Texas Tech University Health Sciences Center
Lubbock, TX, USA
Sr Patient Services Specialist Lubbock 35977BR Position Description This position is responsible for assuring smooth operation of the front clinic patient flow. Employees serve as primary contacts for patients and are responsible for scheduling appointments, preparing necessary paperwork before the patient visits, receiving patients, and maintaining records. In addition, this position may responsible for processing charges for clinic services, filing insurance claims, responding to requests for information from patients and insurance companies and maintaining related information for the department. Employees may be responsible for cash. Major/Essential Functions Receives all incoming calls for the clinic. Prepares schedule of daily appointments for distribution as necessary, and notifies clinic staff of any changes. Requests necessary charts from medical records. Receives patients, makes appropriate notations on charts and fee sheets. Keeps daily count of patients seen for weekly and monthly reports. Contacts patients who have missed appointments. Coordinates referral appointments to other clinics. Maintains required files in clinic. Checks billing information; making corrections as necessary. Takes information from patient or pharmacist concerning prescription refills, lab reports, etc. Coordinating information and requests with physician. Processes clinic charge sheets and logs fee sheets. Receipts payments for clinic services. Assists patients with applications and forms and with questions on their accounts. Maintains account activity data for daily reports for the business office. Files insurance claims for patients who request this service. Assists patients with problems with insurance companies and filing procedures. Follows up on claims submitted to insurance companies. Notes denial of insurance claim and reason on patient accounts. Sends itemized statements to patients, employers or insurance companies as requested. Performs other work as required. Required Qualifications High school diploma or equivalent. 3 years Customer Service, office or related experience, with 2 of those years in a healthcare setting preferred. Additional education may substitute for the experience requirement. To apply, please visit: https://sjobs.brassring.com/TGnewUI/Search/home/HomeWithPreLoad?partnerid=25898&siteid=5283&PageType=JobDetails&jobid=838138 All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, gender expression, national origin, age, disability, genetic information or status as a protected veteran. The Jeanne Clery Disclosure of Campus Security Policy and Campus Crime Statistics Act is a federal statute requiring colleges and universities participating in federal financial aid programs to maintain and disclose campus crime statistics and security information. By October 1 of each year, institutions must publish and distribute their Annual Campus Security Policy & Crime Statistics Report (ASR) to current and prospective students and employees. You can locate this report through our website at: https://www.ttuhsc.edu/emergency/clery-report.aspx. Copyright 2022 Jobelephant.com Inc. All rights reserved. Posted by the FREE value-added recruitment advertising agency jeid-e713485e3d85594d874afd530b028971
Dec 08, 2023
Full Time
Sr Patient Services Specialist Lubbock 35977BR Position Description This position is responsible for assuring smooth operation of the front clinic patient flow. Employees serve as primary contacts for patients and are responsible for scheduling appointments, preparing necessary paperwork before the patient visits, receiving patients, and maintaining records. In addition, this position may responsible for processing charges for clinic services, filing insurance claims, responding to requests for information from patients and insurance companies and maintaining related information for the department. Employees may be responsible for cash. Major/Essential Functions Receives all incoming calls for the clinic. Prepares schedule of daily appointments for distribution as necessary, and notifies clinic staff of any changes. Requests necessary charts from medical records. Receives patients, makes appropriate notations on charts and fee sheets. Keeps daily count of patients seen for weekly and monthly reports. Contacts patients who have missed appointments. Coordinates referral appointments to other clinics. Maintains required files in clinic. Checks billing information; making corrections as necessary. Takes information from patient or pharmacist concerning prescription refills, lab reports, etc. Coordinating information and requests with physician. Processes clinic charge sheets and logs fee sheets. Receipts payments for clinic services. Assists patients with applications and forms and with questions on their accounts. Maintains account activity data for daily reports for the business office. Files insurance claims for patients who request this service. Assists patients with problems with insurance companies and filing procedures. Follows up on claims submitted to insurance companies. Notes denial of insurance claim and reason on patient accounts. Sends itemized statements to patients, employers or insurance companies as requested. Performs other work as required. Required Qualifications High school diploma or equivalent. 3 years Customer Service, office or related experience, with 2 of those years in a healthcare setting preferred. Additional education may substitute for the experience requirement. To apply, please visit: https://sjobs.brassring.com/TGnewUI/Search/home/HomeWithPreLoad?partnerid=25898&siteid=5283&PageType=JobDetails&jobid=838138 All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, gender expression, national origin, age, disability, genetic information or status as a protected veteran. The Jeanne Clery Disclosure of Campus Security Policy and Campus Crime Statistics Act is a federal statute requiring colleges and universities participating in federal financial aid programs to maintain and disclose campus crime statistics and security information. By October 1 of each year, institutions must publish and distribute their Annual Campus Security Policy & Crime Statistics Report (ASR) to current and prospective students and employees. You can locate this report through our website at: https://www.ttuhsc.edu/emergency/clery-report.aspx. Copyright 2022 Jobelephant.com Inc. All rights reserved. Posted by the FREE value-added recruitment advertising agency jeid-e713485e3d85594d874afd530b028971
Grievance Resolution Specialist, Sr. (Provider Resolution) Job Description Department(s): Grievance & Appeals Resolution Services (GARS) Reports to: Manager Grievance & Appeals FLSA status: Non - Exempt Salary Grade: H - $59,000 - $89,782 Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. The deadline for the first review of applications is on Friday, December 1, 2023 at 11:59 PM. Applicants are encouraged to apply early. Applicants that apply after the first review are not guaranteed to be considered for this recruitment. This recruitment may close at any time without notice after the first review date. About CalOptima Health CalOptima Health is the single largest health plan in Orange County, serving one in four residents. Our motto - "Better. Together." - is at the heart of our mission to serve members with excellence, dignity and respect. We are a public agency made up of compassionate leaders and professionals working together to strengthen our community's health. We are continuing to build a culture that promotes diversity and inclusion within our community where employees have a sense of belonging, and are valued for their ideas, contributions, and their unique individual perspectives they bring. CalOptima Health has been recognized as one of Orange County's best places to work, so we know there is something special about our organization. It is why people choose to work here and why they choose to stay! About the Position Are you looking for a career that changes lives? As the single largest health plan in Orange County, CalOptima Health serves one in three residents with health insurance programs for low-income children, adults, seniors and people with disabilities. Our 1,500 employees are valued for their individual perspectives and contributions and benefit from flexible work schedules, recognition and opportunities to grow. If you're looking for a rewarding career supporting a meaningful mission, along with generous benefits and recognition, consider joining us at CalOptima Health! Position Responsibilities: Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability. Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department. Develops and maintains adequate information systems to assure timely and effective data collection, summarization, integration and reporting, including but is not limited to case creation, management and events/activity tracking. Ensures compliance with CalOptima Health's Grievance Policy and timely case resolution e.g., initiates and coordinates referrals to the Quality Improvement department as necessary and facilitates response to members according to policy. Gathers pertinent information regarding complaints, including, but not limited to, member or provider concerns, claims payments, billing reimbursements, supporting information related to initial decisions, new information supporting complaints and supplemental information required to evaluate complaints and regulatory requirements. Coordinates and participates in case discussions with operational experts to result in a final case disposition. Independently reviews Government Claim Cases and determines resolution and recommendation based on researched claims, Provider Dispute Resolution (PDR) and 2nd Level Appeal analyses. Evaluates case details related to member or provider complaints and makes appropriate decisions based on information provided and research conducted. Provides a summary of GARS cases requested by Legal Affairs or other departments. Trains new and existing staff, assists in case assignment, takes on case assignment per business needs and oversees the day-to-day operations for member and provider complaints and monitors for compliance in implementation of the decision. Contacts appropriate parties to request and obtain missing information and supporting documentation or provides education. Oversees resolution letters for accuracy of information and appropriate decisions. Meets performance measurement goals for GARS. Attends meetings on issues related to case assignments as well as meetings with various departments to keep up to date understanding of organizational processing and guidelines to effectively resolve cases. Reads and interprets provider contracts, Division of Financial Responsibility (DOFR), policies, procedures and instructions. Responds to routine provider inquiries via phone and assists with provider appeals resolution inquiries. Handles escalated issues from providers, as well as internal and external customers. Tracks and trend provider appeals and claims issues. Supports all department initiatives in improving overall efficiency. Assists with provider appeals audits by reviewing findings, gathering and organizing requested materials and completing rebuttals. Completes other projects and duties as assigned. Experience & Education: High School diploma or equivalent required. 