Job Summary

A mental and behavioral healthcare company is seeking a Remote Senior Healthcare Government Programs Regulatory Specialist.

Core Responsibilities of this position include:

• Analyzing requirements for Medicaid group enrollments
• Assisting with research and recommendations
• Assisting in maintaining regulatory databases

Qualifications for this position include:

• Three to five years experience working with Medicare and Medicaid regulations
• Knowledge of state and federal regulations, CMS, health plan/system requirements
• Working knowledge of medical coding guidelines, and principles and requirements
• Working knowledge of HCPCS, CPT, use of modifiers, etc