Remote
AMSURG is a nationally recognized leader in the strategic and operational management of ambulatory surgery centers with medical specialties ranging from gastroenterology to ophthalmology and orthopedics. With more than 250 surgery centers across the U.S., we partner with physicians and health systems to deliver the highest standards of patient care and quality. For more information, please access our website: ************************
Through AMSURG, our clinician-led organization is changing the face of healthcare by delivering high-quality care that puts the patient first.
Position Summary
The Vice President of Contracting - Health Plan Relations, Western Markets (“VP, Contracting”) manages a payer portfolio for contracting and strategy for AMSURG's ambulatory surgery centers and Anesthesia groups throughout the Western U.S. Reporting to the Sr. VP, Health Plan Relations, the VP, Contracting advances enterprise key initiatives and new center integration, manages revenue growth, and develops strategic payer relationships while providing leadership to aligned department staff. This role develops and ensures the execution of annual strategic payer plans within the portfolio, leads key payer negotiations, and directs a team of contractors to grow annual managed care revenue. This role will also develop staff skills for professional growth and retention; advance value based care initiatives and programs; and deliver on key priorities.
Work Schedule: This role is offered on a fully remote basis allowing the VP, Contracting to be based anywhere in the country, though strong preference will be given to those residing in the Western half of the U.S. Overnight and local travel of up to 25% is anticipated.
Essential Duties and Responsibilities
Overall management of the Western division's managed care portfolio, responsible for achieving defined growth targets and objectives
Lead and direct a team of contractors to meet departmental and individual goals and objectives.
Advance enterprise initiatives and integration by working cross functionally within the organization.
Provide leadership to the integration of new joint ventures, affiliations, and partnership arrangements within the department and organization.
Assess and review risks and opportunities across the enterprise related to payment reform, bundled payments, value-based payments, etc.
Develop tools and techniques that advance pricing and rate objectives.
Help establish and execute on contracting guidelines with respect to third party payer contractual terms, reimbursement, provider enrollment and product participation.
Negotiate contractual and reimbursement terms with market payers.
Conduct annual reviews of provider contracts.
Analysis of trend data and/or market information needed to support contract negotiations.
Review and present financial data, utilization trends, and patient mix needed to negotiate and re-negotiate payer contracts.
Expand and maintain knowledge of payers, products, individual markets, and industry trends.
Understand and stay abreast of issues and events that may have an impact on the business and industry.
Work with the team on maintaining client satisfaction through internal and external communication.
Identify contracting / payer disputes that may require intervention and/or action.
Monitor state and federal legislation related to payment initiatives, and policy changes that could impact contracts and relationships with health plans.
Travel overnight and locally as needed up to 25%.
Other duties as assigned.
Qualifications
To perform this job successfully, an individual must be able to perform each essential responsibility satisfactorily. The requirements listed below are representative of the knowledge, skills and/or abilities required:
Education/Experience
11+ years' experience as described to include supervisory experience, significant managed care contracting experience, and demonstrated ability in the areas of financial analysis, payment methodologies, contract language and negotiations.
Bachelor's degree required; Master's degree preferred.
Other Qualifications
Able to handle multiple, simultaneous tasks effectively and efficiently while maintaining a professional, courteous manner. Able to work well with others with strong verbal and written communication skills. Detail oriented and organized. High integrity, including maintenance of confidential information. Able to exercise good judgment and positively influence and lead others, including handling confrontations with poise and efficiency. Based on business need, the ability to work a flexible schedule, including some evenings. Must pass a background check and drug screen.
Benefits
At AMSURG, we offer benefits at the speed of your life. Our wide range of health and wellness benefits allow you to choose the right coverage for you and your family. Qualifying employees are eligible to enroll on the 1
st
of the month, following 30 days of employment. AMSURG offers a variety of health and wellness benefit options to help protect your health and promote your wellbeing. Benefits offered include but are not limited to: Medical, Dental, Vision, Life, Disability, Healthcare FSA, Dependent Care FSA, Limited Healthcare FSA, FSAs for Transportation and Parking & HSAs, and a matching 401(K) Plan.
Paid Time Off
AMSURG offers paid time off, 9 observed holidays, and paid family leave. You accrue Paid Time Off (PTO) each pay period and depending on your position can earn a minimum of 20 days and up to 25 days per calendar year.
We are an Equal Opportunity Employer.
We do not discriminate in practices or employment opportunities on the basis of an individual's race, color, national or ethnic origin, religion, age, sex, gender, sexual orientation, marital status, veteran status, disability, or any other prohibited category set forth in federal or state regulations.
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$158k-231k yearly est. 60d+ ago
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DIRECTOR, CONTRACTING (WEST REGION)
Amsurg Corp 4.5
Remote
REMOTE Company Overview: AMSURG is an independent leader in ambulatory surgery center services, operating a network of more than 250 surgery centers nationwide. In partnership with physicians and health systems, the organization delivers high-quality care for patients across a diverse spectrum of medical specialties, including gastroenterology, ophthalmology and orthopedics. To learn more about AMSURG, visit ***************
POSITION SUMMARY:
The Director, HPR Relations is responsible for securing and maintaining optimal reimbursement rates with health plan partners. Responsibilities include ensuring that the needs of facilities / entities, health plans and AmSurg are met by achieving annual assigned pipeline goals while establishing and maintaining positive business relationships.
Work Schedule: Remote
The ideal candidate for this position will be located in the Pacific Time Zone area of the United States.
ESSENTIAL RESPONSIBILITIES:
* Negotiate initial or renewal contractual terms and reimbursement with designated market payers
* Manage multiple concurrent negotiation activities while leveraging strong project management skills to drive progress on specific market strategies to optimize reimbursement
* Create and maintain relationships between AmSurg providers and payers related to contracting
* Facilitate updating and maintenance of consolidated contract management system for accurate tracking of reimbursement terms and conditions.
* Establish regular communication and strong inter-Company relationships, while monitoring payer issues as they relate to provider participation, contract loading, payment issues in conjunction with Revenue Cycle team
* Assist in the development of departmental goals, executing projects to achieve these goals, and working closely with others within the HPR Department to continuously monitor Department performance
* Onboard acquisitions and new entities / locations to payer contracts as requested.
* Develop reports and presentations by collecting, analyzing and summarizing information and trends
* In collaboration with Vice President, analyze contract performance data, conduct onsite visits with payers, clients and centers that require market specific strategies.
* Ability to work in a matrix environment where multiple and competing customer demands are likely.
* Facilitate internal training or educational tools as they related to health plan contracting
* Position requires overnight travel up to 25% of the time
* Other Duties as assigned
QUALIFICATIONS:
To perform this job successfully, an individual must be able to perform each essential responsibility satisfactorily. The requirements listed below are representative of the knowledge, skills and/or abilities required.
* Strong negotiating skills with national/regional payors
* Solid understanding of payer contract language and multiple payment methodologies
* Ability to build relationships with providers, external vendors/payers and employees at all levels in the organization
* Strong organizational and written/verbal communication skills
* Excellent ability to manage to deadlines
* Demonstrated proficiency with financial reports, utilization trends, and patient mix based upon analysis of the data being tracked
* Experience working in a matrix environment where multiple and competing customer demands are likely
* Ability to work independently and with little supervision
* Ability to positively handle conflict
* Self-directed with a strong bias for action and urgency
* Experience working with health plans
* Must be fluent in Microsoft Office applications
Education/Experience:
* Bachelor's degree with an emphasis in finance, accounting, or healthcare administration
* Six to ten years relevant experience in health care including managed care contracting, payment methodologies, contract language, contract negotiations and financial analysis
* Preferred experience: Project management, medical group operations, health plan operations, financial reporting and value-based contracting
Other Qualifications:
Must be able to handle multiple, simultaneous tasks effectively and efficiently while maintaining a professional, courteous manner. Must be able to work well with others. Strong verbal and written communication skills required. Must be detail oriented and organized. High integrity, including maintenance of confidential information. Must be able to exercise good judgment and positively influence and lead others, including handling confrontations with poise and efficiency. Based on business need, the ability to work a flexible schedule, including some evenings and weekends as approved in advance to meet contract renewal or expiration dates.
