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  • Director of Reimbursement

    Trilogy Health Services 4.6company rating

    Louisville, KY jobs

    JOIN TEAM TRILOGY: Weekly pay, health and dental after your first month, student loan repayment, a competitive 401(k) match, and more! Make a living while you make a difference at Trilogy Health Services - a senior living provider with the continuous goal of being the Best Healthcare Company in The Midwest. WHAT WE'RE LOOKING FOR: Job Summary The Director of Reimbursement is responsible for overseeing Medicare and Medicaid reimbursement for a multi-state skilled nursing facility (SNF) organization, with a focus on cost report preparation, submission, and audit defense. This role ensures compliance with federal and state-specific regulations in Indiana, Ohio, Michigan, and Wisconsin, and supports financial strategies to optimize reimbursement and maintain regulatory compliance. Roles and Responsibilities • Manages the Reimbursement Team to prepare and submit accurate Medicare and Medicaid cost reports for SNFs in Indiana, Ohio, Michigan, and Wisconsin. • Ensures compliance with CMS Form 2540-10 and each state's Medicaid cost reporting requirements. • Possesses working knowledge of CMS 15-1 and state-specific Medicaid reimbursement manuals. • Leads audit responses and manages appeals with state agencies and CMS intermediaries. • Analyzes cost report data to identify trends, risks, and reimbursement opportunities. • Collaborates with facility administrators, clinical teams, and finance staff to ensure accurate data collection and reporting. • Monitors regulatory changes and communicates financial implications to leadership. • Maintains documentation and internal controls to support audit readiness. • Provides training and guidance to internal team on reimbursement and cost reporting. • Other duties as assigned. Qualifications Education: Bachelor Degree Experience: 5-8 years Licenses and Certifications CPA certification preferred 2 years of Management Experience required Physical Requirements Sitting, standing, bending, reaching, stretching, stooping, walking, and moving intermittently during working hours. Must be able to lift at least 50lbs. Must be able to maintain verbal and written communication with co-workers, supervisors, residents, family members, visitors, vendors, and all business associates outside of the health campus. WHERE YOU'LL WORK : Location: US-KY-Louisville LET'S TALK ABOUT BENEFITS: Competitive salaries and weekly pay 401(k) Company Match Mental Health Support Program Student Loan Repayment and Tuition Reimbursement Health, vision, dental & life insurance kick in on the first of the month after your start date First time homebuyers' program HSA/FSA And so much more! LIFE AT TRILOGY: Whether you're looking for a new chapter, a change of pace, or a helping hand, Trilogy is committed to being the best place that you've ever belonged. Flexibility is what you want, and flexibility is what you'll get. Come into the office because you want to - not because you have to. At Trilogy, we're proud to embrace a hybrid work environment that allows you both the convenience of working from home and the flexibility of meeting with your co-workers in person. With collaborative workspaces, rotating cubicles, and meditation areas, our freshly renovated Home Office will accommodate the working style that works best for you . Six months of training, orientation, and fun! We believe in setting our employees up for success. That's why your first six months are referred to as your “blue-badge” period - a time where you are encouraged to ask questions, ask for help when needed, and familiarize yourself with the company culture. Even when your blue badge period ends, you can rest assured that the Trilogy team will always have your back. APPLY NOW: As one of Fortune's Best Places to Work in Aging Services, a certified Great Place to Work, and one of Glassdoor's Top 100 Best Companies to Work, Trilogy is proud to be an equal opportunity employer committed to helping you reach your full potential and to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy or any other protected characteristic as outlined by federal, state or local laws. FOR THIS TYPE OF EMPLOYMENT STATE LAW REQUIRES A CRIMINAL RECORD CHECK AS A CONDITION OF EMPLOYMENT.
    $60k-108k yearly est. Auto-Apply 20h ago
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  • Master's Level Clinician (Seeking LICSW) - Full Time Hybrid - Sign on Bonus

    Thriveworks 4.3company rating

    Attleboro, MA jobs

    Thriveworks is currently seeking provisionally licensed individuals pursuing Massachusetts Licensure as a LICSW in Attleboro, MA to provide a mix of telehealth and face-to-face sessions. This role is eligible for a competitive ramp stipend for clinicians offering 30+ hours of availability per week. At Thriveworks, we're not just growing a practice-we're building a movement to transform mental health care. Founded and led by clinicians, we understand what it takes to support our team so they can focus on what they do best: delivering exceptional care. Who We Are Thriveworks is a trusted mental health provider with 340+ locations and a nationwide hybrid care model. We serve over 175,000 clients annually through more than 1.7 million sessions, and those numbers are growing. As a clinician-founded and clinician-led organization, we offer the tools, support, and community you need to build a fulfilling, long-term career. What We're Looking For We're hiring provisionally licensed clinicians in Massachusetts who are ready to make a difference and grow with us. We're especially interested in: Full-time availability (30 hours/week - 25+ client visits with 5 hours administrative time including supervisory meetings). Behavioral health generalists (open to seeing couples/children, with our support) Clinicians who value autonomy and also enjoy being part of a team Strong character matters - we value integrity, openness, and a commitment to quality care Flexibility in your work schedule Qualifications: Must live and be seeking licensure in the state where services are provided A graduate of an approved 60-credit hour program Graduate or Post-graduate work experience in a counseling setting treating depression and anxiety is required Graduate or Post-graduate work experience independently conducting intakes and diagnosing (preferred) according to the current DSM-5 under a licensed supervisor. Compensation: Up to $73,600 based on licensure type/level, session volume, and bonus opportunities. What We Provide We do the heavy lifting so you can focus on care. As a W2 employee, you'll receive: Guaranteed, bi-weekly pay (no need to wait on reimbursement) FREE group and individual clinical supervision provided Paid orientation and annual pay increases PTO and flexible scheduling (7am-10pm, 7 days/week) No-show protection and caseload build within 90 days of credentialing Credentialing, billing, scheduling, and marketing support Health, dental, life, liability, and disability insurance options 401k with 3% employer match CEU reimbursement and free in-house training Opportunities for paid resident supervisory roles A vibrant clinical community-online and in person Monthly peer consultations and professional development A clear path for career growth and internal promotion A Place to Belong and Thrive Thriveworks is a certified Great Place to Work and a community built on inclusion, growth, and support. Whether you're seeking mentorship, advancement, or a place where your impact matters, you'll find it here. 93% of our team reports feeling included, and 87% say their work has purpose-and we think that says a lot. Ready to Join Us? Apply today to become part of a team that's changing mental health care for clients and clinicians alike. #LI-Hybrid #LI-MS1 Interested in joining Team Thriveworks? We're thrilled to meet you! With Job scams becoming more and more frequent, here's how to know you're speaking with a real member of our team: Our recruiters and other team members will only email you from ************************* or an @thriveworks.com email address. Our interviews will take place over Google Meet (not Microsoft Teams or Zoom) We will never ask you to purchase or send us equipment. If you see a scam related to Thriveworks, please report to ***********************. You can contact ************************** with any questions or concerns. Thriveworks is an Equal Opportunity Employer. Our people are our most valuable assets. We embrace and encourage differences in age, color, disability, ethnicity, gender identity or expression, national origin, physical and mental ability, race, religion, sexual orientation, veteran status, and other characteristics that make our employees unique. We encourage and welcome diverse candidates to apply for any position you are qualified for to bring your unique perspective to our team. By clicking Apply, you acknowledge that Thriveworks may contact you regarding your application.
    $73.6k yearly 1d ago
  • Advanced Practice Clinician (Hybrid)

