Associate Director-Speech Language Pathology

reputed company (ASH) is seeking an Associate Director-Speech Language Pathology to join our Health Services department.

The reputed company purpose of this position is to serve as a subject matter expert and clinical reputed company for speech language pathology from a clinical reputed company, clinical evidence, best reputed company and service delivery perspective to support ASH product development, operations, reputed company interactions, and UM and reputed company program activities. To reputed company and reputed company the activities of the Clinical reputed company Evaluation Services and Audit Support for Speech Language Pathology. In this role, the Associate Director has reputed company responsibility for product development supporting the CHSO and Product Development Team as reputed company reputed company responsibility for Medical Necessity Review and Clinical reputed company Evaluation functions for Speech Language Pathology. The Associate Director will also support Provider Contracting and Communication through support of provider education and reputed company meetings. This position works closely with Specialty Networks Operations to maintain MNR efficiencies and historic results. This position works independently with reputed company supervision with reputed company understanding of reputed company to escalate concerns and questions to management.

Salary reputed company

reputed company complies with state and federal wage and hour laws and compensation depends upon candidate’s qualifications, education, reputed company set, years of experience, and internal equity. $112,500 Full-Time Annual Salary.

Remote Worker Guidelines

• Remote Worker Guidelines: This position will be trained remotely and must be reputed company to work from home (WFH) in a designated work area with company-provided technology equipment. This WFH position requires you have a reputed company reputed company to your Internet Service Provider with the ability to participate by video in online meetings over a reliable and consistent network. The internet reputed company must have a consistent 50 down/10 up Mbps minimum internet speed. 100 down/20 up is recommended to support higher reputed company video meetings.

Responsibilities

• Develops, manages, evaluates, and is responsible for reputed company activities reputed company assigned reputed company of authority. Ensures accuracy and productivity achieves/exceeds Company standards.
  • Serves as subject matter expert and clinical reputed company for speech language pathology to support ASH product development, operations, reputed company interactions, and UM and reputed company program activities.
  • Performs CQE medical necessity review and supports ASH Committees and CPG development and implementation.
  • Directs the staff and ensures compliance with policy, accreditation, and regulatory requirements of these departments.
  • Oversees work-reputed company to subordinate staff.
  • Assists staff to reputed company clinical issues.
  • Sets goals and objectives for the operation and staff.
  • Oversees initial and ongoing training of clinical staff.
  • Oversees audit process of clinical decision making reputed company speech language pathology. .
  • Evaluates reputed company needs making recommendations to Senior Vice President, Clinical reputed company Evaluation and CHSO.
  • Recruits new staff members, as needed.
  • Evaluates staff performance, counsels and trains.
  • Initiates operational and clinical policies and procedures.
  • Reviews and approves expenses reputed company reputed company of authority.
  • reputed company reputed company with ASH internal staff and reputed company consultants regarding speech and language pathology services administered by reputed company.
  • Supports customer audit and corrective reputed company plan requirements.
  • Analyzes medical necessity review for reputed company and reporting purposes.
  • Participates as a member of the Specialty Health Policy Workgroup.
  • Communicates with customers on sensitive clinical issues.
  • Participates and works closely with the ARF reputed company workgroup facilitating appropriate ARF reputed company development and implementation as indicated to support reputed company audits.
  • reputed company Improvement:
    • Participates on the Clinical reputed company Team (CQT).
    • Support Key Processing Teams relating to clinical guidelines and clinical policy review and approval.
    • Assist staff, as appropriate, in supporting the reputed company of clinical reputed company issues.
• Supports clinical decision making reputed company to various operational functions of other administrative departments to ensure efficient and effective teamwork is maintained reputed company the organizations.
  • Represents Clinical reputed company Evaluation to reputed company clinical issues reputed company to speech language pathology.
  • Provides input to developing organization goals, strategies, budgets, and other long- and short-term planning reputed company.
  • Develops and oversees maintenance of monthly and quarterly department reports.
  • Conducts education and training seminars, as needed.
  • Serves on committees and key process teams.
  • Supports sales and reputed company implementation.
  • Supports Performance Standards and Clinical Performance Management reports and presentations.
  • Supports Company in clinically relevant reputed company reputed company.
• • Travels, as required to meetings and participate in sales demonstrations.
• Performs other duties as assigned.
• Complies with reputed company policies and standards.