Employment at AMSURG: Living Our Values Every Day
At AMSURG, our values define who we are and how we serve our patients, partners, and each other. As a national leader in ambulatory surgery, we are committed to a culture of excellence, integrity, teamwork and caring deeply. Our values guide every decision, ensuring we continue to elevate healthcare and provide the highest quality care.
These guiding principles are the foundation of our culture and a guide to how we collaborate, innovate, and make a difference every day.
* Care Deeply for those around us.
* Cultivate Integrity to build trust.
* Champion Excellence for continuous improvement
* Celebrate Teamwork every step to the way.
Benefits:
To ensure we retain and invest in great people, AMSURG provides its employees with the benefits, recognition, training, and opportunities needed for professional growth. Our wide range of health and welfare benefits allow you to choose the right coverage for you and your family. AMSURG offers a variety of health and welfare benefit options to help protect your health and promote your wellbeing. Benefits offered include but are not limited to: Paid Time Off, Medical, Dental, Vision, Life, Disability, Healthcare FSA, Dependent Care FSA, Limited Healthcare FSA, FSAs for Transportation and Parking & HSAs, and a matching 401(K) Plan.
Paid Time Off:
AMSURG offers paid time off, 9 observed holidays, and paid family leave. You accrue Paid Time Off (PTO) each pay period and depending on your position and can earn a minimum of 20 days and up to 25 days per calendar year.
EOE Statement:
AMSURG is an Equal Opportunity Employer (EOE). Qualified applicants are considered for employment without regard to age (40 or older), race, color, religion, gender, sex, national origin, pregnancy, sexual orientation, disability, genetic information or any other status protected under applicable federal, state, or local laws. We strive to also provide a disability inclusive application and interview process. If you are a candidate with a disability and require reasonable accommodation in order to submit an application, please contact us at: ******************. Please include your full name, the role you're applying for and the accommodation necessary to assist you with the recruiting process.
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#LI-REMOTE
$64k-90k yearly est. 11d ago
Master's Level Clinician (Seeking LICSW) - Full Time Hybrid - Sign on Bonus
Thriveworks 4.3
Attleboro, MA jobs
Thriveworks is currently seeking provisionally licensed individuals pursuing Massachusetts Licensure as a LICSW in Attleboro, MA to provide a mix of telehealth and face-to-face sessions. This role is eligible for a competitive ramp stipend for clinicians offering 30+ hours of availability per week.
At Thriveworks, we're not just growing a practice-we're building a movement to transform mental health care. Founded and led by clinicians, we understand what it takes to support our team so they can focus on what they do best: delivering exceptional care.
Who We Are
Thriveworks is a trusted mental health provider with 340+ locations and a nationwide hybrid care model. We serve over 175,000 clients annually through more than 1.7 million sessions, and those numbers are growing. As a clinician-founded and clinician-led organization, we offer the tools, support, and community you need to build a fulfilling, long-term career.
What We're Looking For
We're hiring provisionally licensed clinicians in Massachusetts who are ready to make a difference and grow with us. We're especially interested in:
Full-time availability (30 hours/week - 25+ client visits with 5 hours administrative time including supervisory meetings).
Behavioral health generalists (open to seeing couples/children, with our support)
Clinicians who value autonomy and also enjoy being part of a team
Strong character matters - we value integrity, openness, and a commitment to quality care
Flexibility in your work schedule
Qualifications:
Must live and be seeking licensure in the state where services are provided
A graduate of an approved 60-credit hour program
Graduate or Post-graduate work experience in a counseling setting treating depression and anxiety is required
Graduate or Post-graduate work experience independently conducting intakes and diagnosing (preferred) according to the current DSM-5 under a licensed supervisor.
Compensation:
Up to $73,600 based on licensure type/level, session volume, and bonus opportunities.
What We Provide
We do the heavy lifting so you can focus on care. As a W2 employee, you'll receive:
Guaranteed, bi-weekly pay (no need to wait on reimbursement)
FREE group and individual clinical supervision provided
Paid orientation and annual pay increases
PTO and flexible scheduling (7am-10pm, 7 days/week)
No-show protection and caseload build within 90 days of credentialing
Credentialing, billing, scheduling, and marketing support
Health, dental, life, liability, and disability insurance options
401k with 3% employer match
CEU reimbursement and free in-house training
Opportunities for paid resident supervisory roles
A vibrant clinical community-online and in person
Monthly peer consultations and professional development
A clear path for career growth and internal promotion
A Place to Belong and Thrive
Thriveworks is a certified Great Place to Work and a community built on inclusion, growth, and support. Whether you're seeking mentorship, advancement, or a place where your impact matters, you'll find it here. 93% of our team reports feeling included, and 87% say their work has purpose-and we think that says a lot.
Ready to Join Us?
Apply today to become part of a team that's changing mental health care for clients and clinicians alike.
#LI-Hybrid #LI-MS1
Interested in joining Team Thriveworks? We're thrilled to meet you!
With Job scams becoming more and more frequent, here's how to know you're speaking with a real member of our team:
Our recruiters and other team members will only email you from ************************* or an @thriveworks.com email address.
Our interviews will take place over Google Meet (not Microsoft Teams or Zoom)
We will never ask you to purchase or send us equipment.
If you see a scam related to Thriveworks, please report to ***********************. You can contact ************************** with any questions or concerns.
Thriveworks is an Equal Opportunity Employer. Our people are our most valuable assets. We embrace and encourage differences in age, color, disability, ethnicity, gender identity or expression, national origin, physical and mental ability, race, religion, sexual orientation, veteran status, and other characteristics that make our employees unique. We encourage and welcome diverse candidates to apply for any position you are qualified for to bring your unique perspective to our team.
By clicking Apply, you acknowledge that Thriveworks may contact you regarding your application.
$73.6k yearly 2d ago
Psychotherapist III (MSW-LICSW) - Malden - Outpatient Psychiatry
Melrosewakefield Healthcare 4.1
Malden, MA jobs
Hours: 40 hours weekly. Hybrid Schedule. 60% on-site and 40% remote work.
This role focuses on safeguarding and promoting the welfare of patients and can provide services if necessary. In addition, this role focuses on performing the following Social Work duties: Provides social work assistance to patients and families relating to illness, disease, hospitalization and life events in all areas of service as a member of multi-disciplinary team and in liaison with community resources. Responsibilities also include identification, assessment, and coordination of cases and anticipation of needs related to illness, hospitalization, finances, education, and home/community service. A professional individual contributor role that may direct the work of other lower level professionals or manage processes and programs. The majority of time is spent overseeing the design, implementation or delivery of processes, programs and policies using specialized knowledge and skills typically acquired through advanced education. A senior level role that requires advanced knowledge of job area typically obtained through advanced education and work experience. Typically responsible for: managing projects / processes, working independently with limited supervision, coaching and reviewing the work of lower level professionals, resolving difficult and sometimes complex problems.
Job Overview
This position provides direct clinical services including evaluations, consultation and outpatient psychotherapy.
Job Description
Minimum Qualifications:
1. Master's degree in Social Work or PHD from an accredited program.
2. Licensed Independent Clinical Social Worker (LICSW).
3. Five (5) years of experience in outpatient psychotherapy with adult population.
4. Experienced in brief psychotherapy model, CBT, DBT, and treatment of dual diagnosis consumers.
Preferred Qualifications:
1. Experience with group psychotherapy.
Duties and Responsibilities: The duties and responsibilities listed below are intended to describe the general nature of work and are not intended to be an all-inclusive list. Other duties and responsibilities may be assigned.
