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  • Clearance Specialist

    Soleo Health, Inc. 3.9company rating

    Frisco, TX jobs

    Soleo Health is seeking a Clearance Specialist to support our Specialty Infusion Pharmacy and work Remotely (USA). Join us in Simplifying Complex Care! Acute home infusion experience required, and must be able to work 8:30a-5p Mountain Time. Soleo Health Perks: Competitive Wages 401(k) with a Match Referral Bonus Paid Time Off Great Company Culture Annual Merit Based Increases No Weekends or Holidays Paid Parental Leave Options Affordable Medical, Dental, & Vision Insurance Plans Company Paid Disability & Basic Life Insurance HSA & FSA (including dependent care) Options Education Assistance Program This Position: The Clearance Specialist is responsible for processing new referrals including but not limited to verifying patient eligibility, test claim adjudication, coordination of benefits, and identifying patient estimated out of pocket costs. They will also be responsible for preparation, submission, and follow up of payer authorization requests. Responsibilities include: Perform benefit verification of all patient insurance plans including documenting coverage of medications, administration supplies, and related infusion services Responsible to document all information related to coinsurance, copay, deductibles, authorization requirements, etc Calculate estimated patient financial responsibility based off benefit verification and payer contracts and/or company self-pay pricing Initiate, follow-up, and secure prior authorization, pre-determination, or medical review including Reviewing and obtaining clinical documents for submission purposes Communicate with patients, referral sources, other departments, and any other external and internal customers regarding status of referral, coverage and/or other updates as needed Refer or assist with enrollment any patients who express financial necessity to manufacturer copay assistance programs and/or foundations Generate new patient start of care paperwork Schedule: Must be able to work Full time, 40 hours per week, from 8:30a-5pm Mountain Time Weekend On-call once monthly Must have experience with Acute Infusion for Prior authorization/Benefits Verification Requirements High school diploma or equivalent At least 2 years of home infusion specialty pharmacy and/or medical intake/reimbursement experience preferred Working knowledge of Medicare, Medicaid, and managed care reimbursement guidelines including ability to interpret payor contract fee schedules based on NDC and HCPCS units Strong ability to multi-task and support numerous referrals/priorities while ensuring productivity expectations and quality are met Ability to work in a fast-paced environment Knowledge of HIPAA regulations Basic level skill in Microsoft Excel & Word Knowledge of CPR+ preferred About Us: Soleo Health is an innovative national provider of complex specialty pharmacy and infusion services, administered in the home or at alternate sites of care. Our goal is to attract and retain the best and brightest as our employees are our greatest asset. Experience the Soleo Health Difference! Soleo's Core Values: Improve patients' lives every day Be passionate in everything you do Encourage unlimited ideas and creative thinking Make decisions as if you own the company Do the right thing Have fun! Soleo Health is committed to diversity, equity, and inclusion. We recognize that establishing and maintaining a diverse, equitable, and inclusive workplace is the foundation of business success and innovation. We are dedicated to hiring diverse talent and to ensuring that everyone is treated with respect and provided an equal opportunity to thrive. Our commitment to these values is evidenced by our diverse executive team, policies, and workplace culture. Soleo Health is an Equal Opportunity Employer, celebrating diversity and committed to creating an inclusive environment for all employees. Soleo Health does not discriminate in employment on the basis of race, color, religion, sex, pregnancy, gender identity, national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an organization, parental status, military service or other non-merit factor. Keywords: Prior Auth, Insurance, Referrals, Home Infusion Prior Authorization, Home Infusion Benefits verification, Insurance Verification Specialist, Specialty Infusion Benefits Verification, Now Hiring, Hiring Now, Hiring Immediately, Immediately Hiring Salary Description $23.00-$27.00 per hour
    $23-27 hourly 1d ago
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  • EHR Optimization Lead - Remote, Flexible & Impactful

    Aledade 4.1company rating

    Bethesda, MD jobs

    A health technology organization is looking for an EHR Optimization Lead to coordinate optimization efforts for EHR solutions in partner practices. The ideal candidate will have over 6 years of experience in client-facing project roles within the healthcare industry and deep knowledge of popular EHR systems. Responsibilities include leading EHR optimization efforts, fostering client relationships, and mentoring team members. This role emphasizes innovation and collaboration within a remote-first environment. #J-18808-Ljbffr
    $68k-115k yearly est. 2d ago
  • Senior Counsel, Commercial (Remote) for Health Plans

    Cityblock Health, Inc. 4.2company rating

    New York, NY jobs

    A healthcare technology firm is seeking a Senior Counsel, Commercial to join its team in New York. In this role, you will support commercial initiatives, manage contract negotiations, and collaborate with various teams to navigate complex legal frameworks. The ideal candidate will have a JD degree, 7+ years of experience, and a background in healthcare law. Competitive salary range is $153,000 - $210,000, along with comprehensive benefits. #J-18808-Ljbffr
    $153k-210k yearly 5d ago
  • Medical Dosimetrist positions in Pittsburgh, PA - Hybrid work schedule

