COME WORK WITH US

We offer amenities, professional development opportunities, events, and programming that support the interests of our teams, while expanding and enriching our culture. Some of the benefits you can expect when you join Healthy Alliance include:

• Competitive compensation package
• Comprehensive insurance benefits available the 1st of the month after hire, including but not limited to medical, dental and vision, group short-term disability and life insurance with buy-up options, flexible spending and HSA company contributed accounts and more.
• 401K with a company match
• Unlimited paid time off after 90 days of employment
• Company-sponsored training and certification opportunities
• Remote employer with flexible work schedules
• A workplace that values safety, respect, employee engagement, recognition, and diversity
• Salary range: $81,000 – $93,000 per year, commensurate with experience

WHO YOU ARE

The Data Governance Analyst is responsible for the development, implementation, and management of Healthy Alliance data governance policies and procedures by ensuring the integrity, privacy, and security of organizational data across all systems.

WHAT YOU’LL DO

• Develop, implement, and maintain data management governance policies, procedures, and standards across the organization, in collaboration with the Privacy Officer and the Information Data Governance Board (IDGB), ensuring alignment with business objectives. 
• Create and maintain data dictionaries, metadata repositories, and data lineage documentation. 
• Conduct regular data quality assessments and implement data cleansing initiatives to improve data integrity. 
• Monitor compliance with data governance policies and regulatory requirements, including but not limited to HIPAA and SHIN-NY/Qualified Entity (QE) policies. 
• Develop and deliver data governance training programs to promote awareness and adherence to best practices. 
• Assist in the implementation and management of data governance tools and technologies. 
• Participate in IDGB meetings and provide regular updates on data management governance initiatives. 
• Support data-related projects by ensuring proper data governance controls are in place. 
• Collaborate with IT and security teams to ensure data protection and privacy measures are implemented effectively. 
• Analyze data usage patterns and recommend improvements to data management processes. 
• Stay current with industry trends and regulations related to data governance and privacy to ensure Healthy Alliance’s compliance with all applicable laws and industry standards. 

WHAT YOU’LL NEED

Education 

• Bachelor’s degree in information systems, computer science, or a related field. Equivalent combination of education and work experience in a related field may be considered in lieu of degree requirements.

Professional Work Experience

• 3+ years of experience in data governance, data management, or a related role. 
• Strong understanding of data governance principles, methodologies, and best practices. 

Skills, Knowledge, and Abilities

• Familiarity with data privacy regulations such as GDPR, CCPA, HIPAA, SHIN-NY, and QE policies. 
• Experience with data governance tools and technologies (e.g., Collibra, Informatica, IBM InfoSphere). 
• Proficiency in SQL and data analysis tools. 
• Strong analytical and problem-solving skills. 
• Excellent communication and interpersonal skills with the ability to explain complex concepts to non-technical stakeholders. 
• Experience in creating and maintaining documentation, including policies, procedures, and data dictionaries. 
• Knowledge of data modeling and data architecture concepts. 
• Ability to work independently and as part of a team in a fast-paced environment. 
• Strong project management and organizational skills. 
• Certifications such as CDMP (Certified Data Management Professional) or DGPC (Data Governance and Privacy Certification) are a plus. 
• Embody Healthy Alliance’s vision, mission, and goals. 
• Contribute to a positive work environment by demonstrating cultural expectations, rewarding performance, and valuing accountability, diversity and inclusion, flexibility, continuous improvement, collaboration, and creativity. 

This position involves sedentary work that primarily involves sitting/standing, use of typical office equipment such as a computer, laptop, and cell phone. The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 

YOUR NEXT CAREER OPPORTUNITY IS AT HEALTHY ALLIANCE!

APPLY NOW!

EQUAL OPPORTUNITY EMPLOYER

Healthy Alliance is an Equal Opportunity Employer and does not discriminate against any employee or applicant on the basis of age, ancestry, color, family or medical care leave, gender identity or expression, genetic information, marital status, medical condition, national origin, physical or mental disability, political affiliation, protected veteran status, race, religion, sex (including pregnancy), sexual orientation, or any other characteristic protected by applicable laws, regulations and ordinances. We adhere to these principles in all aspects of employment, including recruitment, hiring, training, compensation, promotion, benefits, social and recreational programs, and discipline.

If you require reasonable accommodation in completing this application, interviewing, completing any pre-employment testing, or otherwise participating in the employee selection process, please direct your inquiries to [email protected]. 

PRIVACY REQUIREMENT

This job function involves potential access/interaction with protected health information. Position will be required to abide by company policies and procedures that support federal, state, and local HIPAA regulations. Any violations will be subject to company policy which includes disciplinary actions up to and including separation of employment. Healthy Alliance is an At-Will Employer.

WHY YOU SHOULD JOIN HEALTHY ALLIANCE

We offer amenities, professional development opportunities, events, and programming that support the interests of our teams, while expanding and enriching our culture. Some of the benefits you can expect when you join Healthy Alliance include:

• Competitive compensation package
• Comprehensive insurance benefits available the 1st of the month after hire, including but not limited to medical, dental and vision, group short-term disability and life insurance with buy-up options, flexible spending and HSA company contributed accounts and more.
• 401K with a company match
• Unlimited paid time off after 90 days of employment
• Company-sponsored training and certification opportunities
• Remote employer with flexible work schedules
• A workplace that values safety, respect, employee engagement, recognition, and diversity
• Salary range: $101,000 – $116,000 per year, commensurate with experience

WHO YOU ARE

The Data Engineer is responsible for ensuring that Healthy Alliance’s data is reliable, accessible, and effectively utilized by designing, building, and maintaining the infrastructure and data pipelines necessary for efficient data storage, transformation, accessibility, flow, and integration.

WHAT YOU’LL DO

• Design and implement scalable data pipelines to integrate and process data from diverse sources. 
• Develop and optimize data warehouses and data lakes, ensuring efficient data flow and accessibility across the organization. 
• Implement data quality frameworks and automated data validation processes to ensure data integrity and reliability. 
• Develop and maintain robust error management practices, including error detection, logging, and resolution to ensure data accuracy and minimize data loss. 
• Manage file exchange processes, ensuring secure and efficient transfer of data files between internal and external systems, including handling various file formats and protocols. 
• Contribute to the adoption of modern data engineering practices, including real-time data processing and stream processing. 
• Collaborate with Data Analysts to support the implementation of machine learning models. 
• Implement data governance and security measures, ensuring compliance with HIPAA and other relevant regulations. 
• Optimize query performance and data access patterns for data analytics and reporting systems. 
• Design and implement data APIs and services to facilitate data integration across various applications and platforms. 
• Evaluate and integrate new data technologies to enhance Healthy Alliance’s data engineering capabilities. 
• Contribute to the development of best practices and coding standards for the data engineering team and of data engineering initiatives that support Healthy Alliance’s strategic goals and operational efficiency. 
• Work with business stakeholders to translate business requirements into effective data solutions. 
• Develop and maintain documentation for data architectures, models, and processes. 

WHAT YOU’LL NEED

Education 

• Bachelor’s degree in computer science, information systems, data science, or a related field. Equivalent work experience in a related field may be considered in lieu of degree requirements.

Professional Work Experience

• Minimum of 6+ years of experience in data engineering with a track record of implementing effective data solutions. 
• Experience in the health care or social care services industries is preferred. 

Skills, Knowledge, and Abilities

• Strong proficiency in SQL and experience with advanced database management systems. 
• Solid experience with big data technologies such as Apache Spark, Kafka, or Hadoop ecosystem tools. 
• Proficiency in Python, Scala, or Java with experience in developing data processing applications. 
• Experience with cloud platforms (preferably Azure) and their data services, including data lakes and data factories. 
• Good understanding of data modeling techniques, including dimensional modeling. 
• Experience in designing and implementing data streaming and processing solutions. 
• Knowledge of data governance principles and data lineage tracking. 
• Familiarity with containerization technologies (e.g., Docker) and orchestration platforms (e.g., Kubernetes). 
• Familiarity with data visualization tools (e.g., Power BI, Tableau) is beneficial. 
• Experience in designing data solutions that support analytics and machine learning workflows. 
• Knowledge of health care data standards (e.g., HL7, FHIR) and health care interoperability challenges. 
• Demonstrated ability to optimize data pipelines for performance and efficiency. 
• Experience in error management, including the detection, logging, and resolution of data errors. 
• Experience in file exchange management, including secure data file transfers and handling of various file formats and protocols. 
• Good communication skills, capable of explaining technical concepts to both technical and non-technical audiences. 
• Embody Healthy Alliance’s vision, mission, and goals. 
• Contribute to a positive work environment by demonstrating cultural expectations, rewarding performance, and valuing accountability, diversity and inclusion, flexibility, continuous improvement, collaboration, and creativity. 

This position involves sedentary work that primarily involves sitting/standing, use of typical office equipment such as a computer, laptop, and cell phone. The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 

YOUR NEXT CAREER OPPORTUNITY IS AT HEALTHY ALLIANCE!

APPLY NOW!

EQUAL OPPORTUNITY EMPLOYER

Healthy Alliance is an Equal Opportunity Employer and does not discriminate against any employee or applicant on the basis of age, ancestry, color, family or medical care leave, gender identity or expression, genetic information, marital status, medical condition, national origin, physical or mental disability, political affiliation, protected veteran status, race, religion, sex (including pregnancy), sexual orientation, or any other characteristic protected by applicable laws, regulations and ordinances. We adhere to these principles in all aspects of employment, including recruitment, hiring, training, compensation, promotion, benefits, social and recreational programs, and discipline.

If you require reasonable accommodation in completing this application, interviewing, completing any pre-employment testing, or otherwise participating in the employee selection process, please direct your inquiries to [email protected]. 

PRIVACY REQUIREMENT

This job function involves potential access/interaction with protected health information. Position will be required to abide by company policies and procedures that support federal, state, and local HIPAA regulations. Any violations will be subject to company policy which includes disciplinary actions up to and including separation of employment. Healthy Alliance is an At-Will Employer.

WHY YOU SHOULD JOIN HEALTHY ALLIANCE

We offer amenities, professional development opportunities, events, and programming that support the interests of our teams, while expanding and enriching our culture. Some of the benefits you can expect when you join Healthy Alliance include:

• Competitive compensation package
• Comprehensive insurance benefits available the 1st of the month after hire, including but not limited to medical, dental and vision, group short-term disability and life insurance with buy-up options, flexible spending and HSA company contributed accounts and more.
• 401K with a company match
• Unlimited paid time off after 90 days of employment
• Company-sponsored training and certification opportunities
• Remote employer with flexible work schedules
• A workplace that values safety, respect, employee engagement, recognition, and diversity
• Salary range: $81,000 – $99,000 per year, commensurate with experience

WHO YOU ARE

The Director, Revenue Cycle Management is responsible for the day-to-day management of the Revenue Cycle Management (RCM) billing function and supervision and training of Finance Liaisons and Billing Specialists. This role will ensure the accuracy, reliability, and timeliness of all revenue submissions, collections, reporting, and all information generated by the revenue cycle function. This position works directly with Healthy Alliance network partners as well as internal Finance Liaisons and Billing Specialists to ensure successful implementation and execution of billing requirements for services under New York’s 1115 Waiver Amendment’s Social Care Network (SCN) & Health-Related Social Needs (HRSN) Program.  

WHAT YOU’LL DO

• Work in collaboration with and supervise Finance Liaison and Billing Specialist staff in billing Medicaid, Managed Care Organizations (MCOs), and all other related SCN & HRSN Program billing activities. 
• Perform and manage entering, maintaining, and updating all information in internal and external electronic billing database systems regarding community members, service providers, procedures, rates, agency cost center, agency codes, and other relevant information necessary to complete Revenue Cycle Management for Healthy Alliance.  
• Review, manage, and transmit RCM billings.  
• Manage remittance advice and the posting of such in the internal and external electronic billing systems.  
• Assure maximation of cash collections through diligent, timely monitoring of all open accounts’ receivable balances and reviewing cash receipts and EOBs to ensure all charges are being properly billed and paid. 
• Monitor partner SCN & HRSN Program billable claims and assure follow up of denied claims, including but not limited to correction, rebilling, and collection of claims.  
• Assure that all network partners billing practices are compliant with relevant regulations and standards, including federal (e.g. HIPAA), New York State Department of Health (e.g. Medicaid and related Waiver programs, Medicaid Managed Care), and New York State insurance regulations.  
• Manage finance onboarding and training support for Healthy Alliance’s network with the Healthy Alliance training department.
• Oversee SCN & HRSN Program billable service submissions for timely submission and completeness, following up with the community-based organization’s (CBO) Finance point of contact, MCOs, and Medicaid as needed.  
• Review and cross-check CBO invoices in MillinPro RCM to ensure Finance completes accurate payments in Bill.com. 
• Review and reconcile PMPM payments in MillinPro.  
• Review partner capacity building expense documentation. Review for appropriateness and completeness before they are submitted for payment.  
• Collaborate with internal cross-functional teams to meet partner needs and ensure positive partner experience. 
• Hold weekly check-in meetings with Finance Liaisons, billers, and partners.  
• 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. 

This job description is not designed to cover or contain a comprehensive listing of task activities and/or duties that are required of the employee for this job. Responsibilities and activities may change at any time with or without notice.

WHAT YOU’LL NEED

Education  

• Bachelor’s degree in a related field or equivalent experience, such as accounting or business-related fields.   

Professional Work Experience 

• Minimum 10+ years of work experience in government/health care payor billing and RCM to include Medicaid and MCOs.

