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Director, Long Term Care & Support Services, Albuquerque, NM


Organization: Centene
Category: Director
Location: Albuquerque, NM
Date Job Posted: January 20, 2020
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Director, Long Term Care & Support Services

Albuquerque, New Mexico
Job ID 1171344
Category Leadership
Organization Western Sky Community Care
Schedule Full-time

Description:

Position 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

Qualifications:

Education/Experience:

Bachelor’s degree in Business Administration, related field, or equivalent experience
7+ years of experience with state programs related to LTC and HCBS
Must have thorough knowledge of LTC and HCBS guidelines, rules and requirements
Previous management experience including responsibilities for hiring, training, assigning work and managing performance of staff

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

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