$120K - 160K a year
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.
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.
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