Job ID: NC-756577 (99090218)
Remote/Local Govt MMIS/CMS Certification PM with Medicaid, claims, eligibility, HHS, CMMI, MS Project, Jira, MITAPulse experience
Location: Raleigh, NC(NCDHHS-HB)
Duration: 12 Months
Skills:
MMIS / CMS certification experience Required 5 Years
State government/public sector experience with health and human services programs (such as Medicaid, MMIS, claims processing, eligibility, HHS) Required 5 Years
Project management experience including experience managing staff in a matrix or direct reporting relationship Required 5 Years
Experience managing multiple priorities/projects including project scope, schedules, quality, change management and project financials Required 5 Years
Experience implementing information systems in client facing role Required 5 Years
CMS Medicaid Enterprise Certification Life Cycle process experience Required 3 Years
Experience in healthcare related knowledge, ideally in analytics, reporting or related Highly desired 3 Years
Implementation/SDLC methodologies, e.g. Agile, waterfall, hybrid and/or iterative Highly desired 3 Years
CMMI (Capability Maturity Model Integration) experience Highly desired 3 Years
Medicaid, MMIS, claims process or related experience Highly desired 3 Years
Demonstrated experience using project tracking tools (Microsoft Project, (e.g. Jira, MITAPulse) Required 3 Years
Job Description:
The Certification Project Specialist (CPS) role reports to the MES Certification and Compliance Manager and participates in project team activities. The CPS leads the Certification Workstream for projects and collaborates with the Business Leads, Project Teams, functional/matrix managers, vendors and other stakeholders to ensure that CMS criteria are met, and project tasks are delivered on schedule, within budget, and positioned for a successful MMIS/CMS Certification, consistent with Program Management guidelines/processes and CMS expectations. The CPS will be responsible and play a key role in supporting the Leadership/Managers to maintain the relationship in planning and executing CMS certification activities in conjunction with project team implementing complex systems in support of NC Department of Health and Human Service programs.
Responsible for leading project teams through certification tasks
Executes the certification strategy for assigned projects
Leads certification workstream meetings
Assists in determining the State’s future goals by leading meetings with internal stakeholders and vendors to map the State’s certification strategy in alignment with the "To-Be" MITA 3.0 maturity levels
Updates document repository for CMS certification artifacts per project
Manages the Certification Evidence Tracker
Responsible for pulling, recommending, and managing evidence from the implemented solution to meet CMS Certification requirements
Assists with composing narratives to accompany evidence
Oversees system demonstrations for the Business and CMS, as required, to achieve CMS Certification
Follows up with CMS on all exceptions and action items pertaining to CMS Certification
Provides education to project team members and stakeholders on CMS certification process, including process documentation / training materials
Maintains awareness of CMS certification program and policy updates, organization communication as applicable
Provides project schedule activities to project team for CMS effort aligned with scope of contract for a specific project (for integration into project schedules), drives work execution from the detailed work plan
The resource will ensure the utilization of industry best practices for compliance with CMS and State-defined performance standards.