Description

You provide subject matter expertise for Medicaid policy implementation and cross-departmental communication.

This role is remote.

Responsibilities

• Act as the primary liaison between the Division of Medical Programs, Department of Innovation and Technology, and Medicaid Enterprise Vendors.
• Report on functional workflows, business processes, and information flow during project status meetings.
• Advise on process improvements and mentor staff in Claims Processing, Provider Management, and Member Management.
• Participate in requirements analysis, quality assurance testing, and documenting state program vulnerabilities.
• Communicate technical and business requirements via written, verbal, and pictorial formats, including data flow diagrams.

Required Skills

• 5+ years of experience in Medicaid program administration, pharmacy, or health insurance systems.
• Proven experience managing or leading multi-vendor projects or teams.
• Experience working directly with senior management or key project stakeholders.
• Demonstrated ability to produce professional business documentation.
• Knowledge of Medicaid policies, regulations, and state government functions.
• Expertise in Claims Processing, Pharmacy Programs, Financial Management, or Managed Care.
• Proficiency with Microsoft Office tools including Word, Excel, and PowerPoint.
• Strong proficiency in written and spoken English.

Preferred Skills

• Bachelor’s Degree in Business Administration, Public Administration, or equivalent workplace experience.

Key Skills

Education

Any Graduate