Policy Processing Clerk, Sr. jobs in Maryland

Policy Processing Clerk, Sr. modifies, updates, and processes existing policies and claims to reflect any change in beneficiary, amount of coverage, or type of insurance. Evaluates information from application for completeness, accuracy, and policy reinstatement. Being a Policy Processing Clerk, Sr. provides training to less experienced processing clerks. May approve policy if it meets standard criteria. Additionally, Policy Processing Clerk, Sr. requires a high school diploma or equivalent. Typically reports to a supervisor. The Policy Processing Clerk, Sr. works under moderate supervision. Gaining or has attained full proficiency in a specific area of discipline. To be a Policy Processing Clerk, Sr. typically requires 1-3 years of related experience. (Copyright 2024 Salary.com)

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Sr. Medicaid Policy Strategist
  • A1M Solutions
  • Baltimore, MD FULL_TIME
  • About A1M

    A1M Solutions is a woman-owned small business driven by the aspiration to provide value to our customers, employees, partners, and community while remaining aligned to our guiding principles of foundational values, deliberate focus, and empathetic connection.

    A1M’s mission is to preserve and improve government healthcare programs that are lifelines for underserved people in the United States, including people in poverty, elderly people, members of ethnic and racial minorities, immigrants, and refugees. We look for projects with nation-wide impact at the intersection of policy, data, and user experience design.

    Besides building useful and usable digital services, A1M helps teams improve their agile, user-centered design practices – or helps them get started. Our goal is not just to build sustainable public services, but also to leave our teaming partners and customers more skilled and more confident in the future.

    Policy at A1M

    Policy Strategists at A1M are responsible for providing high-level subject matter expertise to foster integration of policy and domain knowledge with programs and systems. This includes the analysis of complex problems and policies, making recommendations, developing alternative solutions, and drafting and working with design and engineering teams to execute implementation plans. Policy Strategists provide guidance to high levels of management, teaming partners, and government clients and stakeholders. Coaching and education are core parts of the job.

    Policy Strategists at A1M work in cross-functional, cross-organizational teams, often with designers, developers and product managers. It’s wonderful if you’ve got a background in user experience design or engineering – but not mandatory. However, human-centered, agile practices are crucial to the overall success of our government projects, so an interest and willingness to learn these practices is a must.

    About this Role

    A1M Solutions is seeking a Senior Policy Strategist with Medicaid or CHIP experience to work on exciting projects to help the Center for Medicaid and CHIP Services. The ideal candidate will have a passion for improving government programs and processes, and working in collaborative teams.

    The Center for Medicaid and CHIP Services (CMCS), Data Systems Group (DSG) provides oversight, funding, technical assistance, and guidance to state Medicaid agencies for the Medicaid Information Technology (IT) Enterprise.

    In this role, you will be working directly with a policy implementation Lead from CMCS on DSG’s behalf. The CMCS Policy Lead is responsible for overseeing the implementation of new policy impacting Home and Community-Based Services (HCBS). This role will work closely with the Lead to assess the impacts of this new policy and plan the activities needed to implement the changes across DSG and potentially CMCS as a whole.

    Key Skills include:

    Project Management and Organization skills to lead, coordinate and engage across multiple groups ensuring the work gets done by respective timelines. Monitor and manage the roll-out of HCBS policy changes and understand their impact on various products within the MACBIS ecosystem.

    Communication and Coordination: create a communication plan identifying all the stakeholders and products impacted by the change. Act as a liaison between DSG, and business groups to facilitate communication and coordination of HCBS initiatives. Ensure transparency, traceability, and accountability throughout the process.

    Collaboration with teams to ensure alignment of HCBS requirements with existing systems and processes. Develop and maintain relationships with stakeholders at all levels to ensure effective implementation of HCBS initiatives.

    Who We Are Looking For

    • We are looking to hire a Senior Policy Strategist with strong project management skills
    • The position is fully remote, however occasional travel for in-person meetings at CMS offices in Baltimore, MD is necessary
    • Ability to operate independently, identify and manage their own work
    • Strong verbal and written communication skills
    • Previously government experience working on data, policy, and implementation initiatives
    • Excellent relationship management skills with multiple stakeholders

    Essential Functions of the Position

    • You are flexible and responsive to changes or issues that arise; quickly identifying, assessing, and acting on new information or situations as they occur.
    • You possess a strong sense of ownership over delivery and that it meets the clients’ and users’ needs.
    • You can take loosely defined requirements and make fast, informed decisions
    • Have an adaptive, empathetic, collaborative, and positive mindset
    • Establish a vision and ensure all stakeholders have a shared understanding of objectives, goals, and metrics.
    • Help develop a communications strategy
    • Skilled at breaking down problems and building consensus.
    • Identify and proactively monitor and address risks.

