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Position Summary: Provides leadership to the organization relative to the Clinical Regulatory Compliance program which assures the implementation and oversight of clinical requirements developed by the Center for Medicare and Medicaid (CMS), the Department of Health (DOH), and Joint Commission (JC). The primary purpose of the Clinical Regulatory Compliance Program is to ensure that the policies and practices comply with the requirements of external organizations that regulate or accredit, and to monitor that compliance. This function is distinct from the compliance program that operates under the authority of the Compliance Officer. This position provides leadership to include the assessment, development and evaluations of programs related regulatory compliance for staff throughout The Guthrie Clinic. Education, License, Certification: RN license preferred. Experience: Minimum of 5 years acute hospital experience. Prior experience in leadership/management desired. Demonstrated effective communications, critical thinking required. Essential Functions: - Assumes leadership regulatory responsibilities including: a. Goal setting, developing monitoring tools, status reporting b. Utilizes data for decision-making and strategic planning - Prepares reports to regulatory agencies on a timely basis a. Submits required reports to external agencies b. Collaborates with leaders to develop corrective actions as required c. Monitors and reports on the implementation of corrective action plans - Responsible for assuring assigned facilities comply with CMS, DOH and TJC requirements a. Ensures leadership is aware of all regulatory requirements and findings b. Ensures that corrective action plans are developed and implemented to meet new requirements and c. Ensure that newly implemented processes are integrated into ongoing management and operational activities and that they are effective d. Works in tandem regulatory leadership throughout the system to standardize regulatory processes across the Guthrie system e. Keeps leadership and administration of assigned areas (including the Board of Directors) informed of regulatory findings and action plan progress via formal and/or informal reports on a regular basis - Demonstrates the ability to be a person of interest a. Builds trust b. Provides leadership for implementing changes and/or performance improvement efforts c. Creates a work environment that enhances employee, patient and provider satisfaction d. Sets performance expectations and maintains high standards of performance - Assists in facilitating committees, teams and workgroups for performance improvement activities - Supports medical staff initiatives - Assists in project development and management - Works collaboratively with regional regulatory hospital leaders to operationalize electronic health record changes (i.e., orders, documentation fields/screens) that are consistent with clinical regulations and Guthrie policies Other Duties: • This description is not intended to be all-inclusive. Other duties may be assigned, as necessary., • Travel is required. Update 2-13-26

Job DescriptionDescriptionCooks and Food Service Workers Full-time and Part-time Positions Available! APPLY NOW! Nursing Home, Senior Living, Hospital, or Healthcare Required! Cooks and Food Service Workers Shifts: Day and Evening Shifts, Alternating Weekends, Holidays. Confidence Management Solutions (CMS) is currently recruiting experienced Cooks and Food Service Workers for long-term care nursing facility at Vestal Park Rehabilitation and Nursing Center, 105 W. Sheedy Road in Vestal, NY. Apply today. Walk-ins welcome, we will be conducting interviews on Friday 4/3 and 4/10 from 8am to 1pm and Wednesday 4/8 from 8am to 2pm and again from 4pm to 6pm. Apply to this posting or just come in on those specified dates and times to interview that day, let the receptionist know you are there to see the Dining Services manager. On the spot interviews will only be conducted on the specified dates and times but applications are always welcome. Cooks and Food Service Workers Key DutiesAs the Cook! • Position starts at $17.50 per hour, • Prepares food according to standardized recipes to provide residents with consistently accurate, tasteful, and cost-effective meals., • Serves meals or prepares for delivery by using correct portioning, meeting outlines standards, ensuring that the food is at the correct temperature and is attractive and tasty. Tastes all prepared food items for quality control., • Cleans kitchen after preparation and serving, maintain standards of cleanliness. Stores or discards excess food in accordance with safe food- handling procedures., • Position starts at $16.00 per hour, • Prepares and/or assists in the preparation of meals, beverages, and snacks., • Delivering trays and carts to resident floors and dining rooms, • Assembling resident meal trays. Working in the dish room and pot sink, • Sweeping and mopping. Disposal of trash and recyclables, • Follow proper cleaning techniques of all kitchen equipment and work areas., • High school diploma or general education degree (GED)., • 1-year long-term care, hospital, or healthcare experienced preferred. Cooks and Food Service Workers Benefits • Health, Dental and Vision Insurance, • Paid Time Off and Paid Holidays, • Uniform Shirts Provided, • Patriot Preventive Care – Your Wellness Guardian, • Direct Deposit, • 401K, • Paid Orientation and Training, • Opportunities for career advancement

Job Description: Summary: The Payment Integrity DRG Coding & Clinical Validation Analyst position has an extensive background in acute facility-based clinical documentation, and/or inpatient coding and has a high level of understanding of the current MS-DRG, and APR-DRG payment systems. This position is responsible for reviewing medical records for appropriate provider documentation to support the principal diagnosis, co-morbidities, complications, secondary diagnosis, surgical procedures, POA indicators to validate coding and DRG assignment accuracy, insuring the physician documentation supports the hospital coded data. Essential Accountabilities: Level I • Analyzes and audits acute inpatient claims. Integrates medical chart coding principles, clinical guidelines, and objectivity in the performance of medical audit activities. Draws on advanced ICD-10 coding expertise. Clinical guidelines, and industry knowledge to substantiate conclusions. Performs work independently., • Adheres to official coding guidelines, coding clinic determinations, and CMS and other regulatory compliance guidelines and mandates. Requires expert coding knowledge - DRG &ICD 10., • Establishes national and best practice benchmarks and measures performance against benchmarks., • Ensures accurate payment by independently utilizing DRG grouper, encoder, and claims processing platform., • Manages case volumes and review/audit schedules, prioritizing case load as assigned by Management., • Consistently demonstrates high standards of integrity by supporting the Lifetime Healthcare Companies' mission and values, adhering to the Corporate Code of Conduct, and leading to the Lifetime Way values and beliefs., • Maintains high regard for member privacy in accordance with the corporate privacy policies and procedures., • Regular and reliable attendance is expected and required., • Performs other functions as assigned by management. Level II (in addition to Level I Accountabilities) • Performs complex audits or projects with minimal direction or oversight., • Acts as an expert in reviewing medical coding and medical record review with ability to oversee complex assignments, challenging customers, and highly visible issues., • Supports leadership in projects related to divisional/departmental strategies and initiatives., • Participates and represents in audits, payment methodologies, contractual agreements, with cross functional teams or with business partners as needed., • Serves as a mentor to new hires., • Demonstrates ability to participate and represent department on interna/external committees. Level III (in addition to Level II Accountabilities) • Provides expertise in developing data criteria for audits., • Acts as a Lead and provides training, guidance, consultation, complex performance analysis, and coaching expertise to team members around methods of continuous quality improvement., • Serves as an expert and resource for escalations and works directly with Payment Integrity staff to resolve issues and escalation problems., • Provides backup support for Management as necessary. Minimum Qualifications: NOTE: We include multiple levels of classification differentiated by demonstrated knowledge, skills, and the ability to manage increasingly independent and/or complex assignments, broader responsibility, additional decision making, and in some cases, becoming a resource to others. In addition to using this differentiated approach to place new hires, it also provides guideposts for employee development and promotional opportunities. All Levels • Associate or bachelor's degree in health information management (RHIA or RHIT) or a Nursing Degree., • Three (3) years' experience in claims auditing, quality assurance, or recovery auditing, of (MS/APR) DRG coding for hospital or other acute facility setting., • Three (3) years of working experience with ICD 10CM, MS-DRG, and APR-DRG with a broad knowledge of medical claims billing/payment systems, provider billing guidelines, medical necessity criteria, and coding terminology., • Coding Certification is to be maintained as a condition of employment of one of the following: RHIA or RHIT, Inpatient Coding Credential - CCS or