Description and Functions
Open Until Filled
GENERAL DESCRIPTION:
This position manages the Benefit Coordination Section of the Wyoming Medicaid Eligibility Unit to ensure program compliance with State and Federal statutes and regulations. The position is responsible for all Medicaid eligibility functions related to the coordination of benefits involving the Wyoming Department of Health Customer Service Center, the Social Security Administration, the Medicaid Fiscal Agent, Medicare, and Third-Party Liability (TPL). This position oversees contracts, assists in writing and reviewing RFPs, and oversees the development and maintenance of the Online Policy manual (EOM) and the Eligibility website. This position is also responsible for oversight of the Presumptive Eligibility programs, the Premium Payment Programs, the State Supplemental Payment program, Third Party Liability and Estate Recovery, as well as all Medicare-related functions, including Medicare Buy-In.
Human Resource Contact: wdhrecruit@wyo.gov
ESSENTIAL FUNCTIONS: The listed functions are illustrative only and are not intended to describe every function which may be performed in the job level.
- Manages and oversees the Benefit Coordination Section of the Medicaid Eligibility Unit in the Client Services Section.
- Directs and manages the State Supplemental Payment program and premium-related programs, including the Wyoming Health Insurance Premium Payment Program (WHIPP), Medicare Buy-In, Medicare Savings Programs, and the Employed Individuals with Disabilities (EID) Program..
- Manage technical assistance projects related to eligibility functions.
- Participates in access initiatives.
- Special studies and projects related to eligibility for Medicaid financial eligibility programs.
Qualifications
KNOWLEDGE:
- Knowledge of State and Federal Government functions, procedures, concepts, principles, and practices of professional healthcare administration; policies and procedures established for the work system; Medicaid programs, law, and regulatory structure. The ability to comprehend Federal regulations, state statutes, program rules, and policy. Able to interpret and integrate the foregoing into legislation, statute, and policy.
- Knowledge of the Business Management System, the Eligibility System, and the application to Medicaid programs. Ability to examine data and reports for completeness, accuracy, and conformance with regulations.
- Oral and written communication skills to communicate with a broad range of audiences, including clients, administrators, legislators, contractors, and staff.
- Ability to communicate Medicaid program information and policy to public and private entities.
- Ability to draft Requests for Proposals and evaluate the same. Ability to contract for services via State and Federal Protocols.
MINIMUM QUALIFICATIONS:
Necessary Special Requirements
PHYSICAL WORKING CONDITIONS:
- The employee may sit comfortably to perform the work; however, there may be some walking, standing, bending, carrying light items, driving an automobile, etc.
NOTES:
- FLSA: Exempt
- The Wyoming Department of Health is an E-Verify employer.
Supplemental Information
Click here to view the State of Wyoming Classification and Pay Structure.
URL: http://agency.governmentjobs.com/wyoming/default.cfm
The State of Wyoming is an Equal Opportunity Employer and actively supports the ADA and reasonably accommodates qualified applicants with disabilities.
Class Specifications are subject to change, please refer to the A & I HRD Website to ensure that you have the most recent version.
Working for the State of Wyoming provides employees with a range of valuable benefits and offers a fulfilling career path. Employees enjoy comprehensive healthcare coverage, including medical, dental, and vision plans, ensuring their well-being and that of their families. Additionally, the state offers multiple retirement plans, which provide financial security and stability for employees once their career in public services comes to an end. the state recognizes the importance of personal time and offers generous paid time off and flexible arrangements, allowing employees to recharge, take care of personal matters, and maintain a healthy work-life integration.
There are many benefits to living and working in Wyoming. Beautiful country with wide-open spaces, clean air, great recreational activities, and no State income tax to mention a few!
Click here to learn more!