    VNS Health 4.1company rating

    New York, NY jobs

    Provides clinical leadership to promote increased compliance with a range of quality and cost measures and standards of care. Manages service delivery of inter-professional and para-professional team members working on an individual case or population of cases. Acts as a key resource in providing clinical and operational guidance and support to assigned teams and other staff to achieve and enhance team outcomes. Provides advanced nursing clinical care for patients in accordance with current State and Federal rules and regulations for nurse practitioner's scope of practice and national standards of care. Works under the supervision of the Clinical Director for the Nurse Practitioner Program. What We Provide Personal and financial wellness programs Opportunities for professional growth and career advancement Internal mobility and advancement opportunities Interdisciplinary network of colleagues through the VNS Health Social Services Community of Professionals What You Will Do Manages and provides full scope of advanced nursing practice for targeted patient populations. Evaluates patient responses to therapy / interventions. Ensures revision of the inter-professional plan of care as necessary to achieve quality outcomes. Identifies need for new/revised clinical protocols. Collaborates with physicians and others within the practice to develop protocols and provides training as appropriate. Manages and provides comprehensive advanced nursing care including physical examination, comprehensive history, screening for physical and/or psychological conditions, emergent interventions, pharmacological and non-pharmacological interventions, ordering treatments and DME, preventative health maintenance activities, care management, referrals, discharge planning, counseling and patient education. Establishes a treatment plan based on clinical findings and. Determines when further evaluation by collaborating physician, specialist or emergency care is warranted. Collaborates with patients, families, primary care physicians and other team members to provide assessment and care planning. Assesses, plans, and provides intensive and continuous care management across client settings. Manages and provides clinical services in compliance with standards of Patient-Centered Medical Home standards, meaningful use of medical record data, HEDIS and QARR quality of care measurements. Qualifications Licenses and Certifications: License and current registration to practice as a Registered Professional Nurse in New York State required Certificate (license) and current registration to practice as a Nurse Practitioner in the State of New York, with a specialty in adult health, family health or gerontology required Valid driver's license, as determined by operational/regional needs may be required Maintains credentialed status with VNS Health Medical Care at Home and associated managed care plans required Maintains NPI, Medicaid and Medicare provider numbers preferred Maintains a collaborative practice agreement with a physician in compliance with New York State regulations preferred Must be certified by ANCC or another accrediting Nurse Practitioner body - in order to bill Medicare and meet credentialing requirements required For Psychiatric Nurse Practitioners only: Current PMHNP-BC certification required Education: Master's Degree of Science in Nursing, or other graduate degree from a nurse practitioner educational program registered by the New York State Education Department as qualifying for NP certification (licensure) required Current ANCC or AANP certification as an adult, family or geriatric nurse practitioner required For Psychiatric Nurse Practitioners only: Master's Degree in psychiatric-mental health Nurse Practitioner required PhD in psychiatric-mental health Nurse Practitioner preferred Work Experience: Minimum of two years of experience as a nurse practitioner utilizing full scope of practice preferred Clinical home care experience or two years managerial experience preferred Demonstrated knowledge of Hedis and QARR quality measures, ICD-10 and CPT coding for reimbursement of services required Bilingual skills, as determined by operational needs required Pay Range USD $58.30 - USD $77.72 /Hr. About Us VNS Health is one of the nation's largest nonprofit home and community-based health care organizations. Innovating in health care for more than 130 years, our commitment to health and well-being is what drives us - we help people live, age and heal where they feel most comfortable, in their own homes, connected to their family and community. On any given day, more than 10,000 VNS Health team members deliver compassionate care, unparalleled expertise and 24/7 solutions and resources to the more than 43,000 “neighbors” who look to us for care. Powered and informed by data analytics that are unmatched in the home and community-health industry, VNS Health offers a full range of health care services, solutions and health plans designed to simplify the health care experience and meet the diverse and complex needs of the communities and people we serve in New York and beyond.
    $36k-77k yearly est. Auto-Apply 20h ago
  • Psychotherapist III (MSW-LICSW) - Malden - Outpatient Psychiatry