    UPMC Southwestern Pa 4.3company rating

    Lebanon, PA jobs

    UPMC Hillman Cancer Center is currently hiring for a regular Full-Time Staff/Sr. Medical Dosimetrist to join our team in the Central Region of the UPMC Hillman Cancer Center Network. The dosimetrist in this position will be based out of the UPMC Hillman Cancer Center at UPMC Shadyside in Pittsburgh, PA, and will provide planning services for the clinic. This role offers a hybrid work arrangement with on-site duties, work-from-home capability and will work a regular Full-Time schedule Monday through Friday. This position joins 6 other medical dosimetrists dedicated to this department and a larger team of 40+ dosimetrists across the UPMC Hillman Cancer Center Network. Collaboration and remote support across the group is facilitated by our integrated ARIA/Eclipse and Citrix-based IT infrastructure, as well as standardized policies, procedures, and care pathways across UPMC. The medical dosimetrist is responsible for generating clinically optimal treatment plans for radiation therapy patients in collaboration with radiation oncologists, radiation therapy technologists, and medical physicists. This includes participating in CT simulation, radiation treatment planning, quality management for radiation oncology patients, and communicating with the clinical team during treatment planning and treatment plan implementation. Treatment techniques include 3DCRT, IMRT, VMAT, SBRT, and motion management (e.g., respiratory gating and DIBH). UPMC Shadyside delivers radiotherapy treatments with a variety of platforms(2 Varian TrueBeams, 1 Varian Halcyon, and 1 Reflexion). We offer a Dosimetry career ladder which allows our staff to grow within the field at UPMC Hillman Cancer Center. The incumbent will be placed into the appropriate level of our Dosimetry Career ladder based on education and experience. Staff/Sr. Dosimetrist salary range between $48.08/hr. to $73.65/hr. Sr. level requires three (3) years of post-graduate clinical medical dosimetry experience. Responsibilities: Participates in acquisition of patient data via computer generated data sets from medical imaging devices such as CT, PET, MR, etc., or manual methods such as physical measurements and wire contours, and incorporation of these data into radiation treatment plans, calculations, and treatment devices. Assists the RTT in the treatment simulation process including the use or necessity of ancillary treatment devices, patient immobilization techniques, and other patient positioning techniques as needed for simulation and treatment. Assists in fabrication of these ancillary treatment devices. Contours and delineates clearly discernable normal critical structures and expanded planning structures using different imaging modalities. Performs rigid and deformable image registration for multi-modality image sets. Applies the principles and concepts of radiation physics in radiation treatment planning, which includes, but is not limited to: 2D treatment planning, 3D conformal treatment planning, intensity modulated radiation therapy (IMRT) treatment planning, 4D treatment planning, volumetric modulated arc therapy (VMAT) planning, stereotactic radiosurgery (SRS) and stereotactic body radiation therapy (SBRT) planning, and brachytherapy treatment planning. Applies knowledge of radiobiology with respect to dose tolerances, time dose fractionation calculations, hypofractionation, BED and EQD2 calculations and other applications of radiobiology to the radiation therapy treatment process. Accurately performs radiation dose calculations, both manual and computer generated, for treatment delivery including the effects of beam modifying devices, irregular fields, gaps for adjacent fields, and off-axis calculations. Participates in special treatment procedures including, but not limited to, total body irradiation (TBI), total skin electron irradiation (TSEI), intra-operative radiation therapy (IORT). Assists with quality assurance procedures as directed by a qualified medical physicist. Performs or assists with patient-specific radiation measurement including, but not limited to diodes, optically stimulated luminescent dosimeters (OSLD), ion chambers, thermo-luminescent dosimeters (TLD), or film measurements as directed by the MP. Assists with high dose rate (HDR) and low dose-rate (LDR) brachytherapy procedures including patient set up, simulation, and treatment planning. Participates in quality management in accordance with departmental policies, national guidelines, and accreditation standards. Performs routine chart checks per departmental policy. Participates in charge capture and generates documentation for billing in accordance with departmental policies. Participates in clinical research for the development and implementation of new techniques in radiation therapy. Participates in educational activities such as providing instruction and training to new staff members, physician residents, physicist residents, RTT trainees, and medical dosimetrist trainees. Maintains an atmosphere of caring, concern, and support for patients, visitors, medical staff, and colleagues. Performs miscellaneous job-related duties as directed by supervising medical physicists. Adheres to high ethical standards in relation to patients, students, trainees, and colleagues. Ensures accurate data transfer of patient and treatment plan information to clinical systems including but not limited to record and verify systems, imaging guidance systems, surface guidance systems, treatment delivery systems, and electronic medical record systems. UPMC Hillman Cancer Center is internationally recognized for its leadership in the prevention, detection, diagnosis, and treatment of cancer and is the region's only comprehensive cancer center designated by the National Cancer Institute. As the preeminent institution in western Pennsylvania for the delivery of cancer care, the performance of basic, translational, and clinical research, and the education of the next generation of cancer researchers and physicians, UPMC Hillman Cancer Center is exceptionally well-positioned to contribute to the global effort to reduce the burden of cancer. Qualifications: Qualifications: Bachelor's degree preferred. Completion of a Medical Dosimetry educational program accredited by the Joint review Committee on Education in Radiologic Technology (JRCERT) Board certified by the Medical Dosimetrist Certification Board (MDCB). Board eligible candidates must become board certified within two attempts in the first two consecutive years of employment. Licensure, Certifications, and Clearances: Certified Medical Dosimetrist (CMD) or board eligibility required. Must maintain adequate CE credits to retain certification. CPR required based on AHA standards that include both a didactic and skills demonstration component within 30 days of hire Basic Life Support (BLS) OR Cardiopulmonary Resuscitation (CPR) UPMC is an Equal Opportunity Employer/Disability/Veteran
    $48.1-73.7 hourly 19h ago
  • Actuarial Principal - Strategic FP&A Leader (Remote)

    Humana Inc. 4.8company rating

    Annapolis, MD jobs

    A leading healthcare company seeks an Actuarial Analytics/Forecasting Principal in Annapolis, Maryland. This role involves analyzing financial data and collaborating with senior leadership to support business decisions. The ideal candidate has over a decade of technical experience, strong leadership abilities, and ideally, expertise in Medicare Advantage pricing. Humana offers competitive compensation, including a salary range of $156,600 to $215,400 per year along with comprehensive benefits. #J-18808-Ljbffr
    $156.6k-215.4k yearly 4d ago
  • Licensed Clinical Social Worker - Outpatient Adult (Hybrid)

    Geisinger 4.7company rating

    Wilkes-Barre, PA jobs

    Job Title: Licensed Clinical Social Worker - Outpatient Adult (Hybrid) Job Category: Wellbeing Services, Social Work Schedule: Days Work Type: Full time Department: Central Region Outpatient Psychology Division Job ID: R-81283 Job Summary$5000 Signing Bonus, if eligible; Full Time Day Monday - Friday; Hybrid Work Schedule; REQUIRES: Active PA LCSW licensure Job Duties Assesses patient needs and abilities and develops treatment plans to facilitate improved patient functioning/symptom resolution. Provides individual, family, couple and group psychotherapy as deemed clinically appropriate. Participates with program planning with the psychiatry team and other applicable team members. Evaluates the ongoing biopsychosocial needs of patients, identifying needs and problems and determining a treatment plan. Provides psychotherapies and case management to assigned patients as well as input regarding the care of program patients. Engages as a primary therapist or co-therapist in group therapy to psychiatric patients and as the primary therapist in individual, family, and couple therapies. Obtains pertinent data in accordance with program and regulatory standards. Upholds agency policies and standards as well as ethical standards of appropriate discipline. Collaborates with outpatient and inpatient teams to provide triage evaluation and crisis intervention. Work is typically performed in a clinical environment. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job. Additional competencies and skills outlined in any department-specific orientation will be considered essential to the performance of the job related to that position. Position Details Caring for your health and well-being. Full benefits (health, dental and vision) starting on day one Three medical plan choices, including an expanded network for out-of-area employees and dependents Pre-tax savings plans with healthcare and dependent care flexible spending accounts (FSA) and a health savings account (HSA) with employer contribution Company-paid life insurance, short-term disability, and long-term disability coverage 401(k) plan that includes automatic Geisinger contribution Generous paid time off (PTO) plan that allows you to accrue time quickly Up to $5,000 in tuition reimbursement per calendar year MyHealth Rewards wellness program to improve your health while earning a financial incentive Family-friendly support including adoption and fertility assistance, parental leave pay, military leave pay and a free Care.com membership with discounted backup care for your loved ones Employee Assistance Program (EAP): Referrals for childcare, eldercare, & pet care. Access free legal guidance, mental health visits, work-life support, digital self-help tools and more Voluntary benefits including accident, critical illness, hospital indemnity insurance, identity theft protection, universal life and pet and legal insurance EducationMaster's Degree-Social Work (Required) Certification(s) and License(s) Licensed Clinical Social Worker - Default Issuing Body Our Purpose & ValuesOUR PURPOSE & VALUES: Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities. KINDNESS: We strive to treat everyone as we would hope to be treated ourselves. EXCELLENCE: We treasure colleagues who humbly strive for excellence. LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow. INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation. SAFETY: We provide a safe environment for our patients and members and the Geisinger family We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners. Perhaps just as important, from senior management on down, we encourage an atmosphere of collaboration, cooperation and collegiality. We know that a diverse workforce with unique experiences and backgrounds makes our team stronger. Our patients, members and community come from a wide variety of backgrounds, and it takes a diverse workforce to make better health easier for all. We are proud to be an affirmative action, equal opportunity employer and all qualified applicants will receive consideration for employment regardless to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or status as a protected veteran.
    $64k-75k yearly est. 1d ago
  • Inpatient Coder - Remote

