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Description of Duties:Under the direction of Manager of Database Administration, this position assists in the development and maintenance of database objects and extract, transformation and load (ETL) processes in support of corporate reporting, business process automation, data integrity and application development. Duties may also include database administration tasks of configuring and maintaining MS SQL databases.
Qualifications Required:
Bachelor’s degree in Computer Science or a related field and 1 year experience in a similar role OR an equivalent combination of education and work experience.
2-3 years experience with MS SQL and database administration (if not degreed).
Knowledge of SQL required to design and implement database objects (tables, views, queries, indexes, stored procedures, etc.).
Understanding of SSIS and DTS
Familiarity with database best practices (data normalization, relational design, etc.)
Working knowledge of routine database maintenance functions, such as attaching/detaching databases, backing up and restoring databases and scheduling/executing database jobs and packages.
Experience with ActiveX scripting preferred.
Excellent communication skills: Verbally and in writing with all internal and external customers.
Analytical skills necessary in order to assist with designing data processing systems and develop required reports.
Must be well versed in Microsoft Office products including but not limited to Word, Excel, Access, Outlook and Power Point.
Description of Duties: Responsible for understanding the Behavioral Service Delivery
System and access to that system. Work closely with Member, Member’s family, and providers to
determine appropriate level of care to meet treatment needs. Care Managers are responsible to
ensure that treatment delivered is appropriately utilized and meets
the Member’s needs in the least restrictive, least intrusive manner possible.
Qualifications Required:
Graduate degree from an accredited educational program in Social Work, Clinical/Counseling Psychology, or Nursing.
Pennsylvania Licensure required.
Minimum of three years post-graduate clinical experience or equivalent combination of education and clinically related work experience
Minimum of one-year experience working with a managed care system.
Minimum of one-year experience in Behavioral Health Service Delivery System.
Strong written and verbal communication skills
Ability to perform multiple tasks
Excellent interpersonal personnel and organizational skills
Ability to work effectively in a team environment
PC skills and experience utilizing Microsoft Office, Outlook, Excel, Power Point
Description of Duties: Responsible for understanding the Children’s Behavioral Service Delivery System and access to
that system. Work closely with Member, Member’s family, and providers to determine appropriate level of care to meet treatment needs.
Clinical Care Managers are responsible to ensure that treatment delivered is appropriately utilized and meets the Member’s needs in the
least restrictive, least intrusive manner possible.
Qualifications Required:
Graduate degree from an accredited educational program in Social Work, Clinical/Counseling Psychology, or Nursing.
Pennsylvania Licensure required.
Minimum of three years post-graduate clinical experience or equivalent combination of education and clinically related work experience.
Minimum of one-year experience working with a managed care system.
Minimum of one-year experience in Behavioral Health Service Delivery System.
Strong written and verbal communication skills.
Ability to perform multiple tasks.
Excellent interpersonal personnel and organizational skills
Ability to work effectively in a team environment
PC skills and experience utilizing Microsoft Office, Outlook, Excel, Power Point
Description of Duties: Responsible for understanding the Children’s Behavioral Service Delivery System and access to
that system. Work closely with Member, Member’s family, and providers to determine appropriate level of care to meet treatment needs.
Clinical Care Managers are responsible to ensure that treatment delivered is appropriately utilized and meets the Member’s needs in the
least restrictive, least intrusive manner possible.
Qualifications Required:
Graduate degree from an accredited educational program in Social Work, Clinical/Counseling Psychology, or Nursing.
Pennsylvania Licensure required.
Minimum of three years post-graduate clinical experience or equivalent combination of education and clinically related work experience.
Minimum of one-year experience working with a managed care system.
Minimum of one-year experience in Behavioral Health Service Delivery System.
Strong written and verbal communication skills.
Ability to perform multiple tasks.
Excellent interpersonal personnel and organizational skills
Ability to work effectively in a team environment
PC skills and experience utilizing Microsoft Office, Outlook, Excel, Power Point
Shift: Monday through Friday 12am – 8am
Description of Duties:Member Services Specialists are responsible for the intake processes of CBHNP.
They are the first point of contact for Members accessing the company. This position is responsible for answering
the telephone and explaining the operation of CBHNP to Members when they call; Completing intake information regarding
the member; Explaining procedures for accessing services to Members; Coordinating/Interfacing with the
Medical Assistance Transportation Program (MATP), as necessary, to assist Members in securing transportation
to scheduled appointments; Completing bed searches, as necessary, for IP and SA bed requests; Addressing Member
complaints through the initialization of the CBHNP Grievance and Complaint process; Explaining a Member’s rights
as requested; Providing additional resources to the Member such as a Member Handbook and list of in-plan providers
from the Member’s geographic region and completing data entry of requests and authorizations.
Qualifications Required:
Bachelor’s degree required. Excellent written and verbal communication skills with the ability to respond sensitively
to members requests required. Previous customer service and data entry experience required preferably within a call
center. At least one year of experience in mental health and/or human services required; or equivalent background and
experience that would translate well into this position.
Experience with PC’s in a windows based environment required.
Description of Duties:The Accountant I is responsible for all day to day general ledger entries
of assigned lines of business. This may include generating payroll/vendor checks, generating
ad-hoc reports; reconciling general ledger accounts, coordinating, gathering and preparing month end
reports as well as generating year end reports. This position assists the Accountant II and Senior
Accountant in the preparation of monthly closing process, including preparing entries.
Qualifications Required:
B.S. in Accounting preferred. If not degreed, then a combination of education and work experience will be considered.
If degreed then 1-3 years of finance/accounting related experience. If not degreed, then 3-5 years of accounting/finance related experience.
Knowledge of generally accepted accounting principles (GAAP) preferred.
Knowledge of PeopleSoft preferred or equivalent financial related system.
Working knowledge of MS Office, specifically Word, Excel, Access and Outlook.
Excellent communication skills with the ability to communicate will all levels and a strong commitment and demonstration of customer service.
Excellent numerical and analytical skills.
Good organizational skills.
Description of Duties: The Provider Relations Representative is responsible to be the primary point of
contact for assigned Network Providers. This position is responsible for all aspects of the relationship including,
contracting rate negotiation, site visits, maintenance of credentialing files, troubleshooting, training, and technical
assistance with HealthChoices requirements and interpretation of regulations.
Qualifications Required:
Bachelor's degree, preferably in human services or related field OR equivalent combination of educational
background and experience. Example: High School Diploma with 3-5 years of human services and strong customer service background and experience;
or Associates Degree and 2-3 years of human services and strong customer service background and experience.
A minimum of 3 years experience in the human services field or similar combination of education, expertise, and experience.
Previous experience in an office setting and/or doctors office/ hospital (preferred).
Prior experience in behavioral health/managed care required.
Previous experience or working knowledge of Negotiating contracts, rates, and initiating contract amendments as needed.
Previous experience or working knowledge of federal, state and local regulations that pertain to credentialing, contracting,
Provider program licensing and payment regulations and experience researching/interpreting regulatory issues.
Excellent verbal and written communication skills with all internal and external customers. Ability to handle conflict and difficult situations.
Strong presentation skills required and ability to work with Providers.
Knowledge of program licensing and payment regulation and ability to research and interpret regulations.
Ability to use PC’s in a Windows based environment.
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