Health Underwriting Director jobs in Poughkeepsie, NY

Description

Summary:

Oversee and manage operations of the Care Management Partners of Ulster County Health Home and all related grants and activities including ensuring compliance with state requirements, completion of project deliverables, collection of project data, coordination of staff activities related to this program.

• Manages relationship with all Care Management Agencies in the Network; seeks and executes opportunities to expand the network and increase enrollment into the Health Home. Coordinates all program activities and data collection related to project. 
• Works with community institutions such as hospitals and other facilities to establish collaborative and mutually beneficial referral relationship.
• Promotes and coordinates health home network membership. 
• Organizes health home meetings and events.
• Maintains a working knowledge of payer requirements and health home reimbursement.
• Oversees billing/vendor relationship to ensure services are being appropriately billed and paid.
• Maintains databases on care managed population.
• Directs health home advisory board on policy, procedure and health home development.
• Direct quality improvement activities as outlined in the quality management plan. 
• Creates and implements trainings in accordance with policy updates and quality management plan Develops linkage and memorandums of understanding with outside organizations.
• Promotes the use of technology for care coordination and network development.
• Builds relationships with other agencies who serve health home members.
• Leads health home advisory board meetings, quality assurance meetings and children health home meetings. 
• Attends various staff meetings and management meetings to remain current on trends and regulations and any programmatic changes which may impact quality or program performance.
• Acts as a liaison between external organizations and health home leadership.
• Experience managing, administering, and fulfilling grants.
• Experience organizing and facilitating meetings and trainings.
• Experience in community networking and relationship building. 
• Experience maintaining databases to track information and generate reports.
• Proficient in the use of technology 
• Understanding of payer requirements and reimbursements in a health care environment
• Some familiarity with supervision and performance management

Qualifications

EDUCATION

High school diploma - Required.

Bachelor’s degree in social work, public health or related field preferred.

WORK EXPERIENCE

Care Management/Health Home experience - Required.

Prior program administration experience - Required.

Some supervisory / performance management experience - preferred

COMPUTER PROFICIENCY

Basic computer and internet navigational skills - Required.

Computer literacy with Windows-based operating systems and MS Office applications (Word, Excel, Outlook, Powerpoint) - Required.

Familiarity with electronic health records, preferably EPIC - preferred