The Ohio Department of Medicaid (ODM) is committed to improving the health of Ohioans and strengthening communities and families through quality care. In 2020, ODM introduced a new vision for Ohio’s Medicaid program — one that strengthens Ohio’s future and ensures everyone has the chance to live life to its full potential.


Today, more than 90 percent of Ohio Medicaid members are supported by managed care organizations. During the year ahead, ODM will begin implementing a new vision for care; focusing on the individual, a strong partnership among MCOs and the department, and supporting specialization in addressing critical needs.


A program that puts the individual first


They Are


Adopting Governor DeWine’s philosophy of service to Ohioans, ODM embarked on an aggressive effort to redesign its managed care program. The goal is to provide more personal, holistic care and supports for millions of Ohioans served by Medicaid. Listening to feedback from more than 1,100 individuals and organizations we identified five procurement goals that would put the individual front and center of Medicaid’s program and policy decisions.

• Emphasize a personalized care experience
• Improve care for children and adults with complex behavioral health needs
• Improve wellness and health outcomes
• Support providers in better patient care
• Increase program transparency and accountability

 
 

UNLESS REQUIRED BY LEGISLATION OR UNION CONTRACT, STARTING SALARY WILL BE SET AT STEP 1 OF THE PAY RANGE


Office: Communication


Classification: Public Information Officer 2 (PN 20098931)


Job Overview


ODM is seeking a Content Writer who will showcase the agency’s programs, policies, services, supports, and strategic initiatives during a time of re-invention. This position must embrace change and promote transparency to keep stakeholders informed on multiple ODM initiatives through engaging print and digital content. As ODM’s Content Writer, your responsibilities will include:

• planning and administering ODM’s overall public information program, specifically content writing
• developing content that accurately reflects ODM’s core values and priorities and targets specific audiences (e.g., employees, stakeholders, providers, legislators, strategic partners, the media, and the public at large)
• supporting a strong social media presence by assisting with the social media content plan and making strategy suggestions
• assisting and consulting with Communication’s leadership in development and/or coordination of communications
• collaborating with a communications and legislative team which includes a graphics designer, press secretary, legislative liaisons, and the Deputy Director of External Relations
• collaborating with subject matter experts, deputy directors, and area leads to identify story ideas and ensuring timely delivery of written/digital materials

 
 

The ideal candidate will have strong content writing experience and a proven ability to champion the agency’s mission and vision across a variety of audiences and situations.


Completion of undergraduate core program in journalism or communication; 12 mos. exp. in public multi-media techniques & relations in field of journalism or communication; valid driver’s license.


 

• Or 36 mos. exp. in field of journalism or communication dealing in public multi-media techniques & relations, public speaking, news writing, reporting & editing or technical report translation & communication dealing in public meetings; valid driver’s license.
• Or 12 mos. exp. as Public Information Officer 1, 64421; valid driver’s license.
• Or equivalent of Minimum Class Qualifications For Employment noted above.
  
  
   

Primary Location


United States of America-OHIO-Franklin County-Columbus


Work Locations


Lazarus 5


Organization


Ohio Department of Medicaid


Classified Indicator


Unclassified


Bargaining Unit / Exempt


Exempt


Schedule


Full-time


Work Hours


8:00AM – 5:00PM


Compensation


$29.75/hour


Unposting Date


May 17, 2021, 11:59:00 PM


Job Function


Communications


Job Level


Individual Contributor


Agency Contact Information


HumanResources@medicaid.ohio.gov

Clipped from: https://www.linkedin.com/jobs/view/content-writer-public-information-officer-2-at-ohio-department-of-medicaid-2515376997/?utm_campaign=google_jobs_apply&utm_source=google_jobs_apply&utm_medium=organic

 
 

 
 

 
 

Health Administration Medicare/Medicaid Operations Manager

Job Description

Accenture Consulting: Your Unique Place in our Global Collective

Being part of Accenture Consulting means becoming an expert at making the New happen Now. To us, the New is all about the wise pivot that turns constant disruption to continuous reinvention. We are an innovation led-company that works at the heart of our clients’ organizations so that no matter how complex the business challenge, we face the future with confidence.

If you love solving challenges and not just studying them, then Accenture Consulting is the right place for you. Join us to develop your ideas into provocative points of view and transformative insights that help shape industries. You’ll work with an amazing and diverse mix of world-class experts with access to one of the most robust portfolios of capabilities and ecosystem relationships in the industry. Together, you’ll do so much more than consult.

Coming here means future-proofing your career and going as far as your ambition takes you. Becoming a tech-savvy, well-rounded, multi-disciplined and market-relevant advisor doesn’t happen by chance. We invest in training and development in a big way, so you can build your future along with ours, creating an impactful career unique to you. Ultimately, we believe we is greater than me and that diverse perspectives lead to the best solutions. Joining Accenture Consulting means you will learn, innovate and lead, and together we will improve the way the world works and lives.

People in our Client & Market career track drive profitable growth by developing market-relevant insights to increase market share or create new markets. They progress through required promotion into market-facing roles that have a direct impact on sales.

Management Consulting professionals design and implement process and change interventions that integrate strategy, technology and people to enable process improvements that create value for clients.

Job Description:

Medicare/Medicaid Operations Transformation Manager will be responsible for Design and implement business changes that drive industry specific, function and digital operating model transformation, focusing on task relating to people and process.

