Medicaid Certification Analyst

NTT DATA Services•Springfield, IL

5d•$81,040 - $145,000•Remote

About The Position

NTT DATA is seeking a Medicaid Certification Analyst to support the State of Illinois in its strategic procurement efforts related to the modernization of its systems and services. This position plays a critical role in overseeing the administration, coordination, and compliance of CMS’ Streamlined Modular Certification (SMC) across the enterprise. The Certification Analyst will ensure that certification processes are consistent, accurate, and aligned with regulatory requirements as outlined by CMS.

Requirements

Bachelor’s degree or associate degree with at least two (2) years of equivalent work experience.
Minimum of 6 years’ business analysis skills and experience.
Minimum of 4 years of direct experience with CMS certification (e.g., SMC, MEET, MECT).
3-5 years of experience in Medicaid or compliance, preferably within a public sector or healthcare environment.
Familiarity with CMS SMC, CMS regulations, and APDs
Strong analytical skills and attention to detail.
Excellent verbal and written communication skills.
Strong interpersonal skills to build client rapport and work collaboratively in a team environment.

Nice To Haves

Prior experience working with state governments
Must be a team player and a consistent, dependable performer with an excellent work ethic, flexible "can-do" attitude, and a results-driven commitment to success
Ability to handle ambiguity and change

Responsibilities

Support the State of Illinois through SMC process(es) at an enterprise level.
Administer the activities of the certification process providing detailed direction to participants and coordinating with other departments.
Initiate and execute improvements to existing certification processes and assist the state with new processes as needed.
Interact professionally and timely with participants, partners, and other stakeholders including CMS.
Prepare reporting on the status of certification efforts as directed by the state.
Develop and maintain training tools, aids, and processes that state participants can utilize.
Provide consistent interpretation of CMS SMC guidelines to the state and other participants.
Effectively communicate with the client and other project stakeholders.
Ensure compliance of federal regulations such as 42 CFR §433 Subpart C and 45 CFR §95 Subpart F