    Tenet Healthcare Corporation 4.5company rating

    Frisco, TX jobs

    Responsible for assigning diagnostic and procedural codes to inpatient charts using ICD-10-CM and ICD-10-PCS or any other designated coding classification system in accordance with coding rules and regulations. Abides by the Standards of Ethical Coding as set forth by AHIMA. Abstracting required clinical information from the medical record. ESSENTIAL DUTIES AND RESPONSIBILITIES Include the following. Others may be assigned. Coding: Reviews medical records for the determination of accurate code assignment of all documented diagnoses and procedures in accordance with Official Coding Guidelines. Adheres to Standards of Ethical Coding (AHIMA). Abstracting: Reviews medical records to determine accurate required abstracting elements (facility/client specific elements) including appropriate discharge disposition. Coding Quality: Demonstrates consistency in achieving or exceeding 95.5% coding accuracy in the selection of principal and secondary diagnoses ((including DRG, MCC & CC, SOI/ROM)) and procedures. Demonstrates accuracy and consistency in abstracting elements defined by per facility. Coder Productivity: Meets and/or exceeds Conifer's inpatient coding productivity guidelines Physician Queries: Demonstrates strong skills in creating appropriate and compliant physician retrospective coding queries. Professional Development: Stays current with AHA Official Coding and Reporting Guidelines, CMS and other agency directives for ICD-10-CM and ICD-10-PCS coding. Completes mandatory coding education as assigned. Quarterly review of AHA Coding Clinic. Attends all required coding operations conference calls. DNFB: Reviews held accounts daily for resolution in support of coding DNFB performance. Communicates barriers to leaders ( physician queries, missing documentation, second level review, DRG reconciliation, etc.) for appropriate follow-up and resolution. KNOWLEDGE, SKILLS, ABILITIES To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Strong knowledge of MS-DRG and APR DRG classification and reimbursement structures Proficient at writing AHIMA compliant physician queries Adept at comparing documentation, code assignment and charge in the financial system for accuracy and completeness and elevating concerns to the appropriate manager Proficient in researching and responding to Business Office questions related to coding and/or payer-specific coding guidelines. Ability to use office equipment and automated systems/applications/software at an acceptable level of proficiency Works collaboratively with CDI, Quality and other facility leadership Functional knowledge of facility EMR, encoder, CDI tool and other support software Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings. EDUCATION / EXPERIENCE Include minimum education, technical training, and/or experience preferred to perform the job. One to three years experience performing inpatient coding in acute care setting required High school graduate or equivalent is required Associate or Bachelor's Degree in Health Information, Nursing, or other related field preferred. Years of coding experience would be considered in lieu of educational requirements. CERTIFICATES, LICENSES, REGISTRATIONS * Required: AHIMA RHIT or RHIA or AAPC CCS approved credential PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Ability to lift 15-20lbs * Ability to sit and work at a computer for a prolonged period of time. Includes ability to walk through hospital-based departments across broad campus settings, including Emergency Department environments if appropriate WORK ENVIRONMENT The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Office/Hospital Work Environment * Works in a private office space in the coder's home per Conifer Telecommuter Policy as defined in the Telecommuting Program Guide OTHER * Must be able to travel nationally as needed, not to exceed 10% As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities and succeed at the business of healthcare. Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost and access to healthcare. Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step! Compensation and Benefit Information Compensation Pay: $27.30-$40.95 per hour. Compensation depends on location, qualifications, and experience. Position may be eligible for a signing bonus for qualified new hires, subject to employment status. Conifer observed holidays receive time and a half. Benefits Conifer offers the following benefits, subject to employment status: Medical, dental, vision, disability, and life insurance Paid time off (vacation & sick leave) - min of 12 days per year, accrue at a rate of approximately 1.84 hours per 40 hours worked. 401k with up to 6% employer match 10 paid holidays per year Health savings accounts, healthcare & dependent flexible spending accounts Employee Assistance program, Employee discount program Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance. For Colorado employees, Conifer offers paid leave in accordance with Colorado's Healthy Families and Workplaces Act. **********
    $27.3-41 hourly 7d ago
  • Senior Major Gifts Director - Remote, Six-Figure Campaign Impact

    University of Texas Md Anderson Cancer Center 4.3company rating

    Houston, TX jobs

    A leading healthcare institution in Houston seeks a Senior Associate Director for Major Gifts to secure substantial philanthropic support. The role involves cultivating relationships with high-net-worth donors to raise significantly for institutional priorities. The ideal candidate will have extensive fundraising experience and exceptional leadership skills. This position offers competitive compensation starting at $121,000, with comprehensive employee benefits including paid medical, dental coverage, and tuition assistance. #J-18808-Ljbffr
    $121k yearly 2d ago
  • Principal Portware SW Engineer | 250k+ Hybrid

    Living Talent 4.1company rating

    New York, NY jobs

    Implement automation strategies to improve trading workflows (Equities, Futures, FX, Options) Hybrid: 4 days in office Compensation: 200k - 230k base + bonus PTO: Unlimited Benefits: Exceptional Architect, Design and Develop customizations and interfaces in Portware using Java New Development 30% Enhancements 50% Maintenance 20% Backend 70% Frontend 30% Interface with Traders and Portfolio Managers; collaborate with Product Owner Provide architectural input - influence design aligning with future state Hands-on implementation Tech Stack Java (50%) Java Swing (30% - for custom interfaces to EMS platform) SQL Server (10%) VB.net (10%) Portware EMS AWS, Snowflake, Kafka Agile, Microservices TDD, Unit Testing (Pytest, UnitTest) GIT Co-pilot, Eclipse, VS Code, Jira, Confluence, Docker, Ideal experience: DevSecOps (ANT, Maven, Artifactory) Skills & Qualifications Trading workflow (Equities, Futures, Options, FX) Portware (or other EMS) Expert Java skills and concepts (Java 8) 10+ years Fullstack Software Engineering 4+ years Architecture (microservices and other architectural concepts) Experience with Java Swing is a plus Cloud-native development expertise (ideally AWS) Skilled in troubleshooting and debugging performance issues Nice to haves: BS or MS in Computer Science, Math or related, CFA, CRD/CRIMS experience
    $120k-150k yearly est. 17d ago
  • Hybrid Outpatient Psychiatrist - Erie, PA

