Delegation Support Manager I (Remote)

by twochickswithasidehustle | Oct 9, 2024 | Uncategorized

Description

American Specialty Health Incorporated is seeking an experienced Client Audit Manager to join our Client Services – Clinical department. This position will provide support for client delegation (including pre-delegation) and regulatory compliance audits.  The position also supports other delegation oversight compliance efforts, as well compliance-related inquiries/reviews, in consultation with the Sr. Manager, Delegation Support and Director, Clinical Client Services.  The position also supports other compliance activities of the department related to internal compliance efforts.

Salary Range

American Specialty Health complies with state and federal wage and hour laws and compensation depends upon candidate’s qualifications, education, skill set, years of experience, and internal equity. $48,000  to $55,000 Full-Time Annual Salary Range.

Remote Worker Considerations

Candidates who are selected for this position will be trained remotely and must be able to work from home (WFH) in a designated work area with company-provided technology equipment. This remote/WFH position requires you have a stable connection to your Internet Service Provider with the ability to participate by video in online meetings over a reliable and consistent network (minimum internet download of 50 Mbps and 10 Mbps upload speed).  

Responsibilities

• Provides support related to complex delegation support activities in consultation with and under the direction of Sr. Manager, Delegation Support.
• Leads audits on behalf of ASH with assigned clients.
• Facilitates and leads internal and external meetings acting as owner of information.  This includes creating and distributing meeting agendas, kicking off the discussion with a high-level overview and purpose of the meeting, introductions, and then closing the discussion with action items.  This also includes facilitating and leading any internal preparation meetings and/or sending out details to the internal stakeholders prior to the meeting so they have enough information to prepare for their role in the discussion.
• Proactively engages internal customers and subject matter experts to effectively manage internal and external customer expectations.
• Seeks support from and provides client updates at internal committee meetings as appropriate.
• Travels, as directed by the Sr. Manager, Delegation Support, to support audits in locations other than the position’s designated ASH office location.
• Provides support for internal compliance activities, as needed, based on direction from Sr. Manager, Delegation Support.
• Actively participates in collaborative team environment to educate, coordinate activities, and resolve unique problems with recommended courses of action to internal stakeholders.
• Accepts and/or returns phone calls from clients within the same business day of receipt, Monday through Friday.
• At a minimum, acknowledges receipt of emails from clients within 24 hours of receipt.
• Maintains timely and accurate documentation of client interactions, activities, processes and issue resolution; ensures meeting minutes and action items are prepared and documented within two days of a client meeting as applicable.
• Ensures high level of service to meet client expectations on a daily basis.
• Communicates with Sr. Manager Delegation Support and Director, CTC, on high level issues to ensure appropriate response and resolution.
• Establishes and maintains positive professional relationships with internal and external customers.
• Interfaces with ASH staff to resolve issues, answer questions and triage responses.
• Schedules internal and external meetings to support audit initiatives as applicable. 
• Acts as a back-up for other Delegation Support Managers.
• Maintains compliance with ASH policies and procedures.
• Seeks support and training from designated Delegation Support Manager II, Senior Delegation Support Manager, and/or Director, Client Services to aide in gaining the experience and skills required to advance to a Delegation Support Manager II.
• Maintains confidentiality of all reports, files, schedules, databases, and documents; as well as all member, provider, and proprietary information and ensures the Delegation Support team does the same.
• At the direction of the Sr. Manager, Delegation Support, communicates unique aspects of client delegation activities at various meetings with internal and external customers to support delegation functions.
• At the direction of the Sr. Manager, Delegation Support participates in activities related to internal and external process improvements.
• Manages compliance attestation requests from clients requiring Compliance Office signature, including keeping the Compliance Office informed of attestation requests and working with department staff and internal stakeholders to monitor and track requirements set forth in attestations, particularly new requests and requests not previously specified via contract with clients.

