Centauri Health Solutions

Role Description As a Team Leader you will oversee and empower a dedicated team focused on assisting individuals in navigating, applying for, and securing vital benefits. You will serve as the operational anchor for your team—driving daily performance metrics, ensuring high-quality and empathetic member interactions, and providing ongoing coaching and development. The ideal candidate will combine strong people leadership with a sharp eye for operational excellence. You will actively monitor workflow queues, manage complex member escalations, and ensure strict compliance with program regulations and quality standards. By fostering a supportive and high-performing team culture, you will play a direct role in maximizing successful benefit awards and improving the quality of life for the individuals we serve. Qualifications - Bachelor’s degree - Operations account processing - Strong operations service knowledge - Basic to intermediate financial skills - Medicare - Medicaid - Basic literacy - Basic Fair Employment Practices - Basic Office Protocol/Telephone Etiquette Requirements - Assists in developing a sound short- and long-range plan for the organization. - Serves as member of Operations Team. - Keeps up-to-date on industry changes to reimbursement methodology, coverage policies, etc. and communicates implications as appropriate. - Meets as necessary with leadership for ongoing project planning. - Assists management with development of the organization related policies, practices and attainment of operating goals while maintaining some management responsibility. - Drives operational process improvements (including technology) into the team. - Recommends changes to technology to improve service line performance and effectiveness. - Responsible for current client customer satisfaction at the appropriate team level, particularly as it relates to the performance of the team. - Maintains awareness of level of success in meeting goals and in meeting client expectations. - Updates appropriate leadership on activities, issues, and concerns. - Reviews account processing procedures, recommends and implements needed changes. - Identifies opportunities for cross-team productivity. - Works with other Team Leader(s) to manage overall workload. - Interacts with Quality Coordinator to ensure cases are processed to meet quality expectations. - Supervises the operating activities of the business unit. - Effectively communicates vision, mission, goals and objectives to staff. - Facilitates buy-in from staff and communicates regularly on pending changes. - Recommends annual scorecards components and manages necessary approved changes. - Monitors and analyzes goals/key performance indicators and reviews monthly performance. - Maintains and monitors data integrity and referrals in all appropriate Information Systems. - Conducts quality audits on a routine basis. Looks for performance trends and acts accordingly. - Reviews quality audits on a routine basis. - Is expected to recommend, when indicated, changes having broader implications for service line policies and procedures. - Monitors high profile accounts as directed. - Conducts team and individual meetings on a regular basis to communicate best practices, overall concerns, goal attainment, etc. - Assesses ongoing performance of associates, provides coaching and counseling and recommends training. - Manages workload capacity to ensure proper utilization of resources (including transition plans). - Handles account work and caseload for team members who are absent. - Monitors and measures change. - Provides regular and on-going technical training to Associates. - Ensures that all team Associates are working in concert. - Reviews and offers recommendations for improvement in utilization of call-center functionality to increase productivity and effectiveness. - “Call Monitors” the quality of the telemarketing representatives on a periodic basis. - Controls the human resource cost and growth. - Participates in interviewing and selection of staff. - Review and approves time sheets in relation to budget. - Review and approves expense reports in relation to budget. - Assists with the capital expenditure and asset redeployment activities. - Reviews and analyzes monthly financial statements. - Develops and monitors budget. - Ensures that profit or year end goals are attained. - Other duties as assigned. Benefits - Comprehensive medical, dental, vision, and prescription coverage - Wellness program supporting overall well-being - Company-paid basic life and AD&D insurance - 401(k) plan with company match - Tuition reimbursement opportunities - Paid time off for vacation and illness - Six paid company holidays - Floating holiday - Company-paid training and computer equipment - Performance-based bonus program - Paid time off for volunteer activities - Employee referral bonus program - Career development and training opportunities, including leadership growth

