Provider Enrollment Specialist (211667)

Job Description:

The Provider Enrollment Specialist (K0241612) Monitor business operations functions to support the successful delivery of Provider Screening/Enrollment goals and initiatives. Must possess in-depth knowledge into the Fiscal Agent contract requirements, KanCare contract requirements, and policies and procedures related specifically to provider enrollment, credentialing, and contracting. Maintain expert level knowledge of Federal and State policy and regulation that grant the authority of the Provider Enrollment/Credentialing functions. Assist with Provider Enrollment/Credentialing responsibilities as required by the KDHE/DHCF, Federal and State law and regulations, and the KanCare contracts. Work closely with the Program Integrity Manager on provider enrollment/credentialing issues. Assist in monitoring day to day provider enrollment operations, issues, defects, and functions. Track operation issues from identification to completion. Coordinate and monitor communication efforts and projects performed by the Fiscal Agent and the KanCare MCOs.

Job Responsibilities may include but are not limited to the following:

Recommend policy revisions, draft revisions, and review policies to ensure compliance with State and Federal regulations. Assist in the design, development, and implementation of new and existing policies. Participate in ongoing KMMS implementations, identifying issues and resolutions, and suggesting improvements/enhancements to the KMMS product.

Minimum Qualifications:

Education:

• High School, GED

Licensing & Certification:

• Valid Driver’s License – Incumbent is required to have and maintain a valid driver’s license when operating a state vehicle, a private vehicle, or a rental vehicle for the benefit of the State.

Preferred Qualifications:

Any additional skills, experiences, or qualifications that would be beneficial, but aren’t strictly necessary.

• Bachelor’s Degree
• Word, Excel, PowerPoint, Access
• Proofreading, editing, attention to detail
• Time management
• Advanced problem solving and analytical skills.
• Knowledge of proper spelling and grammar
• Effective communication both verbally and in writing
• Customer service experience
• Knowledge of the Kansas Medicaid program.

About the Position:

• Who can apply: Anyone (External)
• Classified/Unclassified Service: Unclassified
• Full-Time/Part-Time: Full-Time
• Regular/Temporary: Regular
• Work Schedule: Monday-Friday, 8am-5pm (Flexible schedules available)
• Eligible to Receive Benefits: Yes
• Veterans’ Preference Eligible: Yes

Employment Benefits:

• Comprehensive medical, mental, dental, vision, and additional coverage
• Sick & Vacation leave
• Work-Life Balance programs: parental leave, military leave, jury leave, funeral leave
• Paid State Holidays (designated by the Governor annually)
• Fitness Centers in select locations
• Employee discounts with the STAR Program
• Retirement and deferred compensation programs

How to Apply:

Specific instructions for applying, which might include submitting a resume, cover letter, list of references, or completing an online application.

• Please include the Job ID number when emailing.

Job Application Process:  Only applications submitted within our State of Kansas Careers Portal will be considered.

• First Sign in or register as a New User at https://admin.ks.gov/offices/personnel-services/jobs
• Complete or update your contact information on the State of Kansas Careers Portal > My Contact Information page. *This information is included on all your job applications.
• Upload required documents listed for each specific job posting.
• Start your draft job application, upload other required documents, and Submit when it is complete.

–  Manage your draft and submitted applications on the Careers> My Job Applications page.

• Check your email and My Job Notifications for written communications from the Recruiter.

–  Email – sent to the Preferred email on the My Contact Information page

–  Notifications – view the Careers> My Job Notifications page

Helpful Resources at jobs.ks.gov: “How to Apply for a Job – Instructions” and “How to Search for a Job – Instructions”

Contact Information:

[email protected]

Salary Range

$ $23.87 to $25.68