
Process Expert - Medicaid
Welcome to Elevance Health, where we are dedicated to improving the healthcare experience for all. We are currently seeking a highly skilled and motivated Process Expert - Medicaid to join our team. As a Process Expert, you will play a crucial role in ensuring the efficient and effective management of Medicaid processes and procedures. Your expertise will be essential in helping us navigate the complex world of Medicaid and provide top-notch services to our clients. If you are a detail-oriented and analytical individual with a deep understanding of Medicaid regulations and procedures, we encourage you to apply for this exciting opportunity. Join us at Elevance Health and make a meaningful impact on the healthcare industry while advancing your career.
- Develop and maintain a deep understanding of Medicaid regulations and procedures to ensure compliance and accuracy in all processes.
- Manage and oversee all Medicaid-related processes and procedures, including enrollment, claims submission, and reimbursement.
- Identify and implement process improvements to increase efficiency and effectiveness in managing Medicaid operations.
- Collaborate with cross-functional teams to ensure seamless coordination and execution of Medicaid processes.
- Monitor and analyze data to identify trends and potential issues in Medicaid processes, and provide recommendations for improvement.
- Serve as a subject matter expert on all aspects of Medicaid, providing guidance and support to team members and clients.
- Keep abreast of any changes or updates to Medicaid regulations and communicate these changes to relevant stakeholders.
- Ensure timely and accurate completion of all Medicaid-related tasks and deliverables.
- Develop and maintain relationships with key stakeholders, including state agencies, to facilitate smooth and efficient processes.
- Train and mentor team members on Medicaid processes and procedures to ensure a high level of knowledge and expertise within the organization.
In-Depth Knowledge Of Medicaid Regulations And Policies: A Process Expert At Elevance Health Should Possess A Thorough Understanding Of The Complex Medicaid Rules And Regulations, Including Eligibility Criteria, Coverage Options, And Reimbursement Procedures.
Experience With Medicaid Claims Processing: The Ideal Candidate Should Have Extensive Experience In Processing Medicaid Claims, Including Familiarity With Different Claims Systems And Processes, And The Ability To Identify And Resolve Errors And Discrepancies.
Analytical And Problem-Solving Skills: As A Process Expert, The Individual Must Be Able To Analyze Large Amounts Of Data, Identify Patterns, And Develop Solutions To Optimize The Medicaid Claims Process And Improve Efficiency.
Strong Communication And Interpersonal Skills: Effective Communication Is Essential For A Process Expert To Collaborate With Team Members, Communicate With Vendors And Stakeholders, And Provide Guidance And Training To Other Staff Members.
Attention To Detail And Accuracy: Given The Importance Of Accuracy In Medicaid Claims Processing, A Process Expert Should Have A Keen Eye For Detail And A Commitment To Maintaining The Highest Level Of Accuracy In All Tasks And Processes.
Quality Assurance
Process Improvement
Project Management
Data Analysis
Communication
Team Leadership
Risk assessment
Problem-Solving
Process mapping
Policy Development
Compliance monitoring
Medicaid Regulations
Communication
Conflict Resolution
Leadership
Time management
creativity
flexibility
Teamwork
Positive Attitude
Adaptability
Problem-Solving
According to JobzMall, the average salary range for a Process Expert - Medicaid in Chicago, IL, USA is $55,000 - $85,000 per year. This range may vary depending on the company, experience level, and specific job responsibilities.
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Elevance Health, Inc. is an American health insurance provider. The company's services include medical, pharmaceutical, dental, behavioral health, long-term care, and disability plans through affiliated companies such as Anthem Blue Cross and Blue Shield, Empire BlueCross BlueShield in New York State, Anthem Blue Cross in California,Wellpoint, and Carelon.It is the largest for-profit managed health care company in the Blue Cross Blue Shield Association. As of 2022, the company had 46.8 million members within their affiliated companies' health plans. Prior to June 2022, Elevance Health was named Anthem, Inc.

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