Managed Care Coordinator

Job Summary

Supporting Clinical Operations, the full-time Managed Care Coordinator will manage service requests, coordinate member and provider communications, and assist with case management tasks 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 finding providers, resolving issues, and completing health assessments

Required qualifications

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