Medicaid Policy and Regulation Analyst

Job not on LinkedIn

🔥 9 minutes ago

🇺🇸 United States – Remote

💵 $66k - $106k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🚔 Compliance

🦅 H1B Visa Sponsor

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Peraton

WebsiteLinkedInAll Job Openings

10,000+ employees

💼 Consulting

🏥 Healthcare

📦 Logistics

Consulting • Healthcare • Logistics

Peraton is a mission-focused enterprise that supports national security initiatives through advanced IT and cyber services. They provide capabilities in areas such as cyber defense, cloud operations, engineering, and intelligence. With a commitment to solving complex challenges, Peraton integrates data-driven technologies to ensure mission success for their military and government clients.

📋 Description

• Research, understand, and articulate Federal and State regulations and policy related to administration of State Medicaid programs in the northeastern jurisdiction • Serve as a subject matter expert on State Medicaid programs and their state-specific nuances • Research and educate in collaboration with the greater Medicaid team, project development, and referrals • Articulate policy and regulations in writing and through discussion or presentation • Provide written policy contributions for incorporation into Analytical Findings Reports • Consult with Project Coordination and Data teams to identify projects • Identify potential program vulnerabilities arising from policy research • Engage with states in the jurisdiction in policy discussions • Engage with CMS in policy discussions • Monitor emerging issues and developments affecting State Medicaid programs • Assist the Medicaid Operations Lead with special research projects • Own and annually review the Medicaid Policies & Procedures Manual, making updates as needed • Track policy workload and report monthly to the Medicaid Operations Lead • Oversee state meeting agendas and minutes in coordination with the Business Analyst

🎯 Requirements

• 5 years with BS/BA or 9 years with a high school diploma • At least 5 years’ experience in policy research and analysis • Ability to present and discuss state policies and regulations in connection with project impact • Ability to research policies, interpret regulations and regulatory rules/guidance • Strong interpersonal skills and ability to work and make decisions independently and in a team environment • Excellent planning and organizational skills • Excellent oral and written communications; able to communicate and make presentations to all levels of management and associates throughout the company • Ability to meet established deadlines and handle multiple customer service demands within set expectations for service excellence • Ability to adapt to changing priorities; self-motivated and energetic qualities desirable • Experience using Microsoft Office, including Word, Excel, Access, PowerPoint, and Outlook • US citizenship required • Experience with CMS programs, including Medicaid and Medicare, preferred for competitive candidates • Experience with Managed Care programs preferred for competitive candidates • Knowledge of CMS regulations related to State Medicaid programs, including waivers, preferred for competitive candidates • Knowledge of CMS 64 and ability to analyze and interpret reports to determine trends and vulnerabilities preferred for competitive candidates • Knowledge of Federal Matched Assistance Program to State Medicaid programs preferred for competitive candidates • Medical coding knowledge/experience related to Medicare/Medicaid claims is a plus

🏖️ Benefits

• Telework available from all states and time zone(s) • Potential eligibility for overtime • Potential eligibility for shift differential • Potential eligibility for a discretionary bonus • Equal opportunity employment, including disability and protected veterans protections