    Melrosewakefield Healthcare 4.1company rating

    Malden, MA jobs

    Hours: 40 hours weekly. Hybrid Schedule. 60% on-site and 40% remote work. This role focuses on safeguarding and promoting the welfare of patients and can provide services if necessary. In addition, this role focuses on performing the following Social Work duties: Provides social work assistance to patients and families relating to illness, disease, hospitalization and life events in all areas of service as a member of multi-disciplinary team and in liaison with community resources. Responsibilities also include identification, assessment, and coordination of cases and anticipation of needs related to illness, hospitalization, finances, education, and home/community service. A professional individual contributor role that may direct the work of other lower level professionals or manage processes and programs. The majority of time is spent overseeing the design, implementation or delivery of processes, programs and policies using specialized knowledge and skills typically acquired through advanced education. A senior level role that requires advanced knowledge of job area typically obtained through advanced education and work experience. Typically responsible for: managing projects / processes, working independently with limited supervision, coaching and reviewing the work of lower level professionals, resolving difficult and sometimes complex problems. Job Overview This position provides direct clinical services including evaluations, consultation and outpatient psychotherapy. Job Description Minimum Qualifications: 1. Master's degree in Social Work or PHD from an accredited program. 2. Licensed Independent Clinical Social Worker (LICSW). 3. Five (5) years of experience in outpatient psychotherapy with adult population. 4. Experienced in brief psychotherapy model, CBT, DBT, and treatment of dual diagnosis consumers. Preferred Qualifications: 1. Experience with group psychotherapy. Duties and Responsibilities: The duties and responsibilities listed below are intended to describe the general nature of work and are not intended to be an all-inclusive list. Other duties and responsibilities may be assigned. 1. Provide initial diagnostic assessments using DSM-V. 2. Develop initial and subsequent treatment plans, written in observable, measurable terms. 3. Provide individual, couple/family and group treatment modalities within a short-term treatment model. 4. Provide documentation of treatment utilizing SOAP format, accepted LMH and CCS forms which and which meets LMH, CCS, and regulatory standards. 5. Maintains current therapy notes, treatment plans, and other written documentation and correspondence according to agency policy and within appropriate time frames. 6. Identifies, using format and guidelines, high risk clients and review these cases monthly with Supervisor and Psychiatrist. 7. Responds to needs of clients and the clinic including responding to urgent care requests and crisis intervention. 8. Available to take on new cases as needed. 9. Responsible for the utilization review process as needed per insurance requirements. 10. Provides to the supervisor, monthly statistics as requested. 11. Participates in staff clinical meetings and collaborates with treatment team. 12. Participates in monthly clinical consultation. 13. Participates in LMH Community Benefits Program as requested by the supervisor. 14. Participates in monthly individual supervision 15. Participates in monthly chart reviews as requested by the supervisor. 16. Provides 24 hr. back up coverage as assigned. 17. Participates in on call schedule. 18. Provide back up to the Supervisor and other clinicians during his/her absence including case assignment, monitor of high-risk cases and intake functions, as staffing may require. 19. Participate in special projects as may be requested. 20. Maintains CEUs appropriate to position and which meets licensing standards. Physical Requirements: 1. Frequent sitting, occasional standing & walking, and lifting of 5-10 lbs. 2. Requires manual dexterity using fine hand manipulation to operate computer keyboard. 3. Requires ability to see computer screen and reports. Skills & Abilities: 1. Strong mental health generalist skills in working with adult population: young adult through geriatric. 2. Familiarity with psychopharmacology and common medications for medical diagnosis. 3. Good verbal, written and interpersonal skills with patients and staff of all levels. 4. Excellent critical thinking skills, good judgement, decision-making ability, resourcefulness and problem-solving skills. 5. Adaptable and open to accept criticism or changes with a positive attitude. 6. Knowledge of community resources in mental health and human services. 7. Takes initiative when opportunities are identified. 8. Able to handle conflict, give and take criticism. 9. Maintains sensitivity, maturity, and flexibility in coping with difficult situations. At Tufts Medicine, we want every individual to feel valued for the skills and experience they bring. Our compensation philosophy is designed to offer fair, competitive pay that attracts, retains, and motivates highly talented individuals, while rewarding the important work you do every day. The base pay ranges reflect the minimum qualifications for the role. Individual offers are determined using a comprehensive approach that considers relevant experience, certifications, education, skills, and internal equity to ensure compensation is fair, consistent, and aligned with our business goals. Beyond base pay, Tufts Medicine provides a comprehensive Total Rewards package that supports your health, financial security, and career growth-one of the many ways we invest in you so you can thrive both at work and outside of it. Pay Range: $72,371.94 - $90,464.92
    $72.4k-90.5k yearly 1d ago
  • Dosimetrist, Remote

    Piedmont Healthcare 4.1company rating

    Columbus, GA jobs

    Responsibilities: Dosimetrist, FT, Piedmont Columbus John B. Amos Cancer Center, "Hybrid " RESPONSIBLE FOR: Measuring and generating radiation dose distributions and calculations under the direction of the Radiation Physicist and Radiation Oncologist. Qualifications - External Qualifications: MINIMUM EDUCATION REQUIRED: Bachelors Degree in any discipline. If hired prior to January 2025, will only require certification by the Medical Dosimetry Certification Board (MDCB). MINIMUM EXPERIENCE REQUIRED: Three years of clinical experience in a radiation therapy department as a radiation therapist or medical dosimetrist MINIMUM LICENSURE/CERTIFICATION REQUIRED BY LAW: Board Eligible by the MDCB (Medical Dosimetrist Certification Board) Obtains Dosimetrist certification within 13 months of hire date. Participation in the learning plan activities as required by MDCB (Medical Dosimetrist Certification Board). Business Unit : Company Name: Piedmont Columbus Midtown
    $129k-192k yearly est. Auto-Apply 1d ago
  • Fundraising Database Analyst

    Lifebridge Health 4.5company rating

    Owings Mills, MD jobs

    Fundraising Database Analyst Owings Mills, MD SINAI HOSPITAL DEVELOPMENT Full-time - Day shift - 8:00am-5:00pm PROFESSIONAL 93615 $26.08-$39.12 Experience based Posted: December 16, 2025 Apply Now // Setting the Saved Jobs link function setsavedjobs(externalidlist) { if(typeof externalidlist !== 'undefined') { var saved_jobs_query = '/jobs/search?'+externalidlist.replace(/\-\-/g,'&external_id[]=')+'&saved_jobs=1'; var saved_jobs_query_sub = saved_jobs_query.replace('/jobs/search?','').replace('&saved_jobs=1',''); if (saved_jobs_query_sub != '') { $('.saved_jobs_link').attr('href',saved_jobs_query); } else { $('.saved_jobs_link').attr('href','/pages/saved-jobs'); } } } var is_job_saved = 'false'; var job_saved_message; function savejob(jobid) { var job_item; if (is_job_saved == 'true') { is_job_saved = 'false'; job_item = ''; $('.saved-jobs-alert__check').toggle Class('removed'); $('.saved-jobs-alert__message').html('Job has been removed.'); } else { is_job_saved = 'true'; job_item = ''+'--'+jobid; $('.saved-jobs-alert__check').toggle Class('removed'); $('.saved-jobs-alert__message').html('Job has been saved!'); } document.cookie = "c_jobs="+job_item+';expires=;path=/'; $('.button-saved, .button-save').toggle Class('d-none'); $('.button-saved').append(' '); $('.saved-jobs-alert-wrapper').fade In(); set Timeout(function() { $('.button-saved').html('Saved'); $('.saved-jobs-alert-wrapper').fade Out(); }, 2000); // Setting the Saved Jobs link - function call setsavedjobs(job_item); } Save Job Saved Summary Who We Are: LifeBridge Health is a dynamic, purpose-driven health system redefining care delivery across the mid-Atlantic and beyond, anchored by our mission to “improve the health of people in the communities we serve.” Join us to advance health access, elevate patient experiences, and contribute to a system that values bold ideas and community-centered care. REMOTE POSITION-CANDIDATES MUST BE LOCAL TO ATTEND A MONTHLY MEETING AND TWO LOCAL FUNDRAISING EVENTS About the Role: The Database Analyst is responsible for managing various reporting functions, assists in ensuring data integrity and strategic use of fundraising platforms, and provides data strategy to strengthen donor engagement and overall fundraising efforts within the Department of Corporate Development. Effective data management and analytics are integral to the success of any development program, making this a key position within the department. KEY RESPONSIBILITIES: Manages end of month tasks and reporting, ensuring timely and accurate reports to the Finance team. Develops and produces high level reports such as board reports, annual survey reports, major gift metrics and works with the special event manager to reconcile event income and conducts monthly reconciliation with Finance. Develops and maintains dashboards to track fundraising progress, campaign performance, donor retention and pipeline activity, as requested, and ensures that data coding supports dashboard accuracy. Works with the Manager of Major Gifts to ensure that major gift proposals, portfolios and metric reports accurately reflect major gift team activity. Analyzes donor giving trends and behaviors to identify opportunities for increased engagement and growth. Process maps - Works with department team members to develop and implement process maps for annual gift, major gift and grateful patient programs and provides data-driven insights to support those areas. Prepares lists and segmentations for solicitations, stewardship mailings and event invitations. Develops and manages project timelines. Conducts periodic review of code tables and coordinates coding adjustments across LBH entities. Crossed trained in gift processing. In conjunction with the Director of Operations, provides database review and training for new employees. Performs mass imports and global changes as needed using Omatic software. Recommends software training goals for Development team members based on data reviews and audits. Reviews Blackbaud Community groups to keep abreast of system best practices and solutions to data challenges. Participates in Blackbaud training modules when appropriate REQUIREMENTS: Education: Bachelor's degree preferred Experience: 3-5 years of experience working in a nonprofit and/or hospital setting. Raiser's Edge experience or similar fundraising CRM and/or email marking software systems experience. Additional Information What We Offer: Impact: Join a team that values innovation and outcomes, delivering life-saving care to our youngest and most vulnerable patients. Growth : Opportunities for professional development, including tuition reimbursement and developing foundational skills for neonatal critical care leadership and advanced certification. Support: A culture of collaboration with resources like unit-based practice councils and advanced clinical education support - improving both workflow efficiency and patient outcomes and allowing you to work at the top of your license. Benefits : Competitive compensation (additional compensation such as overtime, shift differentials, premium pay, and bonuses may apply depending on job), comprehensive health plans, free parking, and wellness programs. Why LifeBridge Health? With over 14,000 employees, 130 care locations, and two million annual patient encounters, we combine strategic growth, innovation, and deep community commitment to deliver exceptional care anchored by five leading centers in the Baltimore region: Sinai Hospital of Baltimore, Grace Medical Center, Northwest Hospital, Carroll Hospital, and Levindale Hebrew Geriatric Center and Hospital. Our organization thrives on a culture of CARE BRAVELY-where compassion, courage, and urgency drive every decision, empowering teams to shape the future of healthcare. LifeBridge Health complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex or sexual orientation and gender identity/expression. LifeBridge Health does not exclude people or treat them differently because of race, color, national origin, age, disability, sex or sexual orientation and gender identity/expression. Share: talemetry.share(); Apply Now var jobsmap = null; var jobsmap_id = "gmaphtxlq"; var cslocations = $cs.parse JSON('[{\"id\":\"2124149\",\"title\":\"Fundraising Database Analyst\",\"permalink\":\"fundraising-database-analyst\",\"geography\":{\"lat\":\"39.4009361\",\"lng\":\"-76.7789136\"},\"location_string\":\"10090 Red Run Blvd, Owings Mills, MD\"}]'); function tm_map_script_loaded(){ jobsmap = new csns.maps.jobs_map().draw_map(jobsmap_id, cslocations); } function tm_load_map_script(){ csns.maps.script.load( function(){ tm_map_script_loaded(); }); } $(document).ready(function(){ tm_load_map_script(); });
    $84k-122k yearly est. 3d ago
  • Director, Pharmacy Revenue Cycle Management