Skills, Knowledge, and Abilities   

• Excellent written and verbal communication skills.
• Strong working knowledge of Office 365 Suites in addition to moderate technical and analytical skills to compile data for planning and reporting purposes.   
• Analytical thinker, able to plan for growth and execute.  
• Ability to manage multiple detailed projects simultaneously and adjust as needed. 
• Ability to identify the source of a problem and propose a timely solution within budget. 
• Strong leadership skills to guide and direct a team.  
• Demonstrated commitment to the values of diversity, inclusion, and equity.  
• Strong community awareness and astuteness.
• Embody Healthy Alliance’s vision, mission, and goals. 

This position involves sedentary work that primarily involves sitting/standing, use of typical office equipment such as a computer, laptop, and cell phone. May include light work that includes moving objects up to twenty (20) pounds independently or with assistance. 

Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. If you require reasonable accommodation in completing this application, interviewing, completing any pre-employment testing, or otherwise participating in the employee selection process, please direct your inquiries to [email protected].

YOUR NEXT CAREER OPPORTUNITY IS AT HEALTHY ALLIANCE!

APPLY NOW!

EQUAL OPPORTUNITY EMPLOYER

Healthy Alliance is an Equal Opportunity Employer and does not discriminate against any employee or applicant on the basis of age, ancestry, color, family or medical care leave, gender identity or expression, genetic information, marital status, medical condition, national origin, physical or mental disability, political affiliation, protected veteran status, race, religion, sex (including pregnancy), sexual orientation, or any other characteristic protected by applicable laws, regulations and ordinances. We adhere to these principles in all aspects of employment, including recruitment, hiring, training, compensation, promotion, benefits, social and recreational programs, and discipline.

If you require reasonable accommodation in completing this application, interviewing, completing any pre-employment testing, or otherwise participating in the employee selection process, please direct your inquiries to [email protected].

PRIVACY REQUIREMENT

This job function involves potential access/interaction with protected health information. Position will be required to abide by company policies and procedures that support federal, state, and local HIPAA regulations. Any violations will be subject to company policy which includes disciplinary actions up to and including separation of employment. Healthy Alliance is an At-Will Employer.

WHY YOU SHOULD JOIN HEALTHY ALLIANCE

We offer amenities, professional development opportunities, events, and programming that support the interests of our teams, while expanding and enriching our culture. Some of the benefits you can expect when you join Healthy Alliance include:

• Competitive compensation package
• Comprehensive insurance benefits available the 1st of the month after hire, including but not limited to medical, dental and vision, group short-term disability and life insurance with buy-up options, flexible spending and HSA company contributed accounts and more.
• 401K with a company match
• Unlimited paid time off after 90 days of employment
• Company-sponsored training and certification opportunities
• Remote employer with flexible work schedules
• A workplace that values safety, respect, employee engagement, recognition, and diversity
• Salary range: $41,650 – $47,900 per year commensurate with experience

WHO YOU ARE

The Finance Liaison is responsible for working directly with Healthy Alliance’s network partners through on-site and remote communication to ensure successful implementation and execution of billing requirements under New York’s 1115 Waiver Amendment’s SCN & HRSN Program.  

We are looking for someone in the Capital Region.

WHAT YOU’LL DO

• Operate as the primary point of contact for assigned partners for all matters related to SCN & HRSN Program financial activities.  
• Manage finance onboarding and training support for Healthy Alliance’s network with Healthy Alliance training department. 
• Oversee partner SCN & HRSN Program billable service submissions for timely submission and completeness, following up with partners’ finance point of contact as needed.  
• Monitor partner SCN & HRSN Program billable claims for pends/denials requiring follow-up and work with partners to resolve claims issues.
• Review SCN & HRSN Program service payments to be made to partners and initiate the payment process.  
• Review partner capacity building expense documentation for appropriateness and completeness before submitting for payment.  
• Collaborate with internal cross-functional teams to meet partner needs and ensure positive partner experience.  
• Hold monthly check-in meetings with partners’ finance point 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).  

This job description is not designed to cover or contain a comprehensive listing of task activities and/or duties that are required of the employee for this job. Responsibilities and activities may change at any time with or without notice.

WHAT YOU’LL NEED

Education  

• Associate degree in a related field or equivalent experience, such as accounting or business-related fields. Equivalent work experience in government/health payor billing may be considered in lieu of degree requirements.  

Professional Work Experience 

• Minimum of 2+ years of claims billing experience.  

Skills, Knowledge, and Abilities   

• Excellent written and verbal communication skills for all levels of management.  
• Strong working knowledge of Office 365 Suites in addition to moderate technical and analytical skills to compile data for planning and reporting purposes.   
• Analytical thinker, able to plan for growth and execute.  
• Ability to manage multiple detailed projects simultaneously and adjust as needed.  
• Ability to identify the source of a problem and propose a timely solution within budget.   
• Strong leadership skills to guide and direct a team.  
• Demonstrated commitment to the values of diversity, inclusion, and equity.  
• Strong community awareness and astuteness.  

This position involves sedentary work that primarily involves sitting/standing, use of typical office equipment such as a computer, laptop, and cell phone. May include light work that includes moving objects up to twenty (20) pounds independently or with assistance. 

Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. If you require reasonable accommodation in completing this application, interviewing, completing any pre-employment testing, or otherwise participating in the employee selection process, please direct your inquiries to [email protected].

YOUR NEXT CAREER OPPORTUNITY IS AT HEALTHY ALLIANCE!

APPLY NOW!

EQUAL OPPORTUNITY EMPLOYER

Healthy Alliance is an Equal Opportunity Employer and does not discriminate against any employee or applicant on the basis of age, ancestry, color, family or medical care leave, gender identity or expression, genetic information, marital status, medical condition, national origin, physical or mental disability, political affiliation, protected veteran status, race, religion, sex (including pregnancy), sexual orientation, or any other characteristic protected by applicable laws, regulations and ordinances. We adhere to these principles in all aspects of employment, including recruitment, hiring, training, compensation, promotion, benefits, social and recreational programs, and discipline.

If you require reasonable accommodation in completing this application, interviewing, completing any pre-employment testing, or otherwise participating in the employee selection process, please direct your inquiries to [email protected].

PRIVACY REQUIREMENT

This job function involves potential access/interaction with protected health information. Position will be required to abide by company policies and procedures that support federal, state, and local HIPAA regulations. Any violations will be subject to company policy which includes disciplinary actions up to and including separation of employment. Healthy Alliance is an At-Will Employer.

WHY YOU SHOULD JOIN HEALTHY ALLIANCE

We offer amenities, professional development opportunities, events, and programming that support the interests of our teams, while expanding and enriching our culture. Some of the benefits you can expect when you join Healthy Alliance include:

• Competitive compensation package
• Comprehensive insurance benefits available the 1st of the month after hire, including but not limited to medical, dental and vision, group short-term disability and life insurance with buy-up options, flexible spending and HSA company contributed accounts and more.
• 401K with a company match
• Unlimited paid time off after 90 days of employment
• Company-sponsored training and certification opportunities
• Remote employer with flexible work schedules
• A workplace that values safety, respect, employee engagement, recognition, and diversity
• Salary range: $41,650 – $47,900 per year commensurate with experience

WHO YOU ARE

The Finance Liaison is responsible for working directly with Healthy Alliance’s network partners through on-site and remote communication to ensure successful implementation and execution of billing requirements under New York’s 1115 Waiver Amendment’s SCN & HRSN Program.  

