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CareOregon jobs in Portland, OR - 494 jobs

  • Medical Director, Physician - Primary Care

    Careoregon 4.5company rating

    Careoregon job in Portland, OR

    --------------------------------------------------------------- Estimated Hiring Range: $288,810.00 - $352,990.00 Bonus Target: Bonus - SIP Target, 10% Annual Current CareOregon Employees: Please use the internal Workday site to submit an application for this job. --------------------------------------------------------------- Job Summary The Primary Care Medical Director is responsible for providing clinical leadership and expertise to the primary care team to improve care delivery and implement the mission of the organization, ensuring overall quality and continuity of patient care. This position works closely with the Primary Care Director to lead the execution of primary care clinical strategies for Housecall Providers. Together the Primary Care Director and Medical Director are responsible for administrative and clinical operations and continuous improvement to ensure the highest level of compliance and quality care is provided to primary care patients. This position provides supervision to all primary care providers in collaboration with the primary care clinical supervisor. The Primary Care Medical Director is responsible for facilitating a culture of collaboration within the primary care team and implementing effective care management and other clinical practice improvement initiatives as assigned. In addition, this position provides direct patient care sufficient to maintain clinical skills. Essential Responsibilities Clinical Leadership * Plans, organizes, manages, and administers assigned areas of medical practice; develops and implements programs supporting the strategic plan; implements and assists in the development of policies, procedures, and best clinical practices; evaluates goals, objectives, priorities, and activities to improve performance and outcomes; recommends and establishes administrative controls and improvements; develops procedures to implement new and/or changing regulatory requirements. * Directs the development and implementation of clinical best practices in assigned areas of practice, including setting standards for clinical care, researching, reviewing and revising clinical guidelines. Provides monitoring and input regarding performance of other health care professionals, and develops, directs provider in-service training. * Actively participates in quality improvement projects and tasks in assigned areas of practice, including setting strategic priorities for quality improvement in consultation with the director of population health, quality and compliance. * Researches and analyzes adverse events and cultivates open discussion within the practice to assess systemic barriers and make recommendations to support patient safety and effective clinical practice. * Provides guidance to the Primary Care team and Ethics Committee in the resolution of complex care needs, conflict and ethical issues. * Provides clinical chart review, supervision and supporting documentation of nurse practitioner and physician associate work as required by state licensing, legal and federal requirements for patient care. * Develops, administers, and monitors budgets for their assigned department; develops justifications for budgetary recommendations and/or adjustments. * Assists with the broader budgeting process to ensure clinical perspective is represented. Adheres to organization budget as approved by Board. * Participates in and may lead activities related to strategic and annual planning. * Reviews and implements, in collaboration with the Primary Care Director, federal, state, and local laws, regulations, policies, and procedures related to medical practice in order to ensure compliance. * Plans and implements in-service education; may delegate some or all of these to other staff members or experts in the field. * In collaboration with the Primary Care Manager, advises and recommends best practices related to all clinical support services and clinical operations. * Assists in maintaining credentialing and privileging of all providers. * Participates on internal committees and taskforces; leads or sponsors as appropriate. * Determines the staffing schedule which ensures after hours medical coverage and physician/leader back up is available at all times. * Works with Senior Medical Director to ensure physician availability and oversight at all times for state and federally mandated work and clinical consultation. Community Relations and Advocacy * Assists with public relations and/or other external activities, to represent clinical perspective. * Attends meetings of Board of Directors and committees as requested. * Develops relationships in larger community, especially the medical community. * Cultivates connections with local and national organizations whose interests align with Housecall Providers' mission. * Advocates for the needs of the organization's patient population at a policy level. Clinical Service * Examines, treats, and advises patients on clinical problems; delivers preventative health services and palliative services; coordinates specialty care, and case management. * Educates patients and families on goal-based, appropriate preventative care, medical issues, and use of prescribed medications and treatment. Employee Supervision * Directs team(s) and establishes team direction and goals in alignment with the organizational mission, vision, and values. * Identifies work and staffing models; recruits, hires, and oversees a team to meet work needs, using an equity, diversity, and inclusion lens. * Identifies department priorities; ensures employees have information and resources to meet job expectations. * Leads the development, communication, and oversight of team and individual goals; ensures goals, expectations, and standards are clearly understood by staff. * Manages, coaches, motivates, and guides employees; promotes employee development. * Incorporates guidance from CareOregon equity tools into people leadership, planning, operations, evaluation, budgeting, resource allocation, and decision making. * Ensures team adheres to department and organizational standards, policies, and procedures. * Evaluates employee performance and provides regular feedback to support success; recognizes strong performance and addresses performance gaps and accountability (corrective action). * Performs supervisory tasks in collaboration with Human Resources as needed. Experience and/or Education Required * Completion of medical degree, internship and residency in Internal Medicine or Family Medicine * Licensed physician (MD or DO) in the State of Oregon * Certification by the American Board of Medical Specialties * Drug Enforcement Administration (DEA) license * CPR certification at hire or within 6 months in position * Minimum 5 years' clinical experience in geriatrics, chronic disease management and/or hospice and palliative medicine * Valid driver's license, acceptable driving record and automobile liability coverage or access to an insured vehicle Preferred * Minimum 4 years' experience in a supervisory position * Geriatric, behavioral health and/or palliative care certified * Experience in medical home visits Knowledge, Skills and Abilities Required Knowledge * Knowledge of the principles and practice of medicine * Proficient in the practice of geriatrics and palliative care * Knowledge of the state and federal laws and regulations governing the practices of physicians, nurse practitioners and physician's assistants * Knowledge of the ethical and medico-legal aspects of medical practice * Knowledge of the principles and practices of public health, including familiarity with epidemiology, health services delivery and financing systems, and environmental health * Knowledge of the population served in adult health, including culture, demographics, patterns of disease, barriers to care and other unique features or special needs * Knowledge of the principles and practices of clinical quality improvement * Knowledge of trauma informed care * Knowledge of behavioral health in a primary care setting * Familiarity with clinical staffing models * Familiarity with principles and practices of organization's budgeting process * Familiarity with principles and practices of strategic planning Skills and Abilities * Open leadership style; actively seeks out and supports collaborative thinking, cooperation, teamwork, and problem solving with others inside and outside the organization * Excellent communication and facilitation skills * Compassion, commitment, and integrity * Cultural competence in working with diverse social and economic situations without imposing own values; respect for appropriate professional boundaries and ability to communicate effectively * Ability to contribute to a positive atmosphere with internal and external partners * Strong project management skills * Proficiency in data collection, analytical capability, and ability to design and implement constructive change to improve program and patient outcomes * Ability to take initiative and utilize innovative techniques and ingenuity * Ability to work under pressure to meet deadlines * Ability to work in a continuously improving environment and support others to embrace change * Ability to build productive professional relationships, hold staff accountable and resolve conflicts successfully * Ability to adhere to organizational standards, policies and procedures * Ability to apply use of safety judgment on a case-by-case basis, as well as proper body mechanics and safe working techniques; reports unsafe environments/practices to supervisor in a timely manner * Ability to work effectively with diverse individuals and groups * Ability to learn, focus, understand, and evaluate information and determine appropriate actions * Ability to accept direction and feedback, as well as tolerate and manage stress * Ability to see, read, hear, speak clearly, sit, and perform repetitive finger and wrist movement for at least 6 hours/day * Ability to for lift, carry, push, pull, stand, climb stairs, bend, and/or pinch small objects for at least 3-6 hours/day * Ability to walk, crouch, crawl, and reach and for at least 3 hours/day * Ability to operate a motor vehicle Working Conditions Work Environment(s): ☒ Indoor/Office ☒ Community ☐ Facilities/Security ☐ Outdoor Exposure Member/Patient Facing: ☐ No ☐ Telephonic ☒ In Person Hazards: May include, but not limited to, physical, ergonomic, and biological hazards. Equipment: General office equipment and/or mobile technology Travel: Requires travel outside of the workplace at least weekly; the employee's personal vehicle may be used. Driving infractions will be monitored in accordance with organizational policy. Work Location: Hybrid-Community 2 days/week, member facing. If you receive an offer of employment for this position, it is contingent on the satisfactory completion of a pre-employment background check, immunization review, and drug screen (including THC/Marijuana). CareOregon is a federal contractor and must comply with all federal laws. We offer a strong Total Rewards Program. This includes competitive pay, bonus opportunity, and a comprehensive benefits package. Eligibility for bonuses and benefits is dependent on factors such as the position type and the number of scheduled weekly hours. Benefits-eligible employees qualify for benefits beginning on the first of the month on or after their start date. Housecall Providers offers medical, dental, vision, life, AD&D, and disability insurance, as well as health savings account, flexible spending account(s), lifestyle spending account, employee assistance program, wellness program, discounts, and multiple supplemental benefits (e.g., voluntary life, critical illness, accident, hospital indemnity, identity theft protection, pre-tax parking, pet insurance, 529 College Savings, etc.). We also offer a strong retirement plan with employer contributions. Benefits-eligible employees accrue PTO and Paid State Sick Time based on hours worked/scheduled hours and the primary work state. Employees may also receive paid holidays, volunteer time, jury duty, bereavement leave, and more, depending on eligibility. Non-benefits eligible employees can enjoy 401(k) contributions, Paid State Sick Time, wellness and employee assistance program benefits, and other perks. Please contact your recruiter for more information. We are an equal opportunity employer Housecall Providers is an equal opportunity employer. The organization selects the best individual for the job based upon job related qualifications, regardless of race, color, religion, sexual orientation, national origin, gender, gender identity, gender expression, genetic information, age, veteran status, ancestry, marital status or disability. The organization will make a reasonable accommodation to known physical or mental limitations of a qualified applicant or employee with a disability unless the accommodation will impose an undue hardship on the operation of our organization.
    $288.8k-353k yearly Auto-Apply 14d ago
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  • Director, Community Health Partnerships - Metro