    Humana 4.8company rating

    North Carolina jobs

    Become a part of our caring community and help us put health first The Director, Revenue Cycle Management for Humana Pharmacy will own the billing, collections and reporting for CenterWell Pharmacy & Specialty pharmacy and Humana Pharmacy Solutions, Humana's captive PBM. This role will lead a large workforce across multiple geographies to maximize our billing while also ensuring to meet our patient, pharmaceutical clients and PBM partner needs. Within CenterWell Pharmacy, we continue to lead the industry with new product launches, including our Direct to Consumer and Direct to Employer offerings. This leader will be nimble and change oriented to meet the evolving market needs. This position may involve some financial budgeting as well as making decisions related to implementation of new/updated programs or large-scale projects to help support the strategic goals of the pharmacies. Additionally, the candidate will have the following key responsibilities: · Own the reconciliation of billing with the GL with partnership with controllership team · Provide comprehensive decision-making across the enterprise as it comes to revenue accounting · Develop and maintain team performance across our BPO partner and internal associates · Monitor performance by comparing and analyzing actual results with plans and forecasts · Improve financial status by analyzing results and variances, identifying trends, and recommending actions Use your skills to make an impact Required Qualifications Bachelor's degree in finance, accounting or related field 8 or more years of revenue cycle management 5 or more years of management experience Experience advising senior leadership on billing/collections strategies Knowledge of pharmacy revenue cycle management Prior experience developing methods and criteria for revenue cycle management Exceptional communication and presentation skills, with the ability to influence and engage diverse audiences Ability to lead and manage special projects that may necessitate cross-functional partnerships Must be passionate about contributing to an organization focused on continuously improving consumer experiences Preferred Qualifications Prior health insurance industry experience working in revenue cycle management Pharmacy pricing knowledge or experience Additional Information Interview Format As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule. WAH Internet Statement To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Satellite, cellular and microwave connection can be used only if approved by leadership. Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $126,300 - $173,700 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. About Us Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
    $49k-73k yearly est. 20h ago
  • Principal Software Engineer - Analytics Platform

