Medicaid/Medicare Srvs Specialist III

Kentucky Personnel Cabinet • Frankfort, KY

1d • $48,483 - $72,725 • Hybrid

About The Position

The Department for Aging and Independent Living is seeking a high-energy, self-motivated individual to support its work assisting older adults and people with physical disabilities in obtaining home- and community-based care and services, helping them remain in their homes and avoid premature admission to long-term care facilities. The agency may authorize telecommuting, and may modify or end that arrangement at any time.

The position performs advanced analysis of records to identify provider deficiencies; evaluates regulations and policies and provides expert recommendations; develops, interprets, and maintains statistical reports and tracking spreadsheets; responds to complex inquiries; and assesses and reports the impact of policy changes to inform decisions and strategic planning. The position also conducts monitoring and technical reviews of agencies providing waiver services.

The role is based in an office setting. It is a full-time, 37.5-hour-per-week Executive Branch position eligible for overtime pay. The position has an initial and promotional probationary period of six months, except as provided in KRS 18A.111.

Requirements

• Bachelor's degree from an accredited college or university; experience in the specified areas may substitute for the required college education on a year-for-year basis. Current or prior military experience may also substitute for the required college education on a year-for-year basis.
• Four years of experience in Medicaid or Medicare program administration; health insurance administration or systems; eligibility systems; health care research, planning, financial management, policy development, or administration; human service administration; insurance billing or claims; or research, review, and analysis of legislation or regulations.
• Excellent verbal and written communication skills.
• Excellent computer skills.
• Ability to plan and establish priorities, distinguish urgent tasks, and meet deadlines.
• Strong organization and time-management skills, including scheduling and coordinating resources.
• Attention to detail and accuracy.
• Ability to work cooperatively as part of a team and under pressure with a high volume of work.
• Exceptional customer service and effective problem-solving skills.
• Ability to work well in a fast-paced environment.

Nice To Haves

• The posting labels the listed knowledge, skills, and abilities as preferred: excellent communication and computer skills; prioritization, organization, time management, attention to detail, teamwork, ability to work under pressure and in a fast-paced environment, customer service, and problem-solving.

Responsibilities

• Perform advanced analysis of records to identify provider deficiencies.
• Evaluate regulations and policies and provide 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 the impact of policy changes, providing expert insight to inform decision-making and strategic planning.
• Conduct monitoring and technical reviews of agencies providing waiver services.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior