Merakey

Role Description Are you looking for an opportunity to advance your career while working with an extraordinary team? At Merakey, we put heart and soul into everything we do. Our Merakey affiliate is looking for a Part Time Remote RN to join the team. Part time - Remote Position $30.01 plus $3.00 shift diff for weekend and 3-11 shift. Hours: - Thursday, 6a-2p - Friday 3p-11p - Sunday 3p-11p with option to rotate weekend day with Saturday The Remote LumiLink Registered Nurse is responsible for professionally answering LumiLink calls for health-related concerns for all contracted providers. This position is responsible for the following: - Triaging needs - Clinical decision making - Monitoring remote patient support system when applicable and advising the customer or their support team on actions to take for vital sign or compliance alerts - Symptom-based problems, injuries, or general health questions by utilizing clinical software and guideline information Qualifications - Current RN Compact License - Candidate resides in Ohio, Delaware, Pennsylvania, Texas, Tennessee, LA, Florida, or Virginia - Minimum of 1-2 years clinical experience in acute or ambulatory care setting within the U.S. - IDD group home experience preferred - Additional RN licenses as determined by Lumicare Benefits - Comprehensive medical, dental, and vision coverage, plus access to healthcare advocacy support. - Retirement plan -- both pre-tax and Roth (after-tax) options available for employee contributions. - DailyPay -- access your pay when you need it! - On the Goga well-being platform, featuring self-care tools and resources. - Access Care.com for backup childcare, elder care, and household services. - Confidential counseling, legal, and financial services through our Employee Assistance Program (EAP). - Tuition reimbursement and educational partnerships. - Employee discounts and savings programs on entertainment, travel, and lifestyle. - Access to Pryor Online Learning for free online personal development classes.

Role Description The Strategy and Innovation Analyst will help develop an IT strategy that aligns with the organization’s goals. This role will report to the Senior Director of Strategy and Innovation. Key tasks include: - Market research and developing content for innovation. - Creating document recommendations for key stakeholders. - Working with business owners to identify key issues, articulate problems, develop solutions, and make recommendations. - Conducting research to identify the healthcare landscape and needs for our organization. - Analyzing data to inform strategic decisions. - Assisting in the development and implementation of innovation and/or strategic projects. - Collaborating with internal teams to align strategies and goals. - Assisting in the preparation of reports and presenting to communicate findings and recommendations to leadership. - Leading a small-sized strategy project under the guidance of Strategy leadership. - Keeping up with industry trends and technological advancements that could impact our organization. - Being an organizational champion of innovation and technology. Qualifications - Bachelor's Degree in Computer Science, Life Sciences, Business, or a related field, or 3-5 years of relevant experience required. - Minimum of 3 years experience in strategy, analytics, consulting in healthcare operations. - Knowledge of current and emerging technologies and applying them to support business goals. - Familiarity with healthcare consumer journey mapping and redesigning. - Experience with forecasting and market analysis. - Strong communication and collaboration skills with problem-solving abilities. - Ability to build strong relationships with internal and external stakeholders. - Strong knowledge in data analysis tools; Excel, SQL, PowerBI, or similar. Benefits - Comprehensive medical, dental, and vision coverage, plus access to healthcare advocacy support. - Retirement plan -- both pre-tax and Roth (after-tax) options available for employee contributions. - DailyPay -- access your pay when you need it! - On the Goga well-being platform, featuring self-care tools and resources. - Access Care.com for backup childcare, elder care, and household services. - Confidential counseling, legal, and financial services through our Employee Assistance Program (EAP). - Tuition reimbursement and educational partnerships. - Employee discounts and savings programs on entertainment, travel, and lifestyle. - Access to Pryor Online Learning for free online personal development classes.

