Acentra Health, LLC

Acentra Health, LLC

9 open positions available

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Acentra Health, LLC

Service Support Facilitator, Associate – Remote in West Virginia

Acentra Health, LLCAnywhereFull-time
View Job
Compensation$49K - 60K a year

The Service Support Facilitator will conduct initial and annual assessments for the I/DD Waiver Program, ensuring accuracy and consistency in the redetermination process. This role involves providing guidance to members and interdisciplinary teams while supporting high-quality assessments and eligibility determinations. | A bachelor's degree and a minimum of two years of experience working with the I/DD Waiver population are required. Candidates should have a proficient understanding of person-centered planning principles and experience within Medicaid or the public sector. | Company Overview Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the mission of the company; to actively engage in problem-solving; and to take ownership of your work every day. Acentra Health offers you unparalleled opportunities. In fact, you have all you need to take charge of your career and accelerate better outcomes – making this a great time to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector. Job Summary and Responsibilities Job Summary: Acentra Health is seeking a dedicated Service Support Facilitator to join our growing team and play a key role in empowering individuals within the I/DD Waiver Program. In this vital position, you will conduct initial and annual assessments that form the foundation for determining medical eligibility and establishing individualized budgets for program members. These personalized budgets are essential tools that help each member’s planning team make informed, strategic decisions regarding community-based supports and services. As a Service Support Facilitator, you will ensure accuracy and consistency throughout the redetermination process, providing clear guidance to members and interdisciplinary teams with professionalism, empathy, and meticulous attention to detail. Your role is essential in delivering high-quality assessments, supporting accurate eligibility determinations, and ensuring every member receives consistent and ongoing support. Job Responsibilities Coordinate and support the delivery of services in alignment with organizational policies, procedures, and program standards. Schedule, conduct, and thoroughly document member assessments within required timeframes. Accurately enter assessment data into the designated web-based system in a timely manner. Participate in inter-rater reliability activities to ensure consistent application of assessment instruments and adherence to established protocols. Attend monthly I/DD Waiver staff meetings, quarterly all-staff meetings, and all required trainings to remain current on program updates and organizational expectations. Assist in monitoring departmental procedures and contribute to quality assurance and performance improvement initiatives. Facilitate educational sessions for families or provider agencies, delivering clear guidance on assessment processes, program policies, and budget-related information. Conduct satisfaction surveys with an emphasis on achieving meaningful, positive feedback and identifying opportunities for enhancement. Provide support in managing service delivery processes to ensure continuity, efficiency, and member-centered outcomes. Monitor key performance indicators and recommend adjustments to improve accuracy, quality, and service delivery outcomes. Collaborate with and support team members in meeting service delivery objectives and promoting a high-performing, mission-driven environment. Adhere to all corporate policies, including compliance with HIPAA Privacy and Security requirements, ensuring the protection of confidential information. Qualifications Required Qualifications and Experience Bachelor’s degree required, as well as a minimum of two years of experience working with the I/DD Waiver population and a demonstrated understanding of applicable program policies, procedures, and community service resources. Proficient understanding of person-centered planning principles and their application in service delivery. Experience working within Medicaid or the public sector preferred; ability to travel as needed. Ability to maintain strict confidentiality in full compliance with HIPAA Privacy and Security requirements while adhering to established workflows, regulatory standards, and industry best practices. Excellent verbal, written, and electronic communication skills, with the ability to interact effectively and empathetically with individuals, families, and interdisciplinary teams Strong attention to detail, strong organizational skills, and the ability to prioritize tasks and meet deadlines in a fast-paced environment. Proficient in navigating multiple computer applications and system interfaces with strong proficiency in Microsoft Office Suite (Word, Excel, Outlook, and Teams). Why us We are a team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry. State and federal healthcare agencies, providers, and employers turn to us as their vital partner to ensure better healthcare and improve health outcomes. We do this through our people You will have meaningful work that genuinely improves people's lives nationwide. Our company cares about our employees, giving you the tools and encouragement, you need to achieve the finest work of your career. We know your time is valuable and we thank you for applying for this position. Due to the high volume of applicants, only those who are chosen to advance in our interview process will be contacted. We sincerely appreciate your interest in Acentra Health and invite you to apply to future openings that may be of interest. ~ The Acentra Health Talent Acquisition Team EEO AA M/F/Vet/Disability Acentra Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, national origin, disability, status as a protected veteran or any other status protected by applicable Federal, State or Local law. Benefits Benefits are a key component of your rewards package. Our benefits are designed to provide you with additional protection, security, and support for both your career and your life away from work. Our benefits include comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts, and more. Compensation The compensation for this role ranges from $49,000.00 - $59,000.00 annual base salary Based on our compensation program, an applicant’s position placement in the pay range will depend on various considerations, such as years of applicable experience and skill level. #LI-JS1 Pay Range USD $49,000.00 - USD $59,800.00 /Yr.

Assessment
Documentation
Data Entry
Inter-Rater Reliability
Quality Assurance
Performance Improvement
Educational Facilitation
Satisfaction Surveys
Service Delivery
Collaboration
HIPAA Compliance
Communication
Attention to Detail
Organizational Skills
Microsoft Office Suite
Person-Centered Planning
Direct Apply
Posted 4 days ago
Acentra Health, LLC

EAP Consultant - Full-time - Noon to 8:30 PM Eastern M-F (Remote U.S.)

