Special Needs Plan Program Specialist

This role involves conducting health risk assessments to determine eligibility for Special Supplemental Benefits for the Chronically Ill (SSBCI) and reviewing individualized care plans. The specialist monitors member health status through targeted interventions and telephone outreach, ensuring compliance with care plans and identifying opportunities for improvement. The position requires coordinating with physicians and members to complete assessments and manage referrals while maintaining accurate reports and adhering to regulatory standards.