    Quantum-Health 4.7company rating

    Dublin, OH jobs

    Who we are Founded in 1999 and headquartered in Central Ohio, we're a privately-owned, independent healthcare navigation organization. We believe that no one should have to navigate the cost and complexity of healthcare alone, and we're on a mission to make healthcare simpler and more effective for our millions of members. Our big-hearted, tech-savvy team fights to ensure that our members get the care they need, when they need it, at the most affordable cost - that's why we call ourselves Healthcare Warriors . We're committed to building diverse and inclusive teams - more than 2,000 of us and counting - so if you're excited about this position, we encourage you to apply - even if your experience doesn't match every requirement. About the role We're looking for a hands-on Principal Software Engineer to help lead the engineering and evolution of our analytics platform. This platform supports both external clients and internal teams, delivering dynamic data visualizations, actionable insights, and AI-augmented recommendations through a highly customized Analytics & Business Intelligence (ABI) experience. The Principal Software Engineer will partner closely with data engineering teams while maintaining a clear focus on application and platform development. You will build, extend, and maintain the software systems that power our analytics products, contributing directly to production code while helping shape architectural decisions that keep the platform scalable, secure, and intuitive. The ideal candidate is an experienced software engineer who enjoys working directly in the codebase, leading through execution, and applying architectural thinking as a natural part of hands-on development. Location: This position is located at our Dublin, OH campus with hybrid flexibility or may work remotely anywhere in the United States of America. What you'll do Serve as a hands-on technical lead, contributing directly to the design, development, and delivery of our analytics platform. Build and extend application and platform capabilities that embed and customize ABI solutions (e.g., Apache Superset, AWS QuickSight, or similar) into a cohesive, client-facing analytics experience. Design and implement backend services, APIs, and integration layers that support real-time and scheduled analytics delivery. Apply architectural best practices while actively developing software, ensuring solutions are scalable, maintainable, and aligned with business needs. Partner with product, engineering, AI, and analytics teams to translate requirements into implemented platform features. Establish and evolve integration patterns for identity, data access, visualization layers, and extensibility frameworks. Develop reusable components and frameworks that accelerate feature delivery and improve developer productivity. Ensure platform implementations adhere to security, data protection, and access control best practices. Proactively identify technical risks and address performance, stability, and reliability concerns through hands-on solutions. Provide technical leadership and mentorship to junior and senior engineers through code reviews, design discussions, and shared ownership of platform components. Stay informed on emerging analytics platform and embedded BI trends to guide ongoing platform improvements. Perform other duties and responsibilities as assigned to support the broader goals of the team and organization. What you'll bring 8+ years in software or analytics engineering with deep experience delivering ABI platforms or data-driven applications. Demonstrated experience embedding or extending modern ABI platforms to support product use cases, especially for client-facing applications. Strong backend and frontend engineering skills, especially in Python and JavaScript/TypeScript-based environments. Deep knowledge of data modeling, querying (SQL), and connecting analytics platforms to modern data warehouses (e.g., Snowflake, BigQuery). Experience with authentication/authorization integration, multi-tenancy, and performance tuning in analytics applications. Cloud platform experience (AWS, Azure, or GCP) and familiarity with containerized deployments (Docker, Kubernetes). Proven ability to lead technically through direct contribution, collaboration, and mentorship. Strong communication skills and the ability to work effectively across cross-functional teams. Protect and take care of our company and member's data every day by committing to work within our company ethics and policies. A high degree of personal accountability and trustworthiness, a commitment to working within Quantum Health's policies, values and ethics, and to protecting the sensitive data entrusted to us. Nice to Have Experience with headless BI or composable data product architectures. Background in healthcare, healthtech, or another regulated industry. Exposure to AI/ML integration and enabling LLM-driven insights in analytics environments. -- #LI-AK1 #LI-Hybrid #LI-Remote What's in it for you Compensation: Competitive base and incentive compensation Coverage: Health, vision and dental featuring our best-in-class healthcare navigation services, along with life insurance, legal and identity protection, adoption assistance, EAP, Teladoc services and more. Retirement: 401(k) plan with up to 4% employer match and full vesting on day one. Balance: Paid Time Off (PTO), 7 paid holidays, parental leave, volunteer days, paid sabbaticals, and more. Development: Tuition reimbursement up to $5,250 annually, certification/continuing education reimbursement, discounted higher education partnerships, paid trainings and leadership development. Culture: Recognition as a Best Place to Work for 15+ years, dedication to diversity, philanthropy and sustainability, and people-first values that drive every decision. Environment: A modern workplace with a casual dress code, open floor plans, full-service dining, free snacks and drinks, complimentary 24/7 fitness center with group classes, outdoor walking paths, game room, notary and dry-cleaning services and more! What you should know Internal Associates: Already a Healthcare Warrior? Apply internally through Jobvite. Process: Application > Phone Screen > Online Assessment(s) > Interview(s) > Offer > Background Check. Diversity, Equity and Inclusion: Quantum Health welcomes everyone. We value our diverse team and suppliers, we're committed to empowering our ERGs, and we're proud to be an equal opportunity employer . Tobacco-Free Campus: To further enable the health and wellbeing of our associates and community, Quantum Health maintains a tobacco-free environment. The use of all types of tobacco products is prohibited in all company facilities and on all company grounds. Compensation Ranges: Compensation details published by job boards are estimates and not verified by Quantum Health. Details surrounding compensation will be disclosed throughout the interview process. Compensation offered is based on the candidate's unique combination of experience and qualifications related to the position. Sponsorship: Applicants must be legally authorized to work in the United States on a permanent and ongoing future basis without requiring sponsorship. Agencies: Quantum Health does not accept unsolicited resumes or outreach from third-parties. Absent a signed MSA and request/approval from Talent Acquisition to submit candidates for a specific requisition, we will not approve payment to any third party. Reasonable Accommodation: Should you require reasonable accommodation(s) to participate in the application/interview/selection process, or in order to complete the essential duties of the position upon acceptance of a job offer, click here to submit a recruitment accommodation request. Recruiting Scams: Unfortunately, scams targeting job seekers are common. To protect our candidates, we want to remind you that authorized representatives of Quantum Health will only contact you from an email address ending **********************. Quantum Health will never ask for personally identifiable information such as Date of Birth (DOB), Social Security Number (SSN), banking/direct/tax details, etc. via email or any other non-secure system, nor will we instruct you to make any purchases related to your employment. If you believe you've encountered a recruiting scam, report it to the Federal Trade Commission and your state's Attorney General.
    $102k-124k yearly est. 20h ago
  • Interventional Rad Tech - CV, Hybrid

    Piedmont Healthcare 4.1company rating

    Macon, GA jobs

    SIGN-ON BONUS UP TO $15,000 AVAILABLE Responsibilities: RESPONSIBLE FOR: Performs diagnostic and interventional procedures to include but not limited to: angiography, venography, myelography, nephro-ureteral, and gastrointestinal studies, and modality assisted drainage and biopsies. Completes all post processing functions. Performs related record keeping and patient care functions. Ensures the utilization of established protocols and techniques differentiating for adolescent, adult and geriatric patient population in the performance of diagnostic procedures and functions. Qualifications: MINIMUM EDUCATION REQUIRED: Graduate of an AMA approved Radiologic Technology program or JRCERT accredited hospital-based training program. MINIMUM EXPERIENCE REQUIRED: None MINIMUM LICENSURE/CERTIFICATION REQUIRED BY LAW: Registered by the American Registry of Radiological Technologists (R). BLS Certified ADDITIONAL QUALIFICATIONS: Advance Certification by ARRT in Vascular-Interventional Radiographer (VI) or Cardiac Interventional Radiographer (CI) preferred. Business Unit : Company Name: Piedmont Macon Medical
    $32k-43k yearly est. Auto-Apply 1d ago
  • RN - CVOR, OR Hybrid