Acentra Health, LLCAnywhereFull-time
View Job
Compensation$60K - 71K a year

Conducts clinical assessments, provides referrals, and manages workplace mental health issues. | Requires a master's degree in a related field, clinical experience, and knowledge of confidentiality laws, with preferred licensure and EAP experience. | Company Overview Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the mission of the company; to actively engage in problem-solving; and to take ownership of your work every day. Acentra Health offers you unparalleled opportunities. In fact, you have all you need to take charge of your career and accelerate better outcomes – making this a great time to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector. Job Summary and Responsibilities Acentra is looking for an EAP Consultant - Full-time Noon to 8:30 PM Eastern (Remote U.S.) to join our growing team. Job Summary: The EAP Consultant performs clinical telephonic assessments and consultations, and delivers comprehensive referrals, and ensures diligent follow-up for managers, employees, and their family members covered by the Employee Assistance Program. Job Responsibilities: Conducts both routine and urgent clinical risk assessments, offering expert consultations, short-term issue resolution, and comprehensive referral services for all members seeking assistance. Provides management consultation services to various levels of management and human resources within our broad customer base. The EAP Consultant must demonstrate proficiency in assessing a wide spectrum of workplace issues and devising suitable action plans, remaining well-versed in essential workplace legislations like ADA, DOT, Sexual Harassment, and Duty to Warn. Display a comprehensive understanding of the organization's customer base, staying updated on issues affecting customers from both legislative and customer-specific standpoints. Engage in additional assigned duties to support internal and external customers in achieving the EAP department's goals. Read, understand, and adhere to all corporate policies including policies related to HIPAA and its Privacy and Security Rules. ** Required Work Schedule: Noon to 8:30 PM Eastern Monday through Friday, with Rotating Weekends. ** Qualifications Required Qualifications/Experience: Master’s degree (or higher education) in Social Work, Counseling, Psychology, or a related field. 1+ years of employment in the mental health field, where the assessment of mental illness and substance abuse was a key function. 1+ years of knowledge of confidentiality laws and their exceptions. 1+ years of experience in clinical skills to perform a risk assessment and develop an action plan that meets the client's needs. 1+ years of knowledge of chemical dependency, indicators of risk associated with withdrawal, and appropriate treatment modalities. Preferred Qualifications/Experience: Possess an active, unrestricted, Independent license. Certified Employee Assistance Professional (CEAP). EAP experience (2+ years preferred). Some call center experience. The consultant should understand the Critical Incident Stress Debriefing (CISD) process and be able to develop an action plan to address immediate customer needs. Ability to multi-task in a fast-paced environment. Ability to remain calm in a crisis. Strong customer service skills. Excellent written and verbal communication skills. Ability to problem-solve, exercise judgment, and make critical decisions. Strong organizational skills. Strong interpersonal skills in an environment that requires a team effort. Ability to think creatively. Self-starter with drive and desire to learn. To be flexible and adapt to change. Ability to work independently but know when to seek supervision. #LI-SD1 Why us? We are a team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry. State and federal healthcare agencies, providers, and employers turn to us as their vital partner to ensure better healthcare and improve health outcomes. We do this through our people. You will have meaningful work that genuinely improves people's lives across the country. We are a company that cares about our employees, and we give you the tools and encouragement you need to achieve the finest work of your career. Thank You! We know your time is valuable and we thank you for applying for this position. Due to the high volume of applicants, only those who are chosen to advance in our interview process will be contacted. We sincerely appreciate your interest in Acentra Health and invite you to apply to future openings that may be of interest. Best of luck in your search! ~ The Acentra Health Talent Acquisition Team Visit us at Acentra Health EEO AA M/F/Vet/Disability Acentra Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran or any other status protected by applicable Federal, State or Local law. Benefits Benefits are a key component of your rewards package. Our benefits are designed to provide you with additional protection, security, and support for both your career and your life away from work. Our benefits include comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts, and more. Compensation The pay range for this position is listed below. “Based on our compensation philosophy, an applicant’s position placement in the pay range will depend on various considerations, such as years of applicable experience and skill level.” Pay Range USD $59,840.00 - USD $70,500.00 /Yr.

clinical risk assessment
mental health knowledge
confidentiality laws
crisis management
customer service
Direct Apply
Posted 4 days ago
Acentra Health, LLC

Program Director (EAP), Senior - Full-time (Remote U.S.)

