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Job Description
Provider Liaison -
This is a professional position responsible for independently performing a variety of duties related to quality improvement and enhancement of provider service delivery practices, training and technical assistance, researching provider related complaints, ensuring providers who are not in compliance submit and follow a plan of remediation which is responsive to cited deficiencies, directing providers to the Agency for Health Care Administration (AHCA) when billing discrepancies are identified, documenting communication with providers and stakeholders to address identified concerns, collaborating with external stakeholders including the Quality Improvement Organization (QIO), Medicaid Program Integrity (MPI) and the Medicaid Fraud Control Unit (MFCU) while upholding HIPAA requirements.
The Work You Will Do:
- Review the QIO reports and identify deficiencies needing correction.
- Notify the provider of deficiencies needing cor...