Senior Medicaid Specialist

Smile Doctors • Full-time • Remote (United States) • 1d ago

The vision of Smile Doctors is our people-first culture which creates an environment of passionate, caring Team Members dedicated to providing fun and encouraging relationships with each other and our patients. Smile Doctors offers every Team Member the opportunity to be a part of something bigger. We focus on the importance of the individual and recognize that each person on our Team has something great to offer. We recognize talents and strengths and take care to nurture those abilities to help our Team Members grow into successful people in their careers, in our organization, and beyond.

Looking for a position that makes you smile?
We’re seeking a Sr. Medicaid Specialist to join our growing team.
The Sr. Medicaid Specialist is responsible for Medicaid development, compliance, credentialing and payor enrollment processes. This position will bridge tactical execution and strategic alignment to drive department Medicaid goals.

How you’ll make us better:

Monitor and interpret federal and state Medicaid dental regulations
Conduct research on Medicaid updates, reimbursement models, and best practices
Draft Medicaid development requests to ensure system functionality
Draft Medicaid policies and procedures
Analyze Medicaid data to identify trends in access barriers or regulatory shifts
Support manager in ensuring organizational practices align with current Medicaid guidelines
Mentor the Medicaid Specialist
Serve as a subject matter expert on Medicaid dental coverage and policy changes
Maintain up-to-date knowledge of eligibility criteria and renewal procedures
Track enrollment timelines
Act as a resource for clinics and provide training on Medicaid procedures and best practices
Provide customer service for billing inquiries and assist with their documentation
Assist in training clinic team members on Medicaid processes and update
Liaison with Medicaid Advocates for guidance and clarification on Medicaid processes

Your special skills:

Strong policy writing and process improvement skills
Strong analytical and problem-solving abilities
Strong oral and written communication skills

Prerequisites for success:

High School diploma or equivalent required
Five (5) years of experience in revenue cycle management, claims, or service access required with two (2) of those years in Orthodontics insurance or billing preferred
Experience with Medicaid and commercial payor enrollment across multiple states preferred
Intermediate proficiency in Microsoft Excel and SharePoint

We saved the best for last.
In exchange for the dynamic contribution you’ll bring to our team, we offer:

Competitive salary
Medical, dental, vision and life insurance
Short and long-term disability coverage
401(k) plan
3 weeks paid time off in your first year + paid holidays
Discounts on braces and clear aligners for you and your family members

Why Smile Doctors?
As the nation’s leading Orthodontic Support Organization, Smile Doctors is shaping the future of orthodontics through strategic partnerships with top local doctors. We provide best-in-class support services so our partner orthodontists can focus on what they do best — driving extraordinary treatment outcomes and providing patients with an unmatched experience.

With hundreds of partnered practices across the nation, our synergistic approach has made us the fastest-growing organization in our industry and produced an ever-expanding need for top talent as we continue our unprecedented trajectory. To us, there’s no such thing as “top of our game.” We’re always climbing higher — together. And as our business grows, there’s plenty of room for our team to grow their careers, too.

Our dynamic support services team is comprised of world-class professionals whose diverse experiences drive innovation and development. Together, we are committed to passionately helping others achieve their best, most confident smiles.

This is the perfect opportunity to grow with an expanding organization! Apply today!

Smile Doctors and all our affiliating practices are proud to be an equal opportunity workplace and welcome diversity in our organization. We do not discriminate against any team member or applicant for employment regardless of age, race, color, national origin, religion, disability, veteran status, sex, sexual orientation, or gender identity.