3 years of experience with Provider Non-Contracted Medicare Post-Service appeals and denials required. 3 years of experience with PDR in Medicare and Medi-Cal in Professional, Institutional, Outpatient, Ancillary, Coordination of Benefits and Government Cases required. Experience with Medicare or Medi-Cal provider appeals and denials process required. Experience in health care practice standards, for both government and commercial plans required. Experience with Claims Administration required. An equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above is also qualifying. Preferred Qualifications: Associate's degree in Health Care Administration or related field. Physical Demands and Work Environment: The physical demands and work environment characteristics 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. Physical demands: While performing duties of job, employee may be required to move about the organization. Employee must be able to sit for extended periods of time, as well as work at the computer for long periods. Employee is required to use hands and fingers, especially for typing on the computer and using the mouse. Must also be able to reach with hands and arms and must occasionally lift office supply boxes or laptop, up to 25 pounds. Employee must be able to communicate, particularly for regular phone use, in meetings, face-to-face interaction and while presenting. Work Environment: Typical office environment with minimal to moderate noise levels and controlled office temperatures. About our Benefits & Wellness options: At CalOptima Health, we know that a healthy and happy workforce is a thriving workforce, which is why we offer a comprehensive benefits package, including participation in the California Public Employees Retirement System (CalPERS), low-cost medical/vision/dental insurance options, and paid time off. To support quality work-life balance, we allow flexible scheduling during core business hours, telework options for some positions, work schedules that allow every other Monday or Friday off (9/80 schedule), and a wellness program featuring diverse activities. Additionally, CalOptima Health contributes 4% of pensionable earnings to a 401(a) retirement program with no required employee contribution. Employees also have access to 457(b) retirement plans with pre/post-tax contribution options. CalOptima Health is committed to attracting, hiring, and retaining a diverse staff, where we will honor your unique experiences, identity, and perspectives. Our organization strives to create and maintain a workplace environment that is inclusive, equitable and welcoming so we can truly be Better Together. CalOptima Health is an equal employment opportunity employer and makes all employment decisions on the basis of merit. CalOptima Health wants to have qualified employees in every job position. CalOptima Health prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima Health also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics. If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability. Job Location: Orange, California Position Type: To apply, visit https://jobs.silkroad.com/CalOptima/Careers/jobs/4443 Copyright 2022 Jobelephant.com Inc. All rights reserved. Posted by the FREE value-added recruitment advertising agency jeid-e6d60332798d9b4eaaf4b779b8ec9bae
Nov 18, 2023
Full Time
Grievance Resolution Specialist, Sr. (Provider Resolution) Job Description Department(s): Grievance & Appeals Resolution Services (GARS) Reports to: Manager Grievance & Appeals FLSA status: Non - Exempt Salary Grade: H - $59,000 - $89,782 Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. The deadline for the first review of applications is on Friday, December 1, 2023 at 11:59 PM. Applicants are encouraged to apply early. Applicants that apply after the first review are not guaranteed to be considered for this recruitment. This recruitment may close at any time without notice after the first review date. About CalOptima Health CalOptima Health is the single largest health plan in Orange County, serving one in four residents. Our motto - "Better. Together." - is at the heart of our mission to serve members with excellence, dignity and respect. We are a public agency made up of compassionate leaders and professionals working together to strengthen our community's health. We are continuing to build a culture that promotes diversity and inclusion within our community where employees have a sense of belonging, and are valued for their ideas, contributions, and their unique individual perspectives they bring. CalOptima Health has been recognized as one of Orange County's best places to work, so we know there is something special about our organization. It is why people choose to work here and why they choose to stay! About the Position Are you looking for a career that changes lives? As the single largest health plan in Orange County, CalOptima Health serves one in three residents with health insurance programs for low-income children, adults, seniors and people with disabilities. Our 1,500 employees are valued for their individual perspectives and contributions and benefit from flexible work schedules, recognition and opportunities to grow. If you're looking for a rewarding career supporting a meaningful mission, along with generous benefits and recognition, consider joining us at CalOptima Health! Position Responsibilities: Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability. Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department. Develops and maintains adequate information systems to assure timely and effective data collection, summarization, integration and reporting, including but is not limited to case creation, management and events/activity tracking. Ensures compliance with CalOptima Health's Grievance Policy and timely case resolution e.g., initiates and coordinates referrals to the Quality Improvement department as necessary and facilitates response to members according to policy. Gathers pertinent information regarding complaints, including, but not limited to, member or provider concerns, claims payments, billing reimbursements, supporting information related to initial decisions, new information supporting complaints and supplemental information required to evaluate complaints and regulatory requirements. Coordinates and participates in case discussions with operational experts to result in a final case disposition. Independently reviews Government Claim Cases and determines resolution and recommendation based on researched claims, Provider Dispute Resolution (PDR) and 2nd Level Appeal analyses. Evaluates case details related to member or provider complaints and makes appropriate decisions based on information provided and research conducted. Provides a summary of GARS cases requested by Legal Affairs or other departments. Trains new and existing staff, assists in case assignment, takes on case assignment per business needs and oversees the day-to-day operations for member and provider complaints and monitors for compliance in implementation of the decision. Contacts appropriate parties to request and obtain missing information and supporting documentation or provides education. Oversees resolution letters for accuracy of information and appropriate decisions. Meets performance measurement goals for GARS. Attends meetings on issues related to case assignments as well as meetings with various departments to keep up to date understanding of organizational processing and guidelines to effectively resolve cases. Reads and interprets provider contracts, Division of Financial Responsibility (DOFR), policies, procedures and instructions. Responds to routine provider inquiries via phone and assists with provider appeals resolution inquiries. Handles escalated issues from providers, as well as internal and external customers. Tracks and trend provider appeals and claims issues. Supports all department initiatives in improving overall efficiency. Assists with provider appeals audits by reviewing findings, gathering and organizing requested materials and completing rebuttals. Completes other projects and duties as assigned. Experience & Education: High School diploma or equivalent required. 3 years of experience with Provider Non-Contracted Medicare Post-Service appeals and denials required. 3 years of experience with PDR in Medicare and Medi-Cal in Professional, Institutional, Outpatient, Ancillary, Coordination of Benefits and Government Cases required. Experience with Medicare or Medi-Cal provider appeals and denials process required. Experience in health care practice standards, for both government and commercial plans required. Experience with Claims Administration required. An equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above is also qualifying. Preferred Qualifications: Associate's degree in Health Care Administration or related field. Physical Demands and Work Environment: The physical demands and work environment characteristics 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. Physical demands: While performing duties of job, employee may be required to move about the organization. Employee must be able to sit for extended periods of time, as well as work at the computer for long periods. Employee is required to use hands and fingers, especially for typing on the computer and using the mouse. Must also be able to reach with hands and arms and must occasionally lift office supply boxes or laptop, up to 25 pounds. Employee must be able to communicate, particularly for regular phone use, in meetings, face-to-face interaction and while presenting. Work Environment: Typical office environment with minimal to moderate noise levels and controlled office temperatures. About our Benefits & Wellness options: At CalOptima Health, we know that a healthy and happy workforce is a thriving workforce, which is why we offer a comprehensive benefits package, including participation in the California Public Employees Retirement System (CalPERS), low-cost medical/vision/dental insurance options, and paid time off. To support quality work-life balance, we allow flexible scheduling during core business hours, telework options for some positions, work schedules that allow every other Monday or Friday off (9/80 schedule), and a wellness program featuring diverse activities. Additionally, CalOptima Health contributes 4% of pensionable earnings to a 401(a) retirement program with no required employee contribution. Employees also have access to 457(b) retirement plans with pre/post-tax contribution options. CalOptima Health is committed to attracting, hiring, and retaining a diverse staff, where we will honor your unique experiences, identity, and perspectives. Our organization strives to create and maintain a workplace environment that is inclusive, equitable and welcoming so we can truly be Better Together. CalOptima Health is an equal employment opportunity employer and makes all employment decisions on the basis of merit. CalOptima Health wants to have qualified employees in every job position. CalOptima Health prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima Health also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics. If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability. Job Location: Orange, California Position Type: To apply, visit https://jobs.silkroad.com/CalOptima/Careers/jobs/4443 Copyright 2022 Jobelephant.com Inc. All rights reserved. Posted by the FREE value-added recruitment advertising agency jeid-e6d60332798d9b4eaaf4b779b8ec9bae
