Benefits Consultant II

4 days ago


Linthicum Heights, Maryland, United States US Tech Solutions Full time

Job Summary:

We are seeking a skilled Benefits Consultant II to join our team at US Tech Solutions. As a key member of our staff, you will be responsible for ensuring compliance with Medicaid enrollment regulations and related Maryland HealthChoice program policies and procedures.

Key Responsibilities:

  • Understand and assure compliance to and adherence with Medicaid enrollment regulations, and related Maryland HealthChoice program policies and procedures related to Maryland HealthChoice member eligibility redetermination and renewals policies.
  • Notify members, in accordance with Policies & Procedures (which reflect Maryland Medicaid HealthChoice and Maryland COMAR regulations) of their loss of eligibility.
  • Ensure copies of notices and documentation are filed in Members' electronic records.

Responsibilities:

  • Cultivate and maintain collaborative relationships with primary care site partners, FQHC and community-based outreach/enrollment organizations to engage their assistance in working with members to maintain their Maryland Medicaid eligibility and correct information.
  • Coordinate with Primary Care Sites when working with members on loss of Maryland Medicaid eligibility.
  • Thoroughly log all member-related interactions into Salesforce for the purpose of accurate tracking and analysis.
  • Develop a process for effectively identifying members with issues and communicating resolution of the issue.
  • Complete a Weekly Status Report for Supervisor and ABHMD Managers.
  • Offer recommendations for improvements in ABHMD practices to enhance service delivery and member satisfaction.
  • Participate in ABHMD-sponsored meetings and events.
  • Represent ABHMD in the community, when requested, and provide other duties as assigned.

Requirements:

  • Associate's Degree or equivalent experience.
  • Minimum Years' Experience Required 3-5 years.
  • BA/BS Degree preferred.
  • 3+ years of healthcare experience.
  • 2+ years' experience specifically with Medicaid/Medicare program operations.
  • 1+ years' experience with Medicaid policy, financing, program operations, business requirement development, or systems.
  • Experience working with Medicaid eligibility requirements, as well as enrollment, renewal, and redetermination-related regulations and process.

About US Tech Solutions:

US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions. To know more about US Tech Solutions, please visit our website.

US Tech Solutions is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.



  • Linthicum Heights, Maryland, United States US Tech Solutions Full time

    Job Summary:As a Benefits Consultant II at US Tech Solutions, you will play a critical role in ensuring compliance with Medicaid enrollment regulations and related Maryland HealthChoice program policies and procedures. Your primary responsibility will be to understand and assure adherence to these regulations, as well as notify members of their loss of...


  • Linthicum Heights, Maryland, United States US Tech Solutions Full time

    Job Summary:As a Benefits Consultant II at US Tech Solutions, you will play a crucial role in ensuring compliance with Medicaid enrollment regulations and related Maryland HealthChoice program policies and procedures. Your primary responsibility will be to assure adherence to and understanding of these regulations, ensuring that members are notified of their...

  • Teller II Position

    4 weeks ago


    Linthicum Heights, Maryland, United States Northrop Grumman Federal Credi Full time

    Job SummaryWe are seeking a highly motivated and customer-focused Teller II to join our team at Northrop Grumman Federal Credit Union. As a Teller II, you will be responsible for providing exceptional member service, promoting credit union products and services, and performing various financial transactions.Key ResponsibilitiesProvide excellent member...


  • Linthicum Heights, Maryland, United States COMSO Full time

    Job Title: Database Engineer IIJob Summary:COMSO, Inc. is seeking a skilled Database Engineer II to join our team. As part of the Secure the Enterprise initiative, the successful candidate will develop capabilities to shift from the current manual system security evaluation and authorization process to a new model that emphasizes automation, streamlined...


  • Linthicum Heights, Maryland, United States CommuniCare Family of Companies Full time

    Join Our Team as a Clinical Consultant PharmacistWe are seeking an experienced Clinical Consultant Pharmacist to join our interdisciplinary team at CommuniCare Family of Companies. As a Clinical Consultant Pharmacist, you will play a vital role in providing comprehensive medication management services to our residents.About the RoleThe Clinical Consultant...


  • Linthicum Heights, Maryland, United States University of Maryland Medical System Full time

    Job Title: Financial Applications Administrator IIAt the University of Maryland Medical System, we are seeking a highly skilled Financial Applications Administrator II to join our team. As a key member of our financial operations team, you will be responsible for ensuring the accuracy and integrity of our financial data and systems.Key...


  • Linthicum Heights, Maryland, United States TEKsystems Full time

    Job DescriptionAs a key member of our team, the Engagement Manager II will play a critical role in delivering exceptional customer experiences and driving business growth. This role requires a unique blend of project management, account management, and customer relationship skills.Key Responsibilities:Manage multiple projects simultaneously, ensuring timely...

