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Care New England Health System Remote jobs - 24 jobs

  • Professional Coding & Billing Auditor

    Care New England Health System 4.4company rating

    Providence, RI jobs

    * This role is scheduled to be hybrid schedule. For the right candidate within the US Eastern/Central time, remote option may be available.* This position requires AAPC: Certified Professional Coder (CPC) or AHIMA: Certified Coding Specialist (CCS). Must obtain Certified in Healthcare Compliance (CHC) within 12 months of hire. Job Summary: The Care New England Professional Coding and Billing Auditor provides audit support and guidance to management, providers, residents, and support staff in free-standing and facility-based practices. Conducts assigned compliance audits for risk areas identified through the analysis of internal data and external sources. Ensures all coding, billing, and documentation complies with federal and/or state regulations, private payor health care program requirements as well as the Care New England Compliance policies. Responsible for auditing and implementing training programs to assist in achieving Care New England's goal of an effective compliance program. Assists with new provider on-boarding education. Duties and Responsibilities: Consistently demonstrate a comprehensive, expert-level knowledge of all professional fee coding in accordance with federal and state rules and regulations, CMS, AMA, CPT, ICD-10-CM, and HCPCS Level II procedure and supply codes coding guidelines. Effectively review/audit medical records with focus on Evaluation and Management services to identify opportunities for clinical documentation improvement and potential coding opportunities to optimize reimbursement. Correctly identify and implement education and training opportunities related to coding for physicians and non-physician providers based on results of chart reviews under the direction of Care New England Medical Group management team. Be consistently available as a subject matter expert for coding guidelines, questions, and other issues from Care New England providers and staff. Assist physician practices and provider-based departments as a coding subject matter expert when necessary. Provide baseline coding education to newly hired physicians and non-physician providers/clinicians on a timely basis. Effectively prioritize workload to complete job responsibilities. Display ability to adjust priorities based upon understanding of policies and procedures. Complete job responsibilities by deadlines, according to established schedules or workflow requirements. Evaluate areas in need of improvement and provide input in order to improve current methods, services, programs, or technology. Meet departmental productivity standards. Assess, analyze and review information before making decisions and solving problems. Discuss findings with management on an ongoing basis. Use proper judgment and knowledge of established practices and procedures when addressing problems or issues. Requirements: Associate degree in Business Management or Health Care Management or a minimum of 3-5 years experience, with a strong emphasis on evaluation and management documentation, coding, billing, and auditing, preferably for a medium to large physician practice group or health system. Multiple specialty coding experiences, including behavioral health preferred. Bachelors degree preferred. Required Skills: A high-level knowledge of medical terminology, anatomy, and pathophysiology, along with understanding of the proper application of CPT procedure codes, HCPCS Level II procedure and supply codes, and ICD-10-CM diagnosis codes. Excellent verbal and written communication skills. Proficient knowledge of MS Word, Excel, and PowerPoint required. Preferred Skills: Evaluation and management coding and auditing expertise. Knowledge of billing, coding, clinical documentation regulations, and regulatory guidelines. Proficient with technology and software tools, including but not limited to Epic and Cerner systems, and auditing tools such as MDAudit. Certifications: Required: Certified Professional Coder (CPC). Certified in Healthcare Compliance (CHC) within 12 months of hire. Preferred: Certified Professional Evaluation and Management Coder (CEMC) or Certified Professional Medical Auditor (CPMA) Care New England Health System (CNE) and its member institutions, Butler Hospital, Women & Infants Hospital, Kent Hospital, VNA of Care New England, Integra, The Providence Center, and Care New England Medical Group, and our Wellness Center, are trusted organizations fueling the latest advances in medical research, attracting top specialty-trained doctors, and honing renowned services and innovative programs to engage in the important discussions people need to have about their health. Americans with Disability Act Statement: External and internal applicants, as well as position incumbents who become disabled must be able to perform the essential job-specific functions either unaided or with the assistance of a reasonable accommodation, to be determined by the organization on a case-by-case basis. EEOC Statement: Care New England is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status. Ethics Statement: Employee conducts himself/herself consistent with the ethical standards of the organization including, but not limited to hospital policy, mission, vision, and values.
    $37k-48k yearly est. 9d ago
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  • Clinical Therapist ACT Home Base Team $2500 retention bonus

    Care New England 4.4company rating

    Rhode Island jobs

    is eligible for a $2500 retention bonus. The Providence Center Clinical Therapist Home Base Assertive Community Treatment Team (ACTT) will provide outpatient psychotherapy either at The Providence Center or in the community, on a multidisciplinary ACT team. Duties and Responsibilities: Perform, crisis intervention, counseling, screening, client education, referral, treatment planning, and consultation for clients in the program. Perform a comprehensive psychosocial assessment of assigned consumers. Perform and record mental status examination. Assess clinical emergencies, including suicide and danger to others. Collect pertinent data from appropriate collateral sources in accordance with confidentiality guidelines. Maintain confidentiality in accordance with TPC policy and legal requirements. Develop and present, verbally and in writing, a clear clinical formulation based on behavioral data and relevant theory while incorporating psychosocial and family issues. Provide individual, group, and family mental health and/or substance abuse therapy. Develop and implement a plan of care with ongoing client input. Assess clinical emergencies, including suicide and danger to others. Identify specific therapeutic interventions appropriate for specific problems. Carry a small caseload when needed and provide direct service. Provide support counseling, problem-solving, contracts and limit setting. Establish attainable goals with the clients. Encourage clients to attain the highest possible levels of independence. Participate as a member of a multi-disciplinary team in the development and implementation of therapeutic services, to include working with people with substance use challenges. Present verbally a synopsis of actual cases as required. Collaborate with other providers, agencies, and individuals in the consumers' network of care. Maintain knowledge and familiarity of mental health and/or substance abuse and other related community agencies. Perform record keeping in accordance with Health Information Services and TPC requirements. Attend trainings, case presentations and conferences. Participate in the education of other TPC staff. Attend mandatory in service trainings and other trainings required for renewal of licensure. Maintain cooperative relationships with TPC staff, clients, community agencies and the public. Serve on appropriate Center committees. Provide mental health consultation to other community agencies. Requirements: Master s degree in social work or related field and clinical experience required. LICSW, LCSW, LMHC or LMFT preferred. Ability to write reports and correspondence. Ability to speak effectively with consumers, community agencies and Center employees. Bilingual Spanish preferred. Insured auto and valid driver's license. Care New England Health System (CNE) and its member institutions; Butler Hospital, Women & Infants Hospital, Kent Hospital, VNA of Care New England, Integra, The Providence Center, and Care New England Medical Group, and our Wellness Center, are trusted organizations fueling the latest advances in medical research, attracting top specialty-trained doctors, and honing renowned services and innovative programs to engage in the important discussions people need to have about their health. Americans with Disability Act Statement: External and internal applicants, as well as position incumbents who become disabled must be able to perform the essential job-specific functions either unaided or with the assistance of a reasonable accommodation, to be determined by the organization on a case-by-case basis. EEOC Statement: Care New England is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status. Ethics Statement: Employee conducts himself/herself consistent with the ethical standards of the organization including, but not limited to hospital policy, mission, vision, and values.
    $56k-68k yearly est. 60d+ ago
  • Sr. Manager, Technical Operations

    Healthcare Management Administrators 4.0company rating

    Bellevue, WA jobs

    HMA is the premier third-party health plan administrator across the PNW and beyond. We relentlessly deliver on our promise to provide medium to large-size employers with customized health plans. We offer various high-quality, affordable healthcare plan options supported with best-in-class customer service. We are proud to say that for three years, HMA has been chosen as a ‘Washington's Best Workplaces' by our Staff and PSBJ™. Our vision, ‘Proving What's Possible in Healthcare™,' and our values, People First!, Be Extraordinary, Work Courageously, Own It, and Win Together, shape our culture, influence our decisions, and drive our results. What we are looking for: We are always searching for unique people to add to our team. We only hire people that care deeply about others, thrive in evolving environments, gain satisfaction from being part of a team, are motivated by tackling complex challenges, are courageous enough to share ideas, action-oriented, resilient, and results-driven. What you can expect: You can expect an inclusive, flexible, and fun culture, comprehensive salary, pay transparency, benefits, and time off package with plenty of personal development and growth opportunities. If you are looking for meaningful work, a clear purpose, high standards, work/life balance, and the ability to contribute to something important, find out more about us at: ************************** How YOU will make a Difference: The Technical Operations Manager will lead and manage the operational integrity of systems supporting healthcare eligibility and enrollment. This role ensures seamless data exchange between internal systems and external trading partners, supports compliance with regulatory requirements, and drives continuous improvement in technical workflows. What YOU will do: Oversee daily operations related to eligibility and enrollment data, focusing on 834 EDI file processing and reconciliation. Manage, lead, and mentor a diverse team of EDI Specialists, Analysts, and Developers as well as Managers overseeing our Plan Build, Enrollment, and Pricing teams. Manage and optimize technical systems that support enrollment operations. Collaborate with IT and business teams to ensure accurate and timely transmission of 834 files to and from trading partners. Develop and maintain custom rule sets and real-time editing logic to support enrollment integrity. Lead troubleshooting efforts for file transmission errors, data mismatches, and system performance issues. Ensure compliance with HIPAA and other regulatory standards related to EDI transactions. Create and maintain dashboards and reporting tools to monitor file processing metrics and operational KPIs. Coordinate with vendors and service providers to resolve technical issues and enhance system capabilities. Provide technical leadership and mentorship to a team of analysts and support staff. Document processes, workflows, and system configurations related to eligibility operations. Facilitate collaboration across multidisciplinary teams using tools such as Teams, SharePoint, and advanced workflow integrations. Requirements Knowledge, Experience and Attributes: Bachelor's degree in Information Technology, Computer Science, or a related field. 7+ years of experience in technical operations, preferably within healthcare or insurance. 5 years minimum managing a high performing team with diverse responsibilities Strong understanding of ANSI X12 834 file format and EDI transaction sets (e.g., 820, 999). Experience with enrollment platforms such as HealthEdge, Mphasis or Facets. Familiarity with real-time editing systems and custom rule development. Edifecs experience preferred Background in healthcare member eligibility operations. Skilled at building relationships and moving projects forward with diverse audiences who have competing priorities Strong problem-solving and analytical skills Strong organization skills Strong leadership skills in keeping projects on schedule Benefits Compensation: The base salary range for this position in the greater Seattle area is $127,000-$149,000 and varies dependent on geography, skills, experience, education, and other job or market-related factors. Performance-based incentive bonus(es) is available. Disclaimer: The salary, other compensation, and benefits information are accurate as of this posting date. HMA reserves the right to modify this information at any time, subject to applicable law. In addition, HMA provides a generous total rewards package for full-time employees that includes: Seventeen (IC) days paid time off (individual contributors) Eleven paid holidays Two paid personal and one paid volunteer day Company-subsidized medical, dental, vision, and prescription insurance Company-paid disability, life, and AD&D insurances Voluntary insurances HSA and FSA pre-tax programs 401(k)-retirement plan with company match Annual $500 wellness incentive and a $600 wellness reimbursement Remote work and continuing education reimbursements Discount program Parental leave Up to $1,000 annual charitable giving match How we Support your Work, Life, and Wellness Goals At HMA, we believe in recognizing and celebrating the achievements of our dedicated staff. We offer flexibility to work schedules that support people in all time zones across the US, ensuring a healthy work-life balance. Employees have the option to work remotely or enjoy the amenities of our renovated office located just outside Seattle with free parking, gym, and a multitude of refreshments. Our performance management program is designed to elevate career growth opportunities, fostering a collaborative work culture where every team member can thrive. We also prioritize having fun together by hosting in person events throughout the year including an annual all hands, summer picnic, trivia night, and a holiday party. We hire people from across the US (excluding the state of Hawaii and the cities of Los Angeles and San Francisco.) HMA requires a background screen prior to employment. Protected Health Information (PHI) Access Healthcare Management Administrators (HMA); employees may encounter protected health information (PHI) in the regular course of their work. All PHI shall be used and disclosed on a need-to-know-basis and according to HMA's standard policies and procedures. HMA is an Equal Opportunity Employer. For more information about HMA, visit: **************************
    $127k-149k yearly Auto-Apply 60d+ ago
  • Office Manager II

