FULL_TIME

FEED

OTHER

Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at applicantaccom@maximus.com.

Essential Duties and Responsibilities:- Apply business process improvement practices to re-engineer methodologies/principles and business process modernization projects. - Assist in the application of activity and data modeling, transaction flow analysis, internal control and risk analysis, modern business methods, and performance measurement techniques. - Assist in establishing standards for information systems procedures. - Develop solutions to a variety of complex problems.- Develop and apply organization-wide information models for use in designing and building integrated shared software and database management systems and data warehouses. - Follow Information Management guiding principles, cost savings, and open system architecture objectives.- Lead and manage the full CMS certification lifecycle, from planning through approval. - Develop, implement, and maintain a comprehensive CMS Certification Readiness Plan.- Create and manage the Certification Plan and supporting documentation.- Prepare for and support Operational Readiness Reviews (ORR) and Certification Reviews (CR).- Develop and manage operational and certification metrics in alignment with current CMS guidance.- Serve as the primary liaison with the state Medicaid agency, CMS, and other stakeholders throughout certification activities.- Oversee implementation phases to ensure certification readiness and alignment with project plans.- Facilitate periodic Certification Progress Report cycles and executive-level updates.- Ensure accurate documentation, audit readiness, and compliance with CMS IT certification standards.Minimum Requirements - Bachelor's degree in related field.- 5-7 years of relevant professional experience required.- Equivalent combination of education and experience considered in lieu of degree.- A minimum of 5 years of experience in Medicaid or government healthcare.- A minimum of 3 years of experience in CMS certification process.- Demonstrated experience leading CMS certification efforts through full approval.- Hands-on experience with current CMS IT certification standards and guidance.- Proven experience supporting IT system implementations for state Medicaid agencies.- Strong understanding of Medicaid Enterprise Systems and CMS oversight processes.- Ability to manage complex timelines, deliverables, and cross-functional dependencies.- Excellent written and verbal communication skills, including executive-level reporting.Preferred Requirements- Experience supporting multiple CMS certifications or large-scale public sector IT programs. - Prior experience working directly with CMS reviewers and state Medicaid leadership. - Familiarity with Operational Metric Reporting and federal compliance audits.Home Office Requirements - Internet speed of 20mbps or higher required (you can test this by going to www.speedtest.net).- Connectivity to the internet via either Wi-Fi or Category 5 or 6 ethernet patch cable to the home router.- Must currently and permanently reside in the Continental US. #LI-Remote #maxPriority #HotJobs0407LI #HotJobs0407FB #HotJobs0407X #HotJobs0407TH #TrendingJobs #c0rejobsEEO Statement Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics. Pay Transparency Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Annual salary is just one component of Maximus's total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards. Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off. Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience. An applicant's salary history will not be used in determining compensation. Maximus will comply with regulatory minimum wage rates and exempt salary thresholds in all instances. Accommodations Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at applicantaccom@maximus.com. Minimum Salary $ 90,000.00 Maximum Salary $ 110,000.00 <ul><li/></ul><img alt=" " height="1" src="https://ars2.equest.com/?response_id=013a3e82bf3c292746b7f20cced957b0&view" width="1"/>

MAXIMUS provides business services to help governments operate health and human services programs, mostly at the state and national levels. The company's health services segment offers outsourced program management and administrative services,

Maximus

Certification Lead

Accreditation Standards

Analysis Skills

Business Practices

Business Processes

Centers for Medicare and Medicaid Services (CMS)

Communication Skills

Content Management Systems (CMS)

Cross-Functional

Data Modeling

Data Warehousing

Database Management Software/Systems (DBMS)

Documentation

Documentation Plan

Government

Healthcare

Information Models

Information Technology & Information Systems

Leadership

Maintain Compliance

Medicaid

Metrics

Operational Audit

Operational Support

Operations Management

Operations Planning

Performance Metrics

Presentation/Verbal Skills

Process Improvement

Progress Reports

Project Planning

Reengineering

Regulatory Compliance

Risk Analysis

Risk Management

Technical Support

Time Management

Writing Skills

equestftpin

Oversee architecture changes for all data ingestion solutions and provide technical advice on complex data mappings and transformations, including production support guidance, researching, and responding to security vulnerability findings, and working with multiple vendors and teams to leverage existing architecture components. - Facilitate the creation of architectures that consider how the current system interacts with other internal and external systems and environments and ensure that the new system behaves and performs correctly, including: prioritizing backlog projects and coordinating with system and network administration personnel on maintenance, upgrades, changes, and performance needs.

