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Policy Liaison

Company: Magellan Health Services
Location: Phoenix, AZ
Posted on: January 26, 2012

Job Description:

Magellan Health Services is a leading specialty health care management organization with expertise in managing behavioral health, radiology and specialty pharmaceuticals, as well as public sector pharmacy benefits programs. We deliver innovative solutions to make a positive impact on the cost and quality of health care, keeping the best interests of the people we serve at the center of our decision-making. The breadth of our offerings, depth of expertise, clinical excellence and smart, talented employees is what makes us unique.

Magellan is the employer of choice for hard working people interested in making a difference in the health care industry and in the communities where we work and live. Our strong culture of caring is the common thread in both our business strategy and our work environment where we value professional growth and development, total health and wellness, rewards and recognition and employee unity. Magellan is a place where you can thrive.

Job Summary

Under direction of the Policy Manager, the Policy Liaison ensures the currency of the Magellan Provider Manual and all its forms, attachments and other posted documents. The Liaison gathers public comments requested by ADHS/DBHS regarding proposed changes to the Provider Manual and other policies, and prepares Provider Communications and Notices announcing changes to practices, policies, procedures, the provider manual and other official documents. The Liaison also assists in creating, distributing and updating RBHA policies and procedures.

Essential Functions:

Collaborates with ADHS Bureau of Compliance to ensure the Magellan Provider Manual is current and accurate.

Distributes ADHS/DBHS public comment requests in a timely manner to Magellan leadership, internal subject matter experts and providers soliciting input and review of proposed Provider Manual changes. Facilitates response efforts, meets assigned deadlines, and prepares Magellan responses recommending modifications to ADHS/DBHS Policy & Procedure and the Provider Manual.

Facilitates inter-departmental efforts to prepare Magellan specific language and additional guidance to update the Magellan Provider Manual. Finalizes critical written guidance, publishes Provider Manual updates on the web and distributes Provider Notices announcing the changes to more than 600 staff and providers.

Tracks all internal and external requests for Provider Manual changes to ensure the Provider Manual is updated, reviewed, approved, distributed, and posted in a timely manner.

The Liaison also assists in creating, distributing and updating well written, understandable RBHA policies and procedures that are well written and reflective of each area’s best practices.

The Liaison also assists in conducting annual policy reviews to ensure that consistent, accurate and current written guidance is properly developed, updated, reviewed, approved, distributed, and posted to all appropriate locations.

Recommends practice adjustments, policy and procedure revisions, training and support in an effort to achieve full compliance.

Serves as a subject matter expert and point of contact for ADHS/DBHS regarding policy, procedure, and provider-manual related issues; conducting research on inquiries about existing policy and provider manual requirements.

Develops and implements training regarding federal and state compliance requirements and contract compliance.

Minimum Requirements:

Education: BA/BS.

Experience: 5-8 years.

Job Specific: Experience working with ADHS Bureau of Compliance preferred.

Computer Skills: Basic computer skills.

Other:

Excellent organization, time management and verbal and written communication skills.

Ability to view problems and issues from multiple perspectives.

Strong collaboration and interpersonal skills.

Knowledge of organizational policies and system-wide procedures.

If you share our vision and would like to explore this job opportunity, please visit our website at www.MagellanHealth.com under Join Our Team / Job Search (requisition 12302) for further information and to APPLY ONLINE!

Magellan offers competitive compensation and excellent benefits, including medical, dental, pharmacy, vision, generous time off, tuition reimbursement, and more.

At Magellan, we are proud to be a Tobacco-Free Workplace and an Equal Opportunity Employer

Keywords: Magellan Health Services, Phoenix , Policy Liaison, Health Care , Phoenix, AZ, Arizona


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