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At PHP we believe in providing high quality, efficient care for nearly a half-million Coloradoans. One of the ways we do that is by taking care of our employee’s first. Benefits include competitive compensation, a generous health plan, vision, dental, life insurance, and 401(K) matching. In addition to the essential benefits, we also offer some fun ones like exercise incentives, happy hours, profit sharing, and philanthropy projects. These are just some of the reasons why we have been ranked a Top Workplace in the Denver Post for 7 years!
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Community Liaison (Medicaid)

Job Title
Community Liaison (Medicaid)
Location
Denver,  CO 80920
Other Location
Description

Position Summary:  The CCHA Community Liaison will support Colorado Community Health Alliance (CCHA) initiatives and the Primary Care Medical Provider’s effort in providing a comprehensive medical home for Medicaid members.  The Community Liaison will establish and maintain relationships with individuals, representatives of community and government organizations, and ancillary healthcare providers who may serve as intermediaries and partners for the provision of medical and social services.

COMPETENCIES/Role-Specific Functions: 

COMMUNICATION

Communicates well both verbally and in writing, creates accurate and punctual reports, delivers presentations, shares information and ideas with others, has good listening skills.

  • Functions as a liaison between CCHA, PHP,  local Medicare/Medicaid stakeholders, community agencies and government partners
  • Coordinates and presents external trainings/presentations on CCHA programs and arranges internal trainings/presentations on partner programs;  including staff education, coordination and facilitation of related meetings/events

PROBLEM SOLVING

Breaks down problems into smaller components, understands underlying issues, can simplify and process complex issues, understands the difference between critical details and unimportant facts.

  • Assists in identifying appropriate programs, locate sources of support and potential gaps in social resources and outreaches as needed
  • Must be skilled in interpersonal communication and able to utilize these skills to manage challenging scenarios with internal and external relationships

PRODUCTIVITY

Manages a fair workload, volunteers for additional work, prioritizes tasks, develops good work procedures, manages time well, handles information flow.

  • Develops and maintains database of relationships with community, government and stakeholder agencies and process(es) for bi-directional referrals
  • Manages and/or participates in HCPF and CCHA driven initiatives, supporting the medical neighborhood, and population based services and deliverables
  • Participates in local health related fairs and community events
  • Produces data-driven reports and documents all partner-related activities and projects in writing

SELF DEVELOPMENT

Seeks out and accepts feedback, is a proactive learner, takes on tough assignments to improve skills, keeps knowledge and skills up-to-date, turns mistakes into learning opportunities.

CUSTOMER FOCUS

Builds customer confidence, is committed to increasing customer satisfaction, sets achievable customer expectations, assumes responsibility for solving customer problems, ensures commitments to customers are met, solicits opinions and ideas from customers, responds to customers.

  • Has working knowledge of local community programs, government agencies and social resources and attends meetings, participates in sponsored activities and serves as a resource to CCHA stakeholders

JOB KNOWLEDGE

Understands duties and responsibilities, has necessary job knowledge, has necessary technical skills, understands company mission/values, keeps job knowledge current, is in command of critical issues.

  • Identifies, cultivates and maintains strong relationships with community, government, and ancillary healthcare stakeholders to include critical decision makers within the Medicaid service system
  • Maintain confidentiality and ensure compliance with HIPAA regulations
  • Must have knowledge of how larger state and federal systems (e.g., public health, HCPF) impact community partners and Medicaid members

Qualifications (Education/Experience/Knowledge/Skills/Abilities): 

  • Minimum: BA or BS degree in human services or health related field.
  • Three to five years’ experience in healthcare, social work, case management, or non-profit organizations (or a combination of relevant experience) and at least 1 year work experience in community setting.
  • Previous experience with Medicaid preferred
  • Knowledge of case management, community resources/agencies, Medicaid and other social service related programs and processes, program and workflow development, process improvement and implementation.
  • Excellent verbal and written communication skills and the ability to convey information clearly to both internal staff and external members/partners.
  • Skilled in time management and ability to multi-task
  • Intermediate level of competence with various computer software applications including MS Outlook, Word, Excel, and Power Point
  • A valid unrestricted Colorado drivers’ license. 
  • Reliable and insured vehicle.
  • Home office that is HIPAA compliant for all remote or telecommuting positions as outlined by the company policies and procedures. 
  • Mobile Device for work purposes as defined by the company policies and procedures.

Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.  While performing the duties of this Job, the employee is regularly required to sit; use hands to finger, handle, or feel and talk or hear.  The employee is frequently required to stand; walk; reach with hands and arms and stoop, kneel, crouch, or crawl.  The employee is occasionally required to climb or balance. The employee must regularly lift and/or move up to 25 pounds.  Specific vision abilities required by this job include close vision and ability to adjust focus.

Work Environment The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.  The noise level in the work environment is usually moderate.

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