Responsibilities include:

* An ability to articulate and clearly communicate complex problems and solutions in a simple, logical and impactful manner.
* Experience eliciting high-level business requirements and creating detailed functional specs and other documentation, such as requirement traceability matrices, work-flow diagrams and use-cases.
* The ability to develop creative and breakthrough solutions.
* Strong interpersonal, team building, organizational and motivational skills.
* Experience working through organizational change, with a demonstrated track record of continuing responsibilities, creativity and innovation, including evidence of solution design.
* Well-developed analytical skills and the ability to provide clarity to complex issues, and synthesize large amounts of information.
* An ability to identify the root causes of issues by analyzing patterns and trends.
* An awareness of key methodologies, approaches and market trends in the industry.
* A desire to deliver to a high standard in a suitable timeframe.
* Self-motivating, adaptable, able to prioritize and able to inspire and motivate others.
* Manages large – medium sized teams and/or work efforts (if in an individual contributor role) at a client or within Accenture.
* Ability to travel up to 100% is required.
* Racking up those air miles will have to wait, as weekly non-essential travel to client sites Monday through Thursday is currently suspended. For now, all Accenture business travel, international and domestic, is currently restricted to client-essential sales/delivery activity only.
* Please note: The safety and well-being for our people continues to be the top priority, and our decisions around travel are informed by government COVID-19 response directives, recommendations from leading health authorities and guidance from a number of infectious disease experts.

Read more of the job description

Read Less

Qualifications

Basic Requirements:

* Bachelor’s Degree
* Minimum of 4 years of experience driving Management Consulting projects in the Medicaid/Medicare space
* Minimum of 5 years of experience with process re-engineering, operating model, design, operational performance assessment, operational strategy, capability assessment and roadmapping
* Minimum of 4 years of experience with either Medicare or Medicaid Health experience
* Minimum of 4 years experience on the Payer side of health
* Minimum of 5 years of Consulting experience that includes health industry medicareor medicaid operations

Preferred Skills:

* Proven ability to work independently as well as with a team.
* Good communication skills, both written and oral.

Applicants for employment in the US must have work authorization that does not now or in the future require sponsorship of a visa for employment authorization in the United States and with Accenture.

Candidates who are currently employed by a client of Accenture or an affiliated Accenture business may not be eligible for consideration.

Accenture is a federal contractor and an EEO and Affirmative Action Employer of Females/Minorities/Veterans/Individuals with Disabilities.

Equal Employment Opportunity Statement

Accenture is an Equal Opportunity Employer. We believe that no one should be discriminated against because of their differences, such as age, disability, ethnicity, gender, gender identity and expression, religion or sexual orientation. Our rich diversity makes us more innovative, more competitive and more creative, which helps us better serve our clients and our communities.

All employment decisions shall be made without regard to age, race, creed, color, religion, sex, national origin, ancestry, disability status, veteran status, sexual orientation, gender identity or expression, genetic information, marital status, citizenship status or any other basis as protected by federal, state, or local law.

Accenture is committed to providing veteran employment opportunities to our service men and women.

For details, view a copy of the Accenture Equal Opportunity and Affirmative Action Policy Statement

Requesting An Accommodation

Accenture is committed to providing equal employment opportunities for persons with disabilities or religious observances, including reasonable accommodation when needed. If you are hired by Accenture and require accommodation to perform the essential functions of your role, you will be asked to participate in our reasonable accommodation process. Accommodations made to facilitate the recruiting process are not a guarantee of future or continued accommodations once hired.

If you would like to be considered for employment opportunities with Accenture and have accommodation needs for a disability or religious observance, please call us toll free at 1 (877) 889-9009, send us an email or speak with your recruiter.

Other Employment Statements

Applicants for employment in the US must have work authorization that does not now or in the future require sponsorship of a visa for employment authorization in the United States.

Candidates who are currently employed by a client of Accenture or an affiliated Accenture business may not be eligible for consideration.

Job candidates will not be obligated to disclose sealed or expunged records of conviction or arrest as part of the hiring process.

The Company will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. Additionally, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the Company’s legal duty to furnish information.

 
 

Clipped from: https://gr8usajobs.com/jobs/health-administration-medicare-medicaid-operations-manager-chicago-illinois/277101271-2/?utm_campaign=google_jobs_apply&utm_source=google_jobs_apply&utm_medium=organic

 
 

Engage potential customers to develop relationships that lead to new business
Provide leadership and oversight to responses to RFPs, including the development of technical proposal language and budget specifications
Build and maintain a team of software and digital technology partners, and manage teaming and subcontractor agreements
Lead go-to-market activities for digital product and platform solutions
Contribute to the strategic framework for Mathematica’s ongoing business development activities in State Heath and State Medicaid work
Evaluate and make recommendations to leadership to develop new technical solutions, partner with existing businesses to offer mature technical solutions for clients, or acquire businesses to enhance Mathematica’s technical solutions portfolio
Work collaboratively across technology and advisory services teams
Stay connected to technical project delivery by serving in a high-level oversight role
Identify current and future staffing resources necessary to win future and deliver on current work
Coordinate the communication of highly specialized policy and technology outputs to client leads

Requirements

Senior Director
10+ years demonstrated experience with customer acquisition and retention working directly with economic buyers, leading responses to RFPs including capture planning activities, developing and managing a team of partners, and navigating the connection of sales and delivery teams pre- and post-sales
10+ years of experience applying technology to provide solutions for decision makers regarding complex policy issues; 10+ years of experience leading go-to-market activities for digital product and platform solutions for data science and analytics
10+ years of experience working with cross-functional technology and advisory services teams in a public policy consulting context
10+ years of experience working in state health policy or health research
10+ years of experience with health care projects, knowledge of state Medicaid programs and data, including APCDs

Clipped from: https://gr8mijobs.com/jobs/senior-director-strategic-business-development-state-health-and-medicaid-ann-arbor-michigan/278246872-2/?utm_campaign=google_jobs_apply&utm_source=google_jobs_apply&utm_medium=organic

 
 

 
 

Job Details

MEDICAID PROGRAM MANAGER 2

This listing closes on 5/19/2021 at 11:59 PM Central Time (US & Canada).

