Case Manager or Case Coordinator

Job Description

Job Description

Position Description :: Required Skills :: Experience with a managed Healthcare organization

Skill :: Case management experience :: M-F 7-5pm, will work 30-40 hours/week based on volume

Hybrid: can work fully remote or in office if they prefer. Not a requirement to be in office, but an option if they need assistance.

Job Description:: This position acts as the primary point of contact for processing documents related to service reductions, reviewing, and coordinating all process activities with DES/DDD. This position will require critical thinking and the ability to determine if the documentation supports the requirements of the adverse benefit change.

Skills:

• Ability to conduct research

• Ability to understand, interpret, and apply Federal and State laws, statutes, rules, regulations, and policies Ability to convey complex information in a written form in easily understood language, and is clear, concise, and supported by documentation.

• Skill in analyzing, evaluating, and interpreting a variety of programmatic information.

• Skill in problem-solving.

• Effective oral and written communication

• Work remotely and in the office as needed

• Work independently and follow standard operating procedures

• Training will be provided.

Experience:

- In reviewing and analyzing documents/information

- With a managed Healthcare organization

- Case management

Qualifications:

High School Diploma or GED

Company Description

About BCforward:

Founded in 1998 on the idea that industry leaders needed a professional service, and workforce management expert, to fuel the development and execution of core business and technology strategies, BCforward is a Black-owned firm providing unique solutions supporting value capture and digital product delivery needs for organizations around the world. Headquartered in Indianapolis, IN with an Offshore Development Center in Hyderabad, India, BCforward’s 6,000 consultants support more than 225 clients globally.

BCforward champions the power of human potential to help companies transform, accelerate, and scale. Guided by our core values of People-Centric, Optimism, Excellence, Diversity, and Accountability, our professionals have helped our clients achieve their strategic goals for more than 25 years. Our strong culture and clear values have enabled BCforward to become a market leader and best in class places to work.

BCforward is an equal opportunity employer.

Company Description

About BCforward:\r\n\r\nFounded in 1998 on the idea that industry leaders needed a professional service, and workforce management expert, to fuel the development and execution of core business and technology strategies, BCforward is a Black-owned firm providing unique solutions supporting value capture and digital product delivery needs for organizations around the world. Headquartered in Indianapolis, IN with an Offshore Development Center in Hyderabad, India, BCforward’s 6,000 consultants support more than 225 clients globally.\r\n\r\nBCforward champions the power of human potential to help companies transform, accelerate, and scale. Guided by our core values of People-Centric, Optimism, Excellence, Diversity, and Accountability, our professionals have helped our clients achieve their strategic goals for more than 25 years. Our strong culture and clear values have enabled BCforward to become a market leader and best in class places to work.\r\n\r\nBCforward is an equal opportunity employer.