Jobs

Manager of Utilization Management (Non-Clinical) Posted 8-30-2021

JOB DESCRIPTION:

Our organization is about doctors working to improve healthcare by giving back and serving the communities where they practice. We seek a passionate Manager of Utilization Management to manage our UM team and to help patients live healthy and brighter lives. To successfully achieve our mission and vision as we operate in a dynamic health care environment, we expect our employees to embody and uphold our core values in work and interactions, both internal and external: be brave, be brilliant, be accountable, be inclusive, and be collaborative.

The Manager of Utilization Management will drive excellent provider service within the Utilization Management function by oversight and monitor of staff, workflow, job aids, coordination of care, policies and procedures, turn-around-time requirements, and day-to-day non-clinical UM operations. The position will ensure execution against phone and fax management service goals such as average speed of answer and turnaround times and will also oversee staff who support Utilization Management functions. This leader will be accountable for driving continuous improvement in quality performance and administrative cost efficiency of the function. This role will be active in the hiring and development of their team as well as structure and network of vendors. The Manager of UM will facilitate, participate, and conduct UM internal and external audits alongside with the Chief Nursing Officer. The Manager will also apply deep knowledge of regulatory requirements to ensure compliance of other non-clinical tasks completed by the team. The Manager will work closely with the Utilization Management, Care Management, Delegation oversight, Provider Call Center, and Network-facing leadership teams.

ROLE RESPONSIBILITIES:

The Manager of Utilization Management job description is intended to point out major responsibilities within the role, but it is not limited to these items and projects assigned by the CNO and CEO:

·       Ensure appropriate usage of resources to facilitate the UM process. Coordinate projections from workforce management and scheduling analysts with supervisors from the network teams to ensure high service and output

·       Ensure compliance within applicable accreditation standards, federal and state requirements, and line of business service delivery guidelines, including education and training of staff for consistent compliance to guidelines

·       Assist with the hiring, development, training, and evaluation of UM non-clinical staff including corrective actions and terminating as needed. Oversee performance of non-clinical staff vendors to ensure productivity and quality standards are consistently met

·       Evaluate UM policies and procedures and recommend enhancements

·       Assist with ensuring consistent data collection from UM non-clinical staff that is used to assist the company in achieving corporate goals to improve monitoring and reporting to meet external and regulatory requirements

·       Identify opportunities for quality and process improvements necessary to facilitate department functions

·       Educate staff as necessary to ensure consistent performance and adhere to standards

·       Support coordination of programs through maintenance and oversight of cross-functional communication and referral procedures

·       This position will manage a team of Non-Clinical Staff and will oversee network vendor resources.

·       The majority of work responsibilities are performed remotely, carrying out detailed work sitting at a desk/table and working on the computer.

EDUCATION, TRAINING, ANDPROFESSIONAL EXPERIENCE:

·       Previous experience as a lead in a functional area or managing cross functional teams on large scale projects is required.

·       Bachelor’s degree in Sales and Marketing, Business, Healthcare Administration, or related field (Master’s preferred)

·       Three (3) or more years of utilization management/ healthcare operations/ quality improvement experience, in a managerial capacity is required.

·       Working knowledge and understanding of basic utilization management and quality improvement concepts.

·       Previous experience working with vendors and resources preferred.

·       Prior experience with highly regulated environments including federal, state, and national accreditation standards preferred.

PROFESSIONAL COMPETENCIES:

·       Experience with problem management, change control and how to influence change without direct control within a decentralized business unit culture.

·       Experience managing teams with high visibility across products/business capabilities with experience identifying and managing dependencies within and across teams preferred.

·       Excellent writing skills, particularly in determination notification writing.

·       Ability to develop strong cross-functional and collaborative relationships with internal and external partners, including the ability to work with a wide variety of people and personalities.

·       Must be self-motivated, able to take initiative, and ability to thrive and drive results in a collaborative and some remote environment.

·       Must possess strong organizational and prioritization skills and competence and capacity to handle multiple initiatives while managing conflicting priorities.

·       Must possess strong interpersonal, communication and time/project management skills are essential.

·       Experience in using the Microsoft Office Suite including Excel and Word as well as demonstrated ability to learn/adapt to other computer-based systems and tools.

For more information about Trivium, visit www.trivium.com Interested applicants may forward a résumé, cover letter and references to the attention of Ramya at ramya.ramesh@triviumcs.com.

We are an Equal Opportunity/Affirmative Action Employer and do not discriminate against applicants due to veteran status, disability, race, gender, gender identity, sexual orientation or other protected characteristics. If you need special accommodation for the application process, please contact Human Resources. EEO is the Law: poster_screen_reader_optimized.pdf

Click here to see more Trivium jobs

Care Coordinator | Posted 8-30-2021

About the Role:

We are looking for a talented and motivated Care Coordinator to join our team! The Care Coordinator will provide comprehensive service and support to providers and members as needed. The primary responsibilities include but are not limited to: responding to all provider inquiries regarding authorizations, documenting contacts in the clinical tracking system, managing and maintaining inbound queues for the UM work system, processing complaints, conducting outreach efforts to providers and ensuring all activities deliver a seamless and streamlined experience for both UM staff and providers. This position requires that one be organized, ability to multitask, set priorities and manage time effectively.

Essential Duties and Responsibilities:

●     Follow established health services policies and procedures and use available resources to respond to member and/or provider inquiries and resolve any concerns in an accurate, timely, respectful, professional and culturally competent manner.

●     Collaborate with team members on improvement efforts across-departments regarding quality improvement projects, optimization of utilization management, and member satisfaction.

●     Develop effective and professional working relationships with internal and external stakeholders and partners.

●     Communicate effectively with members and providers orally and in writing.

●     Assist in gathering and processing data for internal required reports and analysis.

●     Attend and actively participate in daily, weekly, and monthly departmental meetings, in-services, training and coaching sessions.

●     Follow UM policies and processes to the management of incoming authorization requests received through fax, mail or telephone.

●     Identify authorization requests for line-of-business, urgency level, type of service, and assess for complete/incomplete record submission.

●     Perform complete, accurate, and consistent data entry into system software applications in accordance with policies, procedures and instruction from UM management.

●     Answer inbound UM phone queue calls timely to assist members and/or providers regarding inquiries involving authorizations, services, and/or benefits.

●     Process written and verbal notifications of authorization determinations to members and/or providers within regulatory processing timeframes.

●     Complete other duties and special projects as assigned.

 

 

Core Qualifications:

●     Minimum two years of experience in a health care setting in positions requiring interaction with members and/or providers.

●     Working knowledge of managed care, ancillary and hospital-based services, DME and home health services.

●     Passion for top-notch customer service.

●     Knowledge of medical terminology including RVS, CPT,ICD-9, ICD-10, and CPT 4 codes.

●     Completion of a recognized Medical Assistant degree or certificate is a plus.

●     Demonstrated ability to work collaboratively, multi-task and meet deadlines in a complex, rapidly evolving environment with staff across the organization/departments.

●     Proficiency in MS Office suite.