    Careoregon 4.5company rating

    Careoregon job in Portland, OR

    --------------------------------------------------------------- This position is responsible for the development and execution of strategies and activities across the CareOregon Metro region related to community health. Time is focused on business group oversight, with additional time on enterprise-wide engagement. Primary duties include technical and operational planning and leadership, as well as resource, relationship, and people management. This position provides input into strategic plans for the region, as well as the broader organization. The expectation is that the individual filling this position will be required to be in the Office or Community 1-2 days per month. Estimated Hiring Range: $139,275.00 - $170,225.00 Bonus Target: Bonus - SIP Target, 10% Annual Current CareOregon Employees: Please use the internal Workday site to submit an application for this job. --------------------------------------------------------------- Essential Responsibilities Technical/Operational Leadership Directs the CCO's efforts to address OHA requirements for community engagement, investments in social determinants of health/health equity, and community health needs assessments and improvement plans. Partners with external community leaders and stakeholders to develop, implement, direct, and oversee programs and policies that integrate CCO and local supports, resources and priorities to accomplish CCO strategic goals. Leads activities and assures outcomes identified by the CCO Board of Directors related to community health, prevention and health promotion, equity and social determinants of health. Leads initiatives for the Metro region, including matrixed employees, as determined by the Leadership Team. Supports creation of structures to ensure effective and aligned initiatives, as well as reporting, transparency, financial viability and accountability for community initiatives and investments. Translates, directs and assures OHA regulatory requirements for Community Advisory Councils, Social Determinants of Health/Health Equity investments and CCO Regional Health Improvement Plans. Creates, maintains and presents dashboards for the Community Health Improvement Plan (CHIP) goals and strategies, as well as other CCO deliverables required by the CCO contract with OHA; this includes acting as a director-level liaison to Metro clinical practices, access, equity and quality improvement activities as they interface with community work. Develops, monitors and reports on performance against annual goals established in the CCO Community Health Improvement Plan. Leads all work and staff to assure effective community input into and implementation of Community Advisory Council charters, council member roles and CAC deliverables, including directing staff to manage Best Practices for Community Advisory Councils. Represents community and member priorities as a decision-maker on the Metro leadership team. Represents the Metro region at Health Share workgroups and CCO events related to community engagement for the Integrated Community Network. Strategic/Operational Planning Participates in the development of CCO vision, mission, goals, and strategic plans, as a member of the CCO Leadership Team. Works with CCO leadership, partner organizations, consultants, community leaders, local public health and mental health advisors and other stakeholders to ensure the development and influence of the CCO to address health disparities and inequities. Develops short and long-term plans and policies; oversees the development and execution of standard operating procedures for community-facing staff. Develops initiatives and programs, including member engagement, community wellness and community health improvement initiatives. Maintains a business unit view while establishing department priorities, being cognizant of broader business unit and organizational impacts. Financial/Resource Management Recommends and manages budgets in alignment with short and long-term plans. Manages resources to ensure priorities are accomplished. Participates in resource planning and assessment of achievements. Assures that the goals and strategies of the RHIP priorities are translated into financially sustainable actions leading to improved health outcomes in the community. Relationship Management Builds and ensures effective relationships across internal teams and external organizations for current or future integrated community health improvement initiatives. Serves as primary liaison for CareOregon Metro with community leaders involved in system-change, including developing and managing Memoranda of Understanding or other formal documents of shared work, commitments and priorities. Leads effective communications and ensuring a collaborative culture with community leaders, members and other stakeholders. Partners with community-based leaders and organization staff in identifying improvement plans and processes. Represents CareOregon in external meetings and functions, providing productive leadership presence and effectiveness. Employee Supervision Directs team and establishes team direction and goals in alignment with the organizational mission, vision, and values. Identifies work and staffing models; recruits, hires, and oversees a team to meet work needs, using an equity, diversity, and inclusion lens. Identifies department priorities; ensures employees have information and resources to meet job expectations. Leads the development, communication, and oversight of team and individual goals; ensures goals, expectations, and standards are clearly understood by staff. Manages, coaches, motivates, and guides employees; promotes employee development. Incorporates guidance from CareOregon equity tools into people leadership, planning, operations, evaluation, budgeting, resource allocation, and decision making. Ensures team adheres to department and organizational standards, policies, and procedures. Evaluates employee performance and provides regular feedback to support success; recognizes strong performance and addresses performance gaps and accountability (corrective action). Performs supervisory tasks in collaboration with Human Resources as needed. Organizational Responsibilities Perform work in alignment with the organization's mission, vision and values. Support the organization's commitment to equity, diversity and inclusion by fostering a culture of open mindedness, cultural awareness, compassion and respect for all individuals. Strive to meet annual business goals in support of the organization's strategic goals. Adhere to the organization's policies, procedures and other relevant compliance needs. Perform other duties as needed. Experience and/or Education Required Minimum 10 years' related experience, including minimum 5 years in areas such as health care, managed care, community organizing, program and community development, and resource mobilization Valid driver's license, acceptable driving record, and automobile liability coverage or access to an insured vehicle Preferred Minimum 4 years' experience in a supervisory position Experience leading complex projects, initiatives, and teams Experience working in a CCO environment Knowledge, Skills and Abilities Required Knowledge Understanding of the healthcare industry structure/dynamics and health plan functions Understanding of the nature of consumer engagement and vulnerable populations, including those with mental illness and health literacy deficits Skills and Abilities Ability to balance strategic and operational thinking Abilities in community organizing, community development and resource mobilization Strong facilitation, group process, conflict management and consensus building skills Refined interpersonal maturity/skills and a high level of emotional/social intelligence Ability to function and lead groups with trauma-informed practices Skills in program development and management, project management, as well as motivational interviewing, group facilitation, community organizing and systems-thinking Ability to develop and lead high performing team members, including hiring, goal setting, coaching, performance management, and development Ability to effectively convey business unit goals and plans, ensuring integration into strategic plans and initiatives Skilled in budget management and oversight Ability to build and maintain professional relationships with those enrolled in the Oregon Health Plan, community at-large, and internal management groups Well-developed written composition/expression skills Excellent listening and verbal communications skills Ability to design and make effective presentations Ability to work independently absent explicit directions; excellent judgment Detail orientation and follow-through Basic computer skills, including spreadsheet and word processing Appreciation of the sensitive nature of issues being dealt with by the CCO board, advisory groups and others and need to maintain confidentiality Ability to work effectively with diverse individuals and groups Ability to learn, focus, understand, and evaluate information and determine appropriate actions Ability to accept direction and feedback, as well as tolerate and manage stress Ability to see, read, and perform repetitive finger and wrist movement for at least 3-6 hours/day Ability to hear and speak clearly for at least 6 hours/day Ability to operate a motor vehicle Working Conditions Work Environment(s): ☒ Indoor/Office ☐ Community ☐ Facilities/Security ☐ Outdoor Exposure Member/Patient Facing: ☒ No ☐ Telephonic ☐ In Person Hazards: May include, but not limited to, physical and ergonomic hazards. Equipment: General office equipment Travel: Requires travel outside of the workplace at least weekly; the employee's personal vehicle may be used. Driving infractions will be monitored in accordance with organizational policy. Work Location: Hybrid-Community 1-2 days/month We offer a strong Total Rewards Program. This includes competitive pay, bonus opportunity, and a comprehensive benefits package. Eligibility for bonuses and benefits is dependent on factors such as the position type and the number of scheduled weekly hours. Benefits-eligible employees qualify for benefits beginning on the first of the month on or after their start date. CareOregon offers medical, dental, vision, life, AD&D, and disability insurance, as well as health savings account, flexible spending account(s), lifestyle spending account, employee assistance program, wellness program, discounts, and multiple supplemental benefits (e.g., voluntary life, critical illness, accident, hospital indemnity, identity theft protection, pre-tax parking, pet insurance, 529 College Savings, etc.). We also offer a strong retirement plan with employer contributions. Benefits-eligible employees accrue PTO and Paid State Sick Time based on hours worked/scheduled hours and the primary work state. Employees may also receive paid holidays, volunteer time, jury duty, bereavement leave, and more, depending on eligibility. Non-benefits eligible employees can enjoy 401(k) contributions, Paid State Sick Time, wellness and employee assistance program benefits, and other perks. Please contact your recruiter for more information. We are an equal opportunity employer CareOregon is an equal opportunity employer. The organization selects the best individual for the job based upon job related qualifications, regardless of race, color, religion, sexual orientation, national origin, gender, gender identity, gender expression, genetic information, age, veteran status, ancestry, marital status or disability. The organization will make a reasonable accommodation to known physical or mental limitations of a qualified applicant or employee with a disability unless the accommodation will impose an undue hardship on the operation of our organization.
    $139.3k-170.2k yearly Auto-Apply 8d ago
  • Chief Financial Officer - The Portland Clinic

    Health e Practices, LLC 4.1company rating

    Portland, OR job

    Health e Practices LLC, is excited to partner with The Portland Clinic to identify their next Chief Financial Officer. The following information is designed to outline the essential functions and position requirements of this job. It does not identify all tasks that may be expected, nor address the performance standards that must be maintained. Primary Function Responsible for partnering with staff and board leadership to ensure the financial success of The Portland Clinic. CFO oversees team of professionals who are responsible for the daily financial functions of the clinic. CFO analyzes current trends, proposes new tactics, measures results and recommends improvements. CFO works closely with CEO, CMO, COO, and other executives on execution of the clinic's strategic plan and is a key ex-officio member of the Executive Board of five Partner owners. Duties and Responsibilities: ( * Essential Functions) Analyze financial trends in all aspects of the clinic operation and present findings and recommendations to the executive leadership team for discernment and action.* Serve as an engaged participant on the Executive Chiefs Team, which guides the execution of The Portland Clinic Strategic Plan.* Prepare and offer timely, accurate and engaging presentations to all the Partners and Associates who attend the Quarterly Clinic Partnership meetings. Address physician questions, comments, and concerns in a timely manner.* Supervise team members as outlined in the TPC organizational chart. Ensure deadlines are met related to reporting, work queues, billing, and accuracy.* Maintain a positive team environment in these departments and conduct annual performance evaluations for all direct reports.* Serve as the clinic's chief liaison with critical contractors, including the clinic's primary bank, its outside accountant, cost reduction analysis personnel, etc.* Offer accurate, timely and insightful reports about the clinic finances to Executive Board. Also address all other issues related to finance that are on the agenda.* Supervise the preparation of the annual clinic budget. Collaborate with the controller and clinic supervisors on their portions of the budget.* Calculate and ensure the accuracy of provider compensation. Effectively communicate changes in compensation. Use the Partner/owner compensation formula to calculate pay and bonuses for all participants. Calculate quarterly the estimated retirement plan contributions for Partners.* Partner with team leaders on applications such as coverage for property, crime, D&O, Cyber, general liability, auto, and ASC.* Meet with associates interested in joining the partnership and calculate the impact of the partner formula and a comparison of their current status.* Invest monies regularly based on cash flow following the clinic's investment policy.* Collaborate closely with our outside auditors on the Clinic Annual Audit. Prepare necessary schedules and research all questions that they have based on their findings. Coordinate all tax filings with outside tax accountants.* Regularly evaluate financing options. Attend conferences and seminars that continually provide excellent information on the latest financial practices and where we can generate more revenue or save additional costs.* Regularly audit reports from health insurance plans related to risk pool settlements, to ensure their accuracy. Oversee Capital Budget requests and the process for approval, in working closely with Purchasing and the Value Analysis Team.* Oversee Portland Coordinated Care Association (PCCA). Assume projects given by the CEO or the Executive Board. Work in a cooperative manner with management/supervision, coworkers, customers, and vendors.* Abide by company policies.* Maintain regular, in person, work attendance and punctuality, as scheduled.* Other duties as assigned. Requirements: Minimum of 10 years of progressive financial management experience, ideally within a large physician-owned practice required. Minimum 2 years' experience in public accounting preferred. Bachelor's degree in healthcare administration, accounting, finance, or related field required. CPA or MBA strongly preferred. Experience/Qualifications/Skills Preferred: Experience managing finances in multi-specialty or equivalent health care business. Proven track record of producing accurate, timely, and insightful financial reporting. Strong leadership skills with experience managing and developing teams. Demonstrated ability to communicate complex financial concepts to non-financial stakeholders, particularly physician leaders or professional owners. Collaborative and strategic mindset with a commitment to teamwork and organizational success. Experience in using products such as: Microsoft Office(Excel, Work, PowerPoint, Access), Epicor Accounting Software with FRx report writer, EPIC (Electronic Health Record). Compassionate, patient, tactful, diplomatic, sociable, well organized, thorough, and independent. Planning, organizing, and delegation skills. Excellent communication skills, especially in presenting information to physicians and Executive Board. Skill in establishing and maintaining effective working relationships with Business Office, Executive Board, physicians, and other staff.
    $105k-168k yearly est. 4d ago
  • Airline Customer Service Agent

    GAT 3.8company rating

    Eugene, OR job

    As a customer service agent you are the first impression of a passengers airport experience. Customer Service positions encompass checking in and ticketing passengers, escorting passengers to and from aircraft, and resolving customer complaints. Proficient use of a computer is needed as well as EXCELLENT customer assistance to passengers. This position requires working in a fast paced environment with time constraints to meet published departure goals. A professional and positive image must be consistently displayed by the employee. Responsibilities: Able to greet and assist all customers in a prompt, friendly, and courteous manner over the phone and in person. Must be able to announce both incoming and outbound flights. Handle credit cards, and personal check transactions with accuracy and properly account for all collections and conduct the appropriate airline close out procedures. Accept and process checked baggage weighing up to 100 lbs. and placed on conveyor belts. Agents are also required to operate jetways to place them in position prior to aircraft arrival and lifting, opening, closing, and securing aircraft doors. Use airline computer systems to provide flight arrival and departure information, ticketing and flight boarding documents, lost or damaged baggage documentation, and cargo tracking information. Able to stand and work in one location for up to four hours at a time. You may be responsible for escorting unaccompanied minors and disabled passengers throughout the airport. Work independently without direct supervision. Requirements: Must be at least 18 years of age Must have a high school diploma, GED, or equivalent work experience, and a high degree of attention to detail. Ability to read, speak, and understand the English language. Ability to stand for long periods of time Must possess good communication skills and a friendly, outgoing personality in person and via telephone. Possess entry-level computer skills Occasionally lift bags or items weighing between 50 and 70 pounds Pass an extensive post offer pre-employment background check, including fingerprinting and a criminal history record check required by federal law Must be able to work nights, weekends, and holidays
    $29k-36k yearly est. 11d ago
  • Desktop support technician