Qualifications

• Bachelor’s degree in in related field or equivalent experience.  If equivalent experience, high school diploma required.
• Proficiency in MS Office with intermediate experience in Word, Outlook and Excel required. 
• Experience in health care administration preferred but not required. 
• Experience in managed care operations preferred but not required.  Experience may include accreditation, account management, regulatory compliance, contract review,
• Proven experience and developed Customer Service skills required.
• Experience in project management, meeting facilitation and documentation required.
• Training or certification in health care beneficial but not required.

Core Competencies

• Demonstrated ability to interact in a positive, respectful manner and establish and maintain cooperative working relationships.
• Ability to display excellent customer service to meet the needs and expectations of both internal and external customers.
• Excellent listening and interpersonal communication skills to identify critical core competencies based on success factors and organizational environment.
• Ability to effectively organize, prioritize, multi-task and manage time.
• Demonstrated accuracy and productivity in a changing environment with constant interruptions.
• Demonstrated ability to analyze information, problems, issues, situations and procedures to develop effective solutions.
• Ability to exercise strict confidentiality in all matters.

Mobility

Primarily sedentary, able to sit for long periods of time. 

Physical Requirements

Ability to speak, see and hear other personnel and/or objects.  Ability to communicate both in verbal and written form. Ability to travel within the facility. Capable of using a telephone and computer keyboard.  Ability to lift up to 10 lbs.

Environmental Conditions

Work-from-home (WFH) environment.

American Specialty Health is an Equal Opportunity/Affirmative Action Employer.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex including sexual orientation and gender identity, national origin, disability, protected Veteran Status, or any other characteristic protected by applicable federal, state, or local law. 

Please view Equal Employment Opportunity Posters provided by OFCCP here.

If you are a qualified individual with a disability or a disabled veteran, you have the right to request an accommodation if you are unable or limited in your ability to use or access our career center as a result of your disability. To request an accommodation, contact our Human Resources Department at (800) 848-3555 x6702.

ASH will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information.

Clinical Network Recruiter I (Entry level, remote, $17/hour plus incentives)

by twochickswithasidehustle | Oct 9, 2024 | Uncategorized

Description

American Specialty Health Incorporated is seeking a Clinical Network Recruiter I to join our Practitioner Contracting/Communications team. This position will make outbound sales type calls to prospective practitioners to encourage participation in our Clinical programs through ASHP/ASHG groups.

Remote Worker Considerations

Candidates who are selected for this position will be trained remotely and must be able to work from home (WFH) in a designated work area with company-provided technology equipment. This remote/WFH position requires you have a stable connection to your Internet Service Provider with the ability to participate by video in online meetings over a reliable and consistent network (minimum internet download of 50 Mbps and 10 Mbps upload speed).  

Remote Worker Considerations:

Candidates who are selected for this position will be trained remotely and must be able to work from home in a designated work area with company-provided technology equipment.

Responsibilities

• Interfaces with various practitioner types to promote American Specialty Health and to execute practitioner contracts.
• Makes outbound telephone calls to prospective practitioner types.
• Meets the minimum required outbound calls per day and per week, as specified by management.
• Utilizes contact management database.
• Adheres to standards and practices as outlined in the Practitioner Contracting/Communications Incentive Guidelines
• Submits weekly activity report to Supervisor as requested.
• Meets (minimum) monthly recruitment goals for applications received, as specified by management.
• Provides all applicable Agreements and Links to practitioners to review by utilizing ASHlink and other ASH resources. Supports department by assisting on special projects as directed.
• Participates in formal/informal training and team meetings.

Qualifications

• Associates degree required or equivalent experience. If equivalent experience, high school diploma required
• Minimum of one year experience in outbound sales and/or customer service.
• Strong verbal/telephone communication skills with a focus on reaching decision -makers.
• Proficient in MS Office.
• Organized, results oriented team player.
• Demonstrates the skill sets for knowledge and sales relationship building to include the ability to qualify clinical practitioners based on documented criteria, the ability to field and handle typical objections, and the ability to present information in a clear and concise format based on scripts provided.

