Create Email Alert

ⓘ There was an unexpected error processing your request.

Please refresh the page and try again.

If the problem persists, please contact us with your issue.

Email address is already registered

You can always manage your preferences and update your interests to ensure you receive the most relevant opportunities.

Would you like to [visit your alert settings] now?

Success! You're now signed up for Job Alerts

Get ready to discover your next great opportunity.

Similar Jobs

  • State of Indiana

    Director of Medicaid Finance

    Tulsa, OK, United States

    • Ending Soon

    State of Indiana Director of Medicaid Finance Indianapolis , Indiana Apply Now B egin a fulfilling career with the State of Indiana by joining one of the largest employers in the state, offering a diverse range of opportunities across 60+ agencies. At the state, you'll find competitive compensation, a robust benefits package, and a co

    Job Source: State of Indiana
  • CVS Health

    Medical Director - Medicaid (VA)

    Tulsa, OK, United States

    • Ending Soon

    CVS Health Medical Director - Medicaid (VA) Richmond , Virginia Apply Now Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchor

    Job Source: CVS Health
  • MAXIMUS

    Medicaid Implementation Manager (Remote)

    Tulsa, OK, United States

    Description & Requirements The Medicaid Implementation Manager is the primary leader on our implementation projects and actively participates in the implementation of technology and operational solutions for our clients. The Implementation Manager will oversee the functional and technical implementation of new clients and existing clients that are

    Job Source: MAXIMUS
  • Humana Inc.

    Regional VP Operations Medicaid

    Tulsa, OK, United States

    Industry Manager, Executive, Clevel, Operations, 100k Posted on Jun 07, 2023 Apply for this job your email: upload resume: Profile Job Information Humana Regional VP, Operations Medicaid in Tulsa Oklahoma Description The Chief Operating Officer (COO) establishes long-range goals, objectives, and plans and monitors financial and operational

    Job Source: Humana Inc.
  • CVS Health

    Lead Director Actuarial -Medicaid Reserve

    Tulsa, OK, United States

    CVS Health Lead Director Actuarial -Medicaid Reserve Hartford , Connecticut Apply Now Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing w

    Job Source: CVS Health
  • Humana

    Medicaid Senior Insurance Product Manager

    Tulsa, OK, United States

    Become a part of our caring community and help us put health first Humana Medicaid is seeking exceptional candidates to join our Medicaid Product Strategy Organization in order to support the strategic direction and growth of the Medicaid and Duals lines of business. This is a unique opportunity for a motivated individual to influence the mission o

    Job Source: Humana
  • Humana

    Medical Director - North Central Region - Medicaid

    Tulsa, OK, United States

    Humana Medical Director - North Central Region - Medicaid Indianapolis , Indiana Apply Now Become a part of our caring community and help us put health first The Medical Director relies on medical background and reviews health claims. The Medical Director (Staff Geriatrician or Physician with Ten (10) Years of Clinical Practice with

    Job Source: Humana
  • Humana

    Behavioral Health Medical Director - N. Central Medicaid

    Tulsa, OK, United States

    Humana Behavioral Health Medical Director - N. Central Medicaid Lansing , Michigan Apply Now Become a part of our caring community and help us put health first The Behavioral Health Medical Director may develop procedures, processes, productivity targets, and new delivery models. Maintains efficient operations while ensuring attainme

    Job Source: Humana

School Medicaid Specialist

Tulsa, OK, United States

State of Indiana School Medicaid Specialist Indianapolis , Indiana Apply Now Begin a fulfilling career with the State of Indiana by joining one of the largest employers in the state, offering a diverse range of opportunities across 60+ agencies. At the state, you'll find competitive compensation, a robust benefits package and a commitment to work-life balance. Most importantly, you'll have the chance to make a real and measurable impact on the lives of Hoosiers across Indiana.

At the State of Indiana, we don’t just talk about diversity and inclusion—we make it our goal to create a welcoming, accessible, and equitable workplace with a workforce that is representative of Indiana's population. As a proud equal opportunity employer, reasonable accommodations may be available to enable individuals with disabilities to complete the application and interview process as well as perform the essential functions of a role.

About the Indiana Department of Education (IDOE):

The Indiana Department of Education provides innovative support to Indiana schools, teachers, students, and parents. We proactively work with educators, policymakers, business leaders, and community-based organizations to build student success. Our strategic priorities include:

Delivering quality, purposeful educational opportunities for each student

Elevating and supporting Indiana’s educators

Increasing partnerships and delivering aligned, effective, and efficient support

This position traditionally starts at an annual salary of $59,800. Salary for this position may be commensurate with education and job experience.

Role Overview:

The School Medicaid Specialist is a liaison between the state Education and Medicaid agencies. You will facilitate state budget-neutral recovery of federal Medicaid matching funds available for medically necessary services and Medicaid and medically related administrative activities that public school corporations, charter schools, and state schools provide for qualifying students. Because school corporations are atypical Medicaid providers, the IDOE School Medicaid Specialist provides public policy research, support for Medicaid coverage and reimbursement, and technical assistance for public school corporations that voluntarily participate in Medicaid claiming.

A Day in the Life:

Provide school Medicaid claiming research, analysis, and public policy support as well as stakeholder/participant technical assistance by:

Coordinating with the state Medicaid agency, stakeholders, and IDOE Legislative Affairs Director regarding policies to facilitate public school corporations’ recovery of federal Medicaid funding for school-based medical services and Medicaid administrative activities.

