GT Independence

Compliance

• Monitor federal and state regulations, minimum wage laws, and contract requirements; communicate changes promptly.
• Maintain a compliance alert system to track and disseminate updates.
• Review and update state-required forms; verify accuracy and timely implementation.
• Prepare, validate, and submit contract reports for the assigned region.
• Oversee development and implementation of regional policies and procedures (P&Ps).
• Conduct periodic reviews of P&Ps to identify gaps and recommend improvements.
• Participate in internal audits to assess compliance; document findings and corrective actions.
• Serve as liaison for external audits; provide required documentation and resolve issues.
• Facilitate and monitor Performance Improvement Plans (PIPs) and Corrective Action Plans (CAPs).
• Investigate incidents related to Fraud, Waste, Abuse, Privacy, and HIPAA.

Regional Compliance Coordinator

Manager

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Program Enrollment Manager

• Own regional revenue results, including reimbursement optimization and cash acceleration
• Drive improvement in first pass resolution, denial reduction, and authorization to payment cycle time
• Lead AR strategy with emphasis on reducing aged receivables and preventing revenue leakage
• Ensure compliance with state contract revenue requirements
• Lead structured payer escalation processes and recurring performance reviews
• Identify denial trends and systemic reimbursement risks
• Coordinate cross functional resolution strategies to remove barriers to payment
• Develop and manage regional revenue forecasts aligned to operational drivers
• Improve forecast accuracy through disciplined monitoring and variance analysis
• Establish standardized revenue governance and reporting practices across regions
• Integrate Enrollment, Authorizations, Billing, Claims, and AR into a cohesive revenue workflow
• Eliminate process breakdowns that delay reimbursement
• Lead recurring revenue performance reviews and drive corrective action planning
• Develop and maintain a standardized revenue cycle playbook
• Lead and develop Claims Leaders with clear performance expectations and accountability
• Oversee claims production through leadership of Claims Leaders while maintaining outcome ownership at the regional level
• Promote operational discipline, continuous improvement, and standardized practices
• Support structured training and capability development within the claims function

Revenue Cycle Manager

Customer Support

• Make and receive phone calls to support external and internal stakeholders
• Enter information into databases, such as a call log, for effective record keeping
• Prepare and send documents via DocuSign or email
• Ensure the proper naming and saving of documents in the document management system
• Assist customers in returning documents
• Manage DocuSign accounts and support issues from the operations staff and customers
• Ensure all compliance standards are met for audit purposes
• Timesheet reviewing and time tracking
• Accurately and efficiently complete payroll checklists for assigned agencies
• Work with your team leader to identify strategies for reducing errors
• Collaborate with your team to resolve rejected timesheet issues

Customer Service Support Specialist

• Leads the enrollment team within a state or region to ensure the highest quality service is provided with the enrollment process to those self-directing their services and the referring entities.
• Generates leads and referrals for new individuals and their employees.
• Cultivates relationships with case managers, support brokers, independent facilitators and other referring individuals and agencies to develop a base of referrals.
• Driving enrollments to achieve company growth goals within existing contracts through conducting presentations and meetings with case managers, external stakeholders, and participants.
• Provides constant and accurate communication to referrers and those being enrolled on the status of the enrollments and where everyone is in the process.
• Supporting the Directors of Business Development in new opportunities within the market.
• Troubleshoots issues and field questions from their staff, and all external customers to ensure the enrollment process is smooth and adaptive.
• Ensures that the Enrollment team is training new participants and their employees on using the GT Caregiver App and other GT Tools, roles and responsibilities, and program specific items.
• Provides daily direction and communication to employees so that enrollment and processing related calls are answered in a timely, efficient, and knowledgeable manner.
• Provides continual evaluation of processes and procedures; responsible for suggesting methods to improve area operations, efficiency, and service to both internal and external customers.
• Manages employees, ensuring work is handled efficiently and effectively.
• Provides performance feedback and coaching on a regular basis to each direct report.
• Ensures employees have appropriate training and other resources to perform their jobs.
• Creates and maintains a high-quality work environment.
• Assists the Director with the development, analyses and implementation of staffing, training, scheduling, and reward/recognition programs.
• Manages special or ongoing projects that are important to area/process improvement.
• Uses appropriate judgment in upward communication regarding department or employee concerns.
• Assists with documentation and training of DocuSign program and GT Enroll.
• Assists in developing and preparing operational plans and reports on project status

