UNITE HERE HEALTH

23 job(s) at UNITE HERE HEALTH

UNITE HERE HEALTH Los Angeles, CA, USA
Overview:  Looking for a way to influence the health and healthcare of many? If so, we’d love to hear from you! Our mission-driven organization is focused on the“Triple Aim” - Better Health, Better Healthcare and Lower Costs to individuals and their families who participate in our health plans. UNITE HERE HEALTH serves 90,000+ workers in the hospitality and gaming industry nationwide. Our desire to be innovative and progressive drives us to develop impactful programs and benefits designed to engage our participants in managing their own health and healthcare. Our vision is exciting and challenging. Please read on to learn more about this great opportunity!  Key Attributes: Integrity – Must be trustworthy and principled when faced with complex situationsAbility to build positive work relationships – Mutual trust and respect will be essential to the collaborative relationships requiredCommunication – Ability to generate concise, compelling, objective and data-driven reportsTeamwork – Working well with others is required in the Fund’s collaborative environmentDiversity – Must be capable of working in a culturally diverse environmentContinuous Learning – Must be open to learning and skill development.  As the Fund’s needs evolve, must be proactive about developing new areas of expertiseLives our values – Must be a role model for the Fund’s BETTER Culture and Mission (Better, Engage, Teamwork, Trust, Empower, Respect) The purpose of this position is to identify, educate, and activate participants, who have chronic or acute health conditions to access resources, take better care of their health, and to make effective healthcare decisions. The person in this position will connect participants with health care providers, care managers community resources and Fund programs such as Better Living, our chronic disease self-management program and our Cancer Care program. Participants will be engaged one-on-one and in group settings, at their worksites, union hall/office meetings., hospital rooms, provider offices and homes. The goal is to activate participants so that they can receive high quality care while slowing the rate of spending. The person in this position will engage participants in their own health and healthcare decisions.Responsibilities:Meet with, educate, and activate participants regarding participation in programs designed to improve health outcomes; this requires a strong working knowledge of Fund and community programs coupled with significant discretion and judgment when providing guidanceAssist participants with goal setting, shared decision making, and identifying and removing barriers to careWork with people with acute healthcare needs such as those in or recently discharged from the hospital to provide individual supportCoordinate and facilitate care concerns and issues along with collecting, validating and reporting symptoms to clinical staffNavigate individuals on an as needed basis (i.e. assist getting participants into diabetic counseling and making doctor appointments, etc.)Identify and recruit participants into Fund and community engagement programs; and follow-up with participants to ensure maximum participationFrame presentations for participants and develop oral and written materials regarding benefits, healthcare and trendsCollaborate with other fund staff in regional offices and in AuroraQualifications:Valid driver’s license and current car insurance. Travel utilizing a personal car for work purposes, and maintain appropriate car insurance is helpful. Local and regional travel required. Public transit preferred for most travel, but a car may be occasionally necessary (travel may also include occasional air or train travel and overnight stays)High school diploma. Prefer some experience in health care, public health, customer service or community engagementAbility to work outside of traditional hoursSkills and Abilites:Some experience with community engagement, customer service, patient navigation or healthcare preferredExperience being a caretaker of or personally living with or working with oncology patients and/or people with chronic diseases such as diabetes and hypertensionFamiliarity with the participants’ cultural traditions and life experiences strongly desiredExperience working with low-income immigrant communities and/or with the union desiredBilingual—Spanish, Mandarin, and Urdu language skills useful-language needs may differ by regionConduct phone calls, in-person meetings, on-site visits, as needed. May be in a language other than EnglishPerform a variety of surveys related to new and on-going Fund initiatives and participant assessmentsProblem solving as related to participant health care delivery issuesCompile and review outreach/engagement data (i.e. telephone, in-person meetings, on-site visits, and written) as neededCoordinate and participate in health fairs and onsite enrollment activities when requestedAssist in research and development protocols and standards as they relate to care managementDemonstrate positive leadershipIdentify, recruit, and develop an increased involvement and leadership capacity of some participantsPerform other duties, including special projects and programs, as assigned by Fund ManagementOptions:
UNITE HERE HEALTH Aurora, IL, USA
Overview:  Looking for a way to influence the health and healthcare of many? If so, we’d love to hear from you! Our mission-driven organization is focused on the“Triple Aim” - Better Health, Better Healthcare and Lower Costs to individuals and their families who participate in our health plans. UNITE HERE HEALTH serves 90,000+ workers in the hospitality and gaming industry nationwide. Our desire to be innovative and progressive drives us to develop impactful programs and benefits designed to engage our participants in managing their own health and healthcare. Our vision is exciting and challenging. Please read on to learn more about this great opportunity!  Key Attributes: Integrity – Must be trustworthy and principled when faced with complex situationsAbility to build positive work relationships – Mutual trust and respect will be essential to the collaborative relationships requiredCommunication – Ability to generate concise, compelling, objective and data-driven reportsTeamwork – Working well with others is required in the Fund’s collaborative environmentDiversity – Must be capable of working in a culturally diverse environmentContinuous Learning – Must be open to learning and skill development.  As the Fund’s needs evolve, must be proactive about developing new areas of expertiseLives our values – Must be a role model for the Fund’s BETTER Culture and Mission (Better, Engage, Teamwork, Trust, Empower, Respect) Responsibilities:The purpose of this position is to provide data and analysis to support the organization in making data-driven decisions. This individual will be a primary user of the Fund’s data warehouse as well as various internal information systems. Collects, compiles and analyzes data to measure and report on provider and program performance.Responds to requests for data by determining users’ needs, collecting, organizing, and analyzing data, and providing accurate and complete reports.Working with other analysts to perform financial analysis of hospital, physician and ancillary rates.Working with other analysts to perform a variety of ad-hoc analysis and reports as requested.Produces standard periodic reports to meet users’ needs.Identifies, develops and implements methods for improving reporting efficiency.Performs checks and audits of various data sources to ensure data is accurate and complete.Maintains and applies knowledge of current trends, practices and developments in health care.Qualifications:Bachelor’s in Statistics, Economics, Mathematics, Informatics, Computer Science, or related field.Minimum of 3-years’ experience in a healthcare environment.Experience in a hospital or managed care environment with a focus on claims data analysis, provider contracting or decision support, especially in cost and utilization analysisA working knowledge of industry coding (revenue codes, ICD 9 classifications, CPT codes, etc.)Minimum of 3-years working experience using SQL, SAS or MS Access.Minimum level computer skills in a Microsoft Office environment: AdvancedStrong skills in Microsoft Excel, other technical skills preferredStrong Internet research capabilitiesStrong attention to detailSkills & Abilities:Minimum level computer skills in a Microsoft Office environment: AdvancedStrong skills in Microsoft Excel, other technical skills preferredStrong knowledge of SQL, SAS or Access programming.Strong Internet research capabilitiesAttention to detailAbility to:Write and communicate effectivelyWork well independently or as part of a teamBe open to pursuing additional training/education as required to meet emerging requirementsManage competing deadlines and multiple projects in a fast-paced environmentPerform the essential functions of this job with or without reasonable accommodation 
UNITE HERE HEALTH Las Vegas, NV, USA
Overview:  Our mission-driven organization is focused on the “Triple Aim” - Better Health, Better Healthcare and Lower Costs to individuals and their families who participate in our health plans. The Culinary Health Fund serves over 50,000 workers in the hospitality and gaming industry. Our desire to be innovative and progressive drives us to develop impactful programs and benefits designed to engage our participants in managing their own health and healthcare. Our vision is exciting and challenging. Please read on to learn more about this great opportunity!  Key Attributes: Integrity – Must be trustworthy and principled when faced with complex situationsAbility to build positive work relationships – Mutual trust and respect will be essential to the collaborative relationships requiredCommunication – Ability to generate concise, compelling, objective and data-driven reportsTeamwork – Working well with others is required in the Fund’s collaborative environmentDiversity – Must be capable of working in a culturally diverse environmentContinuous Learning – Must be open to learning and skill development.  As the Fund’s needs evolve, must be proactive about developing new areas of expertiseLives our values – Must be a role model for the Fund’s BETTER Culture and Mission (Better, Engage, Teamwork, Trust, Empower, Respect) Responsibilities:Job Summary:The purpose of this position is to provide information, assistance, training and technical support to employees regarding the use of computers, networks, terminals and related peripheral hardware and software. Responds to telephone calls for assistance from customers regarding computer or telecommunication hardware and/or software problems. Job functions Include:Use of a variety of computer hardware and softwareUsing and instructing others in the use of computer hardware and softwareDefining and resolving computer operational problemsInstructing others in work proceduresMaintaining clear and accurate records of work performedOrganizing own work, setting priorities and meeting critical deadlinesUsing initiative and independent judgment within established procedural guidelinesEstablishing and maintaining effective working relationships with all personnel contacted in the course of dutiesCommunicating effectively in oral and written formUsing computers and related software applicationsCommunicating with a wide variety of people from diverse socio-economic and ethnic backgroundsEstablishing and maintaining effective working relationships with all personnel contacted in the course of dutiesEfficient, effective and safe use of equipment.Other duties as assigned within the scope of responsibilities and requirements of the jobSkills:Operational principles and characteristics of computer hardwareComputer applications related to duties assignedTechniques for customer problem analysis and problem solvingOperational principles and procedures of standard word processing, spreadsheet, database and related business software applicationsRecord keeping principles and practices; department safety practice and proceduresPatient rights; age specific patient care practicesInfection control policies and practicesHandling, storage, use and disposal of hazardous materials; department and hospital emergency response policies and procedures.Minimum level computer skills in a Microsoft Office environment: AdvancedAutomated med dispenser experience highly preferred Abilities: Mobility to work in a typical clinical setting and use standard equipment; stamina to remain seated and maintain concentration for extended periods of time; vision to read instruments, printed materials and various electronic screens and monitors; hearing and speech to communicate effectively in person and over the telephone; strength and agility to exert up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly to move objects.              •Manage competing deadlines and multiple projects in a fast-paced environment• Perform the essential functions of this job with or without reasonable accomodationQualifications:Qualifications:Education: Associates degree in Computer Science, Information Systems or Completion of course work at Technical School.License: N/A Certification Required: A+ Certification and/or Microsoft Certifications Minimum Years’ Experience: Minimum of two (2) years of experience providing hardware and software problem resolution and technical support to computer users.Other Requirements: • Experience with Help Desk or comparable customer service related experience• Entry level knowledge of PC based hardware components and operation a mustAbility to:Manage competing deadlines and multiple projects in a fast-paced environmentPerform the essential functions of this job with or without reasonable accommodation
