Cambridge Health Alliance Remote jobs - 1,449 jobs

A leading health care service organization in Chicago is seeking a Principal Network Management Consultant. The role involves provider recruitment, contracting, and negotiation, ensuring strategic coverage for various lines of business. Requires a Bachelor's or Master's degree combined with extensive experience in provider contracting. This hybrid role allows for 3 days in-office and 2 days remote, offering competitive compensation and a comprehensive benefits package. #J-18808-Ljbffr

Become a part of our caring community and help us put health first The Risk Management Lead acts as a consultant to the Risk Adjustment team leaders, as programs and initiatives are executed upon. Leveraging risk management and compliance frameworks, they will identify and analyze potential risks and sources of loss to evaluate business processes and drive improvements aimed at minimizing risk. The Lead will focus on Project Management and is responsible for oversight of the Risk Adjustment Operations processes. The Risk Management Lead works on problems of diverse scope and complexity ranging from moderate to substantial. The Risk Management Lead estimates the potential financial consequences of an occurring loss. Develops and implements controls and cost‑effective approaches to minimize the organization's risks. Assesses and communicates information regarding business risks with functions across the organization. Advises executives to develop functional strategies (often segment specific) on matters of significance. Exercises independent judgment and decision making on complex issues regarding job duties and related tasks and works under minimal supervision. Uses independent judgment requiring analysis of variable factors and determining the best course of action. In addition, this role provides consultative services to drive efficient, effective, and compliant risk adjustment processes. This Risk Adjustment Risk Management lead position will be responsible for providing risk management and compliance oversight of Risk Adjustment Operations, including the areas of Provider Data Validation, Provider Support, Provider Reporting, Quality Audit, and risk adjustment operations related to Provider Reconciliation and alternative encounter submission methods. Responsibilities of the role will include the following: Evaluating processes and procedures to ensure adequate controls are included Monitor compliance requirements specific to risk adjustment operations Conduct audits to ensure controls and processes are being executed with minimal risk Conduct risk assessments, as necessary, to identify current gaps in processes Collaborate with business area associates to develop remediation plans to close gaps Collaborate with business area teams and compliance partners to consult on initiatives and drive process excellence Develop annual work plan for responsible areas Understand and assist in financial control assessment and work collaboratively with internal and external auditors Evaluate Provider Data Validation, Provider Reporting, Quality Audit, and core risk adjustment operational business areas monthly progress against goals Track and report on project status Use your skills to make an impact Required Qualifications 3 or more years of project leadership experience 2+ year of audit, compliance, and/or risk experience Must be passionate about contributing to an organization focused on continuously improving consumer experiences Strong relationship building skills Ability to take the initiative Ability to manage multiple initiatives at a time and ensure progress is moving forward Preferred Qualifications Applicable Bachelor's degree - Accounting, Finance, Business, Auditing, Actuarial Certified Internal Auditor, CPA or CPC strongly preferred Risk Adjustment knowledge Experience with risk adjustment provider data and reporting Auditing experience Familiarity with CMS Reimbursement models and claims/encounter submission processes Data analysis and dashboarding experience People leadership experience Additional Information Location: Nationwide (U.S.); however, candidates located in the Eastern Standard Time (EST) Zone are strongly preferred to support alignment with team schedules and collaboration. Work-At-Home Requirements: WAH requirements: Must have the ability to provide a high‑speed DSL or cable modem for a home office. Associates or contractors who live and work from home in the state of California will be provided payment for their internet expense. A minimum standard speed for optimal performance of 25x10 (25mpbs download x 10mpbs upload) is required. Satellite and Wireless Internet service is NOT allowed for this role. A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information Interview Format: As part of our hiring process for this opportunity, we will be using an exciting interviewing technology called HireVue to enhance our hiring and decision‑making ability. HireVue allows us to quickly connect and gain valuable information for you pertaining to your relevant skills and experience at a time that is best for your schedule. If you are selected, you will receive correspondence inviting you to participate in a HireVue assessment. You will have a set of questions and you will provide responses to each question. You should anticipate this to take about 15 - 20 minutes. Your answers will be reviewed, and you will subsequently be informed if you will be moving forward to next round. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. 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. $104,000 - $143,000 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. Application Deadline: 01-23-2026 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. Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our *************************************************************************** #J-18808-Ljbffr

A leading life sciences company is seeking a Technical Sales Specialist to drive sales and support customers in the northeastern US. The ideal candidate will have a strong background in biology, 5+ years of technical sales experience, and expertise in immunohistochemistry. Responsibilities include achieving sales goals, conducting demos, and collaborating with teams to enhance customer experience. This fully remote position offers competitive insurance benefits and career development opportunities. #J-18808-Ljbffr

A leading biopharmaceutical company is seeking a Senior Director, Statistical Programming, to oversee all statistical programming activities. This role involves leading a team to achieve regulatory and business objectives, ensuring high-quality deliverables, and managing strategic planning. The ideal candidate will possess a strong background in statistical programming, with extensive experience in leadership and project management. The position offers a competitive salary and a hybrid working model based in Waltham, MA. #J-18808-Ljbffr

