Recent Searches

You haven't searched anything yet.

1 MCO (Medicaid Managed Care) Liaison Job in Elmira, NY

SET JOB ALERT
Details...
Glove House Inc
Elmira, NY | Other
$66k-86k (estimate)
1 Month Ago
MCO (Medicaid Managed Care) Liaison
$66k-86k (estimate)
Other | Social & Legal Services 1 Month Ago
Save

Glove House Inc is Hiring a MCO (Medicaid Managed Care) Liaison Near Elmira, NY

Job Details

Job Location: Glove House Corporate - Elmira, NY
Position Type: Full Time
Education Level: Bachelor's Degree
Salary Range: $23.00 - $25.00
Travel Percentage: None
Job Shift: Business Hours
Job Category: Finance

Description

The MCO Liaison is responsible for billing, admissions, and discharges of 29I services, as identified as a need in vulnerable populations. Knowledge of NYS’s 29i, billing, and insurance are essential. The ability to forge positive relationships with internal and external customers at all levels is crucial to success in this position. The position works closely with all Programs in the design and facilitation of the program milieu and service delivery system, quality assurance measurements and agency goals. This individual is directly accountable to the CFO.
Critical features of this job are described under headings below. They may be subject to change at any time due to reasonable accommodation or other reasons.
Primary Job Functions
1. Provides the overall oversight to Medicaid reimbursed programming; provide direct supervision to staff in assigned departmental area in accordance with all Glove House, state, and regulatory requirements.
  • Performs all work tasks in a safe manner.
  •  Is guided by organizational values and trauma informed practice in all interactions.
  • Treats all children, families, staff and ancillary providers with respect and courtesy.
  • Demonstrates and models sensitivity to the cultural background of children, families, and co-workers.
  • Assures that all processes within the Department operate in compliance with applicable NYS codes, rules, and regulations and with Glove House policies and procedures.
  • Provides direct oversight to the Medicaid, Insurance, 29i reimbursement and billing for 29i programs.
  • Completes insurance MOUs with all insurance companies needed (based upon insurance providers for youth) as necessary.
  • Completes all technical input/review of clients and notes to insure proper billing and reimbursement to the agency.
  • Provides supervision and coaching to staff within the departments and co-leadership with teams within the agency.
  • Conducts the fiscal management within the assigned Department in a manner to assure that adequate resources are available to meet program needs, while maintaining the fiscal viability of the department.
  • Participates in the development of all Agency/Department policy and procedure to ensure that operations are in conformance with appropriate regulations and standards.
  • Directly responsible for quality assurance activities within the Department including, but
  • not limited to, design and oversight of program evaluation (effectiveness/outcomes) and associated monitoring/measuring activities.

Qualifications


Education, Licenses and Certifications:
Bachelor’s degree required.
Must have a valid driver’s license and driving record in accordance with agency standards.

Experience: 

5 years experience working in Managed Care, Medicaid service delivery/billing/insurance.

Job Summary

JOB TYPE

Other

INDUSTRY

Social & Legal Services

SALARY

$66k-86k (estimate)

POST DATE

04/11/2024

EXPIRATION DATE

06/09/2024

WEBSITE

glovehouse.org

HEADQUARTERS

BATH, NY

SIZE

50 - 100

FOUNDED

1970

TYPE

Private

REVENUE

$10M - $50M

INDUSTRY

Social & Legal Services

Show more

Glove House Inc
Other
$100k-133k (estimate)
2 Days Ago
Glove House Inc
Other
$57k-74k (estimate)
1 Month Ago
Other
$58k-77k (estimate)
1 Month Ago