We are looking for someone in Central New York.

WHAT YOU’LL DO

• Operate as the primary point of contact for assigned partners for all matters related to SCN & HRSN Program financial activities.  
• Manage finance onboarding and training support for Healthy Alliance’s network with Healthy Alliance training department. 
• Oversee partner SCN & HRSN Program billable service submissions for timely submission and completeness, following up with partners’ finance point of contact as needed.  
• Monitor partner SCN & HRSN Program billable claims for pends/denials requiring follow-up and work with partners to resolve claims issues.
• Review SCN & HRSN Program service payments to be made to partners and initiate the payment process.  
• Review partner capacity building expense documentation for appropriateness and completeness before submitting for payment.  
• Collaborate with internal cross-functional teams to meet partner needs and ensure positive partner experience.  
• Hold monthly check-in meetings with partners’ finance point 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).  

This job description is not designed to cover or contain a comprehensive listing of task activities and/or duties that are required of the employee for this job. Responsibilities and activities may change at any time with or without notice.

WHAT YOU’LL NEED

Education  

• Associate degree in a related field or equivalent experience, such as accounting or business-related fields. Equivalent work experience in government/health payor billing may be considered in lieu of degree requirements.  

Professional Work Experience 

• Minimum of 2+ years of claims billing experience.  

Skills, Knowledge, and Abilities   

• Excellent written and verbal communication skills for all levels of management.  
• Strong working knowledge of Office 365 Suites in addition to moderate technical and analytical skills to compile data for planning and reporting purposes.   
• Analytical thinker, able to plan for growth and execute.  
• Ability to manage multiple detailed projects simultaneously and adjust as needed.  
• Ability to identify the source of a problem and propose a timely solution within budget.   
• Strong leadership skills to guide and direct a team.  
• Demonstrated commitment to the values of diversity, inclusion, and equity.  
• Strong community awareness and astuteness.  

This position involves sedentary work that primarily involves sitting/standing, use of typical office equipment such as a computer, laptop, and cell phone. May include light work that includes moving objects up to twenty (20) pounds independently or with assistance. 

Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. If you require reasonable accommodation in completing this application, interviewing, completing any pre-employment testing, or otherwise participating in the employee selection process, please direct your inquiries to [email protected].

YOUR NEXT CAREER OPPORTUNITY IS AT HEALTHY ALLIANCE!

APPLY NOW!

EQUAL OPPORTUNITY EMPLOYER

Healthy Alliance is an Equal Opportunity Employer and does not discriminate against any employee or applicant on the basis of age, ancestry, color, family or medical care leave, gender identity or expression, genetic information, marital status, medical condition, national origin, physical or mental disability, political affiliation, protected veteran status, race, religion, sex (including pregnancy), sexual orientation, or any other characteristic protected by applicable laws, regulations and ordinances. We adhere to these principles in all aspects of employment, including recruitment, hiring, training, compensation, promotion, benefits, social and recreational programs, and discipline.

If you require reasonable accommodation in completing this application, interviewing, completing any pre-employment testing, or otherwise participating in the employee selection process, please direct your inquiries to [email protected].

PRIVACY REQUIREMENT

This job function involves potential access/interaction with protected health information. Position will be required to abide by company policies and procedures that support federal, state, and local HIPAA regulations. Any violations will be subject to company policy which includes disciplinary actions up to and including separation of employment. Healthy Alliance is an At-Will Employer.

WHY YOU SHOULD JOIN HEALTHY ALLIANCE

We offer amenities, professional development opportunities, events, and programming that support the interests of our teams, while expanding and enriching our culture. Some of the benefits you can expect when you join Healthy Alliance include:

• Competitive compensation package
• Comprehensive insurance benefits available the 1st of the month after hire, including but not limited to medical, dental and vision, group short-term disability and life insurance with buy-up options, flexible spending and HSA company contributed accounts and more.
• 401K with a company match
• Unlimited paid time off after 90 days of employment
• Company-sponsored training and certification opportunities
• Remote employer with flexible work schedules
• A workplace that values safety, respect, employee engagement, recognition, and diversity
• Salary range: $41,650 – $47,900 per year commensurate with experience

WHO YOU ARE

The Finance Liaison is responsible for working directly with Healthy Alliance’s network partners through on-site and remote communication to ensure successful implementation and execution of billing requirements under New York’s 1115 Waiver Amendment’s SCN & HRSN Program.  

We are looking for someone in the North Country.

WHAT YOU’LL DO

• Operate as the primary point of contact for assigned partners for all matters related to SCN & HRSN Program financial activities.  
• Manage finance onboarding and training support for Healthy Alliance’s network with Healthy Alliance training department. 
• Oversee partner SCN & HRSN Program billable service submissions for timely submission and completeness, following up with partners’ finance point of contact as needed.  
• Monitor partner SCN & HRSN Program billable claims for pends/denials requiring follow-up and work with partners to resolve claims issues.
• Review SCN & HRSN Program service payments to be made to partners and initiate the payment process.  
• Review partner capacity building expense documentation for appropriateness and completeness before submitting for payment.  
• Collaborate with internal cross-functional teams to meet partner needs and ensure positive partner experience.  
• Hold monthly check-in meetings with partners’ finance point 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).  

This job description is not designed to cover or contain a comprehensive listing of task activities and/or duties that are required of the employee for this job. Responsibilities and activities may change at any time with or without notice.

WHAT YOU’LL NEED

Education  

• Associate degree in a related field or equivalent experience, such as accounting or business-related fields. Equivalent work experience in government/health payor billing may be considered in lieu of degree requirements.  

Professional Work Experience 

• Minimum of 2+ years of claims billing experience.  

Skills, Knowledge, and Abilities   

• Excellent written and verbal communication skills for all levels of management.  
• Strong working knowledge of Office 365 Suites in addition to moderate technical and analytical skills to compile data for planning and reporting purposes.   
• Analytical thinker, able to plan for growth and execute.  
• Ability to manage multiple detailed projects simultaneously and adjust as needed.  
• Ability to identify the source of a problem and propose a timely solution within budget.   
• Strong leadership skills to guide and direct a team.  
• Demonstrated commitment to the values of diversity, inclusion, and equity.  
• Strong community awareness and astuteness.  

This position involves sedentary work that primarily involves sitting/standing, use of typical office equipment such as a computer, laptop, and cell phone. May include light work that includes moving objects up to twenty (20) pounds independently or with assistance. 

Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. If you require reasonable accommodation in completing this application, interviewing, completing any pre-employment testing, or otherwise participating in the employee selection process, please direct your inquiries to [email protected].

YOUR NEXT CAREER OPPORTUNITY IS AT HEALTHY ALLIANCE!

