The Senior Health Program Coordinator will be responsible for contributing to the coordination of activities within the Client Service Unit. Duties will include: serving as a resource regarding the day to day routine operations of Unit activities and maintaining the in-depth manual of standardized Policy and Procedures, which details the daily tasks of Unit staff; conducting and monitoring quality assurance activities, including, but not limited to: hotline phone monitoring, external quality assurance initiatives, file documentation reviews, yearly external and quarterly internal audit reviews; reviewing and providing technical assistance regarding eligibility, health insurance issues, provider reimbursement and the coordination of multiple health care coverage programs; reviewing pharmacy exception requests and communicating with participants, pharmacies, and physicians to meet the medication needs of participants; contributing to the development of a performance based evaluation system to measure and document orientation and ongoing evaluation activities with existing and new staff. Other appropriate related duties as assigned.
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Job Type
Full-time
Career Level
Mid Level
Number of Employees
1,001-5,000 employees