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 and 4 years of contract management experience, or 8 years of experience in contract management.
  • Demonstrated leadership experience.
  • Strong project management and planning skills.
  • Ability to make independent and critical decisions.
  • Proven experience in building relationships with internal units and external government agencies.
  • Experience leading and guiding staff across departments.
  • Skilled in documenting and reporting information accurately.
  • Solid organizational, analytical, and decision-making abilities.
  • Proven negotiation skills that lead to business improvements.
  • Excellent verbal, written, and interpersonal communication skills.
  • Strong presentation abilities.

Responsibilities

  • Lead and coordinate assigned Medicaid programs to meet contractual and regulatory guidelines.
  • Implement program changes collaborating with diverse organizational areas.
  • Test and implement process and system changes for Medicaid program compliance.
  • Serve as a liaison with vendors and internal departments.
  • Coordinate contracts with state regulatory bodies.
  • Monitor and drive program performance and compliance.

Benefits

  • Flex schedule with 3 days in office and 2 days work from home each week.
  • Comprehensive health and wellness benefits.
  • 401(k) savings plan and pension plan.
  • Paid time off and parental leave.
  • Disability and supplemental life insurance offered.
  • Employee assistance program available.
  • Paid holidays and tuition reimbursement.
  • Other incentives included in the total rewards package.
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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