Care Senior Associate Job Description
Care senior associate
provides consultative services to business management, as requested by the VP IAS, in the development of new policies, standards, systems, processes and procedures.
Care Senior Associate Duties & Responsibilities
To write an effective care senior associate job description, begin by listing detailed duties, responsibilities and expectations. We have included care senior associate job description templates that you can modify and use.
Sample responsibilities for this position include:
Transcribing medical documents in the WC system under the direction of the Medicinal-only Adjusters and Team Leader
Scheduling appointments with Network Providers and sending pre-certification letters under the direction of the med only adjuster
Assisting with all clerical duties for the nursing teams and the department as needed
Understanding and assisting with the Intake process and the completion of the NJ State Workers' Compensation First Report of Injury Direct treatment as when necessary
Obtaining medical notes from appointments and distributing via email or fax as required to the Adjuster and Employers of Insured Employees
Scheduling diagnostic testing via One Call and notifying Adjusters and claimants of the appointments
Scheduling medical appointments and therapy as required after obtaining approval from the Medical-only Adjuster
Lead and develop analytic solutions around internally generated data in combination with third party data sources and primary market research to enhance decisions made to maximize the supported brands/therapy areas
Develop predictive models/conduct analyses
Share best practices in advanced analytics across the team, including and especially with the Manager BA within the team
Care Senior Associate Qualifications
Qualifications for a job description may include education, certification, and experience.
Licensing or Certifications for Care Senior Associate
List any licenses or certifications required by the position: FML
Education for Care Senior Associate
Typically a job would require a certain level of education.
Employers hiring for the care senior associate job most commonly would prefer for their future employee to have a relevant degree such as Bachelor's and High School Degree in Health, Psychology, Social Work, English, Public Health, Communications, Coaching, Associates, Technical, Business
Skills for Care Senior Associate
Desired skills for care senior associate include:
Healthcare insurance industry and of all products
Services and processes performed by the team
Departmental policies and procedures
HIPPA and NCQA
PowerPoint
Automated systems/telephone systems
Outlook
Medical terminology
Medicare
Managed care
Desired experience for care senior associate includes:
Deliver client analytics project work stream through direct ownership of data ingestion, validation, mining, and engineering, modeling, visualization, and client communication deliverables (on more advanced projects, will work with data science, big data, and visualization experts)
Build analytics solutions across Claims, Provider, Payor, Clinical and (or) Life Science Data using variety of big data technologies and analytics tools as required by the client, and create robust documentation of solutions and underlying design decisions and operating procedures
Demonstrated analytics solution design and build expertise, work stream management skills, strong business consulting acumen in applying advanced analytics to solve business issues, and knowledge of business operational, process, delivery, and revenue models
Possess a high level of commitment to detail
Proficient with computer, Microsoft Office and using various software packages
Applying the concepts of Enterprise Risk Management to help companies identify, assess, mitigate and proactively consider emerging risks
Care Senior Associate Examples
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Care Senior Associate Job Description
Job Description Example
Our company is looking to fill the role of care senior associate. We appreciate you taking the time to review the list of qualifications and to apply for the position. If you don’t fill all of the qualifications, you may still be considered depending on your level of experience.
Responsibilities for care senior associate
- BH Intake Specialist is responsible for telephonic outreach to customers regarding BH benefits and services
- BH Intake Specialist is required to adhere to Policies and Procedures and all Compliance Rules and Regulations
- Make proactive sales calls on a daily basis with existing representatives to strengthen relationships and find life and long term care solutions that fit with their client/prospect base
- Fielding of inbound calls from agents in regards to long term care and life insurance sales opportunities
- Work closely with the External Consultants to develop and execute an appropriate business plan to maximize territorial sales
- Identify and convert book of business opportunities to help increase producing representatives
- Education based on the participant’s need referrals to external resources including, but not limited to mental health practitioners in the community, client elected benefits, community supports
- Interface with multiple computer systems, often simultaneously, matrix partners and resources to achieve first call resolution for customers
- Demonstrates a complete awareness and understanding of the responsibilities and workflows of the various departments within the site
- Participates and actively contributes in staff meetings and in-service seminars
Qualifications for care senior associate
- Ability to frequently travel either same day or out of town/overnight for work at client sites (20-40%)
- Hospital administration experience
- Eight (8) to ten plus (10+) years of pharmaceutical industry experience (can include consulting experience), working directly with advanced analytics
- Proficiency in SAS and other data extraction and analytical tools such as SQL, , Experience with Excel and Power Point
- Minimum of four years of data analytics experience with a professional services firm, an internal strategy/analytics group, or similar environment
- Current Life and Health Insurance License required
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Care Senior Associate Job Description
Job Description Example
Our company is growing rapidly and is looking for a care senior associate. We appreciate you taking the time to review the list of qualifications and to apply for the position. If you don’t fill all of the qualifications, you may still be considered depending on your level of experience.
