Medicaid Enrollment Coordinator

Overview:

The Medicaid Enrollment Coordinator performs a wide variety of specialized operational functions for the Legal department serving as the primary subject matter expert for state fee-for-service Medicaid enrollment, revalidation and Medicaid contract maintenance.

Position Location:

This is a remote-based position within the Continental US. 

Why Maxor?

Pharmacies are essential to healthcare, with nearly 90% of the US population living within 5 miles of one and seeing their pharmacist an average of 12 times a year. Providing a positive patient experience is crucial to ensuring patients adhere to their therapies.  

At Maxor, we recognize that our employees are our most valuable assets and we actively seek and retain talented professionals who are mission-driven to improve healthcare outcomes for patients. Our employees are also essential to their own well-being, finding fulfillment in meaningful work, competitive compensation, diverse and inclusive teams, and limitless career possibilities.  With a almost a century of pharmacy experience, we offer the stability of a Fortune 500 company and the energy and innovation of a startup. Our expertise and technology support the entire pharmacy ecosystem, but our impact goes beyond pharmacy services. We enable pharmacy care

MEDICAID

• Serves as primary subject matter expert for state fee-for-service Medicaid enrollment, revalidation and Medicaid contract maintenance.
• Prepares and submits timely Medicaid enrollment applications with minimal oversight.
• Obtain, verify, and maintain complete and accurate demographic information and required Medicaid enrollment documentation.
• Ensures ongoing compliance with Medicaid enrollment requirements, including revalidations, EFT/ERA enrollments, officer updates, and license updates.
• Monitors changes in Medicaid rules and processes.
• Develops and maintains meaningful relationships with internal stakeholders, as well as state and federal regulators.   

RESEARCH

• Serves as support for research requests as assigned. 

PROJECTS & ADMINISTRATION

• Executes or provides assistance with projects as assigned.
• Maintain and update databases and tracking systems.
• Create and design general correspondences, memos, business information etc. Proofread copy for spelling, grammar, and layout, making appropriate changes.  Responsible for accuracy and clarity of final copy.
• Create, compose, and edit technical and/or administrative correspondence and documentation; screen and evaluate incoming and outgoing correspondence and prepare responses as appropriate.
• Prepare internal reports such as check requests, expense reports, IT requests, etc.
• Enhance professional growth and development through participation in educational programs, current literature, in-service meetings, and workshops.
• Maintain good inter/intra departmental relationships. Work to create an amiable atmosphere within the department and company.
• Respond to change, performance improvement support, professional growth opportunities, and meet development goals.

Education:                             

• Bachelor’s degree or equivalent industry experience with demonstrated ability required.

Experience:   

Required:

• 3-5 years experience with enrolling health care providers in state fee-for-service Medicaid programs, managing Medicaid revalidations, and maintaining compliance with Medicaid enrollment requirements.
• 1 - 3 years experience in the healthcare or other highly regulated industry.
• Intermediate knowledge of Microsoft Office and Adobe
• Experience interfacing with internal clients, customers, and operations personnel
• Experience managing multiple projects effectively and timely
• Strong organizational and time management skills

Preferred:

• Roles within legal (paralegal), regulatory, and/or compliance
• Advanced technical level skillset with Microsoft Office and Adobe Acrobat
• Experience interacting with state regulators

Knowledge, Skills, and Abilities:

1. Possess a strong attention to detail and ability to consistently adhere to administrative procedures and timelines
2. Strong written and verbal communication skills
3. Strong time management and organizational skills
4. Ability to review, research, and adapt to state and federal regulations, with a particular focus on state Medicaid programs
5. Effectively develop meaningful relationships with a wide range of individuals at all levels of an organization, both internal and external
6. Able to follow documented instruction to completion
7. Thoughtfully addresses requests for information and raise items to management as warranted
8. Proficient in the use of computers and various software programs
9. Create, compose, and edit written materials, effectively execute tasks, and organize efficiently
10. Identify process/quality improvement opportunities that present risk to the organization

WE OFFER

At Maxor, we foster a diverse and progressive culture that promotes a work-from-home model and a "dress-for-your-day" approach to work attire. Our team-oriented environment encourages collaboration and innovation. We offer highly competitive compensation and comprehensive health benefits including:

• Comprehensive mental health and wellbeing resources
• Nationwide Blue Cross Blue Shield PPO with employee-friendly plan design, including a $850 individual annual medical deductible and $25 office visit copays, with low biweekly premiums
• Company-paid basic life/AD&D, short-term and long-term disability insurance
• Rx, dental, vision, other voluntary benefits, and FSA
• Employer-matched 401k Plan
• Industry-leading PTO plan
• And more!

Apply today at: https://www.maxor.com/careers/     

Maxor is an EOE, including disability/vets