Medicare & Buy-In Policy Analyst 2025-02123
State of Wyoming
Medicare & Buy-In Policy Analyst 2025-02123
Print (https://www.governmentjobs.com/careers/wyoming/jobs/newprint/5059245)
Apply
Medicare & Buy-In Policy Analyst 2025-02123
Salary
$32.52 Hourly
Location
Cheyenne, WY
Job Type
Permanent Full-time
Job Number
2025-02123
Department
Department Of Health
Division
Cheyenne and County Offices
Opening Date
08/29/2025
Closing Date
Continuous
FLSA
Determined by Position
Job Classification
BEBP09
+ Description
+ Benefits
+ Questions
Description and Functions
Open Until Filled
GENERAL DESCRIPTION:
The Wyoming Department of Health, Division of Healthcare Financing, is seeking applicants for the position of Medicare and Buy-In Program Analyst. This position is responsible for the management and administration of the Medicare Buy-In and Medicare Savings Programs, and the coordination of benefits related to Medicare.
Human Resource Contact: wdhrecruit@wyo.gov
ESSENTIAL FUNCTIONS: The listed functions are illustrative only and are not intended to describe every function that may be performed in the job level.
+ Develop policy, state plans, rules, and regulations based on federal and state laws through research, analysis, design, implementation, and evaluation for current and proposed programs, and coordinate the rules and policy adoption process to ensure compliance.
+ Coordinate and maintain policy manual related to Medicare Savings Programs, dual eligibility, and Medicare Buy-In.
+ Develop educational and outreach materials for the public as well as internal and external divisions and agencies.
+ Determined data collection requirements and needs, and analyzed data.
+ Understand and monitor program budgets and recommend funding decisions and program operation policies and procedures by tracking premiums paid and costs avoided by ensuring Medicare is the primary payer.
+ Program planning and development of long and short-range changes to the Medicare Savings Programs and the effect the changes will have on the Wyoming Medicaid Program.
+ Coordinates with the Social Security Administration, Wyoming State Health Insurance Information Program (WSHIIP), Medicaid Fiscal Agent, and other agencies to ensure quality initiatives are being met for Medicare and Medicaid dual eligibility.
+ Research potential program options to improve access.
+ Program Reporting and Analysis related to the Medicare Savings Programs, Crossover Claims, Medicare Parts C &D, and Medicare and Medicaid Dual Eligible, Medicare Coverage Benefits and Rates.
+ Assisting in coordination between other agencies and units, including other sections within the Department of Health.
+ Review and resolve Buy-Int tasks from the Center for Medicare and Medicaid Services (CMS) daily.
+ Review monthly Buy In invoice reports for accuracy, make up dates as necessary to Buy-
+ In categories, and approve the Buy-In invoices for payment.
+ Oversee the D-SNP contract and monthly reporting.
+ Review monthly reports in the Client Services Unit to identify errors, correct cases, and report on patterns.
+ Other duties as assigned.
Qualifications
PREFERENCES:
Preference will be given to individuals with experience with Medicare and Medicaid eligibility programs.
KNOWLEDGE:
+ Knowledge of the management of programs.
+ Knowledge of state and federal government functions, procedures, concepts, principles, and practices of professional healthcare administration.
+ Ability to comprehend federal regulations, state statutes, program rules, and policy, and to interpret and integrate into legislation, statute, and policy.
+ Knowledge of the Medicaid Management Information System and the Eligibility System and their application to Medicaid programs.
+ Ability to examine data and reports for completeness, accuracy, and conformance with regulations.
+ Knowledge of good oral and written communication skills.
+ Knowledge of the latest forms of technology and the ability to use this knowledge to create and present Medicaid program information to various audiences across the state.
+ Knowledge of the aspects of Healthcare Reform that directly impact Medicaid programs and the ability to plan and create materials that clarify the process.
+ Knowledge of all Medicaid programs.
+ Skill and ability to work independently.
MINIMUM QUALIFICATIONS:
Education:
Bachelor's Degree
Experience:
0-3 years of progressive work experience (typically in Benefits and Eligibility) with acquired knowledge at the level of a Senior Benefits and Eligibility Specialist
OR
Education & Experience Substitution:
4-6 years of progressive work experience (typically in Benefits and Eligibility) with acquired knowledge at the level of a Senior Benefits and Eligibility Specialist
Certificates, Licenses, Registrations:
None
Necessary Special Requirements
PHYSICAL WORKING CONDITIONS:
+ The employee may sit comfortably to perform the work; however, there may be some walking, standing, bending, carrying light items, driving an automobile, etc.
NOTES:
+ FLSA: Non-exempt
+ The Wyoming Department of Health is an E-Verify (https://www.e-verify.gov/) employer .
Supplemental Information
048-Wyoming Department of Health - Division of Healthcare Financing
Click here (https://ai.wyo.gov/divisions/human-resources/consultative-services/compensation/pay-tables-salary-averages) to view the State of Wyoming Classification and Pay Structure.
URL: http://agency.governmentjobs.com/wyoming/default.cfm
The State of Wyoming is an Equal Opportunity Employer and actively supports the ADA and reasonably accommodates qualified applicants with disabilities.
Class Specifications are subject to change, please refer to the A & I HRD Website to ensure that you have the most recent version.
Working for the State of Wyoming provides employees with a range of valuable benefits and offers a fulfilling career path. Employees enjoy comprehensive healthcare coverage, including medical, dental, and vision plans, ensuring their well-being and that of their families. Additionally, the state offers multiple retirement plans, which provide financial security and stability for employees once their career in public services comes to an end. the state recognizes the importance of personal time and offers generous paid time off and flexible arrangements, allowing employees to recharge, take care of personal matters, and maintain a healthy work-life integration.
There are many benefits to living and working in Wyoming. Beautiful country with wide-open spaces, clean air, great recreational activities, and no State income tax to mention a few!
Click here (https://ai.wyo.gov/for-job-seekers) to learn more!
Confirmar seu email: Enviar Email
Todos os Empregos de State of Wyoming