What are the responsibilities and job description for the Program Specialist position at NHP?
Job Description
JOB TITLE: Program Specialist
ORGANIZATIONAL BACKGROUND
Northeast Health Partners (NHP) is a mission-driven organization dedicated to delivering high-quality, integrated healthcare services to communities across northeastern Colorado. As the Regional Accountable Entity (RAE) for Region 2 under Health First Colorado (Medicaid), NHP oversees the coordination and delivery of physical and behavioral health services for Medicaid members. We ensure a full spectrum of high quality, whole-person care, promoting member education, preventive services, care coordination, and evidence-based treatments are core to our mission.
Position Summary
The Project Specialist will support the member services and network management team by analyzing data, tracking progress, completing administrative tasks, and facilitating communication to ensure projects run smoothly.
DUTIES PERFORMED
Education/Credentials:
Work is primarily remote based on organizational needs and job requirements. Some meetings will occur at locations outside of the usual work location, including the use of conference and electronic meeting platforms (e.g., Zoom, GoToMeeting). All positions require travel within the counties NHP serves.
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JOB TITLE: Program Specialist
ORGANIZATIONAL BACKGROUND
Northeast Health Partners (NHP) is a mission-driven organization dedicated to delivering high-quality, integrated healthcare services to communities across northeastern Colorado. As the Regional Accountable Entity (RAE) for Region 2 under Health First Colorado (Medicaid), NHP oversees the coordination and delivery of physical and behavioral health services for Medicaid members. We ensure a full spectrum of high quality, whole-person care, promoting member education, preventive services, care coordination, and evidence-based treatments are core to our mission.
Position Summary
The Project Specialist will support the member services and network management team by analyzing data, tracking progress, completing administrative tasks, and facilitating communication to ensure projects run smoothly.
DUTIES PERFORMED
- Administrative Support
- o Assisting with tasks like scheduling meetings, managing documentation, preparing presentations, answering phones in collaboration with other team members.
- o Organize and set up committee meetings, develop PowerPoint presentations, and help create agenda, sending out invites in collaboration with member engagement specialists
- Data Analysis and Reporting
- o Collect, interpret, and analyze project data to identify trends, potential issues, and opportunities for improvement.
- Assist in the collection and verification of contracting and other documents from healthcare providers
- Maintain accurate records in our database and ensure timely updates
- Perform periodic validation of records in our database to maintain accuracy
- Support the review of applications to ensure compliance with state and federal regulations
- Participate in the development of provider network monthly and quarterly deliverables, including ensuring quality and accuracy of data
- Communication
- o Facilitate and tracks communication between team members, stakeholders, and leadership.
- Communicate effectively with healthcare providers and internal stakeholders to resolve issues through the inquiry and complaint process.
- Handles and resolves inquiries regarding provider information, process and status
- Resource Management
- Coordinating the allocation of community resources, help update and maintain resources on NHP website in collaboration with member engagement specialists.
- Organize branding materials and support with ordering.
- Problem Solving
- Proactively identify and help resolve challenges and risks that could impact the project.
- Develop project plans to outlines timelines, communication processes and report status of the project to leadership.
Education/Credentials:
- An associate or bachelor’s degree in business, project management, or a related field. Applicant must have 5 years of experience in areas identified below. Project or contract management of similar scope and size.
- Experience with managed care insurance systems in behavioral and/or physical healthcare
- Experience with working on projects that serve Medicaid populations.
- Knowledge of project management, Colorado Medicaid system, and Colorado Medicaid contract requirements.
- Ability to prioritize and complete multiple complex work assignments
- Ability to work independently
- Ability to provide constructive feedback in a clear, concise, and respectful manner
- Demonstrated ability to meet deadlines
Work is primarily remote based on organizational needs and job requirements. Some meetings will occur at locations outside of the usual work location, including the use of conference and electronic meeting platforms (e.g., Zoom, GoToMeeting). All positions require travel within the counties NHP serves.
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