Job Description

Quantam Solutions provides IT solutions and consulting for various clients. We offer competitive hourly wages, health benefits, paid time off, and a 401(k) plan. We are currently seeking a Healthcare Project Manager. This position is fully remote.

Position Summary:

We are seeking a dynamic and relationship-driven Healthcare Project Manager to oversee and coordinate our client’s projects and strategic initiatives involving the Kentucky Health Information Exchange (KHIE) and the Department for Medicaid Services (DMS). This role serves as the primary liaison between KHIE and DMS, ensuring alignment of goals, efficient execution of health IT initiatives, and successful delivery of HIE services that support Medicaid's mission and priorities.

Key Responsibilities:

• Serve as the principal point of contact for all KHIE-related projects and communications with the Department for Medicaid Services.
• Ability to identify opportunities for improving Medicaid program efficiency through HIE data integration, collaboration and utilization.
• Ability to identify opportunities to leverage HIE data for Medicaid value add or cost efficiencies.
• Strong ability to liaise with Medicaid, Managed Care Organizations (MCOs), health plan payers, hospitals and other key healthcare stakeholders.
• Expertise in conveying the value of HIE to Medicaid officials, demonstrating its impact on cost, care coordination, and patient outcomes.
• Skilled in translating complex data insights into actionable recommendations for Medicaid stakeholders
• Ability to extrapolate and analyze Medicaid program data to showcase the value-add of the HIE.
• Develop reports and presentations illustrating how HIE improves health outcomes, enhances provider efficiency, and optimizes Medicaid spending.
• Collaborate with Medicaid program leaders to align data initiatives with policy goals.
• Provide training and guidance to Medicaid stakeholders on leveraging HIE capabilities.
• Advocate for data-driven decision-making, reinforcing the role of HIE in improving Medicaid services.
• Ensure clarity in messaging to bridge the gap between technical data insights and Medicaid program needs.
• Collaborate with policymakers and healthcare leaders to drive improvements in data reporting and utilization.
• Coordinate stakeholder meetings, develop agendas, prepare materials, and document outcomes and follow-up items.
• Translate Medicaid business needs into actionable KHIE project plans and work closely with technical teams to implement solutions.
• Track and report project performance metrics, risks, and status updates to both KHIE and Medicaid leadership.
• Facilitate the development and execution of interagency agreements, scopes of work, and policy alignment.
• Support funding initiatives, grant management, and compliance reporting tied to Medicaid-related HIE projects.
• Monitor and assess ongoing Medicaid program and regulatory changes that impact KHIE initiatives.

Required Qualifications:

• Bachelor's Degree in Public Health, Health Informatics, Health Administration, Business, or a related field.
• Proven experience managing multi-stakeholder initiatives and navigating complex organizational structures.
• Exceptional communication, organizational, and problem-solving skills.
• Strong understanding of Medicaid programs, HIE operations, and health information technology policies.

Preferred Qualifications:

• PMP, CAPM, or related project management certification.
• Experience working with Medicaid agencies or federally funded health IT programs.
• Familiarity with state and federal regulations related to health information exchange and Medicaid data.

Job Tags

Similar Jobs