Employer Industry: Healthcare Services

Why consider this job opportunity:
- Opportunity for career advancement and growth within the organization
- Flexible remote work environment
- Contribute to the accuracy and efficiency of Medicaid and CHIP eligibility policies
- Supportive and collaborative team dynamics
- High standard of customer service and professional development

What to Expect (Job Responsibilities):
- Collaborate with the Project Director and Eligibility Manager to align policy efforts with project goals
- Provide technical assistance to state staff and eligibility reviewers for consistent policy application
- Conduct thorough policy research, analysis, and recommendations independently
- Address inquiries promptly to uphold a high standard of customer service
- Ensure adherence to departmental policies, procedures, and CMS directives

What is Required (Qualifications):
- Minimum of three (3) years of experience conducting Medicaid/CHIP eligibility reviews
- Minimum of five (5) years of related experience
- Bachelor's degree or equivalent
- Experience conducting quality assurance activities related to Medicaid and CHIP eligibility case reviews
- Strong organizational skills and meticulous attention to detail

How to Stand Out (Preferred Qualifications):
- Familiarity with CMS directives and regulations related to eligibility policies

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