Healthcare Consultant – Project Manager - Contract - Columbia, SC

Role summary

Healthcare Consultant – Project Manager - Contract - Columbia, SC is a contract role at SUNSHINE ENTERPRISE USA LLC in Columbia, South Carolina, United States (on-site). Posted 2026-08-30. Experience level: 5-10.

Job title

Healthcare Consultant – Project Manager - Contract - Columbia, SC

Company

SUNSHINE ENTERPRISE USA LLC

Location

Columbia, South Carolina, United States

Work arrangement

on-site

Employment type

contract

Category

Healthcare Support

Experience level

5-10

Date posted

2026-08-30

Job description

IT

Healthcare Consultant – Project Manager

Location: Columbia,

SC Onsite

Interview Process: 1 round,

Virtual/Online

Duration: 12 Months

Employment Type: Contract

Experience Required: 06+ Years

Candidate

location: Candidate MUST be a SC resident or willing to relocate to SC

prior to starting the role at their own expense.

Project Scope:

seeking an experienced IT Healthcare

Consultant – Project Manager to lead MMIS Medicaid Systems Operational

Management . The selected candidate will lead teams supporting

business-critical operations, including MCO enrollment, claims and encounter

processing, payment, production support, helpdesk, interface/EDI support,

stakeholder monitoring, and user acceptance testing .

The Project Manager will oversee operational

activities, vendor management, incident and issue management, release

management, change management, and compliance activities while ensuring

critical Medicaid systems remain stable, secure, and operational.

Key Responsibilities:

· Oversee,

coordinate, and perform operations and support activities for MMIS, Encounter

Processing Systems, and other supporting systems.

· Coordinate with

vendors, Office of Cyber Security, Enterprise Architecture, and other

stakeholders.

· Manage vendors

and monitor Service Level Agreements (SLAs) to ensure contractual obligations

are met.

· Design and

develop desk aides, standard operating procedures, and process flows for new

and existing services.

· Train team

members on desk aides, process flows, ticketing systems, and operational

support procedures.

· Lead and maintain

effective operational teams supporting production, helpdesk, interface/EDI,

stakeholder monitoring, and UAT activities.

· Oversee incident

and issue management, including documentation, tracking, escalation, and

resolution.

· Ensure timely

resolution of production issues and operational incidents.

· Identify and

mitigate operational risks, issues, and dependencies.

· Manage internal

and external escalations and ensure appropriate communication and resolution.

· Assign work

appropriately and monitor team workload and performance.

· Ensure compliance

with CMS, SSA, security, and other applicable requirements.

· Monitor security

findings and recommendations through completion.

· Implement,

monitor, and enforce Standard Operating Procedures (SOPs).

· Identify and

communicate situations where operational practices differ from established

procedures.

· Oversee release

management activities, including stakeholder communication, pre-implementation

planning, readiness checks, and post-implementation monitoring.

· Support change

management activities, including backlog grooming, maintenance, and compliance

with required approval gates.

· Provide regular

status updates, reports, and presentations to stakeholders and management.

· Provide on-call

and after-hours incident management support when required.

Required Skills & Experience:

· 3+ years of

experience managing system operations and/or administrative program functions

in a healthcare environment.

· 5+ years of

experience in project/program management, including managing system

implementations or enhancements.

· Experience

providing incident management, on-call, and after-hours support.

· Strong knowledge

of system development lifecycle and operational processes.

· Strong

documentation and process management skills.

· Experience

managing team workloads and providing operational guidance.

· Excellent

communication skills with staff ranging from frontline personnel to executive

management.

Preferred Skills:

· Prior experience

managing operations of Medicaid Enterprise Systems .

· Knowledge of Medicaid

eligibility, enrollment, claims, encounters, and MMIS domain concepts.

· Ability to

prepare management reports and deliver presentations.

· Experience

working with ticketing systems/software .

· Experience

writing Standard Operating Procedures (SOPs) for new system

implementations.

· Experience with

AWS Cloud environments or AWS Cloud Certifications .

· Experience

managing healthcare IT vendors and Service Level Agreements.

· Experience with

release, change, incident, and production management processes.

Education

Bachelor’s degree or equivalent work experience.

PREFERRED CERTIFICATIONS:

AWS Cloud

Certifications