Abby Care

Lead the end-to-end lifecycle of complex employee relations cases and internal investigations to ensure fairness and consistency. Build and scale the company's ER infrastructure, including policies and SOPs, while partnering with leadership to address systemic cultural trends.

Serve as the primary point of contact for families to manage scheduling, compliance, and documentation. Coordinate with internal teams to support caregivers through complex healthcare processes and onboarding requirements.

Architect and oversee clinical quality assurance and compliance frameworks across multiple states to ensure patient safety and regulatory adherence. Translate complex Medicaid regulations into tech-enabled workflows and manage critical incident reporting and remediation.

Serve as the primary point of contact for caregivers and families via phone, text, and email to handle concerns and updates. Coordinate feedback with the internal care team and maintain accurate documentation of all interactions.

Lead authorization operations for Colorado's HCBS waiver programs and Long Term Home Health services to ensure compliance and uninterrupted patient care. Manage a team of associates to oversee the end-to-end prior authorization and reauthorization process while serving as an escalation point for disputes.

The Employee Relations Partner will independently manage the end-to-end lifecycle of complex employee relations cases, leading internal investigations into misconduct, harassment, or policy violations with precision and discretion. This role also involves serving as a high-touch consultant to managers and building out a scalable ER infrastructure, including policies and SOPs for nationwide expansion.

This role involves mastering Colorado's Long Term Home Health (LTHH) landscape, leading authorization operations for various waiver programs, and overseeing the end-to-end prior authorization process while managing a team of associates. The manager will also serve as the escalation point for complex case resolutions, including disputed Medicaid authorizations and appeals, directly engaging with HCPF and Acentra (Kepro).