    Healthcare Management Administrators 4.0company rating

    Bellevue, WA jobs

    Job Description HMA is the premier third-party health plan administrator across the PNW and beyond. We relentlessly deliver on our promise to provide medium to large-size employers with customized health plans. We offer various high-quality, affordable healthcare plan options supported with best-in-class customer service. We are proud to say that for three years, HMA has been chosen as a ‘Washington's Best Workplaces' by our Staff and PSBJ™. Our vision, ‘Proving What's Possible in Healthcare™,' and our values, People First!, Be Extraordinary, Work Courageously, Own It, and Win Together, shape our culture, influence our decisions, and drive our results. What we are looking for: We are always searching for unique people to add to our team. We only hire people that care deeply about others, thrive in evolving environments, gain satisfaction from being part of a team, are motivated by tackling complex challenges, are courageous enough to share ideas, action-oriented, resilient, and results-driven. What you can expect: You can expect an inclusive, flexible, and fun culture, comprehensive salary, pay transparency, benefits, and time off package with plenty of personal development and growth opportunities. If you are looking for meaningful work, a clear purpose, high standards, work/life balance, and the ability to contribute to something important, find out more about us at: ***************** How YOU will make a Difference: HMA is seeking a highly organized, proactive and service oriented Office Manager to ensure the smooth, efficient operation of HMA's office while providing high-level administrative support to designated leader(s). As the Office Manager, you will manage all aspects of facilities and office operations, maintaining a Class “A” in-office experience. Additionally, you will manage complex calendars, coordinate meeting logistics, event support, and provide administrative support including documentation, travel arrangements, expense processing, and follow-up on action items. This role handles confidential information with discretion and models professionalism, customer service and operational excellence What YOU will do: Office Operations & Facilities: Investigate, track and resolve safety and facility concerns; coordinate repairs with property management/vendors. Serve as SME for mail/shipping operations and optimization efforts. Support execution of BCDR/Emergency response plan and employee safety programs. Assist with planning and execution of company events hosted by Compliance/Facilities. Support annual SOC audit execution for internal controls assigned to Facilities Administrative Support: Anticipate scheduling conflicts and propose solutions. Collect and prepare briefing materials for meetings; ensure leaders are fully prepared. Collaborate on presentations and reports; edit and format documents. Monitor governance and operational deadlines; proactively ensure compliance. Support Record Management Program execution Coordinate follow-up on action items across departments. Serve as the go-to resource for new team members joining the Compliance and Facilities team. Requirements Knowledge, Experience and Attributes for Success: AA or BA degree in Communications, Business Administration, Healthcare Administration preferred. 3-5+ years of experience in administration support or office support roles. Proficient experience in Microsoft Suite (Outlook, Word, Teams, SharePoint, PPT, etc) Experience with mail operations and facility management best practices. Experience drafting and finalizing internal and external communications as well as creating decks to present Proven track record managing complex calendars, coordinating travel, and handling confidential information. Familiarity with organizational safety protocols, record management programs. Ability to manage budgets, expenses reporting and cost control. Experience working cross-functionally in mid-sized or large organizations. Proactive problem-solver with strong prioritization skills. High emotional intelligence and cultural sensitivity. Able to manage up and across with professionalism and diplomacy. Professional demeanor and responsiveness to staff and visitors. Ability to adjust to changing priorities and environments. Ability to lift, push, carry and pull objects weighing more than 15 pounds on a regular basis. Frequent bending, standing and walking throughout the workday. Must be able to move safely and efficiently in an office environment Ability to perform repetitive motions and maintain physical stamina for extended periods. Available to respond to critical situations outside of standard business hours, including evenings, weekends and holidays as needed. Benefits Compensation: The base salary range for this position in the greater Seattle area is $77,000-$94,000 and varies dependent on geography, skills, experience, education, and other job or market-related factors. Performance-based incentive bonus(es) is available. Disclaimer: The salary, other compensation, and benefits information are accurate as of this posting date. HMA reserves the right to modify this information at any time, subject to applicable law. In addition, HMA provides a generous total rewards package for full-time employees that includes: Seventeen (IC) days paid time off (individual contributors) Eleven paid holidays Two paid personal and one paid volunteer day Company-subsidized medical, dental, vision, and prescription insurance Company-paid disability, life, and AD&D insurances Voluntary insurances HSA and FSA pre-tax programs 401(k)-retirement plan with company match Annual $500 wellness incentive and a $600 wellness reimbursement Remote work and continuing education reimbursements Discount program Parental leave Up to $1,000 annual charitable giving match How we Support your Work, Life, and Wellness Goals At HMA, we believe in recognizing and celebrating the achievements of our dedicated staff. We offer flexibility to work schedules that support people in all time zones across the US, ensuring a healthy work-life balance. Employees have the option to work remotely or enjoy the amenities of our renovated office located just outside Seattle with free parking, gym, and a multitude of refreshments. Our performance management program is designed to elevate career growth opportunities, fostering a collaborative work culture where every team member can thrive. We also prioritize having fun together by hosting in person events throughout the year including an annual all hands, summer picnic, trivia night, and a holiday party. We hire people from across the US (excluding the state of Hawaii and the cities of Los Angeles and San Francisco.) HMA requires a background screen prior to employment. Protected Health Information (PHI) Access Healthcare Management Administrators (HMA); employees may encounter protected health information (PHI) in the regular course of their work. All PHI shall be used and disclosed on a need-to-know-basis and according to HMA's standard policies and procedures. HMA is an Equal Opportunity Employer. For more information about HMA, visit *****************
    $77k-94k yearly 13d ago
  • Analyst EDM_PCS

    Healthcare Systems of America 4.3company rating

    Miami, FL jobs

    Job Description WE ARE HEALTHCARE SYSTEMS OF AMERICA. Our mission is to elevate healthcare standards, improve patient outcomes, and create value for communities across the United States. Healthcare Systems of America (HSA) is more than a healthcare provider-we're a community built on excellence, innovation, and compassion. If you're looking for a career that makes a difference, empowers you to grow, and gives you the opportunity to impact lives, HSA is where you belong. Healthcare Systems of America operates 8 community hospitals across 3 states. We service a multitude of patients and their families across our vast network, while remaining committed to the professional development of our staff, the functional improvement of our patients, and the cultivation of strong partnerships within our communities. WHAT WE OFFER Career Growth & Development - We are an essential, stable and growing company with many opportunities for training and advancement within the medical field that all employees and team members can benefit from. Supportive & Inclusive Culture - We foster an environment where every team member is valued, heard, and empowered to succeed. Meaningful Work - Every day, you'll contribute to patient care, cutting-edge medical solutions, and life-changing treatment and technologies. POSITION SUMMARY The Analyst - EDM/PCS is responsible for the implementation, configuration, testing, training, ongoing support, and optimization of MEDITECH Emergency Department Management/Nursing applications within a multi-hospital health system. This role ensures seamless integrations data integrity, and efficient system functionality, working closely with all areas of the organization such as finance, clinical focus areas, and reporting teams. This individual will play a critical role in collaborating with hospital and corporate counterparts to define and develop the structure and solutions for MEDITECH EDM/PCS within the HSA environment. They will contribute to both the initial design and the ongoing maintenance of solutions that support future operational needs. Key responsibilities include mapping process flows, analyzing business requirements, and ensuring comprehensive solutions that align with operational, financial, and regulatory standards. **This is a fully remote position, with minimal travel required for production deployment events, periodic training sessions, and meetings.** PRIMARY RESPONSIBILITIES Provide technical support, troubleshooting, and system enhancements for MEDITECH EDM/PCS Assist with configuration, implementation, and optimization of the organizational structure for future state acquisitions. Configure and update MEDITECH dictionaries and tables to support administrative, financial, and clinical workflows. Utilizing an issue tracking system, the EDM/PCS Analyst will monitor incoming issues and requests and address them in a timely manner. Ensure data integrity, system security, and compliance with financial regulations and healthcare standards. Collaborate with hospital-based HSA resources to ensure efficient operations within HSA's multiple facilities Coordinate with vendors on system updates, troubleshooting, performance monitoring, and testing of new functionalities to ensure seamless adoption of enhancements. Develop and enhance user training materials, SOPs, and documentation to optimize system utilization across departments. As a member of the analyst team, provide 24x7x365 coverage for the organization on a rotating basis Other duties as required/assigned to the position EXPERIENCE/EDUCATION REQUIREMENTS Bachelor's degree in IT, Healthcare Informatics, or a related field (Preferred) 2+ years of experience building and supporting MEDITECH EDM/PCS Experience working in a hospital environment Knowledge of MEDITECH Expanse platform SKILLS/REQUIREMENTS Ability to analyze complex data, identify trends, and develop actionable solutions to support decision-making. Knowledge within MEDITECH EDM/ONC related to common dictionaries, monitoring utilizes, user access, Customer-defined screens, and parameters. Independent thinker who effectively solves problems and plans solutions working collaboratively with others. Strong verbal and written communication skills for working with multidisciplinary teams and end-users. Demonstrate ability to manage multiple tasks and health centers simultaneously, while maintaining a high standard of work quality. Advanced analytical skills with a focus on problem-solving, process improvement, and workflow optimization. Ability to collaborate across departments and communicate technical solutions effectively. Knowledge of financial regulations, healthcare compliance standards, and data security best practices, ensuring adherence to industry requirements.
    $50k-66k yearly est. 25d ago
  • BCBS Claims Specialist II

