Medicaid Operations Specialist - Richardson, Austin TX

This position is responsible for providing operational services, assistance and program oversight and coordination for one or more of the day-to-day Medicaid operation functions (e.g. billing, claims, benefits, and configuration.) This resource is responsible for resolving complex and / or escalated internal or external operational questions. Additionally this position works with other areas of the organization on the development, testing, and implementation of program policies, business processes, and system changes to ensure the state requirements of the plan are met.

• Bachelor Degree in Business with 4 years experience OR 8 years experience working in health insurance operations.
• Experience in project development, implementation and execution skills.
• Experience interfacing with internal clients, Marketing/Sales management and operations personnel.
• Verbal and written communication skills and ability to represent Medicaid department at committee meetings.
• Experience with interacting effectively with all levels of internal and external customers.
• Experience managing multiple projects effectively.
• Interpersonal, organizational and analytical skills.
• Organizational and leadership skills.

• Experience with managing STAR and CHIP plans
Experience with STAR Kids and STAR Plus plans
Strong Medicaid/CHIP claim and encounter background
Experience with delegated oversight




HCSC is committed to diversity in the workplace and to providing equal opportunity and affirmative action to employees and applicants. We are an Equal Opportunity Employment / Affirmative Action employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Drug screening and background investigation are required, as allowed by law. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.
Requirements: Expertise Government Programs, Other Job Type Full-Time Regular Location TX - Richardson, TX - Austin

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