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Eligibility Policy Analyst Jobs

Company

Empower AI Inc.
Address , Remote
Employment type FULL_TIME
Salary
Expires 2023-10-19
Posted at 8 months ago
Job Description
Responsibilities:
We are currently seeking dedicated and detail-oriented individuals to join our team as an Eligibility Policy Analyst. As an Eligibility Policy Analyst on the PERM program, you will play a crucial role in ensuring the accuracy and compliance of Medicaid and CHIP eligibility policies. This remote position offers the flexibility to work independently while contributing to the success of our program.

Responsibilities:

  • Work independently to conduct thorough policy research, analysis, and recommendations.
  • Provide essential technical assistance to state staff and eligibility reviewers, ensuring consistent policy application.
  • Ensure adherence to departmental policies, procedures, and guidelines.
  • Comply with the Statement of Work (SOW) guidelines and CMS directives and regulations.
  • Assist in identifying additional Eligibility Policy Analysts who possess the necessary criteria and experience.
  • Collaborate closely with the Project Director and Eligibility Manager to align policy efforts with project goals.
  • Demonstrate an in-depth understanding of Medicaid and CHIP eligibility principles and practices.
  • Attend departmental meetings and required education and training programs.
  • Uphold a high standard of customer service by addressing inquiries promptly and effectively.
  • Utilize your program knowledge to identify and address eligibility policy issues, promoting efficient and accurate processes.
  • Collaborate effectively within the PERM team, communicating at all levels.
Qualifications:
Qualifications:
  • Ability to interpret Medicaid, CHIP, and state eligibility regulations and to analyze their impact on current and proposed programs;
  • A minimum of five (5) related experience;
  • Considerable program knowledge of Medicaid and CHIP eligibility principles and practices.
  • Experience conducting eligibility reviews for the PERM or similar program.
  • Exceptional written and verbal communication skills.
  • Proficient in performing routine activities while adhering to deadlines.
  • Self-motivated and capable of working effectively in a remote setting.
  • Familiarity with CMS directives and regulations related to eligibility policies (preferred).
  • A minimum of three (3) years of experience conducting Medicaid/CHIP eligibility reviews;
  • Strong organizational skills and meticulous attention to detail.
  • Bachelor's degree or equivant;
  • Demonstrated ability to collaborate within a team-oriented environment.
  • Excellent customer service skills, with the ability to communicate policies clearly.
  • Experience conducting quality assurance activities related to Medicaid and CHIP eligibility case reviews; and
This remote position offers an excellent opportunity to contribute to the accuracy and efficiency of our Medicaid program's eligibility policies. If you are an independent thinker, possess a passion for detail, and thrive in a collaborative environment, we encourage you to apply.