1. Provide initial diagnostic assessments using DSM-V.
2. Develop initial and subsequent treatment plans, written in observable, measurable terms.
3. Provide individual, couple/family and group treatment modalities within a short-term treatment model.
4. Provide documentation of treatment utilizing SOAP format, accepted LMH and CCS forms which and which meets LMH, CCS, and regulatory standards.
5. Maintains current therapy notes, treatment plans, and other written documentation and correspondence according to agency policy and within appropriate time frames.
6. Identifies, using format and guidelines, high risk clients and review these cases monthly with Supervisor and Psychiatrist.
7. Responds to needs of clients and the clinic including responding to urgent care requests and crisis intervention.
8. Available to take on new cases as needed.
9. Responsible for the utilization review process as needed per insurance requirements.
10. Provides to the supervisor, monthly statistics as requested.
11. Participates in staff clinical meetings and collaborates with treatment team.
12. Participates in monthly clinical consultation.
13. Participates in LMH Community Benefits Program as requested by the supervisor.
14. Participates in monthly individual supervision
15. Participates in monthly chart reviews as requested by the supervisor.
16. Provides 24 hr. back up coverage as assigned.
17. Participates in on call schedule.
18. Provide back up to the Supervisor and other clinicians during his/her absence including case assignment, monitor of high-risk cases and intake functions, as staffing may require.
19. Participate in special projects as may be requested.
20. Maintains CEUs appropriate to position and which meets licensing standards.
Physical Requirements:
1. Frequent sitting, occasional standing & walking, and lifting of 5-10 lbs.
2. Requires manual dexterity using fine hand manipulation to operate computer keyboard.
3. Requires ability to see computer screen and reports.
Skills & Abilities:
1. Strong mental health generalist skills in working with adult population: young adult through geriatric.
2. Familiarity with psychopharmacology and common medications for medical diagnosis.
3. Good verbal, written and interpersonal skills with patients and staff of all levels.
4. Excellent critical thinking skills, good judgement, decision-making ability, resourcefulness and problem-solving skills.
5. Adaptable and open to accept criticism or changes with a positive attitude.
6. Knowledge of community resources in mental health and human services.
7. Takes initiative when opportunities are identified.
8. Able to handle conflict, give and take criticism.
9. Maintains sensitivity, maturity, and flexibility in coping with difficult situations.
At Tufts Medicine, we want every individual to feel valued for the skills and experience they bring. Our compensation philosophy is designed to offer fair, competitive pay that attracts, retains, and motivates highly talented individuals, while rewarding the important work you do every day.
The base pay ranges reflect the minimum qualifications for the role. Individual offers are determined using a comprehensive approach that considers relevant experience, certifications, education, skills, and internal equity to ensure compensation is fair, consistent, and aligned with our business goals.
Beyond base pay, Tufts Medicine provides a comprehensive Total Rewards package that supports your health, financial security, and career growth-one of the many ways we invest in you so you can thrive both at work and outside of it.
Pay Range:
$72,371.94 - $90,464.92
$72.4k-90.5k yearly 2d ago
Dosimetrist, Remote
Piedmont Healthcare 4.1
Columbus, GA jobs
Responsibilities:
Dosimetrist, FT, Piedmont Columbus John B. Amos Cancer Center, "Hybrid "
RESPONSIBLE FOR: Measuring and generating radiation dose distributions and calculations under the direction of the Radiation Physicist and Radiation Oncologist.
Qualifications - External
Qualifications:
MINIMUM EDUCATION REQUIRED:
Bachelors Degree in any discipline.
If hired prior to January 2025, will only require certification by the Medical Dosimetry Certification Board
(MDCB).
MINIMUM EXPERIENCE REQUIRED:
Three years of clinical experience in a radiation therapy department as a radiation therapist or medical
dosimetrist
MINIMUM LICENSURE/CERTIFICATION REQUIRED BY LAW:
Board Eligible by the MDCB (Medical Dosimetrist Certification Board)
Obtains Dosimetrist certification within 13 months of hire date.
Participation in the learning plan activities as required by MDCB (Medical Dosimetrist Certification Board).
Business Unit : Company Name: Piedmont Columbus Midtown
$129k-192k yearly est. Auto-Apply 2d ago
Fundraising Database Analyst
Lifebridge Health 4.5
Owings Mills, MD jobs
Fundraising Database Analyst
Owings Mills, MD
SINAI HOSPITAL
DEVELOPMENT
Full-time - Day shift - 8:00am-5:00pm
PROFESSIONAL
93615
$26.08-$39.12 Experience based
Posted: December 16, 2025
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Summary
Who We Are:
LifeBridge Health is a dynamic, purpose-driven health system redefining care delivery across the mid-Atlantic and beyond, anchored by our mission to “improve the health of people in the communities we serve.” Join us to advance health access, elevate patient experiences, and contribute to a system that values bold ideas and community-centered care.
REMOTE POSITION-CANDIDATES MUST BE LOCAL TO ATTEND A MONTHLY MEETING AND TWO LOCAL FUNDRAISING EVENTS About the Role: The Database Analyst is responsible for managing various reporting functions, assists in ensuring data integrity and strategic use of fundraising platforms, and provides data strategy to strengthen donor engagement and overall fundraising efforts within the Department of Corporate Development. Effective data management and analytics are integral to the success of any development program, making this a key position within the department. KEY RESPONSIBILITIES:
Manages end of month tasks and reporting, ensuring timely and accurate reports to the Finance team.
Develops and produces high level reports such as board reports, annual survey reports, major gift metrics and works with the special event manager to reconcile event income and conducts monthly reconciliation with Finance.
Develops and maintains dashboards to track fundraising progress, campaign performance, donor retention and pipeline activity, as requested, and ensures that data coding supports dashboard accuracy.
Works with the Manager of Major Gifts to ensure that major gift proposals, portfolios and metric reports accurately reflect major gift team activity.
Analyzes donor giving trends and behaviors to identify opportunities for increased engagement and growth.
Process maps - Works with department team members to develop and implement process maps for annual gift, major gift and grateful patient programs and provides data-driven insights to support those areas.
Prepares lists and segmentations for solicitations, stewardship mailings and event invitations.
Develops and manages project timelines.
Conducts periodic review of code tables and coordinates coding adjustments across LBH entities.
Crossed trained in gift processing.
In conjunction with the Director of Operations, provides database review and training for new employees.
Performs mass imports and global changes as needed using Omatic software.
Recommends software training goals for Development team members based on data reviews and audits.
Reviews Blackbaud Community groups to keep abreast of system best practices and solutions to data challenges.
Participates in Blackbaud training modules when appropriate
REQUIREMENTS:
Education: Bachelor's degree preferred
Experience: 3-5 years of experience working in a nonprofit and/or hospital setting. Raiser's Edge experience or similar fundraising CRM and/or email marking software systems experience.
Additional Information
What We Offer:
Impact:
Join a team that values innovation and outcomes, delivering life-saving care to our youngest and most vulnerable patients.
Growth
: Opportunities for professional development, including tuition reimbursement and developing foundational skills for neonatal critical care leadership and advanced certification.
Support:
A culture of collaboration with resources like unit-based practice councils and advanced clinical education support - improving both workflow efficiency and patient outcomes and allowing you to work at the top of your license.
Benefits
: Competitive compensation (additional compensation such as overtime, shift differentials, premium pay, and bonuses may apply depending on job), comprehensive health plans, free parking, and wellness programs.
