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Abbott Medicaid Enrollment Specialist in San Ramon, California

Acelis ConsumerHealth located in Livermore, California (San Francisco Bay area) is seeking a Medicaid Enrollment Specialist to join our team!

RESPONSIBILITIES:

  • Candidate will be responsible for the enrollment and credentialing processes for MedicaidEnrollment across the U.S.

  • Monitors stateMedicaid websites where we are enrolled to ensure websites are reviewed andrelevant changes are documented on a routine basis

  • UpdatesACH on Medical policy changes that impacts business

  • UpdatesACH on any reimbursement changes

  • Worksclosely with Revenue Cycle Management and interprets reimbursement criteria forpayment

  • InsuresACH meets state Medicaid mandated requirements to maintain licensure

  • Worksclosely with Regulatory and Audit to collaborate on statewide requirements

  • Maintainsup-to-date data for each state Medicaid program to ensure timely renewal oflicenses and certifications.

  • Recordand track credentialing statistics and document the preparation of contract logon a routine basis.

  • Responsible for the processing of credentialing requirements,maintaining effective credentialing logs and relevant controls, and assistingin the optimization of contractual outcomes.

  • Ensures that new state enrollments align to pre-definedbusiness requirements.

  • Ensures timely completion of credentialing andre-credentialing process as defined by each state Medicaid program.

BASIC QUALIFICATIONS | EDUCATION:

  • Minimum of two years State Medicaid Enrollment andCredentialing

  • Strongbusiness knowledge of State Medicaid programs

  • Subjectmatter expert of enrollment and provides knowledge and feedback to ensure regulatoryand business needs are addressed

  • Mustcommunicate effectively with staff, internal department management, therebyrequiring good interpersonal skills, excellent problem- solving skills, soundjudgment, decisiveness,

  • Initiative,and a teamwork approach

  • 2+ years in a process centric environment, involving multiplestakeholders, deadline driven outcomes, and regularly leading/contributing tocontinuous process improvements (e.g. Reduced cycle time,

  • Ability to communicate effectively across varying levels ofmanagement in order to address cross-functional process requirements. Comfortable interacting directly withmanagement for purpose of delivering contractual outcomes.

  • High level of professional curiosity supported by a strongdesire to engage and to be engaged

  • Tolerance for ambiguity coupled with a proactive approach togetting issues resolved in order to drive results.

  • Ability to grasp and understand business concepts andobjectives.

  • Ability to use effective problem- solving techniques.

  • Ability to think in terms of abstract ideas.

  • Ability to make critical decisions within company guidelines.

  • Ability to be goal oriented and results focused.

  • Ability to organize activities and meet set deadlines.

  • Ability to communicate, both in writing & verbally, withothers in a professional manner.

  • Ability to assume responsibility in decision making process.

  • Ability to use efficient time management skills.

  • Ability to organize and direct projects to completion throughdrive and initiative.

  • Ability to attend job related courses &seminars as required.

  • Ability to use office equipment that is relevantto job functions.

  • Detail Oriented

  • Strong Computer/Software Skills

  • Strong Verbal and Written Communication Skills

  • Organization/Time Management Skills

  • Human Relations Skills

  • Analytical & Accounting Skills and Aptitude

  • High Degree of Professionalism

PREFERREDQUALIFICATIONS:

  • Bachelor’s Degree

  • Experience in Medicaid Enrollment and Credentialing

An equal opportunity employer, Abbott welcomes andencourages diversity in our workforce.

We provide reasonable accommodations to qualified individuals with disabilities. To request an accommodation, please send an email to myrecruiter@alere.com or contact your HR Partner to let us know the nature of your request.

About Abbott

Abbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-changing technologies spans the spectrum of healthcare, with leading businesses and products in diagnostics, medical devices, nutritionals and branded generic medicines. Our 103,000 colleagues serve people in more than 160 countries.

Connect with us at www.abbott.com , on LinkedIn at www.linkedin.com/company/abbott-/ , on Facebook at www.facebook.com/Abbott and on Twitter @AbbottNews and @AbbottGlobal.

An Equal Opportunity Employer

Abbot welcomes and encourages diversity in our workforce.

We provide reasonable accommodation to qualified individuals with disabilities.

To request accommodation, please call 224-667-4913 or email corpjat@abbott.com

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