Medicaid Eligibility Specialist (VaCMS must)

Duration:  06 Months

Working hours: 8 am-5 pm; 40 hours per week

Job Description:-

Equipment to be used by the temporary staffing professional(s): Computer/laptop
Computer software to be used: MS Office: Outlook, Excel, Teams, Word, SharePoint, Adobe Pro; VACMS, MMIS

Duties/Responsibilities:

• This position will serve as an Eligibility Projects Specialist and serve as a technical eligibility liaison.
• This position requires the ability to work collaboratively across the agency with outside stakeholders and conduct comprehensive project management.
• This position will be responsible for performing detailed, highly technical analysis of Medicaid eligibility and enrollment issues in VaCMS and MMIS/FAS, and for the summarization of the data for internal and external reporting.
• Data compiled will be used in substantiating claims to the Centers for Medicare and Medicaid Services (CMS).
• Based on the outcome of the analysis, this position will also be responsible for the development and implementation of eligibility policy and regulations and for providing professional consultation and assistance to statewide programs for targeted populations.
• This position will plan, schedule, and complete the analysis and evaluation of eligibility determinations for cases selected by CMS for review.
• This position will represent the Eligibility and Enrollment Services Division in various enrollment audits and reviews.
• This position will also provide eligibility expertise to the Division and across the Agency.

Mandatory skills/certification(s) Requirement:

• Valid Driver's License, clean driving record, and ability to drive and navigate through downtown traffic
• Considerable experience providing sound technical and programmatic assistance to individuals inquiring about the Medicaid and FAMIS programs.
• Considerable experience in the eligibility and enrollment process, with experience determining eligibility for the Medicaid and CHIP programs.
• Considerable knowledge and experience with the Virginia Case Management System (VaCMS) and Medicaid Management Information System (MMIS), or any successor systems.
• Experience conducting research or studies. Considerable experience operating a personal computer with spreadsheets, word processing, and presentation software, including Excel, Word, and PowerPoint.
• Considerable policy knowledge of publicly administered assistance programs, such as Medicaid (to include Families and Children, Aged, Blind, and Disabled (ABD), Long-Term Supports and Services (LTSS)) and the Children's Health Insurance Program (CHIP)/Family Access to Medical Insurance Security (FAMIS).
• Experience analyzing, interpreting, and applying federal and state laws, rules, regulations, and guidelines.
• Experience meeting deadlines. Experience communicating with internal and external stakeholders

22nd Century Technologies, Inc. (TSCTI) is one of the fastest-growing IT Services Integrators and Workforce Solutions providers in the United States. Founded in 1997, TSCTI is a Certified National Minority Business Enterprise (MBE) with a workforce of 6,000 professionals, including 600 Cybersecurity Subject Matter Experts (SMEs), delivering mission-critical solutions across all 50 U.S. states, Canada, and Mexico.

Headquartered in Princeton, NJ, and McLean, VA, with 14 regional offices nationwide, TSCTI provides comprehensive solutions in Digital Transformation, Artificial Intelligence (AI), Cybersecurity, Cloud Computing, IT Infrastructure, Enterprise Modernization, DevSecOps, Managed Services, Workforce Solutions, and Healthcare Staffing. We are a trusted partner to Federal, State, Local, Education (SLED), Healthcare, and Commercial organizations, delivering innovative technology and talent solutions that enable our clients to achieve their strategic objectives.

As one of the nation's leading Healthcare Workforce Solutions providers, TSCTI supports federal healthcare systems, Veterans Affairs (VA) Medical Centers, state and local healthcare agencies, hospitals, clinics, laboratories, long-term care facilities, and commercial healthcare organizations. We recruit and place highly qualified healthcare professionals across a wide range of specialties, including physicians, advanced practice providers, registered nurses, allied health professionals, behavioral health specialists, laboratory personnel, pharmacy professionals, and healthcare administrative staff. Our healthcare solutions ensure continuity of care while maintaining the highest standards of clinical excellence and regulatory compliance.

With a strong commitment to quality and compliance, TSCTI operates through CMMI Level 3 (Development & Services) and ISO 9001, ISO 20000, and ISO 27001 certified processes, ensuring consistent service excellence, operational maturity, and information security. Today, we proudly support 14 of the 15 Federal Executive Departments, 37 Federal agencies, 50 State governments, 115 Local agencies, 37 School Districts, numerous healthcare organizations, and 80 Fortune 500 and commercial clients.

TSCTI has earned numerous industry recognitions, including being named among Forbes America's Best Large Employers, Forbes Best Employers for Veterans, Forbes Best Employers for Tech Workers, Newsweek's America's Greatest Workplaces for Diversity, and a 13-time Inc. 5000 honoree. The company has also been recognized by the Washington Business Journal as one of the Best Places to Work and continues to expand its capabilities through strategic innovation, acquisitions, and investments in emerging technologies.

At TSCTI, our people are our greatest strength. We are committed to fostering an inclusive, collaborative, and growth-oriented workplace where innovation thrives and careers flourish. Whether delivering cutting-edge technology solutions or connecting exceptional talent with meaningful careers, we consistently exceed our clients' expectations while empowering our employees to succeed.

Equal Opportunity Employer

22nd Century Technologies, Inc. is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.