UNITE HERE HEALTH Aurora, IL, USA
Overview:  Looking for a way to influence the health and healthcare of many? If so, we’d love to hear from you! Our mission-driven organization is focused on the“Triple Aim” - Better Health, Better Healthcare and Lower Costs to individuals and their families who participate in our health plans. UNITE HERE HEALTH serves 90,000+ workers in the hospitality and gaming industry nationwide. Our desire to be innovative and progressive drives us to develop impactful programs and benefits designed to engage our participants in managing their own health and healthcare. Our vision is exciting and challenging. Please read on to learn more about this great opportunity!  Key Attributes:Integrity – Must be trustworthy and principled when faced with complex situationsAbility to build positive work relationships – Mutual trust and respect will be essential to the collaborative relationships requiredCommunication – Ability to generate concise, compelling, objective and data-driven reportsTeamwork – Working well with others is required in the Fund’s collaborative environmentDiversity – Must be capable of working in a culturally diverse environmentContinuous Learning – Must be open to learning and skill development.  As the Fund’s needs evolve, must be proactive about developing new areas of expertiseLives our values – Must be a role model for the Fund’s BETTER Culture and Mission (Better, Engage, Teamwork, Trust, Empower, Respect) Responsibilities: The Prior Authorization Pharmacist will lead the prior authorization team for the new Pharmacy Benefit Manager (PBM), Hospitality Rx for UNITE HERE HEALTH. The Prior Authorization Pharmacist will work in conjunction with pharmacy technicians, participant Services, nurses, and doctors to conduct prior authorization reviews.Determine medications appropriate for medical drug policiesResponsible for reviewing prior authorizations and non-formulary requestsResearch medical literature and draft evidence supporting drug policiesProvide Specialty Expertise for Clinical Criteria for specialty medication Notifications, Quantity Limits, and Step Therapy Clinical ProgramsProvide medication therapy management counseling to identify high risk patients.Perform other duties as assigned within the scope of responsibilities and requirements of the jobQualifications:Education: PhD, PharmDLicense: Pharm D., State of IllinoisCertification Required: N/AMinimum Years’ Experience: 5-7Skills/Ability:Prior authorization experience required.Knowledge of PBM based activities required.Experienced in drug product evaluation or supporting Pharmacy & Therapeutics Committee desiredExperienced in managed care or ambulatory/hospital pharmacy desiredExperienced working in team based careMinimum level computer skills in a Microsoft Office environment: IntermediateBi- or Multi- lingual skills (written and verbal): A PlusAbility to:Use motivation interviewing technique to counselManage competing deadlines and multiple projects in a fast-paced environmentPerform the essential functions of this job with or without reasonable accommodationOther Requirements: N/A
UNITE HERE HEALTH Atlantic City, NJ, USA
Overview:  Looking for a way to influence the health and healthcare of many? If so, we’d love to hear from you! Our mission-driven organization is focused on the“Triple Aim” - Better Health, Better Healthcare and Lower Costs to individuals and their families who participate in our health plans. UNITE HERE HEALTH serves 90,000+ workers in the hospitality and gaming industry nationwide. Our desire to be innovative and progressive drives us to develop impactful programs and benefits designed to engage our participants in managing their own health and healthcare. Our vision is exciting and challenging. Please read on to learn more about this great opportunity!  Key Attributes: Integrity – Must be trustworthy and principled when faced with complex situationsAbility to build positive work relationships – Mutual trust and respect will be essential to the collaborative relationships requiredCommunication – Ability to generate concise, compelling, objective and data-driven reportsTeamwork – Working well with others is required in the Fund’s collaborative environmentDiversity – Must be capable of working in a culturally diverse environmentContinuous Learning – Must be open to learning and skill development.  As the Fund’s needs evolve, must be proactive about developing new areas of expertiseLives our values – Must be a role model for the Fund’s BETTER Culture and Mission (Better, Engage, Teamwork, Trust, Empower, Respect) UNITE HERE HEALTH is the health fund for UNITE HERE, the hotel, food service and gaming workers union – one of the most progressive labor unions in the country. We work closely with the union and our employers to provide affordable, quality health insurance, and run programs that address the health needs of our working class, largely immigrant population. Our goal is to help participants take control of their health and develop a sense of ownership of their health fund. We have an impactful mission critical career opportunity for a Bilingual Spanish/English Health Promoter (health care organizer). Our ideal candidate is passionate about social justice, working with a working class population and has experience in at least one of the following fields: labor, community, or health care organizing; diabetes/health education; case management; community health work/health promotion. Fluency in the following languages is required: Spanish for our Los Angeles, Chicago and Atlantic City Offices, Cantonese for our Boston Office. Ability to speak any of the following other languages is a plus; Mandarin, French, Haitian Creole, Portuguese, and Arabic. This position will engage with participants primarily one-on-one but also in group settings, at their worksites, union hall/office meetings, hospital rooms, provider offices and homes. Responsibilities:Identify and recruit participants into Fund and community engagement programs; and follow-up with participants to ensure maximum participationIdentify, educate, and activate participants, who have chronic or acute health conditions to access resources, take better care of their health, and to make effective healthcare decisions.Identify and develop participant leadership and recruitment skillsQualifications:Bilingual fluency in Spanish requiredAbility to travel locally utilizing your personal car or public transportation. Valid driver’s license and current car insurance. Travel occasionally may also include air or train travel and overnight stays.High school diploma, some college preferred..Experience in health care, public health, personal health caretaker, community engagement preferred.Ability to work outside of traditional hoursExperience working in a union and/or professional office environment desiredExperience with computers required, basic to intermediate skills in the following programs a plus: Microsoft Outlook, Word and Excel
UNITE HERE HEALTH Aurora, IL, USA
Overview:  Looking for a way to influence the health and healthcare of many? If so, we’d love to hear from you! Our mission-driven organization is focused on the“Triple Aim” - Better Health, Better Healthcare and Lower Costs to individuals and their families who participate in our health plans. UNITE HERE HEALTH serves 90,000+ workers in the hospitality and gaming industry nationwide. Our desire to be innovative and progressive drives us to develop impactful programs and benefits designed to engage our participants in managing their own health and healthcare. Our vision is exciting and challenging. Please read on to learn more about this great opportunity!  Key Attributes:Live Our Values – Role model for the Fund’s BETTER mission and workplace culture, and takes accountability for actions and results.Integrity – Trustworthy and principled when faced with complex situations.Teamwork – Ability to work effectively with others in a variety of situations and circumstances.Positive Work Relationships – Ability to create and engender mutual trust and respect as essential to the collaborative relationships required.Communication – Ability to generate concise, compelling, objective, and data-/fact-based analyses and reports, guidance, instructions, and policies, as well as other key messaging.Diversity – Ability to embrace and work collaboratively in a culturally diverse environment.Continuous Learning – Committed to excellence.  Possesses an intellectual curiosity with a motivation and orientation to continuous improvement.  As the Fund evolves, must be open to innovative ideas and proactive about developing new areas of expertise, skills, and experiences.Responsibilities:Under minimal supervision, oversees the Design, configuration, installation and test of IT network systems primarily consisting of Cisco, Fortinet, HP, and MS Windows based LAN/WANsPoint of contact with consultants and vendors on architecture designAssists in the planning of larger scale system projects and Develops detailed designs with supporting implementation test and transition plansWork with cross functional teams to communicate the engineering design plan in support of the development and deployment of network plans, upgrades and enhancementsProvide capacity management of currently deployed IP devices, probes, applications, licenses and linksDesign, integrate, develop and test data networking solutions for voice and data networksWork with new architectures and product introduction to make them standard implemented solutions in the networkWork with security team to analyze and assess vulnerabilities in the infrastructure (software, hardware, networks), investigate available tools and countermeasures to remedy the detected vulnerabilities and recommends solutions and best practicesWork with security team to analyze and assess damage to the data/infrastructure because of security incidents, examine available recovery tools and processes and recommend solutionsStay abreast of technical trends and directions in the technology and investment management vendor communities and identify new opportunities for use of this technologyEducate the technical team and appropriate management in use of the technologies and how they can be used to the Fund’s advantageExecute capacity planning and monitoring processes for technologiesDevelop, monitor, report and present key infrastructure performance metrics for technologiesBreak/Fix (Level 2/3): Subject Matter Expert (SME) relied upon to resolve issueCritical-Situation: Subject Matter Expert relied upon to resolve issueChronic Issue Resolution: Assist as a member of an assigned resolution task forceScan incident and problem management tickets to look for patterns and raise awarenessDrive periodic health checks with technology vendorsDevelop dashboards, metrics and benchmarks for the technologyDevelop lifecycle processes around the technology deployedDevelop technology overviews and roadmaps in conjunction with technology vendorsCreate and maintain documentation and designsDevelop and document the service architectureParticipate in on call