Role Description Merakey is seeking a Talent Acquisition Specialist to support its high-volume hiring workflow by hiring hourly positions in an expedited manner. This position will have strong knowledge and expertise in the successful candidates background needed to fit the position. The Talent Acquisition Specialist will leverage ATS tools and assessments to narrow down the “top of the funnel” to quickly identify top talent. The Talent Acquisition Specialist will be successful by having outstanding candidate care and working with a strong sense of urgency. - Assist in the high-volume hiring process by sourcing, pre-screening via automation, and presenting qualified candidates to Hiring Managers for on-site interviews. - Manage and work through large funnels of high-volume applicants and ensure data integrity in the ATS. - Proactive sourcing building active pipelines of candidates for open positions by sourcing from a variety of tools, including our ATS, job boards, referrals, agencies, LinkedIn, and various other outlets. - Manage personal recruitment assignments against enterprise recruiting performance goals. - Providing an excellent candidate experience from start to finish through the hiring process. - Identify and implement efficiency in the hiring process, courage to reach out directly to operations to work through delays and bottlenecks in the hiring process. - Test and try new ways of working to ensure high-volume hiring moves in an expedited way. Qualifications - Bachelor’s degree preferred with 2+ years of equivalent work experience required. - Minimum 1-2+ years of talent acquisition functional experience, high-volume recruiting preferred. - Strong communication and candidate care skills. - Travel required up to 25%. Requirements - The ability to manage high candidate application flows and move qualified talent through the high-volume hiring workflow in a fast and effective manner. - Ability to manage recruiting process for multiple vacancies while ensuring data integrity in the Applicant Tracking System. - Demonstrated agility and an ability to balance multiple/competing priorities while hitting key deadlines. Benefits - Comprehensive medical, dental, and vision coverage, plus access to healthcare advocacy support. - Retirement plan -- both pre-tax and Roth (after-tax) options available for employee contributions. - Eligible for monthly bonus based on talent acquisition monthly metric goals. - DailyPay -- access your pay when you need it! - On the Goga well-being platform, featuring self-care tools and resources. - Access Care.com for backup childcare, elder care, and household services. - Confidential counseling, legal, and financial services through our Employee Assistance Program (EAP). - Tuition reimbursement and educational partnerships. - Employee discounts and savings programs on entertainment, travel, and lifestyle. - Access to Pryor Online Learning for free online personal development classes.

Role Description The Director of Compensation provides strategic leadership and operational oversight for the organization’s enterprise-wide compensation and total rewards programs. This role designs, implements, administers, and continuously improves compensation structures, policies, and practices to support organizational strategy, workforce attraction and retention, fiscal sustainability, and regulatory compliance. The Director partners closely with Finance, People Operations, Organizational Development, and Operations to ensure compensation programs are equitable, competitive, data-driven, and aligned with business and labor objectives. The Director of Compensation will: - Lead the organization’s compensation strategy, philosophy, job architecture, and governance framework in partnership with Executive HR leadership - Design, implement, and oversee all direct compensation programs (executive, exempt, non-exempt, incentive, and merit) - Serve as a subject matter expert and trusted advisor on complex compensation matters across all leadership levels - Manage and develop the Compensation team, including hiring, onboarding, performance management, and daily operations - Partner with Finance on compensation budgeting, forecasting, financial modeling, and workforce planning - Oversee compensation processes including annual review cycles, job leveling, market pricing, internal equity analyses, and incentive programs - Ensure compliance, manage vendor relationships, and lead compensation analytics, reporting, audits, and HR systems alignment Qualifications - Bachelor's degree in Human Resources, Finance or related field required - 10+ years compensation work experience required - 5+ years leadership/managerial work experience required - The ideal candidate will possess: - SHRM or CCP certification - Work experience in a healthcare, behavioral health, and/or nonprofit setting - Experience with collective bargaining agreements and aligning compensation strategies for union and non-union employees - Multi-state and/or global compensation experience - Advanced job architecture, compensation design and market pricing expertise - Strong financial modeling and analytical skills - Proficiency in Excel and compensation modeling tools - Experience with Workday HCM platform - Strong leadership, collaboration, and influencing skills Benefits - Comprehensive medical, dental, and vision coverage, plus access to healthcare advocacy support. - Retirement plan -- both pre-tax and Roth (after-tax) options available for employee contributions. - DailyPay -- access your pay when you need it! - On the Goga well-being platform, featuring self-care tools and resources. - Access Care.com for backup childcare, elder care, and household services. - Confidential counseling, legal, and financial services through our Employee Assistance Program (EAP). - Tuition reimbursement and educational partnerships. - Employee discounts and savings programs on entertainment, travel, and lifestyle. - Access to Pryor Online Learning for free online personal development classes.