    Ovation 4.6company rating

    Portland, OR job

    Job Brief:Job Role - Desktop Support Technician Job Summary Desktop Technician will provide day to day local\remote desktop support, receive inbound calls, answer questions, troubleshoot and document steps performed to resolve challenges with hardware, software and application issues in a ticketing system. The candidate will also need to facilitate customer resolution for calls and engage their supervisors and managers to ensure operational consistency across all shifts within the IT Support Center. Desktop Support Engineer provides Break Fix, fault diagnosis and resolution. Providing fault analysis to customer's various core operating systems and platforms, as well be able to provide support and apply desktop fault resolution for the approved application suite. Ideal candidate should have relevant 2-3 years' experience in Windows Desktop support. a) Provide first/second level contact and problem resolution for customer issues. b) Work with Third Party Vendors to remediate complex AV issues as needed. c) Provide timely communication on issue status and resolution. d) Maintain ticket updates for all reported incidents. e) Install, upgrade, support and troubleshoot XP, Windows 7, Windows 8.1, Windows 10 and Microsoft Office 2010, Cisco Jabber, another authorized desktop application. f) Should have basic knowledge of Mac operating system, to support Apple pc users. g) Install, upgrade, support and troubleshoot for printers, computer hardware. h) Performs general preventative maintenance tasks on computers, laptops, printers. i) Performs remedial repairs on Desktops, laptops, printers and any other authorized peripheral equipment. j) Use diagnostic tools to troubleshoot problems associated with network connectivity, and workstation hardware/software. k) Broad experience of IT with basic understanding of Networks, Servers, Audio/Visual, Smart Devices and Telecoms. l) This position requires the ability to work in a project-based environment requiring flexibility and teamwork. Performs other duties as assigned. Candidate Required Minimum Qualifications and Skills a) Bachelor's Degree or equivalent in Computer Science or related field. b) CompTIA A+, Microsoft Certified Professional (MCP) or better. c) Minimum of 18 months years of IT experience. d) Windows 7-10, Microsoft Active Directory, utilization of GPOs, MS Office 365, PC hardware installation and troubleshooting, Enterprise anti-virus solutions, Helpdesk ticketing systems. e) Mobile device management including IOS and Android devices, Enterprise encryption solutions, Windows PC/laptop management via Active Directory. f) Proven analytical, troubleshooting and problem-solving skills. g) Proven ability to multi-task, effectively determine priorities and meet SLA's. h) Excellent communication relationship-building and internal customer service skills. i) Adaptable and flexible in a fast-changing industry and work environment. j) Willing to work off-hours and weekends when required for projects or emergency support. Responsibilities: Skills Required:
    $42k-54k yearly est. 60d+ ago
  • Insurance Agent - Salem, OR

    Country Financial 4.4company rating

    Salem, OR job

    We're looking for ambitious, entrepreneurial professionals who want to own their business and help clients prepare for life's planned and unexpected moments with the right insurance products. COUNTRY Financial Insurance Agents have the opportunity and the autonomy to build a rewarding, financially stable career while enriching lives in the communities we serve. The Career Our insurance agents take a consultative approach to grow business with existing and prospective clients. As independent contractors, they are in business for themselves but not by themselves, and they: * Diversify their income through our portfolio of property and casualty, life and health lines. * Have the flexibility to manage their schedules to balance their careers and personal interests. * Educate clients and prospects about our products and services. * Collaborate with COUNTRY Trust Bank Financial Advisors to inform clients of our financial products and services. * Establish an office and build a staff. We Offer COUNTRY Financial Insurance Agents have uncapped earning potential and: * Opportunities to earn performance-based global trips and financial rewards. * Access to continued learning and marketing resources. * Affiliation with our 100-year-old brand heritage and family-focused culture that values authenticity and integrity. * There is no buy-in required. Qualifications Successful COUNTRY Financial Insurance Agents are: * Entrepreneurial, motivated, and goal driven. * A strong communicator with excellent business acumen. * Committed to linking your efforts with tangible rewards. * Passionate about making positive impacts in their communities. Required Licenses* * Property/Casualty State Insurance License* * Life/Health State Insurance License* Preferred Experience * Bachelor's Degree * 2+ years of experience in the insurance and or financial services industry * 5+ years of business ownership or managerial experience About Us COUNTRY Financial is the trade name for a collective of affiliated insurance and financial services companies. This means we have an extended family of support and a large backing. Since 1925, COUNTRY Financial has been dedicated to helping others plan for their future while also protecting what matters most to them. What started long ago as a simple commitment on Midwest farmlands has expanded to become a FORTUNE 1000 insurance and financial services organization proudly serving 19 states. Our insurance agents, financial advisors, and employees remain dedicated to serving nearly one million households with our diverse range of personal and business insurance products as and financial services products. And our consistent AM Best A+ rating means we have the financial strength to keep the promises we make to our clients. * These licenses are not required to apply; however, the candidate's ability to obtain these licenses is essential when a contract decision is made. COUNTRY Financial is the marketing name for the COUNTRY Financial family of affiliated companies (collectively, COUNTRY), which include COUNTRY Life Insurance Company, COUNTRY Mutual Insurance Company, and their respective subsidiaries, located in Bloomington, Illinois. Investment management, retirement, trust, and planning services provided by COUNTRY Trust Bank. The investment objectives, risks, charges, and expenses of an investment company should be carefully considered before investing. #LI-Agency
    $61k-100k yearly est. 60d+ ago
  • SIU Investigator - Underwriting & Premium Fraud

    CNA Financial Corp 4.6company rating

    Portland, OR job

    You have a clear vision of where your career can go. And we have the leadership to help you get there. At CNA, we strive to create a culture in which people know they matter and are part of something important, ensuring the abilities of all employees are used to their fullest potential. Under minimal direction, initiates and manages suspected fraudulent underwriting and insurance premium investigations involving the highest complexity matters. Provides advice, direction, and support to underwriters, auditors, business unit leadership, corporate investigations and other stakeholders across the organization on the detection, investigation, and litigation of suspected underwriting matters. JOB DESCRIPTION: Essential Duties & Responsibilities Performs a combination of duties in accordance with departmental guidelines: * Leads the detailed analysis and completion of thorough and timely investigations of suspected underwriting fraud by following Best Practice Guidelines and collaborating with business stakeholders. * Develops and executes investigation strategy either independently or in collaboration with underwriting professionals, counsel, experts, insureds, and other stakeholders. * Manages investigation activities independently and/or coordinates/oversees vendor service partner activities in the field. * Maintains detailed, accurate and timely case records by following established Best Practices for file documentation and by creating comprehensive reports of investigative findings, and conclusions. * Makes recommendations for resolution by presenting evidence-based findings and proposing solutions of moderate to complex scope. * Identifies opportunities and participates in the design and implementation of process or procedural improvements. * Leads or directs efforts to build and enhance and oversees organizational capabilities by developing and delivering fraud awareness or regulatory compliance training and mentoring SIU staff. * Leads or directs the preparation of cases for appropriate reporting to outside agencies; leads or directs pursuit of criminal or civil actions through gathering and documenting relevant data, organizing and summarizing facts and testifying on behalf of the company in civil or criminal matters. * Continuously develops knowledge and expertise related to insurance fraud by keeping current on related law, regulations, trends, and emerging issues and participating in insurance fraud or related professional associations. May perform additional duties as assigned. Reporting Relationship Typically Manager or Director Skills, Knowledge and Abilities * Solid knowledge of property and casualty claim handling practices * Strong technical knowledge of practices and techniques related to investigations and fact finding. For roles focused in an area of specialty (medical provider investigations), strong technical knowledge of respective specialty practices is required. * Strong interpersonal, oral, and written communication skills; ability to clearly communicate complex issues * Ability to interact and collaborate with internal and external business partners, including outside agencies * Ability to work independently, exercise good judgment, and make sound business decisions * Detail oriented with strong organization and time management skills * Strong ability to analyze complex, ambiguous matters and develop effective solutions * Proficiency with Microsoft Office applications and similar business software, and understanding of relational databases information querying techniques * Ability to adapt to change and value diverse opinions and ideas * Developing ability to implement change * Ability to travel occasionally (less than 10%) Education and Experience * Bachelor's degree or equivalent professional experience. * Minimum of three to five years of experience conducting investigations in the area of a) insurance fraud, b) law enforcement, c) civil or criminal litigation, or d) similar field. * Professional certification or designation related to fraud investigations strongly preferred (e.g., CFE, CIFI, FCLS, FCLA, or similar). #LI-AR1 #LI-Hybrid In certain jurisdictions, CNA is legally required to include a reasonable estimate of the compensation for this role. In District of Columbia, California, Colorado, Connecticut, Illinois, Maryland, Massachusetts, New York and Washington, the national base pay range for this job level is $54,000 to $103,000 annually. Salary determinations are based on various factors, including but not limited to, relevant work experience, skills, certifications and location. CNA offers a comprehensive and competitive benefits package to help our employees - and their family members - achieve their physical, financial, emotional and social wellbeing goals. For a detailed look at CNA's benefits, please visit cnabenefits.com. CNA is committed to providing reasonable accommodations to qualified individuals with disabilities in the recruitment process. To request an accommodation, please contact ***************************.
    $54k-103k yearly Auto-Apply 35d ago
  • Head of Performance Media

    Iron Horse 4.7company rating

    Portland, OR job

    Iron Horse accelerates growth for enterprise B2B brands by uniting audience-centric storytelling, precision ABM, and AI-powered optimization. As our Head of Performance Media, you'll own the strategy and day-to-day orchestration of paid programs across search, social, programmatic, and publisher channels that convert intent data into high-velocity pipeline. You'll partner with senior client stakeholders to map buying-group journeys, test boldly, and scale what works. If you're ready to push the boundaries of enterprise media with ingenuity and rigor, we'd love to meet you. You're a good fit for Iron Horse if: You thrive on blending high-level strategy with hands-on platform work, expertly manage large media budgets, and ground every decision in data. Rapid, well-designed experiments energize you, and you collaborate seamlessly with diverse teammates and vendor partners. You always bring an empathetic, “let's-figure-it-out” mindset that turns thorny growth challenges into measurable wins. We're a good fit for you if: You're driven by integrating data from ad platforms, ABM tools, intent providers, and MAP/CRM systems to craft cohesive buyer experiences. You welcome transparent debate, chase AI growth hacks and new media channels before they're mainstream, and gain real satisfaction from elevating both clients and colleagues. What You'll Do Design full-funnel paid-media strategies across search, social, programmatic, publisher, and emerging channels Refine ICPs/personas and map full-funnel journeys in partnership with Strategy and Content teams Build AI-assisted playbooks and automations that cut campaign launch time by ≥ 30 % Translate Demandbase and ZoomInfo signals into hyper-targeted ABM plays and budget optimizations Manage publisher and community buys and own content-syndication vendor strategy Present clear forecasts and performance stories to VP/C-suite client stakeholders Mentor media operations specialists; enforce rigorous testing, attribution, and reporting cadences Pilot new formats (CTV, conversational ads, Gen-AI creative) that lift engagement by ≥ 15% What We're Looking For Experience & Skills 5+ yrs growth/performance marketing for enterprise tech or SaaS brands 3+ yrs building integrated ABM programs with omni-channel execution Proven success with B2B social lead-gen, content syndication, programmatic, and publisher programs. Experience managing publisher & community partners (e.g., TechTarget, Intentsify) Proven success integrating intent-data (Bombora, G2) and content-syndication feeds into ABM orchestration Experience wiring ad-platform data into Marketo, HubSpot and Salesforce for closed-loop ROI reporting Hands-on fluency with Demandbase, ZoomInfo, LinkedIn, Meta, Google Ads, DV360 and analytics stacks Demonstrated use of AI (predictive audiences, copy variants, LLM prompt chains, analytics) to boost performance and efficiency Mindset & Traits Systems thinker who connects data, tools, and teams Relentless experimenter always chasing the next unlocked edge Clear, ego-free communicator who makes the complex simple Bonus Points Hands-on management of ≥ $1 M quarterly paid-media budgets for enterprise tech brands Certifications: Demandbase One Foundations, 6sense ABX, ZoomInfo MarketingOS, LinkedIn Marketing Labs “Advanced”, and Google Marketing Platform Key Role Details This position is open only to candidates who reside in the United States and are already legally authorized to work here on a full-time basis. Iron Horse is unable to sponsor or take over sponsorship of employment visas now or in the future. This position is remote but requires availability during standard U.S. business hours (typically 9:00 a.m. to 5:00 p.m. in your designated time zone). Occasional flexibility may be needed based on team collaboration needs. Periodic travel may be required for team meet-ups, training, or in-person meetings, typically with advance notice. This role is eligible for a discretionary annual bonus and a comprehensive benefits package, including medical, dental, vision insurance, paid time off, 401(k), basic life insurance, Flexible Savings Account, long and short-term disability insurance. Iron Horse is an equal opportunity employer.
    $51k-77k yearly est. Auto-Apply 14d ago
  • Intensive Care Coordinator