●     Strong attention to detail and critical thinking, problem solving and analytical skills.

●     Strong interpersonal, communication, organizational and time/project management skills are essential.

●     Excellent written and verbal communication skills.

For more information about Trivium, visit www.trivium.com Interested applicants may forward a résumé, cover letter and references to the attention of Ramya at ramya.ramesh@triviumcs.com.

We are an Equal Opportunity/Affirmative Action Employer and do not discriminate against applicants due to veteran status, disability, race, gender, gender identity, sexual orientation or other protected characteristics. If you need special accommodation for the application process, please contact Human Resources. EEO is the Law: poster_screen_reader_optimized.pdf

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Client Manager - Accounting, Finance (Reno, NV, Milwaukee WI, & Bay Area, CA)


Job Description (“About the Role”):

At Trivium, we offer an environment exposing you to all aspects of Accounting and Finance with some of the most exciting tech companies in the world. As a Client Manager you would collaborate with fellow team members to prepare and review financials and manage relationships with clients. You will use critical thinking to resolve client issues and work with your team to deliver effective solutions.


Essential Duties and Responsibilities (“What You’ll Be Doing”):

The duties and responsibilities of the Client Manager are as follows:

  • Provide financial information to clients by researching and analyzing accounting data; preparing reports.
  • Review asset, liability, and capital account entries prepared by bookkeepers and verify against account information.
  • Document financial transactions by entering account information and guide the bookkeepers to perform transaction entry.
  • Summarize and analyze financial statements for errors and omissions.
  • Use Excel functions such as vlookup, hlookup, and pivot tables to verify consistency of financial transactions.
  • Summarize current financial status by collecting information: preparing Balance Sheets, Profit and Loss statements and other reports.
  • Substantiate financial transactions by auditing documents.
  • Maintains accounting controls by preparing and recommending policies and procedures.
  • Guide accounting clerical staff by coordinating activities and answering questions.
  • Reconcile financial discrepancies by collecting and analyzing account information.
  • Secure financial information by completing database backups.
  • Maintain financial security by following internal controls.
  • Prepare payments by verifying documentation, and requesting disbursements.
  • Answer accounting procedure questions by researching and interpreting accounting policy and regulations.
  • Comply with federal, state, and local financial legal requirements by studying existing and new legislation, enforcing adherence to requirements, and advising management on needed actions.
  • Maintain client confidence and protect operations by keeping financial information confidential.


Core Qualifications (“What You’ll Bring”; “About You”):

  • Bachelors or graduate degree, preferably in Accounting or Finance or 2-5 years of relevant experience.
  • Customer service experience.
  • Working knowledge of the startup space.
  • Proficiency with G Suite and Microsoft Office, specifically Excel.
  • Familiarity with commonly used accounting tools such as QuickBooks.
  • Strong verbal and communication skills.
  • Ability to quickly learn and process new information.
  • Organized, self-starter, team player.
  • Ability to work 40 hours/week.
  • Ability to work from and/or relocate to commuting distance to Sunnyvale, California, Reno, Nevada or Milwaukee, Wisconsin.

We are an Equal Opportunity/Affirmative Action Employer and do not discriminate against applicants due to veteran status, disability, race, gender, gender identity, sexual orientation or other protected characteristics. If you need special accommodation for the application process, please contact Human Resources. EEO is the Law: poster_screen_reader_optimized.pdf



Please, send résumé and cover letter to info@triviumcs.com with the subject line:
“Client Manager Application - Your Name”

HR Generalist | Posted 7-23-2021

 

About the Role:

Trivium Corporate Solutions is a Bay Area based Finance, Accounting, Human Resources, and Tax consulting firm. Our mission is to assist entrepreneurs and executives from early-mid stage companies with corporate strategy and execution. We do this by offering a number of flexible support models facilitated by experts in their respective fields. We manage all non-technical requirements, freeing up time and resources that can be spent on product and service development, while reducing costs and providing flexibility.

We are in search of a qualified and resourceful HR generalist to join our team and support the HR department in ensuring smooth and efficient business operations. 

Essential Duties and Responsibilities:

 

  • Support, execute and manage employee compensation, payroll and benefit plans.
  • Assist in talent acquisition and recruitment processes.
  • Manage paperwork, schedule and facilitate employee onboarding process and help organize training & development initiatives.
  • Organize quarterly and annual employee performance reviews.
  • Maintain employee files and records.
  • Ensure legal compliance of HR state and federal regulations and applicable employment laws, and update policies and/or procedures as required.
  • Provide support and guidance on various HR-related topics such as leaves and compensation and resolve any issues that may arise.

 

Core Qualifications:

  • Bachelors or graduate degree, preferably in Human Resource Management or 2-5 years of relevant experience.
  • Payroll administration experience (ADP preferred)
  • Benefits administration experience
  • Ability to manage multiple tasks and meet deadlines in a fast paced environment
  • High level of process orientation
  • Keen attention to detail. Able to keep track of numerous detail-intensive tasks and ensure their completion and accuracy
  • Must be self-motivated, flexible and a team player with the ability to work independently as well as with others
  • Knowledge of office practices and equipment including Microsoft Office Suite.
  • Working knowledge of the startup space.
  • Strong written and verbal communication skills.
  • Ability to quickly learn and process new information.
  • Organized, self-starter, team player.
  • Ability to work 40 hours/week.
  • Ability to work from and/or relocate to commuting distance from Sunnyvale, California.

 

We are an Equal Opportunity Employer. 


We are an Equal Opportunity/Affirmative Action Employer and do not discriminate against applicants due to veteran status, disability, race, gender, gender identity, sexual orientation or other protected characteristics. If you need special accommodation for the application process, please contact Human Resources. EEO is the Law: poster_screen_reader_optimized.pdf


Please, e-mail your résumé along with cover letter to info@triviumcs.com

Click here to see more Trivium jobs

Client Accounts Closure Manager (Nagpur)


We are looking for an Accounting Manager to supervise, track and evaluate day-to-day activities. Accounting Manager responsibilities include establishing financial status by developing and implementing systems for collecting, analyzing, verifying, and reporting information. We are also looking for someone to work closely with our financial management team.

Client Accounts Closure Manager Responsibilities:

  • Managing and overseeing the daily operations of the accounting department.
  • Monitoring and analyzing accounting data and produce financial reports or statements.
  • Establishing and enforcing proper accounting methods, policies, and principles. Manage and oversee the daily operations of Client accounting including:
  • month and end-year process
  • accounts payable/receivable
  • cash receipts
  • general ledger
  • payroll and utilities  
  • treasury, budgeting
  • cash forecasting
  • revenue and expenditure variance analysis
  • capital assets reconciliations.
  • trust account statement reconciliations,
  • check runs.
  • fixed asset activity
  • debt activity
  • Monitor and analyze accounting data and produce financial reports or statements.
  • Establish and enforce proper accounting methods, policies and principles.
  • Coordinate and complete annual audits
  • Provide recommendations.
  • Improve systems and procedures and initiate corrective actions.
  • Assign projects and direct staff to ensure compliance and accuracy.
  • Meet financial accounting objectives.
  • Establish and maintain fiscal files and records to document transactions.