Role Description The Accounts Receivable Supervisor is responsible for overseeing and optimizing reimbursement-related collections by monitoring, analyzing, and evaluating performance and trends. This role plays a key part in identifying revenue opportunities, ensuring compliance, and providing ongoing research and support for reimbursement initiatives throughout the year. - Provides day-to-day leadership, coaching, and guidance to the A/R team, managing 2–6 direct reports. - Works closely with operational managers and organizational leadership to improve processes, drive results, and support overall financial performance. Qualifications - 3-5 years of experience in a business setting. - 5 years of supervisory or people leadership experience managing a staff of at least four or more. - 5 years of experience performing accounts receivable functions. - Strong analytical, problem solving, and communication skills are a must. - Strong mentoring and staff development skills are required. - A strong client service mindset with the ability to collaborate effectively and resolve issues using non-adversarial approaches. - Ability to work independently and in group settings with minimal supervision. - Strong financial and analytical skills to effectively manage multiple priorities and resolve posting and balancing issues. - Bachelor's degree or associate's degree in business or a related field preferred. Requirements - Full-time remote position available to candidates residing in PA, DE, FL, LA, MD, NJ, OH, TX, VA, WV. - Schedule: 9:00 AM-5:00 PM. - Earn $20.51/hour. Benefits - Comprehensive medical, dental, and vision coverage, plus access to healthcare advocacy support. - Retirement plan -- both pre-tax and Roth (after-tax) options available for employee contributions. - DailyPay -- access your pay when you need it! - On the Goga well-being platform, featuring self-care tools and resources. - Access Care.com for backup childcare, elder care, and household services. - Confidential counseling, legal, and financial services through our Employee Assistance Program (EAP). - Tuition reimbursement and educational partnerships. - Employee discounts and savings programs on entertainment, travel, and lifestyle. - Access to Pryor Online Learning for free online personal development classes.

Role Description The Payer Credentialing Specialist is responsible for managing all aspects of staff payer credentialing across Merakey. This role serves as the primary point of contact for facility and practitioner credentialing and re-credentialing processes, ensuring compliance with payer requirements and organizational standards. The position reports directly to the Contracting and Credentialing Supervisor. The Payer Credentialing Specialist will: - Ensure timely and accurate submission of initial and re-credentialing applications for all employed and contracted providers. - Maintain active Medicare and Medicaid enrollments for all eligible providers. - Manage and update provider records across CAQH, PECOS, PROMISe, and other payer systems, ensuring accuracy and compliance. - Track and maintain all required documentation (e.g., licenses, DEA, malpractice insurance) to ensure records remain current. - Respond promptly to payer requests for additional or missing information to support credentialing processes. - Provide regular status updates on credentialing progress for new and existing providers. - Research and resolve credentialing-related claim issues, collaborating with operations and business teams. - Build and maintain strong working relationships with providers, program leadership, and support teams. - Adhere to all organizational policies, procedures, and standards. - Perform other duties as assigned. Qualifications - Associate Degree or two years equivalent work experience required; Bachelor’s Degree preferred. - Minimum of two years of credentialing experience including work with CAQH and provider enrollment processes. - Strong knowledge of credentialing processes, including payer submissions, re-credentialing, and maintaining Medicare/Medicaid enrollments. - Strong computer proficiency, including Microsoft Excel, Word, and Outlook, along with solid organizational and time management skills. - Excellent written and verbal communication skills, with the ability to communicate effectively with internal and external stakeholders. - Experience with MD-Staff credentialing system. - Experience maintaining provider data across CAQH, PECOS, PROMISe, and other payer systems, ensuring accuracy and compliance. Benefits - Comprehensive medical, dental, and vision coverage, plus access to healthcare advocacy support. - Retirement plan -- both pre-tax and Roth (after-tax) options available for employee contributions. - DailyPay -- access your pay when you need it! - On the Goga well-being platform, featuring self-care tools and resources. - Access Care.com for backup childcare, elder care, and household services. - Confidential counseling, legal, and financial services through our Employee Assistance Program (EAP). - Tuition reimbursement and educational partnerships. - Employee discounts and savings programs on entertainment, travel, and lifestyle. - Access to Pryor Online Learning for free online personal development classes.

