Senior Medicaid Specialist

Overview

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.

• 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

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

• 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 Share Point

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

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.