Medicaid Specialist

Job Description

We are looking for a highly experienced Medicaid Specialist to join our team. The successful candidate will be responsible for managing all aspects of Medicaid services and ensuring compliance with government regulations. You will play a key role in monitoring Medicaid trends, and collaborating with healthcare professionals to provide coordinated care.

Responsibilities

• Develop and implement policies to ensure compliance with Medicaid regulations.
• Conduct regular audits of Medicaid claims and eligibility.
• Collaborate with the Medicaid Claims Administrators to resolve claims processing issues.
• Provide education and training to staff on Medicaid practices.
• Work with the Medicaid Program Coordinators to ensure compliance across programs.
• Stay informed about changes in Medicaid regulations and educate staff accordingly.

Requirements

Education

• Bachelor's degree in healthcare administration or related field
• Advanced degree preferred

Experience

• 3-5 years of experience in Medicaid compliance

Technical Skills

• Medicaid Management Information Systems (MMIS)
• Electronic Health Record Systems

Soft Skills

• Attention to detail
• Problem-solving

Certifications

• Healthcare Compliance Certification
• Certified Medicaid Specialist

Languages

• English: Fluent

Advantageous

• Experience with Medicaid audits and compliance: Hands-on experience in managing audits and ensuring regulatory compliance.

Benefits

• Comprehensive health insurance
• Generous paid leave policies
• Flexible work arrangements
• Support for continuing education and certifications

Company Culture

• Diversity and Inclusion: We embrace diversity and aim to create an inclusive environment where everyone feels valued.
• Innovation: We encourage innovative thinking and new ideas to improve our services.
• Employee Well-being: We prioritize employee well-being and provide support for mental health and wellness.