OPEN POSITIONS
Critical Incidents Program Coordinator
REQUIREMENTS
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Location: Remote – this position will be asked to attend occasional meetings in Indianapolis, Indiana. Candidates located in Central Indiana are preferred, but not required.
Summit Managed Solutions partners with healthcare organizations to help them solve their most complex problems. Our team is a diverse mix of experienced problem solvers who work with partners to create innovative solutions with enduring value. Help safeguard Indiana citizens in a Home & Community Based Services (HCBS) setting by monitoring and tracking interventions to stop Critical Incidents from occurring. Critical incidents can include; patient abuse, neglect and exploitation.
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We are seeking a Critical Incident Program Coordinator to work alongside our partners to support ongoing management of critical incidents; as well as analysis for process improvement recommendations with external partners. The Program Coordinator ensures compliance with state requirements and maintains an efficient and effective process for incident tracking and remediation. Coordinator must be detail-oriented to track actions to resolution. This role will compile reporting and summarize activities using a professional writing style. Coordinator will be given opportunities to support multiple clinical programs and projects by collaborating with their team members to support the portfolio of team projects. The Coordinator will work with Compliance, Health Care Quality and potentially Provider Relations teams to design and refine solutions. We are seeking an individual who exhibits a high level of professionalism, a passion for advocacy, and a business style that is scrappy, strategic, creative, team-oriented, hands-on, and collaborative.
We are seeking an individual who exhibits a high-level of professionalism, a passion for innovation, and a business style that is scrappy, strategic, creative, team-oriented, hands-on, and collaborative.
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What You'll Do:
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Collaborate with partners teams to intake, manage and resolve critical incidents impacting health plan members.
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Develop and refine the tracking process to ensure efficiency and effectiveness in resolution and communication for all respective parties
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Research, understand and report on State compliance expectations by providing reporting and guidance to health plan and maintain good compliance standing
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Leverage Partner subject matter experts (SMEs) to resolve incidents and provide solutions
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Ensures the program meets its stated objectives; provides subject matter expertise in response to day to day business issues
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Research applicable subject matter practices and remain aware of industry trends
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Manages relationships and partners with corporate and regional business areas; coordinates training related to the external client facing program; develops program success measures and performs periodic assessments of external client facing program success.
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Help lead the development process for programs and initiatives including research, analysis, structuring, outlining, writing, articulating, presenting, and executing innovative solutions
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Support Summit’s process for delivering value at every partner interaction
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Support the Summit leadership in documenting key insights and processes to create repeatable, scalable programs and initiatives
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Seek out and build strong networks within healthcare program development
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What You'll Need:
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Requires a BA/BS in a related field and minimum of 3 years experience in healthcare industry; or any combination of education and experience, which would provide an equivalent background.
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Healthcare industry experience required
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Ability to be onsite with partners in Indianapolis as needed
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Ability to travel occasionally throughout the year
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Entrepreneurial spirit and demonstrated interest in healthcare innovation
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Ability to learn, iterate, and execute regardless of industry or environment
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Skilled communicator who is comfortable, effective, and influential in meetings with senior management teams
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Self-starter who can thrive in an unstructured and collaborative team environment
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Ability to travel occasionally throughout the year
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Role is required to be ‘on-call’ during weekends, but schedules/plans can be accommodated as this will be a shared responsibility with other staff
Preferred skills, qualifications, and experiences:
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Experience coordinating services for the Elderly and Disabled population or Home & Community-Based Services is preferred
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Graduate degree, professional designation related to field or project management experience preferred
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Ability to be onsite with partners in Indianapolis as needed
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What we offer:
We offer a competitive salary and benefits package, including unlimited PTO to encourage a healthy work-life balance, a company-funded Personal Giving Account for philanthropy at your discretion, and opportunities for professional development and growth.
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If you are passionate about making a positive impact in healthcare, we encourage you to apply and become part of our dedicated team.
WHAT WE OFFER
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Competitive salary plus bonus plan
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Medical, dental & vision Insurance with employer HSA contribution
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Company paid STD/LTD and Life Insurance
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Unlimited PTO plan to encourage a healthy work - life balance
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Paid company holidays
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401k with company contribution
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Company funded Personal Giving Account for philanthropy at your discretion
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Monthly technology stipend to help cover additional working expenses
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A fun, collaborative, entrepreneurial environment with support from empathetic leaders
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The opportunity to create, build and grow innovative solutions with world class partners
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WHAT WE VALUE
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WE TAKE INITIATIVE
We have a bias for action. We make decisions with imperfect information and quickly move forward. We are comfortable with discomfort. We learn, we iterate, and we progress. ​
WE IMPACT
We have exceptionally high standards and strive to add value through all interactions. We seek, uncover, and speak truth. We measure our success in terms of what we build for partners.
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WE INNOVATE
We dream big and we lead through vision. We challenge the status quo and push boundaries. We’re optimists who ignite positive transformations.
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ABOUT INDIANA MEDICAID
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Medicaid is a health program that provides insurance and benefits for specific populations in the US. The Federal government establishes general guidelines for the administration of Medicaid benefits. Individual states are charged with administering Medicaid so eligibility requirements and the type and scope of services provided can vary by state.
In Indiana, there are 4 main Medicaid programs: Healthy Indiana Plan (HIP), Hoosier Healthwise (HHW), Hoosier Care Connect (HCC), and PathWays. HIP covers Indiana residents ages 19 to 64 who meet specific income levels. HHW covers children up to age 19 and pregnant women. HCC covers individuals who are aged 65 years and older, blind, or disabled and who are also not eligible for Medicare. PathWays will launch in 2024 and covers ​​Hoosiers aged 60 and over who receive Medicaid (or Medicaid and Medicare) benefits.
The state of Indiana contracts the administration of its Medicaid programs (a term known as Managed Care) to insurance companies like Elevance Health (formerly known as Anthem), Humana, CareSource, MDwise, UnitedHealthcare, and others. These insurance companies are responsible for ensuring the care of their members and do way more than just process claims and provide a network of doctors and hospitals. These companies also ensure members have reliable transportation to appointments, have access to healthy food, educate youth on the importance of annual physicals, provide nurse case managers to members with chronic illnesses, provide member resources for stable housing, convene events and celebrations in communities, collaborate with professional sports teams to raise awareness of health issues, coordinate in-home care, deliver dental hygiene kits to churches, implement telemedicine solutions to help those living in rural areas, guide first-time-mothers through their pregnancy journey, and the list goes on!
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EQUAL OPPORTUNITY EMPLOYER​​
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Summit Managed Solutions is an equal opportunity employer, and we value diversity at our company. We do not just accept diverse backgrounds, we celebrate them. Our company, the work we do, and our partners benefit from the value of a diverse team. No team member's value lies alone in their diversity, and because we value diversity so highly, we reiterate that all hiring and employment decisions are made on merit, performance, competence, and business needs. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.