Advance Planning Writer-Medicaid

3 weeks ago


Cary, United States Novalink Solutions LLC Full time
Job DescriptionJob Description

The primary role and responsibility of the Advance Planning Writer (APW) is to develop Advance Planning Documents, and other documentation required for planning, implementation, and operations activities in support of the NC Medicaid Program. This role will also review and provide feedback on NC FAST APDs, draft CMS submittal letters and tie together all associated areas including business engagement, stakeholder management, project management, and technical liaising.


Additionally, the APW will collaborate with internal and external stakeholders, project teams, technical teams, vendors, contract and budget offices, and other key stakeholders to develop APDs required by Centers of Medicaid and Medicare Services (CMS). The APW must be able to take complex concepts and convert them into easily understood written documentation such that the content ensures successful system certification and compliance consistent with program management guidelines and processes and CMS expectations.

Essential Responsibilities:


·Develop, collect, and compile data from the business and technology teams to develop a solid, viable, meaningful APD (similar to grants) and planning documents within required timelines.

·Develop and maintain strong relationships with stakeholders to ensure seamless communication, data, analysis, and development plans remain on schedule.

·Coordinate and meet with various teams, suppliers legal, and key stakeholders to support the gathering, analysis, and finalization of information to obtain final sign-off on APDs.

·Work alongside the DHB business units, Medicaid Enterprise System (MES) project teams, technology teams, and subject matter experts to gain an understanding of project and related requirements to develop an appropriate APD.

·Facilitate and coordinate APD review meetings with key stakeholders.

·Review contract and amendment submittal letters for accuracy and relevancy.

·Interface with mid-level executive management and project teams to clearly articulate current APD activities and translate the information provided into concise updates.

·Maintain awareness of CMS policy updates, organization, and communications as applicable.

·Independently review and prepare APD documents for review and approval.

·Review, support and provide feedback on NC FAST APDs.

·Review all relevant regulations and standards for APDs and to ensure other documentation is in alignment.

·Utilize tools, templates, and developed methods to keep abreast of project activities across the program.

·Ability to exercise communication skills in both written and verbal means to take complex concepts and convert into easily understood written documentation.

·Organize material and complete writing assignments according to agency standards regarding order, clarity, conciseness, style, and terminology.

·Attend DHB meetings to stay informed of current activities in NC Medicaid.

Desired Professional and Technical Expertise

·Prior APD development or Request for Proposal (RFP), Request for Information (RFI), contract or grant writing.

·Prior state government/public sector experience with health and human services programs (such as Medicaid, Medicaid Management Information System (MMIS), claims processing, eligibility, HHS analytics, Eligibility and Enrollment systems (i.e., NC FAST), etc.)

·Working knowledge of state, local and county government regulations as they pertain to the grant proposal, contracts, and eligibility policy.

·Strong communication, project management and follow-upskills.

·Proficiency with Microsoft Office (i.e., Word, Power Point, Excel).

·Experience successfully managing multiple priorities and projects including project scope, development schedules, quality assurance and change management.





RequirementsSkill
Required / Desired
Amount
of Experience

Expert working knowledge in Medicaid, NC FAST and/or Health and Human Services Projects.
Required
4
Years
Expert experience executing against multiple priorities/projects.
Required
7
Years
Proficient use of project collaboration and tracking tools (Microsoft Project Suite, MS Teams, Zoom, etc.)
Required
5
Years
Ability to interpret Medicaid, NC FAST and/or Health and Human Services policies to ensure compliance with CMS regulations.
Required
4
Years
Expert level communication skills, both verbal and written.
Required
8
Years
Demonstrated project management, training and facilitation experience.
Required
5
Years
Demonstrated stakeholder engagement and collaboration experience.
Required
5
Years
Prior APD development, RFP, RFI, grant or contract writing experience.
Highly desired
3
Years
Ability to create and deliver PowerPoint presentations, and standard operating procedures (SOPs).
Highly desired
5
Years


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