    Allegheny Health Network 4.9company rating

    Erie, PA jobs

    The Allegheny Health Network (AHN) Psychiatry & Behavioral Health Institute is seeking a motivated psychiatrist eager to work at the forefront of behavioral health care as we continue growing our presence in the Erie region. AHN will support the continued expansion of your skillset as you build a patient panel with myriad diagnoses or craft a sub-specialty niche. Join a vertically integrated fiscal and clinical delivery system that is revolutionizing behavioral health service models, providing evidence-based treatments, and measurement-based care. Highlights: Flexible, hybrid options for in-person and virtual work Bi-monthly, multidisciplinary treatment team meetings which include peer case consultation Onsite opportunity for interventional psychiatry with transcranial magnetic stimulation (TMS) Continuing Medical Education (CME) allowance: $3500 and five paid CME days annually Emphasis on collaboration between behavioral health disciplines, including psychiatry and psychology, within the Institute Weekly Grand Rounds with free CME offerings Opportunities to train and supervise advanced practice providers (APPs), psychiatry residents, medical students, and APP students Qualifications: Completion of ACGME approved Psychiatry residency program Board eligible/board certified in Psychiatry Doctor of Medicine (MD) or Doctor of Osteopathy (DO) Licensed in the state of Pennsylvania prior to employment AHN Proudly Offers Competitive salary and comprehensive medical benefits Sign-on bonus CME allowance EY Financial Planning Services - student loan, PSLF assistance Retirement plans; vested immediately in 401K, 457B. Malpractice insurance with tail coverage A diverse & inclusive workforce with respective loan repayment for qualified candidates Why Erie? Located directly on one of our Great Lakes, Erie is home to Presque Isle State Park offering 7 miles of beaches, 14 miles of trails, and endless water activities. Enjoy our local wineries and breweries, diverse eateries and ski resorts. The city has become home to a variety of educational institutions including top ranked school system. Benefit from the area's low cost of living and international airport. Erie's cultural scene and diverse job market make it an ideal place for healthcare professionals to grow. Why Saint Vincent Hospital? Nationally recognized for innovative practices and quality care, Allegheny Health Network is one of the largest healthcare systems serving Western PA. AHN's Saint Vincent Hospital is a 350- bed tertiary care hospital currently serving the tristate area. Our facilities are equipped with state-of-the-art technology and robotic capabilities . Saint Vincent Hospital has been proud to open a brand new 39-bed Emergency Department, on-site Cancer Institute facility, four state-of-the art 700 sq. ft. Operating Rooms and more! Recently voted Erie's Choice as the ‘Best Hospital' and ‘Best Place to Work', AHN Saint Vincent continues to shine in its commitment to its employees and the Erie community. Email your CV and direct inquiries to: Carissa Johnston | Physician Recruiter ************************
    $222k-320k yearly est. 2d ago
  • Remote Work From Home Data Entry

    Work Out World 3.8company rating

    New York jobs

    Basic Data Entry Clerk Wanted - Work From Home 25 Words Per Minute Input We are Legitimate Work From Home Data Entry Jobs are going to require that you have skills relevant to the position you are applying for. Training is provided based on the position. JOB REQUIREMENTS Computer with internet access Quiet work space away from distractions Must be able and comfortable to working in an environment without immediate supervision Ability to read, understand, and follow oral and written instructions. Data entry or administrative assistant experience is not needed but can be a bonus We are recruiting those who have a background in health care, ware house worker, delivery drivers, customer service, etc - we welcome all backgrounds so long as you're ready to learn You must apply on our website only. Our paid focus group members come from all backgrounds and industries including remote data entry clerk, administrative assistant, receptionist, sales assistant, customer service agent, warehouse or factory workers, driver, medical assistant, nurse, call center representative, etc. If you are looking for a part time remote work from home job, this is a great position for earning a good extra income. Earn Part time income from the comfort of your home. This work allows you to: Work on your time - you work when you want. Learn new skills, get access to in demand work from home jobs No dress code, work in your pj's or work in a suit - If you choose Get started today by visiting our web site - and once there follow instructions as listed Qualifications Computer with internet access Quiet work space away from distractions Must be able and comfortable to working in an environment without immediate supervision Ability to read, understand, and follow oral and written instructions Data entry or administrative assistant experience is not needed but can be a bonus We are recruiting those who have a background in health care, ware house worker, delivery drivers, customer service, etc - we welcome all backgrounds so long as you're ready to learn Benefits Earn Part time income from the comfort of your home Work on your time - you work when you want Learn new skills, get access to in demand work from home jobs No dress code, work in your pj's or work in a suit - If you choose
    $25k-33k yearly est. 60d+ ago
  • Senior Merchant, Commerce

    IPSY 3.8company rating

    New York, NY jobs

    ABOUT US Join us in inspiring everyone to express their unique beauty. IPSY is the beauty industry's most powerful platform, uniting brands, creators, and hyper-engaged consumers with unprecedented access to each other through the ultimate beauty membership. Home to sample-size subscription IPSY Original, full-size subscription IPSY Extra, and quarterly, limited-edition collection IPSY Ultimate, we curate beauty for millions of members so they can play, explore, and express their unique beauty every day. We think self-discovery, self-expression, and confidence are beautiful. Agree? Then join us! Explore careers and learn more about our values, culture, and benefits across all our brands: IPSY Careers. We're proud to be a remote-first company. Our fully remote team members have the chance to live and work where they want, because we believe work should fit into your life-not the other way around. We offer monthly virtual activities, company-wide offsites, professional development, and learning sessions, to help our team members stay connected, engaged, and impactful while working virtually. United States Remote: Remote positions which may be performed in any of the states where IPSY has established a Business presence: Arizona, California, Connecticut, Florida, Illinois, Kansas, Massachusetts, Missouri, North Carolina, New York, New Jersey, Nevada, Ohio, Pennsylvania, Texas, and Washington. California Privacy Notice Beware job scams! IPSY recruiters only use @ipsy.com email addresses. We do not interview via text/message/Teams. We don't ask for software downloads (except Zoom) and we will never ask for sensitive information (like SSN/bank info). Suspect fraud? Report it to law enforcement and *******************. About the Role: We are looking for a Senior Merchant for our Commerce business who is strategic, analytically minded, and deeply passionate about beauty and commerce. As a senior member of the Merchandising team, you will own the execution of high-impact assortment strategies that drive revenue, margin, and member (subscriber) delight across key commerce events. You will own the development of differentiated product assortments, lead pricing execution across all products, optimize category performance, drive financial results, and enhance the overall member shopping experience. This role serves as a critical connector between brand partners, planning, marketing, site merchandising, operations, and leadership. You will apply strong financial acumen, industry insight, and compelling storytelling to shape the future of our commerce business -- while mentoring junior Merchants and supporting cross-functional teams. This position reports to the Senior Merchandising Manager and must be based either in the New York City metropolitan area OR the Miami-Fort Lauderdale area. Working mostly remote, with Tuesdays onsite. What You'll Be Doing: Execute assortment strategies that drive revenue growth, margin performance, and member value across major commerce events and seasonal initiatives Collaborate with the Brand Partnership team in the assessment of sourced products Independently evaluate and buy products that deliver differentiation, brand strength, and strategic business impact Translate high-level assortment direction into compelling, conversion-focused product experiences in partnership with Site Merchandising, Creative, Marketing, and Brand Partnerships Partner with Planning to assess performance, category opportunities, inventory dynamics, and financial outcomes -- while identifying risks and upside potential Use merchandising techniques including exclusives, bundles, cross sells, up sells, ranking, and promotional layering to maximize engagement and AOV Lead post-event hindsight reviews and translate learnings into forward-looking strategies and optimization plans Maintain a deep understanding of competitive activity, consumer trends, and whitespace to identify trends and emerging brand opportunities Mentor and support junior Merchant talent---fostering development, critical thinking, and executional excellence What We Are Looking For: 5+ years of experience focused exclusively in merchandising or buying (in beauty, off price, or a similar commerce-driven business), with 8+ years of total experience and a proven record of driving financial performance Bachelor's degree highly preferred in Business, Merchandising, or a related field Proven analytical skills, with the ability to translate performance insights into strategic decisions and action Demonstrated expertise in building assortments that balance creativity, commercial impact, and operational execution, with a strong grasp of retail math and pricing Experience leading others, mentoring talent, and supporting leadership initiatives is strongly preferred Excellent communication skills, with the ability to influence and align cross-functional partners around strategy and execution Highly organized with strong attention to detail and the ability to manage multiple priorities in a fast paced environment Strong sense of ownership, urgency, collaboration, and accountability Passion for beauty, brand discovery, and consumer insight Solution-oriented mindset with strong critical thinking skills Self-starter with an autonomous work style, paired with strong collaboration and creativity Proficiency in MS Office, Excel, PowerPoint, and G Suite Bonus if You Have: Multi-branded experience Beauty experience heavily preferred What We Offer: Competitive base salary & bonus program Medical, dental & vision insurance 401(k) plan with company match Paid Time Off Work from home flexibility Free IPSY Extra subscription Learning & development programs EEO Statement: We celebrate diversity and are an equal-opportunity employer. We do not discriminate based on race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, disability status, or any other protected characteristic. If you need reasonable accommodation in the application or employment process, please contact us. Please review our California Privacy Notice. #LI-SB Pay is based on several non-discriminatory factors such as experience, education, skills, and location. IPSY offers a bonus and competitive benefits. Final compensation is determined by experience and skills. Salary Range:$100,000-$120,000 USD
    $100k-120k yearly Auto-Apply 12d ago
  • Medicare Senior Business Consultant - Hybrid

