Medicare-Medicaid Integration Specialist
4 weeks ago
Job Summary
The Department of Medical Assistance Services (DMAS) is seeking a highly skilled and experienced professional to serve as a Medicare-Medicaid Integration Specialist. This position will provide operational oversight of Medicare-Medicaid integration activities for programs that enroll our dual eligible population.
Key Responsibilities
- Monitor, review, and analyze the activities of our contracted managed care entities to ensure they are operating within the guidelines prescribed by the Department.
- Work closely with Integrated Care Contract Monitoring, Data, Systems and Encounters and Policy Unit staff, as well as staff across the Department, to create and implement operational oversight and monitoring plans.
- Provide reports to management and technical expertise to stakeholders as needed.
- May require limited travel for meetings, conferences, and/or trainings.
Requirements
- Experience with Medicaid and/or Medicare Managed Care programs to include contract management and compliance of contracts.
- Knowledge of legislative practices, research, and evaluative techniques.
- Experience analyzing issues and data and applying solutions.
- Experience in contract management/oversight.
- Experience with Microsoft Office Suite.
- Experience analyzing, interpreting, and applying state and/or federal regulations and laws.
- Experience demonstrating organizational skills and meeting deadlines.
- Experience communicating and collaborating with diverse internal and external stakeholders.
About the Department
The Department of Medical Assistance Services (DMAS) is working to improve the health and well-being of Virginians through access to high-quality healthcare coverage. We are committed to providing exceptional service and promoting a culture of collaboration, trust, problem-solving, and adaptability.
What We Offer
- A competitive salary and benefits package.
- The opportunity to work with a talented and dedicated team.
- The chance to make a meaningful difference in the lives of Virginians.
How to Apply
To be considered for this opportunity, please submit your application and/or resume through our website. We are an equal opportunity employer and encourage individuals with disabilities to apply through the Commonwealth's Alternative Hiring Process.
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