    Skills and Responsibilities

    • Helps prioritize and assist with overall planning, design, and implementation strategies for new policies impacting CMCS.
    • Provides policy expertise: how it is used, how it relates to the systems or products within our contracts.
    • Communicates Medicaid (HCBS) program insight and requirements to CMCS stakeholders, DSG, and product teams
    • Analyzes laws and policy documents and explains how relevant policy influences and impacts user research and the design and development of systems or products.
    • Understands how policy shapes the direction of healthcare organizations.
    • Educates and informs team members, partners, and other stakeholders on relevant and applicable Medicaid, CHIP, Basic Health Program (BHP), or Health Insurance Exchange programs and policy information.
    • Bring knowledge of state Medicaid and CHIP operations to guide product strategy and inform research plans.
    • Participate in user research and provide analysis of the research findings from a domain expertise perspective.
    • Contributes to usability testing and gives feedback on wireframes, mockups, etc. as a realistic test user.
    • Builds relationships with policy owners in the Centers for Medicare and Medicaid Services (CMS) or with other key stakeholders when needed
    • Writes, edits, and prioritizes policy-related content according to audience needs.
    • Develops briefing papers for government customers.

    Leadership

    • Sets the vision for project, including establishing short- and long-term goals and objectives
    • Creates work plans and breaks down tasks and helps develop a communications strategy supporting project goals.
    • Shows value in frequent and iterative deliverables
    • Establishes metrics to measure outcomes
    • Coordinates internal program reviews

    Strategic thinking

    • Provides thought leadership and consultation to help customers achieve their vision and goals
    • Able to differentiate between client requirements and requests in order to deliver on effective program strategy
    • Excellent oral and writing communication, interpersonal, storytelling, and analytical skills, including the ability to present concepts and complex technical material clearly and persuasively to colleagues, partners, stakeholders, and senior executives.

    Delivery

    • Utilizes strong project management skills to manage risks, build mitigation plans and break down work into actionable and measurable tasks
    • Delivers value within target timelines while balancing competing priorities
    • Breaks down projects into doable chunks
    • Strong attention to detail, problem-solving, and organizational skills
    • Scopes work to manage timelines and commitments to customers
    • Ensures documentation is kept up to date and available for customers
    • Support team members in their work

    Relationship management

    • Demonstrates extensive experience building cooperative relationships and coalitions with empathy, creativity situational awareness, and tact
    • Works closely with government components in a leadership role, effectively navigating and resolving conflicting priorities from stakeholders
    • Provides excellent people skills with a focus on building relationships
    • Communicates back to company leadership on contract status, results, and needs for the contract’s success
    • Acts as the main point of contact for customer
    • Acts as a point of escalation for issues or conflicts

    Bonus experience

    • Lived experience navigating government services benefits for yourself or on behalf of others
    • Experience working with a social impact-focused team or in civic tech
    • Experience working in government consulting engagements

    Qualifications:

    7 years of relevant professional experience OR advanced degree in political science, public policy, law, or a related field. Must already have legal authorization to work within the US.

    Has worked for or in government agencies for a considerable time, preferably for the Centers for Medicare and Medicaid Services (CMS); and/or has substantial knowledge and insight of domain relevant to the job; is able to develop strategy and contribute valuable insight for certain areas.

    Your resume or portfolio should demonstrate:

    • Collaboration with government (preferably state Medicaid) agency stakeholders
    • Working knowledge of statutes, regulations, policies, and operations pertaining to the Medicaid program
    • Critical thinking about how policy is applied to desired outcomes
    • Strong communication skills (verbal, presentation, and written) to help others relate to and understand program and policy information

    As well as:

    • Familiarity with the Centers for Medicare and Medicare Services (CMS), and/or state Medicaid agencies
    • Experience with government health and human services programs - either through using them or developing them

    Nice, but not necessary:

    • Collaborating with product teams, other CMCS policy stakeholders, designers and engineers
    • Conducting user research that inform the design of systems, process, workflows, or products
    • Working with distributed, cross-functional product teams
    • Previous work in state or federal government

    Our Workplace

    Requirements

    • Our contracts require employees to work from the United States. That includes all 50 US states, the District of Columbia, and all US territories.
    • A1M employees must have been residents in the United States for 3 of the past 5 years.
    • Due to tax reasons, A1M employees cannot reside in New York state.
    • You must already have legal authorization to work within the US and not require ongoing visa sponsorship to maintain legal authorization to work.
    • Our partners primarily work on Eastern Standard Time (EST), and will require flexibility in your hours if you reside outside of EST. We do offer flexibility for non-work-related life responsibilities during the day.
    • Employees may be requested to occasionally travel, when it’s safe to do so.
    • Because A1M employees have access to government data and systems, new hires will need to complete a Public Trust form. Public Trust is a type of background investigation, but it is not a security clearance. Depending on the role, you must complete either the Standard Form 85 (SF85) or 85P (SF85P) questionnaire. You will at the very least get asked questions about where you’ve lived, worked, went to school, military history, police records, and substance use. You’ll also need to have your fingerprints taken.

    Benefits

    • Our benefits include health insurance, retirement, short-term disability insurance, accident insurance, and paid time off. We also provide a stipend for wellness-related activities.
    • We regularly donate to employee-selected causes and non-profit organizations as part of our commitment to social benefit.
    • Employees may use up to 20 hrs per year of company time to volunteer in their communities

    This is a full-time, permanent position. The salary range for this role is $140,000 – $150,000.

