Role Description The CERIS Policy & Payment Integrity Coordinator (PPI Coordinator) plays a key role in supporting the Policy and Payment Integrity teams by managing workflow, ensuring timely assignment of appeals, and maintaining accurate tracking systems. This position requires strong organizational skills, attention to detail, and the ability to manage multiple priorities in a fast-paced environment. This is a remote position. Essential Functions & Responsibilities: - Manage and monitor general PPI department mailboxes to ensure timely review and routing of incoming correspondence - Assign appeals to appropriate team members based on established workflows and production needs - Maintain and update appeal trackers to ensure accurate and current data is available for reporting and performance monitoring - Track the status of assigned appeals to support timely completion and compliance with internal expectations and external deadlines - Identify workflow delays or discrepancies in tracking systems and escalate to leadership as appropriate - Collaborate with supervisors and team leads to balance workloads and support production goals - Assist with preparing reports, summaries, or metrics related to appeals volume, assignments, and completion rates - Support special projects, audits, and process improvements as directed by leadership - Maintain confidentiality and compliance with organizational policies and applicable regulations - Additional duties as assigned Qualifications - Strong organizational and time management skills with the ability to prioritize tasks effectively - Excellent written and verbal communication skills - Strong attention to detail and accuracy - Ability to work both independently and collaboratively within a team environment - Proficiency in Microsoft Office applications (Excel, Outlook, Word) and ability to learn internal systems Requirements - High school diploma or equivalent required Pay Range CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time. For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process. Pay Range: $21.10 - $31.56 per hour Benefits A comprehensive benefits package is available for full-time regular employees and includes: - Medical (HDHP) w/Pharmacy - Dental - Vision - Long Term Disability - Health Savings Account - Flexible Spending Account Options - Life Insurance - Accident Insurance - Critical Illness Insurance - Pre-paid Legal Insurance - Parking and Transit FSA accounts - 401 K - ROTH 401 K - Paid time off Company Description CERIS, a division of CorVel Corporation, a certified Great Place to Work® Company, offers incremental value, experience, and a sincere dedication to our valued partners. Through our clinical expertise and cost containment solutions, we are committed to accuracy and transparency in healthcare payments. We are a stable and growing company with a strong, supportive culture along with plenty of career advancement opportunities. We embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!).

• Provide assistance to K-12 students at risk of failing courses • Analyze data to identify at-risk students • Develop and implement intervention strategies • Collaborate with teachers and parents to support student success

• Working from our office in Southfield, Michigan, or a personal home office, the Elementary Reading Interventionist will support LCA’s Multi-Tiered System of Supports (MTSS) using the Response to Intervention Framework (RTI). • The Elementary Reading Interventionist coordinates the push-in and pull-out support in planning instruction and/or adaptation of the instructional program using the Multi-Tiered System of Supports (MTSS) model to facilitate student learning in accordance with district policies and state guidelines. • The Elementary Reading Interventionist designs and implements specific strategies designed to promote intellectual, social, and physical growth in all students identified for academic intervention. • The Elementary Reading Interventionist evaluates and measures the effectiveness of specific MTSS strategies and interventions in order to refine Tier 1, Tier 2, and Tier 3 levels of support. • The Elementary Reading Interventionist supports the instructional programs with regular and special education teachers. Most of the Elementary Reading Interventionist’s responsibilities will include providing intensive, research-based interventions for Tier 3 students. • Utilize performance, survey and observation, and attendance data to help teachers identify and group children who need additional support. • Assist teachers in developing and implementing classroom-based, developmentally appropriate interventions for individual children and groups of children to enhance their acquisition of social/emotional and cognitive skills. • Support teachers in documenting children’s progress. • Facilitate the Student Support Team (SST) process with the principals, support staff, parents, and instructional staff. • Develop and use instructional and behavioral support tools (Tier 2 Planning form, SST forms, functional behavior assessment and behavior management plans) effectively. • Gather and organize grade-level/subject area universal assessment tools and develop assessments for progress monitoring purposes for all teachers. • Design collaborative systems to support the sharing of MTSS best practices. • Implement and track all Tier 3 support for all identified students, design systems and tools to measure its effectiveness, and refine strategies and support as needed to improve results. • Collaborate with the Directors or Managers of Special Education and SST participants to facilitate eligibility for special education. • Schedule, organize, and conduct RTI meetings in a virtual environment. • Plan and implement RTI professional development opportunities. • Maintain and update on-line resources with RTI forms and information. • Facilitate data driven conferences with teachers to effectively inform instruction during Professional Learning Community meetings. • Assist in preparing and submitting the school improvement plans for struggling learners. • Assist with managing IDEA and Section 504 activities that fall under Child Find requirements. • Assist in producing required Federal, State and District reports in relation to general education interventions and Child Find responsibilities and ensure compliance with legislative mandates regarding intervention programs and documentation. • Develop and inform students of reasonable rules concerning classroom procedures and behavior and maintain a safe and orderly classroom environment. • Employ a variety of instructional techniques, instructional media, and performance assessments, which guide the learning process toward academic achievement and curriculum goals. • Assess the accomplishments of students in a variety of ways on a regular basis and provides progress reports as required. • Maintain accurate, complete, and correct records as required by law, district policy, and administrative regulations. • Administer and analyze standardized testing data and adjust instructional strategies, as needed, to maximize probability of student success. • Build effective relationships with parents and students through regular communication and availability to students and parents. • Participate in professional growth and development, staying abreast of current research through continuing education, educational seminars, workshops, conferences, membership in professional organizations of the subject taught, and attendance at district-sponsored in-service opportunities. • Meet professional obligations through efficient work habits such as meeting deadlines, honoring schedules, coordinating resources and meetings in an effective and timely manner, and demonstrate respect for others. • All work responsibilities are subject to having performance goals and/or targets established.

• Support LCA’s Multi-Tiered System of Supports (MTSS) using the Response to Intervention Framework (RTI) • Coordinate the push-in and pull-out support in planning instruction and/or adaptation of the instructional program using the Multi-Tiered System of Supports (MTSS) model • Facilitate student learning in accordance with district policies and state guidelines • Design and implement specific strategies designed to promote intellectual, social, and physical growth in all students identified for academic intervention • Evaluate and measure the effectiveness of specific MTSS strategies and interventions in order to refine Tier 1, Tier 2, and Tier 3 levels of support • Support the instructional programs with regular and special education teachers • Provide intensive, research-based interventions for Tier 3 students