H.R.1 Managed Care Organization (MCO) Coordinator (HCA/MAD #10118666) State of New Mexico - 3.5 Albuquerque, NM Job Details Full-time $27.37 - $41.06 an hour 4 hours ago Benefits Health insurance Qualifications Driver's License Full Job Description Posting Details Interviews are anticipated to be conducted within two weeks of closing date. This job posting may be used to fill multiple vacancies. Our Vision Every New Mexican has access to affordable health care coverage through a coordinated and seamless health care system. Our Mission We ensure that New Mexicans attain their highest level of health by providing whole-person, cost-effective, accessible, and high-quality health care and safety-net services. Our Goals Leverage purchasing power and partnerships to create innovative policies and models of comprehensive health care coverage that improve the health and well-being of New Mexicans and the workforce. Achieve health equity by addressing poverty, discrimination, and lack of resources, building a New Mexico where everyone thrives. Implement innovative technology and data-driven decision-making to provide unparalleled, convenient access to services and information. Build the best team in state government by supporting employees continuous growth and wellness. Why does the job exist? The H.R.1 Managed Care Organization (MCO) Coordinator will: Provide direct oversight, monitoring and compliance of the Medicaid Managed Care Organization (MCO) contracts; Participate in the enhancement or revision of contract amendments, policy manual, and the development of regulatory language as needed; Actively participate in the managed care procurement process, waiver renewal process, state plan amendment process, NMAC regulation revisions, and audits as needed and requested. How does it get done? The

H.R.1 MCO

Coordinator is responsible for: Leading and directing oversight and monitoring activities of the MCO (s); Providing ongoing feedback and identifying trends as part of ongoing contract oversight activities; Collaboratively working with coworkers within and outside the division on reviewing and problem-solving on projects, issues and concerns regarding managed care; Cultivating productive, effective work relationships with the MCO clinical and administrative staff to achieve contract goals and objectives and serves as a resource for health care assistance and information to consumers, consumer advocates providers and the general public regarding the Medicaid managed care program. Who are the customers? Internal and External Stakeholders throughout Healthcare Authority (HCA); Medical Assistance Division (MAD); HCA Office of the Secretary (OOS); Centers for Medicare and Medicaid Services (CMS); Federal Partners, State Legislature, and all New Mexicans; Ideal Candidate Internal and External Stakeholders throughout Healthcare Authority (HCA); Medical Assistance Division (MAD); HCA Office of the Secretary (OOS); Centers for Medicare and Medicaid Services (CMS); Federal Partners, State Legislature, and all New Mexicans; Minimum Qualification Associate degree in Business Administration, Healthcare Administration, Statistics, Finance, or a related field and two (2) years of experience with a public assistance program, medical, healthcare, educational, or state facility working with policies and procedures, conducting analysis/research, providing or requesting information from the general public, working with communities, working on health or social service related matters, social work/case management, behavioral health, and/or health care. Any combination of education from an accredited college or university in a related field and/or direct experience in this occupation totaling four (4) years may substitute for the required education and experience. Employment Requirements Must possess and maintain a valid driver's license. Must obtain a Defensive driving certification. Working Conditions Work is performed in an office setting with exposure to Visual/Video Display Terminal (VDT), extensive personal computer and phone usage with extended periods of sitting. Supplemental Information Do you know what Total Compensation is? Click here

Agency Contact Information:

Jolene Jaffa, (505) 690-9920. Email For information on Statutory Requirements for this position, click the Classification Description link on the job advertisement. Bargaining Unit Position This position is covered by a collective bargaining agreement and all terms/conditions of that agreement apply and must be adhered to.