    Healthcare Management Administrators 4.0company rating

    Bellevue, WA jobs

    HMA is the premier third-party health plan administrator across the PNW and beyond. We relentlessly deliver on our promise to provide medium to large-size employers with customized health plans. We offer various high-quality, affordable healthcare plan options supported with best-in-class customer service. We are proud to say that for three years, HMA has been chosen as a ‘Washington's Best Workplaces' by our Staff and PSBJ™. Our vision, ‘Proving What's Possible in Healthcare™,' and our values, People First!, Be Extraordinary, Work Courageously, Own It, and Win Together, shape our culture, influence our decisions, and drive our results. What we are looking for: We are always searching for unique people to add to our team. We only hire people that care deeply about others, thrive in evolving environments, gain satisfaction from being part of a team, are motivated by tackling complex challenges, are courageous enough to share ideas, action-oriented, resilient, and results-driven. What you can expect: You can expect an inclusive, flexible, and fun culture, comprehensive salary, pay transparency, benefits, and time off package with plenty of personal development and growth opportunities. If you are looking for meaningful work, a clear purpose, high standards, work/life balance, and the ability to contribute to something important, find out more about us at: ***************** How YOU will make a Difference: As a Claims Specialist, you'll be at the heart of our mission to deliver exceptional service. Working alongside a dedicated team, you'll ensure the accurate and timely processing of medical, dental, vision, and short-term disability claims that HMA administers for our members. Your role goes beyond handling claims, you'll be a key player in shaping a positive healthcare experience for our members. Every claim you interact with helps someone navigate their healthcare journey with confidence, making your work both meaningful and impactful. What YOU will do: Research and process ITS claim adjustments, returned checks, refunds and stop payment in an accurate and timely manner Communicate with local Blue plans utilizing real time chat Process priority claims and general inquiries Respond to appeals and correspondence regarding claims functions Support team members and be open to providing assistance when and where neede Become a SME regarding BCBS network Requirements High school diploma required 3-5+ years of claims processing experience 2+ years of BCBS claims processing experience required Strong interpersonal and communication skills Strong attention to detail, with high degree of accuracy and urgency Ability to take initiative and ownership of assigned tasks, working independently with minimal supervision, yet maintain a team-oriented and collaborative approach to problem solving Previous success in a fast-paced environment Benefits Compensation: The base salary range for this position in the greater Seattle area is $28/hr - $32/hr for a level II and varies dependent on geography, skills, experience, education, and other job or market-related factors. While we are looking for level II, we may consider level III for highly qualified candidates. Disclaimer: The salary, other compensation, and benefits information are accurate as of this posting date. HMA reserves the right to modify this information at any time, subject to applicable law. In addition, HMA provides a generous total rewards package for full-time employees that includes: Seventeen (IC) days paid time off (individual contributors) Eleven paid holidays Two paid personal and one paid volunteer day Company-subsidized medical, dental, vision, and prescription insurance Company-paid disability, life, and AD&D insurances Voluntary insurances HSA and FSA pre-tax programs 401(k)-retirement plan with company match Annual $500 wellness incentive and a $600 wellness reimbursement Remote work and continuing education reimbursements Discount program Parental leave Up to $1,000 annual charitable giving match How we Support your Work, Life, and Wellness Goals At HMA, we believe in recognizing and celebrating the achievements of our dedicated staff. We offer flexibility to work schedules that support people in all time zones across the US, ensuring a healthy work-life balance. Employees have the option to work remotely or enjoy the amenities of our renovated office located just outside Seattle with free parking, gym, and a multitude of refreshments. Our performance management program is designed to elevate career growth opportunities, fostering a collaborative work culture where every team member can thrive. We also prioritize having fun together by hosting in person events throughout the year including an annual all hands, summer picnic, trivia night, and a holiday party. We hire people from across the US (excluding the state of Hawaii and the cities of Los Angeles and San Francisco.) HMA requires a background screen prior to employment. Protected Health Information (PHI) Access Healthcare Management Administrators (HMA); employees may encounter protected health information (PHI) in the regular course of their work. All PHI shall be used and disclosed on a need-to-know-basis and according to HMA's standard policies and procedures. HMA is an Equal Opportunity Employer. For more information about HMA, visit: *****************
    $28 hourly Auto-Apply 34d ago
  • EDI Data Integrations Engineer II

    Healthcare Management Administrators 4.0company rating

    Bellevue, WA jobs

    HMA is the premier third-party health plan administrator across the PNW and beyond. We relentlessly deliver on our promise to provide medium to large-size employers with customized health plans. We offer various high-quality, affordable healthcare plan options supported with best-in-class customer service. We are proud to say that for three years, HMA has been chosen as a ‘Washington's Best Workplaces' by our Staff and PSBJ™. Our vision, ‘Proving What's Possible in Healthcare™,' and our values, People First!, Be Extraordinary, Work Courageously, Own It, and Win Together, shape our culture, influence our decisions, and drive our results. What we are looking for: We are always searching for unique people to add to our team. We only hire people that care deeply about others, thrive in evolving environments, gain satisfaction from being part of a team, are motivated by tackling complex challenges, are courageous enough to share ideas, action-oriented, resilient, and results-driven. What you can expect: You can expect an inclusive, flexible, and fun culture, comprehensive salary, pay transparency, benefits, and time off package with plenty of personal development and growth opportunities. If you are looking for meaningful work, a clear purpose, high standards, work/life balance, and the ability to contribute to something important, find out more about us at: ************************** How YOU will make a Difference: The Data Integrations Engineer plays a key role ensuring the smooth transmission and processing of data between internal and external systems. The ideal candidate will have experience in writing complex SQL queries, creating ETL's, and understanding inbound and outbound EDI transactions and protocols. The incumbent will work closely with IT, business partners, and external vendors to implement new systems and update existing systems. Excellent communication skills are a must to ensure the continued smooth operation of the company. What YOU will do: Design, code, test, deploy, maintain, monitor and execute production ETL processes Investigate production ETL issues / problems Work with business users to gather requirements and design, create, and implement database systems & applications. Lead troubleshooting episodes and communicate solutions/resolutions to the team Translate concepts to requirements and technical design Complete projects and development activities timely and accurately while following the System Development Life Cycle (SDLC) Develop, implement, and optimize stored procedures and functions using T-SQL Analyze existing SQL queries for performance improvements. Create and update EDI document mappings Take ownership of SQL development for future products and enhancements of existing products. Must possess analytical and complex problem-solving skills. Performance tuning of database assets and writing queries used for front-end applications (websites, desktop applications, or cloud apps). Evaluating new tools, new technologies to help modernize existing applications. Designing Architecture for ETL/SSIS packages and Designing SSIS packages with different data sources (SQL, Flat files and XMLs etc.) and loaded the data into target source by performing different kinds of transformations. Requirements Knowledge, Experience and Attributes: BA Degree in computer science or related field preferred 3-5+ years of experience in MSSQL T-SQL development 3-5+ years of experience in MSSQL SSIS development 3-5+ years of experience with Data Warehouse - (ETL) Extract, Transform, and Load Skilled at building and optimizing complicated SQL queries and stored procedures Proficiency in programming languages (C# / Python), scripting, and data analysis tools. Bachelor's degree in IT or equivalent experience Excellent communication skills. Benefits Compensation: The base salary range for this position in the greater Seattle area is $117,000-$145,000 and varies dependent on geography, skills, experience, education, and other job or market-related factors. Performance-based incentive bonus(es) is available. Disclaimer: The salary, other compensation, and benefits information are accurate as of this posting date. HMA reserves the right to modify this information at any time, subject to applicable law. In addition, HMA provides a generous total rewards package for full-time employees that includes: Seventeen (IC) days paid time off (individual contributors) Eleven paid holidays Two paid personal and one paid volunteer day Company-subsidized medical, dental, vision, and prescription insurance Company-paid disability, life, and AD&D insurances Voluntary insurances HSA and FSA pre-tax programs 401(k)-retirement plan with company match Annual $500 wellness incentive and a $600 wellness reimbursement Remote work and continuing education reimbursements Discount program Parental leave Up to $1,000 annual charitable giving match How we Support your Work, Life, and Wellness Goals At HMA, we believe in recognizing and celebrating the achievements of our dedicated staff. We offer flexibility to work schedules that support people in all time zones across the US, ensuring a healthy work-life balance. Employees have the option to work remotely or enjoy the amenities of our renovated office located just outside Seattle with free parking, gym, and a multitude of refreshments. Our performance management program is designed to elevate career growth opportunities, fostering a collaborative work culture where every team member can thrive. We also prioritize having fun together by hosting in person events throughout the year including an annual all hands, summer picnic, trivia night, and a holiday party. We hire people from across the US (excluding the state of Hawaii and the cities of Los Angeles and San Francisco.) HMA requires a background screen prior to employment. Protected Health Information (PHI) Access Healthcare Management Administrators (HMA); employees may encounter protected health information (PHI) in the regular course of their work. All PHI shall be used and disclosed on a need-to-know-basis and according to HMA's standard policies and procedures. HMA is an Equal Opportunity Employer. For more information about HMA, visit **************************
    $117k-145k yearly Auto-Apply 60d+ ago
  • Part-Time Client Service Specialist

    Telligen 4.1company rating

    Oklahoma City, OK jobs

    This position is responsible for receiving and responding to inbound customer inquiries, performing outreach to providers and members, providing program support for contract members, and providing technical and administrative support for various contracts, including support of internal applications and tools. This is a remote position, but requires candidates to be located within the state that this role is posted. Essential Functions Ensures the highest level of customer satisfaction by partnering with team members and program support to meet contract specific service level agreements and successfully performing responsibilities as defined by the assigned contract(s). Customer support may include answering general inquiries, troubleshooting issues, scheduling/rescheduling assessments, and other administrative responsibilities as assigned. May refer more complex calls to appropriate team members. Demonstrates professionalism through written and verbal communication with both internal and external customers, using multiple communication methods. Provides general office support. May perform data entry into database within specified timeframes. Prepares and distributes applicable correspondence from multiple sources to external participants following standard operating procedures and quality standards, to meet contract requirements. Listens to concerns, analyzes information, recommends solutions, and confirms customer satisfaction. Works as an engaged team member to provide feedback, suggest improvement and work with leadership to achieve company and employee-owner goals. Performs miscellaneous duties as assigned by Supervisor. Required Qualifications Previous customer service or healthcare experience Demonstrated experience working with deadlines and confidential information Excellent verbal and written communication skills and advanced PC skills Proficiency in all Microsoft Office products, especially Outlook and calendar management Ability to triage issues and handle multiple tasks Preferred Qualifications Healthcare or insurance experience preferred Medical Terminology or experience with coding (ICD/CPT) preferred Bilingual skills a plus Who We Are: Telligen is one of the most respected population health management organizations in the country. We work with state and federal government programs, as well as employers and health plans offering clinical, analytical, and technical expertise. Over our 50-year history, health care has evolved - and so have we. What hasn't changed is our deep commitment to those we serve. Our success is built on our ability to adapt, respond to client needs and deliver innovative, mission-driven solutions. Our business is our people and we're seeking talented individuals who share our passion and are ready to take ownership, make an impact and help shape the future of health. Are you Ready? We're on a mission to transform lives and economies by improving health. Ownership: As a 100% employee-owned company, our employee-owners drive our business and share in our success.Community: We show up - for our clients, our communities and each other. Being a responsible corporate partner is part of who we are.Ingenuity: We value bold ideas and calculated risks. Innovation thrives when we challenge the status quo and listen to diverse perspectives.Integrity: We foster a respectful, inclusive, and collaborative environment built on trust and excellence. Thank you for your interest in Telligen!Follow us on Twitter, Facebook, and LinkedIn to learn more about our mission-driven culture and stay up to speed. While we use artificial intelligence tools to enhance our initial screening process, all applications are thoroughly reviewed by our human recruitment team to ensure a fair and comprehensive evaluation of each candidate. Telligen and our affiliates are Equal Opportunity Employers and E-Verify Participants. Telligen will not provide sponsorship for this position. If you will require sponsorship for work authorization now or in the future, we cannot consider your application at this time. We will not accept 3rd party solicitations from outside staffing firms.
    $42k-51k yearly est. Auto-Apply 1d ago
  • Account Manager II

