Medicaid Enrollment Specialist
3 weeks ago
We are seeking a highly skilled Medicaid Enrollment Coordinator to join our team at Maxor National Pharmacy Services, LLC. As a key member of our Legal department, you will be responsible for performing a wide range of specialized operational functions related to state fee-for-service Medicaid enrollment, revalidation, and Medicaid contract maintenance.
Key Responsibilities- Serve as the primary subject matter expert for state fee-for-service Medicaid enrollment, revalidation, and Medicaid contract maintenance.
- Prepare and submit timely Medicaid enrollment applications with minimal oversight.
- Obtain, verify, and maintain complete and accurate demographic information and required Medicaid enrollment documentation.
- Ensure ongoing compliance with Medicaid enrollment requirements, including revalidations, EFT/ERA enrollments, officer updates, and license updates.
- Monitor changes in Medicaid rules and processes.
- Develop and maintain meaningful relationships with internal stakeholders, as well as state and federal regulators.
- Bachelor's degree or equivalent industry experience with demonstrated ability required.
- 3-5 years experience with enrolling health care providers in state fee-for-service Medicaid programs, managing Medicaid revalidations, and maintaining compliance with Medicaid enrollment requirements.
- 1 - 3 years experience in the healthcare or other highly regulated industry.
- Intermediate knowledge of Microsoft Office and Adobe.
- Experience interfacing with internal clients, customers, and operations personnel.
- Experience managing multiple projects effectively and timely.
- Strong organizational and time management skills.
At Maxor, we foster a diverse and progressive culture that promotes a work-from-home model and a 'dress-for-your-day' approach to work attire. Our team-oriented environment encourages collaboration and innovation. We offer highly competitive compensation and comprehensive health benefits, including:
- Comprehensive mental health and wellbeing resources.
- Nationwide Blue Cross Blue Shield PPO with employee-friendly plan design, including a $850 individual annual medical deductible and $25 office visit copays, with low biweekly premiums.
- Company-paid basic life/AD&D, short-term and long-term disability insurance.
- Rx, dental, vision, other voluntary benefits, and FSA.
- Employer-matched 401k Plan.
- Industry-leading PTO plan.
We are an Equal Opportunity Employer, including disability/vets. Apply today at [url removed].
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