Role Description The Client Support Engineer is responsible for diagnosing and resolving complex interoperability issues across the organization’s data exchange ecosystem. This role performs deep technical analysis of interoperability failures—including FHIR APIs, HL7 messaging, and network integration by analyzing logs, system behavior, and data flows. This position owns root cause determination, partners with Engineering and Product to drive resolution, and supports customer escalations alongside integration leadership. The role also contributes to operational improvement through knowledge sharing and light data analysis. Primary focus on two interoperability frameworks, with exposure to additional networks over time. Works across internal systems, external networks, and third-party partners. Operates in a fast-paced, issue-driven environment with a focus on reliability and resolution. Qualifications - Bachelor’s degree in computer science, Information Systems, Engineering, or related field or 3+ equivalent experience - Experience troubleshooting interoperability solutions, including: - FHIR APIs - RESTful APIs using oAuth - HL7 messaging troubleshooting interoperability solutions - SOAP APIs troubleshooting interoperability solutions - Experience analyzing logs and diagnosing issues in distributed systems - Experience executing queries (e.g., SQL) and working with data to support troubleshooting - Familiarity with interoperability platforms and tools (e.g., interface engines such as InterSystems, monitoring tools such as Datadog) - Strong analytical and problem-solving skills - GCP cloud experience Requirements - Diagnose complex interoperability issues across FHIR APIs, HL7 messaging, IHE Profiles, RESTful APIs, SOAP APIs, and network integrations (e.g., ITI-41, ITI-43, etc.) - Investigate issues such as API timeouts, latency, message delivery failures, and data inconsistencies - Trace issues end-to-end across systems, interface engines, and external partners - Analyze logs, payloads, and system behavior to determine root cause - Own and defend root cause conclusions - Differentiate between software defects, configuration issues, network failures, and external dependencies - Escalate complex or disputed findings through defined channels - Partner with Engineering to validate and resolve issues - Create clear, actionable Jira tickets with supporting evidence (logs, queries, payloads, impact) - Recommend improvements based on findings; Product drives prioritization and follow-through - QA product fixes to validate resolutions - Participate in customer escalation calls alongside Integration Manager - Provide technical insight and support during issue resolution - Translate technical findings into clear, understandable communication when needed - Execute basic queries and leverage existing reports to support troubleshooting - Identify trends or recurring issues where possible - Develop runbooks, playbooks, and knowledge articles for repeatable issues - Enable support teams to resolve recurring problems independently - Identify recurring patterns in interoperability issues and contribute recommendations for system and process improvements - Other duties assigned by leadership. Benefits - Comprehensive medical, dental, vision, and prescription coverage - Wellness program supporting overall well-being - Company-paid basic life and AD&D insurance - 401(k) plan with company match - Tuition reimbursement opportunities - Paid time off for vacation and illness - Six paid company holidays - Floating holiday - Company-paid training and computer equipment - Performance-based bonus program - Paid time off for volunteer activities - Employee referral bonus program - Career development and training opportunities, including leadership growth

Role Description The Senior HRIS Analyst, well-versed in multiple software systems and an expert in Ceridian Dayforce, manages company-wide responsibility for the HRIS system and serves as a key member within the Human Capital Management team. The Senior HRIS Analyst leads the ongoing support and maintenance of the Ceridian Dayforce Human Resource Information System (HRIS) and provides expertise to support other HR-related systems. - Serves as the Ceridian Dayforce HRIS application system administrator (i.e. maintain system configuration, coordinate system upgrades) - Serves as a super-user for HRIS for data entry, updates, troubleshooting, reports generation - Analyzes, designs and builds ad hoc complex reports and documents - Provides specialized HRIS support and development services for human resources related applications - Provides production support for new and existing applications/interfaces and identifies and resolves applications and systems issues - Reviews and analyzes the effectiveness and efficiency of existing applications and systems, develops strategies for improving or further leveraging these HR applications and systems, and identifies potential risks and dependencies between applications, systems and business processes - Identifies and presents solutions to improve utilization and efficiencies of various application and systems, providing recommendations to streamline various HR processes - Performs application design, configuration, and integration, and assists in the improvement of existing applications and the deployment of new applications - Plans, designs, and implements additions, upgrades, replacements, or retirement of applications including database management - Oversees and performs tests for existing and new applications, including user acceptance testing and delivery of training to end users - Assists in maintenance, troubleshooting, and design of HRIS and other human resources computer applications and systems - Actively participates in the analysis and implementation of solutions related to data integrity and consistency - Creates, maintains, and monitors accurate workflows and forms within the system - Collaborates in preparation and delivery of system