Provider/Certification Analyst

REACH YOUR POTENTIAL | COLLABORATE WITH AMAZING PEOPLE | MAKE CHANGE HAPPEN

Do you have the skills, passion, and commitment to transform our clients for the better? Are you ready to be a changemaker? If so, join us.

North Highland is the world’s leading change and transformation consultancy. Simply put, we make change happen like no one else. And we’re on the hunt for a new Provider/Certification/IV&V Analyst.

HOW WILL YOU MAKE CHANGE HAPPEN?

The Analyst will be responsible for leading the Provider procurement process for the Rhode Island PMO project. This role involves developing requirements, working closely with the client to validate these requirements, ensuring they meet client expectations, and developing the necessary procurement documents. The Analyst will also support the state through the question and answer process, evaluation, downselect, and award phases.

YOU WILL:

• Develop detailed requirements for the Provider system in collaboration with stakeholders.
• Work with the client to validate requirements and ensure they align with client expectations.
• Create comprehensive procurement documents, including RFPs and other necessary documentation.
• Support the state through the question and answer process, providing clear and concise responses to inquiries.
• Assist in the evaluation and downselect process, ensuring a thorough and fair assessment of potential vendors.
• Facilitate the award process, ensuring all necessary documentation and approvals are in place.
• Collaborate with various departments and stakeholders to ensure successful implementation of the Provider system.
• Provide regular updates and reports to project leadership and stakeholders.
• Develop detailed requirements and approach for the CMS Outcome based certification process along with evidence adhering and documentation requirements
• Develop the approach, process, templates and collecting information for the IV&V of the various module vendors and module contract in addition to forward looking risk assessment and monthly and quarterly reporting

IDEALLY, WE’D LIKE:

• Proven experience in leading procurement processes, preferably in the healthcare or government sector.
• Strong understanding of Provider systems and their implementation.
• Excellent communication and interpersonal skills, with the ability to work effectively with diverse stakeholders.
• Strong project management skills, with the ability to manage multiple tasks and deadlines.
• Detail-oriented with strong analytical and problem-solving abilities.
• Ability to work independently and as part of a team.
• Experience with Medicaid systems and processes in addition to procurements.
• Knowledge of state and federal regulations related to Provider  and Medicaid.
• Knowledge of the CMS Outcome based certification process
• Knowledge of the IV&V requirements and protocols
• Led the deployment or act as a business manager SME for Provider
• Led the CMS Certification process for multiple MES modules
• Led the IV&V workstream or as a key team member for IV&V Workstream

TRANSFORMING CLIENTS. TRANSFORMING CAREERS.

Success—for both our clients and our colleagues—is all about putting people first and doing great things together. We believe that when we work as one team, we can take action today to build lasting capability for tomorrow.

We strive to have the most enviable culture on the planet, inspiring people to reach their full potential. Here’s how we make it happen:

Intentional, flexible growth. We never want you to settle. Leading your own growth and transformation is your prerogative—one which we’ll help you nurture and develop every step of the way. We’ll inspire you to learn, teach, and ultimately carve your own path. That means you grow, we grow, and so do our clients.

People-first, and then some. It goes without saying that people come first, but what comes next? Our people are always at the heart; your wellbeing and success is built on a collective understanding that every one of us can be a coach, a friend, and a fantastic listener—regardless of job title. We think of it as a celebration of individuality, difference, and diversity.

Make your own change happen. With us, your curiosity and creativity know no bounds. The reins are off. All we ask is that you have the courage to transform yourself and those around you—colleagues and clients alike. If you’ve got the drive to become a changemaker, we’ll do the rest.

Enviable Total Rewards. We inspire our employees to do their best work. North Highland’s Total Rewards Program encompasses PTO, Medical, Dental, Vision, STD/LTD, Life Insurance, FSA/HSA, 401(k), and a variety of other perks like a dedicated Health Advocate, commuter benefits, and legal assistance. In addition, a competitive hourly rate of: $70.00 - $80.00.

READY TO MAKE CHANGE HAPPEN?

North Highland makes change happen, helping businesses transform by placing people at the heart of every decision. It’s how lasting progress is made. With our blend of workforce, customer, and operational expertise, we’re recognized as the world’s leading transformation consultancy. We break new ground today, so tomorrow is easier to navigate.

Founded in 1992, North Highland is regularly named one of the best places to work. We are a proud member of Cordence Worldwide, a global network of truly connected consultancy firms with the ability to think and deliver together.

This means North Highland has more than 3,500 experts?in?50+ offices around the globe on hand to partner with you.

Please note that applicants must be authorized to work in the United States without the need for visa sponsorship by North Highland. Work visa sponsorship will not be provided, either now or in the future, for this position.

North Highland is an Equal Employment Opportunity (EEO)/Affirmative Action employer. All qualified applicants will receive fair and impartial consideration without regard to race, color, sex, gender identity, religion, national origin, age, sexual orientation, disability, veteran status, or any other characteristic protected by law.


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