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Title: Certification & Compliance Project Specialist
Location: Remote
Duration: 12 MonthsJob Description:
This position is essential to supporting federal compliance efforts, including AoA, the MES Certification schedule, PBA CRR, and DAP, with MITA activities becoming an increasingly important requirement.
This position is responsible for supporting and driving the execution of the Medicaid Enterprise Systems certification strategy for each project. The Specialist supports ongoing compliance activities including updating the Analysis of Alternatives document, the MES Certification schedule, and the certification readiness assessment which are essential to achieving certification and enhanced federal funding. As CMS introduces evolving and increasingly complex MITA requirements, this role becomes critical to ensure the program remains aligned with new federal standards.
The Specialist provides direct support to the Certification Workstream across multiple high-visibility MES projects. The role partners closely with Business Leads, Project Teams, matrix managers, vendors, and other key stakeholders to ensure all CMS criteria are met and that certification activities are coordinated, on schedule, and strategically aligned to achieve successful MMIS/CMS Certification.
This position is central to protecting program integrity, sustaining federal funding streams, and strengthening Medicaid systems. The Certification and Compliance Project Specialist ensures that certification tasks are executed with precision, compliance risks are minimized, and MES initiatives consistently meet CMS standards. This role collaborates with internal and external stakeholders to support the overall success of the Medicaid Enterprise System (MES) Program.
Responsibilities:
• Responsible for supporting project teams through certification tasks
• Assists with leading certification workstream meetings
• Updates document repository for CMS certification artifacts per project
• Co-manages the Certification Evidence Tracker
• Pulling, recommending, and managing evidence from the implemented solution to meet CMS Certification requirements
• Composing narratives to accompany ORR and CRR evidence
• Oversees system demonstrations for the Business and CMS, as required, to achieve CMS Certification
• 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)
• Adequate preparation for upcoming PBA CRR, DAP, and PDM ORR prep cycles
• Continuity and quality in managing certification deliverables
• Timely coordination with project teams and stakeholders
• Utilization of industry best practices for compliance with CMS and State-defined performance standards
Required Skills & Qualifications
• 5+ years of Project Management experience, including managing staff in matrixed and/or direct reporting environments.
• 5+ years of experience managing multiple priorities and projects, including project scope, schedules, quality, change management, risk management, and project financials.
• 5+ years of experience implementing information systems in a client-facing role.
• 5+ years of experience using project tracking and project management tools such as Microsoft Project, Jira, MITAPulse, or similar platforms.
• 3+ years of healthcare industry experience, preferably supporting analytics, reporting, compliance, certification, or related initiatives.
• 2+ years of experience with the CMS Medicaid Enterprise Certification Life Cycle process.
• 2+ years of experience preparing for Operational Readiness Review (ORR) cycles and certification readiness activities.
• 2+ years of experience pulling, evaluating, recommending, and managing evidence from implemented solutions to support CMS Certification requirements.
• 2+ years of experience collaborating and coordinating with federal oversight organizations, regulatory agencies, project teams, vendors, and business stakeholders.
• Exceptional technical writing experience, including authoring certification artifacts, narratives, playbooks, manuals, procedures, and compliance documentation.
• Strong knowledge of CMS certification standards, Medicaid Enterprise Systems (MES), and federal compliance requirements.
• Excellent communication, stakeholder management, facilitation, and organizational skills.
• Proven ability to manage competing priorities and deliver high-quality results in a fast-paced environment.
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