rotationOther duties as assigned within the scope of responsibilities and requirements of the jobQualifications:Bachelor's Degree or equivalent Work Experience preferredCCNP Certification or equivalent knowledgeMinimum of 4 years supporting and maintaining technologies in scopeThorough knowledge in:Operating Systems (iOS, NxOS, etc)Switching (Capacity Planning & VLAN’s)Routing (OSPF, Ripv2, BGP, EIGRP)WAN (MPLS, VPLS, VPN)VPN (Site-to-Site, multi, etc)Voice (POTS, VoIP, SIP)WiFiLoad BalancingEdge SecurityFamiliarity with other Infrastructure Technologies (AD, DHCP, DNS, WINS, Data Center)Experience with Fortinet a PlusAbility to:Self manage on projects and day to day operations.Manage competing deadlines and multiple projects in a fast-paced environmentPerform the essential functions of this job with or without reasonable accommodationmanage complex projects: developing project plans/schedules; delivering a product or service in a timely and cost-effective mannerUnderstand Cloud computing services, and interconnectivity with these servicesEffectively make decisions in regards to resolving risk and vulnerabilities in the environmentExplain complex technical detail and tradeoffs to non-technical associatesInteract effectively with the Senior Leadership TeamWillingness to collaborate across multiple teams and provide cross-functional knowledge transfer Comfortable working with vendors and third party support teamsability to recognize opportunities for system enhancements/improvementsStrong communications skillsTechnical expertise in the interfacing of network devices and service in a multi-platform computer and network environment (Wireless, VoIP, Videoconferencing, etc.)Experience in working with vendors for technology enhancements and solutionsStrong background and understanding of the technical direction in this space and the prevailing standardsProven history of being able to influence business and IT peers and management in the decision making processDemonstrable knowledge of network architecture, design, operational supportBasic knowledge of Windows and UNIX security with operations support and troubleshootingExperience with connecting securely to remote hosted and cloud providers a plusExperience in a virtualized environment
UNITE HERE HEALTH Aurora, IL, USA
Overview:   Looking for a way to influence the health and healthcare of many? If so, we’d love to hear from you! Our mission-driven organization is focused on the“Triple Aim” - Better Health, Better Healthcare and Lower Costs to individuals and their families who participate in our health plans. UNITE HERE HEALTH serves 90,000+ workers in the hospitality and gaming industry nationwide. Our desire to be innovative and progressive drives us to develop impactful programs and benefits designed to engage our participants in managing their own health and healthcare. Our vision is exciting and challenging. Please read on to learn more about this great opportunity!  Key Attributes:Live Our Values – Role model for the Fund’s BETTER mission and workplace culture, and takes accountability for actions and results.Integrity – Trustworthy and principled when faced with complex situations.Teamwork – Ability to work effectively with others in a variety of situations and circumstances.Positive Work Relationships – Ability to create and engender mutual trust and respect as essential to the collaborative relationships required.Communication – Ability to generate concise, compelling, objective, and data-/fact-based analyses and reports, guidance, instructions, and policies, as well as other key messaging.Diversity – Ability to embrace and work collaboratively in a culturally diverse environment.Continuous Learning – Committed to excellence.  Possesses an intellectual curiosity with a motivation and orientation to continuous improvement.  As the Fund evolves, must be open to innovative ideas and proactive about developing new areas of expertise, skills, and experiences. Responsibilities:Maintain logging, tracking and reporting of appeals received and closed.Partner with other departments in the Fund for benefit, clinical, compliance and claim processing information.Research appeals (and provider reconsiderations):Identify and request the necessary additional documentation (e.g., medical records, letter of medical necessity, additional information from doctor or participant, etc.)Research information cited in the written appeal. As necessary, contact other Fund staff or offices, as well as providers, employers and attorneys to verify information or send appeal information for additional review.Compose appeal or provider reconsideration request, indicating participant’s or providers assertion; explain Fund determination with substantiating documentation e.g., excerpts from the Fund’s SPD or Plan Document, clinical opinions or claim processing guidelinesAdhere to process for appeals and external review in accordance with the Patient Protection and Affordable Care Act (PPACA).Comply with PPACA by providing the claimant any new or additional evidence considered, relied upon, or generated in connection with the claim. This information will need to be provided sufficiently in advance of the appeals deadline.Prepare materials for appeals meeting, including but not limited to photocopying appeal material, preparing agenda, providing system screen-shots and documentation of commentary between Trustees and the FundNotify participants of the Committee’s decision.Preliminary review of external review requests for independent review organizations. Contact participant and advise if the appeal qualifies for additional review.Prepare and forward appeal to internal review organization.Coordinate submission of COBRA and eligibility appeals with Fund staff.Cross train and serve as back-up to Participant Services Technician.Prepare reports as requested.Adjust claims when necessary in accordance with Fund policies, procedures and Summary Plan Descriptions.Other duties as assigned within the scope of responsibilities and requirements of the job.Qualifications:4 year degree or equivalent work experienceMinimum 3+ years medical claims adjudication experience, preferably in a multi-employer environment is requiredPrevious Customer Service experience, a plusGood understanding of plan designStrong working knowledge of Fund plansExcellent writing skillsAbility to collect and analyze information from multiple sources and ability to make accurate decisions using that information.Intermediate computer skills including working knowledge of Microsoft office products, e.g., Word, Excel and Access also desired.Ability to make use of new technology as it becomes available to create efficiency.Exceptional ability to research, read and interpret welfare plan provisions.Attention to detail, time management, and organizational, investigative, and problem solving skills.Good written and verbal communication.Ability to interact successfully with all levels of Fund staff.Manage competing deadlines and multiple projects in a fast-paced environment.Perform the essential functions of this job with or without reasonable accommodation.
UNITE HERE HEALTH Chicago, IL, USA
Overview:  Looking for a way to influence the health and healthcare of many? If so, we’d love to hear from you! Our mission-driven organization is focused on the“Triple Aim” - Better Health, Better Healthcare and Lower Costs to individuals and their families who participate in our health plans. UNITE HERE HEALTH serves 90,000+ workers in the hospitality and gaming industry nationwide. Our desire to be innovative and progressive drives us to develop impactful programs and benefits designed to engage our participants in managing their own health and healthcare. Our vision is exciting and challenging. Please read on to learn more about this great opportunity!  Key Attributes: Integrity – Must be trustworthy and principled when faced with complex situationsAbility to build positive work relationships – Mutual trust and respect will be essential to the collaborative relationships requiredCommunication – Ability to generate concise, compelling, objective and data-driven reportsTeamwork – Working well with others is required in the Fund’s collaborative environmentDiversity – Must be capable of working in a culturally diverse environmentContinuous Learning – Must be open to learning and skill development.  As the Fund’s needs evolve, must be proactive about developing new areas of expertiseLives our values – Must be a role model for the Fund’s BETTER Culture and Mission (Better, Engage, Teamwork, Trust, Empower, Respect) Responsibilities:The purpose of this position is to be the face of the fund, especially to participants and to provide benefit, claim and health care education and information to this multi-cultural community. The Health Resource Team Representative shares the UNITE HERE HEALTH message by encouraging the utilization of benefits according to plan provisions and best healthcare value. Acts as the positive “face” of the Fund as the main point of contact for the Fund’s participants, unions, employers, providers, and vendorsProvides benefit plan and eligibility information to participants, providers, unions, employers and others for multiple Fund plansProvides proactive education to participants by phone and in person at the officePeriodically visits worksites to engage participants in conversations regarding their health and healthcareReceives and records telephone inquiries regarding plan benefitsAssists in participant outreach and encourages them to take steps to get involved in programs to improve their healthUtilizes effective listening skills to recognize and communicate issues to management including trends and anomaliesPerforms research on benefit issues and initiates corrective action if neededMaintains a positive relationship with providers and vendorsMaintains an up-to-date knowledge of all factors relating to plan benefits, including benefit materials, processes, policies, etc. that will affect day-to-day communication and performing of daily tasksSeeks assistance on issues unable to resolve independently in a timely mannerEffectively uses Health Resource Team systemsUnderstands enrollment requirements and processes and performs enrollment functionsDemonstrates proficiency in at least one of the following functions:Complex claims processesComplex self-pay processes including payment, vacation hours, leave of absence applicationUnderstanding a minimum of 11 benefit designsParticipates in benefit presentations and site visits as neededMaintains awareness of work volumes and service levelsAssists in special projectsUnderstands other Fund plans, has proficiency in multiple site plans, and provides telephonic support to other regional offices as neededOther duties as assigned within the scope of responsibilities and requirements of the job Qualifications:College degree preferred or equivalent work experienceMinimum of 1 year experience in a healthcare, insurance, Union or community engagement environment is preferredExperience with performing customer service duties in person and/or over the phoneCall center experience is preferredExperience with multi-cultural communitiesMinimum level computer skills in a Microsoft Office (Word, Excel, Outlook) environment: IntermediateBi- or Multi- lingual skills (written and verbal) required: Spanish, Chinese or Cantonese requiredExcellent service and communication skills required, including the ability to engage participants in conversations, and communicate empathyAbility to:Manage competing deadlines and multiple projects in a fast-paced environmentWork positively, and productively as part of a teamWork with union and contributing employer representatives to foster a positive relationship and solve problems with the fundMaintain confidentialityPerform the essential functions of this job with or without reasonable accommodation
UNITE HERE HEALTH Atlantic City, NJ, USA
