Koniag Services (KSI), a Koniag Government Services company, is seeking a Medicaid Provider Evaluation Analyst to support KSI and our government customer. This position is Remote.
We offer competitive compensation and an extraordinary benefits package including health, dental and vision insurance, 401K with company matching, flexible spending accounts, paid holidays, three weeks paid time off, and more.
We are seeking a highly skilled and motivated Medicaid Provider Evaluation Analyst with knowledge and experience in state Medicaid processes. This role will involve understanding the regulatory requirements for Medicaid provider enrollment processes, researching state Medicaid programs, and developing materials to support state Medicaid audits including session notes, research briefing documents, and state program evaluations. The ideal candidate will have familiarity with the Medicaid program, as well as a strong ability to assist with research initiatives related to Medicaid systems and federal regulations.

QUALIFICATIONS:

• Strong understanding of Medicaid regulations at the state and federal level.
• Experience with state-specific Medicaid processes, including provider enrollment, compliance, and monitoring.
• Research skills and the ability to gather, analyze, and summarize complex Medicaid data.
• Ability to work in a fast-paced environment and navigate ambiguity.
• Ability to verbally communicate findings clearly and effectively with stakeholders, including Medicaid agencies and federal partners.
• Ability to effectively distill complex subjects into executive briefing documents.
• Willingness to travel to conduct onsite evaluations across different states. (Average 5 states per year)
• Excellent organizational, analytical, and problem-solving skills.
• Excellent skills in Microsoft Word, PowerPoint, and Excel.
• Ability to work independently and as part of a team.

PREFERRED:

• Bachelor’s degree
• Experience with Medicaid regulations
• Familiarity with qualitative research methods
  Our Equal Employment Opportunity Policy
  The company is an equal opportunity employer. The company shall not discriminate against any employee or applicant because of race, color, religion, creed, ethnicity, sex, sexual orientation, gender or gender identity (except where gender is a bona fide occupational qualification), national origin or ancestry, age, disability, citizenship, military/veteran status, marital status, genetic information or any other characteristic protected by applicable federal, state, or local law. We are committed to equal employment opportunity in all decisions related to employment, promotion, wages, benefits, and all other privileges, terms, and conditions of employment.
  The company is dedicated to seeking all qualified applicants. If you require an accommodation to navigate or apply for a position on our website, please get in touch with Heaven Wood via e-mail at accommodations@koniag-gs.com or by calling 703-488-9377 to request accommodations.
  Koniag Government Services (KGS) is an Alaska Native Owned corporation supporting the values and traditions of our native communities through an agile employee and corporate culture that delivers Enterprise Solutions, Professional Services and Operational Management to Federal Government Agencies. As a wholly owned subsidiary of Koniag, we apply our proven commercial solutions to a deep knowledge of Defense and Civilian missions to provide forward leaning technical, professional, and operational solutions. KGS enables successful mission outcomes for our customers through solution-oriented business partnerships and a commitment to exceptional service delivery. We ensure long-term success with a continuous improvement approach while balancing the collective interests of our customers, employees, and native communities. For more information, please visit www.koniag-gs.com.
  Equal Opportunity Employer/Veterans/Disabled. Shareholder Preference in accordance with Public Law 88-35

• Provider Evaluation:
• Conduct onsite evaluations of Medicaid provider enrollment processes in multiple states.
• Assess State Medicaid regulations, provider enrollment, and compliance procedures.
• Review provider documentation, workflows, and procedures for Medicaid provider qualifications and revalidation.
• Collaborate with state Medicaid agencies and federal regulators to assess and improve Medicaid provider enrollment processes.
• Provide detailed feedback and develop documentation on state-specific Medicaid provider enrollments and suggest improvements to support alignment with federal guidelines.
• Support the development of action plans to close gaps in compliance with federal requirements.
• Research Assistance:
• Assist with research on Medicaid policies, regulations, and state programs.
• Gather and analyze data on Medicaid provider enrollment methods across states.
• Assist in preparing reports, reviews, and presentations for research findings.
• Support the development of best practices for Medicaid provider enrollment based on information learned during site visits and research.
• Stay current on state and federal Medicaid policy changes and their impact on provider enrollment.
• Other responsibilities:
• Perform other duties as assigned by leadership team