Responsibilities for care senior associate
- Ensures division/unit patient billing is submitted accurately and timely, including charge capture and coding
- Prepares or coordinates preparation of complex reports, which require significant contact with other departments and outside organizations
- Designs and executes system of internal controls, which provides reasonable assurance that operations are effective and efficient, assets are safeguarded, and financial information is reliable
- Promotes improved customer relations with patients and their families
- Assists the nurse and other health team members by performing a variety of procedures, exams, tests, treatments and clerical duties as required by the unit
- Maintains non-patient and patient care units in a neat and orderly condition
- Transports/accompanies patients to various departments, as directed
- Utilizes proper isolation techniques and established safety, waste disposal and infection control procedures at all times
- Provides full-scale, personalized customer service to dedicated accounts
- Investigates order issues, resolves conflicts, and creates standard operating procedures for long-term resolution
Qualifications for care senior associate
- Detailed understanding of the LTC industry and market, our products, and that of our competitors is highly desired
- Thorough grasp of insurance sales and closing techniques required
- Complete understanding of insurance agency systems and protocol required
- Insurance industry designations
- Minimum of four years closely related work experience in the insurance field may be substituted for college degree
- At least four years of field experience as an agent, wholesaler, or trainer in the insurance industry required
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Care Senior Associate Job Description
Job Description Example
Our growing company is hiring for a care senior associate. Thank you in advance for taking a look at the list of responsibilities and qualifications. We look forward to reviewing your resume.
Responsibilities for care senior associate
- Serve as ex-Officio member of the Curriculum Council
- Organizes laboratory to which assigned
- Compiles and evaluates research data
- Performs or supervises design, development, or adaptation of equipment or apparatus used in research experiments to obtain desired results
- Compiles and analyzes results of research assignments, and submits to principal investigator
- Instructs medical students, graduate students, residents, and other laboratory personnel of lower grade with respect to techniques, procedures, and equipment utilized in research or experiments
- Additional tasks include analytical research
- Service Level Analysis, develop and analyse reports, Customer Score Card Analysis, Vendor Managed Inventory, detailed product information, research claims, prepare detailed collection correspondence, special projects as assigned and mentoring new team members
- Order discrepancy claims • Credit order processing
- May complete telephonic health assessments and utilize internal assessment tools for disease management
Qualifications for care senior associate
- Professional presentation experience to all size groups required
- 3-5 years forms filing experience
- Excellent research and project management skills, general knowledge of LTC business
- Knowledge of SERFF and I-File systems preferred
- Minimum of four years closely related work experience in the insurance field may be
- Communicate effectively with customers and other business units, demonstrating the command of the language, grammar and composition
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Care Senior Associate Job Description
Job Description Example
Our innovative and growing company is looking for a care senior associate. Please review the list of responsibilities and qualifications. While this is our ideal list, we will consider candidates that do not necessarily have all of the qualifications, but have sufficient experience and talent.
Responsibilities for care senior associate
- Utilize formulation skills and technical expertise to develop new products, technologies and benefits to address relevant consumer needs in support of brand initiatives
- Lead and advance multiple projects through the product development process
- Work cross-functionally and lead project teams to achieve key milestones and objectives
- Develop technical product strategies to support short-term and long-term innovation
- Set objectives, conduct performance reviews and advise on the development of his/her team members to enable them to achieve their full potential
- Gather and manipulates audit and client information as needed to prepare returns
- Uploading, documenting, and logging paperwork for Members into various systems and databases
- There is data entry needs for all of the paperwork submitted, required within state and internal guidelines/regulations
- Due to this paperwork need, this position may assist staff in outreach to providers and members via phone calls, faxes, mail etc and logging accurately for state submission
- Involves telephonic interaction in a call center setting with customers, providers and facilities - inbound and outbound call center
Qualifications for care senior associate
- The ability to anticipate, identify, reproduce, eliminate and resolve problems in a professional and consultative manner
- Builds and maintains a broad network of information sources
- Researches customer information and inputs data into designated system
- Provides a positive customer experience to all clients and customers
- Collaborates and consistently communicates with leadership team to mitigate risks and escalate issues beyond scope of current duties as needed
- High school diploma and 4+ years of relevant experience or equivalent combination of education and work experience
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Care Senior Associate Job Description
Job Description Example
Our growing company is looking for a care senior associate. Thank you in advance for taking a look at the list of responsibilities and qualifications. We look forward to reviewing your resume.
Responsibilities for care senior associate
- Benchmark standards for authorization decisions
- Support may be complex, detailed, technical and confidential nature and may require problem solving and trouble shooting
- May maintain documentation for regulatory review, participate in education of member / providers regarding plan benefits, and make referrals to other departments
- May interact with other departments and external vendors
- Will complete authorization request from providers via phone call, incoming fax or provider portal
- Will distribute request to appropriate nurse
- Develop and maintain broad knowledge of the regulation and safety risks associated with dietary supplements, over-the-counter drugs and other FDA-regulated products
- Contribute to the design and implementation of advocacy campaigns to improve the safety of dietary supplements, over-the-counter drugs, and compounded drugs
- Conduct outreach and manage coalitions of consumer, public health, medical professional and industry organizations to build support for policy priorities
- Organize and coordinate meetings and conferences
Qualifications for care senior associate
- 2+ years audit experience in healthcare-related facilities is preferred
- Experience working in a contact center and strong customer service skills
- 1 years or more related appraisal experience
- Minimum of 6 months claims handling experience preferred
- Previous call center environment experience ideal
- Strong knowledge of claims, coding, CPT required