The Health Plan Liaison is responsible for developing and maintaining the relationship between the Customer Assistance Center(CAC) staff and the SBE Health Plans. The Liaison will build effective communication channels to help resolve customers' and other issues with the Plans. This person will also be working closely with the Project Director to capture meeting minutes and action items from all meetings with Plans, the client and internal stakeholders. They will be responsible for the coordination of change requests with the business analyst.

Essential duties:

• Schedules and convenes meetings with health plans to discuss issues and updates in the program
• Coordinates between the health plans and system staff for the flow of data and files
• Resolves any inability to receive correct data from either the plans or MAXIMUS
• Ensures health plan transactions are processed in an appropriate and timely manner
• Receive and review documents that come from plans that need to be processed
• Determine how a process should work and how changes in conditions, operations, systems, and other factors will affect outcomes.
• This person will be woring closely with Project Director to capture meeting minutes and action items from all meetings with Plans, the client and internal stakeholders
• Respond to daily miscellaneous question/emails
• Write and author presentations to clients, health plans and other staff
• Responsible for adhering to all established safety standards

Additional Essential Duties and Responsibilities:

• Overall responsibility for identifying and documenting Quality Control business requirements and processes, including providing clarification on any requirement discrepancies.
• Perform all internal reporting needs of the Quality Control Operations team.
• Understand Quality Control business problems and opportunities and recommends solutions that enable the organization to achieve its goals.
• Extracts, tabulates, and analyzes data to support program activity and assists in Management decision making.
• Review and edit requirements, specifications, business processes and recommendations related to new processes, functionality, and/or proposed solutions within Quality Control.
• Identify, analyze, and communicate all system and process defects.
• Identify innovative strategies to create operational and/or system efficiencies.
• Work closely with business owners, operations, users, and systems staff to improve business efficiency.
• Work effectively with internal and external business partners in the delivery of solutions.
• Provide production support for Quality Control Operations.
• Monitor process data to identify potential system and process issues.
• Monitor QCDT for efficiency.

Requirements:

• Good communication skills a must
• Excellent use of analytical thinking, methods and tools to resolve problems.
• Proficient in Microsoft Office tools including MS Project, Word, Excel, and PowerPoint.
• Strong facilitation skills.
• Strong relationship management skills, able to be effective at all organizational levels; users, team members and management.
• Strong ability to facilitate information gathering sessions with business subject matter experts.
• Ability to perform comfortably in a fast-paced, deadline-oriented work environment.
• Experience with government sponsored health care programs and operations desirable.

Minimum Requirements:

• Bachelor's degree with 3+ years of experience.

MAXIMUS INTRODUCTION

Since 1975, MAXIMUS has operated under its founding mission of Helping Government Serve the People, enabling citizens around the globe to successfully engage with their governments at all levels and across a variety of health and human services programs. MAXIMUS delivers innovative business process management and technology solutions that contribute to improved outcomes for citizens and higher levels of productivity, accuracy, accountability and efficiency of government-sponsored programs. With more than 30,000 employees worldwide, MAXIMUS is a proud partner to government agencies in the United States, Australia, Canada, Saudi Arabia, Singapore and the United Kingdom. For more information, visit https://www.maximus.com. EEO Statement: Active military service members, their spouses, and veteran candidates often embody the core competencies MAXIMUS deems essential, and bring a resiliency and dependability that greatly enhances our workforce. We recognize your unique skills and experiences, and want to provide you with a career path that allows you to continue making a difference for our country. We're proud of our connections to organizations dedicated to serving veterans and their families. If you are transitioning from military to civilian life, have prior service, are a retired veteran or a member of the National Guard or Reserves, or a spouse of an active military service member, we have challenging and rewarding career opportunities available for you. A committed and diverse workforce is our most important resource. MAXIMUS is an Affirmative Action/Equal Opportunity Employer. MAXIMUS provides equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status or disabled status.

As a leading strategic partner to governments across the globe, Maximus helps improve the delivery of public services amid complex technology, health, economic, environmental, and social challenges. With a deep understanding of program service delivery, acute insights that achieve operational excellence, and an extensive awareness of the needs of the people being served, our employees advance the critical missions of our partners. Maximus delivers innovative business process management, impactful consulting services, and technology solutions that provide improved outcomes for the public and higher levels of productivity and efficiency of government-sponsored programs.