Medicaid Eligibility Consultant II – HigherEdJobs

General Summary

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.

Responsibilities

• 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.

Qualifications

• 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

Posting Disclaimer:
This job posting outlines the primary responsibilities and
qualifications for the role but is not intended to be an exhaustive list. Duties and expectations may evolve in response to the needs of the
department and the broader institution.

In alignment with our commitment to pay transparency, the base salary range for this
position is listed above (exclusive of benefits and retirement). At UMass Chan Medical School, final base salary offers are determined based
on a combination of factors, including your skills, education, and relevant experience. We also consider internal equity to ensure fair and
consistent compensation across our teams.

Please note that the range provided reflects the full base salary range for this position.
Offers are typically made within the midrange to allow for future growth and development within the role.

In addition to base pay,
UMass Chan offers a comprehensive Total Rewards package, which includes paid time off, medical, dental, and vision coverage, and
participation in a 401(a)-retirement plan, with the option to contribute to a voluntary 403(b) plan.

UMass Chan welcomes all
qualified applicants and complies with all state and federal anti-discrimination laws.