Job Prerequisites

  • Proven working experience as Accounting Manager, Accounting Supervisor or Finance Manager.
  • Advanced computer skills on MS Office, accounting software and databases
  • Ability to manipulate large amounts of data.
  • Proven knowledge of US bookkeeping and accounting principles, practices, standards, laws, and regulations.
  • High attention to detail and accuracy.
  • Ability to direct and supervise.
  • BS degree in Accounting or Finance. CPA US

 

Trivium Management Services is in the business of A&F, Tax &Legal, HR, Audits and Mergers & Acquisition assistance from our offices in California & India.

 

For more information about Trivium, visit www.trivium.com Interested applicants may forward a résumé, cover letter and references to the attention of Trivium General Manager Rajeev Handa at rajeev@triviumcs.com.

We are an Equal Opportunity/Affirmative Action Employer and do not discriminate against applicants due to veteran status, disability, race, gender, gender identity, sexual orientation or other protected characteristics. If you need special accommodation for the application process, please contact Human Resources. EEO is the Law: poster_screen_reader_optimized.pdf

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Client Success Associate / Manager (Nagpur)


We are looking for a technically savvy customer success manager who possesses a strong drive for results. Duties for the customer success manager will include a broad range of tasks such as maintaining ongoing customer relationships and networking, implementing success programs, contributing to sales, onboarding, and training clients, and minimizing churn. You should also be able to provide insights on client-to-business interactions, improve customer experience through product support, and handle customer complaints and requests.

Successful candidates must be social, analytical, possess an aptitude for learning and using new software, and be able to communicate clearly and effectively. The ideal Customer Success Manager should engage with customers, maximize value, and create strategies to grow our customer base.

 

Client Success Associate / Manager Responsibilities:

  • Managing and overseeing the daily operations of the accounting department.
  • Monitoring and analyzing accounting data and produce financial reports or statements.
  • Establishing and enforcing proper accounting methods, policies, and principles. Manage and oversee the daily operations of Client accounting including:
  • month and end-year process
  • accounts payable/receivable
  • cash receipts
  • general ledger
  • payroll and utilities  
  • treasury, budgeting
  • cash forecasting
  • revenue and expenditure variance analysis
  • capital assets reconciliations.
  • trust account statement reconciliations,
  • check runs.
  • fixed asset activity
  • debt activity
  • Monitor and analyze accounting data and produce financial reports or statements.
  • Establish and enforce proper accounting methods, policies and principles.
  • Coordinate and complete annual audits
  • Provide recommendations.
  • Improve systems and procedures and initiate corrective actions.
  • Assign projects and direct staff to ensure compliance and accuracy.
  • Meet financial accounting objectives.
  • Establish and maintain fiscal files and records to document transactions.

Job Prerequisites

  • Proven working experience as Accounting Manager, Accounting Supervisor or Finance Manager.
  • Advanced computer skills on MS Office, accounting software and databases
  • Ability to manipulate large amounts of data.
  • Proven knowledge of US bookkeeping and accounting principles, practices, standards, laws, and regulations.
  • High attention to detail and accuracy.
  • Ability to direct and supervise.
  • BS degree in Accounting or Finance. CPA US

 

Trivium Management Services is in the business of A&F, Tax &Legal, HR, Audits and Mergers & Acquisition assistance from our offices in California & India.

 

For more information about Trivium, visit www.trivium.com Interested applicants may forward a résumé, cover letter and references to the attention of Trivium General Manager Rajeev Handa at rajeev@triviumcs.com.

We are an Equal Opportunity/Affirmative Action Employer and do not discriminate against applicants due to veteran status, disability, race, gender, gender identity, sexual orientation or other protected characteristics. If you need special accommodation for the application process, please contact Human Resources. EEO is the Law: poster_screen_reader_optimized.pdf

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Associate Human Resources (Nagpur)


We are looking for a Human Resources Associate to supervise, track and evaluate day-to-day activities. The responsibilities include establishing financial status by developing and implementing systems for collecting, analyzing, verifying, and reporting information. We are also looking for someone to work closely with our financial management team.

 

Associate Human Resources Responsibilities:

  • Managing and overseeing the daily operations of the Human resource department.
  • Initiating & monitoring benefits requirement per Client’s requirement, collecting data and ensuring compliancesfor the same.
  • Establishing and enforcing proper Human resource methods, policies, and principles.
  • Manage and oversee the daily operations of Client Human resource including:
  • Provide a full spectrum of HR services
  • Handle all aspects of payroll and benefits process
  • Excellent verbal and written communication. 
  • Maintain accurate HR data 
  • Manage complete end to end employee life cycle 
  • Manage to ensure compliance to maintain documentation of processes.
  • Overseeing employee’s wellness and relations.
  • Ensures compliance with company policies and procedures & legal Responsibilities. 
  • Maintain and update Forms I-9 in compliance as per IRS guidelines.
  • Assists HR Manager, HR Supervisor and departmental colleagues in all aspects of HR department functions, as and when needed.

Job Prerequisites

  • Proven working experience as Human resource Manager or Human resource Supervisor.
  • Advanced computer skills on MS Office, Human resource software and databases.
  • Ability to manipulate large amounts of data.
  • Proven knowledge of US bookkeeping and Human resource principles, practices, standards, laws, and regulations.
  • High attention to detail and accuracy.
  • Ability to direct and supervise.
  • BS degree in Human resource or Finance. CPA US

 

Trivium Management Services is in the business of A&F, Tax &Legal, HR, Audits and Mergers & Acquisition assistance from our offices in California & India.

 

For more information about Trivium, visit www.trivium.com Interested applicants may forward a résumé, cover letter and references to the attention of Trivium General Manager Rajeev Handa at rajeev@triviumcs.com.

We are an Equal Opportunity/Affirmative Action Employer and do not discriminate against applicants due to veteran status, disability, race, gender, gender identity, sexual orientation or other protected characteristics. If you need special accommodation for the application process, please contact Human Resources. EEO is the Law: poster_screen_reader_optimized.pdf

Click here to see more Trivium jobs

Utilization Management Coordinator

About the Role:

We are looking for a talented and motivated Utilization Management Coordinator to join our team! In this role, you will support clinical staff through completion of the administrative components of Utilization Management (concurrent, urgent, and routine pre-service, as well as retrospective authorizations) and Case/Disease management (authorizations, basic care coordination). The coordinator is responsible for processing and monitoring the authorization process and corresponding documentation continuously for quality and accuracy while working independently within a team environment. This position exercises considerable discretion and independent judgment in the performance of duties and responsibilities.

