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4 days
Not Specified
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$34.35/hr - $59.34/hr (Estimated)
<p>What You Will Do At ODM:</p> <p>Office: Managed Care</p> <p>Bureau: Managed Care Compliance & Oversight</p> <p>Classification: Medicaid Health Systems Administrator 1 (PN: 20047489)</p> <p>Job Overview:</p> <p>As Managed Care Provider Agreement Manager, your responsibilities will include:</p> <ul> <li>Developing and maintaining relationships with Managed Care Entities and stakeholders </li><li>Analyzing contract language </li><li>Organizing and reviewing contract language from various areas </li><li>Developing, monitoring, and tracking changes to contract </li><li>Maintaining a repository of contract changes </li><li>Developing and delivering presentations to MCEs, ODM Leadership, and various stakeholder groups </li><li>Evaluating the need to revise related Medicaid eligibility policies and procedures. </li><li>Submitting proposals to CMS using CMS authorized portals </li><li>Developing and maintaining various Teams channels </li></ul> <p>Completion of graduate core program in business, management or public administration, public health, health administration, social or behavioral science or public finance; 12 months experience in the delivery of a health services program or health services project management (e.g., health care data analysis, health services contract management, health care market & financial expertise; health services program communication; health services budget development, HMO & hospital rate development, health services eligibility, health services data base analysis).</p> <p>Or 12 months experience as a Medicaid Health Systems Specialist, 65293.</p> <ul> <li>Or equivalent of Minimum Class Qualifications for Employment noted above. </li></ul> <p>Technical Skills: Health Administration</p> <p>Professional Skills: Collaboration, Confidentiality, Continuous Improvement, Innovation, Verbal Communication, Written Communication</p>
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