analysis to determine if the IBM Cram software meets business needs.
5. Ensures transition from DDI implementation to Operations is successful and knowledge is transferred to the Operations team.
6. Uses knowledge of IBM Cram framework to consult with development leads in resolving issues and meeting business requirements.
7. Assists in managing work between IBM, System Integrator team, other vendors and Legacy Systems team to ensure a smooth transition between Medicaid Eligibility Determination System (MEDS) and Cram while ensuring that the legacy Medicaid Management Information System (MMIS) continues to provide the appropriate information.
8. Collaborates with project leadership, business analysts, subject matter experts, technical managers and development leads on business requirements, functional and non-functional specifications, technical design specifications and integration component requirements.
9. Works with the Analysis and Testing Manager, Production Manager and vendors to ensure that all deliverables are completed timely and meet quality standards.
10. Reports on project status and strategies orally and in writing; communicates any known issues or risks to MMRP leadership and appropriate team members in a timely manner.
11. Collaborates with SCDHHS agency staff and vendors on implementation requirements.
12. Interprets, translates, and communicates highly technical concepts to both business and technical MMRP team members and stakeholders.
13. Assists with technical analysis of the IBM Cram releases.
14. Other duties as assigned.

• Bachelor's degree in Computer Science, Engineering, Technical Science or equivalent industry experience.
• Minimum of three (3) years of technical experience with IBM Cram framework; must have experience HCR and CGIS.
• Cram Certification.
• Experience delivering in waterfall, scrum, agile, and other methodologies.
• Experience profiling and troubleshooting IBM Cram Out of the Box and custom code.
• Excellent written and verbal communication skills and strong cognitive ability especially with respect to understanding, documenting, and describing complex technical subjects to both technical and non-technical business users.
• Excellent problem solving skills.
• Demonstrated teamwork and collaboration in a professional setting.
• Vendor Management experience.
• Knowledge of healthcare insurance principles and processes.
• Medicaid operations experience.
• Public sector and/or academic environment experience is a plus.
• Medicaid Management Information System (MMIS) experience.

• Bachelor's degree in a technical or related field or equivalent industry experience.

• Cram Certification.