    Piedmont Healthcare 4.1company rating

    Macon, GA jobs

    Sign-on Bonus up to $5,000 Available. Vascular lab - Hybrid OR position that will also work in conjunction with Main OR. Call will be necessary. Will report to surgical services. Join Piedmont to move your career in the right direction. Stay for the diverse teams youll love, a shared purpose, and schedule flexibility that frees you to live for what matters both in and outside of work. Youll feel valued, motivated to be your best, and recognized for your contributions to exceptional patient outcomes. Piedmont leaders are in your corner, invested in your success. Our wellness programs and comprehensive total benefits and rewards meet your needs today and help you plan for the future. As an RN, your dedication to holistic, patient-centered care in your community is deeply valued. Piedmont supports nurses with the compensation, work/life balance, and resources they deserve. Youll work in a positive, collaborative environment alongside dedicated team members, and use state-of-the-art technology that strengthens patient care and services. You may participate in clinical research that opens doors to working on the forefront of medical advances and changes patient lives. Apply today to make a positive difference in every life you touch. Total Rewards that work for you: Competitive and equitable compensation for all roles Total Wellness programs for you and your family Wellness Coaching App 24/7 Live Coaching Physician and Nursing Peer Coaching Financial Wellness Planning and Education Broad Employee Assistance Program service PTO your way Combined PTO days for greater flexibility 100% paid Maternity Leave (requires return to work) Employer Paid Military Leave Opportunity for PTO cash-in Celebrate Diversity Diversity, Inclusion and Equity Paid Holiday Benefits Choice of Medical/Prescription Drug Plans Dental and Vision Adoption Assistance Fertility, family building, menopause and midlife care for your family Flexible Spending Accounts (FSA) for Healthcare and Dependent Day Care Employer-paid Short Term and Long Term Disability Employer-paid Basic Life and Accidental Death & Dismemberment Tuition reimbursement for nursing programs Responsibilities: RESPONSIBLE FOR: The staff nurse provides nursing care to patients from birth through the lifecycle utilizing nursing processes to assess, plan, implement, and evaluate the care for patients. He/she functions within the framework of the policies and procedures of the organization and demonstrates professional growth and accountability. The staff nurse is responsible for maintaining standards of practice, coordinating patient care activities of all assigned staff in the provision of quality nursing care. Qualifications: MINIMUM EDUCATION REQUIRED: Graduate of a nursing program MINIMUM EXPERIENCE REQUIRED: New Graduates of a nursing program eligible MINIMUM LICENSURE/CERTIFICATION REQUIRED BY LAW: Current License in the State of Georgia as a Registered Nurse or NLC/eNLC Multistate License. BLS certification required. ADDITIONAL QUALIFICATIONS: For PRN positions: One year of nursing experience in a hospital setting is required Bachelor?s degree preferred Advanced certification in field of specialty, if applicable (see addendum) Nursing Experience in Hospital Setting Preferred Business Unit : Company Name: Piedmont Macon Medical
    $39k-88k yearly est. Auto-Apply 20h ago
  • Associate Clinical Social Worker (Seeking LCSW) - Full Time Hybrid

    Thriveworks 4.3company rating

    Thousand Oaks, CA jobs

    Thriveworks is currently seeking provisionally licensed individuals pursuing California Licensure as an LCSW in Thousand Oaks, CA to provide a mix of telehealth and face-to-face sessions. This role is eligible for a competitive ramp stipend for clinicians offering 30+ hours of availability per week. At Thriveworks, we're not just growing a practice-we're building a movement to transform mental health care. Founded and led by clinicians, we understand what it takes to support our team so they can focus on what they do best: delivering exceptional care. Who We Are Thriveworks is a trusted mental health provider with 340+ locations and a nationwide hybrid care model. We serve over 175,000 clients annually through more than 1.7 million sessions, and those numbers are growing. As a clinician-founded and clinician-led organization, we offer the tools, support, and community you need to build a fulfilling, long-term career. What We're Looking For We're hiring provisionally licensed clinicians in California who are ready to make a difference and grow with us. We're especially interested in: Full-time availability (30 hours/week - 25+ client visits with 5 hours administrative time including supervisory meetings). Behavioral health generalists (open to seeing couples/children, with our support) Clinicians who value autonomy and also enjoy being part of a team Strong character matters - we value integrity, openness, and a commitment to quality care Must reside within 45 minutes of the office location. Ability to work in the office for the probationary period and then work a hybrid model (50% in office and 50% remote). Flexibility in your work schedule Qualifications: Must live and be seeking licensure in the state where services are provided A graduate of an approved 60-credit hour program Approved by the board as an ACSW Graduate or Post-graduate work experience in a counseling setting treating depression and anxiety is required Graduate or Post-graduate work experience independently conducting intakes and diagnosing (preferred) according to the current DSM-5 under a licensed supervisor. Compensation: Up to $59,200 based on licensure type/level, session volume, and bonus opportunities. What We Provide We do the heavy lifting so you can focus on care. As a W2 employee, you'll receive: Guaranteed, bi-weekly pay (no need to wait on reimbursement) FREE individual clinical supervision provided Paid orientation and annual pay increases PTO and flexible scheduling (7am-10pm, 7 days/week) No-show protection and caseload build within 90 days of credentialing Credentialing, billing, scheduling, and marketing support Health, dental, life, liability, and disability insurance options 401k with 3% employer match CEU reimbursement and free in-house training Opportunities for paid resident supervisory roles A vibrant clinical community-online and in person Monthly peer consultations and professional development A clear path for career growth and internal promotion A Place to Belong and Thrive Thriveworks is a certified Great Place to Work and a community built on inclusion, growth, and support. Whether you're seeking mentorship, advancement, or a place where your impact matters, you'll find it here. 93% of our team reports feeling included, and 87% say their work has purpose-and we think that says a lot. Ready to Join Us? Apply today to become part of a team that's changing mental health care for clients and clinicians alike. #LI-Hybrid #LI-MS1 Interested in joining Team Thriveworks? We're thrilled to meet you! With Job scams becoming more and more frequent, here's how to know you're speaking with a real member of our team: Our recruiters and other team members will only email you from ************************* or an @thriveworks.com email address. Our interviews will take place over Google Meet (not Microsoft Teams or Zoom) We will never ask you to purchase or send us equipment. If you see a scam related to Thriveworks, please report to ***********************. You can contact ************************** with any questions or concerns. Thriveworks is an Equal Opportunity Employer. Our people are our most valuable assets. We embrace and encourage differences in age, color, disability, ethnicity, gender identity or expression, national origin, physical and mental ability, race, religion, sexual orientation, veteran status, and other characteristics that make our employees unique. We encourage and welcome diverse candidates to apply for any position you are qualified for to bring your unique perspective to our team. By clicking Apply, you acknowledge that Thriveworks may contact you regarding your application.
    $59.2k yearly 1d ago
  • Talent Selection Specialist

