Managed Care Coordinator

Job Summary

Supporting Clinical Operations, the full-time Managed Care Coordinator will manage service requests, coordinate communications between members and providers, and assist with case management tasks in a remote setting.

Key responsibilities

• Perform reviews of service requests for completeness and collect necessary clinical and non-clinical data
• Coordinate communications with members and providers to clarify benefits and case completion
• Assist members with finding providers, resolving issues, and completing health assessments

Required qualifications

• High School Diploma/GED required
• 1-2 years of experience in customer service or a medical support-related position preferred
• Knowledge of medical terminology and managed care principles preferred
• Ability to make sound decisions under supervision
• Proficiency in using personal computers and applicable software