    Health Care Service Corporation 4.1company rating

    Richardson, TX jobs

    At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers. Join HCSC and be part of a purpose-driven company that will invest in your professional development. **Job Summary** The Medicare Senior Business Consultant is responsible for providing internal consulting services, business analysis and provides direction to ensure alignment and integration across functional areas in support of organizational goals. This position ensures consistency and efficiency requiring leadership of major, complex, and strategic cross-divisional and enterprise-wide projects from inception to completion. This includes oversight coordination, and ability to implement projects according to dynamic and critical timelines. This also includes oversight of project teams, resources, and budget, and interacting with all levels of management including senior management. This position supports the prioritization of Medicare activities and tracks progress to goals. **Required Job Qualifications:** + Bachelor's degree and 5 years of experience OR 9 years of experience in business analysis, process improvement, project management, business operations or relevant health care industry experience. + 3 years of experience leading with large and complex multi-million dollar projects. + Experience communicating with senior management from multiple divisions. + Experience developing and delivering presentations. + Problem resolution experience and skills. + Knowledge of strategic planning techniques and industry trends + Experience interpreting business and financial information + Negotiations skills. + Verbal and written communications skills including establishing working relationships across departments, preparing presentations to senior management, and establishing team environment. + Organizational skills. + Experience managing multiple complex projects successfully. + Detail oriented. + PC proficiency to include Microsoft Office products **Preferred Required Job Qualifications:** + Health insurance or healthcare industry experience strongly with an emphasis on Medicare Operations is strongly preferred. + Proven analytical thinking and the ability to move from strategy to action. + Prior internal or external consulting experience preferred. + Understanding of Software Development Life Cycle (SDLC) in the project management process preferred. + **Schedule:** This is a Flex (Hybrid) role: 3 days in office; 2 days remote. + **Location:** Richardson, TX or Chicago, IL. + Sponsorship: Sponsorship is not available. \#LI-Hybrid \#LI-JR2 **Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!** **Pay Transparency Statement:** At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting ************************************* . The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan. **HCSC Employment Statement:** We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics. **Base Pay Range** $61,500.00 - $136,100.00 Exact compensation may vary based on skills, experience, and location. **Join our talent community and receive the latest HCSC news, content, and be first in line for new job opportunities.** **Join our Talent Community. (******************************************** PA8v\_eHgqFiDb2AuRTqQ)** For more than 80 years, HCSC has been dedicated to expanding access to high-quality, cost-effective health care and equipping our members with information and tools to make the best health care decisions for themselves and their families. As an industry leader, HCSC also has been helping to make the health care system work better for all Americans. To remain a leader, we offer compelling careers that encourage resourcefulness, strategic thought and empower you to make a difference in the lives of our members and their communities. Today, with the industry at an important crossroad, HCSC is reimagining health care and looking for original thinkers who aren't afraid to make innovative contributions. We are an Equal Opportunity Employment employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Learn more about HCSC, our commitment to our members and the opportunity you'll have to improve health care delivery in an open, collaborative environment. HCSC is committed to diversity in the workplace and to providing equal opportunity to employees and applicants. If you are an individual with a disability or a disabled veteran and need an accommodation or assistance in either using the Careers website or completing the application process, you can call us at ************** to request reasonable accommodations. Please note that only **requests for accommodations in the application process** will be returned. All applications, including resumes, must be submitted through HCSC's Career website on-line application process. If you have general questions regarding the status of an existing application, navigate to "candidate home" to view your job submissions. Blue Cross and Blue Shield of Illinois, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of New Mexico, Blue Cross and Blue Shield of Oklahoma, and Blue Cross and Blue Shield of Texas, Divisions of Health Care Service Corporation, a Mutual Legal Reserve Company, and Independent Licensee of the Blue Cross and Blue Shield Association © Copyright 2025 Health Care Service Corporation. All Rights Reserved.
    $61.5k-136.1k yearly 60d+ ago
  • Healthcare Case Manager/Care Coordinator

    Homecare Hub 4.0company rating

    La Crosse, WI jobs

    Homecare Hub offers a unique solution for people with caregiving needs, focusing on small shared care and co-living environments to help individuals stay out of large institutional nursing facilities. Whether in existing care homes or customized on-demand setups, Homecare Hub provides superior, safe, and affordable care options. The innovative approach allows individuals to age with dignity in their community. In Wisconsin, the focus is on partnering with various organization to accelerate the creation of Adult Family Homes and Community Based Residential Facilities. Currently Homecare Hub partners with > 10% of the existing small homes in Milwaukee, and multiple health systems across the state. In the La Crosse region who have formed a strategic partnership with the Gundersen (Emplify) Health system. Feel free to learn more here: ******************************************************************************************************* Role Description This is a hybrid role for a case manager & care coordination position at Homecare Hub. This individual will help with placement of patients into small homes, and as well oversee a cohort of patients and assuring their clinical healthcare and non-clinical needs are met. This hybrid role is located in Wisconsin with occasional travel across the state. Most in person work will be local, and there will be a component of work from home as well. Qualifications We are seeking a social worker, however, a nurse working in he case management field will be considered. Experience in the healthcare or caregiving industry Knowledge of Medicaid and Medicare and various plans Financial Counseling skills Knowledge of Services in the La Crosse Region Excellent communication, interpersonal, and leadership skills. Technology skills Bachelor's or Master's degree in Nursing or Social work
    $31k-37k yearly est. 4d ago
  • Provider Relations Specialist (Remote Option within SHP Service Area)

