Medicaid Program Coordinator - Member Advocacy (Remote in Oregon)

Full Time
Corvallis, OR 97339
Posted
Job description
Samaritan Health Services
Req #: 60758
Corvallis, OR
1.0 (80 hrs/pp) - Day
SHS Health Plan Ops - Strategy
$23.31 - $34.24
Remote Status: Yes

    JOB SUMMARY/PURPOSE
      Supports Medicaid program activities by facilitating professional working relationships with internal and external customers. Ensures contract compliance. Develops departmental documents. Tracks and coordinates activities and assists in general program research.
    DEPARTMENT DESCRIPTION
      Samaritan Health Plans (SHP) operates a portfolio of health plan products under several different legal structures: InterCommunity Health Plans, Inc. (IHN) is designated as a regional Coordinated Care Organization (CCO) for Medicaid beneficiaries; Samaritan Health Plans, Inc. offers Medicare Advantage, Commercial Large Group, and Commercial Large Group PPO and EPO plans; SHP is also the third-party administrator for Samaritan Health Services’ self-funded employee health benefit plan. As part of an Integrated Delivery System, Samaritan Health Plans is strategically and operationally aligned with Samaritan Health Services’ mission of Building Healthier Communities Together.
    EXPERIENCE/EDUCATION/QUALIFICATIONS
    • High school diploma or equivalent required. Bachelor's degree preferred.
    • Experience and/or training in computer applications required.
    • Experience and/or training in health insurance required.
    • Spanish, Russian, or Vietnamese bilingual preferred.
    • Member Advocacy and Communications:
      • Three (3) years experience providing case management or member advocacy required.
    KNOWLEDGE/SKILLS/ABILITIES
    • Effective written and verbal communication skills to perform group presentations, tactfully discuss issues, and listen to and understand concepts, rules and procedures. Ability to work with all levels within the organization, facilitate communication, and effectively document related activities.
    • Ability to identify complex problems, review related information, employ creativity and alternative thinking to develop and evaluate options and implement solutions.
    PHYSICAL DEMANDS

      Rarely
      (1 - 10% of the time)


      Occasionally
      (11 - 33% of the time)


      Frequently
      (34 - 66% of the time)


      Continually
      (67 – 100% of the time)



      CLIMB - STAIRS

      LIFT (Floor to Waist: 0"-36") 0 - 20 Lbs

      LIFT (Knee to chest: 24"-54") 0 – 20 Lbs

      LIFT (Waist to Eye: up to 54") 0 - 20 Lbs

      CARRY 1-handed, 0 - 20 pounds

      BEND FORWARD at waist

      KNEEL (on knees)


      STAND

      WALK – LEVEL SURFACE

      ROTATE TRUNK Standing

      REACH - Upward

      PUSH (0 - 20 pounds force)

      PULL (0 - 20 pounds force)


      SIT

      CARRY 2-handed, 0 - 20 pounds

      ROTATE TRUNK Sitting

      REACH - Forward


      MANUAL DEXTERITY Hands/wrists

      FINGER DEXTERITY

      PINCH Fingers

      GRASP Hand/Fist

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