Medicaid/Medicare Srvs Specialist III

Advertisement Closes 5/30/2026 (8:00 PM EDT) 26-02412 Medicaid/Medicare Srvs Specialist III Pay Grade 15 Salary $47,531.28 - $71,298.00 Annually Employment Type

EXECUTIVE BRANCH

|

FULL TIME

|

ELIGIBLE FOR OVERTIME PAY

| 18A | 37.5 HR/WK Click here for more details on state employment. Hiring Agency Cabinet for Health & Family Services | Dept for Aging and Independent Living Location 275 E Main Street, 3E-E Frankfort, KY 40621 USA Description The agency may authorize the selected candidate to telecommute. The agency may terminate or modify the telecommuting arrangement at any time. The Department for Aging and Independent Living provides services for the aged and physically disabled populations across the state. The Department is charged with assisting individuals in obtaining needed home and community-based care and services to prevent premature admission into a long-term care facility. The goal of the departments programs is to assist individuals with remaining in their own home for as long as possible. The Department is currently seeking a high energy, self-motivated individual with the desire to assist the Division in supporting the departments goals.

Responsibilities and duties include:

Performs research and analysis of health care information for the Program of All Inclusive Care (PACE). Develops and maintains monitoring and data reports. Conducts monitoring of provider organizations to ensure compliance with standards of eligibility and program requirements according to state and federal regulations. Follows up on any corrective actions needed. Some statewide travel is required. Assists with the federal Centers for Medicare and Medicaid (CMS) audits. Responds to emails and phone calls, addressing questions related to PACE. Provides information and technical assistance to provider organizations. Makes recommendations for program policy and regulatory updates. Other duties as assigned.

Preferred knowledge/skills/abilities:

Excellent verbal and written communication skills. Excellent computer skills. Ability to plan and establish priorities, differentiating between urgent, important, and unimportant tasks. Excellent organization skills including time management, scheduling, coordinating resources and meeting deadlines. Attention to detail being thorough and accurate in completing tasks. Ability to work cooperatively as part of a team. Ability to work under pressure, being able to cope with a high volume of work and meeting deadlines. Exceptional customer service. Effective problem solver. Written and verbal communication skills. Works well in a fast-paced environment. Organization and time management skills. The Cabinet for Health and Family Services (CHFS) participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in

U.S. CHFS

will only use E-Verify once you have accepted a job offer and completed the Form I-9. For more information on E-Verify, or if you believe that CHFS has violated its E-Verify responsibilities, please contact Department of Homeland Security (DHS) at 888-897-7781 or https://www.e-verify.gov/ . Minimum Requirements

EDUCATION

Graduate of a college or university with a bachelor's degree.

EXPERIENCE, TRAINING, OR SKILLS

Four years of experience in Medicaid or Medicare program administration, health insurance administration/systems, eligibility systems, health care research, health care planning, health care financial management, health care policy development, human service or health care administration, insurance billing and/or claims, or research, review, and analysis of legislation or regulations. Substitute

EDUCATION

for

EXPERIENCE

NONE Substitute

EXPERIENCE

for

EDUCATION

Experience in the above areas will substitute for the required college on a year-for-year basis. Current or prior military experience will substitute for the required college on a year-for year basis.

SPECIAL REQUIREMENTS

(AGE, LICENSURE, REGULATION, ETC.): NONE Working Conditions Incumbents working in this job title primarily perform duties in an office setting. Probationary Period This job has an initial and promotional probationary period of 6 months, except as provided in

KRS 18A.111.

If you have questions about this advertisement, please contact Marnie Mountjoy at Marnie.

Mountjoy@ky.gov or 502-229-5229. An Equal Opportunity Employer M/F/D Apply Now Share Save Job