CIC., • Intermediate analytical and problem-solving skills; as well as keeps abreast of latest trends related to business analysis., • Intermediate knowledge of PC, software, auditing tools and claims processing systems. Level II (in addition to Level I Qualifications) • Five (5) years' experience in claims auditing, quality assurance, or recovery auditing, of (MS/APR) DRG coding for hospital or other acute facility setting., • Five (5) years of working experience with ICD 10CM, MS-DRG, and APR-DRG with a broad knowledge of medical claims billing/payment systems, provider billing guidelines, medical necessity criteria, and coding terminology., • Demonstrated ability across multiple skills, products, processes, and systems with the Division., • Demonstrated ability to lead initiatives with occasional guidance and assistance from management and/or others., • Advanced analytical, problem solving, and judgement skills., • Advanced knowledge of PC, software, auditing tools and claims processing systems. Level III (in addition to Level II Qualifications) • Eight (8) years' experience in claims auditing, quality assurance, or recovery auditing, of (MS/APR) DRG coding for hospital or other acute facility setting., • Eight (8) years of working experience with ICD 10CM, MS-DRG, and APR-DRG with a broad knowledge of medical claims billing/payment systems, provider billing guidelines, medical necessity criteria, and coding terminology., • Demonstrated leadership skills., • Demonstrated ability as a subject matter expert or consultant to other departments., • Demonstrated ability to work independently and assumes lead role in key business initiatives., • Expert proficiency in analytical skills, auditing skillset and ability to manage complex assignments, challenging situations, and highly visible issues., • Demonstrated expert proficiency in project management and presentation skills. Physical Requirements: • Ability to work prolonged periods sitting and/or standing at a workstation and working on a computer., • Ability to travel across the Health Plan service region for meetings and/or trainings as needed. In support of the Americans with Disabilities Act, this job description lists only those responsibilities and qualifications deemed essential to the position. Equal Opportunity Employer Compensation Range(s): Level I: Grade E4: Minimum: $65,346- Maximum: $117,622 Level II: Grade E5: Minimum: $71,880 - Maximum: $129,384 Level III: Grade E6: Minimum: $79,068 - Maximum: $142,322 The salary range indicated in this posting represents the minimum and maximum of the salary range for this position. Actual salary will vary depending on factors including, but not limited to, budget available, prior experience, knowledge, skill and education as they relate to the position's minimum qualifications, in addition to internal equity. The posted salary range reflects just one component of our total rewards package. Other components of the total rewards package may include participation in group health and/or dental insurance, retirement plan, wellness program, paid time away from work, and paid holidays. Please note: There may be opportunity for remote work within all jobs posted by the CDPHP Talent Acquisition team. This decision is made on a case-by-case basis. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

Job Description: Summary: Conducts case management program activities in accordance with departmental, corporate, NYS Department of Health (DOH), Centers for Medicaid & Medicare Services (CMS), Federal Employee Program (FEP) and National Committee for Quality Assurance (NCQA) accreditation standards, as appropriate to the member's case assignment. Uses a systematic approach to identify members meeting program criteria; assessing for opportunities to educate, support, coach, coordinate care and review treatment options, through collaboration with providers and community-based resources. Participates in a cross functional, multi-disciplinary team to identify and implement member-centric interventions to ensure optimal and cost-effective health outcomes. Collaborates with interdisciplinary care team to develop a comprehensive care plan to identify key strategic interventions to address member's needs, health goals and mitigate health care cost drivers. Essential Accountabilities: Level I • Handles behavioral health member clinical management programs., • Maintains knowledge of current Case Management Society of America (CMSA) Standards, NCQA Standards, Case Management Program activities, and performs the activities as directed by departmental policy and leadership, current NYS DOH, CMS regulations and standards if managing members of Medicare programs, and other regulatory requirements as applicable., • Carries out job responsibilities in accordance with departmental, corporate, state, federal and accreditation standards, as well as licensure, certification and scope of practice requirements for each specific health-related field/specialty,, • Maintains confidentiality and conducts information management procedures per corporate and departmental policy., • Implements the Case Management Process per department policies, procedures and guidelines. The process includes case identification, case opening, member assessment, education and support intervention opportunities, developing care plans, conducting member-centric interventions, measuring member outcomes during re-assessment, case closure, and case reviews., • Screens members that fall within the defined populations served, referred to the department, either by data analysis or by internal or external referral sources. Applies case management criteria and professional clinical judgment to determine a member's appropriateness for case management services., • Initiates case management, as outlined in the Case Management Program Description. Opens appropriate cases timely and effectively. Using motivational interviewing, assures essential information relating to case management is disclosed to members, thus increasing the opportunity for success in meeting member health goals., • Works in collaboration with members' physicians and other health care providers to assess the needs of the member, facilitate development of an interdisciplinary care plan, coordinates services, evaluates effectiveness of services and modifies the member care plan as necessary. Maintains positive working relationships within this arena., • Assesses member/caregiver knowledge of his/her illness and initiates appropriate education interventions to address knowledge deficits., • Collaborates with member/caregiver to determine specific objectives, goals and actions to address member needs and barriers to meeting health goals identified during assessment., • Provides appropriate resources and assistance to members with regards to managing their health across the continuum of care. Maintains updated information related to appropriate community resources and serves as a source of information for providers and other members of the healthcare team. Acts as a liaison between providers and community resources., • Participates in inter-disciplinary coordination and collaboration to ensure delivery of consistent and quality health care services. Examples may include Utilization Management, Quality, Behavioral Health, Pharmacy, Registered Dietitian and Respiratory Therapist, • Accepts responsibility for continuing education relative to professional growth. Meets or exceeds the minimum continuing education requirements as set forth by departmental and corporate policy, and by individual professional certification standards, if applicable., • Participates in and promotes other health plan programs, such as, Preventive Health, use of web-based tools for self-management of conditions and engagement in digital health programs and applications., • Work collaboratively with all Case Managers, especially those with varied clinical expertise (ex. Social Work, Behavioral Health, Respiratory Therapy, Registered Dietitian, Registered Nurse, Medical Director, Pharmacist, Geriatrics, etc.) to ensure continuity and coordination of care., • May work with internal and external stakeholders for value-based payment programs, such as accountable cost and quality arrangements (ACQA)., • Consistently demonstrates high standards of integrity by supporting the Lifetime Healthcare Companies' mission and values, adhering to the Corporate Code of Conduct, and leading to the Lifetime Way values and beliefs., • Maintains high regard for member privacy in accordance with the corporate privacy policies and procedures., • Regular and reliable attendance is expected and required., • Performs other functions as assigned by management. Level II (in addition to Level I Accountabilities) • Handles all member clinical condition management programs., • Offers process improvement suggestions and participates in the solutions of more complex issues/activities., • Mentors junior staff and assists with coaching whenever necessary., • Consistently meets/exceeds all productivity and performance metrics, including positive results of audits., • Works independently in coordinating and collaborating with members and providers, resulting in improving member and community health., • Manages more complex assignments and/or larger caseloads., • Displays leadership skills and serves as a positive role model to others in the department., • Participates in the orientation of new staff. Level III (in addition to Level II Accountabilities): • Process Management and Documentation - o Identifies, recommends, and evaluates new processes as necessary to improve productivity and gain efficiencies. o Assists in updating departmental policies, procedures