Acentra Health, LLCAnywhereFull-time
View Job
Compensation$139K - 174K a year

Manage complex Employee Assistance Program accounts, oversee teams, ensure contractual compliance, and drive strategic growth using AI and digital tools. | Bachelor's degree in healthcare or related field, 10+ years in behavioral health or utilization management, stakeholder management, and experience with healthcare policies and compliance. | Company Overview Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the mission of the company; to actively engage in problem-solving; and to take ownership of your work every day. Acentra Health offers you unparalleled opportunities. In fact, you have all you need to take charge of your career and accelerate better outcomes – making this a great time to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector. Job Summary and Responsibilities Acentra Health is looking for a Program Director (EAP) Senior - Full-time (Remote U.S.) to join our growing team. Job Summary: As a Senior Program Director, you will be in a key leadership role for managing a sophisticated and complex Employee Assistance Program (EAP) accounts. You will oversee a team, budget and processes and engage customer and matrix Acentra staff directly to ensure best of class projects and services are delivered on schedule and within budget. The Senior Program Director works with customers, functional and matrix managers, and staff to ensure that Acentra Health services and projects are delivered on schedule and within budget, consistent with defined Acentra Health guidelines and processes and with client expectations. In this role, you will also use AI and digital tools to expand EAP access and efficiency. Responsibilities: Direct, manage, plan, and develop methods and procedures for implementing and managing sophisticated and complex EAP accounts delivering core Acentra Health Services including but not limited to clinical services and EAP and related services for employer and public-sector clients. Oversee and exercise independent judgment to solve complex clinical, technical, administrative, and managerial problems across EAP operations (Account Management, Call Center Operations, Technology enablement, and Onsite/Clinical Services). Ensure compliance with contractual requirements within the operation by monitoring critical indicators, deliverables and budgets. For EAP, ensure adherence to SLAs (e.g., speed to answer, first-call resolution, clinical timeliness), confidentiality standards, and client satisfaction goals. Drive strategic initiatives and contribute to organization growth and innovation by expanding EAP reach, enhancing digital engagement, and advancing employer-focused behavioral health solutions. Maintain strong, successful relationships with clients and various stakeholders as the executive EAP sponsor, lead client reviews, renewals, and expansion plans in partnership with Account Management. Drive program activities and exercise control over personnel responsible for specific functions or phases of a program. Lead four direct reports across EAP Account Management, Call Center Operations, Technology, and Onsite/Clinical Services. Provide program management for complex teams across multiple skill areas and align cross-functional EAP workstreams through a consistent operating cadence and SOPs. Provide program management on multiple EAP accounts or project portfolio with annual value of more than $30M. Manage program risk, including pre-launch preparations and day-to-day operational aspects of multiple projects and/or services ensuring contract requirements, deliverables and timelines are adhered to. Execute project activities accurately and on time. For EAP, lead structured implementations (readiness gates, staffing plans, communications) and use AI-enabled analytics for capacity forecasting and early risk detection. Determine estimated time and financial commitment of project and monitor progress for multiple projects concurrently. Collaborate with Finance and Technology to forecast EAP demand, resources, and productivity targets. Support and participate in strategic planning to enhance growth, profitability, productivity, and efficiency throughout the company’s operations. Collaborate with leadership in the development of new and enhanced policies and procedures. Translate EAP strategy into roadmaps for digital self-service, conversational support, and data-driven clinical pathways. Participate in cross-regional activities to enhance operating efficiencies and serve as a Subject Matter Expert in EAP operations and employer behavioral health Partner with customers and analyze issues and problems using EAP utilization trends, outcome data, and client feedback to drive continuous improvement. Collaborate with senior leadership to align program with business strategy Develop detailed status reports for both project management team and customer highlighting EAP KPIs (utilization, service levels, satisfaction/NPS, and outcomes). Lead transformation and critical Acentra Health initiatives that improve overall contract performance including AI-enabled automation, digital triage, and enhanced access to clinical services. Collaborate with Business Development to support new business opportunities as requested (RFP solution design, orals, and client presentations for EAP offerings). Read, understand, and adhere to all corporate policies including policies related to HIPAA and its Privacy and Security Rules. ** The work hours for this role are generally Monday through Friday but may require nights and weekends since the Employee Assistance Program is open 24/7. ** Qualifications Required Qualifications/Experience: Bachelor’s degree in business, healthcare, nursing, social work or a related field. 10 years of experience in utilization management, case management, behavioral health and/or pharmacy. Medicare, Medicaid, or healthcare verticals domain knowledge. Experience engaging and managing stakeholder relationships across government entities, providers, and associations. Business development, strategic planning and tactical implementation. Advanced analytical and problem-solving skills to address program challenges and deliver actionable solutions. Employee development and performance management experience within the healthcare field. Effective communication skills and the ability to influence at all levels within the organization and externally. Leadership skills and ability to influence beyond this role; display strong ability to build credibility and relationships internally and externally. Proven track record to meet and enforce deadlines, conduct research into issues, and to take initiative in the development and completion of projects. Proficiency with Microsoft Office Suite (Excel, Word, PowerPoint, Teams) and proven ability to learn proprietary software applications. Travel up to 15-20%, program dependent. Preferred Qualifications/Experience: Knowledge of best practice in healthcare operations. Master’s degree (or higher level of education). Knowledge of government policy and structure. Knowledge of metrics, productivity measures and reporting. Knowledge of regulatory agency compliance. Knowledge of contract development and implementation. Budget and financial skills. Able to lead and mange direct reports to achieve contract deliverables. Aptitude for systems planning and prioritization of tasks Competent communication skills (written and verbal and listening); uses appropriate interpersonal skills with variety of stakeholders. Ability to provide supervision to staff that ensures excellent customer satisfaction. Provide ongoing monitoring and supervision to meet contract deliverables for all operations Provide data analysis and reporting that meets the contractor’s goals of quality care and cost effectiveness in a timely manner. Provide consultation to contractor on system and policy issues. #LI-SD1 Why us? We are a team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry. State and federal healthcare agencies, providers, and employers turn to us as their vital partner to ensure better healthcare and improve health outcomes. We do this through our people. You will have meaningful work that genuinely improves people's lives across the country. We are a company that cares about our employees, and we give you the tools and encouragement you need to achieve the finest work of your career. Benefits Benefits are a key component of your rewards package. Our benefits are designed to provide you with additional protection, security, and support for both your career and your life away from work. Our benefits include comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts, and more. Thank You! We know your time is valuable and we thank you for applying for this position. Due to the high volume of applicants, only those who are chosen to advance in our interview process will be contacted. We sincerely appreciate your interest in Acentra Health and invite you to apply to future openings that may be of interest. Best of luck in your search! ~ The Acentra Health Talent Acquisition Team Visit us at Acentra Health EEO AA M/F/Vet/Disability Acentra Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, national origin, disability, status as a protected veteran or any other status protected by applicable Federal, State or Local law. Compensation The pay for this position is listed below. "Based on our compensation philosophy, an applicant’s position placement in the pay range will depend on various considerations, such as years of applicable experience and skill level." Pay Range USD $138,800.00 - USD $173,500.00 /Yr.

