Associate Director – Medicaid Entitlement & Coverage Strategy

🕒 Julho 3

🐻 Alaska, California, +7 estados a mais – Remoto

🐻 Alaska – Remote 🏄 California – Remote 🌺 Hawaii – Remote 🥔 Idaho – Remote 🌾 Nebraska – Remote 🦀 Maryland – Remote 🗿 South Dakota – Remote ⛷️ Utah – Remote 🦬 Wyoming – Remote

💵 $72.000 - $130.000 / ano

⏰ Tempo Integral

🟠 Sênior

👔 Diretor

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Groups Recover Together

SiteLinkedInTodas as Vagas

501 - 1000 funcionários

Fundada em 2014

🛡️ Seguros

💼 Consultoria

🏥 Saúde

Insurance • Consulting • Healthcare

A Groups Recover Together é uma organização de apoio à recuperação que se especializa em ajudar indivíduos a retomar o controle de suas vidas a partir de transtornos relacionados ao uso de substâncias, com foco particular na recuperação de opioides. Eles oferecem acesso rápido ao tratamento com Suboxone e fornecem uma variedade de opções de suporte, incluindo tratamento presencial e virtual, aceitando seguros e Medicaid. Com uma abordagem sem julgamento e uma forte ênfase no apoio comunitário, a Groups visa ajudar os membros a reconstruírem suas vidas e manterem sua recuperação de forma eficaz.

Descrição

• Lead GRT's application process to become a Medicaid QE in all operating states where eligible • Oversee the implementation of SOAR training for designated staff across all operating states • In partnership with GRT's medical and product leadership, develop, implement, and maintain a standardized medical frailty documentation protocol • Lead the development and implementation of systems, workflows, and member support strategies designed to help eligible members meet state Medicaid requirements • Support GRT's Government Affairs team by assisting with tracking federal and state legislation • Collaborate with the Government Affairs Team in translating policy developments into actionable operational updates • In partnership with the Product Team, design and maintain an internal tracking system to identify members at risk of losing Medicaid coverage • In partnership with the Learning and Development Team, develop and deliver training and educational resources for entitlement staff, counselors, and clinical providers on QE processes and SSDI/SSI application assistance • Develop and maintain a comprehensive evaluation framework that measures coverage retention, redetermination outcomes and reasons for Medicaid disenrollment.

🎯 Requisitos

• Bachelor's degree required in social work, public health, public policy, health administration, or a related field • Master's degree preferred • Minimum of 8-10 years of experience in healthcare administration, entitlement services, social work, or a related field • Experience working in or with a SUD treatment organization preferred • Demonstrated experience working with state agencies, government offices, or managed care organizations required • Access to reliable internet and telephone services, specifically 50M download and 10M upload package or higher as well as a strong WiFi signal from your remote work location • Must meet pre-employment requirements and maintain all applicable state and job-related guidelines for background screening.

🏖️ Benefícios

• Fully Remote work • Professional development opportunities