Medicaid Benefits Coodinator

Company: Cuyahoga County Board of Developmental Disabilitie
Location: Cleveland
Posted on: January 26, 2025

Job Description:

Medicaid Benefits Coodinator



Job Locations

US-Cleveland





# of Openings

1



Salary Range

D



Min Salary

USD $56,385.00/Yr.



Category

Medicaid and Data Analytics



Specific Facility

Donzella Administration Building



Position Reports To

Medicaid Services Administrator



Work Schedule

Full-time: 7.5 hours per day / Year Round (150 hours every 4-week flex schedule)






































Overview









The Cuyahoga County Board of Developmental Disabilities (Cuyahoga DD) is seeking a Medicaid Benefits Coordinator to oversee and direct all activities related to incidents of loss of Medicaid to ensure timely and effective resolution; Provide outreach and education to Cuyahoga DD staff, individuals and families, private providers, and community members on Medicaid and related topics. The nature of work will include, but is not limited to the following:

• Primary point of contact for potential and actual loss of Medicaid situations for people-served; Advise Cuyahoga DD staff on necessary action and communicate with CJFS staff to reach timely resolution; Collect and maintain relevant data to assist with cost projection and mitigate future incidents.
• Develop and maintain a tracking system for applications submitted to CJFS. Ongoing monitoring of this and other automated processes used to facilitate Medicaid applications and redeterminations to recommend efficiencies in pursuit of continuous improvement.
• Provide training to Cuyahoga DD staff on the topic of Medicaid and related topics, including the SA training module, attending SA Department and small team meetings, offering drop-in hours at the sites, and providing ad hoc training as requested to other Cuyahoga DD departments. Share information about upcoming changes that will impact people-served.
• Provide outreach to individuals and families about Medicaid and related topics such as STABLE accounts and trusts; Attend planning meetings at the request of Cuyahoga DD staff, develop informational resources including mailings, and participate in community events as a resource for families and people-served.
• Assist leadership with Cuyahoga DD's efforts to build community capacity by identifying opportunities for provider development; Support and advise providers on their role in benefits maintenance.
• Act as Authorized Representative for Cuyahoga DD on behalf of individuals needing this service. On behalf of services include: receiving and processing JFS and ODM notices, gathering additional required verifications to complete initial and renewal packets, maintaining a log to track case specific communication, scanning submitted verifications to SMBC into OnBase, and attending interviews and Medicaid hearings.
• Work closely with CJFS to problem solve and resolve data discrepancies, PLOMS, billing, and level of care issues. Provide related technical assistance to Cuyahoga DD staff as appropriate.
• Perform Medicaid Administrative Claiming (MAC) activities that are applicable to this position, and are required by Waiver rules, policies and procedures. Position functions will be 100% MAC billable in a manner consistent with requirements of DODD and ODM.PERSONAL CONTACT: Frequent contact with Cuyahoga DD staff, individuals, families, CJFS, private providers, and other community agencies. UNUSUAL WORKING CONDITIONS: Occasional in-county travel to provide training and technical assistance. Occasional in-state travel to attend conferences and training sessions related to HCBS waivers or other applicable topics. Flexible work hours may be required. Must have access to reliable transportation. BENEFITS: The Cuyahoga County Board of DD is a mission-driven organization. Attracting, retaining, and developing great talent is fundamental to achieving the Board's mission. We are committed to equal opportunity in all aspects of employment, including the way we compensate our employees. Our Employee Value Proposition (EVP) includes not only pay, but non-cash compensation such as extensive paid time off, flexible work schedules, some remote work opportunities, outstanding healthcare benefits as well as free dental, vision, and life insurance. We also have a fantastic pension plan through the Ohio Public Employees Retirement System. If that wasn't enough, you will have the opportunity to work in an outstanding work environment as part of a multidisciplinary group of professionals. If you would like a much more comprehensive look at the benefits package, click HERE to download a pdf with more detailed information. The Cuyahoga DD recruits and retains outstanding individuals who are committed to our mission of supporting and empowering people with developmental disabilities to live, learn, work and play in the community. We seek to attract diverse staff who desire to inspire, to promote abilities and talents, to foster inclusion in all aspects of community life, and to hold themselves and others to high expectations. We hope you choose to join our team! Remote Work: Our positions are not remote. There is an onsite expectation for all of our positions. Although we do permit some remote work at home with flexible, hybrid work schedules for some of our positions, we do expect staff to be able to commute to our facilities in Cuyahoga County, Ohio on a regular basis. We have facilities in Parma, Cleveland, and Highland Hills, Ohio. All employees will be based in one of these three cities. We do not currently offer any fully remote positions. All positions come with the expectation that the employee will work onsite at an assigned facility in Cuyahoga County some days each week as directed.
  
  
  
  
  
  
  
  
  
  
  
  
  
  Qualifications
  
  
  
  
  
  
  
  
  
  
  • Advanced knowledge of Medicaid programs, eligibility, and all related processes required.
  • Minimum five years' work experience with HCBS waiver programs required.
  • Three years successful work experience with programs for persons with DD preferred.
  • Valid state of Ohio driver's license and continued maintenance of excellent driving record
  • High School diploma required.Application Procedure:
    • All applicants must apply ONLINE.
    • External applicants are required to upload a resume that shows a detailed work history. This is important because this agency no longer requires that applicants complete an employment application. Therefore, the only way we will be able to review your employment history and ascertain your background and experience is through your resume. You are also welcome to upload a cover letter that outlines your interest in this position.
    • Current Cuyahoga DD employees are requird to upload at least a detailed letter of interest that outlines your interest in this position and highlights your qualifications for this position.
    • All candidates are asked to create an online profile and you may be asked to answer a series of questions.
    • Immediately after applying, you will receive a confirmation of receipt by email. If you do not receive that email, check your spam folder. For any further questions about the application process, see the FAQ link below. Application Deadline: Open until filled. Equal Opportunity, Diversity, and Inclusion: The Cuyahoga County Board of DD is committed to treating every individual, family, employee, and applicant with dignity, respect and compassion regardless of a person's sex, ancestry, national original, race, color, age, religion, disability, military or veteran status, sexual orientation, gender identity/gender expression, genetic information, or social, economic or political affiliation. Compassion, trust, and mutual respect are at the core of our commitment to diversity and inclusion. The Cuyahoga County Board of DD fosters and promotes an inclusive environment that leverages the unique contributions of diverse individuals and organizations in all aspects of our work. We know that by bringing diverse individuals and viewpoints together we can collectively and more effectively create opportunities for a better life for the individuals we support. Diversity and inclusion are at the heart of what it means for people with developmental disabilities to live, learn, work, and play in the community. PRIVACY AND SECURITY NOTICE: By applying for positions with the Cuyahoga County Board of Developmental Disabilities you are accepting that you have reviewed and understand our Applicant Privacy and Security Notice provided by clicking HERE. - Individuals who may need assistance with the application process should contact Human Resources.- Questions about the application process? Review answers to our FAQs here: FAQS and How to Contact H.R.- All Job tentative offers are made with the understanding that prospective new employees pass a drug test and background check prior to being hired. Cuyahoga DD is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. If you are a person with a disability or are unable to use or access this site as a result of your disability, you may request a reasonable accommodation by calling 216-241-8230.
      
      
      
      
      
      
      
      
      
      
      
      
      
      
      

Keywords: Cuyahoga County Board of Developmental Disabilitie, Detroit , Medicaid Benefits Coodinator, Other , Cleveland, Michigan