care to our patients, not just talking about it. We are committed to treating our patients and each other with dignity and respect in a culture that fosters excellence in all that we do. Primary Job Function: The licensed counselor will be responsible for offering support and assistance to patients enrolled in Medication Assisted Treatment for opioid use disorder.
Utilizing evidence-based practices and a trauma-informed approach, the counselor will help patients develop individualized coping techniques and symptom management skills that enable then to experience improved quality of life. Through collaboration with doctors, nurses and a multidisciplinary team, the counselor will play a
vital role in evaluating patient progress and developing an individualized plan of care. Essential Job Functions: Provide individual and group counseling services; direct service at regularly scheduled intervals based on patient need, best practices and state regulations; coordinate all services throughout treatment.
Conducts initial backssment and evaluation to determine eligibility for services. Complete Bio-psychosocial backssment. Establish individualized treatment plan with each patient and review as clinically indicated. Respond, as needed, to patient grievances and complaints. Develop aftercare and discharge plans. Other related duties as determined by supervisor. Qualifications:
Must be a Licensed Independent Clinical Social Worker (LICSW) or Licensed Mental Health Counselor (LMHC) in the state of Massachusetts Previous experience working with chemically dependent individuals Must demonstrate a positive, non-judgmental, and accepting attitude toward our patient population Satisfactory drug screen and criminal background check.
COVID-19 considerations: Everyone will be asked to be in compliance with the most recent COVID guidelines from CDC, State, County and City. Benefits: Competitive salary Comprehensive benefits package, including medical, dental, vision and 401(K) Generous paid time off Excellent growth and development opportunities Satisfying and rewarding work striving to overcome the opioid epidemic What to expect from us: Middleinteraction Recoveryis a progressive substance abuse treatment organization is committed to the highest quality of patient care in a comfortable outpatient clinic setting.
Our ultimate goal is to address the physical, emotional, and mental aspects of opioid use disorder to help each of our patients achieve long-term recovery and an improved quality of life. Middleinteraction Recoveryis committed to Equal Employment Opportunity (EEO) and to compliance with all Federal, State and local laws that prohibit employment discrimination on the basis of race, color, age, natural origin, ethnicity, religion, gender, pregnancy, marital status, interactionual orientation, citizenship, genetic disposition, disability or veterans status or any other classification protected by State/Federal laws.
PI233883078For more details: jobs-search. org/legal_stoughton-c434600/licensed-counselor-for-norton-stoughton-obot-stoughton_i1961193283
and expertise to help people find their version of healthier living through a broad range of health plans and tools that make navigating health and wellbeing easier. We enjoy the important work we do every day in service to our members, partners, colleagues and communities.
To learn more about who we are at Point32Health, click here. Job Summary Under the supervision of the Senior Manager of Risk Adjustment Strategy & Operations, this individual will support the operations and analysis of all risk adjustment programs and serve as the primary point of contact to a select portion of our provider network. This includes strategically important business partners, such as integrated delivery
networks, large facilities and/or physician organizations. This individual will also work closely with internal departments and external vendors to ensure that risk adjustment programs are implemented and operated at the highest levels of performance.
The Risk Adjustment Consultant will also work closely with our Network Contracting, Clinical and Care Management departments to deliver timely reporting and performance management advisory services to our provider network. This individual regularly demonstrates self-direction and motivation toward completion of on-going department initiatives. Key Responsibilities/Duties - what you will be doing Provider Engagement, Data Analysis, Risk Score
Reporting: Develop and maintain strong and effective working relationships with key business and medical leaders at provider organizations within our network Manage provider outreach and ongoing communications/reporting for all risk adjustment programs and initiatives.
Serve as the risk adjustment subject matter expert to address provider concerns and assist them in understanding the complexities of risk adjustment programs and the resulting data Coordinate and facilitate regularly scheduled and ad hoc provider meetings to provide operational updates, discuss strategic initiatives and improvement opportunities Build and refine medical group specific profiles including but not limited to governance, financials, risk scores, resources, and technology Support the evaluation of medical group opportunities and challenges specific to risk adjustment performance, identify and/or modify training needs and/or programmatic interventions to improve performance and refine the engagement plans Analyze, interpret and synthesize medical group specific results and risk score trend information; deliver the results of standard and ad hoc analyses to improve awareness and understanding of risk scores and the quality, accuracy and identification of member health conditions Work collaboratively with risk adjustment provider educators and the quality assurance team to focus the provider training and education specifically related to coding accuracy and documentation to high impact providers Perform high level financial analysis on risk adjustment programs to evaluate and report financial impact to provider organizations Collaboration with Internal Stakeholders and External Vendors Develop effective and positive working relationships with internal partners (Network Contracting, Clinical Services, Provider Performance Management, Actuarial, etc.
) to collaborate on provider engagement and performance improvement initiatives Collaborate and coordinate with internal partners to conduct comprehensive analysis and deliver professional presentations to our provider network at shared meetings Manage multi-faceted vendor initiatives to ensure smooth implementation and operations Support the Risk Adjustment department in efforts to backss additional diagnosis coding opportunities that can be procured or potentially developed internally Administration Attend provider engagement meetings, document provider concerns and key decisions, and manage follow up actions as necessary Stay informed about CMS and industry trends and best practices; utilize this knowledge to recommend modifications to Point32Health's risk adjustment programs and provider engagement practices Support the development and refinement of key deliverables to our provider community, including presentations, reference material and communications Qualifications - what you need to perform the job EDUCATION, CERTIFICATION AND LICENSURE: Bachelor's degree required, preferably in related field.
Graduate degree preferred. EXPERIENCE (minimum years required) : Three to five years of experience in a progressively responsible role with stakeholder management experience in a complex operational setting or consulting role.
