Healthcare Case Manager - Ohio - Remote Opportunity
About the Role:
Join our dynamic team at Workwarp as a Healthcare Case Manager! In this remote-based position, you'll play a vital role in managing Federal medical insurance and Long-Term Care lines of business for a valued client. You'll collaborate with our client's Arrangement Chief to drive successful development and execution strategies, ensuring efficient operations and positive outcomes.
Key Responsibilities:
Manage and oversee Federal medical insurance and Long-Term Care cases.
Collaborate with the Arrangement Chief on the development and implementation of strategic initiatives.
Develop and execute strategies for assigned regions, ensuring alignment with organizational goals.
Lead the implementation of new programs, services, and grant proposals.
Work with cross-functional teams to develop and implement operational frameworks.
Contribute to marketing and public relations strategies within state guidelines.
Assist in budget planning and variance reporting for assigned regions.
Foster strong relationships with provider organizations.
Serve as a key point of contact with regulatory and state agencies.
Ensure compliance with all applicable regulations, policies, and procedures.
Qualifications:
Experience in taxpayer-supported initiatives such as Medicaid, Medicare, or Dual Eligible programs.
Strong understanding of case management systems, value-based agreements, TP/COB, pharmacy claims, network contracting, and provider data.
Knowledge of quality improvement programs (NQA and HEDIS) and their impact on case management.
Proficiency in credentialing, provider relations, and network development.
Excellent communication and interpersonal skills, with a strong understanding of Medicaid marketing and community engagement.
Ability to work collaboratively across teams and analyze data to develop actionable insights.
Demonstrated leadership in process improvement, project management, and financial analysis.
Work Environment:
This position is based in Louisiana, with requirements for current residency or relocation.
Hybrid work model (in-office Tuesdays, Wednesdays, and Thursdays).
A relocation package will be considered for qualified candidates.
We Offer:
A competitive salary of $30/hour and the opportunity to make a real difference in the lives of individuals and families. If you're a passionate and experienced healthcare professional, we encourage you to apply!
Apply Now:
Apply Now
Apply Now
Join our dynamic team at Workwarp as a Healthcare Case Manager! In this remote-based position, you'll play a vital role in managing Federal medical insurance and Long-Term Care lines of business for a valued client. You'll collaborate with our client's Arrangement Chief to drive successful development and execution strategies, ensuring efficient operations and positive outcomes.
Key Responsibilities:
Manage and oversee Federal medical insurance and Long-Term Care cases.
Collaborate with the Arrangement Chief on the development and implementation of strategic initiatives.
Develop and execute strategies for assigned regions, ensuring alignment with organizational goals.
Lead the implementation of new programs, services, and grant proposals.
Work with cross-functional teams to develop and implement operational frameworks.
Contribute to marketing and public relations strategies within state guidelines.
Assist in budget planning and variance reporting for assigned regions.
Foster strong relationships with provider organizations.
Serve as a key point of contact with regulatory and state agencies.
Ensure compliance with all applicable regulations, policies, and procedures.
Qualifications:
Experience in taxpayer-supported initiatives such as Medicaid, Medicare, or Dual Eligible programs.
Strong understanding of case management systems, value-based agreements, TP/COB, pharmacy claims, network contracting, and provider data.
Knowledge of quality improvement programs (NQA and HEDIS) and their impact on case management.
Proficiency in credentialing, provider relations, and network development.
Excellent communication and interpersonal skills, with a strong understanding of Medicaid marketing and community engagement.
Ability to work collaboratively across teams and analyze data to develop actionable insights.
Demonstrated leadership in process improvement, project management, and financial analysis.
Work Environment:
This position is based in Louisiana, with requirements for current residency or relocation.
Hybrid work model (in-office Tuesdays, Wednesdays, and Thursdays).
A relocation package will be considered for qualified candidates.
We Offer:
A competitive salary of $30/hour and the opportunity to make a real difference in the lives of individuals and families. If you're a passionate and experienced healthcare professional, we encourage you to apply!
Apply Now:
Apply Now
Apply Now