Medicaid Waiver Provider Network Builder

Eastern Nebraska Office on Aging - ENOA; United States; On-site; USD 42,000 - 60,000; Full time

Job summary

Eastern Nebraska Office on Aging (ENOA) is seeking a Medicaid Waiver Resource Developer to identify, recruit, develop, and support service providers and community resources to ensure Nebraskans have access to quality services.

This role collaborates with providers, service coordinators, participants, and community partners to expand capacity while ensuring compliance with applicable regulations and program requirements.

Qualifications

• High school diploma or equivalent.
• Coursework in social work, sociology, gerontology, human services, or a related field.
• Bachelor's degree in Human Services, Social Work, Public Administration, Business Administration, or a related field preferred.
• Strong communication, relationship-building, and organizational skills.
• Ability to analyze information, solve problems, and manage multiple priorities.
• Valid driver's license and ability to operate a vehicle.

Responsibilities

• Must report to work as scheduled on a regular and reliable basis.
• Complete required pre-service orientation and training.
• Maintain confidentiality of client information and comply with HIPAA regulations.
• Understand and comply with applicable laws, rules, regulations, policies for ENOA and ENHSA.
• Communicate clearly, both orally and in writing, and build relationships with providers, coordinators, staff, and the public.
• Be a strong team player and support clients and their informal support systems.
• Maintain good computer skills and knowledge of Microsoft Office.
• Recruit, develop, and maintain qualified service providers.
• Coordinate provider enrollment and onboarding activities.
• Provide training, technical assistance, and ongoing support to providers.
• Conduct provider monitoring and quality assurance reviews.
• Maintain accurate documentation and records; facilitate renewals.
• Educate providers on program policies, billing requirements, and service standards.
• Monitor compliance with state, federal, and organizational regulations.
• Investigate reports of abuse, neglect, exploitation, fraud, or other concerns involving provider services.
• Consult with supervisor regarding provider-related issues.
• Scan and upload provider information to provider databases.
• Perform other duties as assigned by designated leadership.

Skills

Driver's license

Communication skills

Relationship-building

Organizational skills

Problem solving

Multi-tasking

Microsoft Office

Education

High school diploma or equivalent

Coursework in social work, sociology, gerontology, human services, or related field

Bachelor's degree in Human Services, Social Work, Public Administration, Business Administration, or related field preferred

Tools

Microsoft Office

Job description

Eastern Nebraska Office on Aging (ENOA) is seeking a Medicaid Waiver Resource Developer to identify, recruit, develop, and support service providers and community resources to ensure Nebraskans have access to quality services.

This role collaborates with providers, service coordinators, participants, and community partners to expand capacity while ensuring compliance with applicable regulations and program requirements.