This job was posted by https://www.azjobconnection.gov : For more
information, please see: https://www.azjobconnection.gov/jobs/6455651
Program Coordinator 1
BC Forward is looking for *Program Coordinator 1 (Remote Work) - Only
: MST/PST*
Position Title: Program Coordinator 1 (Remote Work) - Only : MST/PST
Locations:
REMOTE in states MST/AZ or PST time zones
Anticipated Start Date: 05/20
Expected Duration: 6 months
Job Type: Contract to Hire
Pay Rate: \$25.00/hr on W2.
Job Description:
Position Purpose: Assist in activities related to the medical and
psychosocial aspects of utilization and coordinated care.
Making outbound calls to our high and moderate priority members who
might qualify for case management.
60+ Calls a day, work is handed out through excel.
30 new members everyday are given and we are expected to make 3
outreached and different times and days within or TAT.
Engagement rate, Digital Case Management Rate, Unable to reach rate,
decline rate, Turnaround time, and Quality.
Easiest was to explain is to call 30 new members a day and keep up with
the 2nd and third attempts from the days prior, with a goal of getting
and many people engaged (sale) as possible.
Required Skills/Experience:
2 YEARS MEDICAL FIELD
Preferred Skills/ Experience:
CALL CENTER WITH HIGH CALL VOLUMS
SALES
Education Requirement: HIGH DIPLOMA
Education/Experience: High school diploma or equivalent. 2-3 years
managed care setting, medical office or facility setting with
demonstration of medical administration duties. Thorough knowledge of
customer service, utilization review or claims processing practices in a
managed care environment and operation of office equipment such as a
personal computer. Knowledge of medical terminology.
For Illinois Youth Care contract: Required Education/Experience -
Bachelors Degree in nursing, social sciences, social work, or a related
field. 1 year supervised clinical experience in a human services field.
For Oregon plan only: A valid driver\'s license is required.
* Initiate authorization requests for output or input services in
keeping with the prior authorization list. Research claims inquiry
specific to the department and responsibility.
* Perform tasks necessary to promote member compliance such as
verifying appointments, obtaining lab results. Assess and monitor
inpatient census.
* Screen for eligibility and benefits. Identify members without a PCP
and refer to Member Services. Screen members by priority for case
management (CM) assessment. Perform transition of care duties to include
but not limited to, contact the members attending physician, member or
medical power of attorney, other medical providers (home health
agencies, equipment vendors) for information pertaining to special
needs.
* Coordinate services with community based organizations. Attend
marketing and outreach meetings as directed to represent the plan.
Produces and mails routine CM letters and program educational material.
* Data enter assessments and authorizations into the system
Benefits:
BCforward offers all eligible employees a comprehensive benefits package
including, but not limited to major medical, HSA, dental, vision,
employer-provided group life, voluntary life insurance, short-term
disability, long-term disability, and 401k.
About BCforward:
Founded in 1998 on the idea that industry leaders needed a professional
service, and workforce management expert, to fuel the development and
execution of core business and technology strategies, BCforward is a
Black-owned firm providing unique solutions supporting value capture and
digital product delivery needs for organizations around the world.
Headquartered in Indianapolis, IN with an Offshore Development Center in
Hyderabad, India, BCforward\'s 6,000 consultants support more than 225
clients globally.
Cforward champions the power of human potential to help companies
transform, accelerate, and scale. Guided by our core values of
People-Centric, Optimism, Excellence, Diversity, and Accountability, our
professionals have helped our clients achieve their strategic goals for
more than 25 years. Our strong culture and clear values have enabled
BCforward to become a market leader and best in class place to work.
BCforward is an equal opportunity employer. All qualified applicants
will receive consideration for employment without regard to race, color,
religion, sex, sexual orientation, gender identity, national origin, or
protected veteran status and will not be discriminated against based on
disability.
To learn more about how BCforward collects and uses personal information
as part of the recruiting process, view our Privacy Notice and CCPA
Addendum. As part of the recruitment process, we may ask for you to
disclose and provide us with various categories of personal information,
including identifiers, professional information, commercial information,
education information, and other