Req#: 7851Employer Industry: Medicaid Program
Why consider this job opportunity:
- Opportunity for career advancement and growth within the organization
- Competitive pay and benefits package
- Remote work flexibility
- Chance to contribute to the accuracy and efficiency of Medicaid program eligibility policies
- Collaborative and supportive work environment
What to Expect (Job Responsibilities):
- Collaborate with Project Director and Eligibility Manager to align policy efforts with project goals
- Provide technical assistance to state staff and eligibility reviewers
- Identify and address eligibility policy issues
- Conduct thorough policy research, analysis, and recommendations
- Uphold high standards of customer service
What is Required (Qualifications):
- Ability to interpret Medicaid, CHIP, and state eligibility regulations
- Minimum 3 years of experience in Medicaid/CHIP eligibility reviews
- Minimum 5 years of related experience
- Bachelor's degree or equivalent
- Experience conducting quality assurance activities related to Medicaid and CHIP eligibility case reviews
How to Stand Out (Preferred Qualifications):
- Familiarity with CMS directives and regulations related to eligibility policies
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