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Medicaid Policy Expert
3 weeks ago
At pro it, we believe in providing innovative solutions to improve the lives of millions. As a leading provider of case management services, we strive to make a difference in the communities we serve.
Job Description
We are seeking a highly knowledgeable and experienced professional to join our team as a Medicaid Subject Matter Expert. This role requires a deep understanding of Medicaid regulations, policies, and operational processes, as well as a strong understanding of case management practices.
Responsibilities:
- Provide expert guidance and insights on Medicaid policies, regulations, and best practices to inform the design and implementation of case management solutions.
- Collaborate with product development teams to ensure that the case management solution meets the specific needs and requirements of Medicaid programs.
- Identify opportunities to enhance the efficiency and effectiveness of case management processes within Medicaid programs.
- Work closely with internal and external stakeholders, including healthcare providers, government agencies, and other relevant organizations, to ensure alignment and compliance with Medicaid standards.
- Develop and deliver training programs for internal teams and end-users to ensure proper understanding and utilization of the case management solution.
- Stay current with changes in Medicaid regulations and ensure that the case management solution remains compliant with all relevant laws and guidelines.
- Create and maintain comprehensive documentation on Medicaid requirements, processes, and best practices as they relate to case management.
Requirements:
- Education: Bachelor's degree in Healthcare Administration, Public Health, Social Work, or a related field. Master's degree preferred.
- Experience: Minimum of 5 years of experience working with Medicaid programs, including in-depth knowledge of Medicaid policies, regulations, and case management practices.
- Expertise: Strong understanding of Medicaid case management processes, including eligibility, enrollment, care coordination, and utilization management.
- Skills:o Excellent analytical and problem-solving skills.o Strong communication and interpersonal abilities.o Ability to work collaboratively with cross-functional teams.o Proficiency in using case management software and tools.
- Certifications: Relevant certifications in Medicaid, healthcare management, or case management are a plus.
Salary Range: $90,000 - $110,000 per year
Location: Remote
