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Member Research Specialist

AFMC

Provide communication, education, and promotion of program services while ensuring contract deliverables are met within designated timeframes. Research and resolve issues with beneficiary records by identifying the cause of errors, updating records, and linking beneficiary records in the appropriate systems to correct system issues. Serve as a subject matter expert and trainer for CURAM and MMIS, support collaboration with MMCS staff regarding beneficiaries and medical providers, and provide timely follow-up and documentation in the systems designated by AFMC, DHS, and DXC. Support quality improvements in research methodology and assist with project coordination, reporting, data entry, documentation, meetings, outreach, and educational programs. Follow confidentiality, data security, and HIPAA requirements at all times.

Requirements & Qualifications

Education

  • High school diploma required
  • Associate degree or additional education preferred

Experience

  • 2 years of Medicaid experience required
  • 1 year of research experience required
  • Prior experience with Medicaid systems such as MMIS, Curam, and Answer preferred
  • Prior Medicaid billing experience preferred

Skills

  • Intermediate MS Office skills, including Excel, Word, PowerPoint, and Outlook
  • Typing speed of 25 WPM
  • Strong business English, spelling, oral, and written communication skills
  • Ability to maintain confidentiality and follow HIPAA requirements
  • Ability to train staff members
  • Strong organizational, problem-solving, time management, and multitasking skills
  • Ability to read, interpret, and apply laws, rules, and regulations
  • Attention to detail and ability to meet deadlines
  • Ability to work collaboratively and independently
  • Reliable high-speed Wi-Fi with at least 5 Mbps upload speed

Location

Arkansas, US

Employment Type

Full-time

Experience Level

Associate

Remote work allowed

No

Posted

4 weeks ago

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