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The Medicaid Managed Care Liaison is responsible for ensuring coordination of care with internal and external stakeholders while assuring and monitoring access to health care for youth and families. Experience in the mental health, child welfare and/or public/private health insurance heavily preferred.

Job Responsibilities

• Coordinate with the MMCP's Foster Care Liaison /Coordinator
• Inform and coordinate with MMCP when a child's primary care provider needs to be changed
• Serves as the primary point of contact for the MMCP to assist with: enrollment/disenrollment, and transitions; notifications; prior authorizations; concurrent reviews; replacement insurance cards; consent and/or confidentiality issues
• Support with foster care placement changes including access to health care
• Assist with facilitating a single case agreement when a child is placed outside of the MMCP's service area or provide network
• Communicate with clinical and billing staff timely as it relates to consent, claims issues and other activities related to enrollment and other issues
• Refer children for needed services and assist in provider selection
• Coordinate with health care providers, including school and community-based services

Job Requirements

• High School Diploma or GED REQUIRED, Associate's Degree preferred.
• Minimum of 2 years of experience in the field of mental health, child welfare and/or public and private health insurance - Preferred.
• Demonstrated ability to handle confidential and sensitive information with extreme discretion, demonstrated knowledge of HIPAA regulations.
• Must have a current, valid driver's license.
• Ability to work with economically and culturally diverse population.
• Skills:
• Relationship management skills
• Ability to engage youth and families, community partners, and stakeholders.

Salary Range:

• 1 year of experience = $19.47/hr or $40,500k/yr
• 3 year of experience = $20.19/hr or $42,500k/yr
• 5 year of experience = $20.91/hr or$43,500k/yr

Equal Opportunity Employer

Berkshire Farm Center & Services for Youth is an equal opportunity employer and does not discriminate on the basis of age, race, creed, color, national origin, sexual orientation, military status, sex, pregnancy, gender identity or expression, disability, marital status, or any other basis covered by appropriate law.

We are committed to fostering an inclusive, equitable, and accessible environment where diversity is valued and recognized as a source of strength and enrichment. We seek to attract talented people from a diverse range of backgrounds and cultures.

As a federal contractor, Berkshire Farm Center & Services for Youth will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c)