JOB PURPOSE:

The Shared Services Effectuation Supervisor is responsible for overseeing the end-to-end service effectuation process, ensuring that all authorized services for participants are accurately coordinated, scheduled, delivered, and completed in a timely manner.

This role ensures continuity between care authorization and service delivery by supervising a team responsible for tracking, coordinating, and closing the loop on all participant services. The supervisor works closely with interdisciplinary teams (IDT), providers, and internal departments to ensure seamless execution of care plans and compliance with PACE program requirements.

JOB RESPONSIBILITIES:

• Supervise daily operations of the Shared Services Effectuation Data Quality team, ensuring effective coordination, tracking, and completion of all authorized PACE participant services.
• Oversee the full-service effectuation lifecycle, including authorization tracking, coordination, scheduling, execution follow-up, and confirmation of service completion within required timeframes.
• Ensure accuracy and integrity of service data by performing quality oversight of Care Compass entries and conducting routine audits of IDT and Shared Services documentation to confirm services are properly effectuated.
• Serve as primary liaison between Shared Services, Provider Relations, IDT teams, external providers, and internal departments (e.g., Appeals & Grievances, Claims, Transportation, vendors) to resolve service gaps, delays, and operational issues.
• Monitor daily and ad-hoc service status reports to ensure timely resolution of pending services, escalate barriers impacting service delivery, and drive resolution through cross-functional collaboration.
• Ensure compliance with PACE program requirements, CMS & DOH regulations, internal policies, and documentation standards, supporting audit readiness and regulatory adherence.
• Analyze operational data and quality metrics to identify trends, inefficiencies, and opportunities for process improvement, and collaborate with IT and Quality teams to enhance tracking systems and reporting tools.
• Provide leadership, coaching, training, and performance management for team members, including delegation of assignments, reinforcement of policies, and ongoing development support.
• Manage team operations including scheduling, time-off approvals, attendance monitoring, workload distribution, and adherence to productivity and performance standards.
• Oversee quality assurance activities, including audits of notes, calls, and documentation; communicate findings to staff and leadership, and implement corrective actions as needed.
• Support investigation and resolution of escalated issues, grievances, and complaints in a timely and confidential manner, ensuring proper documentation and follow-through.
• Conduct performance evaluations, deliver feedback, and administer disciplinary actions when necessary, ensuring accountability and continuous improvement.
• Participate in internal meetings, conference calls, and cross-departmental coordination efforts, and lead team-specific meetings as needed.
• Perform other duties as assigned.

Schedule: 8:30AM – 5:30PM

Weekly Hours: 40

QUALIFICATIONS:

Education: Bachelors or Associates Degree in business, health care, or related field preferred.

Additional Requirements:

• Ability to pass multi-tasking competency tests involving various screen navigation, listening to the customer, entering data about the interaction, and suggesting a resolution to the customer’s issue.
• Within 45 days, must pass a proficiency test of Microsoft Office, Ring Central, Care Compass, and any other system used daily.
• Proficient in computer programs such as Microsoft Office and Microsoft Excel.
• Knowledge of other database programs is a plus.
• Excellent verbal and written communication skills.
• Excellent problem-solving and analytical skills.
• Accurate attention to detail with strong organizational skills.
• Demonstrated ability to manage multiple projects and be flexible.
• Able to travel to any PACE Sites, as needed.

Language: Bilingual in Spanish, Russian, Chinese, Korean, Albanian, or French Creole preferred.

Physical Requirements

Individuals must be able to sustain certain physical requirements essential to the job. This includes, but is not limited to:

• Standing – Duration of up to 6 hours a day.
• Sitting/Stationary positions – Sedentary position in duration of up to 6-8 hours a day for consecutive hours/periods.
• Lifting/Push/Pull – Up to 50 pounds of equipment, baggage, supplies, and other items used in the scope of the job using OSHA guidelines, etc.
• Bending/Squatting – Have to be able to safely bend or squat to perform the essential functions under the scope of the job.
• Stairs/Steps/Walking/Climbing – Must be able to safely maneuver stairs, climb up/down, and walk to access work areas.
• Agility/Fine Motor Skills - Must demonstrate agility and fine motor skills to operate and activate equipment, devices, instruments, and tools to complete essential job functions (ie. typing, use of supplies, equipment, etc.)
• Sight/Visual Requirements – Must be able to visually read documentation, papers, orders, signs, etc., and type/write documentation, etc. with accuracy.
• Audio Hearing and Motor Skills (language) Requirements – Must be able to listen attentively and document information from patients, community members, co-workers, clients, providers, etc., and intake information through audio processing with accuracy. In addition, they must be able to speak comfortably and clearly with language motor skills for customers to understand the individual.
• Cognitive Ability – Must be able to demonstrate good decision-making, reasonableness, cognitive ability, rational processing, and analysis to satisfy essential functions of the job.

Disclaimer: Responsibilities and tasks outlined in this job description are not exhaustive and may change as determined by the needs of the company.

 

We are an affirmative action and equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, disability, age, sexual orientation, gender identity, national origin, veteran status, height, weight, or genetic information. We are committed to providing access, equal opportunity, and reasonable accommodation for individuals with disabilities in employment, its services, programs, and activities.

Salary Range (Min-Max):

$60,000.00 - $70,000.00

CenterLight Healthcare System currently hires employees in states where we are registered to do business. At this time we are able to consider candidates residing in the following states:

• Alabama

• California

• Colorado

• Connecticut

• Florida

• Georgia

• Illinois

• Louisiana

• Massachusetts

• New Jersey

• New York

• North Carolina

• Ohio

• Oklahoma

• Oregon

• Pennsylvania

• Puerto Rico

• South Carolina

• Texas

• Utah

• Virginia

• Wisconsin