Previous experience working in strategy implementation, analytical and process improvement in the health care / health insurance sector either for a health plan, provider group or management consultancy is a plus. Understanding of US Health Policy and experience working with CMS, health insurers and medical providers highly desired. SKILL REQUIREMENTS: Highly energetic, organized, detail-oriented, resourceful and self-motivated Highly proficient in Microsoft Excel, Power Point and Word; additional database systems a plus Excellent interpersonal and communication skills Ability to work collaboratively with both internal and external resources Ability to develop professional and effective relationships as a strategic advisor to our provider network Ability to take responsibility, prioritize tasks and follow through to completion Ability to organize, manage, and analyze large sets of data WORKING CONDITIONS AND ADDITIONAL REQUIREMENTS (include special requirements, e.
g. lifting, travel) : Must be able to work under normal office conditions and work from home as required.
Work may require simultaneous use of a telephone/headset and PC/keyboard and sitting for extended durations. May be required to work additional hours beyond standard work schedule. Salary Range 99,002-128,120 Compensation & Total Rewards Overview The annual base salary range provided for this position represents a broad range of salaries for this role and similar roles across the organization. The actual salary for this position will be determined by several factors, including the scope and complexity of the role; the skills, education, training, credentials, and experience of the candidate; equity with internal colleagues; and other conditions of employment.
As part of our comprehensive total rewards program, colleagues are also eligible for variable pay. Eligibility for any bonus, commission, benefits, or any other form of compensation and benefits remains in the Company's sole discretion and may be modified at the Company's sole discretion, consistent with the law. Point32Health offers their Colleagues a competitive and comprehensive total rewards package which currently includes: Medical, dental and vision coverage Retirement plans Paid time off Employer-paid life and disability insurance with additional buy-up coverage options Tuition program Well-being benefits Full suite of benefits to support career development, individual & family health, and financial health For more details on our total rewards programs, visit www.
point32health. org/careers/benefits/ Commitment to Diversity, Equity, Inclusion, Accessibility (DEIA) and Health Equity Point32Health is committed to making diversity, equity, inclusion, accessibility and health equity part of everything we do-from product design to the workforce driving that innovation. Our Diversity, Equity, Inclusion, Accessibility (DEIA) and Health Equity team's strategy is deeply connected to our core values and will evolve as the changing nature of work shifts.
Programming, events, and an inclusion infrastructure play a role in how we spread cultural awareness, train people leaders on engaging with their teams and provide parameters on how to recruit and retain talented and dynamic talent. We welcome all applicants and qualified individuals, who will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, interactionual orientation, national origin, genetics, disability, age, or veteran status.
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appreciation, incentives, and benefits are just a bonus on top of making residents and team members smile. I have become lifelong friends with this team, and I can happily say I love my job and enjoy coming to work. -Arrow Team Member Position- Memory Care Support Partner Position Type: Part Time Location: Kent, Ohio Our starting wage for Memory Care Support Partners is: $18.00 per hour!
Shift Schedule- Week 1 Thursday/Friday Week 2 Monday/Saturday/Sunday 2 pm 10 pm Come join our team at The Kent Ridge Senior Living located at 5241 Sunnybrook Rd. Kent, Ohio 44240! We are looking for someone (like you): To be an Advocate of Empathy: Be responsible for understanding the importance of empathy.
It will be your job to create human connection with residents during their most vulnerable moments To be a Patient Observer. Discover residents interests, abilities, and what makes each resident who they are.
Collaborate to create appropriate engagement plans and implement strategies with patience to ensure success To be a Master of the Mise en Scne. The French expression used to describe the art of creating a story through the physical environment, mise en scne means being responsible for setting the stage for a successful day. From preparing your dining room for breakfast to setting up the library for an event, to preparing the residents room for their nighttime routine, you are the
guide through the residents experience To be a Life Partner.
Partnering with residents to achieve all facets of daily life from the moment they wake to the moment they go to sleep To be excellent at documenting resident care and changes in condition To assist with orientation of team members assigned to memory care neighborhoods What are we looking for? You must be at least eighteen (18) years of age. You will have a high school diploma, or equivalent. You can read, write, understand, and communicate in English with our Residents! You will have a positive and energetic attitude who will LOVE our Residents! You will possess computer skills to be able to print documents and enter information about our Residents.
You must be active as this role requires standing, walking, bending, kneeling, and stooping all day. You must have the ability to frequently lift and/or move items up to 50 pounds. You must be able to assist residents with sitting, standing, and walking, as well as assisting persons after a fall. You must be criminally cleared. Employment Benefits (We value our benefits): Company Match 401(k) with 100% match up to the first 3% and fully vested upon enrollment Medical, Dental, Vision insurance (1st of the month following 60 days of employment-Full Time) Disability insurance (Full Time) Employee assistance program Weekly Employee Recognition Program Life insurance (Full Time) Paid time off (Full Time employees accrue up to 115 hours each year and Part Time accrue up to 30 hours each year) Tuition Reimbursement (after 90 days for FT AND PT employees) Employee Referral Program (FT, PT, and PRN) Complimentary meal each shift (FT, PT, and PRN) Daily Pay Option Direct Deposit Did we mention that we PROMOTE FROM WITHIN?
Do you want to see how much fun we are at The Kent Ridge Senior Living? Please visit us via Facebook: Or, take a look at our website: Have questions?
Want to speak to someone directly? Reach out by calling/texting your own recruiter, Kevin Banks: 614-###-####. Click here to hear about Arrow's Core Values!
through daily workflow, which includes organizing the day, patients, orders, labs and making sure the schedule for the next day, is completed. Reviews patient order, questionnaire form and labs if required on all patients prior to scanning. Competent in venipuncture.
Competent in Point of Care Testing. Responsible for performing all CT exams including drainages and biopsies. Properly identifies the patients prior to scanning. Prepares patients for exams ordered and insures patient safety at all times. Follows departmental protocols for each exam to obtain a high quality exam with the lowest possible dose. Works with manager to implement changes made to workflow or other department changes
needed. Scans patients according to protocols to provide high quality exams. Assists radiologist during procedures as required. Reviews exams after scanning prior to sending to PACS for image quality and completeness.