APPLY NOW!

EQUAL OPPORTUNITY EMPLOYER

Healthy Alliance is an Equal Opportunity Employer and does not discriminate against any employee or applicant on the basis of age, ancestry, color, family or medical care leave, gender identity or expression, genetic information, marital status, medical condition, national origin, physical or mental disability, political affiliation, protected veteran status, race, religion, sex (including pregnancy), sexual orientation, or any other characteristic protected by applicable laws, regulations and ordinances. We adhere to these principles in all aspects of employment, including recruitment, hiring, training, compensation, promotion, benefits, social and recreational programs, and discipline.

If you require reasonable accommodation in completing this application, interviewing, completing any pre-employment testing, or otherwise participating in the employee selection process, please direct your inquiries to [email protected].

PRIVACY REQUIREMENT

This job function involves potential access/interaction with protected health information. Position will be required to abide by company policies and procedures that support federal, state, and local HIPAA regulations. Any violations will be subject to company policy which includes disciplinary actions up to and including separation of employment. Healthy Alliance is an At-Will Employer.

WHY YOU SHOULD JOIN HEALTHY ALLIANCE

We offer amenities, professional development opportunities, events, and programming that support the interests of our teams, while expanding and enriching our culture. Some of the benefits you can expect when you join Healthy Alliance include:

• Competitive compensation package
• Comprehensive insurance benefits available the 1st of the month after hire, including but not limited to medical, dental and vision, group short-term disability and life insurance with buy-up options, flexible spending and HSA company contributed accounts and more.
• 401K with a company match
• Unlimited paid time off after 90 days of employment
• Company-sponsored training and certification opportunities
• Remote employer with flexible work schedules
• A workplace that values safety, respect, employee engagement, recognition, and diversity
• Salary range: $41,700 – $48,000 per year commensurate with experience

WHO YOU ARE

The Billing Specialist will prepare and execute billing and collection processes for Healthy Alliance by reviewing and submitting billing via the Unite Us platform and MillinPro RCM application. 

WHAT YOU’LL DO

• Review for accuracy and reconcile billing in MillinPro and Unite Us with Finance Liaisons and RCM Director.  
• Verify prior authorizations and eligibility in collaboration with the Eligibility Specialist.  
• Submit invoices and batches electronically for the Social Care Network (SCN) & Health-Related Social Needs (HRSN) Program’s billable services and all other billable services, ensuring timely submission and completeness. 
• Monitor partner SCN & HRSN Program billable claims and all other claims for pends/denials requiring follow-up, working with Finance Liaisons to resolve claim issues and re-bills as needed.  
• Review remittance advice with the RCM Director and identify differences between billed and collected amounts to resolve, address, and collect all unpaid accounts.  
• Collaborate with Finance Liaisons and RCM Director to meet partner needs and ensure positive partner experience. 
• Review and reconcile PMPM payments in MillinPro in collaboration with the RCM Director. 
• Identify partner needs and connect to appropriate Healthy Alliance stakeholders.  
• Use Healthy Alliance tools and resources to inform Finance Liaisons of partner communication needs.  
• Enter, maintain, and update information regarding community members, fee schedules, and other relevant information necessary to complete billing.  
• 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).  
• Remain current in all required trainings.  
• Be clear and maintain an acceptable record under the Medicaid Fraud & Abuse clearance process.  

This job description is not designed to cover or contain a comprehensive listing of task activities and/or duties that are required of the employee for this job. Responsibilities and activities may change at any time with or without notice.

WHAT YOU’LL NEED

Education  

• Associate degree in a related field, such as accounting or business. Equivalent work experience in government/health payor billing may be considered in lieu of degree requirements. Certified billing and coding preferred.   

Professional Work Experience 

• Minimum of 2+ years health care claims billing experience required to include Medicaid, Medicaid Managed Care, and Medicare billing with familiarity with ePACES/eMedNY and RCM systems. 

Skills, Knowledge, and Abilities   

• Excellent written and verbal communication skills.  
• Strong working knowledge of Office 365 Suites.   
• Ability to manage multiple detailed projects simultaneously and adjust as needed.  
• Ability to identify the source of a problem and propose a timely solution.   
• Commitment to the values of diversity, equity, and inclusion.  
• Strong community awareness and astuteness.  
• Embody Healthy Alliance’s vision, mission, and goals.  

This position involves sedentary work that primarily involves sitting/standing, use of typical office equipment such as a computer, laptop, and cell phone. May include light work that includes moving objects up to twenty (20) pounds independently or with assistance. 

Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. If you require reasonable accommodation in completing this application, interviewing, completing any pre-employment testing, or otherwise participating in the employee selection process, please direct your inquiries to [email protected].

YOUR NEXT CAREER OPPORTUNITY IS AT HEALTHY ALLIANCE!

APPLY NOW!

EQUAL OPPORTUNITY EMPLOYER

Healthy Alliance is an Equal Opportunity Employer and does not discriminate against any employee or applicant on the basis of age, ancestry, color, family or medical care leave, gender identity or expression, genetic information, marital status, medical condition, national origin, physical or mental disability, political affiliation, protected veteran status, race, religion, sex (including pregnancy), sexual orientation, or any other characteristic protected by applicable laws, regulations and ordinances. We adhere to these principles in all aspects of employment, including recruitment, hiring, training, compensation, promotion, benefits, social and recreational programs, and discipline.

If you require reasonable accommodation in completing this application, interviewing, completing any pre-employment testing, or otherwise participating in the employee selection process, please direct your inquiries to [email protected].

PRIVACY REQUIREMENT

This job function involves potential access/interaction with protected health information. Position will be required to abide by company policies and procedures that support federal, state, and local HIPAA regulations. Any violations will be subject to company policy which includes disciplinary actions up to and including separation of employment. Healthy Alliance is an At-Will Employer.

WHY YOU SHOULD JOIN HEALTHY ALLIANCE

We offer amenities, professional development opportunities, events, and programming that supports the interests of our teams, while expanding and enriching our culture. Some of the benefits you can expect when you join Healthy Alliance include:

• Competitive compensation package
• Comprehensive insurance benefits available the 1st of the month after hire, including but not limited to medical, dental and vision, group short-term disability and life insurance with buy-up options, flexible spending and HSA company contributed accounts and more.
• 401K with a company match
• Unlimited paid time off after 90 days of employment
• Company-sponsored training and certification opportunities
• Remote employer with flexible work schedules
• A workplace that values safety, respect, employee engagement, recognition, and diversity
• Salary range: $128,250 – $147,487 per year commensurate with experience

WHO YOU ARE

The Regional Director is responsible for the ongoing development, planning, coordination, oversight, and performance of Healthy Alliance’s North Country network in support of both the SCN & HRSN Program requirements and the organization’s broader strategic vision, goals, and mission. In this role, the Regional Director ensures that Healthy Alliance’s integrated network includes a diverse ecosystem of partners including community-based organizations (CBOs), grassroot organizations, managed care organizations (MCOs), government entities, behavioral health and substance use providers, clinical providers, and schools to enable HRSN screenings, care coordination, and the delivery of social care services to expected performance levels.