    Careoregon 4.5company rating

    Careoregon job in Portland, OR

    --------------------------------------------------------------- The Intensive Care Coordinator (ICC) is responsible for developing and implementing member-centric, individualized care plans and providing telephonic and community-based care coordination for members with high health care needs, including members with complex behavioral concerns, severe and persistent mental illness, substance use disorders, and/or receiving facility based, in-home or community-based psychiatric services. The ICC utilizes clinical expertise in behavioral health conditions and knowledge regarding the adult and children's system of care to provide coordination that is member driven, strengths based, and culturally and linguistically appropriate. The ICC acts as the primary care coordination liaison for providers working with members involved in, on waitlists for, or who may qualify for, Wraparound or Choice Model Services. NOTE: This hybrid role averages 2-3 partial days per week in the community, with the remainder of work done remotely from home. Estimated Hiring Range: $81,000.00 - $99,000.00 Bonus Target: Bonus - SIP Target, 5% Annual Current CareOregon Employees: Please use the internal Workday site to submit an application for this job. --------------------------------------------------------------- Essential Responsibilities Assessment and Care Planning * Assess for and identify care coordination needs. * Identify risk factors and service needs that may impact member outcomes and address appropriately. * Utilize a trauma-informed approach to provide member-centric care and support. * Assist in helping members move through the continuum of care based on clinical/medical need. * Coordinate with providers to ensure consideration is given to unique needs in integrated planning and that care plans are timely and effective. * Identify suspected abuse and neglect issues and appropriately report to mandated authorities. * Implement care coordination plan in collaboration with member, providers, case workers and other relevant parties. * Work closely and collaborate with behavioral health treatment providers, crisis services, Developmental Disability, APD, DHS, etc. Intensive Care Coordination * Provide telephonic and community-based care coordination to eligible members and families. * Provide support and coordination for members receiving treatment in the higher levels of behavioral health care such as psychiatric residential treatment, intensive community based or psychiatric day treatment. * Ensure treatment recommendations are understood by the member and provider and assist members through transitions to the next level of care or treatment provider. * Facilitate communication between members, their support systems other community-based partners and clinical care providers and ensure care plans are shared, as appropriate. * Forward relevant information of members requiring special consideration of benefits to Medical Management Review RNs or to affiliated CareOregon programs. * Serve as a resource to the organization on mental health and substance use topics and issues. * Accept assignment of and maintain a caseload of members. * Effectively coordinate an interdisciplinary team for integrated care plan support of complex members. * May participate in monthly state hospital IDT meetings as well as discharge planning meetings. * Participate in CCO/APD IDT meetings to coordinate care services for OHP members in long term care services. * Collaborate with community providers, state and county case workers, community partners, vendors, agencies, Choice contractors, wraparound teams, and other relevant parties * Provide direction as appropriate to non-clinical Care Coordination staff involved with the member Transition Assistance * Assist in transition/discharge planning for members discharging from acute care settings or those who are transitioning from long term care, the Oregon State Hospital or other residential facilities to ensure a smooth transition back to community-based supports. * Ensure discharge/transition plans are evaluated holistically from physical and behavioral health perspectives. * Ensure members on the state hospital Ready to Transition (RTT) list are prioritized for referral into appropriate transition setting through collaboration with and community partners including the CHOICE ENCC. * May compile and distribute referral packets to residential and foster care facilities as needed. * Coordinate care for members residing outside of service area as required in contract. Compliance * Maintain unit compliance with Coordinated Care Organization requirements. * Maintain tracking data for program evaluation and reporting purposes. * Maintain timely and accurate documentation about each member per program policies and procedures. * Maintain working knowledge of COA and OHP benefits, including Addictions and Mental health benefits. * Report member complaints to Appeals and Grievance team for investigation and follow-up, per protocol. * Participate in quality and organizational process improvement activities and teams when requested. * Assist Quality Assurance (QA) staff in identifying behavioral health providers with practice patterns which are not in conformity to best practice standards. * Maintain unit compliance with the Model of Care requirements if applicable. Organizational Responsibilities * Perform work in alignment with the organization's mission, vision and values. * Support the organization's commitment to equity, diversity and inclusion by fostering a culture of open mindedness, cultural awareness, compassion and respect for all individuals. * Strive to meet annual business goals in support of the organization's strategic goals. * Adhere to the organization's policies, procedures and other relevant compliance needs. * Perform other duties as needed. Experience and/or Education Required * Master's degree in social work, counseling or other behavioral health field * Minimum 2 years' experience in mental health and/or drug and alcohol treatment for the population being served * Valid driver's license, acceptable driving record, and automobile liability coverage or access to an insured vehicle Preferred * Experience with a similar population in health plan case management/care coordination or behavioral health integration in a person-centered primary care home, experience administering the Oregon Health Plan (OHP) (Medicaid) and the Centers for Medicare and Medicaid Services (CMS) (Medicare) benefits * Related experience in the use of Motivational Interviewing (MI) * Licensed Clinical Social Worker (LCSW), Licensed Professional Counselor (LPC), or equivalent * Certification as CCM (Certified Case Manager) and/or Certified Alcohol Drug Counselor II or III (CADC II or III) Knowledge, Skills and Abilities Required Knowledge * Knowledge of current version of the Diagnostic and Statistical Manual of Mental Disorders (DSM) criteria for mental health and substance dependence/abuse diagnoses, ASAM (American Society of Addiction Medicine) criteria for alcohol and/or drug dependence treatment and Mental health * Knowledge of best practices and treatment modalities * Knowledge of co-morbidities that indicate potential for psychiatric de-compensation and/or relapse * Knowledge of side effects of psychotropic medications that may impact health status and adherence with treatment recommendations and behavioral health integration in primary care settings * Knowledge of the Oregon Health Plan benefit package, eligibility categories, and Oregon Medical Assistance Program (MAP) rules and regulations * Knowledge of Medicare parts A and B benefit packages and the Centers for Medicare and Medicaid Services (CMS) rules and regulations and community resources * Knowledge of community resources Skills and Abilities * Ability to exercise sound clinical judgment, independent analysis, critical thinking skills, and knowledge of behavioral health conditions to link members with appropriate providers * Ability to meet department standards for competency in the use of motivational interviewing within 12 months of hire, collaborate with members, providers, and community partners to develop plans to address complex care needs and monitor and evaluate a plan of care for optimal outcomes * Ability to work in an environment with diverse individuals and groups * Ability to establish collaborative relationships and effectively lead a multidisciplinary team * Ability to manage multiple tasks and to remain flexible in a dynamic work environment and work autonomously and effectively set priorities * Ability to participate in work-related continuing education when offered or directed * Ability to provide excellent customer service and verbal and written communication * Basic word processing skills * Ability to learn, focus, understand, and evaluate information and determine appropriate actions * Ability to accept direction and feedback, as well as tolerate and manage stress * Ability to see, read, hear, speak clearly, and perform repetitive finger and wrist movement for at least 6 hours/day * Ability to operate a motor vehicle Working Conditions Work Environment(s): ☒ Indoor/Office ☒ Community ☐ Facilities/Security ☒ Outdoor Exposure Member/Patient Facing: ☐ No ☒ Telephonic ☒ In Person Hazards: May include, but not limited to, physical, ergonomic, and biological hazards. Equipment: General office equipment and/or mobile technology Travel: Requires travel outside of the workplace at least weekly; the employee's personal vehicle may be used. Driving infractions will be monitored in accordance with organizational policy. If you receive an offer of employment for this position, it is contingent on the satisfactory completion of a pre-employment background check, immunization review, and drug screen (including THC/Marijuana). CareOregon is a federal contractor and must comply with all federal laws. If you receive an offer of employment for this position, it is contingent on the satisfactory completion of a pre-employment background check, immunization review, and drug screen (including THC/Marijuana). CareOregon is a federal contractor and must comply with all federal laws. We offer a strong Total Rewards Program. This includes competitive pay, bonus opportunity, and a comprehensive benefits package. Eligibility for bonuses and benefits is dependent on factors such as the position type and the number of scheduled weekly hours. Benefits-eligible employees qualify for benefits beginning on the first of the month on or after their start date. CareOregon offers medical, dental, vision, life, AD&D, and disability insurance, as well as health savings account, flexible spending account(s), lifestyle spending account, employee assistance program, wellness program, discounts, and multiple supplemental benefits (e.g., voluntary life, critical illness, accident, hospital indemnity, identity theft protection, pre-tax parking, pet insurance, 529 College Savings, etc.). We also offer a strong retirement plan with employer contributions. Benefits-eligible employees accrue PTO and Paid State Sick Time based on hours worked/scheduled hours and the primary work state. Employees may also receive paid holidays, volunteer time, jury duty, bereavement leave, and more, depending on eligibility. Non-benefits eligible employees can enjoy 401(k) contributions, Paid State Sick Time, wellness and employee assistance program benefits, and other perks. Please contact your recruiter for more information. We are an equal opportunity employer CareOregon is an equal opportunity employer. The organization selects the best individual for the job based upon job related qualifications, regardless of race, color, religion, sexual orientation, national origin, gender, gender identity, gender expression, genetic information, age, veteran status, ancestry, marital status or disability. The organization will make a reasonable accommodation to known physical or mental limitations of a qualified applicant or employee with a disability unless the accommodation will impose an undue hardship on the operation of our organization.
    $81k-99k yearly Auto-Apply 28d ago
  • Hospice Aide / CNA