Core Competencies

• Demonstrated ability to interact in a positive, respectful manner and establish and maintain cooperative working relationships.
• Ability to display excellent customer service to meet the needs and expectations of both internal and external customers.
• Excellent listening and interpersonal communication skills to identify critical core competencies based on success factors and organizational environment.
• Ability to effectively organize, prioritize, multi-task and manage time.
• Demonstrated accuracy and productivity in a changing environment with constant interruptions.
• Demonstrated ability to analyze information, problems, issues, situations, and procedures to develop effective solutions.
• Ability to exercise strict confidentiality in all matters.

Mobility

Ability to travel. Ability to sit and work within an office environment.

Physical Requirements

Ability to speak, see, and hear other personnel and/or objects. Ability to communicate both in verbal and written form. Ability to travel within and outside the facility. Ability to drive and travel by air. Ability to move up to 50 lbs. Capable of using a telephone and computer keyboard.

Environmental Conditions

Work-from-home (WFH) environment.

American Specialty Health is an Equal Opportunity/Affirmative Action Employer.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex including sexual orientation and gender identity, national origin, disability, protected Veteran Status, or any other characteristic protected by applicable federal, state, or local law.

Please view Equal Employment Opportunity Posters provided by OFCCP here.

If you are a qualified individual with a disability or a disabled veteran, you have the right to request an accommodation if you are unable or limited in your ability to use or access our career center as a result of your disability. To request an accommodation, contact our Human Resources Department at (800) 848-3555 x6702.

ASH will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the Company’s legal duty to furnish information.

Shared Services Coordinator

by twochickswithasidehustle | Oct 9, 2024 | Uncategorized

locationsRemote – United Statestime typeFull timeposted onPosted 16 Days Agojob requisition idR00000063823

This position is responsible for supporting the employer, commercial or health plan businesses with coordination of services. Responsible for locating available providers, facilities and scheduling appointments for clients related to EAP or Health Plan Services, outpatient managed care appointments and higher level of care bed searches. Completes requests for organizational and employee services to include, but not limited to scheduling: worksite and virtual trainings, customer training, critical incident response, single care agreements, crisis calls, webinars, health fairs, mindfulness, and other related presentations, or support services.

• Links clients to appropriate services, information and materials within the community by conducting Community Resources searches.
• Uses independent judgement to understand the logistics of available timeslots and if the location, distance and/or time of available appointments is a reasonable distance/timeframe to book an appointment.
• Troubleshoots for client and/or business unit when an appropriate provider, type of service, or appropriate level of care cannot be readily found.
• Completes service documentation accurately and timely in appropriate systems in accordance with policy/regulatory standards.
• Assists in efforts to continuously improve by identifying inefficiencies and sharing ideas with management on how to better implement more efficient, more effective processes and/or procedures to provide better service to our clients.
• Participates in activities as requested that help improve Shared Services overall performance and contribute to a high- performance team.
• Demonstrates flexibility in areas such as job duties and scheduling to better serve members and help the company achieve its business and operational goals.
• Meets and adheres to attendance and schedule, production and performance metrics, and quality goals.
• Demonstrates respect, sensitivity, confidentiality, and understanding for the client’s circumstance while maintaining professionalism.
• Remains responsible for updating self on ever changing laws, policies and service delivery information to ensure accuracy when dealing with members and providers and procedures.
• Assumes responsibility for self-development and career progression. Proactively seeks and participates in ongoing training (formal and informal) in all aspects of the role.
• Adheres to professional standards as outlined by protocols, rules and regulations and our code of conduct.
• All other duties as assigned.

Appointment Search:

• Locates and coordinates all aspects of member provider appointments (urgent, routine, etc.) in compliance with individual company contractual requirements.
• Reviews client eligibility, benefits and/or authorizations prior to scheduling services.
• Locate member community resources
• Locate ‘higher level of care’ placements (i.e., detox bed)
• Compile medical vendor lists
• Engage in live website ‘chats’ with members and providers

Customer Training:

• Coordinates training requests with training team, account management, and customers.
• Consults to ensure request and details meet customer expectations.
• Hires trainers to meet parameters of customer training requests (time, location, topic, etc.).
• Coaches trainers as needed.
• Ensures trainers, account management and customers have resources and materials necessary to deliver training.
• Maintains trainer network, screens new trainers, monitors trainer performance, and updates records.
• Maintains training materials by updating listings in systems, codes for organization, applying custom branding, and providing utilization data.
• Provides and supports reporting on customer satisfaction surveys and monthly/quarterly reporting.