and desk-top manuals relative to the CM functions. o Identifies and develops processes and guidelines for performance improvement opportunities for the Case Management Department. • Expert and resource for escalations. Serves as subject matter expert and if called upon, works directly with the operation and clinical staff to resolve issues and escalated problems., • Mentors and provides guidance and leadership to the daily activities of the Case Management Department clinical staff. Acts as resource to Case Management staff, members, and providers., • Provides backup for the Supervisor/Manager, whenever necessary by: o Participating in the orientation of new staff and/training opportunities for all staff. Assists staff to identify opportunities to successfully engage members into care. o Acting as a liaison for activity generated by Customer Advocacy (CAU), Customer Service (CS), Special Investigations Unit (SIU), Provider Relations (PR), or Sales & Marketing. o Ensuring all regulatory requirements are being met, such as NYS DOH, CMS, NCQA, and HEDIS, serving as internal auditor within the group. • Responsible for all aspects of the Case Management department functions including quality, productivity, utilization performance, and educational needs to address established policies and procedures and job responsibilities. Minimum Qualifications: NOTE: We include multiple levels of classification differentiated by demonstrated knowledge, skills, and the ability to manage increasingly independent and/or complex assignments, broader responsibility, additional decision making, and in some cases, becoming a resource to others. In addition to using this differentiated approach to place new hires, it also provides guideposts for employee development and promotional opportunities. All Levels • Active NYS RN license required with three years' behavioral health experience; or LMSW; or LCSW; or LMHC., • Minimum of three years of clinical experience required. Case Management experience preferred., • Must demonstrate proficiency with the Microsoft Office Suite., • Experience in interpreting managed care benefit plans and strong knowledge of government program contracts (Medicare and Medicaid) and benefits, preferred., • Strong written and verbal communication skills., • Ability to multitask and balance priorities., • Must demonstrate ability to work independently on a daily basis., • Deliver efficient, effective, and seamless care to members., • For incumbents aligned to the Federal Employee Program (FEP) line of business, Case Management Certification required within three (3) years of either hire and/or moving into this role supporting the FEP LOB. Level II (in addition to Level I Qualifications) • A minimum of 2 years in case management position., • Case Management Certification preferred, • Delivers efficient, effective, and seamless care to members., • Demonstrates ability to escalate to management, as necessary., • Demonstrates proficiency in all related technology and documentation requirements., • Consistently meets or exceeds all performance metrics. Level III (in addition to Level II Qualifications) • Must have been in a current Case Management position or similar subject matter expert for at least 5 years., • Case Management Certification required, • Broad understanding of multiple areas (i.e. UM and CM). At this level, incumbent is required to know multiple functional areas and supporting systems., • Expertise in Case Management area and able to handle complex assignments, challenging situations, and highly visible issues., • Ability to lead the training of new staff., • Demonstrated presentation skills. Physical Requirements: • Ability to travel and work long hours on a computer., • May require flexible hours to meet needs of member discussions. In support of the Americans with Disabilities Act, this job description lists only those responsibilities and qualifications deemed essential to the position. Equal Opportunity Employer Compensation Range(s): Level I: E2: Minimum: $62,400 - Maximum: $ 96,081 Level II: E3: Minimum: $62,400 - Maximum: $ 106,929 Level III: E4: Minimum: $65,346 - Maximum: $117,622 The salary range indicated in this posting represents the minimum and maximum of the salary range for this position. Actual salary will vary depending on factors including, but not limited to, budget available, prior experience, knowledge, skill and education as they relate to the position's minimum qualifications, in addition to internal equity. The posted salary range reflects just one component of our total rewards package. Other components of the total rewards package may include participation in group health and/or dental insurance, retirement plan, wellness program, paid time away from work, and paid holidays. Please note: There may be opportunity for remote work within all jobs posted by the CDPHP Talent Acquisition team. This decision is made on a case-by-case basis. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

Job Description: Summary: Conducts case management program activities in accordance with departmental, corporate, NYS Department of Health (DOH), Centers for Medicaid & Medicare Services (CMS), Federal Employee Program (FEP) and National Committee for Quality Assurance (NCQA) accreditation standards, as appropriate to the member's case assignment. Uses a systematic approach to identify members meeting program criteria; assessing for opportunities to educate, support, coach, coordinate care and review treatment options, through collaboration with providers and community-based resources. Participates in a cross functional, multi-disciplinary team to identify and implement member-centric interventions to ensure optimal and cost-effective health outcomes. Collaborates with interdisciplinary care team to develop a comprehensive care plan to identify key strategic interventions to address member's needs, health goals and mitigate health care cost drivers. Essential Accountabilities: Level I • Handles physical health member clinical management programs., • Maintains knowledge of current Case Management Society of America (CMSA) Standards, NCQA Standards, Case Management Program activities, and performs the activities as directed by departmental policy and leadership, current NYS DOH, CMS regulations and standards if managing members of Medicare programs, and other regulatory requirements as applicable., • Carries out job responsibilities in accordance with departmental, corporate, state, federal and accreditation standards, as well as licensure, certification and scope of practice requirements for each specific health-related field/specialty,, • Maintains confidentiality and conducts information management procedures per corporate and departmental policy., • Implements the Case Management Process per department policies, procedures and guidelines. The process includes case identification, case opening, member assessment, education and support intervention opportunities, developing care plans, conducting member-centric interventions, measuring member outcomes during re-assessment, case closure, and case reviews., • Screens members that fall within the defined populations served, referred to the department, either by data analysis or by internal or external referral sources. Applies case management criteria and professional clinical judgment to determine a member's appropriateness for case management services., • Initiates case management, as outlined in the Case Management Program Description. Opens appropriate cases timely and effectively. Using motivational interviewing, assures essential information relating to case management is disclosed to members, thus increasing the opportunity for success in meeting member health goals., • Works in collaboration with members' physicians and other health care providers to assess the needs of the member, facilitate development of an interdisciplinary care plan, coordinates services, evaluates effectiveness of services and modifies the member care plan as necessary. Maintains positive working relationships within this arena., • Assesses member/caregiver knowledge of his/her illness and initiates appropriate education interventions to address knowledge deficits., • Collaborates with member/caregiver to determine specific objectives, goals and actions to address member needs and barriers to meeting health goals identified during assessment., • Provides appropriate resources and assistance to members with regards to managing their health across the continuum of care. Maintains updated information related to appropriate community resources and serves as a source of information for providers and other members of the healthcare team. Acts as a liaison between providers and community resources., • Participates in inter-disciplinary coordination and collaboration to ensure delivery of consistent and quality health care services. Examples may include: Utilization Management, Quality, Behavioral Health, Pharmacy, Registered Dietitian and Respiratory Therapist, • Accepts responsibility for continuing education relative to professional growth. Meets or exceeds the minimum continuing education requirements as set forth by departmental and corporate policy, and by individual professional certification standards, if applicable., • Participates in and promotes other health plan programs, such as, Preventive Health, use of web-based tools for self-management of conditions and engagement in digital health programs and applications., • Work collaboratively with all Case Managers, especially those with varied clinical expertise (ex. Social Work, Behavioral Health, Respiratory Therapy, Registered Dietitian, Registered Nurse, Medical