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Medicaid Operations Director

Company: CareCentrix
Location: Hartford
Posted on: April 5, 2021

Job Description:

Medicaid Operations Director in Hartford, Connecticut - Careers at Hartford, CT Skip Branding

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            • Report Fraud Certification to Manage Risk, Improve Security Posture and Meet Compliance Requirements If you have difficulty understanding English, we offer language assistance and interpretation services at no cost to you. For help, please call 1-844-359-5381. If you have hearing or speech loss and use Telecommunications Relay Services (TRS) or a Text Telephone (TTY), dial 711 to connect with a TRS operator. Espa--ol - --------- - --------- - Ti---ng Vi---t - Ayisyen Krey--l - --------- - -------------- - Polskie - Tagalog - Fran--ais - P------------ - Deutsche - -------- - ------------------ - Portugu--s - --------------- - Albanian - Other Languages To access our nondiscrimination notice, please click here .--To sign an authorization form to release your Protected Health Information (PHI), please click here .--To sign a Medicare Appointment of Representative form, please click here .--To access the Patients Rights and Responsibilities, please click here . Under the CareCentrix Utilization Management (UM) Program: 1) UM decision making is based on appropriateness of care & service and existence of coverage; 2) CareCentrix does not specifically reward practitioners or other individuals for issuing denials of coverage or service care; and 3) Financial incentives for UM decision makers do not encourage decisions that result in under-utilization. CareCentrix maintains a drug-free workplace. Copyright -- 2019 CareCentrix, Inc. All rights reserved.--Terms and Conditions - Privacy Policy Medicaid Operations Director in Hartford, Connecticut - Careers at Hartford, CT Skip to Main Content Please Enable Cookies to Continue Please enable cookies in your browser to experience all the personalized features of this site, including the ability to apply for a job. Welcome page Welcome Page Returning Candidate? Log back in! Medicaid Operations Director Job Locations US-CT-Hartford Job ID 2021-11005 Category Product Development Overview As the Medicaid Operations Director, you will provide operational oversight and analysis of the organization's Medicaid product operations and develop operational programs, policies, and processes to deliver targeted quality and production metrics for the Medicaid products. This role assumes management of and accountability for the day-to-day and long-term operational success. Serve as the subject matter expert for program operations. Responsibilities In this role you will:
              • Direct and manage all non-clinical operational activities of the Medicaid product operations, including the development and implementation of effective metrics to monitor productivity and compliance with regulatory mandates.
              • Ensure that quality, performance, productivity and SLAs are met.
              • Identify opportunities to improve existing Medicaid operational policies and procedures and develops new policies and procedures to gain maximum efficiency and client satisfaction.
              • Develop strategies meant to assist the business in meeting its critical goals and objectives in the most efficient manner possible.
              • Provide direction to internal departments as it relates to Medicaid benefits, payment of services, and any other non-clinical issues that are presented.
              • Develop and oversee the production of standard reports to monitor and report on overall department metrics and care management program evaluation. Qualifications You should reach out if:
                • You have a Bachelor's Degree in Business, Health Services Administration or related field.
                • You have 7-10 years of experience in healthcare or managed care operations administration.
                • You have 3-5 years of experience with Medicaid and duals operations.
                • You have demonstrated adaptability and flexibility to change and to new ideas and approaches.
                • You have the ability to analyze processes and problems to prioritize, plan and handle multiple tasks simultaneously. CareCentrix maintains a drug-free workplace. We are an equal opportunity employer. Employment selection and related decisions are made without regard to age, race, color, national origin, religion, sex, disability, sexual orientation, gender identification, or being a qualified disabled veteran or qualified veteran of the Vietnam era or any other category protected by Federal or State law. Options Apply for this job online Apply Share Email this job to a friend Refer Sorry the Share function is not working properly at this moment. Please refresh the page and try again later. Share on your newsfeed Loading... Application FAQs Software Powered by iCIMS
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Keywords: CareCentrix, Hartford , Medicaid Operations Director, Executive , Hartford, Connecticut

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