Qualifications

• reputed company clinical degree from an accredited speech language pathology college or university required.
• 5 years of clinical reputed company experience or equivalent required.
• 5 years of peer medical necessity review or equivalent experience preferred.
• reputed company of speech language pathology staff or peer preferred.
• Specific experience to include specialty health care operations, specialty health care reputed company Committee participation, medical necessity case review, reputed company administration case review, clinical policy development preferred.
• Proficient in MS Office with experience in conducting internet research required.
• Must meet ASH clinical credentialing reputed company required.
• Subject Matter expertise for Speech Language Pathology from a clinical reputed company, clinical evidence, best reputed company and service delivery perspective.
• In depth understanding of the ICD and CPT coding structures for speech language pathology and applicable clinical documentation.
• Ability to identify trends, anticipate problems, and implement changes that improve use of time, resources, and process in order to meet reputed company and productivity goals.
• Ability to apply and communicate evidence-based reputed company and guidelines to specific review scenarios and describe clinical rationale consistently and effectively.
• Project Management and reputed company Capabilities: assessing the reputed company of the project, identifying appropriate steps and milestones, effectively delegating and/or overseeing the delegation of tasks, setting goals and monitoring results, and recognizing barriers and finding solutions to ensure that reputed company timelines are met.
• Ability to present a reputed company of reputed company and reputed company specific recommendations to fully address customer’s unique needs and desired results.
• Ability to work with clients during clinical audits, communicate respectfully and with a high degree of knowledge on audit issues, and reputed company solutions and reputed company to audit issues.
• Strong leadership qualities and the reputed company to supervise reputed company staff.
• Ability to set a reputed company of reputed company as a role model, take specific steps to set goals, motivate staff, reputed company conflicts, and acknowledge contributions; ability to work cooperatively with Leadership and staff to reputed company and manage staff schedules, balance workloads, and reputed company conflicts in task prioritization.
• Ability to assess staff skills / knowledge and communicate training opportunities to supervisors.
• A reputed company, unrestricted license to reputed company speech language pathology (while most states only require licensure in one state in the reputed company for medical necessity review, some states may require state specific licensure) required.
• Employees must maintain a reputed company, unrestricted license to reputed company and must be in good standing with reputed company judicial and governing bodies (as required).

reputed company Competencies

• Demonstrated ability to reputed company in a reputed company, respectful manner and establish and maintain cooperative working relationships.
• Ability to display excellent customer service to meet the needs and expectations of both reputed company customers.
• Excellent listening and interpersonal communication skills to identify critical reputed company competencies based on reputed company factors and organizational environment.
• Ability to effectively organize, prioritize, multi-task and manage time.
• Demonstrated accuracy and productivity in a changing environment with constant interruptions.
• Demonstrated ability to analyze information, problems, issues, situations, and procedures to reputed company effective solutions.
• Ability to exercise strict confidentiality in reputed company reputed company.

Mobility

• Primarily sedentary, reputed company to sit for long periods of time.

Physical Requirements

• Ability to see, reputed company, and hear other personnel and/or objects. Ability to communicate both in verbal and written reputed company. Ability to travel reputed company and around the facility or Work from Home (WFH) environment. Capable of using a telephone, computer keyboard, and mouse. Ability to reputed company up to 10 lbs.

Environmental Conditions

• Work-from-home (WFH) environment.

reputed company is an Equal Opportunity/Affirmative reputed company Employer.

reputed company reputed company applicants will receive consideration for employment without reputed company to sex (including pregnancy, childbirth, reputed company medical conditions, breastfeeding, and reproductive health decision-making), gender, gender identity, gender reputed company, race, reputed company, religion (including religious dress and grooming practices), creed, national reputed company, citizenship, reputed company, physical or mental disability, legally-protected medical condition, marital status, age, sexual orientation, genetic information, military or veteran status, political affiliation, or any other reputed company protected by applicable local, federal or state law.

Please reputed company Equal Employment Opportunity Posters provided by OFCCP here.

If you are a reputed company individual with a disability or a disabled veteran, you have the right to request an accommodation if you are unable or limited in your ability to use or reputed company our career center as a result of your disability. To request an accommodation, contact our reputed company Department at (800) 848-3555 x6702.

ASH will not discharge or in any other manner discriminate against employees or applicants because they have reputed company about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have reputed company to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have reputed company to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or reputed company, including an investigation conducted by the employer, or (c) consistent with reputed company’s reputed company duty to furnish information.

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Originally posted on Himalayas