    Healthcare Management Administrators 4.0company rating

    Boise, ID jobs

    Job Description HMA is the premier third-party health plan administrator across the PNW and beyond. We relentlessly deliver on our promise to provide medium to large-size employers with customized health plans. We offer various high-quality, affordable healthcare plan options supported with best-in-class customer service. We are proud to say that for three years, HMA has been chosen as a ‘Washington's Best Workplaces' by our Staff and PSBJ™. Our vision, ‘Proving What's Possible in Healthcare™,' and our values, People First!, Be Extraordinary, Work Courageously, Own It, and Win Together, shape our culture, influence our decisions, and drive our results. What we are looking for: We are always searching for unique people to add to our team. We only hire people that care deeply about others, thrive in evolving environments, gain satisfaction from being part of a team, are motivated by tackling complex challenges, are courageous enough to share ideas, action-oriented, resilient, and results-driven. What you can expect: You can expect an inclusive, flexible, and fun culture, comprehensive salary, pay transparency, benefits, and time off package with plenty of personal development and growth opportunities. If you are looking for meaningful work, a clear purpose, high standards, work/life balance, and the ability to contribute to something important, find out more about us at: ************************** How YOU will make a Difference: As an Account Manager at HMA, you are the trusted partner for both clients and brokers building strong, lasting relationships and ensuring everyone feels supported. You'll work closely with clients who have self‑funded health plans, guiding them through the complexities and helping them maximize the value of their strategies. At the same time, you'll manage broker relationships, keeping them aligned and empowered to deliver the best outcomes for their clients. Beyond retention and engagement, you'll serve as the clear voice of clients and partners within the organization, making sure their needs are represented and acted on. What YOU will do: Serve as a strategic partner with clients and brokers to build a personalized healthcare strategy Represent Client Success by participating in finalist meetings and implementation Owns preparation, delivery and execute of renewal strategy Build strong relationships with key stakeholders and demonstrate HMA value Recommend products and services relevant to client needs by reviewing data and listening to customer needs through regular touchpoints Regularly updates CRM to communicate client and broker activities across the organization Brings new insights from industry events, client and broker meetings and competitor information to supplement client success strategy Serve as a subject matter expert for client success functions by participating in projects as needed Requirements Knowledge, Experience and Attributes: BA degree in healthcare related field, communications, business administration preferred WA State Agents License, Life & Disability or other professional designation (e.g., CEBS, HIAA) preferred upon hire. 3-5 years' experience in the health insurance industry 3-5 years' working directly with clients/brokers 3-5 years' of account management experience Extensive knowledge of ERISA, Benefit Plan Management, Self-Funded Benefit Plans and Stop Loss Experience and comfort presenting complex healthcare information in front of various group sizes and diverse settings and audiences Strong written and verbal communication skills. Ability to engage in community/ networking opportunities outside of normal business hours Ability to navigate negotiations Benefits Compensation: The base salary range for this position in the greater Seattle area is $90,000-$110,000 and varies dependent on geography, skills, experience, education, and other job or market-related factors. Performance-based incentive bonus(es) is available. Disclaimer: The salary, other compensation, and benefits information are accurate as of this posting date. HMA reserves the right to modify this information at any time, subject to applicable law. In addition, HMA provides a generous total rewards package for full-time employees that includes: Seventeen (IC) days paid time off (individual contributors) Eleven paid holidays Two paid personal and one paid volunteer day Company-subsidized medical, dental, vision, and prescription insurance Company-paid disability, life, and AD&D insurances Voluntary insurances HSA and FSA pre-tax programs 401(k)-retirement plan with company match Annual $500 wellness incentive and a $600 wellness reimbursement Remote work and continuing education reimbursements Discount program Parental leave Up to $1,000 annual charitable giving match How we Support your Work, Life, and Wellness Goals At HMA, we believe in recognizing and celebrating the achievements of our dedicated staff. We offer flexibility to work schedules that support people in all time zones across the US, ensuring a healthy work-life balance. Employees have the option to work remotely or enjoy the amenities of our renovated office located just outside Seattle with free parking, gym, and a multitude of refreshments. Our performance management program is designed to elevate career growth opportunities, fostering a collaborative work culture where every team member can thrive. We also prioritize having fun together by hosting in person events throughout the year including an annual all hands, summer picnic, trivia night, and a holiday party. We hire people from across the US (excluding the state of Hawaii and the cities of Los Angeles and San Francisco.) HMA requires a background screen prior to employment. Protected Health Information (PHI) Access Healthcare Management Administrators (HMA); employees may encounter protected health information (PHI) in the regular course of their work. All PHI shall be used and disclosed on a need-to-know-basis and according to HMA's standard policies and procedures. HMA is an Equal Opportunity Employer. For more information about HMA, visit **************************
    $35k-52k yearly est. 21d ago
  • Health Plan Configuration Analyst II

    Healthcare Management Administrators 4.0company rating

    Bellevue, WA jobs

    HMA is the premier third-party health plan administrator across the PNW and beyond. We relentlessly deliver on our promise to provide medium to large-size employers with customized health plans. We offer various high-quality, affordable healthcare plan options supported with best-in-class customer service. We are proud to say that for four years, HMA has been chosen as a ‘Washington's Best Workplaces' by our Staff and PSBJ™. Our vision, ‘Proving What's Possible in Healthcare™,' and our values, People First!, Be Extraordinary, Work Courageously, Own It, and Win Together, shape our culture, influence our decisions, and drive our results. What we are looking for: We are always searching for unique people to diversify our team. We only hire people that care deeply about others, thrive in evolving environments, gain satisfaction from being part of a team, are motivated by tackling complex challenges, are courageous enough to share ideas, action-oriented, resilient, and results-driven. What you can expect: You can expect an inclusive, flexible, and fun culture, comprehensive salary, pay transparency, benefits, and time off package with plenty of personal development and growth opportunities. If you are looking for meaningful work, a clear purpose, high standards, work/life balance, and the ability to contribute to something important, find out more about us at: ************************** How YOU will make a Difference: This role is responsible for the successful implementation and programming clients benefit plans, as setting up buy up products for our clients as well as managing third party vendor files. The importance of this role is to ensure benefits are correctly programmed and product services are readily available for members. What YOU will do: Review prior SPD's and make recommendations for new group implementations, such as system capabilities and regulatory requirements, and present to new clients as needed. Ask clarifying questions about plan details that could be missing. Create and update plan summaries and program the claims system for simple and medium complexity client renewals and implementation of off-cycle benefit changes. With the assistance of the Plan Building Specialist II or III, assist with programming updates for clients with complex renewals. Assist with complex and escalated customer service issues to ensure resolution. maintaining the vendor file maintenance for buy-up products. This includes incoming/outgoing files, setting up SFRP and retroactive programming of the balance of our Book of Business, to facilitate non-standard benefits for select groups. Work with vendor to ensure accurate EOB design and setup as needed. Review and respond to applicable TechOps Support tickets and MDI claims queries as needed. Assist Plan Building Specialist III with programming new group implementations as needed. Assist with complex and escalated customer service issues to ensure resolution. Retroactive programming of the balance of our Book of Business, to facilitate non-standard benefits for select groups. Assist in training of Plan Building Specialist I team members. Review and respond to applicable TechOps Support tickets and MDI claims queries as needed. Conduct peer-to-peer audit for Plan Building team programming. Requirements Knowledge, Experience, and Key Attributes needed for Success: High school diploma or equivalent experience required 3-5 years of recent relevant experience Strong QicLink knowledge is beneficial for the programming of benefits in QicLink. Strong analytical skills are crucial for translating client intent into programming of their benefits in QicLink. Comprehensive understanding of benefits that we administer and different plan types. Solid understanding of regulations that impact benefit design, including but not limited to, the Affordable Care Act, Mental Health Parity and IRS rules related to administration of high deductible health plans. Clear and effective verbal and written communication skills. Strong interpersonal skills and ability to work with team members at all levels. Benefits The base salary for this position in the greater Seattle area is $108,000-$120,000 and varies dependent on geography, skills, experience, education, and other job or market-related factors. Performance-based incentive bonus(es) is available. Disclaimer: The salary, other compensation, and benefits information are accurate as of this posting date. HMA reserves the right to modify this information at any time, subject to applicable law. In addition, HMA provides a generous total rewards package for full-time employees that includes: Seventeen (IC) days paid time off (individual contributors) Eleven paid holidays Two paid personal and one paid volunteer day Company-subsidized medical, dental, vision, and prescription insurance Company-paid disability, life, and AD&D insurances Voluntary insurances HSA and FSA pre-tax programs 401(k)-retirement plan with company match Annual $500 wellness incentive and a $600 wellness reimbursement Remote work and continuing education reimbursements Discount program Parental leave Up to $1,000 annual charitable giving match How we Support your Work, Life, and Wellness Goals At HMA, we believe in recognizing and celebrating the achievements of our dedicated staff. We offer flexibility to work schedules that support people in all time zones across the US, ensuring a healthy work-life balance. Employees have the option to work remotely or enjoy the amenities of our renovated office located just outside Seattle with free parking, gym, and a multitude of refreshments. Our performance management program is designed to elevate career growth opportunities, fostering a collaborative work culture where every team member can thrive. We also prioritize having fun together by hosting in person events throughout the year including an annual all hands, summer picnic, trivia night, and a holiday party. We hire people from across the US (excluding the state of Hawaii and the cities of Los Angeles and San Francisco.) HMA requires a background screen prior to employment. Protected Health Information (PHI) Access Healthcare Management Administrators (HMA); employees may encounter protected health information (PHI) in the regular course of their work. All PHI shall be used and disclosed on a need-to-know-basis and according to HMA's standard policies and procedures. HMA is an Equal Opportunity Employer. For more information about HMA, visit ******************
    $108k-120k yearly Auto-Apply 60d+ ago
  • Analyst SUR Crit Care ONC CM

