Description

You will provide subject matter expertise and policy implementation guidance to support Medicaid program administration and vendor coordination.

Responsibilities

• Act as the primary communication point between the Division of Medical Programs, the Department of Innovation and Technology, and Medicaid Enterprise Vendors.
• Attend project status meetings to report on functional workflows, business processes, and information flow.
• 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 through written, verbal, and pictorial formats such as data flow diagrams.

Required Skills

• 3+ years of experience in Medicaid program administration or with Medicaid, Pharmacy, or Health Insurance systems.
• Experience working on Medicaid or major healthcare payer projects.
• Proven track record managing or leading multi-vendor projects or teams.
• Experience collaborating with senior management and key project stakeholders.
• Ability to produce professional business documentation.
• Knowledge of public and business administration principles and state government functions.
• Proficiency in Microsoft Office tools: Word, Excel, and PowerPoint.
• Strong proficiency in written and spoken English.

Preferred Skills

• Subject matter expertise in Pharmacy Programs, Drug Rebate Programs, or Financial Management.
• Experience with Managed Care, Long Term Care, or Waiver Program Management.

Key Skills

Education

Any Graduate