Teams at Nova Healthcare Administrators, Inc.

The Case Manager assesses patients’ medical, social, and psychosocial needs; develops, coordinates, monitors, and evaluates individualized care plans; advocates for patients; identifies barriers and alternative care resources; coordinates with providers, payors, and interdisciplinary teams; ensures regulatory, privacy, reimbursement, and documentation compliance; and supports quality improvement, staff training, and community resource connections.

Prepares and reviews financial statements, journal entries, reconciliations, audit schedules, tax reporting, and consolidated reporting. Maintains the general ledger, investigates variances, supports month-end close, and develops financial reports in Workday. The role also improves accounting processes, supports strategic initiatives and system upgrades, tests finance interfaces, trains staff, and mentors accounting personnel.

Manages employer group and member account operations for a health plan, including enrollment, eligibility, implementations, plan changes, data exchanges, billing-related issues, and account maintenance. Serves as the primary contact for employers, members, brokers, and partners; provides education and support; researches complex plan and claims issues; resolves discrepancies; and escalates fraud, compliance, sales, and operational concerns.