Medicaid Specialist

Optum; Seattle (WA); On-site; USD 57,308,000 - 103,155,000; Full time

Benefits offered by this job

Paid Time Off

Medical & Health plan

Dental & Vision

401(k) Plan

Employee Stock Purchase Plan

Education Reimbursement

Employee Discounts

Employee Assistance Program

Referral Bonus Program

Voluntary Benefits

Job summary

Optum is seeking a Medicaid Specialist to support the Medicaid program from Seattle, WA with flexibility for remote work. The role focuses on engaging with members and providers, analyzing data, and ensuring accurate reporting while adhering to PST hours.

The ideal candidate will have 2+ years of Medicaid and LTSS experience, strong data entry skills, and proficiency in Excel/Word. Join a team dedicated to improving health outcomes and equity.

Qualifications

• High School Diploma or GED.
• 2+ years Medicaid experience.
• 2+ years LTSS experience.
• 1+ years data entry experience.
• Knowledge of data analysis and reporting.
• Must reside in the time zone of Pacific Standard Time (PST).

Responsibilities

• Engagement and relationship experience with members, providers, networks, internal and external partners.
• Written and oral communication skills; facilitating internal, cross-functional and external relationships.
• Deep understanding of Medicaid and LTSS principles.
• Excel/Word knowledge.
• Analysis of data and reports/Reporting ability.
• Workflow development, gap analysis, and continuous process improvement.
• Proactive problem solving.
• Organizational Skills.
• Performs other duties as assigned.

Skills

Relationship mgmt

Data analysis

Reporting

Excel/Word

Communication

Problem solving

Org & time mgmt

Education

High School Diploma/GED

Tools

ECW

Job description

Improve the lives of others while Caring. Connecting. Growing together.

Job Description - Medicaid Specialist (2387419)

Medicaid Specialist - 2387419

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits,dataand resources they need to feel their best.Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensivebenefitsand career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale.Join us to startCaring. Connecting. Growing together.

Optumis seeking Medicaid Specialist to join our growing team. At Optum, we are transforming healthcare nationally while providing physician-led care locally. Work with the largest care delivery organization in the world and start doingyour life's best work.

Schedule: Monday through Friday 8:00 am to 5:00 PM PST

Location: Must reside in the time zone of Pacific Standard Time. (PST)

If you are located inSeattle, WA, you will have the flexibility to work remotely* as you take on some tough challenges.

Primary Responsibilities:

• Engagement and relationship experience with members, providers, networks, internal and external functional partners
  • Written oral and written communication skills: facilitating internal, cross-functional and external relationships
• Deep understanding of Medicaid and LTSS principles
• Excel/Word knowledge
• computer comfort
• Analysis of data and reports/Reporting ability
• Basic understanding of reporting, program metrics, data analysis
• Workflow development, gap analysis, and continuous process improvement
• Proactive problem solving
• Organizational Skills
• Performs other duties as assigned

What are the reasons to consider working for UnitedHealth Group? Put it all together – competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:

• Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
• Medical Plan options along with participation in a Health Spending Account or a Health Saving account
• Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
• 401(k) Savings Plan, Employee Stock Purchase Plan
• Education Reimbursement
• Employee Discounts
• Employee Assistance Program
• Employee Referral Bonus Program
• Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

• High School Diploma/GED
• 2+ years of Medicaid experience
• 2+ years of experience with LTSS (Long Term Services and Supports)
• 1+ years of data entry experience
• Knowledge of data analysis and reporting
• Must reside in the time zone of Pacific Standard Time. (PST)

Preferred Qualifications:

• Experience with electronic medical records (ECW)
• 1+ year customer service experience
• Knowledge of insurance carriers and managed care plans
• Knowledge of medical terminology

Soft Skills:

• Ability to work independently and as a team, and maintain good judgment and accountability
• Demonstrated ability to work well with health care providers
• Strong organizational and time management skills
• Ability to multi-task and prioritize tasks to meet all deadlines
• Ability to work well under pressure in a fast-paced environment
• Excellent verbal and written communication skills; ability to speak clearly and concisely, conveying information in a manner that others can understand, as well as ability to understand and interpret information from others

*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you’ll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $20.00 to $36.00 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location, and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

UnitedHealth Group is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need special assistance or accommodation for any part of the application process, please call 1-866-566-8715 to be connected to Recruitment Services. Recruitment Services hours of operation are 7 a.m. to 7 p.m. CT, Monday through Friday.

UnitedHealth Group is a registered service mark of UnitedHealth Group, Inc. The UnitedHealth Group name with the dimensional logo, as well as the dimensional logo alone, are both service marks for the UnitedHealth Group, Inc.

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.