JJOB DESCRIPTION
DVBE Technology Group is seeking a Consultant with State or Federal government/public sector experience with health and human services programs (such as Medicaid, MMIS, claims processing, eligibility, HHS analytics, etc) and CMS certification experience. In this role, you will provide project management expertise in CMS certification and transitioning to MITA 3.0 maturity levels for enhanced federal funding for Medicaid technology investments.
The position will require the consultant to be on-site in Sacramento, at a minimum monthly.
REQUIRED SKILLS
§ 3+ years of MMIS / CMS certification experience.
§ 5+ years of 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 roles.
§ 3+ years of healthcare-related knowledge, ideally in analytics, reporting, or related.
§ Demonstrated experience using project tracking tools (Microsoft Project, (e.g., Jira, MITAPulse).
§ 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 method., e.g., Agile, waterfall, hybrid, iterative.
§ Knowledge of MITA 3.0.
§ CMMI (Capability Maturity Model Integration) experience.
§ Capabilities Matrices determine the MITA 3.0 maturity level of the Replacement MMIS (As-Is Assessment.) The resource will provide technical input and assist in preparing the State's MITA 3.0 SS-A Report.
§ Assist in determining the State's future goals for MITA (technology framework and business processes) by leading meetings with internal stakeholders and vendors to map the State's Replacement MMIS processes to the "To-Be" MITA 3.0 maturity levels.
§ Conduct gap analyses of the As-Is operations and To-Be environments, identify appropriate actions to reach target maturity levels, and develop technical documentation to comply with the CMS Seven Standards and Conditions.
§ Perform crosswalks to evaluate the State Business Process Model's (BPM) alignment with or deviation from the CMS-defined MITA BPM.
RESPONSIBILITIES
§ The Certification Manager serves as a critical resource for managing the DDI vendors through the certification of MMIS modules per CMS' Streamlined Modular Certification for Medicaid Enterprise Systems
§ Work collaboratively with the vendor's functional, technology, security, and other DDI vendor teams as well as the State to achieve certification of the MMIS module
§ Analyzes CMS' certification requirements for Medicaid Enterprise Systems
§ Responsible for working with the State team in the overall development of the state-specific outcome statements and KPIs, in coordination with the project teams.
§ Reviews State Goals and Objectives to identify, draft, and maintain state-specific outcomes for each project.
§ Provides education to project team members and stakeholders on the 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 project teams for CMS efforts.
§ Analyzes certification data and reporting results to ensure all requirements are met
§ Assists with certification planning, preparation activities, and deliverables
§ Gathers necessary documentation from the DDI Vendor and others to support certification reviews
§ Participates in CMS certification activities for assigned projects, including but not limited to milestone reviews, meetings, and preparations for certification reviews
DVBE Technology Group is a certified Service-Disabled Veteran-Owned Small Business (SDVOSB) specializing in delivering high-quality, professional IT consulting and Staffing services for the public and private sectors. Our technical teams are dedicated professionals with decades of industry experience – recognized specialists at the top of their fields who bring practical and innovative solutions to help you overcome your complex business challenges.
DVBE Technology Group is an equal opportunity and affirmative action employer that does not discriminate in employment. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, or national origin.
Job Type: Contract
Pay: $110.00 - $150.00 per hour
Expected hours: 40 per week
Benefits:
- 401(k)
- Dental insurance
- Health insurance
Compensation package:
Experience level:
Schedule:
Application Question(s):
- Do you have experience with State or Federal Agencies on the CMS Certification Process?
Work Location: Hybrid remote in Sacramento, CA 95825