Executive-level fractional Director needed to lead oversight of a multi-year, statewide Medicaid case management system modernisation program for the Missouri Department of Mental Health.
This fractional Director role supports the Implementation Support Services engagement for the ConneXion Case and Financial Management System, a multi-year modernisation program serving Missouri's Division of Developmental Disabilities. The Director acts as the primary executive liaison between the ISS vendor and state leadership, ensuring alignment across governance, CMS certification, cross-vendor coordination, budgets, and delivery quality.
The engagement spans the full program lifecycle, including implementation, stabilisation, statewide deployment, CMS certification, go-live, hypercare, and transition to operations. The position is part-time, approximately four hours per week, with onsite attendance required for key milestones, stakeholder sessions, and certification events.
- Provide executive oversight across all program phases, from initiation through post-go-live optimisation and transition to operations.
- Serve as the primary point of contact between the ISS vendor and DMH-DDD leadership, maintaining alignment on scope, schedules, and readiness criteria.
- Lead governance facilitation, executive steering discussions, escalation pathways, and cross-vendor accountability mechanisms.
- Direct PMO oversight including RAID management, integrated scheduling, quality assurance, organisational readiness, and testing activities.
- Identify and escalate material risks, compliance concerns, resource gaps, and vendor conflicts, recommending mitigation strategies.
- Monitor ISS performance against contractual KPIs and SLAs, ensuring deliverable quality, traceability, and timeliness.
- Minimum eight years leading Medicaid transformation initiatives, large-scale technology implementations, or comparable public-sector modernisation programs.
- Demonstrated executive oversight experience across complex, multi-year, multi-vendor enterprise programs.
- Working knowledge of CMS certification requirements, APD/IAPD processes, and Operational Readiness Reviews.
- Strong background in governance facilitation, escalation management, risk oversight, and cross-vendor alignment.
- Experience with Agile, Waterfall, or hybrid delivery methodologies in a public-sector context.
- Relevant credentials such as PMP, PgMP, or comparable program management or governance certifications.
V Group Inc. is a New Jersey-based IT services and products company serving Federal, State, and Local government clients through its Public Sector business unit. The company holds contracts with more than 30 US states and provides IT professional services across enterprise solutions, professional services, and ecommerce.
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