Centene Corporation Director, Long Term Care & Support Services in Albuquerque, New Mexico

ProfessionalPosition Purpose: Implement and oversee all Long Term Care (LTC) services and Home and Community Based Services (HCBS) in designated service area.

  • Develop project plans to implement LTC services and HCBS, including ongoing administration

  • Collaborate with configuration, claims, contracting and provider data management to ensure that necessary networks are established and accurate coding in related systems to eliminate over payments, interest, and waste

  • Provide training and develop training materials related to benefits, state administrative codes, and day to day workings of the program

  • Oversee vendor fiduciary responsibilities of the payroll processing for personal care attendants to ensure the timely receipt of files, payroll administration, development of audit reports, and ensure effective communication with joint partner

  • Develop reports to monitor performance and process related to LTC and waiver services and communicate progress to management

  • Establish best practices and standard operating procedures

  • Serve as subject matter expert on benefits and waivers

TITLE: Director, Long Term Care & Support Services

LOCATION: Albuquerque, New Mexico

REQNUMBER: 1092037

COMPANY: Health Insurance Operations

POSITION TYPE: Professional