Director, Pharmacist, Geriatrics, etc.) to ensure continuity and coordination of care., • May work with internal and external stakeholders for value-based payment programs, such as accountable cost and quality arrangements (ACQA)., • Consistently demonstrates high standards of integrity by supporting the Lifetime Healthcare Companies' mission and values, adhering to the Corporate Code of Conduct, and leading to the Lifetime Way values and beliefs., • Maintains high regard for member privacy in accordance with the corporate privacy policies and procedures., • May participate in the orientation of new staff., • Regular and reliable attendance is expected and required., • Performs other functions as assigned by management. Level II (in addition to Level I Essential Accountabilities) • Handles all member clinical condition management programs., • Offers process improvement suggestions and participates in the solutions of more complex issues/activities., • Mentors junior staff and assists with coaching whenever necessary., • Consistently meets/exceeds all productivity and performance metrics, including positive results of audits., • Works independently in coordinating and collaborating with members and providers, resulting in improving member and community health., • Manages more complex assignments and/or larger caseloads., • Displays leadership skills and serves as a positive role model to others in the department., • Participates in the orientation of new staff. Level III (in addition to Level II Essential Accountabilities) • Process Management and Documentation, • Identifies, recommends, and evaluates new processes as necessary to improve productivity and gain efficiencies., • Assists in updating departmental policies, procedures and desk-top manuals relative to the CM functions., • Identifies and develops processes and guidelines for performance improvement opportunities for the Case Management Department., • Expert and resource for escalations. Serves as subject matter expert and if called upon, works directly with the operation and clinical staff to resolve issues and escalated problems., • Mentors and provides guidance and leadership to the daily activities of the Case Management Department clinical staff. Acts as resource to Case Management staff, members, and providers., • Provides backup for the Supervisor/Manager, whenever necessary by:, • Participating in the orientation of new staff and/training opportunities for all staff. Assists staff to identify opportunities to successfully engage members into care., • Acting as a liaison for activity generated by Customer Advocacy (CAU), Customer Service (CS), Special Investigations Unit (SIU), Provider Relations (PR), or Sales & Marketing., • Ensuring all regulatory requirements are being met, such as NYS DOH, CMS, NCQA, and HEDIS, serving as internal auditor within the group., • Responsible for all aspects of the Case Management department functions including quality, productivity, utilization performance, and educational needs to address established policies and procedures and job responsibilities. Minimum Qualifications: NOTE: We include multiple levels of classification differentiated by demonstrated knowledge, skills, and the ability to manage increasingly independent and/or complex assignments, broader responsibility, additional decision making, and in some cases, becoming a resource to others. In addition to using this differentiated approach to place new hires, it also provides guideposts for employee development and promotional opportunities. All Levels • Associates degree required. Bachelor's degree preferred., • Active NYS RN or Registered Dietician or Physical Therapist licensure required., • Minimum of three years of clinical experience required. Case Management experience preferred., • Must demonstrate proficiency with the Microsoft Office Suite., • Experience in interpreting managed care benefit plans and strong knowledge of government program contracts (Medicare and Medicaid) and benefits, preferred., • Strong written and verbal communication skills., • Ability to multitask and balance priorities., • Must demonstrate ability to work independently on a daily basis., • Deliver efficient, effective, and seamless care to members., • For incumbents aligned to the Federal Employee Program (FEP) line of business, Case Management Certification required within three (3) years of either hire and/or moving into this role supporting the FEP LOB. Level II (in addition to Level I Qualifications) • A minimum of 2 years in case management position., • Case Management Certification preferred., • Delivers efficient, effective, and seamless care to members., • Demonstrates ability to escalate to management, as necessary., • Demonstrates proficiency in all related technology and documentation requirements., • Consistently meets or exceeds all performance metrics. Level III (in addition to Level II Qualifications) • Must have been in a current Case Management position or similar subject matter expert for at least 5 years., • Case Management Certification required, • Broad understanding of multiple areas (i.e. UM and CM). At this level, incumbent is required to know multiple functional areas and supporting systems., • Expertise in Case Management area and able to handle complex assignments, challenging situations, and highly visible issues., • Ability to lead the training of new staff., • Demonstrated presentation skills. Physical Requirements: • Ability to travel and work long hours on a computer., • May require flexible hours to meet needs of member discussions. In support of the Americans with Disabilities Act, this job description lists only those responsibilities and qualifications deemed essential to the position. Equal Opportunity Employer Compensation Range(s): Level I: E2: Minimum: $62,400 - Maximum: $ 96,081 Level II: E3: Minimum: $62,400 - Maximum: $ 106,929 Level III: E4: Minimum: $65,346 - Maximum: $117,622 The salary range indicated in this posting represents the minimum and maximum of the salary range for this position. Actual salary will vary depending on factors including, but not limited to, budget available, prior experience, knowledge, skill and education as they relate to the position's minimum qualifications, in addition to internal equity. The posted salary range reflects just one component of our total rewards package. Other components of the total rewards package may include participation in group health and/or dental insurance, retirement plan, wellness program, paid time away from work, and paid holidays. Please note: There may be opportunity for remote work within all jobs posted by the CDPHP Talent Acquisition team. This decision is made on a case-by-case basis. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

Job Description: Summary: Under the direction of the Assigned Management, upon successful completion of all phases of training, and in accordance with established HIPAA regulations the Enrollment Specialist performs enrollment core processing and servicing in accordance with the Health Plan Operation's enrollment regulations, Underwriting Guidelines and applicable government regulations. The focus of this role is to ensure prompt, accurate, and efficient servicing of all broker, member and group administrator inquiries for all product lines. Inquiries are received by the following but not limited to; telephone, email, written inquiries, lobby walk-in customers and through on-site visits with an employer group. The B version of this role will require the individual to be on the phone regularly. Essential Primary Responsibilities/Accountabilities: Level I: • Responsible for Government Programs, Small, Mid, and Large Employer Group Subscriber Enrollment Operations., • Responsible for maintaining communication, including but not limited to; Enrollment Management, Account Services Consultants, Sales, Finance/Underwriting, Claims, Customer Care, as well as interact with external Customers, groups or Brokers as necessary., • Responsible for the enrollment of new groups, renewals, new member and member movement., • Prepares, processes and maintains all member enrollments utilizing multiple Health Plan enrollment systems. Installs and maintains member information, new enrollment, benefit changes/renewal, cancellations, and reinstatements utilizing multiple sales, marketplace, and/or Enrollment systems. Review and assess member enrollment activity and associated documents for accuracy using knowledge and expertise of processing regulations/guidelines., • Researches, interprets and responds to inquiries from internal and external customers, business partners, brokers, consultants, and groups concerning our products, services and policies in accordance with regulatory, corporate policy, association guidelines and productivity measures. Ability to run pre-built reports., • Reviews, validates and updates transaction errors from all member level electronic and paper sources impacting eligibility interfaces., • Identifies issues and responds to all work items brought forward either internally or externally and ensures all inquiries will be responded to within department service level agreements (SLA's)., • Prioritize aged and Performance Guarantee Transactions and takes necessary action to complete timely according to established metrics., • Responsible for knowledge and accuracy on entry level processing within a minimum of 3 inventory areas., • Attends provided/necessary training to support job role/function and share knowledge back with the team., • Attends and participates in meetings as necessary and share information back to the team., • Execution of quality service to our external, as well as internal customers by meeting