EPSDT Coordinator

Socket.dev; Michigan; Hybrid; USD 48,000 - 83,000; Full time

Job summary

Centene is seeking a program coordinator to manage the EPSDT program across the U.S. You will plan, coordinate, and monitor activities to ensure compliance with state and NCQA standards, and to promote preventive care among enrollees and providers.

The role favors candidates in Oklahoma and those bilingual in English and Spanish, with prior provider office experience and strong communication skills, and offers a remote work arrangement with opportunities to collaborate across Health Plan

Qualifications

• Associate’s degree in related area or equivalent experience.
• 1+ years of community relations or public health/service experience, preferably in a managed care or pediatric environment.

Responsibilities

• Conduct outreach to encourage enrollees to access preventative care and assist with making appointments/arrangements as necessary
• Monitor provider compliance with EPSDT program
• Collaborate with and communicate to providers the importance of all aspects of the EPSDT program, including blood testing, immunization schedules, and periodicity schedule compliance
• Maintains appropriate records, files, documentation, etc.
• Develop newsletters, articles, and web postings centered on EPSDT elements directed at members and providers
• Assist in development, implementation and coordination of improvement plans to obtain/surpass the performance goals set by the Health Plans
• Coordinate with other Health Plan departments and strategize improvement plan interventions and appropriate outreach activities.
• Facilitate EPSDT related reviews and follow up that are initiated by the state
• Attend EPSDT related DOH meetings as appropriate

Education

Associate’s degree

Job description

Upload your resume and get a skill-by-skill breakdown — see exactly where you match, where you're close, and what to highlight. Not a mystery percentage.

Get a tailored resume highlighting what this role needs.

Position Purpose:

Plan, organize, and coordinate all aspects of the EPSDT (Early Preventative Screening Diagnostic Testing) program. Ensure compliance of EPSDT with all state and federal requirements and NCQA standards.

Key Details:

Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.

This is a remote position, and candidates may be considered from anywhere within the continental United States. Preference will be given to candidates who reside in Oklahoma, are bilingual in English and Spanish, have prior provider office experience, and demonstrate strong communication skills.

• Conduct outreach to encourage enrollees to access preventative care and assist with making appointments/arrangements as necessary


• Monitor provider compliance with EPSDT program


• Collaborate with and communicate to providers the importance of all aspects of the EPSDT program, including blood testing, immunization schedules, and periodicity schedule compliance


• Develop newsletters, articles, and web postings centered on EPSDT elements directed at members and providers


• Assist in development, implementation and coordination of improvement plans to obtain/surpass the performance goals set by the Health Plans


• Coordinate with other Health Plan departments and strategize improvement plan interventions and appropriate outreach activities.


• Facilitate EPSDT related reviews and follow up that are initiated by the state


• Attend EPSDT related DOH meetings as appropriate

Position Purpose:

Plan, organize, and coordinate all aspects of the EPSDT (Early Preventative Screening Diagnostic Testing) program. Ensure compliance of EPSDT with all state and federal requirements and NCQA standards.

Key Details:

Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.

This is a remote position, and candidates may be considered from anywhere within the continental United States. Preference will be given to candidates who reside in Oklahoma, are bilingual in English and Spanish, have prior provider office experience, and demonstrate strong communication skills.

• Conduct outreach to encourage enrollees to access preventative care and assist with making appointments/arrangements as necessary


• Monitor provider compliance with EPSDT program


• Collaborate with and communicate to providers the importance of all aspects of the EPSDT program, including blood testing, immunization schedules, and periodicity schedule compliance


• Maintains appropriate records, files, documentation, etc.


• Develop newsletters, articles, and web postings centered on EPSDT elements directed at members and providers


• Assist in development, implementation and coordination of improvement plans to obtain/surpass the performance goals set by the Health Plans


• Coordinate with other Health Plan departments and strategize improvement plan interventions and appropriate outreach activities.


• Facilitate EPSDT related reviews and follow up that are initiated by the state


• Attend EPSDT related DOH meetings as appropriate

Education/Experience:

Associate’s degree in related area or equivalent experience. 1+ years of community relations or public health/service experience, preferably in a managed care or pediatric environment.

Pay Range: $23.23 - $39.61 per hour

At Centene, we connect people to the care they need to live healthier lives - and the work you do here makes that impact real every day.

You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It's work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.

Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

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.

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act