Role Description Are you looking for an opportunity to advance your career while working with an extraordinary team? At Merakey, we put heart and soul into everything we do. Our Merakey affiliate is looking for a Remote PRN RN to join the team. Remote LumiLink Registered Nurse is responsible for professionally answering LumiLink calls for health-related concerns for all contracted providers. This position is responsible for the following: - Triaging needs - Clinical decision making - Monitoring remote patient support system when applicable and advising the customer or their support team on actions to take for vital sign or compliance alerts - Symptom-based problems, injuries, or general health questions by utilizing clinical software and guideline information Qualifications - Current RN Compact License - Candidate resides in Ohio, Delaware, Pennsylvania, Texas, Tennessee, LA, Florida, or Virginia - Minimum of 1-2 years clinical experience in acute or ambulatory care setting within the U.S. - IDD group home experience preferred - Additional RN licenses as determined by Lumicare Benefits - Comprehensive medical, dental, and vision coverage, plus access to healthcare advocacy support. - Retirement plan -- both pre-tax and Roth (after-tax) options available for employee contributions. - DailyPay -- access your pay when you need it! - On the Goga well-being platform, featuring self-care tools and resources. - Access Care.com for backup childcare, elder care, and household services. - Confidential counseling, legal, and financial services through our Employee Assistance Program (EAP). - Tuition reimbursement and educational partnerships. - Employee discounts and savings programs on entertainment, travel, and lifestyle. - Access to Pryor Online Learning for free online personal development classes. Company Description Merakey is a non-profit provider of developmental, behavioral health, and education services. More than 8,000 employees provide support to nearly 40,000 individuals and families throughout 12 states across the country each year. Merakey strictly follows a zero-tolerance policy for abuse. Merakey is proud to be an Equal Opportunity Employer! We deeply value diversity and do not discriminate on the basis of race, religion, color, national origin, ethnic background, sex, gender, gender identity, sexual orientation, age, marital status, veteran status, genetic information, or disability status. Moreover, we are committed to creating teams that reflect the diversity of the communities we serve and encourage applicants from underrepresented backgrounds to apply. Merakey welcomes all Veterans to apply!

Role Description Are you looking for an opportunity to advance your career while working with an extraordinary team? At Merakey, we put heart and soul into everything we do. We are seeking a Credentialing Specialist to join our team. Remote Position available for candidates residing in PA, DE, FL, LA, MD, NJ, OH, TX, and VA. Earn up to $21/hour - depending on experience. Working within the Human Resources Center of Excellence, the Credentialing Specialist will facilitate and monitor the onboarding pre-hire process from offer acceptance to start date by engaging and establishing regular communication with new hire candidates. - Working with candidates to ensure timely completion of new hire tasks. - Processing all new hire application and credentialing documentation for assigned caseload of candidates, ensuring completeness and accuracy of information. - Collecting and processing significant amounts of verification, criminal background and accreditation information, checking for full completeness and accuracy. This may involve verifying the legitimacy of information with universities, licensing agencies, prior employers, etc. - Verifying that candidate credentials are in compliance with program, State and Federal standards. - Effectively communicating with Program Management and Staffing Partners on a regular basis regarding process delays due to missing or incomplete information or lack of response from candidate. - Reporting any anticipated delays in credentialing for assigned caseload to Supervisor for assistance and resolution. - Coordinating and scheduling new staff orientation. - Performing post-hire check in at established intervals to ensure the employee has the tools, resources and information they need to be successful in their job. Qualifications - Associate's or Bachelor's degree OR two years equivalent experience required. - Minimum two years human resources experience and knowledge of hiring and background screening process required. - The ideal candidate will possess: - Experience working in a human services industry. - Proficiency in Microsoft Word, Excel and Outlook. - Experience using time management skills such as prioritizing, organizing, and tracking details; meeting deadlines of multiple projects with varying completion dates in high volume environment. - Excellent written and verbal communication skills. Benefits - Comprehensive medical, dental, and vision coverage, plus access to healthcare advocacy support. - Retirement plan -- both pre-tax and Roth (after-tax) options available for employee contributions. - DailyPay -- access your pay when you need it! - On the Goga well-being platform, featuring self-care tools and resources. - Access Care.com for backup childcare, elder care, and household services. - Confidential counseling, legal, and financial services through our Employee Assistance Program (EAP). - Tuition reimbursement and educational partnerships. - Employee discounts and savings programs on entertainment, travel, and lifestyle. - Access to Pryor Online Learning for free online personal development classes. Company Description Merakey is a non-profit provider of developmental, behavioral health, and education services. More than 8,000 employees provide support to nearly 40,000 individuals and families throughout 12 states across the country each year. Merakey strictly follows a zero-tolerance policy for abuse. Merakey is proud to be an Equal Opportunity Employer! We deeply value diversity and do not discriminate on the basis of race, religion, color, national origin, ethnic background, sex, gender, gender identity, sexual orientation, age, marital status, veteran status, genetic information, or disability status. Moreover, we are committed to creating teams that reflect the diversity of the communities we serve and encourage applicants from underrepresented backgrounds to apply. Merakey welcomes all Veterans to apply!

