Medicaid Enterprise Systems and Policy Principal

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As part of MITRE’s Center for Transforming Health, the CMS Programs Division is responsible for managing work shaping, engagement, and end-to-end delivery for the Health FFRDC’s CMS Portfolio with the Centers for Medicare & Medicaid Services (CMS). This position provides senior technical leadership at the intersection of Medicaid Enterprise Systems (MES) certification, cybersecurity, privacy, and cross-agency data integration.

Roles & Responsibilities :

In this role, you will be supporting large, complex engagement teams to address programmatic, policy, operational, strategic, and/or acquisition needs for CMS programs.  As part of a team, you will have the opportunity to work closely with CMS to develop and implement evidence-based strategies and solutions to address some of the agency’s most complex challenges, with a focus on Medicaid enterprise systems, cross-agency data sharing, and data modernization.

Key Responsibilities:

Provide senior technical expertise on Medicaid enterprise systems, health IT modernization, and Medicaid Enterprise Systems (MES) certification, including Streamlined Modular Certification (SMC) reviews, certification recommendations, and corrective action plan (CAP) assessments; translate federal and state requirements into practical implementation guidance.

Contribute subject matter expertise for cross-agency data-integration initiatives, coordinating federal partner agencies, state agencies, and contractors on planning, milestones, dependencies, risks, and status reporting to federal leadership.

Elicit, analyze, and document stakeholder needs, operational processes, system capabilities, and functional requirements; identify gaps and dependencies and translate findings into clear requirements, process improvements, solution recommendations, and implementation priorities.

Assess technical designs, system documentation, and data-integration approaches for security, privacy, interoperability, compliance, and operational risks; develop clear recommendations to address identified issues.

Lead the development, review, and execution of data-sharing, privacy, security, and technical agreements, such as Computer Matching Agreements (CMAs), Information Exchange Agreements (IEAs), and Interconnection Security Agreements (ISAs), that enable appropriate and secure exchange of health information across organizations and systems.

Translate evolving Medicaid and health care policy and program requirements into actionable analyses, recommendations, briefings, and decision-support materials for federal stakeholders.

Identify emerging health care trends, risks, and implementation challenges and recommend practical approaches to improve program effectiveness and outcomes.

Basic Qualifications:

Typically requires a minimum of 10 years of related experience with a Bachelor’s degree; or 8 years and a Master’s degree; or a PhD with 5 years’ experience; or…