drjobs IT Strategy Consultant & CMS Compliance Specialist , Jackson, MS , Need submission details needed العربية

IT Strategy Consultant & CMS Compliance Specialist , Jackson, MS , Need submission details needed

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Job Location drjobs

Jackson - USA

Monthly Salary drjobs

Not Disclosed

drjobs

Salary Not Disclosed

Job Description

**Position Description and Job Skill Set**

Description of the job functions the contractor will be expected to perform.

Work with key Medicaid Agency stakeholders to develop and draft a comprehensive Agency IT strategy as well as completing annual updates to said documents, in alignment with federal rules, requirements, laws and regulations, including working with and complying with the Centers for Medicare and Medicaid Services (CMS) and the Office of the National Coordinator of Healthcare IT (ONC).

Work with key Medicaid stakeholders to design and plan the Agency IT strategy and enterprise IT environment (future state), ensuring compliance with rules, requirements, laws, and regulations.

Present and get approval for overall strategy and technical approach (future state) from the Agency, from the State, and from CMS.

Complete and receive approval for annual updates to the plan to ensure the Agency IT strategic plan accurately reflects any changes in strategy that may result throughout the prior year.

APD Development and presentation to CMS, including Agency IT technical strategy and required budgets, gaining CMS approval:

Develop technical IT strategy documentation (CMS Advanced Planning Documents, or APDs) for submission to CMS for Agency IT strategy and procurements for Agency IT enterprise systems, solutions, and personnel.

Develop associated proposed budgets for systems, solutions, and personnel in the CMS APD document as well as any updates thereto.

Multiple APDs will be developed at least annually and submitted to CMS (at least annually) for CMS approval. As a part of this CMS submission process, there will be multiple working sessions with CMS to present the APD documents and walk through the Agency IT approach, the IT strategy, the budget requests, and the overall document(s).

Evaluate vendor enterprise IT solutions

Review, meet with, and evaluate vendor enterprise IT solutions seeking the best enterprise IT solutions for the Agency, while meeting State, federal, and CMS and ONC IT requirements.

Participate in appropriate workgroups for knowledge sharing and best practices

Build and maintain a network of Medicaid IT industry experts and Agency staff in other States, allowing for the sharing of knowledge and best-practices between States.

Assist with the recruitment and procurement of staff, such as employees, contractors, consultants, and contract workers.

Assist with the development of procurements and follow the procurement process for staff, contractors, consultants, and contract workers.

Write and develop State enterprise IT procurement documents (Request for Proposals, or RFPs, Letters of Configuration, or LOCs, and other procurement documents) in coordination with the State, the Agency, and CMS, including compliancy with federal and State rules, regulations, requirements, and laws.

Develop business case for RFPs for presentation within the Agency and to the State (other Agencies, ITS Board, etc.) Write and develop technical RFPs for enterprise IT solutions and services, based upon approved APDs.

Work closely with DOM procurement and State procurement staff on procurement process for RFPs and LOCs Present and work with CMS for approval of the RFP.

Assist with the overall procurement process through vendor selection and contracting, including providing vendor oversight during solution implementation, if so required.

Other duties as assigned.

Applicants who do not meet ALL of the required skills/experience minimums may not be considered further.

Required Skills/Experience

Provide the minimum required skills and/or experience the contractor must possess to qualify for this position. These requirements will be transferred to the Score Sheet and candidates without these requirements reflected on their resume will

NOT be presented to the manager for consideration.

Healthcare IT experience (8 years)

Strong experience in the development of CMS Advanced Planning Documents (APDs) with technical strategy, as well as associated budgets, with federal matching funds. (5 years)

Strong experience in the development and presentation of technical procurements, including development of business cases, RFPs, LOCs, etc. (5 years)

Strong experience in the presentation of APDs, RFPs, and technical documentation to CMS, gaining the formal approval of APDs, RFPs, and technical documentation from CMS (5 years)

Strong knowledge of State of Mississippi procurement processes (2 years) Strong knowledge of Medicaid programs and Medicaid data (5 years) Strong presentation and communication skills (2 years)

Experience with healthcare IT standards and healthcare interoperability, such as:

The Office of the National Coordinator of Health IT Health Level 7 Application Programming Interfaces (APIs), including the Fast Healthcare Interoperability Resources (FHIR) (1 year)

Clinical data such as HL7 Admit Discharge and Transfer (ADT), United State Core Data for Interoperability (USCDI), and the Consolidated Clinical Documentation Architecture (C-CDA) (3 years)

Healthcare claims and eligibility Electronic Data Interchange (EDI) standards (3 years) Electronic Health Records and her data and workflows (5 years)

Preferred/Not Required

Provide any skills/experience that would be helpful for the candidate to possess but not required. Examples: Previous supervisory experience, WebLogic experience helpful, etc.

Experience working with non-technical business owners (5 years)

Experience with Protected Health Information (PHI), the Health Information Protection and Portability Act (HIPAA), and encrypting and protecting sensitive health information (5 years)

Experience managing complex IT implementations, including vendor oversight (5 years) Experience reporting to and working with management on project status, risks, etc. (5 years)

Skills : Healthcare IT experience, as well as associated budgets, with federal matching funds., including development of business cases, RFPs, LOCs, etc.,Strong experience in the presentation of APDs, and technical documentation to CMS, gaining the formal approval of APDs, and technical documentation from CMS (,Strong knowledge of State of Mississippi procurement processes,Strong knowledge of Medicaid programs and Medicaid data,Strong presentation and communication skills, including the Fast Healthcare Interoperability Resources (FHIR,Clinical data such as HL7 Admit Discharge and Transfer (ADT), United State Core Data for Interoperability (USCDI), and the Consolidated Clinical Documentation Architecture,Electronic Health Records and her data and workflows

Employment Type

Full Time

Company Industry

Accounting & Auditing

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