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- Tasks: Assist in developing contracts and conducting complex analysis for Medicaid eligibility projects.
- Company: ForHealth Consulting at UMass Chan Medical School focuses on improving healthcare systems.
- Benefits: Enjoy a full-time role with opportunities for professional growth and development.
- Why this job: Make a real impact in healthcare while working with a dynamic team of experts.
- Qualifications: Bachelor's degree and 3-5 years of relevant experience required.
- Other info: Remote work options available; travel to client sites may be necessary.
The predicted salary is between 30000 - 48000 £ per year.
Join to apply for the Medicaid Eligibility Consultant II role at ForHealth Consulting at UMass Chan Medical School
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Join to apply for the Medicaid Eligibility Consultant II role at ForHealth Consulting at UMass Chan Medical School
Under the general direction of the Senior Associate or designee, the Medicaid Eligibility Consultant II will assist in the development of contracts with state agencies; both in and out of state. The Medicaid Eligibility Consultant II should be an insightful, detail-oriented professional with Medicaid-related experience, excellent analytical and organizing skills who is able to apply that skill set to support both Medicaid Eligibility and Program Integrity Initiatives as well as the design, development and implementation of Medicaid eligibility systems.
Conduct complex analysis to support of Medicaid eligibility and program integrity projects in and out of state.
Perform research & development analysis relevant to Medicaid eligibility and/or program integrity revenue management/cost savings projects as assigned.
Contribute to the development of program and project expansion plans.
Contribute to the development of presentations and the preparation of marketing materials to clients.
Provide on-site support to senior staff during client visits and meetings
Participate in the development of agreements between public entities and the University.
Participate in the development of Medicaid systems on behalf of the client Medicaid agency:
- Serve as a Supporting Subject Matter Expert (SME) in Medicaid eligibility regulations, operations, and processes to support the design, development, and implementation of changes to Medicaid MAGI and non-MAGI eligibility systems.
- Assist with presenting Medicaid agency business needs and strategic vision in systems development activities and ensure they align with agency objectives.
- Participate in multi-agency workgroups supporting the development of a common eligibility application.
- Participate in meetings with the systems upstream and downstream stakeholders to assess needs and provide solutions.
- Attend business and system design sessions;
- Review, provide feedback and approve appropriate business system design requirements;
- Attend regularly scheduled and ad hoc meetings virtually and onsite; and
- Assist with testing and resolution of system defects.
Support procurement processes such as Request for Information (RFI) and Request for Proposal (RFP) development.
Contribute to project forecasting and complete assigned cost analysis tasks in support of financial planning and savings initiatives.
Participate in presentations to staff regarding success, merits of initiative, etc.
Independently research, develop, and prepare work and implementation plans in support of project and initiatives. Complete assigned projects from start to finish.
- Bachelor\’s Level Degree or equivalent in a business, health policy, social service, or public administration related field
- 3 to 5 years of experience in a business related field
- Extensive and in-depth knowledge of Medicaid policies, programs and procedures and the ability to integrate this knowledge with new and existing IT systems.
- Familiarity working with complex technical, systems and/or programs issues affecting Medicaid and its services to members.
- Strong verbal and written communication skills.
- Must have knowledge of state and federal regulations as they apply to public assistance programs
- Demonstrated experience in Microsoft Word, Excel and PowerPoint
- Demonstrated project management skills
- Ability to travel to the client and/or off- site locations weekly
The University of Massachusetts Chan Medical School welcomes all qualified applicants and complies with all state and federal anti-discrimination laws.
Seniority level
-
Seniority level
Not Applicable
Employment type
-
Employment type
Full-time
Job function
-
Job function
Consulting, Information Technology, and Sales
-
Industries
Research Services
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Medicaid Eligibility Consultant II employer: ForHealth Consulting at UMass Chan Medical School
Contact Detail:
ForHealth Consulting at UMass Chan Medical School Recruiting Team
StudySmarter Expert Advice 🤫
We think this is how you could land Medicaid Eligibility Consultant II
✨Tip Number 1
Familiarise yourself with the latest Medicaid policies and regulations. Understanding the nuances of these regulations will not only help you in interviews but also demonstrate your commitment to the role.
✨Tip Number 2
Network with professionals in the Medicaid field. Attend relevant conferences or webinars where you can meet people who work in similar roles. This can provide you with insider knowledge and potentially lead to referrals.
✨Tip Number 3
Prepare to discuss specific projects you've worked on that relate to Medicaid eligibility and program integrity. Be ready to explain your analytical approach and how you contributed to successful outcomes.
✨Tip Number 4
Showcase your project management skills by discussing any relevant experiences where you led a project from start to finish. Highlight your ability to manage timelines, budgets, and stakeholder communications effectively.
We think you need these skills to ace Medicaid Eligibility Consultant II
Some tips for your application 🫡
Understand the Role: Before applying, make sure you fully understand the responsibilities and requirements of the Medicaid Eligibility Consultant II position. Tailor your application to highlight relevant experience and skills that align with the job description.
Highlight Relevant Experience: In your CV and cover letter, emphasise your experience with Medicaid policies, programs, and procedures. Provide specific examples of how you've applied your analytical and organisational skills in previous roles.
Craft a Strong Cover Letter: Your cover letter should not only express your interest in the role but also demonstrate your understanding of Medicaid eligibility systems. Discuss how your background makes you a suitable candidate for supporting program integrity initiatives.
Proofread Your Application: Before submitting, carefully proofread your CV and cover letter for any spelling or grammatical errors. A polished application reflects attention to detail, which is crucial for this role.
How to prepare for a job interview at ForHealth Consulting at UMass Chan Medical School
✨Know Your Medicaid Inside Out
Make sure you have a solid understanding of Medicaid policies, programs, and procedures. Brush up on both state and federal regulations as they apply to public assistance programs, as this knowledge will be crucial during your interview.
✨Showcase Your Analytical Skills
Prepare to discuss your experience with complex analysis and how it relates to Medicaid eligibility and program integrity projects. Be ready to provide examples of past projects where your analytical skills made a significant impact.
✨Demonstrate Project Management Experience
Highlight your project management skills by discussing specific projects you've managed from start to finish. Emphasise your ability to develop work and implementation plans, as well as your experience in forecasting and cost analysis.
✨Prepare for Client Interaction Scenarios
Since the role involves providing on-site support during client visits, think about how you would handle various client interactions. Prepare examples of how you've successfully communicated with clients or stakeholders in the past, showcasing your strong verbal and written communication skills.