We are currently seeking Market Access Lawyers to work with leading pharmaceutical companies. Responsibilities Actively support all commercial operations and related functional areas in providing compliance advice including topics related to market access and pricing (Medicaid/Medicare). Drafting, negotiating, reviewing, and advising on various agreements, including consulting agreements, master service agreements, supply agreements, distribution agreements, advisory agreements, market access‑related agreements (PBM, Payer, and GPO agreements), wholesaler agreements, discount and rebate agreements. Reviewing promotional materials and offering legal advice and solutions to marketing, regulatory, and medical teams regarding advertising and promotional content, as well as relevant statutes, regulations, and guidance documents for commercial operations and medical activities. Minimum Qualifications 5 to 8 years of experience as an attorney in a law firm and/or with a pharmaceutical company. Prior experience counseling companies on legal issues relating to advertising and promotion, scientific exchange, patient support, and interactions with health care professionals. Knowledge of and experience advising on statutes, regulations, and guidance documents applicable to commercial operations and medical activities, including the FDCA and its regulations and FDA guidance documents, federal and state anti‑kickback statutes, OIG guidance documents and advisory opinions, the False Claims Act, and the PhRMA Code. Experience with drafting and negotiating complex pharmaceutical licensing agreements. Efficient multitasker combined with strong interpersonal skills and an ability to work both independently and cross‑functionally. Positive mentality and willingness to tackle new and ever‑changing business needs. License, in good standing, to practice law in the jurisdiction in which you intend to practice. Compensation, Benefits & Location This role offers a range of highly competitive compensation and benefits package in the alternative legal services marketplace that includes health benefits, 401K and more. Axiomites also get access to professional development resources and learning and development programs. Axiomites predominantly work remotely, with the exception that some clients require on‑site presence. Axiom is the global leader in high‑caliber, on‑demand legal talent. Covering North America, the UK, Europe, and APAC, we enable legal departments to drive efficiency and growth and meet the demands of today's business landscape with best in breed alternative legal services. Axiom is a leader in diversity, inclusion, and social engagement. Diversity is core to our values and we are proud to be an equal opportunity employer. We are proud to be named a best place to work for LGBTQ+ Equality, earning top marks in the 2021 Corporate Equality Index for the second consecutive year. Axiom's legal department is Mansfield certified and is committed to considering at least 50% diverse candidates for leadership roles and outside counsel representation. Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. Learn more about working at Axiom. Equal Opportunity Employer: Axiom ensures equal employment opportunity in recruitment and employment, without discrimination or harassment on the basis of race, color, nationality, national or ethnic origin, religious creed or belief, political opinion, sex, gender reassignment, pregnancy or maternity, age, disability, alienage or citizenship status, marital (or civil or other partnership recognized by law) status, genetic predisposition or carrier status, sexual orientation, military service, or any other characteristic protected by applicable law. Axiom prohibits and will not tolerate any such discrimination or harassment. Accommodation for Individuals with Disabilities: Upon request and consistent with applicable laws, Axiom will provide reasonable accommodations for individuals with disabilities who require an accommodation to participate in each stage of the recruitment process. To request an accommodation to complete the application form, please contact us at ********************* and include "Applicant Accommodation" in the subject line. Axiom respects your privacy. For an explanation of the kind of information we collect about you and how it is used, our full privacy notice is available at **************************************** Employment with Axiom may be contingent upon successful completion of a background check, providing proof of identity, and possessing the necessary legal authorization to work. By submitting an application, you acknowledge that all information contained therein, and provided at any part of the application process, is correct and accurate to the best of your knowledge. #LI-LC3 #J-18808-Ljbffr

A leading healthcare company is seeking an experienced Infrastructure Operations leader to drive innovation in AI and cloud technologies. The ideal candidate will have over 10 years in infrastructure, with a strong background in AI/ML, leading cloud operations for Azure and AWS. Key responsibilities include overseeing cloud strategy and governance, enhancing operational performance, and fostering partnerships across teams. This role offers a competitive salary and benefits focused on well-being. #J-18808-Ljbffr

A leading health services organization in Chicago is seeking a Principal Marketing Strategy Consultant to drive strategic alignment and execution within the marketing team. The role involves working closely with various marketing stakeholders to ensure that initiatives are well-defined and aligned. Candidates should have extensive experience in strategy development and project management, alongside strong analytical and communication skills. This position offers competitive compensation and opportunities for professional growth in a fast-paced environment. #J-18808-Ljbffr

At STERIS, we help our Customers create a healthier and safer world by providing innovative healthcare and life science product and service solutions around the globe. Repair Technician 1 - Boston, MA When surgical instruments are sharpened and working properly, surgeons can focus on providing the best care for their patients. STERIS offers a variety of repair solutions to meet the needs of the Customer including onsite mobile repair services, in house repair lab services, or one of five national repair centers. You do not have to have previous instrument repair experience to be considered. This is an entry level job - we will train you! In this position, you will perform surgical instrument inspection, repair, and refurbishment in an in-house repair lab at Brigham & Women's Hospital. This position may require occasional overnight travel. This role requires occasional travel by driving a company vehicle. If offered this position, STERIS will run a 7 year driving record check, as part of our onboarding process. This is a remote-based customer facing position. To support and service our customers in this assigned territory candidates must be based out of Massachusetts. Please Note: The schedule for this position is Monday - Friday from 11:30am to 8pm. (During the first 90 days, the schedule will be temporarily adjusted to 7:30 to 3pm for training purposes.) What You Will Do As a Repair Tech 1 * Perform basic to intermediate inspection and repairs on surgical instrumentation using grinding wheels, buffing wheels, various hand and power tools, soldering, etc. Complexity of repairs and level of intricacy will vary. * You will work in the field on a mobile repair truck, inside a repair lab or inside a hospital, based on the needs of the Customer within the assigned territory. * Provide invoicing and documentation based on business need. * Provide support various locations within assigned territory depending on the service agreements, Customer needs, and staffing levels. What STERIS Offers We value our employees and are committed to providing a comprehensive benefits package that supports your health, well-being and financial future. Here is a brief overview of what we offer: * Extensive hands-on training and development * Career progression path with STERIS Instrument Management Services and growth opportunities in other parts of STERIS * Competitive pay * Overtime opportunity * Annual merit review and incentive plans * Uniforms and all necessary tools provided * Business travel and all related expenses paid * Medical, vision, prescription, dental and life insurance * 401(k) with a company match * Paid time off that accrues from day one and paid holidays * Tuition assistance * Opportunities for advancement The Experience, Skills, and Abilities Needed High school diploma or GED required 2+ years of work experience, including at least 1 year of relevant experience*, or 1 year of experience at STERIS. All experience must be verifiable. Must be able to meet flexible schedules with early/late hours and occasional overnight/out of state travel, based on Customer and business needs. Must be able to pass a DOT medical/ physical exam and comply with all DOT regulations. Must have a valid driver's license with an acceptable driving record (CDL not required) and maintain required vaccines. Ability to drive DOT regulated vehicle and conduct basic box truck safety checks. Must be at least 21 years old to meet the FMCSA age requirement for commercial interstate driving. Must be able to lift up to 25 pounds at times and push instrument carts ranging from 10-150 pounds at times. Must be able to be compliant with hospital/customer credentialing requirements What is relevant work experience? Hands-on repair, assembly, or product testing and use of small hand tools is a plus. Examples are small engine repair, cell phone and electronics repair, testing, or re-builds, carpentry, circuit board assembly and repair, sterile processing, industrial sewing, and jewelry repair. Maintenance, construction, welding, fabrication, and automotive repair can also be relevant. #LI-AC1 Pay range for this opportunity is $24.00 - $27.00/hour. This position is eligible for bonus participation. Minimum pay rates offered will comply with county/city minimums, if higher than range listed. Pay rates are based on a number of factors, including but not limited to local labor market costs, years of relevant experience, education, professional certifications, foreign language fluency, etc. STERIS offers a comprehensive and competitive benefits portfolio. Click here for a complete list of benefits: STERIS Benefits STERIS is an Equal Opportunity Employer. We are committed to equal employment opportunity and the use of affirmative action programs to ensure that persons are recruited, hired, trained, transferred and promoted in all job groups regardless of race, color, religion, age, disability, national origin, citizenship status, military or veteran status, sex (including pregnancy, childbirth and related medical conditions), sexual orientation, gender identity, genetic information, and any other category protected by federal, state or local law. We are not only committed to this policy by our status as a federal government contractor, but also we are strongly bound by the principle of equal employment opportunity. This is a remote based customer facing position. To support and service our customers in this assigned territory candidates must be based out of one of the following state(s): Massachusetts.

