Enrollment Broker Specialist


DEPARTMENT

Medicaid Services Contract – Enrollment


POSITION SUMMARY

1 position located in Baton Rouge


RESPONSIBILITIES

• Work within the managed care section to ensure issues related to the enrollment broker (EB) contract are addressed in a timely manner to ensure contract compliance and responsive MCO and member support.
• Communicate with statewide stakeholders to improve care delivered and to address Medicaid programmatic issues.
• Assist with monitoring the EB contractor's performance
• Assist members with issues related to EB linkages and accessing services and document issues so that trends and systemic issues can be tracked, reported, and resolved.
• Process disenrollment requests.
• Work duplicate member reports.
• Process Post-90 Day Transfer Requests.
• Serve as liaison with the HL plans, MMIS, Eligibility and System staff to address questions and complaints related to linkages.
• Perform other tasks as directed.


REQUIRED QUALIFICATIONS

• Bachelor Degree, or 6 years of professional experience in lieu of degree.
• Excellent analytical skills, effective organizational and time management skills.
• Great attention to detail and follow up, and strong verbal/written communications skills.
• Comfortable working in fast-paced environment.
• Works well both independently and as part of a team.
• Highly self-motivated.
• Able to independently initiate communication with stakeholders.
• Proficient in MS Office.


DESIRED QUALIFICATIONS

• Bachelor Degree in Public Health, Community Health or Healthcare Management.
• Minimum 4 years of professional experience.
• 10 years of healthcare related experience.
• Professional experience in Medicaid program support.
• Professional experience working with insurance or Medicare.
• Experience in writing policy.
• Experience in reporting and statistical analysis.


SALARY

Commensurate with qualifications and experience.


DATE POSTED


CLOSING DATE

Position will remain open until filled. To assure full consideration, applications should be received by April 9, 2017.


POSITION NUMBER

9545

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