    Marshfield Clinic 4.2company rating

    Marshfield, WI jobs

    Come work at a place where innovation and teamwork come together to support the most exciting missions in the world! Job Title: Provider Relations Specialist (Remote Option within SHP Service Area) Cost Center: 682891544 SHP-Provider Network Mgmt Scheduled Weekly Hours: 40 Employee Type: Regular Work Shift: Mon-Fri; day shifts (United States of America) Job Description: JOB SUMMARY The Provider Relations Specialist works in cooperation with the Contracting Manager - Marshfield Clinic Health System Provider Network and other department and organization colleagues to deliver superior service to our comprehensive network of affiliated health care providers. This individual serves as the primary liaison between Security Health Plan (SHP) and affiliated providers for escalated and contractual issues across various lines of business, with limited supervision. The Provider Relations Specialist is responsible for relationship management activities for hospital, professional, vendor, care system and/or ancillary providers including: development and execution of issue escalation strategies, educational programs, onsite visit criteria, special initiatives, and building and preserving strong provider relationships JOB QUALIFICATIONS EDUCATION For positions requiring education beyond a high school diploma or equivalent, educational qualifications must be from an institution whose accreditation is recognized by the Council for Higher Education and Accreditation. Minimum Required: Associate degree or 60+ credits in health care, business, marketing, education, or related field. Preferred/Optional: Bachelor's degree in business administration, accounting, health care, finance, or related field. EXPERIENCE Minimum Required: Three years' experience in a medical group practice or health insurance/Health Maintenance Organization (HMO) environment. Experience with healthcare claims and insurance reimbursement methods, and understanding of contract terminology. Working knowledge of health care delivery systems and concepts of managed care. Demonstrated proficiency with the Microsoft Office suite. Excellent written and verbal communication skills. Demonstrated ability to take initiative, utilize critical thinking, and bring forth solutions to identified issues. Preferred/Optional: Experience in provider relations, including well-defined communication skills and a demonstrated aptitude for communicating with both business users and technical staff. Strong interpersonal, problem solving and relationship building experience. Credentialing or claims experience preferred. CERTIFICATIONS/LICENSES The following licensure(s), certification(s), registration(s), etc., are required for this position. Licenses with restrictions are subject to review to determine if restrictions are substantially related to the position. Minimum Required: None Preferred/Optional: None Marshfield Clinic Health System is committed to enriching the lives of others through accessible, affordable and compassionate healthcare. Successful applicants will listen, serve and put the needs of patients and customers first. Exclusion From Federal Programs: Employee may not at any time have been or be excluded from participation in any federally funded program, including Medicare and Medicaid. This is a condition of employment. Employee must immediately notify his/her manager or the Health System's Compliance Officer if he/she is threatened with exclusion or becomes excluded from any federally funded program. Marshfield Clinic Health System is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected veteran status, age, or any other characteristic protected by law.
    $43k-58k yearly est. Auto-Apply 5d ago
  • Radiology Physician

    The Medicus Firm 4.1company rating

    New York, NY jobs

    Multiple Radiology Positions Available Remote & Block Schedules Offered Long Island, New York Join one of the region's premier academic medical centers, nationally recognized for clinical excellence, innovation, and medical education. We are currently seeking radiologists across multiple subspecialties (excluding Breast, Interventional, and MSK) to become part of a supportive and forward-thinking team. Opportunity Highlights: Flexible Scheduling: Choose from 100% remote (must reside in New York State) or hybrid models, with block schedules and no night call - covered by dedicated nighthawks. Academic Environment: Contribute to resident education and participate in clinical or translational research within a prestigious academic setting. Specialized Case Mix: Focus on your area of expertise with a diverse and interesting case load, supported by state-of-the-art imaging technology and AI-enhanced tools. Ideal for Subspecialists: Fellowship training preferred but not required. Location Benefits: Work remotely or enjoy life on Long Island - offering a blend of coastal living, proximity to NYC, and excellent schools. Qualifications: MD or DO degree Completion of a radiology residency Board certified or board eligible in Radiology Community Information: Vibrant Community: Live in one of the most culturally rich and ethnically diverse regions in the U.S., with access to art galleries, museums, and performing arts. Outdoor Lifestyle: Located along Long Island's beautiful North Shore, offering beaches, parks, and outdoor recreation just minutes from your door. Unmatched Access: Travel with ease-proximity to JFK, LaGuardia , and Long Island MacArthur Airport puts global destinations within reach. Innovation Hub: Be part of a thriving economy supported by biotech, engineering , and scientific research , with career opportunities for family members in these sectors. Job Reference #: CTR 25362
    $177k-298k yearly est. 15h ago
  • Care for the Community as a Medical Case Manager

    Greater Philadelphia Health Action 4.1company rating

    Philadelphia, PA jobs

    Job Description We know that many in our healthcare community have been affected by recent workforce changes. At GPHA, we are dedicated to creating opportunities where your compassion and skills continue to make an impact. Founded in 1970 as South Philadelphia Health Action and subsequently incorporated as Greater Philadelphia Health Action, GPHA is a non-profit healthcare organization with a commitment to provide compassionate and affordable healthcare services regardless of an individual's ability to pay. Since 1970, GPHA has expanded to become one of the premier providers of primary and behavioral healthcare in the Greater Philadelphia area. GPHA offers GREAT PAY, Performance BONUSES, Comprehensive Medical, Dental, Vision, Life, and LTD Insurance. We also offer 401k with a very lucrative company match, Employee Assistance and Self-Care, and Professional Activity, Educational, and Tuition Reimbursements, Paid Vacation, Paid Sick, Paid Personal Days, Paid Educational Days, Holiday Pay, Loan Forgiveness, and many positions have Flexible, Hybrid or REMOTE WORK Schedules. We are presently seeking full-time Medical Case Managers The positions will Enhance the delivery of ambulatory care by facilitating appropriate utilization of medical services and by providing counseling, case management, referral services and psychosocial assessment for patients and their support system. Must have Bachelor's Degree with at least two years' experience in ambulatory care in a similar position; Bilingual (fluent/proficient: in speaking, writing and speaking): Mandarin, Vietnamese, Cambodian, French, Creole or Spanish; HIV or/and OB caseload tracking experience; Outreach health services experience is a plus; Able to float throughout GPHA's sites/ network; Organized/proactive; Versatile as needed: ability to work independently or in a team; Communication skills: clear and precise both written and verbal; Experience in integrated Health Services and Clinical Case Review are pluses; Running support groups experience is a plus; and, Experience in assessing / determining patient's Social and health Determinate barrier (s). At Greater Philadelphia Health Action, Inc. (GPHA), we respect diversity and promote equity through action, advocacy, and policy through a dedicated team of representatives committed to listening, learning, and enacting systemic change. We create different channels, outlets, and programs to enhance safe spaces within GPHA, creating a shared understanding and language around justice, diversity, equity, and inclusion. GPHA is an Equal Opportunity Employer. GPHA does not and will not discriminate in employment and personnel practices to include hiring, transferring and promotion practices on the basis of race, color, sex, age, handicap, disability, religion, religious creed, ancestry, national origin, or any other basis prohibited by applicable law. Join a network that values dedication, balance, and purpose. Visit us at ****************
    $53k-67k yearly est. 5d ago
  • Laboratory Informatics Consultant-Remote supporting territory aligned to US South West

