Medicaid Specialist

UnitedHealth Group • Seattle, WA

6d • $20 - $36 • Remote

About The Position

Optum is seeking a Medicaid Specialist to support its healthcare operations. The role involves engaging with members, providers, networks, and internal and external partners; working with Medicaid and LTSS principles; entering and analyzing data; and supporting reporting, workflow development, gap analysis, and continuous process improvement. The position also includes other duties as assigned.

The schedule is Monday through Friday, 8:00 a.m. to 5:00 p.m. Pacific time. Applicants must reside in the Pacific time zone. Candidates located in Seattle, Washington, may work remotely. Telecommuters must adhere to UnitedHealth Group’s Telecommuter Policy.

Requirements

• High school diploma or GED.
• At least 2 years of Medicaid experience.
• At least 2 years of experience with LTSS (Long Term Services and Supports).
• At least 1 year of data entry experience.
• Intermediate computer proficiency.
• Knowledge of data analysis and reporting.
• Must reside in the Pacific Standard Time zone.
• Ability to work independently and as part of a team, with good judgment and accountability.
• Demonstrated ability to work well with health care providers.
• Strong organizational and time-management skills.
• Ability to multitask and prioritize tasks to meet deadlines.
• Ability to work under pressure in a fast-paced environment.
• Excellent verbal and written communication skills, including the ability to convey information clearly and understand and interpret information from others.

Nice To Haves

• Experience with electronic medical records (ECW).
• At least 1 year of customer service experience.
• Knowledge of insurance carriers and managed care plans.
• Knowledge of medical terminology.

Responsibilities

• Engage with members, providers, networks, and internal and external functional partners.
• Facilitate internal, cross-functional, and external relationships through written and oral communication.
• Apply an understanding of Medicaid and LTSS principles.
• Perform data entry.
• Analyze data and reports and support reporting activities.
• Support reporting, program metrics, and data analysis.
• Develop workflows, conduct gap analysis, and contribute to continuous process improvement.
• Proactively solve problems.
• Maintain organization and meet deadlines.
• Perform other duties as assigned.

Benefits

• Paid time off accrued starting with the first pay period.
• 8 paid holidays.
• Medical plan options.
• Health Spending Account or Health Savings Account participation.
• Dental insurance.
• Vision insurance.
• Life and AD&D insurance.
• Short-term disability coverage.
• Long-term disability coverage.
• 401(k) savings plan.
• Employee stock purchase plan.
• Education reimbursement.
• Employee discounts.
• Employee Assistance Program.
• Employee referral bonus program.
• Voluntary benefits, including pet insurance, legal insurance, and long-term care insurance.
• Performance rewards and incentive and recognition programs.
• 401(k) contribution, subject to eligibility requirements.

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED