Medicaid Regulatory Analyst
This position is 3 days onsite and 2 days remote BASIC FUNCTION:
This position is responsible for monitoring Medicaid/Medicare and related regulations and policy changes impacting clinical operations; participating in audits; supporting tracking and submission of Medicaid State Contract(s) related deliverables, including fulfillment of internal and contractual reporting requirements; working with other areas of the organization on the development, testing and implementation of organization, process and system changes to ensure the requirements of the Medicaid program are met; and assisting MMP in coordination of the contract with the State/CMS enterprise-wide.
JOB REQUIREMENTS:
Bachelor Degree in Business OR 2 years experience with health insurance.
1 year of experience with health insurance benefits and/or operations.
Knowledge of Medicaid and Medicare product(s).
Verbal and written communication skills.
Experience presenting trends and findings in meetings with management.
Experience organizing multiple tasks and responsibilities.
Experience analyzing data reports.
Experience developing and running queries in a database.
PC proficiency to include Microsoft Word, Excel, PowerPoint, and Outlook.
PREFERRED JOB REQUIREMENTS:
Experience with Long Term Care (LTSS) and Agency Based Community Benefit (ABCB) providers.
Knowledge of health benefits.
Knowledge of Health Plan Clinical Operations.
Recommended Skills Auditing Clinical Works Communication Content Management Databases Long Term Care Estimated Salary: $20 to $28 per hour based on qualifications.
This position is responsible for monitoring Medicaid/Medicare and related regulations and policy changes impacting clinical operations; participating in audits; supporting tracking and submission of Medicaid State Contract(s) related deliverables, including fulfillment of internal and contractual reporting requirements; working with other areas of the organization on the development, testing and implementation of organization, process and system changes to ensure the requirements of the Medicaid program are met; and assisting MMP in coordination of the contract with the State/CMS enterprise-wide.
JOB REQUIREMENTS:
Bachelor Degree in Business OR 2 years experience with health insurance.
1 year of experience with health insurance benefits and/or operations.
Knowledge of Medicaid and Medicare product(s).
Verbal and written communication skills.
Experience presenting trends and findings in meetings with management.
Experience organizing multiple tasks and responsibilities.
Experience analyzing data reports.
Experience developing and running queries in a database.
PC proficiency to include Microsoft Word, Excel, PowerPoint, and Outlook.
PREFERRED JOB REQUIREMENTS:
Experience with Long Term Care (LTSS) and Agency Based Community Benefit (ABCB) providers.
Knowledge of health benefits.
Knowledge of Health Plan Clinical Operations.
Recommended Skills Auditing Clinical Works Communication Content Management Databases Long Term Care Estimated Salary: $20 to $28 per hour based on qualifications.
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