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National Medicaid Program Specialist - 2025859
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National Medicaid Program Specialist - 2025859
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Overview
Job Description
ROLE & RESPONSIBILITIES:
- Program Coordination and Governance Support: Coordinate national Medicaid program planning, governance, implementation timelines, meeting materials, milestone tracking, risk and issue logs, decision tracking, and status reporting across participating offices.
- Implementation and Readiness Support: Coordinate readiness assessments, implementation planning, office onboarding, go-live preparation, post-launch follow-up, and expansion planning to support consistent Medicaid program implementation with appropriate local adaptation.
- Resource and Training Coordination: Coordinate training logistics, resource sharing, implementation tools, templates, and program materials in partnership with subject matter experts and functional owners.
- Billing, Systems, and Enterprise Coordination: Support program-level coordination with Finance, billing staff, IT, vendors, Privacy, Legal, HR, Procurement, Operations, and local offices by tracking dependencies, issues, decisions, and escalation needs.
- Specialized functions such as revenue cycle operations, billing compliance, privacy, security, EHR administration, and systems administration remain owned by the appropriate functional teams.
- Reporting and Performance Tracking: Maintain program dashboards, KPIs, readiness trackers, implementation trackers, and status reports.
- Summarize trends, risks, progress, and follow-up needs to support program oversight, continuous improvement, and long-term sustainability.
- Stakeholder Engagement and Cross-Office Collaboration: Build strong working relationships with participating offices, Home Office leaders, enterprise partners, billing staff, vendors, and other stakeholders.
- Facilitate communication, problem solving, escalation, peer learning, and feedback loops across offices.
JOB REQUIREMENTS:
- Mature and personal Christian faith
- Committed to the mission, vision, and values of World Relief
- Desire to serve and empower the Church to impact vulnerable communities
- Able to affirm and/or acknowledge World Reliefs Core Beliefs, Statement of Faith, Christian Identity and National Association of Evangelicals' For the Health of The Nation document
- Bachelor’s degree in Healthcare Administration, Public Health, Social Work, Human Services, Behavioral Health, Business Administration, Nonprofit Management, or related field.
- 5+ years of relevant experience in healthcare program or project coordination, Medicaid-funded services, behavioral health operations, multi-site implementation, reporting, or cross-functional program support.
- Demonstrated ability to manage multiple workstreams, coordinate cross-functional teams, maintain project documentation, track risks and issues, support reporting, communicate with stakeholders, and travel up to 15%.
PREFERRED QUALIFICATIONS:
- Master’s degree preferred.
- PMP, CAPM, Lean Six Sigma, CPHQ, Scrum, or similar project management or quality certification preferred.
- Experience with Medicaid-funded behavioral health, mental health, wellness, clinical case management, dental, or social service programs.
- Familiarity with healthcare billing, Medicaid-funded services, or revenue cycle concepts.
- Familiarity with claims workflows, documentation standards, payer requirements, Medicaid compliance considerations, EHR or billing systems, KPI reporting, or multi-site program implementation.
- Refugee resettlement or immigrant-serving experience preferred.
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