    Careoregon 4.5company rating

    Careoregon job in Portland, OR

    --------------------------------------------------------------- The Hospice Aide is responsible for assisting with activities of daily living and providing personal care for patients in accordance with the individualized patient plan of care and under the direction and supervision of a Registered Nurse. This position may also assist with office/administrative needs. NOTE: The schedule is Sunday through Thursday. The service area would be Forest Grove, Aloha, and Hillsboro. Estimated Hiring Range: $22.82 - $27.89 Bonus Target: Bonus - SIP Target, 5% Annual Current CareOregon Employees: Please use the internal Workday site to submit an application for this job. --------------------------------------------------------------- Essential Responsibilities Patient Assistance * Provide personal care to the patient in a compassionate and understanding manner consistent with hospice philosophy while respecting dignity and rights of the patient. * Under the written and/or verbal direction of the RN, the Hospice Aide may perform the following duties: o Provide personal care such as, but not limited to, a bed bath, shower or tub bath, oral care, skin and foot care. o Provide good body alignment, positioning, and range of motion exercises for non-ambulatory patients. o Assist with routine foley catheter care and empties collection device. o Obtain vital signs. o Provide respite care while primary caregiver is absent. o Provides adjunct care such as enemas, and dressing changes per delegation from RN. o Recognizes changes in patient's condition and reports to RN. o Perform light housekeeping and other duties as determined by patient/family or as assigned by a registered nurse. o Provide a clean, safe and healthy environment for patients, utilizing infection control measures appropriately. Note: Never performs procedures and treatments not qualified to perform. * Attend Interdisciplinary Group (IDG) meetings and participate in care planning for assigned patients. * Consult with registered nurse to obtain instructions and supervision as necessary. * Remain current on all relevant rules and regulations. Administrative Support * Provide office/administrative support as needed. * Attend staff and mandatory in-services meetings. Experience and/or Education Required * Current Certified Nursing Assistant certificate * Valid driver's license, acceptable driving record, and automobile liability coverage or access to an insured vehicle * CPR certification at hire or within 6 months in position * Experience working with electronic medical records Preferred * Previous work experience in hospice, home health or long-term care and/or completion of a comprehensive hospice training program * Experience in an office-based setting including clerical and computer work Knowledge, Skills and Abilities Required Knowledge * Knowledgeable of hospice philosophy and understanding the needs of and working with patients in a hospice setting * Knowledge of Federal, State and Local regulations, Hospice Medicare Conditions of Participation, and HIPAA privacy rules and regulations Skills and Abilities * Practice within the scope of license, certification or registration, where applicable, and as required by law and regulation * Excellent interpersonal skills * Excellent problem-solving skills * Ability to adhere to organizational standards, policies and procedures * Ability to work both independently and collaboratively * Ability to work under pressure to meet deadlines * Ability to take initiative and utilize innovative techniques and ingenuity * Ability to interact with various departments throughout the organization * Ability to work flexible hours, including weekend daytime shifts as needed * Ability to plan, prioritize and coordinate multiple projects or tasks * Skilled in proper body mechanics, including patient transfers, turning, and re-positioning * Computer skills, including the ability to navigate between different programs such as email, faxing, PDF, and Microsoft Word * Ability to use good judgment, personal initiative and discretion to perform job responsibilities * Ability to communicate effectively with diverse staff and patients, their families and caregivers * Ability to tolerate grief * Ability to work effectively with diverse individuals and groups * Ability to learn, focus, understand, and evaluate information and determine appropriate actions * Ability to accept direction and feedback, as well as tolerate and manage stress * Ability to see, read, hear and speak clearly for at least 6 hours/day * Ability to stand, walk, sit and perform repetitive finger and wrist movement for at least 3-6 hours/day * Ability to lift, carry, push, pull, climb stairs, bend and/or pinch small objects for up to 3 hours/day * Ability to operate a motorized vehicle in all kinds of weather conditions Working Conditions Work Environment(s): ☒ Indoor/Office ☒ Community ☐ Facilities/Security ☒ Outdoor Exposure Member/Patient Facing: ☐ No ☒ Telephonic ☒ In Person Hazards: May include, but not limited to, physical, ergonomic, and biological hazards. Equipment: General office equipment and/or mobile technology Travel: Requires travel outside of the workplace at least weekly; the employee's personal vehicle may be used. Driving may be required in all kinds of weather conditions. Driving infractions will be monitored in accordance with organizational policy. Schedule: This position may occasionally require more than 8 hours per day If you receive an offer of employment for this position, it is contingent on the satisfactory completion of a pre-employment background check, immunization review, and drug screen (including THC/Marijuana). CareOregon is a federal contractor and must comply with all federal laws. We offer a strong Total Rewards Program. This includes competitive pay, bonus opportunity, and a comprehensive benefits package. Eligibility for bonuses and benefits is dependent on factors such as the position type and the number of scheduled weekly hours. Benefits-eligible employees qualify for benefits beginning on the first of the month on or after their start date. Housecall Providers offers medical, dental, vision, life, AD&D, and disability insurance, as well as health savings account, flexible spending account(s), lifestyle spending account, employee assistance program, wellness program, discounts, and multiple supplemental benefits (e.g., voluntary life, critical illness, accident, hospital indemnity, identity theft protection, pre-tax parking, pet insurance, 529 College Savings, etc.). We also offer a strong retirement plan with employer contributions. Benefits-eligible employees accrue PTO and Paid State Sick Time based on hours worked/scheduled hours and the primary work state. Employees may also receive paid holidays, volunteer time, jury duty, bereavement leave, and more, depending on eligibility. Non-benefits eligible employees can enjoy 401(k) contributions, Paid State Sick Time, wellness and employee assistance program benefits, and other perks. Please contact your recruiter for more information. We are an equal opportunity employer Housecall Providers is an equal opportunity employer. The organization selects the best individual for the job based upon job related qualifications, regardless of race, color, religion, sexual orientation, national origin, gender, gender identity, gender expression, genetic information, age, veteran status, ancestry, marital status or disability. The organization will make a reasonable accommodation to known physical or mental limitations of a qualified applicant or employee with a disability unless the accommodation will impose an undue hardship on the operation of our organization.
    $22.8-27.9 hourly Auto-Apply 8d ago
  • Account Protection Advisor

    The Strickland Group 3.7company rating

    Salem, OR job

    Join Our Dynamic Insurance Team - Unlock Your Potential! Are you ready to take control of your future and build a career in one of the most stable and lucrative industries? We are seeking driven individuals to join our thriving insurance team, where you'll receive top-tier training, support, and unlimited income potential. NOW HIRING: ✅ Licensed Life & Health Agents ✅ Unlicensed Individuals (We'll guide you through the licensing process!) We're looking for our next leaders-those who want to build a career or an impactful part-time income stream. Is This You? ✔ Willing to work hard and commit for long-term success? ✔ Ready to invest in yourself and your business? ✔ Self-motivated and disciplined, even when no one is watching? ✔ Coachable and eager to learn? ✔ Interested in a business that is both recession- and pandemic-proof? If you answered YES to any of these, keep reading! Why Choose Us? 💼 Work from anywhere - full-time or part-time, set your own schedule. 💰 Uncapped earning potential - Part-time: $40,000 - $60,000 /month | Full-time: $70,000 - $150,000+++/month. 📈 No cold calling - You'll only assist individuals who have already requested help. ❌ No sales quotas, no pressure, no pushy tactics. 🧑 🏫 World-class training & mentorship - Learn directly from top agents. 🎯 Daily pay from the insurance carriers you work with. 🎁 Bonuses & incentives - Earn commissions starting at 80% (most carriers) + salary 🏆 Ownership opportunities - Build your own agency (if desired). 🏥 Health insurance available for qualified agents. 🚀 This is your chance to take back control, build a rewarding career, and create real financial freedom. 👉 Apply today and start your journey in financial services! ( Results may vary. Your success depends on effort, skill, and commitment to training and sales systems. )
    $70k-150k yearly Auto-Apply 60d+ ago
  • Enrollment and Billing Representative

    Pacificsource Health Plans 3.9company rating

    Bend, OR job

    Looking for a way to make an impact and help people? Join PacificSource and help our members access quality, affordable care! PacificSource is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status, such as race, religion, color, sex, sexual orientation, gender identity, national origin, genetic information or age. PacificSource values the diversity of our community, including those we hire and serve. We are committed to creating and fostering a work environment in which individual differences and diversity are appreciated, respected and responded to in ways that fully develop and utilize each person's talents and strengths. This position follows established policies and procedures to process a multitude of transactions for Government line of business including but not limited to: demographic updates, notification letters, enrollments, disenrollments, reinstatements, and plan changes. Essential Responsibilities: Process daily returned mail, making any related changes in EAM & Facets contacting the member if needed, and resending documents or processing as required by CMS. Manually create and send Out of Area letters to members who may have moved out of the service area. Research, make changes, and/or complete any Call Tracks regarding enrollment/membership in Facets. Respond to any inquires received via phone calls, e-mails, etc, researching or providing info needed or making any necessary changes to member files as needed for the Government line of business. Add or correct member data in our pharmacy vendor database. Process all Medicare membership enrollment, plan changes, facilitated enrollments and reinstatements. Review the daily EAM Validation report and make corrections as necessary. Process all Medicare membership cancellation of enrollments, cancellation of disenrollment's and death notifications. Process the CMS Enrollment Data Verification monthly audit for address and enrollment updates. Answer Queue Customer Service calls for Medicaid/Medicare members regarding eligibility. Submit miscellaneous transactions to CMS daily as needed. Respond to insurance verification requests for Medicare members. Perform scanning and key wording of ROI's/POA's in to Onbase for the Government line of business. Load ROI/POA documentation in to Facets. Work the monthly P2P report for Accounts Payable Download CMS applications, upload electronic applications in to EAM, save applications and perform indexing of applications in onbase. Process all Medicare COB. Send COB letters to members, update Facets and the COB database and submit member information backs to ECRS. Supporting Responsibilities: Follow company and department policies. Meet department and company performance and attendance expectations. Provide backup support for other members of the enrollment team. Ability to judge severity of problems and the need to escalate to peers and/or management. Support and participate in continuous improvement initiatives. Maintain professional, service oriented relationships. Follow the PacificSource privacy policy and HIPAA laws and regulations concerning confidentiality and security of protected health information. Perform other duties as assigned. Work Experience: Minimum 2 years of administrative experience with at least 1 year in health insurance billing or related healthcare experience required. Demonstrated ability to work efficiently and effectively with a high attention to detail. Education, Certificates, Licenses: High School Diploma or equivalent required. Knowledge: Ability to understand and interpret Federal and Oregon State laws and contract provisions. Proficiency in Microsoft Applications. Demonstrated organizational and time management skills. Requires keyboarding and 10-key skills. Experience with problem solving and ability to read system reports. Competencies: Building Customer Loyalty Building Strategic Work Relationships Contributing to Team Success Planning and Organizing Continuous Improvement Adaptability Building Trust Work Standards Environment: Work inside in a general office setting with ergonomically configured equipment. Travel expected less than 5% of the time. Skills: Accountability, Collaboration, Communication (written/verbal), Flexibility, Listening (active), Organizational skills/Planning and Organization, Problem Solving, Teamwork Compensation Disclaimer The wage range provided reflects the full range for this position. The maximum amount listed represents the highest possible salary for the role and should not be interpreted as a typical starting wage. Actual compensation will be determined based on factors such as qualifications, experience, education, and internal equity. Please note that the stated range is for informational purposes only and does not constitute a guarantee of any specific salary within that range. Base Range: $32,311.65 - $51,698.64Our Values We live and breathe our values. In fact, our culture is driven by these seven core values which guide us in how we do business: We are committed to doing the right thing. We are one team working toward a common goal. We are each responsible for customer service. We practice open communication at all levels of the company to foster individual, team and company growth. We actively participate in efforts to improve our many communities-internally and externally. We actively work to advance social justice, equity, diversity and inclusion in our workplace, the healthcare system and community. We encourage creativity, innovation, and the pursuit of excellence. Physical Requirements: Stoop and bend. Sit and/or stand for extended periods of time while performing core job functions. Repetitive motions to include typing, sorting and filing. Light lifting and carrying of files and business materials. Ability to read and comprehend both written and spoken English. Communicate clearly and effectively. Disclaimer: This job description indicates the general nature and level of work performed by employees within this position and is subject to change. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications required of employees assigned to this position. Employment remains AT-WILL at all times.
    $36k-41k yearly est. Auto-Apply 7d ago
  • Appeals Clinical Team Lead

