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Provider Specialist

Company: VirtualVocations
Location: Waterbury
Posted on: April 12, 2025

Job Description:

A company is looking for a Provider Specialist.
Key Responsibilities

Monitor compliance of the Physical Health MCO's Enhanced Member Support Units (EMSU's) for assigned MCO/s
Address reported member issues referred by various stakeholders and follow cases until resolved
Coordinate EPSDT Age Out transitions and participate in Resource Facilitation Meetings

Required Qualifications

High School Diploma
One year of professional experience in human services, sociology, public health, health care services, or health care insurance programs
Bachelor's degree in Human Services or Education Field
Experience with Managed Care Organizations (MCOs) required

Keywords: VirtualVocations, Freeport , Provider Specialist, Other , Waterbury, New York

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