Essential Duties and Responsibilities:

·      Prioritize, maintain, coordinate, process accurate and timely inpatient admission, and post-discharge authorizations (examples include DME, Home Health, Transportation); assist clinical staff in transition of care coordination (authorizations, PCP/Specialist appointments) and case/disease management programs (authorizations, basic care coordination). Process and issue member and provider NOA notifications (mail, fax, electronic media, telephone).
·      Establish, facilitate, and maintain effective ongoing relationships with network hospitals, SNFs, delegated groups, vendors, and providers; facilitate communication and care coordination between network entities.
·      Utilize established UM guideline pathways for screening, authorizing, and finalizing authorization (inpatient, outpatient, retrospective) requests.
·      Reconcile daily hospital census reports and face sheets against plan’s authorization records; Maintain and communicate daily inpatient census and weekly discharge reports to hospitals.
·      Run scheduled and ad hoc reporting on utilization data, including “hold” status authorizations; identify trends.
·      Work with Medical Director, UM Management, and clinical staff as well as other departments to receive, date, document and resolve inquiries/issues for claims, authorizations, appeals and eligibility. Perform these duties in a professional and timely matter. This includes performing a preliminary processing of complaints and grievances.
·       Process and approve authorization requests according to MSO and established clinical guidelines.
·       For complex cases, research additional relevant clinical guidelines and information from accredited sources.
·       Facilitate Care Coordination activities with members, families, specialist, and ancillary providers for authorized services.
·       Provide excellent customer service regarding UM inquires to Primary Care Physicians, specialists, and affiliated members.
·      Stay current with state and federal regulations, Health Plan agreements, and Industry Standard guidelines applicable to healthcare programs.
·      Communicate UM related information and updates to all members of the health care team, patients, and their families.
·      Accurately interpret and communicate member benefits and serve as a resource for nurses and the IT Department in verifying and resolving member eligibility.
·      Respond to provider, member, and staff inquiries at any given time in a professional and timely manner.
·      Work closely with clinical personnel to better understand the reasons for modification, deferral, or denial of an authorization request.
·      Maintain, coordinate, and prioritize authorizations to UM nurses, vendors, and hospitals in a timely manner as needed.
·      Complete other duties and special projects as assigned.

Core Qualifications:

  • Bachelor’s degree in Health Care Administration or related discipline or a minimum of 4 years of related experience.
  • 3+ years of experience within Utilization Management in a health care setting.
  • Working knowledge of managed care, ancillary and hospital-based services, DME and Home Health Services.
  • Knowledge of medical terminology including RVS, CPT, ICD-9, ICD-10, and CPT 4 codes.
  • Completion of a recognized Medical Assistant degree or certificate a plus.
  • Demonstrated ability to work collaboratively, multi-task and meet deadlines in a complex, rapidly evolving environment with staff across the organization/departments.
  • Proficiency in MS Office suite.
  • Strong attention to detail and critical thinking, problem solving and analytical skills.
  • Strong interpersonal, communication, organizational and time/project management skills are essential.
  • Excellent written and verbal communication skills.

For more information about Trivium, visit www.trivium.com Interested applicants may forward a résumé, cover letter and references to the attention of Ramya at ramya.ramesh@triviumcs.com.

We are an Equal Opportunity/Affirmative Action Employer and do not discriminate against applicants due to veteran status, disability, race, gender, gender identity, sexual orientation or other protected characteristics. If you need special accommodation for the application process, please contact Human Resources. EEO is the Law: poster_screen_reader_optimized.pdf

Click here to see more Trivium jobs

Compliance and Credentialing Manager | Posted 8-9-2021

About the Role and Responsibilities:

We are seeking a talented and experienced Compliance and Credentialing Manager to add to our team. The Compliance and Credentialing Manager is responsible for managing the initial credentialing, re-credentialing and the continuous credentialing processes for individual and organizational Providers, supervision of credentialing staff, maintenance of the integrity of Provider data and contracts in credentialing files, and in the credentialing database, compliance with regulatory and accreditation standards. Facilitating regulatory audits, cooperating with credentialing Contract plans’ delegation oversight audits, and conducting internal audits. The manager is also responsible for performance expectations related to compliance and credentialing quality control, delegation oversight of credentialing vendors, and departmental goals. The manager collaborates with fellow leadership, co-workers, network providers, and staff in other departments to achieve departmental and organizational objectives and to deliver exceptional Provider Services. The manager also fosters an environment of continuous learning, staff development, and performance improvement through defined metrics.

Core Qualifications:

  • Bachelor’s degree in Health Care Administration or Business-related discipline or 4 years of related experience.
  • NAMSS Certification (CPCS or CPMSM) strongly preferred or eligibility to acquire within 12 months after date of hire.
  • Four years of experience in the following areas: Hospital Credentialing, Health Plan Credentialing.
  • Two years of management experience in auditing and managing a credentialing department.
  • Two years of active collaboration experience with auditors.
  • Strong attention to detail, critical thinking, problem solving and analytical skills.
  • Demonstrated ability to work collaboratively, multi-task and meet deadlines in a complex, rapidly evolving environment with staff across the organization/departments.
  • Proficiency in MS Office suite.
  • Strong interpersonal, communication, organizational and time/project management skills are essential.
  • Excellent written and verbal communication skills.


We are an Equal Opportunity/Affirmative Action Employer and do not discriminate against applicants due to veteran status, disability, race, gender, gender identity, sexual orientation or other protected characteristics. If you need special accommodation for the application process, please contact Human Resources. EEO is the Law: poster_screen_reader_optimized.pdf


Please, e-mail your résumé along with cover letter to sonia@triviumcs.com

Click here to see more Trivium jobs

Administrative Analyst


Responsibilities:

The Administrative Analyst responsibilities include program analysis, public presentations, report preparation, public relations, proposal writing, and supporting the the management team.  In this role, you will be responsible for supporting our client on administrative tasks, filing paperwork, preparing for paperwork, scheduling meetings as well as providing statistical analysis related to the company’s programs as needed. Additional duties include assistance with ongoing project development and coordination.

Must Haves:

●      Ability to communicate effectively orally and in writing

●      Strong computer (Excel, Word, Outlook, etc.) skills

●      Strong sense of confidentiality

●      Ability to problem solve and brainstorm creative solutions in challenging situations

●      Ability to analyze data

●      Ability to mulit-task

Qualifications

●      Minimum of 1 year of work experience with complex calendaring and analytics

●      Strong interpersonal and communication skills to effectively interact with patients, professional staff, and administrators and leadership in an appropriate manner

●      Ability to perform tasks accurately and in a timely manner with a minimum level of supervision and under frequent changes in priorities and deadlines

●      Effectively plans and organizes work by setting priorities and adjusts them to meet changing needs.

●      Demonstrated skills in written and oral communication with strong attention to detail and problem solving skills

●      Demonstrated skills in writing reports and proposals

●      Demonstrated experience managing data (Excel)

●      Strong teamwork skills; works well with others during conversation, scheduling appointment, meetings and collaborating on projects with deadlines

Responsibilities:

●      ePerforming research and analysis of actual expenditures compared to the budget

●      Assist in conducting analysis, procedural, organizational and operational investigations, surveys and/or research relating to department operations

●      Provide routine information to departmental personnel on the preparation of accounting/budget and policy documents, reports, demographics and program implementation

●      Assist in preparing reports and proposals

●      Assist in compiling accounting/budget requests, making accounting/budget presentations, performing cost analysis and preparing program reports

●      Track and coordinate expenditures, program accounting/budgets, and other functions

●      Prepare excel worksheets templates, PowerPoints, graphs and charts for presentations

●      Input and maintain data in computerized system and generate computerized reports

●      Maintain program files, confidentiality and other program documentation and certificates, and monitors validity of documents

PREFERRED:

●      Prior work history in a medical health setting.

