Des Moines,
IA
US
Posted: 07/25/2024
2024-07-25
2024-08-25
Employment Type:
Contract
Job Number: MM89823864
Job Description
Job Title: Enrollment Specialist
Job Summary: The Provider Enrollment Specialist plays a crucial role within Iowa Medicaid Enterprise, managing the enrollment and eligibility processes for providers seeking to collaborate with Managed Care Organizations (MCOs). This position involves facilitating seamless interactions between providers, MCOs, and internal departments to ensure efficient service delivery.Payrate: $52,500Must be located 1 hour of Des Moines, IAJob Responsibilities:- Collaborate cross-functionally to resolve complex provider enrollment issues efficiently.
- Cultivate and maintain positive relationships with all participating Managed Care Organizations.
- Facilitate ongoing communication with MCOs, ensuring timely exchange of information.
- Log, track, and manage all correspondence with MCOs regarding individual issues.
- Liaise with operational teams to address and communicate critical incidents to MCOs.
- Provide regular updates to Project Managers and state policy staff on significant MCO-related matters.
- Perform additional duties as assigned by management to support departmental objectives.
Job Requirements:- Bachelor's degree with a minimum of 3 years of relevant experience.
- Additional training or education in a specialized area is advantageous.
- Ability to develop solutions for moderate to complex problems within defined scope.
- Applies concepts and principles to contribute to organizational projects and goals.
- Proficient in industry practices, techniques, and standards.
- Demonstrates effective communication skills, particularly on complex or sensitive issues.
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