Documentation of contrast allergies and extravasations. Reviews exams with Radiologist as necessary, contributing technical and professional knowledge. Responds appropriately to medical emergencies and displays ability to function effectively and appropriately in stressful situations. Demonstrates ability to communicate effectively with patients, patient’s families, staff, physicians and medical office personnel. Demonstrates knowledge of what constitutes appropriate clinical
history for each CT exam. Follows all departmental and hospital policies and procedures as required.
Practices ALARA, is aware of patient CT Dose. Image wisely/Image Gently required. Checks patient tracker before imagining for cancellations. Stocks and cleans rooms. Maintains Joint Commission readiness in the department. Follows ACR Accreditation regulations, and all other regulatory bodies. Annual competencies completed. Responsible for providing 2 cycles of CEU’s to manager for licensure. Participates in Lung Screening program (LCSR), documentation, entering data into website. It is understood that this is a summary of key job functions and does not include every detail of the job that may reasonably be required.
Experience/Knowledge/Skills Required: Two years of CT experience. Education Required Graduate of AMA-approved Radiology Technology Program. Registration/Certification R. T. (R) (CT) (ARRT). Current Massachusetts license, Radiography and CT. BLS certification. Registration as CT Technologist. FLSA Status: Non-Exempt As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) and COVID-19 as a condition of employment.
Learn more about this requirement. More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger. Equal Opportunity Employer/Veterans/Disabled For more details: jobs-search. org/manufacturing_south-easton-c434274/c-t-technologist-south-easton_i1959356234
and expertise to help people find their version of healthier living through a broad range of health plans and tools that make navigating health and wellbeing easier. We enjoy the important work we do every day in service to our members, partners, colleagues and communities.
To learn more about who we are at Point32Health, click here. Job Summary Provide technical and break/fix support for all PC desktop hardware and software; peripherals such as printers, and mobile devices; Respond to incoming helpdesk incidents: diagnose and troubleshoot problems; coordinate desktop computer and software installations, and provide end-user training on desktop hardware, software, and telephone systems.
Key Responsibilities/Duties - what you will be doing Diagnose and resolve desktop/laptop/mobile devices/peripherals related hardware and software issues logged as incidents into the ITSMInstall, configure, maintain, and upgrade PCs, laptops, printers and mobile devices in a highly secured networked environment Perform client software installation and configuration.
Assist with Desktop Support, Desktop Asset Services, Infrastructure Services and Corporate Agenda projects and initiatives. Maintain the highest-level possible technical computer systems technology skills/knowledge with constant education through individual. CBT and/or classroom (physical and/or virtual). #LI-Onsite#LI-JS1
Qualifications - what you need to perform the job EDUCATION: Bachelors Degree or equivalent business and/or technical experience preferred EXPERIENCE: Requires a background of 1-3 years PC support experience.
Must have thorough knowledge of the MS Windows operating systems, MS Active Directory, MS SCCM and MS Office 365 suite. Knowledge of i OS and mobile device management system(s). Previous experience providing technical support in a highly secured environment preferred SKILL REQUIREMENTS: Requires strong technical skills and aptitude for learning new software programs, performing hardware and installing applications. Requires strong analytical and problem-solving skills, decision-making ability and the ability to work well under stress and time pressures.
Must be able to understand the managed care business to provide effective support and service to customers. Requires strong interpersonal skills. Requires the ability to effectively communicate with customers and provide high quality customer service and support. Salary Range Compensation & Total Rewards Overview The annual base salary range provided for this position represents a broad range of salaries for this role and similar roles across the organization. The actual salary for this position will be determined by several factors, including the scope and complexity of the role; the skills, education, training, credentials, and experience of the candidate; equity with internal colleagues; and other conditions of employment.
As part of our comprehensive total rewards program, colleagues are also eligible for variable pay. Eligibility for any bonus, commission, benefits, or any other form of compensation and benefits remains in the Company's sole discretion and may be modified at the Company's sole discretion, consistent with the law. Point32Health offers their Colleagues a competitive and comprehensive total rewards package which currently includes: Medical, dental and vision coverage Retirement plans Paid time off Employer-paid life and disability insurance with additional buy-up coverage options Tuition program Well-being benefits Full suite of benefits to support career development, individual & family health, and financial health For more details on our total rewards programs, visit www.
point32health. org/careers/benefits/ Commitment to Diversity, Equity, Inclusion, Accessibility (DEIA) and Health Equity Point32Health is committed to making diversity, equity, inclusion, accessibility and health equity part of everything we do-from product design to the workforce driving that innovation.
Our Diversity, Equity, Inclusion, Accessibility (DEIA) and Health Equity team's strategy is deeply connected to our core values and will evolve as the changing nature of work shifts. Programming, events, and an inclusion infrastructure play a role in how we spread cultural awareness, train people leaders on engaging with their teams and provide parameters on how to recruit and retain talented and dynamic talent. We welcome all applicants and qualified individuals, who will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, interactionual orientation, national origin, genetics, disability, age, or veteran status.
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and expertise to help people find their version of healthier living through a broad range of health plans and tools that make navigating health and wellbeing easier. We enjoy the important work we do every day in service to our members, partners, colleagues and communities.
To learn more about who we are at Point32Health, click here. Job Summary Lead IT Specialist supports the ongoing operations and helps champion improvements and advancements within the processes used to support IT portfolio of systems and applications. Key Responsibilities/Duties - what you will be doing Portfolio Management: Support the maintenance and documentation of Point32Health's portfolio of IT systems and applications.
Execute operational processes within the portfolio, identify inefficiencies and develop process improvements where needed. Evaluate the performance and relevance of each system/application in the portfolio.