Essential Duties and Responsibilities: - Establish and maintain enterprise data warehouse (EDW) architecture environments and data ingestion/integration development frameworks, including architecting elegant technical solutions that meet the business requirements while reducing operating expenses. - Oversee architecture changes for all data ingestion solutions and provide technical advice on complex data mappings and transformations, including production support guidance, researching, and responding to security vulnerability findings, and working with multiple vendors and teams to leverage existing architecture components. - Facilitate the creation of architectures that consider how the current system interacts with other internal and external systems and environments and ensure that the new system behaves and performs correctly, including: prioritizing backlog projects and coordinating with system and network administration personnel on maintenance, upgrades, changes, and performance needs. - Mentor and transition architectural knowledge to team members and provide leadership and work guidance to less experienced personnel, including conducting quality assurance activities such as peer reviews. Provide adequate and timely acceptance criteria for new or enhanced data ingestion solutions and explain costs and efficiencies of backlog items to management and other stakeholders. - Develop architectures that support the business requirements and provide assistance to the team in troubleshooting performance and system errors, including providing data analysis support, discovering and fixing data issues, and communicating with various stakeholders.Key Responsibilities-	Design and maintain enterprise-scale data architectures supporting Medicaid claims, encounters, eligibility, provider, and care management data -	Develop and enforce data standards, canonical data models, and integration patterns aligned to healthcare regulations and state Medicaid requirements -	Architect solutions that support regulatory reporting (CMS, state-specific submissions, encounters, T-MSIS, quality measures) -	Partner with business, compliance, and analytics teams to translate Medicaid requirements into scalable technical solutions -Define data governance frameworks focusing on data quality, lineage, metadata management, and stewardship -	Ensure architectures comply with HIPAA, HITECH, CMS, state Medicaid regulations, and security best practices -	Lead cloud-based data modernization efforts, including data lakes, warehouses, and real-time processing where applicable -	Evaluate and recommend healthcare data platforms, integration tools, and vendor solutions -	Mentor data engineers and analytics teams; provide architectural guidance across initiatives -	Maintain clear documentation of data models, architectures, and standards for technical and non-technical audiencesMinimum Requirements - Bachelor's degree in relevant field of study and 7+ years of relevant professional experience required, or equivalent combination of education and experience. Program Specific Requirements- Bachelor's degree in computer science, Information Systems, Healthcare Informatics, or related field (or equivalent experience)- 7+ years of experience in data architecture, with significant healthcare and Medicaid experience- Strong understanding of Medicaid data domains, including claims, encounters, eligibility, provider, managed care networks, and care management- Hands-on expertise in data modeling (conceptual, logical, physical) within healthcare environments- Extensive experience with modern data platforms (e.g., Snowflake, Azure Synapse, Databricks, Redshift, BigQuery)- Advanced SQL skills and deep knowledge of relational and NoSQL databases- Experience building and supporting ETL/ELT pipelines for high-volume healthcare data- Solid understanding of HIPAA-compliant data security, privacy, and governance principles- Experience working in cloud environments (AWS, Azure, and/or GCP)Program Specific Preferences- Experience supporting state Medicaid agencies, managed care organizations (MCOs), or CMS reporting- Familiarity with healthcare data standards such as HL7, X12, FHIR, ICD-10, CPT, LOINC, and SNOMED- Experience with T-MSIS, encounter reporting, and Medicaid-specific regulatory submissions- Knowledge of value-based care, risk adjustment, and population health analytics- Experience with streaming or near-real-time healthcare data platforms- Relevant certifications (AWS, Azure, GCP, DAMA, Certified Health Data Analyst, or similar)#LI-Remote EEO Statement Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics. Pay Transparency Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Annual salary is just one component of Maximus's total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards. Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off. Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience. An applicant's salary history will not be used in determining compensation. Maximus will comply with regulatory minimum wage rates and exempt salary thresholds in all instances.Accommodations Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at applicantaccom@maximus.com. Minimum Salary $ 165,000.00 Maximum Salary $ 215,000.00 <ul><li/></ul><img alt=" " height="1" src="https://ars2.equest.com/?response_id=5eaac3258ff663892f1ad7ec2d5abd9c&view" width="1"/>

Modeling Jobs in Morgantown, WV

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Modeling Jobs in Morgantown, WV

Certification Lead Maximus

Data Architect Maximus

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