Medicaid Operations Coordinator I

Are you an experienced administrative assistant recognized for your attention to detail, organizational skills and ability to effectively communicate with a wide range of people? Do you have exceptional technical abilities to include proficiency in Microsoft Office and related applications? Do you approach your work with a sense of urgency and a desire to see it through to a timely completion? If yes, we've got the perfect opportunity for you! As an Operations Coordinator at Qlarant, you will be specific to the Medicaid team with an emphasis on Medicaid appeals and coordinates a variety of operational functions and coordinates activities across the business unit by performing the following duties. This position can be considered in our Dallas, TX office, Easton, MD office, or potentially remote for the right candidate.

Essential Duties and Responsibilities include the following. Other duties may be assigned.

• Acts as a liaison to stakeholder and other governmental entities to obtain/provide information, identify issues, and assist with timely responses to inquiries regarding contract.
• Responds to client inquiries via written or verbal communications.
• Ensures contract compliance by monitoring deliverables and contract requirements; communicates change requests.
• Works with other business units to ensure the effective coordination of objectives/deliverables, establishes permissions in systems, performs quality review of deliverables to ensure compliance in accordance with applicable regulations within the scope of work, manages activities, and facilitates project by setting priorities.
• Coordinates the transition of workloads; serves as the interface with other entities.
• Acts as contractor administrator for stakeholder's systems. Writes reports, prepares presentations, and ensures the timely approval by Program Director of deliverables. 
• Provides training and technical advice to team members.
• Works with member(s) of the Quality Team on ISO initiatives to improve operational systems, processes, and policies to improve information flow, management reporting, business process, and organizational planning.
• Facilitates project logistics such as meetings, conference rooms, conference calls, etc. Participates and/or leads internal/external committees as assigned.

To perform the job successfully, an individual should demonstrate the following competencies:

• Business Expertise- Good understanding of how assigned duties contribute to the work of the team.
   
• Problem Solving- Uses simple judgment and defined procedures in straightforward situations.
   
• Nature of Impact- Direct impact through the accuracy of the tasks performed.
   
• Area of Impact- Primarily on closely related work teams.
   
• Interpersonal Skills- Information exchange requiring tact and diplomacy is a significant feature of the job.
   
• Leadership- This job has no supervisory responsibilities.
   
• Functional Knowledge- Knowledge of activities in own job; focus on physical skills gained through training or experience.
   
• Project Management- Project/program team member.

   

Education and/or Experience                                                  

• High school diploma or GED and 2 years of experience required (experience can be substituted for education)experience can be substituted for education)
• Associates Degree in business and at least 1 years experience in an administrative position; or an equivalent combination of education and experience preferred

Other Qualifications

• Prior experience working on government contracts essential. 
• Working knowledge of Medicare and/or Medicaid protocols for Fraud and Abuse investigations are preferred.  

Qlarant is an Equal Opportunity Employer of Minorities, Females, Protected Veterans, and Individuals with Disabilities.