Certification Lead
Not Disclosed•Full-TimeRemote
location_onUniversity Way, Reno, Washoe County, Nevada, 89505, 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 act as the critical bridge between our organization, the state Medicaid agency, and CMS reviewers, ensuring that all systems align with rigorous federal compliance standards.
In this role, you will not only manage the certification process but also drive business process modernization. You will apply activity and data modeling, transaction flow analysis, and performance measurement techniques to re-engineer methodologies and develop organization-wide information models. Your work will directly support the design and building of integrated shared software and database management systems, ensuring they meet open system architecture objectives and cost-saving goals.
Day in the Life
Your day will involve developing and maintaining a comprehensive Certification Readiness Plan, creating supporting documentation, and managing operational metrics in alignment with current CMS guidance. You will facilitate periodic progress reports for executive leadership and oversee implementation phases to guarantee certification readiness. A significant portion of your time will be dedicated to preparing for and supporting Operational Readiness Reviews (ORR) and Certification Reviews, ensuring audit readiness and accurate documentation throughout the process.
Hiring Process
Candidates selected for this role will engage in a structured interview process designed to assess technical expertise in CMS certification standards and the ability to manage complex, cross-functional dependencies. The process typically includes an initial screening, followed by a deep-dive discussion on past certification efforts and scenario-based problem solving.
Application Instructions
To apply, please submit your resume and a cover letter detailing your experience with Medicaid Enterprise Systems and CMS IT certification standards. If you require reasonable accommodations during any phase of the employment process due to a disability, medical condition, or impairment, 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 integrity and a commitment to serving the public sector with excellence.
Compensation & Benefits
Maximus offers a competitive total compensation package. While annual salary is a key component, our rewards also include short- and long-term incentives, program-specific awards, health insurance coverage, 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 internal pay alignment, and is commensurate with job duties and relevant work experience.
Work location
Work model: Remote
University Way, Reno, Washoe County, Nevada, 89505, United States
Reno, Nevada
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
- 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 offShort- and long-term incentives