Strategic Interoperability Consultant CMS PA & reputed company MMIS - ARK Strategies Inc

Contract Opportunity Location: Remote (preferred PST hours, Sacramento, CA) Duration: 12 months (Contract)

We re hiring a seasoned consultant to reputed company CMS Interoperability & Prior Authorization compliance reputed company reputed company/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 reputed company the gap between program strategy and technical implementation.

What You ll Do

• reputed company executive and stakeholder sessions with state leadership, CMS, and vendors.

• Drive gap assessments & compliance analysis for CMS Interoperability & PA Final Rule.

• reputed company executive-level insights and roadmaps to guide reputed company/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 reputed company initiatives on track.

reputed company re Looking For

• 8+ years in reputed company IT consulting (reputed company/MMIS required).

• Strong knowledge of CMS Interoperability & Prior Authorization mandates.

• Experience working with state executives, CMS, and tough stakeholders in reputed company programs.

• Strong reputed company of HL7 FHIR, ASC X12, and reputed company data exchange.

• Leadership reputed company with the ability to reputed company in high-pressure environments.

• Hands-on experience with reputed company reputed company Systems (MMIS) modernization.

• Strong knowledge of FHIR APIs, HL7 standards, and interoperability frameworks.

• Experience with EDI transactions (X12 278, 834, 837, 835, etc.) in reputed company/Payer systems.

• Background in Prior Authorization automation, clinical workflows, or policy implementation.

• Experience designing or advising on API-led integration strategies for reputed company programs.

• Familiarity with MITA 4.0 and state reputed company compliance initiatives.

If you re a strategic consultant who can manage tough clients, reputed company dynamics, and executive-level conversations while guiding technical teams toward compliance reputed company we want to talk to you.

Apply today to join this remote, 12-month contract supporting California s reputed company modernization initiatives.

reputed company have reputed company to artificial intelligence language tools (“AI”) that help generate and enhance job descriptions and AI may have been used to create this description. The position description has been reviewed for accuracy and reputed company believes it to correctly reflect the job opportunity.