A leading health insurance provider in Boston is looking for a Lead Experience Researcher to drive high-impact experiences by blending qualitative and quantitative research. This role will lead research engagements, partner with cross-functional teams, and provide insights to shape product design. Candidates should have a strong background in experience research methods, strategic problem-solving, and human-centered design. Competitive pay range is between $138,900 and $191,000 annually, plus benefits. #J-18808-Ljbffr

All Star Healthcare Solutions is seeking a Radiologist for Remote Overnight Locum coverage in Illinois. Some details include: Hours are 12a-7a Predominantly CT studies 20 CT's per night on average Occasional US, plain film, or random MR as may be needed Multiple weeks offered each month, ongoing When can you start and what availability can you offer? All Star Healthcare Solutions benefits: Competitive pay; Malpractice coverage; Paid and coordinated travel services; Full-service agency; 24/7 professional and reliable service; Dedicated, specialty-specific consultants; Member of NALTO

Ideal candidates will be based in Boston, MA. This position will require candidates to work onsite at a customer location in Boston, MA. The schedule will be onsite Monday through Thursday during standard business hours, working from home on Fridays. What Customer Solutions contributes to Cardinal Health The Customer Solutions team provides sales consultation through direct engagement “inside the four walls” of our customer's sites of care, through a menu of standard assessments, insights, and analytical tools to improve the customer's supply chain performance and provide value, while advancing differentiation for Cardinal Health. We partner with Customers and our Distribution Centers to optimize and improve the overall supply chain by serving as a Trusted Advisor. Support RFI/RFP process with a focus on ValueLink and supply chain optimization opportunities Lead supply chain assessments, cost to serve and actively involved with go-live and supply chain design meetings Provide expertise in healthcare supply chain internally and with customers Leverage data and insights to recommend supply chain best practices Consult on new business implementations, contracting and pricing strategy Help Customers to optimize our service offerings post implementation Responsibilities Responsible for supporting supply chain expertise and working with the customer onsite to support inventory reconciliation process changes to maintain and optimize the service / solution Works onsite at customer locations, which could range from a hospital department to a Surgery Center Cultivate relationships to ensure successful customer experience and long-term relationship with customers. Articulate benefits and adoption strategies to customer's supply chains to drive efficiency and optimization that helps drive a more positive customer experience and help retain business with Cardinal Health. Customer Presentations and Internal Account Planning Responsible for customer advocacy to ensure issues are resolved in a timely and effective manner while adhering to Customer Solutions Team policies and procedures. Collaboration with Sr. Consultant, Customer Solutions Team on opportunities within the account. Work in a cross functional team consisting of Operations, Engineering, Customer Support, and other functions to ensure Successful installation and adoption of the Customer Solutions Team solutions. Responsible for reporting via Excel learning and utilizing Cardinal Health Customer Optimization tools and reporting Qualifications 3+ years of experience preferred BA, BS or equivalent experience in related field. Advance Degree preferred Ability to work independently and biased toward problem solving Strong supply chain and customer facing experience Data and Analytics Proficient in (fluid in Excel, pivot tables, and Tableau) Experience working within inventory management systems and other databases, preferred Anticipated salary range: $90,600 - $100,000 Bonus eligible: No Benefits: Cardinal Health offers a wide variety of benefits and programs to support health and well-being. Medical, dental and vision coverage Paid time off plan Health savings account (HSA) 401k savings plan Access to wages before pay day with my FlexPay Flexible spending accounts (FSAs) Short- and long-term disability coverage Work-Life resources Paid parental leave Healthy lifestyle programs Application window anticipated to close: 02/13/26 *if interested in opportunity, please submit application as soon as possible. ** The salary range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity.** Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply. Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law. To read and review this privacy notice click here