    Healthcare Systems of America 4.3company rating

    Miami, FL jobs

    Job Description WE ARE HEALTHCARE SYSTEMS OF AMERICA. Our mission is to elevate healthcare standards, improve patient outcomes, and create value for communities across the United States. Healthcare Systems of America (HSA) is more than a healthcare provider-we're a community built on excellence, innovation, and compassion. If you're looking for a career that makes a difference, empowers you to grow, and gives you the opportunity to impact lives, HSA is where you belong. Healthcare Systems of America operates 8 community hospitals across 3 states. We service a multitude of patients and their families across our vast network, while remaining committed to the professional development of our staff, the functional improvement of our patients, and the cultivation of strong partnerships within our communities. WHAT WE OFFER Career Growth & Development - We are an essential, stable and growing company with many opportunities for training and advancement within the medical field that all employees and team members can benefit from. Supportive & Inclusive Culture - We foster an environment where every team member is valued, heard, and empowered to succeed. Meaningful Work - Every day, you'll contribute to patient care, cutting-edge medical solutions, and life-changing treatment and technologies. POSITION SUMMARY The Analyst Nur/SUR/Crit Care is responsible for the implementation, configuration, testing, training, ongoing support, and optimization of MEDITECH Patient Care System & Surgical applications within a multi-hospital health system. This role ensures seamless integrations data integrity, and efficient system functionality, working closely with all areas of the organization such as finance, clinical focus areas, and reporting teams. This individual will play a critical role in collaborating with hospitals and corporate counterparts to define and develop the structure and solutions for MEDITECH SUR/CritCare/ONC/CM within the HSA environment. They will contribute to both the initial design and the ongoing maintenance of solutions that support future operational needs. Key responsibilities include mapping process flows, analyzing business requirements, and ensuring comprehensive solutions that align with operational, financial, and regulatory standards. **This is a fully remote position, with minimal travel required for production deployment events, periodic training sessions, and meetings.** PRIMARY RESPONSIBILITIES Provide technical support, troubleshooting, and system enhancements for MEDITECH SUR/CritCare/ONC/CM. Assist with configuration, implementation, and optimization of the organizational structure for future state acquisitions. Configure and update MEDITECH dictionaries and tables to support administrative, financial, and clinical workflows. Utilizing an issue tracking system, the SUR/CritCare/ONC/CM Analyst will monitor incoming issues and requests and address them in a timely manner. Ensure data integrity, system security, and compliance with financial regulations and healthcare standards. Collaborate with hospital-based HSA resources to ensure efficient operations within HSA's multiple facilities. Coordinate with vendors on system updates, troubleshooting, performance monitoring, and testing of new functionalities to ensure seamless adoption of enhancements. Develop and enhance user training materials, SOPs, and documentation to optimize system utilization across departments. As a member of the analyst team, provide 24x7x365 coverage for the organization on a rotating basis. Other duties as required/assigned to the position. EXPERIENCE/EDUCATION REQUIREMENTS Bachelor's degree in IT, Healthcare Informatics, or a related field (Preferred) 2+ years of experience building and supporting MEDITECH SUR/CritCare/ONC/CM. Experience working in a hospital environment Knowledge of MEDITECH Expanse platform SKILLS/REQUIREMENTS Ability to analyze complex data, identify trends, and develop actionable solutions to support decision-making. Knowledge within MEDITECH SUR/CritCare/ONC/CM related to common dictionaries, monitoring utilizes, user access, Customer-defined screens, and parameters. Independent thinker who effectively solves problems and plans solutions working collaboratively with others. Strong verbal and written communication skills for working with multidisciplinary teams and end-users. Demonstrate ability to manage multiple tasks and health centers simultaneously, while maintaining a high standard of work quality. Advanced analytical skills with a focus on problem-solving, process improvement, and workflow optimization. Ability to collaborate across departments and communicate technical solutions effectively. Knowledge of financial regulations, healthcare compliance standards, and data security best practices, ensuring adherence to industry requirements.
    $49k-72k yearly est. 25d ago
  • Manager, Claims Operations

    Healthcare Management Administrators 4.0company rating

    Bellevue, WA jobs

    HMA is the premier third-party health plan administrator across the PNW and beyond. We relentlessly deliver on our promise to provide medium to large-size employers with customized health plans. We offer various high-quality, affordable healthcare plan options supported with best-in-class customer service. We are proud to say that for three years, HMA has been chosen as a ‘Washington's Best Workplaces' by our Staff and PSBJ™. Our vision, ‘Proving What's Possible in Healthcare™,' and our values, People First!, Be Extraordinary, Work Courageously, Own It, and Win Together, shape our culture, influence our decisions, and drive our results. What we are looking for: We are always searching for unique people to add to our team. We only hire people that care deeply about others, thrive in evolving environments, gain satisfaction from being part of a team, are motivated by tackling complex challenges, are courageous enough to share ideas, action-oriented, resilient, and results-driven. What you can expect: You can expect an inclusive, flexible, and fun culture, comprehensive salary, pay transparency, benefits, and time off package with plenty of personal development and growth opportunities. If you are looking for meaningful work, a clear purpose, high standards, work/life balance, and the ability to contribute to something important, find out more about us at: ************************** How YOU will make a Difference: The Claims Operations Manager will oversee the end-to-end processing of healthcare claims. The manager is responsible for leading the HMA Claims Operations staff and their daily work requirements. Leveraging metrics and forecasts; they prioritize workload and resourcing to maximize operational production in partnership with vendor resources and liaisons. The manager will lead a team responsible for claims intake, pricing, adjudication, coordination of benefits and issue resolution while driving operational excellence What YOU will do: Direct supervisory responsibilities: Manages and coaches individual contributor's performance and quality. Assess and manages claims inventory: Tracks and manages inventory trends and proactively adjusts resource levers as needed to maximize productivity Manage daily operations of claims processing, ensuring accuracy, timeliness, and compliance with healthcare policies and federal guidelines Create daily updates for management team flagging production rates, critical issues and areas of escalation in real time Monitor and resolve pricing discrepancies impacting claims adjudication and provider payments. Lead initiatives to improve pricing workflows, automation, and system performance. Vendor auditing &QA: Leads vendor audits and manages reporting to ensure vendor quality. Apply subject matter expertise to the business of claims processing and operations Manage to vendor agreements, proactively identify and flag issues, escalate appropriately Develop and maintain workflows and documentation specific to claims processing. Train and coach staff and vendors on claims processes as needed Motivate talent: Ability to motivate and lead team members and vendors in accordance with HMA values and objectives Talent planning: Proactively review and assess talent. Continually develop and/or recruit talent to meet objectives Requirements Knowledge, Experience and Attributes: Bachelor's Degree or equivalent work experience Minimum 5 years' of claims operations experience, self-funded health plan experience is a plus Minimum 2 years' of people leading experience Experience with claims platforms such as HealthEdge, Mphasis, or Facets Knowledge of CPT, HCPCS, ICD-10 coding, and reimbursement methodologies. Strong understanding of provider contract terms, fee schedules, and pricing models (e.g., DRG, APC, RBRVS). Proven ability to manage and develop a team of highly skilled staff Proven ability to manage and interact with vendors to support execution of work within the SLA's established Benefits Compensation: The base salary range for this position in the greater Seattle area is $100,000-$123,000 and varies dependent on geography, skills, experience, education, and other job or market-related factors. Performance-based incentive bonus(es) is available. Disclaimer: The salary, other compensation, and benefits information are accurate as of this posting date. HMA reserves the right to modify this information at any time, subject to applicable law. In addition, HMA provides a generous total rewards package for full-time employees that includes: Seventeen (IC) days paid time off (individual contributors) Eleven paid holidays Two paid personal and one paid volunteer day Company-subsidized medical, dental, vision, and prescription insurance Company-paid disability, life, and AD&D insurances Voluntary insurances HSA and FSA pre-tax programs 401(k)-retirement plan with company match Annual $500 wellness incentive and a $600 wellness reimbursement Remote work and continuing education reimbursements Discount program Parental leave Up to $1,000 annual charitable giving match How we Support your Work, Life, and Wellness Goals At HMA, we believe in recognizing and celebrating the achievements of our dedicated staff. We offer flexibility to work schedules that support people in all time zones across the US, ensuring a healthy work-life balance. Employees have the option to work remotely or enjoy the amenities of our renovated office located just outside Seattle with free parking, gym, and a multitude of refreshments. Our performance management program is designed to elevate career growth opportunities, fostering a collaborative work culture where every team member can thrive. We also prioritize having fun together by hosting in person events throughout the year including an annual all hands, summer picnic, trivia night, and a holiday party. We hire people from across the US (excluding the state of Hawaii and the cities of Los Angeles and San Francisco.) HMA requires a background screen prior to employment. Protected Health Information (PHI) Access Healthcare Management Administrators (HMA); employees may encounter protected health information (PHI) in the regular course of their work. All PHI shall be used and disclosed on a need-to-know-basis and according to HMA's standard policies and procedures. HMA is an Equal Opportunity Employer. For more information about HMA, visit
    $100k-123k yearly Auto-Apply 60d+ ago
  • IT Analyst Financial Applications: General Ledger, Accounts Payable, Materials Management, Human Resources