Salary $30.58 – $60.18 Hourly $5,301.00 – $10,431.00 Monthly

$5,301.00 – $10,431.00 Monthly

Location Baton Rouge, LA

Baton Rouge, LA

Job Type

Classified

Department

LDH-Medical Vendor Administration

Job Number

MVA/AT/0505

Closing date and time

5/19/2021 at 11:59 PM Central Time (US & Canada)

• Description
• Benefits

Supplemental Information

Job Number: MVA/AT/0505

This position is located within the Louisiana Department of Health | Medical Vendor Administration-Medicaid Technology Development l EBR Parish

Cost Center: 305-7205
Position Number(s): 50611031, 50611032, 50611033, 50611034, 50611035.

This vacancy is being announced as a Classified position and may be filled as a probational, promotional, or job appointment.
 

*Resumes will not be accepted in lieu of job experience on application.*

No Civil Service test score is required in order to be considered for this vacancy.

To apply for this vacancy, click on the “Apply” link above and complete an electronic application, which can be used for this vacancy as well as future job opportunities. Applicants are responsible for checking the status of their application to determine where they are in the recruitment process. Further status message information is located under the Information section of the Current Job Opportunities page.

 
 

*Resumes WILL NOT be accepted in lieu of completed education and experience sections on your application. Applications may be rejected if incomplete.*

 
 

For further information about this vacancy contact:
Asasha Terry @ Asasha.Terry@la.gov             
LDH/HUMAN RESOURCES
P.O. BOX 4818 BATON ROUGE, LA 70821
225 342-6477      

Qualifications

MINIMUM QUALIFICATIONS:
A baccalaureate degree plus four years of professional experience in administrative services, economics, public health, public relations, statistical analysis, social services, or health services.

SUBSTITUTIONS:
Six years of full-time work experience in any field may be substituted for the required baccalaureate degree.

Candidates without a baccalaureate degree may combine work experience and college credit to substitute for the baccalaureate degree as follows:

A maximum of 120 semester hours may be combined with experience to substitute for the baccalaureate degree.

30 to 59 semester hours credit will substitute for one year of experience towards the baccalaureate degree.

60 to 89 semester hours credit will substitute for two years of experience towards the baccalaureate degree.

90 to 119 semester hours credit will substitute for three years of experience towards the baccalaureate degree.

120 or more semester hours credit will substitute for four years of experience towards the baccalaureate degree.

College credit earned without obtaining a baccalaureate degree may be substituted for a maximum of four years full-time work experience towards the baccalaureate degree. Candidates with 120 or more semester hours of credit, but without a degree, must also have at least two years of full-time work experience to substitute for the baccalaureate degree.

Graduate training with eighteen semester hours in one or any combination of the following fields will substitute for a maximum of one year of the required experience on the basis of thirty semester hours for one year of experience: public health; public relations; counseling; social work; psychology; rehabilitation services; economics; statistics; experimental/applied statistics; business, public, or health administration.

A master’s degree in the above fields will substitute for one year of the required experience.

A Juris Doctorate will substitute for one year of the required experience.

Graduate training with less than a Ph.D. will substitute for a maximum of one year of the required experience.

A Ph.D. in the above fields will substitute for two years of the required experience.

Advanced degrees will substitute for a maximum of two years of the required experience.

NOTE:
Any college hours or degree must be from a school accredited by one of the following regional accrediting bodies: the Middle States Commission on Higher Education; the New England Association of Schools and Colleges; the Higher Learning Commission; the Northwest Commission on Colleges and Universities; the Southern Association of Colleges and Schools; and the Western Association of Schools and Colleges.

Job Concepts

Function of Work:
To administer medium size and moderately complex statewide Medicaid program(s).

Level of Work:
Manager.

Supervision Received:
Broad from a higher-level administrator/executive.

Supervision Exercised:
Supervision over lower level positions in accordance with the Civil Service Allocation Criteria Memo.

Location of Work:
Department of Health and Hospitals.

Job Distinctions:
Differs from Medicaid Program Manager 1-A and Program Manager 1-B by administering medium size or moderately complex statewide program(s) and supervision exercised.

Differs from Medicaid Program Manager 3 by absence of responsibility for administering large and/or very complex Medicaid program(s) and supervision exercised.

Examples of Work

Administers and manages enrollment of Medicaid providers for all Medicaid programs statewide; directs overall goals and objectives.

Plans, coordinates, and controls a medium size or moderately complex statewide program.

Plans, develops, implements and monitors comprehensive Medicaid program policies.

Conducts and directs studies and special projects pertaining to the programs assigned.

Analyzes the impact of federal, state, and local legislation; advises agency officials; prepares position statements; presents testimony at hearings; writes legislation.

Reviews and analyzes complex data and system reports to ensure compliance with program regulations.

