Peak Performers Hiring for State Healthcare Provider Enrollment Specialist Job at Austin, TX Full Time

As a State Healthcare Provider Enrollment Specialist, you will be performing research work within a team environment. You will conduct reviews of provider enrollment applications into Medicaid, CHIP, and other state healthcare programs.

Who you will be working with

A state agency that prevents, detects, audits, inspects, reviews, and investigates fraud, waste, and abuse in the provision and delivery of all state health and human services, and enforces state law related to the provision of those services.

Major Duties

• Reviews provider enrollment applications and completes required state and federal screening activities to make Medicaid, CHIP, and other state healthcare programs provider enrollment recommendations. Ensures enrollment recommendations are accurate and consistent, based on a thorough review of the information included in the application.
• Manages workload and ensures recommendations are entered within 10 business days of receipt of a complete application.
• Effectively communicates research, data, and analysis results, both verbally and in writing in a professional manner.
• Assists PEIS leadership with in-depth research of complex situations, escalating findings or concerns as appropriate; may collect, compile; identify training needs; provides consultation and technical assistance for other research specialists in the division.
• Occasional assignment of special projects.

What are we looking for

• Knowledge of Texas Medicaid, CHIP, other state healthcare, and Medicare programs.
• Knowledge of federal and state laws and rules related to Texas Medicaid, CHIP, and other state healthcare programs related to provider enrollment program integrity requirements.
• Skilled at conducting research, using a variety of databases and available resources to obtain solid conclusions.
• Skilled in creative problem solving, including accessing needed resources from multiple areas and sources and helping management develop solutions.
• Skilled in customer service, team building, and collaboration.
• Skilled in effective and professional written and verbal communication.
• Skill in searching databases and analyzing results.
• Skill using software such as Excel, PowerPoint, Access, and MS Word.
• Skilled in taking initiative and working independently to meet deadlines.
• Ability to demonstrate flexibility in a changing environment.
• Ability to establish and maintain effective working relationships, set priorities, and manage time efficiently.
• Ability to prepare reports and clearly document policies and procedures.
• Ability to exercise good judgment, efficiently organize information, and effectively solve problems.
• Ability to use and learn software specific to the provider enrollment process.

About the role

• Rate: $28.50 per hour
• Length of engagement: January 9, 2023- August 31, 2023
• Days/Hours: Monday-Friday, 40 hours per week. M-F, 8-5
• Location: Remote in Central Texas

The Peak Performers difference

• Excellent medical health, dental & vision insurance at 60 days
• Our employees may participate in a 403(b)-retirement plan
• Qualified applicants with chronic medical conditions and/or disabilities receive priority placement
• We pay weekly through direct deposit
• In business since 1994, our relationships span more than 27 years and thousands of job placements

All employment offers are contingent on the successful completion of a pre-employment criminal background check, in compliance with all applicable federal and state laws.

Applicants for employment with Peak Performers must possess work authorization that does not require sponsorship for a visa now or in the future.

Peak Performers is an equal opportunity employer and will consider all applicants without regard to race, marital status, sex, age, color, religion, national origin, veteran status, disability or any other characteristic protected by law. Peak Performers does not accept unsolicited resumes from headhunters, recruitment agencies or fee-based recruitment services.

Custom Job ID: P0399

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