Medical Care Program Associate

Williams Consulting, LLC (WCLLC) is in search of a Medical Care Program Associate with state or federal government contracting experience, to join our growing team to work onsite at the Maryland Department of Health in Baltimore, Maryland. The business hours are Monday-Friday 8:00am-5:00pm.

Williams Consulting, LLC is an 8(a), HUBZone, Woman-Owned Small Business, and Economically Disadvantaged Woman-Owned Small Business with Federal, State, local, and commercial clients. We take immense pride in our ability to provide exceptional client service. We value our employees and recognize their contributions to the success of our clients and our company. We offer competitive salaries and support flexible work locations and scheduling, when possible. We offer competitive benefits including Medical, Vision, and Dental coverage through national plans. We also offer Life, AD&D, Short- & Long-Term Disability Insurance, PTO, and 401k matching.

Description

WCLLC is seeking a motivated and dedicated Medical Care Program Associate to apply policies in medical care, health care, health insurance, or federal or state entitlement programs for Medicaid eligibility determination services of Modified Adjusted Gross Income (MAGI) and Non-MAGI applications, renewals and interim changes.

Duties and Responsibilities

• Accurately interpret, analyze, and apply federal and State Medicaid regulations and policies when reviewing and verifying MAGI and Non-MAGI Medicaid applications, verifications, and data to render eligibility determinations.
• Accurately review and verify applications, income, asset, resource and financial verifications for accuracy, completeness, and compliance prior to rendering an eligibility decision.
• Accurately determine customer eligibility including running clearances in the appropriate system of record for Non-MAGI and MAGI Medicaid.
• Respond to case inquiries from internal and external customers in accordance with the Department’s Customer Service standards.
• Ensure all data systems are updated timely and accurately including ensuring verifications are uploaded when applicable.
• Take appropriate actions to resolve data discrepancies that impact a recipient’s ability to obtain services and/or provide payment.

Qualifications and Experience

·       Graduate of an accredited high school or possess a high school equivalency certificate.

·       A minimum of two (2) years of clerical experience applying policies in a medical care, health insurance, or federal or state entitlement program within the past five (5) years.

·       A minimum of two (2) years of experience working in an office or customer service environment accurately reviewing documents and updating data systems.

·       Basic knowledge of computer software, knowledge of Google Suite and Microsoft Suite.

·       College credits from an accredited college or university may be substituted for the required experience at the rate of 30 credit hours for one year of experience.

·       Ability to navigate State data systems.

·       Ability to adapt to learning quickly, adapt to policy modifications and follow directions.

·       Knowledge of healthcare industry standards and regulations is a plus.

·       Previous client collaboration experience.

·       Must be highly detail oriented with the ability to pivot to meet emerging needs.

·       Strong attention to detail, organization, and efficient time management

·       Must demonstrate professionalism and a positive work ethic in all situations.

·       Exceptional communication, interpersonal, and collaboration skills.

·       Excellent teamwork skills.

·       Background investigation required.

 Preferred Experience/Qualifications

• HUBZone candidates are strongly encouraged to apply.

Working Conditions and Requirements

While performing the duties of this job, the employee is regularly required to talk or listen. Standing, sitting, squatting, and other normal office-related physical activities are required. Must be able to sit and read computer screens for extended periods.

WCLLC is an Equal Opportunity Employer

Williams Consulting LLC does not discriminate in employment based on race, color, religion, sex, national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an employee organization, retaliation, parental status, military service, or other non-merit factor.