Overview:  Looking for a way to influence the health and healthcare of many? If so, we’d love to hear from you! Our mission-driven organization is focused on the“Triple Aim” - Better Health, Better Healthcare and Lower Costs to individuals and their families who participate in our health plans. UNITE HERE HEALTH serves 90,000+ workers in the hospitality and gaming industry nationwide. Our desire to be innovative and progressive drives us to develop impactful programs and benefits designed to engage our participants in managing their own health and healthcare. Our vision is exciting and challenging. Please read on to learn more about this great opportunity!  Key Attributes: Integrity – Must be trustworthy and principled when faced with complex situationsAbility to build positive work relationships – Mutual trust and respect will be essential to the collaborative relationships requiredCommunication – Ability to generate concise, compelling, objective and data-driven reportsTeamwork – Working well with others is required in the Fund’s collaborative environmentDiversity – Must be capable of working in a culturally diverse environmentContinuous Learning – Must be open to learning and skill development.  As the Fund’s needs evolve, must be proactive about developing new areas of expertiseLives our values – Must be a role model for the Fund’s BETTER Culture and Mission (Better, Engage, Teamwork, Trust, Empower, Respect) Responsibilities:The purpose of this position is to be the face of the fund, especially to participants and to provide benefit, claim and health care education and information to this multi-cultural community. The Health Resource Team Representative shares the UNITE HERE HEALTH message by encouraging the utilization of benefits according to plan provisions and best healthcare value. Acts as the positive “face” of the Fund as the main point of contact for the Fund’s participants, unions, employers, providers, and vendorsProvides benefit plan and eligibility information to participants, providers, unions, employers and othersProvides proactive education to participants by phone and in person at the officeReceives and records telephone inquiries regarding plan benefitsAssists in participant outreach and encourages them to take steps to get involved in programs to improve their healthUtilizes effective listening skills to recognize and communicate issues to management including trends and anomaliesPerforms research on benefit issues and initiates corrective action if neededMaintains a positive relationship with providers and vendorsMaintains an up-to-date knowledge of all factors relating to plan benefits including benefit materials, processes, policies, etc. that will affect day-to-day communication and performing of daily tasksSeeks assistance on issues unable to resolve independently in a timely mannerEffectively uses Health Resource Team systemsUnderstands basic claims and self-pay functionsUnderstands enrollment requirementsMaintains awareness of work volumes and service levelsAssists daily office operations as neededAs assigned, works outside of traditional office hours and locations to reach participantsOther duties as assigned within the scope of responsibilities and requirements of the jobQualifications: College degree preferred or equivalent work experienceMinimum of 1 year experience in a healthcare, insurance, Union or community engagement environment is preferredExperience with performing customer service duties in person and/or over the phoneCall center experience is preferredExperience with multi-cultural communitiesMinimum level computer skills in a Microsoft Office (Word, Excel, Outlook) environment: IntermediateBi- or Multi- lingual skills (written and verbal) requiredExcellent service and communication skills required, including the ability to engage participants in conversations, and communicate empathyAbility to:Manage competing deadlines and multiple projects in a fast-paced environmentWork positively, and productively as part of a teamWork with union and contributing employer representatives to foster a positive relationship and solve problems with the fundMaintain confidentialityPerform the essential functions of this job with or without reasonable accommodationOptions:
UNITE HERE HEALTH Aurora, IL, USA
Overview:  Looking for a way to influence the health and healthcare of many? If so, we’d love to hear from you! Our mission-driven organization is focused on the“Triple Aim” - Better Health, Better Healthcare and Lower Costs to individuals and their families who participate in our health plans. UNITE HERE HEALTH serves 90,000+ workers in the hospitality and gaming industry nationwide. Our desire to be innovative and progressive drives us to develop impactful programs and benefits designed to engage our participants in managing their own health and healthcare. Our vision is exciting and challenging. Please read on to learn more about this great opportunity!  Key Attributes: Integrity – Must be trustworthy and principled when faced with complex situationsAbility to build positive work relationships – Mutual trust and respect will be essential to the collaborative relationships requiredCommunication – Ability to generate concise, compelling, objective and data-driven reportsTeamwork – Working well with others is required in the Fund’s collaborative environmentDiversity – Must be capable of working in a culturally diverse environmentContinuous Learning – Must be open to learning and skill development.  As the Fund’s needs evolve, must be proactive about developing new areas of expertiseLives our values – Must be a role model for the Fund’s BETTER Culture and Mission (Better, Engage, Teamwork, Trust, Empower, Respect) Responsibilities:The purpose of this position is to receive, examine, verify and input submitted claim data, determine eligibility status, and review & adjudicate claims within established timeframes. Will effectively utilize the RIMS/Javelina claim processing system and the IMAX document retrieval system in order to perform the day to day job functions of processing claims. Screen claims for completeness of necessary information.Verify participant/dependent eligibility.Interpret the plan benefits from the SPD/Plan Documents.Code basic information and select codes to determine payment liability amount.Based on established guidelines, evaluate diagnoses, procedures, services, and other submitted data to determine the need for further investigation in relation to benefit requirements, accuracy of the claim filed, and the appropriateness or frequency of care rendered.Determine the need for additional information or documentation from participants, employers, providers and other insurance carriers.Research claims, initiate corrections, update history and refer claims to appropriate personnel.Request overpayment refunds, maintain corresponding files and perform follow-up actions.Maintain related claim adjudication manuals, SPD’s, memos and reference material updates.Meet or exceed established productivity and quality goals; monitor inventory aging to select and process claims within established time frames.Handle assigned claims on a first-in, first-out basis, regardless of complexity/difficulty.Process claim adjustments.Address and resolve Customer Service Inquiries on a timely basis.Performs other duties as assigned within the scope of responsibilities and requirements of the job.Qualifications:High School Diploma / GEDCollege coursework in area of medical terminology, ICD9 and CPT codes is a plusTechnical training in the area of medical terminology, ICD9 and CPT codes is a plusMinimum of 2 years experience in a group medical claim adjudication environment is desirableKnowledge of the RIMS computer system is helpfulExperience with interpretation of benefit plans, including an understanding of limitations, exclusions, and schedule of benefits; and experience with eligibility verification, medical coding, coordination of benefits and subrogationMinimum level computer skills in a Microsoft Office environment: Beginner-IntermediateBi- or Multi- lingual skills (written and verbal): A PlusEffective communication skills, both orally and in writing is requiredAbility to:Maintain established production levels and excellent qualityWork effectively as a team member within a team-oriented structure is also an important requirement of the positionKeyboard 50 wpmManage competing deadlines and multiple projects in a fast-paced environmentPerform the essential functions of this job with or without reasonable accommodationOptions:
UNITE HERE HEALTH Atlantic City, NJ, USA
Overview:  Looking for a way to influence the health and healthcare of many? If so, we’d love to hear from you! Our mission-driven organization is focused on the“Triple Aim” - Better Health, Better Healthcare and Lower Costs to individuals and their families who participate in our health plans. UNITE HERE HEALTH serves 90,000+ workers in the hospitality and gaming industry nationwide. Our desire to be innovative and progressive drives us to develop impactful programs and benefits designed to engage our participants in managing their own health and healthcare. Our vision is exciting and challenging. Please read on to learn more about this great opportunity!  Key Attributes: Integrity – Must be trustworthy and principled when faced with complex situationsAbility to build positive work relationships – Mutual trust and respect will be essential to the collaborative relationships requiredCommunication – Ability to generate concise, compelling, objective and data-driven reportsTeamwork – Working well with others is required in the Fund’s collaborative environmentDiversity – Must be capable of working in a culturally diverse environmentContinuous Learning – Must be open to learning and skill development.  As the Fund’s needs evolve, must be proactive about developing new areas of expertiseLives our values – Must be a role model for the Fund’s BETTER Culture and Mission (Better, Engage, Teamwork, Trust, Empower, Respect) The purpose of the Assistant Customer Service Manager/Health Resource Team (HRT) ASsistant Manager is to supervise a team of Health Resource representatives and ensure all Fund stakeholders and partners receive the highest level of service and engagement by receiving accurate, consistent and timely answers, using pro-active problem-solving and results-based parameters.This position is to be the primary point of contact for participants for providing benefit, claim information and health care education to a multi-cultural community.  Responsibilities:Acts as the positive “face” of the Fund as the main point of contact for the Fund’s participants, unions, employers, providers, and vendorsTakes lead in absence of ManagerCollaborates closely with Health Resource Team (HRT) ManagersReviews open escalated issues from HRT, identifies root causes of those problems and attempts to resolve them permanentlyReviews changes occurring within the Plan Unit(s) to ensure the HRT teams are consistent with benefit interpretationsReviews open issues with employers that may impact member eligibility and servicesReviews union concerns within the Plan Unit(s)Communicates concerns raised about quality/performance of individual HRT repsAssists with recruiting and staffingCollaborates closely with Plan Operational Support ManagersReviews open escalated issues from HRT, identifies root causes of those problems and attempts to resolve them permanentlyReviews changes occurring within the Plan Unit(s) to ensure the HRT teams are consistent with benefit interpretationsReviews and responds on open issues with employers that may impact member eligibility and servicesReviews and responds on union concerns within the Plan Unit(s)Reviews and responds on concerns raised about quality/performance of individual HRT repsFacilitates troubleshooting and escalated problem solving with Claims, CAER, Healthcare Delivery Support, and Compliance on topics such as benefit interpretations, BIT corrections, vendor issues, etc.Works with CAER to identity areas where employers need education and provide the needed trainingWorks with CAER to resolve escalated employer issues and ensure the issues do not recurPerforms CRM reviews and audits on claims issues to identify patterns (Blue Card/Javelina)Generates monitoring reports and other reportsOversees work and supports and mentors other HRT staffProvides benefit plan and eligibility information to participants, providers, unions, employers and others for all Fund plansProvides proactive education to participants by phone, in person at the office, and at the worksite, including presentationsPerforms research on benefit issues and initiates corrective action if neededAssists in participant outreach and navigating them to take steps to get involved in programs to improve their healthAs assigned, works outside traditional office hours and traditional office locations to reach participantsUtilizes effective listening skills to recognize and communicate issues to management including trends and anomaliesAccountable for