    Varian Medical Systems, Inc. 4.4company rating

    Texas jobs

    Join us in pioneering breakthroughs in healthcare. For everyone. Everywhere. Sustainably. Our inspiring and caring environment forms a global community that celebrates diversity and individuality. We encourage you to step beyond your comfort zone, offering resources and flexibility to foster your professional and personal growth, all while valuing your unique contributions. Be the Catalyst for Digital Transformation in Healthcare Imagine shaping the future of laboratory medicine-where data drives decisions, workflows are seamless, and patient care reaches new heights. At Siemens Healthineers, we're not just transforming technology; we're transforming lives. If you're passionate about innovation and want to make a measurable impact on healthcare systems across North America, this is your opportunity. A Healthier Future Starts with You We're looking for a Clinical Laboratory Informatics Consultant (IC) to join our team of trusted advisors driving laboratory digital transformation. In this role, you'll bridge operational workflows, digital solutions, and business outcomes-helping laboratories deliver maximum clinical and operational value for better patient care. Why You'll Love This Role * Be at the forefront of digital healthcare innovation * Work with leading laboratories to optimize workflows and improve patient outcomes * Collaborate with cross-functional teams in a dynamic, global organization * Enjoy remote flexibility with opportunities to travel and engage directly with customers Your Impact As a Clinical Laboratory Informatics Consultant, you will: * Lead discovery sessions with lab leadership to identify workflow challenges and strategic goals * Conduct digital maturity assessments and design transformation roadmaps * Develop future-state workflows and support business cases for ROI and KPI tracking * Partner with sales teams to articulate value propositions and deliver executive-level presentations * Ensure successful implementation alignment and change management for digital solutions What We're Looking For * Bachelor's degree in Clinical Laboratory Science, Medical Technology, Biomedical Engineering, Healthcare Informatics, or related field * 3+ years in laboratory operations or clinical informatics * Strong knowledge of LIS/HIS integration, middleware, and digital health platforms * Proven ability to analyze and redesign workflows for efficiency and quality * Exceptional communication and presentation skills for technical and executive audiences * Ability to travel up to 60% (company car provided) Preferred: * Experience with Siemens Atellica Informatics portfolio or similar platforms * Familiarity with Lab Automation, multi-site workflow optimization, and regulatory compliance * Certifications in Lean Six Sigma, PMP, Clinical Informatics, or Change Management Why Siemens Healthineers? We offer a culture of collaboration and innovation, competitive compensation, comprehensive benefits, and opportunities for professional growth. Join us and help shape the future of healthcare. Ready to make an impact? #LI-BH1 Who we are: We are a team of more than 72,000 highly dedicated Healthineers in more than 70 countries. As a leader in medical technology, we constantly push the boundaries to create better outcomes and experiences for patients, no matter where they live or what health issues they are facing. Our portfolio is crucial for clinical decision-making and treatment pathways. How we work: When you join Siemens Healthineers, you become one in a global team of scientists, clinicians, developers, researchers, professionals, and skilled specialists, who believe in each individual's potential to contribute with diverse ideas. We are from different backgrounds, cultures, religions, political and/or sexual orientations, and work together, to fight the world's most threatening diseases and enable access to care, united by one purpose: to pioneer breakthroughs in healthcare. For everyone. Everywhere. Sustainably. To find out more about Siemens Healthineers businesses, please visit our company page here. The base pay range for this position is: $98,140 - $134,937 Factors which may affect starting pay within this range may include geography/market, skills, education, experience, and other qualifications of the successful candidate. If this is a commission eligible position the commission eligibility will be in accordance with the terms of the Company's plan. Commissions are based on individual performance and/or company performance. The Company offers the following benefits for this position, subject to applicable eligibility requirements: medical insurance, dental insurance, vision insurance, 401(k) retirement plan. life insurance, long-term and short-term disability insurance, paid parking/public transportation, paid time off, paid sick and safe time. Equal Employment Opportunity Statement: Siemens Healthineers is an Equal Opportunity and Affirmative Action Employer encouraging diversity in the workplace. All qualified applicants will receive consideration for employment without regard to their race, color, creed, religion, national origin, citizenship status, ancestry, sex, age, physical or mental disability unrelated to ability, marital status, family responsibilities, pregnancy, genetic information, sexual orientation, gender expression, gender identity, transgender, sex stereotyping, order of protection status, protected veteran or military status, or an unfavorable discharge from military service, and other categories protected by federal, state or local law. EEO is the Law: Applicants and employees are protected under Federal law from discrimination. To learn more, click here. Reasonable Accommodations: Siemens Healthineers is committed to equal employment opportunity. As part of this commitment, we will ensure that persons with disabilities are provided reasonable accommodations. If you require a reasonable accommodation in completing a job application, interviewing, completing any pre-employment testing, or otherwise participating in the employee selection process, please fill out the accommodations form here. If you're unable to complete the form, you can reach out to our HR People Connect People Contact Center for support at *****************************************************. Please note HR People Connect People Contact Center will not have visibility of your application or interview status. California Privacy Notice: California residents have the right to receive additional notices about their personal information. To learn more, click here. Export Control: "A successful candidate must be able to work with controlled technology in accordance with US export control law." "It is Siemens Healthineers' policy to comply fully and completely with all United States export control laws and regulations, including those implemented by the Department of Commerce through the Export Administration Regulations (EAR), by the Department of State through the International Traffic in Arms Regulations (ITAR), and by the Treasury Department through the Office of Foreign Assets Control (OFAC) sanctions regulations." Data Privacy: We care about your data privacy and take compliance with GDPR as well as other data protection legislation seriously. For this reason, we ask you not to send us your CV or resume by email. We ask instead that you create a profile in our talent community where you can upload your CV. Setting up a profile lets us know you are interested in career opportunities with us and makes it easy for us to send you an alert when relevant positions become open. Register here to get started. Beware of Job Scams: Please beware of potentially fraudulent job postings or suspicious recruiting activity by persons that are currently posing as Siemens Healthineers recruiters/employees. These scammers may attempt to collect your confidential personal or financial information. If you are concerned that an offer of employment with Siemens Healthineers might be a scam or that the recruiter is not legitimate, please verify by searching for the posting on the Siemens Healthineers career site. To all recruitment agencies: Siemens Healthineers does not accept agency resumes. Please do not forward resumes to our jobs alias, employees, or any other company location. Siemens Healthineers is not responsible for any fees related to unsolicited resumes.
    $98.1k-134.9k yearly Auto-Apply 2d ago
  • Collections Specialist

