CMS Certification Analyst
Posted 1 day ago by 1750754524
Negotiable
Outside
Remote
USA
Summary: The Certification Data Analyst is responsible for leading the development of outcome statements and operational reporting for Medicaid Enterprise System (MES) projects. This role involves collaboration with various stakeholders to ensure compliance with Medicaid and CMS criteria while supporting project tasks. The analyst will also maintain relationships and execute CMS certification activities in alignment with the NC Department of Health and Human Services programs. The position requires a strong analytical background and experience in CMS certification processes.
Key Responsibilities:
- Gather data from various sources, clean and transform it for analysis, and ensure data accuracy and quality.
- Apply statistical methods, techniques, and tools to analyze data, identify patterns, trends, and relationships, and draw conclusions.
- Administer and maintain the outcome statements database.
- Create clear and compelling visualizations (charts, graphs, dashboards) to present data findings and insights in an easily understandable format.
- Draft MES outcome statements and metrics for the program and project teams.
- Identify problems, develop solutions, and implement data-driven strategies to improve business processes and outcomes.
- Maintain Operational Workbook Report (OWR) timelines.
- Collaborate with the Business Leads and Project Teams to create and update state-specific outcome statements.
- Contribute outcome statements to Advanced Planning Documents (APDs).
- Attend and facilitate meetings to present findings.
- Support designated project leads and Subject Matter Experts (SMEs) with certification questions.
- Attend CMS certification presentations and reviews.
Key Skills:
- CMS Medicaid Enterprise Systems or federal regulations.
- MMIS / CMS certification experience.
- Experience with spreadsheet tools like Microsoft Excel or Google Sheets.
- Experience using data to improve organizations.
- Experience implementing information systems in client-facing role.
- CMS Medicaid Enterprise Certification Life Cycle process experience.
- Experience in healthcare-related knowledge, ideally in analytics, reporting, or related.
- Implementation/SDLC methodologies, e.g., Agile, waterfall, hybrid, and/or iterative.
- Experience with data visualization software.
- Medicaid, MMIS, claims process, or related experience.
- Demonstrated experience using project tracking tools (Microsoft Project, e.g., Jira, MITAPulse).
Salary (Rate): undetermined
City: undetermined
Country: USA
Working Arrangements: remote
IR35 Status: outside IR35
Seniority Level: undetermined
Industry: IT
Certification Data Analyst - (CMS Certification Experience)
Location: State of NC - Remote
Description:
The Certification Data Analyst leads the development of outcome statements and operational reporting for MES projects.
The Certification Data Analyst role reports to the Certification and Compliance Manager and participates in project team activities. The Certification Data Analyst (CDA) leads the development of outcome statements and operational reporting for Medicaid Enterprise System (MES) projects. This role collaborates with Business Leads, Project Teams, functional/matrix managers, vendors and other stakeholders to ensure that Medicaid and CMS criteria are met, and project tasks are delivered on schedule, within budget, and positioned for a successful MMIS/CMS Certification, consistent with Program Management guidelines/processes and CMS expectations.
CDA will be responsible for and play a key role in supporting leadership and managers in maintaining relationships, planning, and executing CMS certification activities in conjunction with the project team, which implements complex systems in support of the NC Department of Health and Human Services programs.
Key Responsibilities:
- Gather data from various sources, clean and transform it for analysis, and ensure data accuracy and quality.
- Apply statistical methods, techniques, and tools to analyze data, identify patterns, trends, and relationships, and draw conclusions.
- Administer and maintain the outcome statements database.
- Create clear and compelling visualizations (charts, graphs, dashboards) to present data findings and insights in an easily understandable format.
- Draft MES outcome statements and metrics for the program and project teams.
- Identify problems, develop solutions, and implement data-driven strategies to improve business processes and outcomes.
- Maintain Operational Workbook Report (OWR) timelines.
- Collaborate with the Business Leads and Project Teams to create and update state-specific outcome statements.
- Contribute outcome statements to Advanced Planning Documents (APDs).
- Attend and facilitate meetings to present findings.
- Support designated project leads and Subject Matter Experts (SMEs)with certification questions.
- Attend CMS certification presentations and reviews.
Required/Desired Skills
Skill |
Required /Desired |
Amount |
of Experience |
CMS Medicaid Enterprise Systems or federal regulations. |
Required |
3 |
Years |
MMIS / CMS certification experience. |
Required |
3 |
Years |
Experience with spreadsheet tools like Microsoft Excel or Google Sheets. |
Required |
5 |
Years |
Experience using data to improve organizations. |
Required |
5 |
Years |
Experience implementing information systems in client client-facing role. |
Required |
5 |
Years |
CMS Medicaid Enterprise Certification Life Cycle process experience. |
Required |
3 |
Years |
Experience in healthcare-related knowledge, ideally in analytics, reporting, or related. |
Highly desired |
5 |
Years |
Implementation/SDLC methodologies, e.g., Agile, waterfall, hybrid, and/or iterative |
Required |
3 |
Years |
Experience with data visualization software. |
Required |
5 |
Years |
Medicaid, MMIS, claims process, or related experience. |
Highly desired |
3 |
Years |
Demonstrated experience using project tracking tools (Microsoft Project, e.g., Jira, MITAPulse) |
Required |
3 |
Years |