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Job ID: 22389
Agency: Department of Social Services - Division of Medical Services
Location: Pierre
Salary: $55,666 - $64,206
Pay Grade: GJ
Closing Date: 04/11/2023

This is a Full-Time position with the Department of Social Services. For more information on the Department of Social Services, please visit https://dss.sd.gov/.

The recently approved Medicaid Expansion has created the opportunity to expand our team. The Department of Social Services, Division of Medical Services is seeking a detail-oriented individual with strong customer service and communication skills to join the team as a Claims Specialist.

The Claims Specialist team works closely with the Business Analyst, the Claims Advice and Processing Unit staff, Program Integrity Staff, Bureau of Information and Telecommunications partners, medical services providers, and Division of Medical Services policy analysts to resolve higher level claims issues, claims payment system issues, implement policy and rate changes, maintain the Medicaid Portal information system and test system changes prior to deployment.

The Ideal Candidate Will Have:

• a passion for serving the public and display a high level of effort and commitment towards completing assignments and goals;
• the ability to represent the Department of Social Service with integrity and enthusiasm;
• the ability to listen attentively to others and clearly convey information and ideas;
• effective organization and work planning skills;
• experience in customer service, problem resolution, information technology platform navigation or project management is preferred.

Knowledge, Skills, Abilities:

• knowledge of proper business English including proper grammar, spelling, and punctuation;
• ability to navigate and understand various information technology platforms;
• knowledge of website and internet navigation;
• ability to communicate information clearly and concisely working with a wide assortment of stake holders;
• ability to comprehend, properly apply, interpret, and explain departmental rules and regulations to others;
• critical thinking skills;
• skills to analyze data and pinpoint issues during the process of problem resolution
• ability effectively plan and organize work activities, adjust to multiple demands, and prioritize tasks to complete assignments and meet deadlines.
• skills to exercise tact and discretion in dealing with team members, Medicaid recipients, providers, co-workers, and the general public.

Additional Requirements: To be considered, please attach your resume.

This position is eligible for Veterans’ Preference per ARSD 55:10:02:08.

NCRC: If you possess a National Career Readiness Certificate, please submit the certificate with your application. For more information on how to acquire a National Career Readiness Certificate contact a South Dakota Department of Labor and Regulation Job Service Office. A certificate is not necessary to be considered.

The State of South Dakota does not sponsor work visas for new or existing employees. All persons hired will be required to verify identity and eligibility to work in the United States and complete an Employment Eligibility Verification, Form I-9. The State of South Dakota as an employer will be using E-Verify to complete employment eligibility verification upon hire.

The State of South Dakota offers employer paid health insurance plus eleven paid holidays, generous vacation, and sick leave accrual, dental, vision, and other insurance options, and retirement benefits. You can view our benefits information at https://bhr.sd.gov/job-seekers/work-for-state-government/. This position is a member of Class A retirement under SDRS.

Must apply online: https://sodakprod-lm01.cloud.infor.com:1443/lmghr/xmlhttp/shorturl.do?key=LN5
You must apply online, emailed resumes or submissions will not be accepted.
South Dakota Bureau of Human Resources
Telephone: 605.773.3148 Email: careers@state.sd.us
http://bhr.sd.gov/workforus
"An Equal Opportunity Employer"