Collaborating with the state Medicaid agency to draft, update, and post-school user-friendly training and technical assistance materials regarding Medicaid claiming for school-based medical services and administrative activities.

Drafting and coordinating renewals of two IDOE-FSSA/OMPP school Medicaid-related memos of understanding, compiling required data, and drafting IndianaMAC biennial budget narrative.

Facilitating state-level interagency coordination to support timely and accurate funding projections and intergovernmental funds transfers as necessary to pay participating school corporations’ IndianaMAC claims and fund the state share of Medicaid reimbursements for covered medically necessary mandated school-based services claimed by School Corporation Medicaid Providers.

Researching, referring, and responding to school Medicaid claiming-related inquiries and concerns.

Training and coordinating with IDOE’s IndianaMAC Specialist on routine school-based Medicaid claiming contractor oversight, monitoring LEA participation, reviewing and approving quarterly IndianaMAC claim invoices, and completing tasks delegated to IDOE per IDOE’s IndianaMAC MOU with FSSA/OMPP.

Attending meetings of stakeholder groups, communities of practice, and advisory boards to facilitate school Medicaid outreach and enrollment, services delivery, and IDOE customer relations.

The job profile is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities that are required of the employee. Other duties, responsibilities, and activities may change or be assigned at any time.

What You'll Need for Success:

You must meet the following requirements to be considered for employment:

Bachelor’s degree or higher, preferably in public policy, healthcare finance, or a related field.

At least two years of work experience in public health coverage programs policy or Medicaid program operations, or a related field.

Able to comprehend the intersection of Medicaid policy and IDEA, 511 IAC 7, and Rehabilitation Act of 1973 requirements for purposes of serving K-12 students with disabilities.

Demonstrates skill in relating to internal and external customers; is sensitive to customer needs and expectations.

Encourages and facilitates cooperation, pride, trust, and group identity; fosters commitment and team spirit; works cooperatively with others to achieve overall goals.

Clearly and effectively expresses self in the presentation of ideas; comprehends oral and written information.

Works well under pressure; responds appropriately to stressful situations.

Maintains confidentiality of information or materials.

Establishes effective working relationships with coworkers, supervisors, managers, the public, and IDOE customers.

Exercises logical thinking and foresees consequences of actions; possesses adequate knowledge of all applicable policies or rules and follows appropriate guidelines or procedures in a variety of situations.

Establishes priorities and work sequences to coordinate efforts, maintain workflow, and meet deadlines.

Recognizes and defines problems by obtaining facts, using appropriate resources, and engaging techniques to develop sound solutions while foreseeing possible consequences.

Works effectively with contacts outside the agency in a courteous, cooperative, and objective manner.

Provides timely and accurate assistance to IDOE customers and the public.

Possesses expertise in the use of Microsoft Office suite, including Word, Excel, and PowerPoint.

Supervisory Responsibilities/Direct Reports:

This role may be utilized in a supervisory capacity based on agency needs.

Benefits of Employment with the State of Indiana:

The State of Indiana offers a comprehensive benefits package for full-time employees which includes:

Three (3) medical plan options (including RX coverage) as well as vision and dental plans

Wellness Rewards Program: Complete wellness activities to earn gift card rewards

Health savings account, which includes bi-weekly state contribution

Flexible work scheduling options, including the potential for hybrid remote work for employees whose work may be performed outside state facilities

Deferred compensation 457B account (similar to 401k plan) with employer match

Two (2) fully-funded pension plan options

A robust, comprehensive program of leave policies covering a variety of employee needs, including but not limited to:

150 hours of paid new parent leave

Up to 15 hours of paid community service leave

Combined 180 hours of paid vacation, personal, and sick leave time off

12 paid holidays, 14 on election years

Education Reimbursement Program

Group life insurance

Employee assistance program that allows for covered behavioral health visits

Qualified employer for the Public Service Loan Forgiveness Program

Free Parking for most positions

Free LinkedIn Learning access

The State of Indiana is an Equal Opportunity Employer and is committed to recruiting, selecting, developing, and promoting employees based on individual ability and job performance. Our policy is to provide equal employment opportunity to all people in all aspects of employer-employee relations without discrimination because of race, color, creed, religion, sex, national origin, ancestry, age, sexual orientation, gender identity, physical or mental disability, or veteran status. We will comply with the spirit as well as the letter of all applicable state and federal laws.

If you are a qualified individual with a disability and require reasonable accommodations to complete this application, you can request assistance by contacting the Indiana State Personnel Department at [email protected] .

The State of Indiana has established a culture that welcomes equity, inclusion, and opportunity for all employees and applicants. We encourage you to apply if you feel you have the transferrable skills to be successful in this position and we look forward to reviewing your application.

Current Employee? Click here (https://performancemanager8.successfactors.com/sf/careers/jobsearch?bplte_company=indianaoff) to apply.

#J-18808-Ljbffr

Apply

Create Email Alert

Create Email Alert

School Medicaid Specialist jobs in Tulsa, OK, United States

ⓘ There was an unexpected error processing your request.

Please refresh the page and try again.

If the problem persists, please contact us with your issue.

Email address is already registered

You can always manage your preferences and update your interests to ensure you receive the most relevant opportunities.

Would you like to [visit your alert settings] now?

Success! You're now signed up for Job Alerts

Get ready to discover your next great opportunity.