Insurance Program Manager Jobs in Corning, NY (NOW HIRING)

Description

Summary

The Health Homes Assistant Program Manager is responsible for assisting with the oversight of all Health Homes and care management services agency-wide. Knowledge of Health Homes, CFTSS services, billing, CHHUNY policies, and Department of Health standards are essential. The ability to forge positive relationships with internal and external customers at all levels is crucial to success in this position. The Health Homes Assistant Program Manager works closely with the Health Homes Program Manager in the design and facilitation of the program milieu and service delivery system, quality assurance measurements and agency goals. The Assistant Program Manager contributes to the Glove House high performance culture by exhibiting our values and providing quality results that keep Glove House as the premier provider of child, family, and behavioral health solutions. This individual is directly accountable to the Health Homes Program Manager.

Primary Job Functions

• Provides secondary oversight to Health Home Services; provides indirect supervision to staff in assigned departmental area in accordance to all Glove House, state and regulatory requirements.    
• Guided by organizational values and trauma informed practice in all interactions.
• Treats all children, families, staff and ancillary providers with respect and courtesy.
• Demonstrates and models sensitivity to the cultural background of children, families and co-workers.
• Assures that all processes within the Department operate in compliance with applicable NYS codes, rules and regulations and with Glove House policies and procedures.
• Provides indirect oversight to the Health Homes program at the direction of the Health Homes Program Manager.
• Completes tasks in accordance with the Assistant Manager, managing the outreach process for incoming referrals with the assistance of the Program Manager while assisting with technical input/review of clients and notes to insure proper billing and reimbursement to the agency.
• As the Assistant Manager, personnel may also be responsible for the facilitation of Plan of Care/Interdisciplinary Team Meetings in coordination with the primary care manager and the client's care team. 
• Provides supervision and coaching to staff within the departments and co-leadership with teams within the agency.
• Responsible for assisting with coaching, training, and supervision of Health Homes staff.
• Will carry a case load. 
• Responsible for carrying out additional casework/case management activities due to staffing shortages and department needs. 
• Provide indirect oversight and direction to ensure the completion and maintenance of all departmental records and documentation.  
• Assist with completing administrative documentation in accordance with Glove House program and regulatory standards. 
• Assures all insurance and billing documentation is completed in a timely fashion.  
• Consistently attends staff meetings and provides leadership, agenda and coaching during team/staff meetings. 
• Available to provide managerial oversight in the absence of the Program Manager as needed.
• Responsible for assisting in the research and development of best practices and new initiatives to meet the changing needs of children and families in the community. 
• Acts as a leader to the department in fostering the principles of a learning organization through continuous education and the provision of in-service training throughout the agency.
• Consistently attends mandated agency and department meetings and participates in standing agency committees and community committees as assigned.
• Represents Glove House at state and local forums, developing collaborative relations with other stakeholders in the community and promoting the interests of the agency. 
• Assists with monthly audit and audits assigned but CHUNNY. 
• Performs other responsibilities as assigned by Health Homes Program Manager.

Job Qualifications 

Education, Licenses and Experience 

• Bachelor's degree in related field preferred; bachelor's degree required 
• Must have a valid driver's license and driving record in accordance with agency standards.
• 3+ years' experience working in Health Homes, Managed Care, Medicaid service delivery/billing/insurance. Supervisory experience preferred.

Knowledge, Skills, and Abilities

• Community resources, trauma informed care practices, state and federal regulations, Medicaid services, managed care organizations, and department of health policy.
• Perform under strong demands in fast-paced, diverse environments.
• Handle confidential information appropriately.
• Perform at a high level of autonomy, with minimal supervision.
• Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedural manuals.  
• Utilizing computer and standard Microsoft Office, learn new computer programming (i.e. MyEvolv, Netsmart, HCS, Paycom, et al.)
• Ability to speak effectively before groups of customers, employees, county representatives, state regulatory personnel.
• Ability to apply common sense understanding to carry out instructions furnished in written, oral or diagram form.  
• Work on multiple tasks, while maintaining a high attention to detail, accuracy and quality
• Commit to effectively and efficiently providing high levels of customer satisfaction with positive service delivery results.
• Demonstrate the behaviors of the Glove House Values.
• Set appropriate limits and boundaries with clients; act decisively to protect clients, when necessary.
• Recognize importance of social, economic, environmental factors in the development and resolution of personnel and programmatic issues.
• Be sensitive to staff cultural and other status characteristics.
• Commit to effectively and efficiently providing high levels of customer satisfaction with positive service delivery results.

Schedule Expectations

The incumbent will work a standard scheduled week; however, flexible hours may include weekends, evenings and holidays. The ability to work flexible hours is required, as is the ability to provide on-call support when scheduled or to meet business needs. Travel will be as needed to conduct Glove House business-related activities. Generally, duties of this position require at least 80% time at work/face-to-face time with co-workers, supervisor and to provide supervision to those you supervise. Up to 20% may be approved to work from home.