Change Management/Service Optimization Provide governance to Change Management by defining and revising standards, ensuring consistency in practice, and gathering metrics of its utilization. Increase Change Management engagement and planning across the corporation by identifying potential areas of opportunity of refinement. Collaborate with project stakeholders to prepare for change and develop change management strategy by reviewing project scope, and conducting change impact backssments.
Ensure the change management playbook remains current and aligned with the most up to date best practices and operational processes Provide insight, guidance, and coaching to project teams and leadership on change management activities.
Champion Service Optimization by setting strategic goals for service journey mapping and standards for performance monitoring and reporting. Risk Management: Identify and mitigate risks associated with the IT portfolio. Implement best practices for security and compliance within systems. Performance Monitoring: Establish KPIs and metrics to measure the performance of IT systems. Regularly backss and report on the health and efficiency of the portfolio.
Resource Estimation: Work with the resource management team in defining a review/estimation schedule to gather estimates, update internal systems, and share results with stakeholder Help define reporting needs and additional improvements within the system to increase process efficiency Other projects and duties as assigned. Qualifications - what you need to perform the job Education, Certification and Licensure Bachelor's degree in Information Technology, Computer Science, or related field (Master's degree preferred). Knowledge/experience with Change Management/Prosci educated preferred.
Knowledge/experience of ISO, Six Sigma, Lean practices preferred. Knowledge/experience of BPMN/process modeling methodology preferred. Experience (minimum years required) : 5 years proven experience in IT portfolio management and systems leadership. Skill Requirements Strong knowledge of IT governance, project management, and risk management. Excellent communication, interpersonal, and customer service skills. Ability to collaborate with cross-functional teams. Strong analytical and problem-solving abilities. Independent worker able to take constructive actions with minimal direction Possesses solid organizational skills and can effectively define and lead a meeting, maintaining objectives while dealing with fast-paced changes Technical adept and able to understand complex systems and clearly relay to a non-technical audience Ability to work with peers and management teams to identify and define process flow of complex systems Working Conditions and Additional Requirements (include special requirements, e.
g. lifting, travel) : Must be able to work under normal office conditions and work from home as required. Work may require simultaneous use of a telephone/headset and PC/keyboard and sitting for extended durations.
May be required to work additional hours beyond standard work schedule. Commitment to Diversity, Equity, Inclusion, Accessibility (DEIA) and Health Equity Point32Health is committed to making diversity, equity, inclusion, accessibility and health equity part of everything we do-from product design to the workforce driving that innovation. Our Diversity, Equity, Inclusion, Accessibility (DEIA) and Health Equity team's strategy is deeply connected to our core values and will evolve as the changing nature of work shifts.
Programming, events, and an inclusion infrastructure play a role in how we spread cultural awareness, train people leaders on engaging with their teams and provide parameters on how to recruit and retain talented and dynamic talent. We welcome all applicants and qualified individuals, who will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, interactionual orientation, national origin, genetics, disability, age, or veteran status. PDN-9ad35313-2a75-4c49-af39-43376a4d0864
and expertise to help people find their version of healthier living through a broad range of health plans and tools that make navigating health and wellbeing easier. We enjoy the important work we do every day in service to our members, partners, colleagues and communities.
To learn more about who we are at Point32Health, click here. Job Summary The Contact Center Applications Engineer is primarily responsible for support of Contact Center applications/ infrastructure and the voice messaging systems. Works with senior members of the team on the implementation of all Contact Center applications and infrastructure upgrades, releases, and enhancement projects. Applies technical knowledge
of telephony engineering, multi-media technologies and contact center operational concepts. Works with senior team members on Contact Center application system architecture, design and implementation, configuration, support, monitoring and planning, including Voice Messaging.
Works closely with the Network Services group designing voice infrastructure as it relates to the company, Contact Centers, and voice mail. Conducts research, backssment, and proof of concepts on system enhancements, vendor products and all technologies within the Contact Center applications and voice mail environments. Ensures that the applications and infrastructure meet or exceed the Business' expectations for
availability and performance. Working within the framework of established operating procedures, this position is accountable for overseeing many of the various technical and business projects and tasks that occur simultaneously within the Contact Center Applications group.
Activities will include Contact Center support, operations, troubleshooting, maintenance, and optimization of systems. The continuous development of the strategic technical plan to continuously move to the future, providing all possible contact options available for business use. The Contact Center Applications Engineer will be responsible to train team support staff. This incumbent is expected to keep skill sets current by attending training or other methods.
Key Responsibilities/Duties - what you will be doing Coordination or participation in various projects. Manages the completion of all assigned project tasks. Perform Contact Center application/system and voice messaging software and system upgrades. Provide technical input during strategic planning as it relates to the contact environment. Consults with customers to identify requirements and clarify objectives. Develop detailed documentation to define user requirements, processes, and procedures. Perform scalability/capacity planning to support business growth.
Provide input on the architecture, design, engineering and implement the Contact Center Applications Infrastructure and Corporate Voice Messaging environment. Collaborate with Systems Engineering, Network Services and Desktop Engineering to plan and implement Contact Center applications, Infrastructure, and voice messaging environment upgrades/enhancements. Conduct research and backssments on new and upcoming software products supporting enterprise messaging and contact services. Monitor system performance and provide recommendations based on the interpretation of logs and metric data.
Perform steps using established procedures to ensure that the infrastructure, applications, and voice messaging systems have a high degree of integrity/reliability. Maintain industry and technical knowledge. Provide guidance to and assist in the training of less experienced staff. Perform vendor management to ensure the timely and accurate delivery of products and services. Working with IS Security, provide expertise on securing the applications and voice messaging infrastructure from potential security risks/threats. As required, act as the primary Contact Center applications and voice mail liaison in support of the IS department and the business for problem resolution.