City of Seattle, WA
Seattle, Washington, United States
Position Description Human Services, a department of the City of Seattle, funds and operates programs and services that meet the basic needs of the most vulnerable people our community - families and individuals with low incomes, children, domestic violence and sexual assault victims, homeless people, seniors, and persons with disabilities. We invest in programs that help people gain independence and success. The Senior Grants and Contracts Specialist will prepare and manage contracts for the Department’s health related work including; Public Health, Physical Health, Behavioral Health and Wellness and Disease Prevention. Types of services could include primary care, substance use disorder, mental health, maternal/child health, HIV prevention, among many others. This individual will monitor agencies ensuring compliance with federal, state, and local fund source requirements and program guidelines while also providing technical assistance. This position will report to the Health Integration Strategist. Job Responsibilities Prepare and execute contracts with King County and community agenices Monitor agency performance by completing on-site assessments and regular desk monitoring. Monitoring activities include evaluating agencies’ adherence to state program rules and policies through review of records, verifying the accuracy of monthly billing, and addressing contract related complaints. Analyze and interpret policies and Washington Adminstrative Code and King County Board of Health Code regulations. Support agencies in meeting complex program requirements through technical assistance and training. Act as a resource for policy implementation to support high quality program operations. Act as a liaison between internal partners, external partners, agencies, and King County staff. Work effectively with all parties to collaboratively address issues, provide policy guidance, and share information. Lead or assist with the review of new provider applications to determine if agencies meet qualification requirements. Prepare reports and presentations on programs and services for internal and external stakeholders. Qualifications Minimum Qualifications: Education: Bachelor's Degree in Business or Public Administration, a human services field, a public health field, a health administration field, or related field (or a combination of education and/or training and/or experience which provides an equivalent background required to perform the work of the class). Experience: Requires a minimum of two years professional experience in contract administration, budget management, planning, human services administration. Desired Qualifications: Experience working with Public Health, Physical Health, and/or Behavioral Health entities , for example community health clinics, substance use disorder agencies, and/or mental health agencies. Experience developing contracts and monitoring for compliance with fiscal and programmatic standards. Experience implementing, analyzing, and/or ensuring compliance with complex County/State/Federal laws, regulations, policies, and procedures in the provision of services to vulnerable populations. Experience in providing technical assistance to strengthen compliance with contract terms or service delivery. Strong written, oral, and interpersonal communication skills with the ability to effectively communicate with peers, external partners, and ADS leadership. Understanding of race & social justice principles and impacts of systemic racism and oppression on communities served by our Human Services Department. Demonstrated proficiency with standard computer software including Microsoft Office (i.e. Outlook, Word, and Excel). Additional Information Additional Information Hiring Process Qualified candidates must submit the following to be considered: Completed NEOGOV online application.Current résumé indicating relevant experience and education. Supplemental questionnaire responses Offers of employment are contingent on verification of information provided by the applicant as part of the application process, including potential background check. The full salary range for this position is $36.47 - $42.57 per hour. The City of Seattle offers a comprehensive benefits package including vacation, holiday, and sick leave as well as medical, dental, vision, life, and long-term disability insurance for employees and their dependents. More information about employee benefits is available on the City's website at: https://www.seattle.gov/human-resources/benefits/employees-and covered family-members/most employees-plans This job/class description, describes the general nature of the work performed, representative duties as well as the typical qualifications needed for acceptable performance. It is not intended to be a complete list of all responsibilities, duties, work steps, and skills required of the job. Duties, responsibilities and activities may change at any time with or without notice. The City of Seattle offers a comprehensive benefits package including vacation, holiday and sick leave as well as medical, dental, vision, life and long-term disability insurance for employees and their dependents. More information about employee benefits is available on the City's website at: "Most" Employees Plans - Human Resources | seattle.gov Closing Date/Time: Continuous
Dec 09, 2023
Full Time
Position Description Human Services, a department of the City of Seattle, funds and operates programs and services that meet the basic needs of the most vulnerable people our community - families and individuals with low incomes, children, domestic violence and sexual assault victims, homeless people, seniors, and persons with disabilities. We invest in programs that help people gain independence and success. The Senior Grants and Contracts Specialist will prepare and manage contracts for the Department’s health related work including; Public Health, Physical Health, Behavioral Health and Wellness and Disease Prevention. Types of services could include primary care, substance use disorder, mental health, maternal/child health, HIV prevention, among many others. This individual will monitor agencies ensuring compliance with federal, state, and local fund source requirements and program guidelines while also providing technical assistance. This position will report to the Health Integration Strategist. Job Responsibilities Prepare and execute contracts with King County and community agenices Monitor agency performance by completing on-site assessments and regular desk monitoring. Monitoring activities include evaluating agencies’ adherence to state program rules and policies through review of records, verifying the accuracy of monthly billing, and addressing contract related complaints. Analyze and interpret policies and Washington Adminstrative Code and King County Board of Health Code regulations. Support agencies in meeting complex program requirements through technical assistance and training. Act as a resource for policy implementation to support high quality program operations. Act as a liaison between internal partners, external partners, agencies, and King County staff. Work effectively with all parties to collaboratively address issues, provide policy guidance, and share information. Lead or assist with the review of new provider applications to determine if agencies meet qualification requirements. Prepare reports and presentations on programs and services for internal and external stakeholders. Qualifications Minimum Qualifications: Education: Bachelor's Degree in Business or Public Administration, a human services field, a public health field, a health administration field, or related field (or a combination of education and/or training and/or experience which provides an equivalent background required to perform the work of the class). Experience: Requires a minimum of two years professional experience in contract administration, budget management, planning, human services administration. Desired Qualifications: Experience working with Public Health, Physical Health, and/or Behavioral Health entities , for example community health clinics, substance use disorder agencies, and/or mental health agencies. Experience developing contracts and monitoring for compliance with fiscal and programmatic standards. Experience implementing, analyzing, and/or ensuring compliance with complex County/State/Federal laws, regulations, policies, and procedures in the provision of services to vulnerable populations. Experience in providing technical assistance to strengthen compliance with contract terms or service delivery. Strong written, oral, and interpersonal communication skills with the ability to effectively communicate with peers, external partners, and ADS leadership. Understanding of race & social justice principles and impacts of systemic racism and oppression on communities served by our Human Services Department. Demonstrated proficiency with standard computer software including Microsoft Office (i.e. Outlook, Word, and Excel). Additional Information Additional Information Hiring Process Qualified candidates must submit the following to be considered: Completed NEOGOV online application.Current résumé indicating relevant experience and education. Supplemental questionnaire responses Offers of employment are contingent on verification of information provided by the applicant as part of the application process, including potential background check. The full salary range for this position is $36.47 - $42.57 per hour. The City of Seattle offers a comprehensive benefits package including vacation, holiday, and sick leave as well as medical, dental, vision, life, and long-term disability insurance for employees and their dependents. More information about employee benefits is available on the City's website at: https://www.seattle.gov/human-resources/benefits/employees-and covered family-members/most employees-plans This job/class description, describes the general nature of the work performed, representative duties as well as the typical qualifications needed for acceptable performance. It is not intended to be a complete list of all responsibilities, duties, work steps, and skills required of the job. Duties, responsibilities and activities may change at any time with or without notice. The City of Seattle offers a comprehensive benefits package including vacation, holiday and sick leave as well as medical, dental, vision, life and long-term disability insurance for employees and their dependents. More information about employee benefits is available on the City's website at: "Most" Employees Plans - Human Resources | seattle.gov Closing Date/Time: Continuous
City of Seattle, WA
Seattle, Washington, United States