service excellence for all plans; each manager is equally responsible for connect resultsUnderstands and performs Level 1, 2, and 3 HRT responsibilities as neededHandles escalated participant and provider complaints and issues beyond HRT Rep III controlApproves staff time cards and PTO requestsAssists the Manager in monitoring staff productivity and schedule assignment and complianceAssists the Manager in monitoring quality and timeliness of HRT responsesProvides feedback to Manager for performance appraisalsAssists in creating policies and proceduresHelps create a positive environment and builds moraleCreates efficiencies within HRT calls, analyzes phone reports, and identifies training opportunitiesActively participates in regional and fund wide projectsMakes improvement recommendations to benefit materials, forms, and processesAssigns additional responsibilities to HRT and follows up through completionOther duties as assigned within the scope of responsibilities and requirements of the jobQualifications:Minimum of 1-2 years related administrative and managerial experience in a healthcare or insurance environmentExperience in union or health fund environment is strongly desiredExperience with performing customer service duties in person and/or over the phone is requiredExperience with multi-cultural communitiesMinimum level computer skills in a Microsoft Office (Word, Excel, Outlook) environment: IntermediateBi- or Multi- lingual skills (written and verbal) required; Spanish preferredExcellent service and communication skills required, including the ability to engage participants in conversations, and communicate empathyAbility to:Manage competing deadlines and multiple projects in a fast-paced environmentWork positively, and productively as part of a teamWork with union and contributing employer representatives to foster a positive relationship and solve problems with the fundMaintain confidentialityAdapt to changing work conditions based on the business needsWork with ancillary departments to ensure all goals are metEmbrace and champion changeRecognize and respect diversityProvide positive leadership and build moralePerform the essential functions of this job with or without reasonable accommodationUnderstand the Fund and communicate our core values, mission statements and HRT/Connect objectivesTravel occasionally 
UNITE HERE HEALTH Las Vegas, NV, USA
Overview:  Our mission-driven organization is focused on the “Triple Aim” - Better Health, Better Healthcare and Lower Costs to individuals and their families who participate in our health plans. The Culinary Health Fund serves over 50,000 workers in the hospitality and gaming industry. Our desire to be innovative and progressive drives us to develop impactful programs and benefits designed to engage our participants in managing their own health and healthcare. Our vision is exciting and challenging. Please read on to learn more about this great opportunity!  Key Attributes: Integrity – Must be trustworthy and principled when faced with complex situationsAbility to build positive work relationships – Mutual trust and respect will be essential to the collaborative relationships requiredCommunication – Ability to generate concise, compelling, objective and data-driven reportsTeamwork – Working well with others is required in the Fund’s collaborative environmentDiversity – Must be capable of working in a culturally diverse environmentContinuous Learning – Must be open to learning and skill development.  As the Fund’s needs evolve, must be proactive about developing new areas of expertiseLives our values – Must be a role model for the Fund’s BETTER Culture and Mission (Better, Engage, Teamwork, Trust, Empower, Respect) Responsibilities:The purpose of this position is to perform accounting functions, supervise the-to-day functions of accounts payable, accounting and subrogation staff, ensure timely and accurate payment of expenses, and ensure all transactions are properly recorded in the General Ledger and prepare accurate financial reports. Provide back-up for ControllerSupervises work of Accountant, Accounting Assistant and Subrogation CoordinatorReviews and approves journal entries prepared by Accounting staff or TPA staffCompare actual expenditures to budget and provide variance explanationsPrepare and provide information for external auditorsPerform other special project work as defined by the ControllerOther duties as assigned within the scope of responsibilities and requirements of the jobPrepare monthly financial statementsUnless specified below, all positions require the following essential job duties with regular & recurring frequency:Computer and telephone useAlternate sitting, standing and walking as neededTalking and hearing person to person, on the phone and in group settingsQualifications:Education / Licensing/ Certification level:Bachelor’s Degree in AccountingCertified Management Accountant (CMA) designation a plus Knowledge/EXPERIENCE: Minimum of 3 years progressive experience in a(an) finance and/or accounting environmentExperience with performing General Ledger, posting journal entries, preparation of financial statements, accounts payable and other accounting functionsThorough knowledge of Generally Accepted Accounting Principles (GAAP)Previous Supervisory skills a plusPrior experience with subrogation or paralegal experience a plus Skills /Abilities:Minimum level computer skills in a Microsoft Office environment: IntermediateBi- or Multi- lingual skills (written and verbal): A PlusAbility to:Manage competing deadlines and multiple projects in a fast-paced environmentPerform the essential functions of this job with or without reasonable accommodationProblem solve, handle multiple priorities and identify process improvementsMaintain a high level of confidentialityBe detail orientedAnalyze and interpret dataStrong verbal and written communication skillsMeet deadlines 
UNITE HERE HEALTH Chicago, IL, USA
Overview:  Looking for a way to influence the health and healthcare of many? If so, we’d love to hear from you! Our mission-driven organization is focused on the“Triple Aim” - Better Health, Better Healthcare and Lower Costs to individuals and their families who participate in our health plans. UNITE HERE HEALTH serves 90,000+ workers in the hospitality and gaming industry nationwide. Our desire to be innovative and progressive drives us to develop impactful programs and benefits designed to engage our participants in managing their own health and healthcare. Our vision is exciting and challenging. Please read on to learn more about this great opportunity!  Key Attributes: Integrity – Must be trustworthy and principled when faced with complex situationsAbility to build positive work relationships – Mutual trust and respect will be essential to the collaborative relationships requiredCommunication – Ability to generate concise, compelling, objective and data-driven reportsTeamwork – Working well with others is required in the Fund’s collaborative environmentDiversity – Must be capable of working in a culturally diverse environmentContinuous Learning – Must be open to learning and skill development.  As the Fund’s needs evolve, must be proactive about developing new areas of expertiseLives our values – Must be a role model for the Fund’s BETTER Culture and Mission (Better, Engage, Teamwork, Trust, Empower, Respect)  The purpose of this position is to identify, educate, and activate participants, who have chronic or acute health conditions to access resources, take better care of their health, and to make effective healthcare decisions. The person in this position will connect participants with health care providers, care managers community resources and Fund programs such as Better Living, our chronic disease self-management program and our Cancer Care program. Participants will be engaged one-on-one and in group settings, at their worksites, union hall/office meetings., hospital rooms, provider offices and homes. The goal is to activate participants so that they can receive high quality care while slowing the rate of spending. The person in this position will engage participants in their own health and healthcare decisions.Responsibilities:Essential Functions:Meet with, educate, and activate participants regarding participation in programs designed to improve health outcomes; this requires a strong working knowledge of Fund and community programs coupled with significant discretion and judgment when providing guidanceAssist participants with goal setting, shared decision making, and identifying and removing barriers to careWork with people with acute healthcare needs such as those in or recently discharged from the hospital to provide individual supportCoordinate and facilitate care concerns and issues along with collecting, validating and reporting symptoms to clinical staffNavigate individuals on an as needed basis (i.e. assist getting participants into diabetic counseling and making doctor appointments, etc.)Identify and recruit participants into Fund and community engagement programs; and follow-up with participants to ensure maximum participationFrame presentations for participants and develop oral and written materials regarding benefits, healthcare and trendsCollaborate with other fund staff in regional offices and in AuroraConduct phone calls, in-person meetings, on-site visits, as needed. May be in a language other than EnglishPerform a variety of surveys related to new and on-going Fund initiatives and participant assessmentsProblem solving as related to participant health care delivery issuesCompile and review outreach/engagement data (i.e. telephone, in-person meetings, on-site visits, and written) as neededCoordinate and participate in health fairs and onsite enrollment activities when requestedAssist in research and development protocols and standards as they relate to care managementDemonstrate positive leadershipIdentify, recruit, and develop an increased involvement and leadership capacity of some participantsPerform other duties, including special projects and programs, as assigned by Fund ManagementQualifications:Valid driver’s license and current car insurance. Travel utilizing a personal car for work purposes, and maintain appropriate car insurance is helpful. Local and regional travel required. Public transit preferred for most travel, but a car may be occasionally necessary (travel may also include occasional air or train travel and overnight stays)High school diploma. Prefer some experience in health care, public health, customer service or community engagementAbility to work outside of traditional hoursSome experience with community engagement, customer service, patient navigation or healthcare preferredExperience being a caretaker of or personally living with or working with oncology patients and/or people with chronic diseases such as diabetes and hypertensionFamiliarity with the participants’ cultural traditions and life experiences strongly desiredExperience working with low-income immigrant communities and/or with the union desiredBilingual—Spanish, Mandarin, and Urdu language skills useful-language needs may differ by region  Knowledge/Skills/Abilities:Intermediate skill level of Microsoft Office products, including Word, Excel and Outlook, and the ability to learn Fund’s required computer systemsExcellent verbal communication skills and customer service abilities in a person-to-person and group environmentPositive and persuasive leadership skillsNatural advocate committed to social justiceCommitment to sharing information and resources and working as part of a teamAbility to work outside traditional office hours (for example evenings and weekends) to reach participants when they are not workingQuickly establish and maintain strong relationships with participants based on mutual respect and trustDevelop and deliver participant engagement programs with a particular emphasis on gathering ideas for programs or for unmet needs from participants themselves.Understand Fund rules and procedures, and advise participants on those rules/proceduresApproach the participants with empathy and compassion; balance empathy and compassion with Fund business objectivesServe as an effective role modelExercise discretion and judgment when providing guidance to individuals with respect to their healthcare options and maintain a high level of confidentialityPrioritize and manage competing deadlines and multiple projects in a fast-paced environmentPerform the essential functions of this job with or without reasonable accommodationBe a positive and professional representative of the Fund and interact well with all levels of staff across geographic regions 
