About the Role:
Join our dynamic team at Workwarp as a Healthcare Case Manager! In this remote-based position, you'll play a vital role in managing Federal medical insurance and Long-Term Care lines of business for a valued client. You'll collaborate with our client's Arrangement Chief to drive successful development and execution strategies, ensuring efficient operations and positive outcomes.
Key Responsibilities:
- Manage and oversee Federal medical insurance and Long-Term Care cases.
- Collaborate with the Arrangement Chief on the development and implementation of strategic initiatives.
- Develop and execute strategies for assigned regions, ensuring alignment with organizational goals.
- Lead the implementation of new programs, services, and grant proposals.
- Work with cross-functional teams to develop and implement operational frameworks.
- Contribute to marketing and public relations strategies within state guidelines.
- Assist in budget planning and variance reporting for assigned regions.
- Foster strong relationships with provider organizations.
- Serve as a key point of contact with regulatory and state agencies.
- Ensure compliance with all applicable regulations, policies, and procedures.
Qualifications:
- Experience in taxpayer-supported initiatives such as Medicaid, Medicare, or Dual Eligible programs.
- Strong understanding of case management systems, value-based agreements, TP/COB, pharmacy claims, network contracting, and provider data.
- Knowledge of quality improvement programs (NQA and HEDIS) and their impact on case management.
- Proficiency in credentialing, provider relations, and network development.
- Excellent communication and interpersonal skills, with a strong understanding of Medicaid marketing and community engagement.
- Ability to work collaboratively across teams and analyze data to develop actionable insights.
- Demonstrated leadership in process improvement, project management, and financial analysis.
Work Environment:
- This position is based in Louisiana, with requirements for current residency or relocation.
- Hybrid work model (in-office Tuesdays, Wednesdays, and Thursdays).
- A relocation package will be considered for qualified candidates.
We Offer:
A competitive salary of $30/hour and the opportunity to make a real difference in the lives of individuals and families. If you're a passionate and experienced healthcare professional, we encourage you to apply!
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