Jobs at Nascentia Health

Provide day-to-day operational and coordination support for the IT department, including triage and follow-up between users and technical staff, vendor and inventory management, onboarding/offboarding, basic troubleshooting, training support, and maintaining documentation and workflows.

Support the systems administrator in managing healthcare systems: monitor performance, troubleshoot hardware/software and network issues, perform routine maintenance and updates, document configurations, provide end-user technical support, assist on systems projects, and stay current on technologies.

Coordinate and document Home Health Aide assignments for an assigned caseload; notify patients, aides and agencies of schedule changes; review scheduling reports; accept referrals; handle complaints and communicate with management; participate in team conferences and quality improvement; maintain accurate records and protected health information.

Lead enterprise quality improvement and utilization management for multiple health plan lines (MLTC, MAP, ISNP, DSNP). Design and execute CMS Stars strategy, HEDIS/CAHPS/QARR reporting, NCQA accreditation, UM policy and oversight, regulatory audit responses, and data-driven improvement initiatives. Manage quality and UM teams, vendor relationships, dashboards, and cross-functional partnerships to improve member outcomes and regulatory compliance.

Lead annual fundraising and donor engagement for the Foundation: manage annual giving campaigns, cultivate corporate sponsors, coordinate events and donor stewardship, maintain donor database and reporting, and support fundraising operations and board/committee needs.

Performs chart audits and reviews client records, OASIS assessments, orders, and documentation to identify quality and safety issues. Reports trends to the Manager, follows up with clinical staff on documentation, coding, and care interventions, and provides education and training. Supports and implements quality improvement activities, enforces agency policies, and completes LHCSA audits.

Provide claims support for Medicaid and Medicare members by resolving authorization, eligibility, and payment issues; communicate with members, providers, TPAs, and internal teams; document adjudication issues; ensure compliance with policies, HIPAA, and quality improvement activities; deliver courteous customer service.

Lead and manage marketing projects including regulatory insurance projects, social media campaigns, newsletters, annual reports, fundraising marketing, and employee event promotion. Create/edit customer-facing materials, design ads and collateral, maintain social content calendar, track metrics, support internal communications and website content, coordinate events and presentations, manage branded promotional inventory, and support other departments as needed.

Provide Tier I or Tier II end-user IT support for Nascentia Health: respond to helpdesk calls/emails, troubleshoot hardware/software, log and escalate incidents, perform installs/changes, maintain devices and inventory, create knowledgebase articles, and support users via training and on-call rotations to minimize downtime.

Handle incoming inquiries and referrals, process member enrollments/disenrollments, determine Medicaid/Medicare eligibility, create and update EHRs, communicate with state/local agencies, track member KPIs, generate correspondence, and ensure DOH/CMS compliance while providing customer service and problem resolution.

Lead operational compliance and regulatory oversight across MLTC, MAPD/D-SNP, CHHA, LHCSA, and Article 28 programs. Manage audits, monitoring, corrective action plans, risk assessments, regulatory filings, training, and coordination with CMS, NYSDOH, and other agencies to ensure operational adherence to Medicare/Medicaid and related regulations.