We are looking for someone in the North Country Region which includes Clinton, Essex, Franklin, Fulton, Hamilton, Jefferson, Lewis, St. Lawrence, Warren, and Washington counties.

WHAT YOU’LL DO

• Provide leadership, direction, and oversight of the region’s overall network performance.
• Manage the region’s contracts, programs, and services to ensure all SCN & HRSN Program requirements are met.
• Lead regional workgroups with the goal of educating and learning from a diverse set of leaders across the region who are deeply involved with the current health care delivery system/landscape, reporting out to Healthy Alliance’s SCN Council on lessons learned/best practice/milestone progression.
• Proactively monitor the overall health of the region to develop strategies and action plans to improve regional performance alongside other members of the leadership team and community workgroups, including but not limited to:
  • Performance and quality measures,
  • Contract deliverables,
  • Program and service deliverables,
  • Network composition and adequacy,
  • Budget, and
  • Payment and billing.
• Act as the accountable leader for the region that communicates directly to the Leadership Team and the SCN Council on network performance.
• Provide leadership and drive the key performance measures and deliverables of the region where they are responsible.
• Ensure regional quality standards are met in accordance with the organization’s quality program, the SCN & HRSN Program guidelines, and contract requirements.
• Work with other members of the Leadership Team to ensure accurate and timely reporting to NYS and other contracted entities.
• Work, in collaboration with other leaders, to ensure the region can adequately meet the demands for social care services, provide sufficient service choices to community members, and support a “no wrong door” environment for Medicaid members to access services. This includes ensuring sufficient network adequacy to meet the demands to screen community members and navigate them to services, as well as monitor capacity of social care service provisions for the region – collaborating on plans to address gaps in the network.
• Lead and manage the regional SCN Council governing body, ensuring SCN & HRSN Program governance requirements for the region are met.
• Serve as the organization’s key spokesperson for the region, in collaboration with other regional directors, to better educate leadership, employees, network partners, government officials, MCOs, and other stakeholders on the health care transformation efforts for the North Country.
• Collaborate with other Healthy Alliance Regional Directors, other SCN & HRSN Program Lead Entities across the state, the New York State Department of Health, and the Statewide Health Equity Regional Organization (SHERO) to influence and support best practice strategies in the provision of social care service delivery.
• Serve as the regional liaison, partnering with community leaders on key stakeholder initiatives, community planning, and convening forums and activities that support the unique needs of the region.
• Support activities that foster long-term sustainability efforts in the North Country, including the development of future value-based contracting.
  

This job description is not designed to cover or contain a comprehensive listing of task activities and/or duties that are required of the employee for this job. Responsibilities and activities may change at any time with or without notice.

WHAT YOU’LL NEED

Education 

• Bachelor’s Degree required. Masters preferred.

Professional Work Experience

• A minimum of five years of progressive experience in a health or social care system, with a background in one or more of the following: program management, care coordination, performance improvement, and/or care redesign.
• Experience working in partnership with multiple constituents throughout an organization. This includes achieving consensus through effective communication, convening, thought leadership, partnership, and relationship-building throughout the organization.
• Progressive experience as a senior-level leader that includes experience in clinical/social integration, performance improvement, and population health management.
• Must have demonstrated experience with data and its use in practice to inform decisions.
• A leadership role with demonstrable success in an integrated care coordination delivery system.
• Proven ability to collaborate, build relationships, engage and align diverse partners across multiple disparate ecosystems.
• Demonstrated understanding of general principles of health care management and the complexities of alternative payment models and value-based financing systems, both in commercial and government payor environments.
• Experience within managing relationships with NYS Department of Health, other government entities, and managed care/health plans.

  Skills, Knowledge, and Abilities 

• Knowledge of national trends and key issues related to quality, performance improvement, and trends in advanced payment models and health care transformation.
• A change agent who thrives on innovation and can adapt to a highly dynamic environment and look at problems and solutions from a creative standpoint.
• A highly personable, approachable person who can promote and maintain the momentum and enthusiasm to drive quality, performance improvement, patient safety, and service excellence.
• Energized, enthusiastic, resilient, and engaged leader with a strong intellect and creativity.
• An inclusive leader with outstanding interpersonal skills, who empowers, motivates, and challenges both internal and external stakeholders. A team player who has an open and non-competitive leadership style that promotes partnerships and builds trust and strong relationships.
• Must reside in the region in which this position is located, with existing relationships to support successful implementation in the region.
• Excellent written and verbal communication skills, including the ability to listen effectively and be open to the ideas of others. Can present data and translate complex issues into comprehensible ideas in a concise and easily understood manner.

This position involves sedentary work that primarily involves sitting/standing, use of typical office equipment such as a computer, laptop, and cell phone. May include light work that includes moving objects up to twenty (20) pounds independently or with assistance. 

Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. If you require reasonable accommodation in completing this application, interviewing, completing any pre-employment testing, or otherwise participating in the employee selection process, please direct your inquiries to [email protected].

YOUR NEXT CAREER OPPORTUNITY IS AT HEALTHY ALLIANCE!

APPLY NOW!

EQUAL OPPORTUNITY EMPLOYER

Healthy Alliance is an Equal Opportunity Employer and does not discriminate against any employee or applicant on the basis of age, ancestry, color, family or medical care leave, gender identity or expression, genetic information, marital status, medical condition, national origin, physical or mental disability, political affiliation, protected veteran status, race, religion, sex (including pregnancy), sexual orientation, or any other characteristic protected by applicable laws, regulations and ordinances. We adhere to these principles in all aspects of employment, including recruitment, hiring, training, compensation, promotion, benefits, social and recreational programs, and discipline.

If you require reasonable accommodation in completing this application, interviewing, completing any pre-employment testing, or otherwise participating in the employee selection process, please direct your inquiries to [email protected] 

PRIVACY REQUIREMENT

This job function involves potential access/interaction with protected health information. Position will be required to abide by company policies and procedures that support federal, state, and local HIPAA regulations. Any violations will be subject to company policy which includes disciplinary actions up to and including separation of employment. Healthy Alliance is an At-Will Employer

WHY YOU SHOULD JOIN HEALTHY ALLIANCE

We offer amenities, professional development opportunities, events, and programming that supports the interests of our teams, while expanding and enriching our culture. Some of the benefits you can expect when you join Healthy Alliance include:

• Competitive compensation package
• Comprehensive insurance benefits available the 1st of the month after hire, including but not limited to medical, dental and vision, group short-term disability and life insurance with buy-up options, flexible spending and HSA company contributed accounts and more.
• 401K with a company match
• Unlimited paid time off after 90 days of employment
• Company-sponsored training and certification opportunities
• Remote employer with flexible work schedules
• A workplace that values safety, respect, employee engagement, recognition, and diversity
• Salary range: $128,250 – $147,487 per year commensurate with experience

WHO YOU ARE

The Regional Director is responsible for the ongoing development, planning, coordination, oversight, and performance of Healthy Alliance’s Central New York network in support of both the SCN & HRSN Program requirements and the organization’s broader strategic vision, goals, and mission. In this role, the Regional Director ensures that Healthy Alliance’s integrated network includes a diverse ecosystem of partners including community-based organizations (CBOs), grassroot organizations, managed care organizations (MCOs), government entities, behavioral health and substance use providers, clinical providers, and schools to enable HRSN screenings, care coordination, and the delivery of social care services to expected performance levels.

