Certification Lead
Not Disclosed•Full-TimeRemote
location_onLucky, 18, Kirk Avenue Southwest, Roanoke, Virginia, 24011, United States
About the Role
This position serves as the primary architect and liaison for the full CMS certification lifecycle, guiding complex healthcare IT initiatives from initial planning through final approval. You will drive business process modernization and re-engineering efforts, ensuring that information systems align with cost-saving objectives and open architecture principles. The role is critical for maintaining audit readiness and compliance with federal standards while supporting state Medicaid agencies in their digital transformation.
In this capacity, you will develop and manage comprehensive certification readiness plans, operational metrics, and supporting documentation. Your work will bridge the gap between technical implementation and executive oversight, facilitating periodic progress reports and ensuring alignment with current CMS guidance. You will lead cross-functional teams through Operational Readiness Reviews (ORR) and Certification Reviews (CR), solving complex problems related to data modeling, transaction flows, and internal controls.
Hiring Process
Candidates selected for this role will be evaluated on their ability to manage complex timelines and deliverables within the public sector healthcare landscape. The process includes a review of your experience leading CMS certification efforts and your understanding of Medicaid Enterprise Systems.
Work Environment
This is a fully remote position requiring permanent residence in the Continental US. To ensure seamless collaboration, candidates must have a home internet connection of 20mbps or higher, utilizing either Wi-Fi or a Category 5/6 ethernet patch cable connected to the home router.
Equal Opportunity Employer
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.
Accommodations
Maximus is committed to providing 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 accessing job postings, completing assessments, or participating in interviews, please contact People Operations at applicantaccom@maximus.com.
Compensation & Benefits
Maximus offers a competitive total compensation package. Annual salary is just one component; rewards may include short- and long-term incentives, program-specific awards, health insurance, life and disability insurance, a retirement savings plan, paid holidays, and paid time off. Compensation is determined by various factors including job location, education, training, experience, and market value, and is commensurate with job duties and relevant work experience. Maximus complies with all regulatory minimum wage rates and exempt salary thresholds.
Work location
Work model: Remote
Lucky, 18, Kirk Avenue Southwest, Roanoke, Virginia, 24011, United States
Roanoke, Virginia
Key Responsibilities
- check_circleAssist in activity and data modeling, transaction flow analysis, and risk analysis
- check_circleDevelop organization-wide information models for integrated software and database systems
- check_circleLead and manage the full CMS certification lifecycle from planning through approval
- check_circleDevelop and maintain a comprehensive CMS Certification Readiness Plan and supporting documentation
- check_circlePrepare for and support Operational Readiness Reviews and Certification Reviews
- check_circleEnsure accurate documentation, audit readiness, and compliance with CMS IT certification standards
- check_circleApply business process improvement practices to re-engineer methodologies and modernize business processes
- check_circleServe as primary liaison with state Medicaid agencies, CMS, and other stakeholders
Requirements
- verifiedBachelor's degree in related field
- verified5-7 years of relevant professional experience
- verified5 years of experience in Medicaid or government healthcare
- verified3 years of experience in CMS certification process
- verifiedExperience leading CMS certification efforts through full approval
- verifiedHands-on experience with current CMS IT certification standards
- verifiedExperience supporting IT system implementations for state Medicaid agencies
- verifiedStrong understanding of Medicaid Enterprise Systems and CMS oversight processes
- verifiedMust currently and permanently reside in the Continental US
- verifiedInternet speed of 20mbps or higher required
- verifiedConnectivity via Wi-Fi or Category 5 or 6 ethernet patch cable
Nice to Have
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.
Benefits & Perks
check_circleHealth insurance coveragecheck_circleLife and disability insurancecheck_circleRetirement savings plancheck_circlePaid holidays and paid time offcheck_circleShort- and long-term incentives