Medicaid Managed Care Liaison

Company: Good Shepherd
Location: Bronx
Posted on: August 5, 2022

Job Description:

About Us

Good Shepherd Services is a leading multi-service agency with more than 85 programs that serve over 30,000 youth and families each year - and builds on their strengths to help them gain skills for success. At Good Shepherd we respect the dignity and worth of every person and reject intolerance, inequity and injustice in whatever form it may take. Voted one of the top 100 places to work in NYC by Crain's New York, Good Shepherd Services offers a fantastic work environment, a collaborative team dedicated to fulfilling our mission, and an amazing array of benefits. Join our team and help make a difference!

NOTE: As a NYC contracted agency all positions at Good Shepherd Services fall under the NYC vaccine mandate. All employees, volunteers and interns must show proof of vaccination upon hire.

Benefits

Salary: $40,000 to $45,000

For Full Time Employees Benefits/Perks:

* Tuition Assistance Program
* Generous paid time off (Including 5 Self-Care Days/Floating Holidays, 12 Sick Days, 15 Vacation Days, and 11 Holidays)
* Healthcare Plans (Medical, Dental, Vision, and Pet Care)
* 403(b) Plan (GSS contributes 3% of your salary to your 403(b) plan after 3 years of service, with contributions increasing over time)

Candidates hired in this position will work in person but will have the flexibility to work remotely when program need allows

Overview

Under the supervision of the Health Services Manager and in cooperation with all other agency personnel, Managed Care Liaison will coordinate with the Medicaid Managed Care Plans (MMCPs). Primarily the role is to ensure that there is a highly-coordinated approach between Good Shepherd Services and the Medicaid Managed Care Plans.

Reports to: HEALTH SERVICES MANAGER, HEALTH SERVICES

Location: New York City, Various Locations

Hours: 35 Hours, Exempt

Major Duties:

* Coordinate with the various MMCPs foster care liaison/coordinator
* Inform and coordinate with the MMCP when a child's primary care provider needs to be changed
* Primary contact person for the MMCP to assist with the enrollment, disenrollment, and transitions.
* Ensure youth maintain eligibility for insurance. Resolve eligibility issues.
* Immediate issuance of a Welcome Letter and replace/provide insurance Identification card.
* Securing identification showing the effective enrollment date (including immediate temporary identification)
* Assist with foster care placement changes including ensuring access to health care and facilitating a single case agreement when a child is placed outside of the MMCPs service area or provider network
* Internal Collaboration is critical, and the Medicaid Managed Care Liaison will ensure that nursing and care coordination staff are aware of which plan a youth is in and which providers are in network so that children can be referred for needed services.
* Ensure information is entered into systems of record including but not limited to Evolv and Connections.
* Assist staff with coordination of benefits,
* Maintain confidentiality of participants.
* Other duties as requested

Qualifications:

* High school diploma at minimum.
* Experience, Expertise, and Knowledge of the child welfare system, foster care healthcare requirements, the unique complex needs of foster care population, and Medicaid Managed Care policies and operations
* Ability to clearly communication both in writing and verbally
* Proficient in Microsoft Office

Additional Information

Good Shepherd Services is an equal opportunity employer that is proudly committed to becoming an anti-racist and multicultural organization that stands up for justice and equity. We welcome prospective employees from diverse backgrounds, for administrative support and direct service and leadership roles, who will join us on that journey, uphold our values and approach, and believe in our mission. Additionally, we aim to have a racially representative leadership and workforce that is reflective of the communities we work in partnership with.

Good Shepherd Services is committed to providing an inclusive and welcoming environment for all members of our staff, participants, volunteers, subcontractors, and vendors. We do not discriminate on the basis of race, color, religion (creed), gender, gender expression, age, national origin (ancestry), disability, marital status, sexual orientation, or military status, in any of our activities or operations. These activities include, but are not limited to, hiring and termination of staff, selection of volunteers and vendors, and provision of services.

Keywords: Good Shepherd, New Rochelle , Medicaid Managed Care Liaison, Other , Bronx, New York