training to management and employees - Works collaboratively with systems vendors, finance (payroll), and other departments to fulfill systemic needs and assure accurate and manageable data - Creates and documents Standard Operating Procedures - Leads, supports, and assists with projects as assigned - Researches and maintains up-to-date knowledge regarding use of Dayforce and other related HCM products and business operations practice and procedures - Manages projects and process improvement, including applying change management experience to facilitate movement to new levels of quality - Completes special projects as assigned Qualifications - Bachelor’s degree in business administration, Human Resources, Information Technology or related discipline - At least 5 years’ experience in Ceridian Dayforce and Ceridian Dayforce configuration - Advanced knowledge and understanding of payroll and/or HRIS systems, report writing, and presentation skills - Strong acumen of Microsoft Excel, PowerPoint and Word and expertise in report writing - Experience with Ultimate Software a strong plus - Experience in HR Analytics and cloud-based Document Management - Experience in Project Management and Systems Implementation - Ability to research and solve functional problems as it relates to user experience - Ability to communicate and coordinate effectively with management across various departments and responsibilities - Ability to juggle multiple, competing priorities while paying strong attention to detail while leveraging an analytical aptitude - Demonstrated organizational, critical thinking, interpersonal, planning, problem solving, and business analytical skills - Ability to present findings and translate data into legible documents - Able to write and speak clearly, easily communicating complex ideas - Highly organized and able to manage time well and meet deadlines - Ability to maintain the highest level of confidentiality and discretely handle sensitive and confidential information - Ability to work effectively and thrive in a fast-paced, multi-location, and high growth environment while delivering high levels of quality and customer service Benefits - Comprehensive medical, dental, vision, and prescription coverage - Wellness program supporting overall well-being - Company-paid basic life and AD&D insurance - 401(k) plan with company match - Tuition reimbursement opportunities - Paid time off for vacation and illness - Six paid company holidays - Floating holiday - Company-paid training and computer equipment - Performance-based bonus program - Paid time off for volunteer activities - Employee referral bonus program - Career development and training opportunities, including leadership growth

Role Description At Centauri Health Solutions, we don’t just process applications; we serve as a lifeline. For many Medicaid members, a single phone call with our team can mean potentially receiving additional monthly cash benefits. We are looking for compassionate and detail-oriented individuals to join our team as Bilingual Disability Specialists. If you find deep satisfaction in solving complex problems and advocating for others, your mission starts here. - Member Champion: Serve as the main point of contact for health plan members, maintaining regular communication, answering questions, and clarifying complex information. - Agency Liaison: Manage positive, professional relationships with medical providers, the Social Security offices, and other government agencies to keep applications on track. - Application Process Mastery: Gather, verify, and submit all necessary signed forms, medical records, and eligibility data, ensuring a complete and accurate application. - Proactive Case Management: Thoughtfully manage accounts, anticipating requirements, and taking all appropriate actions to secure disability benefits until every method is exhausted. - Regulatory Standards: Maintain strict adherence to HIPAA and company information security policies to ensure the safety and confidentiality of all data. - Database Navigation: Concurrently manage multiple software systems and databases to track member progress and documentation. Qualifications - 2+ years in customer service. - Experience in social services, case management, disability/claims processing, using contact center software or working with government agencies is a strong plus. - Fluent in English and Spanish, with the ability to speak, read, and write both languages with ease. - Excellent interpersonal and communication skills. - Goal-driven and willing to learn. - Highly proficient with Microsoft Suite. Requirements - Enjoy a structured, performance-driven environment. - Spend 90% of your day managing inbound and outbound calls. - Manage applications from beginning to end, requiring long-term, detailed follow-up and persistence. - Balance quality member interactions with productivity and performance expectations. Benefits - Comprehensive medical, dental, vision, and prescription coverage. - Wellness program supporting overall well-being. - Company-paid basic life and AD&D insurance. - 401(k) plan with company match. - Tuition reimbursement opportunities. - Paid time off for vacation and illness. - Six paid company holidays. - Floating holiday. - Company-paid training and computer equipment. - Performance-based bonus program. - Paid time off for volunteer activities. - Employee referral bonus program. - Career development and training opportunities, including leadership growth.