●      Strong organizational skills with the ability to multitask and work independently

●      Prior experience working with multiple vendors

We are an Equal Opportunity/Affirmative Action Employer and do not discriminate against applicants due to veteran status, disability, race, gender, gender identity, sexual orientation or other protected characteristics. If you need special accommodation for the application process, please contact Human Resources. EEO is the Law: poster_screen_reader_optimized.pdf



Please, send résumé and cover letter to sonia@triviumcs.com with the subject line:
Administrative Analyst - Your Name”
Click here to see more Trivium jobs

Manager of Network Development | Posted 7-22-2021

 

We are seeking a talented and innovative Manager of Network Development to lead our network development efforts as we scale across markets. The successful candidate will be a highly motivated, experienced and strategy-oriented individual who is passionate about cultivating and managing strong relationships across the hospital C-suite, clinics, physicians, executive stakeholders and other large healthcare systems. In close collaboration with leadership, the Manager of Network Development will develop and manage all duties relative to their assigned territories.

 

Responsibilities:

·       Develop the provider network through contract negotiations and relationship development.

·       Manage the recruitment and network development department goals of assigned markets by researching and maintaining market intelligence on the competitive landscape as well as patient care delivery and payment models.

·       Maintain key relationships with providers that allow us to freely expand appointment inventory to align with patient demand.

·       Apply critical decision-making when determining factors for network development in the assigned territories.

·       Assist in preparing financial projections and conducting analysis as required.

·       Work with clinical leadership to implement preventive care programs and new products.

·       Work with leadership to identify, develop a network of, and contract with required integrated delivery systems, physician groups and ancillary providers.

·       Initiate and maintain effective communication channels with the organization’s network providers to ensure understanding of processes and procedures.

·       Negotiate key contract terms with providers and work with our legal team to execute.

·       Meet strategic goals of the organization’s provider network.

·       Collaborate with other departments and leadership including to ensure successful on-boarding and problem/conflict resolution involving new or existing network providers in assigned markets.

·       Implements actions to build out network expansion markets and/or to close gaps.

·       Meet with key providers to ensure service levels are meeting or exceeding expectations.

·       Evaluate, negotiate and support larger and more complex market/national/group-based providers in compliance with company standards while meeting and exceeding accessibility, quality, financial goals and cost initiatives.

Core Requirements: 

·       Bachelor’s degree in business, healthcare administration or related field (Master’s preferred)

·       A minimum of 5 to 8 years of experience and demonstrated technical expertise in healthcare contracting and negotiation, network development and provider relations.

·       Demonstrated ability to work collaboratively in a complex, rapidly evolving environment with staff across the organization/departments.

·       Strong customer and sales focus.

·       Strong leadership capabilities.

·       Proficiency in MS Office suite.

·       Demonstrated problem solving and decision-making skills.

·       Strong interpersonal, communication, organizational and time/project management skills are essential.

·       Strong attention to detail, research and follow up skills.

 

We are an Equal Opportunity Employer. 


We are an Equal Opportunity/Affirmative Action Employer and do not discriminate against applicants due to veteran status, disability, race, gender, gender identity, sexual orientation or other protected characteristics. If you need special accommodation for the application process, please contact Human Resources. EEO is the Law: poster_screen_reader_optimized.pdf


Please, e-mail your résumé along with cover letter to sonia@triviumcs.com

Click here to see more Trivium jobs

Provider Relations & Credentialing Manager

About the Role:

We are looking for a self-motivated and enthusiastic Provider Relations and Credentialing Manager. This individual is responsible for the development and implementation of the strategic plan for network support and service. This position provides leadership in the development of strategic plan, budgets, forecast, monitor, facilitate internal, conduct internal audits, compliance and execution of these goals.

 

Essential Duties and Responsibilities:

•                Establish and maintain network providers relationships and partnerships.
•                Manages and or leads a team in the support of an overall provider network, develop, and execute a plan(s) for service objectives.
•                Interprets and keep up with requirements and disseminates information to all involved parties to assure necessary compliance, compatibility and continuous quality improvement of provider relations and credentialing processes.
•                Develop and maintain a Provider Manual, Provider Relations Policies, Credentialing Program, Credentialing Policies, Audits and provider collateral training materials in compliance with regulatory and NCQA requirements.
•                Participate in audits, internal and external. Maintain departments’ policies and procedures to meet regulatory standards.
•                Prepare documentation and participate in special projects and assignments.
•                Manage the daily functions of the Credentialing staff processing credentialing and re-credentialing applications for providers and organizations according to National Committee for Quality Assurance (NCQA) standards.
•                Ensure CR and Re-CR timelines and due dates are met.
•                Manages credentialing function. Coach, train and direct work of credentialing staff.
•                Attend and facilitate Credentialing Committee. Oversee the quality of materials presented at Credentialing meetings, ensuring agendas, supporting documents, and minutes are prepared timely and accurately.
•                Develop, facilitate and train providers and staff regarding the company’s policies to include coordination of necessary compliance training materials
•                Develop and train providers and staff regarding the company’s operations to include coordination of necessary compliance training and communication with the Compliance Officer
•                Manage the credentialing process and oversee the delegated credentialing process performed by contracted entities. Ensure that delegated entities submit required documents on schedule and follow-up as required.
•                Oversee timely audits of delegated credentialing activities.
•                Train and monitor staff in the delivery of excellent customer service.
•                Monitor staff productivity, accuracy, and service delivery using performance standards.
•                Oversee and ensure compliance of the credentialing activities of the company’s network of providers and other downstream and related entities.
•                Ensure credentialing policies are followed and standards are adhered to meet regulatory standards.
•                Manage, identify, research, resolve, and report any issues involving daily workflow and quality of work
•                Meet with physician group representatives on regular basis to identify network, contractual and partnership opportunities
•                Assist providers with problem resolution, as necessary
•                Ensure accurate and updated provider information on website
•                Develops ongoing relationship with providers& outside agencies relevant to network health and provider business support
•                Manages problem resolution and quality monitoring including provider complaint reports
•                Interviewing, hiring, training, exiting employees; planning assigning, and directing work; appraising performance; addressing complaints and resolving problems
•                Maintain compliance with Federal and State regulations and regulatory standards.
•                Conduct probationary and annual performance evaluations.
•                Other duties as assigned

 

Core Qualifications:

•                Bachelor’s degree in Health Care, Marketing, Business or related field required.
•                3 years’ experience working in a health care environment.
•                Minimum 1 year management experience.
•                At least 2 years of Credentialing experience preferred.
•                Strong attention to detail and critical thinking, problem solving and analytical skills.
•                Demonstrated ability to work collaboratively, multi-task and meet deadlines in a complex, rapidly evolving environment with staff across the organization/departments.
•                Proficiency in MS Office suite.
•                Strong interpersonal, communication, organizational and time/project management skills are essential.
•                Excellent written and verbal communication skills.

