Kelly Services MEDICAID REGULATORY ANALYST - Downtown Chicago in Chicago, Illinois
MEDICAID REGULATORY ANALYST
Kelly Services has a unique opportunity available for a Medicaid Regulatory Analyst with our large Insurance client located in Downtown Chicago.
Responsible for monitoring Medicaid/Medicare and related regulations and policy changes impacting clinical operations.
Participating in audits, supporting tracking and submission of Medicaid State Contract(s) related deliverables, including fulfillment of internal and contractual reporting requirements.
Working with other areas of the organization on the development, testing and implementation of organization, process and system changes to ensure the requirements of the Medicaid program are met.
Assisting MMP in coordination of the contract with the State/CMS enterprise-wide.
Bachelor Degree in Business OR 2 years experience with health insurance.
1 year of experience with health insurance benefits and/or operations.
Knowledge of Medicaid and Medicare product(s).
Experience presenting trends and findings in meetings with management.
Experience organizing multiple tasks and responsibilities.
Experience analyzing data reports, developing and running queries in a database.
PC proficiency to include Microsoft Word, Excel, PowerPoint, and Outlook.
Knowledge of CMS Medicare Advantage software applications. (preferred)
Prescription Drug coverage and PPO knowledge including Regulations and Guidelines. (preferred)
Knowledge of health benefits. (preferred)
Knowledge of Health Plan Clinical Operations. (preferred)
Ability to Travel (program covers IL/NM/TX)
HOW TO APPLY
This position is recruited for by a remote Kelly office, not your local Kelly branch. To apply for this opportunity please utilize the “Apply Now/Submit Resume” button.
Related Search Terms: Certified Coding Specialist, Certified Coder, RHIT, RHIA, CCS, CPC, Certified Professional Coder, Medical Auditor
Why Kelly ® ?
With Kelly, you’ll have direct connections to leading healthcare companies—providing you with the chance to positively impact quality and delivery of patient care. In a field where innovation and change happen constantly, our connections and opportunities will help you take your career exactly where you want to. We work with 95 of the Fortune 100™ companies, and more than 1,200 healthcare hiring managers turn to us each year to access the best talent: people like you.
Let us help advance your healthcare career today.
AboutKelly Services ®
As a workforce advocate for over 70 years, we are proud to directly employ nearly 500,000 people around the world and have a role in connecting thousands more with work through our global network of talent suppliers and partners. Revenue in 2016 was $5.3 billion. Visit kellyservices.com and connect with us on Facebook , LinkedIn and Twitter .
Kelly Services is an equal opportunity employer including, but not limited to, Minorities, Females, Individuals with Disabilities, Protected Veterans, Sexual Orientation, Gender Identity and is committed to employing a diverse workforce. Equal Employment Opportunity is The Law. at https://www.dol.gov/ofccp/regs/compliance/posters/ofccpost.htm