Health Care Service Corporation

Medicaid Contract Consultant

Health Care Service Corporation$61K — $136K *
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's Degree with 4 years in contract management OR 8 years in contract management experience
  • Leadership experience
  • Project management and planning skills
  • Strong independent decision-making abilities
  • Experience in internal business relationships and external agency communications
  • Experience guiding intra/interdepartmental teams
  • Ability to accurately document information
  • Strong negotiation skills for business/process improvements

Responsibilities

  • Lead and coordinate assigned Medicaid programs
  • Implement program changes and collaborate with internal teams
  • Test and implement organizational processes and system changes
  • Act as a liaison with vendors and internal functions
  • Assist in managing contracts with state regulatory agencies

Benefits

  • Flex schedule allowing 3 days in the office and 2 days remote work
  • Health and wellness benefits
  • 401(k) savings plan
  • Pension plan
  • Paid time off and parental leave
  • Disability insurance and supplemental life insurance
  • Employee assistance program
  • Tuition reimbursement and paid holidays
Full Job Description
Job Summary

Is responsible for leadership and coordination of the assigned Medicaid programs in accordance with contractual and regulatory requirements. Implementing program changes and working with other areas of the organization on the development. Testing and implementation of organization. Process and system changes to ensure the requirements of the assigned Medicaid program are met. Serves as the liaison with vendors and internal functional areas and assists in the coordination of the contract with state regulatory agencies.

Required Job Qualifications:
* Bachelor Degree and 4 years' experience in contract management OR 8 years' experience in contract management.
* Leadership experience
* Project management/planning skills.
* Experience in a position requiring independent and critical decision making skills.
* Experience communicating with and relationship building with internal business units and/or various external government agencies.
* Experience leading/providing guidance to intra and interdepartmental staff.
* Experience accurately documenting information reported.
* Organizational, analytical and decision-making skills.
* Negotiation skills resulting in business/process improvements/changes.
* Clear and concise interpersonal, verbal and written communication skills.
* Presentation skills.
* Project positive, professional image.

Preferred Job Qualifications:
* Experience with corporate policies / procedures, compliance regulations in health care administration/managed care experience.

* Medicaid experience

* Experience using Facets system

Flex Schedule: 3 days in office/week with 2 days work from home/week.

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Pay Transparency Statement:

At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting https://careers.hcsc.com/totalrewards.

The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.

Base Pay Range
$61,500.00 - $136,100.00

Exact compensation may vary based on skills, experience, and location.

About Health Care Service Corporation

Health Care Service Corporation (HCSC) is the largest customer-owned health insurer in the United States. HCSC offers a wide variety of health insurance products and related services, through its operating divisions and subsidiaries in Illinois, Montana, New Mexico, Oklahoma and Texas. HCSC's headquarters is located in Chicago, Illinois.
Learn more about Health Care Service Corporation
Size
24,000 employees
Industry
Founded
1936

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