• Proactively identifies and engages with prospective educational partners through targeted outreach, including cold calls, in-person visits, and virtual engagements. • Builds and nurtures long-term relationships with key decision-makers to foster trust, collaboration, and mutual growth. • Develops and manages a robust pipeline of prospective students through strategic lead generation, personal networking, and partner referrals. • Implements data-driven follow-up strategies to maintain consistent engagement and move prospects through the enrollment funnel. • Conducts in-depth interviews with prospective students to understand their goals, motivations, and barriers. • Possess a deep understanding of an assigned territory from local, regional and state opportunities. • Aligns ACE’s program offerings with student needs using a consultative approach that emphasizes value, outcomes, and career alignment. • Maintains strong, ongoing relationships with existing partner networks to enhance the student experience and generate referrals. • Serves as a liaison between ACE and partner organizations to ensure alignment on goals, expectations, and shared success metrics. • Collaborates with internal stakeholders—including leadership, enrollment, marketing, and integrated operations—to share insights, refine strategies, and identify opportunities for innovation. • Stays abreast to ACE's current program offerings and be knowledgeable of ACE's products. • Contributes to the development of scalable outreach models and best practices that support state-based growth. • Designs and execute high-impact events, presentations, and activities that promote ACE’s programs and generate qualified leads. • Represents ACE at trade shows, conferences, and community events to expand brand awareness and build strategic relationships. • Consistently meets or exceeds performance expectations as outlined in the Partner Engagement Administrators Expectation policy. • Upholds ACE’s standards of excellence in customer service, responsiveness, and ethical engagement.

The Utilization Management (UM) Nurse Supervisor is responsible for providing direct leadership and oversight to the UM nursing team. This role ensures team performance, accountability, and professional development by conducting regular 1:1s, managing performance reviews, and driving compliance with organizational, state, and federal requirements. The Supervisor balances hands-on operational responsibilities with leadership duties, serving as both a mentor and performance manager for frontline staff. Salary: $75,000.00/Annually  JOB QUALIFICATIONS: KNOWLEDGE/SKILLS/ABILITIES  The UM Nurse Team Lead’s responsibilities include but are not limited to:   - Provide day-to-day supervision of UM nurses, ensuring productivity, accuracy, and adherence to policies and processes. - Conduct regular 1:1s, coaching sessions, and performance evaluations to support staff growth and accountability. - Lead daily/weekly huddles, communicate priorities, and set expectations for performance and timeliness. - Serve as first point of escalation for staff questions, operational challenges, or case-related concerns. - Promote a culture of collaboration, accountability, and continuous improvement. - Monitor team productivity, timeliness, and quality of work through reporting and audits. - Take accountability for overall team performance, escalating issues as needed to the UM Clinical Manager. - Ensure compliance with all regulatory, contractual, and accreditation standards (CMS, NCQA, state-specific requirements). - Support audit preparation, quality initiatives, and corrective action plans as needed. - Oversee case assignment, queue management, and authorization workflows to ensure timely completion. - Perform authorization reviews as needed, utilizing federal/state mandates, plan benefit language, and medical necessity criteria (e.g., InterQual, CMS, health plan policies). - Review and process clinical and administrative appeals; coordinate with Medical Director when required. - Generate and review daily/weekly reporting on productivity and case timeliness. - Manage team calendars, including PTO, planned outages, and rotation schedules. - Participate in user acceptance testing (UAT), system/process improvements, and special projects. - Act as liaison between UM staff and UM leadership to ensure clear communication of priorities, policies, and workflow changes. - Collaborate with internal partners (e.g., Provider Relations, Quality) to resolve escalations and address utilization management issues. - Represent UM nursing team in internal meetings and external stakeholder interactions as directed. - Remote work environment with expectations for timely communication and responsiveness. - Must be able to handle confidential and sensitive information in compliance with company policies and regulations. - Flexibility to adapt to changing priorities, systems, and workflows in a fast-paced environment. EDUCATION: Active, unrestricted Registered Nurse, Licensed Vocational Nurse, or Licensed Practical Nurse license EXPERIENCE: - Minimum 3 years of nursing experience in acute, outpatient, or managed care setting. - Minimum 2 years of utilization management experience in a payer or managed care environment. - Strong understanding of utilization review, authorizations, and appeals processes. - Excellent verbal/written communication and organizational skills. - Experience with Medicare and Medicaid requirements. - Familiarity with DMEPOS authorization and appeals processes. - Knowledge of medical necessity criteria (InterQual, CMS, health plan policies). - Prior leadership, supervisory, or team lead experience in a UM setting. Benefits Offered - Competitive compensation and annual bonus program - 401(k) retirement program with company match - Company-paid life insurance - Company-paid short term disability coverage (location restrictions may apply) - Medical, Vision, and Dental benefits - Paid Time Off (PTO) - Paid Parental Leave - Sick Time - Paid company holidays and floating holidays - Quarterly company-sponsored events - Health and wellness programs - Career development opportunities Remote Opportunities We are actively seeking new colleagues in: Arizona, Colorado, Connecticut, Florida, Georgia, Idaho, Illinois, Kentucky, Massachusetts, Michigan, North Carolina, New Jersey, New York, Ohio, Pennsylvania, South Carolina, Tennessee, Texas, Virginia, Vermont, and Washington. Our Story Founded in 2005, Integra Partners is a leading national durable medical equipment, prosthetic, and orthotic supplies (DMEPOS) network administrator. Our mission is to improve the quality of life for the communities we serve by reimagining access to in-home healthcare. We connect Payers, Providers, and Members through innovative technology and streamlined workflows affording Members access to top local Providers and culturally competent care. By focusing on transparency, accountability, and adaptability, we help deliver better health outcomes and more efficient management of complex healthcare benefits. Integra Partners is a wholly owned subsidiary of Point32Health. With a location in Michigan plus a remote workforce across the United States, Integra has a culture focused on collaboration, teamwork, and our values: One Team, Drive Results, Push the Boundaries, Value Others, and Build Community. We’re looking for energetic, talented, and dedicated individuals to join our team. See what opportunities we have available; there may be a role for you to engage in a challenging yet rewarding career in healthcare. We look forward to learning more about you. Integra Partners is an equal opportunity employer. We are committed to providing reasonable accommodations and will work with you to meet your needs. If you are a person with a disability and require assistance during the application process, please don’t hesitate to reach out. We celebrate our inclusive work environment and welcome members of all backgrounds and perspectives.

