Careers Job Description
General Description
The Healthcare Management Specialist will work under the direct supervision of the Assistant Director of Human Resources: Benefits. The incumbent will provide support to employees and retirees enrolled in Research Foundation health and wellness plans. The incumbent will assist members to navigate the complexities of coverage, provide education and training, and integrate the support services that the member needs to optimize the healthcare and psychosocial goals and outcomes. The Healthcare Management Specialist will ensure compliance with regulations including HIPAA, standards and best practices, and communicate with stakeholders including staff and vendors. identifying and resolving problems and issues as well as leading and facilitating change and improvement initiatives.
Other Duties
- Assist enrolled members with navigating health insurance, Medicare, and legal processes, provide the members with financial advice and resources
- Invoice and process retiree Medicare reimbursements
- Advocate for members and assist them in navigating complex healthcare systems
- Educate members on their conditions and provide them with self-management tools and resources to alleviate discomfort and stress
- Establish strong communication and build meaningful relationships with individual patients
- Coordinate wellness events for RFCUNY employees at Central Office and across all CUNY locations including onsite vaccinations and screenings
- Facilitate care coordination across multiple providers, specialists, and healthcare networks
- Collaborate with insurance carrier and EAP/ health advocacy provider as necessary to resolve coordination of benefits, claims, and/or billing issues efficiently
- Lead wellness presentations, information sessions, webinars, and present at annual open enrollment events
- Monitor trends and maintain relevant metrics
- Other duties as assigned
Qualifications
- Minimum BS, BA, BSW, or BSN Degree in Healthcare, Human Services, Social Work, Allied Health, Case Management or related preferred
- Minimum 4 years’ experience working in healthcare, employee assistance program, patient care, or insurance preferred
- Ability to organize and analyze facts, and to draw logical conclusions
- Leadership and teamwork skills
- Ability to multitask and meet short deadlines required
- Excellent public speaking and written communication skills
- Occasional travel to multiple locations
RFCUNY Benefits
RFCUNY Employee Benefits and AccrualsAbout the Research Foundation
The Research Foundation of The City University of New York (RFCUNY) is a nonprofit educational corporation founded in 1963 to provide post-award fiscal and administrative support for CUNY’s research and sponsored programs. RFCUNY’s services allow CUNY researchers, faculty, and staff to focus on their intellectual curiosity and scientific discoveries, on projects and programs that serve our local and global communities, proposing concrete solutions to society’s most pressing challenges.
RFCUNY serves as a fiscal agent and works closely with all the CUNY campus Grants Offices to perform the core functions of post-award financial management for CUNY research projects and sponsored programs. These functions include legal assessment and signing of agreements where RFCUNY is named as a fiscal agent; setting up award accounts; preparing sub-awards and assisting PIs in monitoring the work of the recipients of sub-awards; supporting project directors with hiring and managing research project and sponsored program staff; supporting the purchasing and paying for goods and services with grant and program funds; managing financial aspects of projects including accounts receivable, financial reporting, invoicing, budget monitoring, and cost compliance with uniform guidance; ensuring that sponsor financial requirements are met; monitoring compliance with applicable project and financial management rules and laws; supporting the management of independent and external audits and financial reviews; and providing data, information, management expertise, and other supports to CUNY’s research and sponsored programs.
Equal Employment Opportunity Statement
Key Features
Human Resources
Full Time
$73,475.00 - $85,721.00
Nov 18, 2024 (Or Until Filled)