Program management
Stakeholder engagement
Behavioral health expertise
Healthcare operations
Data analysis and reporting
AI and digital tools in healthcare
Direct Apply
Posted 6 days ago
Acentra Health, LLC

Program Director (EAP), Senior - Full-time (Remote U.S.)

Acentra Health, LLCAnywhereFull-time
View Job
Compensation$139K - 174K a year

Oversee complex healthcare programs, manage teams, ensure contractual compliance, and drive strategic initiatives to expand service reach and efficiency. | 10+ years in healthcare-related program management, stakeholder engagement, leadership, and familiarity with healthcare policies and compliance. | Company Overview Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the mission of the company; to actively engage in problem-solving; and to take ownership of your work every day. Acentra Health offers you unparalleled opportunities. In fact, you have all you need to take charge of your career and accelerate better outcomes – making this a great time to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector. Job Summary and Responsibilities Acentra Health is looking for a Program Director (EAP) Senior - Full-time (Remote U.S.) to join our growing team. Job Summary: • As a Senior Program Director, you will be in a key leadership role for managing a sophisticated and complex Employee Assistance Program (EAP) accounts. You will oversee a team, budget and processes and engage customer and matrix Acentra staff directly to ensure best of class projects and services are delivered on schedule and within budget. The Senior Program Director works with customers, functional and matrix managers, and staff to ensure that Acentra Health services and projects are delivered on schedule and within budget, consistent with defined Acentra Health guidelines and processes and with client expectations. In this role, you will also use AI and digital tools to expand EAP access and efficiency. Responsibilities: • Direct, manage, plan, and develop methods and procedures for implementing and managing sophisticated and complex EAP accounts delivering core Acentra Health Services including but not limited to clinical services and EAP and related services for employer and public-sector clients. • Oversee and exercise independent judgment to solve complex clinical, technical, administrative, and managerial problems across EAP operations (Account Management, Call Center Operations, Technology enablement, and Onsite/Clinical Services). • Ensure compliance with contractual requirements within the operation by monitoring critical indicators, deliverables and budgets. For EAP, ensure adherence to SLAs (e.g., speed to answer, first-call resolution, clinical timeliness), confidentiality standards, and client satisfaction goals. • Drive strategic initiatives and contribute to organization growth and innovation by expanding EAP reach, enhancing digital engagement, and advancing employer-focused behavioral health solutions. • Maintain strong, successful relationships with clients and various stakeholders as the executive EAP sponsor, lead client reviews, renewals, and expansion plans in partnership with Account Management. • Drive program activities and exercise control over personnel responsible for specific functions or phases of a program. Lead four direct reports across EAP Account Management, Call Center Operations, Technology, and Onsite/Clinical Services. • Provide program management for complex teams across multiple skill areas and align cross-functional EAP workstreams through a consistent operating cadence and SOPs. • Provide program management on multiple EAP accounts or project portfolio with annual value of more than $30M. • Manage program risk, including pre-launch preparations and day-to-day operational aspects of multiple projects and/or services ensuring contract requirements, deliverables and timelines are adhered to. Execute project activities accurately and on time. For EAP, lead structured implementations (readiness gates, staffing plans, communications) and use AI-enabled analytics for capacity forecasting and early risk detection. • Determine estimated time and financial commitment of project and monitor progress for multiple projects concurrently. Collaborate with Finance and Technology to forecast EAP demand, resources, and productivity targets. • Support and participate in strategic planning to enhance growth, profitability, productivity, and efficiency throughout the company’s operations. Collaborate with leadership in the development of new and enhanced policies and procedures. Translate EAP strategy into roadmaps for digital self-service, conversational support, and data-driven clinical pathways. • Participate in cross-regional activities to enhance operating efficiencies and serve as a Subject Matter Expert in EAP operations and employer behavioral health • Partner with customers and analyze issues and problems using EAP utilization trends, outcome data, and client feedback to drive continuous improvement. • Collaborate with senior leadership to align program with business strategy • Develop detailed status reports for both project management team and customer highlighting EAP KPIs (utilization, service levels, satisfaction/NPS, and outcomes). • Lead transformation and critical Acentra Health initiatives that improve overall contract performance including AI-enabled automation, digital triage, and enhanced access to clinical services. • Collaborate with Business Development to support new business opportunities as requested (RFP solution design, orals, and client presentations for EAP offerings). • Read, understand, and adhere to all corporate policies including policies related to HIPAA and its Privacy and Security Rules. • * The work hours for this role are generally Monday through Friday but may require nights and weekends since the Employee Assistance Program is open 24/7. ** Qualifications Required Qualifications/Experience: • Bachelor’s degree in business, healthcare, nursing, social work or a related field. • 10 years of experience in utilization management, case management, behavioral health and/or pharmacy. • Medicare, Medicaid, or healthcare verticals domain knowledge. • Experience engaging and managing stakeholder relationships across government entities, providers, and associations. • Business development, strategic planning and tactical implementation. • Advanced analytical and problem-solving skills to address program challenges and deliver actionable solutions. • Employee development and performance management experience within the healthcare field. • Effective communication skills and the ability to influence at all levels within the organization and externally. • Leadership skills and ability to influence beyond this role; display strong ability to build credibility and relationships internally and externally. • Proven track record to meet and enforce deadlines, conduct research into issues, and to take initiative in the development and completion of projects. • Proficiency with Microsoft Office Suite (Excel, Word, PowerPoint, Teams) and proven ability to learn proprietary software applications. • Travel up to 15-20%, program dependent. Preferred Qualifications/Experience: • Knowledge of best practice in healthcare operations. • Master’s degree (or higher level of education). • Knowledge of government policy and structure. • Knowledge of metrics, productivity measures and reporting. • Knowledge of regulatory agency compliance. • Knowledge of contract development and implementation. • Budget and financial skills. • Able to lead and mange direct reports to achieve contract deliverables. • Aptitude for systems planning and prioritization of tasks • Competent communication skills (written and verbal and listening); uses appropriate interpersonal skills with variety of stakeholders. • Ability to provide supervision to staff that ensures excellent customer satisfaction. • Provide ongoing monitoring and supervision to meet contract deliverables for all operations • Provide data analysis and reporting that meets the contractor’s goals of quality care and cost effectiveness in a timely manner. • Provide consultation to contractor on system and policy issues. #LI-SD1 Why us? We are a team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry. State and federal healthcare agencies, providers, and employers turn to us as their vital partner to ensure better healthcare and improve health outcomes. We do this through our people. You will have meaningful work that genuinely improves people's lives across the country. We are a company that cares about our employees, and we give you the tools and encouragement you need to achieve the finest work of your career. Benefits Benefits are a key component of your rewards package. Our benefits are designed to provide you with additional protection, security, and support for both your career and your life away from work. Our benefits include comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts, and more. Thank You! We know your time is valuable and we thank you for applying for this position. Due to the high volume of applicants, only those who are chosen to advance in our interview process will be contacted. We sincerely appreciate your interest in Acentra Health and invite you to apply to future openings that may be of interest. Best of luck in your search! ~ The Acentra Health Talent Acquisition Team Visit us at Acentra Health EEO AA M/F/Vet/Disability Acentra Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, national origin, disability, status as a protected veteran or any other status protected by applicable Federal, State or Local law. Compensation The pay for this position is listed below. "Based on our compensation philosophy, an applicant’s position placement in the pay range will depend on various considerations, such as years of applicable experience and skill level." Pay Range USD $138,800.00 - USD $173,500.00 /Yr.

