Medicaid Regulatory Analyst

At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.

Join HCSC and be part of a purpose-driven company that will invest in your professional development.

Job Summary

This position is responsible for monitoring Medicaid and related regulations and policy changes impacting operations; participating in audits; supporting tracking and submission of Medicaid state contract(s) related deliverables, including fulfillment of internal and contractual reporting requirements; working with other areas of the organization on the development, testing and implementation of organization, process and system changes to ensure the requirements of the Medicaid program are met; and assisting MCO in coordination of the contract with the state / CMS enterprise-wide. This position will rely heavily on policy writing and SOP documentation creation, review, and / or auditing.

JOB REQUIREMENTS :

• Bachelor Degree in Business OR 2 years’ experience with health insurance.
• 1 year of experience with health insurance benefits and / or operations.
• Knowledge of Medicaid and Medicare product(s).
• Verbal and written communication skills.
• Experience presenting trends and findings.

PREFERRED JOB REQUIREMENTS :

#LI-FW1

#LI-KH1

#LI-Hybrid

This is a Hybrid / Flex role for the HQs in Chicago (IL), Richardson (TX), Albuquerque (NM), Tulsa (OK) and Helena (MT)

Sponsorship is not available

Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!

Pay Transparency Statement :

At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting .

The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.

HCSC Employment Statement :

We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.

Base Pay Range

$40,900.00 - $91,000.00

Exact compensation may vary based on skills, experience, and location.