Date Posted: 01/21/2026
Hiring Organization: Rose International
Position Number: 495936
Industry: Government
Job Title: HCBS Subject Matter Expert Lead
Job Location: Jefferson City, MO, USA, 65109
Work Model: Onsite
Shift: 8am to 5pm
Employment Type: Temporary
FT/PT: Full-Time
Estimated Duration (In months): 13
Min Hourly Rate($): 70.00
Max Hourly Rate($): 80.00
Must Have Skills/Attributes: CMS, Medicaid, MMIS, SME, UAT
Experience Desired: Proven background in business analysis for Medicaid or human services systems. (5 yrs); Extensive experience with 1915(c) HCBS waiver programs and Medicaid-funded services. (5 yrs)
Required Minimum Education: Bachelor’s Degree
**C2C is not available**
Job Description
Qualifications
• Extensive experience with 1915(c) HCBS waiver programs and Medicaid-funded services.
• Proven background in business analysis for Medicaid or human services systems.
• Strong understanding of person-centered planning, quality management, and waiver compliance.
• Experience working with state agencies and multi-provider environments.
Role Summary
The HCBS Subject Matter Expert (SME) Lead / Lead Business Analyst provides deep functional expertise in HCBS waiver programs and leads business analysis activities to ensure the ConneXion system accurately supports Missouri’s HCBS policies, workflows, and person-centered service delivery requirements.
Key Responsibilities
• Serve as the primary HCBS functional expert for the project, advising on waiver operations and compliance.
• Lead business process analysis and validation for intake, assessment, PCSP development, service authorization, utilization review, and quality assurance.
• Translate HCBS program requirements into system configuration and functional specifications.
• Collaborate with Client stakeholders to ensure alignment with current and evolving waiver policies.
• Support CMS certification, training development, and operational readiness activities.
• Validate system workflows against CMS waiver assurances and person-centered planning standards.
• Assist in requirements traceability and user acceptance testing (UAT). - **Only those lawfully authorized to work in the designated country associated with the position will be considered.**
- **Please note that all Position start dates and duration are estimates and may be reduced or lengthened based upon a client’s business needs and requirements.**
Benefits:
For information and details on employment benefits offered with this position, please visit here. Should you have any questions/concerns, please contact our HR Department via our secure website.
California Pay Equity:
For information and details on pay equity laws in California, please visit the State of California Department of Industrial Relations' website here.
Rose International is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender (expression or identity), national origin, arrest and conviction records, disability, veteran status or any other characteristic protected by law. Positions located in San Francisco and Los Angeles, California will be administered in accordance with their respective Fair Chance Ordinances.
If you need assistance in completing this application, or during any phase of the application, interview, hiring, or employment process, whether due to a disability or otherwise, please contact our HR Department.
Rose International has an official agreement (ID #132522), effective June 30, 2008, with the U.S. Department of Homeland Security, U.S. Citizenship and Immigration Services, Employment Verification Program (E-Verify). (Posting required by OCGA 13/10-91.).
Rose International has been great to me. I thank everyone there for all of their hard work; it has not gone unnoticed.
Melody, Consultant
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Sioe, Consultant
Each time I contacted Rose, I was completely satisfied with the great attention and customer service I received. Each person was extremely knowledgeable and patient with my concerns or questions.
Diana, Consultant
My on-boarding with Rose was outstanding. The packets of information, the process, and great attention to detail each person gave me allowed me to get started quickly.I appreciated each person's friendly and helpful attitude.
Diana, Consultant
I am very happy with the Rose International, and the professionalism of the employees.
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