Managed Care Specialist

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.

The MJHS Difference

At MJHS, we are more than a workplace; we are a supportive community committed to excellence, respect, and providing high-quality, personalized health care services. We foster collaboration, celebrate achievements, and promote fairness for all. Our contributions are recognized with comprehensive compensation and benefits, career development, and the opportunity for a healthy work-life balance, advancement within our organization and the fulfillment of having a lasting impact on the communities we serve.

Benefits include:

• Tuition Reimbursement for all full and part-time staff
• Generous paid time off, including your birthday!
• Affordable and comprehensive 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 Managed Care Specialist provides overall clerical support for the Clinical Services Department. Responsibilities include all support for chart maintenance and retention (including filing, scanning, and record processing into the case management and/or scanning database), employee record maintenance and filing, employee payroll activities, maintenance of Excel logs for employee personal time, report generation, and date entry/authorization entry as dictated by unit workflows.

Responsibilities include:

• Provides support for all correspondence to and from the Clinical Services Department including physician notifications, interim orders, organization determination letters, and assessment information.
• Maintains unit supplies and processes all requests for additional equipment/supplies through purchasing department, using agency protocols
• Maintains all member clinical records through scanning process, attachments of records into case management system, chart room filing, and off-site storage
• Performs all other administrative tasks deemed necessary under the direction of the Supervisor UM Support.

Qualifications

• High School Diploma required
• Experience in a health care organization preferred
• Basic proficiency with Excel, Word and typing required

Min

USD $31,856.09/Yr.

Max

USD $39,820.11/Yr.