Job Information
WorkSource Oregon Medicaid Member & Provider Services Manager in PORTLAND, Oregon
Do you have a desire to help people in Oregon who rely upon Medicaid and Oregon Health Plan to assure equitable access and reduce disparities? Are you passionate about co-creating a positive and collaborative working environment, supporting process improvement, knowledge sharing, and person-centered engagement? We look forward to hearing from you! What you will do! Medicaid Member Services Manager. The primary purpose of this position is to manage and direct the activities and day to day administration for Member Services which includes Client Enrollment Services (CES) and Client Services Unit (CSU) call center staff. \' CES is responsible for researching, analyzing, validating and taking appropriate actions on enrollment requests for members into Coordinated Care Organizations (CCOs). \' CSU is the call center responsible for answering and addressing questions, concerns and issues for Medicaid members. Medicaid Provider Services Manager. The primary purpose of this position is to manage and direct the activities and day to day administration for Provider Services Unit (PSU) call center staff and Provider Enrollment Unit (PEU) call center and enrollment staff. \' PSU call center is responsible for answering provider questions primarily on healthcare claims issues to help ensure OHP providers receive accurate and timely Medicaid payments. \' PEU is responsible for screening and enrolling providers into the Medicaid system. The call center is responsible for answering and addressing questions, concerns and issues for Medicaid providers regarding enrollment. Minimum Qualifications Four Years of lead work, supervision, or progressively related experience; OR one year of related experience and a Bachelor\'s degree in a related field. Desired Attributes \' Preference may be given for the ability to read, write, speak and interpret English and one of the 5 most common languages in Oregon other than English (Spanish, Vietnamese, Chinese, Russian, and Korean) with full proficiency in a culturally humble manner.