Certification Lead

1 week ago

Oklahoma City, United States Compunnel Inc. Full time

Position: Certification Lead - Medicaid EVV

Location: Oklahoma City OK - Remote

Duration: Contract role – 20 hours per week


Job Description:

NOTE: This is a part time position and require 20 hr per week.


The Certification Lead will be responsible for providing specialized Certification leadership, knowledge, and expertise for an EVV (Electronic Visit and Verification) IT project. This position will learn and understand the client's organization and the EVV solution and will lead an organized and coordinated federal certification effort.


The successful candidate for this position will work directly with contracted vendors, business users, our team, client leaders and stakeholders, and CMS to lead, support and coordinate all required CMS certification activities to ensure that the new system is successfully certified.


Job Responsibilities Include:

Lead the activities for maintaining the Outcomes Based Certification (OBC) status for the state.

Comply with 42 C.F.R. §§ 433.112(b)(15) and 433.116(b), (c), and (i), which requires states must be capable of producing data, reports, and performance information from and about their MES modules to facilitate evaluation, continuous improvement in business operations, and transparency and accountability, as a condition for receiving enhanced federal matching for MES expenditures.

Assist the state Medicaid Program in following CMS operational reporting process.

Submit metrics data in a timely manner.

Provide required information for Progress Reports.

Participate in Operational Readiness Review and Certification Final Review.

Comply with security and privacy requirements of the Health Insurance Portability and Accountability Act

Review project artifacts/deliverables throughout the system development life cycle for quality, compliance, and completeness, document observations and findings using project team processes and standards

Interface with state business users and vendors

Analyze technical, business and user needs, developing requirements documentation

Identify and report project issues and risks

Research and provide recommendations to the client on business problems/decisions

Collaborate with team members to provide subject matter expertise and assistance

Ensure project identified processes and methodologies are executed and followed

Develop and execute test cases

Develop and present formal presentations to business leaders, vendors, and team members, making applicable recommendations

Participate and/or lead in the creation of presentations and other materials for end user training

Required Qualifications:

Bachelor’s degree or equivalent experience

Minimum 8 years of total progressive work experience.

Minimum 3 years of experience leading certification efforts and managing certification processes and teams with large government, IT Projects in the State Health, and Human Services (HHS) industry.

Preferred Skills:

Experience working as a consultant.

Electronic Visit Verification (EVV) Certification

Experience translating Federal and State regulations into working requirements that are actionable by technical teams

Experience working with Medicaid Enterprise Systems (MES) vendors

Ability to translate between non-technical business users and technical IT resources

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