Why LifeBridge Health?
With over 14,000 employees, 130 care locations, and two million annual patient encounters, we combine strategic growth, innovation, and deep community commitment to deliver exceptional care anchored by five leading centers in the Baltimore region: Sinai Hospital of Baltimore, Grace Medical Center, Northwest Hospital, Carroll Hospital, and Levindale Hebrew Geriatric Center and Hospital.
Our organization thrives on a culture of CARE BRAVELY-where compassion, courage, and urgency drive every decision, empowering teams to shape the future of healthcare.
LifeBridge Health complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex or sexual orientation and gender identity/expression. LifeBridge Health does not exclude people or treat them differently because of race, color, national origin, age, disability, sex or sexual orientation and gender identity/expression. Share: talemetry.share(); Apply Now var jobsmap = null; var jobsmap_id = "gmaphtxlq"; var cslocations = $cs.parse JSON('[{\"id\":\"2124149\",\"title\":\"Fundraising Database Analyst\",\"permalink\":\"fundraising-database-analyst\",\"geography\":{\"lat\":\"39.4009361\",\"lng\":\"-76.7789136\"},\"location_string\":\"10090 Red Run Blvd, Owings Mills, MD\"}]'); function tm_map_script_loaded(){ jobsmap = new csns.maps.jobs_map().draw_map(jobsmap_id, cslocations); } function tm_load_map_script(){ csns.maps.script.load( function(){ tm_map_script_loaded(); }); } $(document).ready(function(){ tm_load_map_script(); });
$84k-122k yearly est. 4d ago
Director of Reimbursement
Trilogy Health Services 4.6
Louisville, KY jobs
JOIN TEAM TRILOGY:
Weekly pay, health and dental after your first month, student loan repayment, a competitive 401(k) match, and more! Make a living while you make a difference at Trilogy Health Services - a senior living provider with the continuous goal of being the Best Healthcare Company in The Midwest.
WHAT WE'RE LOOKING FOR:
Job Summary
The Director of Reimbursement is responsible for overseeing Medicare and Medicaid reimbursement for a multi-state skilled nursing facility (SNF) organization, with a focus on cost report preparation, submission, and audit defense. This role ensures compliance with federal and state-specific regulations in Indiana, Ohio, Michigan, and Wisconsin, and supports financial strategies to optimize reimbursement and maintain regulatory compliance.
Roles and Responsibilities
• Manages the Reimbursement Team to prepare and submit accurate Medicare and Medicaid cost reports for SNFs in Indiana, Ohio, Michigan, and Wisconsin.
• Ensures compliance with CMS Form 2540-10 and each state's Medicaid cost reporting requirements.
• Possesses working knowledge of CMS 15-1 and state-specific Medicaid reimbursement manuals.
• Leads audit responses and manages appeals with state agencies and CMS intermediaries.
• Analyzes cost report data to identify trends, risks, and reimbursement opportunities.
• Collaborates with facility administrators, clinical teams, and finance staff to ensure accurate data collection and reporting.
• Monitors regulatory changes and communicates financial implications to leadership.
• Maintains documentation and internal controls to support audit readiness.
• Provides training and guidance to internal team on reimbursement and cost reporting.
• Other duties as assigned.
Qualifications
Education: Bachelor Degree
Experience: 5-8 years
Licenses and Certifications
CPA certification preferred
2 years of Management Experience required
Physical Requirements
Sitting, standing, bending, reaching, stretching, stooping, walking, and moving intermittently during working hours. Must be able to lift at least 50lbs. Must be able to maintain verbal and written communication with co-workers, supervisors, residents, family members, visitors, vendors, and all business associates outside of the health campus.
WHERE YOU'LL WORK : Location: US-KY-Louisville LET'S TALK ABOUT BENEFITS:
Competitive salaries and weekly pay
401(k) Company Match
Mental Health Support Program
Student Loan Repayment and Tuition Reimbursement
Health, vision, dental & life insurance kick in on the first of the month after your start date
First time homebuyers' program
HSA/FSA
And so much more!
LIFE AT TRILOGY:
Whether you're looking for a new chapter, a change of pace, or a helping hand, Trilogy is committed to being the best place that you've ever belonged.
Flexibility is what you want, and flexibility is what you'll get.
Come into the office because you want to - not because you have to. At Trilogy, we're proud to embrace a hybrid work environment that allows you both the convenience of working from home and the flexibility of meeting with your co-workers in person. With collaborative workspaces, rotating cubicles, and meditation areas, our freshly renovated Home Office will accommodate the working style that works best for
you
.
Six months of training, orientation, and fun!
We believe in setting our employees up for success. That's why your first six months are referred to as your “blue-badge” period - a time where you are encouraged to ask questions, ask for help when needed, and familiarize yourself with the company culture. Even when your blue badge period ends, you can rest assured that the Trilogy team will always have your back.
APPLY NOW:
As one of Fortune's Best Places to Work in Aging Services, a certified Great Place to Work, and one of Glassdoor's Top 100 Best Companies to Work, Trilogy is proud to be an equal opportunity employer committed to helping you reach your full potential and to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy or any other protected characteristic as outlined by federal, state or local laws.
FOR THIS TYPE OF EMPLOYMENT STATE LAW REQUIRES A CRIMINAL RECORD CHECK AS A CONDITION OF EMPLOYMENT.
$60k-108k yearly est. Auto-Apply 1d ago
Associate Clinical Social Worker (Seeking LCSW) - Full Time Hybrid
Thriveworks 4.3
Thousand Oaks, CA jobs
Thriveworks is currently seeking provisionally licensed individuals pursuing California Licensure as an LCSW in Thousand Oaks, CA to provide a mix of telehealth and face-to-face sessions. This role is eligible for a competitive ramp stipend for clinicians offering 30+ hours of availability per week.
At Thriveworks, we're not just growing a practice-we're building a movement to transform mental health care. Founded and led by clinicians, we understand what it takes to support our team so they can focus on what they do best: delivering exceptional care.
Who We Are
Thriveworks is a trusted mental health provider with 340+ locations and a nationwide hybrid care model. We serve over 175,000 clients annually through more than 1.7 million sessions, and those numbers are growing. As a clinician-founded and clinician-led organization, we offer the tools, support, and community you need to build a fulfilling, long-term career.
What We're Looking For
We're hiring provisionally licensed clinicians in California who are ready to make a difference and grow with us. We're especially interested in:
Full-time availability (30 hours/week - 25+ client visits with 5 hours administrative time including supervisory meetings).
Behavioral health generalists (open to seeing couples/children, with our support)
Clinicians who value autonomy and also enjoy being part of a team
Strong character matters - we value integrity, openness, and a commitment to quality care
Must reside within 45 minutes of the office location. Ability to work in the office for the probationary period and then work a hybrid model (50% in office and 50% remote).
Flexibility in your work schedule
Qualifications:
Must live and be seeking licensure in the state where services are provided
A graduate of an approved 60-credit hour program
Approved by the board as an ACSW
Graduate or Post-graduate work experience in a counseling setting treating depression and anxiety is required
Graduate or Post-graduate work experience independently conducting intakes and diagnosing (preferred) according to the current DSM-5 under a licensed supervisor.
Compensation:
Up to $59,200 based on licensure type/level, session volume, and bonus opportunities.