Project Management
Stakeholder Management
Change Management
Process Improvement
Leadership
Verified Source
Posted 6 days ago
Acentra Health, LLC

Customer Service Representative - SCA (Remote)

Acentra Health, LLCAnywhereFull-time
View Job
Compensation$35K - 37K a year

Assist customers with inquiries and resolve issues related to Medicare services. | High school diploma and customer service experience, preferably in healthcare or call centers. | Company Overview Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the mission of the company; to actively engage in problem-solving; and to take ownership of your work every day. Acentra Health offers you unparalleled opportunities. In fact, you have all you need to take charge of your career and accelerate better outcomes – making this a great time to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector. Job Summary and Responsibilities Acentra Health is looking for a Customer Service Representative to join our growing team. Job Summary: The Customer Service Representative is responsible for supporting the Medicare Appeal process by answering incoming telephone calls, resolving customer questions, complaints and requests adhering to internal policies and procedures and utilizing working knowledge of the organization’s services to meet productivity and quality standards. Responsibilities: Develops and maintains working knowledge of internal policies, procedures, and services (both departmental and operational) Utilizes automated systems to log and retrieve information. Performs accurate and timely data entry of electronic faxes Receives inquiries from customers or providers by telephone, email, fax, or mail and communicates response within required turnaround times Responds to telephone inquiries and complaints in a prompt, accurate, and courteous manner following standard operating procedures Interacts with hospitals, physicians, beneficiaries, or other program recipients Investigates and resolves or reports customer problems. Identifies and escalates difficult situations to the appropriate party Meets or exceeds standards for call volume and service level per department guidelines Initiates files by collecting and entering demographic, provider, and procedure information into the system Serves as liaison between the Review Supervisors and external providers Maintains logs and documents disposition of incoming and outgoing calls Read, understand, and adhere to all corporate policies including policies related to HIPAA and its Privacy and Security Rules. The list of accountabilities is not intended to be all-inclusive and may be expanded to include other education- and experience-related duties that management may deem necessary from time to time. Qualifications Required Qualifications High School diploma or equivalent Must have ability to effectively communicate with team members and external customers Must have ability to research and resolve issues related to Medicare program and service eligibility PC proficiency to include Microsoft Office Suite Preferred Qualifications 2+ year’s customer service/telephone experience in a similar call center environment and/or industry Previous experience in the medical office or other medical setting preferred General knowledge of eligibility verification (Medicare eligibility and program requirements for specific program of focus preferred) Knowledge of CPT and HCPCS codes preferred Why us? We are a team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry. State and federal healthcare agencies, providers, and employers turn to us as their vital partner to ensure better healthcare and improve health outcomes. We do this through our people. You will have meaningful work that genuinely improves people's lives across the country. We are a company that cares about our employees, and we give you the tools and encouragement you need to achieve the finest work of your career. Benefits Benefits are a key component of your rewards package. Our benefits are designed to provide you with additional protection, security, and support for both your career and your life away from work. Our benefits include comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts, and more. Compensation The pay range for this position is listed below. “Based on our compensation philosophy, an applicant’s position placement in the pay range will depend on various considerations, such as years of applicable experience and skill level.” Thank You! We know your time is valuable and we thank you for applying for this position. Due to the high volume of applicants, only those who are chosen to advance in our interview process will be contacted. We sincerely appreciate your interest in Acentra Health and invite you to apply to future openings that may be of interest. Best of luck in your search! ~ The Acentra Health Talent Acquisition Team Visit us at https://careers.acentra.com/jobs EEO AA M/F/Vet/Disability Acentra Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, national origin, disability, status as a protected veteran or any other status protected by applicable Federal, State or Local law. Pay Range USD $17.00 - USD $17.75 /Hr.