Install Contact Center applications/infrastructure and voice messaging system software/appliances, upgrades, system performance tuning, evaluate and install patches, and resolve application and voice messaging infrastructure related problems while keeping within departmental guidelines and standards. Able to specify server requirements based upon application requirements. Ensure all security guidelines and standards are adhered to. Other duties and projects as assigned. Qualifications - what you need to perform the job EDUCATION, CERTIFICATION AND LICENSURE: Bachelor's degree in computer science or related field or equivalent work experience EXPERIENCE (minimum years required): 5 years working with Contact Center applications and technologies; and/or in Contact Center technical support role.
Must include contact queuing/skilling/scripting, forecast/scheduling, quality management, compliance recording and multi-media knowledge. Knowledge of phone system configuration. Interactive Voice Response (IVR) experience a plus. 3 years' experience with Contact Center system required, preferably Avaya AACC (Aura Contact Center); knowledge of Avaya IVR (AAEP/Avaya Aura Experience Portal) a plus.
SKILL REQUIREMENTS: Requires analytical and technical ability to understand the managed care business and the ability to interact effectively with others. Requires an understanding of the role of Information Systems within the business. Requires a conceptual understanding of current and technologies pertinent to Point32Health business and Information Systems. Requires that the individual be well organized while being readily adaptable to changes in a fast-paced technology environment.
Must be able to work independently and exercise appropriate judgment as necessary. Requires strong verbal and written communication skills. Requires excellent interpersonal skills to work and communicate effectively with management, peers, the end-user community, IS departments, and various vendors. Requires the ability to maintain productive interpersonal relationships. WORKING CONDITIONS AND ADDITIONAL REQUIREMENTS (include special requirements, e. g. lifting, travel): Must be able to work under normal office conditions and work from home as required. Work may require simultaneous use of a telephone/headset and PC/keyboard and sitting for extended durations.
May be required to work additional hours beyond standard work schedule. Occasional weekend and nights may be required for non-intrusive completion of departmental projects or objectives. Travel to designated recovery site in the event of an emergency is required. On-call support is rotated weekly among the staff for 24x7x365 support. DISCLAIMER The above statements are intended to describe the general nature and level of work being performed by employees assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of employees assigned to this position.
Management retains the discretion to add to or change the duties of the position at any time. Commitment to Diversity, Equity, Inclusion, Accessibility (DEIA) and Health Equity Point32Health is committed to making diversity, equity, inclusion, accessibility and health equity part of everything we do-from product design to the workforce driving that innovation. Our Diversity, Equity, Inclusion, Accessibility (DEIA) and Health Equity team's strategy is deeply connected to our core values and will evolve as the changing nature of work shifts.
Programming, events, and an inclusion infrastructure play a role in how we spread cultural awareness, train people leaders on engaging with their teams and provide parameters on how to recruit and retain talented and dynamic talent. We welcome all applicants and qualified individuals, who will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, interactionual orientation, national origin, genetics, disability, age, or veteran status. PDN-9ad3530f-ff3d-465b-bd70-83950a6e93f1
and expertise to help people find their version of healthier living through a broad range of health plans and tools that make navigating health and wellbeing easier. We enjoy the important work we do every day in service to our members, partners, colleagues and communities.
To learn more about who we are at Point32Health, click here. Job Summary The Associate Contact Center Application Engineer is responsible for support of all contact applications and their infrastructure. The Associate Contact Center Application Engineer is primarily responsible for the support queues for communication applications which include voicemail and contact center applications and provides day-to-day support
for the end user. Coordinates service for the various contact centers in the enterprise with other IT groups when necessary. This individual applies technical knowledge of voice, multi-media technologies, and contact center operational concepts.
This incumbent works with senior team members on Contact Center application system architecture, design and implementation, configuration, support, monitoring and planning of the contact applications and infrastructure and Voice Messaging application. This individual will work with the team when needed on backssment and proof of concepts on system enhancements, products, and all contact technologies. Working within the framework of established
operating procedures, this position is accountable for providing end user support and system support that occur simultaneously within the Contact Center Applications group.
Activities will include Contact Center support, troubleshooting, maintenance, and optimization of systems. The incumbent is expected to keep skill sets current by attending training or other methods. Key Responsibilities/Duties - what you will be doing Primarily responsible for support queues and day-to-day support of end users including SLAs and metrics Consult with end users to help determine end users' needs in respect to problem solving and troubleshooting. Collaborate with IS Help Desk, Desktop Services, Desktop Engineering, Systems Engineering and Network Services to provide quick resolution for customers Perform steps using established procedures for support of all applications and systems Provide guidance to and assist in the training of end users Assist in upgrades for Contact Center applications/systems and voice messaging application/system Take part in all engineering projects as needed/requested by senior team Work with team and understand strategic plan for these systems Expand industry and technical knowledge As required, act as the primary Contact Center applications and voice mail liaison in support of the IS department and the business in troubleshooting and problem resolution of technical issues With coordination from Manager of Contact and Collaboration Services, provide daily operational backup support to ensure smooth and continuous workflows Working with team members, assist in the installation of applications, infrastructure, appliances, upgrades, patches, and help to resolve application and voice messaging problems while keeping within departmental guidelines and standards Other related duties as assigned in support of business objectives Qualifications - what you need to perform the job EDUCATION, CERTIFICATION AND LICENSURE: Bachelor's Degree in Computer Science or related field or equivalent work experience EXPERIENCE (minimum years required) : 2+ years in an IT support role SKILL REQUIREMENTS: Experience with Contact Center applications and technologies such as IVR, contact queuing/skilling/scripting, forecast/scheduling, quality management, compliance recording and multi-media knowledge Experience with Avaya contact center, Verint QM and WFO, CXE voicemail a plus Requires analytical and technical ability to understand the managed care business Requires an understanding of the role of Information Systems within the business Requires a conceptual understanding of technologies pertinent to Point32Health business and Information Systems.
