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Medicaid Program Manager information

What are the main challenges Medicaid Program Managers face in coordinating between state agencies and healthcare providers?

Medicaid Program Managers often navigate the complexities of aligning policies and procedures between state agencies and a diverse range of healthcare providers. Challenges can include managing frequent regulatory changes, ensuring compliance with both federal and state guidelines, and facilitating clear communication among stakeholders. Additionally, they must address provider concerns, resolve billing or service disputes, and adapt program initiatives to meet evolving healthcare needs. Strong organizational and relationship-building skills are essential to succeed in this collaborative and dynamic environment.

What does a Medicaid Program Manager do?

A Medicaid Program Manager oversees the administration and implementation of Medicaid programs at the state or organizational level. Their responsibilities include ensuring compliance with federal and state regulations, managing budgets, coordinating with stakeholders, and improving service delivery for Medicaid recipients. They often analyze data, develop policies, and work to enhance program efficiency and effectiveness. This role requires strong leadership, organizational, and policy analysis skills to ensure that eligible populations receive proper healthcare services.

What are the key skills and qualifications needed to thrive as a Medicaid Program Manager, and why are they important?

To thrive as a Medicaid Program Manager, you need expertise in healthcare administration, knowledge of Medicaid regulations, and a relevant degree such as public health or healthcare management. Familiarity with Medicaid Management Information Systems (MMIS), data analytics tools, and compliance software is typically expected. Strong leadership, problem-solving, and communication skills enable effective team management and stakeholder engagement. These skills ensure efficient program operation, regulatory compliance, and the delivery of quality services to beneficiaries.
What are popular job titles related to Medicaid Program Manager jobs in Ohio? For Medicaid Program Manager jobs in Ohio, the most frequently searched job titles are:
What job categories do people searching Medicaid Program Manager jobs in Ohio look for? The top searched job categories for Medicaid Program Manager jobs in Ohio are:
What cities in Ohio are hiring for Medicaid Program Manager jobs? Cities in Ohio with the most Medicaid Program Manager job openings:
Medicaid Program Manager jobs near you

Medicaid Eligibility Specialist - Bilingual Spanish (Cincinnati)

Meduit

Cincinnati, OH • On-site

$19 - $21/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 24 days ago

Meduit rating

7.1

Company rating: 7.1 out of 10

Based on 20 frontline employees who took The Breakroom Quiz

Job description

Position Overview
Support our healthcare partners & help them thrive at Meduit! The Medicaid Eligibility Specialist will work onsite at our client hospitals to screen uninsured patients for potential program eligibility for Medicaid and other available funding sources. This individual will assist the patient in completing required applications and gathering additional documentation. The Medicaid Eligibility Specialist will coordinate working with local Department of Health and Human Services offices and / or other state / government offices, in an effort to determine programs eligibility.
If you're a skilled communicator eager to make a tangible difference in the healthcare ecosystem, apply today!
Key Responsibilities
  • Adhere to all policies and procedures and understand company handbook
  • Adhere to all relevant regulations related to our involvement with Federal, State and local government programs as well as Meduit and our clients' compliance programs
  • Conduct financial fact-finding interviews with patients who are seeking Medicaid and / or other community benefits
  • Complete Medicaid and other applicable applications/releases
  • Utilize tools, including computer programs, when indicated
  • Monitor all applicants who are eligible for Medicaid or other financial assistance, or coverage plans, as required
  • Enter clear and concise notes in the required patient accounting systems in both the hospitals and Meduit Health Systems
  • Ensure all supporting documents, including applications and receipts, are obtained and filed timely
  • Successfully help coordinate and manage the portfolio of applicants with headquarters support staff
  • Work as a team player to meet both personal and group or office goals
  • Other duties as assigned

Required Qualifications
  • H.S. Diploma/GED
  • Bilingual in English & Spanish
  • May work occasional evenings and Saturdays
  • Must have high integrity
  • Have a positive attitude and demonstrate teamwork

Competencies
To perform this job successfully, an individual must be able to perform each essential job duty satisfactorily. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform essential job functions:
  • Demonstrated organizational skills and the ability to prioritize and manage tasks based on established criteria
  • Excellent verbal and written communication and interpersonal skills
  • Ability to work independently with minimal supervision, within a team setting
  • Proficient with Microsoft Office
  • Ability to analyze issues and make judgments about appropriate steps toward solutions
  • Strong and professional telephone communication skills
  • Experience with electronic health record or similar software program
  • Knowledge of applicable federal and state regulations

Additional Information
  • Pay: $19-21/hr
  • Schedule: 8am to 4:30pm Monday - Friday
  • Location: 3188 Bellevue Ave, Cincinnati, OH 45219
  • Background check: As a condition of employment, a pre-employment background check will be conducted

What we offer:
  • Steady work schedule
  • Medical, Dental, and Vision insurance
  • HSA and FSA available
  • 401(K)plans with company match
  • PTO and Paid holidays
  • Employer paid life insurance and long-term disability
  • Internal company growth

What we do:
Meduit was born out of a drive for excellence and a passion for improving revenue cycle management (RCM) for healthcare organizations and the patients they serve. To achieve our goal, we need you! Employees are the cornerstone of our success. As one of the nation's leading RCM solutions companies, we partner with hospital and physician practices in 48 states to provide excellent and compassionate patient engagement. We focus on the payments so our clients can focus on their patients, by living our core values: Integrity, Teamwork, Continuous Improvement, Client-Focused, and being Results-Oriented. You can find out more about Meduit at www.meduitrcm.com.
Meduit is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race, color, religion, sex, age, national origin, disability, military status, genetic information, sexual orientation, marital status, domestic violence victim status or status as a protected veteran or any other federal, state, or local protected class.
#LI-Onsite
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.
For further information, please review the Know Your Rights notice from the Department of Labor.

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