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Remote Medicaid Certification Analyst - CMS & Compliance

$81.04k - $145k

NTT Data Americas, Inc.

Springfield, IL
  • Remote job

Req ID: 373298 NTT DATA strives to hire exceptional, innovative and passionate individuals who want to grow with us. If you want to be part of an inclusive, adaptable, and forward-thinking organization, apply now. We are currently seeking a Medicaid Certification Analyst to join our team in Springfield, Illinois (US-IL), United States (US). 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. Job Responsibilities Include 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 Basic Qualifications 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. Preferred Skills 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 Where required by law, NTT DATA provides a reasonable range of compensation for specific roles. The starting pay range for this remote role is $81,040 - $145,000. This range reflects the minimum and maximum target compensation for the position across all US locations. Actual compensation will depend on a number of factors, including the candidate’s actual work location, relevant experience, technical skills, and other qualifications. This position is eligible for company benefits including medical, dental, and vision insurance with an employer contribution, flexible spending or health savings account, life and AD&D insurance, short and long term disability coverage, paid time off, employee assistance, participation in a 401k program with company match, and additional voluntary or legally-required benefits. NTT DATA is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. For our EEO Policy Statement, please click here ( If you'd like more information on your EEO rights under the law, please click here ( For Pay Transparency information, please click here ( #J-18808-Ljbffr NTT Data Americas, Inc.

Vacancy posted 3 days ago
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