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PacificSource is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status, such as race, religion, color, national origin, sex, sexual orientation, gender identity or age.
Diversity and Inclusion : PacificSource values the diversity of the people we hire and serve. We are committed to creating a diverse environment and fostering a workplace in which individual differences are appreciated, respected and responded to in ways that fully develop and utilize each person's talents and strengths.
Under limited supervision, assist Medicaid Administration staff in ensuring organizational adherence to contractual requirements with the Oregon Health Authority, external entities, providers, payers, and other states, as applicable.
Employ an effective and efficient organizational skill set to coordinate department needs. Coordinate PacificSource activities to ensure contract deliverables are reviewed, compliant, and submitted timely.
Works closely with CCO leadership and other stakeholders, contract management support, schedules, timelines, and review processes.
Provide support on critical work groups to track and document contract changes. This role interacts with internal and external stakeholders and partners.
Essential Responsibilities :
Develop and maintain effective solutions and processes to manage schedules, timelines, activities, and milestones for Medicaid contract deliverables and reports for multiple CCOs.
This includes all Medicaid contract types; CCO contracts with the Oregon Health Authority, Cover All Kids, and Choice Model Services, across multiple service areas where PacificSource has contracts of this type.
Coordinate and collaborate with leadership and key stakeholders to ensure timely, accurate, and complete submissions of 170 State deliverables per CCO, on an annual basis, consistent with PacificSource standards.
This volume is subject to change with each contract cycle.
This review includes, but is not limited to, ensuring a consistent voice for each service area, content review, grammar and punctuation accuracy and consistency, and branding of final documents.
Supporting Responsibilities :
Work Experience : Minimum three years of experience in the health care, managed care, or public health administration industry and / or equivalent experience required.
Relevant knowledge in the following areas preferred : the Oregon Health Plan, health care operations, and demonstrated organizational skills.
Certificates in Business Administration or Technical Writing preferred.
Knowledge : Excellent organizational skills demonstrating efficient documentation methods. Demonstrated successful communication and interpersonal skills.
Ability to be nimble in a fast-paced environment with competing deadlines. Demonstrated skills with the following software : Microsoft Office Suite (e.
g. Outlook, Word, Excel, PowerPoint, and Visio), Adobe or Foxit PDF software, and SharePoint.
Competencies : Adaptability
Adaptability
Building Customer Loyalty
Building Strategic Work Relationships
Building Trust
Continuous Improvement
Contributing to Team Success
Planning and Organizing
Work Standards
Environment : Work inside in a general office setting with ergonomically configured equipment. Travel is possible approximately 10% of the time.
Skills :
Accountability, Collaboration, Communication (written / verbal), Flexibility, Listening (active), Organizational skills / Planning and Organization, Problem Solving, Teamwork
Our Values
We live and breathe our values. In fact, our culture is driven by these seven core values which guide us in how we do business :
Physical Requirements : Stoop and bend. Sit and / or stand for extended periods of time while performing core job functions.
Repetitive motions to include typing, sorting and filing. Light lifting and carrying of files and business materials. Ability to read and comprehend both written and spoken English.
Communicate clearly and effectively.
Disclaimer : This job description indicates the general nature and level of work performed by employees within this position and is subject to change.
It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications required of employees assigned to this position.
Employment remains AT-WILL at all times.
Last updated : 2024-05-22
Full Time
$49k-81k (estimate)
05/24/2024
05/31/2024
The job skills required for Medicaid specialist include Managed Care, Collaboration, Microsoft Office, Written Communication, Problem Solving, Confidentiality, etc. Having related job skills and expertise will give you an advantage when applying to be a Medicaid specialist. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Medicaid specialist. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Medicaid specialist positions, which can be used as a reference in future career path planning. As a Medicaid specialist, it can be promoted into senior positions as a Managed Care Supervisor that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Medicaid specialist. You can explore the career advancement for a Medicaid specialist below and select your interested title to get hiring information.