Position Description Human Services, a department of the City of Seattle, funds and operates programs and services that meet the basic needs of the most vulnerable people our community - families and individuals with low incomes, children, domestic violence and sexual assault victims, homeless people, seniors, and persons with disabilities. We invest in programs that help people gain independence and success. The Senior Grants and Contracts Specialist will prepare and manage contracts for the Aging and Disability Services Division that include contracting for providers to serve older adults and adults with disabilities for Medicaid Case Management clients and non-Medicaid clients. Types of services could include Public Health, Nutrition, Transportation, COVID funded programs & other long-term care service areas. This individual will monitor agencies ensuring compliance with federal, state, and local fund source requirements and program guidelines while also providing technical assistance. This position will report to a Grants & Contracts Supervisor. Job Responsibilities Prepare and execute contracts with agencies, serve as lead for an Area Agency of Aging (AAA) service area, including services to the Medicaid Case Management client population as well as non Medicaid client population. Monitor agency performance by completing on-site assessments and regular desk monitoring. Monitoring activities include evaluating agencies’ adherence to state program rules and policies through review of records, verifying the accuracy of monthly billing, and addressing contract related complaints. Analyze and interpret policies and Washington Administrative Code regulations. Support agencies in meeting complex program requirements through technical assistance and training. Act as a resource for policy implementation to support high quality program operations. Act as a liaison between internal partners, external partners, agencies, and DSHS staff. Work effectively with all parties to collaboratively address issues, provide policy guidance, and share information. Lead or assist with the review of new provider applications to determine if agencies meet qualification requirements. Prepare reports and presentations on programs and services for internal and external stakeholders. Qualifications Minimum Qualifications: Education: Bachelor's Degree in Business or Public Administration, a human services field, or related field (or a combination of education and/or training and/or experience which provides an equivalent background required to perform the work of the class). Experience: Requires a minimum of two years professional experience in contract administration, budget management, planning, human services administration. Desired Qualifications: Experience working with Medicaid-funded aging supports, for example, long term services & supports such as In Home Care Services, Adult Day Services and Community Living support for the deaf and blind. Experience developing contracts and monitoring for compliance with fiscal and programmatic standards. Experience implementing, analyzing, and/or ensuring compliance with complex State/Federal laws, regulations, policies, and procedures in the provision of services to vulnerable populations. Experience in providing technical assistance to strengthen compliance with contract terms or service delivery. Strong written, oral, and interpersonal communication skills with the ability to effectively communicate with peers, external partners, and ADS leadership. Understanding of race & social justice principles and impacts of systemic racism and oppression on communities served by Aging and Disability Services division and Human Services Department. Demonstrated proficiency with standard computer software including Microsoft Office (i.e. Outlook, Word, and Excel). Additional Information Additional Requirements: Your application will not be reviewed if these items are missing or incomplete. Hiring Process Applications are reviewed after the posting closes. Qualified candidates must submit the following to be considered: Completed NEOGOV online application.Current résumé indicating relevant experience and education. Cover letter describing how your skills and experience align with the stated job responsibilities and qualifications. Supplemental questionnaire responses The full salary range for this opportunity is: $36.47 - $42.57 an hour. The first pull of resumes will be on October 17, 2023. Then bi weekly as needed. The City of Seattle offers a comprehensive benefits package including vacation, holiday, and sick leave as well as medical, dental, vision, life, and long-term disability insurance for employees and their dependents. More information about employee benefits is available on the City's website at: https://www.seattle.gov/human-resources/benefits/employees-and covered family-members/most employees-plans Offers of employment are contingent on verification of information provided by the applicant as part of the application process, including potential background check. Please note this job advertisement is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice. The City of Seattle offers a comprehensive benefits package including vacation, holiday and sick leave as well as medical, dental, vision, life and long-term disability insurance for employees and their dependents. More information about employee benefits is available on the City's website at: "Most" Employees Plans - Human Resources | seattle.gov Closing Date/Time: Continuous
Oct 11, 2023
Full Time
Position Description Human Services, a department of the City of Seattle, funds and operates programs and services that meet the basic needs of the most vulnerable people our community - families and individuals with low incomes, children, domestic violence and sexual assault victims, homeless people, seniors, and persons with disabilities. We invest in programs that help people gain independence and success. The Senior Grants and Contracts Specialist will prepare and manage contracts for the Aging and Disability Services Division that include contracting for providers to serve older adults and adults with disabilities for Medicaid Case Management clients and non-Medicaid clients. Types of services could include Public Health, Nutrition, Transportation, COVID funded programs & other long-term care service areas. This individual will monitor agencies ensuring compliance with federal, state, and local fund source requirements and program guidelines while also providing technical assistance. This position will report to a Grants & Contracts Supervisor. Job Responsibilities Prepare and execute contracts with agencies, serve as lead for an Area Agency of Aging (AAA) service area, including services to the Medicaid Case Management client population as well as non Medicaid client population. Monitor agency performance by completing on-site assessments and regular desk monitoring. Monitoring activities include evaluating agencies’ adherence to state program rules and policies through review of records, verifying the accuracy of monthly billing, and addressing contract related complaints. Analyze and interpret policies and Washington Administrative Code regulations. Support agencies in meeting complex program requirements through technical assistance and training. Act as a resource for policy implementation to support high quality program operations. Act as a liaison between internal partners, external partners, agencies, and DSHS staff. Work effectively with all parties to collaboratively address issues, provide policy guidance, and share information. Lead or assist with the review of new provider applications to determine if agencies meet qualification requirements. Prepare reports and presentations on programs and services for internal and external stakeholders. Qualifications Minimum Qualifications: Education: Bachelor's Degree in Business or Public Administration, a human services field, or related field (or a combination of education and/or training and/or experience which provides an equivalent background required to perform the work of the class). Experience: Requires a minimum of two years professional experience in contract administration, budget management, planning, human services administration. Desired Qualifications: Experience working with Medicaid-funded aging supports, for example, long term services & supports such as In Home Care Services, Adult Day Services and Community Living support for the deaf and blind. Experience developing contracts and monitoring for compliance with fiscal and programmatic standards. Experience implementing, analyzing, and/or ensuring compliance with complex State/Federal laws, regulations, policies, and procedures in the provision of services to vulnerable populations. Experience in providing technical assistance to strengthen compliance with contract terms or service delivery. Strong written, oral, and interpersonal communication skills with the ability to effectively communicate with peers, external partners, and ADS leadership. Understanding of race & social justice principles and impacts of systemic racism and oppression on communities served by Aging and Disability Services division and Human Services Department. Demonstrated proficiency with standard computer software including Microsoft Office (i.e. Outlook, Word, and Excel). Additional Information Additional Requirements: Your application will not be reviewed if these items are missing or incomplete. Hiring Process Applications are reviewed after the posting closes. Qualified candidates must submit the following to be considered: Completed NEOGOV online application.Current résumé indicating relevant experience and education. Cover letter describing how your skills and experience align with the stated job responsibilities and qualifications. Supplemental questionnaire responses The full salary range for this opportunity is: $36.47 - $42.57 an hour. The first pull of resumes will be on October 17, 2023. Then bi weekly as needed. The City of Seattle offers a comprehensive benefits package including vacation, holiday, and sick leave as well as medical, dental, vision, life, and long-term disability insurance for employees and their dependents. More information about employee benefits is available on the City's website at: https://www.seattle.gov/human-resources/benefits/employees-and covered family-members/most employees-plans Offers of employment are contingent on verification of information provided by the applicant as part of the application process, including potential background check. Please note this job advertisement is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice. The City of Seattle offers a comprehensive benefits package including vacation, holiday and sick leave as well as medical, dental, vision, life and long-term disability insurance for employees and their dependents. More information about employee benefits is available on the City's website at: "Most" Employees Plans - Human Resources | seattle.gov Closing Date/Time: Continuous
CSU, Sacramento
6000 J Street, Sacramento, CA 95819, USA
