Demo

Medicaid SME (Subject Matter Expert)

Sky Solutions
Herndon, VA Full Time
POSTED ON 3/6/2025
AVAILABLE BEFORE 5/5/2025
Join Sky Solutions, LLC - Pioneering Digital Transformation Excellence!

Welcome to Sky Solutions, LLC, a dynamic Digital Transformation Firm nestled in the vibrant heart of the Washington D.C. Metro Area. We specialize in empowering leading organizations in the Financial Services and Healthcare sectors, achieving remarkable business outcomes through cutting-edge Digital Process Automation (DPA) and innovative Low-Code/No-Code Application Development. As a certified Small Disadvantaged Business (SDB) with Minority Owned certifications, diversity and equal opportunity are integral to our mission. Embark on our journey of innovation and transformation, where your skills align seamlessly with our commitment to excellence.

Position Title: Medicaid SME (Subject Matter Expert)
Location: Remote
Duration: Long Term

Job Overview:
We are seeking an experienced Medicaid SME to provide expert guidance on Medicaid policies, processes, and technology for our CMS project. The ideal candidate will have deep domain knowledge of Medicaid programs, CMS regulations, and federal healthcare policies.

Key Responsibilities:
  • Provide expertise on Medicaid policies, regulations, and program operations.
  • Guide the development and implementation of Medicaid-related solutions.
  • Collaborate with stakeholders to ensure compliance with federal guidelines.
  • Assist in system modernization efforts for Medicaid eligibility, claims, and enrolment systems.
  • Conduct policy analysis and provide recommendations for program enhancements.
  • Support RFP responses and technical solutioning for Medicaid projects.
  • Act as a liaison between business and technical teams.

Required Qualifications:
  • Bachelor's or Master's degree in Healthcare, Public Policy, or a related field.
  • 7 years of experience in Medicaid policy, operations, or systems.
  • Strong understanding of CMS guidelines and federal Medicaid regulations.
  • Experience with Medicaid Management Information Systems (MMIS) or CMS enterprise solutions.
  • Prior experience in federal healthcare agencies (e.g., CMS, HHS) is highly desirable.
  • Excellent analytical, communication, and stakeholder management skills.

Sky Solutions, LLC does not discriminate based on race, color, religion, gender, sexual orientation, age, disability, or any other protected status. We welcome applications from all qualified candidates who share our vision and values.

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