Become a part of our caring community and help us put health first The ideal candidate brings a passion for emerging technologies, a strong foundation in Infrastructure Operations and the curiosity and rigor to build next‑generation capabilities that improve healthcare delivery, reduce risk and optimize operational performance. If you're passionate about innovation and love working in an environment where you can constantly improve and adopt new technologies to drive business results, then Humana's Infrastructure Operations team could be the place for you! Use your skills to make an impact Key Responsibilities Lead and provide direction for our Managed Service Provider (MSP) Lead Managed Service Provider in Operations for Azure, GCP and AWS Cloud environment Drives moderate to complex processing improvements through optimization, enhancements and implementation of new operational features and functions around Cloud compliance, metrics/reporting and cost optimization Provide senior level expertise on decisions and priorities regarding the enterprise's overall Cloud Operations strategy, consumption, and optimization opportunities - understand Cost controls and the various cost optimization techniques Identifies, drives and assists in the implementation of opportunities to standardize Cloud environments Provides Cloud governance, processes and technical advisory support to business units and projects by working cross‑functionally and provides recommendations that support the business needs Participant as required (Level 2/3 escalation point) for Incident Management Participate and develop client relationships within Operations, Business partners, Managed Service Providers and Cloud Providers Work with cross-functional teams to support the engineering and implementation of new Cloud applications or solutions and define the related risks and onboard new capabilities Ability to communicate at all levels within an organization and influence strategic direction Ability to work with minimal supervision, making decisions based upon priorities, schedules and understanding business initiatives This leader will explore and prototype AI‑driven solutions to automate incident response, predict system failures, summarize complex telemetry data, and develop intelligent copilots to support Operations teams Lead research and evaluation of cutting‑edge AI and GenAI tools applicable to Infrastructure Operations (e.g., LLMs, vector databases, predictive analytics) Design and prototype AI‑driven systems for automated incident detection, anomaly classification, infrastructure forecasting/resiliency - leading to lower MttR and manual overhead in mission‑critical environments Develop and lead the strategic roadmap for AI adoption in Infrastructure Operations Collaborate with Infrastructure and Cloud Operations teams to pilot and integrate AI/GenAI features into critical workflows Modernize observability and alerting using AI/ML models for proactive monitoring and self‑healing actions Lead R&D of GenAI solutions for predictive alerting, incident triage and infrastructure automation Build AI copilots and natural language tools for infrastructure operations teams Integrate LLMs into observability platforms for real‑time RCA and log summarization Pilot and productionize GenAI‑based assistants, bots, and copilots to support ticket triage, knowledge management and resolution workflows Identify automation opportunities and implement AI‑enhanced runbooks, workflows and self‑healing mechanisms Contribute to a strategic roadmap for GenAI maturity within Infrastructure & Operations, including tools, governance and organizational readiness Partner with internal data science and clinical innovation teams to create proofs of concept, build ML/GenAI pipelines, and integrate with existing toolchains (e.g., ServiceNow, Splunk, Terraform) Autonomous log summarization, RCA generation and playbook suggestions Natural language interfaces for querying system health or telemetry Act as a GenAI ambassador, helping Infrastructure Operations teams upskill in AI‑augmented technologies and use cases Qualifications Bachelor's in Computer Science, Artificial Intelligence, Healthcare Informatics, or a related field 10+ years in infrastructure operations or engineering, with at least 3+ years of hands‑on involvement in AI/ML or GenAI R&D Deep understanding of large language models (LLMs), vector databases, retrieval‑augmented generation (RAG), and model orchestration (e.g., LangChain, Haystack). Experience integrating AI/GenAI capabilities with infrastructure automation tools (Terraform, Ansible, Python, Bash) Familiarity with healthcare systems and compliance frameworks (HIPAA, HITRUST) Proficiency with observability and telemetry platforms (e.g., Splunk, DynaTrace, SolarWinds) and AI‑driven monitoring Strong problem‑solving and experimentation mindset, with the ability to move from concept to pilot rapidly Experience with Continuous Integration and Deployment Pipelines, i.e. Azure DevOps, Jenkins, Git, Git Hub Has hands‑on scripting experience using one of the following: Terraform, Cloud Formation, PowerShell, Azure CLI, Python, JSON, Perl or Bash Preferred Master's degree Azure, AWS, GCP, ITIL and/or SRE certifications Experience with GenAI platforms (e.g., Azure OpenAI, Google Vertex AI) Experience deploying or evaluating open‑source LLMs or fine‑tuning models for infrastructure use cases Additional Information Work‑At‑Home Requirements WAH requirements: Must have the ability to provide a high speed DSL or cable modem for a home office. Associates or contractors who live and work from home in the state of California will be provided payment for their internet expense. A minimum standard speed for optimal performance of 25x10 (25mpbs download x 10mpbs upload) is required. Satellite and Wireless Internet service is NOT allowed for this role. A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information#LI-Remote Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. 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. $142,300 - $195,700 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. Application Deadline: 01-14-2026 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. Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our *************************************************************************** #J-18808-Ljbffr

A leading healthcare company in the United States seeks a Market Vice President of Pharmacy Professional Practice to oversee compliance across pharmacies. This role involves ensuring adherence to regulations while leading a team of professionals. The ideal candidate will possess a Bachelor's degree in Pharmacy, an active pharmacist license, and have substantial experience in pharmacy compliance. Competitive compensation includes a salary range of $223,800 - $313,100 per year with bonus eligibility and comprehensive benefits. #J-18808-Ljbffr

