Medicaid Eligibility Project Manager

Location
Rockville, Maryland
Salary
$80,000-$90,000
Posted
Nov 02, 2018
Closes
Dec 07, 2018
Ref
AD219507
Hours
Full Time

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!

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