Benefit Coordination Manager
Benefit Coordination Manager
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$ 6757 - 7508
1 Vacancy
Job Description
Description and Functions
Open Until Filled
GENERAL DESCRIPTION:
This position manages the Benefit Coordination Section of the Wyoming Medicaid Eligibility Unit to ensure program compliance with State and Federal statutes and regulations. The position is responsible for all Medicaid eligibility functions related to the coordination of benefits involving the Wyoming Department of Health Customer Service Center the Social Security Administration the Medicaid Fiscal Agent Medicare and Third-Party Liability (TPL).This position oversees contracts assists in writing and reviewing RFPs and oversees the development and maintenance of the Online Policy manual (EOM) and the Eligibility website. This position is also responsible for oversight of the Presumptive Eligibility programs the Premium Payment Programs the State Supplemental Payment program Third Party Liability and Estate Recovery as well as all Medicare-related functions including Medicare Buy-In.
Human Resource Contact:
ESSENTIAL FUNCTIONS: The listed functions are illustrative only and are not intended to describe every function which may be performed in the job level.- Manages and oversees the Benefit Coordination Section of the Medicaid Eligibility Unit in the Client Services Section.
- Directs and manages the State Supplemental Payment program and premium-related programs including the Wyoming Health Insurance Premium Payment Program (WHIPP) Medicare Buy-In Medicare Savings Programs and the Employed Individuals with Disabilities (EID) Program..
- Manage technical assistance projects related to eligibility functions.
- Participates in access initiatives.
- Special studies and projects related to eligibility for Medicaid financial eligibility programs.
Qualifications
KNOWLEDGE:- Knowledge of State and Federal Government functions procedures concepts principles and practices of professional healthcare administration; policies and procedures established for the work system; Medicaid programs law and regulatory structure. The ability to comprehend Federal regulations state statutes program rules and policy. Able to interpret and integrate the foregoing into legislation statute and policy.
- Knowledge of the Business Management System the Eligibility System and the application to Medicaid programs. Ability to examine data and reports for completeness accuracy and conformance with regulations.
- Oral and written communication skills to communicate with a broad range of audiences including clients administrators legislators contractors and staff.
- Ability to communicate Medicaid program information and policy to public and private entities.
- Ability to draft Requests for Proposals and evaluate the same. Ability to contract for services via State and Federal Protocols.
MINIMUM QUALIFICATIONS:Education:Bachelors Degree (typically in Management)Experience:1-3 years of progressive work experience (typically in Benefits and Eligibility) with acquired knowledge at the level of a Benefits and Eligibility SupervisorOREducation & ExperienceSubstitution:4-7 years of progressive work experience (typically in Benefits and Eligibility) with acquired knowledge at the level of a Benefits and Eligibility SupervisorCertificates Licenses Registrations:NoneNecessary Special Requirements
PHYSICAL WORKING CONDITIONS:- The employee may sit comfortably to perform the work; however there may be some walking standing bending carrying light items driving an automobile etc.
NOTES:- FLSA: Exempt
- The Wyoming Department of Health is anE-Verifyemployer.
Supplemental Information
Clickhere to view the State of Wyoming Classification and Pay Structure.
URL: State of Wyoming is an Equal Opportunity Employer and actively supports the ADA and reasonably accommodates qualified applicants with disabilities.
Class Specifications are subject to change please refer to the A & I HRD Website to ensure that you have the most recent version.
Required Experience:
Manager
Employment Type
Full-Time
