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- Tasks: Assist in developing contracts and conducting complex analysis for Medicaid eligibility projects.
- Company: Join UMass Chan Medical School, a recognised leader in medical education and diversity initiatives.
- Benefits: Enjoy a full-time role with opportunities for professional growth and impactful work.
- Why this job: Make a difference in healthcare while working in a supportive and innovative environment.
- Qualifications: Bachelor's degree and 3-5 years of experience in a related field required.
- Other info: Opportunity to travel and engage with various stakeholders in the Medicaid system.
The predicted salary is between 36000 - 60000 £ per year.
Explore the Possibilitiesand Advance with Us.You can view all open jobs by clicking here or use the following search form to find jobs that suit your specificcareer interests.Medicaid Eligibility Consultant II Job Number: 2025-48325Category: Administrative ProfessionalLocation: Shrewsbury, MAShift: DayExempt/Non-Exempt: ExemptBusiness Unit: ForHealth ConsultingDepartment: ForHealth Consulting – Third Party Liability – W401920Job Type: Full-TimeSalary Grade: 46Union Code: Non Union Position -W60- Non Unit ProfessionalNum. Openings: 1Post Date: June 27, 2025Under 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 meetingsParticipate 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 field3 to 5 years of experience in a business related fieldExtensive 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 programsDemonstrated experience in Microsoft Word, Excel and PowerPointDemonstrated project management skillsAbility to travel to the client and/or off- site locations weeklyUMass Chan Medical School was among 23 companies that stood out as 2023 “DEI champions,” according toThe Boston Globe.Named a U.S. News & World Report“2023 BEST MEDICAL GRAD SCHOOL”for Primary Care and Research #J-18808-Ljbffr
Medicaid Eligibility Consultant II employer: JobLeads GmbH
Contact Detail:
JobLeads GmbH 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 workshops or webinars where you can meet current employees or industry experts who can provide insights into the company culture and expectations.
✨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 it 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, resources, 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 to thoroughly read the job description for the Medicaid Eligibility Consultant II position. Understand the key responsibilities and required skills, especially those related to Medicaid policies and project management.
Tailor Your CV: Customise your CV to highlight relevant experience in Medicaid-related roles. Emphasise your analytical skills, project management experience, and familiarity with Medicaid systems to align with the job requirements.
Craft a Compelling Cover Letter: Write a cover letter that showcases your passion for the role and the organisation. Mention specific experiences that demonstrate your expertise in Medicaid eligibility and program integrity initiatives, and how you can contribute to their goals.
Proofread Your Application: Before submitting, carefully proofread your application materials. Check for any spelling or grammatical errors, and ensure that all information is clear and concise. A polished application reflects your attention to detail.
How to prepare for a job interview at JobLeads GmbH
✨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 that apply to public assistance programmes, as this knowledge will be crucial during your interview.
✨Showcase Your Analytical Skills
Prepare to discuss your experience with complex analysis and how you've applied it in previous roles. Be ready to provide examples of how your analytical skills have contributed to Medicaid eligibility or program integrity projects.
✨Demonstrate Project Management Experience
Highlight your project management skills by discussing specific projects you've managed from start to finish. Be prepared to explain how you handled challenges and ensured successful outcomes, especially in relation to Medicaid systems.
✨Prepare for Client Interaction Scenarios
Since the role involves providing on-site support during client visits, think about how you would handle various client interaction scenarios. Practice articulating your approach to building relationships and presenting information clearly and effectively.
