Employer Industry: Healthcare Services

Why consider this job opportunity:
- Salary up to $75,000
- Opportunity for career advancement and growth within the organization
- Work remotely anywhere within the continental U.S.
- Supportive and collaborative work environment
- Chance to make a positive impact on client satisfaction and member experience

What to Expect (Job Responsibilities):
- Sets team direction, resolves problems, and provides guidance to members of own team
- Serve as primary point of contact for Providers or Members, regarding Medical/Behavioral/Clinical services or benefits
- Determine Member eligibility and follow protocols to task requests appropriately
- Develop plans to meet short-term objectives and identify and resolve Operational problems
- Identify appropriate resource to respond to medical requests

What is Required (Qualifications):
- Undergraduate Degree or 2+ years of experience working in Medicaid Managed Care
- 2+ years of experience working with a vulnerable population in meeting the needs of the Member population served
- 1+ years of experience working for an insurance company or business-related setting supporting operations
- 1+ years of experience with member outreach
- Intermediate level of proficiency experience in Microsoft Office, including Excel and Word

How to Stand Out (Preferred Qualifications):
- 2+ years working directly with Long-Term Support Services / Home and Community-Based service providers, Personal Care Management Agencies, and Health Centers
- Demonstrated ability with developing strategic plans, attainable goals, drive performance and achieve targets
- Experience working with the Medicaid population

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