Validation Services Manager

Job not on LinkedIn

🔥 15 minutes ago

🎸 Tennessee – Remote

🎸 Tennessee – Remote

💵 $65k - $68.5k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

👔 Manager

👻 Ghost score 0%

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Charles Lea Center

WebsiteLinkedInAll Job Openings

501 - 1000 employees

🤝 Non-profit

🤲 Charity

🌍 Social Impact

💰 Grant on 2024-09

Non-profit • Charity • Social Impact

Charles Lea Center is a nonprofit organization founded in 1965 in Spartanburg, South Carolina that empowers and supports people with disabilities through individualized, community-based services. The Center provides supportive living, work programs, case management, day programs, and other innovative services across South Carolina, North Carolina, and Tennessee, serving more than 3,000 people and employing over 700 staff. It operates a foundation, accepts donations, and focuses on helping clients live active, involved, and meaningful lives.

📋 Description

• Lead, oversee, and continuously improve the statewide validation process for Innovation Coordination Services (ICS) • Directly supervise and support Validation Specialists • Ensure accuracy, timeliness, consistency, and compliance of milestone validation reviews and value-based payment authorizations • Serve as subject matter expert on validation processes, DDA validation requirements, and MAPs service definitions and program expectations • Lead statewide validation training • Oversee secondary reviews and provide final approval of milestone validation determinations • Monitor quality assurance standards and implement strategies to improve operational efficiency and validation outcomes • Coach, mentor, evaluate, and manage Validation Specialist development and performance • Approve time and prepare monthly, quarterly, and annual performance reports for leadership • Monitor staff productivity, performance, quality assurance, compliance, validation trends, approval rates, and performance measures • Provide technical assistance and resolve escalated validation concerns, documentation errors, and authorization issues • Ensure compliance with DDA, MAPs, and CLC policies, procedures, and ethical billing practices • Collaborate with provider agencies, internal leadership, and stakeholders to improve validation processes and service delivery • Participate in statewide meetings and strategic planning initiatives related to validation services • Perform other duties as assigned

🎯 Requirements

• At least 18 years of age • Must be able to effectively read, write, and communicate verbally in English • Ability to pass a background check upon hire • Valid TN driver's license • Vehicle insurance • Bachelor’s degree from an accredited college or university in Business Administration, Accounting, Healthcare Administration, Human Services, Organizational Leadership, or a related field • OR Bachelor’s degree from an accredited college or university in a non-related field, plus two years of experience in bookkeeping, accounting, business administration, or relevant field • OR Associate’s degree combined with two years of university experience in bookkeeping, accounting, business administration, or relevant field • Some knowledge of current technologies and products used in the industry is highly preferred • Some knowledge of current technologies and products used in the industry is preferred • Experience with value-based payment models is a plus • Experience working with the Department of Disability and Aging is a plus • Physical ability for regular standing, walking, lifting up to 25 lbs, and hands-on support

🏖️ Benefits

• Medical insurance • Dental insurance • Vision insurance • Life insurance • 401(k) • Paid time off (PTO) • Tuition reimbursement • Access to online wellness clinic • Reasonable accommodations are available

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