Medicaid Program Manager 2 (Medicaid Provider Enrollment Manager)
Tasks
- Analyze operational data
- Collaborate on provider enrollment investigations
- Conduct staff evaluations
- Coordinate federal mandate implementation
- Coordinate policy change implementation
- Coordinate provider enrollment initiatives
- Coordinate system enhancements
- Develop provider enrollment policies
- Ensure compliance with federal provider enrollment requirements
- Ensure compliance with state provider enrollment requirements
- Establish performance expectations
- Implement provider enrollment operational guidance
- Interpret provider enrollment regulations
- Manage provider disclosures
- Manage provider maintenance activities
- Manage provider revalidation
- Manage service level agreements
- Manage special projects
- Monitor provider screening
- Oversee Medicaid provider enrollment program
- Oversee contracted enrollment vendor performance
- Prepare reports presentations policy memoranda executive briefings
- Provide staff coaching
- Serve as liaison with CMS
- Serve as liaison with licensing boards
- Serve as liaison with managed care organizations
- Serve as liaison with providers
- Supervise professional staff
- Track operational metrics
Perks/Benefits
- N/A
Skills/Tech-stack
Contract Management | Data Analysis | Executive Communication | Healthcare Compliance | Medicaid | Operational Metrics | Policy Development | Program integrity | Project Management | Provider enrollment | Regulatory Compliance | Report Writing | Stakeholder management | Vendor management
Education
Bachelor of Engineering | Bachelor of Science | Juris Doctor | Master of Science | PhD
Regions
Countries
States
Cities
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