productivity and accuracy metrics, compliance and member touchpoint measures (MTM) targets, and CMS processing timeframes., • General understanding of the cross functional enrollment process and operating systems., • Consistently demonstrates high standards of integrity by supporting the Lifetime Healthcare Companies' mission and values, adhering to the Corporate Code of Conduct, and Leading to the Lifetime Way values and beliefs., • Maintains high regard for member privacy in accordance with the corporate privacy policies and procedures., • Regular and reliable attendance is expected and required., • Prepares, processes and maintains all group enrollment utilizing multiple Health Plan enrollment systems. Installs and maintains group information including new group set up, benefit changes/renewal, cancellations, and reinstatements utilizing multiple sales, marketplace, and/or Enrollment systems. Review and assess enrollment activity and associated documents for accuracy using knowledge and expertise of processing regulations/guidelines., • Handles Designated Record Set (DRS) requests and may serve as a point person for the Account Service team when difficulties arise in obtaining information through normal channels., • Adjusts or triages for adjustment, as situation requires, enrollment for subscriber additions, deletions and changes, and will initiate correspondence requesting additional information or verification., • Acts as a resource to support and or cross train other team members., • Responsible for knowledge and accuracy on at least half of inventory areas., • In depth understanding and working knowledge of the cross functional enrollment process and operating systems., • Identifies issues, patterns and/or trends generated by external and internal action affecting compliance, customer satisfaction and system performance. Consistently and independently recommends and initiates changes and improvement as a result of process review., • Assists in creating and/or updating the operating manuals and/or Desk Level Procedures (DLP's)., • Proficient in most inventory areas, operating systems with expertise in specific job functions., • Mentors and collaborates with others on the team in utilizing tools, sharing best practices, and serving as a role model within a team unit structure., • Serves as subject matter expert for the department. Ability to cross train on any task as demonstrated by comprehension and retention of new skills not limited to a primary line of business. Works continuously toward identifying and removing barriers to increased productivity, quality, cost effectiveness, timeliness of operations, and customer satisfaction., • Process enrollment activities for complex accounts., • Ability to adjust daily assignments to prioritize urgent or complex cases as they arise., • Researches, responds, and resolves eligibility inquires working directly with internal and external customers via multiple communication methods., • Creation of test cases, testing of the process, documents and establishes procedures for the implementation of new products and work efforts. May be asked to participate in end user testing., • Researches complex cases to identify root cause, recommend and execute resolution through completion., • Responsible for complex and/or sensitive cases including but not limited to processing for key brokers, accounts, special arrangements, government programs and/or enrollment resolution cases requiring deep research., • Serves as department representative on corporate projects as well as cross functional work groups as assigned acting as a subject matter expert. Provides advice and counsel to project teams and leadership on implications of requirements on productivity and quality. Minimum Qualifications: NOTE: We include multiple levels of classification differentiated by demonstrated knowledge, skills, and the ability to manage increasingly independent and/or complex assignments, broader responsibility, additional decision making, and in some cases, becoming a resource to others. In addition to using this differentiated approach to place new hires, it also provides guideposts for employee development and promotional opportunities. Level I: • Completed High School Diploma or Equivalent., • Minimum of two (2) years health insurance or related operations work experience and proven ability to exercise the requirements and responsibilities of the position, preferred., • Must have solid written and verbal communication skills., • Proven organizational, analytical, and time management skills., • Basic Computer proficiency, including experience in Microsoft Office Suite., • Attention to detail and accuracy., • Ability to multi-task in order to efficiently resolve customer concerns, by understanding the needs of the customer, navigating screens on the computer, typing inquiry documentation., • Minimum of three (3) years health insurance or related operations work experience and proven ability to exercise the requirements and responsibilities of the position preferred., • Rating of "Performing" or above for minimally 12 months., • Organizational, reasoning and problem-solving skills., • Takes accountability and ownership of issues and resolution with minimal supervision., • Demonstrates global thinking and takes initiative to recognize opportunities within the team., • Minimum of four (4) years health insurance or related operations work experience and proven ability to exercise the requirements and responsibilities of the position preferred., • Must have strong written and verbal communication skills., • Strong Computer proficiency, including experience in Microsoft Office Suite (Excel), • Rating of "Performing" or above for minimally 12 months., • Provide mentoring and support to new hires and peer group., • Assist with tasks assigned by management that require advanced problem-solving skills, • Minimum of five (5) years health insurance or related operations work experience and proven ability to exercise the requirements and responsibilities of the position preferred, • Rating of "Performing" or above for minimally 12 months., • Self Sufficient in ability to efficiently resolve complex & escalated issues., • Lead tasks assigned by management that require advanced problem-solving skills across multiple areas., • B Version: Ability to actively listen to customer while simultaneously taking notes. Ability to be on the phone regularly. Physical Requirements: • Ability to complete work in a traditional office environment under fluorescent lighting., • Ability to arrive on time at work and as scheduled., • Ability to meet minimum performance metrics., • Ability to orally communicate., • Must be able to function while sitting at a desk viewing a computer and using a keyboard and mouse for 3 or more hours at a time., • Must be able to travel across the enterprise., • Ability to work in a home office for continuous periods of time for business continuity. In support of the Americans with Disabilities Act, this job description lists only those responsibilities and qualifications deemed essential to the position. Equal Opportunity Employer Compensation Range(s): Level I: Grade N2: Minimum: $20 .00 - Maximum: $23.89 Level II: Grade N3: Minimum: $20.00 - Maximum: $26.90 Level III: Grade N4: Minimum: $20.00 - Maximum: $30.76 Level IV: Grade N5: Minimum: $20.02 - Maximum: $33.03 The salary range indicated in this posting represents the minimum and maximum of the salary range for this position. Actual salary will vary depending on factors including, but not limited to, budget available, prior experience, knowledge, skill and education as they relate to the position's minimum qualifications, in addition to internal equity. The posted salary range reflects just one component of our total rewards package. Other components of the total rewards package may include participation in group health and/or dental insurance, retirement plan, wellness program, paid time away from work, and paid holidays. Please note: There may be opportunity for remote work within all jobs posted by the CDPHP Talent Acquisition team. This decision is made on a case-by-case basis. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

Job Description: Summary: Under the direction of the Assigned Management, upon successful completion of all phases of training, and in accordance with established HIPAA regulations the Enrollment Specialist performs enrollment core processing and servicing in accordance with the Health Plan Operation's enrollment regulations, Underwriting Guidelines and applicable government regulations. The focus of this role is to ensure prompt, accurate, and efficient servicing of all broker, member and group administrator inquiries for all product lines. Inquiries are received by the following but not limited to; telephone, email, written inquiries, lobby walk-in customers and through on-site visits with an employer group. The B version of this role will require the individual to be on the phone regularly. Essential Primary Responsibilities/Accountabilities: Level I: • Responsible for Government Programs, Small, Mid, and Large Employer Group Subscriber Enrollment Operations., • Responsible for maintaining communication, including but not limited to; Enrollment Management, Account Services Consultants, Sales, Finance/Underwriting, Claims, Customer Care, as well as interact with external Customers, groups or Brokers as necessary., • Responsible for the enrollment of new groups, renewals, new member and member movement., • Prepares, processes and maintains all member enrollments utilizing multiple Health Plan enrollment systems. Installs and maintains member information, new enrollment, benefit