Customer Service
Communication
Direct Apply
Posted 10 days ago
Acentra Health, LLC

Clinical Manager (RN - Remote - SCA)

Acentra Health, LLCAnywhereFull-time
View Job
Compensation$76K - 95K a year

The Clinical Manager is responsible for overseeing clinical operations and ensuring high-quality patient care while meeting compliance and regulatory requirements. This includes supervising staff, monitoring care quality, and coordinating with healthcare professionals. | An active unrestricted RN license and a minimum of three years of clinical management experience are required. Strong knowledge of regulatory standards and healthcare laws is essential. | Company Overview Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the mission of the company; to actively engage in problem-solving; and to take ownership of your work every day. Acentra Health offers you unparalleled opportunities. In fact, you have all you need to take charge of your career and accelerate better outcomes – making this a great time to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector. Job Summary and Responsibilities Acentra Health is looking for a Clinical Manager to join our growing team. Job Summary: The Clinical, Manager is responsible for overseeing the clinical operations of the organization, ensuring that the highest quality of care is provided to patients while meeting compliance and regulatory requirements. Responsibilities: Supervise clinical staff and oversee day-to-day operations. Monitor quality of care and compliance with policies and regulations. Coordinate with healthcare professionals to ensure seamless care delivery. Provide training and support to clinical staff to enhance their skills and performance. Evaluate staff performance and provide feedback. Manage budgets and resources effectively to optimize clinical operations. Participate in strategic planning for clinical services. Conduct regular staff meetings to discuss operational issues and improvements. Read, understand, and adhere to all corporate policies including policies related to HIPAA and its Privacy and Security Rules. The list of accountabilities is not intended to be all-inclusive and may be expanded to include other education- and experience-related duties that management may deem necessary from time to time. Qualifications Required Qualifications Active unrestricted RN license required. Minimum three years of clinical management experience required. Strong knowledge of regulatory standards and healthcare laws. Preferred Qualifications Bachelor's degree in nursing or healthcare administration preferred. Excellent leadership and interpersonal skills. Ability to manage multiple priorities effectively. Strong communication and problem-solving abilities. Why us? We are a team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry. State and federal healthcare agencies, providers, and employers turn to us as their vital partner to ensure better healthcare and improve health outcomes. We do this through our people. You will have meaningful work that genuinely improves people's lives across the country. We are a company that cares about our employees, and we give you the tools and encouragement you need to achieve the finest work of your career. Benefits Benefits are a key component of your rewards package. Our benefits are designed to provide you with additional protection, security, and support for both your career and your life away from work. Our benefits include comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts, and more. Thank You! We know your time is valuable and we thank you for applying for this position. Due to the high volume of applicants, only those who are chosen to advance in our interview process will be contacted. We sincerely appreciate your interest in Acentra Health and invite you to apply to future openings that may be of interest. Best of luck in your search! ~ The Acentra Health Talent Acquisition Team Visit us at https://careers.acentra.com/jobs EEO AA M/F/Vet/Disability Acentra Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, national origin, disability, status as a protected veteran or any other status protected by applicable Federal, State or Local law. Compensation The pay range for this position is listed below. “Based on our compensation philosophy, an applicant’s position placement in the pay range will depend on various considerations, such as years of applicable experience and skill level.” Pay Range USD $76,032.00 - USD $95,040.00 /Yr.

Clinical Management
Regulatory Compliance
Quality Assurance
Staff Supervision
Training and Development
Budget Management
Strategic Planning
Interpersonal Skills
Communication Skills
Problem-Solving
Healthcare Laws
Performance Evaluation
Operational Improvement
HIPAA Compliance
Care Coordination
Leadership
Direct Apply
Posted 2 months ago
Acentra Health, LLC

Customer Service Representative (Remote U.S.)

