Associate Director – Medicaid Entitlement & Coverage Strategy

🔥 0 minutes ago

🐻 Alaska, California, +7 more states – Remote

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

💵 $72k - $130k / year

⏰ Full Time

🟠 Senior

🧐 Strategy

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Groups Recover Together

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 2014

⚕️ Healthcare Insurance

🌍 Social Impact

🧘 Wellness

Healthcare Insurance • Social Impact • Wellness

Groups Recover Together is a recovery support organization that specializes in helping individuals regain control of their lives from substance use disorders, particularly focusing on opioid recovery. They offer fast access to Suboxone treatment and provide a range of support options, including in-person and virtual treatment, while accepting insurance and Medicaid. With a non-judgmental approach and a strong emphasis on community support, Groups aims to help members rebuild their lives and maintain their recovery effectively.

📋 Description

• 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.

🎯 Requirements

• 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.

🏖️ Benefits

• Fully Remote work • Professional development opportunities