    Vital Care Infusion Services 4.8company rating

    Pittsburgh, PA jobs

    Recognized as a “Best Place to Work Modern Healthcare” - Join a team where people come first. At Vital Care, we are committed to creating an inclusive, growth-focused environment where every voice matters. Vital Care is the premier pharmacy franchise business with franchises serving a wide range of patients, including those with chronic and acute conditions. Since 1986, our passion has been improving the lives of patients and healthcare professionals through locally-owned franchise locations across the United States. We have over 100 franchised Infusion pharmacies and clinics in 35 states, focusing on the underserved and secondary markets. We know infusion services, and we guide owners along the path of launch, growth, and successful business operations. What we offer: Comprehensive medical, dental, and vision plans, plus flexible spending, and health savings accounts. Paid time off, personal days, and company-paid holidays. Paid Paternal Leave. Volunteerism Days off. Income protection programs include company-sponsored basic life insurance and long-term disability insurance, as well as employee-paid voluntary life, accident, critical illness, and short-term disability insurance. 401(k) matching and tuition reimbursement. Employee assistance programs include mental health, financial and legal. Rewards programs offered by our medical carrier. Professional development and growth opportunities. Employee Referral Program. Job Summary: Perform duties to collect Home Infusion claims, focusing on accuracy, timeliness, and adherence to processes to reduce denial rate, DSO, and bad debt. Recognize additional revenue opportunities and improve collection rates; perform revenue cycle collection duties within standard or accepted practice limits. Position is 100% remote Duties/Responsibilities: Review claims with outstanding balances and identifies actions to successfully collect revenues. Follow up with insurers and patients to collect outstanding balances in an environment focused on building enduring customer and business relationships. Utilize Payer Portals via the internet for claim disposition. Review documents received including Explanations of Benefits (EOBs), Remittance Advices (RAs), and other documents indicating denials or claims acceptance. Identify reasons for denials, take required corrective action, and take ownership of claims through to timely, successful collection. Analyze denials, identify trends, and recommend process improvement opportunities that will result in DSO reduction, superior collection rate, intervals reduced bad debt and simplified processes that are responsive to the requirements of specific payers. Identify payor requirements for submittal of appeals for denied claims. Verify insurance information with patients, order medical records, review original claim coding, compile other validating documentation required, and submit appeals in keeping with payor requirements and VCI processes. Communicate effectively with franchise partners and other VCI departments regarding the status of collections. Resolve payer issues/concerns timely. Document case activity, communications, and correspondence in the computer system to ensure completeness and accuracy of account activity and actions are taken to resolve outstanding claims issues. Schedule follow-ups in required intervals. Investigate and verify benefits for pharmacy and medical third-party claims. Communicate billing problems found during collection process as to avoid the same issues in the future. Communicate financial obligation information with patients so that they have a clear understanding of all costs of therapy prior to starting service. Contribute medical billing expertise to the design of training and knowledge transfer programs, materials, policies, and procedures to improve the efficiency and effectiveness of the RCM team. Assist with the processing of online adjudication of collection issues and nurse billing as assigned. Perform other related duties as assigned. Required Skills/Abilities: Excellent communications skills; listening, speaking, understanding, and writing English while influencing patients, caregivers, payer representatives, and others, answering questions, and advancing reimbursement and collection efforts. Proven understanding of processes, systems, and techniques to ensure successful billing and collection working with all payer types. Proven ability to identify gaps and problems from the review of documentation, determine lasting solutions, make effective decisions, and take necessary corrective action. Strong organization skills with the ability to track and maintain clear, complete records of activities, cases, and related documentation. Proven knowledge and skill in the utilization of MS Office suite of software and pharmacy applications. Ability to complete job duties in a designated workspace outside the dedicated RCM location Disciplined work ethic with ability to work remotely with minimum direct supervision, to effectively meet production and collection targets. Education and Experience: 2-5 years home infusion billing and/or collections experience required. High School Diploma and additional specialized training in intake, pharmacy/medical billing, and/or collections. Previous remote work environment is a plus but not required. Detailed oriented with post-billing and post-payment investigative experience preferred. Physical Requirements: Sitting: Prolonged periods of sitting are typical, often for the majority of the workday. Keyboarding: Frequent use of a keyboard for typing and data entry. Reaching: Occasionally reaching for items such as files, documents, or office supplies. Fine Motor Skills: Precise movements of the fingers and hands for tasks like typing, using a mouse, and handling paperwork Visual Acuity: Good vision for reading documents, computer screens, and other detailed work. Be part of an organization that invests in you! We are reviewing applications for this role and will contact qualified candidates for interviews. Vital Care Infusion Services is an equal-opportunity employer and values diversity at our company. We do not discriminate on the basis of color, race, sex, age, religion, national origin, disability, genetic information, gender identity, sexual orientation, veterans' status, or any other basis protected by applicable federal, state, or local law. Vital Care Infusion Services participates in E-Verify. This position is full-time. #LI-remote
    $36k-53k yearly est. 2d ago
  • 2026 Summer Intern: Clinical Development

    Axsome Therapeutics, Inc. 3.6company rating

    New York, NY jobs

    Axsome Therapeutics is a biopharmaceutical company leading a new era in the treatment of central nervous system (CNS) conditions. We deliver scientific breakthroughs by identifying critical gaps in care and develop differentiated products with a focus on novel mechanisms of action that enable meaningful advancements in patient outcomes. Our industry-leading neuroscience portfolio includes FDA-approved treatments for major depressive disorder, excessive daytime sleepiness associated with narcolepsy and obstructive sleep apnea, and migraine, and multiple late-stage development programs addressing a broad range of serious neurological and psychiatric conditions that impact over 150 million people in the United States. Together, we are on a mission to solve some of the brain's biggest problems so patients and their loved ones can flourish. For more information, please visit us at ************** and follow us on LinkedIn and X. About This Role Axsome Therapeutics is seeking an intern to support the Clinical Development team. The Clinical Development team is responsible for leading the development of clinical programs for one or more product candidates within a specific therapeutic area. This individual will be responsible for assisting members of the Clinical Development team with a variety of day-to-day tasks, and ongoing projects. The Clinical Development Intern will report directly to the Director, Senior Clinical Scientist and will work cross-functionally. This role is based at Axsome's HQ in New York City with an on-site requirement of at least three days per week. We are unable to consider candidates who are looking for fully remote roles. Job Responsibilities and Duties include, but are not limited to, the following: * Review study start-up process (i.e., scales, training, placebo mitigation, analysis, enhance patient engagement and dropout prevention, reduce data variability etc.) * Review Clinical Data for ongoing/closing studies, and review draft study protocols for consistency * Develop a comprehensive grid of key measures and outcomes from past and current therapeutic studies, both within our company and across the industry, to inform and optimize future study designs * Assist in the development of department SOPs (e.g., SAP & Analysis and Reporting Plan) and guidelines (e.g., Diversity in Clinical Trials) * Additional responsibilities as assigned Requirements / Qualifications * Actively enrolled with a minimum 3.0 GPA in a graduate program with a focus on psychology (i.e., clinical psychology, experimental psychology, cognitive neuroscience, etc.) or a focus on a medical field (i.e., psychiatry, neuroscience, biology, pharmacy) * A proactive, creative, and entrepreneurial approach to work * Interest and/or experience in CNS diseases * Excellent oral and written communication skills * Demonstrates strong attention to detail * Proficient in Microsoft Office Suite (Excel, Word, PowerPoint) * Organizational and critical thinking skills * Strong interpersonal skills and the ability to work well in a team environment * Ability to work on site Monday, Tuesday & Thursday. We are unable to consider candidates who are looking for fully remote roles Experience and Knowledge * Prior research experience preferred, but not required * Basic knowledge of, or previous experience with Good Clinical Practice (GCP) * Understanding of medical concepts, especially related to both Neurology and Psychiatry * Interest in Pharmaceutical/Life Sciences industry a plus * Accomplished background demonstrating teamwork, creativity, leadership, good judgement, and delivering results Additional Details The anticipated hourly rate for this role is $18-$25/hour. The salary offer will be based on a variety of factors, including experience, qualifications, and internal equity. This is a full-time and temporary role beginning in June and concluding in August. Final dates will be confirmed this spring. Successful candidates will be compensated at an hourly rate for the duration of the internship. Interns will work a maximum of 40 hours a week. Axsome is committed to equal employment opportunity and providing reasonable accommodations to applicants with physical and/or mental disabilities. We value and encourage diversity and solicit applications from all qualified applicants without regard to race, color, gender, sex, age, religion, creed, national origin, sexual orientation, gender identity, ancestry, citizenship, marital status, physical or mental disability, medical condition, veteran status, genetic information, or any other characteristic protected by federal, state, or local law.
    $18-25 hourly 24d ago

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