    Healthcare Systems of America 4.3company rating

    Miami, FL jobs

    WE ARE HEALTHCARE SYSTEMS OF AMERICA. Our mission is to elevate healthcare standards, improve patient outcomes, and create value for communities across the United States. Healthcare Systems of America (HSA) is more than a healthcare provider-we're a community built on excellence, innovation, and compassion. If you're looking for a career that makes a difference, empowers you to grow, and gives you the opportunity to impact lives, HSA is where you belong. Healthcare Systems of America operates 8 community hospitals across 3 states. We service a multitude of patients and their families across our vast network, while remaining committed to the professional development of our staff, the functional improvement of our patients, and the cultivation of strong partnerships within our communities. WHAT WE OFFER Career Growth & Development - We are an essential, stable and growing company with many opportunities for training and advancement within the medical field that all employees and team members can benefit from. Supportive & Inclusive Culture - We foster an environment where every team member is valued, heard, and empowered to succeed. Meaningful Work - Every day, you'll contribute to patient care, cutting-edge medical solutions, and life-changing treatment and technologies. JOB SUMMARY The IT Financial Application Analyst is responsible for the implementation, configuration, testing, training, ongoing support, and optimization of financial applications, including MEDITECH General Ledger (GL), Accounts Payable (AP), and Materials Management (MM) within a multi-hospital health system. This role ensures seamless integrations, data integrity, and efficient system functionality, working closely with finance, procurement, and HR teams. Additionally, the analyst will support the iSolved HR application, ensuring smooth workflows for payroll, benefits administration, and workforce management. This individual will play a critical role in collaborating with hospital and corporate counterparts to define and develop the structure and solutions for Enterprise Resource Planning (ERP) applications within the HSA environment. Responsibilities will include mapping out process flows, analyzing business requirements, and ensuring comprehensive solutions that align with operational, financial, and regulatory needs. **This is a fully remote position, with minimal travel required for production deployment events, periodic training sessions, and meetings.** PRIMARY RESPONSIBILITIES Provide technical support, troubleshooting, and system enhancements for financial applications, including GL, AP, and MM. Assist with configuration, implementation, and optimization of financial workflows within the hospital's ERP system. Support the iSolved HR application, ensuring proper functionality for payroll processing, employee records, benefits administration, and compliance reporting. Collaborate with finance, HR, supply chain, and IT teams to enhance system usability and efficiency. Maintain data integrity and system security, ensuring compliance with financial regulations and healthcare standards. Assist in vendor coordination, including system updates, troubleshooting, and performance monitoring. Develop and maintain training documentation, user guides, and standard operating procedures for financial system users. Participate in system upgrades, integrations, and testing efforts, ensuring seamless adoption of new functionalities. Generate and analyze financial reports, assisting in decision-making processes. Stay up to date with industry trends, new technology developments, and regulatory requirements affecting financial applications. EXPERIENCE/EDUCATION REQUIREMENTS Bachelor's degree in IT, Finance, Healthcare Informatics, or a related field. 4+ years of experience supporting financial applications in a healthcare or corporate environment. Knowledge of ERP systems, including GL, AP, MM, and integration with hospital finance and procurement functions. Experience working with iSolved HR application or similar workforce management solutions. SKILLS/REQUIREMENTS Ability to analyze complex data, identify trends, and develop actionable solutions to support decision-making. Independent thinker who effectively solve problems and plans solutions working collaboratively with others. Strong verbal and written communication skills for working with multidisciplinary teams and end-users. Advanced analytical skills with a focus on problem-solving, process improvement, and workflow optimization. Ability to collaborate across departments and communicate technical solutions effectively. Knowledge of financial regulations, healthcare compliance standards, and data security best practices, ensuring adherence to industry requirements.
    $61k-86k yearly est. 14d ago
  • Desktop Engineer (VDI) (Remote - Full-Time, Permanent)

    Healthcare Systems of America 4.3company rating

    Miami, FL jobs

    Job Description WE ARE HEALTHCARE SYSTEMS OF AMERICA. Our mission is to elevate healthcare standards, improve patient outcomes, and create value for communities across the United States. Healthcare Systems of America (HSA) is more than a healthcare provider-we're a community built on excellence, innovation, and compassion. If you're looking for a career that makes a difference, empowers you to grow, and gives you the opportunity to impact lives, HSA is where you belong. Healthcare Systems of America operates 8 community hospitals across 3 states. We service a multitude of patients and their families across our vast network, while remaining committed to the professional development of our staff, the functional improvement of our patients, and the cultivation of strong partnerships within our communities. WHAT WE OFFER Career Growth & Development - We are an essential, stable and growing company with many opportunities for training and advancement within the medical field that all employees and team members can benefit from. Supportive & Inclusive Culture - We foster an environment where every team member is valued, heard, and empowered to succeed. Meaningful Work - Every day, you'll contribute to patient care, cutting-edge medical solutions, and life-changing treatment and technologies. POSITION SUMMARY Desktop Engineer with expertise in Virtual Desktop Infrastructure (VDI) to support end-user computing in a large-scale healthcare environment. The ideal candidate will have experience with cloud-based VDI solutions and clinical workflows. PRIMARY RESPONSIBILITIES Design, deploy, and manage VDI environments (Azure, Citrix, VMware). Ensure seamless access to clinical applications and data. Support system updates, performance tuning, and incident management. Collaborate with clinical IT teams on workflow improvements. EXPERIENCE/EDUCATION REQUIREMENTS 5+ years of recent experience with desktop infrastructure in healthcare. Strong VDI implementation knowledge, including Azure Virtual Desktop. Familiarity with Meditech access and performance optimization. Understanding of HL7/FHIR protocols. ServiceNow ticketing experience. SKILLS/REQUIREMENTS Critical thinking and problem solving. Project management experience. Demonstrated ability to manage multiple priorities and deadlines. Adaptable to changing priorities, tasks, and work scheduled to meet customer service standards. Demonstrated ability to quickly learn new technologies and systems and provide instruction on complex processes.
    $61k-78k yearly est. 14d ago
  • Account Manager II

    Healthcare Management Administrators 4.0company rating

    Boise, ID jobs

    HMA is the premier third-party health plan administrator across the PNW and beyond. We relentlessly deliver on our promise to provide medium to large-size employers with customized health plans. We offer various high-quality, affordable healthcare plan options supported with best-in-class customer service. We are proud to say that for three years, HMA has been chosen as a ‘Washington's Best Workplaces' by our Staff and PSBJ™. Our vision, ‘Proving What's Possible in Healthcare™,' and our values, People First!, Be Extraordinary, Work Courageously, Own It, and Win Together, shape our culture, influence our decisions, and drive our results. What we are looking for: We are always searching for unique people to add to our team. We only hire people that care deeply about others, thrive in evolving environments, gain satisfaction from being part of a team, are motivated by tackling complex challenges, are courageous enough to share ideas, action-oriented, resilient, and results-driven. What you can expect: You can expect an inclusive, flexible, and fun culture, comprehensive salary, pay transparency, benefits, and time off package with plenty of personal development and growth opportunities. If you are looking for meaningful work, a clear purpose, high standards, work/life balance, and the ability to contribute to something important, find out more about us at: ************************** How YOU will make a Difference: As an Account Manager at HMA, you are the trusted partner for both clients and brokers building strong, lasting relationships and ensuring everyone feels supported. You'll work closely with clients who have self‑funded health plans, guiding them through the complexities and helping them maximize the value of their strategies. At the same time, you'll manage broker relationships, keeping them aligned and empowered to deliver the best outcomes for their clients. Beyond retention and engagement, you'll serve as the clear voice of clients and partners within the organization, making sure their needs are represented and acted on. What YOU will do: Serve as a strategic partner with clients and brokers to build a personalized healthcare strategy Represent Client Success by participating in finalist meetings and implementation Owns preparation, delivery and execute of renewal strategy Build strong relationships with key stakeholders and demonstrate HMA value Recommend products and services relevant to client needs by reviewing data and listening to customer needs through regular touchpoints Regularly updates CRM to communicate client and broker activities across the organization Brings new insights from industry events, client and broker meetings and competitor information to supplement client success strategy Serve as a subject matter expert for client success functions by participating in projects as needed Requirements Knowledge, Experience and Attributes: BA degree in healthcare related field, communications, business administration preferred WA State Agents License, Life & Disability or other professional designation (e.g., CEBS, HIAA) preferred upon hire. 3-5 years' experience in the health insurance industry 3-5 years' working directly with clients/brokers 3-5 years' of account management experience Extensive knowledge of ERISA, Benefit Plan Management, Self-Funded Benefit Plans and Stop Loss Experience and comfort presenting complex healthcare information in front of various group sizes and diverse settings and audiences Strong written and verbal communication skills. Ability to engage in community/ networking opportunities outside of normal business hours Ability to navigate negotiations Benefits Compensation: The base salary range for this position in the greater Seattle area is $90,000-$110,000 and varies dependent on geography, skills, experience, education, and other job or market-related factors. Performance-based incentive bonus(es) is available. Disclaimer: The salary, other compensation, and benefits information are accurate as of this posting date. HMA reserves the right to modify this information at any time, subject to applicable law. In addition, HMA provides a generous total rewards package for full-time employees that includes: Seventeen (IC) days paid time off (individual contributors) Eleven paid holidays Two paid personal and one paid volunteer day Company-subsidized medical, dental, vision, and prescription insurance Company-paid disability, life, and AD&D insurances Voluntary insurances HSA and FSA pre-tax programs 401(k)-retirement plan with company match Annual $500 wellness incentive and a $600 wellness reimbursement Remote work and continuing education reimbursements Discount program Parental leave Up to $1,000 annual charitable giving match How we Support your Work, Life, and Wellness Goals At HMA, we believe in recognizing and celebrating the achievements of our dedicated staff. We offer flexibility to work schedules that support people in all time zones across the US, ensuring a healthy work-life balance. Employees have the option to work remotely or enjoy the amenities of our renovated office located just outside Seattle with free parking, gym, and a multitude of refreshments. Our performance management program is designed to elevate career growth opportunities, fostering a collaborative work culture where every team member can thrive. We also prioritize having fun together by hosting in person events throughout the year including an annual all hands, summer picnic, trivia night, and a holiday party. We hire people from across the US (excluding the state of Hawaii and the cities of Los Angeles and San Francisco.) HMA requires a background screen prior to employment. Protected Health Information (PHI) Access Healthcare Management Administrators (HMA); employees may encounter protected health information (PHI) in the regular course of their work. All PHI shall be used and disclosed on a need-to-know-basis and according to HMA's standard policies and procedures. HMA is an Equal Opportunity Employer. For more information about HMA, visit **************************
    $35k-52k yearly est. Auto-Apply 50d ago
  • Claims Specialist II