Critical Incident Response (CIR) and Health Fairs:

• Coordinates CIR/Health Fair requests with CIR team, account management, and customers.
• Consults to ensure request and details meet customer expectations.
• Hires providers to meet parameters of customer requests primarily with short TAT  (time, location, intervention, etc.).
• Coaches providers as needed.
• Ensures providers, account management and customers have resources and materials necessary to deliver services.
• Ensure appropriate pass off to ‘after hours’ teams for timely and accurate service fulfilment. 

Other Job Requirements

Responsibilities2+ years of Call Center, customer service or shared services.
2+ years of experience in a managed care environment, integrated medical & behavioral health care.
Understanding of plan benefit structures, psychiatric terminology, medical terminology, and local communication resources.
Knowledge of EAP/managed care business and service delivery.
Possess service excellence attitude.
Strong data entry and telephone skills.
Working knowledge of Microsoft Office and ability to learn and utilize software applications.
Excellent listening, comprehension, communication (verbal and written) problem solving and customer service skills.
Experience handling high volume calls while maintaining a calm and friendly demeanor.
Ability to maintain a flexible schedule.

General Job Information

TitleShared Services Coordinator

Grade19

Work Experience – RequiredClinical, Customer Service, Healthcare

Work Experience – Preferred

Education – RequiredGED, High School

Education – PreferredAssociate

License and Certifications – Required

License and Certifications – PreferredCEAP – Certified Employee Assistance Professional – Care Mgmt

Salary Range

Salary Minimum:$37,725

Salary Maximum:$56,595

This information reflects the anticipated base salary range for this position based on current national data. Minimums and maximums may vary based on location. Actual pay will be adjusted based on an individual’s skills, experience, education, and other job-related factors permitted by law.

This position may be eligible for short-term incentives as well as a comprehensive benefits package. Magellan offers a broad range of health, life, voluntary and other benefits and perks that enhance your physical, mental, emotional and financial wellbeing.

Client Funds Accounting Specialist (Payroll)

by twochickswithasidehustle | Oct 9, 2024 | Uncategorized

Paylocity is an award-winning provider of cloud-based HR and payroll software solutions, offering the most complete platform for the modern workforce. The company has become one of the fastest-growing HCM software providers worldwide by offering an intuitive, easy-to-use product suite that helps businesses automate and streamline HR and payroll processes, attract and retain talent, and build a strong workplace culture. 

While traditional HR and payroll providers automate basic HR processes such as payroll and benefits administration, Paylocity goes further by developing tools that HR and businesses need to compete for talent and deliver against the expectations of the modern workforce.

We give our employees what they need to succeed, including great benefits and perks! We offer medical, dental, vision, life, disability, and a 401(k) match, as well as perks that support you, your family, and your finances. And if it’s career development you desire, we provide that, too! At Paylocity, people matter most and have always been at the heart of our business.

There are jobs and then there are careers. Since 1997, Paylocity has been hiring talented people, giving them big challenges, and providing the right resources to help them succeed. Our award-winning culture ensures all employees feel truly welcome, appreciated, and free to be themselves. While other companies talk about it, we make it happen. Join Paylocity and launch your career!

Position Overview

The Client Funds Accounting Specialist is responsible for reconciling all client held funds accounts for Paylocity. Responsibilities will include monitoring and reconciling multiple bank accounts, resolving any discrepancies or issues.

Responsibilities

The below represents the primary responsibilities of the position. Other duties may be assigned as needed. 

