Maternal Health and EPSDT Coordinator, Remote in Nebraska
About The Position
The Maternal Child Health (MCH) / Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) Coordinator develops, implements, and oversees programs to ensure members receive comprehensive maternal and child health and EPSDT services. The role partners with Health Services and community stakeholders to promote preventive care, improve and coordinate access to services, and ensure regulatory and contractual compliance. The coordinator must reside in Nebraska and may travel locally for provider and community engagement. The position is remote for employees located in Nebraska and requires adherence to UnitedHealth Group’s Telecommuter Policy.
Requirements
- Active, unrestricted license as an RN, physician, or physician’s assistant in Nebraska.
- Master’s degree in health services, public health, healthcare administration, or a related field; alternatively, be a Certified Professional in Healthcare Quality (CPHQ) or hold a Certification in Health Care Quality and Management (CHCQM).
- At least 2 years of experience in managed care, Medicaid, maternal/child health, pediatrics, or population health.
- Technical skills using Microsoft Excel, PowerPoint, and Word, and Adobe PDF.
- Solid organizational, time management, and prioritization skills.
- Effective communication skills and ability to present information to an audience.
- Ability to travel up to 10% throughout Nebraska.
- Must reside in Nebraska.
Nice To Haves
- Solid knowledge of maternal child health, EPSDT, and preventive health frameworks.
- Intermediate to advanced proficiency with MS Excel.
- Ability to work a Monday–Friday schedule.
Responsibilities
- Design, implement, and evaluate programs to ensure members receive required EPSDT and maternal health services, including family planning and preventive health.
- Develop strategies to ensure pregnant members receive timely prenatal, maternal, and postpartum care.
- Oversee program performance and ensure alignment with state and federal requirements.
- Identify members requiring MCH and EPSDT support and coordinate appropriate care management services.
- Serve as a liaison among health plan teams, members, providers, and community partners to advance MCH/EPSDT initiatives.
- Educate the health plan, members, providers, and community partners on MCH and EPSDT requirements.
- Collaborate with internal teams to optimize care delivery.
- Engage community organizations to expand access and address MCH and EPSDT needs.
- Lead innovative service delivery and care coordination to close gaps in care.
- Monitor program performance, utilization, and outcomes related to MCH and EPSDT services.
- Ensure compliance with state contract requirements, CMS, and NCQA standards.
- Create and maintain reports on MCH and EPSDT service utilization.
- Analyze and interpret MCH and EPSDT reporting, including segmented population analysis and health disparities.
- Participate in EPSDT medical record review and provide follow-up education to providers as necessary.
Benefits
- Comprehensive benefits package, subject to eligibility requirements.
- Incentive and recognition programs.
- Equity stock purchase plan.
- 401(k) contribution, subject to eligibility requirements.
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