Acentra Health, LLCAnywhereFull-time
View Job
Compensation$17.5 - 19.5 hour

The Customer Service Representative will answer incoming calls and resolve customer inquiries while adhering to internal policies. They will interact with external partners and serve as a liaison between internal and external stakeholders. | A minimum of a High School Diploma or GED is required, along with 2+ years of customer service experience. Preferred qualifications include call center experience and knowledge of medical terminology. | Company Overview Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the mission of the company; to actively engage in problem-solving; and to take ownership of your work every day. Acentra Health offers you unparalleled opportunities. In fact, you have all you need to take charge of your career and accelerate better outcomes – making this a great time to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector. Job Summary and Responsibilities Acentra Health is looking for a Customer Service Representative to join our growing team. Job Summary: The purpose of this position is to answer incoming telephone calls, and resolve customer questions, complaints, and requests while adhering to internal policies and procedures. Responsibilities: Develop and maintain working knowledge of internal policies, procedures, and services. Utilize automated systems to log and retrieve information; perform accurate and timely data entry. Receive inquiries by telephone, email, fax, or mail and communicate responses within required turnaround times. Respond to telephone inquiries in a prompt, accurate, and courteous manner. Interact with external partners such as hospitals, physicians, beneficiaries, or other program recipients. Serve as liaison between the internal and external partners. Investigate and resolve or report provider problems. Meet or exceed standards for call volume and service level per department guidelines. Initiate cases by collecting and entering demographic, provider, and procedure information into the system. Complete daily, monthly, and quarterly reports necessary for clinical team operations. Read, understand, and adhere to all corporate policies including policies related to HIPAA and its Privacy and Security Rules. Qualifications Required Qualifications/Experience: A minimum of a High School Diploma OR GED equivalent is required. Candidates with a higher level of education are also encouraged to apply. 2+ years of customer service experience. Work Schedule: Open availability to work from 8:00 AM until 5:00 PM Eastern, Monday through Friday. The background check for this role requires fingerprinting, per contract requirements. Preferred Qualifications/Experience: 2+ years of experience in a call center. 2+ years of telephonic experience. Knowledge of medical terminology. Knowledge of the health insurance industry. Effective verbal and listening skills. Bilingual in Spanish and English. #LI-SD1 Why us? We are a team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry. State and federal healthcare agencies, providers, and employers turn to us as their vital partner to ensure better healthcare and improve health outcomes. We do this through our people. You will have meaningful work that genuinely improves people's lives across the country. We are a company that cares about our employees, and we give you the tools and encouragement you need to achieve the finest work of your career. Benefits Benefits are a key component of your rewards package. Our benefits are designed to provide you with additional protection, security, and support for both your career and your life away from work. Our benefits include comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts, and more. Thank You! We know your time is valuable and we thank you for applying for this position. Due to the high volume of applicants, only those who are chosen to advance in our interview process will be contacted. We sincerely appreciate your interest in Acentra Health and invite you to apply to future openings that may be of interest. Best of luck in your search! ~ The Acentra Health Talent Acquisition Team Visit us at Acentra Health EEO AA M/F/Vet/Disability Acentra Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, national origin, disability, status as a protected veteran or any other status protected by applicable Federal, State or Local law. Compensation The pay range for this position is listed below. “Based on our compensation philosophy, an applicant’s position placement in the pay range will depend on various considerations, such as years of applicable experience and skill level.” Pay Range USD $17.50 - USD $19.50 /Hr.

Customer Service
Data Entry
Medical Terminology
Health Insurance Knowledge
Verbal Skills
Listening Skills
Bilingual
Problem Solving
Direct Apply
Posted 2 months ago
Acentra Health, LLC

Business Analyst, Mid

Acentra Health, LLCAnywhereFull-time
View Job
Compensation$72K - 112K a year

Analyze business problems and user requirements in healthcare systems, document processes, support testing and implementation, and liaise between clients and technology teams. | Bachelor’s degree, 3+ years healthcare business analysis experience, knowledge of SDLC, healthcare industry familiarity, and strong communication and documentation skills. | Company Overview: Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the mission of the company; to actively engage in problem-solving; and to take ownership of your work every day. Acentra Health offers you unparalleled opportunities. In fact, you have all you need to take charge of your career and accelerate better outcomes – making this a great time to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector. Job Summary and Responsibilities: Acentra Health is looking for a Business Analyst, Mid to join our growing team. Job Summary: The purpose of this position is to analyze business problems, identify gaps, and provide technical support in areas around moderately complex information systems under moderate supervision. Understanding of how claims are processed within the Medicaid system. Strong knowledge of Medicare, Medicaid, or other healthcare verticals Responsibilities: • Functions as an individual contributor and works under moderate supervision with clearly defined guidelines and direction • Develops documentation related to moderately complex projects and information systems • Applies business analysis knowledge to review and analyze systems problems to identify solutions • Analyzes user requirements and client business needs using standard procedures • Identifies and manages scope of changes based on client requirements • Supports testing, user acceptance testing, and implementation of information systems • Ensures bi-directional traceability of requirements • Tracks and reports status of work assignments and escalates issues and risks to senior management as required • Engages in solutions development to existing business process problems • Demonstrates strong knowledge of Business Analysis methodologies, best practices, and procedures • Participates in requirements management and design session activities • Acts as a liaison between the client and the technology teams • Provides customer support in assisting with the presentation of demos to the client • Keeps abreast of new technology and market developments • Identify all business process configuration and analyze/document the changes • Supports technical and business analysis mentoring of Associate Business Analysts • Documents comprehensive End-to-End Business Process flows, providing clear visual representations of operational workflows • Read, understand, and adhere to all corporate policies including policies related to HIPAA and its Privacy and Security Rules Qualifications: Required Qualifications • Bachelor’s degree in computer science, Engineering, Business Administration, or a closely related field • 3+ years of experience in healthcare business analysis or close related field • Experience with systems development life cycle (SDLC) • Experience in the healthcare industry Preferred Qualifications • Strong skills in Excel, Word, Visio and other tools for data analysis and documentation. • Excellent verbal and written communication skills to effectively interact with diverse stakeholders, facilitating productive discussions. • Understanding of how Payables and Receivables are created for both Claims and Managed Care Organization (MCO) transactions. • Familiarity with the end-to-end process of payment generation for FFS (Fee-for-Service) and MCO Providers. • Understanding the generation of 835/820 EDI transactions is highly valued. • Demonstrated ability to work effectively and collaboratively with cross-functional teams. • Demonstrated leadership skills, initiative, a team-oriented mindset, and self-motivation. • Knowledge of data modeling and relational database concepts Why us? We are a team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry. State and federal healthcare agencies, providers, and employers turn to us as their vital partner to ensure better healthcare and improve health outcomes. We do this through our people. You will have meaningful work that genuinely improves people's lives across the country. We are a company that cares about our employees, and we give you the tools and encouragement you need to achieve the finest work of your career. Benefits Benefits are a key component of your rewards package. Our benefits are designed to provide you with additional protection, security, and support for both your career and your life away from work. Our benefits include comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts, and more. Compensation The pay range for this position is listed below. “Based on our compensation philosophy, an applicant’s position placement in the pay range will depend on various considerations, such as years of applicable experience and skill level.” Thank You! We know your time is valuable and we thank you for applying for this position. Due to the high volume of applicants, only those who are chosen to advance in our interview process will be contacted. We sincerely appreciate your interest in Acentra Health and invite you to apply to future openings that may be of interest. Best of luck in your search! ~ The Acentra Health Talent Acquisition Team Visit us at https://careers.acentra.com/jobs EEO AA M/F/Vet/Disability Acentra Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, national origin, disability, status as a protected veteran or any other status protected by applicable Federal, State or Local law. #LI-SF1 Pay Range: USD $71,552.00 - USD $111,800.00 /Yr.