What We Provide
We do the heavy lifting so you can focus on care. As a W2 employee, you'll receive:
Guaranteed, bi-weekly pay (no need to wait on reimbursement)
FREE individual clinical supervision provided
Paid orientation and annual pay increases
PTO and flexible scheduling (7am-10pm, 7 days/week)
No-show protection and caseload build within 90 days of credentialing
Credentialing, billing, scheduling, and marketing support
Health, dental, life, liability, and disability insurance options
401k with 3% employer match
CEU reimbursement and free in-house training
Opportunities for paid resident supervisory roles
A vibrant clinical community-online and in person
Monthly peer consultations and professional development
A clear path for career growth and internal promotion
A Place to Belong and Thrive
Thriveworks is a certified Great Place to Work and a community built on inclusion, growth, and support. Whether you're seeking mentorship, advancement, or a place where your impact matters, you'll find it here. 93% of our team reports feeling included, and 87% say their work has purpose-and we think that says a lot.
Ready to Join Us?
Apply today to become part of a team that's changing mental health care for clients and clinicians alike.
#LI-Hybrid #LI-MS1
Interested in joining Team Thriveworks? We're thrilled to meet you!
With Job scams becoming more and more frequent, here's how to know you're speaking with a real member of our team:
Our recruiters and other team members will only email you from ************************* or an @thriveworks.com email address.
Our interviews will take place over Google Meet (not Microsoft Teams or Zoom)
We will never ask you to purchase or send us equipment.
If you see a scam related to Thriveworks, please report to ***********************. You can contact ************************** with any questions or concerns.
Thriveworks is an Equal Opportunity Employer. Our people are our most valuable assets. We embrace and encourage differences in age, color, disability, ethnicity, gender identity or expression, national origin, physical and mental ability, race, religion, sexual orientation, veteran status, and other characteristics that make our employees unique. We encourage and welcome diverse candidates to apply for any position you are qualified for to bring your unique perspective to our team.
By clicking Apply, you acknowledge that Thriveworks may contact you regarding your application.
$59.2k yearly 2d ago
Principal Software Engineer - Analytics Platform
Quantum-Health 4.7
Dublin, OH jobs
Who we are
Founded in 1999 and headquartered in Central Ohio, we're a privately-owned, independent healthcare navigation organization. We believe that no one should have to navigate the cost and complexity of healthcare alone, and we're on a mission to make healthcare simpler and more effective for our millions of members. Our big-hearted, tech-savvy team fights to ensure that our members get the care they need, when they need it, at the most affordable cost - that's why we call ourselves Healthcare Warriors .
We're committed to building diverse and inclusive teams - more than 2,000 of us and counting - so if you're excited about this position, we encourage you to apply - even if your experience doesn't match every requirement.
About the role
We're looking for a hands-on Principal Software Engineer to help lead the engineering and evolution of our analytics platform. This platform supports both external clients and internal teams, delivering dynamic data visualizations, actionable insights, and AI-augmented recommendations through a highly customized Analytics & Business Intelligence (ABI) experience.
The Principal Software Engineer will partner closely with data engineering teams while maintaining a clear focus on application and platform development. You will build, extend, and maintain the software systems that power our analytics products, contributing directly to production code while helping shape architectural decisions that keep the platform scalable, secure, and intuitive.
The ideal candidate is an experienced software engineer who enjoys working directly in the codebase, leading through execution, and applying architectural thinking as a natural part of hands-on development.
Location: This position is located at our Dublin, OH campus with hybrid flexibility or may work remotely anywhere in the United States of America.
What you'll do
Serve as a hands-on technical lead, contributing directly to the design, development, and delivery of our analytics platform.
Build and extend application and platform capabilities that embed and customize ABI solutions (e.g., Apache Superset, AWS QuickSight, or similar) into a cohesive, client-facing analytics experience.
Design and implement backend services, APIs, and integration layers that support real-time and scheduled analytics delivery.
Apply architectural best practices while actively developing software, ensuring solutions are scalable, maintainable, and aligned with business needs.
Partner with product, engineering, AI, and analytics teams to translate requirements into implemented platform features.
Establish and evolve integration patterns for identity, data access, visualization layers, and extensibility frameworks.
Develop reusable components and frameworks that accelerate feature delivery and improve developer productivity.
Ensure platform implementations adhere to security, data protection, and access control best practices.
Proactively identify technical risks and address performance, stability, and reliability concerns through hands-on solutions.
Provide technical leadership and mentorship to junior and senior engineers through code reviews, design discussions, and shared ownership of platform components.
Stay informed on emerging analytics platform and embedded BI trends to guide ongoing platform improvements.
Perform other duties and responsibilities as assigned to support the broader goals of the team and organization.
What you'll bring
8+ years in software or analytics engineering with deep experience delivering ABI platforms or data-driven applications.
Demonstrated experience embedding or extending modern ABI platforms to support product use cases, especially for client-facing applications.
Strong backend and frontend engineering skills, especially in Python and JavaScript/TypeScript-based environments.
Deep knowledge of data modeling, querying (SQL), and connecting analytics platforms to modern data warehouses (e.g., Snowflake, BigQuery).
Experience with authentication/authorization integration, multi-tenancy, and performance tuning in analytics applications.
Cloud platform experience (AWS, Azure, or GCP) and familiarity with containerized deployments (Docker, Kubernetes).
Proven ability to lead technically through direct contribution, collaboration, and mentorship.
Strong communication skills and the ability to work effectively across cross-functional teams.
Protect and take care of our company and member's data every day by committing to work within our company ethics and policies.
A high degree of personal accountability and trustworthiness, a commitment to working within Quantum Health's policies, values and ethics, and to protecting the sensitive data entrusted to us.
Nice to Have
Experience with headless BI or composable data product architectures.
Background in healthcare, healthtech, or another regulated industry.
Exposure to AI/ML integration and enabling LLM-driven insights in analytics environments.
--
#LI-AK1 #LI-Hybrid #LI-Remote
What's in it for you
Compensation: Competitive base and incentive compensation
Coverage: Health, vision and dental featuring our best-in-class healthcare navigation services, along with life insurance, legal and identity protection, adoption assistance, EAP, Teladoc services and more.
Retirement: 401(k) plan with up to 4% employer match and full vesting on day one.
Balance: Paid Time Off (PTO), 7 paid holidays, parental leave, volunteer days, paid sabbaticals, and more.
Development: Tuition reimbursement up to $5,250 annually, certification/continuing education reimbursement, discounted higher education partnerships, paid trainings and leadership development.
Culture: Recognition as a Best Place to Work for 15+ years, dedication to diversity, philanthropy and sustainability, and people-first values that drive every decision.
Environment: A modern workplace with a casual dress code, open floor plans, full-service dining, free snacks and drinks, complimentary 24/7 fitness center with group classes, outdoor walking paths, game room, notary and dry-cleaning services and more!
What you should know
Internal Associates: Already a Healthcare Warrior? Apply internally through Jobvite.
Process: Application > Phone Screen > Online Assessment(s) > Interview(s) > Offer > Background Check.
Diversity, Equity and Inclusion: Quantum Health welcomes everyone. We value our diverse team and suppliers, we're committed to empowering our ERGs, and we're proud to be an equal opportunity employer .
Tobacco-Free Campus: To further enable the health and wellbeing of our associates and community, Quantum Health maintains a tobacco-free environment. The use of all types of tobacco products is prohibited in all company facilities and on all company grounds.
Compensation Ranges: Compensation details published by job boards are estimates and not verified by Quantum Health. Details surrounding compensation will be disclosed throughout the interview process. Compensation offered is based on the candidate's unique combination of experience and qualifications related to the position.
Sponsorship: Applicants must be legally authorized to work in the United States on a permanent and ongoing future basis without requiring sponsorship.
Agencies: Quantum Health does not accept unsolicited resumes or outreach from third-parties. Absent a signed MSA and request/approval from Talent Acquisition to submit candidates for a specific requisition, we will not approve payment to any third party.
Reasonable Accommodation: Should you require reasonable accommodation(s) to participate in the application/interview/selection process, or in order to complete the essential duties of the position upon acceptance of a job offer, click here to submit a recruitment accommodation request.
