Managed Care Coordinator

Job Summary

Supporting Clinical Operations, the full-time Managed Care Coordinator will manage service requests, coordinate benefits, and assist members with case management while working remotely.

Key responsibilities

• Review 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 in navigating healthcare services, including scheduling appointments and addressing preventive care gaps

Required qualifications

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