Medicaid Eligibility Project Manager

Job Summary/Company:

Do you have years of experience working with Medicaid/Medicare eligibility programs? Are you seeking a fulfilling career with a well-known government contractor? If you answered yes to these questions, this may be the opportunity for you! Sparks Group is currently seeking a Medicaid Eligibility Project Manager. Please call 301-926-7800 for more information.  We look forward to speaking with you soon!

Responsibilities:

• Serve as a management team member responsible for oversight and quality assurance for PERM eligibility reviews and provide Medicaid eligibility policy technical assistance to project team members and state and CMS staff. 
• Apply knowledge of the analysis process for performance, procedures, and processes of complex systems to improve both efficiency and effectiveness and address priority operational challenges. 
• Advise on the delivery of operational solutions and ongoing performance management to help achieve operational excellence and quality. 

Qualifications/Background Profile:

• 8+ years of experience with management
• 3+ years of experience in working with state Medicaid and CHIP agencies
• Experience with working on PERM eligibility
• Knowledge of state Medicaid eligibility systems, state Medicaid eligibility determination processes, and state Medicaid eligibility policies
• Knowledge of the principles and practices of Medicaid and CHIP eligibility
• Knowledge of the Affordable Care Act, including comprehension of eligibility
• Ability to interpret Medicaid, CHIP, and state eligibility regulations and analyze their impact on current and proposed programs
• Ability to communicate effectively with government and state stakeholders
• Ability to establish and maintain effective working relationships
• HS diploma or GED

Qualified candidates should send their resume AND call Sparks Group for additional details. Please note, resume must include a valid email address in order to be considered. We look forward to discussing your background, your current job search, and your potential career path with Sparks Group!