Associate Director-Speech Language Pathology

American Specialty Health Incorporated (ASH) is seeking an Associate Director-Speech Language Pathology to join our Health Services department.

The primary purpose of this position is to serve as a subject matter expert and clinical lead for speech language pathology from a clinical quality, clinical evidence, best practice and service delivery perspective to support ASH product development, operations, client interactions, and UM and Quality program activities. To perform and direct the activities of the Clinical Quality Evaluation Services and Audit Support for Speech Language Pathology. In this role, the Associate Director has direct responsibility for product development supporting the CHSO and Product Development Team as well direct responsibility for Medical Necessity Review and Clinical Quality Evaluation functions for Speech Language Pathology. The Associate Director will also support Provider Contracting and Communication through support of provider education and client meetings. This position works closely with Specialty Networks Operations to maintain MNR efficiencies and historic results. This position works independently with minimal supervision with clear understanding of when to escalate concerns and questions to management.
Salary Range

American Specialty Health complies with state and federal wage and hour laws and compensation depends upon candidate’s qualifications, education, skill set, years of experience, and internal equity. $112,500 Full-Time Annual Salary.

Remote Worker Guidelines
- Remote Worker Guidelines: This position will be trained remotely and must be able to work from home (WFH) in a designated work area with company-provided technology equipment. This WFH position requires you have a stable connection to your Internet Service Provider with the ability to participate by video in online meetings over a reliable and consistent network. The internet connection must have a consistent 50 down/10 up Mbps minimum internet speed. 100 down/20 up is recommended to support higher quality video meetings.

Responsibilities

- Develops, manages, evaluates, and is responsible for all activities within assigned scope of authority. Ensures accuracy and productivity achieves/exceeds Company standards.
- Serves as subject matter expert and clinical lead for speech language pathology to support ASH product development, operations, client interactions, and UM and Quality program activities.

- Performs CQE medical necessity review and supports ASH Committees and CPG development and implementation.

- Directs the staff and ensures compliance with policy, accreditation, and regulatory requirements of these departments.

- Oversees work-flow to subordinate staff.

- Assists staff to resolve clinical issues.

- Sets goals and objectives for the operation and staff.

- Oversees initial and ongoing training of clinical staff.

- Oversees audit process of clinical decision making within speech language pathology. .

- Evaluates staffing needs making recommendations to Senior Vice President, Clinical Quality Evaluation and CHSO.

- Recruits new staff members, as needed.

- Evaluates staff performance, counsels and trains.

- Initiates operational and clinical policies and procedures.

- Reviews and approves expenses within scope of authority.

- Primary interface with ASH internal staff and external consultants regarding speech and language pathology services administered by the company.

- Supports customer audit and corrective action plan requirements.

- Analyzes medical necessity review for quality and reporting purposes.

- Participates as a member of the Specialty Health Policy Workgroup.

- Communicates with customers on sensitive clinical issues.

- Participates and works closely with the ARF Code workgroup facilitating appropriate ARF code development and implementation as indicated to support client audits.

- Quality Improvement:
- Participates on the Clinical Quality Team (CQT).

- Support Key Process