Are you an internal caregiver, student, or contingent worker/agency worker at UMass Memorial Health? CLICK HERE to apply through your Workday account. Exemption Status: Non-Exempt Schedule Details: Scheduled Hours: Shift: Hours: 0 Cost Center: This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process. Everyone Is a Caregiver At UMass Memorial Health, everyone is a caregiver - regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day. This position engages in a program of field training to observe and provide therapeutic interventions in a variety of placement settings. Observes, learns, and uses basic skills for behavioral health interventions consistent with the requirements of their academic institution.About Internships at Community Healthlink 1. CHL interns are those looking for their first field placement 2. Interns at CHL work in supportive roles, closely with supervisors. 3. They assist with comprehensive assessment activities, collaborate on treatment plans, provide brief therapeutic 1:1 interventions, milieu management, case management to support aftercare referrals and discharge planning, as well as crisis intervention and de-escalation. 4. Generally, these interns are placed within programs that have a therapeutic milieu, and interns are not completing directly billable activities. Hiring Range: $15.00 - $15.50 Please note that the final offer may vary within this range based on the candidate's experience, skills, qualifications and internal equity considerations. I. Major Responsibilities: 1. Provides clinical support as defined by the level of care and service needs of the population served. Specific treatment expectations are defined by licensing and accreditation standards for each level of care and internship expectations as agreed upon between the student, school, and program. 2. Assists with comprehensive assessments consistent with needs of the population served. 3. Collaborates on the development of treatment plans consistent with regulations as required by the funder/licensor. Participates in treatment planning conferences. 4. Provides case management through brief therapeutic 1:1 interventions to coordinate aftercare referrals and discharge planning consistent with regulations and the level of care. Consults and collaborates with collateral contacts and providers as appropriate for the level of care. 5. Coordinates and facilitates individual or group interventions to address the clinical needs of the needs of the population served. II. Position Qualifications: License/Certification/Education: Required: 1. Undergraduate student must be in a Bachelor's degree program in social work, counseling, public health, or related field. Or may be a practicum student in a Masters or Doctoral degree level program in Mental Health Counseling, Social Work, Marriage and Family Therapy, Clinical Psychology, or related program. 2. Some positions require a current valid US-issued driver's license and a registered, inspected, and insured automobile for work related purposes. 3. For MCI programs, a current valid US-issued driver's license and reliable transportation for work related purposes. Experience/Skills: Required: 1. Strong communication and organizational skills. 2. Detail oriented. 3. Willingness to learn. 4. Able to effectively work alone, and as part of a team. III. Physical Demands and Environmental Conditions: 1. Work is considered medium. May have to lift up to 10 lbs. frequently and up to 50 lbs. occasionally. 2. Work occurs in an indoor, patient-focused environment. ADDENDUM CCBHC-IA Intern Job Summary: Assists the CCBHC IA team in improving access to evidence-based services for behavioral health clients from diverse communities. Major Responsibilities: 1. Assists in tracking grant goals. 2. Gathers information from clients and data entry per grant requirements. 3. Contributes to infrastructure development to support sustainability. 4. Participates in training opportunities. 5. Participates on a CHL committee. 6. Identifies and carries out a special project. 7. Performs other related duties. License/Certification/Education: Required: 1. Undergraduate student must be in their 3rd or 4th year of completing a bachelor's degree in social work, counseling, public health, or related field. Experience/Skills: Required: 1. Interest in health equity and serving marginalized communities. 2. Strong communication and organizational skills. 3. Detail oriented. 4. Willingness to learn. 5. Able to effectively work alone, and as part of a team. 6. Available during business hours (9 a.m. to 5 p.m.)- number of hours per week are negotiable. 7. We will be working in a hybrid model with some time onsite and remote work from home. 8. Community Healthlink (CHL) recognizes the power of a diverse community and seeks applications from individuals with varied experiences, perspectives, and backgrounds. III. Physical Demands and Environmental Conditions: 1. Must be able to remain seated for extended periods of time. 2. Must be able to hear, understand, and distinguish speech and/or other sounds (e.g., machinery alarms, medicals codes or alarms). 3. Must be able to work on a computer 80% of the shift. 4. The characteristics above are representative of those encountered while performing the essential functions of the position. Reasonable accommodations may be made if necessary in order to perform the essential functions. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. We're striving to make respect a part of everything we do at UMass Memorial Health - for our patients, our community and each other. Our six Standards of Respect are: Acknowledge, Listen, Communicate, Be Responsive, Be a Team Player and Be Kind. If you share these Standards of Respect, we hope you will join our team and help us make respect our standard for everyone, every day. As an equal opportunity and affirmative action employer, UMass Memorial Health recognizes the power of a diverse community and encourages applications from individuals with varied experiences, perspectives and backgrounds. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, protected veteran status or other status protected by law. If you are unable to submit an application because of incompatible assistive technology or a disability, please contact us at ***********************************. We will make every effort to respond to your request for disability assistance as soon as possible.

Job Description Candidates must reside within a reasonable driving distance of Lombard, IL. Hours Scheduled: Mon-Thurs 9:30am-6pm/Fridays 8am-5pm QualDerm Partners is the largest multi-state female-founded and owned dermatology network in the U.S., with over 150 locations across 17 states. Our commitment is to educate, protect, and care for your skin while delivering the highest quality dermatological services. We strive to make skin health accessible to all while fostering a rewarding work environment for both our patients and employees. Position Summary: The Remote Central Scheduling Specialist will be responsible for managing and coordinating the scheduling of patient appointments across our various practice locations. This role requires exceptional customer service skills and the ability to handle a high volume of calls while ensuring that each patient feels valued and supported throughout their scheduling experience. Requirements High School Diploma required; Associate's Degree preferred. Minimum of 1 year customer service experience in a healthcare setting preferred. Strong communication and interpersonal skills. Ability to manage multiple tasks efficiently in a fast-paced environment. Proficiency in scheduling software and Microsoft Office applications. Understanding of HIPAA regulations is a plus. Benefits Competitive Pay Medical, dental, and vision 401(k) - The company match is 100% of the first 3%; and 50% of the next 2%; immediately vested Paid Time Off - accrual starts upon hire, plus 6 Paid Holidays and 2 floating days Company paid life insurance and additional coverage available Short-term and long-term disability, accident and critical illness, and identity theft protection plans Employee Assistance Program (EAP) Employee Discounts Employee Referral Bonus Program QualDerm Partners, LLC is proud to be an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. Compensation Range: $17.00 - 19.50 per hour. Final offer will be based on a combination of skills, experience, location, and internal equity.

