Penny Probst
Harrisburg,PA
Summary
Dynamic senior consultant with over 20 years of experience supporting state Medicaid and public sector programs, specializing in CMS certification, regulatory compliance, and project coordination. Proven expertise in managing certification evidence, intake forms, outcomes, and metrics, as well as facilitating cross-functional workflows to ensure successful Operational Readiness Reviews (ORR) and Certification Reviews (CR). Recognized for the ability to translate complex regulatory requirements into clear, actionable deliverables and executive-ready communications that drive organizational success. A strategic thinker committed to enhancing program effectiveness through meticulous oversight and innovative solutions.
Overview
21
21
years of professional experience
Work History
Senior Consultant
Ernst & Young (EY)
02.2022 - Current
- Supported CMS Medicaid certification efforts, including ORR and CR preparation, evidence coordination, and stakeholder alignment
- Managed certification intake forms, outcomes, metrics, and supporting documentation in compliance with federal and state requirements
- Coordinated cross-functional teams including state agencies, vendors, SMEs, and CMS representatives
- Developed executive-ready certification decks, agendas, status reports, and compliance deliverables
- Monitored project milestones, surfaced risks and dependencies, and ensured adherence to certification timelines
- Supported MITA Roadmap activities, SS-A workshops, and IV&V-related compliance reviews
- Additional EY Engagements
- Risk & Controls (HUD): Created communications, training materials, and executive presentations
- Project Management Analyst: Supported UAT planning, deliverable quality reviews, and project governance
- IV&V Specialist: Conducted SDLC oversight, compliance assessments, and project health evaluations
EDI Project Manager (Contract)
TEKsystems
Commonwealth of Pennsylvania
11.2021 - 01.2022
- Represented the Bureau of Claims Data Management during MMIS upgrades
- Coordinated vendor testing and monitored contract and compliance adherence
IV&V Business Consultant (Contract)
TreCom Systems Group
Commonwealth of Pennsylvania
09.2018 - 10.2021
- Performed IV&V assessments and compliance validation for MMIS replacement
- Supported CMS certification activities and MITA Roadmap updates
Senior Compliance Analyst
Highmark / HM Health Solutions
06.2005 - 09.2018
- Provided EDI and HIPAA X12 compliance expertise
- Developed and maintained EDI maps and reusable compliance solutions
- Advised business and IT teams on regulatory requirements
Education
Bachelor of Science - Business Administration
Lycoming College
Williamsport, PASkills
- CMS Medicaid Certification (ORR & CR)
- Conditions for Enhanced Funding (CEF)
- Certification Evidence & Intake Forms
- Compliance & Regulatory Validation
- Project & Program Coordination
- Outcomes & Metrics Development
- MITA Roadmap & SS-A Support
- IV&V & SDLC Oversight
- Stakeholder & Executive Communications
- Risk, Issue, and Dependency Tracking
- Tools: Microsoft Teams, SharePoint, PowerPoint, Excel, Word
Timeline
Senior Consultant
Ernst & Young (EY)
02.2022 - Current
EDI Project Manager (Contract)
TEKsystems
11.2021 - 01.2022
IV&V Business Consultant (Contract)
TreCom Systems Group
09.2018 - 10.2021
Senior Compliance Analyst
Highmark / HM Health Solutions
06.2005 - 09.2018
Bachelor of Science - Business Administration
Lycoming College
SELECTED IMPACT HIGHLIGHTS
- Coordinated CMS certification readiness across multi-vendor Medicaid programs, ensuring timely and complete submission of certification artifacts
- Managed certification evidence and intake documentation aligned to all applicable CEF requirements
- Developed certification decks, agendas, outcomes/metrics, and leadership-level briefing materials for CMS and state stakeholders
- Supported MITA Roadmap updates and compliance validation activities for large-scale Medicaid systems