We are looking for someone in the Central New York area which includes Cortland, Herkimer, Madison, Oneida, Onondaga, and Oswego.

WHAT YOU’LL DO

• Provide leadership, direction, and oversight of the region’s overall network performance.
• Manage the region’s contracts, programs, and services to ensure all SCN & HRSN Program requirements are met.
• Lead regional workgroups with the goal of educating and learning from a diverse set of leaders across the region who are deeply involved with the current health care delivery system/landscape, reporting out to Healthy Alliance’s SCN Council on lessons learned/best practice/milestone progression.
• Proactively monitor the overall health of the region to develop strategies and action plans to improve regional performance alongside other members of the leadership team and community workgroups, including but not limited to:
  • Performance and quality measures,
  • Contract deliverables,
  • Program and service deliverables,
  • Network composition and adequacy,
  • Budget, and
  • Payment and billing.
• Act as the accountable leader for the region that communicates directly to the Leadership Team and the SCN Council on network performance.
• Provide leadership and drive the key performance measures and deliverables of the region where they are responsible.
• Ensure regional quality standards are met in accordance with the organization’s quality program, the SCN & HRSN Program guidelines, and contract requirements.
• Work with other members of the Leadership Team to ensure accurate and timely reporting to NYS and other contracted entities.
• Work, in collaboration with other leaders, to ensure the region can adequately meet the demands for social care services, provide sufficient service choices to community members, and support a “no wrong door” environment for Medicaid members to access services. This includes ensuring sufficient network adequacy to meet the demands to screen community members and navigate them to services, as well as monitor capacity of social care service provisions for the region – collaborating on plans to address gaps in the network.
• Lead and manage the regional SCN Council governing body, ensuring SCN & HRSN Program governance requirements for the region are met.
• Serve as the organization’s key spokesperson for the region, in collaboration with other regional directors, to better educate leadership, employees, network partners, government officials, MCOs, and other stakeholders on the health care transformation efforts for Central New York.
• Collaborate with other Healthy Alliance Regional Directors, other SCN & HRSN Program Lead Entities across the state, the New York State Department of Health, and the Statewide Health Equity Regional Organization (SHERO) to influence and support best practice strategies in the provision of social care service delivery.
• Serve as the regional liaison, partnering with community leaders on key stakeholder initiatives, community planning, and convening forums and activities that support the unique needs of the region.
• Support activities that foster long-term sustainability efforts in Central New York, including the development of future value-based contracting.

This job description is not designed to cover or contain a comprehensive listing of task activities and/or duties that are required of the employee for this job. Responsibilities and activities may change at any time with or without notice.

WHAT YOU’LL NEED

Education 

• Bachelor’s Degree required. Masters preferred.

Professional Work Experience

• A minimum of five years of progressive experience in a health or social care system, with a background in one or more of the following: program management, care coordination, performance improvement, and/or care redesign.
• Experience working in partnership with multiple constituents throughout an organization. This includes achieving consensus through effective communication, convening, thought leadership, partnership, and relationship-building throughout the organization.
• Progressive experience as a senior-level leader that includes experience in clinical/social integration, performance improvement, and population health management.
• Must have demonstrated experience with data and its use in practice to inform decisions.
• A leadership role with demonstrable success in an integrated care coordination delivery system.
• Proven ability to collaborate, build relationships, engage and align diverse partners across multiple disparate ecosystems.
• Demonstrated understanding of general principles of health care management and the complexities of alternative payment models and value-based financing systems, both in commercial and government payor environments.
• Experience within managing relationships with NYS Department of Health, other government entities, and managed care/health plans.

Skills, Knowledge, and Abilities 

• Knowledge of national trends and key issues related to quality, performance improvement, and trends in advanced payment models and health care transformation.
• A change agent who thrives on innovation and can adapt to a highly dynamic environment and look at problems and solutions from a creative standpoint.
• A highly personable, approachable person who can promote and maintain the momentum and enthusiasm to drive quality, performance improvement, patient safety, and service excellence.
• Energized, enthusiastic, resilient, and engaged leader with a strong intellect and creativity.
• An inclusive leader with outstanding interpersonal skills, who empowers, motivates, and challenges both internal and external stakeholders. A team player who has an open and non-competitive leadership style that promotes partnerships and builds trust and strong relationships.
• Must reside in the region in which this position is located, with existing relationships to support successful implementation in the region.
• Excellent written and verbal communication skills, including the ability to listen effectively and be open to the ideas of others. Can present data and translate complex issues into comprehensible ideas in a concise and easily understood manner.

This position involves sedentary work that primarily involves sitting/standing, use of typical office equipment such as a computer, laptop, and cell phone. May include light work that includes moving objects up to twenty (20) pounds independently or with assistance. 

Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. If you require reasonable accommodation in completing this application, interviewing, completing any pre-employment testing, or otherwise participating in the employee selection process, please direct your inquiries to [email protected].

YOUR NEXT CAREER OPPORTUNITY IS AT HEALTHY ALLIANCE!

APPLY NOW!

EQUAL OPPORTUNITY EMPLOYER

Healthy Alliance is an Equal Opportunity Employer and does not discriminate against any employee or applicant on the basis of age, ancestry, color, family or medical care leave, gender identity or expression, genetic information, marital status, medical condition, national origin, physical or mental disability, political affiliation, protected veteran status, race, religion, sex (including pregnancy), sexual orientation, or any other characteristic protected by applicable laws, regulations and ordinances. We adhere to these principles in all aspects of employment, including recruitment, hiring, training, compensation, promotion, benefits, social and recreational programs, and discipline.

If you require reasonable accommodation in completing this application, interviewing, completing any pre-employment testing, or otherwise participating in the employee selection process, please direct your inquiries to [email protected]. 

