Associate Director – Medicaid Entitlement & Coverage Strategy
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Job Description
Director of Medicaid Entitlement & Coverage Strategy leading federal Medicaid changes and compliance at GRT. Overseeing staff training, program outcomes, and coordinating initiatives across states.
Responsibilities:
- Lead GRT's application process to become a Medicaid QE in all operating states where eligible
- Oversee the implementation of SOAR training for designated staff across all operating states
- In partnership with GRT's medical and product leadership, develop, implement, and maintain a standardized medical frailty documentation protocol
- Lead the development and implementation of systems, workflows, and member support strategies designed to help eligible members meet state Medicaid requirements
- Support GRT's Government Affairs team by assisting with tracking federal and state legislation
- Collaborate with the Government Affairs Team in translating policy developments into actionable operational updates
- In partnership with the Product Team, design and maintain an internal tracking system to identify members at risk of losing Medicaid coverage
- In partnership with the Learning and Development Team, develop and deliver training and educational resources for entitlement staff, counselors, and clinical providers on QE processes and SSDI/SSI application assistance
- Develop and maintain a comprehensive evaluation framework that measures coverage retention, redetermination outcomes and reasons for Medicaid disenrollment.
Requirements:
- Bachelor's degree required in social work, public health, public policy, health administration, or a related field
- Master's degree preferred
- Minimum of 8-10 years of experience in healthcare administration, entitlement services, social work, or a related field
- Experience working in or with a SUD treatment organization preferred
- Demonstrated experience working with state agencies, government offices, or managed care organizations required
- Access to reliable internet and telephone services, specifically 50M download and 10M upload package or higher as well as a strong WiFi signal from your remote work location
- Must meet pre-employment requirements and maintain all applicable state and job-related guidelines for background screening.
Benefits:
- Fully Remote work
- Professional development opportunities
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