ABHealth
Job Location :
Glens Falls,NY, USA
Posted on :
2024-12-02T02:13:02Z
Job Description :
Description: Life at Healthy Alliance At Healthy Alliance, our purpose is to improve health and empower the underserved. Every community has its own needs, affecting the health of those who live, learn, work, and play within them. Our network brings together organizations, big and small, to coordinate and collaborate so that all communities have reliable access to the resources they need. Why? Because every New Yorker deserves the same opportunity to be healthy. Designated as the Social Care Network (SCN) Lead Entity for the Capital Region, Central NY, and North Country under New York's 1115 Waiver Amendment's SCN & Health-Related Social Needs (HRSN) Program, we are responsible for ensuring that there is a seamless, consistent end-to-end process for HRSN screening, navigation, and the delivery of HRSN and other services to thousands of Medicaid Members. Transformative in nature, this novel Program will further sustain our mission of advancing health equity within and across historically marginalized communities. As a 2019-2024 Albany Business Review's Best Places to Work and a 2021-2024 Modern Healthcare's Best Places to Work in Health Care award recipient, we strive to maintain a culture wherein high-performing, mission-driven team members collectively work toward better health for all. Dedicated to promoting a culture built upon autonomy, mastery, and purpose, we believe our differences in strengths and perspectives play an integral role in propelling us forward, while our core values ground us, serving as the common thread that unites our team. Why You Should Join Healthy Alliance We offer amenities, professional development opportunities, events, and programming that support the interests of our teams while expanding and enriching our culture. Some of the benefits you can expect when you join Healthy Alliance include: Competitive compensation package Comprehensive insurance benefits available the 1st of the month after hire, including but not limited to medical, dental and vision, group short-term disability and life insurance with buy-up options, flexible spending and HSA company-contributed accounts, and more 401K with a company match Unlimited paid time off after 90 days of employment Company-sponsored training and certification opportunities Remote employer with flexible work schedules A workplace that values safety, respect, employee engagement, recognition, and diversity Salary range: $41,650-$47,900 per year, commensurate with experience Who You Are The Finance Liaison is responsible for working directly with Healthy Alliance's network partners through on-site and remote communication to ensure successful implementation and execution of billing requirements under New York's 1115 Waiver Amendment's SCN & HRSN Program. We are looking for someone in the North Country Region. Requirements: What You'll Do Operate as the primary point of contact for assigned partners for all matters related to SCN & HRSN Program financial activities. Manage finance onboarding and training support for Healthy Alliance's network with Healthy Alliance training department. Oversee partner SCN & HRSN Program billable service submissions for timely submission and completeness, following up with partners' finance point of contact as needed. Monitor partner SCN & HRSN Program billable claims for pends/denials requiring follow-up and work with partners to resolve claims issues. Review SCN & HRSN Program service payments to be made to partners and initiate the payment process. Review partner capacity building expense documentation for appropriateness and completeness before submitting for payment. Collaborate with internal cross-functional teams to meet partner needs and ensure positive partner experience. Hold monthly check-in meetings with partners' finance point of contact. Identify partner needs and connect to appropriate Healthy Alliance stakeholders. Use Healthy Alliance tools and resources to inform partner communications and meetings. Track and communicate monthly partner financial performance to internal and external stakeholders. Exercise discretion and professional judgement to maintain project-specific timelines and communicate project expectations and timelines with internal and external stakeholders. Maintain current knowledge and understanding of Medicaid and local transformation, including Waiver programs, Triple Aim, and value-based purchasing (VBP). This job description is not designed to cover or contain a comprehensive listing of task activities and/or duties that are required of the employee for this job. Responsibilities and activities may change at any time with or without notice. What You'll Need Education · Associate degree in a related field or equivalent experience, such as accounting or business-related fields. Equivalent work experience in government/health payor billing may be considered in lieu of degree requirements. Professional Work Experience Minimum of 2 years of claims billing experience. Skills, Knowledge, and Abilities Excellent written and verbal communication skills for all levels of management. Strong working knowledge of Office 365 Suites in addition to moderate technical and analytical skills to compile data for planning and reporting purposes. Analytical thinker, able to plan for growth and execute. Ability to manage multiple detailed projects simultaneously and adjust as needed. Ability to identify the source of a problem and propose a timely solution within budget. Strong leadership skills to guide and direct a team. Demonstrated commitment to the values of diversity, inclusion, and equity. Strong community awareness and astuteness. Your next career opportunity is at Healthy Alliance Physical Requirements This position involves sedentary work that primarily involves sitting/standing, use of typical office equipment such as a computer, laptop, and cell phone. The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Equal Opportunity Employer Healthy Alliance is an Equal Opportunity Employer and does not discriminate against any employee or applicant on the basis of age, ancestry, color, family or medical care leave, gender identity or expression, genetic information, marital status, medical condition, national origin, physical or mental disability, political affiliation, protected veteran status, race, religion, sex (including pregnancy), sexual orientation, or any other characteristic protected by applicable laws, regulations and ordinances. We adhere to these principles in all aspects of employment, including recruitment, hiring, training, compensation, promotion, benefits, social and recreational programs, and discipline. If you require reasonable accommodation in completing this application, interviewing, completing any pre-employment testing, or otherwise participating in the employee selection process, please direct your inquiries to hrhealthyalliance.org. Privacy Requirement This job function involves potential access/interaction with protected health information. Position will be required to abide by company policies and procedures that support federal, state, and local HIPAA regulations. Any violations will be subject to company policy which includes disciplinary actions up to and including separation of employment. Healthy Alliance is an At-Will Employer. PIcfbd413258bd-25448-#######8
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