Program Coordinator I

Fidelis Care
Hybrid remote in Getzville, NY Full Time
POSTED ON 4/28/2022 CLOSED ON 8/8/2022

What are the responsibilities and job description for the Program Coordinator I position at Fidelis Care?

You could be the one who changes everything for our 25 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, multi-national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.

Position Purpose:
Assist in activities related to the medical and psychosocial aspects of utilization and coordinated care.

  • Initiate authorization requests for output or input services in keeping with the prior authorization list. Research claims inquiry specific to the department and responsibility.
  • Perform tasks necessary to promote member compliance such as verifying appointments, obtaining lab results. Assess and monitor inpatient census.
  • Screen for eligibility and benefits. Identify members without a PCP and refer to Member Services. Screen members by priority for case management (CM) assessment. Perform transition of care duties to include but not limited to, contact the member’s attending physician, member or medical power of attorney, other medical providers (home health agencies, equipment vendors) for information pertaining to special needs.
  • Coordinate services with community based organizations. Attend marketing and outreach meetings as directed to represent the plan. Produces and mails routine CM letters and program educational material.
  • Data enter assessments and authorizations into the system.


Education/Experience:
High school diploma or equivalent. 2-3 years managed care setting, medical office or facility setting with demonstration of medical administration duties. Thorough knowledge of customer service, utilization review or claims processing practices in a managed care environment and operation of office equipment such as a personal computer. Knowledge of medical terminology.

For Illinois Youth Care contract: Required Education/Experience – Bachelor’s Degree in nursing, social sciences, social work, or a related field. 1 year supervised clinical experience in a human services field.

For Oregon plan only: A valid driver's license is required.

Our Comprehensive Benefits Package:

Flexible work solutions including remote options, hybrid work schedules and dress flexibility

Competitive pay

Paid Time Off including paid holidays

Health insurance coverage for you and dependents

401(k) and stock purchase plans

Tuition reimbursement and best-in-class training and development



Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Fisheries Assistant 6-E7 (Creel Census Clerk)
BOLD Program Coordinator, Public Health... -
Shingleton, MI
Bridge Services Representative 6-E7 (Limited Term) Blue Water Bridge
BOLD Program Coordinator, Public Health... -
Port Huron, MI
Program Coordinator
Georgia Premarital Education Program -
Jacksonville, FL

For Employer
Looking for Real-time Job Posting Salary Data?
Keep a pulse on the job market with advanced job matching technology.
If your compensation planning software is too rigid to deploy winning incentive strategies, it’s time to find an adaptable solution. Compensation Planning
Enhance your organization's compensation strategy with salary data sets that HR and team managers can use to pay your staff right. Surveys & Data Sets

Sign up to receive alerts about other jobs with skills like those required for the Program Coordinator I.

Click the checkbox next to the jobs that you are interested in.

  • Claim Handling Skill

    • Income Estimation: $86,935 - $112,302
    • Income Estimation: $101,184 - $138,477
  • Claim Investigation Skill

    • Income Estimation: $73,940 - $92,649
    • Income Estimation: $80,362 - $104,898
This job has expired.
View Core, Job Family, and Industry Job Skills and Competency Data for more than 15,000 Job Titles Skills Library

Job openings at Fidelis Care

Fidelis Care
Hired Organization Address New York, NY Full Time
You could be the one who changes everything for our 28 million members. Centene is transforming the health of our commun...
Fidelis Care
Hired Organization Address East Syracuse, NY Full Time
You could be the one who changes everything for our 28 million members. Centene is transforming the health of our commun...
Fidelis Care
Hired Organization Address Latham, NY Full Time
You could be the one who changes everything for our 28 million members. Centene is transforming the health of our commun...
Fidelis Care
Hired Organization Address Latham, NY Full Time
You could be the one who changes everything for our 28 million members. Centene is transforming the health of our commun...

Not the job you're looking for? Here are some other Program Coordinator I jobs in the Hybrid remote in Getzville, NY area that may be a better fit.

Departmental Analyst 9-P11, 12 / SSB / 911 Office

Corrections Program Coordinator, Dimondale, MI

Career Advisor (Job ID# 2750)

As Assigned by Program Coordinator, Prince Frederick, MD