Facilities Manager
Datavant
CMS Certification Manager
Cayuse Holdings
full-time
Posted on:
Origin: • 🇺🇸 United States • Idaho
Visit company websiteSalary
💰 $90,000 - $125,000 per year
Job Level
Mid-LevelSenior
About the role
- Creates a comprehensive plan that outlines the timeline, milestones, and key deliverables for the CMS certification process.
- Acts as the primary point of contact between HCMACS, CMS, and other federal entities.
- Analyzes CMS regulations, guidance, and checklists to ensure the project aligns with federal standards, including the Medicaid Enterprise Certification Toolkit (MECT) or Streamlined Modular Certification (SMC).
- Ensures all required documentation, including project management artifacts, system requirements, testing results, and performance metrics, are prepared and submitted according to CMS guidelines.
- Verifies that the system complies with relevant federal policies, including the Medicaid Information Technology Architecture (MITA) framework and security protocols.
- Addresses feedback or findings from CMS during certification reviews and audits.
- Develop, implement, and manage a detailed CMS certification plan, including timelines, milestones, required documentation, and communication strategies.
- Act as the primary point of contact between the HCMACS Program team, CMS, and other federal entities to ensure certification alignment and resolve inquiries.
- Analyze CMS regulations, including the Medicaid Enterprise Certification Toolkit (MECT) and Streamlined Modular Certification (SMC), to ensure compliance with federal standards.
- Prepare, organize, and submit the artifacts required for certification, such as system design requirements, testing results, performance metrics, and benefits realization matrices.
- Ensure adherence to Medicaid Information Technology Architecture (MITA) and federal security protocols, including HIPAA compliance and data security provisions.
- Assemble required documentation for audits and ensure compliance with CMS reviews, responding to findings with corrective action plans as needed.
- Collaborate with the Program Management Office (PMO) to align certification deliverables with project schedules and milestones.
- Conduct internal readiness assessments to validate the program’s compliance with CMS requirements and proactively recommend changes or updates as necessary.
- Facilitate workshops, meetings, and briefings with governance bodies, stakeholders, and HCMACS leadership on certification progress, risks, and updates.
- Stay current on CMS policy revisions and reflect updates in the certification approach to ensure ongoing compliance.
- Oversee validation of system compliance with federal accreditation standards, ensuring all functional and technical requirements are met before submissions.
- Work closely with the Systems Integrator (SI) to ensure technical and architectural deliverables align with CMS requirements and are certified before go-live.
- Knowledge of Medicaid Information Technology Architecture (MITA) compliance standards.
- Other duties as assigned.
Requirements
- Bachelor's degree in Healthcare Administration, Information Technology, Project Management, or a related field.
- Minimum of five (5) years of relevant experience with CMS certification processes, including expertise with the Medicaid Enterprise Certification Toolkit (MECT) and Streamlined Modular Certification (SMC).
- Demonstrated experience in federal compliance management and documentation submission for large-scale IT healthcare or Medicaid-related projects.
- Proven ability to interpret and apply CMS regulations and guidelines within the context of complex IT or enterprise projects.
- Demonstrated experience with Project Management and Compliance in Government IT projects.
- Demonstrated proficiency in interpreting federal guidelines and managing stakeholder relationships.
- Must be able to pass a background check. May require additional background checks as required by projects and/or clients at any time during employment.
