Certification Lead - Job Listing

Essential Duties and Responsibilities:

- Apply business process improvement practices to re-engineer methodologies/principles and business process modernization projects.

- Assist in the application of activity and data modeling, transaction flow analysis, internal control and risk analysis, modern business methods, and performance measurement techniques.

- Assist in establishing standards for information systems procedures.

- Develop solutions to a variety of complex problems.

- Develop and apply organization-wide information models for use in designing and building integrated shared software and database management systems and data warehouses.

- Follow Information Management guiding principles, cost savings, and open system architecture objectives.

- Lead and manage the full CMS certification lifecycle, from planning through approval.
- Develop, implement, and maintain a comprehensive CMS Certification Readiness Plan.

- Create and manage the Certification Plan and supporting documentation.

- Prepare for and support Operational Readiness Reviews (ORR) and Certification Reviews (CR).

- Develop and manage operational and certification metrics in alignment with current CMS guidance.

- Serve as the primary liaison with the state Medicaid agency, CMS, and other stakeholders throughout certification activities.

- Oversee implementation phases to ensure certification readiness and alignment with project plans.

- Facilitate periodic Certification Progress Report cycles and executive-level updates.

- Ensure accurate documentation, audit readiness, and compliance with CMS IT certification standards.

Minimum Requirements

- Bachelor's degree in related field.

- 5-7 years of relevant professional experience required.

- Equivalent combination of education and experience considered in lieu of degree.

- A minimum of 5 years of experience in Medicaid or government healthcare.

- A minimum of 3 years of experience in CMS certification process.

- Demonstrated experience leading CMS certification efforts through full approval.

- Hands-on experience with current CMS IT certification standards and guidance.

- Proven experience supporting IT system implementations for state Medicaid agencies.

- Strong understanding of Medicaid Enterprise Systems and CMS oversight processes.

- Ability to manage complex timelines, deliverables, and cross-functional dependencies.

- Excellent written and verbal communication skills, including executive-level reporting.

Preferred Requirements

- Experience supporting multiple CMS certifications or large-scale public sector IT programs.
- Prior experience working directly with CMS reviewers and state Medicaid leadership.
- Familiarity with Operational Metric Reporting and federal compliance audits.

Home Office Requirements

- Internet speed of 20mbps or higher required (you can test this by going to www.speedtest.net).

- Connectivity to the internet via either Wi-Fi or Category 5 or 6 ethernet patch cable to the home router.

- Must currently and permanently reside in the Continental US.

#LI-Remote #maxPriority

EEO Statement

Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.

Pay Transparency

Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Annual salary is just one component of Maximus's total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards. Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off. Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience. An applicant's salary history will not be used in determining compensation. Maximus will comply with regulatory minimum wage rates and exempt salary thresholds in all instances.

Accommodations

Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process—including accessing job postings, completing assessments, or participating in interviews,—please contact People Operations at applicantaccom@maximus.com.