Program Manager - Managed Care

Company: Thomas Allen Inc.
Location: Burnsville
Posted on: May 21, 2023

Job Description:

Thomas Allen's Managed Care Division is Hiring a Program Manager! LOCATION: Burnsville HOURS AVAILABLE: 40 hours/week JOB SUMMARY: As the Program Manager in Managed Care, you will be the primary contact for health plan representatives and should ensure high-quality services are provided in accordance with health plan and DHS expectations. You will also be responsible for case assignment, hiring, training, and direct supervision of contracted care coordinators. DUTIES INCLUDE: Recruitment and ensuring employees receive all required orientation information Provide ongoing support, guidance, training, and supervision to all personnel Completing performance evaluations Reviewing time cards and reimbursement claims Scheduling and supporting general office operations Ensuring insurance binders and licensure are submitted and up to date Ensuring all paperwork and records are accurate and up to date Manage the referral process Conduct quality assurance audits and assist with surveys Communicate with lead agencies and county representatives Review all billing forms, design policies and forms Attend meetings and training, be a positive representative of the company Complete other duties as assigned REQUIREMENTS: Graduate from an accredited four-year college with a major in social work AND maintain licensure by the Minnesota Board of Social Work. It is required to hold an active temporary or permanent social work license upon start date if a social work degree was obtained; OR Graduate from an accredited four-year college with a major in psychology, sociology or a closely related field ; OR Graduate from an accredited four-year college with a major in any field and have one year experience as a Social Worker in a Public or Private Social Service Agency. Meeting the minimum qualifications of a social worker under the Minnesota Merit System (per Minnesota Rule 9575) At least 2 years of professional full-time Case Management experience OR in a related position AND at least 3 years of human services experience Knowledge of MA, Medicare, and MN Healthcare Programs strongly preferred Must be at least 18 years of age Background clearance Ability to effectively communicate in English, written and verbal Driver's license, acceptable driving record, and proof of auto insurance required Full-Time Benefits: Medical, dental, vision, disability and life insurance Health Savings Account, Flexible Spending Account, and Dependent Care Account 401(k) and Profit Sharing Tuition, licensure, and certification reimbursement Paid holidays Paid time off Floating holiday to be used when you need it Thomas Allen, Inc. is a social services agency that provides a variety of person-centered services to individuals with disabilities throughout the state of Minnesota. Our team of nearly 800 employees are key players in assisting individuals served with group home support, semi-independent and independent living, case management, care coordination, and guardianship. As our agency continues to grow, we are looking for team members with diverse perspectives and backgrounds who are passionate about providing services that empower those we support. Thomas Allen, Inc. is an Equal Opportunity and Affirmative Action Employer of all people without regard to race, color, creed, religion, national origin, sex, sexual orientation, disability, age, marital status, familial status, veteran's status, membership or activity in a local human rights commission, or status with regard to public assistance. Join our team and make a difference!

Keywords: Thomas Allen Inc., Burnsville , Program Manager - Managed Care, Executive , Burnsville, Minnesota