Medicaid Specialist

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best.

Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale.

Join us to start Caring. Connecting. Growing together.

Optum is seeking Medicaid Specialist to join our growing team. At Optum, we are transforming healthcare nationally while providing physician-led care locally. Work with the largest care delivery organization in the world and start doing your life's best work.

Monday through Friday 8:00 am to 5:00 PM PST

Must reside in the time zone of Pacific Standard Time. (PST)

If you are located in Seattle
, WA, you will have the flexibility to work remotely
* as you take on some tough challenges.

• Engagement and relationship experience with members, providers, networks, internal and external functional partners
  • Written oral and written communication skills: facilitating internal, cross-functional and external relationships
• Deep understanding of Medicaid and LTSS principles
• Data entry background
• Excel/Word knowledge
• computer comfort
• Analysis of data and reports/Reporting ability
• Basic understanding of reporting, program metrics, data analysis
• Workflow development, gap analysis, and continuous process improvement
• Proactive problem solving
• Organizational Skills
• Performs other duties as assigned

• Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
• Medical Plan options along with participation in a Health Spending Account or a Health Saving account
• Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
• 401(k) Savings Plan, Employee Stock Purchase Plan
• Education Reimbursement
• Employee Discounts
• Employee Assistance Program
• Employee Referral Bonus Program
• Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

• High School Diploma/GED
• 2+ years of Medicaid experience
• 2+ years of experience with LTSS (Long Term Services and Supports)
• 1+ years of data entry experience
• Intermediate computer proficiency experience
• Knowledge of data analysis and reporting
• Must reside in the time zone of Pacific Standard Time. (PST)

• Experience with electronic medical records (ECW)
• 1+ year customer service experience
• Knowledge of insurance carriers and managed care plans
• Knowledge of medical terminology

• Ability to work independently and as a team, and maintain good judgment and accountability
• Demonstrated ability to work well with health care providers
• Strong organizational and time management skills
• Ability to multi-task and prioritize tasks to meet all deadlines
• Ability to work well under pressure in a fast-paced environment
• Excellent verbal and written communication skills; ability to speak clearly and concisely, conveying information in a manner that others can understand, as well as…