What you'll do: The Ohio Attorney General's Office is currently seeking a public minded individual for Crime Scene Technician vacancy in the Bureau of Criminal Investigation (BCI) Section within the Crime Scene Unit. This position will primarily be designated for remote working. There may be in person requirements for training and operational needs. The headquarter location is London, OH. The Bureau of Criminal Investigation, known as BCI, houses the state's official crime lab and identification services serving all of Ohio, as well as the criminal justice community. BCI also provides expert criminal investigative services to local, state, and federal law enforcement agencies upon request. With offices throughout the state, BCI stands ready to respond 24/7 to law enforcement agencies' needs. Staff at BCI work every day to provide the highest level of service. This includes special agents who are on call 24/7 to offer investigative assistance to law enforcement, knowledgeable scientists and forensic specialists using cutting-edge technology to process evidence to bring criminals to justice, and criminal intelligence analysts and identification specialists who help local law enforcement solve cases. Experienced special agents, forensic scientists, and other law enforcement experts' staff BCI's three main divisions: 1) Identifications 2) Investigations and 3) Laboratory. The successful candidate must reside in or be willing to relocate within 90 days to one of the following counties: Ashland, Delaware, Fairfield, Franklin, Hocking, Knox, Licking, Marion, Morrow, Pickaway, Richland, Ross, and Union counties only. The duties for this position include, but are not limited to, the following: * Distinguishes the full range of the color spectrum in order to visually and physically examine and investigate all types of crime scenes including, but not limited to: burglaries, vehicle crimes, thefts, assaults, abuse, thefts, criminal damage, officer involved critical incidents and death investigations, for the recognition, collection and preservation of physical evidence such as latent fingerprints, shoe prints and tire tracks, body fluids (such as blood), hair and fibers, weapons and other materials in sometimes stressful and unpleasant environments. * Utilizes a two-way radio, MDC, and phone in order to communicate with diverse groups of people, both verbally and in writing, often under stressful circumstances. * Handles situations tactfully with co-workers and citizens while demonstrating mutual respect for people of all levels. * Answers questions to a variety of inquiries over the phone and in person, to provide information on policies, procedures, and resolve questions or problems related to area of assignment. * Conducts area searches on foot or in a vehicle. * Recovers, unloads and impounds firearms and other weapons using sound safety precautions. * Recovers, transports, and impounds various types of evidence, including, but not limited to human remains. * Measures and makes advanced mathematical calculations and diagrams complex crime scenes. * Prepares and utilizes presumptive tests, various chemicals, powders, compounds and casting materials used in a forensic laboratory, preserving techniques as required. * Photographs various types of crime scenes and evidence, as well as postmortem examinations. * Utilizes specialized equipment and procedures to determine the presence of body fluids and to collect body fluids, hair, fibers, gunshot residue and other trace evidence and materials. * Dusts for and completes lifts for fingerprints. * Casts shoe impressions and other evidence preserving techniques as required. * Conducts interviews to gain relevant information for crime scene investigations or other investigations as necessary. * After compiling all the necessary information for the assigned crime scene investigation, enters the detailed information into a computerized report writing program using appropriate grammar, punctuation, and report writing styles. * Drives to crime scenes to conduct investigations using a state issued vehicle from residential office or other agreed upon location. * May be required to testify in court in connection to scenes processed and evidence collected and preserved. * May provide specialized field training and/or training in crime scene preservation to Police Officers, Police Aides and citizens. * May render an opinion and draw conclusions utilizing skills in a respective subdiscipline such as footwear comparisons, bloodstain pattern interpretation and bullet trajectory paths. * Completes and passes annual proficiency testing in various aspects of crime scene processing. * Completes and passes competency testing as required. * Required to carry a firearm. * Performs other duties as assigned. Completion of bachelor's degree in forensic science or in a field related to crime scene investigation; 2 years of experience in crime scene investigation; valid driver's license. * Or equivalent of Minimum Class Qualifications for Employment noted above. Job Skills: Investigation, Critical Thinking, Collaboration, Decision Making, Attention to Detail, Confidentiality

Are you a current UMass Memorial Health caregiver? Apply now through Workday. Everyone Is a Caregiver At UMass Memorial Health, everyone is a caregiver - regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day. Hiring Range: $365,000 - $435,000 Please note that the final offer may vary within this range based on a candidate's experience, skills, qualifications, and internal equity considerations. Day/Evening Emergency Radiologist at UMass Memorial Medical Group Worcester, MA Are you seeking a role that combines a fulfilling clinical practice with opportunities for academic growth, cutting-edge innovation, and a supportive work-life balance? UMass Memorial Medical Group invites you to join our dynamic emergency radiology division as a day and evening emergency radiologist (working every other week). Your Role As a day/evening emergency radiologist, you'll enjoy a flexible schedule and opportunities to make a significant impact on patient care and education: Flexible Schedule: Work every other week with a mix of on-site and remote shifts (at least 3/5 of assignments can be remote). Each shift is 7 or 8 hours in length, ranging as early as 7a-3p and as late as 4p-11p. Physician run scheduling with ample moonlighting opportunities Collaborative Learning: Partner with students, residents and fellows while interpreting diverse imaging modalities, including CT, X-Ray, Ultrasound, basic MRI, and nuclear medicine. Supportive Environment: Access an ER reading room assistant during most hours and 24/7 IT support. What We're Looking For Fellowship training is preferred but not required. Proficiency across a range of imaging modalities and a passion for working in a high-acuity, fast-paced environment. What We Offer Comprehensive Benefits: Robust retirement plans (401(k), 401(a), 403(b)), tuition reimbursement, student loan payment assistance, and more. Academic Growth: Faculty appointments at UMass Chan Medical School with professional development opportunities tailored to your goals. Work-Life Balance: PSLF-eligible employer and a culture that values physician well-being. Diversity, Equity, Inclusion& Belonging: We are committed to fostering a culture of equity, belonging, and inclusion, reflecting the communities we serve. Why Choose UMass Memorial? Located in the heart of Massachusetts, UMass Memorial is the region's premier health care system and academic leader. Here's what sets us apart: Reputation for excellence: As a Level 1 Trauma Center and Comprehensive Stroke Center serving over 1 million lives, our Emergency Department handles more than 230,000 visits annually. Collaborative Culture: Work alongside a robust team of ~100 Radiologists, 28 residents, 10 fellows, and 15 PhDs, including 17 emergency radiology FTE's dedicated to excellence in emergency imaging. Cutting-Edge Technology: We use state-of-the-art imaging equipment, including Sectra, PACS, EPIC EMR, AiDoc lesion detection, Powerscribe one, Syngio.Via and Tera-Recon image processing software, and other AI-enhanced diagnostic tools. Commitment to Research: With over $6M annually in research funding, we actively encourage and support academic pursuits in education and innovation. How to Apply Ready to advance your career with us? Send your CV to Shane Cox, at *************************** or call ************ for more information. Join Our Mission At UMass Memorial, we're not just hiring; we're building a community of caregivers who share a relentless pursuit of healing through clinical excellence, education, and innovation. Be part of our story. Be part of our future. Be part of UMass Memorial. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. We're striving to make respect a part of everything we do at UMass Memorial Health - for our patients, our community and each other. Our six Standards of Respect are: Acknowledge, Listen, Communicate, Be Responsive, Be a Team Player and Be Kind. If you share these Standards of Respect, we hope you will join our team and help us make respect our standard for everyone, every day. As an equal opportunity and affirmative action employer, UMass Memorial Health recognizes the power of a diverse community and encourages applications from individuals with varied experiences, perspectives and backgrounds. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, protected veteran status or other status protected by law. If you are unable to submit an application because of incompatible assistive technology or a disability, please contact us at ***********************************. We will make every effort to respond to your request for disability assistance as soon as possible.