Healthcare Business Analysis
Systems Development Life Cycle (SDLC)
Excel
Word
Visio
Business Process Documentation
Stakeholder Communication
Data Modeling
Relational Databases
Verified Source
Posted 3 months ago
Acentra Health, LLC

Marketing Conference & Event Planner, Mid

Acentra Health, LLCAnywhereFull-time
View Job
Compensation$71K - 89K a year

Plan, organize, and execute conferences and events including logistics, budgeting, marketing, and on-site support to ensure successful event delivery. | Requires 2+ years event coordination experience or equivalent, strong organizational and communication skills, proficiency in Microsoft Office, flexibility for travel and evening/weekend work. | Company Overview: Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the mission of the company; to actively engage in problem-solving; and to take ownership of your work every day. Acentra Health offers you unparalleled opportunities. In fact, you have all you need to take charge of your career and accelerate better outcomes – making this a great time to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector. Job Summary and Responsibilities: Acentra Health is looking for a Marketing Conference & Event Coordinator/Specialist to join our growing team. Job Summary: The Marketing Conference and Event Coordinator/Specialist will be responsible for planning, organizing, and executing events that align with the organization’s goals and objectives. This role requires a detail-oriented professional who thrives in fast-paced environments, can manage multiple priorities, and collaborates effectively with cross-functional teams. The ideal candidate will bring creativity, strong organizational and project management skills, and excellent communication to ensure events run smoothly and deliver impactful experiences. Responsibilities: • Manage all aspects of conference sponsorship and event logistics, including, but not limited to, registration; attendee management; coordination with travel agents; booth design (with creative team), shipping, and setup; scheduling; meeting and demo room arrangements; material shipping and storage; attendee communications; team briefings; and abstract submissions • Event Planning & Execution: Coordinate logistics for in-person, virtual, and hybrid conferences and events, including venue selection, vendor management, catering, décor, transportation, technology setup, and day-of execution • Budget Management: Assist in developing and managing conference and event budgets, negotiating vendor contracts, and tracking expenses to ensure cost-effectiveness • Marketing & Promotion: Help develop promotional strategies, invitations, and communications to drive attendance and engagement • Stakeholder Collaboration: Work closely with internal departments, leadership, and external partners to align conference and event objectives with organizational goals • Registration & Attendee Management: Manage guest lists, registrations, RSVPs, and seating arrangements; provide excellent customer service to attendees • On-site Support: Serve as the primary point of contact during conferences and events, ensuring smooth operations and troubleshooting any issues that arise • Post-Event Reporting: Conduct conference and event evaluations, analyze feedback, and prepare reports with recommendations for improvements Qualifications: Required Qualifications • Bachelor’s degree in Conference or Event Management, Hospitality, Marketing, Communications, or related field, or 4 additional years of experience in lieu of degree • 2+ years of event coordination or related experience • Strong project management, organizational, and multitasking abilities with keen attention to detail • Ability to work under pressure and meet tight deadlines • Proficiency in Microsoft Office Suite and Microsoft Project • Flexibility to work evenings and weekends, and travel as needed for conferences and events • Exceptional verbal, writing, and editing skills • Familiarity with virtual/hybrid event platforms and technology • Creative problem-solving and project management skills • Strong interpersonal skills to build relationships with vendors, stakeholders, and attendees Why us? We are a team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry. State and federal healthcare agencies, providers, and employers turn to us as their vital partner to ensure better healthcare and improve health outcomes. We do this through our people. You will have meaningful work that genuinely improves people's lives across the country. We are a company that cares about our employees, and we give you the tools and encouragement you need to achieve the finest work of your career. Benefits Benefits are a key component of your rewards package. Our benefits are designed to provide you with additional protection, security, and support for both your career and your life away from work. Our benefits include comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts, and more. Thank You! We know your time is valuable and we thank you for applying for this position. Due to the high volume of applicants, only those who are chosen to advance in our interview process will be contacted. We sincerely appreciate your interest in Acentra Health and invite you to apply to future openings that may be of interest. Best of luck in your search! ~ The Acentra Health Talent Acquisition Team Visit us at https://careers.acentra.com/jobs EEO AA M/F/Vet/Disability Acentra Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, national origin, disability, status as a protected veteran or any other status protected by applicable Federal, State or Local law. Compensation The pay for this position is listed below. "Based on our compensation philosophy, an applicant’s position placement in the pay range will depend on various considerations, such as years of applicable experience and skill level." #LI-SF1 Pay Range: USD $71,360.00 - USD $89,200.00 /Yr.

Event coordination
Project management
Organizational skills
Microsoft Office Suite
Communication
Vendor and stakeholder management
Virtual/hybrid event platforms
Verified Source
Posted 3 months ago

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