Medicaid and CHIP Managed Care Compliance Specialist - Remote Opportunity with S2Tech

Unlock Your Career Potential with S2Tech: Medicaid and CHIP Managed Care Compliance Specialist S2Tech, a leading IT consulting company, is seeking a highly skilled and experienced Medicaid and CHIP Managed Care Compliance Specialist to join our team on a 100% remote basis. As a fast-growing company with a strong reputation for delivering value-based services to Health and Human Services projects, we offer a dynamic and supportive work environment that fosters innovation, collaboration, and career growth. About S2Tech: A Culture of Excellence and Client Delight At S2Tech, we pride ourselves on our employee-centric culture, commitment to innovation, and dedication to "Delighting the Client" through exceptional performance. With a 25-year history of providing top-notch IT and business services to private customers and government programs across the United States, we have established ourselves as a trusted partner in the industry. Our expansive client portfolio and active projects provide our employees with opportunities for innovative project exposure, skill development, and continuous learning. Why Choose S2Tech? Stable and Privately-Owned Company : Benefit from our strong reputation for building long-term client relationships through consistent value-based service delivery. Innovative Project Exposure : Engage in cutting-edge projects and develop your skills through in-house training and courses. Corporate Culture : Enjoy a work environment that prioritizes family, promotes healthy work-life balance, and offers competitive pay and benefits. Comprehensive Benefits Package : Includes medical, dental, and vision insurance, additional insurance options, paid time off, 401(k) retirement savings plan, and health savings account. Corporate Wellness Program and Fortune Fund : Participate in our wellness initiatives and be part of a company that gives back to the community through its non-profit organization. Job Overview: Medicaid and CHIP Managed Care Compliance Specialist We are seeking a seasoned Medicaid and CHIP Managed Care Compliance Specialist to support the Department of Health (DOH) in adhering to the CMS Final Rule on "Medicaid and Children's Health Insurance Program (CHIP) Managed Care Access, Finance, and Quality." As a key member of our team, you will play a critical role in analyzing CMS guidance, developing a requirements matrix, and contributing to the creation of a roadmap for compliance. Key Responsibilities: Interpret and analyze CMS Final Rule guidance related to Medicaid and CHIP managed care, ensuring a deep understanding of the regulations and their implications. Collaborate with DOH and client project leadership to develop a detailed project schedule, ensuring timely and effective project delivery. Assist in the creation of a CMS Final Rule Requirements Matrix, focusing on managed care access, finance, and quality, to identify key compliance areas. Engage in stakeholder interviews to understand existing managed care processes and identify compliance gaps, providing strategic recommendations for improvement. Contribute to the development of a Gap Analysis and Implementation Roadmap, offering expert insights and guidance to support DOH in meeting CMS managed care requirements. Provide ongoing support to DOH in their efforts to meet CMS managed care requirements, ensuring sustained compliance and quality. Essential Qualifications: Bachelor's degree in Healthcare Management, Public Health, or a related field, demonstrating a strong foundation in healthcare principles and practices. At least 5 years of experience in Medicaid and CHIP managed care, with a focus on compliance, showcasing a deep understanding of the regulatory landscape. Strong understanding of CMS regulations concerning managed care, with the ability to interpret and apply complex guidance. Experience in project planning, gap analysis, and roadmap development, highlighting your ability to drive projects forward and deliver results. Excellent communication and analytical skills, with the ability to effectively collaborate with stakeholders and drive compliance initiatives. Ability to work independently and as part of a remote team, demonstrating flexibility, self-motivation, and a commitment to teamwork. Preferred Qualifications: Knowledge of eMedNY system operations, providing a valuable understanding of the Medicaid managed care landscape. Experience working with 'Big 4' consulting firms, showcasing your ability to navigate complex organizational structures and deliver high-quality results. Career Growth Opportunities and Learning Benefits At S2Tech, we are committed to supporting the career growth and development of our employees. As a Medicaid and CHIP Managed Care Compliance Specialist, you will have access to: In-house training and courses to enhance your skills and knowledge. Innovative project exposure, allowing you to expand your expertise and stay up-to-date with industry trends. Opportunities for professional growth and advancement within the company. Work Environment and Company Culture Highlights As a 100% remote company, we offer the flexibility to work from anywhere, at any time, while maintaining a strong sense of community and connection through regular virtual team meetings and collaboration tools. Our corporate culture prioritizes work-life balance, employee well-being, and diversity, ensuring a supportive and inclusive work environment. Compensation, Perks, and Benefits We offer a competitive salary, commensurate with experience, along with a comprehensive benefits package that includes: Medical, dental, and vision insurance, with insurance premium assistance provided. Additional insurance options, such as life and disability insurance. Paid time off, including vacation and sick leave. 401(k) retirement savings plan and health savings account. Corporate wellness program and Fortune Fund initiatives. Join Our Team: Apply Today! If you are a motivated and experienced Medicaid and CHIP Managed Care Compliance Specialist looking for a challenging and rewarding role, we encourage you to apply. Even if you feel you're not a perfect match, we'd still love to hear from you. At S2Tech, we are committed to hiring and retaining a diverse workforce and are an equal opportunity employer, making decisions without regard to age, race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other protected class. Take the first step towards a fulfilling career with S2Tech. Apply now and join our friendly team! Apply for this job