At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. This patient-first approach is what sets us apart as a leader in the healthcare industry. As an integral part of our team, you'll have the opportunity to join our quest for better health care, no matter where you work within the Northwestern Medicine system. We pride ourselves on providing competitive benefits: from tuition reimbursement and loan forgiveness to 401(k) matching and lifecycle benefits, our goal is to take care of our employees. Ready to join our quest for better?Job Description The Clinical Quality Documentation Specialist I reflects the mission, vision, and values of NM, adheres to the organization's Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards. The Clinical Quality Documentation Specialist I position facilitates improvement in the overall completeness and accuracy of quality data and outcomes through extensive interaction with physicians, nursing staff, interdisciplinary quality committees, multidisciplinary teams and clinical coders. The Clinical Quality Documentation Specialist I applies clinical expertise, knowledge of the national Quality agenda, professional nursing standards, current research, best practices, and interdisciplinary collaboration to advance problem analysis and creative process redesign for clinical documentation. The Clinical Quality Documentation Specialist I acts as a change agent to systematically drive and implement change as prioritized by Clinical Documentation Leadership and Senior Clinical and Senior Quality leadership and/or through the quality and safety committees. Participates in performance improvement initiatives, receives and monitors control plans and data trends under the purview of the Clinical Documentation and Clinical Quality Programs and in collaboration with clinical interdisciplinary quality committees and physician practices. Key to this role is the ability to compel changes in documentation through in-person interaction to facilitate accurate representations of patient characteristics within the medical record so that process and outcome measures based on documentation reflect performance accurately. Responsibilities: In partnership with Clinical Documentation Leadership and the Medical Directors of Clinical Documentation, maintains integrated relationships with business unit and system physician and administrative leaders to advance quality metrics through front-line documentation efforts. Rounds daily with physician and advanced practice providers (APPs) in assigned service line(s) or business units to ensure appropriate and accurate documentation in the medical record. Ensures the level of services and acuity of care will accurately be reflected in quality outcomes. Partners with operational and medical leadership in a given service line or business unit to identify, develop and implement successful communication and education, to engage physicians and improve processes and outcomes. Performs daily medical record reviews in assigned service line(s). Performs data collection activities to identify documentation issues, quality issues, and opportunities for improvement in patient care and services. Basic understanding of clinical documentation through the lens of local and national quality and ranking methodologies, including but not limited to, U.S. News and World Report, Vizient, Leapfrog, the CMS Star Rating, and payer contracts and assists the Managers of Clinical Documentation in execution of and maintenance of key strategies to effect change. Understands the basics of leveraging their NM network to initiate conversations, identify root causes and resolution, and align resources. Analyzes quality and patient safety data to identify patterns in the management of patient care and services using reported 1.) Hospital acquired conditions, 2) Patient safety indicators, 3) Case Mix index, and 4) Expected mortality. Collaborates with the Clinical Quality Team to model, teach and improve upon the culture of safety with shared improvement in all venues. Presents updates to operational and medical leadership, attending and resident physicians and interdisciplinary quality committees. Communicates effectively and collaborates with colleagues and the Clinical Coding Team. Fosters an environment to execute a shared vision in creating a model of best practice in the accurate reporting of patient diagnoses, comorbid conditions and treatment rendered. Professional Development and Education: Masters evidence and literature in relevant clinical area, discipline, and improvement science, including clinical quality improvement, patient safety, human factors, failure modes, root cause analysis, and related performance and safety resources. Applies knowledge of professional nursing standards, best practices, and interdisciplinary collaboration to advance problem analysis and resolution and creative process redesign. Other: Participates in a minimum of one NM Clinical Documentation committee as approved by Manager, Clinical Documentation Participates on departmental and hospital committees and task-forces as assigned. Participates in concurrent performance improvement activities and on-going review activities. Performs other job-related duties as requested, including special projects. Complies with Northwestern Memorial Hospital policies on patient confidentiality including HIPPA requirements and Personal Rules of Conduct. Qualifications Required: Registered Nurse in the State of Illinois Bachelor's or Master's degree in nursing Minimum 2 years of experience of bedside nursing care and participation in clinical quality, patient safety, or related initiatives with evidence of effective change management skills. Must possess and consistently demonstrate: Strong interpersonal, communication, conflict management, diplomacy and negotiation skills. Proven leadership to affect positive clinical quality outcomes. Analytical skills necessary to independently collect analyze and interpret clinical data. Basic computer skills and willingness to learn computer applications relative to this position Preferred: Master's Degree Five years' experience in medical/ surgical, critical care, intensive care or emergency care preferred Additional Information Northwestern Medicine is an equal opportunity employer (disability, VETS) and does not discriminate in hiring or employment on the basis of age, sex, race, color, religion, national origin, gender identity, veteran status, disability, sexual orientation or any other protected status. Background Check Northwestern Medicine conducts a background check that includes criminal history on newly hired team members and, at times, internal transfers. If you are offered a position with us, you will be required to complete an authorization and disclosure form that gives Northwestern Medicine permission to run the background check. Results are evaluated on a case-by-case basis, and we follow all local, state, and federal laws, including the Illinois Health Care Worker Background Check Act. Artificial Intelligence Disclosure Artificial Intelligence (AI) tools may be used in some portions of the candidate review process for this position, however, all employment decisions will be made by a person. Benefits We offer a wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial well-being while providing protection for unexpected life events. Please visit our Benefits section to learn more. Sign-on Bonus Eligibility: Internal employees and rehires who left Northwestern Medicine within 1 year are not eligible for the sign on bonus. Exception: New graduate internal employees seeking their first licensed clinical position at NM may be eligible depending upon the job family.

