Find your dream job faster with JobLogr
AI-powered job search, resume help, and more.
Try for Free
ARK Strategies

ARK Strategies

via LinkedIn

Apply Now
All our jobs are verified from trusted employers and sources. We connect to legitimate platforms only.

Strategic Interoperability Consultant – CMS Prior Authorization & Medicaid MMIS

Anywhere
contractor
Posted 8/29/2025
Verified Source
Key Skills:
CMS Interoperability
Prior Authorization mandates
Medicaid/MMIS
HL7 FHIR
ASC X12
Healthcare IT consulting
Executive stakeholder management
Compliance analysis

Compensation

Salary Range

$120K - 160K a year

Responsibilities

Lead executive and stakeholder sessions, drive compliance analysis and gap assessments, provide strategic roadmaps for Medicaid/MMIS modernization, and coordinate between state leadership and vendors.

Requirements

8+ years healthcare IT consulting experience with Medicaid/MMIS, strong knowledge of CMS mandates, expertise in HL7 FHIR and ASC X12 standards, and ability to manage executive-level stakeholder relationships.

Full Description

Contract Opportunity 📍 Location: Remote (preferred PST hours, Sacramento, CA) 📅 Duration: 12 months (Contract) We’re hiring a seasoned consultant to lead CMS Interoperability & Prior Authorization compliance within Medicaid/MMIS programs. This is a high-visibility, high-pressure role where you’ll engage directly with state executives, CMS liaisons, and technology vendors. This isn’t a traditional BA role—you’ll be the trusted advisor and strategist, helping leadership navigate mandates, secure stakeholder buy-in, and bridge the gap between program strategy and technical implementation. What You’ll Do • Lead executive and stakeholder sessions with state leadership, CMS, and vendors. • Drive gap assessments & compliance analysis for CMS Interoperability & PA Final Rule. • Provide executive-level insights and roadmaps to guide Medicaid/MMIS modernization. • Collaborate across business, clinical, and IT teams to define requirements and system impacts. • Interpret HL7 FHIR & ASC X12 standards and advise on adoption strategies. • Act as the glue between state leadership and vendors to keep initiatives on track. What We’re Looking For • 8+ years in healthcare IT consulting (Medicaid/MMIS required). • Strong knowledge of CMS Interoperability & Prior Authorization mandates. • Experience working with state executives, CMS, and tough stakeholders in complex programs. • Strong command of HL7 FHIR, ASC X12, and Medicaid data exchange. • Leadership presence with the ability to thrive in high-pressure environments. If you’re a strategic consultant who can manage tough clients, complex dynamics, and executive-level conversations while guiding technical teams toward compliance success—we want to talk to you. 📩 Apply today to join this remote, 12-month contract supporting Medicaid modernization initiatives.

This job posting was last updated on 9/2/2025

Ready to have AI work for you in your job search?

Sign-up for free and start using JobLogr today!

Get Started »
JobLogr badgeTinyLaunch BadgeJobLogr - AI Job Search Tools to Land Your Next Job Faster than Ever | Product Hunt