    Akron Children's Hospital 4.8company rating

    Akron, OH jobs

    This is an 18-month temporary assignment with full benefit eligibility. Must reside in Ohio at the time of hire. This is a remote position; however, occasional onsite presence may be required based on business needs. The Talent Selection Specialist is responsible for providing the highest level of recruitment and staffing services to hiring leaders by delivering top talent. Responsibilities: 1. Plans and executes the sourcing, recruiting, selection, and hiring process to ensure a diverse pool of top talent for the organization while maintaining excellent relations with hiring managers, co-workers, candidates, and the community. 2. Sets service level agreements with hiring managers to define roles/responsibilities and control the hiring process. 3. Prepares candidates for interviews with hiring managers by providing information on the hospital, business strategy, department background, job description, and expectations. 4. Maintains accurate and well-ordered documentation on all applicants, searches, hiring manager interactions, and other recruiting activities to ensure accurate reporting of employment activities and successful outcomes of audits. 5. Participates in departmental activities including performance and process improvement. 6. Other duties as required. Other information: Technical Expertise 1. Experience in full lifecycle recruiting is required. 2. Experience in applicable State and Federal employment laws is required. 3. Experience in working with all levels within an organization is required. 4. Experience in medium to large sized organizations is preferred. 5. Experience in healthcare is preferred. 6. Proficiency in MS Office [Outlook, Excel, Word] or similar software is required. ATS is preferred. Education and Experience 1. Education: Bachelor's degree in Human Resources or related field is required. 2. Certification: HR certification [PHR, SHRM-CP, CEBS, CCP, etc.] is preferred. 3. Years of relevant experience: 3 years is required. 4. Years of experience supervising: None. Full Time FTE: 1.000000 Status: Remote
    $47k-56k yearly est. 24d ago
  • Senior Counsel - Healthcare IT and AI Technology Contracts

    Akron Children's Hospital 4.8company rating

    Akron, OH jobs

    Full-Time, 40 hours/week Monday - Friday 8 am - 5 pm Onsite The Senior Associate Counsel provides legal support for hospital information technology operations, including comprehensive legal and strategic guidance on the procurement, deployment, and governance of information technology systems (ISD) and artificial intelligence. This position reports to the Vice President, Senior Associate Counsel with a reporting matrix to the Chief Information Officer. Responsibilities: Advise hospital leadership and procurement teams on the legal implications of acquiring new technologies, such as electronic health records (EHR), telemedicine platforms, cybersecurity tools, and medical devices and the implementation of artificial intelligence tools. Draft, review, and negotiate a broad array of information technology contracts-such as software-as-a-service (SaaS) agreements, cloud hosting terms, data processing addenda, and business associate agreements. Identify and address legal risks in vendor offerings and technology solutions. Advise hospital leadership on legal considerations surrounding digital transformation initiatives, innovation adoption, and strategic partnerships with technology providers. Collaborate with hospital IT and security teams to develop policies and protocols for safeguarding patient data and critical systems. Advise on incident response plans, breach notification procedures, and risk mitigation strategies. Stay abreast of emerging threats and evolving best practices. Provide legal support for hospital-wide policies on technology use, social media, device management, remote work, mobile access to sensitive information, and enterprise risk for information technology. Ensure policies reflect current legal requirements and operational needs. Support the hospital in managing disputes or litigation related to technology vendors, data breaches, intellectual property claims, and other technology-related matters. Coordinate with litigation counsel as needed. Education and Training: Provide ongoing education to staff and leadership on legal implications of technology adoption, emerging regulatory requirements, and evolving risks in the health technology landscape. Identify and assess legal, operational, and compliance risks in IT contract. Other duties as assigned. Other information: Technical Expertise Openness to learning and keeping pace with rapid changes in both healthcare delivery and technological innovation. Aptitude for working effectively with clinicians, IT professionals, administrators, vendors, and regulators. Capacity to guide organizational leadership through complex legal and strategic decisions regarding technology investments. Resourcefulness and creativity in navigating novel legal challenges emerging from digital health transformation. Education and Experience Education: Juris Doctor (JD) degree from an accredited law school; Ohio bar admission or ability to obtain admission prior to start date. Experience: Minimum of 5 years of legal practice advising in healthcare Information technology contracts is required. Technical Knowledge: Familiarity with healthcare IT systems, data privacy and security laws, and emerging technologies (such as artificial intelligence, cloud computing, and IoT). Skills: Strong contract negotiation, drafting, and analytical skills. Excellent verbal and written communication abilities. Competency in risk assessment and strategic thinking. Demonstrated integrity, discretion, and ability to work collaboratively with multidisciplinary teams. Full Time FTE: 1.000000 Status: Onsite
    $97k-148k yearly est. 20d ago
  • Talent Selection Specialist

    Akron Children's Hospital 4.8company rating

    North Canton, OH jobs

    This is an 18-month temporary assignment with full benefit eligibility. Must reside in Ohio at the time of hire. This is a remote position; however, occasional onsite presence may be required based on business needs. The Talent Selection Specialist is responsible for providing the highest level of recruitment and staffing services to hiring leaders by delivering top talent. Responsibilities: 1. Plans and executes the sourcing, recruiting, selection, and hiring process to ensure a diverse pool of top talent for the organization while maintaining excellent relations with hiring managers, co-workers, candidates, and the community. 2. Sets service level agreements with hiring managers to define roles/responsibilities and control the hiring process. 3. Prepares candidates for interviews with hiring managers by providing information on the hospital, business strategy, department background, job description, and expectations. 4. Maintains accurate and well-ordered documentation on all applicants, searches, hiring manager interactions, and other recruiting activities to ensure accurate reporting of employment activities and successful outcomes of audits. 5. Participates in departmental activities including performance and process improvement. 6. Other duties as required. Other information: Technical Expertise 1. Experience in full lifecycle recruiting is required. 2. Experience in applicable State and Federal employment laws is required. 3. Experience in working with all levels within an organization is required. 4. Experience in medium to large sized organizations is preferred. 5. Experience in healthcare is preferred. 6. Proficiency in MS Office [Outlook, Excel, Word] or similar software is required. ATS is preferred. Education and Experience 1. Education: Bachelor's degree in Human Resources or related field is required. 2. Certification: HR certification [PHR, SHRM-CP, CEBS, CCP, etc.] is preferred. 3. Years of relevant experience: 3 years is required. 4. Years of experience supervising: None. Full Time FTE: 1.000000 Status: Remote
    $32k-45k yearly est. 24d ago
  • Registered Nurse (RN) Unit Coordinator - Intensive Care Unit

