Are you looking for an opportunity to advance your career while working with an extraordinary team?  At Merakey, we put heart and soul into everything we do. We are seeking a Regional Director for IDD Business Authorizations and Processes to join our team supporting our programs in Pennsylvania.

 

Salary starting at $72,000

Hybrid-Remote position with travel up to 25% required. 

Position open to candidates residing in PA, NJ, DE 

 

Position details:

The Regional Director for IDD Business Authorizations and Processes is responsible for the business functions required to ensure the ongoing eligibility, authorizations, and compliance requirements of the IDD service operations throughout the division.

Duties include:

Supervise and provide oversight to the Business Operations Coordinator and related business processes across all IDD programs.

Manage and monitor all Avatar system functions, including admissions, discharges, bed assignments, level of care screenings, and utilization reviews.

Oversee authorization processes for Managed Care, Home & Community-Based Services, and SNAP eligibility redeterminations.

Serve as HCSIS Administrator, ensuring timely updates, submission of corrections, and access management for IDD staff.

Lead internal and external audit preparations to ensure compliance with all federal, state, and contractual documentation requirements.

Act as liaison between programs, Billing, Administrative Entities, and the Office of Developmental Programs (ODP).

Facilitate claims resolution processes and ensure effective communication with payors, stakeholders, and local agencies.

Ensure compliance with Merakey policies, best practices, and all applicable regulatory and funding requirements.

Benefits

Merakey offers generous benefits that promote well-being, financial security, and work-life balance, including:

Comprehensive medical, dental, and vision coverage, plus access to healthcare advocacy support. Retirement plan -- both pre-tax and Roth (after-tax) options available for employee contributions. DailyPay -- access your pay when you need it! On the Goga well-being platform, featuring self-care tools and resources. Access Care.com for backup childcare, elder care, and household services. Confidential counseling, legal, and financial services through our Employee Assistance Program (EAP). Tuition reimbursement and educational partnerships. Employee discounts and savings programs on entertainment, travel, and lifestyle. Access to Pryor Online Learning for free online personal development classes.

Learn more about our full benefits package - https://www.merakey.org/careers/benefits

 

About Merakey

Merakey is a non-profit provider of developmental, behavioral health, and education services. More than 8,000 employees provide support to nearly 40,000 individuals and families throughout 12 states across the country each year. Click here to watch a video about Merakey.

 

Merakey strictly follows a zero-tolerance policy for abuse.

Merakey is proud to be an Equal Opportunity Employer! We deeply value diversity and do not discriminate on the basis of race, religion, color, national origin, ethnic background, sex, gender, gender identity, sexual orientation, age, marital status, veteran status, genetic information, or disability status. Moreover, we are committed to creating teams that reflect the diversity of the communities we serve and encourage applicants from underrepresented backgrounds to apply. Merakey welcomes all Veterans to apply!