Administers the day-to-day operational functions of the Medicaid fee for service programs. Assures that program policy and procedures are properly applies in accordance with federal and state laws and regulations.

Develops and writes agency rules and regulations governing the administration of all supervised Medicaid programs and submit them for publishing in the official state publication in accordance with the requirements of the Administrative Procedures Act.

Implements Medicaid regulations directing provider participation standards and recipient benefits. Analyzes multi-mullion dollar Medicaid claim data and project the fiscal impact for budget forecasting.

Identifies, verifies and analyzes the various revenue sources for the program. Determines and/or confirms match requirements. Monitors availability of revenue sources and promptly identifies existing or potential financing problems.

Benefits

Louisiana State Government represents a wide variety of career options and offers an outstanding opportunity to “make a difference” through public service. With an array of career opportunities in every major metropolitan center and in many rural areas, state employment provides an outstanding option to begin or continue your career. As a state employee, you will earn competitive pay, choose from a variety of benefits and have access to a great professional development program.

Flexible Working Arrangements – The flexibility of our system allows agencies to implement flexible working arrangements through the use of alternative work schedules, telecommuting and other flexibilities. These arrangements vary between hiring agencies.

Professional Development – The Comprehensive Public Training Program (CPTP) is the state-funded training program for state employees. Through CPTP, agencies are offered management development and supervisory training, and general application classes on topics as diverse as writing skills and computer software usage.

Insurance Coverage – Employees can choose one of several health insurance programs ranging from an HMO to the State’s own Group Benefits Insurance program. The State of Louisiana pays a portion of the cost for group health and life insurance. Dental and vision coverage are also available. More information can be found at www.groupbenefits.org.

Deferred Compensation – As a supplemental retirement savings plan for employees, the State offers a Deferred Compensation Plan for tax deferred savings.

Holidays and Leave – State employees receive the following paid holidays each year: New Year’s Day, Martin Luther King, Jr. Day, Mardi Gras, Good Friday, Memorial Day, Independence Day, Labor Day, Veteran’s Day, Thanksgiving Day and Christmas Day. Additional holidays may be proclaimed by the Governor. State employees earn sick and annual leave which can be accumulated and saved for future use. Your accrual rate increases as your years of service increase.

Retirement – State of Louisiana employees are eligible to participate in various retirement systems (based on the type of appointment and agency for which an employee works).  These retirement systems provide retirement allowances and other benefits for state officers and employees and their beneficiaries. State retirement systems may include (but are not limited to): Louisiana State Employees Retirement System (www.lasersonline.org), Teacher’s Retirement System of Louisiana (www.trsl.org), Louisiana School Employees’ Retirement System (www.lsers.net), among others. LASERS has provided this video to give you more detailed information about their system.

Agency State of Louisiana Phone (866) 783-5462 Website http://agency.governmentjobs.com/louisiana/default.cfm

Address For agency contact information, please refer to
the supplemental information above.
Louisiana State Civil Service, Louisiana, 70802 Clipped from: https://www.governmentjobs.com/jobs/3072098-0/medicaid-program-manager-2?utm_campaign=google_jobs_apply&utm_source=google_jobs_apply&utm_medium=organic

 
 

Job Details

Medicaid Program Manager 4 (Section Chief)

This listing closes on 5/19/2021 at 11:59 PM Central Time (US & Canada).

Salary $37.46 – $73.72 Hourly $6,493.00 – $12,778.00 Monthly

$6,493.00 – $12,778.00 Monthly

Location Baton Rouge, LA

Baton Rouge, LA

Job Type

Classified

Department

LDH-Medical Vendor Administration

Job Number

MVA/CG/1900

Closing date and time

5/19/2021 at 11:59 PM Central Time (US & Canada)

• Description
• Benefits

Supplemental Information

Job Number: MVA/CG/1900
 
 This position is located within the Louisiana Department of Health l Office of Public Health l Medicaid Technology Development l  East Baton Rouge Parish.
 
 Cost Center: 0305-7205
 Position Number(s): 50610649
 
 This vacancy is being announced as a Classified position and may be filled either as a Probationary Appointment, Job Appointment or Promotional Appointment.

 
 

No Civil Service test score is required in order to be considered for this vacancy.  

 
 

To apply for this vacancy, click on the “Apply” link above and complete an electronic application, which can be used for this vacancy as well as future job opportunities. Applicants are responsible for checking the status of their application to determine where they are in the recruitment process. Further status message information is located under the Information section of the Current Job Opportunities page.

 
 

*Resumes WILL NOT be accepted in lieu of completed education and experience sections on your application. Applications may be rejected if incomplete.*

 
 

For further information about this vacancy contact:

Ciera Green @ Ciera.Green@la.gov

LDH/Human Resources

P.O. Box 4818 Baton Rouge, La 70821

225-342-6477

 
 

Qualifications

MINIMUM QUALIFICATIONS:

A baccalaureate degree plus five years of professional experience in administrative services, economics, public health, public relations, statistical analysis, or in providing social services or health services. Two years of this experience must have been at the supervisory level or above.

 
 

SUBSTITUTIONS:
Six years of full-time work experience in any field may be substituted for the required baccalaureate degree.

Candidates without a baccalaureate degree may combine work experience and college credit to substitute for the baccalaureate degree as follows:

A maximum of 120 semester hours may be combined with experience to substitute for the baccalaureate degree.

