Medicaid Contract Specialist I/II- 162207, 162132

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　　Medicaid Contract Specialist I/II- 162207, 162132

　　Salary

　　$47,068.95 - $69,850.33 Annually

　　Location

　　Westminster, CO

　　Job Type

　　Regular Full-time

　　Job Number

　　06299

　　Department

　　Human Services

　　Opening Date

　　01/18/2024

　　Closing Date

　　Continuous

　　Our Mission

　　At Adams County, our team members engage in top-notch opportunities to grow and expand their impact. We cultivate an inclusive and innovative culture where diversity matters! Diversity, Equity & Inclusion (DEI) is a core cultural competency at Adams County, and we actively seek and welcome applicants that bring diverse experiences and value inclusion.

　　Position classification

　　Remote First -- Job duties and expectations require very limited to no time in the office. There may be scheduled infrequent exceptions which require the employee to be onsite.

　　Description

　　Benefits

　　Questions

　　What Success Looks Like In This Job

　　This series of positions determines eligibility for Health First Colorado (formerly Medicaid), including Long Term Care and CHP+. This position works under a contract with a specified community partner. This series of positions may be required to be onsite at various community partner locations.

　　Compensation is based on experience and qualifications*

　　Examples of Duties for Success

　　Examines applications to determine applicants/participants income, resources, household composition and employment status to assess their eligibility for medical assistance.

　　Reviews applications for accuracy and completeness and makes requests for information regarding incomplete forms and missing documentation. Verifies required information by appropriate methods: e.g., phone calls to employers; applicants; computer database inquiries (interfaces); statistical reports from the State and/or change or status reports turned in by clients to determine program eligibility.

　　Explains program eligibility requirements to applicants, including all rules and regulations, his/her rights and responsibilities, available benefit dates, reason for approval or denial and the right to appeal.

　　Interface daily with statewide computer system requiring accurate and complete data entry of information. Interprets and evaluates computer generated data to determine application to individual case processing for approvals, changes, denials, and discontinuations.

　　Utilizes computer daily for inquiry and data entry for preparation of complex correspondence, spreadsheet development and record maintenance and research. Maintain client records within the Colorado Benefit Management System (CBMS) and electronic case file in the Department's electronic document management system. Document all actions taken on applications and cases within CBMS.

　　Completes monthly reports that are instrumental in discovering discrepancies that could affect participant's eligibility.

　　Works closely with contracted community partner staff to share relevant information with the support of the supervisor.

　　Participates along with supervisor in the dispute resolution process with applicants/participants when requested. Prepares evidence, attends, and testifies in state level hearings on applicant/participant appeals.

　　Partners with supervisory support with service providers and other agencies to achieve positive outcomes for clients.

　　Performs other related duties and responsibilities as required.

　　Qualifications for Success

　　To be successful, our ideal candidate should have the following knowledge, skills, and abilities

　　Knowledge of medical public assistance programs, as applicable.

　　Knowledge of CBMS.

　　Apply basic math and read, interpret, and apply rules and regulations.

　　Communicates clearly and concisely, both orally and in writing.

　　Differentiate between relevant and non-relevant information when making eligibility decisions.

　　Input data accurately and detect errors/make corrections.

　　Skills related to customer service.

　　Ability to establish, maintain, and foster positive and harmonious working relationships with those contacted in the course of work.

　　More Qualifications for Success

　　Med Contracts Specialist I: Responsible for processing Medicaid benefits and coordination with a community partner with supervisory support.

　　Experience: This position requires at least one year experience in an entry level position determining eligibility in CBMS for Medicaid.

　　Education and Training (All Levels):

　　High School Diploma or GED equivalent.

　　Satisfactory completion of an Associate's or bachelor’s degree in business, behavioral science, or another appropriately related field may substitute for experience on a year for year basis.

　　License or Certificate (All Levels): None.

　　Background Check (All Levels): Must pass a criminal background check.

　　Other (All Levels):

　　Bilingual applicants are preferred.

　　Ability to work in a standard office environment.

　　Med Contracts Specialist II: Responsible for processing Medicaid benefits and independently training and coordinating with a community partner.

　　Experience: This position requires at least two years’ experience in a position determining eligibility in CBMS for Medicaid.

　　Education and Training (All Levels):

　　License or Certificate (All Levels): None.

　　Background Check (All Levels): Must pass a criminal background check.

　　Other (All Levels):

　　Ability to work in a standard office environment.

　　Adams County provides a comprehensive benefits package to employees that goes above and beyond what is offered at most organizations.

　　Clickhere (https://youtu.be/ILAvllPaGb4) to watch our video about why Adams County is an Employer of Choice!

　　Benefits You Expect:

　　AFLAC Supplemental Medical Insurance

　　Basic Term Life & Optional Term Life Insurance

　　Deferred Compensation Plan

　　Dental/Vision/Medical Plans

　　Generous Vacation/Sick leave

　　Long-Term Disability

　　Retirement Plan

　　Short-Term Disability

　　Plus some you might not expect:

　　Employee Assistance Program

　　Employee Fitness Center

　　Employee Health Clinics

　　Flexible Work Schedules

　　Recreation Center Discounts

　　Training & Tuition Reimbursement Programs

　　Wellness programs

　　Lactation friendly certified workplace

　　01

　　Please be aware that your cover letter and resume will not be accessed in the initial screening process, so you must complete your application and supplemental questions with as much detail as possible. Any personally identifiable information (PII) such as name and address will be redacted from applications that meet the minimum screening requirements and are forwarded to the hiring manager. If the hiring manager selects you to advance in the hiring process, your cover letter and resume will then be accessible to the hiring team. Information provided on the application is used to determine if a candidate meets minimum qualifications. Only information provided at the time of the application being completed will be considered and additional information that is not listed on the application will not be considered when deciding if a candidate meets or does not meet the qualifications. Applicants are STRONGLY encouraged to include all information and details on their application. I understand and agree that only information provided at the time of my application will be used to determine if I meet the minimum requirements for this position.

　　Yes, I understand and agree

　　Yes, I understand but disagree.

　　02

　　Please select how you meet the minimum qualifications.

　　At least two years' experience in a position determining eligibility in CBMS for Medicaid AND a High School Diploma or GED equivalent.

　　At least one year experience in an entry level position determining eligibility in CBMS for Medicaid AND a High School Diploma or GED equivalent.

　　No experience AND completion of an Associate's Degree or higher.

　　None of the above

　　03

　　Do you possess at least one year of experience in an entry level position determining eligibility in CBMS for Long Term Care and Medicaid?

　　Yes

　　No

　　04

　　I understand that if selected for this position and currently hold a case manager/case-carrying position in Children and Family Services (CFS), I may have a delayed transfer/promotion period up to 120 days prior to moving into this position within the Human Services Department. Choose YES to acknowledge or NO if you understand, but do not agree.

　　Yes

　　No

　　Required Question

　　Agency

　　Adams County

　　Address

　　4430 S. Adams County Parkway, Suite C4000BBrighton, Colorado, 80601-8213

　　Website

　　http://www.adcogov.org/current-career-opportunities

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