Medicaid Referrals
1 week ago
Location: Phoenix, AZ 85004
Employment Type: Full-Time
Work Model: Remote (must reside in Arizona; occasional local field meetings required)
About the Role
A rapidly growing national home care organization has recently opened a new Arizona market and is seeking a Medicaid Referrals / Outreach Manager to lead referral development across the Phoenix area. This role focuses on working with AHCCCS MCOs, building case management relationships, and expanding access to in-home care services.
The ideal candidate has direct experience working with Arizona Medicaid MCOs and understands AHCCCS referral and authorization workflows.
Key Responsibilities
- Develop referral pipelines through AHCCCS MCOs and community partners
- Build and maintain relationships with MCO case managers and care coordinators
- Educate referral sources and families on Medicaid-covered home care services
- Partner with internal teams to ensure timely service initiation
- Track outreach and referral performance metrics
- Participate in occasional local meetings with MCOs and referral partners
- UnitedHealthcare Community Plan
- Banner Health Plan
- Familiarity with Mercy Care preferred (not currently in network, but future expansion anticipated)
- 3+ years of experience working with Arizona Medicaid (AHCCCS)
- Direct experience working with Medicaid MCOs
- Strong understanding of authorization and referral workflows
- Ability to work independently in a remote environment
- Bachelor's degree preferred or equivalent experience
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