Certification Specialist

About the Role

This Certification Specialist will play a pivotal role in ensuring Our Client’s Medicaid Enterprise Systems meet evolving our client standards. Working closely with project teams, business leads, and vendors, the specialist will drive the execution of certification strategies, manage evidence tracking, and produce critical documentation to secure CMS approval. The position requires a blend of regulatory knowledge, project coordination, and clear communication to protect our client funding streams and strengthen statewide Medicaid systems. The role is based in Raleigh, North Carolina, and offers a structured contract with a focus on high‑visibility MES projects.

Key Responsibilities

• Lead the development and maintenance of the MES Certification schedule and Analysis of Alternatives documents.
• Coordinate and facilitate certification workstream meetings with cross‑functional stakeholders.
• Manage the Certification Evidence Tracker, ensuring timely collection and submission of required evidence.
• Draft and edit narratives for ORR and CRR evidence to support CMS certification submissions.
• Conduct system demonstrations for business users and CMS representatives to validate compliance.
• Monitor CMS policy updates and communicate changes to project teams.
• Integrate certification activities into overall project schedules and provide status reporting.
• Collaborate with vendors and internal teams to resolve certification gaps and risks.
• Maintain a comprehensive repository of CMS certification artifacts in a secure document management system.
• Support the preparation of certification readiness assessments and related documentation.

Required Skills & Experience

• Minimum 3 years of experience in healthcare compliance, certification, or quality assurance roles.
• In‑depth knowledge of CMS Medicaid regulations, MES certification processes, and our client funding requirements.
• Strong written and verbal communication skills, with the ability to produce clear, concise narratives and reports.
• Proficiency in project coordination, including scheduling, tracking, and stakeholder management.
• Experience managing documentation repositories and evidence tracking systems.
• Ability to analyze complex regulatory requirements and translate them into actionable project tasks.
• Bachelor’s degree in Health Administration, Public Health, or a related field (preferred).
• Relevant certifications such as Certified Professional in Healthcare Quality (CPHQ) or similar are a plus.

Tools & Technologies

• Microsoft Office Suite (Word, Excel, PowerPoint) for documentation and reporting.
• SharePoint or equivalent document management systems for artifact storage.
• Project management tools (e.g., Project, Asana, or Jira) for scheduling and tracking.
• Screen‑sharing and presentation tools for system demonstrations.
• Basic data analysis tools (Excel, Power BI) for evidence review.

Work Schedule & Duration

• Contract length: 10.5 months (08/31/26 – 07/12/27).
• Work arrangement: Onsite in Raleigh, North Carolina.
• Standard work hours: Monday‑Friday, 8:00 a.m. – 5:00 p.m. (local time).

Interview Process

The selection process begins with a webcam interview to assess technical knowledge and communication skills, followed by a second round with project leads to evaluate stakeholder management experience. Successful candidates will receive a formal offer upon completion of the interview stages.

Position Details

• Employment Type: Contract
• Duration: Approximately 12 months (with potential for extension)
• Work Authorization: Must be authorized to work in the United States