Job Summary:The Medicaid Managed Care Liaison is the primary contact person for the Medicaid Managed Care Plans (MMCP).MMC Liaison must have experience, expertise, and knowledge of:-The child welfare system-Foster care healthcare requirements-The unique complex needs of the foster care population-Medicaid Managed Care policies and procedureThe Medicaid Managed Care Liaison is a full-time position.Duties and Responsibilities:-29I Core Services-Coordinate with MCO (Managed Care Organization) Foster Care Liaison-Inform and coordinate PCP (Primary Care Physician) changes-Assist with plan enrollment, disenrollment, and transitions-Issue plan Welcome letters-Secure plan ID showing effective date-Assist in ID card replacement-Assist with foster care placement changes including: - Access to health care - Facilitate a single case agreement when a child is placed outside of the MMCP’s service area or provider network-Interact with clinical and billing staff-Refer children for needed services and assist in provider selection-Coordinate with health care providers, including school and community-based services-Maintain eligibility for public or private health insurance-Assist with consent and/or confidentiality issues-Obtain authorizations from all MCO-Update the AccuMedic (EHR) system with the authorization information to ensure proper billing occurs-Health Services Supervisor-Take care of general office duties such as answering telephone and triaging calls, maintaining office supplies, preparing time sheets, and maintaining clinical staff schedules in Microsoft Outlook.-Assist Foster Care and Group Home programs with Access to care.-Oversee and support program audits-Responsible for closed medical records-Arrange Single Case Agreements with out of network placements-Billing and Clinical Staff interaction-Referrals to services-Coordinate care with providers including schools and Community Based services.-Assist with consent / confidentiality issues.-Assist with Fair Hearings / court ordered services.-Schedule clinical appointments, make reminder calls, and track kept and not kept appointments.-Create and maintain tickler system for child-specific mandated services in developmental and mental health treatment.-Type clinical reports memos letters, and other reports for the department.-Photocopy, distribute, and file reports and other written materials.-Log and distribute requests for clinical services to appropriate staff.-Distribute and track completed clinical reports.-Track Continuing Education credits, licensure, and malpractice insurance of clinicians.-Prepare and maintain records of department purchases.-Handle incoming and outgoing mail for the department.-Maintain up-to-date treatment case lists on each clinician.-Interact with clinical and billing staff-Oversees all business functions-Perform other secretarial duties as requested by -Medical Director.-Any other related duties as requiredEducational & Experience Requirements:Experience:-Minimum 3 years’ experience in a medical or social services office environment.-Knowledge and use of computers.-Experience with Electronic Health Records a plus.-Excellent Typing skills.-Excellent Data entry skills.-Familiar with NYS Child Welfare protocols.Organizational skills.-Good Communication and collaboration skills.Required background checks:-NYS Statewide Central Register of Child Abuse and Maltreatment (SCR)-NYS Sex Offender Registry (SOR)-NYS Division of Criminal Justice Services (DCJS) fingerprinting-NYS Justice Center Staff Exclusion List (SEL)-NYS OMIG Medicaid Exclusion List-Complete mandated reporter trainingEducation:-High school diploma - minimum; BA/ BS/ MPA preferredJob Type: Full-timeSalary: $35,000.00 - $38,000.00 per yearBenefits:Dental insurance Employee assistance program Employee discount Flexible spending account Health insurance Health savings account Life insurance Paid time off Retirement plan Tuition reimbursement Vision insurance

Minimum Salary: 35,000 Maximum Salary: 38,000 Salary Unit: Yearly