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Health Plan Affairs Coordinator
Maximus New York, NY
$123k-169k (estimate)
Full Time | Business Services 0 Months Ago
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Maximus is Hiring a Health Plan Affairs Coordinator Near New York, NY

Job Introduction

About MaximusMaximus is a global organization that partners with national, state, and local governments to provide critical health and human services. With decades of experience designing, developing, and delivering innovative programs and comprehensive solutions, Maximus is driven by a mission to strengthen communities and improve the lives of the people we serve.

About Children & Youth Evaluation Services

The Children and Youth Evaluation Service (C-YES) is a New York State Program that determines Home and Community Based Service/Level of Care (HCBS/LOC) eligibility for youth with medical, behavioral, and/or developmental needs aged 0-21 years. The C-YES program also provides Medicaid application assistance services to children who appear HCBS eligible and are either without Medicaid and/or have Medicaid but opt out of HH Care Management. C-YES also develops person-centered Plans of Care (POCs) and provides ongoing HCBS service coordination for those families who elect to remain with C-YES and opt out of more comprehensive case management provided by Health Home Care Management Staff. HCBS are meant to help youths remain in their community as opposed to going to a higher level of care (i.e., facility or institution). A Care Coordination team comprised of Nurse Evaluators and Family Support Coordinators are responsible for ongoing support to all families referred to C-YES.

About the Position

We're hiring a Health Plan Affairs Coordinator for the C-YES department in New York City. The incumbent will work with program staff, plan representatives, the Department of Health (DOH) and Medicaid Managed Care Plans to resolve transactional issues and respond promptly to telephone calls and emails received from internal and external sources.

This is a full-time temporarily remote office-based position.

If you're looking for more than a job and want to make an impact in the healthcare industry, then this is the position for you We are looking for an individual with a great eye for details and exceptional communications skills and an interest in the field. Is that you?

Position Summary

  • Interfaces with multiple Departments inside of C-YES and Shared Services to solve case and transaction issues
  • Assists plans, advocates and ad-hoc committees to resolve enrollment and provider services issues
  • Utilizes MAXeb, WMS and other systems applications for research, data gathering, and report generation
  • Conducts special research projects as directed by the State clients and Management
  • Coordinates with other Departments and Shared Services to perform outreach calls to consumers when appropriate
  • Communicate with Medicaid Managed Care Plan representatives working within the field of Children’s Behavioral Health
  • Review and complete various reports
  • Provide case status information and updates to internal and external staff (various Medicaid Managed Care Plans)
  • Maintain communication with CYES staff and Medicaid Managed Care Plans staff regarding cases
  • Assist in coordinating meetings between CYES and Medicaid Managed Care Plan staff

What You'll Need Associates degree in related field; experience working with a Health Plan, Medicaid, or Health Insurance; ability to carry out policies and procedures, program objectives, and enrollment processes; ability to confidently interface with management; strong analytical and interpersonal skills; ability to handle multiple tasks and work independently; adaptable to change; ability to communicate effectively in written and oral formats; experience in using Excel; ability to work independently. Working knowledge of Children’s Behavioral Health, Medicaid Waivers, Health Homes, and Managed Care preferred.

Pay TransparencyMaximus compensation is based on various factors including but not limited to a candidate’s education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Annual salary is just one component of Maximus’s total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards. Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off. Compensation shall be commensurate with job duties and relevant work experience. An applicant's salary history will not be used in determining compensation.

Salary Range:

Minimum (USD): $17.00/Hour - Maximum (USD): $23.07/Hour

Job Description Summary

Job Summary

MAXIMUS Introduction

Since 1975, Maximus has operated under its founding mission of Helping Government Serve the People, enabling citizens around the globe to successfully engage with their governments at all levels and across a variety of health and human services programs. Maximus delivers innovative business process management and technology solutions that contribute to improved outcomes for citizens and higher levels of productivity, accuracy, accountability and efficiency of government-sponsored programs. With more than 30,000 employees worldwide, Maximus is a proud partner to government agencies in the United States, Australia, Canada, Saudi Arabia, Singapore and the United Kingdom. For more information, visit https://www.maximus.com.

EEO Statement

EEO Statement: Active military service members, their spouses, and veteran candidates often embody the core competencies Maximus deems essential, and bring a resiliency and dependability that greatly enhances our workforce. We recognize your unique skills and experiences, and want to provide you with a career path that allows you to continue making a difference for our country. We’re proud of our connections to organizations dedicated to serving veterans and their families. If you are transitioning from military to civilian life, have prior service, are a retired veteran or a member of the National Guard or Reserves, or a spouse of an active military service member, we have challenging and rewarding career opportunities available for you. A committed and diverse workforce is our most important resource. Maximus is an Affirmative Action/Equal Opportunity Employer. Maximus provides equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status or disabled status.

Pay Transparency

Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Annual salary is just one component of Maximus's total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards. Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off. Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience. An applicant's salary history will not be used in determining compensation.

Posted Max

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Job Summary

JOB TYPE

Full Time

INDUSTRY

Business Services

SALARY

$123k-169k (estimate)

POST DATE

03/11/2023

EXPIRATION DATE

04/27/2023

WEBSITE

maximus.com

HEADQUARTERS

RESTON, VA

SIZE

15,000 - 50,000

FOUNDED

1975

TYPE

Public

CEO

BRUCE L CASWELL

REVENUE

$3B - $5B

INDUSTRY

Business Services

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MAXIMUS provides health insurance exchanges, case management, customer contact centers and business process management for government agencies.

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