Working Title: Student Health Athlete Care Analyst Classification Title: Administrative Analyst/Specialist Exempt I Posting Details Priority Application Date (Posting will remain open until filled): Tuesday, October 31, 2023 @ 11:55pm PT Hiring Preference Eligible on-campus applicants in California State University Employees Union (CSUEU) Bargaining Units 2,5,7, and 9 will be given first consideration in the recruitment. Position Summary Under general direction of the Associate Director Health, Wellness and Performance, and Sr. AVP or designee, the Student Health Athlete Care Analyst (SHACA) serves students and student athletes, ensuring optimal health care management regarding insurance benefits and medical service referrals for injured students and student athletes. The SHACA uses knowledge of the medical insurance billing policies, procedures, regulations, and practices, together with a thorough understanding of NCAA rules and regulations to navigate medical treatment plans, insurance reimbursements, and related actions on behalf of, or together with, student athletes. In addition, the SHACA reviews and submits insurance billing in PnC, Family Pact, and Medi-Cal. The SHACA works collectively with students, staff, and administrators to develop and implement strategies for student care that provide the best possible medical outcomes for students while also ensuring medical expenses are correctly pre-approved, coded and/or explained in a manner that supports insurance payment or reimbursements. This position also interprets policies and procedures, statutory regulations, athletics insurance policies, and guidelines established by the CSU, Office of Risk Management regarding insurance requirements and coverages and provides information direction and recommendations to the Athletics Department. FLSA : Exempt (Not eligible for overtime compensation) Anticipated Hiring Range : $5,900 - 6,300 per month CSU Classification Salary Range : $4,170 - $7,545 per month Best-in-class Benefits : Click here to learn more CSU Total Compensation : Click here to learn more Salary Grade/Range : 2 Recruitment Type : Regular (Probationary) Time Base : Full-Time Pay Plan : 12 months Work Hours : To be determined at time of hire. Department Information Student Health & Counseling Services (SHCS) embraces a holistic and collaborative approach to healthcare by offering urgent care, primary care, preventative services, wellness education, violence support services, and mental health, services to the Sacramento State campus community. SHCS is committed to providing quality care and service delivery and is accredited through the Accreditation Association for Ambulatory Health Care (AAAHC). Minimum Qualifications Entry to this classification requires general knowledge and skills in the applicable administrative and/or program field with a foundational knowledge of public administration principles, practices, and methods. This foundation would normally be obtained through a bachelor's degree and/or equivalent training and administrative work experience involving study, analysis, and/or evaluation leading to the development or improvement of administrative policies, procedures, practices, or programs. Required Qualifications General knowledge of the principles, practices and trends of the student care as it pertains to sports medicine, insurance, referrals and related matters impacting students. Ability to communicate in writing and conduct staff in-service to inform staff of changes to the insurance billing program. General knowledge of the policies, procedures and practices of statutory regulations and athletic insurance policies, Family Pact requirements, Medi-Cal. General knowledge of regulations, CSU policies to analyze and evaluate questions and problems and provide appropriate recommendations. General knowledge of the organizational procedures and activities involving the case management needs of student athletes who are navigating through the medical referral or insurance claims process. Working knowledge of the collegiate athletics and student health center structures. Ability to analyze complex situation accurately and adopt effective courses of action. Advise student individually and in groups on complex student-related matters. Ability to determine appropriate courses of action and proper techniques to utilize while engaged with individuals in personal interactions of an argumentative or sensitive nature. Ability to evaluate insurance policies and provide recommendations. Ability to carry out a variety of professionally complex assignments without detailed instructions Establish and maintain cooperative working relationships with a variety of individuals. Knowledge of HIPAA standards and confidentiality as required for medical information. Ability to coordinate with various on campus stakeholders SSWD, CARES, SARC etc., and advocating for student needs. Commitment to maintaining a welcoming and inclusive work environment with diverse colleagues and constituents including faculty, students, staff, and members of the community Conditions of Employment - Ability to pass a background check Preferred Qualifications Minimum three years of student service work experience. Minimum of 1 year in the program area to which assigned. Experience working with an Electronic Health Record System. Experience in direct care, case management, insurance billing or referral coordination. Experience working in an integrated university health and athletics department or equivalent work experience. Certified Medical Reimbursement Specialist (CMRS). Experience in coding both current ICD and CPT -10 and HCPCS coding systems. Current BLS American Heart Association. Documents Needed to Apply Resume (CV), Cover Letter Failure to upload required documentation may result in disqualification. About Sacramento State Sacramento State is located in the heart of California’s capital city, five miles from State Capitol. The lush, 300-acre campus is situated along the American River, close to numerous bike trails and other recreational areas. Sacramento, also known as the “Farm-to-Fork Capital,” is one of the most ethnically diverse and livable cities in the country, with a population of half of a million. Sacramento State is a Hispanic and AANAPISI serving institution with about 31,000 students coming not only from the Greater Sacramento Region, but also from across the state, country, and world. Our 1,800 faculty and 1,500 staff are committed to meeting our mission: “As California’s capital university, we transform lives by preparing students to lead, serve, and succeed. Sacramento State will be a welcoming, caring, and inclusive leader in education, innovation, and engagement.” As the regional hub of higher education, Sacramento State is dedicated to learning and student success ; teaching, research, scholarship and creative activity ; justice, diversity, equity and inclusion ; resource development and sustainability ; dedicated community engagement , and wellness and safety . As evidenced by the values embedded in our Hornet Honor Code , Sacramento State is committed to creating an inclusive environment where all faculty, staff, students, and guests are welcome and valued. Our commitment is more than simply ensuring that our campus is free from bias and discrimination, but is one devoted to celebrating many diverse identities, life experiences, and perspectives that enrich our community, teaching and learning. To learn more about why you should join the Hornet Family, please visit the Why Sac State? page. Equal Employment Opportunity California State University, Sacramento is an Affirmative Action/Equal Opportunity Employer and has a strong institutional commitment to the principle of diversity in all areas. We consider qualified applicants for employment without regard to race, color, religion, national origin, age, sex, gender identity/expression, sexual orientation, pregnancy, genetic information, medical condition, marital status, veteran status, or disability. Sacramento State hires only those individuals who are lawfully authorized to accept employment in the United States. It is the policy of California State University, Sacramento to provide reasonable accommodations for qualified persons with disabilities who are employees or applicants for employment. If you need a disability related reasonable accommodation as part of the application and/or interviewing process, visit https://www.csus.edu/administration-business-affairs/human-resources/benefits/reasonable-accomodation.html . The University is committed to creating an education and working environment free from discrimination, sexual harassment, sexual violence, domestic violence, dating violence, and stalking. For more information on mandatory training for new employees, visit https://www.csus.edu/administration-business-affairs/human-resources/learning-development/csu-learn.html . Jeanne Clery Disclosure of Campus Security Policy and Crime Statistics Act and Campus Fire Safety Right-To-know Act Notification: Pursuant to the Jeanne Clery Disclosure of Campus Security Policy and Campus Crime Statistics Act, the current Annual Security Report (ASR) is available for viewing at https://www.csus.edu/clery . The ASR contains the current security and safety-related policy statements, emergency preparedness and evacuation information, crime prevention and sexual assault prevention information, and drug and alcohol prevention programming. The ASR also contains statistics of Clery Act crimes for Sacramento State for the last three (3) calendar years. Paper copies are available upon request at the Police Service Center located in the University Union. Background Check Disclaimer A background check (including a criminal records check) must be completed satisfactorily before any candidate can be offered a position with California State University, Sacramento. Failure to satisfactorily complete the background check may affect the application status of applicants or continued employment of current California State University, Sacramento employees who apply for the position. COVID-19 Vaccination Policy Effective May 2023, per the CSU COVID-19 Vaccination Policy , it is strongly recommended that all California State University, Sacramento employees who are accessing office and campus facilities follow COVID-19 vaccine recommendations adopted by the U.S. Centers for Disease Control and Prevention (CDC) and the California Department of Public Health (CDPH) applicable to their age, medical condition, and other relevant indications. Out of State Employment Sacramento State University, as part of the CSU system, is a State of California Employer. As such, the University requires all employees (up)on date of hire to reside in the State of California. As of January 1, 2022 the CSU Out-of-State Employment Policy prohibits the hiring of employees to perform CSU-related work outside the state of California. Eligibility Verification Selected candidate must furnish proof of eligibility to work in the United States. California State University, Sacramento is not a sponsoring agency for staff and management positions (i.e. H-1-B Visa). Note to Applicants: Possession of the minimum qualifications does not guarantee an interview unless required by collective bargaining agreement. Advertised: Oct 17 2023 Pacific Daylight Time Applications close: Closing Date/Time:
Dec 09, 2023
