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Jonna EMBA

Jonna EMBA

HCMS Manager

Amerigroup Corporation

Houston, Texas Area, us

Government Business Department (LTSS) Manager at Amerigroup

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Amerigroup Corporation

HCMS Manager

• Manage clinicians and oversee program operations in the Houston market in support of corporate health plan management.
• Manage day to day operations in regards to field assessments as it relates to Provider Assistance Services.
• Collaborate with other functional leaders within the organization that have or will be deploying aspects of the program within established timeframes and planning milestones.
• Participate in various cross-functional workgroups created to maintain/develop programs, including developing agenda items and conducting meetings.
• Responsible for ongoing updates and completing state wide PCAF trainings; coordinate MDCP/PCS age out assessments for Harris and surrounding counties.
• Contribute to knowledge sharing environment by creating program documents and policies, giving presentations, training and mentoring health plan associates to ensure that all contract regulations remain in compliance.
• Complete weekly, monthly, and quarterly audits to improve efficiency of operations to ensure the integrity of the work.
• Respond to state complaints or concerns as needed to maintain positive relation with the state and members.
• Resolve Member/Agency compliant and/or issues, increasing customer satisfaction with services implementation.
• Participate on State Star Plus Workflow Committee; responsible for completing the workflow chart.
• Participated in creating and implementing the scheduling team to increase staff productivity.
• Instrumental in meeting the Medical Expense Initiatives assigned to Health Care Management Services (HCMS).

Amerigroup

Government Business Department (LTSS) Manager

Manage RNs, LMSWs, LBSWs, and LVNs Service Coordinators that complete Long Term Support Service (LTSS) home assessments for adults and pediatric members within Harris, Montgomery, Brazoria, Austin, Wharton, Fort Bend, and Galveston counties.