Medicaid/Medicare Srvs Specialist III

Commonwealth of Kentucky; Frankfort (KY); Hybride; USD 48 000 - 71 000; Plein temps

Résumé du poste

Commonwealth of Kentucky, Cabinet for Health and Family Services, seeks a high-energy analyst to advance aging and independent living programs. The role involves evaluating regulations, maintaining statistical reports, and addressing complex inquiries across Medicaid/Medicare domains within the executive branch.

The position requires a bachelor’s degree and at least four years of related experience; telecommuting may be authorized.

Qualifications

• Bachelor's degree from college or university.
• 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.
• Substitution of education with related experience allowed on a year-for-year basis.

Responsabilités

• Perform advanced analysis of records to identify provider deficiencies.
• Evaluate regulations and policies, providing expert recommendations for improvement.
• Develop, interpret and maintain comprehensive statistical reports and tracking spreadsheets.
• Address complex inquiries and prepare detailed oral or written responses.
• Analyze and report impact of policy changes, providing expert insight to inform decision making and strategic planning.
• Conduct monitoring and technical reviews of agencies providing waiver services.

Description du poste

Advertisement Closes

10/25/2026 (11:59 PM ET)

Pay Grade

15

Salary

$48,482.88 - $71,298.00 Annually

Employment Type

EXECUTIVE BRANCH | FULL TIME | ELIGIBLE FOR OVERTIME PAY | 18A | 37.5 HR/WK

Hiring Agency

Cabinet for Health & Family Services

More Details

Click here for more details on state employment.

Location

275 E Main Street
Frankfort, KY 40621
The agency may authorize the selected candidate to telecommute. The agency may terminate or modify the telecommuting arrangement at any time.

Description

The Department for Aging and Independent Living provides services for the aged and physically disabled populations across the state. The Department is charged with assisting individuals in obtaining needed home and community-based care and services to prevent premature admission into a long-term care facility. The goal of the departments programs is to assist individuals with remaining in their own home for as long as possible. The Department is currently seeking a high energy, self-motivated individual with the desire to assist the Division in supporting the departments goals.

Responsibilities and duties include:

• Perform advanced analysis of records to identify provider deficiencies.
• Evaluate regulations and policies, providing expert recommendations for improvement.
• Develop, interpret and maintain comprehensive statistical reports and tracking spreadsheets.
• Address complex inquiries and prepare detailed oral or written responses.
• Analyze and report impact of policy changes, providing expert insight to inform decision making and strategic planning.
• Conduct monitoring and technical reviews of agencies providing waiver services.

Skills and abilities include, but are not limited to:

• Excellent verbal and written communication skills.
• Excellent computer skills.
• Ability to plan and establish priorities, differentiating between urgent, important, and unimportant tasks.
• Excellent organization skills including time management, scheduling, coordinating resources and meeting deadlines.
• Attention to detail being thorough and accurate in completing tasks.
• Ability to work cooperatively as part of a team.
• Ability to work under pressure, being able to cope with a high volume of work and meeting deadlines.
• Exceptional customer service.
• Effective problem solver.
• Written and verbal communication skills.
• Works well in a fast-paced environment.
• Organization and time management skills.

The Cabinet for Health and Family Services (CHFS) participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in U.S. CHFS will only use E-Verify once you have accepted a job offer and completed the Form I-9. For more information on E-Verify, or if you believe that CHFS has violated its E-Verify responsibilities, please contact Department of Homeland Security (DHS) at 888-897-7781 or https://www.e-verify.gov/.

Minimum Requirements

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.

SPECIAL REQUIREMENTS (AGE, LICENSURE, REGULATION, ETC.):

NONE

Working Conditions

Incumbents working in this job title primarily perform duties in an office setting.

Probationary Period

This job has an initial and promotional probationary period of 6 months, except as provided in KRS 18A.111.

Contact

If you have questions about this advertisement, please contact Laura Haydon at [e-mail] or 502-564-1181.

Equal Opportunity

An Equal Opportunity Employer M/F/D