Company DescriptionAt Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. This patient-first approach is what sets us apart as a leader in the healthcare industry. As an integral part of our team, you'll have the opportunity to join our quest for better health care, no matter where you work within the Northwestern Medicine system. We pride ourselves on providing competitive benefits: from tuition reimbursement and loan forgiveness to 401(k) matching and lifecycle benefits, our goal is to take care of our employees. Ready to join our quest for better? Job Description Performs charge capture for all procedures completed in the Bronchoscopy suite. This includes: Audit of CPT codes associated with each procedure Confirmation of supplies used and verification of alignment with operative notes Assists patients with billing and insurance related matters including communicating with patients regarding balances owed and other financial issues and facilitating collection of balances owed. Educates patients about financial assistance opportunities, insurance coverage, treatment costs, and clinic billing policies and procedures. Collaborates closely with physicians and technicians to understand treatment plans and determine costs associated with these plans; Works closely with the staff on managed care and referral related issues; communicates findings to patients. Coordinates the pre-certification process with the clinical staff as it relates to procedures in the Bronchoscopy Suite and Operating Rooms Handles billing inquiries received via telephone or via written correspondence. Responsible for thoroughly investigating and understanding financial resources or programs that may be available to patients and educating staff and patients about these programs. Conducts precertification for appropriate tests or procedures and facilitates the process with managed care and the clinical team. Documents all information and authorization numbers in Epic and acts as a liaison for follow-up related to precertification. Performs activities and responds to patient inquiries related to billing follow-up. Requests necessary charge corrections. Identifies patterns of billing errors and works collaboratively with department manager and outside entity to improve processes as needed. Provides guidance regarding clinical documentation to optimize charges and RVUs Confirms coding accuracy based on clinical documentation and reviews common errors or misses with physicians and leadership. The Billing Coordinator reflects the mission, vision, and values of NM, adheres to the organization's Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards. The Billing Coordinator is responsible for processing charges, payments and/or adjustments for all services rendered at all NM Corporate Health Clinics. Researches and follows- up on all outstanding accounts. Answers all calls regarding charges and claims, providing exceptional customer service to all callers. Possesses extensive knowledge of coding, billing, insurance and collections procedures and coordinates the accounts receivable functions. Performs weekly claims, monthly late bills and patient statement runs and reviews accounts to be placed with an outside collection agency. RESPONSIBILITIES: Department Operations Ensures patient demographic and billing/insurance information is kept current in the computer application. Documents all patient and company contacts. Reviews daily clinic schedules and tracks receipt of documentation to assure completeness of charge capture. Ensures notes are is placed in systems, clearly identifying steps taken, according to established procedures. Works with patients/clients to establish payment plans according to predetermined procedures. Handles all incoming customer service calls in a professional and efficient manner. Provides exceptional service to all customers, guarantors, patients, internal and external contacts. Prepares itemized bill upon request; explains charges, payments and adjustments. Produces a clear and understandable statement to individuals on any outstanding account balance. Responsible for timely submission of accurate bills and invoices to clients, patients and insurance companies. Ensures timely posting of all charges, payments, denials and write-offs to the appropriate account, maintaining the highest level of quality for each transaction processed within 48 hours of receipt. Responsible for balancing each payment and adjustment batch with reconciliation report and bank account deposits after completion. Ensures compliant follow up procedures are followed, to third party payers regarding outstanding accounts receivables. Run outstanding A/R reports, follow-up on unpaid claims or balances with insurance companies, patients, and collection agency, as defined by department. Perform daily systematic review of accounts receivable to ensure all accounts ready to be worked are completed. Recommend accounts for contractual or administrative write-off and provide appropriate justification and documentation. Denials and appeals follow-up including root cause analysis to reduce/prevent future denials. Reviews, prepares and sends pre-collection letters as defined by department procedures. Identifies and sends accounts to outside collection agency. Prepares and distributes reports that are required by finance, accounting, and operations. Handles all work in an accurate and timely manner, consistently meets or exceeds productivity standards, quality standards, department goals and deadlines established by the team. Practice HIPAA privacy standards and ensure compliance with patient health information privacy practices. Identify opportunities for process improvement and submit to management. Demonstrate proficient use of systems and execution of processes in all areas of responsibilities. Communication and Teamwork Fosters and maintains positive relationships with the Corporate Health team, Human Resources, NM employees and physicians. Provides courteous and prompt customer service. Answers the telephone in a courteous professional manner, directs calls and takes messages as appropriate. Checks for messages and returns calls. Demonstrates teamwork by helping co-workers within and across departments. Communicates effectively with others, respects diverse opinions and styles, and acknowledges the assistance and contributions of others. Communicates appropriately and clearly to physicians, manager, nursing staff, front office staff, and employees. Maintains a good working relationship within the department. Organizes time and department schedule well. Demonstrates a positive attitude. Service Excellence Displays a friendly, approachable, professional demeanor and appearance. Partners collaboratively with the functional areas across Northwestern Medicine in support of organizational and team objectives. Fosters the development and maintenance of a cohesive, high-energy, collaborative, and quality-focused team. Supports a “Safety Always” culture. Maintaining confidentiality of employee and/or patient information. Sensitive to time and budget constraints. Other duties as assigned. Qualifications Required: High school graduate or equivalent. Strong Computer knowledge, data entry skills in Microsoft Excel and Word. Thorough understanding of insurance billing procedures, ICD-10, and CPT coding. 3 years of physician office/medical billing experience. Ability to communicate clearly and effectively, both orally and in writing, at all levels within and outside the organization. Ability to work independently. Preferred: 3 years of physician office/medical billing experience in Corporate Health/Occupational Health a plus. CPC (Certified Professional Coder) or R (Registered Medical Coder) Certificate a plus. Additional Information Northwestern Medicine is an equal opportunity employer (disability, VETS) and does not discriminate in hiring or employment on the basis of age, sex, race, color, religion, national origin, gender identity, veteran status, disability, sexual orientation or any other protected status. Background Check Northwestern Medicine conducts a background check that includes criminal history on newly hired team members and, at times, internal transfers. If you are offered a position with us, you will be required to complete an authorization and disclosure form that gives Northwestern Medicine permission to run the background check. Results are evaluated on a case-by-case basis, and we follow all local, state, and federal laws, including the Illinois Health Care Worker Background Check Act. Artificial Intelligence Disclosure Artificial Intelligence (AI) tools may be used in some portions of the candidate review process for this position, however, all employment decisions will be made by a person. Benefits We offer a wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial well-being while providing protection for unexpected life events. Please visit our Benefits section to learn more. Sign-on Bonus Eligibility: Internal employees and rehires who left Northwestern Medicine within 1 year are not eligible for the sign on bonus. Exception: New graduate internal employees seeking their first licensed clinical position at NM may be eligible depending upon the job family.