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 W…
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 W…
Skills: Clinical Review, Medical Record Abstracting, Utilization Review, Prior Authorization, Clinical Assessment
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 W…
Skills: Clinical Review, Medical Record Abstracting, Utilization Review, Prior Authorization, Clinical Assessment
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 W…
Skills: People Management, Software Development Leadership, Java, Spring Framework, HTML5
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 W…
Skills: Care Coordination, Case Management, Clinical Assessment, Motivational Interviewing, Trauma Informed Care
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 W…
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 W…
Skills: Strategic Pricing, Cost Modeling, Federal RFP Response, Government Contracting, SaaS Pricing
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 W…
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 W…
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 W…
Clinical Assessor - RN (Hybrid in NC - Travel Required)
Fayetteville, North Carolina, United States · Hybrid
Mid level
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 W…
Clinical Care Coordinator - RN (Remote within Florida) Template FL UM/CM
United States · Remote OK
Mid level
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 W…
Skills: Clinical Assessment, Care Coordination, Medical Record Review, Pediatric Care, Critical Thinking
City of Albany, New York, United States · Remote OK
Senior
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 W…
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 W…
Skills: PASRR Assessments, Clinical Evaluation, Mental Health Assessment, Psychiatric Diagnosis, Geriatric Care
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 W…
Skills: PASRR Level II Assessments, Clinical Judgment, Medical Record Abstraction, Psychiatric Diagnosis, Evidence-Based Assessment
Social Worker Case Manager - Hybrid (near Johnstown, Pennsylvania)
Johnstown, Pennsylvania, United States · Hybrid
Mid level
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 W…
Skills: Care Coordination, Case Management, Clinical Knowledge, Patient Advocacy, Multidisciplinary Collaboration
City of Albany, New York, United States · Remote OK
Mid level
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 W…
Skills: Public Outreach, Community Engagement, Stakeholder Management, Strategic Planning, Healthcare Communications
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 W…
Skills: Medical Review, Behavioral Health Services, Utilization Review, Medical Necessity Evaluation, Expert Witness Testimony
Business Analyst (Oracle E-Business Suite (EBS)), Specialist
United States · Remote OK
Senior
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 W…
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 W…
Skills: Business Analysis, Claims Adjudication, Medicare/Medicaid Knowledge, SQL, Requirements Elicitation
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Full-time
bachelor degree, associate degree
Comprehensive health plans, Paid time off, Retirement savings, Corporate wellness, Educational assistance, Corporate discounts
Posted 1d ago
Apply by Jun 29
~40 hrs/week
Remote in West Virginia, United States
Responsibilities
The Provider Educator is responsible for introducing providers to system policies and training them on the web-based Utilization Management system. This includes creating educational manuals, conducting training sessions, and managing provider satisfaction surveys.
Requirements
Requires a Bachelor's degree in communications, education, or healthcare administration with 3+ years of experience in provider relations or education. Candidates must be proficient in creating educational materials and have a strong understanding of HIPAA compliance.
Full job description
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 Provider Educator to join our growing team.
Job Summary:
This position is critical to introducing providers to Acentra Health system and policies. The individual within this role will have regular communication with providers via multiple mediums. Educating providers on the use of our Web-based Utilization Management system is essential to the role. This includes being responsible for training activities and available for technical assistance. In addition, this position is responsible for working closely with the Program Director to hold stakeholder meetings and querying providers related to satisfaction.
Responsibilities:
Provide orientation and ongoing technical assistance for new/existing providers
Offer recommendations and enhancements to improve educational initiatives
Create and update Provider Manuals and User Guides. Update web content regularly to ensure content is current and most effective and efficient mode of delivery to providers
Comprehensive knowledge of eQSuite system and benefit specific guidelines for all services on UM contract
Provide Helpline support requiring extensive research and resolution skills
Develop and conduct provider training sessions as contracted
Coordinate provider stakeholder meetings
Attend committees, panels, and meetings as assigned. Present and lead meetings, as required
Coordinate provider satisfaction surveys
Manage provider email boxes
Deliver provider training reports on a monthly, quarterly, and annual basis per contractual requirements
Collaborate with internal and external cross- functional teams to address provider questions, concerns and uphold the quality and integrity of services aligned with contractual requirements
Communicate with client and external provider Liaisons utilizing any approved web-based technology or by telephone
Provide internal training to team on skill enhancement on responding to helpline issues
Assist in evaluating provider quality trends and developing tutorials to educate providers
Stay abreast of industry trends, regulatory changes, advancements in healthcare technology and share information to team to improve quality. Be recognized as Subject Matter Expert (SME) on Provider training, trends, issues, and needs
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
Bachelor’s degree in communications, education, healthcare administration or related business
3+ years’ related experience working with providers related to Provider Relations/education role within a healthcare setting
Preferred Qualifications
Must have the ability to review and analyze documentation against set standards
Proficient in creating and delivering educational training material using web-based technology
Demonstrated problem solving skills to promptly issue resolution initiatives
Proficient in writing newsletters, emails, presenting on webinars and PowerPoint presentations
Customer Service experience
Knowledge of training or workplace learning methodology
Familiarity with Microsoft Office products and computer applications with ability to navigate through multiple screens
Knowledge of adult learning principles
Ability to maintain confidentially standards and HIPAA compliance when evaluating all pertinent issues
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!
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.
Experience in Lieu of Degree
For non-clinical roles, or when not required by the contract specifically, the Company acknowledges that practical, hands-on experience can provide skills and competencies equivalent to formal education. As such, in cases where a Bachelor's degree may be required, the Company will accept a minimum of six (6) years of directly relevant professional experience in lieu of a degree. In instances where the candidate has an Associate's degree, the Company will accept a minimum of three (3) years of directly relevant professional experience in lieu of the Bachelor's degree.
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."
Acentra Health combines knowledge, clinical expertise, and technological ingenuity to modernize the healthcare experience for public and commercial partners and their priority populations. From designing and developing advanced claims, encounter, and provider solutions that drive efficiency and cost savings to delivering clinically focused service models for care management and quality oversight, Acentra Health is accelerating better outcomes. Acentra Health is backed by Carlyle (NASDAQ: CG), a global investment firm.
Acentra Health combines knowledge, clinical expertise, and technological ingenuity to modernize the healthcare experience for public and commercial partners and their priority populations. From designing and developing advanced claims, encounter, and provider solutions that drive efficiency and cost savings to delivering clinically focused service models for care management and quality oversight, Acentra Health is accelerating better outcomes. Acentra Health is backed by Carlyle (NASDAQ: CG), a global investment firm.