UNITE HERE HEALTH Atlantic City, NJ, USA
Overview:  Looking for a way to influence the health and healthcare of many? If so, we’d love to hear from you! Our mission-driven organization is focused on the“Triple Aim” - Better Health, Better Healthcare and Lower Costs to individuals and their families who participate in our health plans. UNITE HERE HEALTH serves 90,000+ workers in the hospitality and gaming industry nationwide. Our desire to be innovative and progressive drives us to develop impactful programs and benefits designed to engage our participants in managing their own health and healthcare. Our vision is exciting and challenging. Please read on to learn more about this great opportunity!  Key Attributes: Integrity – Must be trustworthy and principled when faced with complex situationsAbility to build positive work relationships – Mutual trust and respect will be essential to the collaborative relationships requiredCommunication – Ability to generate concise, compelling, objective and data-driven reportsTeamwork – Working well with others is required in the Fund’s collaborative environmentDiversity – Must be capable of working in a culturally diverse environmentContinuous Learning – Must be open to learning and skill development.  As the Fund’s needs evolve, must be proactive about developing new areas of expertiseLives our values – Must be a role model for the Fund’s BETTER Culture and Mission (Better, Engage, Teamwork, Trust, Empower, Respect) The purpose of this position is to be the face of the fund, especially to participants and to provide benefit, claim and health care education and information to this multi-cultural community. The Health Resource Team Representative shares the UNITE HERE HEALTH message by encouraging the utilization of benefits according to plan provisions and best healthcare value.Responsibilities:Acts as the positive “face” of the Fund as the main point of contact for the Fund’s participants, unions, employers, providers, and vendorsProvides benefit plan and eligibility information to participants, providers, unions, employers and othersProvides proactive education to participants by phone and in person at the officeReceives and records telephone inquiries regarding plan benefitsAssists in participant outreach and encourages them to take steps to get involved in programs to improve their healthUtilizes effective listening skills to recognize and communicate issues to management including trends and anomaliesPerforms research on benefit issues and initiates corrective action if neededMaintains a positive relationship with providers and vendorsMaintains an up-to-date knowledge of all factors relating to plan benefits including benefit materials, processes, policies, etc. that will affect day-to-day communication and performing of daily tasksSeeks assistance on issues unable to resolve independently in a timely mannerEffectively uses Health Resource Team systemsUnderstands basic claims and self-pay functionsUnderstands enrollment requirementsMaintains awareness of work volumes and service levelsAssists daily office operations as neededAs assigned, works outside of traditional office hours and locations to reach participantsOther duties as assigned within the scope of responsibilities and requirements of the jobQualifications:Experience and Qualifications:College degree preferred or equivalent work experienceMinimum of 1 year experience in a healthcare, insurance, Union or community engagement environment is preferredExperience with performing customer service duties in person and/or over the phoneCall center experience is preferredExperience with multi-cultural communitiesMinimum level computer skills in a Microsoft Office (Word, Excel, Outlook) environment: IntermediateBi- or Multi- lingual skills (written and verbal) requiredExcellent service and communication skills required, including the ability to engage participants in conversations, and communicate empathy Ability to:Manage competing deadlines and multiple projects in a fast-paced environmentWork positively, and productively as part of a teamWork with union and contributing employer representatives to foster a positive relationship and solve problems with the fundMaintain confidentialityPerform the essential functions of this job with or without reasonable accommodationOptions:
UNITE HERE HEALTH Aurora, IL, USA
Overview:  Looking for a way to influence the health and healthcare of many? If so, we’d love to hear from you! Our mission-driven organization is focused on the“Triple Aim” - Better Health, Better Healthcare and Lower Costs to individuals and their families who participate in our health plans. UNITE HERE HEALTH serves 90,000+ workers in the hospitality and gaming industry nationwide. Our desire to be innovative and progressive drives us to develop impactful programs and benefits designed to engage our participants in managing their own health and healthcare. Our vision is exciting and challenging. Please read on to learn more about this great opportunity!  Key Attributes:Integrity – Must be trustworthy and principled when faced with complex situationsAbility to build positive work relationships – Mutual trust and respect will be essential to the collaborative relationships requiredCommunication – Ability to generate concise, compelling, objective and data-driven reportsTeamwork – Working well with others is required in the Fund’s collaborative environmentDiversity – Must be capable of working in a culturally diverse environmentContinuous Learning – Must be open to learning and skill development. As the Fund’s needs evolve, must be proactive about developing new areas of expertiseLives our Values – Must be a role model for the Fund’s BETTER Culture and Mission (Better, Engage, Teamwork, Trust, Empower, Respect) Responsibilities:The Desktop Administrator works with other team members and outside resources to design, implement, and maintain a desktop technology framework.  This system relies heavily on repeatable design, automated tasks, and modern deployment technologies.  This person will be the expert on the desktop and be the point of escalation on desktop and application technology issues.  The right person for this role is excited about learning new technology, eager to help end users understand and use the technology, and willing to share knowledge and insights with the rest of the team. • Part of planning, oversight and implementation of the Fund’s desktop strategy• Creates and maintains images and deployment packages using PDQ Deploy• Provides enterporise application support and correctly routes elevated enterprise application tickets• Creates documentation of technical solutions and help desk procedures• Assists Infrastructure and Operations functions with special projects and daily administration as required• Primary escalation point for rest of helpdesk• Serves as a Tier 3+ advanced technical and customer support resource to all Fund employees• Responds to all local and remote customer inquiries for assistance received primarily via telephone but also from email or direct contact providing basic troubleshooting and problem resolution• Documents all customer support inquiries using available tracking software• Resolves issues referred from lower tiers in a timely and professional manner while meeting or exceeding established baselines• Is proactive in securing resources to address outages impacting the Fund in a timely manner• Handles Fund employee questions regarding end-user facing hardware and software and serves the Fund in a consultative manner• Communicates with technical operations and programming support personnel for problem referral• Ensures timely completion and follow-up of all support calls• Resolves technically advanced calls quickly while maintaining the highest levels of professionalism• Other duties as assigned within the scope of responsibilities and requirements of the positionQualifications:• Bachelors in Computer Science, Information Systems, Mathmatics, Finance or other related degree preferred or equivalent industry experience• A+ Certification and/or Microsoft Certifications strongly desired• Citrix CCA desired• A thorough understanding of how to provide superior customer service in a demanding environment• 3-5 years of experience in a Windows based support environment• 2+ years administering Windows infrastructure• Solid experience with technical Help Desk operations• Proven track record for introducing new technology opportunities that benefit the organization• Experience with Office 365 or other cloud technologies a plus.• Advanced software and hardware skills in a Microsoft environment• Intermediate to expert level knowledge of the Windows Registry, GPO’s, and other configuration systems• Mid-level knowledge of active directory, DNS, DHCP, and a scripting language (Powershell, VBScript, etc)• Ability to learn complex legacy software and provide escalated support• Working knowledge of customer service practices, including effective written and verbal communication, the ability to handle stressful situations, strong telephone support and interpersonal skills• The ability to work independently and without extensive supervision• Advanced knowledge of PC, mobile, telephony and other end-user facing technologies• Ability to manage competing deadlines and multiple projects in a fast-paced environment• Ability to effectively prioritize tasks based on constantly changing variablesOptions:
UNITE HERE HEALTH Las Vegas, NV, USA
Overview:  Our mission-driven organization is focused on the “Triple Aim” - Better Health, Better Healthcare and Lower Costs to individuals and their families who participate in our health plans. The Culinary Health Fund serves over 50,000 workers in the hospitality and gaming industry. Our desire to be innovative and progressive drives us to develop impactful programs and benefits designed to engage our participants in managing their own health and healthcare. Our vision is exciting and challenging. Please read on to learn more about this great opportunity!  Key Attributes: Integrity – Must be trustworthy and principled when faced with complex situationsAbility to build positive work relationships – Mutual trust and respect will be essential to the collaborative relationships requiredCommunication – Ability to generate concise, compelling, objective and data-driven reportsTeamwork – Working well with others is required in the Fund’s collaborative environmentDiversity – Must be capable of working in a culturally diverse environmentContinuous Learning – Must be open to learning and skill development.  As the Fund’s needs evolve, must be proactive about developing new areas of expertiseLives our values – Must be a role model for the Fund’s BETTER Culture and Mission (Better, Engage, Teamwork, Trust, Empower, Respect) Responsibilities:The Medical Management department is participant focused and strives to provide the best possible care for the participants through Utilization Review and Utilization Management services, Care Coordination and Population Health Management.  