Medicare & Medicaid Benefits Specialist

Vermont Health Access; Waterbury (VT); Hybrid; USD 65,000 - 90,000; Full time

Job summary

Vermont Health Access in Waterbury, VT seeks a Program Consultant to serve as subject matter expert for the Coordination of Benefits Recoveries team, handling case work across Medicare, Medicaid, and estate recoveries.

The role involves interpreting complex billing and eligibility rules, collaborating with internal and external stakeholders, conducting policy analysis, and ensuring federal and state compliance. This is a full-time, hybrid position with a Monday-Friday schedule.

Qualifications

• Two or more years of experience in healthcare or health insurance field with accounting or grants management.
• Advanced knowledge of Medicare/Medicaid processes, billing and coding regulations.
• Strong analytical and problem-solving skills for complex regulatory documents.
• Excellent written and verbal communication for diverse stakeholders.

Responsibilities

• Serve as subject matter expert for the Coordination of Benefits Recoveries team.
• Interpret complex billing and eligibility rules and ensure compliance.
• Collaborate with internal and external stakeholders and conduct policy analysis.
• Manage case work across Medicare, Medicaid, and estate recoveries.

Skills

Healthcare experience

Auditing

Grants management

Public administration

Policy analysis

Communication skills

Job description

Vermont Health Access in Waterbury, VT seeks a Program Consultant to serve as subject matter expert for the Coordination of Benefits Recoveries team, handling case work across Medicare, Medicaid, and estate recoveries.

The role involves interpreting complex billing and eligibility rules, collaborating with internal and external stakeholders, conducting policy analysis, and ensuring federal and state compliance. This is a full-time, hybrid position with a Monday-Friday schedule.