Okta

General

• Secure AI by building trusted infrastructure for organizations
• Deliver sales presentations and product demos to educate customers about Okta
• Lead technical sessions to uncover challenges related to aging WAM stacks
• Deliver customized demos focused on Okta Access Gateway
• Design and execute outcome-focused POCs to prove Okta's value
• Maintain deep technical understanding of Okta identity product lines
• Craft engaging solution content for various business units
• Create and maintain reusable demonstration systems
• Provide strategic and technical guidance to Solutions Engineering teams
• Contribute to frameworks and content supporting Solutions Engineering teams

Senior Identity Solution Specialist – On-Premises & Hybrid Access

Analyst

• Conducts ongoing assessments to meet the needs of patients served.
• Communicates between supervisors, direct care staff members, family members, guardians, and collateral individuals regarding an individual's progress.
• Provides a monthly schedule to supervisors of appointments, home visits, and observations to monitor work advancement.
• Coordinates home, work and/or community-based visits to meet the requirements of observations, chart reviews, staff interviews, and data analysis.
• Ensures the Behavior Intervention plan is implemented effectively and properly.
• Participates in Interdisciplinary Team Meetings and other pertinent meetings as required.
• Completes monthly and/or quarterly progress notes.
• Organizes training to certify staff and other team members are competent in the implementation of the Behavior Intervention Plan and/or documentation sheets.
• Provides follow-up interviews, home visits, and observations for continued support of an individual's needs.
• Maintains strong clinical records to guarantee information is readily available to interested parties.
• Acts as liaison with the public and mental health community to support development of ongoing goals.
• Assists in creating procedures for training materials to improve programs for individuals served.
• Complete continued education on behaviorally based interventions & techniques to stay competitive in the field.

Board Certified Behavior Analyst

• Conducts ongoing assessments to meet the needs of patients served.
• Communicates between supervisors, direct care staff members, family members, guardians, and collateral individuals regarding an individual's progress.
• Provides a monthly schedule to supervisors of appointments, home visits, and observations to monitor work advancement.
• Coordinates home, work and/or community-based visits to meet the requirements of observations, chart reviews, staff interviews, and data analysis.
• Ensures the Behavior Intervention plan is implemented effectively and properly.
• Participates in Interdisciplinary Team Meetings and other pertinent meetings as required.
• Completes monthly and/or quarterly progress notes.
• Organizes training to certify staff and other team members are competent in the implementation of the Behavior Intervention Plan and/or documentation sheets.
• Provides follow-up interviews, home visits, and observations for continued support of an individual's needs.
• Maintains strong clinical records to guarantee information is readily available to interested parties.
• Acts as liaison with the public and mental health community to support development of ongoing goals.
• Assists in creating procedures for training materials to improve programs for individuals served.
• Completes continued education on behaviorally based interventions & techniques to stay competitive in the field.

Bilingual, Spanish Board Certified Behavior Analyst - BCBA

Bilingual/Spanish - Board Certified Behavior Analyst

Director

• Responsible for acquisition due diligence and integration related to government and commercial payers for all lines of business
• Responsible for the pursuit of business growth related to payer contracting delivering substantial and profitable growth for the company, including opportunistically working with the field sales teams to support current and expansion markets
• Acts as payer liaison focused on addressing Home Infusion Therapy (HIT) and PBM payer needs with appropriate resources and prioritization of value-added services and products
• Oversees HIT managed care sales process, including negotiating terms with payers. Negotiations include discussion on payment rate and structure, and all aspects of contract language
• Provides insight and knowledge in order to facilitate net revenue budgeting, long term planning, and the strategic planning for the organization
• Participates in events that are important to the business, including trade shows and educational events to promote services, visibility and relevance with targeted payers
• Manages highly complex market dynamics, including HIT and PBM payer issues, state and government regulations, payment issues, etc.
• Consistently executes on business priorities and aligns team to the organizational goals
• Manages payer contracting oversight responsibilities for any contracting cycle (new and amended), and credentialing

Director of Payer Contracts

Pharmacist

• Supervises and mentors the Payer Collections Management team
• Conducts regular performance evaluations, provides constructive feedback, and implements development plans to enhance team skills and productivity
• Coordinates and leads team meetings to ensure alignment with company goals and objectives
• Develops and implements training programs to keep the team updated on the latest industry standards and regulatory changes
• Drives a continuous improvement mindset, leveraging process/technology to drive efficiency across the Payer Collections function
• Manages the process of collections and assists with receiving, batching, posting, balancing, and archiving payments and adjustments to accounts receivable
• Reviews and approves adjustments within eligible range of $250.00 and under
• Identifies inefficient processes and makes recommendations to automate or eliminate
• Addresses and resolves any issues related to claims denials, underpayments, or patient disputes.

Collection Manager – Infusion Pharmacy

Claims Specialist

• Leverage your Pharmacy Claims Experience to manage and resolve claims efficiently, ensuring our clients get the support they need.
• Be a vital part of a team that’s dedicated to enhancing patient care through meticulous claims management and customer service.
• Manages and identifies a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing to eliminate financial risks.
• Researches, analyzes and appropriately resolves rejected claims by working with national Medicare D plans, third party insurance companies and all state Medicaid plans to ensure maximum payer reimbursement adhering to critical deadlines.
• Ensures approval of claims by performing appropriate edits and/or reversals to ensure maximum payer reimbursement.
• Monitors and resolves at risk revenue associated with payer set up, billing, rebilling and reversal processes.
• Works as a team to identify, document, communicate and resolve payer/billing trends and issues.
• Reviews and works to convert billing exception reports to ensure claims are billed to accurate financial plans.
• Prepares and maintains reports and records for processing.
• Performs other tasks as assigned.

• Conduct comprehensive assessments of children with Autism Spectrum Disorder (ASD)
• Develop individualized Behavior Intervention Plans (BIPs)
• Design and implement evidence-based Applied Behavior Analysis (ABA) interventions
• Collect and analyze data on behavior and patient progress
• Educate and support parents in understanding ASD

Board Certified Behavior Analyst, BCBA

• Conducts benefits investigations for all new patients and existing patients with insurance changes to determine coverage for enteral nutrition products and services
• Ensures all required documentation—including initial and ongoing forms—is accurately completed, clearly legible, and filed in the patient chart in accordance with Amerita’s Enteral Nutrition Requirements
• Coordinates and schedules the timely dispensing of enteral formulas and supplies; actively manages inventory and patient support throughout the course of care
• Obtains and documents patient supply inventories and compliance updates and communicates relevant information to appropriate clinical and operational teams
• Monitors and follows up on active insurance authorizations, physician orders, clinical documentation, and outstanding paperwork to ensure continuity of care
• Triages patient concerns and routes to clinical staff as needed, using established screening protocols
• Actively participates in departmental meetings, branch operations and quality improvement initiatives as assigned
• Complies with all applicable Accreditation, OSHA, FDA, state, local and federal regulations related to infusion pharmacy and home medical equipment