The Medical Management department also assists participants in receiving care with specialists outside the service area when appropriate. The Department is designed to ensure the delivery of high quality, cost efficient healthcare for our participants and families through coordinating care, providing detailed discharge plans, advising participants of different programs available and providing face to face and telephonic education. Work with participants in the acute hospital and lower level of care settings to help guide them through the continuum of care. Will assess, plan, implement, coordinate, monitor, and evaluate care options and services to meet our participants’ health care needs. In conjunction with the Transition Management Team, this position is responsible for ensuring that the discharge plan is achieved in a timely manner and effectively meets the patients’ needs. Responisibilites:- Work with participants of all ages in the acute hospital and lower level of care settings (LTAC, SNF, Rehab) to help them through the continuum of care- In collaboration with the attending physician, responsible for continuous communication with all parties involved in the plan of care and decision-making to determine medical necessity and appropriateness of care for service utilization and expense- Daily redirect patients to Hospitalist physicians per guidelines- Daily communication with attending physicians regarding treatment and discharge planning needs of the patient- Participant in weekly status calls with the leadership team regarding respective patient care issues- Provide the necessary interventions to assure effective and efficient discharge planning- Research patient issues, barriers to care and report findings to management- Coordinate and attend family conferences for difficult discharge planning i.e. hospice, long term care, non-compliance- In conjunction with the hospital staff, coordinate hospital to hospital transfers- Maintain comprehensive, accurate and up-to-date record of patient care- Identify delays in care and send to physician reviewer for non-certification- Identify quality issues and refer to the Quality Committee for review- Serve as liaison between participant and physician to ensure timely completion of disability forms- Delegate non-nursing functions to Transitional Care Coordinators- Assist management in development of protocols and procedures as they relate to UM/CM Participate in the weekend on call rotation- Perform benefit education to participants and providers- Perform other duties as assigned within the scope of responsibilities and requirements of the jobQualifications:Skills:- Knowledge of Microsoft Office- Bi- or Multi- lingual skills (written and verbal): Strongly Desired Ability to:- Communicate clinical information to non-clinical individuals- Manage competing deadlines and multiple projects in a fast-paced environment Excellent written and verbal communication skills- Excellent interpersonal skills – ability to express compassion and balance the emotions with business needs- Strong analytical skills- Must be able to lift 20lbs, endure prolonged standing, walking, and climbing stairs. Perform the essential functions of this job with or without reasonable accommodation If required, must be able to provide current driver’s license without restrictions- If required, must be able to provide active car insurance policy Education/Minimun Requirements:License: Unrestricted active Nursing License in the State of NevadaWillingness and ability to obtain a license in other States as may be required by the FundMinimum Years’ Experience: Minimum of 3 overall years’ Nursing experience, with 2 years in a(n) hospital environment required.Experience with Case Management and Managed Care preferred Options:
UNITE HERE HEALTH Aurora, IL, USA
Overview:  Looking for a way to influence the health and healthcare of many? If so, we’d love to hear from you! Our mission-driven organization is focused on the“Triple Aim” - Better Health, Better Healthcare and Lower Costs to individuals and their families who participate in our health plans. UNITE HERE HEALTH serves 90,000+ workers in the hospitality and gaming industry nationwide. Our desire to be innovative and progressive drives us to develop impactful programs and benefits designed to engage our participants in managing their own health and healthcare. Our vision is exciting and challenging. Please read on to learn more about this great opportunity!  Key Attributes:Integrity – Must be trustworthy and principled when faced with complex situationsAbility to build positive work relationships – Mutual trust and respect will be essential to the collaborative relationships requiredCommunication – Ability to generate concise, compelling, objective and data-driven reportsTeamwork – Working well with others is required in the Fund’s collaborative environmentDiversity – Must be capable of working in a culturally diverse environmentContinuous Learning – Must be open to learning and skill development. As the Fund’s needs evolve, must be proactive about developing new areas of expertiseLives our Values – Must be a role model for the Fund’s BETTER Culture and Mission (Better, Engage, Teamwork, Trust, Empower, Respect)  Responsibilities:The purpose of this position is to perform tasks and undertake projects under the direction of the Development Supervisor. Analyzes user requirements to identify and undertake appropriate development activities to satisfy requests. Responds directly to users reporting application software, database, screen or report problems, and collects information and investigates problems until solutions are found. Job functions Include:Designs and develops applications and reports using standard development toolsFully tests above applications and reports, creating any test data necessaryPrepares completed applications and reports for turnover to users or Operations staffResearches in-house program and system problems, and finds or creates appropriate solutionsContacts vendors, and follow up with them, regarding problems with 3rd party softwareMaintains documentation of all development activitiesInterfaces with users and management regarding requirements, testing, and implementationAttends technical training to keep skills and knowledge up-to-dateOther duties as assigned within the scope of responsibilities and requirements of the job Qualifications:3-5 years of experience in development environmentProficiency in all of the following: VB.net, C#, Visual Studio, TFS, XML, Crystal Reports, Oracle, SQL Server, T-SQLConceptual understanding of healthcare benefit administrationExperience with healthcare EDI transactions (837, 835, etc) is beneficialMinimum level computer skills in a Microsoft Office environment: IntermediateBi- or Multi- lingual skills (written and verbal): A Plus Ability to:Manage competing deadlines and multiple projects in a fast-paced environmentPerform the essential functions of this job with or without reasonable accommodationOptions:
UNITE HERE HEALTH Chicago, IL, USA
Overview:  Looking for a way to influence the health and healthcare of many? If so, we’d love to hear from you! Our mission-driven organization is focused on the“Triple Aim” - Better Health, Better Healthcare and Lower Costs to individuals and their families who participate in our health plans. UNITE HERE HEALTH serves 90,000+ workers in the hospitality and gaming industry nationwide. Our desire to be innovative and progressive drives us to develop impactful programs and benefits designed to engage our participants in managing their own health and healthcare. Our vision is exciting and challenging. Please read on to learn more about this great opportunity!  Key Attributes: Integrity – Must be trustworthy and principled when faced with complex situationsAbility to build positive work relationships – Mutual trust and respect will be essential to the collaborative relationships requiredCommunication – Ability to generate concise, compelling, objective and data-driven reportsTeamwork – Working well with others is required in the Fund’s collaborative environmentDiversity – Must be capable of working in a culturally diverse environmentContinuous Learning – Must be open to learning and skill development.  As the Fund’s needs evolve, must be proactive about developing new areas of expertiseLives our values – Must be a role model for the Fund’s BETTER Culture and Mission (Better, Engage, Teamwork, Trust, Empower, Respect) The purpose of the Customer Service Manager/Health Resource Team (HRT) Assistant Manager, is to supervise a team of Health Resource representatives and ensure all Fund stakeholders and partners receive the highest level of service and engagement by receiving accurate, consistent and timely answers, using pro-active problem-solving and results-based parameters.This position is to be the primary point of contact for participants for providing benefit, claim information and health care education to a multi-cultural community.Responsibilities:Acts as the positive “face” of the Fund as the main point of contact for the Fund’s participants, unions, employers, providers, and vendorsTakes lead in absence of ManagerCollaborates closely with Health Resource Team (HRT) ManagersReviews open escalated issues from HRT, identifies root causes of those problems and attempts to resolve them permanentlyReviews changes occurring within the Plan Unit(s) to ensure the HRT teams are consistent with benefit interpretationsReviews open issues with employers that may impact member eligibility and servicesReviews union concerns within the Plan Unit(s)Communicates concerns raised about quality/performance of individual HRT repsAssists with recruiting and staffingCollaborates closely with Plan Operational Support ManagersReviews open escalated issues from HRT, identifies root causes of those problems and attempts to resolve them permanentlyReviews changes occurring within the Plan Unit(s) to ensure the HRT teams are consistent with benefit interpretationsReviews and responds on open issues with employers that may impact member eligibility and servicesReviews and responds on union concerns within the Plan Unit(s)Reviews and responds on concerns raised about quality/performance of individual HRT repsFacilitates troubleshooting and escalated problem solving with Claims, CAER, Healthcare Delivery Support, and Compliance on topics such as benefit interpretations, BIT corrections, vendor issues, etc.Works with CAER to identity areas where employers need education and provide the needed trainingWorks with CAER to resolve escalated employer issues and ensure the issues do not recurPerforms CRM reviews and audits on claims issues to identify patterns (Blue Card/Javelina)Generates monitoring reports and other reportsOversees work and supports and mentors other HRT staffProvides benefit plan and eligibility information to participants, providers, unions, employers and others for all Fund plansProvides proactive education to participants by phone, in person at the office, and at the worksite, including presentationsPerforms research on benefit issues and initiates corrective action if neededAssists in participant outreach and navigating them to take steps to get involved in programs to improve their healthAs assigned, works outside traditional office hours and traditional office locations to reach participantsUtilizes effective listening skills to recognize and communicate issues to management including trends and anomaliesAccountable for service excellence for all plans; each manager is equally responsible for connect resultsUnderstands and performs Level 1, 2, and 3 HRT responsibilities as neededHandles escalated participant and provider complaints and issues beyond HRT Rep III controlApproves staff time cards and PTO requestsAssists the Manager in monitoring staff productivity and schedule assignment and complianceAssists the Manager in monitoring quality and timeliness of HRT responsesProvides feedback to Manager, and assists with performance appraisalsAssists in creating policies and proceduresHelps create a positive environment and builds moraleCreates efficiencies within HRT calls, analyzes phone reports, and identifies training opportunitiesActively participates in regional and fund wide projectsMakes improvement recommendations to benefit materials, forms, and processesAssigns additional responsibilities to HRT and follows up through completionOther duties as assigned within the scope of responsibilities and requirements of the jobQualifications:College degree preferred or equivalent work experienceMinimum of 1-2 years related administrative and managerial experience in a healthcare or insurance environmentExperience in uion or health fund environment is strongly desiredExperience with performing customer service duties in person and/or over the phone is requiredExperience with multi-cultural communitiesMinimum level computer skills in a Microsoft Office (Word, Excel, Outlook) environment: IntermediateBi- or Multi- lingual skills (written and verbal) required; Spanish preferredExcellent service and communication skills required, including the ability to engage participants in conversations, and communicate empathyAbility to:Manage competing deadlines and multiple projects in a fast-paced environmentWork positively, and productively as part of a teamWork with union and contributing employer representatives to foster a positive relationship and solve problems with the fundMaintain confidentialityAdapt to changing work conditions based on the business needsWork with ancillary departments to ensure all goals are metEmbrace and champion changeRecognize and respect diversityProvide positive leadership and build moralePerform the essential functions of this job with or without reasonable accommodationUnderstand the Fund and communicate our core values, mission statements and HRT/Connect objectivesTravel occasionally Options:
