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  1. Home
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  5. Certification Lead
Maximus logo

Certification Lead

Not Disclosed•Full-TimeRemote

location_onDowntown Milwaukee Post Office, 345, West Saint Paul Avenue, Menomonee River Valley, Milwaukee, Milwaukee County, Wisconsin, 53203, United States

Apply Now

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. The role exists to ensure that state Medicaid agencies and their integrated software systems meet rigorous federal compliance standards while driving business process modernization.

You will act as the critical bridge between the organization, the Centers for Medicare & Medicaid Services (CMS), and state Medicaid leadership. Your day-to-day involves orchestrating certification readiness plans, managing operational metrics, and facilitating executive-level progress reports. Beyond technical compliance, you will lead the re-engineering of business methodologies and develop organization-wide information models to support shared software and data warehouse architectures.

Hiring Process

Candidates selected for this role will navigate a structured interview process designed to assess both technical expertise in CMS certification and the ability to manage complex, cross-functional dependencies. The process includes an initial screening, followed by deep-dive discussions on past certification efforts and scenario-based problem solving regarding Medicaid Enterprise Systems.

Application Instructions

To apply, please submit your resume and a cover letter detailing your specific experience with CMS IT certification standards and government healthcare programs. For candidates requiring assistance during any phase of the employment process due to a disability or medical condition, please contact People Operations at applicantaccom@maximus.com.

Equal Opportunity & Culture

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. Our culture is built on inclusivity and the belief that diverse backgrounds strengthen our ability to serve the public sector.

Work Environment

This is a remote position requiring candidates to permanently reside in the Continental US. To ensure seamless collaboration and data security, successful candidates must maintain a home office with an internet speed of 20mbps or higher, utilizing either Wi-Fi or a Category 5/6 ethernet connection.

Compensation & Benefits

Maximus offers a comprehensive total compensation package that extends beyond base salary. While specific figures vary based on contract value and individual qualifications, the package includes short- and long-term incentives, program-specific awards, health insurance, life and disability insurance, a retirement savings plan, and paid time off. Our compensation philosophy ensures pay alignment with job duties, relevant work experience, and internal value analysis, while strictly adhering to regulatory minimum wage rates.

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Work location

Work model: Remote

location_on

Downtown Milwaukee Post Office, 345, West Saint Paul Avenue, Menomonee River Valley, Milwaukee, Milwaukee County, Wisconsin, 53203, United States

Milwaukee, Wisconsin

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
  • verifiedConnectivity via Wi-Fi or Category 5 or 6 ethernet

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
Maximus cover image
Maximus logo
Company

Maximus

Industry

Government Administration

Headquarters

McLean, Virginia

Open Roles

13

Maximus is a company based in McLean, Virginia, operating within the government administration industry. The organization delivers transformative technology services, digitally enabled customer experiences, and clinical health services designed to improve public outcomes. Its primary focus involves moving individuals forward through these specialized solutions. The workforce is driven by a commitment to making vital services accessible to the general public. Employees support the specific missions of government customers to ensure effective service delivery. The company emphasizes the impact of its work on changing lives through its operational framework and service offerings.
View company profilearrow_forwardlanguageWebsitelinkLinkedIn
Quick Overview

Experience

5-7 yrs (Senior)

Education

Bachelor's degree in related field (or equivalent experience)

Job Type

Full-Time

Skills Required

Business Process ImprovementActivity ModelingData ModelingTransaction Flow AnalysisInternal ControlRisk Analysis
Recrutus

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Search roles by city, category, skill, or job type — explore verified employers, salary benchmarks, and remote-friendly teams across India and beyond.

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Job seekers
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Performance Measurement
Information Systems Procedures
Information Models
Database Management Systems
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