30 to 59 semester hours credit will substitute for one year of experience towards the baccalaureate degree.
60 to 89 semester hours credit will substitute for two years of experience towards the baccalaureate degree.
90 to 119 semester hours credit will substitute for three years of experience towards the baccalaureate degree.
120 or more semester hours credit will substitute for four years of experience towards the baccalaureate degree.

College credit earned without obtaining a baccalaureate degree may be substituted for a maximum of four years full-time work experience towards the baccalaureate degree. Candidates with 120 or more semester hours of credit, but without a degree, must also have at least two years of full-time work experience tosubstitute for the baccalaureate degree.

 
 

Graduate training with eighteen semester hours in one or any combination of the following fields will substitute for a maximum of one year of the required general experience on the basis of thirty semester hours for one year of experience: public health; public relations; counseling; social work; psychology; rehabilitation services; economics; statistics; experimental/applied statistics; business, public, or health administration.

 
 

A master’s degree in the above fields will substitute for one year of the required general experience.

 
 

A Juris Doctorate will substitute for one year of the required general experience.

 
 

Graduate training with less than a Ph.D. will substitute for a maximum of one year of required general experience.

 
 

A Ph.D. in the above fields will substitute for two years of the required general experience.

 
 

Advanced degrees will substitute for a maximum of two years of the required general experience.

 
 

NOTE:
Any college hours or degree must be from a school accredited by one of the following regional accrediting bodies: the Middle States Commission on Higher Education; the New England Association of Schools and Colleges; the Higher Learning Commission; the Northwest Commission on Colleges and Universities; the Southern Association of Colleges and Schools; and the Western Association of Schools and Colleges.

Job Concepts

Function of Work:
To serve as the Section Chief administering all functions of large and complex Medicaid program(s).

Level of Work:
Administrator.

Supervision Received:
Administrative direction from a higher-level administrator/executive.

Supervision Exercised:
Supervision over lower-level positions in accordance with the Civil Service Allocation Criteria Memo.

Location of Work:
Department of Health and Hospitals.

Job Distinctions:
Differs from Medicaid Program Manager 3 by serving as the Section Chief administering all functions of large and complex Medicaid program(s) and supervision exercised.

Differs from Medicaid Deputy Director by the absence of responsibility for the day-to-day management of Medical Vendor Administration.

Examples of Work

Serves as an assistant to the Medicaid Deputy Director and may direct agency in the absence of the Medicaid Deputy Director.

Administers comprehensive statewide Medicaid programs by formulating and implementing current and long-range plans, policies, procedures and regulations.

Participates in Medicaid budget planning, preparation, and grant administration.

Conducts investigations and makes recommendations for the Medicaid Director’s response to grievances by Field Operations staff.

Monitors statewide field operations to determine the efficiency and effectiveness of the delivery of Medicaid Eligibility services.

Develops, monitors, and administers various methodology reimbursement policies.

Represents the Department in programmatic matters at various federal, state and local hearings, meetings, and conferences.

Monitors policies and procedures to ensure that policies and system requirements comply with the law and federal regulations.

Works closely with state, regional, and parish administrative staff in developing management procedures and operational plans to assure that all agency programs are implemented at the field operations level as intended by federal and state laws and regulations.

Coordinates with state level administrative and support staff to improve program development, identify staff training needs and provide management and support services required and needed by department staff.

Benefits

Louisiana State Government represents a wide variety of career options and offers an outstanding opportunity to “make a difference” through public service. With an array of career opportunities in every major metropolitan center and in many rural areas, state employment provides an outstanding option to begin or continue your career. As a state employee, you will earn competitive pay, choose from a variety of benefits and have access to a great professional development program.

Flexible Working Arrangements – The flexibility of our system allows agencies to implement flexible working arrangements through the use of alternative work schedules, telecommuting and other flexibilities. These arrangements vary between hiring agencies.

Professional Development – The Comprehensive Public Training Program (CPTP) is the state-funded training program for state employees. Through CPTP, agencies are offered management development and supervisory training, and general application classes on topics as diverse as writing skills and computer software usage.

Insurance Coverage – Employees can choose one of several health insurance programs ranging from an HMO to the State’s own Group Benefits Insurance program. The State of Louisiana pays a portion of the cost for group health and life insurance. Dental and vision coverage are also available. More information can be found at www.groupbenefits.org.

Deferred Compensation – As a supplemental retirement savings plan for employees, the State offers a Deferred Compensation Plan for tax deferred savings.

Holidays and Leave – State employees receive the following paid holidays each year: New Year’s Day, Martin Luther King, Jr. Day, Mardi Gras, Good Friday, Memorial Day, Independence Day, Labor Day, Veteran’s Day, Thanksgiving Day and Christmas Day. Additional holidays may be proclaimed by the Governor. State employees earn sick and annual leave which can be accumulated and saved for future use. Your accrual rate increases as your years of service increase.

Retirement – State of Louisiana employees are eligible to participate in various retirement systems (based on the type of appointment and agency for which an employee works).  These retirement systems provide retirement allowances and other benefits for state officers and employees and their beneficiaries. State retirement systems may include (but are not limited to): Louisiana State Employees Retirement System (www.lasersonline.org), Teacher’s Retirement System of Louisiana (www.trsl.org), Louisiana School Employees’ Retirement System (www.lsers.net), among others. LASERS has provided this video to give you more detailed information about their system.

