Medicaid Eligibility Quality Control Manager

5 days ago


Auburn, Alabama, United States State of Kansas Full time
Job Summary

The State of Kansas is seeking a highly skilled and experienced Medicaid Eligibility Quality Control Manager to join our team. As a key member of our Medicaid program, you will be responsible for ensuring the accuracy and integrity of Medicaid eligibility determinations.

Key Responsibilities
  • Oversee the development and implementation of Medicaid eligibility quality control projects and internal state audits.
  • Develop and coordinate project protocols for audited agencies regarding the dissemination of project findings and corrective action completion.
  • Facilitate and attend internal and external agency meetings related to Medicaid and CHIP error reduction.
  • Develop and maintain positive working relationships with internal and external stakeholders.
  • Ensure compliance with state and federal regulations and guidelines.
Requirements
  • Three years of experience in planning, organizing, and directing the work of a department, program, or agency.
  • 5 years' work in Medicaid eligibility auditing may be substituted for the three years' experience planning, organizing, and directing the work of a department, program, or agency.
  • Bachelor's Degree in any area of study.
  • Word, Excel, PowerPoint, Access.
  • Proofreading, editing, attention to detail.
  • Ability to complete mathematical computations and payment analysis related to CHIP and Medicaid payment.
  • Ability to interpret and apply numerous state and federal regulations.
What We Offer

The State of Kansas offers a competitive salary and benefits package, including comprehensive medical, mental, dental, vision, and additional coverage, sick and vacation leave, work-life balance programs, paid state holidays, fitness centers in select locations, employee discounts, retirement and deferred compensation programs, and more.



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