Requires understanding that all information (written, verbal, electronic, etc. ) is considered confidential, including operational practices and strategies Requires that the individual be well organized while being readily adaptable to changes in a fast-paced technology environment Must be able to work independently and exercise appropriate judgment as necessary Requires excellent communication and interpersonal skills to work effectively with end users, peers, management and the IS department, and various vendors Requires the ability to maintain productive interpersonal relationships WORKING CONDITIONS AND ADDITIONAL REQUIREMENTS (include special requirements, e.
g. lifting, travel) : Must be able to work under normal office conditions and work from home as required. Work may require simultaneous use of a telephone/headset and PC/keyboard and sitting for extended durations. May be required to work additional hours beyond standard work schedule. Occasional weekend and nights may be required for non-intrusive completion of departmental projects or objectives.
Travel to designated recovery site in the event of an emergency is required. On-call support is rotated weekly among the staff for 24x7x365 support. The above statements are intended to describe the general nature and level of work being performed by employees assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of employees assigned to this position. Management retains the discretion to add to or change the duties of the position at any time.
Commitment to Diversity, Equity, Inclusion, Accessibility (DEIA) and Health Equity Point32Health is committed to making diversity, equity, inclusion, accessibility and health equity part of everything we do-from product design to the workforce driving that innovation. Our Diversity, Equity, Inclusion, Accessibility (DEIA) and Health Equity team's strategy is deeply connected to our core values and will evolve as the changing nature of work shifts. Programming, events, and an inclusion infrastructure play a role in how we spread cultural awareness, train people leaders on engaging with their teams and provide parameters on how to recruit and retain talented and dynamic talent.
We welcome all applicants and qualified individuals, who will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, interactionual orientation, national origin, genetics, disability, age, or veteran status. PDN-9ad3530e-9814-43db-abba-f7224de3497e
and expertise to help people find their version of healthier living through a broad range of health plans and tools that make navigating health and wellbeing easier. We enjoy the important work we do every day in service to our members, partners, colleagues and communities.
To learn more about who we are at Point32Health, click here. Job Summary Under the general direction of the Member Appeals and Grievance Supervisor the Member Appeals and Grievance Analyst is responsible per State and Federal regulations for the professional and compliant management and coordination of assigned member appeals and grievance (complaints) received by Point32Health. This individual works collaboratively
with the member and/or the member's authorized representative and must demonstrate superior customer service and benefit interpretation skills in all interactions.
This individual prepares cases for presentation, discussion, review and final disposition at the Member Appeals Committee (MAC) and Member Appeals Reconsideration Committee (MARC) and participates in the Appeals Committee discussion when needed. Responsibilities include development and coordination of all written documentation and correspondence to the member outlining final disposition of the member's appeal or grievance providing further appeal options as appropriate. Analysts routinely interact with members, providers, and
other internal and external constituents about highly escalated issues.
Essential functions will occur simultaneously; therefore, the employee must be able to appropriately handle each of these functions, prioritize them, and seek assistance when necessary. The employee must have the ability to learn and apply Point32Health's policies and remain compliant with frequently changing State and Federal regulatory requirements and have the judgment to seek out guidance as needed. The Analyst is responsible for the accurate coordination, efficient administration and resolution of member appeals and member grievances submitted by Point32Health members for all lines of business.
Key Responsibilities/Duties - what you will be doing Act as a member advocate; clearly communicating the appeal and grievance process and procedures both orally and in writing. Manage assigned member appeals and grievance cases from documentation, to investigation, and through resolution, ensuring the final disposition of a member's appeal or grievance is compliant with the regulatory requirements set-forth by NCQA, DOI, CMS, DOL and any state or federal specific regulations that apply. Review and interpret product and benefit designs for all lines of business according to State and Federal regulatory requirements Manage the collection of documents and records (medical, claims, administrative) needed to fully research the appeal or complaint request with both internal and external customers Consult with subject matter experts as necessary to gather information required for appropriate resolution of the matter presented.
Make recommendations on appeal decisions based on the member's benefits and individual circumstances presented. Qualifications - what you need to perform the job EDUCATION, CERTIFICATION AND LICENSURE: Associates Degree or equivalent experience in health care, conflict resolution or related field EXPERIENCE (minimum years required) : 3-5 years health care or insurance experience Health care benefit and regulatory knowledge preferred Knowledge of insurance products, policies and procedures preferred.
SKILL REQUIREMENTS: Demonstrated proficiency in operating a computer and related equipment including knowledge and demonstrated ability in the use of Windows applications and other comparable systems/applications. Must possess initiative, balanced judgment, objectivity and the ability to independently plan and prioritize one's own work to assure maximum efficiency and compliance.
Must be able to organize, plan and implement the functions of Member Appeals and Grievances, maintain timelines and turnaround times to meet multiple requirements/regulations established by external regulating bodies and applicable state and federal laws Demonstrated ability to synthesize and process complex information and deliver the information, both verbally and written, in a clear, concise, and articulate manner. Requires strong verbal and written skills to effectively communicate at both detail and summary levels to a variety of constituents. Requires excellent interpersonal skills in order to communicate and work with multiple constituents.
Requires ability to understand and be compliant with State and Federal regulations. Superior investigation, analytical and problem-solving skills Excellent customer service and interpersonal skills Working knowledge of plan products and benefits and the ability to communicate this information to members, providers, employers and external agencies clearly and concisely. Ability to work independently and collaborate as part of a team WORKING CONDITIONS AND ADDITIONAL REQUIREMENTS (include special requirements, e.
g. lifting, travel) : Must be able to work under normal office conditions and in a remote capacity from home as required. Work requires simultaneous use of a telephone/headset and laptop/keyboard and sitting for extended durations. May be required to work additional hours beyond standard work schedule. Weekend Coverage may be required on a rotating basis as regulated for line of business. May require occasional weekend hours or evening hours as the needs of the various lines of business dictate. The above statements are intended to describe the general nature and level of work being performed by employees assigned to this classification.
