Xerox Care Management Program Analyst - Healthcare in Anchorage, Alaska

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Description:

The Care Management Program Analyst is responsible for the administration of the Care Management Program within Alaska Medicaid. Utilizing a combination of technological platforms, designated resource tools and individual expertise, the individual is expected to implement State of Alaska regulations as they govern the program. This position serves as a customer care and program coordinator in the SUR department as part of its overall fraud, waste and abuse prevention and recovery effort.

Responsibilities:

  • Provides support to Medicaid Members actively enrolled in the Care Management Program through assisting in the coordination of their healthcare within the parameters of the program

  • Administers the program in accordance with applicable state and federal regulations governing member placement into the program

  • Supports program through data analysis and statistical evaluations of member Medicaid usage

  • Builds placement documents and standardized reports with a focus on quality

  • Updates and maintains accurate logging and data entry associated with program administration

  • Responds to escalations concerning members enrolled in the Care Management Program

  • Discusses proposed decisions with SUR team members, inter-departmental personnel, providers, and state or federal agencies as required

  • Coordinates with SUR team members to propose and implement improvements to program operations

  • Builds solid working relationships with Medicaid providers as a representative of the Care Management Program.

Required (minimum):

  • Bachelor's degree or equivalent combination of work experience/education (Healthcare, Business Admin, RN/LPN, Medical Coding, Information Systems); plus

  • Intermediate knowledge of Microsoft Office products (Word, Excel, Access)

  • Basic knowledge of data analysis, manipulation techniques, and statistics

  • Basic knowledge of database principles

  • Excellent analytical, problem solving, verbal and written communication skills (cover letter will be used as a writing sample, please bring a second writing sample to the interview)

  • Demonstrated organizational skills with ability to multi-task and follow up

  • Ability to adhere to tight schedules and target dates

  • Ability to work independently and as a team player

Preferred:

  • Certified Professional Coder credential

  • Working knowledge of SQL or similar database languages

  • Experience in care management

  • Experience with Medicaid claims operations

  • Detailed understanding of Medicaid policies and procedures at both Federal and State levels

  • Demonstrated proficiency in adapting/tailoring best practices/processes to business needs

*This position is based 'on site' in Anchorage. The incumbent must be local to the area.

Xerox is an Equal Opportunity Employer and considers applicants for all positions without regard to race, color, creed, religion, ancestry, national origin, age, gender identity, sex, marital status, sexual orientation, physical or mental disability, use of a guide dog or service animal, military/veteran status, citizenship status, basis of genetic information, or any other group protected by law. People with disabilities who need a reasonable accommodation to apply or compete for employment with Xerox may request such accommodation(s) by sending an e-mail to accommodations@xerox.com. Be sure to include your name, the job you are interested in, and the accommodation you are seeking.

Job: Customer Care

Organization: Enterprise Projects BG Site

Title: Care Management Program Analyst - Healthcare

Location: Alaska-Anchorage

Requisition ID: 16031730

Virtual/work from home? No