Medicaid Enrollment Specialist

Acelis ConsumerHealth located

in Livermore, California (San Francisco Bay area) is seeking a Medicaid

Enrollment Specialist to join our team!RESPONSIBILITIES:

Candidate will be responsible for the enrollment and credentialing processes for MedicaidEnrollment across the U.S.

Monitors stateMedicaid websites where we are enrolled to ensure websites are reviewed andrelevant changes are documented on a routine basis

UpdatesACH on Medical policy changes that impacts business

UpdatesACH on any reimbursement changes

Worksclosely with Revenue Cycle Management and interprets reimbursement criteria forpayment

InsuresACH meets state Medicaid mandated requirements to maintain licensure

Worksclosely with Regulatory and Audit to collaborate on statewide requirements

Maintainsup-to-date data for each state Medicaid program to ensure timely renewal oflicenses and certifications.

Recordand track credentialing statistics and document the preparation of contract logon a routine basis.

Responsible for the processing of credentialing requirements,maintaining effective credentialing logs and relevant controls, and assistingin the optimization of contractual outcomes.

Ensures that new state enrollments align to pre-definedbusiness requirements.

Ensures timely completion of credentialing andre-credentialing process as defined by each state Medicaid program.

BASIC QUALIFICATIONS | EDUCATION:

Minimum of two years State Medicaid Enrollment andCredentialing

Strongbusiness knowledge of State Medicaid programs

Subjectmatter expert of enrollment and provides knowledge and feedback to ensure regulatoryand business needs are addressed

Mustcommunicate effectively with staff, internal department management, therebyrequiring good interpersonal skills, excellent problem- solving skills, soundjudgment, decisiveness,

Initiative,and a teamwork approach

2+ years in a process centric environment, involving multiplestakeholders, deadline driven outcomes, and regularly leading/contributing tocontinuous process improvements (e.g. Reduced cycle time,

Ability to communicate effectively across varying levels ofmanagement in order to address cross-functional process requirements. Comfortable interacting directly withmanagement for purpose of delivering contractual outcomes.

High level of professional curiosity supported by a strongdesire to engage and to be engaged

Tolerance for ambiguity coupled with a proactive approach togetting issues resolved in order to drive results.

Ability to grasp and understand business concepts andobjectives.

Ability to use effective problem- solving techniques.

Ability to think in terms of abstract ideas.

Ability to make critical decisions within company guidelines.

Ability to be goal oriented and results focused.

Ability to organize activities and meet set deadlines.

Ability to communicate, both in writing & verbally, withothers in a professional manner.

Ability to assume responsibility in decision making process.

Ability to use efficient time management skills.

Ability to organize and direct projects to completion throughdrive and initiative.

Ability to attend job related courses &seminars as required.

Ability to use office equipment that is relevantto job functions.

Detail Oriented

Strong Computer/Software Skills

Strong Verbal and Written Communication Skills

Organization/Time Management Skills

Human Relations Skills

Analytical & Accounting Skills and Aptitude

High Degree of Professionalism

PREFERREDQUALIFICATIONS:

Bachelor’s Degree

Experience in Medicaid Enrollment and Credentialing

An equal opportunity employer, Abbott welcomes andencourages diversity in our workforce.We provide

reasonable accommodations to qualified individuals with disabilities. To

request an accommodation, please send an email to myrecruiter@alere.com or contact your HR Partner to let us know the

nature of your request.About AbbottAbbott is a global healthcare leader that helps

people live more fully at all stages of life. Our portfolio of life-changing

technologies spans the spectrum of healthcare, with leading businesses and

products in diagnostics, medical devices, nutritionals and branded generic

medicines. Our 103,000 colleagues serve people in more than 160 countries.Connect with us at www.abbott.com ,

on LinkedIn at www.linkedin.com/company/abbott-/ , on Facebook

at www.facebook.com/Abbott and on Twitter @AbbottNews and @AbbottGlobal.An Equal Opportunity EmployerAbbot welcomes and encourages diversity in our workforce.We provide reasonable accommodation to qualified individuals with disabilities.To request accommodation, please call 224-667-4913 or email corpjat@abbott.com