Certification Project Specialist (Remote)
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Job Location:
Raleigh, WV - USA
Monthly Salary:
Not Disclosed
Posted on:
16-10-2025
Vacancies:
1 Vacancy
Job Summary
Job Title: Certification Project Specialist (Remote)
Location: Raleigh NC
Duration: 12 Month
Job Description:
This position is assigned to the Advanced Planning Office (APO) Certification and Compliance Unit (C&C). The role leads the Certification Workstream for projects and collaborates with the Business Leads Project Teams functional/matrix managers vendors and other stakeholders to ensure that CMS criteria are met and project tasks are delivered on schedule within budget and positioned for a successful MMIS/CMS Certification consistent with Program Management guidelines/processes and CMS expectations. The CPS will be responsible and play a key role in supporting the Leadership/Managers to maintain the relationship in planning and executing CMS certification activities in conjunction with project team implementing complex systems in support of client programs.
Responsible for leading project teams through certification tasks
- Executes the certification strategy for assigned projects
- Leads certification workstream meetings
- Assists in determining the States future goals by leading meetings with internal stakeholders and vendors to map the States certification strategy in alignment with the To-Be MITA 3.0 maturity levels
- Updates document repository for CMS certification artifacts per project
- Manages the Certification Evidence Tracker
- Responsible for pulling recommending and managing evidence from the implemented solution to meet CMS Certification requirements
- Assists with composing narratives to accompany evidence
- Oversees system demonstrations for the Business and CMS as required to achieve CMS Certification
- Follows up with CMS on all exceptions and action items pertaining to CMS Certification
- Provides education to project team members and stakeholders on CMS certification process including process documentation / training materials
- Maintains awareness of CMS certification program and policy updates organization communication as applicable
- Provides project schedule activities to project team for CMS effort aligned with scope of contract for a specific project (for integration into project schedules) drives work execution from the detailed work plan
- The resource will ensure the utilization of industry best practices for compliance with CMS and State-defined performance standards.
Skills:
| Skill | Required/Desired | Amount | of Experience |
| MMIS / CMS certification experience | Required | 5 | Years |
| State government/public sector experience with health and human services programs (such as Medicaid MMIS claims processing eligibility HHS) | Required | 5 | Years |
| Project management experience including experience managing staff in a matrix or direct reporting relationship | Required | 5 | Years |
| Experience managing multiple priorities/projects including project scope schedules quality change management and project financials | Required | 5 | Years |
| Experience implementing information systems in client facing role | Required | 5 | Years |
| CMS Medicaid Enterprise Certification Life Cycle process experience | Required | 3 | Years |
| Experience in healthcare related knowledge ideally in analytics reporting or related | Highly desired | 3 | Years |
| Implementation/SDLC methodologies e.g. Agile waterfall hybrid and/or iterative | Highly desired | 3 | Years |
| CMMI (Capability Maturity Model Integration) experience | Highly desired | 3 | Years |
| Medicaid MMIS claims process or related experience | Highly desired | 3 | Years |
| Demonstrated experience using project tracking tools (Microsoft Project (e.g. Jira MITA Pulse) | Required | 3 | Years |
Key Skills
- Information Management
- Entertainment
- ABAP
- Corporate Risk Management
- Information Technology Sales
- Clinical
