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Medicaid Program Coordinator buy in US, Free Classifieds Ads

Company Name:
FamilyCare Health Plans
FamilyCare, Inc. is a Medicaid and Medicare healthcare Coordinated Care Organization based in Portland,
oregon
. We embody our mission statement--Creating Healthy Individuals through Innovative Systems--in everything we do. Our dedication to customer service has earned us an outstanding reputation in the Northwest healthcare industry.
We believe that in order to build on our nearly 30 year tradition of success, we must continue to seek out and attract talented individuals. We offer a challenging work environment with opportunities for growth and development. Communication is encouraged, and excellence is rewarded. FamilyCare offers a generous and highly competitive benefits package which includes health, dental, and vision insurance as well as a 401k plan with employer contribution, and liberal annual PTO.
FamilyCare, Inc. is seeking an innovative and forward thinking Medicaid Program Coordinator works under the direction of, and in collaboration with, the Program Integrity and Project
manager
, to help ensure the Medicaid program is operating effectively and in compliance with OHA contract and Oregon Administrative Rules. The Program Coordinator is responsible for the day-to-day operations of the Medicaid Program. The coordinator will develop and maintain constructive and beneficial relationships with internal and external customers in an overall effort to drive FamilyCare's Mission to Create Healthy Individuals through Innovative Systems.
Requirements/Qualifications:
Bachelor's Degree or related experience
Minimum five (5) years direct experience in managed care program operations or policy management
Specific knowledge of Oregon Health Plan Medicaid Program and Program regulations.
Coordinate and support the department in developing a variety of materials and documents related to the Medicaid OHP program, including but not limited to the Member Handbook.
Collaborate with Marketing for updates and recommendations for the FamilyCare Website as it pertains to the Medicaid Program.
Provide professional, technical and operational guidance to internal and external customers on issues relating to the Oregon Health Plan (OHP) and Department of Medical Assistance Program (DMAP).
Identifies potential areas of program vulnerability and coordinate the development of resolutions.
Understand and provide guidance to external/internal customers around FamilyCare Policies & Procedures and how they support and relate to OHA/DMAP Medicaid program.
Work with Compliance to ensure all reports and contractual obligations for the Medicaid program are completed accurately and timely.
Develop internal policy and procedures as needed for any new and/or changes to the Medicaid Program requirements.
Represent FamilyCare at various State or other program related meetings.

Click here to apply!

FamilyCare is proud to afford equal employment opportunities to all qualified individuals, without regard to their race, color, ancestry, religion, sex, sexual orientation, national origin, age, physical or mental disability, citizenship status, veteran status, gender identity or expression, or any other characteristic or status that is protected by federal, state or local law. To ensure that we continue to hire competent, ethical, and trustworthy individuals, all candidates must successfully complete a thorough background investigation and drug screen prior to receiving any offer of employment from FamilyCare.
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