Healthy Alliance

Executive Assistant

• Provide day-to-day support to executive leaders, including managing calendars, scheduling meetings, and helping leaders stay focused on top priorities
• Coordinate internal and external meetings, prepare agendas and materials, and track follow-up items so work continues after meetings end
• Arrange travel, complete expense reports, and support purchase requests in a timely and accurate way
• Draft, format, and review emails, letters, reports, presentations, and other materials with strong attention to detail
• Support Board and committee work by managing activities related to Board governance meetings, preparing materials, coordinating logistics, and keeping information organized and ready
• Serve as a helpful point of contact for staff, vendors, and external partners, and ensure communication is professional, timely, and clear
• Help manage office operations, including supplies, mail, vendor coordination, and general workplace needs
• Maintain accurate files, records, and documents while handling sensitive information with care and confidentiality
• Plan and support events, off-sites, team meetings, and other special activities that bring people together and support the work of the organization
• Look for ways to improve workflows, solve problems, and build systems that help the executive team and the broader organization work more effectively

Manager

• Manage incoming referrals for enhanced HRSN care management to support successful and timely connections for community members
• Provide longitudinal care management for Members receiving one or more enhanced HRSN services
• Utilize the Electronic Provider Assisted Claim Entry System/Medicaid Eligibility Verification System (ePACES/MEVS) and other data sources to confirm Medicaid enrollment and HRSN screening status, as well as existing care team management
• Conduct and document outreach to community members in alignment with required frequency, modality, and timeframe
• Manage Member consent and attestation as required throughout the screening, assessment, and care management process
• Conduct HRSN screening using the Accountable Health Communities (AHC) screening tool to assess Member HRSNs
• Conduct eligibility assessments to determine Member eligibility for enhanced HRSN services and refer Members to eligible programs and services to include enhanced HRSN services and/or existing federal, state, and local resources
• Develop Social Care Plans that include a summary of Member needs, eligibility, and services to which they are referred
• Ensure referrals are acted upon by HRSN service providers within required timeframes and redirect referrals as necessary to support service connection
• Document progress notes and action taken with each referral, as detailed in the Network Standards and Quality Program
• Update the Social Care Plan throughout service provision in collaboration with the Member and service provider to reflect strategies and interventions for meeting identified HRSNs
• Monitor and manage eligibility status changes in collaboration with Eligibility Specialists and Enhanced HRSN service providers
• Confirm service delivery completion and Member needs have been addressed satisfactorily and support the transition to additional resources
• Demonstrate ability to use various technology platforms to ensure successful and timely referral connections are made
• Maintain effective communication with internal team members, community members, and partner organizations to ensure overall coordination of care
• Collaborate with Performance team to report partner effectiveness and efficiency regarding referral response and service delivery and escalate community member service issues in a timely manner
• Regularly use data and data tools to report referral patterns and trends to the Referral Coordination Manager
• Share detailed feedback on successes and challenges of the role with the Referral Coordination Manager and continually look for opportunities to enhance and simplify the community member experience
• Effectively work in a hybrid work environment
• Some local travel may be required for meetings, community events, and other job-related responsibilities
• Demonstrate commitment to the values of diversity, equity, and inclusion
• Maintain current knowledge and understanding of Medicaid and local transformation, including New York Health Equity Reform (NYHER) 1115 Wavier Amendment, Waiver programs, Triple Aim, and value-based purchasing (VBP)
• Perform other responsibilities and duties as assigned

Social Care Manager

• Supervise and aid Finance Liaisons and Billing Specialists in Healthy Alliance’s revenue billing cycle management.
• Oversee the SCN’s HRSN billable service submissions for timely submission and completeness.
• Monitor SCN partner HRSN billable claims and assure follow up of denied claims.
• Manage and oversee remittance advice and the posting of such in the internal and external electronic billing systems.
• Work with the Director, Revenue Cycle Management to ensure maximization of cash collections through diligent and timely monitoring of all open accounts receivable balances.
• Review cash receipts and EOBs to ensure that all charges are properly billed and paid.
• Collaborate with Director, Revenue Cycle Management and internal cross-functional teams to meet partner needs and ensure positive partner experiences.
• Hold weekly check-in meetings with Finance Liaisons, Billing Specialists, and partners.
• Identify partner needs and connect to appropriate Healthy Alliance stakeholders.
• Exercise discretion and professional judgement to maintain project-specific timelines and communicate project expectations and timeliness with internal and external stakeholders.
• Embody Healthy Alliance’s vision, mission, and goals.

Manager, Revenue Cycle Management

Financial Planning and Analysis

• Operate as the primary point of contact for assigned partners for all matters related to SCN financial activities.
• Manage finance onboarding and training support for Healthy Alliance’s SCN with the Training department.
• Oversee SCN partner HRSN billable service submissions for timely submission and completeness, following up with the partner’s financial point of contact as needed.
• Monitor SCN partner HRSN billable claims for pends/denials requiring follow-up and work with partners to resolve claim issues.
• Review HRSN service payments to be made to partners and initiate the payment process.
• Receive partner capacity building expense documentation and review for appropriateness and completeness before submitting for payment.
• Collaborate with internal cross-functional teams to meet partner needs and ensure positive partner experiences.
• Hold monthly check-in meetings with assigned partner financial points of contact.
• Identify partner needs and connect to appropriate Healthy Alliance stakeholders.
• Use Healthy Alliance tools and resources to inform partner communications and meetings.
• Track and communicate monthly partner financial performance to internal and external stakeholders.
• Exercise discretion and professional judgement to maintain project-specific timelines and communicate project expectations and timelines with internal and external stakeholders.
• Maintain current knowledge and understanding of Medicaid and local transformation, including Waiver programs, Triple Aim, and Value-Based Purchasing (VBP).
• Perform other responsibilities and duties as assigned.