  • Engagement Manager II

    3 weeks ago


    Linthicum Heights, Maryland, United States TEKsystems Full time

    Job DescriptionWe are seeking a highly skilled Engagement Manager II to join our team at TEKsystems. As a key member of our delivery organization, you will be responsible for managing multiple projects and engagements simultaneously, ensuring timely delivery, and exceeding customer expectations.Key Responsibilities:Manage project scope, risk, and budget to...

  • Engagement Manager II

    1 month ago


    Linthicum Heights, Maryland, United States TEKsystems Full time

    Job DescriptionWe are seeking a highly skilled Engagement Manager II to join our team at TEKsystems. As a key member of our delivery organization, you will be responsible for managing multiple projects and engagements simultaneously, ensuring timely delivery, and exceeding customer expectations.Key Responsibilities:Manage project scope, risk, and budget to...


  • Linthicum Heights, Maryland, United States University of Maryland Medical System Full time

    Job SummaryWe are seeking a highly skilled Health Information Specialist II to join our team at the University of Maryland Medical System. This role will be responsible for processing requests for Protected Health Information (PHI) and providing front-line customer service to attorneys, insurance companies, clinicians, patients, and funeral homes.Key...


  • Linthicum Heights, Maryland, United States ASRC Industrial Services (AIS) Full time

    We are seeking an experienced Project Engineer II to join our team at ASRC Industrial Services (AIS). This role will be based out of Linthicum Heights, MD, and will involve overseeing the hands-on aspects and tangible outcomes of projects related to the industrial painting and coating industry.The successful candidate will be responsible for assisting the...


  • Linthicum Heights, Maryland, United States University of Maryland Medical System Full time

    Job SummaryWe are seeking a skilled Coding Specialist II Multi Specialty to join our team at the University of Maryland Medical System. As a key member of our revenue cycle team, you will play a critical role in ensuring accurate and timely coding of medical records.Key ResponsibilitiesDecipher operative reports and physician documentation to select codes...


  • Linthicum Heights, Maryland, United States ASRC Industrial Services (AIS) Full time

    About the JobWe are seeking an experienced Project Engineer II to join our industrial painting division. This role will be based out of Linthicum Heights, MD, and will involve overseeing the hands-on aspects and tangible outcomes of projects related to the industrial painting and coating industry.ResponsibilitiesAssist the Project Manager in achieving...


  • Linthicum Heights, Maryland, United States ASRC Industrial Services (AIS) Full time

    About the JobWe are seeking an experienced Project Engineer II to join our industrial painting division. As a key member of our team, you will be responsible for overseeing the hands-on aspects and tangible outcomes of projects related to the industrial painting and coating industry.This is an exciting opportunity to work with a diverse team and make an...


  • Linthicum Heights, Maryland, United States ASRC Industrial Services (AIS) Full time

    About the JobWe are seeking an experienced Project Engineer II to join our industrial painting division. As a key member of our team, you will be responsible for overseeing the hands-on aspects and tangible outcomes of projects related to the industrial painting and coating industry.This is an exciting opportunity to work with a diverse team and make an...


  • Linthicum, Maryland, United States NTT DATA Full time

    Job Title: Medicaid Benefits Eligibility SpecialistNTT DATA Services is seeking a skilled Medicaid Benefits Eligibility Specialist to join our team for a temporary assignment. The ideal candidate will have a strong understanding of Medicaid enrollment regulations and related policies and procedures.Key Responsibilities:Notify members of their loss of...

  • Laborer II Position

    2 weeks ago


    District Heights, Maryland, United States Government Jobs Full time

    Government Jobs is seeking a qualified Laborer II to join its team in Prince George's County, Maryland. The ideal candidate will have a strong work ethic and be able to perform a variety of tasks related to public works and transportation. The Laborer II will be responsible for assisting with construction projects, maintaining equipment, and performing other...


  • Linthicum Heights, Maryland, United States Northrop Grumman Full time

    Job Title: Senior Lead Linux Systems AdministratorWe are seeking a highly skilled Senior Lead Linux Systems Administrator to join our team at Northrop Grumman. As a key member of our technical staff, you will be responsible for designing, implementing, and maintaining classified Windows domains, as well as providing technical leadership and expertise to our...

  • Nurse Practitioner

    2 weeks ago


    Linthicum Heights, Maryland, United States LifeBridge Health Full time

    Registered Nurse (RN) - ICU Step DownLifeBridge Health is seeking a Registered Nurse (RN) to join our team in the ICU Step Down unit at Levindale Hebrew Geriatric Center and Hospital. As a Registered Nurse, you will provide high-quality patient care and work collaboratively with our interdisciplinary team to ensure the best possible outcomes for our...


  • Linthicum Heights, Maryland, United States ENTRUST Solutions Group Full time

    Are you looking to be part of a dynamic engineering consulting firm with a strong gas utility team that supports clients in over 35 different industries? ENTRUST Solutions Group has embraced growing markets such as renewables, power engineering services, EV infrastructure, data analytics, and geospatial with cutting-edge engineering, consulting, and...