Managed Care Coordinator

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.

Responsibilities

Ensure high quality, cost-effective care and services for Elderplan/HomeFirst members through support of professional Care Management activities; Support all aspects of care coordination for Medicaid and/or dual product members in compliance with all departmental and CMS/DOH regulatory requirements; Facilitate superior care management and act as a liaison between the members, the care management team, and the vendors

Requirements

High School Diploma or equivalent; One year prior managed care experience; Familiarity with utilization management/case management; Excellent communication and organizational skills

Nice to have

College degree; Prior experience in a health care setting

Benefits

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; Qualified employer under the Federal Government's Paid Student Loan Forgiveness Program (PSLF)