Job description

Medical Assistant- Lead- Expert

Pay Rate: $14 / hour

Minimum Qualifications
Bachelor' s degree, health related certification or a combination of education and two or more years of experience in a managed care organization, pharmacy, or call center will be considered. Possess a documented work history of two (2) or more years of experience performing provider relations, health care program monitoring, network management and administration or pharmacy call center experience.

Ability to work well with others and foster a team environment.

Basic computer skills including proficiency with Microsoft Office Products as well as some internet skills. Ability to communicate effectively (verbal and written).
Role Description:
Resource will provide leadership to, and daily oversight of, people, projects and processes for the Department' s Medical Assistance Program. Resource will function as the first point of contact for Program Specialists.

Resource will provide guidance and assistance to staff for tasks such as: resolving complex issues, processing prior authorization requests or responding to health care professionals.

Resource will perform administrative duties as assigned by the
Supervisor/Director. Resource will participate in both internal and external (onsite) monitoring of Program Specialists and providers and will share constructive feedback to improve performance or outcome.

Resource may also create and present training materials and will assist in the development and implementation of departmental policies. Resource may be assigned to management workgroups and project teams.

Assignments will consist of a combination of on-going process responsibilities, standing work group participation and time-limited projects related to the management and operations of all aspects of the Pennsylvania Medicaid program.

Resource may analyze program data and complete appropriate reports.

Statewide travel as necessary is required including some overnights.


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