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Job Description
The MO HealthNet Division has an opening for a Benefit Program Senior Specialist within the Clinical Program and Policy Unit located in Cole County.
Semi-monthly salary: $2,020.69
Job Location: This position is located at the Howerton State Office Building; 615 Howerton Court, Jefferson City, MO.
The Department of Social Services partners with families and communities to protect children, rehabilitate youth and move families to self-sufficiency so that Missourians can lead safe, healthy and productive lives.
Why you’ll love this position: The person in this position will work with a dedicated team of employees while gaining new and valuable skills. This is an independent and responsible position that will assist in oversight of the Non-Emergency Medical Transportation (NEMT), Hearing Aid, Optical, and other MO HealthNet programs as assigned.- Assist in development and interpreting policy/procedure guidelines, laws, rules/regulations to improve program efficiency and effectiveness.
- Assist with oversight of assigned programs through monitoring of reports, claims, and inquiries.
- Research and resolve assigned legislative inquiries.
- Monitor participant and provider complaints to ensure resolution.
- Update provider manuals when policy is implemented, changed, or requires clarification.
- Process public entity invoices and performance measures/withholdings for NEMT Program
- Attend state fair hearings.
- Review and process consultant invoices.
- Review and process claims for overrides and manual pricing.
- Review and process prior authorizations and requests for change.
Minimum Qualifications:
Bachelor’s degree and 1-3 years of relevant experience. (Substitutions may be allowed.)
Preferred Qualifications:- Excellent customer service skills and attention to detail.
- Excellent problem-solving and time management skills.
- Ability to communicate complex ideas, plans, procedures, and programs.
- Self-motivated with attention to detail and ability to meet deadlines.
- Ability to work independently and as part of a team.
- Relevant experience with policy and interpretation.
Lack of post-secondary education will not be used as the sole basis denying consideration to any applicant.
The State of Missouri offers an excellent benefits package that includes a defined pension plan, generous amounts of leave and holiday time, and eligibility for health insurance coverage. Your total compensation is more than the dollars you receive in your paycheck. To help demonstrate the value of working for the State of Missouri, we have created an interactive Total Compensation Calculator. This tool provides a comprehensive view of benefits and more that are offered to prospective employees. The Total Compensation Calculator and other applicant resources can be found here . -
ABOUT THE COMPANY
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State of Missouri
Show moreBuild the Missouri of tomorrow.
Ensure a strong foundation today.
Join a group of innovative team members focused on driving the State of Missouri forward. As public servants, our team members have the opportunity to produce work that is both lasting and important. This work serves to protect families, communities, and our natural resources.
No matter where you are in your career, whether entry level or senior level, a career with the State of Missouri will challenge you to grow both personally and professionally. Though one employer, there is no shortage of exciting opportunities as there are many career paths you may take within the State. If you are searching for a job that transforms lives, including your own, a career with the State of Missouri is the perfect fit!
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