Role Description At Centauri Health Solutions, we don’t just process applications; we serve as a lifeline. For many Medicaid members, a single phone call with our team can mean potentially receiving additional monthly cash benefits. We are looking for compassionate and detail-oriented individuals to join our team as Bilingual Disability Specialists. If you find deep satisfaction in solving complex problems and advocating for others, your mission starts here. - Member Champion: Serve as the main point of contact for health plan members, maintaining regular communication, answering questions, and clarifying complex information. - Agency Liaison: Manage positive, professional relationships with medical providers, the Social Security offices, and other government agencies to keep applications on track. - Application Process Mastery: Gather, verify, and submit all necessary signed forms, medical records, and eligibility data, ensuring a complete and accurate application. - Proactive Case Management: Thoughtfully manage accounts, anticipating requirements, and taking all appropriate actions to secure disability benefits until every method is exhausted. - Regulatory Standards: Maintain strict adherence to HIPAA and company information security policies to ensure the safety and confidentiality of all data. - Database Navigation: Concurrently manage multiple software systems and databases to track member progress and documentation. Qualifications - 2+ years in customer service. - Experience in social services, case management, disability/claims processing, using contact center software or working with government agencies is a strong plus. - Fluent in English and Spanish, possessing the ability to speak, read, and write both languages with ease. - Excellent interpersonal and communication skills. - Goal-driven and willing to learn. - Highly proficient with Microsoft Suite and able to navigate multiple platforms and screens smoothly. Requirements - Enjoy a structured, performance-driven environment. - Spend 90% of your day managing inbound and outbound calls. - Manage applications from beginning to end, requiring long-term, detailed follow-up and persistence. - Balance quality member interactions with productivity and performance expectations. Benefits - Comprehensive medical, dental, vision, and prescription coverage. - Wellness program supporting overall well-being. - Company-paid basic life and AD&D insurance. - 401(k) plan with company match. - Tuition reimbursement opportunities. - Paid time off for vacation and illness. - Six paid company holidays. - Floating holiday. - Company-paid training and computer equipment. - Performance-based bonus program. - Paid time off for volunteer activities. - Employee referral bonus program. - Career development and training opportunities, including leadership growth.

