Job Description
Title : Specialist – Enroll/Elig- Must have a Bachelor's Degree
Position Classification : Exempt
Project : Iowa Provider Services
Position Reports to : Project Manager - Ops
Onsite then remote.
The Iowa Provider Services Enrollment/ Eligibility team processes applications from providers wanting to enroll with Iowa Medicaid Enterprise in order to work with one of the Managed Care Organizations.
Essential Duties and Responsibilities:
· Work closely with the cross functional areas and levels to resolve difficult and complex cases related to critical issues.
· Initiate, establish, and maintain a productive relationship with each of the participating managed care organizations.
· Establish and maintain ongoing communication with the health plans.
· Log, track, and manage all communication to and from health plans related to individual issues in a timely manner.
· Work with operating divisions to communicate complex and critical incidents, and to receive feedback to be communicated to the appropriate managed care organizations.
· Provide the Project Manager and state policy staff with updates regarding complex and critical managed care organization issues.
· Perform other duties as may be assigned by management.
Minimum Requirements:
· Bachelor's degree with 3+ years of experience.
· May have additional training or education in area of specialization.
· Develop solutions to a variety of problems of moderate scope & complexity.
· General application of concepts & principles.
· Contribute to the completion of organizational projects & goals.
· Frequent use and general knowledge of industry practices, techniques, and standards.
· Apply knowledge and skills to complete a wide range of tasks.
· Communicate on complex or sensitive issues or draft responses for supervisor or manager.
Company Description
Throughout the past 30 years plus, MMC, one of the most trusted names in workforce management services, has successfully delivered strategic solutions to large and small businesses in numerous industries.
We have built our reputation on partnering with our clients and candidates to achieve the desired results. Our recruiting professionals have extensive experience matching the right candidate, to the right client, for the right position. We provide the best opportunities to the most talented candidates in a multitude of industries.
MMC is a privately owned business with corporate headquarters in Irving, Texas. With 2,000+ employees, working in 40+ states, MMC is able to support all United States locations, and some international locations.
We appreciate your interest in reviewing this particular position and we encourage you to visit our website where you can always search and apply for opportunities at www.mmcgrp.com
Get started on your career journey today! Apply to become a part of the MMC Team!
We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any other characteristic protected by law. In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification document form upon hire.
Throughout the past 30 years plus, MMC, one of the most trusted names in workforce management services, has successfully delivered strategic solutions to large and small businesses in numerous industries.\r\nWe have built our reputation on partnering with our clients and candidates to achieve the desired results. Our recruiting professionals have extensive experience matching the right candidate, to the right client, for the right position. We provide the best opportunities to the most talented candidates in a multitude of industries.\r\nMMC is a privately owned business with corporate headquarters in Irving, Texas. With 2,000+ employees, working in 40+ states, MMC is able to support all United States locations, and some international locations.\r\nWe appreciate your interest in reviewing this particular position and we encourage you to visit our website where you can always search and apply for opportunities at www.mmcgrp.com\r\nGet started on your career journey today! Apply to become a part of the MMC Team!\r\nWe are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any other characteristic protected by law. In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification document form upon hire.