For more information about Trivium, visit www.trivium.com Interested applicants may forward a résumé, cover letter and references to the attention of Ramya at ramya.ramesh@triviumcs.com.

We are an Equal Opportunity/Affirmative Action Employer and do not discriminate against applicants due to veteran status, disability, race, gender, gender identity, sexual orientation or other protected characteristics. If you need special accommodation for the application process, please contact Human Resources. EEO is the Law: poster_screen_reader_optimized.pdf

Click here to see more Trivium jobs

Member Relations

About the Role:

DWGAS is looking for self-motivated and enthusiastic Member Relations to join our team. The perfect candidate will cooperate with the Provider Relations in building and maintaining effective relationships with the external vendors and patients.  

 

Essential Duties and Responsibilities:

•                Keep a pulse on quality control metrics, identifying areas for improvements within the Member Services team and with other departments.
•                Deliver various projects including scheduling, communicating, coordinating, development, and evaluation.
•                Consults with members to direct them into appropriate programs, interpreting and educating members’ benefits.
•                Develop/Utilize monitoring systems, tools and processes to evaluate and improve the quality of services delivered within the Member Relations department.
•                Establishes and coordinates with Supervisor of any issues, complaints, grievance and appeal.
•                Create resolution process to monitor, track, report, and improve patient satisfaction.
•                Identifies initial and continuing eligibility for DW contracted entity(s) by screening and interviewing patients to assess financial and payor source status.
•                Responsibilities include financial screening and enrollment for State and County health programs, verifying Medicare, Medi-Cal, HMO, PPO, and other payment sources.
•                Handling Medicare or Medicare Advantage and Part D questions; easing overall departmental workflow; and treating all clients with courtesy, and respect.
•                Assists with problem solving, decision making and improvement of managed care portal including training, provisioning, workflow and functionality.
•                Build member loyalty by retaining, promoting and facilitating health plan enrollments.
•                Maintains member confidence and protects information according to HIPAA regulations to prevent or detect unauthorized disclosure of protected health information.
•                Maintains and committed to provide excellent customer service that reflects the mission and value of the organization.
•                Performing outgoing calls and existing members requiring assistance and reaching out to members who may be at potential risk for membership issues.
•                Performing any additional/miscellaneous duties(not inclusive of job description) as requested by the Health Supervisor within the scope of knowledge/ability.
•                Ensures activities are performed in compliance with company policies and procedures as well as state and federal laws and regulations.

 

Core Qualifications:

•                Bachelor’s Degree preferred, diploma or equivalent required.
•                Minimum experience of 2 years in healthcare member services.
•                Fluent in English with excellent oral and written communication skills.
•                Bilingual in Korean/Tagalog/Japanese/ Mandarin required.
•                Exceptional customer service, communication, and conflict resolution skills with knowledge of appropriate techniques to address members from diverse social and ethnic groups.
•                Ability to make decisions in the absence of detailed instructions and be able to work both independently and in a team environment.
•                Ability to make proper judgment calls and understands when to escalate to supervisor when issue raises
•                Exceptional time management skills with the ability to meet production guidelines, prioritize work and keep focused in a fast-paced environment.
•                Ability to reach goals with minimal supervision.
•                Experience using Microsoft (MS) Office-PowerPoint, Excel and Word, etc
•                Ability to lead and coordinate team members and system users.
•                Ability to prioritize multiple tasks and complete work under pressure of deadlines and resource constraints.
•                Experience with business writing and excellent verbal communication skills
•                Strong analytical and problem solving skills
•                Ability to multi-tasks and juggle multiple jobs

For more information about Trivium, visit www.trivium.com Interested applicants may forward a résumé, cover letter and references to the attention of Ramya at ramya.ramesh@triviumcs.com.

We are an Equal Opportunity/Affirmative Action Employer and do not discriminate against applicants due to veteran status, disability, race, gender, gender identity, sexual orientation or other protected characteristics. If you need special accommodation for the application process, please contact Human Resources. EEO is the Law: poster_screen_reader_optimized.pdf

Click here to see more Trivium jobs

Chief Financial Officer - Healthcare Startup | Posted 6-1-2021

Our client is a healthcare start-up operating within a sub-sector of healthcare that is experiencing increasing demand. The company has the backing of a sophisticated investment firm with a successful track record of supporting high-growth enterprises.

 

We’re seeking a CFO who will roll up their sleeves and take a hands-on approach building out a scalable infrastructure; implementing controls, processes, and procedures to support the company as it grows.  Reporting directly to the CEO and being part of a small executive team, this individual will have a major impact on the overall business.

 

The ideal candidate will have prior experience in a rapidly scaling healthcare provider business and will possess a blend of technical accounting expertise coupled with an entrepreneurial spirit and an interest and aptitude for strategy and operations.

 

The Chief Financial Officer is responsible for providing leadership and direction to all financial departments for the overall fiscal responsibility of the company.  

 

POSITION SUMMARY:

 

●      Manage the company’s financial operations, including accounting, reporting, budgeting, and forecasting.

●      Prior experience growing a team in a startup environment.

●      Build and maintain robust operating and financial models; oversee annual budgets, track performance against forecast.

●      Contract review, assessment and development

●      Develop finance policy and procedures, Implement and maintain operational best practices.

●      Supervise acquisition due diligence and negotiate acquisitions.

●      Develop effective internal controls for key processes.

●      Build the finance team and create a high-performing culture that is seen as a strength of the company.

●      Assist the CEO in the development of long and short-range strategic business plans.

●      Analyst, identify, and report trends and potential business opportunities and make recommendations.

●      Direct the preparation of internal financial reports and supervise the annual and or regulatory financial audit.

●      Prepare ad-hoc analysis as required by the CEO.

●      Responsible for timely direction and submission of all financial reports required by government and other regulatory agencies.

●      Provide business support for contract negotiations.

●      Maintain banking relationships.

●      Ensure that record keeping meets the requirements of auditors and governmental agencies.

●      Maintain relations with external auditors and investigate their findings and recommendations.

 

JOB REQUIREMENTS:

 

Education: 

●      Bachelor’s Degree in Accounting or Finance. CPA or Master’s Degree preferred.

 

Experience:

●      A minimum of 3 years of experience working at the CFO level in healthcare is required.

●      Minimum of three years of progressive management experience in an investor-owned healthcare organization is required.

●      Must be a strong, hands-on and approachable leader who understands the value of being a team-player and have an outgoing and friendly personality.

●      Must understand how to motivate and inspire staff to achieve optimal results, while keeping employee satisfaction high.

 

This position will offer a highly competitive compensation package.

