Note: The job is a remote job and is open to candidates in USA. InstantServe Healthcare is seeking a CMS Certification and Compliance Specialist to support federal compliance and certification activities for the North Carolina Medicaid Enterprise Systems program. The role coordinates CMS certification workstreams, manages evidence and compliance artifacts, collaborates with CMS and MITRE stakeholders, and supports certification reviews and system demonstrations.
Responsibilities
- Support project teams through CMS certification tasks and milestone reviews (AoA, ORR, CRR, DAP, PDM)
- Lead/facilitate certification workstream meetings and coordinate with MITRE and CMS teams
- Maintain and update the CMS certification document repository and Certification Evidence Tracker
- Pull, recommend, and manage evidence from implemented solutions to meet CMS certification requirements
- Compose narratives to accompany ORR and CRR evidence; prepare for system demonstrations with Business and CMS
- Monitor CMS certification program and policy updates; communicate impacts to project teams
- Provide CMS effort schedule activities for integration into project schedules; ensure continuity and quality of certification deliverables
- Apply industry best practices to ensure compliance with CMS and State-defined performance standards
Skills
- • 3+ years of healthcare-related knowledge, ideally in analytics, reporting, or related areas
- • 3+ years of experience using project tracking tools (Microsoft Project, Jira, MITAPulse, or similar)
- • 5+ years of project management experience, including managing staff in a matrix or direct reporting relationship
- • 5+ years managing multiple priorities/projects including scope, schedules, quality, change management, and project financials
- • 2+ years collaborating with MITRE and/or CMS teams on Medicaid/MES initiatives
- • 2+ years of hands-on experience with the CMS Medicaid Enterprise Certification Life Cycle process
- • 5+ years implementing information systems in a client-facing role (state government or Medicaid preferred)
- • 2+ years preparing for ORR prep cycles and managing CMS certification deliverables
- • 2+ years pulling, recommending, and managing evidence to meet CMS certification requirements
- • 5+ years of exceptional technical writing experience (playbooks, manuals, SOPs, outcome statements, etc.)
- • Familiarity with MITA business areas and Medicaid Enterprise Certification Toolkit (MECT)
- • Experience with Advanced Planning Documents (APDs) and federal funding processes
- • PMP, CBAP, or similar certification
- • Power BI, Tableau, or advanced Excel skills for reporting and analytics
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