chrismaxcer.com

Medicaid/Medicare Srvs Specialist III Job at Commonwealth of Kentucky

Commonwealth of Kentucky Kentucky

Job Information

  • Date Posted
    2026-03-12
  • Location
    Kentucky
  • Job Title
    Medicaid/Medicare Srvs Specialist III
  • Gender
    Both
Advertisement Closes
4/14/2023 (8:00 PM EDT)
23-03053
Medicaid/Medicare Srvs Specialist III
Pay Grade
15
Salary
$59,079.54
Employment Type
EXECUTIVE BRANCH | FULL TIME, ELIGIBLE FOR OVERTIME PAY | 18A | 37.5 HR/WK
Hiring Agency
Cabinet for Health & Family Services | Department for Medicaid Services
Location
Location Varies

The agency may authorize the selected candidate to telecommute. The agency may terminate or modify the telecommuting arrangement at any time.
Description
The Department for Medicaid Services (DMS) provides health care access for eligible low-income residents of Kentucky including children, families, pregnant women, the aged and the disabled as well as a number of programs and services directed at specific eligibility and medical needs. DMS strives each day to meet the mission of the Cabinet for Health and Family Services to be a diverse and inclusive organization providing programs, services and supports that protect and promote the health and well-being of all Kentuckians and their communities.

Do you enjoy a fast pace working environment? Do you enjoy working with a great TEAM? If you answered yes, to both questions. Then we have a position for you! The Department for Medicaid Services, Division of Health Plan Oversight, is seeking a candidate to fill the position of Medicare/Medicaid Service Specialist III within the Contract Monitoring Branch.

Learn more about us at: https://chfs.ky.gov/agencies/dms/Pages/default.aspx

Responsibilities and duties include but are not limited to:
  • Provides expert assistance to Medicaid providers -doctors, billing agents, clearing houses-, professional association of providers, and government agencies, including but not limited to Centers for Medicare and Medicaid Services, Department of Public Health, Department of Aging and Independent Living in complex Medicaid cases (continued) relating to covered services, eligibility claims, adjudication, billing formats, hospitalization, dental and vision services invoices, transportation and other programs including communicating these issues to the MCOs.
  • Creating, implementing and interpreting agency policy to the MCO and communicating that information within the department, which requires in depth analysis and research into legislation, regulations, and health care information; assists the department and sister agencies within CHFS in explaining the role of MCOs and ensuring that the MCOs meet those requirements.
  • Review and analyze health care information, legislation and regulations as it relates to MCOs and the contract; drafts in depth informational releases and oral responses to inquiries on behalf of the department. Advanced computer skills, communication skills, writing, and analyzing are attributes that will help in completing job tasks and requests on a daily basis.
Preffered Knowledge/Skills
  • Skilled in Microsoft Program knowledge
  • Skilled in verbal/writing communication appropriate to the audience
  • Previous Medicaid knowledge and experience
  • Organizational skills
  • Skills in interpreting policy and regulations
The Cabinet for Health and Family Services (CHFS) participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in U.S. CHFS will only use E-Verify once you have accepted a job offer and completed the Form I-9.

For more information on E-Verify, or if you believe that CHFS has violated its E-Verify responsibilities, please contact Department of Homeland Security (DHS) at 888-897-7781 or http://dhs.gov/e-verify.
Minimum Requirements
EDUCATION: Graduate of a college or university with a bachelor's degree.

EXPERIENCE, TRAINING, OR SKILLS: Four years of experience in Medicaid or Medicare program administration, health insurance administration/systems, eligibility systems, health care research, health care planning, health care financial management, health care policy development, human service or health care administration, insurance billing and/or claims, or research, review, and analysis of legislation or regulations.

Substitute EDUCATION for EXPERIENCE: NONE

Substitute EXPERIENCE for EDUCATION: Experience in the above areas will substitute for the required college on a year-for-year basis. Current or prior military experience will substitute for the required college on a year for year basis. Prior military experience will only substitute if the individual received an honorable discharge, discharge under honorable conditions, or a general discharge.

SPECIAL REQUIREMENTS (AGE, LICENSURE, REGULATION, ETC.): NONE
Working Conditions
Incumbents working in this job title primarily perform duties in an office setting.
Probationary Period
This job has an initial and promotional probationary period of 6 months, except as provided in KRS 18A.111.
If you have questions about this advertisement, please contact Jeremy Armstrong-DeRossitt at Jeremy.Armstrong@ky.gov or 502-564-8874.
An Equal Opportunity Employer M/F/D



Please Note :
chrismaxcer.com is the go-to platform for job seekers looking for the best job postings from around the web. With a focus on quality, the platform guarantees that all job postings are from reliable sources and are up-to-date. It also offers a variety of tools to help users find the perfect job for them, such as searching by location and filtering by industry. Furthermore, chrismaxcer.com provides helpful resources like resume tips and career advice to give job seekers an edge in their search. With its commitment to quality and user-friendliness, Site.com is the ideal place to find your next job.
Top Jobs

Related Jobs