Senior Managed Care Coordinator

Overview

The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients' and members' needs. These high-quality healthcare plans are designed to help keep people independent and living life on their own terms.

Why work for MJHS?

When you work with us you will receive comprehensive and affordable health and financial benefits, in addition to generous paid vacation, personal and holiday time that you won't find at our competitors. Do you receive a paid day off for your birthday now? No?  You will here!  You will also receive the training, tuition assistance and career development you desire to help you achieve your career goals.  You take care of our patients, residents and health plan members, and we will take care of the rest!

 

Benefits include:

 

 

• Tuition Reimbursement for all full and part-time staff
• Generous paid time off
• Affordable medical, dental and vision coverage for employee and family members
• Two retirement plans! 403(b) AND Employer Paid Pension
• Flexible spending
• And MORE!

 

MJHS companies are qualified employers under the Federal Government’s Paid Student Loan Forgiveness Program (PSLF)

Responsibilities

The Senior Managed Care Coordinator (Team Lead) will work closely with the departments Supervisors and Managers to develop ongoing training of Medical Management representatives to ensure proper delivery to Elderplan/Homefirst Providers. The Senior Managed Care Coordinator is required to respond to request, answer questions, address complaints and concerns of the staff. The Senior Managed Care Coordinator is expected to communicate with their supervisor and keep them informed of any issues or problems that may arise amongst the team.

Qualifications

• College Degree or Equivalent.
• Two-years of related Customer Service Experience.
• Prior experience in a health care setting preferred.
• Familiarity with utilization management/case management.
• Knowledge of HealthRules Payor, Altriusta, HHAX, Word and Excel.
• Type an Average of 55 wpm.
• Good customer service skills.
• Ability to be empathetic and understanding.
• Excellent written and oral communication skills.
• Good analytical abilities.
• Ability to handle confidential aspects of the position.
• Ability to work closely with different professionals as part of an interdisciplinary health care team.
• Appropriately allocates resources, maximizes efficiency and contains costs.
• Ability to work independently while recognizing issues having departmental or organizational impact.
• Ability to assess members needs and identify opportunities for recommending alternative levels of care.
• Ability to maintain collegial relationships and work in an interdisciplinary team environment.

Min

USD $51,304.90/Yr.

Max

USD $64,131.12/Yr.