CMS Human Services Experience Claims Processing OR Case Management Systems OR Workf   Requirement id 116362 Job title Manager Job location in Raleigh, NC Skills required CMS, Life Cycle, Public Sector, Human Services Experience Claims Process Open Date 29-Apr-2021 Close Date Job type Contract Duration 12 Months Compensation DOE Status requirement --- Job interview type ---    Email Recruiter: coolsoft Job Description Manager: CMS, Life Cycle, Public Sector, Human Services Experience Claims Process start date:04/30/2021 End date:04/29/2022 submission deadline:5/5/2021 client info :NCDHHS-ITSM *Note: Agency Interview Type: Webcam Interview Only Description: The primary role and responsibility of a Certification Manager (CM) is to work with the Business Leads, Project Teams, functional/matrix managers, vendors and other stakeholders to ensure that projects are delivered and positioned for a successful MMIS/CMS Certification, consistent with Program Management guidelines/processes and CMS expectations. The CM will be responsible and play a key role in supporting the Leadership/Managers to maintain the relationship in planning and executing CMS certification activities in conjunction with project team implementing complex systems in support of NC Department of Health and Human Service Medicaid program. Essential Responsibilities: Responsible for the overall management of the Certification process for the Program, in coordination with the project teams • Leads the execution of the certification strategy for the program. Develops, enables and monitors certification strategy for each project • Leads certification team of Technical Writers, Business Analyst and Technical Specialist. • Assists in determining the States future goals for by leading meetings with internal stakeholders and vendors to map the States certification strategy in alignment with the "To-Be" MITA 3.0 maturity levels • Establishes document repository for CMS certification artifacts per project • Responsible for pulling, recommending, and managing evidence from the implemented solution to meet CMS Certification requirements • Champions the composing narratives to accompany evidence • Oversees system demonstrations for the Business and CMS, as required, to achieve CMS Certification. • Engages with CMS on all exceptions and action items pertaining to CMS Certification. • Requests, manages, and directs CMS Certification Reviews • Provides education to project team members and stakeholders on CMS certification process, including process documentation / training materials • Maintains awareness of CMS certification program and policy updates, organization communication as applicable • Provides schedule activities to PMO Lead/Scheduler for CMS effort aligned with scope of contract for a specific project (for integration into project schedules), drives work execution from the detailed work plan • Leads CMS certification activities for assigned project, including but not limited to all stage gate / milestone reviews, onsite certifications • Directs PM/CMS certification team on proactive project management of activities for specific project(s) • Serves as the POC for the State and the primary contact (PM/SME) on project activities to support a successful CMS Certification and CMS when/where applicable • The resource will ensure the utilization of industry best practices for compliance with CMS and State-defined performance standards. • Participates in RFP development for CMS scope of work • Additionally, this resource may interface with Division Leadership and other DHHS Subject Matter Experts (SME) as required to complete the work. • Professional demeanor; ability to establish rapport and work well with others • Performs other duties as assigned which may include managing direct and hybrid reporting relationships of subordinate staff. • This role will supervise business analyst and technical specialist as a part of the daily task.   Call 502-379-4456 Ext 100 for more details. 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