BC Forward is looking for Program Coordinator 1 (Remote Work) in Delaware

About BCforward

Established in 1998, BCforward, a Black-owned firm headquartered in Indianapolis, IN, pioneers workforce management and digital product delivery solutions globally. With a team of 6,000 consultants across the world, they champion human potential, guided by core values of People-Centricity, Excellence, and Diversity. As a market leader, BCforward provides a best-in-class workplace, emphasizing equal opportunity employment and fostering a culture of accountability and optimism.

Position Title: Program Coordinator 1 (Remote Work)

Location: Remote - DE (Delaware) - Only Local to DE

Anticipated Start Date: 6/24

Expected Duration: 6 months

Job Type: Contract to Hire

Shift: 8:00 AM to 5:00 PM

Pay Rate: $22.00/hr on W2

Job Description:

Position Purpose: Assist in activities related to the medical and psychosocial aspects of utilization and coordinated care.

Performance expectations/metrics is 40 calls per day reaching out to the members assigned to the Program Coordinator I. Metrics must be met weekly to meet the expectation that is set by the department.

Education/Experience: High school diploma or equivalent. 2-3 years managed care setting, medical office or facility setting with demonstration of medical administration duties. Thorough knowledge of customer service, utilization review or claims processing practices in a managed care environment and operation of office equipment such as a personal computer. Knowledge of medical terminology.

Required Skills/Experience:

Medical background

customer service representative

Managed care environment

Software Skills Required: Outlook email, Teams, Microsoft office, Spreadsheets

For Illinois Youth Care contract: Required Education/Experience - Bachelors Degree in nursing, social sciences, social work, or a related field. 1 year supervised clinical experience in a human services field.

For Oregon plan only: A valid driver's license is required.

• Initiate authorization requests for output or input services in keeping with the prior authorization list. Research claims inquiry specific to the department and responsibility.

• Perform tasks necessary to promote member compliance such as verifying appointments, obtaining lab results. Assess and monitor inpatient census.

• Screen for eligibility and benefits. Identify members without a PCP and refer to Member Services. Screen members by priority for case management (CM) assessment. Perform transition of care duties to include but not limited to, contact the members attending physician, member or medical power of attorney, other medical providers (home health agencies, equipment vendors) for information pertaining to special needs.

• Coordinate services with community based organizations. Attend marketing and outreach meetings as directed to represent the plan. Produces and mails routine CM letters and program educational material.

• Data enter assessments and authorizations into the system.

Job Types: Full-time, Contract

Pay: $22.00 per hour

Expected hours: 40 per week

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Retirement plan
• Vision insurance

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Location:

• Delaware (Required)

Work Location: Remote