PRIVACY REQUIREMENT

This job function involves potential access/interaction with protected health information. Position will be required to abide by company policies and procedures that support federal, state, and local HIPAA regulations. Any violations will be subject to company policy which includes disciplinary actions up to and including separation of employment. Healthy Alliance is an At-Will Employer

WHY YOU SHOULD JOIN HEALTHY ALLIANCE

We offer amenities, professional development opportunities, events, and programming that supports the interests of our teams, while expanding and enriching our culture. Some of the benefits you can expect when you join Healthy Alliance include:

• Competitive compensation package
• Comprehensive insurance benefits available the 1st of the month after hire, including but not limited to medical, dental and vision, group short-term disability and life insurance with buy-up options, flexible spending and HSA company contributed accounts and more.
• 401K with a company match
• Unlimited paid time off after 90 days of employment
• Company-sponsored training and certification opportunities
• Remote employer with flexible work schedules
• A workplace that values safety, respect, employee engagement, recognition, and diversity
• Salary range: $128,250 – $147,487 per year commensurate with experience

WHO YOU ARE

The Regional Director is responsible for the ongoing development, planning, coordination, oversight, and performance of Healthy Alliance’s Capital Region network in support of both the SCN & HRSN Program requirements and the organization’s broader strategic vision, goals, and mission. In this role, the Regional Director ensures that Healthy Alliance’s integrated network includes a diverse ecosystem of partners including community-based organizations (CBOs), grassroot organizations, managed care organizations (MCOs), government entities, behavioral health and substance use providers, clinical providers, and schools to enable HRSN screenings, care coordination, and the delivery of social care services to expected performance levels.

We are looking for someone in the Capital Region service area, which includes Albany, Columbia, Greene, Montgomery, Rensselaer, Saratoga, Schenectady, and Schoharie. 

WHAT YOU’LL DO

• Provide leadership, direction, and oversight of the region’s overall network performance.
• Manage the region’s contracts, programs, and services to ensure all SCN & HRSN Program requirements are met.
• Lead regional workgroups with the goal of educating and learning from a diverse set of leaders across the region who are deeply involved with the current health care delivery system/landscape, reporting out to Healthy Alliance’s SCN Council on lessons learned/best practice/milestone progression.
• Proactively monitor the overall health of the region to develop strategies and action plans to improve regional performance alongside other members of the leadership team and community workgroups, including but not limited to:
  • Performance and quality measures,
  • Contract deliverables,
  • Program and service deliverables,
  • Network composition and adequacy,
  • Budget, and
  • Payment and billing.
• Act as the accountable leader for the region that communicates directly to the Leadership Team and the SCN Council on network performance.
• Provide leadership and drive the key performance measures and deliverables of the region where they are responsible.
• Ensure regional quality standards are met in accordance with the organization’s quality program, the SCN & HRSN Program guidelines, and contract requirements.
• Work with other members of the Leadership Team to ensure accurate and timely reporting to NYS and other contracted entities.
• Work, in collaboration with other leaders, to ensure the region can adequately meet the demands for social care services, provide sufficient service choices to community members, and support a “no wrong door” environment for Medicaid members to access services. This includes ensuring sufficient network adequacy to meet the demands to screen community members and navigate them to services, as well as monitor capacity of social care service provisions for the region – collaborating on plans to address gaps in the network.
• Lead and manage the regional SCN Council governing body, ensuring SCN & HRSN Program governance requirements for the region are met.
• Serve as the organization’s key spokesperson for the region, in collaboration with other regional directors, to better educate leadership, employees, network partners, government officials, MCOs, and other stakeholders on the health care transformation efforts for the Capital Region.
• Collaborate with other Healthy Alliance Regional Directors, other SCN & HRSN Program Lead Entities across the state, the New York State Department of Health, and the Statewide Health Equity Regional Organization (SHERO) to influence and support best practice strategies in the provision of social care service delivery.
• Serve as the regional liaison, partnering with community leaders on key stakeholder initiatives, community planning, and convening forums and activities that support the unique needs of the region.
• Support activities that foster long-term sustainability efforts in the Capital Region, including the development of future value-based contracting.

This job description is not designed to cover or contain a comprehensive listing of task activities and/or duties that are required of the employee for this job. Responsibilities and activities may change at any time with or without notice.

WHAT YOU’LL NEED

Education 

• Bachelor’s Degree required. Masters preferred.

Professional Work Experience

• A minimum of five years of progressive experience in a health or social care system, with a background in one or more of the following: program management, care coordination, performance improvement, and/or care redesign.
• Experience working in partnership with multiple constituents throughout an organization. This includes achieving consensus through effective communication, convening, thought leadership, partnership, and relationship-building throughout the organization.
• Progressive experience as a senior-level leader that includes experience in clinical/social integration, performance improvement, and population health management.
• Must have demonstrated experience with data and its use in practice to inform decisions.
• A leadership role with demonstrable success in an integrated care coordination delivery system.
• Proven ability to collaborate, build relationships, engage and align diverse partners across multiple disparate ecosystems.
• Demonstrated understanding of general principles of health care management and the complexities of alternative payment models and value-based financing systems, both in commercial and government payor environments.
• Experience within managing relationships with NYS Department of Health, other government entities, and managed care/health plans.

Skills, Knowledge, and Abilities 

• Knowledge of national trends and key issues related to quality, performance improvement, and trends in advanced payment models and health care transformation.
• A change agent who thrives on innovation and can adapt to a highly dynamic environment and look at problems and solutions from a creative standpoint.
• A highly personable, approachable person who can promote and maintain the momentum and enthusiasm to drive quality, performance improvement, patient safety, and service excellence.
• Energized, enthusiastic, resilient, and engaged leader with a strong intellect and creativity.
• An inclusive leader with outstanding interpersonal skills, who empowers, motivates, and challenges both internal and external stakeholders. A team player who has an open and non-competitive leadership style that promotes partnerships and builds trust and strong relationships.
• Must reside in the region in which this position is located, with existing relationships to support successful implementation in the region.
• Excellent written and verbal communication skills, including the ability to listen effectively and be open to the ideas of others. Can present data and translate complex issues into comprehensible ideas in a concise and easily understood manner.

This position involves sedentary work that primarily involves sitting/standing, use of typical office equipment such as a computer, laptop, and cell phone. May include light work that includes moving objects up to twenty (20) pounds independently or with assistance. 

Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. If you require reasonable accommodation in completing this application, interviewing, completing any pre-employment testing, or otherwise participating in the employee selection process, please direct your inquiries to [email protected].

YOUR NEXT CAREER OPPORTUNITY IS AT HEALTHY ALLIANCE!

APPLY NOW!

EQUAL OPPORTUNITY EMPLOYER

Healthy Alliance is an Equal Opportunity Employer and does not discriminate against any employee or applicant on the basis of age, ancestry, color, family or medical care leave, gender identity or expression, genetic information, marital status, medical condition, national origin, physical or mental disability, political affiliation, protected veteran status, race, religion, sex (including pregnancy), sexual orientation, or any other characteristic protected by applicable laws, regulations and ordinances. We adhere to these principles in all aspects of employment, including recruitment, hiring, training, compensation, promotion, benefits, social and recreational programs, and discipline.

If you require reasonable accommodation in completing this application, interviewing, completing any pre-employment testing, or otherwise participating in the employee selection process, please direct your inquiries to [email protected] 

PRIVACY REQUIREMENT

This job function involves potential access/interaction with protected health information. Position will be required to abide by company policies and procedures that support federal, state, and local HIPAA regulations. Any violations will be subject to company policy which includes disciplinary actions up to and including separation of employment. Healthy Alliance is an At-Will Employer