changes/renewal, cancellations, and reinstatements utilizing multiple sales, marketplace, and/or Enrollment systems. Review and assess member enrollment activity and associated documents for accuracy using knowledge and expertise of processing regulations/guidelines., • Researches, interprets and responds to inquiries from internal and external customers, business partners, brokers, consultants, and groups concerning our products, services and policies in accordance with regulatory, corporate policy, association guidelines and productivity measures. Ability to run pre-built reports., • Reviews, validates and updates transaction errors from all member level electronic and paper sources impacting eligibility interfaces., • Identifies issues and responds to all work items brought forward either internally or externally and ensures all inquiries will be responded to within department service level agreements (SLA's)., • Prioritize aged and Performance Guarantee Transactions and takes necessary action to complete timely according to established metrics., • Responsible for knowledge and accuracy on entry level processing within a minimum of 3 inventory areas., • Attends provided/necessary training to support job role/function and share knowledge back with the team., • Attends and participates in meetings as necessary and share information back to the team., • Execution of quality service to our external, as well as internal customers by meeting productivity and accuracy metrics, compliance and member touchpoint measures (MTM) targets, and CMS processing timeframes., • General understanding of the cross functional enrollment process and operating systems., • Consistently demonstrates high standards of integrity by supporting the Lifetime Healthcare Companies' mission and values, adhering to the Corporate Code of Conduct, and Leading to the Lifetime Way values and beliefs., • Maintains high regard for member privacy in accordance with the corporate privacy policies and procedures., • Regular and reliable attendance is expected and required., • Prepares, processes and maintains all group enrollment utilizing multiple Health Plan enrollment systems. Installs and maintains group information including new group set up, benefit changes/renewal, cancellations, and reinstatements utilizing multiple sales, marketplace, and/or Enrollment systems. Review and assess enrollment activity and associated documents for accuracy using knowledge and expertise of processing regulations/guidelines., • Handles Designated Record Set (DRS) requests and may serve as a point person for the Account Service team when difficulties arise in obtaining information through normal channels., • Adjusts or triages for adjustment, as situation requires, enrollment for subscriber additions, deletions and changes, and will initiate correspondence requesting additional information or verification., • Acts as a resource to support and or cross train other team members., • Responsible for knowledge and accuracy on at least half of inventory areas., • In depth understanding and working knowledge of the cross functional enrollment process and operating systems., • Identifies issues, patterns and/or trends generated by external and internal action affecting compliance, customer satisfaction and system performance. Consistently and independently recommends and initiates changes and improvement as a result of process review., • Assists in creating and/or updating the operating manuals and/or Desk Level Procedures (DLP's)., • Proficient in most inventory areas, operating systems with expertise in specific job functions., • Mentors and collaborates with others on the team in utilizing tools, sharing best practices, and serving as a role model within a team unit structure., • Serves as subject matter expert for the department. Ability to cross train on any task as demonstrated by comprehension and retention of new skills not limited to a primary line of business. Works continuously toward identifying and removing barriers to increased productivity, quality, cost effectiveness, timeliness of operations, and customer satisfaction., • Process enrollment activities for complex accounts., • Ability to adjust daily assignments to prioritize urgent or complex cases as they arise., • Researches, responds, and resolves eligibility inquires working directly with internal and external customers via multiple communication methods., • Creation of test cases, testing of the process, documents and establishes procedures for the implementation of new products and work efforts. May be asked to participate in end user testing., • Researches complex cases to identify root cause, recommend and execute resolution through completion., • Responsible for complex and/or sensitive cases including but not limited to processing for key brokers, accounts, special arrangements, government programs and/or enrollment resolution cases requiring deep research., • Serves as department representative on corporate projects as well as cross functional work groups as assigned acting as a subject matter expert. Provides advice and counsel to project teams and leadership on implications of requirements on productivity and quality. Minimum Qualifications: NOTE: We include multiple levels of classification differentiated by demonstrated knowledge, skills, and the ability to manage increasingly independent and/or complex assignments, broader responsibility, additional decision making, and in some cases, becoming a resource to others. In addition to using this differentiated approach to place new hires, it also provides guideposts for employee development and promotional opportunities. Level I: • Completed High School Diploma or Equivalent., • Minimum of two (2) years health insurance or related operations work experience and proven ability to exercise the requirements and responsibilities of the position, preferred., • Must have solid written and verbal communication skills., • Proven organizational, analytical, and time management skills., • Basic Computer proficiency, including experience in Microsoft Office Suite., • Attention to detail and accuracy., • Ability to multi-task in order to efficiently resolve customer concerns, by understanding the needs of the customer, navigating screens on the computer, typing inquiry documentation., • Minimum of three (3) years health insurance or related operations work experience and proven ability to exercise the requirements and responsibilities of the position preferred., • Rating of "Performing" or above for minimally 12 months., • Organizational, reasoning and problem-solving skills., • Takes accountability and ownership of issues and resolution with minimal supervision., • Demonstrates global thinking and takes initiative to recognize opportunities within the team., • Minimum of four (4) years health insurance or related operations work experience and proven ability to exercise the requirements and responsibilities of the position preferred., • Must have strong written and verbal communication skills., • Strong Computer proficiency, including experience in Microsoft Office Suite (Excel), • Rating of "Performing" or above for minimally 12 months., • Provide mentoring and support to new hires and peer group., • Assist with tasks assigned by management that require advanced problem-solving skills, • Minimum of five (5) years health insurance or related operations work experience and proven ability to exercise the requirements and responsibilities of the position preferred, • Rating of "Performing" or above for minimally 12 months., • Self Sufficient in ability to efficiently resolve complex & escalated issues., • Lead tasks assigned by management that require advanced problem-solving skills across multiple areas., • B Version: Ability to actively listen to customer while simultaneously taking notes. Ability to be on the phone regularly. Physical Requirements: • Ability to complete work in a traditional office environment under fluorescent lighting., • Ability to arrive on time at work and as scheduled., • Ability to meet minimum performance metrics., • Ability to orally communicate., • Must be able to function while sitting at a desk viewing a computer and using a keyboard and mouse for 3 or more hours at a time., • Must be able to travel across the enterprise., • Ability to work in a home office for continuous periods of time for business continuity. In support of the Americans with Disabilities Act, this job description lists only those responsibilities and qualifications deemed essential to the position. Equal Opportunity Employer Compensation Range(s): Level I: Grade N2: Minimum: $20 .00 - Maximum: $23.89 Level II: Grade N3: Minimum: $20.00 - Maximum: $26.90 Level III: Grade N4: Minimum: $20.00 - Maximum: $30.76 Level IV: Grade N5: Minimum: $20.02 - Maximum: $33.03 The salary range indicated in this posting represents the minimum and maximum of the salary range for this position. Actual salary will vary depending on factors including, but not limited to, budget available, prior experience, knowledge, skill and education as they relate to the position's minimum qualifications, in addition to internal equity. The posted salary range reflects just one component of our total rewards package. Other components of the total rewards package may include participation in group health and/or dental insurance, retirement plan, wellness program, paid time away from work, and paid holidays. Please note: There may be opportunity for remote work within all jobs posted by the CDPHP Talent Acquisition team. This decision is made on a case-by-case basis. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