• Perform daily bank reconciliation for payroll/tax/benefit accounts to ensure accuracy and completeness of financial transactions.
• Review and validate financial transactions, including deposits, withdrawals, and other bank-related activities.
• Investigate and resolve discrepancies between bank statements and cash balance accounts and outstanding items.
• Monitor daily/weekly cash balances by client, and across the total client base, to ensure all remittances have been made timely and all cash collections have been properly recorded and cleared.
• Makes adjustments to cash as indicated by reports.
• Collaborates with internal partners to coordinate fixes to systems as needed.
• Work with Bank for returned items and inquiries.
• Report payroll, tax, and benefit exceptions to partners for review and resolutions.
• Reconcile incoming Wires/ACH’s for payroll/tax accounts.
• Review and reconcile Client Credits.
• Provide proof of payments to Tax Department.
• Assists with monthly financial reconciliations.
• Monitors incoming CFA team email accounts and ensures timely responses.
• Provide suggestions and writes procedures to enhance overall process.
• Work toward a goal of continued process improvement.
• Assist new business initiatives.

Requirements

• High school diploma required
• 2-5 years’ experience in payroll service or banking operations strongly desired.
• MasterTax, WEX, CobraPoint experience a plus.
• Ability to work in fast paced environment.
• Strong Team and individual work ethic preferred.
• Strong communication skills and problem-solving ability.
• Proficiency in MS applications including Excel and Access.
• High level of integrity.

Paylocity is an equal-opportunity employer. Paylocity is committed to the full inclusion of all individuals. We recruit, train, compensate, and promote regardless of race, religion, color, national origin, sex, disability, age, veteran status, and other protected status as required by applicable law. At Paylocity, we believe diversity makes us better. 

We embrace and encourage our employees’ differences in age, culture, ethnicity, family or marital status, gender identity or expression, language, national origin, physical and mental ability, political affiliation, race, religion or spiritual belief, sexual orientation, socio-economic status, veteran status, and other characteristics that make our employees unique. We actively cultivate these differences through our employee resource groups (ERGs), employee experiences, perspectives, talents, and approaches to drive innovation in the software and services we provide our customers. 

We comply with federal and state disability laws and make reasonable accommodations for applicants and employees with disabilities. To request reasonable accommodation in the job application or interview process, please contact [email protected].

This role can be performed from any office in the US. The pay range for this position is $39,520 – $60,528/yr; however, base pay offered may vary depending on job-related knowledge, skills, and experience. This position offers a full range of benefits outlined here. This information is provided per the relevant state and local pay transparency laws for the location in which this position will be performed. Base pay information is based on market location. Applicants should apply via www.paylocity.com/careers.

Implementation Project Manager

by twochickswithasidehustle | Oct 9, 2024 | Uncategorized

Job Details

Description

We Impact Lives Through Purpose-Driven Work in A People First Culture 

Ascend Learning is the connection between a powerful portfolio of brands serving students, educators, and employers with outcomes-based, data driven solutions across the lifecycle of learning. 

Our values-driven culture unifies our teams and inspires a mindset of action, innovation, and collaboration, with a relentless focus on customers. 

We’re always looking for talented, passionate professionals to join us in our mission to help change lives. If this sounds like an environment where you’d thrive, read on to learn more. 

Ascend Learning leads the way in innovation and solution creation to improve outcomes and deliver results for students, educators, and healthcare workers in the ever-changing field of healthcare. We offer advanced resources that drive nursing success, empower front-line certified allied health workers, help physicians pass boards and stay current, and provide education management tools for medical education programs. 

As an organization fueled by a commitment to elevate the education and training of healthcare professionals, MedHub and BoardVitals offerings drive prominence as leading medical education solutions. MedHub’s proven software and expertise enable more than 600 Graduate and Undergraduate Medical Education institutions, Nursing and Health Sciences training programs to exponentially reduce administrative burden, improve data clarity, and maximize institutional oversight. When combined with BoardVitals’ exam prep materials and analytics, used by more than 1.5 million students, residents, and practitioners for their board and recertification exams or continuing medical education requirements, the two provide institutional leaders with data-driven insights to inform and advance curriculum effectiveness and, ultimately, physician preparedness. Medhub & BoardVitals are brands in Ascend Learning’s healthcare segment.  