    Pacificsource 3.9company rating

    Springfield, OR job

    Looking for a way to make an impact and help people? Join PacificSource and help our members access quality, affordable care! PacificSource is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status, such as race, religion, color, sex, sexual orientation, gender identity, national origin, genetic information or age. PacificSource values the diversity of our community, including those we hire and serve. We are committed to creating and fostering a work environment in which individual differences and diversity are appreciated, respected and responded to in ways that fully develop and utilize each person's talents and strengths. Accountable for the effective management of appeals clinical staff. Responsible for hiring, training, coaching, counseling, and evaluating team member performance. May be called upon to perform routine day-to-day program functions. Actively participate in program development and implementation. Supervise and provide guidance to direct reports and other department staff regarding company policies, procedures, and operations. Manage the quality and productivity of team tasks and workflow as they relate to both assigned functions and the overall effectiveness of the Health Services team. Work to resolve issues and improve processes and outcomes. Essential Responsibilities: Take a leadership role in the development, implementation, and ongoing operation and maintenance of assigned programs, services, or functions. Improve the performance of the department through effective oversight and coaching of team members, managing team performance and improving processes and outcomes. Monitor daily workflow and caseloads and other work processes of team to assure appropriate distribution and processing of tasks. Responsible for the orientation and training of new hires. Provide ongoing supervision, training, evaluation, and leadership to assigned team members. This may include annual reviews, involvement in promotions and/or terminations of employees. Participate in hiring decisions in concert with Appeals and Grievance Director and HR. Monitor and evaluate team assignments relating to volumes, timelines, accuracy, customer service, and other quality and performance measures, and take actions as appropriate. Assist with process improvement and work with other departments to improve interdepartmental processes. Utilize LEAN methodologies for continuous improvement. Monitor key performance indicators and identify improvement opportunities. Serve as liaison with other PacificSource departments or community partners to coordinate optimal provision of service and information. Serve on various internal and external committees as required or designated. Document and report any pertinent communications back to the team or department. Utilize and promote use of evidence-based medical criteria. Maintain modified caseload consistent with assigned responsibilities. Facilitate investigation and resolution of process-related issues as needed. Facilitate conflict resolution, including interfacing with affected departments and individuals, as appropriate. Oversee and assist in providing exceptional service and information to members, providers, employers, agents, and other external and internal customers. Provide backup to other departmental teams or management staff, as needed. Supporting Responsibilities: Meet department and company performance and attendance expectations. Relate new or revised policies, procedures and/or processes to team members to ensure they have the most up‐to‐date and current information. Facilitate team operations by discussions through the sharing of information and knowledge, identification of teamwork issues, development of problem‐solving recommendations, and recommendations of standardizing Health Services operations. Represent the Appeals and Grievance Department, both internally and externally, as requested by Appeals and Grievance Manager and/or Director. Perform other duties as assigned. Work Experience: A minimum of five years clinical experience required. Minimum of three years direct health plan experience in the following areas: utilization management, grievance and appeal, or claims review strongly preferred. Prior supervisory experience preferred. Education, Certificates, Licenses: Registered Nurse/Licensed Social Worker with current appropriate unrestricted state license. Within 6 months of hire licensure may need to include Oregon, Montana, Idaho, Washington and/or other states as needed. Knowledge: Knowledge of health insurance and state mandated benefits. Thorough knowledge and understanding of medical procedures, diagnoses, care modalities, procedure codes (including ICD-10, HCPC CPT codes). Effective adult education/teaching and/or group leadership skills. Ability to deal effectively with people who have various health issues and concerns. Strong analytical and organizational skills with experience in using information systems and computer applications. Flexible to meet the departments changing needs Ability to develop, review, and evaluate utilization and case management reports. Good computer skills including experience with Word, Excel, and PowerPoint. Ability to use audio-visual equipment. Ability to work independently with minimal supervision. Competencies Building Trust Building a Successful Team Aligning Performance for Success Building Customer Loyalty Building Strategic Work Relationships Continuous Improvement Decision Making Facilitating Change Leveraging Diversity Driving for Results Environment: Work inside in a general office setting with ergonomically configured equipment. Travel is required approximately 5% of the time. Skills: Accountable leadership, Collaboration, Communication (written/verbal), Critical Thinking, Decision Making, Influencing, Listening (active), Organizational skills/Planning and Organization Our Values We live and breathe our values. In fact, our culture is driven by these seven core values which guide us in how we do business: We are committed to doing the right thing. We are one team working toward a common goal. We are each responsible for customer service. We practice open communication at all levels of the company to foster individual, team and company growth. We actively participate in efforts to improve our many communities-internally and externally. We actively work to advance social justice, equity, diversity and inclusion in our workplace, the healthcare system and community. We encourage creativity, innovation, and the pursuit of excellence. Physical Requirements: Stoop and bend. Sit and/or stand for extended periods of time while performing core job functions. Repetitive motions to include typing, sorting and filing. Light lifting and carrying of files and business materials. Ability to read and comprehend both written and spoken English. Communicate clearly and effectively. Disclaimer: This job description indicates the general nature and level of work performed by employees within this position and is subject to change. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications required of employees assigned to this position. Employment remains AT-WILL at all times.
    $69k-97k yearly est. Auto-Apply 45d ago
  • Quality Improvement Coordinator

    Allcare Management Services 4.0company rating

    Grants Pass, OR job

    Quality Improvement Coordinator at AllCare Health with the AllCare Medical Group team in Grants Pass, Oregon We Are Seeking Qualified Candidates to Join Our Team! AllCare Health offers competitive wages, an excellent benefits package including affordable healthcare, 401k retirement, wellness programs, and flexible schedule options. Summary of the Position The Quality Improvement (QI) Coordinator supports the success of value-based care initiatives across all clinic sites by coordinating quality workflows, closing care gaps, and ensuring accurate documentation of payer-required measures. This role works closely with clinic teams, providers, billing, and EHR optimization staff to monitor performance, implement standardized processes, and improve outcomes tied to CCO, Medicare, Medicaid, PCPCH, and commercial payer programs. This position plays a key role in driving patient outreach, improving compliance, increasing incentive performance, and strengthening population health initiatives across the organization. Essential Duties Supports payer quality programs including PCPCH, Medicaid CCO measures, Medicare Advantage, HEDIS, and commercial value-based contracts. Tracks and monitors care gaps, performance measures, and documentation requirements across all sites. Coordinates standardized workflows to ensure quality measures are consistently addressed and closed. Reviews payer gap lists, registries, and dashboards to identify patients needing outreach or services. Coordinates outreach efforts using EHR, Phreesia, and population health tools. Supports clinic teams with scheduling, documentation, and patient education processes related to quality measures. Job Duties Reporting & Performance Monitoring Monitors quality dashboards and payer reports to identify trends, gaps, and improvement opportunities. Prepares site-level and provider-level performance summaries. Assists with audits, payer validation requests, and documentation reviews. Workflow & Training Support Provides training and support to clinic teams on quality workflows, documentation standards, and payer expectations. Supports onboarding and ongoing education related to quality programs. Develops job aids, tip sheets, and reference guides. Compliance & Documentation Ensures clinical documentation meets payer and regulatory requirements. Assists with internal audits to verify documentation accuracy and completeness. Coordinates corrective action workflows when gaps or compliance risks are identified. Collaboration & Improvement Works closely with Clinical Supervisors, Clinic Managers, Providers, Billing, and IT/EHR teams. Participates in performance improvement initiatives and population health planning. Contributes to standardization of workflows across all clinic sites. Data Integrity & Compliance Ensure proper use of CPT-II codes, incentives, and documentation elements required for performance programs. Support accurate documentation for HCC, preventive care, immunizations, labs, and other data-driven initiatives. Other Duties Maintains punctual, regular and predictable attendance. Works collaboratively in a team environment with a spirit of cooperation. Respectfully takes direction from leadership. Meets all required training including those listed in Relias Learning Module System (LMS). Performs other duties as assigned. On Call Responsibilities This position does not have any on call responsibilities. Supervisory Responsibilities This position does not have any supervisory responsibilities. Job Requirements May require the use of personal vehicle for local travel (subject to mileage reimbursement). Qualifications Ability to perform essential job duties with or without reasonable accommodation and without posing a direct threat to safety or health of employee or others. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential duties. Being bilingual in another language, including American Sign Language (ASL), is an invaluable skill that enhances our ability to deliver culturally responsive care. We strongly encourage you to apply if you are bilingual. All relevant experience can be listed in your resume to perform essential duties of the position including the following: lived, volunteer, professional, or a combination of experience and education. Education High school diploma or general education degree (GED). Experience Familiarity with PCPCH, Medicaid CCO, Medicare Advantage, HEDIS, or value-based care models. Previous involvement in audits, outreach programs, or quality initiatives. Previous medical office experience (minimum 1 year) in a clinic, medical group, or healthcare organization. Certificates, Licenses, and/or Registrations Valid Oregon Driver's License and vehicle insurance. Technical Skills Familiarity with the Healthcare industry. Exceptional writing, editing, and proofreading skills. Excellent organization and time-management skills. Excellent computer skills, including the Microsoft Office Suite (Outlook, Word, PowerPoint, and Excel). Knowledge of and compliance with HIPAA regulations. Knowledge of operating systems, programming languages, software programs, networks and other technologies. Knowledge of project management and/or change management. Excellent at identifying and implementing improvement activities and ensuring excellence. Excellent at breaking a project into definable and measurable tasks and tracking progress to completion. Excellent at interpreting data and using it to solve problems and gain new insights. Knowledge of customer service and service recovery best practices. Knowledge of training best practices and adult learning principles. Interpersonal Skills Demonstrate accountability, inspiring trust and confidence from others. Self-resolve most conflicts or misunderstandings with minimal need for direct supervision. Work with high initiative, energy and effectiveness in a fast-past environment. Effectively and professionally communicate with team members and customers. Collaborate within a multidisciplinary, diverse team to provide professional service. Interact positively with customers to satisfy needs and resolve problems in a pleasant and professional manner. Prioritize and organize work according to competing timelines. Allocate your time so that you can complete tasks within established deadlines. Adapt to change, learn quickly, and work with ambiguity. Use creativity and resourcefulness to solve new problems. Cope and self-manage during stressful situations. Maintain an attentive and empathetic demeanor. Maintain a high degree of professionalism and confidentiality. Effectively work with people with mental illness and from diverse backgrounds and experiences. Provide respectful and understanding service to customers within a multicultural environment. Create a pleasant experience for all customers, such as being personable and attentive. Meet timelines for goals safely and with high level of quality. Negotiate, consider many viewpoints and settle differences quickly. Make decisions independently in accordance with established policies and procedures. Take initiative and apply sound judgment in completing tasks and responsibilities. Seek out information to learn more about our environment and community. Examine and shift behaviors, as appropriate. Commit to being culturally aware. Language Skills Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Ability to write routine reports and correspondence. Ability to speak effectively before groups of customers or employees of organization. Mathematical Skills Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, percentages, area, circumference, and volume. Ability to apply concepts of basic algebra and geometry. Computer Skills Job requires specialized computer skills. Must be adept at using various applications including database, spreadsheet, report writing, project management, graphics, word processing, presentation creation/editing, communicate by e-mail and use scheduling software. Reasoning Ability Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form. Ability to work with problems involving several concrete variables in standardized situations. Physical Demands & Work Environment The physical demands described here are representative of those that must be met by an employee to successfully perform the essential duties of this job. The work environment characteristics described here are representative of those an employee encounters while performing the essential duties of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential duties. The employee must occasionally lift and/or move up to 10 pounds. While performing the duties of this job, the employee is regularly required to sit; use hands to finger, handle, or feel and talk or hear. The employee is occasionally required to stand; walk and reach with hands and arms. The noise level in the work environment is usually moderate. The employee must be able to work onsite for all scheduled shifts. The employee must be able to travel locally, as needed. Company Overview AllCare Health Website: ****************************** AllCare Health is incorporated as an Oregon Benefit Corporation and has earned the coveted Certified B Corp status since 2017. As such, AllCare Health considers its impact on community, society, and the environment in all business decisions. We have long recognized the value in social, economic, and environmental concerns of our employees, customers, and community members. (Learn more about B Corps at *************************************** AllCare Health headquarters are located in Grants Pass in Southern Oregon on the Rogue River, surrounded by mountains, forests, small farms, and breathtaking views. This thriving and energetic community is ideal for families and outdoor enthusiasts, with a temperate Pacific Northwest climate. We enjoy easy access to outdoor sports and recreation, river rafting, fishing, hiking, biking, wineries, outdoor concerts, the world-famous Ashland Shakespeare Festival, the stunning Oregon coast, magnificent redwood forests, pristine beaches, and much more. The AllCare Health family of businesses is guided by our corporate principles: Purpose | Working together with our communities to improve the health and well-being of everyone. Values | Trust, Innovation, Relationships, and Voice. Vision | Thriving, Inclusive, and Equitable communities. Brand Promise | Changing Healthcare to Work for You. AllCare Health is dedicated to building a diverse and authentic workplace centered in belonging and serving our growing community. If you are excited about this open position but your experience does not align perfectly with every qualification in this post, we encourage you to apply anyway or reach out to our human resources department. You may just be the right candidate for this role or others. If you need accommodations, help in the application process, or wish to receive this job announcement in an alternative format, please call ************ and ask for Human Resources. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sexual orientation, gender identity, sex, age, protected veteran or disabled status, or genetic information.
    $69k-95k yearly est. Auto-Apply 6d ago
  • Clinical Pharmacist - Temporary

