• Provide essential program, operational, and administrative support to the Access to Care Solutions Team • Ensure uninterrupted access to patient support services by efficiently coordinating logistics and resolving service delivery needs • Support program sustainability and compliance through accurate management of post-award grant and contract processes • Support accurate data entry, grant tracking, and dashboard reporting in Salesforce and other systems • Enhance volunteer engagement and strengthen program outcomes by ensuring accurate data management • Support consistent program delivery by ensuring timely preparation, customization, and distribution of materials • Facilitate successful knowledge sharing and team collaboration through logistical and technical support for events

• The Care Access Coordinator is a non-clinical support role that ensures efficient access to behavioral health services by combining administrative accuracy, responsive customer support, and effective coordination between members, providers, and clinical teams. • Process authorizations, enter and audit data, and manage documentation across multiple systems to ensure accuracy and workflow efficiency. • Support clinical operations through correspondence (letters, faxes) and by maintaining timely, compliant records aligned with productivity standards. • Serve as a frontline resource by answering benefit, authorization, and referral questions while verifying member information in compliance with HIPAA. • Deliver high-quality service through empathetic communication, basic screening, and escalation of high-risk or crisis situations to clinical staff. • Triage cases and route them appropriately to clinical teams, ensuring accurate and timely information flow for care decisions. • Collect and share key data (e.g., discharge details, provider updates) to support continuity of care and cross-functional collaboration.

• Works with care management team on administrative care management activities including performing outreach, answering inbound calls, and scheduling services • Serves as a point of contact to members, providers, and staff to resolve issues and documents member records in accordance with current state and regulatory guidelines • Provides outreach to members via phone to support with care plan next steps, community or health plan resources, questions or concerns related to scheduling, and ongoing education for both the member and provider throughout care/service • May apply in-depth knowledge of assigned health plan(s) activities and resources • Serves as the front-line support on various member and/or provider inquiries, requests, or concerns which may include explaining care plan procedures and protocols • Applies in-depth knowledge of care management support activities including care plans and community resources • Supports member onboarding and day-to-day administrative duties including sending out welcome letters, related correspondence, and program educational materials to assist in the facilitation of a successful member/provider relationship • Works with care management team on escalating requests and inquiries to management • Documents and maintains non-clinical member records to ensure standards of practice and policies are in accordance with state and regulatory requirements and provide to providers as needed • May support training of new hires • Performs other duties as assigned • Complies with all policies and standards

Role Description The Contract Management Coordinator will assist the Contract Management Department in all administrative functions. The Contract Management Coordinator will work with the team on tasks that will allow them to focus on the loading and validating contracts. - Pull all Government fee schedules and upload into Pricer - Download Medicare Fee Schedules and upload to Pricer for global use - Download all state Medicaid schedules (Annual or quarterly depending on state) and upload to Pricer for global use - Download all Government Factors needed by 3M for pricing and submit to Dev Team - Provide factors in an organized manner to Dev team for system loading - Pull all state Workers Comp/No Fault Fee Schedules and upload into Pricer - Run all Contract Management Volume Reports Monthly/Quarterly - Provide Internal and External pricing confirmation and feedback - Provide 24 hour turn around on specific pricing questions to External and Internal customers - Provide Clients with Pricing Contract Glances as requested - Attend all team meetings and take and distribute notes as required - Maintain all Workers Comp and No Fault client contracts and fee schedules - Run validation reports requested by Management - Assist in gap analysis for new and existing clients - Complete contract inventory on semiannual basis for all clients to confirm we are up to date with contracts - Assist Department Management with any additional tasks/projects - Other duties as assigned - Use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards - Understand and comply with Information Security and HIPAA policies and procedures at all times - Limit viewing of PHI to the absolute minimum as necessary to perform assigned duties Qualifications - High school diploma or equivalent required, Bachelor’s degree preferred - 2 - 3 years minimum experience of Medicare, Medicaid & state Workers Comp/No Fault websites to obtain pricing fee schedules and information required - Highly organized and adept in handling documents - Minimum 1-year basic knowledge of the Managed Care industry, billing and/or healthcare contracting required - Ability to work in a high paced environment and be able to multitask - Strong interpersonal skills, ability to communicate well at all levels of the organization - Strong problem solving and creative skills and the ability to exercise sound judgment and make decisions based on accurate and timely analyses - High level of integrity and dependability with a strong sense of urgency and results oriented - Excellent written and verbal communication skills required - Gracious and welcoming personality for customer service interaction Requirements - Work Schedule: Monday - Friday 9PM - 5AM PHT (Night Shift) - Work Set-Up: Full Time Permanent Remote - Must possess a smart-phone or electronic device capable of downloading applications, for multifactor authentication and security purposes. Physical Demands - While performing the duties of this job, the employee is occasionally required to move around the work area; sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear. Mental Demands - The employee must be able to follow directions, collaborate with others, and handle stress. Work Environment - The noise level in the work environment is usually minimal.