 

Seniority Level

Executive

Industry

●      Health, Wellness & Fitness 

●      Medical Practice 

●      Hospital& Health Care

Employment Type

Full-time

Job Functions

●      Management 

●      Finance 

●      Accounting/Auditing


We are an Equal Opportunity/Affirmative Action Employer and do not discriminate against applicants due to veteran status, disability, race, gender, gender identity, sexual orientation or other protected characteristics. If you need special accommodation for the application process, please contact Human Resources. EEO is the Law: poster_screen_reader_optimized.pdf


Please, e-mail your résumé along with cover letter to sonia@triviumcs.com

Click here to see more Trivium jobs

Chief Information Officer - Healthcare Startup | Posted 6-1-2021

Our client is a healthcare start-up operating within a sub-sector of healthcare that is experiencing increasing demand. The company has the backing of a sophisticated investment firm with a successful track record of supporting high-growth enterprises.

 

We’re seeking a CIO who will roll up their sleeves and take a hands-on approach building out a scalable infrastructure; implementing controls, processes and procedures to support the company as it grows.  Reporting directly to the CEO and being part of a small executive team, this individual will have a major impact on the overall business.

 

The ideal candidate will have prior experience in a rapidly scaling healthcare provider business and will possess a blend of technical expertise coupled with an entrepreneurial spirit and an interest and aptitude for strategy and operations.

 

The CIO is responsible for the strategic development of technology, to improve high quality services, customer satisfaction and patient care. The CIO is responsible for upholding the appropriate IT and Claims processing requirements and regulatory standards, processes, security, and policies. The CIO provides oversight of information technology and data integrity of for the company.

 

Duties include but are not limited to:

●      Manages and leads the respective IT team(s) to accomplish strategy, day-to-day operations in alignment with the Company’s overall objectives.

●      Develops goals and priorities in conjunction with employees and assigns tasks and projects.

●      Develops staff skills and training plans. 

●      Exercising independent judgment under broad organizational policies, directs knowledge, information, and technology management services. These services include management of data in all forms (paper, voice, digital, images, video, etc.) and medical devices.

●      Utilizes effective leadership, planning, staff management, resource allocation, and sound fiscal practices to assure effective knowledge, information, and technology management required to meet Armor Health strategic plans and objectives.

●      Provides visionary leadership for all respective IT personnel at Armor Health.

●      Detailed understanding of the organization’s Armor Health mission, vision, and strategy to creates a divisional vision and strategy for respective departments IT.

 

Requirements

●      Claims experience under an MSO Environment

●      Manage the development of IT infrastructure (hardware)

●      Work with internal and external software developers to design and implement new solutions

●      Has managed new customer start-ups and implementations preferred

●      Experience with large data sets, data transferring, and data warehouses

●      Advanced ability to collaborate within multi-disciplinary teams

●      Ability to lead process improvement initiatives to improve efficiency

 

Education and Experience Requirements:

●      Bachelor’s Degree in Information Technology, Healthcare Technology, or related field; Master’s Degree preferred

●      Minimum of 8 to 12 years of experience in a combination of risk management, information security and IT jobs with substantial experience in healthcare start up

●       Experience with contract and vendor negotiations and management including managed service


We are an Equal Opportunity/Affirmative Action Employer and do not discriminate against applicants due to veteran status, disability, race, gender, gender identity, sexual orientation or other protected characteristics. If you need special accommodation for the application process, please contact Human Resources. EEO is the Law: poster_screen_reader_optimized.pdf


Please, e-mail your résumé along with cover letter to sonia@triviumcs.com

Click here to see more Trivium jobs

Senior Software Engineer - Posted 5/4/2021

Job Description

We are looking for a full stack engineer to help us build and expand our products in healthcare analytics, bioinformatics, and infectious disease tracking. This is a high-impact role that influences our growth and future.

The position is remote where you can work anywhere from within the U.S. or Canada. As an engineer on our team, you’ll build the products and technology that enables our customers to get insights, analytics and productivity that result in safe, high quality care for patients. You’ll do much more than just write code – you’ll be an integral part of the entire product development process, from ideation through delivery and iteration. In collaboration with stakeholders across clinical customers, R&D and sales, your work will impact the lives of patients all across the country. At Bitscopic, you will build technology to help turn physicians and nurses into better healthcare professionals and power them with knowledge to make better decisions.

Job Requirements

What you will do:

  • Draw from previous experience building highly scalable systems to influence and steer improvements within our distributed     Engineering team.
  • Build across the full stack from the back-end, to APIs to small parts of the front end to deliver end-to-end solutions.
  • Design and build large-scale, distributed, highly available, well-tested, and easily managed applications.
  • Create and manage new applications to power new product initiatives and iterate on web applications within our existing products and technology stack.
  • Work collaboratively with people throughout the company to understand the goals, needs, and priorities of systems and applications.

What you bring to the team

  • 6+ years of engineering experience with a good understanding of how to design robust and scalable services.
  • A solid background in writing understandable, testable, and efficient code in a modern programming language.
  • Familiarity with relevant tools and technologies and have a drive to stay up to date with ongoing changes and advancements.
  • Clear communication around technical concepts and ideas to other engineers and the ability to talk to customers and other teams.
  • Strong problem-solving skills with the ability to juggle multiple priorities.
  • Ability to multitask in a fast-paced environment.
  • Experience in healthcare informatics product management preferred.

Bonus Points:

  • Startup experience (juggling priorities, fast paced environment, self-starter).
  • Familiar with HIPAA and healthcare.
  • Experience with Java/C#, Ember, React, Python and SQL/NoSQL databases.
  • Implementing, migrating, and supporting application stacks to/in containers/server-less technologies.

We are an Equal Opportunity/Affirmative Action Employer and do not discriminate against applicants due to veteran status, disability, race, gender, gender identity, sexual orientation or other protected characteristics. If you need special accommodation for the application process, please contact Human Resources. EEO is the Law: poster_screen_reader_optimized.pdf


Please, e-mail your résumé along with cover letter to sonia@triviumcs.com


Senior Frontend/UI Software Engineer - Posted 5/4/2021

We are seeking a seasoned frontend/User Experience (UX) Engineer with sharp technical and design skill to develop and deliver intuitive, clean, and technically innovative products in healthcare analytics, bioinformatics, and infectious disease tracking space. 

This is a remote position where you can work from anywhere as we are a geographically distributed company. Applicants need to be from the U.S .or Canada. You will have end-to-end ownership of all things UX for multiple products, working closely with users and clinical SMEs to bring to life fully and intuitive UI functionality. You will also work closely with the rest of the engineering team for integration and other aspects. You will iterate constantly on designs, interactions, and subtle details to deliver the optimal experience.

Using your experience, you will have full ownership to drive tasks and projects while exercising considerable independent judgment and discretion on vision, strategy, and implementation of UX/UI. This is a startup environment, which means you are never confined to one narrow area while juggling priorities and considering trade-offs. This is a high impact role, setting the direction of UI/UX for our products for years to come.