Working Title: Student Health Athlete Care Analyst Classification Title: Administrative Analyst/Specialist Exempt I Posting Details Priority Application Date (Posting will remain open until filled): Tuesday, October 31, 2023 @ 11:55pm PT Hiring Preference Eligible on-campus applicants in California State University Employees Union (CSUEU) Bargaining Units 2,5,7, and 9 will be given first consideration in the recruitment. Position Summary Under general direction of the Associate Director Health, Wellness and Performance, and Sr. AVP or designee, the Student Health Athlete Care Analyst (SHACA) serves students and student athletes, ensuring optimal health care management regarding insurance benefits and medical service referrals for injured students and student athletes. The SHACA uses knowledge of the medical insurance billing policies, procedures, regulations, and practices, together with a thorough understanding of NCAA rules and regulations to navigate medical treatment plans, insurance reimbursements, and related actions on behalf of, or together with, student athletes. In addition, the SHACA reviews and submits insurance billing in PnC, Family Pact, and Medi-Cal. The SHACA works collectively with students, staff, and administrators to develop and implement strategies for student care that provide the best possible medical outcomes for students while also ensuring medical expenses are correctly pre-approved, coded and/or explained in a manner that supports insurance payment or reimbursements. This position also interprets policies and procedures, statutory regulations, athletics insurance policies, and guidelines established by the CSU, Office of Risk Management regarding insurance requirements and coverages and provides information direction and recommendations to the Athletics Department. FLSA : Exempt (Not eligible for overtime compensation) Anticipated Hiring Range : $5,900 - 6,300 per month CSU Classification Salary Range : $4,170 - $7,545 per month Best-in-class Benefits : Click here to learn more CSU Total Compensation : Click here to learn more Salary Grade/Range : 2 Recruitment Type : Regular (Probationary) Time Base : Full-Time Pay Plan : 12 months Work Hours : To be determined at time of hire. Department Information Student Health & Counseling Services (SHCS) embraces a holistic and collaborative approach to healthcare by offering urgent care, primary care, preventative services, wellness education, violence support services, and mental health, services to the Sacramento State campus community. SHCS is committed to providing quality care and service delivery and is accredited through the Accreditation Association for Ambulatory Health Care (AAAHC). Minimum Qualifications Entry to this classification requires general knowledge and skills in the applicable administrative and/or program field with a foundational knowledge of public administration principles, practices, and methods. This foundation would normally be obtained through a bachelor's degree and/or equivalent training and administrative work experience involving study, analysis, and/or evaluation leading to the development or improvement of administrative policies, procedures, practices, or programs. Required Qualifications General knowledge of the principles, practices and trends of the student care as it pertains to sports medicine, insurance, referrals and related matters impacting students. Ability to communicate in writing and conduct staff in-service to inform staff of changes to the insurance billing program. General knowledge of the policies, procedures and practices of statutory regulations and athletic insurance policies, Family Pact requirements, Medi-Cal. General knowledge of regulations, CSU policies to analyze and evaluate questions and problems and provide appropriate recommendations. General knowledge of the organizational procedures and activities involving the case management needs of student athletes who are navigating through the medical referral or insurance claims process. Working knowledge of the collegiate athletics and student health center structures. Ability to analyze complex situation accurately and adopt effective courses of action. Advise student individually and in groups on complex student-related matters. Ability to determine appropriate courses of action and proper techniques to utilize while engaged with individuals in personal interactions of an argumentative or sensitive nature. Ability to evaluate insurance policies and provide recommendations. Ability to carry out a variety of professionally complex assignments without detailed instructions Establish and maintain cooperative working relationships with a variety of individuals. Knowledge of HIPAA standards and confidentiality as required for medical information. Ability to coordinate with various on campus stakeholders SSWD, CARES, SARC etc., and advocating for student needs. Commitment to maintaining a welcoming and inclusive work environment with diverse colleagues and constituents including faculty, students, staff, and members of the community Conditions of Employment - Ability to pass a background check Preferred Qualifications Minimum three years of student service work experience. Minimum of 1 year in the program area to which assigned. Experience working with an Electronic Health Record System. Experience in direct care, case management, insurance billing or referral coordination. Experience working in an integrated university health and athletics department or equivalent work experience. Certified Medical Reimbursement Specialist (CMRS). Experience in coding both current ICD and CPT -10 and HCPCS coding systems. Current BLS American Heart Association. Documents Needed to Apply Resume (CV), Cover Letter Failure to upload required documentation may result in disqualification. About Sacramento State Sacramento State is located in the heart of California’s capital city, five miles from State Capitol. The lush, 300-acre campus is situated along the American River, close to numerous bike trails and other recreational areas. Sacramento, also known as the “Farm-to-Fork Capital,” is one of the most ethnically diverse and livable cities in the country, with a population of half of a million. Sacramento State is a Hispanic and AANAPISI serving institution with about 31,000 students coming not only from the Greater Sacramento Region, but also from across the state, country, and world. Our 1,800 faculty and 1,500 staff are committed to meeting our mission: “As California’s capital university, we transform lives by preparing students to lead, serve, and succeed. Sacramento State will be a welcoming, caring, and inclusive leader in education, innovation, and engagement.” As the regional hub of higher education, Sacramento State is dedicated to learning and student success ; teaching, research, scholarship and creative activity ; justice, diversity, equity and inclusion ; resource development and sustainability ; dedicated community engagement , and wellness and safety . As evidenced by the values embedded in our Hornet Honor Code , Sacramento State is committed to creating an inclusive environment where all faculty, staff, students, and guests are welcome and valued. Our commitment is more than simply ensuring that our campus is free from bias and discrimination, but is one devoted to celebrating many diverse identities, life experiences, and perspectives that enrich our community, teaching and learning. To learn more about why you should join the Hornet Family, please visit the Why Sac State? page. Equal Employment Opportunity California State University, Sacramento is an Affirmative Action/Equal Opportunity Employer and has a strong institutional commitment to the principle of diversity in all areas. We consider qualified applicants for employment without regard to race, color, religion, national origin, age, sex, gender identity/expression, sexual orientation, pregnancy, genetic information, medical condition, marital status, veteran status, or disability. Sacramento State hires only those individuals who are lawfully authorized to accept employment in the United States. It is the policy of California State University, Sacramento to provide reasonable accommodations for qualified persons with disabilities who are employees or applicants for employment. If you need a disability related reasonable accommodation as part of the application and/or interviewing process, visit https://www.csus.edu/administration-business-affairs/human-resources/benefits/reasonable-accomodation.html . The University is committed to creating an education and working environment free from discrimination, sexual harassment, sexual violence, domestic violence, dating violence, and stalking. For more information on mandatory training for new employees, visit https://www.csus.edu/administration-business-affairs/human-resources/learning-development/csu-learn.html . Jeanne Clery Disclosure of Campus Security Policy and Crime Statistics Act and Campus Fire Safety Right-To-know Act Notification: Pursuant to the Jeanne Clery Disclosure of Campus Security Policy and Campus Crime Statistics Act, the current Annual Security Report (ASR) is available for viewing at https://www.csus.edu/clery . The ASR contains the current security and safety-related policy statements, emergency preparedness and evacuation information, crime prevention and sexual assault prevention information, and drug and alcohol prevention programming. The ASR also contains statistics of Clery Act crimes for Sacramento State for the last three (3) calendar years. Paper copies are available upon request at the Police Service Center located in the University Union. Background Check Disclaimer A background check (including a criminal records check) must be completed satisfactorily before any candidate can be offered a position with California State University, Sacramento. Failure to satisfactorily complete the background check may affect the application status of applicants or continued employment of current California State University, Sacramento employees who apply for the position. COVID-19 Vaccination Policy Effective May 2023, per the CSU COVID-19 Vaccination Policy , it is strongly recommended that all California State University, Sacramento employees who are accessing office and campus facilities follow COVID-19 vaccine recommendations adopted by the U.S. Centers for Disease Control and Prevention (CDC) and the California Department of Public Health (CDPH) applicable to their age, medical condition, and other relevant indications. Out of State Employment Sacramento State University, as part of the CSU system, is a State of California Employer. As such, the University requires all employees (up)on date of hire to reside in the State of California. As of January 1, 2022 the CSU Out-of-State Employment Policy prohibits the hiring of employees to perform CSU-related work outside the state of California. Eligibility Verification Selected candidate must furnish proof of eligibility to work in the United States. California State University, Sacramento is not a sponsoring agency for staff and management positions (i.e. H-1-B Visa). Note to Applicants: Possession of the minimum qualifications does not guarantee an interview unless required by collective bargaining agreement. Advertised: Oct 17 2023 Pacific Daylight Time Applications close: Closing Date/Time:
CSU, Sacramento
6000 J Street, Sacramento, CA 95819, USA