Job Description We are seeking a highly skilled and motivated individual to join our team as a Program Manager. The ideal candidate will have a strong engineering background, experience in quality management, and excellent communication and leadership skills. The Program Management Services Division at LaBella provides comprehensive management services for complex projects and multi-year capital programs. Project teams are established to provide a customized mix of business consulting, project management, financial control and monitoring, administrative, and technical support services. The Proram Manager will manage the Outages required during the various construction sequences and oversees and provides constructability reviews during the engineering phase of various projects and programs on behalf of the Affiliates of the client, with objectives of safety, quality, timeliness, and cost-effective completion. This role ensures outage requests are technically feasible, aligned with ECC requirements, and submitted proactively. It bridges Projects, Electric Operations, Commissioning (P&T), System Planning, and System Operations (ECC), ensuring alignment while maintaining system reliability. Salary Range: $100,000-$144,000 The specific salary offered may be influenced by a variety of factors including but not limited to the candidate's relevant experience, education, and work location. Duties: • Review the established project outage assessments & requirements. Organize and participate in outage kickoff meetings at the site or in conjunction with other planned site visits, and conduct follow-up meetings to establish the scope, conceptual work schedule, and process. Develop a high-level preliminary outage plan., • Hold on-site and office meetings to review physical layout, work clearances, and outages required., • Coordinate outage requirements with other areas to resolve and minimize any outage conflicts., • Confirm the plan alignment with other ongoing projects within and outside of client, • Provide Outage Plan and Drawings. Repeat site visits and conduct smaller group meetings as necessary. (Expected during Conceptual, Detail Design, Construction and Commissioning) Confirm plan alignment and coordination with Transmission Outage Coordination., • Facilitate the equipment numbering in the entire engineering life cycle., • Ensure post outage system reconfiguration prints, equipment numbering and operating procedures to ensure alignment across departments, • Review outage plan with all stakeholders (iterative process)., • Work with the project team to facilitate development of viable emergency restoration measures and plans, along with restoration time estimates., • Upon project approval, provide a detailed outage plan for TOA development and submittal., • Provide various versions of the Outage Plan through finalization. This will include forwarding to and conducting follow-up meetings for the final run-through, • Conduct outage planning presentations, as needed, for the Project Team, Control Centers, ISO, Divisions, Municipals, etc., • Continue to refine the finalized plan as conditions change. Submit to Application Coordinators. Review TOAs with ECC and ensure submissions as per "Transmission Operating Procedure TOP-08" and the “Outage Playbook”., • Monitor and control the outage plan. Manage changes due to sudden, unexpected events that may require resequencing and resubmittal of the Approved Outage Plan for approval and TOA modifications., • Working with various cross-functional teams, guidelines, and policies., • Coordinate and maintain a Master outage plan that gives visibility of all outage requirements for the NY Companies., • Coordinate meetings among various work groups (Operations, Supervisors, MROs, etc.) and Projects to create opportunities for completing work on lines and equipment affected by scheduled outages. A minimum of ten (10) years of progressive-related electric utility or other related industry experience, with transmission facilities construction management experience preferred. Five (5) years' experience in a supervisory capacity preferred • Microsoft Word and Microsoft Project or Equivalent, • Must have a valid Driver’s License, • Must be willing to travel to construction sites on a day-to-day basis, attend meetings, • Extensive knowledge of construction management practices applicable to electrical utility transmission construction and generation projects., • Extensive knowledge of interconnected electrical system operations., • Knowledge of government regulations, including OSHA, NESC, and industry codes affecting electric utilities., • Knowledge of contract preparation, negotiations, and administration., • Working knowledge of budget preparation and administration., • Demonstrated ability to make competent decisions in emergency situations., • Demonstrated ability to read and interpret mechanical/electrical drawings, and technical manuals., • Excellent written and verbal communications, including correspondence, reports, and other business documents. Body, mind, and wallet—LaBella’s benefits support a holistic approach to your health and wellness, creating the foundation for physical, mental, and financial well-being. Our benefit offerings cover the must-haves (healthcare and retirement), the just-in-cases (insurances and employee assistance programs), and the cherry-on-tops (fitness reimbursements, year-end incentive pay, and tuition assistance). Visit our website for more details on benefits listed below. • Flexible Work Schedule, • Health/Dental Insurance, • 401k Plan with Employer Match, • Short & Long Term Disability, • Profit Sharing, • Paid Time Off, • Leadership Development Program, • Fitness Reimbursement, • Tuition Reimbursement, • Referral Bonus Program, • Wellness Program, • Team Building Events, • Flexible Work Schedule, • Health/Dental Insurance, • 401k Plan with Employer Match, • Paid Parental Leave, • Short & Long Term Disability, • Profit Sharing, • Paid Time Off, • Leadership Development Program, • Fitness Reimbursement, • Tuition Reimbursement, • Referral Bonus Program, • Wellness Program, • Team Building Events LaBella Associates does not accept unsolicited resumes from recruiting professionals or agencies, nor do we accept resumes from any source that does not reference a specific, open position. LaBella Associates will not be responsible for any fees arising from the use of resumes submitted by recruiting professionals or agencies that do not have a current placement fee agreement with LaBella Associates. All initial communication with recruiting professionals or agencies must go through human resources.

Job DescriptionDescription: The Account Executive, Medicare, is responsible for the sales and ongoing service of Medicare business in accordance with CMS and carrier guidelines. This role manages a book of business that includes an assigned portfolio upon hire and grows the book through new sales, referrals, and retention efforts. The Account Executive serves as a trusted advisor to clients, guiding plan options, enrollment, renewals, and ongoing support while ensuring compliance, accuracy, and an excellent client experience Responsibilities & What You’ll Be Doing • Manage a book of clients, including an assigned portfolio and new self-produced business., • Successfully meet established annual sales and retention goals., • Drive sales growth through outreach, referrals, rounding, cross-sell efforts, and lead follow-up., • Manage full client lifecycle, including quoting, cost analysis, proposals, enrollment, changes, renewals, and service., • Educate clients on plan options, networks, prescriptions, subsidies, and key enrollment deadlines., • Support service needs, i.e., billing, ID cards, escalations, coverage verification, and basic claims help., • Provide health provider network and pharmacy formulary support for book of business., • Conduct Medicare sales presentations and educational presentations for internal and external groups., • Maintain accurate, compliant documentation and activity within CRM/agency systems., • Partner with carriers and internal teams to resolve issues and ensure timely follow-through., • Track and manage pipeline activity, including quoting, conversions, retention, and revenue goals., • Deliver a strong client experience through responsive communication and proactive renewals., • Stay current on product changes, carrier requirements, compliance updates, and market trends., • Follow department and agency defined processes, procedures, and workflows., • Utilize the agency management system for daily activities, documentation, and assigned tasks., • Participate in internal training sessions as well as carrier system training., • Review, update, and help develop processes and workflows as needed., • Ensure compliance with agency processes, confidentiality standards, and quality metrics., • Work on projects and other work as assigned., • Engage in ongoing professional development through internal learning and training., • Effectively use MS Office, standard office applications, and other technologies., • Skillfully use AI tools (Copilot, ChatGPT, etc.) to aid work and efficiency., • Work effectively with all team members, provide backup support, and contribute to team collaboration., • 2+ years of Medicare insurance experience in sales position desired., • Life & Health license in good standing and willing to become licensed per state requirements., • CMS registered agent in good standing and willingness to maintain., • AHIP and carrier certification in good standing., • College Degree preferred. High school diploma or equivalent (GED) required., • Professional designation is a plus., • Must obtain/maintain annual Medicare certifications., • Experienced in Medicare sales