Maternal Health and EPSDT Coordinator, Remote in Nebraska

Requisition Number: 2388715
At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together.
The Maternal Child Health (MCH) / Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) Coordinator is responsible for the development, implementation, and oversight of programs that ensure members receive comprehensive maternal and child health and EPSDT services. This role partners closely with Health Services and community stakeholders to promote preventive care, improve and coordinate access to services, and ensure regulatory and contractual compliance. The MCH/EPSDT Coordinator must reside in Nebraska and may require local travel for provider and community engagement.
If you are located in Nebraska, you will have the flexibility to work remotely* as you take on some tough challenges.
Primary Responsibilities:

• Program Development & Oversight
  • Design, implement, and evaluate programs to ensure members receive required EPSDT and maternal health services, such as family planning and preventive health
  • Develop strategies to ensure pregnant members receive timely prenatal, maternal, and postpartum care
  • Oversee program performance and ensure alignment with state and federal requirements
  • Identify members requiring MCH and EPSDT support and coordinate appropriate care management services
• Collaboration & Partnerships
  • Serve as a liaison between health plan teams, members, providers, and community partners to advance MCH/EPSDT initiatives
  • Provides education on MCH and EPSDT requirements to the health plan, members, providers, and community partners
  • Collaborate with internal teams to optimize care delivery
  • Engage community organizations to expand access and address MCH and EPSDT needs
  • Leads innovative service delivery and coordination of care to close gaps in care
• Quality, Compliance & Reporting
  • Monitor program performance, utilization, and outcomes related to MCH and EPSDT services
  • Ensure compliance with state contract requirements, CMS, and NCQA standards
  • Creates and maintains reports on MCH and EPSDT service utilizations
  • Analyzes and interprets MCH and EPSDT reporting, including segmented population analysis and health disparities
  • Participates in EPSDT medical record review and provides follow up education to providers as necessary

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:

• Active, unrestricted license as an RN, physician, or physician's assistant in the state of Nebraska
• Master's degree in health services, public health, healthcare administration, or related field; OR be a Certified Professional in Healthcare Quality (CPHQ) or have a Certification in Health Care Quality and Management (CHCQM)
• 2+ years of experience in managed care, Medicaid, maternal/child health, pediatrics, or population health
• Proven technical skills using Microsoft applications including Excel, PowerPoint, Word, and Adobe PDF
• Solid organizational, time management, and prioritization skills
• Demonstrated effective communication skills with an ability to present information to an audience
• Ability to travel up to 10% throughout the State of Nebraska

Preferred Qualifications:

• Solid knowledge of maternal child health and EPSDT and preventive health frameworks
• Intermediate to Advanced level proficiency with MS Excel
• Ability to work a Monday - Friday work schedule

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $72,800 - $130,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.