The posting
Job Description
Act as a point of contact within the Care Management Team to ensure members can access and navigate the healthcare system effectively.
Responsibilities
- Serves as variance coordinator for Care Management Team
- Coordinates with variance committee as needed
- Assist with member escalations regarding appointments/accessibility
- Provide member education regarding coverage, navigation, resources
- Advocate for member to support informed decision-making
- Guide members through the system
- Collaborates with members of the team and greater Centra system as needed
- Work with TPA for members allowed variances to ensure no delays in care/claims errors
- Promotes informed decision making among members
- Assists medical care team in identifying members/needs and leads efforts to set priorities, identify problems requiring follow up or further medic referrals.
- Other duties as assigned.
- Job description can be modified or updated at any time.
Qualifications
Required education: Bachelor’s degree in healthcare related field
Required experience: 3 years experience in managed care including appeals/grievance, claims and member support roles.
Salary Range: $29.04-$42.12



