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Compliance - Coordinator 2
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- Acts as lead for all Dental Prepaid Ambulatory Health Plans (PAHP) relative to member denial notices.
- Creates and reviews internal reports to ensure all dental PAHP activities and projects remain on schedule and are completed within the required timelines and submitted to the Legal Compliance manager for review.
- Includes working directly with MCOs, contractors, and LDH Waiver and Behavioral Health agencies as needed; conducting mandatory recipient notice reviews; and reviewing/formulating corrective action plans, reports, and relative documentation as deemed appropriate.
- Takes the lead for reviewing, organizing, and coordinating LDH responses to requests from Disability Rights Louisiana with Program Manager's approval.
- Minimum 1 year of professional experience working with federal/state healthcare programs, Medicaid Support, or related field.
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