Description: Working Title: Student Health Athlete Care Analyst Classification Title: Administrative Analyst/Specialist Exempt I Posting Details Priority Application Date (Posting will remain open until filled): Tuesday, October 31, 2023 @ 11:55pm PT Hiring Preference Eligible on-campus applicants in California State University Employees Union (CSUEU) Bargaining Units 2,5,7, and 9 will be given first consideration in the recruitment. Position Summary Under general direction of the Associate Director Health, Wellness and Performance, and Sr. AVP or designee, the Student Health Athlete Care Analyst (SHACA) serves students and student athletes, ensuring optimal health care management regarding insurance benefits and medical service referrals for injured students and student athletes. The SHACA uses knowledge of the medical insurance billing policies, procedures, regulations, and practices, together with a thorough understanding of NCAA rules and regulations to navigate medical treatment plans, insurance reimbursements, and related actions on behalf of, or together with, student athletes. In addition, the SHACA reviews and submits insurance billing in PnC, Family Pact, and Medi-Cal. The SHACA works collectively with students, staff, and administrators to develop and implement strategies for student care that provide the best possible medical outcomes for students while also ensuring medical expenses are correctly pre-approved, coded and/or explained in a manner that supports insurance payment or reimbursements. This position also interprets policies and procedures, statutory regulations, athletics insurance policies, and guidelines established by the CSU, Office of Risk Management regarding insurance requirements and coverages and provides information direction and recommendations to the Athletics Department. FLSA : Exempt (Not eligible for overtime compensation) Anticipated Hiring Range : $5,900 - 6,300 per month CSU Classification Salary Range : $4,170 - $7,545 per month Best-in-class Benefits : Click here to learn more CSU Total Compensation : Click here to learn more Salary Grade/Range : 2 Recruitment Type : Regular (Probationary) Time Base : Full-Time Pay Plan : 12 months Work Hours : To be determined at time of hire. Department Information Student Health & Counseling Services (SHCS) embraces a holistic and collaborative approach to healthcare by offering urgent care, primary care, preventative services, wellness education, violence support services, and mental health, services to the Sacramento State campus community. SHCS is committed to providing quality care and service delivery and is accredited through the Accreditation Association for Ambulatory Health Care (AAAHC). Minimum Qualifications Entry to this classification requires general knowledge and skills in the applicable administrative and/or program field with a foundational knowledge of public administration principles, practices, and methods. This foundation would normally be obtained through a bachelor's degree and/or equivalent training and administrative work experience involving study, analysis, and/or evaluation leading to the development or improvement of administrative policies, procedures, practices, or programs. Required Qualifications General knowledge of the principles, practices and trends of the student care as it pertains to sports medicine, insurance, referrals and related matters impacting students. Ability to communicate in writing and conduct staff in-service to inform staff of changes to the insurance billing program. General knowledge of the policies, procedures and practices of statutory regulations and athletic insurance policies, Family Pact requirements, Medi-Cal. General knowledge of regulations, CSU policies to analyze and evaluate questions and problems and provide appropriate recommendations. General knowledge of the organizational procedures and activities involving the case management needs of student athletes who are navigating through the medical referral or insurance claims process. Working knowledge of the collegiate athletics and student health center structures. Ability to analyze complex situation accurately and adopt effective courses of action. Advise student individually and in groups on complex student-related matters. Ability to determine appropriate courses of action and proper techniques to utilize while engaged with individuals in personal interactions of an argumentative or sensitive nature. Ability to evaluate insurance policies and provide recommendations. Ability to carry out a variety of professionally complex assignments without detailed instructions Establish and maintain cooperative working relationships with a variety of individuals. Knowledge of HIPAA standards and confidentiality as required for medical information. Ability to coordinate with various on campus stakeholders SSWD, CARES, SARC etc., and advocating for student needs. Commitment to maintaining a welcoming and inclusive work environment with diverse colleagues and constituents including faculty, students, staff, and members of the community Conditions of Employment - Ability to pass a background check Preferred Qualifications Minimum three years of student service work experience. Minimum of 1 year in the program area to which assigned. Experience working with an Electronic Health Record System. Experience in direct care, case management, insurance billing or referral coordination. Experience working in an integrated university health and athletics department or equivalent work experience. Certified Medical Reimbursement Specialist (CMRS). Experience in coding both current ICD and CPT -10 and HCPCS coding systems. Current BLS American Heart Association. Documents Needed to Apply Resume (CV), Cover Letter Failure to upload required documentation may result in disqualification. About Sacramento State Sacramento State is located in the heart of California’s capital city, five miles from State Capitol. The lush, 300-acre campus is situated along the American River, close to numerous bike trails and other recreational areas. Sacramento, also known as the “Farm-to-Fork Capital,” is one of the most ethnically diverse and livable cities in the country, with a population of half of a million. Sacramento State is a Hispanic and AANAPISI serving institution with about 31,000 students coming not only from the Greater Sacramento Region, but also from across the state, country, and world. Our 1,800 faculty and 1,500 staff are committed to meeting our mission: “As California’s capital university, we transform lives by preparing students to lead, serve, and succeed. Sacramento State will be a welcoming, caring, and inclusive leader in education, innovation, and engagement.” As the regional hub of higher education, Sacramento State is dedicated to learning and student success ; teaching, research, scholarship and creative activity ; justice, diversity, equity and inclusion ; resource development and sustainability ; dedicated community engagement , and wellness and safety . As evidenced by the values embedded in our Hornet Honor Code , Sacramento State is committed to creating an inclusive environment where all faculty, staff, students, and guests are welcome and valued. Our commitment is more than simply ensuring that our campus is free from bias and discrimination, but is one devoted to celebrating many diverse identities, life experiences, and perspectives that enrich our community, teaching and learning. To learn more about why you should join the Hornet Family, please visit the Why Sac State? page. Equal Employment Opportunity California State University, Sacramento is an Affirmative Action/Equal Opportunity Employer and has a strong institutional commitment to the principle of diversity in all areas. We consider qualified applicants for employment without regard to race, color, religion, national origin, age, sex, gender identity/expression, sexual orientation, pregnancy, genetic information, medical condition, marital status, veteran status, or disability. Sacramento State hires only those individuals who are lawfully authorized to accept employment in the United States. It is the policy of California State University, Sacramento to provide reasonable accommodations for qualified persons with disabilities who are employees or applicants for employment. If you need a disability related reasonable accommodation as part of the application and/or interviewing process, visit https://www.csus.edu/administration-business-affairs/human-resources/benefits/reasonable-accomodation.html . The University is committed to creating an education and working environment free from discrimination, sexual harassment, sexual violence, domestic violence, dating violence, and stalking. For more information on mandatory training for new employees, visit https://www.csus.edu/administration-business-affairs/human-resources/learning-development/csu-learn.html . Jeanne Clery Disclosure of Campus Security Policy and Crime Statistics Act and Campus Fire Safety Right-To-know Act Notification: Pursuant to the Jeanne Clery Disclosure of Campus Security Policy and Campus Crime Statistics Act, the current Annual Security Report (ASR) is available for viewing at https://www.csus.edu/clery . The ASR contains the current security and safety-related policy statements, emergency preparedness and evacuation information, crime prevention and sexual assault prevention information, and drug and alcohol prevention programming. The ASR also contains statistics of Clery Act crimes for Sacramento State for the last three (3) calendar years. Paper copies are available upon request at the Police Service Center located in the University Union. Background Check Disclaimer A background check (including a criminal records check) must be completed satisfactorily before any candidate can be offered a position with California State University, Sacramento. Failure to satisfactorily complete the background check may affect the application status of applicants or continued employment of current California State University, Sacramento employees who apply for the position. COVID-19 Vaccination Policy Effective May 2023, per the CSU COVID-19 Vaccination Policy , it is strongly recommended that all California State University, Sacramento employees who are accessing office and campus facilities follow COVID-19 vaccine recommendations adopted by the U.S. Centers for Disease Control and Prevention (CDC) and the California Department of Public Health (CDPH) applicable to their age, medical condition, and other relevant indications. Out of State Employment Sacramento State University, as part of the CSU system, is a State of California Employer. As such, the University requires all employees (up)on date of hire to reside in the State of California. As of January 1, 2022 the CSU Out-of-State Employment Policy prohibits the hiring of employees to perform CSU-related work outside the state of California. Eligibility Verification Selected candidate must furnish proof of eligibility to work in the United States. California State University, Sacramento is not a sponsoring agency for staff and management positions (i.e. H-1-B Visa). Note to Applicants: Possession of the minimum qualifications does not guarantee an interview unless required by collective bargaining agreement. Closing Date/Time: Open until filled
Aug 22, 2023
Full Time