They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of employees assigned to this position. Management retains the discretion to add to or change the duties of the position at any time. Salary Range Compensation & Total Rewards Overview The annual base salary range provided for this position represents a broad range of salaries for this role and similar roles across the organization. The actual salary for this position will be determined by several factors, including the scope and complexity of the role; the skills, education, training, credentials, and experience of the candidate; equity with internal colleagues; and other conditions of employment.
As part of our comprehensive total rewards program, colleagues are also eligible for variable pay. Eligibility for any bonus, commission, benefits, or any other form of compensation and benefits remains in the Company's sole discretion and may be modified at the Company's sole discretion, consistent with the law. Point32Health offers their Colleagues a competitive and comprehensive total rewards package which currently includes: Medical, dental and vision coverage Retirement plans Paid time off Employer-paid life and disability insurance with additional buy-up coverage options Tuition program Well-being benefits Full suite of benefits to support career development, individual & family health, and financial health For more details on our total rewards programs, visit www.
point32health. org/careers/benefits/ Commitment to Diversity, Equity, Inclusion, Accessibility (DEIA) and Health Equity Point32Health is committed to making diversity, equity, inclusion, accessibility and health equity part of everything we do-from product design to the workforce driving that innovation.
Our Diversity, Equity, Inclusion, Accessibility (DEIA) and Health Equity team's strategy is deeply connected to our core values and will evolve as the changing nature of work shifts. Programming, events, and an inclusion infrastructure play a role in how we spread cultural awareness, train people leaders on engaging with their teams and provide parameters on how to recruit and retain talented and dynamic talent. We welcome all applicants and qualified individuals, who will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, interactionual orientation, national origin, genetics, disability, age, or veteran status.
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and expertise to help people find their version of healthier living through a broad range of health plans and tools that make navigating health and wellbeing easier. We enjoy the important work we do every day in service to our members, partners, colleagues and communities.
To learn more about who we are at Point32Health, click here. Job Summary The Community Health Worker I (CHW-I) assist members in managing their health goals in the community. The CHW works collaboratively with team members of Point32Health to increase member's knowledge, motivation, and adherence to key components of their health care. The Clinical Community Health Worker I will arrange, coordinate, evaluate, and advocate
for safety net services that provide for basic needs such as education, housing, healthcare, legal, transportation and counseling assistance. Key Responsibilities/Duties - what you will be doing Provides culturally appropriate health education, information, and outreach in community settings.
This includes homes, schools, clinics, shelters, local business, and community centers. Bridges the gap between communities and health and human services by increasing members health knowledge and ability to be self-reliant. Identify gaps pertaining to Health-Related Social Needs (HRSN) that create barriers to member's care and influence unmet needs. Responsible for backssing health risk to inform
the member's care plan and work with care teams on key care management/care coordination decisions.
Assists member in navigating state and federal benefits and applying for them when member meets eligibility qualifications. Assists members in accessing Community Based Organization resources with referrals and warm hand-offs. Advocates for members to overcome HRSN barriers such as housing, food insecurity, legal aid, access to health care, and HRSN affecting member's health. Uses recovery strategies, including but not limited to: motivational interviewing, empathic listening, harm reduction, positive behavioral support techniques, limit setting and strength-based approaches to support members in attaining stated goals.
Participates in on-going education and training to improve skills and role-specific certifications or specialization. Attends and participates in meetings to ensure policies, procedures, and workflows are up to date and advises on revisions needed. Participates in member and provider education and outreach campaigns as assigned. Provides direct services to the member, including but not limited to: 1:1 informal health education counseling. Chronic diseases counseling. Social support. Care coordination and provider navigation.
Health services enrollment and health insurance navigation skills. Promotes preventive health screenings. Assists with completion of Advanced Directives. Maintains growth and development through involvement in self-directed learning and ongoing community activities. Community Health Worker trainings and annual competencies. Other duties and projects assigned as needed. Qualifications - what you need to perform the job EDUCATION, CERTIFICATION AND LICENSURE: Associates or bachelor's degree in an allied health discipline (e. g. Health Education, Human Services, Public Health, Community Health, Social Work, etc.
) or minimum 5 years' experience in a Human Services-related field may be considered in lieu of education. Credentialed by the Board of Certification of Community Health Workers (CHW certificate) or willing to obtain with assistance of leadership team within one year of employment. EXPERIENCE (minimum years required) : 1 - 3 years' experience in care coordination and/or case/care management. Experience with Motivational Interviewing and working with individuals in different Stages of Change strongly preferred. Previous community-based internship experience a plus. SKILL REQUIREMENTS: Excellent written and verbal communication skills.
Working knowledge of Microsoft Office applications. Excellent organizational skills. Ability to utilize an Electronic Medical Record. Understanding of the managed care environment with focus on the Medicare/Medicaid population. Knowledge of social determinants of health, health equity, welfare reform, homelessness, and community resources to address basic needs such as housing, food, transportation, clothing strongly preferred. Knowledge of barriers encountered by low-income and culturally/ ethnically diverse families. Demonstrated understanding of community services and navigating the healthcare system.
Proficient understanding of federal programs namely, The Affordable Care Act, Mass Health, Social Security and Social Security Disability Insurance Bilingual or Multi-lingual Medical terminology a plus WORKING CONDITIONS AND ADDITIONAL REQUIREMENTS (include special requirements, e. g. lifting, travel): Must be able to work under normal office conditions and remote work as required. Work may require simultaneous use of a telephone/headset and PC/keyboard and sitting for extended durations. May be required to work additional hours beyond standard work schedule.
Personal vehicle with current insurance. Valid driver's license in good standing with a safe driving record. 75% home, 25% office with travel to member/provider locations in Massachusetts as required COVID Policy Please note: We encourage all Point32Health colleagues to follow CDC guidance about COVID-19 vaccines, boosters, isolation and masking. Point32Health reserves the right to adjust its requirements in response to COVID-19 trends in the communities we serve. The above statements are intended to describe the general nature and level of work being performed by employees assigned to this classification.
They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of employees assigned to this position. Management retains the discretion to add to or change the duties of the position at any time. Salary Range Compensation & Total Rewards Overview The annual base salary range provided for this position represents a broad range of salaries for this role and similar roles across the organization. The actual salary for this position will be determined by several factors, including the scope and complexity of the role; the skills, education, training, credentials, and experience of the candidate; equity with internal colleagues; and other conditions of employment.
As part of our comprehensive total rewards program, colleagues are also eligible for variable pay. Eligibility for any bonus, commission, benefits, or any other form of compensation and benefits remains in the Company's sole discretion and may be modified at the Company's sole discretion, consistent with the law. Point32Health offers their Colleagues a competitive and comprehensive total rewards package which currently includes: Medical, dental and vision coverage Retirement plans Paid time off Employer-paid life and disability insurance with additional buy-up coverage options Tuition program Well-being benefits Full suite of benefits to support career development, individual & family health, and financial health For more details on our total rewards programs, visit www.
point32health. org/careers/benefits/ Commitment to Diversity, Equity, Inclusion, Accessibility (DEIA) and Health Equity Point32Health is committed to making diversity, equity, inclusion, accessibility and health equity part of everything we do-from product design to the workforce driving that innovation.
Our Diversity, Equity, Inclusion, Accessibility (DEIA) and Health Equity team's strategy is deeply connected to our core values and will evolve as the changing nature of work shifts. Programming, events, and an inclusion infrastructure play a role in how we spread cultural awareness, train people leaders on engaging with their teams and provide parameters on how to recruit and retain talented and dynamic talent. We welcome all applicants and qualified individuals, who will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, interactionual orientation, national origin, genetics, disability, age, or veteran status.
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and expertise to help people find their version of healthier living through a broad range of health plans and tools that make navigating health and wellbeing easier. We enjoy the important work we do every day in service to our members, partners, colleagues and communities.
To learn more about who we are at Point32Health, click here. Job Summary Under the direction of the Supervisor, ASO Billing, The ASO Billing Analyst, is responsible for the execution of multiple and complex operational processes associated with ASO Billing. The Analyst II ensures timely and accurate completion of weekly ASO Billing invoice validation, responds to internal and external customer service inquiries and
reporting requests, initiates and monitors bank transactions and ensures AR records are accurate and up to date. The Analyst participates in key Finance Operations initiatives, including but not limited to operational improvements, new product development and implementation, new vendor partnership implementations and technological advancements.
This position requires a strong business and technical skills with the ability to work across multiple systems/interfaces. This is a cross functional role that interacts with internal and external business partners, requiring strong communication skills. Key Responsibilities/Duties - what you will be doing FINANCE OPERATIONS ANALYST II RESPONSIBILITIES:
Perform accurate completion of production cycles and related processes within prescribed deadlines, including reconciliations, and control reporting.
Identify production issues and coordinate resolution with management and team members, internal/external business partners, and IT. Analyze data, validate, interpret results, and communicate results effectively. Develop and maintain highly collaborative working relationships with the internal and external stakeholders and business partners Assist with corporate projects and departmental initiates to ensure successful implementation and integration of all business processes. Interact effectively with Program and Project Managers and assist with other department projects as needed.
Assist with ongoing system maintenance, configuration, and enhancements. Update and maintain policies, procedures, and workflows. Perform cross-training, implement process improvements, and ensure corporate controls and polices are adhered to. Responsible for responding to internal and external audit requests Provide superior customer service to internal and external customers. OTHER RESPONSIBILITIES: Perform operational activities associated with ASO client invoicing, including initiating bank transactions, monitoring accounts for incoming client payments and completing AR entries and validation Research transactions associated with claims, enrollments, cash/accounts receivable, and payments to facilitate correct transaction processing Triages and follows up on internal and external inquiries related to ASO Billing Assists in the completion of ad hoc reporting requests related to ASO Billing Assists in the month-end closing activities, and the analysis and reconciliation of data associated with those processes Qualifications - what you need to perform the job EDUCATION: (Minimum education & certifications required) Bachelor's degree in accounting or business administration preffered.
EXPERIENCE: (Years of experience) 2-3 years of accounting or finance work experience which demonstrates the abilities to perform in the position. Managed health care experience is preferred, operations and/or analytical experience a plus SKILL REQUIREMENTS: (Include interpersonal skills) Highly organized with exceptional attention to detail Ability to follow up/follow through to ensure timely accurate completion of tasks Strong problem-solving and investigative skills required Ability to prioritize work, manage multiple tasks and meet deadlines operating under very tight timelines Strong work ethic, desire to learn and be challenged, self-motivated with the ability to work independently with a bias for taking initiative Proficiency with Microsoft suite of products.
Mastery in use of Microsoft Excel. Oracle e Business experience is highly desirable. Excellent written and verbal communication skills Personable, able to collaborate as a colleague and business partner to interact with peers and internal/external stakeholders Discretion and confidentiality Commitment to Diversity, Equity, Inclusion, Accessibility (DEIA) and Health Equity Point32Health is committed to making diversity, equity, inclusion, accessibility and health equity part of everything we do-from product design to the workforce driving that innovation.
Our Diversity, Equity, Inclusion, Accessibility (DEIA) and Health Equity team's strategy is deeply connected to our core values and will evolve as the changing nature of work shifts. Programming, events, and an inclusion infrastructure play a role in how we spread cultural awareness, train people leaders on engaging with their teams and provide parameters on how to recruit and retain talented and dynamic talent.
We welcome all applicants and qualified individuals, who will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, interactionual orientation, national origin, genetics, disability, age, or veteran status. PDN-9ad352db-a54f-4fc0-a5e2-5e561d7fd11e
