Tribal Liaison (Must Reside in Michigan)

Molina Healthcare•Long Beach, CA

105d

About The Position

Assists Molina Healthcare in promoting Native American's access to healthcare coverage and educates communities about the general and value added services provided by Molina Healthcare. Responsible for building and maintaining relationships with tribal community leaders, community based organizations and providers within tribal lands and reservations through a combination of direct and indirect outreach and engagement activities directed toward building enrollment for all Health Plan lines of business. Establishes formal working relationships with and acts as a central point of contact to the Indian Health Services (IHS) facilities and tribal 638 facilities. Interacts with other Molina Healthcare departments to improve services provided to Native American members, prospective members, IHS and tribal 638 providers. As requested, helps support Molina Healthcare's relationship with IHS and tribal 638 facilities and establishes relationships with tribal employers.

Requirements

Must Reside in Michigan
High School Diploma or GED
3-5 years’ experience in healthcare industry, preferably in the Medicaid Managed Care Programs
Previous healthcare marketing and/or grassroots/community outreach experience
May require specialized skills such as claims or billing
Must have valid driver's license with good driving record and be able to drive within applicable state or locality with reliable transportation.

Nice To Haves

Bachelor's Degree preferred
Experience in the Medicaid Managed Care Programs
Experience with behavioral health and/or coordination of Long-Term Services preferred

Responsibilities

Develops liaison engagement strategy to maximize growth opportunities for the Health Plan.
Establishes and maintains relationships with assigned providers in tribal communities including Provider outreached (Indian Health Services and 638 Clinics). Achieves net growth goals by assigned territory; measures and tracks productivity.
Develops community and school outreach strategies including school-based engagement with key tribal schools; measures and tracks program results.
Identifies effective engagement opportunities through key Tribal Governments and TCBOs; measures and tracks results.
Serves as primary point of contact to the Native American Community, and other representatives as appropriate.
Holds semi-annual meetings with Native American representatives from around the State that represent geographic and member variety. Minutes of such meetings shall be transmitted to the HSD/MAD within thirty (30) days of such meetings
Makes documented efforts to contract with the appropriate urban Indian clinics, Tribally owned health centers, and IHS facilities for the provision of medically necessary services.
Ensures that translation services are reasonably available when needed, both in providers' offices and in contacts with the contractor.
Ensures appropriate medical transportation for Native American members residing in rural and remote areas for members.
Ensures that culturally appropriate materials are available to Native Americans.
In-state travel required.