WHAT YOU’LL DO  

The Implementation Project Manager will have responsibility for implementing new clients on our eValue and MedHub platforms with a focus on efficiency, best practices, and process compliance. The right team member will embrace our corporate values of passionate, selfless, courageous, inclusive, embrace change, and accountable. This role requires strong execution and analytical abilities along with working independently with minimal guidance. Candidates in this customer-facing position should possess excellent communication and interpersonal skills. Being responsible for their own workflow assignments, the Implementation Project Manager  must be able to take the initiative to resolve problems and meet deadlines. 

WHERE YOU’LL WORK  

This position will work remote in the United States and will require up to 10% travel. 

HOW YOU’LL SPEND YOUR TIME 

• Utilizes a combination of product knowledge and project management skills to ensure a quality implementation experience for the client 
• Proactively contacts clients during the implementation process to assess their satisfaction and fully utilize standardized tools and technology to support solution delivery 
• Consistently executes implementation process and methodology while participating in project planning and/or facilitating efforts 
• Oversees accurate, timely, and successful achievement of milestones through the entire implementation cycle. Effectively manages assigned business through internal systems. Documents client interactions 
• Build and enhance positive working relationships with clients and other stakeholders 
• Coordinate internal resources to ensure delivery on commitments
• Report progress, project accomplishments and deliverables to Implementation Team Manager in addition to other internal stakeholders and clients 
• Assess operational opportunities to increase service quality and/or efficiency. Conduct off-site visits, up to 10% travel may be required. 

 WHAT YOU’LL NEED 

• Bachelor’s degree, or equivalent experience in business or related field required
• 3 + years of experience in customer service 
• Experience with a CRM application (Microsoft CRM, Salesforce, etc.) 
• Experience working across a complex organizational matrix 
• Familiarity with or previous experience with SaaS (MedHub, eValue, etc.) is preferred 
• Credentialed as a Project Management Professional® (PMP) is preferred 
• Experience with project management software (Smartsheet or similar) is preferred 
• Proficient in Microsoft Office (Excel, Word, Outlook, etc.) 
• Strong attention to detail and track record of delivering high quality work 
• Excellent leadership, problem solving, and analytical skills 
• Ability to adapt quickly to change and deliver results in ambiguous environments 
• Ability to thrive in a fast-paced environment and handle multiple tasks simultaneously 
• Possess excellent communication and interpersonal skills. Exemplary verbal, phone, and written communication skills 
• Ability to travel up to 10% to client sites or conferences 

 BENEFITS 

• Flexible and generous paid time off  
• Competitive medical, dental, vision and life insurance  
• 401(k) employer matching program 
• Parental leave 
• Wellness resources 
• Charitable matching program 
• Hybrid work  
• On-site workout facilities (Leawood, Gilbert, Burlington) 
• Community outreach groups 
• Tuition reimbursement 

Fostering A Sense of Belonging 

We seek out and celebrate all people and perspectives and cultivate an inclusive culture where everyone can thrive, feel valued and be their authentic selves. Our culture is firmly rooted in the belief that by embracing our differences and drawing on diverse perspectives, we are a stronger, more innovative, and more successful organization where employees experience a sense of belonging.  

About Ascend Learning 

As a tech-enabled services company, Ascend Learning is a national leader in developing and delivering data-driven online educational content, software, assessments, analytics, and simulations serving institutions, students and employers across healthcare, fitness and wellness, public and workplace safety, skilled trades, insurance, financial services, cybersecurity, and higher education. We’re committed to accelerating the learning pathways that can move people into careers where they have the knowledge and skills to have an impact and help change lives in the communities they serve. Headquartered in Burlington, MA with additional office locations and hybrid and remote workers in cities across the U.S., Ascend Learning was recognized by Newsweek and Plant-A Insights Group as one of America’s 2023 Greatest Workplaces for Diversity. 

Ascend Learning, LLC is proud to be an equal opportunity employer (M/F/Vets/Disabled). No agency or search firm submissions will be accepted. Applications for U.S. based positions with Ascend Learning, LLC must be legally authorized to work in the United States and verification of employment eligibility will be required at the time of hire.