    Pacificsource 3.9company rating

    Bend, OR job

    Looking for a way to make an impact and help people? Join PacificSource and help our members access quality, affordable care! PacificSource is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status, such as race, religion, color, sex, sexual orientation, gender identity, national origin, genetic information or age. PacificSource values the diversity of our community, including those we hire and serve. We are committed to creating and fostering a work environment in which individual differences and diversity are appreciated, respected and responded to in ways that fully develop and utilize each person's talents and strengths. The Clinical Pharmacist is responsible for participation in all day-to-day aspects of the Pharmacy Services Department, including but not limited to issuance of all pharmacy coverage decisions, development of policies and procedures and coordination of pharmacy benefits for members. Responsible for participation in the Pharmacy & Therapeutics (P&T) Committee including reviewing and presenting new drug reviews, drug class reviews, and policy reviews. Responsible for maintaining compliance with all state and federal legislation. Serve as a clinical resource person for Health Services staff, other internal associates, and external vendors as necessary. Essential Responsibilities: Provide drug coverage determinations for members with PacificSource Health Plans. Provide effective communication for members, providers, and internal staff through various platforms such as clinical calls, coverage determination letters, and email. Support clinical meetings with internal and external stake holders as requested. Review prescription formularies and criteria for needed updates based on clinical guidelines. Participate in P&T Committee meetings through review of new drugs, drug classes, and authorization policies with presentation of materials to staff members prior to meetings and to committee members during meetings. Lead and / or assist in projects as assigned. Stay up to date on State and Federal regulations as they relate to health insurance coverage. Stay up to date on quality measures pertinent to Pharmacy Services. Keep current with new and emerging clinical trends. Supporting Responsibilities: Act as backup for other team members and departmental functions. Work with Clinical Pharmacy Manager and/or designee to improve processes, systems, reporting, and services provided by the department Represent Pharmacy Services Department, both internally and externally, as requested. Meet department and company performance and attendance expectations. Follow the PacificSource privacy policy and HIPAA laws and regulations concerning confidentiality and security of protected health information. Perform other duties as assigned. SUCCESS PROFILE Work Experience: Three or more years of pharmacy related work-experience is preferred. Additional experience managing complex work processes and working as part of a multidisciplinary care team is highly preferred. Prior success in healthcare integration, process development and program implementation is desirable. Education, Certificates, Licenses: Required to be a registered pharmacist with either Pharm D degree or Bachelor of Science in Pharmacy. Additional certifications may be needed such state specific credentials. Certification support may be available for credentials needed post-hire. Post-graduate training (examples include Residency, Fellowship, MBA, BCPS) is preferred. Knowledge: Ability to adapt and prioritize within a fast-paced environment. High attention to detail. Knowledge and comprehension of pharmaceutical services, including federal and state statutes and regulations as they pertain to the insurance-related pharmacy services and benefits administration. Ability to assess pharmaceutical alternatives, treatment plans, drug technologies and new approaches to delivering pharmacy services. Strong verbal and written communication skills. Proficiency in Microsoft Office Suite. Ability to work independently and within groups with minimal supervision. Competencies: Adaptability Building Customer Loyalty Building Strategic Work Relationships Building Trust Continuous Improvement Contributing to Team Success Planning and Organizing Work Standards Environment: Work inside in a general office setting with ergonomically configured equipment. Travel is required approximately 10% of the time. Skills: Accountability, Collaboration, Communication (written/verbal), Flexibility, Listening (active), Organizational skills/Planning and Organization, Problem Solving, Teamwork Our Values We live and breathe our values. In fact, our culture is driven by these seven core values which guide us in how we do business: We are committed to doing the right thing. We are one team working toward a common goal. We are each responsible for customer service. We practice open communication at all levels of the company to foster individual, team and company growth. We actively participate in efforts to improve our many communities-internally and externally. We actively work to advance social justice, equity, diversity and inclusion in our workplace, the healthcare system and community. We encourage creativity, innovation, and the pursuit of excellence. Physical Requirements: Stoop and bend. Sit and/or stand for extended periods of time while performing core job functions. Repetitive motions to include typing, sorting and filing. Light lifting and carrying of files and business materials. Ability to read and comprehend both written and spoken English. Communicate clearly and effectively. Disclaimer: This job description indicates the general nature and level of work performed by employees within this position and is subject to change. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications required of employees assigned to this position. Employment remains AT-WILL at all times.
    $118k-171k yearly est. Auto-Apply 25d ago
  • Senior Insurance Loss Control Consultant

    Alexander & Schmidt 3.8company rating

    Portland, OR job

    Senior Insurance Loss Control Consultant Job Description At Alexander & Schmidt, a Senior Loss Control Consultant performs inspections and prepares in-depth reports for insurance underwriting purposes. Insurance companies use the reports to properly insure a commercial building, or business operations, for a new policy or renewal of a current policy. Required Skills A Minimum 10 years' experience with a major carrier or working as an independent contractor providing loss control services. Extensive understanding of commercial property and casualty lines. Property assessments will potentially include the necessity to determine adequacy of sprinkler systems based on occupancy, commodities and racking systems. Inland Marine coverages will include builders risk, contractor's equipment, motor truck cargo, WLL and MOLL and other specialty coverage's. Commercial General Liability will include Premises, Operations, Products and Completed Operations. Workers Compensation assessments for regulatory compliance and workplace safety. Loss analysis involving identification of trends, root cause and appropriate corrective action. Specialty fields such as Environmental and Professional Liability Risk Improvement services including training, consulting, hazard analysis and regulatory assessments will also be conducted. Solid communication skills-including exceptional writing ability, organizational skills, and computer skills Excellent Time management skills Professional certifications CSP, OHST, ALCM and/or ARM are preferred, but not required. Uploading completed reports, photos and diagrams through a special website or complete reports on web based systems Travel within a reasonable territory, 50 mile radius This work will be challenging and covers everything from contractors to real estate to retail to warehouse and distribution to manufacturing. High-quality, accurate loss control surveys guide the underwriter in the selection of profitable business, and assist the insured in controlling losses through the demonstrated value of the loss control services provided.
    $79k-101k yearly est. 60d+ ago
  • Physician - Primary Care

    Careoregon 4.5company rating

    Careoregon job in Portland, OR

    --------------------------------------------------------------- This position provides medical care and treatment services with emphasis on chronic disease management and promotion of health and palliative care for patients not best served in a clinic setting. Additionally, this position provides active, consultative, and supportive assistance to non-physician providers as needed and/or as directed by the Medical Director. Care is provided in patient residencies, as well through audio and video sessions. This position may focus on one of the following areas: Regular Care: Provides ongoing care for patients within an assigned caseload and/or territory and includes long-term strategies focused on disease prevention. Relief Care: Provides relief and/or urgent care for patients on a short-term basis, focusing on filling in for providers who are out of the office. NOTE: We are accepting applications for future openings. These roles could be 32 hours to 40 hours a week, based on the candidate's needs. Service areas could include the following counties: Multnomah, Washington, Clackamas, Clark, Clatsop, Columbia, and/or Marion. Service area and schedule preferences can be discussed with the Hiring Manager. Estimated Hiring Range: $202,275.00 - $247,225.00 Bonus Target: Bonus - SIP Target, 5% Annual Current CareOregon Employees: Please use the internal Workday site to submit an application for this job. --------------------------------------------------------------- Essential Responsibilities Clinical Service As a practicing physician, provide medical consultation and/or support to other practitioners within the organization. Diagnose and treat acute and chronic medical conditions according to scope of practice to include conducting a medical history, conducting physical exams, ordering and interpreting diagnostic tests, devising a course of treatment based on patient preferences and goals, discussing alternative treatment, risk and benefits of treatment, prescribing and monitoring medications, appropriate counseling of patient and reassessment of the patient at appropriate intervals. Perform comprehensive health assessment of clients by completing a physical and psychosocial history; identify actual and potential health needs based on medical, mental/emotional, financial, and social factors. Make referrals to appropriate social or medical agencies and practitioners. Develop and implement proactive patient centered care plan with the assistance of other disciplines within the care team. Provide compassionate anticipatory guidance through decline due to chronic disease and provide high quality palliative care focused on the goals of the patient and family. Prescribe and dispense medications and drugs to suitable patients; initiates and/or continues medical regimes for new patients; chart treatment records and monitors results. Develop and maintain working relationships with lay and professional caregivers, including care facilities, to assure patient experience excellent continuity of care and orders are implemented appropriately. Educate patients and families on goal-based, appropriate preventative care, chronic care or urgent care needs, as well as the use of prescribed medications and treatment. Perform the most difficult assignments (including management of the most complex, at-risk patients), requiring a higher level of responsibility, applying advanced subject knowledge, and exercising significant independent judgment and initiative. Deliver quality care while maintaining all company metrics pertaining to productivity. As directed by Medical Director, may provide clinical supervision to Physician Assistants. Participate in the after-hours call schedule. Administration Participate in collaborative treatment with other medical and mental health professionals and technical staff. Participate in staff and professional conferences; consult on and assist in the development of in-service training and orientation activities in areas of treatment and care of the patient population; participate in peer review. Assist in the development of policies and procedures. Assess and counsel patients regarding preventive care needs; deliver services or make appropriate referrals. Determine need for specialty and rehabilitative services and make appropriate referrals. Coordinate case management activities for assigned patients. Attend and participate in all required staff meetings and other ad hoc committees as assigned. Provide coverage for clinical colleagues in their absence. Participate in quality improvement activities as assigned. Complete and maintain medical records according to agency protocols and in support of quality metrics. As assigned by the Medical Director, may train and assess performance of other providers. Perform other duties as assigned. Experience and/or Education Required Licensed physician (MD or DO) in the State of Oregon Completion of internship and residency in Internal Medicine or Family Medicine Certification by the American Board of Medical Specialties Drug Enforcement Administration (DEA) license Valid driver's license, acceptable driving record, and automobile liability coverage or access to an insured vehicle CPR certification at hire or within 6 months in position Preferred Geriatric and/or palliative care certified Experience in medical home visits Knowledge, Skills and Abilities Required Knowledge Knowledge of the principles and practice of medicine especially including urgent care and triage practices for providers focused on relief care Advanced knowledge of principles, practices and procedures of general medicine and surgery Advanced knowledge of methods and techniques of diagnosing and treating a variety of diseases and injuries Advanced knowledge of sources of information and current literature applicable to the field of general medicine Knowledge of the ethical and medico-legal aspects of medical practice Knowledge of the principles and practices of public health, including familiarity with epidemiology, health services delivery and financing systems, and environmental health Knowledge of the population served in adult health, including culture, demographics, patterns of disease, barriers to care and other unique features or special needs Knowledge of the principles and practices of clinical quality improvement Skills and Abilities Proficient in the practice of geriatrics and palliative care Skill in utilizing electronic systems appropriately and effectively, including audio and video supported encounters Ability to perform medical diagnostic and treatment services Ability to establish and maintain effective working relationships with diverse patients, staff, peer groups, and varied agency and institutional representatives Ability to deal professionally and calmly with individuals that may act inappropriately, be verbally abusive, hostile and/or in crisis Ability to work a flexible schedule, including evenings and weekends Ability to lead assigned staff Ability to work within a team and take direction from other team members with expertise in the care plan development. Ability to communicate clearly, compassionately and concisely, both verbally and in writing Cultural competence and ability to work effectively with people from all walks of life Compassion, commitment and integrity required for success in this position Ability to adhere to organizational standards, policies and procedures Ability to work effectively with diverse individuals and groups Ability to learn, focus, understand, and evaluate information and determine appropriate actions Ability to accept direction and feedback, as well as tolerate and manage stress Ability to site, see, read, hear, speak clearly, and perform repetitive finger and wrist movement for at least 6 hours/day Ability to lift, carry, push, pull, and/or pinch small objects, climb stairs, stand and bend for at least 3-6 hours/day Ability to crouch, crawl, reach, and walk for at least 3 hours/day Ability to operate a motor vehicle Working Conditions Work Environment(s): ☐ Indoor/Office ☒ Community ☒ Facilities/Security ☒ Outdoor Exposure Member/Patient Facing: ☐ No ☒ Telephonic ☒ In Person Hazards: May include, but not limited to, physical, ergonomic, and biological hazards. Equipment: General office equipment and/or mobile technology Travel: Requires travel outside of the workplace at least weekly; the employee's personal vehicle may be used. Driving infractions will be monitored in accordance with organizational policy. Work Location: Hybrid-Community 2 days/week, member facing Location: Employees permanently assigned to see members and patients in Marion or Polk counties are required to live within 15 miles of their county assignment. If you receive an offer of employment for this position, it is contingent on the satisfactory completion of a pre-employment background check, immunization review, and drug screen (including THC/Marijuana). CareOregon is a federal contractor and must comply with all federal laws. We offer a strong Total Rewards Program. This includes competitive pay, bonus opportunity, and a comprehensive benefits package. Eligibility for bonuses and benefits is dependent on factors such as the position type and the number of scheduled weekly hours. Benefits-eligible employees qualify for benefits beginning on the first of the month on or after their start date. Housecall Providers offers medical, dental, vision, life, AD&D, and disability insurance, as well as health savings account, flexible spending account(s), lifestyle spending account, employee assistance program, wellness program, discounts, and multiple supplemental benefits (e.g., voluntary life, critical illness, accident, hospital indemnity, identity theft protection, pre-tax parking, pet insurance, 529 College Savings, etc.). We also offer a strong retirement plan with employer contributions. Benefits-eligible employees accrue PTO and Paid State Sick Time based on hours worked/scheduled hours and the primary work state. Employees may also receive paid holidays, volunteer time, jury duty, bereavement leave, and more, depending on eligibility. Non-benefits eligible employees can enjoy 401(k) contributions, Paid State Sick Time, wellness and employee assistance program benefits, and other perks. Please contact your recruiter for more information. We are an equal opportunity employer Housecall Providers is an equal opportunity employer. The organization selects the best individual for the job based upon job related qualifications, regardless of race, color, religion, sexual orientation, national origin, gender, gender identity, gender expression, genetic information, age, veteran status, ancestry, marital status or disability. The organization will make a reasonable accommodation to known physical or mental limitations of a qualified applicant or employee with a disability unless the accommodation will impose an undue hardship on the operation of our organization.
    $202.3k-247.2k yearly Auto-Apply 14d ago
  • Absence Management Specialist