Role Description At Centauri Health Solutions, we don’t just process applications; we serve as a lifeline. For many Medicaid members, a single phone call with our team can mean potentially receiving additional monthly cash benefits. We are looking for compassionate and detail-oriented individuals to join our team as Bilingual Disability Specialists. If you find deep satisfaction in solving complex problems and advocating for others, your mission starts here. Your Daily Mission (What You’ll Do): - Member Champion: Serve as the main point of contact for health plan members, maintaining regular communication, answering questions, and clarifying complex information. - Agency Liaison: Manage positive, professional relationships with medical providers, the Social Security offices, and other government agencies to keep applications on track. - Application Process Mastery: Gather, verify, and submit all necessary signed forms, medical records, and eligibility data, ensuring a complete and accurate application. - Proactive Case Management: Thoughtfully manage accounts, anticipating requirements, and taking all appropriate actions to secure disability benefits until every method is exhausted. - Regulatory Standards: Maintain strict adherence to HIPAA and company information security policies to ensure the safety and confidentiality of all data. - Database Navigation: Concurrently manage multiple software systems and databases to track member progress and documentation. Qualifications - 2+ years in customer service. - Experience in social services, case management, disability/claims processing, using contact center software or working with government agencies is a strong plus. - Fluent in English and Spanish, possessing the ability to speak, read, and write both languages with ease. - Excellent interpersonal and communication skills with an ability to clearly influence and de-escalate situations when needed. - Goal-driven and willing to learn. - Highly proficient with Microsoft Suite and can navigate multiple platforms and screens smoothly. Requirements - Enjoy a structured, performance-driven environment. - Spend 90% of your day managing inbound and outbound calls while staying on top of your case management tasks. - Manage applications from beginning to end, requiring long-term, detailed follow-up and persistence. - Balance quality member interactions with productivity and performance expectations. Benefits - Comprehensive medical, dental, vision, and prescription coverage. - Wellness program supporting overall well-being. - Company-paid basic life and AD&D insurance. - 401(k) plan with company match. - Tuition reimbursement opportunities. - Paid time off for vacation and illness. - Six paid company holidays. - Floating holiday. - Company-paid training and computer equipment. - Performance-based bonus program. - Paid time off for volunteer activities. - Employee referral bonus program. - Career development and training opportunities, including leadership growth.

Role Description The Bilingual Medicare/Medicaid Eligibility Specialist advocates and assists low-income Medicaid beneficiaries apply to and requalify for government assistance programs. This role is required to provide exceptional customer service, offer member support, and address questions related to the programs associated with our member screening. This role also requires Spanish speaking and writing proficiency and is a 95% phone-based role. Key Responsibilities - Regularly utilize bilingual (Spanish) skills to communicate with members. - Place and receive calls via a computer interface to conduct telephonic outreach and screening for members who must apply or recertify and are potentially eligible for Medicaid and State Children’s Health Insurance Programs (SCHIP). - Promote company services and gain cooperation from the health plan members or the head of household. - Capture personal/sensitive, financial information to accurately determine eligibility for various government programs. - Utilize the computer system to accurately complete the screening for account eligibility and disposition the account in a timely manner as required. - Compile, record, and evaluate personal and financial data to verify completeness and accuracy. - Interpret and explain information such as eligibility requirements and application details. - Initiate procedures to refer customers/members to other agencies for assistance as appropriate. - Assist members and collaborate with government agencies to accurately complete the benefit application submission and recertification process following eligibility screening. - Secure documentation for Medicaid/SCHIP renewal applications if needed for members. - Attention to detail by adhering to state requirements and securing supporting documentation. - Meet daily, weekly, and monthly production goals while ensuring proper phone etiquette and adherence to scripts, state regulations, HIPAA compliance, and ongoing corporate compliance standards. - Participate as required in operational development programs. - Research changes with any state and federal regulatory requirements to adhere to strict compliance of all aspects of Medicaid and SCHIP Enrollment programs. - Demonstrate behaviors, actions, and attitudes that reflect our vision, mission, and values. - Prepare for and participate in all appropriate meetings. - Perform miscellaneous administrative tasks as required. - Provide peer coaching and support to team members as needed. - Assist with training sessions or onboarding activities when requested by leadership. - Other duties as assigned. Qualifications - Requires Spanish