Recruiting Scams: Unfortunately, scams targeting job seekers are common. To protect our candidates, we want to remind you that authorized representatives of Quantum Health will only contact you from an email address ending **********************. Quantum Health will never ask for personally identifiable information such as Date of Birth (DOB), Social Security Number (SSN), banking/direct/tax details, etc. via email or any other non-secure system, nor will we instruct you to make any purchases related to your employment. If you believe you've encountered a recruiting scam, report it to the Federal Trade Commission and your state's Attorney General.
$102k-124k yearly est. 1d ago
Director, Pharmacy Revenue Cycle Management
Humana 4.8
Texas jobs
Become a part of our caring community and help us put health first The Director, Revenue Cycle Management for Humana Pharmacy will own the billing, collections and reporting for CenterWell Pharmacy & Specialty pharmacy and Humana Pharmacy Solutions, Humana's captive PBM.
This role will lead a large workforce across multiple geographies to maximize our billing while also ensuring to meet our patient, pharmaceutical clients and PBM partner needs. Within CenterWell Pharmacy, we continue to lead the industry with new product launches, including our Direct to Consumer and Direct to Employer offerings. This leader will be nimble and change oriented to meet the evolving market needs. This position may involve some financial budgeting as well as making decisions related to implementation of new/updated programs or large-scale projects to help support the strategic goals of the pharmacies. Additionally, the candidate will have the following key responsibilities:
· Own the reconciliation of billing with the GL with partnership with controllership team
· Provide comprehensive decision-making across the enterprise as it comes to revenue accounting
· Develop and maintain team performance across our BPO partner and internal associates
· Monitor performance by comparing and analyzing actual results with plans and forecasts
· Improve financial status by analyzing results and variances, identifying trends, and recommending actions
Use your skills to make an impact
Required Qualifications
Bachelor's degree in finance, accounting or related field
8 or more years of revenue cycle management
5 or more years of management experience
Experience advising senior leadership on billing/collections strategies
Knowledge of pharmacy revenue cycle management
Prior experience developing methods and criteria for revenue cycle management
Exceptional communication and presentation skills, with the ability to influence and engage diverse audiences
Ability to lead and manage special projects that may necessitate cross-functional partnerships
Must be passionate about contributing to an organization focused on continuously improving consumer experiences
Preferred Qualifications
Prior health insurance industry experience working in revenue cycle management
Pharmacy pricing knowledge or experience
Additional Information
Interview Format
As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.
WAH Internet Statement
To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:
At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Satellite, cellular and microwave connection can be used only if approved by leadership. Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.
Scheduled Weekly Hours
40
Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$126,300 - $173,700 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
About Us
Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
$126.3k-173.7k yearly 1d ago
Talent Selection Specialist
Akron Children's Hospital 4.8
Akron, OH jobs
This is an 18-month temporary assignment with full benefit eligibility.
Must reside in Ohio at the time of hire. This is a remote position; however, occasional onsite presence may be required based on business needs.
The Talent Selection Specialist is responsible for providing the highest level of recruitment and staffing services to hiring leaders by delivering top talent.
Responsibilities:
1. Plans and executes the sourcing, recruiting, selection, and hiring process to ensure a diverse pool of top talent for the organization while maintaining excellent relations with hiring managers, co-workers, candidates, and the community.
2. Sets service level agreements with hiring managers to define roles/responsibilities and control the hiring process.
3. Prepares candidates for interviews with hiring managers by providing information on the hospital, business strategy, department background, job description, and expectations.
4. Maintains accurate and well-ordered documentation on all applicants, searches, hiring manager interactions, and other recruiting activities to ensure accurate reporting of employment activities and successful outcomes of audits.
5. Participates in departmental activities including performance and process improvement.
6. Other duties as required.
Other information:
Technical Expertise
1. Experience in full lifecycle recruiting is required.
2. Experience in applicable State and Federal employment laws is required.
3. Experience in working with all levels within an organization is required.
4. Experience in medium to large sized organizations is preferred.
5. Experience in healthcare is preferred.
6. Proficiency in MS Office [Outlook, Excel, Word] or similar software is required. ATS is preferred.
Education and Experience
1. Education: Bachelor's degree in Human Resources or related field is required.
2. Certification: HR certification [PHR, SHRM-CP, CEBS, CCP, etc.] is preferred.
3. Years of relevant experience: 3 years is required.
4. Years of experience supervising: None.
Full Time
FTE: 1.000000
Status: Remote
$47k-56k yearly est. 25d ago
Talent Selection Specialist
Akron Children's Hospital 4.8
North Canton, OH jobs
This is an 18-month temporary assignment with full benefit eligibility.
Must reside in Ohio at the time of hire. This is a remote position; however, occasional onsite presence may be required based on business needs.
The Talent Selection Specialist is responsible for providing the highest level of recruitment and staffing services to hiring leaders by delivering top talent.
Responsibilities:
1. Plans and executes the sourcing, recruiting, selection, and hiring process to ensure a diverse pool of top talent for the organization while maintaining excellent relations with hiring managers, co-workers, candidates, and the community.
2. Sets service level agreements with hiring managers to define roles/responsibilities and control the hiring process.
3. Prepares candidates for interviews with hiring managers by providing information on the hospital, business strategy, department background, job description, and expectations.
4. Maintains accurate and well-ordered documentation on all applicants, searches, hiring manager interactions, and other recruiting activities to ensure accurate reporting of employment activities and successful outcomes of audits.
5. Participates in departmental activities including performance and process improvement.
6. Other duties as required.
Other information:
Technical Expertise
1. Experience in full lifecycle recruiting is required.
2. Experience in applicable State and Federal employment laws is required.
3. Experience in working with all levels within an organization is required.
4. Experience in medium to large sized organizations is preferred.
5. Experience in healthcare is preferred.
6. Proficiency in MS Office [Outlook, Excel, Word] or similar software is required. ATS is preferred.
Education and Experience
1. Education: Bachelor's degree in Human Resources or related field is required.
2. Certification: HR certification [PHR, SHRM-CP, CEBS, CCP, etc.] is preferred.
3. Years of relevant experience: 3 years is required.
4. Years of experience supervising: None.
Full Time
FTE: 1.000000
Status: Remote
$32k-45k yearly est. 25d ago
Registered Nurse (RN) Unit Coordinator - Intensive Care Unit
Sentara Health 4.9
Elizabeth City, NC jobs
City/State Elizabeth City, NC Work Shift Third (Nights) Sentara Albemarle Medical Center is hiring a Registered Nurse (RN) Unit Coordinator for the Intensive Care Unit (ICU). Elevate your career! Hours/Shift: 36-hours, Nights Education
Degree or Diploma in Registered Nursing
Bachelor of Science Nursing- BSN
Certification/Licensure
Registered nursing License (Required)
BLS required within 90 days of hire
Experience
18-months of RN experience is required
RN Unit Coordinators demonstrate proficiency in nursing practice for assigned specialty area and provides clinical leadership for the delivery of nursing care in a department. Under the direction of the department manager leads safety and quality initiatives, focuses on and simplifies workflow, and contributes to the development of staff. Increase staff satisfaction and promotes excellent (Gold Standard) customer service.
Join Our ICU Family - Where Your Voice Matters and Your Growth Matters More!
Looking for more than just a job? Come be part of our 10-bed Medical-Surgical ICU, a close-knit, high-performing team that feels more like family than coworkers. Here, you're not just filling a shift - you're making a difference.
We believe in open communication, shared decision-making, and amplifying every voice on the team. Whether you're a seasoned nurse or just starting your critical care journey, your ideas, input, and experiences are valued every day.
