Medicaid Product Specialist

Medicaid Product Specialist

Req number:

R8862

Employment type:

Full time

Worksite flexibility:

Onsite

Who we are

CAI is a global services firm with over 9,000 associates worldwide and a yearly revenue of $1.3 billion+. We have over 40 years of excellence in uniting talent and technology to power the possible for our clients, colleagues, and communities. As a privately held company, we have the freedom and focus to do what is right—whatever it takes. Our tailor-made solutions create lasting results across the public and commercial sectors, and we are trailblazers in bringing neurodiversity to the enterprise.

Job Summary

We are looking for a motivated Medicaid Product Specialist ready to take us to the next level! If you have data entry experience, customer service expertise, and proficiency in Microsoft Office Suite, and are looking for your next career move, apply now.

Job Description

We are looking for a Medicaid Product Specialist to provide data entry of Medicaid Renewal applications, ensuring quality applications are entered into the eligibility system. This position will be Full-Time and On-Site in Newark, DE.

What You’ll Do

• Provide data entry of Medicaid Renewal applications, ensuring a quality application is entered into the eligibility system
• Acquire and maintain a thorough understanding of Federal and State laws, Medicaid regulations, standards, and State policies governing public assistance programs
• Adhere to all CAI and State security protocols and compliance requirements
• Utilize computer inquiry systems to retrieve necessary verification documents and information
• Facilitate the onboarding process for new clients by conducting intake assessments to evaluate Medicaid eligibility
• Process Medicaid renewal applications for clients renewing their medical benefits
• Analyze financial data and perform calculations for accurate input into the eligibility system
• Conduct interviews with clients to obtain and exchange sensitive information needed for eligibility determinations
• Collaborate with clients to securely collect application documents in digital formats (e.g., PDF, JPG)
• Maintain detailed case management records and documentation using the eligibility system
• Act as a witness at fair hearings for clients appealing their eligibility determination, as necessary
• Participate in individual and team meetings to stay updated on processes, procedures, and policy changes
• Perform additional case management tasks as required to support program goals

What You’ll Need

Required:

• High school diploma or equivalent
• A minimum of one year of experience in data entry
• At least one year of customer service experience
• Proficiency in Microsoft Office Suite (Word, Excel, Outlook, etc.)
• Exceptional organizational skills with keen attention to detail
• Ability to perform and analyze financial calculations with accuracy
• Strong problem-solving skills and ability to synthesize data from multiple sources to inform decisions
• Analytical proficiency to evaluate complex issues and identify patterns, trends, or root causes
• Excellent written and verbal communication skills; fluency in English is required
• Self-motivated and dependable individual with a commitment to making a positive impact in the community while collaborating in a team-oriented environment
• Reliable transportation to/from the office with punctual attendance.
• Availability to work onsite full-time, including occasional Saturdays (minimum once per month, if necessary)
• Capability to remain seated for extended periods and perform desk-based tasks

Preferred:

• Familiarity with Medicaid or other public assistance program eligibility requirements
• Bilingual communication skills with strong written proficiency

Physical Demands

• Ability to safely and successfully perform the essential job functions consistent with the ADA and other federal, state, and local standards
• Ability to conduct repetitive tasks on a computer, utilizing a mouse, keyboard, and monitor
• Must be able to communicate with customers/team members over the phone and in person
• Sedentary work that involves sitting or remaining stationary most of the time with occasional need to move around the office to attend meetings, etc.

Reasonable accommodation statement

If you require a reasonable accommodation in completing this application, interviewing, completing any pre-employment testing, or otherwise participating in the employment selection process, please direct your inquiries to application.accommodations@cai.io or (888) 824 – 8111.

EEO Statement

It is the policy of Computer Aid, Inc.(CAI) not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or because he or she is a protected veteran. It is also the policy of CAI to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

 

Employees and applicants of CAI will not be subject to harassment on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or because he or she is a protected veteran. Additionally, retaliation, including intimidation, threats, or coercion, because an employee or applicant has objected to discrimination, engaged or may engage in filing a complaint, assisted in a review, investigation, or hearing or have otherwise sought to obtain their legal rights under any Federal, State, or local EEO law is prohibited.

$20 per hour

The pay range for this position is listed above. Exact compensation may vary based on several factors, including location, experience, and education. Benefit packages include medical, dental, and vision insurance, as well as 401k retirement account access. Employees in this role may also be entitled to paid sick leave and/or other paid time off as provided by applicable law.