Medicaid Waiver Provider Jobs (NOW HIRING)

This is a professional position in the Medicaid waiver unit. This position has primary responsibility for conducting medical necessity reviews for individuals served through the Medicaid waiver program, processing cost plan amendment requests for changes in Medicaid waiver services, processing requests for changes in Medicaid Waiver funding due to programmatic functions of the iBudget Waiver program, and in working with Medicaid waiver support coordinators.

The work you will do includes:

• Processing documentation for medical necessity reviews while ensuring the accuracy of the documents being submitted for assigned part of Medwaiver consumer case load.
• Processing Allocation Implementation Meeting (AIM) documentation for medical necessity while ensuring the accuracy of the documents for new waiver enrollees (Crisis and Waitlist to Waiver Transition).
• Processing iConnect requests as received from Waiver Support Coordinators and/or supervisor per case load assignment in a timely and accurate manner.
• Checking iConnect system periodically daily and meeting timelines for processing assigned requests based on established policy and procedures.
• Processing requests for Budget Increase Requests within the required timeframe, while ensuring the accuracy of the document submitted based on the established policy and procedures.
• Performing duties to support the Regional Medicaid Waiver Unit, including but not limited to, working with Medicaid waiver enrolled service providers, special assignments relating to changes in the Medicaid Waiver as needed.
• Assisting in the identification and resolution of Regional specific problems concerning policy implementation and service delivery.
• Providing technical assistance regarding programmatic and consumer issues and assisting in interpreting rules, policies and standards.
• Initiating and maintaining open communication with community, service providers and stakeholders.
• Assisting, as assigned, with investigations of incidents and/or complaints regarding agency services providers.
• Participating in workshops, training sessions and meetings as assigned.
• Providing technical assistance to Medicaid waiver providers as needed/directed by the supervisor.
• Providing iBudget/iConnect technical assistance to Waiver Support Coordinators as necessary.
• Performing other duties as necessary to support the Regional office functions, including but not limited to: serving as back up staff for other Regional waiver staff and duties required during an emergency as specified in the Regional Emergency Management Plan.

Minimum qualifications include:

• Valid Driver's License or other efficient means of transportation.
• High School Diploma or its equivalent.
• Knowledge and proficient use of Microsoft applications (Excel, Word, Power Point Share Point) and other required computer software applications.
• At least two years of experience in working with people with disabilities, care coordination, or in the health and human services field.

Knowledge, skills, and abilities include:

• Proficient in-service orientation - actively looking for ways to help people and exceed the expectation of the person being served.
• Knowledge of Microsoft applications (Excel, Word, Power Point Share Point) and other required computer software applications.
• Ability to understand, interpret, demonstrate, and manage oneself and to handle interpersonal relationships.
• Ability to listen and understand what others may be saying and asking questions.
• Ability to analyze available information, observations, and evidence to determine appropriate action.
• Ability to manage time effectively, prioritize tasks, set goals, and develop systems for achieving those goals.
• Ability to effectively communicate, respectfully conversing with others to achieve a desired outcome.
• Ability to write and edit using proper grammar and writing style outlined by agency and program requirements.
• Demonstrate skills in active learning - working with new material or information to grasp its implications and ability to apply.