Medicaid Eligibility Systems Specialist II

ForHealth Consulting at UMass Chan Medical School; Westborough (MA); On-site; USD 70,000 - 100,000; Full time

Job summary

ForHealth Consulting at UMass Chan Medical School is looking for a detail-oriented Medicaid Eligibility Consultant II to support Medicaid eligibility and program integrity initiatives. The role involves conducting complex analyses, performing research for Medicaid projects, and collaborating with state agencies.

Ideal candidates have 3 to 5 years of experience, extensive knowledge of Medicaid policies, and strong project management skills. Proficiency in Microsoft Office applications is essential, as well as the ability to communicate effectively and travel to client sites as needed.

Qualifications

• 3 to 5 years of experience in a business-related field.
• Extensive knowledge of Medicaid policies, programs, and procedures.
• Ability to integrate Medicaid knowledge with IT systems.
• Experience with complex technical issues affecting Medicaid services.
• Demonstrated experience in project management.

Responsibilities

• Conduct complex analysis to support Medicaid eligibility and program integrity projects.
• Perform research and development analysis relevant to Medicaid eligibility.
• Assist in the development of agreements between public entities and the University.
• Support procurement processes such as RFI and RFP development.
• Assist with testing and resolution of system defects.

Skills

Medicaid-related experience

Analytical skills

Organizing skills

Verbal communication skills

Written communication skills

Project management skills

Education

Bachelor's degree in business, health policy, social service, or public administration

Tools

Microsoft Word

Microsoft Excel

Microsoft PowerPoint

Job description

ForHealth Consulting at UMass Chan Medical School is looking for a detail-oriented Medicaid Eligibility Consultant II to support Medicaid eligibility and program integrity initiatives. The role involves conducting complex analyses, performing research for Medicaid projects, and collaborating with state agencies.

Ideal candidates have 3 to 5 years of experience, extensive knowledge of Medicaid policies, and strong project management skills. Proficiency in Microsoft Office applications is essential, as well as the ability to communicate effectively and travel to client sites as needed.