Self-Direction PPP Support Counselor Lead (Southern NJ Counties)

Horizon Healthcare ServicesHopewell, NJ
Remote

About The Position

The Self Direction Personal Preference Program (PPP) Support Counselor Lead provides advanced program expertise while continuing to perform core PPP Support Counselor functions. This role mentors, trains, and precepts new and existing staff, serving as a subject matter expert across all PPP workflows, including initial and quarterly in person member visits. The Lead supports operational functions such as budgeting, scheduling, forecasting, capacity monitoring, and safety, and provides strategic guidance on cash management plans. Additionally, the role consults complex cases, supports quality assurance efforts, and promotes regulatory compliance, consistency, and continuous improvement across the program.

Requirements

  • High School Diploma/GED required.
  • Minimum of 5 years’ experience in the health insurance industry or professional business-related field required.
  • Must have a minimum of 3 years’ experience with financial counseling for the Personal Preference program.
  • Knowledge of Healthcare industry preferred.
  • Team player, strong analytical and interpersonal skills.
  • Proficient in MS Word, MS Excel and MS PowerPoint.
  • Demonstrate strong analytical skills with emphasis on forecasting.
  • Requires effective communication and presentation skills, as needed in a lead/trainer position.
  • Requires the ability to work independently and resolve problems through interaction with multiply departments and personnel.
  • Requires strong knowledge of the PPP Support Counselor role and ability to be highly organized with an emphasis on accuracy and timeliness.

Nice To Haves

  • LPN or healthcare background preferred.
  • Equivalent and relevant professional experience in budgeting or finance preferred.
  • Experience with MS Office and other WFM solutions highly preferred.

Responsibilities

  • Perform PPP Support Counselor duties in accordance with established guidelines while supporting the preparation of new and existing counselors for independent work through training, mentoring, and hands-on guidance.
  • Serve as a PPP subject matter expert, offering technical assistance, knowledge-sharing, and remediation support to peers as needed.
  • Provide expertise on organizational and Fiscal Intermediary (FI) vendor medical management systems.
  • Act as a regional triage resource for PPP-related complaints, grievances, and appeals, ensuring appropriate routing, documentation, and follow-up in alignment with policy.
  • Travel within the state as needed to support training initiatives, staff development, and case coverage.
  • Adhere to and support protocols related to PPP Support Counselor retraining and continuous quality improvement.
  • Prepare and present mentee progress updates to leadership, highlighting outcomes, skill development, and opportunities for further improvement.
  • Complete special projects and other duties as assigned by management to support program operations and quality outcomes.

Benefits

  • Comprehensive health benefits (Medical/Dental/Vision)
  • Retirement Plans
  • Generous PTO
  • Incentive Plans
  • Wellness Programs
  • Paid Volunteer Time Off
  • Tuition Reimbursement
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