Leave Program Specialist

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Leave Program Specialist for Federally Qualified Health Center in Spring Valley, NY Your privacy is important to us. All applications are strictly confidential. The leave program specialist will coordinate the support for all leave of absence cases and workers' compensation claims. Effectively coordinates all cases/claims to include general administration, comprehensive case management and program compliance with the Family and Medical Leave Act, ADA, Paid Family Leave Act and all related employment laws.

Leave Program Specialist Responsibilities:

• Serves as the subject matter expert for the leave and workers’ compensation programs in alignment and under the general direction and guidance of HR leadership and the legal department
• Interprets and administers leave programs and policies in accordance with the applicable federal and state employment laws (FMLA, ADA, NYPFLA, etc.). Ensures that the workers’ compensation program is managed in accordance with applicable OSHA and workers’ compensation laws.
• Administers all aspects of leave and workers’ compensation programs. Provides extensive case management and coordinates administrative aspects of the cases and claims. Conducts/coordinates investigations into all reported workers’ compensation claims.
• Independently approves and/or denies leave cases based on relevant medical information. Coordinates and organizes all medical information and ensures that HIPAA and Employee Privacy guidelines are closely monitored and effectively executed. Ensures that all reportable workers’ compensation claims are submitted to the company’s vendor within 48 business hours from the date of the incident.
• Manages all administrative aspects of leave and workers’ compensation claims to include tracking hours used/taken and working closely with the HR Service Center and Payroll to ensure that pay is accurate and correct.
• Works closely with associates to ensure that all relevant completed medical documentation is submitted for timely review. Maintains appropriate contact with all employees on leave and coordinates all aspects of return to work.
• Monitors leave cases for potential fraudulent activity. Works closely with HR and the legal department to identify, research and resolve matters.
• Produces and manages reporting metrics and analytics for all leave cases and workers’ compensation claims. Presents reports as requested.
• Assists in the creation and facilitation of leave administration and workers’ compensation training programs
• Performs all other duties as assigned or required.

Job Requirements:

• Associate’s degree in business administration, human resources or related field
• Two years of experience in Human Resources
• Two years of experience in managing leave cases (FMLA, STD) and workers’ compensation claims
• Two years of experience in handling employee relations cases
• Certified Benefits Professional (CBP) preferred
• Integrated Leave Management Certification preferred
• Hospital Experience Required

Skills:

• Ability to analyze information and convert related activities into a comprehensive work plan
• Ability to communicate and make recommendations to upper management
• Ability to identify basic problems and procedural irregularities, collect data, establish facts and draw valid conclusions
• Ability to multi-task and drive multiple projects
• Ability to work independently in a fast-paced environment with changing priorities
• Demonstrated ability to deal with confidential information
• Demonstrated problem solving, time management and priority setting skills

Who We Are:

Refuah Health Center is a thriving, state-of-the-art Federally Qualified Health Center (FQHC) with three sites, twenty-nine departments and more than two hundred medical professionals! This is an excellent opportunity to work with a seasoned group of health care professionals who are passionate about patient care.For more than two decades, Refuah has been providing the highest caliber health care in Rockland, Sullivan, Orange, and Ulster Counties to nearly 60,000 patients annually. We are located in Spring Valley, NY, approximately thirty miles from New York City.

What We Offer:

• Competitive Salaries
• Robust Benefits Package including: Paid malpractice insurance, Medical, Dental, Disability And Life Insurance Benefits, Paid Time Off, 403b Retirement Savings Plan, Flexible Spending Accounts, Employee Discounts, Employee Assistance Programs and more.
• State-of-the-art facilities
• Collegial and Supportive Work Environment
• Flexible Schedules for Optimal Work/Life Balance

Join our team today! Apply now! This job is not open to visa candidates.