Welcome page Returning Candidate? Log back in! Job Locations US-NY-New York Req # 2811 Agency Elderplan Status Regular Full-Time Location : Postal Code 10041 Category Management - Non-Clinical Office or Field Hybrid 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 staffGenerous paid time offAffordable medical, dental and vision coverage for employee and family membersTwo retirement plans! 403(b) AND Employer Paid PensionFlexible spendingAnd MORE!

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

Responsibilities

Provides daily oversight of the Placement and Utilization Support Department.  Responsibilities include but not limited to staffing, call monitoring, quality assurance/process monitoring, customer problem resolution, enrollment, and provider relations. Assist Manager of Clinical Support in creation and implementation of all projects, policies, and workflows to ensure full compliance. Responsible for outcomes of all service authorizations and documentation processing and assisting in problem solving as new duties arise and volumes fluctuate.  Ongoing monitoring of staff punctuality, attendance, and quality of work.

Qualifications Baccalaureate Degree preferred, 3 to 4 years’ experience in healthcare.

4-5 years experience in business, human services, or a health-related field. 2-3 years experience in provider relations and/or member services in managed care.  Prior experience with Medicaid managed care. Knowledge of the service delivery needs of the elderly, chronically ill or disabled.  

Demonstrates knowledge/ability of: Institutional goals and changing trends in health care and Cost factors in delivering patient care.Proficiency in MS Word and Excel. Knowledge of Telephony systems and Windows operating systems. Must be knowledgeable of new trends in clinical management and information systems and be able to apply data processing technology for the clinical and physician services areas. Min USD $61,463.13/Yr. Max USD $73,755.75/Yr. Options Apply for this job onlineApplyShareRefer this job to a friendRefer Sorry the Share function is not working properly at this moment. Please refresh the page and try again later. Share on your newsfeed Application FAQs

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