Program Coordinator

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

***Must reside in Oklahoma***

• 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 member’s 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.

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.
• For Oklahoma Medicaid and Children’s Specialty contract: Bachelor’s Degree in nursing, psychology, social work, or a related field and at least one (1) year of related professional experience in the human services field serving individuals in Medicaid and/or Foster Care.

Our Comprehensive Benefits Package: Flexible work solutions including remote options, hybrid work schedules and dress flexibility, Competitive pay, Paid time off including holidays, Health insurance coverage for you and your dependents, 401(k) and stock purchase plans, Tuition reimbursement and best-in-class training and development.

Job Type: Full-time

Pay: $53,961.00 - $71,592.00 per year

Benefits:

• 401(k)
• Dental insurance
• Employee assistance program
• Health insurance
• Life insurance
• Paid time off
• Retirement plan
• Tuition reimbursement
• Vision insurance

Work Location: Remote