Medicare-Medicaid Integration Specialist
1 week ago
The Department of Medical Assistance Services (DMAS) is seeking a highly skilled Medicare-Medicaid Integration Specialist to join our team. As a key member of our Integrated Care Division, you will play a critical role in providing exceptional delivery of services to our agency.
Key Responsibilities- Provide operational oversight of Medicare-Medicaid integration activities, ensuring compliance with guidelines and regulations.
- Monitor, review, and analyze the activities of contracted managed care entities to ensure they are operating within prescribed guidelines.
- Collaborate with Integrated Care Contract Monitoring, Data, Systems and Encounters and Policy Unit staff to create and implement operational oversight and monitoring plans.
- Develop and provide reports to management, as well as provide technical expertise to stakeholders as needed.
- Participate in meetings, conferences, and trainings, with occasional travel required.
- Experience with Medicaid and/or Medicare Managed Care programs, including contract management and compliance.
- Knowledge of legislative practices, research, and evaluative techniques.
- Ability to analyze issues and data, applying solutions to drive results.
- Experience in contract management/oversight, with proficiency in Microsoft Office Suite.
- Strong organizational skills, with ability to meet deadlines and communicate effectively with diverse stakeholders.
The Department of Medical Assistance Services (DMAS) is committed to improving the health and well-being of Virginians through access to high-quality healthcare coverage. We value service, collaboration, trust, problem-solving, and adaptability, and we encourage talented individuals to join our team.
As a member of our team, you will have the opportunity to work in a dynamic and supportive environment, with a focus on delivering exceptional results. If you are a motivated and detail-oriented professional with a passion for healthcare, we encourage you to apply for this exciting opportunity.
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