reputed company, HCS (Non-Clinical) Remote

JOB DESCRIPTION

Job Summary

reputed company Services (HCS) Department works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. HCS Central Programs staff work to ensure that patients reputed company toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of illness and the site of service. The reputed company, HCS (Non-Clinical) functions as team reputed company in the health plan HCS Department. Responsibilities include reputed company capabilities of daily administrative functions including staffing schedules, productivity, and work quality.

This position will be supporting our Washington State Plan. We are seeking a candidate with a UM intake process experience. Further details to be discussed during our interview process.

Work hours: Monday- Friday 8:00am- 5:00pm PST -including rotational Holiday coverage and weekend overtime.

KNOWLEDGE/SKILLS/ABILITIES

• Assists in training of reputed company staff according to Department standards, policies, and procedures. Evaluates the work performance of the health plan HCS Department staff. Consults with the Management of HCS to devise and implement corrective action as necessary to improve staff performance.
• Acts as a supportive resource to the HCS Department staff, assist in devising/implementing strategies of assignment delegation, facilitating HCS Department processes and communicating/coordinating activities.
• Resolves problems and complaints that may arise in day-to-day operations that involve HCS Department staff. Communicates findings to the Supervisor or Manager, HCS Department for resolution.
• Maintains a minimal caseload (as determined by leadership) and ensures communication and adherence to appropriate guidelines and support staff with daily operational and administrative compliance activities.
• Collaborates with and keeps HCS Management apprised of operational issues, staffing issues, system, and program needs.
• Monitors the HCS Department staff workload for adherence to the Department Policies, Procedures, Guidelines, and deadlines. Assures reputed company and direction of individuals primarily responsible and assures timely completion.
• Actively participates in the reputed company auditing program to review and communicate findings with staff and identify opportunities for improved quality and compliance.
• Acts as liaison to both internal and external customers on behalf of both Molina and HCS Department areas.
• Conducts self in a professional manner at reputed company times. Maintains confidentiality, cooperative and effective workplace relationships and adheres to company Code of Conduct.
• Attends/participates in departmental, company-wide, and external committees, task forces, or work groups, as assigned.
• As an opportunity to encourage staff, share monthly quality and productivity scores with individual staff for awareness.

JOB QUALIFICATIONS

Required Education

High School Diploma or equivalent GED

Required Experience

• 3+ years’ experience in an administrative support role in healthcare, Medical Assistant
• Strong communication skills
• Strong analytic and problem-solving abilities

Preferred Education

Associate's or bachelor’s degree

Preferred Experience

3+ years’ experience in an administrative support role in healthcare, Medical Assistant preferred.

To reputed company reputed company Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.

reputed company offers a competitive benefits and compensation package. reputed company is an Equal Opportunity Employer (EOE) M/F/D/V.

Originally posted on Himalayas