About Us: Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals. We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success. JOB SUMMARY: Title: Coordinator, Utilization Management Location: Remote within US ONLY (equipment provided, work must be done within the US only) Required Schedule: Full-time shifts from 8:00 AM to 5:00 PM EST (Sunday - Thursday or Tuesday - Saturday) we cannot guarantee preferred shift and some holiday coverage required. Hourly Salary: $19.00 - $20.00 ESSENTIAL DUTIES AND RESPONSIBILITIES: Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member’s performance objectives as outlined by the Team Member’s immediate Leadership Team Member. About this position: Title: Coordinator, Utilization Management Location: Remote within US ONLY (equipment provided, work must be done within the US only) Required Schedule: Full-time shifts from 8:00 AM to 5:00 PM EST (Sunday - Thursday or Tuesday - Saturday) we cannot guarantee preferred shift and some holiday coverage required. Hourly Salary: $19.00 - $20.00 Responsibilities: - Manage the Authorization process end to end, from initial notification, entry and submission of required information, follow up all the way to determination and discharge. - Maintain detailed documentation of the record in the EMR system, in the internal CorroHealth system and in the Health Payer portals. - Verify correct eligibility and benefits for patients. - Act as a liaison between the hospital staff and the Health Payer to facilitate information sharing and successful process completion within allocated timeframe. - Review timely filing guidelines regarding the utilization management process. - Track and follow up with payers on pending authorizations to ensure timely responses. - Contact payer to elicit further information regarding status, decisions and remove hurdles in the processing. - Identify and escalate issues that may result in delays or denials. - Manage assigned workload of accounts through timely follow up and accurate record keeping. - Maintain compliance with HIPAA and other healthcare regulations. Minimum Qualifications: - High School Diploma or equivalent. Associate degree in healthcare administration or equivalent preferred. - 2 years of experience in hospital related billing/follow-up/healthcare setting/authorization field. - Knowledge of/experience working with managed care contracts - Experience working with customer support/client issue resolution management. - Strong understanding of medical terminology and insurance processes. - Experience working in EMR systems, Epic preferred. - Excellent communication and organization skills. - Strong multi-tasking skills, working in a face paced environment. - Proficiency with MS Office and web systems. What we offer: - Hourly pay: $19.00 - $20.00 (firm) - Remote within US ONLY - Equipment provided - Medical/Dental/Vision Insurance - 401k matching (up to 2%) - PTO: 80 hours accrued, annually - 9 paid annual holidays - Life Insurance - Short/Long term disability options - Tuition reimbursement - Professional growth and more! PHYSICAL DEMANDS: Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described. Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Member must be able to lift and move material weighing up to 20 lbs. Team Member may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines. A job description is only intended as a guideline and is only part of the Team Member’s function. The company has reviewed this job description to ensure that the essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.

As a Partner Engagement Administrator, you are a highly motivated and results-oriented professional who thrives in a competitive, performance-driven environment. You bring a passion for helping students achieve their educational goals and a proven ability to work independently with minimal supervision. Your primary responsibility is to drive measurable growth in student enrollment by actively promoting ACE’s degrees and certificates to prospective and partnered organizations. Through strategic outreach and relationship-building, you generate qualified leads and convert interest into enrollments, consistently meeting or exceeding monthly and quarterly enrollment targets.   You excel in virtual collaboration and maintain strong attention to detail in all aspects of your work. Your interpersonal communication skills, dedication to customer service, and commitment to timely follow-up are essential in building long-lasting relationships with clients and partners. You approach student engagement with a consultative mindset—identifying motivations, addressing concerns, and aligning ACE’s offerings with individual goals. Your success is measured not only by the volume of enrollments but also by the quality of relationships you cultivate and the satisfaction of the students and partners you serve.