Agency State of Louisiana Phone (866) 783-5462 Website http://agency.governmentjobs.com/louisiana/default.cfm

Address For agency contact information, please refer to
the supplemental information above.
Louisiana State Civil Service, Louisiana, 70802 Clipped from: https://www.governmentjobs.com/jobs/3071635-0/medicaid-program-manager-4-section-chief?utm_campaign=google_jobs_apply&utm_source=google_jobs_apply&utm_medium=organic

 
 

 
 

Description

The Project Manager 1 manages all aspects of a project, from start to finish, so that it is completed on time and within budget. The Project Manager 1 work assignments are often straightforward and of moderate complexity.

Responsibilities

The Project Manager 1 designs, communicates, and implements an operational plan for completing the project; monitors progress and performance against the project plan; takes action to resolve operational problems and minimize delays. Identifies, develops, and gathers the resources to complete the project. Prepares designs and work specifications; develops project schedules, budgets and forecasts; and selecting materials, equipment, project staff, and external contractors. Communicates with other operational areas

 
 

Clipped from: https://careers.humana.com/job/12838430/medicaid-operations-project-manager-remote/?utm_campaign=google_jobs_apply&utm_source=google_jobs_apply&utm_medium=organic

 
 

 
 

Job Details

Medicaid Specialist I

This listing closes on 5/7/2021 at 11:59 PM Central Time (US & Canada).

Salary

$27,346.56 Annually

Location 14 – COAHOMA COUNTY, MS

14 – COAHOMA COUNTY, MS

Job Type

Full-Time

Department

0665 – MEDICAID DIVISION

Job Number

3103-0665-20210505Co

Closing date and time

5/7/2021 at 11:59 PM Central Time (US & Canada)

• Description
• Benefits
• Questions

Characteristics of Work

This is investigative work involving the interpretation of policy to determine Medicaid eligibility for families and children and aged, blind, and disabled individuals. The incumbent makes the initial and continuing determinations of eligibility for Medicaid recipients who live in private and institutional settings. Limited supervision is received from administrative supervisors who oversee a regional office or Central Enrollment Office.

Examples of Work

Examples of work performed in this classification include, but are not limited to, the following:

 
 

Assumes responsibility for a Medicaid eligibility determination caseload for a designated territory within a region. 

 
 

Investigates and verifies accuracy of information provided by recipients under the Medicaid programs to determine compliance with State and Federal laws, rules, and regulations.

 
 

Determines an applicant’s eligibility for institutional care based on State and Federal guidelines and verifies the accuracy of information listed on the applicants’ applications.

 
 

Maintains effective public relations with medical facilities and federal, state, county, and city agencies within assigned territory.

 
 

Verifies accuracy of information listed on applicants’ applications including income, bank accounts, and any other assets.

 
 

Makes determination of an applicant’s eligibility based upon established criteria.

 
 

Visits contact centers and medical facilities; assists other regional offices on an as-needed basis.

 
 

Performs related or similar duties as required or assigned.

Minimum Qualifications

These minimum qualifications have been agreed upon by Subject Matter Experts (SMEs) in this job class and are based upon a job analysis and the essential functions. However, if a candidate believes he/she is qualified for the job although he/she does not have the minimum qualifications set forth below, he/she may request special consideration through substitution of related education and experience, demonstrating the ability to perform the essential functions of the position. Any request to substitute related education or experience for minimum qualifications must be addressed to the Mississippi State Personnel Board in writing, identifying the related education and experience which demonstrates the candidate’s ability to perform all essential functions of the position.

EXPERIENCE/EDUCATIONAL REQUIREMENTS:

Education:
A Bachelor’s Degree from an accredited four-year college or university.

OR

Education:
An Associate’s Degree or completion of sixty (60) semester hours from an accredited college or university;

AND

Experience:
Two (2) years of experience related to the described duties.

Substitution Statement:
Above an Associate’s Degree or completion of sixty semester hours from an accredited college or university, related education and related experience may be substituted on an equal basis.

Essential Functions

Additional essential functions may be identified and included by the hiring agency. The essential functions include, but are not limited to, the following:

1. Maintains caseload for Medicaid eligibility.

2. Maintains good public relations and customer service.

3. Collects eligibility data information.

4. Visits Medicaid contact centers and/or long-term care facilities.

Health/Prescription Insurance

Eligible employees have the opportunity to participate in the state’s health and prescription insurance program. Employees may select either single or family coverage with affordable co-payments. More detail can be found at Know Your Benefits.

 
 

Wellness Benefits

Employees are eligible for a wellness and health promotion program. This plan provides annual benefits for certain services with first-dollar coverage with no deductible.

 
 

Life Insurance

All eligible employees receive an actual term life insurance policy upon employment. The policy coverage is two times the employee’s annual salary to a maximum of $100,000. More detail can be found at Life Insurance Choices.

 
 

Optional Insurances

Many agencies offer discounted premiums for dental, vision, and cancer insurance.

 
 

Flexible Spending Accounts

Many state agencies provide opportunity for employees to participate in pre-tax spending accounts. These accounts allow employees to withhold childcare expenses and unreimbursed medical expenses prior to application of state and federal taxes.

 
 

 
 

Paid Personal Leave and Sick Leave

Full-time employees receive paid time off for personal needs and for sick leave. Leave begins accruing after one month of employment and may be used as it is accrued. Employees earn approximately 18 days of personal leave annually and 12 days of sick leave annually.

 
 

Military Leave

In accordance with federal law, all employees serving in the armed forces or the military reserves are entitled to 15 days per year for military training.

 
 

Holidays

Employees receive up to 10 paid holidays to enjoy many of our nation’s celebrations with family and friends.