speaking and writing proficiency. - Strong working knowledge of Microsoft Products, Windows, Word, Excel, Outlook, TEAMS /technology focused. - Basic Medicare/Medicaid/Healthcare background. - Basic knowledge of government programs and associated eligibility requirements. - Ability to analyze and interpret governmental program criteria. - Must be able to navigate through multiple databases/monitors. - Familiar with commonly used concepts, practices, and procedures within government health care programs. - Ability to manage high call volume. - Familiar with auto dialing systems. - Strong telephone, analytical, and interpersonal skills. - Strong organizational, problem-solving, decision-making skills. - Strong conflict management. - Excellent customer service/phone voice skills. - Strong time management skills/ability to meet deadlines. - Strong change management skills. - Strong logical reasoning skills and critical thinking skills. - Strong data entry skills. - Ability to manage multiple priorities simultaneously. Education, Certification, and Experience - Required: 2+ years of experience in the related field. - Preferred: Associate degree / equivalent professional experience will be considered in lieu of a degree. Attributes - Strong ability to persuade or influence. - Strong communication skills. - Active listener. - Detail oriented. - Compassionate. - Assertive. - Shows initiative. - Goal/action oriented. - Strong work ethic. Physical Demands - Sitting, Typing, Talking, Hearing/Listening. Security Roles and Responsibilities Centauri’s associates are granted access to information resources to facilitate their responsibilities. All associates must understand and agree to their Information security roles and responsibilities before accessing any of Centauri’s information systems. It is the responsibility of every associate to ensure the safety and confidentiality of data and systems by adhering to the organization’s information security policies and immediately reporting any possible security violations. Benefits - Comprehensive medical, dental, vision, and prescription coverage. - Wellness program supporting overall well-being. - Company-paid basic life and AD&D insurance. - 401(k) plan with company match. - Tuition reimbursement opportunities. - Paid time off for vacation and illness. - Six paid company holidays. - Floating holiday. - Company-paid training and computer equipment. - Performance-based bonus program. - Paid time off for volunteer activities. - Employee referral bonus program. - Career development and training opportunities, including leadership growth.

Role Description The Recruiting Coordinator is the administrative backbone for Centauri’s Talent Acquisition team. The Recruiting Coordinator sources resumes, schedules interviews and stays in close contact with candidates during the various stages of the interviewing and pre-onboarding process. The Recruiting Coordinator serves as a resource for new hires and ensures that new hires are well prepared for their first day at Centauri. The Recruiting Coordinator brings a passion for people, building relationships and detail. The Recruiting Coordinator thrives in a rapidly growing company, where no two days are the same, and where priorities can change quickly to meet our client and business partner needs. The Recruiting Coordinator is accustomed to maintaining confidential and sensitive information, possesses an excellent work ethic, works well under pressure, and is a strong team player. Qualifications - Proficiency with Microsoft Office and Outlook - Experience utilizing an Applicant Tracking System and various online sourcing tools - State/federal HR regulations/statutes related to employment Requirements - 1-2 years+ related experience in Human Resources or Recruitment Key Responsibilities - Support and partner with recruiters, hiring managers and candidates throughout the recruitment process - Coordinate and schedule interviews ensuring a positive experience for all parties involved - Maintain responsibility for tracking completion of pre-employment process for candidates and support onboarding processes for new hires - Assist in sourcing, initial screening of applicants and recruitment activities when needed - Support with miscellaneous projects related to recruitment, employment branding and cross functional initiatives - Triage inquiries and connect employees to the internal resource - Manage general administrative tasks such as updating candidate profiles, maintaining accurate data in various spreadsheets, and ensuring compliance requirements are executed - Identify and implement sourcing strategies by utilizing Centauri’s Applicant Tracking System, Cornerstone, available resume databases, social media, and other online resources - Source and phone screen applicants and passive candidates for upcoming positions - Advertise and source candidates for in store hiring events in target markets - Champion compliance by utilizing recruiting tools such as interview guides and following recruiting processes - Open or post requisitions and match candidates that fit the need - Follow up with candidates, Recruiters, and Hiring Manager for interview feedback - Support candidates through background check process, and ensure all steps are completed prior to new hire start dates - Drive awareness of Centauri’s Employee Referral Program - Conduct New Hire welcome calls Required Skills - Ability to self-prioritize and manage time in a fast-paced, high volume, deadline-driven environment - Ability to ensure the accuracy of highly detailed and confidential information - Customer focused and proactive