LTSS Support Specialist
Molina Healthcare Detroit, Michigan; Flint, Michigan; Grand Rapids, Michigan; Traverse City, Michigan Job ID 2031432The LTSS Support Specialist will be supporting Population Health MI Medicaid members. We are looking for candidates with healthcare administrative experience., excellence customer services, Strong Technical skills with experience using Microsoft Office, including Excel, Outlook, PowerPoint, and SharePoint. Ability to toggle back and forth between multiple screens and databases. Prefers candidates with manage care and Medicaid experience.
Home office with internet connectivity of high speed required.
Field Travel – (Ann Arbor, Detroit, Flint, Grand Rapids, Midland, Traverse City)
Monday – Friday 8:00 AM to 5 PM EST (No weekends or Holidays)
Job Summary
Molina Population Health works with members, providers and multidisciplinary Molina teams, including Healthcare Services, Quality, Provider Networking, and Finance, along with community-based organizations and other stakeholders to bring population health strategies to members. The LTSS Support Specialist will support the Population Health team to operationalize the new In Lieu of Services (ILOS) benefit for Michigan Medicaid members.
Knowledge/Skills/Abilities
- Provide non-clinical operational support for Molina Healthcare of Michigan’s In Lieu of Service (ILOS) program in alignment with the scope of work identified in the health plan’s contract and ILOS implementation plan.
- Collaborates with Molina Care Managers, Utilization Management, Healthcare Services (HCS), and Provider Network teams to support ILOS service delivery as appropriate, including responding to questions as point of contact for Molina’s ILOS workflow and member service delivery
- Supports Population Health team’s engagement with community-based organizations and ILOS providers, including triaging issues and providing timely responses to questions
- Responsible for documentation and data entry of ILOS utilization, including monitoring referral volume and tracking service delivery at the member and plan level
- Managing tracking and distribution of produce prescription vouchers
- Maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA).
- Attend internal meetings and outreach meetings as assigned.
- Other administrative functions as needed.
- Local travel - 15-20% of the time.
- Candidate must be based in Michigan.
Job Qualifications
Required Education
HS Diploma or GED
Required Experience
• 1-3 years experience in an administrative support role in healthcare.
• Experience demonstrating ability to handle multiple work tasks, prioritize tasks, and excellent problem solving.
• Experience demonstrating strong communication skills.
Required License, Certification, Association
Must have valid driver's license with good driving record and be able to drive within applicable state or locality with reliable transportation.
Preferred Education
Associate's Degree
Preferred Experience
• 3+ years experience in an administrative support role in healthcare, Medical Assistant preferred.
• 2 years Long Term Care experience preferred and/or Managed Care experience.
• Fluency of second language highly desired.
Preferred License, Certification, Association
N/A
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $16.4 - $31.97 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
About Us
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Job Type: Full Time Posting Date: 06/03/2025ABOUT OUR LOCATION
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