Description

You will provide subject matter expertise and implementation guidance for Medicaid policy and program administration.

This role is remote.

Responsibilities

• Act as the primary communication link between the Division of Medical Programs, the Department of Innovation and Technology, and Medicaid Enterprise Vendors.
• Advise on process improvements and mentor staff regarding administration, claims processing, and provider management.
• Participate in requirements analysis, quality assurance testing, and documentation of state program vulnerabilities.
• Communicate technical and business requirements through written, verbal, and pictorial formats such as data flow diagrams.
• Attend project status meetings to report on functional workflow, business processes, and information flow.

Required Skills

• 5+ years of experience in Medicaid program administration or working with Pharmacy and Health Insurance Systems.
• Direct experience working on Medicaid or major healthcare payer projects.
• Proven experience managing or leading multi-vendor projects or teams.
• Knowledge of Medicaid subject areas including Claims Processing, Provider Management, Member Management, and Pharmacy Programs.
• Ability to produce professional business documentation and data flow diagrams.
• Proficiency in Microsoft Office tools including Word, Excel, and PowerPoint.
• Understanding of state government functions and public administration principles.
• Proficiency in written and spoken English.

Key Skills

Education

Any Graduate