 
 

Retirement Programs

The State of Mississippi provides all its employees a Defined Benefit/Defined Contribution Retirement Program. Employees become vested in the State’s retirement system after 8 years of employment. Both you and your employing agency contribute toward your retirement.   More detailed information regarding the State’s retirement program can be found at http://www.pers.state.ms.us

 
 

Deferred Compensation

State agencies offer several opportunities for their employees to participate in a deferred compensation voluntary retirement savings plan. More information can be found at Deferred Compensation.

 
 

State Credit Union

All state employees are eligible to participate in the Mississippi Public Employees’ Credit Union. This organization offers state employees special savings and borrowing plans. For more information about this program, call 601.948.8191.

 
 

 Tuition Reimbursement

Many state agencies provide opportunities for their employees to achieve higher education through tuition reimbursement. Common programs include medical and nursing fields, accounting, and business/administrative fields.

 
 

Career Development and Training

The Mississippi State Personnel Board offers several management and administrative certification programs, as well as professional development courses to enhance employee value to the agency. Individual agencies also offer technical training and allow membership in professional organizations to employees in their specific fields of employment.

 
 

Promotional Opportunities

Employees who have completed 6 or more months of service are eligible for promotional opportunities within state government employment. Minimum qualifications must be met.

 
 

Career Ladders

Many job classifications provide career-ladder opportunities based upon attainment of competencies. These career ladders can increase an individual’s salary, provided funds are available within the agency.

 
 

01

What is the highest level of education (or semester hours of college) you have completed from an accredited college or university?

• None
• GED or High School Equivalency Diploma / High School
• 1 year / 30 semester hours
• Associate’s Degree / 2 yrs / 60 semester hours
• 3 years / 90 semester hours
• Bachelor’s Degree
• Master’s Degree
• Specialist Degree
• Doctorate Degree

02

How many years of related experience do you have? (refer to the job posting for an explanation of related experience)

• No experience
• 1 year of experience
• 2 years of experience
• 3 years of experience
• 4 years of experience
• 5 years of experience
• 6 years of experience
• 7 years of experience
• 8 years of experience
• 9 years of experience
• 10 years of experience
• More than 10 years

* Required Question

Agency State of Mississippi Phone 601-359-1406 Website http://agency.governmentjobs.com/mississippi/default.cfm

Address 210 East Capitol Street
Suite 800
Jackson, Mississippi, 39201

 
 

GOVERNMENTJOBS.COM, INC. PRIVACY POLICY

Introduction.Clipped from: https://www.governmentjobs.com/jobs/3071139-0/medicaid-specialist-i?utm_campaign=google_jobs_apply&utm_source=google_jobs_apply&utm_medium=organic

 
 

Job Details

Posted

1 day ago

Location

BOLIVAR COUNTY, MS

This is investigative work involving the interpretation of policy to determine Medicaid eligibility for families and children and aged, blind, and disabled individuals. The incumbent makes the initial and continuing determinations of eligibility for Medicaid recipients who live in private and institutional settings. Limited supervision is received from administrative supervisors who oversee a regional office or Central Enrollment Office.

Job Type: Full-Time

Location: 06 – BOLIVAR COUNTY, Mississippi

Agency: 0665 – MEDICAID DIVISION

Clipped from: https://www.monster.com/job-openings/medicaid-specialist-i-ms–8857fb33-27da-4625-8a30-7607005288e1?utm_campaign=google_jobs_apply&utm_source=google_jobs_apply&utm_medium=organic

 
 

Req ID: 114915

NTT DATA Services strives to hire exceptional, innovative and passionate individuals who want to grow with us. If you want to be part of an inclusive, adaptable, and forward-thinking organization, apply now.

The candidate will work as part of an Early Career training program to support a state Medicaid Program. Working under the direction of a team lead, she/he will actively participate in the delivery of tasks/activities and associated deliverables.

Job Responsibilities Include:

• Attend business/functional area meetings; serve as scribe for these meetings on rotating basis
• Distribute meeting minutes for approval; store approved agendas, minutes, and other project-related documentation on SharePoint or MS Teams site
• Maintain project repository on SharePoint or similar platform

• Schedule meetings in MS Outlook / MS Teams • Research answers to business user questions

• Review requirements documentation
• Analyze business user needs and create requirements documentation
• Review and revise or create process documentation
• Review vendor analysis and design documents
• Review solution vendor system integration test results
• Review and revise user acceptance test cases and related documentation

• Execute user acceptance test cases and document results; create or close defects • Prepare materials for review with state business users

• Perform post-production validation
• Create materials for end user training
• Participate in the development of deliverables
• Interface with state business users and solution vendors
• Other duties or initiatives as assigned by program/project leadership

Basic Qualifications

• Bachelor’s degree
• 1+ years of experience working with a software development organization, State Health and Human Services (HHS) agency, or healthcare/insurance firm on projects that required problem solving and analytical skills; ability to break down complex problems and develop solutions
• 1+ years of experience using tools in the Microsoft Office Suite (Excel, PowerPoint, Word, Outlook)
• Flexibility and willingness to travel, potentially 75% Preferred qualifications:
• 2+ years of experience working with a software development organization, State Health and Human Services (HHS) agency, or healthcare/insurance firm supporting enterprise-wide projects
• Customer focus that results in delivering a high-quality service and high client satisfaction
• Innovative thinking, resourcefulness and agility by leveraging best practices and creativity to get things done
• Team player that knows how to Influence and partner by building strong relationships with leaders, peers and clients

About NTT DATA Services

NTT DATA Services is a global business and IT services provider specializing in digital, cloud and automation across a comprehensive portfolio of consulting, applications, infrastructure and business process services. We are part of the NTT family of companies, a partner to 85 % of the Fortune 100.