You'll care for a diverse range of medical and surgical patients, sharpening your critical thinking skills in an environment that encourages learning, mentorship, and professional growth. From expanding your clinical skills to pursuing leadership roles, we're here to support your career goals every step of the way. We are proud to share that we recently received Magnet accreditation with distinction, reflecting our commitment to nursing excellence and quality patient outcomes.
Join us and thrive in a place where your voice is heard, your growth is supported, and your team feels like home!
Keywords: Registered Nurse, RN, ICU, Intensive Care, Critical Care, SAMC, Sentara Albemarle, Unit Coordinator, Charge Nurse, Leadership, Management, BSN, Talroo-Nursing
.
Benefits: Caring For Your Family and Your Career
• Medical, Dental, Vision plans
• Adoption, Fertility and Surrogacy Reimbursement up to $10,000
• Paid Time Off and Sick Leave
• Paid Parental & Family Caregiver Leave
• Emergency Backup Care
• Long-Term, Short-Term Disability, and Critical Illness plans
• Life Insurance
• 401k/403B with Employer Match
• Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education
• Student Debt Pay Down - $10,000
• Reimbursement for certifications and free access to complete CEUs and professional development
• Pet Insurance
• Legal Resources Plan
• Colleagues may have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met
Sentara Albemarle Medical Center , located in Elizabeth City, NC, serves northeastern North Carolina with a caring team of approximately 650 employees and 150 medical providers. We think of each other as family, with those bonds extending into our close-knit community and serving as the foundation for our patient care. Our 182-bed facility features 25 specialties including emergency, maternity, orthopedics, medical, and surgical care in addition to our outpatient laboratory, imaging, and comprehensive breast services. In 2022, Sentara broke ground on a new campus, a state-of-the-art 88-bed hospital to replace the current 60-year-old facility on North Road Street. The 135-acre campus, coming out of the ground at Halstead Boulevard Extended and Thunder Road, will be known as the Sentara Albemarle Regional Health Campus. It is projected to cost about $200 million, up from the original estimate of $158 million, due to sharp spikes in costs for building materials and medical equipment.
Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.
In support of our mission “to improve health every day,” this is a tobacco-free environment.
For positions that are available as remote work, Sentara Health employs associates in the following states:
Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.
$28k-33k yearly est. 4d ago
Physician / Radiology - Body Imaging / New Jersey / Permanent / Radiology Body Imaging
AMN Healthcare 4.5
Bayonne, NJ jobs
Job Description & Requirements Radiology Body Imaging StartDate: ASAP Available Shifts: 8am ??? 4pm and providers normally work 5 days per week Pay Rate: $500000.00 - $600000.00 Join a Body Imaging Radiology practice offering a $25K signing bonus, excellent work-life balance, and flexible hybrid or 100% remote scheduling. Health system seeks a BC/BE Body Imaging Radiologist to join its ACR-accredited department at a 361-bed acute care hospital. Connect with us today to learn more.
$145k-258k yearly est. 1d ago
Director, Pharmacy Revenue Cycle Management
Humana 4.8
North Carolina jobs
Become a part of our caring community and help us put health first The Director, Revenue Cycle Management for Humana Pharmacy will own the billing, collections and reporting for CenterWell Pharmacy & Specialty pharmacy and Humana Pharmacy Solutions, Humana's captive PBM.
This role will lead a large workforce across multiple geographies to maximize our billing while also ensuring to meet our patient, pharmaceutical clients and PBM partner needs. Within CenterWell Pharmacy, we continue to lead the industry with new product launches, including our Direct to Consumer and Direct to Employer offerings. This leader will be nimble and change oriented to meet the evolving market needs. This position may involve some financial budgeting as well as making decisions related to implementation of new/updated programs or large-scale projects to help support the strategic goals of the pharmacies. Additionally, the candidate will have the following key responsibilities:
· Own the reconciliation of billing with the GL with partnership with controllership team
· Provide comprehensive decision-making across the enterprise as it comes to revenue accounting
· Develop and maintain team performance across our BPO partner and internal associates
· Monitor performance by comparing and analyzing actual results with plans and forecasts
· Improve financial status by analyzing results and variances, identifying trends, and recommending actions
Use your skills to make an impact
Required Qualifications
Bachelor's degree in finance, accounting or related field
8 or more years of revenue cycle management
5 or more years of management experience
Experience advising senior leadership on billing/collections strategies
Knowledge of pharmacy revenue cycle management
Prior experience developing methods and criteria for revenue cycle management
Exceptional communication and presentation skills, with the ability to influence and engage diverse audiences
Ability to lead and manage special projects that may necessitate cross-functional partnerships
Must be passionate about contributing to an organization focused on continuously improving consumer experiences
Preferred Qualifications
Prior health insurance industry experience working in revenue cycle management
Pharmacy pricing knowledge or experience
Additional Information
Interview Format
As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.
WAH Internet Statement
To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:
At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Satellite, cellular and microwave connection can be used only if approved by leadership. Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.
Scheduled Weekly Hours
40
Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$126,300 - $173,700 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
About Us
Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
$49k-73k yearly est. 1d ago
Hybrid Outpatient Psychiatrist - Erie, PA
Allegheny Health Network 4.9
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
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$222k-320k yearly est. 3d ago
Talent Selection Specialist
Akron Children's Hospital 4.8
Hudson, OH jobs
This is an 18-month temporary assignment with full benefit eligibility.
Must reside in Ohio at the time of hire. This is a remote position; however, occasional onsite presence may be required based on business needs.
The Talent Selection Specialist is responsible for providing the highest level of recruitment and staffing services to hiring leaders by delivering top talent.
Responsibilities:
1. Plans and executes the sourcing, recruiting, selection, and hiring process to ensure a diverse pool of top talent for the organization while maintaining excellent relations with hiring managers, co-workers, candidates, and the community.
2. Sets service level agreements with hiring managers to define roles/responsibilities and control the hiring process.
3. Prepares candidates for interviews with hiring managers by providing information on the hospital, business strategy, department background, job description, and expectations.
4. Maintains accurate and well-ordered documentation on all applicants, searches, hiring manager interactions, and other recruiting activities to ensure accurate reporting of employment activities and successful outcomes of audits.
5. Participates in departmental activities including performance and process improvement.
6. Other duties as required.
Other information:
Technical Expertise
1. Experience in full lifecycle recruiting is required.
2. Experience in applicable State and Federal employment laws is required.
3. Experience in working with all levels within an organization is required.
4. Experience in medium to large sized organizations is preferred.
5. Experience in healthcare is preferred.
6. Proficiency in MS Office [Outlook, Excel, Word] or similar software is required. ATS is preferred.
Education and Experience
1. Education: Bachelor's degree in Human Resources or related field is required.
2. Certification: HR certification [PHR, SHRM-CP, CEBS, CCP, etc.] is preferred.
3. Years of relevant experience: 3 years is required.
4. Years of experience supervising: None.
Full Time
FTE: 1.000000
Status: Remote
$32k-45k yearly est. 25d ago
Interventional Radiologist
Provider Solutions & Development 4.3
Apple Valley, CA jobs
Providence St. Mary High Desert Medical Group has an excellent opportunity for an Interventional Radiologist seeking equity potential with an opportunity to split profits for candidates interested in starting an independent radiology group in partnership with Providence. The ideal candidate for this position will be an innovative and forward-thinking leader who will play a pivotal role in establishing and growing the Interventional Radiology program. This individual will contribute to the advancement of our medical offerings while ensuring the highest standards of patient care.
We invite you to be part of our exciting new journey in establishing a comprehensive Interventional Radiology Service Line while enjoying, work life balance, a full suite of benefits and an attractive compensation package ranging from $445,805 and $694,569 annually PLUS bonus potential.
