The Managed Care Liaison and Credentialing Specialist Supervisor is responsible for developing relationships with managed care companies and ensuring that we have Medicaid Managed Care contracts in place with appropriate rates. The candidate will be completing managed care applications and credentialing information required for all managed care companies. They will ensure that Utilization Management requests are adhered to and authorizations are in place in advance of expirations.
Job Benefits:
Benefits for Full Time employees:
· 4 weeks paid vacation annually;
· 13 paid holidays, 4 personal days;
· 1 sick day per month, accruable to 150 days;
· Fully paid individual LTD and life insurance;
· Eligible for participation in agency medical and dental plan both individual and family, with small employee contribution.
Requirements Bachelor's Degree.Must have prior experience working wit managed care companies.Ability to effectively communicate with various managed care liaisons. Have experience in the field of behavioral health and foster care healthcare requirements.Knowledge of Medicaid Managed Care policies and operations. Worked on utilization management requirements.Ability to effectively use various Microsoft Office products, including Excel. Must have sufficient knowledge in excel to manipulate data, including filtering, sorting, and some basic formula functions.