NTT DATA Services is an equal opportunity employer and will consider all qualified applicants for employment without regard to race, gender, disability, age, veteran-status, sexual orientation, gender identity, or any other class protected by law.

 
 

Clipped from: https://www.glassdoor.com/job-listing/medicaid-business-analyst-ntt-data-services-JV_IC1143190_KO0,25_KE26,43.htm?jl=4018607783&utm_campaign=google_jobs_apply&utm_source=google_jobs_apply&utm_medium=organic

 
 

 
 

The Director, Medicaid Market Access and Public Policy will focus on several key areas for Alnylam success: Access to Alnylam therapies in Medicaid programs; the creation and execution of state contracts, primarily value-based agreements; state governmental engagement; and monitoring and assessment of state policy issues.

Principal Responsibilities:


Medicaid Market Access

Conduct outreach to and engage Medicaid agencies, managed care Medicaid organizations, and Medicaid pharmacy benefits managers (PBMs) in prioritized states.
Organize meetings for clinical presentations for Alnylam programs, pipeline reviews and to discuss optimal patient access. Work with Medical Affairs (Medical Outcomes Science Liaisons (MOSL) or MSLs) to engage states on prior authorization or coverage policy requirements.
Organize meetings with prioritized state Medicaid agencies to review options for value-based agreements and contracts.
Lead the execution of value-based agreements by reviewing state Medicaid contract templates, editing templates to include program-specific amendments, and working with Alnylam’s Public Policy, Legal, and Commercial teams as well as outside counsel to finalize contract proposals.
Lead the assessment of any state-requested supplemental rebates, analyze options for response, align internal teams and provide timely responses to states.
Work with Medical Affairs, Commercial, Legal and Public Policy teams regarding approaches to ensure patient access to Alnylam programs in states with drug price cap or similar laws.
Develop reporting materials for Alnylam colleagues regarding execution of Alnylam Medicaid strategy. Maintain Medicaid dashboard which provides Real Time information about state meetings, coverage and access.
Support the execution of Alnylam’s Medicaid strategy through engaging state governmental entities (governors’ offices, state administration, state legislatures) to introduce Alnylam therapies and Alnylam’s approach to patient access.
Develop, as needed, educational materials (slide decks) for use in Medicaid meetings, in partnership with Commercial, Medical, and Legal teams.
Lead cross-functional meetings with Medicaid and state policy consultants: set agendas, identify action items, send around post-meeting notes with deliverables and follow up items.
Liaise and support Alnylam’s field reimbursement team regarding specific reimbursement or payment and access matters.

State Public Policy Analysis & Strategy

Monitor and assess the state policy and regulatory landscape to ensure that Alnylam is aware and in front of emerging policy issues.
In partnership with Global Public Policy and Government Relations team, analyze state public policy proposals, identify priorities, and develop slides or educational materials to present to Alnylam colleagues regarding risks and opportunities.
Create strategies for engagement with state government officials, patients, and stakeholders to support achievements of public policy priorities and that address risks to Alnylam’s business and patient access.
Engage and support trade associations (BIO, state biotechnology associations) to advance Alnylam’s policy positions and to support those organizations’ advocacy and policy engagement. Serves on BIO state policy and appropriate regional committees.
Influence and actively participate in the development of state government legislation and regulations to ensure a favorable environment for Alnylam programs and patient access (eg, step therapy limits, etc.).
Work with Alnylam patient advocacy team to support engagement by disease advocacy groups on state policy matters.
Find opportunities to create coalitions among companies interested in similar state-level issues.
Education & Background Qualifications


Bachelor’s Degree. Graduate Degree preferred.
8-10 Years of work experience required, preferably in biotech, pharmaceuticals or healthcare.

Other qualifications: Skills and Attributes

A record of success engaging state Medicaid agencies to achieve access for innovative products is required. Experience with rare disease products is desired.
Familiarity with innovative contracting strategies in Medicaid, such as value-based agreements (VBAs).
Significant experience with state government engagement across multiple states.
Expertise in state public policy issues and analysis of impacts across various stakeholders and operational aspects.
In-depth background in the analysis of state government processes, laws, and regulations.
Demonstrated ability to work effectively in a cross-cutting role that interacts effectively across numerous expertise areas such as market access, legal, medical affairs, patient advocacy, and commercial.
Ability to provide internal partners with timely, accurate and well written information to communicate opportunities, threats, and business interests at the state level.
Desire and interest to be a content creator with strong writing and PowerPoint skills, and ability to simplify complex political or regulatory requirements in writing. Meticulous attention to detail and commitment to high quality and timely work product.
A roll your sleeves up attitude and ability to manage and prioritize multiple issues and tasks and meet tight deadlines.
Strong communications skills, an ability to present ideas and information, and ability to lead meetings with external or internal partners.
Strong relationship management and interpersonal skills are essential.
Excellent written and oral communication skills, including presentation skills.
Travel 30% depending on meetings in states and state issues.

Clipped from: https://topeastcoastcareers.com/jobs/director-medicaid-market-access-public-policy-cambridge-massachusetts/271456104-2/?utm_campaign=google_jobs_apply&utm_source=google_jobs_apply&utm_medium=organic