CMS Certification Lead

Summary

The Government Liaison is responsible for contract compliance monitoring and reporting. The liaison will work with DHCS staff to review compliance discrepancies, establish corrective action plans, and ensure that appropriate resources are allocated to address compliance activity, management, and adherence.

Your role in our mission

• Develops work statements, scope/priority definitions, budgets, and schedules for assigned moderately complex programs. Develops documents with appropriate standards to meet client requirements and needs.
• Selects and/or oversees the selection of assigned personnel for projects. Ensures communication and understanding of deadlines, assignments, and objectives. Acts as point of contact with client program management.
• Monitors program status and identifies risks. Documents program progress including implementation, timelines, issues, risks, and successes to maintain program course. Assesses results and determines and implements risk mitigation solutions as appropriate.
• Maintains grade and quality of program deliverables within defined and agreed upon program requirements. Identifies and resolves matters of significance impacting the productivity of assigned programs globally. Implements changes and adjusts as appropriate.
• Interfaces and collaborates with team members, stakeholders, and management to anticipate and manage changes to projects, such as, but not limited to, technical requirements, business requirements and schedule. Determines when additional resources are needed, plans for, and adjusts as needed. Gathers information regarding possible solutions that may create additional, different, or unique project objectives or results.
• Participates in proposal efforts and sales calls to ensure product meets client needs and specifications. Interfaces and provides input to discussions regarding project-related decisions and project direction at the executive level.
• Manages expectations of client project/senior management, company management and project team for agreed upon project performance by obtaining, providing, analyzing, and interpreting project metrics. 
• Gathers feedback from client on program results; analyzes feedback and incorporates same into future programs. Identifies and determines global implications of program parameters and redefines, redesigns, or revises as appropriate.
• Leads assigned personnel for program(s). Provides direction and assigns work as appropriate with regard to timeliness and completion of objectives. May address performance issues within prescribed guidelines and may provide performance input.
• Prepares and recommends program operating and personnel budgets for approval. Monitors spending for adherence to budget, reviews and recommends variances as necessary. Balances program resources, globally, to optimize objectives for assigned programs.

What we're looking for

• Minimum of 5 years of experience in the management of population health related programs such as health system management, health plans, or public health.
• Minimum of 3 years of experience working with Medicaid programs, SafetyNet benefit programs, and/or integrated health care delivery systems.
• Minimum of 1 year experience working with local, State, or Federal health jurisdictions and stakeholders.
• Graduate degree in clinical field (Medical, Public Health, Health Administration, Public Administration, Public Policy, or related field).
• Subject matter expertise on relevant State and Federal Medicaid regulations and policies.

What you should expect in this role

• Must be a resident of the state of California  
• Remote work

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