Health Care Service Corporation

Medicaid Contract Consultant

Health Care Service Corporation$61K — $136K *
Tulsa, OK 74133In-Person
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree with 4 years' experience in contract management or 8 years' experience in the field.
  • Demonstrated leadership capabilities.
  • Project management and planning experience.
  • Strong independent decision-making skills.
  • Effective communication and relationship-building skills with internal teams and external agencies.
  • Guidance experience for both intra and interdepartmental staff.
  • Expertise in precise documentation and analytical skills.

Responsibilities

  • Lead and coordinate Medicaid programs aligning with regulations.
  • Implement program changes and collaborate on development efforts.
  • Test and implement necessary process and system modifications.
  • Serve as the liaison with vendors and oversee contracts with state agencies.
  • Ensure compliance with contractual requirements and quality standards.

Benefits

  • Flex schedule with 3 days in-office and 2 days remote work per week.
  • Comprehensive health and wellness benefits.
  • 401(k) savings plan and pension plan.
  • Paid time off and parental leave.
  • Employee assistance program and disability insurance.
  • 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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