Enrollment Coordinator - Human Services Program Representative 1

Enrollment Coordinator

Job Class : Human Services Program Representative 1

Agency : Human Services Dept

Location : St. Paul

Telework Eligible : Yes

Full / Part Time : Full-Time

Regular / Temporary : Unlimited

Who May Apply : Open to all qualified job seekers

Salary Range : $28.82 - $42.31 / hourly; $60,176 - $88,343 / annually

Classified Status : Classified

Bargaining Unit / Union : 214 - MN Assoc of Professional Empl / MAPE

FLSA Status : Nonexempt

The work you'll do is more than just a job. At the State of Minnesota, employees play a critical role in developing policies, providing essential services, and working to improve the well-being and quality of life for all Minnesotans. The State of Minnesota is committed to equity and inclusion, and invests in employees by providing benefits, support resources, and training and development opportunities.

This position is eligible for telework for applicants who reside in Minnesota or in a bordering state, with supervisory approval and satisfactory performance. If you live in a state bordering Minnesota, you must live within 50 miles or less from the primary work location to be eligible for telework.

The Managed Care Enrollment team exists to ensure : MHCP recipients receive accurate and timely PMHCP service delivery and benefits. MHCP recipients know the service delivery options available to them and the benefits for which they are eligible. Accurate and appropriate PMHCP payments to MCOs. State and federal laws, regulations, policy, processes, and contracts related to PMHCP enrollment and education are implemented and followed.

Responsibilities include :

• Monitor, account for, and correct MHCP transactions relating to managed care enrollment and capitation payments so that payments and adjustments are accurate, timely, and meet contract requirements and the needs of consumers.
• Provide technical support, services, and education to MCOs and MHCPE related to managed care systems and enrollment.
• Review and analyze reports and data, monitor changes and other activities, and take needed actions related to managed care enrollment and education compliance.
• Participate in efforts to create, update, and distribute consumer PMHCP, MCO, and MHCPE educational materials and information.
• Participate in department, administration, and division efforts related to MHCP systems, continuous improvement efforts, and other projects related to managed care.

Minimum Qualifications

Two years of professional experience working with Minnesota Health Care Programs (example : Minnesota Care, Medical Assistance, home and community-based services) demonstrating the following :

Preferred Qualifications

Private and public sector health insurance experience. Knowledge of Managed care policy and payment process. Experience enrolling consumers in a health plan and reviewing enrollment applications. Experience with the workflow component of FileNet. Experience working with SharePoint. Experience with or knowledge of continuous improvement efforts. Variety of experiences working effectively with others from different backgrounds and cultures.

Reference / background checks will be conducted. Minnesota State Colleges and Universities is an Equal Opportunity employer / educator committed to the principles of diversity. We prohibit discrimination against qualified individuals based on their race, sex, color, creed, religion, age, national origin, disability, protected veteran status, marital status, status with regard to public assistance, sexual orientation, gender identity, gender expression, or membership in a local commission as defined by law. As an affirmative action employer, we actively seek and encourage applications from women, minorities, persons with disabilities, and individuals with protected veteran status. Reasonable accommodations will be made to all qualified applicants with disabilities. If you are an individual with a disability who needs assistance or cannot access the online job application system, please contact the job information line at 651-259-3637 or email careers@state.mn.us . Please indicate what assistance is needed.