Medicaid Provider Operations Support – Provider Data Services

Remote Full-time
Job Description: • Serve as the primary Point of Contact (POC) for the Provider Data Services (PDS) team • Provide guidance to all analysts on issue resolution and accurate provider data setup • Collaborate with team members to identify, review, and research issues in support of effective solutions • Support the review and potential revision of documentation based on new guidance provided by the Liaison • Manage team production workflows to ensure timely and accurate case completion • Attend all regularly scheduled meetings as assigned • Review escalated requests, ensuring timely issue resolution • Serve as the Subject Matter Expert (SME) and Point of Contact (POC) for provider data clean-up across all Medicaid states • Identify and escalate significant trends or concerns within designated areas to MPOS leadership • Respond daily to inquiries and emails related to provider data Requirements: • Minimum of 1 year of experience in provider data management • Minimum of 1 year of direct communication experience with internal teams and external partners • Proficiency in managing provider data, supporting operations, and navigating network structures • Proficient in Microsoft Office Suite, including Excel, Word, PowerPoint, and Outlook • Extensive knowledge of problem-solving methodologies and effective troubleshooting strategies • SQL experience (Preferred) • QuickBase experience (Preferred) • QNXT system knowledge (Preferred) • Excel Skills: (VLOOKUPS and Pivot Tables) Benefits: • Affordable medical plan options • 401(k) plan (including matching company contributions) • Employee stock purchase plan • No-cost programs for all colleagues including wellness screenings • Tobacco cessation and weight management programs • Confidential counseling and financial coaching • Paid time off • Flexible work schedules • Family leave • Dependent care resources • Colleague assistance programs • Tuition assistance • Retiree medical access and many other benefits depending on eligibility Apply tot his job
Apply Now →

Similar Jobs

Experienced Registered Behavior Technician for In-Home ABA Therapy - Atlanta, GA

Remote

Immediate Hiring: Experienced Registered Behavioral Technician (RBT) for Clinic-Based ABA Therapy Services

Remote

Experienced Registered Behavioral Technician (RBT) - ABA Therapy for Children with Autism Spectrum Disorder

Remote

Experienced Registered Nurse - Telehealth: Providing Remote Care Coordination and Patient Support

Remote

Experienced Substitute Teacher for Riverside County Schools - Join Scoot Education's Innovative Team

Remote

Experienced Substitute Teacher for San Bernardino County - Flexible Schedules & Competitive Pay

Remote

Experienced School Year Instructional Coach for High-Dosage Tutoring Programs in Edgewater Park, NJ

Remote

Experienced School Year Tutor for K-8 Students in Math and Literacy - Mickleton, NJ

Remote

Experienced Secondary Social Studies Teacher for Kansas - Flexible Hybrid Remote Arrangement

Remote

USPS Office Helper

Remote

Product Manager – Mobile

Remote

Experienced Remote Fundraising Data Analyst for Local News Sustainability and Journalism Development

Remote

Experienced Part-Time Customer Service Advisor for Remote Work Opportunities in the USA – Delivering Exceptional Client Experiences with blithequark

Remote

**Experienced Work From Home Data Entry Specialist – Join arenaflex's Dynamic Team**

Remote

**Experienced External Support Engineer – Content Tools and Workflow Specialist at blithequark**

Remote

Experienced Remote Data Entry Specialist – Competitive Compensation and Flexible Work Arrangements with blithequark

Remote

**Experienced Virtual Customer Care Representative – Delivering Exceptional Service from the Comfort of Home**

Remote

**Experienced Part-Time Data Entry Specialist – Agriculture, Fishing, and Forestry Industry**

Remote

Experienced Virtual Administrative Assistant – Remote Work Opportunity for Tech-Savvy Individuals with Excellent Organizational Skills

Remote

Respiratory Sales Senior Specialist

Remote
← Back