    Healthcare Management Administrators 4.0company rating

    Bellevue, WA jobs

    HMA is the premier third-party health plan administrator across the PNW and beyond. We relentlessly deliver on our promise to provide medium to large-size employers with customized health plans. We offer various high-quality, affordable healthcare plan options supported with best-in-class customer service. We are proud to say that for three years, HMA has been chosen as a ‘Washington's Best Workplaces' by our Staff and PSBJ™. Our vision, ‘Proving What's Possible in Healthcare™,' and our values, People First!, Be Extraordinary, Work Courageously, Own It, and Win Together, shape our culture, influence our decisions, and drive our results. What we are looking for: We are always searching for unique people to add to our team. We only hire people that care deeply about others, thrive in evolving environments, gain satisfaction from being part of a team, are motivated by tackling complex challenges, are courageous enough to share ideas, action-oriented, resilient, and results-driven. What you can expect: You can expect an inclusive, flexible, and fun culture, comprehensive salary, pay transparency, benefits, and time off package with plenty of personal development and growth opportunities. If you are looking for meaningful work, a clear purpose, high standards, work/life balance, and the ability to contribute to something important, find out more about us at: ***************** How YOU will make a Difference: As a Claims Specialist, you'll be at the heart of our mission to deliver exceptional service. Working alongside a dedicated team, you'll ensure the accurate and timely processing of medical, dental, vision, and short-term disability claims that HMA administers for our members. Your role goes beyond handling claims, you'll be a key player in shaping a positive healthcare experience for our members. Every claim you interact with helps someone navigate their healthcare journey with confidence, making your work both meaningful and impactful. What YOU will do: Carefully research discrepancies, process returned checks, issue refunds, and manage stop payments with precision. This ensures financial accuracy and builds trust with both clients and members. Manage high-importance claims and vendor billing with urgency and attention to detail. Review and reply to appeals, inquiries, and other communications related to claims. Work with third-party organizations to secure payments on outstanding balances. Process case management and utilization review negotiated claims Spot potential subrogation claims and escalate them appropriately. Actively contribute to team success by assisting colleagues when workloads peak, sharing knowledge, and fostering a collaborative environment. Requirements High school diploma required 3-5+ years of claims processing experience 2+ years of BCBS claims processing experience Strong interpersonal and communication skills Strong attention to detail, with high degree of accuracy and urgency Ability to take initiative and ownership of assigned tasks, working independently with minimal supervision, yet maintain a team-oriented and collaborative approach to problem solving Previous success in a fast-paced environment Benefits Compensation: The base salary range for this position in the greater Seattle area is $28/hr - $32/hr for a level II and varies dependent on geography, skills, experience, education, and other job or market-related factors. While we are looking for level II, we may consider level III for highly qualified candidates. Disclaimer: The salary, other compensation, and benefits information are accurate as of this posting date. HMA reserves the right to modify this information at any time, subject to applicable law. In addition, HMA provides a generous total rewards package for full-time employees that includes: Seventeen (IC) days paid time off (individual contributors) Eleven paid holidays Two paid personal and one paid volunteer day Company-subsidized medical, dental, vision, and prescription insurance Company-paid disability, life, and AD&D insurances Voluntary insurances HSA and FSA pre-tax programs 401(k)-retirement plan with company match Annual $500 wellness incentive and a $600 wellness reimbursement Remote work and continuing education reimbursements Discount program Parental leave Up to $1,000 annual charitable giving match How we Support your Work, Life, and Wellness Goals At HMA, we believe in recognizing and celebrating the achievements of our dedicated staff. We offer flexibility to work schedules that support people in all time zones across the US, ensuring a healthy work-life balance. Employees have the option to work remotely or enjoy the amenities of our renovated office located just outside Seattle with free parking, gym, and a multitude of refreshments. Our performance management program is designed to elevate career growth opportunities, fostering a collaborative work culture where every team member can thrive. We also prioritize having fun together by hosting in person events throughout the year including an annual all hands, summer picnic, trivia night, and a holiday party. We hire people from across the US (excluding the state of Hawaii and the cities of Los Angeles and San Francisco.) HMA requires a background screen prior to employment. Protected Health Information (PHI) Access Healthcare Management Administrators (HMA); employees may encounter protected health information (PHI) in the regular course of their work. All PHI shall be used and disclosed on a need-to-know-basis and according to HMA's standard policies and procedures. HMA is an Equal Opportunity Employer. For more information about HMA, visit: *****************
    $28 hourly Auto-Apply 41d ago
  • Professional Coding & Billing Auditor

    Care New England 4.4company rating

    Rhode Island jobs

    *This role is scheduled to be hybrid schedule. For the right candidate within the US Eastern/Central time, remote option may be available.* This position requires AAPC: Certified Professional Coder (CPC) or AHIMA: Certified Coding Specialist (CCS). Must obtain Certified in Healthcare Compliance (CHC) within 12 months of hire. Job Summary: The Care New England Professional Coding and Billing Auditor provides audit support and guidance to management, providers, residents, and support staff in free-standing and facility-based practices. Conducts assigned compliance audits for risk areas identified through the analysis of internal data and external sources. Ensures all coding, billing, and documentation complies with federal and/or state regulations, private payor health care program requirements as well as the Care New England Compliance policies. Responsible for auditing and implementing training programs to assist in achieving Care New England's goal of an effective compliance program. Assists with new provider on-boarding education. Duties and Responsibilities: Consistently demonstrate a comprehensive, expert-level knowledge of all professional fee coding in accordance with federal and state rules and regulations, CMS, AMA, CPT, ICD-10-CM, and HCPCS Level II procedure and supply codes coding guidelines. Effectively review/audit medical records with focus on Evaluation and Management services to identify opportunities for clinical documentation improvement and potential coding opportunities to optimize reimbursement. Correctly identify and implement education and training opportunities related to coding for physicians and non-physician providers based on results of chart reviews under the direction of Care New England Medical Group management team. Be consistently available as a subject matter expert for coding guidelines, questions, and other issues from Care New England providers and staff. Assist physician practices and provider-based departments as a coding subject matter expert when necessary. Provide baseline coding education to newly hired physicians and non-physician providers/clinicians on a timely basis. Effectively prioritize workload to complete job responsibilities. Display ability to adjust priorities based upon understanding of policies and procedures. Complete job responsibilities by deadlines, according to established schedules or workflow requirements. Evaluate areas in need of improvement and provide input in order to improve current methods, services, programs, or technology. Meet departmental productivity standards. Assess, analyze and review information before making decisions and solving problems. Discuss findings with management on an ongoing basis. Use proper judgment and knowledge of established practices and procedures when addressing problems or issues. Requirements: Associate degree in Business Management or Health Care Management or a minimum of 3-5 years experience, with a strong emphasis on evaluation and management documentation, coding, billing, and auditing, preferably for a medium to large physician practice group or health system. Multiple specialty coding experiences, including behavioral health preferred. Bachelor s degree preferred. Required Skills: A high-level knowledge of medical terminology, anatomy, and pathophysiology, along with understanding of the proper application of CPT procedure codes, HCPCS Level II procedure and supply codes, and ICD-10-CM diagnosis codes. Excellent verbal and written communication skills. Proficient knowledge of MS Word, Excel, and PowerPoint required. Preferred Skills: Evaluation and management coding and auditing expertise. Knowledge of billing, coding, clinical documentation regulations, and regulatory guidelines. Proficient with technology and software tools, including but not limited to Epic and Cerner systems, and auditing tools such as MDAudit. Certifications: Required: Certified Professional Coder (CPC). Certified in Healthcare Compliance (CHC) within 12 months of hire. Preferred: Certified Professional Evaluation and Management Coder (CEMC) or Certified Professional Medical Auditor (CPMA) Care New England Health System (CNE) and its member institutions, Butler Hospital, Women & Infants Hospital, Kent Hospital, VNA of Care New England, Integra, The Providence Center, and Care New England Medical Group, and our Wellness Center, are trusted organizations fueling the latest advances in medical research, attracting top specialty-trained doctors, and honing renowned services and innovative programs to engage in the important discussions people need to have about their health. Americans with Disability Act Statement: External and internal applicants, as well as position incumbents who become disabled must be able to perform the essential job-specific functions either unaided or with the assistance of a reasonable accommodation, to be determined by the organization on a case-by-case basis. EEOC Statement: Care New England is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status. Ethics Statement: Employee conducts himself/herself consistent with the ethical standards of the organization including, but not limited to hospital policy, mission, vision, and values.
    $37k-48k yearly est. 8d ago
  • Office Manager II

    Healthcare Management Administrators 4.0company rating

    Bellevue, WA jobs

    HMA is the premier third-party health plan administrator across the PNW and beyond. We relentlessly deliver on our promise to provide medium to large-size employers with customized health plans. We offer various high-quality, affordable healthcare plan options supported with best-in-class customer service. We are proud to say that for three years, HMA has been chosen as a ‘Washington's Best Workplaces' by our Staff and PSBJ™. Our vision, ‘Proving What's Possible in Healthcare™,' and our values, People First!, Be Extraordinary, Work Courageously, Own It, and Win Together, shape our culture, influence our decisions, and drive our results. What we are looking for: We are always searching for unique people to add to our team. We only hire people that care deeply about others, thrive in evolving environments, gain satisfaction from being part of a team, are motivated by tackling complex challenges, are courageous enough to share ideas, action-oriented, resilient, and results-driven. What you can expect: You can expect an inclusive, flexible, and fun culture, comprehensive salary, pay transparency, benefits, and time off package with plenty of personal development and growth opportunities. If you are looking for meaningful work, a clear purpose, high standards, work/life balance, and the ability to contribute to something important, find out more about us at: ***************** How YOU will make a Difference: HMA is seeking a highly organized, proactive and service oriented Office Manager to ensure the smooth, efficient operation of HMA's office while providing high-level administrative support to designated leader(s). As the Office Manager, you will manage all aspects of facilities and office operations, maintaining a Class “A” in-office experience. Additionally, you will manage complex calendars, coordinate meeting logistics, event support, and provide administrative support including documentation, travel arrangements, expense processing, and follow-up on action items. This role handles confidential information with discretion and models professionalism, customer service and operational excellence What YOU will do: Office Operations & Facilities: Investigate, track and resolve safety and facility concerns; coordinate repairs with property management/vendors. Serve as SME for mail/shipping operations and optimization efforts. Support execution of BCDR/Emergency response plan and employee safety programs. Assist with planning and execution of company events hosted by Compliance/Facilities. Support annual SOC audit execution for internal controls assigned to Facilities Administrative Support: Anticipate scheduling conflicts and propose solutions. Collect and prepare briefing materials for meetings; ensure leaders are fully prepared. Collaborate on presentations and reports; edit and format documents. Monitor governance and operational deadlines; proactively ensure compliance. Support Record Management Program execution Coordinate follow-up on action items across departments. Serve as the go-to resource for new team members joining the Compliance and Facilities team. Requirements Knowledge, Experience and Attributes for Success: AA or BA degree in Communications, Business Administration, Healthcare Administration preferred. 3-5+ years of experience in administration support or office support roles. Proficient experience in Microsoft Suite (Outlook, Word, Teams, SharePoint, PPT, etc) Experience with mail operations and facility management best practices. Experience drafting and finalizing internal and external communications as well as creating decks to present Proven track record managing complex calendars, coordinating travel, and handling confidential information. Familiarity with organizational safety protocols, record management programs. Ability to manage budgets, expenses reporting and cost control. Experience working cross-functionally in mid-sized or large organizations. Proactive problem-solver with strong prioritization skills. High emotional intelligence and cultural sensitivity. Able to manage up and across with professionalism and diplomacy. Professional demeanor and responsiveness to staff and visitors. Ability to adjust to changing priorities and environments. Ability to lift, push, carry and pull objects weighing more than 15 pounds on a regular basis. Frequent bending, standing and walking throughout the workday. Must be able to move safely and efficiently in an office environment Ability to perform repetitive motions and maintain physical stamina for extended periods. Available to respond to critical situations outside of standard business hours, including evenings, weekends and holidays as needed. Benefits Compensation: The base salary range for this position in the greater Seattle area is $77,000-$94,000 and varies dependent on geography, skills, experience, education, and other job or market-related factors. Performance-based incentive bonus(es) is available. Disclaimer: The salary, other compensation, and benefits information are accurate as of this posting date. HMA reserves the right to modify this information at any time, subject to applicable law. In addition, HMA provides a generous total rewards package for full-time employees that includes: Seventeen (IC) days paid time off (individual contributors) Eleven paid holidays Two paid personal and one paid volunteer day Company-subsidized medical, dental, vision, and prescription insurance Company-paid disability, life, and AD&D insurances Voluntary insurances HSA and FSA pre-tax programs 401(k)-retirement plan with company match Annual $500 wellness incentive and a $600 wellness reimbursement Remote work and continuing education reimbursements Discount program Parental leave Up to $1,000 annual charitable giving match How we Support your Work, Life, and Wellness Goals At HMA, we believe in recognizing and celebrating the achievements of our dedicated staff. We offer flexibility to work schedules that support people in all time zones across the US, ensuring a healthy work-life balance. Employees have the option to work remotely or enjoy the amenities of our renovated office located just outside Seattle with free parking, gym, and a multitude of refreshments. Our performance management program is designed to elevate career growth opportunities, fostering a collaborative work culture where every team member can thrive. We also prioritize having fun together by hosting in person events throughout the year including an annual all hands, summer picnic, trivia night, and a holiday party. We hire people from across the US (excluding the state of Hawaii and the cities of Los Angeles and San Francisco.) HMA requires a background screen prior to employment. Protected Health Information (PHI) Access Healthcare Management Administrators (HMA); employees may encounter protected health information (PHI) in the regular course of their work. All PHI shall be used and disclosed on a need-to-know-basis and according to HMA's standard policies and procedures. HMA is an Equal Opportunity Employer. For more information about HMA, visit *****************
    $77k-94k yearly Auto-Apply 13d ago
  • IT Analyst Administrative Applications: MEDITECH Admissions (ADM), Community Wide Scheduling (CWS), Forms (FormFast/Interlace)