Requirements:

Minimum Qualifications

  • Proven experience working with on commercially used products.
  • Bachelor’s degree in Computer Science, HCI, Design, or equivalent practical experience.
  • Experience with JavaScript, HTML, and CSS.
  • Experience in designing and implementing user interfaces (UIs).
  • Experience in development or prototyping, including wireframing.

Preferred Qualifications 

Proven experience working with below on commercially used products

  • 5+ years of coding experience in listed languages: JavaScript, HTML, CSS
  • Experience with JavaScript frameworks Ember or React     (Flutter or similar) and CSS pre-processing frameworks (Sass or Less).
  • Experience with scripting languages, such as Python, etc.
  • Experience with communicating to all levels of users (internal and external), demonstrated problem-solving skills, adaptable,     proactive, and able to take end to end ownership.
  • Demonstrated sense of web design and attuned to the fundamentals of user experience, including accessibility.
  • Successful track record of in projects with large scope (e.g. number of users, data volume, complexity)
  • Has worked on formulating vision, strategy for UX/UI a suite of products.

Responsibilities

  • Work closely with customers, SMEs, project managers, and  back-end engineers to implement versatile front-end solutions to web     development issues.
  • Embrace emerging standards while promoting best practices to push the limits of what a browser can do.
  • Manage your own time and work well both independently and as part of a team.
  • Launch, iterate, and make a difference. Provide front-end coding expertise and help make our products better for users.
  • Design and develop the front ends of user-facing products.

We are unable to sponsor visas currently.

We are an Equal Opportunity/Affirmative Action Employer and do not discriminate against applicants due to veteran status, disability, race, gender, gender identity, sexual orientation or other protected characteristics. If you need special accommodation for the application process, please contact Human Resources. EEO is the Law: poster_screen_reader_optimized.pdf


Please, e-mail your résumé along with cover letter to sonia@triviumcs.com


CFO Healthcare | Posted 4-26-2021

Our client is a healthcare start-up operating within a sub-sector of healthcare that is experiencing increasing demand.  The company has the backing of a sophisticated investment firm with a successful track record of supporting high-growth enterprises.

 

We’re seeking a CFO who will roll up their sleeves and take a hands-on approach building out a scalable infrastructure; implementing controls, processes and procedures to support the company as it grows. Reporting directly to the CEO and being part of a small executive team, this individual will have a major impact on the overall business.

 

The ideal candidate will have prior experience in a rapidly scaling healthcare provider business and will possess a blend of technical accounting expertise coupled with an entrepreneurial spirit and an interest and aptitude for strategy and operations.

 

The Chief Financial Officer is responsible for providing leadership and direction to all financial departments for the overall fiscal responsibility of the company.  

 

POSITION SUMMARY:

·       Manage the company’s financial operations, including accounting, reporting, budgeting, and forecasting.

·       Build and maintain robust operating and financial models; oversee annual budgets, track performance against forecast.

·       Contract review, assessment and development

·       Implement operational best practices.

·       Supervise acquisition due diligence and negotiate acquisitions.

·       Develop effective internal controls for key processes.

·       Build the finance team and create a high-performing culture that is seen as a strength of the company.

·       Assist the CEO in the development of long and short-range strategic business plans.

·       Identify and report trends and potential business opportunities and make recommendations.

·       Direct the preparation of internal financial reports and supervise the annual financial audit.

·       Prepare ad-hoc analysis as required by the CEO.

·       Responsible for timely direction and submission of all financial reports required by government and other regulatory agencies.

·       Provide business support for contract negotiations.

·       Maintain banking relationships.

·       Ensure that record keeping meets the requirements of auditors and governmental agencies.

·       Maintain relations with external auditors and investigate their findings and recommendations.

 

JOB REQUIREMENTS:

 

Education: 

·       Bachelor’s Degree in Accounting or Finance. CPA or Master’s Degree preferred.

 

Experience:

·       A minimum of 3years of experience working at the CFO level in healthcare is required.

·       Minimum of three years of progressive management experience in an investor-owned healthcare organization is required.

·       Must be a strong, hands-on and approachable leader who understands the value of being a team-player and have an outgoing and friendly personality.

·       Must understand how to motivate and inspire staff to achieve optimal results, while keeping employee satisfaction high.

·       This position will offer a highly competitive compensation package.

 

Seniority Level

·       Executive

Industry

·       Health, Wellness & Fitness 

·       Medical Practice 

·       Hospital& Health Care

Employment Type

·       Full-time

Job Functions

·       Management 

·       Finance 

·       Accounting/Auditing


We are an Equal Opportunity/Affirmative Action Employer and do not discriminate against applicants due to veteran status, disability, race, gender, gender identity, sexual orientation or other protected characteristics. If you need special accommodation for the application process, please contact Human Resources. EEO is the Law: poster_screen_reader_optimized.pdf


Please, e-mail your résumé along with cover letter to sonia@triviumcs.com

Director of MSO Health Plan Claims and Operations | Posted 4-26-2021

The Director of MSO Health Plan Claims and Operations is responsible for the development and execution of Claim Operations strategies, end-to-end Claim process automation, optimization and management, identifying and leveraging technology and data to improve the quality and minimize process cost of Claims for all DWGAS Healthcare’s Management Services Organization(MSO). Through in-depth audit and review of Claims data, the Director will identify financial savings across all aspects of the DWGAS’ claims processes.

The MSO Claims Director will provide strategic leadership and development of the Claims Department and its employees, as well as collaborate with Network Development, Provider Affiliation and Member Relations, Contracting, and Benefits Administration to ensure data integrity and to drive financial and operational value across Employee Health Plans to maximize benefit coverage while containing cost.

The MSO Claims Director will partner with local C-Suites and Hospital Administration to execute goals and plans. Through inter-professional collaboration, The Director will ensure that the MSO and leadership teams are notified in a timely fashion of any changes in process or procedures which would impact their functions.

Required qualifications
:

·       Degree in Business Management, Healthcare Administration, or other relevant fields.

·       A minimum of seven (7) to ten (10) years prior work experience in Claims Operations and Health Plan Strategy, in a Managed Care, Self-Funded or hospital setting is required.

·       Analytical skills with emphasis on generation and utilization of data to drive operational and financial performance.

·       Ability to work in a complex, rapidly evolving environment with multiple internal and external entities and boundaries.

·       Strong interpersonal skills, problem solving and project/time management essential.

·       Ability to develop presentations to all levels using Microsoft Office applications.

·       Strong knowledge of medical coding (ICD-10, HCPCs/CPT, etc.)

Preferred Qualifications

·       Certified Professional Coding Certification, AIC, ARM, or equivalent.

·       Familiarity with multiple Business Intelligence software systems and daily usage of at least one.


We are an Equal Opportunity/Affirmative Action Employer and do not discriminate against applicants due to veteran status, disability, race, gender, gender identity, sexual orientation or other protected characteristics. If you need special accommodation for the application process, please contact Human Resources. EEO is the Law: poster_screen_reader_optimized.pdf


Please, e-mail your résumé along with cover letter to sonia@triviumcs.com

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