Through our dedicated associates, Conduent delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments - creating exceptional outcomes for our clients and the millions of people who count on them. You have an opportunity to personally thrive, make a difference and be part of a culture where individuality is noticed and valued every day.

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The CMS Certification Lead serves as a key resource for Government Healthcare Solutions clients who are seeking to achieve certification of PBM or MMIS modules per CMS’ Streamlined Modular Certification (SMC) for Medicaid Enterprise Systems focused on an outcome-based certification (OBC) approach. The certification lead is responsible for driving the activities and interactions with internal and client teams to ensure criteria, deliverables, metrics, and defined reports are understood, reviewed, and approved by the client for agreed to key health outcomes and metrics. 

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The Certification Lead is accountable and responsible for driving Certification activities in parallel with the Implementation PM and client, and collaborates with technical, business, and operational SME’s and resources. The lead helps to prepare the team for the client CMS Operational Readiness Review (ORR) presentation as well as the Certification Review presentation. 

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Responsibilities

\n\n Driving the overall client CMS Certification process (in conjunction/collaboration with client Project Manager who coordinates formal alignment w/ the client). \n Planning, preparing, scheduling, and managing deliverables, including issues/risks, and progress updates.\n Analyzing CMS’ RFP certification requirements for Medicaid Enterprise Systems and identifying gaps and key metrics to be defined.\n Analyzing certification data and reporting results to ensure all requirements are met, with support from Technical and Business SME’s from Conduent and the client.\n Gathering input from SME’s and creating/updating necessary documentation for Evidence Packets, and other key certification deliverables.\n Leading internal and client meetings as needed, tracking clear action items and decisions (with Tech & PM leadership specific to CMS tasks/milestones (overall Business Project Manager is CMS Cert Lead POC for client related discussions).\n Driving and supporting project PM and others in preparation and execution of CMS ORR and official Certification Review with the client, CMS, Conduent team members etc.\n Setting up meetings/reviews and preparing materials for presentations. R\n Following up on critical actions and responding to internal or client requests/questions in a timely manner.\n\n

Requirements

\n\n Have a bachelor’s degree.\n Possess minimum of five years’ CMS experience either as a SME working directly in the Medicare/Medicaid field and/or as a Certification Analyst or similar job role.\n Show familiarity or specific experience with managing CMS projects using the Streamlined Modular Certification process.\n Be an initiative-taker requiring little instruction and work well in a fast-paced, cross-functional environment.\n Exhibit strong attention to detail and problem-solving skills. \n Display multi-tasking skills and ability to prioritize competing deadlines.\n Demonstrate confident and clear written and verbal communication with both internal teams and clients.\n Have a sense of urgency when needed.\n Possess a keen focus on meeting key internal project deliverable deadlines as well as client CMS ORR and Certification Deadlines. \n Show strong command of Microsoft Office Suite as well as Microsoft SharePoint, PowerPoint, Project, and Visio. \n Able to travel domestically up to 10%. \n\n

Flexible Working 

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At Conduent, we want you to be yourself. We recognize that everyone is different and that how people want to work and deliver at their best is different for everyone too. In this role, you can expect the following working conditions: 

\n\n Remote work: Enjoy the convenience of working from home and maximize your time by unplugging at the end of your workday. \n\n

Working For You 

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Perks and rewards designed for you:

\n\n Health and Welfare Benefits: Our health and welfare benefits can be tailored to fit you and your family's needs and start on the first day of employment. \n Retirement Savings: We will support you as you save for your future. \n Employee Discounts: We offer you access to a vast selection of global, national, and local discounts on merchandise, services, travel, and more. \n Career Growth Opportunities: We help you thrive, so together, we can grow. We provide opportunities to advance your career with a vast portfolio of businesses and a global footprint. \n Paid Training: Earn while you learn and continue to grow with access to award-winning learning platforms throughout your Conduent career. \n Paid time off: We provide attractive paid time off packages designed for you to enjoy your life away from work. \n Great Work Environment: We are proud of our award-winning culture and the recognition we’ve received for our diversity efforts.\n\n

Join Us 

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At Conduent, we are one team, one mission. We understand that our success is directly related to the success of our associates. 

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We strive to create a culture where you can:

\n\n Bring your authentic self to work. \n Grow and thrive, both personally and professionally. \n Make a difference with our clients, in our communities, and with the millions of people we support.  \n\n

When you join Conduent, you are engaged in creating the future - both our company’s and your own. With more than 60,000 associates across 24 countries, we will provide you with the opportunity to grow with a team of people who will challenge and inspire you to be the best! 

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Pay Transparency Laws in some locations require disclosure of compensation-related information. For this position, actual salaries will vary and may be above or below the range based on various factors including but not limited to location, experience, and performance. In addition to base pay, this position, based on business need, may be eligible for a bonus or incentive. In addition, Conduent provides a variety of benefits to employees including health insurance coverage, voluntary dental and vision programs, life and disability insurance, a retirement savings plan, paid holidays, and paid time off (PTO) or vacation or sick time. The estimated salary for this role is $150k.

Conduent is an Equal Opportunity Employer and considers applicants for all positions without regard to race, color, creed, religion, ancestry, national origin, age, gender identity, gender expression, sex/gender, marital status, sexual orientation, physical or mental disability, medical condition, use of a guide dog or service animal, military/veteran status, citizenship status, basis of genetic information, or any other group protected by law.

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People with disabilities who need a reasonable accommodation to apply for or compete for employment with Conduent may request such accommodation(s) by clicking on the following link, completing the accommodation request form, and submitting the request by using the \"Submit\" button at the bottom of the form. For those using Google Chrome or Mozilla Firefox please download the form first: click here to access or download the form. You may also click here to access Conduent's ADAAA Accommodation Policy.

At Conduent we value the health and safety of our associates, their families and our community. For US applicants while we DO NOT require vaccination for most of our jobs, we DO require that you provide us with your vaccination status, where legally permissible. Providing this information is a requirement of your employment at Conduent.\n\n