Medicare and Medicaid Specialist
Medicare and Medicaid Specialist
Posted on :
22-06-2025
Employer Active
1 Vacancy
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Monthly Salary
Not Disclosed
Salary Not Disclosed
Vacancy
1 Vacancy
Posted on :
22-06-2025
Job Description
Position Purpose
The Medicare and Medicaid Specialist will be responsible for assisting the Government Programs Manager and Government Programs Director with the administration of various Government Programs and to ensure health plan adherence to both internal and regulatory procedures documentation and reporting deadlines. The Medicare and Medicaid Specialist will also assist Senior Management and the Government Programs Manager and Government Programs Director with responding to outside entity audits reviews and requests for information.
Essential Functions
The Medicare and Medicaid Specialist will be responsible for assisting the Government Programs Manager and Government Programs Director with the administration of various Government Programs and to ensure health plan adherence to both internal and regulatory procedures documentation and reporting deadlines. The Medicare and Medicaid Specialist will also assist Senior Management and the Government Programs Manager and Government Programs Director with responding to outside entity audits reviews and requests for information.
Essential Functions
- Assist the Government Programs Manager and Government Programs Director with scheduled and/or ad hoc audits and requests for information from contracted clients;
- Assist the Government Programs Manager and Government Programs Director with various governmental program related projects that require strong research abilities problem solving and critical thinking skills and organization.
- Act as a liaison between the Government Programs department and staff by interpreting policy language and government program contract language and providing guidance;
- Develop and maintain strong relationships with governmental agency staff associated with the Cooperatives government product lines;
- Assist in coordinating the submission of regulatory reporting including those submitted to Centers for Medicare and Medicaid (CMS) and the State of Wisconsin.
Minimum Requirements of the Position
- Bachelors degree in Business Health Care Administration or related field is preferred or equivalent experience preferred;
- One to two years experience in healthcare regulatory compliance is preferred;
- Knowledge of the health insurance industry preferred; Wisconsin Medicaid and/or Medicare knowledge preferred;
- Organized and attentive to detail;
- Proficiency with Microsoft Word Excel is required. Proficiency in PowerPoint is preferred;
- Excellent verbal and written communication skills;
- Ability to work well with many different personality types;
- Excellent work ethic with the ability to work in a team environment as well as independently;
Group Health Cooperative of Eau Claire complies with applicable Federal civil rights laws and does not discriminate exclude or treat candidates less favorably on the basis of race color national origin (including limited English proficiency and primary language) age disability or sex (including sex characteristics including intersex traits; pregnancy or related conditions; sexual orientation; gender
identity; and sex stereotypes).
The Cooperative is committed to fostering a caring and compassionate environment while ensuring that individual differences are valued. The Cooperative is a quality driven cooperative built on collaboration community involvement innovation and belonging. It is essential that all employees and members feel secure and welcome that the opinions and contributions of all individuals are respected and that all voices are heard.
This full time position offers an outstanding benefit package including three weeks of vacation the first year a generous retirement plan health and dental insurance a wellness program and much more! If you are interested in working for an organization focused on a team atmosphere and is dedicated to providing exceptional service submit your resume today! Send resume to: Group Health Cooperative of Eau Claire is an affirmative action and equal opportunity employer.
identity; and sex stereotypes).
The Cooperative is committed to fostering a caring and compassionate environment while ensuring that individual differences are valued. The Cooperative is a quality driven cooperative built on collaboration community involvement innovation and belonging. It is essential that all employees and members feel secure and welcome that the opinions and contributions of all individuals are respected and that all voices are heard.
This full time position offers an outstanding benefit package including three weeks of vacation the first year a generous retirement plan health and dental insurance a wellness program and much more! If you are interested in working for an organization focused on a team atmosphere and is dedicated to providing exceptional service submit your resume today! Send resume to: Group Health Cooperative of Eau Claire is an affirmative action and equal opportunity employer.
Required Experience:
Unclear Seniority
Employment Type
Full Time
Key Skills
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