Managed Care Program Coordinator

Join the GLSS Team and make a difference every day! GLSS is looking for talented and caring individuals to join our team. Benefits: GLSS embraces the need for our Employees to have work-life balance and offers a generous benefits package that starts on your date of hire! Depending on your scheduled hours of work you may be eligible for:

• Hybrid work schedule
• Medical and Dental insurance
• Health Spending Account (HSA)
• Flexible Spending Accounts (FSA) - Healthcare reimbursement & dependent care assistance
• 12 paid holidays each year
• 15 sick days per year
• 2 weeks of vacation starting year 1 and increasing with your years of service
• 403b Retirement Savings Plan with an Agency match
• Agency paid life insurance
• Agency paid long term disability (LTD)
• Tuition Assistance after one year of employment
• Mileage reimbursement
• Employee Assistance Program to assist you in dealing with life challenges
• Employee referral bonuses of up to $1,000
• Travel Assistance Program - Free
• Life Planning Services - Free
• Optional benefits including Vision, Pet Insurance, Whole Life Insurance for you and your family members, Short Term Disability, Accident Insurance, Critical Illness Insurance
  
  

Position Overview: The Managed Care Program Coordinator is primarily responsible for conducting QA on records and for providing administrative tasks support to Managers and other team members for multiple programs within the Managed Care Programs department. This position will be responsible for assisting with billing reports and data analysis, assisting with Case Management on Duty coverage and contributing to the overall success of the department. Other general administrative and clerical functions as assigned by the team.

Position Responsibilities: Review/QA SCO records. Provide QA reports to Manager of Managed Care Programs. Collaborate with Managers and Supervisors to review QA standards and expectations during meetings. Assist with the completion of billing reports for various programs. Provide administrative tasks support to Managers and other team members. Provide phone duty coverage. Assist with tracking MassHealth Re-certifications completed for SCO members. Assist with ordering office supplies for Managed Care Programs. File AFC caregiver logs, ensuring that logs have been reviewed and signed by the AFC RN. Ensure that AFC Caregiver have information to attend required trainings. Review Elira reports as needed.

Qualifications

• Minimum of Associate's Degree in Business, Administrative or related field preferred. High School Diploma or equivalent required
• Minimum of five (5) years of recent relevant administrative support experience preferred
• Previous work experience in a healthcare setting and understanding of healthcare terminology preferred
• Must be detail and deadline oriented and have an innate ability to identify priorities
• Time management skills are crucial for this position
• Must have excellent data entry and writing skills to compose mailings and letters
• Experience with SAMS system preferred
• Able to maintain professionalism and to adapt in multiple health care settings is required.
• Possess the knowledge and skills necessary to work successfully as a member of an interdisciplinary team to arrange for community long-term care
• Ability to make proper judgments, good written and verbal skills, and ability to maintain effective interpersonal relationships with staff members, consumers and partners
• Proficient in the use of computer systems, including but not limited to, Windows based software application including but not limited to Word, Excel, PPT and Outlook
• Ability to process information accurately
• Ability to work both independently and as part of a team
• Professional demeanor and ability to handle confidential materials with discretion
• Bilingual in Spanish preferred
  
  

Hours: Full Time – 35 hours per week (Monday-Friday) This position allows for a hybrid schedule with a minimum of 3 days per week in office required.

Pay range: $20.00 - $21.50

*GLSS is an affirmative action and equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including gender identity, sexual orientation, and pregnancy), national origin, age (40 or older), disability or genetic information.* *GLSS will provide reasonable accommodations to applicants with disabilities upon request*