Medicaid/Medicare Srvs Specialist III
Pay Grade 15
Salary $3,230.84 Monthly
EXECUTIVE BRANCH | FULL TIME, ELIGIBLE FOR OVERTIME PAY | 18A | 37.5 HR/WK
Cabinet for Health & Family Services | Department for Medicaid Services
275 East Main Street, 6W-B
Frankfort, KY 40621 USA
The agency may authorize the selected candidate to telecommute. The candidate may need to report to the office as needed. The agency may terminate or modify the telecommuting arrangement at any time.
The Department for Medicaid Services (DMS), Division of Community Alternatives, Home and Community Based Services Branch provides services and support to elderly people and/or children to remain in or return to their homes provided through waiver programs. This opportunity will allow an individual to continue career growth by learning the various deliveries of waiver services through person directed services (PDS) and traditional agencies providing services to our waiver participants served under the Home and Community Services Branch. The agency may authorize the selected candidate to telecommute. The candidate may need to report to the office as needed. The agency may terminate or modify the telecommuting arrangement at any time.
The candidate will assist both participants, providers and other agencies by identify and resolving routine program issues. As well as conducting audits, monitoring and analyze trends and patterns identifying program deficiencies. Perform duties including but not limited to completing tasks the Medicaid Waiver Management Application (MWMA), Medicaid Management Information System (MMIS) and Benefind. Research complex issues related to Centers for Medicare and Medicaid Services (CMS), Cabinet for Health and Family Services and within the Department for Medicaid Services. Performs audits and program monitoring from the office, as well as provider locations to determine CMS/DMS program compliance. Represents the division and branch in meetings and reports information obtained to management.
- Proficient at Microsoft Office products.
- Preferred candidate will have experience in Medicaid or Medicare policy or other related health insurance administration/systems health care research, health care financial management, health care policy
- Willing to work as a team
- Excellent communication skills ability to critically think
EDUCATION: Graduate of a college or university with a bachelor’s degree.
EXPERIENCE, TRAINING, OR SKILLS: Four years of experience in Medicaid or Medicare program administration, health insurance administration/systems, eligibility systems, health care research, health care planning, health care financial management, health care policy development, human service or health care administration, insurance billing and/or claims, or research, review, and analysis of legislation or regulations.
Substitute EDUCATION for EXPERIENCE: NONE
Substitute EXPERIENCE for EDUCATION: Experience in the above areas will substitute for the required college on a year-for-year basis. Current or prior military experience will substitute for the required college on a year for year basis. Prior military experience will only substitute if the individual received an honorable discharge, discharge under honorable conditions, or a general discharge.
SPECIAL REQUIREMENTS (AGE, LICENSURE, REGULATION, ETC.): NONE
Incumbents working in this job title primarily perform duties in an office setting.
This job has an initial and promotional probationary period of 6 months, except as provided in KRS 18A.111.
If you have questions about this advertisement, please contact April Lowery at April.Lowery@ky.gov.
An Equal Opportunity Employer M/F/D
Clipped from: https://www.linkedin.com/jobs/view/medicaid-medicare-srvs-specialist-iii-at-commonwealth-of-kentucky-2661772519/?utm_campaign=google_jobs_apply&utm_source=google_jobs_apply&utm_medium=organic