TCC Seeks a Medicaid Eligibility and Enrollment (E&E) Subject Matter Expert (SME) (Contract)

Type: Contract
Duration: Until 4/1/2026
Location: Jackson, MS (Hybrid Opportunity)

Position Description and Job Skill Set:

The Medicaid Eligibility and Enrollment (E&E) Subject Matter Expert (SME) will work with the Division of Medicaid
(DOM) E&E team on procuring, implementing, upgrading, and maintenance of the DOM E&E systems.
The E&E SME will:
-Review and comment on project deliverables for completeness and content as assigned.
-Participates in Joint Application Design (JAD) sessions, Detailed Designed reviews, Agile sessions, project status
meetings and any other Medicaid project meetings as necessary.
-Assist with tracking identified issues and verifying resolution.
-Work with the Systems Integrator and DOM Project Management to meet Medicaid Enrollment and Eligibility Outcome Based Certification as needed.
-Provide technical expertise to procurement, implementations, upgrades, and the continuous maintenance of the E&E systems;
-Assist in the integration of the E&E with other internal and external systems, services, and trading partners;
-Work to develop and document strategies to utilize standards for the integration with, and operation of, the E&E
systems;
-Assist in the development of requirements for procurement of the E&E, E&E components, and related E&E services, tools, etc.
-Assist in development of test cases used for User Acceptance Testing (UAT) for changes in the E&E systems and
related modules as well as assist in the UAT as needed by performing tests, analyzing and documenting defects and issues

-Work with other State of Mississippi Agencies and programs to ensure data freely flows between associated systems and services;
-Document and report status, opportunities, findings, and risks to DOM management as well as State and federal partners (Centers for Medicare and Medicaid Services, CMS), etc.
-Work closely with the DOM E&E project team on the technical and operational aspects of the DOME E&E and related systems (Enterprise Service Bus, ESB, etc.).

Required Skills/Experience:

-4+ years experience with Eligibility systems, tools, and services
-3 years of working on IT projects that have critical timelines and deadlines and working with vendors to achieve these milestones as much as possible. Must have ability to adapt and overcome challenges of tight schedules.
-2 years experience facilitating meetings and discussions with both technical and non-technical staff
-1 years experience with E&E rules, requirements, and standards, such as the Affordable Care Act, the Centers for Medicare and Medicaid Services (CMS), Modified Adjusted Gross Income (MAGI) and non-MAGI Medicaid, Qualified Health Plans, Advance Premium Tax Credit (APTC), etc.
-1 years experience with technical integration of E&E systems with other payer and trading partner IT systems,
including using standards-based Application Programming Interfaces (APIs)

Preferred/Not Required:

-3 years experience working with E&E systems that utilize an Enterprise Service Bus (ESB)
-3 years of documenting and reporting project status and risks to management
-2 years experience with identity resolution systems, such as a Master Person Index (MPI)
-Knowledge of other State benefit programs (WIC, SNAP, etc.)