Medicaid/Medicare Srvs Specialist III

Kentucky Personnel Cabinet • Frankfort, KY

5d • $48,483 - $72,725

About The Position

The Department for Aging and Independent Living is seeking a high-energy, self-motivated individual to support its work serving older adults and people with physical disabilities across Kentucky. The department helps individuals obtain home- and community-based care and services so they can remain in their homes and avoid premature admission to long-term care facilities.

The selected candidate may be authorized to telecommute. The agency may modify or end the telecommuting arrangement at any time. The position primarily involves performing duties in an office setting.

Requirements

• Bachelor's degree from a college or university, or qualifying experience in the listed areas substituted for the degree on a year-for-year basis. Current or prior military experience also substitutes 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, or policy development; human service or health care 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, distinguishing urgent, important, and unimportant tasks.
• Strong organization skills, including time management, scheduling, coordinating resources, and meeting deadlines.
• Attention to detail and thoroughness and accuracy in completing tasks.
• Ability to work cooperatively as part of a team.
• Ability to work under pressure, manage a high volume of work, and meet deadlines.
• Exceptional customer service skills.
• Effective problem-solving skills.
• Ability to work well in a fast-paced environment.

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