Medicaid Account Specialist

At Blue Cross and Blue Shield of Minnesota we are committed to paving the way for everyone to achieve their healthiest life. We are looking for dedicated and motivated individuals who share our vision of transforming healthcare. As a Blue Cross associate you are joining a culture that is built on values of succeeding together finding a better way and doing the right thing. If you are ready to make a difference join us.

The Account Support Specialist within the Medicaid Performance Hub serves as an operational anchor for the Medicaid organization driving predictable execution performance visibility regulatory compliance and delivery on contractual commitments. The role supports deliberate planning year-over-year performance expectations and predictable RFP and pursuit cycle execution across the business.

You educate the enterprise on contract requirements operational readiness and implementation processes while partnering closely with Compliance to maintain alignment with regulatory expectations. Your work ensures effective member and stakeholder outcomes operational accuracy and proactive risk management supporting Medicaid P&L performance.

• Provides ongoing operational and administrative support to Medicaid client accounts throughout the contract lifecycle ensuring accuracy and timeliness
• Coordinate end-to-end RFP activities and maintain readiness materials content and data required for successful proposal submissions.
• Support contract implementation benefit changes negotiations and contract modifications to ensure timely and accurate execution of agreements.

• Logging and managing contract related change requests including pricing updates product changes regulatory impacts and organizational restructuring.
• Coordinating DHS and regulatory reporting activities ensuring data quality required attestations and timely submission of deliverables.
• Maintaining Medicaid account data reporting repositories and program resources to support audit readiness operational consistency and stakeholder access to information.
• Coordinating internal and external stakeholders to support Medicaid account execution issue resolution and achievement of business objectives.
• Contributing to Medicaid and enterprise education and onboarding efforts to clarify Medicaid programs and contract requirements.
• Performs additional responsibilities consistent with the scope and level of the role as assigned.

• 3 years of related Medicaid professional experience.
• Bachelors degree; in lieu of a degree an additional two years of relevant experience beyond the qualifications listed above may be accepted.

• Knowledge of government healthcare programs regulations and compliance requirements.
• Knowledge of health plan operations products and business practices.
• Experience improving processes workflows or operational performance.
• Ability to tailor communication to varied audiences actively listen to uncover requirements and ensure accurate and timely information exchange.
• Ability to analyze information identify patterns and root causes and collaborate with partners to implement practical solutions.
• Ability to effectively organize work balance competing priorities and manage time across multiple responsibilities and deadlines.

Hybrid

Role designation definition:

• Teleworking is working full time remote.
• Hybrid is a minimum of 2 days onsite.
• Onsite is full-time onsite.

Anchored in Connection

Our hybrid approach is designed to balance flexibility with meaningful in-person connection and collaboration. We come together in the office two days each week most teams designate at least one anchor day to ensure team interaction. These in-person moments foster relationships creativity and alignment. The rest of the week you are empowered to work remote.

$68900.00 - $91300.00 - $113700.00 Annual

Pay is based on several factors which vary based on position including skills ability and knowledge the selected individual is bringing to the specific job.

We offer a comprehensive benefits package which may include:

• Medical dental and vision insurance

• Life insurance

• 401k

• Paid Time Off (PTO)

• Volunteer Paid Time Off (VPTO)

• And more

To discover more about what we have to offer please review our benefits page.

At Blue Cross and Blue Shield of Minnesota we are committed to paving the way for everyone to achieve their healthiest life. Blue Cross of Minnesota is an Equal Opportunity Employer and maintains an Affirmative Action plan as required by Minnesota law applicable to state contractors. All qualified applications will receive consideration for employment without regard to and will not be discriminated against based on any legally protected characteristic.

Individuals with a disability who need a reasonable accommodation in order to apply please contact us at:

Blue Cross and Blue Shield of Minnesota and Blue Plus are nonprofit independent licensees of the Blue Cross and Blue Shield Association.

Physical requirements.