CalVet Health Initiative Specialist (Contract & Compliance Manager) at U.S.VETS in U.S.VETS Orange County - Tustin, CA 92780

Job description

• Salary Range
• Looking for a rewarding position? How would you like to serve those who served? U.S.VETS is the largest nonprofit organization with boots on the ground to combat America’s veteran homeless crisis head-on. Our holistic approach delivers intervention and prevention services, including housing, mental health and career programs, and wraparound services. With residential and service sites nationwide, U.S.VETS is uniquely positioned to help veterans and their families successfully transition to civilian life.
• With a mission to end veteran homelessness, U.S.VETS is developing housing across the country and expanding vital homeless prevention programs that provide post-9/11 veterans and families with career and mental health services to transition to civilian life successfully. If you are looking for an opportunity to work for a great organization & make a difference, this is the job for you! Come & join our winning team!
• Benefits include Paid Vacation, Sick Time, Paid Holidays, Medical, Dental, Vision and Company matching 401K
• All applications must be completed in entirety/Local candidates only
• The California Veterans Health Initiative (CVHI) Specialist reports directly to the National Mental Health Support Coordinator. This individual ensures compliance with established funding agreements while monitoring the fiscal operations of the CVHI grant including budgeting, financial reporting, and reconciliations. Key responsibilities include coordinating the managed care billing process, maintaining accurate financial records, and ensuring adherence to state, federal, and contractual policies. The CVHI Specialist also involves establishing and monitoring policies related to grant operations, risk management, and business continuity, as well as collaborating with staff on financial tracking and reporting. Additionally, the role directly supervises the Director of Clinical Services – CVHI (aka Clinical Director for the CVHI program), Intake Specialist, and will co-supervise the Outreach Specialist.
• FLSA Classification: Exempt

Responsibilities

• Ensures that the program maintains compliance with the established funding agreement with CalVet
• Monitors the fiscal operations of the grant (i.e., budgeting, accounts receivables and payables, reconciliations, financial reporting, etc.) to ensure monthly expenses are accurate
• Coordinates the managed care billing process, including managing local relationships with 3rd party insurance and ensuring that services provided comply with contractual and reimbursement policies
• Maintains and monitors all financial records to ensure accuracy, completeness of data, and compliance with state and federal rules and regulations
• Establishes and monitors policies and procedures pertaining to grant operations, risk management, and business continuity in the California Department of Veterans Affairs CVHI Notice of Funding Availability
• Ensures policies and procedures are aligned with current grant and any applicable accreditation standards
• Collaborates with staff around tracking financials, trends, and reporting, etc.
• Manages administrative staff to ensure all organizational standards are being followed
• Performs other duties as assigned

Requirements

• Bachelor’s degree from accredited college or university with at least 5 years of relevant experience
• At least 5 years of experience working with 3rd-party payers, coding, billing, posting, and adjudication of claims
• At least 3 years of experience collecting, analyzing, and reporting financial data
• Demonstrated knowledge about the appropriate and effective use of protected health information, the Health Insurance Portability and Accountability Act of 1996 and the Health Information Technology for Economic and Clinical Health Act
• Excellent customer service
• Must been able to work independently, as part of a team, anticipate problems, generate solutions, and demonstrate flexibility and sensitivity when engaging with staff and clients
• Excellent written and oral communication skills; ability to digest and distill complex subjects into clear messages
• Experience working with military populations and/or veterans is strongly preferred
• Valid driver’s license required and must be able to meet company insurance standards for drivers if applicable

Skills

Required

• Excellent customer service

Benefits

• Level