Casualty Case Manager (MAS3/AHSO/COBCO/CU)

Casualty Case Manager (MAS3/AHSO)

71081193

This position manages complex cases to recover funding from external entities on behalf of Medicaid clients who experience personal injury events. This position manages a high volume of cases by investigating details, thoroughly documenting information, and communicating with the Division of Legal Services, Attorney General’s office, insurance companies, and other organizations to resolve financial outcomes. The ideal candidate will have experience in a medical or legal setting, strong communication skills, and pay close attention to detail.

All HCA employees will apply an equity lens to their work, which may include but is not limited to all analyses of core business and processes.

About the division:

Apple Health Services and Operations (AHSO) provides high-quality customer service to support clients' access to obtain health care, while also supporting the efficient utilization of Medicaid funding to provide care appropriately and efficiently.

About the position:

This position supports the Health Care Authority’s mission by ensuring Medicaid is the payer of last resort. This role investigates, analyzes, and prepares casualty litigation cases. Pursues recovery of expended state and federal Medicaid funds from liable third parties for medical claims payments related to personal injuries. Apply tort and case law and make decisions representing the department’s interest.