Certification IT Specialist

4 weeks ago

Raleigh, United States Crescens Full time
Title: Certification IT Specialist
Location: Raleigh, NC (Remote)
Duration: 12+ Months
Type: Contract

Short Job Description:
  • Client is seeking certification specialist to support business process analysis and requirements gathering for various Information Technology systems within the Medicaid Enterprise. Remote position from anywhere in the USA

Complete Job Description:
  • Client is seeking IT Specialist to join the systems certification team and support the business process analysis and requirements gathering to ensure effective implementation of Technology systems supporting the Medicaid Enterprise Systems.
  • The support will involve the development and documentation regarding various Departmental Information Technology systems for the primary business functions for Medicaid.
  • This documentation will support a wide range of objectives that include user guides, CMS certification, enterprise architecture and procurement.
  • While some of this documentation will be highly technical, most of the documentation must be written for consumption by both technical and non-technical audiences.
  • The primary responsibility of this role is to work with the Business Leads, Project Teams, functional/matrix managers, vendors and other stakeholders to develop state specific outcome statements and to ensure that project requirements are aligned to CMS expectations.
  • State- specific outcome statements and KPIs must be delivered on schedule and written to ensure successful MMIS/CMS Certification, consistent with Program Management guidelines/processes and CMS expectations.
  • This role will report directly to the Systems Certification Manager and will play a key role in supporting multiple project teams to maintain the relationship in planning and executing CMS certification activities in implementing complex systems in support of NC Department of Health and Human Services programs.
  • Collect documentation requirements from business and technical staff.
  • Collaborate with technical staff to consolidate and interpret technical information.
  • Edit written documentation from business and technology staff to create unified and consistent system certification package aligning with federal standards.
  • Develop an understanding of the business functions and systems in support of articulating the objectives within the associated documentation and alignment with federal guidelines.
  • Coordinate and meet with various teams, vendors, and stakeholders to support the gathering, analysis and finalization of information that will be used for associated business process alignment and system certification documentation.

Roles and Responsibilities:
  • Responsible for the overall development of the state-specific outcome statements and KPIs, in coordination with the project teams
  • Responsible for pulling, recommending, and managing evidence from the implemented solution to meet CMS Certification requirements
  • Reviews State Goals and Objectives to identify, draft and maintain state-specific outcomes for each project
  • Assists with composing certification evidence packages for CMS Reviews
  • Reviews system demonstrations to ensure certification criteria is presented, to achieve CMS Certification
  • Assists the Systems Certification Manager with addressing all exceptions and action items pertaining to CMS Certification
  • Provides education to project team members and stakeholders on CMS certification process, including outcome statements and KPI development
  • Maintains awareness of CMS certification program and policy updates, organization communication as applicable
  • Contributes to schedule activities to project teams for CMS efforts
  • Participates in CMS certification activities for assigned projects, including but not limited to all milestone reviews and meetings
  • The resource will ensure the utilization of industry best practices for compliance with CMS and State-defined performance standards
  • Participates in RFP development for CMS scope of work
  • Additionally, this resource may interface with Division Leadership and other DHHS Subject Matter Experts (SME) as required to complete the work
  • Additional key functions of this role will be the collection of technical specifications that must be consolidated into cohesive documentation that is both accurate and easy to understand.
  • Identify and document business processes and data flows - Identify and document detailed business requirements related to the business processes
  • Document gap analysis, and assist with the development of project artifacts including test plans
  • Support the development of the procurement documents including the RFP
  • Coordinate necessary meetings to determine business requirements

Preferred Technical and Professional Expertise
  • 3+ years MMIS / CMS certification experience
  • 5+ years Business Analyst or Product Management experience
  • State government/public sector experience with health and human services programs (such as Medicaid, MMIS, claims processing, eligibility, HHS analytics, etc.)
  • 5+ years of requirements gathering experience including experience eliciting requirements from business owners
  • 5+ years' experience managing multiple priorities/projects including project scope, schedules, quality, change management and project financials
  • 5+ years' experience implementing information systems in client facing role
  • 3+ years healthcare related knowledge, ideally in analytics, reporting or related
  • Demonstrated experience using project tracking tools (Microsoft Project, (e.g. Jira, MITAPulse) Preferred Technical and Professional Expertise
  • 3+ years of CMS Medicaid Enterprise Certification Life Cycle process experience
  • 3+ years of Medicaid, MMIS, claims process or related experience
  • Experience with implementation/SDLC methodologies, e.g. Agile, waterfall, hybrid and/or iterative
  • Knowledge of MITA 3.0
  • CMMI (Capability Maturity Model Integration) experience

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