UNITE HERE HEALTH Aurora, IL, USA
Overview:  Looking for a way to influence the health and healthcare of many? If so, we’d love to hear from you! Our mission-driven organization is focused on the“Triple Aim” - Better Health, Better Healthcare and Lower Costs to individuals and their families who participate in our health plans. UNITE HERE HEALTH serves 90,000+ workers in the hospitality and gaming industry nationwide. Our desire to be innovative and progressive drives us to develop impactful programs and benefits designed to engage our participants in managing their own health and healthcare. Our vision is exciting and challenging. Please read on to learn more about this great opportunity!  Key Attributes: Integrity – Must be trustworthy and principled when faced with complex situationsAbility to build positive work relationships – Mutual trust and respect will be essential to the collaborative relationships requiredCommunication – Ability to generate concise, compelling, objective and data-driven reportsTeamwork – Working well with others is required in the Fund’s collaborative environmentDiversity – Must be capable of working in a culturally diverse environmentContinuous Learning – Must be open to learning and skill development.  As the Fund’s needs evolve, must be proactive about developing new areas of expertiseLives our values – Must be a role model for the Fund’s BETTER Culture and Mission (Better, Engage, Teamwork, Trust, Empower, Respect) Responsibilities:The purpose of this position is to support the organization's mission through the evaluation of the claims department workforce with the intent of enhancing professional learning and development. Under the supervision of the Claims Supervisor, the Claims Trainer/Quality Coordinator will assist management in ongoing and long-term employee auditing, training and development through classroom learning, one-on-one training and coaching as well as objective auditing delivered through standardized forms and verbal feedback.Conduct job analyses and process reviews to create training and procedural documentsProduce training materials and job aids for training and coachingConduct role-specific training classesWork with management to identify training and development opportunitiesAnalyze and identify trends and provide insight to management to reduce errors and improve claims processes and departmental performanceImprove quality of claim handling practices and ensure that quality of claim handling is consistentServe as subject matter resource to staff, management and other departmentsMonitor and deliver feedback to management on the progress of training classes and coaching effortsMeet quality and productivity standards in reviewing and delivering audit information to staff and managementCalculate weekly and monthly individual and departmental audit resultsComplete weekly and monthly departmental audit reportsPartner with other areas of the organization such as the Customer Service and Healthcare Delivery teams to coordinate training efforts and to make recommendations for the improvement of interdepartmental business processProvide support for claim resolution through gathering and communicating information necessary to develop procedures for complex claim handlingPerform other duties as assigned within the scope of responsibilities and requirements of the jobQualifications:High school diploma or equivalent is requiredCollege Coursework is a plus2-3 years of experience in a quality control, auditing or training role preferredTechnical training in the area of medical terminology, ICD9 and CPT codes is a plus1+ years analyzing business processPrevious work experience including -knowledge of health benefit plans, an understanding of limitations, exclusions, and schedule of benefitsPrevious experience handling the evaluation of workforce training and development needs and execution of subsequent training effortsMinimum level of computer skills in Microsoft Office Suite: AdvancedMinimum level computer skills in a Microsoft Office environment: IntermediateBi- or Multi- lingual skills (written and verbal): Strongly DesiredAbility to:Interact appropriately with all levels of the organizationWork effectively independently or as part of a team in support of departmental objectivesActively engage and participate in group discussionsManage competing deadlines and multiple projects in a fast-paced environmentPartner with the department manager to deliver coaching and performance feedback in a supportive and strategic fashionPartner successfully with a variety of personality typesCommand a classroom, engaging participants and creating a cooperative training environmentPerform the essential functions of this job with or without reasonable accommodationTravel 10% of timeManage competing deadlines and multiple projects in a fast-paced environmentPerform the essential functions of this job with or without reasonable accommodation Options:
UNITE HERE HEALTH Chicago, IL, USA
Overview:  Looking for a way to influence the health and healthcare of many? If so, we’d love to hear from you! Our mission-driven organization is focused on the“Triple Aim” - Better Health, Better Healthcare and Lower Costs to individuals and their families who participate in our health plans. UNITE HERE HEALTH serves 90,000+ workers in the hospitality and gaming industry nationwide. Our desire to be innovative and progressive drives us to develop impactful programs and benefits designed to engage our participants in managing their own health and healthcare. Our vision is exciting and challenging. Please read on to learn more about this great opportunity!  Key Attributes: Integrity – Must be trustworthy and principled when faced with complex situationsAbility to build positive work relationships – Mutual trust and respect will be essential to the collaborative relationships requiredCommunication – Ability to generate concise, compelling, objective and data-driven reportsTeamwork – Working well with others is required in the Fund’s collaborative environmentDiversity – Must be capable of working in a culturally diverse environmentContinuous Learning – Must be open to learning and skill development.  As the Fund’s needs evolve, must be proactive about developing new areas of expertiseLives our values – Must be a role model for the Fund’s BETTER Culture and Mission (Better, Engage, Teamwork, Trust, Empower, Respect) The purpose of the Health Resource Team (HRT) Manager is to supervise a team of Health Resource representatives and ensure all Fund stakeholders and partners receive the highest level of service and engagement by receiving accurate, consistent and timely answers, using pro-active problem-solving and results-based parameters.This position is to be the face of the fund, especially to participants and to provide benefit, claim and health care education and information to this multi-cultural community.Responsibilities:Manages day-to-day operations of a team supporting diverse work functions to ensure the timely processing of participant, union, employer, provider and partner/vendor correspondence, telephone and walk-in inquiries, and self-payments, as applicable, in addition to any temporary projects unique to the HRT office.Accomplishes staff results by communicating job expectations; planning, monitoring, and appraising job results; coaching, counseling, and disciplining employees; developing, coordinating, and enforcing systems, policies, and procedures.Accountable for service excellence for all plans; each manager is equally responsible for connect resultsMaintains quality service by enforcing quality and customer service standards; analyzing and resolving quality and customer service problems; identifying trends; recommending system improvementsIdentifies individual, site, and enterprise training needs;Collaborate with the Plan Operational Support Managers on Plan Unit specific needsCollaborate with the Trainer on all training needsCoordinate with the Workforce Analyst to schedule the necessary trainingUnder the direction of the Regional Directors, coordinates with non-HRT Rep staff in the Regions to ensure participants receive the highest level of care.Oversees collaboration of the Assistant Manager with Plan Operational Support Managers regarding escalated issuesCollaborates closely with all other HRT Managers and obtain group consensus prior to making any changes to forms, documents, or procedures.Ensures adequate phone coverage at all times by working with the Aurora-based Workforce Analyst.Understands and can perform the essential functions of the HRT RepsServes as point of contact with Fund Claims Department (where applicable), Fund CAER (Contributions Accounting and Enrollment) Department, and with vendors and healthcare and ancillary providers for first-level escalated problem resolution. Note that second-level problem resolution and problems determined to be potentially systematic are referred to the Regional Director for consultation and possible handling.Works with New Membership and Plan Ops Support Managers to coordinate and support Open Enrollment activities for the Plan Unit(s)Serves as the on-site point of contact for Aurora Office Shared Services (e.g., HIPAA, Human Resources, Payroll and Benefits) in the HRT Office in the following ways:Maintains the HRT Office files (onsite and warehoused) and ensures they are complete and represent a comprehensive set of all materials relative to the operations of the office. This includes confidential and personnel files for HRT Office staff. Also oversees the purging of such materials in keeping with Fund retention policiesCommunicates with management regarding processing of employee evaluationsEnsures pertinent communications are distributed to the appropriate staffHandles timekeeping processes related to payroll processing for HRT Office staffIn conjunction with Human Resources, IT, HIPAA, and appropriate leadership, participates in new-hire orientation/onboardingAssists with recruitment and staffingEnsures routine paperwork is completed and forwarded in a timely manner, e.g., FMLA, new hire, benefits enrollment, etc.Participates in Fund workgroups as needed.Assists Regional Director in preparing operating budget; manages according to budget and works with Fund administration to economize wherever possible.In all duties, uses available information systems to review participant status and to oversee employee tasks and duties. Fluency or ability to quickly gain fluency in applicable information systems is required.Special Projects assigned by the Regional DirectorOther duties as assigned within the scope of responsibilities and requirements of the job.Qualifications:Qualifications/Skills/AbilitiesMinimum of 3 years’ related administrative and managerial experience in a healthcare or insurance environment with cross-functional responsibilitiesExperience in union or health fund environment is strongly desiredCall center experience is strongly desiredExperience with multi-cultural communities is strongly desiredMinimum level computer skills in a Microsoft Office (Word, Excel, Outlook) environment: IntermediateMinimum level computer skills in a Microsoft Office (Word, Excel, Outlook) environment: IntermediateBi- or Multi- lingual skills (written and verbal) strongly desiredExcellent service and communication skills required, including the ability to engage participants in conversations, and communicate empathy.Results drivenAbility to expertly:Provide positive leadership and build moraleWork positively as part of a team to encourage team collaborationWork with union and contributing employer representatives to foster a positive relationship and solve problems with the fundAdapt to changing work conditions based on the business needsBe proactive and take initiativeMaintain confidentialityEmpower, develop, and motivate others for positive resultsEmpower staff to take responsibility for their jobs and goals.Delegate effectivelyEmbrace and champion changeRecognize and respect diversityExpress oneself clearly and effectively in verbal and written communicationsProvide timely and accurate informationAccept responsibility in meeting deadlinesMaintain a level of professionalism by taking responsibility for actions and resultsPerform the essential functions of this job with or without reasonable accommodation Options: