Qureos Mentor

Acentra Health

<div>Company Overview:
<div>
Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact.</div><div></div><div><br>
Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the mission of the company; to actively engage in problem-solving; and to take ownership of your work every day. Acentra Health offers you unparalleled opportunities. In fact, you have all you need to take charge of your career and accelerate better outcomes &ndash; making this a great time to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector.</div>
Job Summary and Responsibilities:
<div><b>
Acentra Health is looking for a Call Center &amp; Relations Supervisor to join our growing team.</b></div><div><b><br>
Job Summary:</b></div><div>
Acentra Health is currently looking for a Call Center &amp; Relations Supervisor to join our WY state project! As the Call Center Lead, you will drive and direct the performance and behaviors of the team. The Lead reports to the Call Center &amp; Relations Manager and develops Call Center Representatives, creates and maintains an environment of open communication, and leads by example. The Lead also forges solid relationships and empowers team members, laying the foundation for a high performing team.</div><div></div><ul><li><br>
<b><i>Position is onsite and located in Cheyenne, Wyoming.</i></b></li></ul><div></div><div><b><br>
Responsibilities:</b></div><ul><li>
Use the reporting capabilities of the telephony system to review call volume and staffing to verify that performance meets or exceeds commitments</li><li>
Act as an escalation point of contact</li><li>
Conduct in-process quality review checks to ensure that call center staff are in conformance with the operational procedures for resolving member inquiries</li><li>
Responsible for supervising daily performance of call center representatives; coach and develop team members in all aspects of performance including but not limited to metrics and behaviors related to the customer experience</li><li>
Conduct performance evaluations, may assist in the employment decision, sets performance goals and objectives; manage employee issues regarding attendance, performance, conduct, and delivers appropriate corrective action as needed</li><li>
Communicate policy updates and company information through team meetings, huddles and one-on-one development sessions</li><li>
Make sure correct procedures are followed and routinely give directions to call center representatives on what to do and how to improve</li><li>
Assist representatives in dealing with customer concerns by stepping in, offering advice, or authorizing a special adjustment</li><li>
Schedule Call Center Representatives to ensure adequate coverage. Document all coaching/development sessions, utilizing designated tools, in a timely manner. Interact with cross-functional support groups in order to manage the day-to-day operations</li><li>
Other duties as assigned</li><li>
Read, understand, and adhere to all corporate policies including policies related to HIPAA and its Privacy and Security Rules</li></ul>
Qualifications:
<div><b>
Required Qualifications</b></div><ul><li>
High School diploma or GED</li><li>
A minimum of 3 years of relevant work experience in a call center environment</li><li>
A minimum of 2 years of experience with public health plans (or general health plan) and basic knowledge of billing/claims and healthcare policy</li><li>
Experience or knowledge of institutional provider settings, including hospitals, nursing homes, or similar healthcare facilities</li><li>
Ability to work a flexible schedule to meet the needs of the business and performance requirements</li><li>
Work cooperatively and collaboratively with all levels of employees, management, and external agencies to maximize performance, creativity, problem solving, and results</li></ul><div><b>
Preferred Qualifications</b></div><ul><li>
Supervisory or lead experience</li><li>
Bilingual English/Spanish speaking a plus</li><li>
Knowledge of management principles and familiarity with company policies</li><li>
Excellent problem-solving skills
</li><li>Strong verbal and nonverbal communication skills
</li><li>Ability to manage multiple communication channels simultaneously</li><li>
Ability to accurately document and record information</li></ul><div></div><div><b><br>
Why us?</b></div><div></div><div><br>
We are a team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry. State and federal healthcare agencies, providers, and employers turn to us as their vital partner to ensure better healthcare and improve health outcomes.</div><div></div><div><b><br>
We do this through our people.</b></div><div></div><div><br>
You will have meaningful work that genuinely improves people's lives across the country. We are a company that cares about our employees, and we give you the tools and encouragement you need to achieve the finest work of your career.</div><div></div><div><b><br>
Benefits</b></div><div></div><div><br>
Benefits are a key component of your rewards package. Our benefits are designed to provide you with additional protection, security, and support for both your career and your life away from work. Our benefits include comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts, and more.</div><div></div><div><b><br>
Thank You!</b></div><div></div><div><br>
We know your time is valuable and we thank you for applying for this position. Due to the high volume of applicants, only those who are chosen to advance in our interview process will be contacted. We sincerely appreciate your interest in Acentra Health and invite you to apply to future openings that may be of interest. Best of luck in your search!</div><div></div><div><br>
~ The Acentra Health Talent Acquisition Team</div><div></div><div><br>
Visit us at https://careers.acentra.com/jobs</div><div></div><div><b><br>
EEO AA M/F/Vet/Disability</b></div><div></div><div><br>
Acentra Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, national origin, disability, status as a protected veteran or any other status protected by applicable Federal, State or Local law.</div><div></div><div><b><br>
Compensation</b></div><div></div><div><br>
The pay for this position is listed below.</div><div></div><div><i><br>
&quot;Based on our compensation philosophy, an applicant&rsquo;s position placement in the pay range will depend on various considerations, such as years of applicable experience and skill level.&quot;</i></div><div></div><div><i><br>
#LI-AF1
</i></div>Pay Range: USD $49,840.00 - USD $60,000.00 /Yr.</div>

Call Center & Relations Supervisor

<div>Company Overview:
<div>
Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact.</div><div></div><div><br>
Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the mission of the company; to actively engage in problem-solving; and to take ownership of your work every day. Acentra Health offers you unparalleled opportunities. In fact, you have all you need to take charge of your career and accelerate better outcomes &ndash; making this a great time to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector.</div>
Job Summary and Responsibilities:
<div><b>
Acentra Health is looking for a Business Analyst, Mid to join our growing team.</b></div><div><b><br>
Job Summary:</b></div><div></div><div><br>
The purpose of this position is to analyze business problems, identify gaps, and provide technical support in areas around moderately complex information systems under moderate supervision. Understanding of how claims are processed within the Medicaid system. Strong knowledge of Medicare, Medicaid, or other healthcare verticals</div><div><b><br>
Responsibilities:</b></div><ul><li>
Functions as an individual contributor and works under moderate supervision with clearly defined guidelines and direction</li><li>
Develops documentation related to moderately complex projects and information systems</li><li>
Applies business analysis knowledge to review and analyze systems problems to identify solutions</li><li>
Analyzes user requirements and client business needs using standard procedures</li><li>
Identifies and manages scope of changes based on client requirements</li><li>
Supports testing, user acceptance testing, and implementation of information systems</li><li>
Ensures bi-directional traceability of requirements</li><li>
Tracks and reports status of work assignments and escalates issues and risks to senior management as required</li><li>
Engages in solutions development to existing business process problems</li><li>
Demonstrates strong knowledge of Business Analysis methodologies, best practices, and procedures</li><li>
Participates in requirements management and design session activities</li><li>
Acts as a liaison between the client and the technology teams</li><li>
Provides customer support in assisting with the presentation of demos to the client</li><li>
Keeps abreast of new technology and market developments</li><li>
Identify all business process configuration and analyze/document the changes</li><li>
Supports technical and business analysis mentoring of Associate Business Analysts</li><li>
Documents comprehensive End-to-End Business Process flows, providing clear visual representations of operational workflows
</li><li>Read, understand, and adhere to all corporate policies including policies related to HIPAA and its Privacy and Security Rules</li></ul>
Qualifications:
<div><b>
Required Qualifications</b></div><ul><li>
Bachelor&rsquo;s degree in computer science, Engineering, Business Administration, or a closely related field</li><li>
3+ years of experience in healthcare business analysis or close related field</li><li>
Experience with systems development life cycle (SDLC)</li><li>
Experience in the healthcare industry</li></ul><div><b>
Preferred Qualifications</b>
</div><ul><li>Strong skills in Excel, Word, Visio and other tools for data analysis and documentation.</li><li>
Excellent verbal and written communication skills to effectively interact with diverse stakeholders, facilitating productive discussions.</li><li>
Understanding of how Payables and Receivables are created for both Claims and Managed Care Organization (MCO) transactions.</li><li>
Familiarity with the end-to-end process of payment generation for FFS (Fee-for-Service) and MCO Providers.</li><li>
Understanding the generation of 835/820 EDI transactions is highly valued.</li><li>
Demonstrated ability to work effectively and collaboratively with cross-functional teams.</li><li>
Demonstrated leadership skills, initiative, a team-oriented mindset, and self-motivation.</li><li>
Knowledge of data modeling and relational database concepts</li></ul><div></div><div><b><br>
Why us?</b></div><div></div><div><br>
We are a team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry. State and federal healthcare agencies, providers, and employers turn to us as their vital partner to ensure better healthcare and improve health outcomes.</div><div></div><div><b><br>
We do this through our people.</b></div><div></div><div><br>
You will have meaningful work that genuinely improves people's lives across the country. We are a company that cares about our employees, and we give you the tools and encouragement you need to achieve the finest work of your career.</div><div></div><div><b><br>
Benefits</b></div><div></div><div><br>
Benefits are a key component of your rewards package. Our benefits are designed to provide you with additional protection, security, and support for both your career and your life away from work. Our benefits include comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts, and more.</div><div></div><div><b><br>
Compensation</b></div><div></div><div><br>
The pay range for this position is listed below.</div><div></div><div><br>
&ldquo;Based on our compensation philosophy, an applicant&rsquo;s position placement in the pay range will depend on various considerations, such as years of applicable experience and skill level.&rdquo;</div><div></div><div><b><br>
Thank You!</b></div><div></div><div><br>
We know your time is valuable and we thank you for applying for this position. Due to the high volume of applicants, only those who are chosen to advance in our interview process will be contacted. We sincerely appreciate your interest in Acentra Health and invite you to apply to future openings that may be of interest. Best of luck in your search!</div><div></div><div><br>
~ The Acentra Health Talent Acquisition Team</div><div></div><div><br>
Visit us at https://careers.acentra.com/jobs</div><div></div><div><b><br>
EEO AA M/F/Vet/Disability</b></div><div></div><div><br>
Acentra Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, national origin, disability, status as a protected veteran or any other status protected by applicable Federal, State or Local law.</div><div></div><div><br>
#LI-SF1
</div>Pay Range: USD $71,552.00 - USD $111,800.00 /Yr.</div>

Business Analyst, Mid

Join Acentra Health and explore 2   exciting career opportunities. They're hiring for various roles with options for remote or on-site work. Apply today and become part of their innovative team.

Acentra Health

ABOUT_COMPANY

Call Center & Relations Supervisor

Business Analyst, Mid