  • 3 Days Ago

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Sr. Cyberspace Policy Analyst
  • Powell Consulting Group
  • Fort Meade, MD FULL_TIME
  • Powell Consulting Group (PCG) of Hyattsville, MD, is looking to hire a full-time Sr. Cyberspace Policy Analyst for a contract with the USCYBERCOM. This position receives a competitive salary and excel...
  • 2 Months Ago

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Mail Processing Clerk
  • Merkle Response Management Group
  • Hagerstown, MD FULL_TIME
  • Mail Processing Clerk The main duty of the Mail Processing Clerk is to sort and process incoming mail for depositing. Essential Duties and Responsibilities - Assist in unloading and distribution of ma...
  • 7 Days Ago

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Sr. Active Directory/Group Policy System Administrator
  • Leidos Inc
  • Fort Meade, MD FULL_TIME
  • Description The Leidos DES (Defense Enclave Services) team is supporting an extensive digital modernization program critical to DISA and Fourth Estate Agencies and is currently seeking a Sr. Active Di...
  • 24 Days Ago

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Principal Investigator & Sr. Signal Processing Engineer
  • Latitude, Inc.
  • Gambrills, MD FULL_TIME
  • Summary:Our client is searching for a Sr. Signal Processing Engineer with experience obtaining contracts and leading teams to research and develop acoustic signal processing and machine learning techn...
  • 18 Days Ago

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OFFICE PROCESSING CLERK II (Compliance Division)
  • State of Maryland
  • Baltimore, MD FULL_TIME
  • Introduction OPEN TO ALL QUALIFIED APPLICANTS This is a position specific recruitment. The resulting certified eligible list may be used to staff several current and future vacancies for this position...
  • Just Posted

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Processing Clerk
  • Randstad North America, Inc.
  • Portland, OR
  • Hours: Mon-Fri; 7 am-3:30 pm - Portl[ "Hours: Mon-Fri; 7 am-3:30 pm - Portland Office, 97291 - Out of pocket parking . H...
  • 4/16/2024 12:00:00 AM

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Assessing Processing Clerk
  • Township of Edison
  • Edison, NJ
  • Assessing Processing Clerk Senior - Principal Annual Salary $34,850.00 Interested candidates must submit their resume an...
  • 4/16/2024 12:00:00 AM

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Patient Processing Clerk PRN
  • UP Health System - Bell
  • Ishpeming, MI
  • Performs receptionist, registration, and clerical duties associated with direct and scheduled patient admissions. Ensure...
  • 4/15/2024 12:00:00 AM

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H&B Processing Clerk
  • Manpower
  • Linthicum, MD
  • Our client, located in Linthicum, MD, has a temp-hire opportunity for a Medical Claims Processor to join their team. The...
  • 4/14/2024 12:00:00 AM

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Data Processing Clerk
  • Allstate Floral Inc.
  • Cerritos, CA
  • POSITION OVERVIEW The Data Processing Clerk at Allstate Floral will quickly and accurately transfer data from a variety ...
  • 4/14/2024 12:00:00 AM

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Processing Clerk
  • Exela Technologies
  • Naperville, IL
  • Job Description Job Description Why Exela? Help us revolutionize the way that business around the world gets done. As a ...
  • 4/13/2024 12:00:00 AM

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Payment Processing Clerk
  • Stephenson, Acquisto & Colman
  • Glendale, CA
  • Job Description Job Description Summary/Objective Law Offices of Stephenson, Acquisto & Colman, a specialty health care ...
  • 4/13/2024 12:00:00 AM

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Processing Clerk
  • Nesco Resource
  • Shelbyville, TN
  • Processing Clerk Shift: 1st - 8am-430pm - Monday-Friday Pay Rate: $15.00/hr WEEKLY PAY! Nesco Resource is looking to fil...
  • 4/12/2024 12:00:00 AM

Maryland (US: /ˈmɛrələnd/ (listen) MERR-əl-ənd) is a state in the Mid-Atlantic region of the United States, bordering Virginia, West Virginia, and the District of Columbia to its south and west; Pennsylvania to its north; and Delaware to its east. The state's largest city is Baltimore, and its capital is Annapolis. Among its occasional nicknames are Old Line State, the Free State, and the Chesapeake Bay State. It is named after the English queen Henrietta Maria, known in England as Queen Mary. Sixteen of Maryland's twenty-three counties border the tidal waters of the Chesapeake Bay estuary and...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Policy Processing Clerk, Sr. jobs
$41,220 to $51,178

Policy Processing Clerk, Sr. in Lima, OH
There is no specific degree for someone who wants to work as an insurance policy processing clerk, but many go to school to obtain a Bachelor’s degree in business, accounting or a related field.
January 02, 2020
Policy Processing Clerk, Sr. in Tallahassee, FL
Insurance Policy Processing clerks are professionals that are responsible for analyzing policy terms & conditions, recording changes in policy particulars in accordance with policy holder’s particulars, calculating premiums, checking for policy lapses etc.
December 04, 2019
Policy Processing Clerk, Sr. in Chico, CA
Insurance policy processing clerks must have excellent customer and personal service skills.
December 06, 2019