What are the responsibilities and job description for the Medicaid/Medicare Srvs Specialist III position at Commonwealth of Kentucky?
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10/25/2026 (11:59 PM ET)
req81908
Medicaid/Medicare Srvs Specialist III
Pay Grade 15
Salary
$48,482.88 - $71,298.00 Annually
Employment Type
EXECUTIVE BRANCH | FULL TIME | ELIGIBLE FOR OVERTIME PAY | 18A | 37.5 HR/WK
Click here for more details on state employment.
Hiring Agency
Cabinet for Health & Family Services
Location
275 E Main Street
Frankfort, KY 40621
The agency may authorize the selected candidate to telecommute. The agency may terminate or modify the telecommuting arrangement at any time.
Description
The Department for Aging and Independent Living provides services for the aged and physically disabled populations across the state. The Department is charged with assisting individuals in obtaining needed home and community-based care and services to prevent premature admission into a long-term care facility. The goal of the departments programs is to assist individuals with remaining in their own home for as long as possible. The Department is currently seeking a high energy, self-motivated individual with the desire to assist the Division in supporting the departments goals.
Responsibilities And Duties Include
Minimum Requirements
EDUCATION: Graduate of a college or university with a bachelor's degree.
EXPERIENCE, TRAINING, OR SKILLS: Four years of experience in Medicaid or Medicare program administration, health insurance administration/systems, eligibility systems, health care research, health care planning, health care financial management, health care policy development, human service or health care administration, insurance billing and/or claims, or research, review, and analysis of legislation or regulations.
Substitute EDUCATION for EXPERIENCE: NONE
Substitute EXPERIENCE for EDUCATION: Experience in the above areas will substitute for the required college on a year-for-year basis. Current or prior military experience will substitute for the required college on a year-for year basis.
SPECIAL REQUIREMENTS (AGE, LICENSURE, REGULATION, ETC.): NONE
Working Conditions
Incumbents working in this job title primarily perform duties in an office setting.
Probationary Period
This job has an initial and promotional probationary period of 6 months, except as provided in KRS 18A.111.
If you have questions about this advertisement, please contact Laura Haydon at Laura.Haydon@ky.gov or 502-564-1181.
An Equal Opportunity Employer M/F/D
10/25/2026 (11:59 PM ET)
req81908
Medicaid/Medicare Srvs Specialist III
Pay Grade 15
Salary
$48,482.88 - $71,298.00 Annually
Employment Type
EXECUTIVE BRANCH | FULL TIME | ELIGIBLE FOR OVERTIME PAY | 18A | 37.5 HR/WK
Click here for more details on state employment.
Hiring Agency
Cabinet for Health & Family Services
Location
275 E Main Street
Frankfort, KY 40621
The agency may authorize the selected candidate to telecommute. The agency may terminate or modify the telecommuting arrangement at any time.
Description
The Department for Aging and Independent Living provides services for the aged and physically disabled populations across the state. The Department is charged with assisting individuals in obtaining needed home and community-based care and services to prevent premature admission into a long-term care facility. The goal of the departments programs is to assist individuals with remaining in their own home for as long as possible. The Department is currently seeking a high energy, self-motivated individual with the desire to assist the Division in supporting the departments goals.
Responsibilities And Duties Include
- Perform advanced analysis of records to identify provider deficiencies.
- Evaluate regulations and policies, providing expert recommendations for improvement.
- Develop, interpret and maintain comprehensive statistical reports and tracking spreadsheets.
- Address complex inquiries and prepare detailed oral or written responses.
- Analyze and report impact of policy changes, providing expert insight to inform decision making and strategic planning.
- Conduct monitoring and technical reviews of agencies providing waiver services.
- Excellent verbal and written communication skills.
- Excellent computer skills.
- Ability to plan and establish priorities, differentiating between urgent, important, and unimportant tasks.
- Excellent organization skills including time management, scheduling, coordinating resources and meeting deadlines.
- Attention to detail being thorough and accurate in completing tasks.
- Ability to work cooperatively as part of a team.
- Ability to work under pressure, being able to cope with a high volume of work and meeting deadlines.
- Exceptional customer service.
- Effective problem solver.
- Written and verbal communication skills.
- Works well in a fast-paced environment.
- Organization and time management skills.
Minimum Requirements
EDUCATION: Graduate of a college or university with a bachelor's degree.
EXPERIENCE, TRAINING, OR SKILLS: Four years of experience in Medicaid or Medicare program administration, health insurance administration/systems, eligibility systems, health care research, health care planning, health care financial management, health care policy development, human service or health care administration, insurance billing and/or claims, or research, review, and analysis of legislation or regulations.
Substitute EDUCATION for EXPERIENCE: NONE
Substitute EXPERIENCE for EDUCATION: Experience in the above areas will substitute for the required college on a year-for-year basis. Current or prior military experience will substitute for the required college on a year-for year basis.
SPECIAL REQUIREMENTS (AGE, LICENSURE, REGULATION, ETC.): NONE
Working Conditions
Incumbents working in this job title primarily perform duties in an office setting.
Probationary Period
This job has an initial and promotional probationary period of 6 months, except as provided in KRS 18A.111.
If you have questions about this advertisement, please contact Laura Haydon at Laura.Haydon@ky.gov or 502-564-1181.
An Equal Opportunity Employer M/F/D
Salary : $48,483 - $71,298