Project Coordinator, Commercial Programs - Michigan at McLaren Health Care

Flint, Michigan, United States -

Full Time

Start Date

Immediate

Expiry Date

15 Sep, 26

Salary

0.0

Posted On

17 Jun, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Project Coordination, Commercial Program Execution, Operational Performance, Issue Resolution, Member Outreach, Provider Engagement, Process Coordination, Managed Care Operations

Industry

Hospitals and Health Care

Description

McLaren Health Plan (MHP) is a company with a culture of high performance and a mission to help people live healthier and more satisfying lives. We are looking for a Coordinator, Project Commercial Programs to join in leading the organization forward. MHP is a Managed Care Organization dedicated to meeting the health care needs of each member. MHP offers multiple product lines, including individual and family plans, and Medicaid and Medicare plans to Michigan residents for every stage of life. McLaren Health Plan is accredited by the National Committee for Quality Assurance (NCQA). MHP values the talents and abilities of all our employees and seeks to foster an open, cooperative and dynamic environment in which employees and the health plan can thrive. As an employee of MHP, you will be a part of a dynamic organization that considers all our employees as leaders in driving the organization forward and delivering quality service to all our members. Learn more about McLaren Health Plan at https://www.mclarenhealthplan.org Position Summary: Provides project coordination support as assigned by direct leader to meet department and organizational goals. Assists where necessary or through project management those business ventures undertaken by the Company to ensure its profitable future. Department Specific Requirements: Commercial Programs Serves as a subject matter expert supporting commercial program execution, operational performance, and issue resolution. Participates in operational coordination for the commercial lines of business, including but not limited to ACA Marketplace, Medicare Supplement, and Employ-Sponsored Plans. Addresses member questions, resolves basic issues and escalates complex concerns or questions to Member Services for appropriate resolution and/or response. Participates in enrollee and provider outreach and engagement as needed, documenting all interactions as appropriate in Health Rules, Jiva, or other systems as appropriate. #LI-KH1 Required: Associate degree in business, information services or related field or a High School diploma or equivalent (GED) with two years’ of relevant experience and completion of a certification programs such as: APM (Associate in Project Management; CAPM (Certified Associate in Project Management. Two (2) years’ experience in process and/or project coordination Preferred: Bachelor’s degree in business, information services or related field Two (2) years’ experience and knowledge of HMO, or PPO (e.g. accounting/finance, reinsurance, regulatory compliance, claims processing, membership/eligibility, actuarial precepts).

Responsibilities

Provides project coordination support for commercial programs to meet organizational goals and ensure profitable business ventures. Serves as a subject matter expert for commercial lines of business, handling operational coordination and member issue resolution.