PROVIDER LIAISON - 67053398
About The Position
The Provider Liaison is a professional position with the Agency for Persons with Disabilities responsible for quality improvement and enhancement of provider service delivery practices. The role provides training and technical assistance, researches provider-related complaints, and ensures providers out of compliance submit and follow remediation plans responsive to identified deficiencies. The position directs providers to the Agency for Health Care Administration when billing discrepancies are identified, documents communications with providers and stakeholders, and collaborates with external stakeholders including the Quality Improvement Organization, Medicaid Program Integrity, and the Medicaid Fraud Control Unit while upholding HIPAA requirements. The position serves Agency staff and management and contributes to the workplace culture, community, and population served by the Agency. It is not a telework position. Travel is required for wellness visits, provider quarterly meetings, and other assigned meetings.
Requirements
- High school diploma or equivalent.
- Valid driver's license or another efficient means of transportation, and willingness to travel for work.
- Knowledge of Microsoft Office programs, including Word, Excel, Outlook, Teams, and SharePoint.
- Knowledge of IConnect for completing business processes.
- Ability to demonstrate and provide responsive customer service.
- Ability to work with individuals with developmental disabilities.
- Ability to multitask effectively.
- Ability to use tracking systems to monitor and complete assignments within required timeframes.
- Ability to travel for wellness visits, provider quarterly meetings, and other assigned meetings.
Responsibilities
- Review 010 reports, identify deficiencies requiring correction, notify providers, and provide plan-of-remediation templates.
- Review provider remediation plans to ensure deficiencies are corrected within required timeframes and record remediation activities on the remediation tracker.
- Follow up to ensure provider rights and health and safety alerts are addressed within required timeframes.
- Follow up on provider complaints and ensure identified client health and safety issues are addressed immediately.
- Require a plan of remediation for all verified complaints and add complaints to the remediation tracker.
- Conduct assigned wellness visits within 72 hours for allegations of Abuse, Neglect, or Exploitation in APD-licensed facilities, Adult Day Training programs, and supported living arrangements, using the wellness visit template.
- Assist in completing Provider Adverse Action Request Forms for requests for administrative complaints or provider terminations.
- Ensure a Corrective Action Plan is generated for all deficiencies involving APD-licensed facilities in annual QIO reviews.
- Collaborate with the APD waiver team and clinical team to research complaints.
- Collaborate with external agencies, including MPI, QIO, and MFCU, to address provider performance concerns.
- Perform other related duties as assigned.
Benefits
- Annual and sick leave benefits.
- Nine paid holidays and one personal holiday each year.
- State group insurance coverage options, including health, life, dental, vision, and other supplemental insurance.
- Retirement plan options, including employer contributions.
- Flexible Spending Accounts.
- Tuition waivers.
- Paid maternity and parental leave.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