Description: Working Title: Student Health Athlete Care Analyst Classification Title: Administrative Analyst/Specialist Exempt I Posting Details Priority Application Date (Posting will remain open until filled): Tuesday, October 31, 2023 @ 11:55pm PT Hiring Preference Eligible on-campus applicants in California State University Employees Union (CSUEU) Bargaining Units 2,5,7, and 9 will be given first consideration in the recruitment. Position Summary Under general direction of the Associate Director Health, Wellness and Performance, and Sr. AVP or designee, the Student Health Athlete Care Analyst (SHACA) serves students and student athletes, ensuring optimal health care management regarding insurance benefits and medical service referrals for injured students and student athletes. The SHACA uses knowledge of the medical insurance billing policies, procedures, regulations, and practices, together with a thorough understanding of NCAA rules and regulations to navigate medical treatment plans, insurance reimbursements, and related actions on behalf of, or together with, student athletes. In addition, the SHACA reviews and submits insurance billing in PnC, Family Pact, and Medi-Cal. The SHACA works collectively with students, staff, and administrators to develop and implement strategies for student care that provide the best possible medical outcomes for students while also ensuring medical expenses are correctly pre-approved, coded and/or explained in a manner that supports insurance payment or reimbursements. This position also interprets policies and procedures, statutory regulations, athletics insurance policies, and guidelines established by the CSU, Office of Risk Management regarding insurance requirements and coverages and provides information direction and recommendations to the Athletics Department. FLSA : Exempt (Not eligible for overtime compensation) Anticipated Hiring Range : $5,900 - 6,300 per month CSU Classification Salary Range : $4,170 - $7,545 per month Best-in-class Benefits : Click here to learn more CSU Total Compensation : Click here to learn more Salary Grade/Range : 2 Recruitment Type : Regular (Probationary) Time Base : Full-Time Pay Plan : 12 months Work Hours : To be determined at time of hire. Department Information Student Health & Counseling Services (SHCS) embraces a holistic and collaborative approach to healthcare by offering urgent care, primary care, preventative services, wellness education, violence support services, and mental health, services to the Sacramento State campus community. SHCS is committed to providing quality care and service delivery and is accredited through the Accreditation Association for Ambulatory Health Care (AAAHC). Minimum Qualifications Entry to this classification requires general knowledge and skills in the applicable administrative and/or program field with a foundational knowledge of public administration principles, practices, and methods. This foundation would normally be obtained through a bachelor's degree and/or equivalent training and administrative work experience involving study, analysis, and/or evaluation leading to the development or improvement of administrative policies, procedures, practices, or programs. Required Qualifications General knowledge of the principles, practices and trends of the student care as it pertains to sports medicine, insurance, referrals and related matters impacting students. Ability to communicate in writing and conduct staff in-service to inform staff of changes to the insurance billing program. General knowledge of the policies, procedures and practices of statutory regulations and athletic insurance policies, Family Pact requirements, Medi-Cal. General knowledge of regulations, CSU policies to analyze and evaluate questions and problems and provide appropriate recommendations. General knowledge of the organizational procedures and activities involving the case management needs of student athletes who are navigating through the medical referral or insurance claims process. Working knowledge of the collegiate athletics and student health center structures. Ability to analyze complex situation accurately and adopt effective courses of action. Advise student individually and in groups on complex student-related matters. Ability to determine appropriate courses of action and proper techniques to utilize while engaged with individuals in personal interactions of an argumentative or sensitive nature. Ability to evaluate insurance policies and provide recommendations. Ability to carry out a variety of professionally complex assignments without detailed instructions Establish and maintain cooperative working relationships with a variety of individuals. Knowledge of HIPAA standards and confidentiality as required for medical information. Ability to coordinate with various on campus stakeholders SSWD, CARES, SARC etc., and advocating for student needs. Commitment to maintaining a welcoming and inclusive work environment with diverse colleagues and constituents including faculty, students, staff, and members of the community Conditions of Employment - Ability to pass a background check Preferred Qualifications Minimum three years of student service work experience. Minimum of 1 year in the program area to which assigned. Experience working with an Electronic Health Record System. Experience in direct care, case management, insurance billing or referral coordination. Experience working in an integrated university health and athletics department or equivalent work experience. Certified Medical Reimbursement Specialist (CMRS). Experience in coding both current ICD and CPT -10 and HCPCS coding systems. Current BLS American Heart Association. Documents Needed to Apply Resume (CV), Cover Letter Failure to upload required documentation may result in disqualification. About Sacramento State Sacramento State is located in the heart of California’s capital city, five miles from State Capitol. The lush, 300-acre campus is situated along the American River, close to numerous bike trails and other recreational areas. Sacramento, also known as the “Farm-to-Fork Capital,” is one of the most ethnically diverse and livable cities in the country, with a population of half of a million. Sacramento State is a Hispanic and AANAPISI serving institution with about 31,000 students coming not only from the Greater Sacramento Region, but also from across the state, country, and world. Our 1,800 faculty and 1,500 staff are committed to meeting our mission: “As California’s capital university, we transform lives by preparing students to lead, serve, and succeed. Sacramento State will be a welcoming, caring, and inclusive leader in education, innovation, and engagement.” As the regional hub of higher education, Sacramento State is dedicated to learning and student success ; teaching, research, scholarship and creative activity ; justice, diversity, equity and inclusion ; resource development and sustainability ; dedicated community engagement , and wellness and safety . As evidenced by the values embedded in our Hornet Honor Code , Sacramento State is committed to creating an inclusive environment where all faculty, staff, students, and guests are welcome and valued. Our commitment is more than simply ensuring that our campus is free from bias and discrimination, but is one devoted to celebrating many diverse identities, life experiences, and perspectives that enrich our community, teaching and learning. To learn more about why you should join the Hornet Family, please visit the Why Sac State? page. Equal Employment Opportunity California State University, Sacramento is an Affirmative Action/Equal Opportunity Employer and has a strong institutional commitment to the principle of diversity in all areas. We consider qualified applicants for employment without regard to race, color, religion, national origin, age, sex, gender identity/expression, sexual orientation, pregnancy, genetic information, medical condition, marital status, veteran status, or disability. Sacramento State hires only those individuals who are lawfully authorized to accept employment in the United States. It is the policy of California State University, Sacramento to provide reasonable accommodations for qualified persons with disabilities who are employees or applicants for employment. If you need a disability related reasonable accommodation as part of the application and/or interviewing process, visit https://www.csus.edu/administration-business-affairs/human-resources/benefits/reasonable-accomodation.html . The University is committed to creating an education and working environment free from discrimination, sexual harassment, sexual violence, domestic violence, dating violence, and stalking. For more information on mandatory training for new employees, visit https://www.csus.edu/administration-business-affairs/human-resources/learning-development/csu-learn.html . Jeanne Clery Disclosure of Campus Security Policy and Crime Statistics Act and Campus Fire Safety Right-To-know Act Notification: Pursuant to the Jeanne Clery Disclosure of Campus Security Policy and Campus Crime Statistics Act, the current Annual Security Report (ASR) is available for viewing at https://www.csus.edu/clery . The ASR contains the current security and safety-related policy statements, emergency preparedness and evacuation information, crime prevention and sexual assault prevention information, and drug and alcohol prevention programming. The ASR also contains statistics of Clery Act crimes for Sacramento State for the last three (3) calendar years. Paper copies are available upon request at the Police Service Center located in the University Union. Background Check Disclaimer A background check (including a criminal records check) must be completed satisfactorily before any candidate can be offered a position with California State University, Sacramento. Failure to satisfactorily complete the background check may affect the application status of applicants or continued employment of current California State University, Sacramento employees who apply for the position. COVID-19 Vaccination Policy Effective May 2023, per the CSU COVID-19 Vaccination Policy , it is strongly recommended that all California State University, Sacramento employees who are accessing office and campus facilities follow COVID-19 vaccine recommendations adopted by the U.S. Centers for Disease Control and Prevention (CDC) and the California Department of Public Health (CDPH) applicable to their age, medical condition, and other relevant indications. Out of State Employment Sacramento State University, as part of the CSU system, is a State of California Employer. As such, the University requires all employees (up)on date of hire to reside in the State of California. As of January 1, 2022 the CSU Out-of-State Employment Policy prohibits the hiring of employees to perform CSU-related work outside the state of California. Eligibility Verification Selected candidate must furnish proof of eligibility to work in the United States. California State University, Sacramento is not a sponsoring agency for staff and management positions (i.e. H-1-B Visa). Note to Applicants: Possession of the minimum qualifications does not guarantee an interview unless required by collective bargaining agreement. Closing Date/Time: Open until filled