    Healthcare Systems of America 4.3company rating

    Coral Gables, FL jobs

    WE ARE HEALTHCARE SYSTEMS OF AMERICA. Our mission is to elevate healthcare standards, improve patient outcomes, and create value for communities across the United States. Healthcare Systems of America (HSA) is more than a healthcare provider-we're a community built on excellence, innovation, and compassion. If you're looking for a career that makes a difference, empowers you to grow, and gives you the opportunity to impact lives, HSA is where you belong. Healthcare Systems of America operates 8 community hospitals across 3 states. We service a multitude of patients and their families across our vast network, while remaining committed to the professional development of our staff, the functional improvement of our patients, and the cultivation of strong partnerships within our communities. WHAT WE OFFER Career Growth & Development - We are an essential, stable and growing company with many opportunities for training and advancement within the medical field that all employees and team members can benefit from. Supportive & Inclusive Culture - We foster an environment where every team member is valued, heard, and empowered to succeed. Meaningful Work - Every day, you'll contribute to patient care, cutting-edge medical solutions, and life-changing treatment and technologies. POSITION SUMMARY The IT Administrative Application Analyst is responsible for the implementation, configuration, testing, training, ongoing support, and optimization of MEDITECH business applications, including Admissions (ADM), Community-Wide Scheduling (CWS), and Forms (FormFast/Interlace) within a multi-hospital health system. This role ensures seamless integration, data integrity, and efficient system functionality, working closely with various departments, including finance, clinical operations, and reporting teams. This individual will play a critical role in collaborating with hospital and corporate counterparts to define and develop the structure and solutions for MEDITECH Admissions, Abstracting, and HIM applications within the HSA environment. Key responsibilities include mapping process flows, analyzing business requirements, and implementing comprehensive solutions that align with operational, financial, and regulatory standards. ** This is a fully remote position, with minimal travel required for production deployment events, periodic training sessions, and meetings. ** PRIMARY RESPONSIBILITIES Provide technical support, troubleshooting, and system enhancements for MEDITECH business applications, including ADM, CWS, and Forms. Act as the primary liaison between business units and technical teams, translating business goals into detailed functional and technical specifications. Assist with configuration, implementation, and optimization of the organizational structure for future-state acquisitions. Configure and update MEDITECH dictionaries and tables to support administrative, financial, and clinical workflows. Maintain a strong understanding of admission, transfer, and discharge processes. Ensure the MEDITECH system is properly configured to handle patient admissions efficiently through system configuration and maintenance. Configure scheduling templates, time slots, provider schedules, appointment types, and locations. Maintain rules for eligibility, prerequisites, and appointment restrictions within scheduling workflows. Manage dictionaries within MEDITECH relevant to scheduling workflows. Troubleshoot user issues related to scheduling workflows. Effectively manage and collaborate with third-party vendors such as FormFast/Interlace. Ensure data integrity, system security, and compliance with financial regulations and healthcare standards. Maintain working knowledge of prior authorization processes, including vendor integrations with companies such as Experian. Coordinate with vendors on system updates, troubleshooting, performance monitoring, and testing of new functionalities to ensure seamless adoption of enhancements. Develop and enhance user training materials, standard operating procedures (SOPs), and documentation to optimize system utilization across departments. Perform additional duties as required or assigned for the position. EXPERIENCE/EDUCATION REQUIREMENTS Bachelor's degree in IT, Finance, Healthcare Informatics, or a related field. 4+ years of experience supporting business applications in healthcare or corporate environment. Knowledge of MEDITECH, including ADM, CWS, FORMS SKILLS/REQUIREMENTS This role is critical for ensuring smooth patient registration workflows, accurate data capture, and integration with downstream systems, including billing, clinical documentation, and scheduling. Ability to analyze complex data, identify trends, and develop actionable solutions to support decision-making. Independent thinker who effectively solves problems and plans solutions while working collaboratively with others. Strong verbal and written communication skills for engaging with multidisciplinary teams and end-users. Demonstrated ability to manage multiple tasks and healthcare facilities simultaneously while maintaining a high standard of work quality. Advanced analytical skills with a focus on problem-solving, process improvement, and workflow optimization. Ability to collaborate across departments and communicate technical solutions effectively. Knowledge of financial regulations, healthcare compliance standards, and data security best practices to ensure adherence to industry requirements.
    $61k-86k yearly est. 14d ago
  • IT Analyst Revenue Cycle Application Acute/Ambulatory

    Healthcare Systems of America 4.3company rating

    Coral Gables, FL jobs

    WE ARE HEALTHCARE SYSTEMS OF AMERICA. Our mission is to elevate healthcare standards, improve patient outcomes, and create value for communities across the United States. Healthcare Systems of America (HSA) is more than a healthcare provider-we're a community built on excellence, innovation, and compassion. If you're looking for a career that makes a difference, empowers you to grow, and gives you the opportunity to impact lives, HSA is where you belong. Healthcare Systems of America operates 8 community hospitals across 3 states. We service a multitude of patients and their families across our vast network, while remaining committed to the professional development of our staff, the functional improvement of our patients, and the cultivation of strong partnerships within our communities. WHAT WE OFFER Career Growth & Development - We are an essential, stable and growing company with many opportunities for training and advancement within the medical field that all employees and team members can benefit from. Supportive & Inclusive Culture - We foster an environment where every team member is valued, heard, and empowered to succeed. Meaningful Work - Every day, you'll contribute to patient care, cutting-edge medical solutions, and life-changing treatment and technologies. POSITION SUMMARY The Revenue Cycle IT Analyst is responsible for the implementation, support, and optimization of MEDITECH Billing and Accounts Receivable (B/AR) systems across a multi-hospital healthcare system. This role ensures that revenue cycle processes, workflows, and technologies are aligned to drive operational efficiency, regulatory compliance, and financial performance. The Analyst will collaborate with clinical, financial, and IT stakeholders to troubleshoot issues, implement system enhancements, and provide ongoing support for the MEDITECH B/AR module. They will also work closely with Central Billing Office counterparts to support and monitor extracts, interfaces, and third-party integrations tied to the B/AR platform, ensuring accurate and timely data exchange. ** This is a fully remote position with minimal travel required for production deployment events and periodic training sessions or meetings. ** PRIMARY RESPONSIBILITIES Manage day-to-day operations within the MEDITECH B/AR module, ensuring system stability and identifying opportunities for performance improvement. Troubleshoot and resolve system issues related to billing, claims processing, and accounts receivable workflows across acute and ambulatory care environments. Develop, test, and maintain interfaces between MEDITECH and external systems, such as clearinghouses and payer platforms. Support revenue cycle processes by collaborating with Central Billing Office (CBO) counterparts and ensuring integration across related applications. Identify and recommend configuration changes or workflow adjustments to improve revenue cycle efficiency and reduce billing errors. Collaborate with revenue cycle and IT teams to implement MEDITECH updates, enhancements, and configuration changes. Participate in testing and validation of system upgrades, patches, and customizations to maintain performance and compliance. Gather requirements from billing and accounts receivable teams and translate business needs into effective technical solutions. Liaise with clinical, financial, and administrative teams to support integration between revenue cycle and enterprise systems. Coordinate with IT colleagues to ensure system design aligns with organizational goals and regulatory compliance requirements. Develop training materials and deliver hands-on training for revenue cycle staff to support system adoption and best practices. Create and maintain system documentation, including workflow diagrams, configuration records, and troubleshooting references. Generate reports and dashboards to monitor system performance, revenue metrics, and accounts receivable trends. Ensure all system processes comply with HIPAA, CMS, and other applicable healthcare regulations. EXPERIENCE/EDUCATION REQUIREMENTS Bachelor's degree in Healthcare Informatics, Information Technology, Business Administration, or a related field (preferred). 2+ years of experience in healthcare IT revenue cycle management, with expertise in MEDITECH Billing/Accounts Receivable systems. Knowledge of healthcare billing processes, claims management, and payer requirements. Experience with system integrations, HL7 interfaces, and clearinghouse workflows. Strong knowledge of MEDITECH platforms and revenue cycle functionalities. SKILLS/REQUIREMENTS Ability to analyze complex data, identify trends, and propose actionable solutions to support revenue cycle performance. Strong verbal and written communication skills for engaging with multidisciplinary teams and end-users. Demonstrated experience supporting revenue cycle projects, including the rollout of new functionalities and enhancements to existing workflows. Proven ability to collaborate with revenue cycle stakeholders to drive continuous improvement and system optimization. Familiarity with MEDITECH B/AR and its integration with scheduling, registration, HIM, and financial systems. Understanding of claims processing, payer edits, denial management, and reconciliation reporting. Knowledge of HIPAA, CMS billing guidelines, and other healthcare compliance standards related to billing and accounts receivable.
    $61k-86k yearly est. 14d ago

Learn more about Care New England Health System jobs