IT Medicaid Portfolio Governance & Process Improvement
Client: North Carolina Department of Health and Human Services (NCDHHS)
Industry: Public Health & Government
Role: Integrated Project Manager/Analyst
Dates: August 2023 - Present
Programs & Project: IT Medicaid Portfolio Governance & Process Improvement
Client Context
The North Carolina Department of Health and Human Services (NCDHHS) oversees Medicaid programs that provide critical healthcare services to residents. The challenge was optimizing IT project governance, portfolio management, and operational strategy while ensuring efficient resource utilization, vendor management, and stakeholder engagement. Additionally, NCDHHS aim to enhance customer and provider satisfaction by integrating agile, lean, and evidence-based best practices into Medicaid IT project execution.
Implemented an end-to-end IT governance process improvement framework to optimize Medicaid portfolio management.
Developed a Portfolio Management Dashboard to provide real-time reporting on key metrics, including resource utilization, budget analysis, and project status tracking.
Led weekly project meetings to ensure cross-functional alignment and continuous progress tracking.
Designed evidence-based strategic recommendations to enhance customer and provider satisfaction.
Integrated agile, lean, and project management best practices to drive operational efficiency.
Strategy Overview
Results
Before:
Lack of a centralized IT portfolio reporting structure, leading to inefficiencies.
Limited stakeholder visibility into project performance and resource allocation.
Fragmented vendor and contract management practices.
Inconsistent adoption of agile and lean methodologies.
After:
Established a comprehensive IT Medicaid portfolio governance model, improving decision-making.
Implemented a Portfolio Management Dashboard, providing real-time insights on project status, risks, and resource allocation.
Optimized stakeholder engagement through structured meeting schedules and transparent reporting.
Enhanced vendor and contract development processes, ensuring better cost control and compliance.
Increased customer and provider satisfaction by recommending and implementing evidence-based service improvements.
Obstacle: Siloed project management processes and inconsistent governance frameworks.
Solution: Developed an integrated governance approach, ensuring standardized reporting, process optimization, and enhanced collaboration.
Obstacle: Limited visibility into resource utilization and budget allocation.
Solution: Implemented data-driven dashboard reporting to track utilization, ensuring efficient resource allocation and cost control.
Obstacle: Resistance to adopting agile and lean methodologies within a traditional government structure.
Solution: Conducted stakeholder training sessions, provided agile coaching, and implemented incremental adoption strategies to ease the transition.
Challenge/Analysis
Data-driven portfolio management improves decision-making and project efficiency.
Agile and lean integration enhances operational flexibility and stakeholder engagement.
Standardized governance frameworks are critical for improving cross-departmental collaboration.
Evidence-based recommendations drive sustainable improvements in customer and provider satisfaction.