9 Medicaid Certification Lead Jobs in Oklahoma, OK
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Medicaid Certification Lead
$60k-73k (estimate)
Full Time | Business Services
7 Days Ago
Cloud and Things is Hiring a Medicaid Certification Lead Near Oklahoma, OK
Our goal is to solve problems and deliver results for our clients. At Cloud and Things, you can be a part of the transformation of the public sector’s IT environment. Our team is on the forefront of helping to solve the government’s most complex IT challenges. If you are seeking a role that offers you the opportunity to work on rewarding projects, consider a career with Cloud and Things. OverviewWe are seeking a Medicaid Certification Lead for an Electronic Vidit and Verification (EVV) IT Project. The Certification Lead will be responsible for providing specialized Certification leadership, knowledge. 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 Centers for Medicare and Medicaid Services (CMS) to lead, support and coordinate all required CMS certification activities to ensure that the new system is successfully certified.
Responsibilities
The successful candidate for this position will work directly with contracted vendors, business users, our team, client leaders and stakeholders, and Centers for Medicare and Medicaid Services (CMS) to lead, support and coordinate all required CMS certification activities to ensure that the new system is successfully certified.
Responsibilities
- Lead the activities for maintaining the Outcomes Based Certification (OBC) status for the state.
- Comply with the following code of federal regulations (CFRs): 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
- 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.
- 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
Job Summary
JOB TYPE
Full Time
INDUSTRY
Business Services
SALARY
$60k-73k (estimate)
POST DATE
06/19/2024
EXPIRATION DATE
07/18/2024
WEBSITE
cloudandthings.com
HEADQUARTERS
LOUDONVILLE, NY
SIZE
<25
FOUNDED
2015
CEO
KISHOR BAGUL
REVENUE
<$5M
INDUSTRY
Business Services
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