Specialist, Waiver Support

Molina Healthcare, Inc.; Houston (TX); On-site; USD 20,526 - 40,033; Full time

Benefits offered by this job

Competitive benefits and compensation package

Job summary

A health care provider located in Houston, Texas, is seeking a dedicated individual to support member waiver coordination activities. The successful candidate will assist in non-clinical operational processes and ensure effective communication with state agencies. A year of administrative experience in healthcare, excellent problem-solving skills, and proficiency in Microsoft Office are required. The position offers a competitive hourly pay ranging from $14.90 to $29.06 with benefits included.

Qualifications

• At least one year of experience in an administrative support role in a health-care setting.
• Ability to manage multiple work tasks and prioritize.
• Proficiency in Microsoft Office suite/applicable software program(s).

Responsibilities

• Provide non-clinical operational support for member waiver coordination.
• Facilitate communication between waiver coordination and state program support.
• Monitor status of member assessments and eligibility.
• Maintain confidentiality and comply with HIPAA.

Skills

Administrative support experience

Problem-solving skills

Verbal communication skills

Written communication skills

Microsoft Office proficiency

Job description

Job Summary

Provides support for member waiver coordination activities. Contributes to interdisciplinary team efforts supporting provision of integrated delivery of care across the continuum, and overarching strategy to provide quality and cost-effective member care.

Responsibilities

• Provides non‑clinical operational support for member waiver coordination processes.
• Facilitates communication between waiver coordination and the state program support unit.
• Receives initial state referrals for waiver services and works with long‑term services and supports (LTSS) to schedule initial assessment.
• Monitors status of initial member assessments, reassessments and transition assessments.
• Interfaces with the state agency that determines eligibility for LTSS, to process and obtain approval of waiver services.
• Monitors transition process of nursing facility members in custodial beds to return to the community.
• Initiates referrals for Medicare and waiver process if the member is not already Medicare or waiver established.
• Tracks referrals and case documents via designated state systems.
• Tracks activities occurring within the transitional, assessment and authorization processes—using internal systems and designated state systems—and reports results accordingly.
• Ensures Medicaid and waiver eligibility has been requested and received from state partners before transition/services are initiated.
• Maintains confidentiality and complies with Health Insurance Portability and Accountability Act (HIPAA).
• Attends internal meetings and regularly scheduled calls as assigned.

Required Qualifications

• At least one year of experience in an administrative support role in a health‑care setting, or equivalent combination of relevant education and experience.
• Ability to manage multiple work tasks and prioritize.
• Excellent problem‑solving skills.
• Strong verbal and written communication skills.
• Microsoft Office suite/applicable software program(s) proficiency, and ability to learn new programs.

Preferred Qualifications

• Certified Medical Assistant (CMA).
• Long‑term care and/or managed care experience.

Internal Applicants

If you are a current Molina employee interested in this position, please apply through the Internal Job Board.

Benefits & Compensation

Molina Healthcare offers a competitive benefits and compensation package.

Pay Range: $14.90 – $29.06 / HOURLY

Actual compensation may vary from posting based on geographic location, work experience, education, and/or skill level.

Equal‑Opportunity Statement

Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.