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Tribal Government Liaison/Provider Relations Representative.

Company: MCNA Dental
Location: Poteau
Posted on: May 4, 2021

Job Description:

MCNA Dental is seeking a Tribal Government Liaison/Provider Relations Representative. The candidate is responsible for maintaining working relationships with MCNA's Oklahoma Tribes and Medicaid Provider Network. Provides training and education regarding policy and procedures and covered benefits. Provides ongoing support for any issues. May assist with Network Management and Network Development as needed.

Responsibilities:

--- Assists in the implementation of the Provider Relations Department processes, provider education programs and ov erall network functions
--- Works with the management team to develop and revise the Provider Manual. Assists in ensuring that the manual meets operational, regulatory, and accreditation requirements
--- Carries out the site review process (for credentialing and re-credentialing), provider manual documentation for education and training, referral and authorization procedures, and department activities
--- Serves as a mode of communication to provider offices
--- Assists in meeting organizational goals and objectives
--- Acts as the liaison between the provider groups and the plan
--- Represents MCNA as a liaison between Oklahoma Native American Tribes, and the plan.
--- Carries out methods of communication to the providers for changes, revisions, issue resolution, and general notices/updates from the plan
--- Attends Provider Relations meetings to determine network access and availability, and meeting the requirements for ongoing membership needs
--- Assists with network publication, reports, updates, revision, analysis, and reporting to appropriate internal staff and the Dental Management Committee
--- Provides provider training and education manual and processes, documentation, reviews
--- Other plan required duties and responsibilities as deemed necessary and appropriate

Job Requirements: Minimum Qualifications:

--- High School Diploma or GED required
--- Bachelors Degree in any related field preferred
--- At least two years customer service experience required
--- Experience in Medicaid managed care preferred
--- Bilingual or Trilingual preferred (English/Spanish or English/Spanish/French Creole)

Knowledge and Skills:

--- Proficiency in Microsoft Office (PowerPoint, Excel, Word)
--- Excellent oral and written communication skills
--- Effective analytical problem solving skills
--- Ability to travel extensively
--- Ability to deliver presentations (Provider training/education)
--- Ability to foster positive, productive working relationships
--- Ability to conduct self in an acceptable, professional manner and adhere to ethical standards and confidentiality requirements

**This position allows for telecommuting**

This is a full time position with a competitive salary based upon experience and qualifications. Some of the benefits MCNA offers are medical, dental, vision, Colonial, company paid life insurance, 401k, as well as paid vacation, sick and holiday time.
MCNA is an Equal Opportunity Employer -----M/F/D/V
Please check out our website:

"It's a great day at MCNA!"

Keywords: MCNA Dental, Fort Smith , Tribal Government Liaison/Provider Relations Representative., Government & Protective Services , Poteau, Arkansas

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