Managed Care Administrative Specialist

The Managed Care Administrative Specialist provides specialized administrative and operational support to the Managed Care Department, focusing on service authorizations, enrollment activities, billing denials, data integrity, and communications with internal and external partners. The role involves coordinating provider referrals, managing enrollment and disenrollment processes, maintaining accurate records in the A&D database, and collaborating with various teams to ensure compliance and seamless service transitions. This position requires strong organizational skills, attention to detail, and proficiency in Office 365 and healthcare databases.