Role Description We are seeking a full-time Billing Specialist to join our Business Operations team. This is a remote position open to candidates located in PA, NJ, or DE. Schedule: Monday-Friday, 8:00 am-4:00 pm Earn $17.00/hour The Billing Specialist supports the revenue cycle by ensuring timely and accurate billing for our Intellectual and Developmental Disabilities (IDD) service line, as well as other ancillary services. This role is responsible for: - Charge and authorization entry - Reviewing billing variances - Managing claim denials and re-billing - Tracking open Accounts Receivable - Documenting claim status using Avatar and Excel - Working closely with the team to ensure billing is completed within established timeframes Qualifications - High School Diploma or GED required; additional education or Bachelor’s degree preferred - 1–3 years of billing experience (healthcare, nonprofit, or Mental Health/IDD preferred) - 1–3 years of Accounts Receivable or back-end billing experience (IDD billing a plus) - Strong Excel skills and overall computer proficiency - Experience using electronic billing systems, including spreadsheet uploads and charge validation - Knowledge of IDD billing and PA systems (HCSIS, PROMISe) strongly preferred - Experience with Medicaid billing in NJ or DE is a plus - Self-motivated team player who can also work independently with minimal supervision - Strong organizational, analytical, communication, and customer service skills - Positive interpersonal skills and ability to thrive in a fast-paced environment Requirements - Complete weekly and monthly billing activities, including client registration, authorization entry and management, and charge entry - Ensure all billing is accurate, timely, and compliant with federal, state, and company policies - Manage Accounts Receivable, including claim follow-up and denial resolution - Analyze billing denials to identify root causes, correct issues, and report trends accurately and in a timely manner - Maintain organized and compliant paper and electronic records - Meet established deadlines while maintaining a high level of accuracy and attention to detail Benefits - Comprehensive medical, dental, and vision coverage, plus access to healthcare advocacy support - Retirement plan -- both pre-tax and Roth (after-tax) options available for employee contributions - DailyPay -- access your pay when you need it! - On the Goga well-being platform, featuring self-care tools and resources - Access Care.com for backup childcare, elder care, and household services - Confidential counseling, legal, and financial services through our Employee Assistance Program (EAP) - Tuition reimbursement and educational partnerships - Employee discounts and savings programs on entertainment, travel, and lifestyle - Access to Pryor Online Learning for free online personal development classes

Role Description We are seeking a full-time Accounts Receivable Coordinator to join our Business Operations team in Harrisburg, PA. This is a full-time remote position available to candidates residing in PA, DE, FL, LA, MD, NJ, OH, TX, VA, WV. Schedule: 37.5 hours/week; Monday-Friday, 9:00 am-5:00 pm Earn $17.34/hour The Accounts Receivable Coordinator monitors, analyzes, evaluates, and re-bills claims that impact reimbursement issues related to collections. They display good judgement, initiative, and resourcefulness while working in a collaborative environment. Duties and Responsibilities - Responsible for accounts receivable follow-up of assigned payers. - Review rejections, make necessary corrections, and re-bill or adjust claims. - Contacts insurance carriers or other responsible parties to confirm payment dates, question why a claim was rejected or question why a claim was not processed. - Maintains accounts receivable goals of assigned payers. - Responsible for review of appropriate action for completed refunds/credit balances. - Records all pertinent comments and follows up accordingly, always following the guidelines set forth by management. - Assist with special projects when requested. - Handles confidential information with discretion and diplomacy. - All other duties as assigned which relate to the billing and collections. Qualifications - High school diploma or GED required. - One year experience in medical billing. - Strong PC skills utilizing all aspects of Microsoft Office with a focus on Excel. - Strong organizational and customer services skills required. - Intermediate knowledge of insurance billing requirements for third party payers. - Ability to work independently and in group settings. - Two years' accounts receivable experience is preferred. Benefits - Comprehensive medical, dental, and vision coverage, plus access to healthcare advocacy support. - Retirement plan -- both pre-tax and Roth (after-tax) options available for employee contributions. - DailyPay -- access your pay when you need it! - On the Goga well-being platform, featuring self-care tools and resources. - Access Care.com for backup childcare, elder care, and household services. - Confidential counseling, legal, and financial services through our Employee Assistance Program (EAP). - Tuition reimbursement and educational partnerships. - Employee discounts and savings programs on entertainment, travel, and lifestyle. - Access to Pryor Online Learning for free online personal development classes.