and service with proven record of building and servicing book of business., • Deep knowledge and experience in navigating constantly changing CMS rules and procedures., • Ability to handle high pace during Annual Enrollment Period(s)., • Ability to create opportunities and close business outside of AEP windows., • Strong consultative selling skills with the ability to simplify and recommend appropriate coverage options., • Excellent service skills, delivering support with empathy, professionalism, and a client-first approach., • Ability to manage high-volume workflows while balancing sales and service priorities., • Strong attention to detail and accuracy in applications, documentation, and compliance requirements., • Strong communication skills with the ability to build trust quickly and explain coverage confidently., • Organized and self-directed, able to prioritize, meet deadlines, and maintain consistent pipeline activity., • Team-oriented, collaborative, accountable, and willing to share knowledge and best practices., • Growth mindset with commitment to continuous learning, product knowledge, and improving sales/service effectiveness., • Stay relevant/ahead on industry insights and familiarity with the Medicare marketplace., • Ability to manage multiple priorities in a fast-paced environment., • Flexibility and willingness to take on additional work and projects assigned., • Ensure compliance with agency processes, confidentiality standards, and quality metrics., • Strong MS Office skills, experience with agency management systems, and carrier platforms., • Proficient with AI tools, AI assisted workflows, and ability to learn new/future technologies and tools., • Committed to continuous learning and professional development., • Self-motivated, strong work ethic, adaptable, stress tolerance to overcome hurdles., • Fast paced environment with significant telephone and in person interactions., • Some travel and non-standard working hours may be required., • Ability to view computer monitors for extended periods of time., • Culture rooted in collaboration, integrity, trust, respect, creativity, and fun. Smith Brothers Insurance has been in business for over 50 years, as an independently operated, Top 100 National Broker, focused on our purpose of Helping Others. We are multi-disciplined with expertise in Commercial Lines, Personal Lines, Employee Benefits, Surety, Group Retirement Plans including 401(k) and 403(b) Plans, Risk Management, and Financial Services. We offer competitive salaries and comprehensive benefits package, including health, dental, vision, short-term and long-term disability, life, long-term care, 401(k) with employer match, employee assistance program, licensing and continuing education reimbursement, paid time off, paid holidays, flexibility, and more. Learn more at . This job description is only a summary of the typical functions of the job, not an exhaustive or comprehensive list of all possible responsibilities, tasks, and duties. Duties, responsibilities, and activities may change at any time with or without notice, based on business needs. This description does not constitute a contract of employment, and we reserve the right to revise the job description and/or require other tasks to be performed as circumstances change.Requirements:

Job Description K&A Engineering Consulting – is a privately held company, providing comprehensive consulting, engineering and design, program/project management, construction management, and support services to power utility and industrial clients. Specializing in substation, transmission, distribution, distributed energy resources, and EPC services, we excel in solving complex challenges with precision-driven solutions. We pride ourselves on employing top talent, fostering a culture of excellence, and building meaningful relationships with clients and employees. Powered By Innovation, Passion, And Purpose. Start your K&A Career: We are seeking a highly motivated and skilled Program Manager- Outage Coordinator to join our team at K&A Engineering in Binghamton, New York. In this role, you will have the opportunity to work on exciting and challenging projects that make a real impact in the energy and utility sectors. You’ll be part of a dynamic, people-focused team where your expertise, ideas, and contributions will be valued and celebrated. Role Expectations: • Review the established project outage assessments & requirements. Organize and participate in outage kickoff meetings at the site or in conjunction with other planned site visits, and conduct follow-up meetings to establish the scope, conceptual work schedule, and process. Develop a high-level preliminary outage plan., • Hold on-site and office meetings to review physical layout, work clearances, and outages required., • Coordinate outage requirements with other areas to resolve and minimize any outage conflicts., • Confirm the plan alignment with other ongoing projects within and outside of Avangrid., • Provide Outage Plan and Drawings. Repeat site visits and conduct smaller group meetings as necessary. (Expected during Conceptual, Detail Design, Construction and Commissioning) Confirm plan alignment and coordination with Transmission Outage Coordination., • Facilitate the equipment numbering in the entire engineering life cycle., • Ensure post outage system reconfiguration prints, equipment numbering and operating procedures to ensure alignment across departments, • Review outage plan with all stakeholders (iterative process)., • Work with the project team to facilitate development of viable emergency restoration measures and plans, along with restoration time estimates., • Upon project approval, provide a detailed outage plan for TOA development and submittal., • Provide various versions of the Outage Plan through finalization. This will include forwarding to and conducting follow-up meetings for the final run-through, • Conduct outage planning presentations, as needed, for the Project Team, Control Centers, ISO, Divisions, Municipals, etc., • Continue to refine the finalized plan as conditions change. Submit to Application Coordinators. Review TOAs with ECC and ensure submissions as per "Transmission Operating Procedure TOP-08" and the “Outage Playbook”., • Monitor and control the outage plan. Manage changes due to sudden, unexpected events that may require resequencing and resubmittal of the Approved Outage Plan for approval and TOA modifications., • Working with various cross-functional teams, guidelines, and policies., • Coordinate and maintain a Master outage plan that gives visibility of all outage requirements for the NY Companies., • Coordinate meetings among various work groups (Operations, Supervisors, MROs, etc.) and Projects to create opportunities for completing work on lines and equipment affected by scheduled outages., • A minimum of ten (10) years of progressive-related electric utility or other related industry experience, with transmission facilities construction management experience preferred. Five (5) years' experience in a supervisory capacity preferred, • Bachelor’s degree in engineering, Construction Management, or equivalent 10 years of relevant experience is recommended., • Extensive knowledge of construction management practices applicable to electrical utility transmission construction and generation projects., • Extensive knowledge of interconnected electrical system operations., • Knowledge of government regulations, including OSHA, NESC, and industry codes affecting electric utilities., • Knowledge of contract preparation, negotiations, and administration., • Working knowledge of budget preparation and administration., • Demonstrated ability to make competent decisions in emergency situations., • Demonstrated ability to read and interpret mechanical/electrical drawings, and technical manuals., • Excellent written and verbal communications, including correspondence, reports, and other business documents., • Working knowledge of best practices in safety policies and procedures., • Microsoft Word and Microsoft Project or Equivalent Why Join K&A? People-First Culture: We put our people at the center of everything we do, creating an environment where your professional and personal growth is a top priority. Innovation & Learning: We encourage continuous learning and invest in your development through training, mentorship, and hands-on experience. Collaborative Team Environment: We believe in the power of collaboration and working together to achieve the best outcomes for our clients and employees. Recognition & Growth: We’ve earned our reputation through uncompromising precision and a commitment to excellence. As an agile and fast-growing company, we offer plenty of opportunities for your career advancement and growth. Competitive Compensation & Benefits: We offer a comprehensive benefits package for eligible classified employees, including but not limited to: • Medical, Dental, and Vision Insurance, • FSA, HSA, and Dependent Care Spending Account, • 401K (Traditional and Roth with Company Match), • Lifestyle Spending Account (LSA), • Paid Parental Leave, • Paid Holidays and Flexible PTO, • Tuition Reimbursement, Parking and Transit Reimbursement, and Pet Insurance, • Long-Term Disability, Short-Term Disability, and Life Insurance The salary range for this role considers a wide range of factors that are considered in making compensation decisions, including but not limited to technical ability, experience and training, licenses and certifications, and other related skillsets. The disclosed range is an estimate and has not been adjusted for the applicable geographic differential associated with the location at which the position may be filled.