with excellent follow-up and a sense of urgency - Effective Communication skills, both verbally and written - Demonstrated ability to easily build relationships, actively listen, and ask pertinent questions - Exceptional organizational skills Required Attributes - Detail orientation - Objectivity - Ability to operate under pressure - Ability to learn quickly - Self-assurance - Appreciation of sensitive information and confidentiality - Assertiveness - Sense of humor Required Education - Bachelor’s degree preferred or equivalent experience Essential Functions - Driving - Dialing - Filing - Hearing - Scheduling - Sitting - Speaking - Turning pages - Using Keyboard - Problem-solving - Reading - Reasoning - Copying - Faxing - Answering Phones Security Roles and Responsibilities Centauri’s employees are granted access to information resources in order to facilitate their responsibilities. All employees must understand and agree to their Information security roles and responsibilities before accessing any of Centauri’s information systems. It is the responsibility of every employee to ensure the safety and confidentiality of data and systems by adhering to the organizations information security policies and immediately reporting any possible security violations. All employees are required to read, understand, and agree to abide by Centauri’s corporate security policies. Centauri’s employees must only access data they are authorized to access. Depending on role designation, employees may be required to take additional role-based information security training. In addition, employees must successfully complete annual security and compliance refresher training. Employees will be held accountable for violations to the security policies. Benefits - Comprehensive medical, dental, vision, and prescription coverage - Wellness program supporting overall well-being - Company-paid basic life and AD&D insurance - 401(k) plan with company match - Tuition reimbursement opportunities - Paid time off for vacation and illness - Six paid company holidays - Floating holiday - Company-paid training and computer equipment - Performance-based bonus program - Paid time off for volunteer activities - Employee referral bonus program - Career development and training opportunities, including leadership growth Compensation Transparency Factors which may affect starting pay within this range may include geography/market, skills, education, experience, and other qualifications of the successful candidate. Equal Employment Opportunity and Accommodation Centauri Health Solutions is an equal opportunity employer and is committed to providing reasonable accommodations to qualified individuals with disabilities in accordance with applicable law.

Role Description The Risk Adjustment Coder with AHIMA or AAPC certification performs medical record diagnosis code abstraction based upon clinical documentation, ICD-10-CM Official Guidelines for Coding and Reporting, AHA Coding Clinic Guidance, CMS program guidance, and in accordance with all state regulations, federal regulations, internal policies, and internal procedures. The Risk Adjustment Coder will apply guidance provided for the medical record code abstraction primarily for Medicaid lines of business (Complete Code Capture), but may also include Medicare Advantage Risk Adjustment or Commercial Risk Adjustment. - Certified through AHIMA or AAPC required (CRC, CPC, CCS, CCS-P Certification Required). Qualifications - Minimum of 3 years certified with a core coding credential from AHIMA or AAPC. - Must be one of the following: CRC, CPC, CCS, CCS-P. - Experience and proficiency working with Medicaid plans (1+ years). - Strong organizational skills. - Technical savvy with high level of competence in basic computers, Microsoft Outlook, Word, and Excel. - Strong written and verbal communication skills. - Ability to work independently in a remote environment. - Minimum of 1 recent year of production coding experience in Retrospective Risk Adjustment coding (must be within last 6 months). - Required code set knowledge and coding experience in Medicaid (primary), Medicare, and Commercial benefit plans. - Minimum of 1 year coding experience with Complete Code Capture. Requirements - Perform code abstraction of medical records to ensure ICD-10-CM codes are accurately assigned and supported by clinical documentation. - Identify diagnosis and chart level impairments and documentation improvement opportunities for provider education. - Maintain current knowledge of ICD-10-CM codes, CMS documentation requirements, and state and federal regulations. - Ability to pass coding quiz with 80% accuracy. - Consistently maintain a minimum 95% accuracy on coding quality audits. - Meet minimum productivity requirements as outlined by the project terms. - Ability to adhere to client guidelines when superseding other guidelines. - Assist coding leadership by making recommendations for process improvements to further enhance coding goals and outcomes. - Handle other related duties as required or assigned. Benefits - Comprehensive medical, dental, vision, and prescription coverage. - Wellness program supporting overall well-being. - Company-paid basic life and AD&D insurance. - 401(k) plan with company match. - Tuition reimbursement opportunities. - Paid time off for vacation and illness. - Six paid company holidays. - Floating holiday. - Company-paid training and computer equipment. - Performance-based bonus program. - Paid time off for volunteer activities. - Employee referral bonus program. - Career development and training opportunities, including leadership growth.