Position Details:
Hybrid position allowing for a balance of in-hospital and remote work
Work with physician and administrative leaders to develop and implement the Radiology program, including setting up protocols, procedures, and best practices
Collaborative work environment where we welcome your ideas, expertise and passion
Perform a wide range of interventional radiology procedures including but not limited to angiography, stenting, embolization, biopsy, and drainage
Interpret diagnostic imaging studies such as CT scans, MRI, and ultrasound to guide procedures
Collaborate with referring physicians to determine appropriate treatment plans for patients
Provide pre-procedure consultations and post-procedure follow-up care
Stay current with advancements in the field of interventional radiology and participate in continuous professional development
Supportive and collaborative work environment
EPIC EHR, Fuji PACS and Powerscribe
Compensation & Benefits:
Compensation is between $445,805 and $694,569 per year
Equity potential after second year
Comprehensive benefits package including health, vision, dental, retirement, PTO and more
Generous relocation assistance
Continuing medical education (CME) allowance.
Eligible for Public Service Loan Forgiveness (PSLF)
The posted salary reflects the starting range of total compensation and may include productivity bonuses, incentives related to quality and performance, hospital/ED call stipends, extra shift incentives, and other forms of cash compensation as applicable to the position. In addition, providers typically receive a CME allowance and other benefits offered by their medical group employer. Please note that this salary range is provided in accordance with State law and is subject to variation due to the factors noted above.
Qualifications & Requirements:
Must be a board-certified Interventional Radiologist (MD/DO)
Be licensed in the State of California prior to start date
Ideal candidate will be an innovative leader eager to establish and grow the Interventional Radiology program
Where You'll Work
St. Mary Medical Center is a 212-bed acute care hospital serving the communities of Southern California's high desert region. The 300 providers on staff are dedicated to patient safety above all and have earned St. Mary Medical Center a Labor and Delivery Excellence Award from Healthgrades for providing superior care to women during and after childbirth. St. Mary offers an array of services from wellness and prevention programs, to state-of-the-art diagnostic, medical and surgical procedures.
Where You'll Live
Apple Valley is on the southern edge of the Mojave Desert in California's San Bernardino County, 95 miles northeast of Los Angeles. Its schools are excellent, and it's within easy driving distance of popular destinations such as Balboa Island and Big Bear Mountain Resort. With little snowfall and sunny days, Apple Valley offers blue skies, exquisite sunsets and stunning landscapes.
Who You'll Work For
Providence is a nationally recognized, comprehensive healthcare organization spanning seven states with a universal mission - to provide compassionate care to all who need its services, especially the poor and vulnerable. Its 122,000-plus caregivers/employees (including 34,000 physicians) serve in 51 hospitals, more than 1,000 clinics and a comprehensive range of health and social services. Providence: One name, one family, one extraordinary health system.
Check out our benefits page for more information.
Equal Opportunity Employer including disability/veteran
Job ID Number: 26802
$64k-143k yearly est. 2d ago
Clinical Program Manager RN * Hybrid*
Providence Health and Services 4.2
Shallowater, TX jobs
Clinical Program Manager RN
Hybrid.
Candidates residing in the areas of Portland, OR, Spokane, WA or Lubbock, TX are encouraged to apply.
In collaboration with the Division Director, the Clinical Practice Manager RN supports nursing practice, quality initiatives, and clinical improvement efforts across the division. This role is responsible for leading teams in developing and implementing evidence-based nursing and clinical practices, utilizing established standards, research findings, and quality improvement principles.
Providence caregivers are not simply valued - they're invaluable. Join our team at Providence Strategic And Management Services and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.
Required Qualifications:
Bachelor's Degree: Nursing
Master's Degree: Nursing (Practice or Education)
5 years - Nursing experience in an acute care setting.
3 years - Clinical practice development, quality, or education experience.
active RN License for WA, OR or TX
Preferred Qualifications:
Ph.D.: Nursing or DNP (Doctor of Nursing Practice)
Salary Range by Location:
Oregon: Portland Service Area: Min: $59.39, Max: $93.75
Texas: Min: $45.30, Max: $71.51
Washington: Eastern: Min: $52.85, Max: $83.42
Why Join Providence?
Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.
Accepting a new position at another facility that is part of the Providence family of organizations may change your current benefits. Changes in benefits, including paid time-off, happen for various reasons. These reasons can include changes of Legal Employer, FTE, Union, location, time-off plan policies, availability of health and welfare benefit plan offerings, and other various reasons.
About Providence
At Providence, our strength lies in Our Promise of “Know me, care for me, ease my way.” Working at our family of organizations means that regardless of your role, we'll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.
Posted are the minimum and the maximum wage rates on the wage range for this position. The successful candidate's placement on the wage range for this position will be determined based upon relevant job experience and other applicable factors. These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits.
Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.
About the Team
Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. We are focused on supporting our Mission by delivering a robust foundation of services and sharing of specialized expertise.
Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.
Requsition ID: 403508
Company: Providence Jobs
Job Category: Clinical Administration
Job Function: Clinical Support
Job Schedule: Full time
Job Shift: Day
Career Track: Nursing
Department: 4007 SS CNTRL DIV EDU ADMIN
Address: OR Portland 4400 NE Halsey St
Work Location: Providence Health Plaza (HR) Bldg 1-Portland
Workplace Type: Hybrid
Pay Range: $see posting - $see posting
The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
PandoLogic. Category:Healthcare, Keywords:Healthcare Program Manager, Location:Shallowater, TX-79363
$46k-77k yearly est. 2d ago
Physician Assistant / Geriatrics / California / Locum Tenens / Hybrid In Home Physician Assistant - Geriatrics - Sacramento County CA
Alignment Health 4.7
Sacramento, CA jobs
Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united in our mission to put the senior first.
Exciting Future Opportunity at Alignment Health! As an Advanced Practice Clinician (APC) you will be part of a transformative program designed to provide personalized care and support to our patients, including those with complex and chronic needs, all in the comfort of their own homes.
***Please note, this job posting represents a future opportunity and/or an upcoming class***
We offer a great total package that includes competitive base salary, annual bonus, stock options, CME, 401k and more!
Here are some of the benefits that you will enjoy:
Yearly Bonus up to 7.5% of annual base salary
Restricted Stock Unit (RSU) Grant up to 15% of annual salary
Continuing education reimbursement up to $1,500 per calendar year + 3 CME days
18 days of PTO, 8 paid holidays and 1 Floating Holiday
Medical, Dental, Vision
401k matching contribution up to 4%
Paid parental leave
Tuition reimbursement
Job Responsibilities: The APC will ensure the delivery of high-quality clinical and home-based patient care, while promoting optimal health outcomes and providing cost-effective solutions that adhere to Alignment Health?s policies, as well as state and federal regulations.
You?ll play a vital role in assessing, developing, and coordinating care options tailored to the needs of our members, who are typically 65 and older. With home and virtual visits ranging from 45 to 60 minutes, you?ll have the opportunity to provide focused, compassionate care, whether it?s an initial visit, an annual check-up, or when additional support is needed to address medical and social challenges.
Willingness and ability to do home visits in the field 3-4 days per week (depending on the program), with remaining days being remote from home is required
Qualifications: Requirements:
Experience:
Preferred: One (1) year of prior clinical or home care experience. Previous EMR experience preferred. Experience in care of older adult (geriatric) patients preferred
Education:
Master?s degree from an accredited NP Program or PA program
Licensure:
Required: Active California state Nurse Practitioner or Physician Assistant license
Active RN License and Furnishing number (Must, upon hire) NP only
Active Nurse Practitioner Board Certification/Physician Assistant Certification
NPI Number, DEA, Valid BLS
Valid California driver license and current automobile insurance
Working Hours: Monday - Friday 8:00 a.m.
Skills: Excellent administrative, organizational, and communication skills