Learning and Development

• Design and develop training curriculum tailored to the needs of the Customer Services and Payroll department.
• Create engaging training materials, including manuals, e-learning modules, and presentations.
• Conduct training sessions for new hires and ongoing training for existing staff.
• Utilize various training methods to accommodate different learning styles and needs.
• Develop and maintain market Policies and Procedures related to customer service and payroll.
• Ensure all documentation is up-to-date, compliant with regulations, and easily accessible.
• Serve as the subject matter expert for customer service and payroll functions.
• Stay updated on industry best practices and regulatory changes impacting customer service and payroll operations.
• Collaborate with IT teams to develop and enhance systems and tools used in the customer service and payroll functions.
• Provide expertise and feedback to ensure technological solutions meet operational needs.
• Monitor and assess the effectiveness of training programs and policies, making adjustments as needed.
• Implement feedback mechanisms to continuously improve training delivery and operations.
• Work closely with other departments to ensure cohesive and streamlined customer service and payroll operations.

Operations Training Specialist

• Develop and deliver comprehensive training programs
• Create and update market Policies and Procedures
• Serve as a subject matter expert in customer service and payroll functions
• Collaborate with IT teams to enhance systems and tools
• Monitor and assess effectiveness of training programs
• Work closely with other departments for cohesive operations

• Design and develop training curriculum tailored to the needs of the Customer Services and Payroll department.
• Conduct training sessions for new hires and ongoing training for existing staff.
• Develop and maintain market Policies and Procedures related to customer service and payroll.
• Serve as the subject matter expert for customer service and payroll functions.
• Collaborate with IT teams to develop and enhance systems and tools used in customer service and payroll functions.
• Monitor and assess the effectiveness of training programs and policies.
• Work closely with other departments to ensure cohesive and streamlined customer service and payroll operations.

• Own regional revenue results, including reimbursement optimization and cash acceleration
• Drive improvement in first pass resolution, denial reduction, and authorization to payment cycle time
• Lead AR strategy with emphasis on reducing aged receivables and preventing revenue leakage
• Ensure compliance with state contract revenue requirements
• Lead structured payer escalation processes and recurring performance reviews
• Identify denial trends and systemic reimbursement risks
• Coordinate cross functional resolution strategies to remove barriers to payment
• Develop and manage regional revenue forecasts aligned to operational drivers
• Improve forecast accuracy through disciplined monitoring and variance analysis
• Establish standardized revenue governance and reporting practices across regions
• Integrate Enrollment, Authorizations, Billing, Claims, and AR into a cohesive revenue workflow
• Lead recurring revenue performance reviews and drive corrective action planning
• Lead and develop Claims Leaders with clear performance expectations and accountability
• Oversee claims production through leadership of Claims Leaders while maintaining outcome ownership at the regional level

• Ensure that compliance requirements are met within the assigned region
• Monitor federal and state regulations, minimum wage laws, contract and waiver requirements
• Notify relevant departments of changes in regulations
• Serve as the primary point of contact for compliance inquiries within the region
• Provide timely responses and guidance on compliance issues
• Oversee contract reporting and manage policies and procedures (P&Ps)
• Maintain organizational and regulatory standards by coordinating audits
• Handle Performance Improvement Plans (PIPs) and Corrective Action Plans (CAPs)
• Investigate Fraud, Waste, and Abuse incidents and other critical compliance matters
• Manage Criminal Background Check (CBC) reviews and ensure compliance with regulations
• Support adherence to compliance standards and drive continuous improvement