    Matrix Absence Management 3.5company rating

    Oregon job

    Job Responsibilities and Requirements The Claims Examiner will act as a liaison between client, employee and healthcare provider. In this position, you are responsible for applying appropriate claims management by providing reliable and responsive service to claimants and clients. Description of responsibilities: Investigates claim issues providing resolution within departmental and regulatory guidelines. Interprets and administers contract provisions: eligibility and duration Accurately codes all system fields with correct financial, diagnosis and duration information. Coordinates with other departments to ensure appropriate claims transition or facilitate timely return to work. Adheres to compliance, departmental procedures, and Unfair Claims Practice regulations. Actively contributes to customer service, quality and performance objectives. Proactively engages in departmental training to remain current with all claim management practices. Responsible for managing Performance Guarantee clients and meet targeted metrics. Responsible and accountable for maintaining and protecting personal health information. Must maintain a high level of confidentiality and abide by HIPPA rules and regulations. Qualifications: High School Diploma or GED (Bachelor's preferred) Ability to develop proficiency regarding required RSL products, systems and processes related to the effective delivery of new business proposals Microsoft Office experience Attention to detail, analytical skills, and the ability to collaborate with others and work independently Strong organizational skills, including the ability to prioritize work and multi-task Customer service experience and orientation Written and verbal communication skills. The expected hiring range for this position is $24.00 hourly. This expected hiring range covers only base pay and excludes any other compensation components such as commissions or incentive awards. The successful candidate's starting base pay will be based on several factors including work location, job-related skills, experience, qualifications, and market conditions. These ranges may be modified in the future. Work location may be flexible if approved by the Company. What We Offer At Reliance Matrix, we believe that fostering an inclusive culture allows us to realize more of our potential. And we can't do this without our most important asset-you. That is why we offer a competitive pay package and a range of benefits to help team members thrive in their financial, physical, and mental wellbeing. Our Benefits: An annual performance bonus for all team members Generous 401(k) company match that is immediately vested A choice of three medical plans (that include prescription drug coverage) to suit your unique needs. For High Deductible Health Plan enrollees, a company contribution to your Health Savings Account Multiple options for dental and vision coverage Company provided Life & Disability Insurance to ensure financial protection when you need it most Family friendly benefits including Paid Parental Leave & Adoption Assistance Hybrid work arrangements for eligible roles Tuition Reimbursement and Continuing Professional Education Paid Time Off - new hires start with at least 20 days of PTO per year in addition to nine company paid holidays. As you grow with us, your PTO may increase based on your level within the company and years of service. Volunteer days, community partnerships, and Employee Assistance Program Ability to connect with colleagues around the country through our Employee Resource Group program Our Values: Integrity Empowerment Compassion Collaboration Fun EEO Statement Reliance Matrix is an equal opportunity employer. We adhere to a policy of making employment decisions without regard to race, color, religion, sex, national origin, citizenship, age or disability, or any other classification or characteristic protected by federal or state law or regulation. We assure you that your opportunity for employment depends solely on your qualifications. #LI-Remote #LI-MR1
    $24 hourly Auto-Apply 14d ago
  • Care Management Clinician (Sunday - Thursday)

    Pacificsource 3.9company rating

    Bend, OR job

    Looking for a way to make an impact and help people? Join PacificSource and help our members access quality, affordable care! PacificSource is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status, such as race, religion, color, sex, sexual orientation, gender identity, national origin, genetic information or age. PacificSource values the diversity of our community, including those we hire and serve. We are committed to creating and fostering a work environment in which individual differences and diversity are appreciated, respected and responded to in ways that fully develop and utilize each person's talents and strengths. Case management is a collaborative process that assesses, plans, implements, coordinates, monitors, and evaluates the options and services required to meet the client's health and human service needs. It is characterized by advocacy, communication, and resource management and promotes quality and cost-effective interventions and outcomes. Clinicians incorporate the essential functions of professional case management concepts to enhance patients' quality of life and maximize health plan benefits. These functions include but are not limited to: coordination and delivery of healthcare services, consideration of physical, psychological, and cultural factors, assessment of the patient's specific health plan benefits, and additional medical, community, or financial resources available. Essential Responsibilities: Clinician Care Managers facilitate the achievement of client wellness and autonomy through advocacy, assessment, planning, communication, education, resource management, and service facilitation. Collect and assess patient information pertinent to patient's history, condition, and functional abilities in order to develop a comprehensive, individualized care management plan that promotes appropriate utilization, and cost-effective care and services. Based on the needs and values of the client, and in collaboration with all service providers, the clinician links clients with appropriate providers and resources throughout the continuum of health and human services and care settings, while ensuring that the care provided is safe, effective, client-centered, timely, efficient, and equitable. Clinicians have direct communication among, the client, the payer, the primary care provider, and other service delivery professionals. The case manager is able to enhance these services by maintaining the client's privacy, confidentiality, health, and safety through advocacy and adherence to ethical, legal, accreditation, certification, and regulatory standards or guidelines. Interact with other PacificSource personnel to assure quality customer service is provided. Act as an internal resource by answering questions requiring medical or contract interpretation that are referred from other departments, as well as physicians and providers of medical services and supplies. Assist employers and agents with questions regarding healthcare resources and procedures for their employees and clients. Practice and model effective communication skills: both written and verbal. Utilize and promote use of evidence-based tools. Utilize lean methodologies for continuous improvement. Supporting Responsibilities: Meet department and company performance and attendance expectations. Follow the PacificSource privacy policy and HIPAA laws and regulations concerning confidentiality and security of protected health information. Perform other duties as assigned. SUCCESS PROFILE Work Experience: Minimum of three (3) years of clinical experience, including case management. Insurance industry experience preferred. Education, Certificates, Licenses: Clinical Social Worker, Licensed Professional Counselor, or Licensed Independent Clinical Social Worker with unrestricted license required in current state of residence. OR Registered Nurse with current appropriate unrestricted state license based on line of business: Commercial and Medicare: Oregon, Idaho or Montana, and Washington; Medicaid and DSNP: Oregon. Certified Case Manager Certification (CCM) as accredited by CCMC (The Commission for Case Management) strongly desired at time of hire. CCM certification required within two years of hire. Knowledge: Knowledge of health insurance and state mandated benefits. Experience and expertise in case management practice including advocacy, assessment, planning, communication, education, resource management and service facilitation. Ability to deal effectively with people who have various health issues and concerns. Knowledge and understanding of contractual benefits and options available outside contractual benefits. Knowledge of community services, providers, vendors and facilities available to assist members. Ability to use computerized systems for data recording and retrieval. Assures patient confidentiality, privacy, and health records security. Establishes and maintains relationships with community services and providers. Maintains current clinical knowledge base and certification. Ability to work independently with minimal supervision. Competencies Adaptability Building Customer Loyalty Building Strategic Work Relationships Building Trust Continuous Improvement Contributing to Team Success Planning and Organizing Work Standards Environment: Work inside in a general office setting with ergonomically configured equipment. Travel is required approximately 5% of the time. Skills: Accountability, Collaboration, Communication (written/verbal), Flexibility, Listening (active), Organizational skills/Planning and Organization, Problem Solving, Teamwork Compensation Disclaimer The wage range provided reflects the full range for this position. The maximum amount listed represents the highest possible salary for the role and should not be interpreted as a typical starting wage. Actual compensation will be determined based on factors such as qualifications, experience, education, and internal equity. Please note that the stated range is for informational purposes only and does not constitute a guarantee of any specific salary within that range. Base Range: $70,950.00 - $106,424.99Our Values We live and breathe our values. In fact, our culture is driven by these seven core values which guide us in how we do business: We are committed to doing the right thing. We are one team working toward a common goal. We are each responsible for customer service. We practice open communication at all levels of the company to foster individual, team and company growth. We actively participate in efforts to improve our many communities-internally and externally. We actively work to advance social justice, equity, diversity and inclusion in our workplace, the healthcare system and community. We encourage creativity, innovation, and the pursuit of excellence. Physical Requirements: Stoop and bend. Sit and/or stand for extended periods of time while performing core job functions. Repetitive motions to include typing, sorting and filing. Light lifting and carrying of files and business materials. Ability to read and comprehend both written and spoken English. Communicate clearly and effectively. Disclaimer: This job description indicates the general nature and level of work performed by employees within this position and is subject to change. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications required of employees assigned to this position. Employment remains AT-WILL at all times.
    $76k-103k yearly est. Auto-Apply 18d ago
  • Residential Property Inspector - Ontario, OR

    CIS Group of Companies 4.6company rating

    Ontario, OR job

    Looking to Supplement Your Income or Just Be Productive? Become an Independent Residential Insurance Inspector with CIS Group! Are you looking for a flexible, rewarding opportunity that allows you to be your own boss and take control of your schedule? CIS Group is seeking motivated, detail-oriented individuals to join our team as 1099 Property Insurance Inspectors. If you own an LLC and are looking to diversify your work, this might be the perfect opportunity for you! Why Work With Us? Since 1996, CIS Group has been one of the largest and most trusted names in the insurance inspection industry. We offer a platform that allows Independent Contractors to create and grow their own businesses, work flexible hours, and take on a variety of inspections. Whether you're supplementing your current work or looking for a new venture, this position offers flexibility and autonomy. What You'll Do: Travel to residential homes to complete exterior (interior photos here and there) property inspections. Take photos, collect property data, and upload your findings using your smartphone or tablet. Provide high-quality, professional service that delivers accuracy and on-time service, with exceptional communication. Maximize this opportunity by utilizing your unique skillset What We're Looking For: 1099 Independent Contractors - Be your own boss, set your own schedule! Flexible Hours - Work during daylight hours, Monday through Saturday. Comfortable Working Outdoors - This role requires you to work in various weather conditions. Tech-Savvy - A recent smartphone or tablet capable of taking and storing hundreds of photos. Computer Access - Wi-Fi-enabled for uploading data. Reliable Vehicle & Driver's License - Travel to residential properties within your area. Strong Communication Skills - You're a professional and a persistent communicator. You're not someone who just disappears when things get tough. Microsoft Excel Familiarity - Basic computer skills are necessary for managing your inspections. Compensation: Independent Contractors - You get paid per inspection. Fees - Vary based on location and inspection type, allowing for higher earning potential as you demonstrate competency. Why This Is Perfect for You: You've taught yourself how to solve problems and take on new challenges, and you're driven to succeed no matter the obstacles. This opportunity will allow you to create and or build your own business, and the flexibility to grow your income in an industry that remains resilient even through economic downturns. Ready to take control of your future and join a company that values your persistence and resourcefulness? Submit your resume now and become part of the CIS Group team!
    $44k-63k yearly est. Auto-Apply 60d+ ago

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