MassHealth regulations and interpret these regulations for providers and clinical review team•Provide clinical support to MassHealth program managers, and design and present training sessions for in-house staff or MassHealth providers as necessary.•Review and propose changes to applicable MassHealth program regulations, policies, and other documents.•Coordinate contacts with MassHealth providers to respond to inquiries pertaining to specific program areas.•Prepare and respond to inquiries related to appeals following clinical determinations•Foster team environment, and provide professional and clinical leadership to team members, including consultants, providers and administrative support staff as appropriate.•Direct team members in identifying and addressing issues involving clinical matters.•Interface with state agencies and providers regarding clinical determination of medical necessity and program compliance.•Communicate policy, workflow and organizational changes to team members.•Provide orientation and ongoing in-service/continuing education programs for team members.•Conduct performance evaluations of team members.•Participate in the hiring and termination of team members.•Work closely with Director and other management staff to ensure clinical integrity is maintained in the clinical eligibility and nurse reviewer processes.•Maintain confidentiality of all business documents and correspondence.•In collaboration with the Director and other management staff to coordinate performance improvement and quality assurance activities.•Attend and participate in meetings as required.•Prepare written reports/determinations as requested.•Travel to and from providers' places of business, state agency offices, long-term care or rehab facilities, acute care facilities and/or consumer's residence.•Perform other related duties as required or assigned. Under the general direction of the Associate Director, or designee, the Clinical Coordinator is responsible to develop, prioritize, and oversee staff activities specifically designed to promote the coordination of care for those MassHealth members who have medically complex, chronic or catastrophic illnesses that require a customized approach to how, when, and where they receive medically necessary health care services.