Role Description The Senior HRIS Analyst, well-versed in multiple software systems and an expert in Ceridian Dayforce, manages company-wide responsibility for the HRIS system and serves as a key member within the Human Capital Management team. The Senior HRIS Analyst leads the ongoing support and maintenance of the Ceridian Dayforce Human Resource Information System (HRIS) and provides expertise to support other HR-related systems. The Senior HRIS Analyst serves as a subject-matter expert and technical point of contact for all internal and external customers. Responsibilities include: - Ensuring data integrity - Leading system testing relating to updates and changes - Executing reporting - Conducting frequent data flow and process analysis - Defining opportunities for improvement Qualifications - Bachelor’s degree in business administration, Human Resources, Information Technology or related discipline - At least 5 years’ experience in Ceridian Dayforce and Ceridian Dayforce configuration - Advanced knowledge and understanding of payroll and/or HRIS systems - Strong acumen of Microsoft Excel, PowerPoint and Word - Expertise in report writing - Experience with Ultimate Software a strong plus - Experience in HR Analytics and cloud-based Document Management - Experience in Project Management and Systems Implementation - Ability to research and solve functional problems as it relates to user experience - Ability to communicate and coordinate effectively with management across various departments - Ability to juggle multiple, competing priorities while paying strong attention to detail - Demonstrated organizational, critical thinking, interpersonal, planning, problem solving, and business analytical skills - Ability to present findings and translate data into legible documents - Able to write and speak clearly, easily communicating complex ideas - Highly organized and able to manage time well and meet deadlines - Ability to maintain the highest level of confidentiality - Ability to work effectively and thrive in a fast-paced, multi-location, and high growth environment Requirements - Serve as the Ceridian Dayforce HRIS application system administrator - Serve as a super-user for HRIS for data entry, updates, troubleshooting, reports generation - Analyze, design and build ad hoc complex reports and documents - Provide specialized HRIS support and development services for human resources related applications - Provide production support for new and existing applications/interfaces - Review and analyze the effectiveness and efficiency of existing applications and systems - Identify and present solutions to improve utilization and efficiencies of various applications and systems - Perform application design, configuration, and integration - Plan, design, and implement additions, upgrades, replacements, or retirement of applications - Oversee and perform tests for existing and new applications - Assist in maintenance, troubleshooting, and design of HRIS and other human resources computer applications and systems - Actively participate in the analysis and implementation of solutions related to data integrity and consistency - Create, maintain, and monitor accurate workflows and forms within the system - Collaborate in preparation and delivery of system training to management and employees - Work collaboratively with systems vendors, finance (payroll), and other departments - Create and document Standard Operating Procedures - Lead, support, and assist with projects as assigned - Research and maintain up-to-date knowledge regarding use of Dayforce and other related HCM products - Manage projects and process improvement - Complete special projects as assigned Benefits - Comprehensive medical, dental, vision, and prescription coverage - Wellness program supporting overall well-being - Company-paid basic life and AD&D insurance - 401(k) plan with company match - Tuition reimbursement opportunities - Paid time off for vacation and illness - Six paid company holidays - Floating holiday - Company-paid training and computer equipment - Performance-based bonus program - Paid time off for volunteer activities - Employee referral bonus program - Career development and training opportunities, including leadership growth