Medicaid Specialist

Job DescriptionJob DescriptionJob Summary:

We are seeking a detail-oriented and knowledgeable Medicaid Specialist/Paralegal to support our legal and compliance team in managing Medicaid-related matters for our clients. The ideal candidate will assist with Medicaid eligibility, documentation, and compliance issues, while providing legal support for Medicaid-related cases. This position requires an in-depth understanding of Medicaid regulations, legal processes, and the ability to effectively manage complex cases.

Key Responsibilities:

• Medicaid Eligibility Support:
  • Assist clients in understanding and applying for Medicaid benefits, ensuring proper documentation and adherence to state and federal guidelines.
  • Review and analyze Medicaid applications to determine eligibility and potential issues that may impact approval.
  • Research Medicaid policies, regulations, and procedures to provide accurate and timely advice to clients and legal teams.
• Case Management and Documentation:
  • Organize and maintain case files, records, and Medicaid-related documents, ensuring accuracy and compliance with legal standards.
  • Draft correspondence, legal documents, and other materials required for Medicaid appeals, hearings, and other proceedings.
  • Coordinate and follow up on the submission of Medicaid applications, renewals, and appeals.
• Legal Support:
  • Assist attorneys with Medicaid-related litigation, including preparation for hearings, discovery, and client representation.
  • Help prepare legal briefs, memoranda, and other documents related to Medicaid law and policy.
  • Review and summarize case law, statutes, and regulations to support legal strategies and arguments.
• Client Communication:
  • Communicate with clients regarding the status of their Medicaid applications, eligibility determination, and any issues or delays.
  • Educate clients about Medicaid benefits, rights, and the appeal process as necessary.
• Compliance Monitoring:
  • Ensure all Medicaid-related activities comply with relevant local, state, and federal laws.
  • Assist in audits, quality assurance checks, and any internal or external reviews of Medicaid-related processes.
• Administrative Support:
  • Manage case deadlines and ensure timely submission of Medicaid documents and filings.
  • Assist in maintaining accurate records of client interactions and case progress.

Qualifications:

• Education and Experience:
  • Previous experience working with Medicaid, healthcare law, or in a legal/administrative setting is highly desirable.
• Skills and Abilities:
  • Strong knowledge of Medicaid regulations, policies, and procedures.
  • Excellent written and verbal communication skills.
  • Detail-oriented with strong organizational and multitasking abilities.
  • Ability to conduct legal research and summarize findings effectively.
  • Proficient in Microsoft Office Suite (Word, Excel, Outlook) and legal management software.
  • Strong critical thinking and problem-solving skills.
• Certifications:
  • Paralegal certification (e.g., NALA, NFPA) is preferred but not required.

Work Environment:

Onsite

Equal Opportunity Employer:

Equal Opportunity Employer and does not discriminate based on race, religion, color, gender, sexual orientation, gender identity, national origin, disability, or veteran status.

This job description provides a general overview of the responsibilities and qualifications required for the Medicaid Specialist/Paralegal role. It may be adjusted based on the needs of the company or organization.

Please reach out for additional info. Please add me on Linked in.

---No Third Parties---

Michael Sardella| Liberty Personnel Services, Inc.

410 Feheley Drive | King of Prussia, PA 19406

www.libertyjobs.com

#LI-MS1

Company DescriptionEstablished in 2003, Liberty Personnel quickly grew into one of the largest technical recruiting agencies on the East Coast. Today, Liberty Personnel has a national presence and a diverse client base. Listed below are a number of the industries and openings we work on:

Information Technology, Software Programmers, Engineering, Manufacturing, Plant Maintenance, Construction, Oil and Gas, Medical Communications, Accounting, Finance, Electronics, Scientific, Medical Device, Sales, Pharmaceutical, Admin, Automation, Controls, Civil, HVAC, Wastewater, Structural, Electrical, Chemists, Validations, Logistics, Food Production, Renewable Energy and MachinistsCompany DescriptionEstablished in 2003, Liberty Personnel quickly grew into one of the largest technical recruiting agencies on the East Coast. Today, Liberty Personnel has a national presence and a diverse client base. Listed below are a number of the industries and openings we work on:\r
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Information Technology, Software Programmers, Engineering, Manufacturing, Plant Maintenance, Construction, Oil and Gas, Medical Communications, Accounting, Finance, Electronics, Scientific, Medical Device, Sales, Pharmaceutical, Admin, Automation, Controls, Civil, HVAC, Wastewater, Structural, Electrical, Chemists, Validations, Logistics, Food Production, Renewable Energy and Machinists

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