    Sentara Health 4.9company rating

    Elizabeth City, NC jobs

    City/State Elizabeth City, NC Work Shift Third (Nights) Sentara Albemarle Medical Center is hiring a Registered Nurse (RN) Unit Coordinator for the Intensive Care Unit (ICU). Elevate your career! Hours/Shift: 36-hours, Nights Education Degree or Diploma in Registered Nursing Bachelor of Science Nursing- BSN Certification/Licensure Registered nursing License (Required) BLS required within 90 days of hire Experience 18-months of RN experience is required RN Unit Coordinators demonstrate proficiency in nursing practice for assigned specialty area and provides clinical leadership for the delivery of nursing care in a department. Under the direction of the department manager leads safety and quality initiatives, focuses on and simplifies workflow, and contributes to the development of staff. Increase staff satisfaction and promotes excellent (Gold Standard) customer service. Join Our ICU Family - Where Your Voice Matters and Your Growth Matters More! Looking for more than just a job? Come be part of our 10-bed Medical-Surgical ICU, a close-knit, high-performing team that feels more like family than coworkers. Here, you're not just filling a shift - you're making a difference. We believe in open communication, shared decision-making, and amplifying every voice on the team. Whether you're a seasoned nurse or just starting your critical care journey, your ideas, input, and experiences are valued every day. You'll care for a diverse range of medical and surgical patients, sharpening your critical thinking skills in an environment that encourages learning, mentorship, and professional growth. From expanding your clinical skills to pursuing leadership roles, we're here to support your career goals every step of the way. We are proud to share that we recently received Magnet accreditation with distinction, reflecting our commitment to nursing excellence and quality patient outcomes. Join us and thrive in a place where your voice is heard, your growth is supported, and your team feels like home! Keywords: Registered Nurse, RN, ICU, Intensive Care, Critical Care, SAMC, Sentara Albemarle, Unit Coordinator, Charge Nurse, Leadership, Management, BSN, Talroo-Nursing . Benefits: Caring For Your Family and Your Career • Medical, Dental, Vision plans • Adoption, Fertility and Surrogacy Reimbursement up to $10,000 • Paid Time Off and Sick Leave • Paid Parental & Family Caregiver Leave • Emergency Backup Care • Long-Term, Short-Term Disability, and Critical Illness plans • Life Insurance • 401k/403B with Employer Match • Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education • Student Debt Pay Down - $10,000 • Reimbursement for certifications and free access to complete CEUs and professional development • Pet Insurance • Legal Resources Plan • Colleagues may have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met Sentara Albemarle Medical Center , located in Elizabeth City, NC, serves northeastern North Carolina with a caring team of approximately 650 employees and 150 medical providers. We think of each other as family, with those bonds extending into our close-knit community and serving as the foundation for our patient care. Our 182-bed facility features 25 specialties including emergency, maternity, orthopedics, medical, and surgical care in addition to our outpatient laboratory, imaging, and comprehensive breast services. In 2022, Sentara broke ground on a new campus, a state-of-the-art 88-bed hospital to replace the current 60-year-old facility on North Road Street. The 135-acre campus, coming out of the ground at Halstead Boulevard Extended and Thunder Road, will be known as the Sentara Albemarle Regional Health Campus. It is projected to cost about $200 million, up from the original estimate of $158 million, due to sharp spikes in costs for building materials and medical equipment. Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves. In support of our mission “to improve health every day,” this is a tobacco-free environment. For positions that are available as remote work, Sentara Health employs associates in the following states: Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.
    $28k-33k yearly est. 4d ago
  • Director, Pharmacy Revenue Cycle Management

    Humana 4.8company rating

    Ohio jobs

    Become a part of our caring community and help us put health first The Director, Revenue Cycle Management for Humana Pharmacy will own the billing, collections and reporting for CenterWell Pharmacy & Specialty pharmacy and Humana Pharmacy Solutions, Humana's captive PBM. This role will lead a large workforce across multiple geographies to maximize our billing while also ensuring to meet our patient, pharmaceutical clients and PBM partner needs. Within CenterWell Pharmacy, we continue to lead the industry with new product launches, including our Direct to Consumer and Direct to Employer offerings. This leader will be nimble and change oriented to meet the evolving market needs. This position may involve some financial budgeting as well as making decisions related to implementation of new/updated programs or large-scale projects to help support the strategic goals of the pharmacies. Additionally, the candidate will have the following key responsibilities: · Own the reconciliation of billing with the GL with partnership with controllership team · Provide comprehensive decision-making across the enterprise as it comes to revenue accounting · Develop and maintain team performance across our BPO partner and internal associates · Monitor performance by comparing and analyzing actual results with plans and forecasts · Improve financial status by analyzing results and variances, identifying trends, and recommending actions Use your skills to make an impact Required Qualifications Bachelor's degree in finance, accounting or related field 8 or more years of revenue cycle management 5 or more years of management experience Experience advising senior leadership on billing/collections strategies Knowledge of pharmacy revenue cycle management Prior experience developing methods and criteria for revenue cycle management Exceptional communication and presentation skills, with the ability to influence and engage diverse audiences Ability to lead and manage special projects that may necessitate cross-functional partnerships Must be passionate about contributing to an organization focused on continuously improving consumer experiences Preferred Qualifications Prior health insurance industry experience working in revenue cycle management Pharmacy pricing knowledge or experience Additional Information Interview Format As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule. WAH Internet Statement To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Satellite, cellular and microwave connection can be used only if approved by leadership. Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $126,300 - $173,700 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. About Us Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
    $37k-49k yearly est. 20h ago
  • Radiologist, Body Imaging

    Tal Healthcare 3.8company rating

    New York jobs

    Our client, a not-for-profit healthcare organization dedicated to delivering exceptional acute and preventive medical care to the residents of Westchester County and its surrounding areas, is hiring a Body Imaging Radiologist. With a network of outpatient medical facilities, including multispecialty practices, they are experiencing significant growth. To better serve the community, they are aggressively expanding their services and facilities across Westchester County. Responsibilities 100% focus on body imaging or general diagnostic role 100% fully remote flexibility Monday through Friday, 8 am - 5 pm schedule with option for other scheduling arrangements Not-for-profit entity with opportunity to take advantage of loan forgiveness program Academic affiliation with Montefiore Very strong compensation, benefits package, and retirement compensation Relocation assistance and CME time and stipend included Live outside of NYC and work in a highly-ranked suburban community in Westchester County Requirements: MD or DO degree BC/BE in Radiology Fellowship-trained Body Imager Ability to read Body MRI, CT Ultra Sound and General Films. Benefits: Competitive compensation Generous PTO Excellent benefit, retirement plans Work-life balance is valued A team environment that believes in employee development, professional growth, and company longevity Culture is one of mutual respect, teamwork, and equality The organization embraces and values an inclusive work environment Salary: The posted range is not a guarantee. The actual salary will be based on qualifications, experience, and education and could fall outside of this range. Contact us for more information.
    $149k-223k yearly est. 1d ago
  • Senior Counsel - Healthcare IT and AI Technology Contracts

    Akron Children's Hospital 4.8company rating

    Hudson, OH jobs

    Full-Time, 40 hours/week Monday - Friday 8 am - 5 pm Onsite The Senior Associate Counsel provides legal support for hospital information technology operations, including comprehensive legal and strategic guidance on the procurement, deployment, and governance of information technology systems (ISD) and artificial intelligence. This position reports to the Vice President, Senior Associate Counsel with a reporting matrix to the Chief Information Officer. Responsibilities: Advise hospital leadership and procurement teams on the legal implications of acquiring new technologies, such as electronic health records (EHR), telemedicine platforms, cybersecurity tools, and medical devices and the implementation of artificial intelligence tools. Draft, review, and negotiate a broad array of information technology contracts-such as software-as-a-service (SaaS) agreements, cloud hosting terms, data processing addenda, and business associate agreements. Identify and address legal risks in vendor offerings and technology solutions. Advise hospital leadership on legal considerations surrounding digital transformation initiatives, innovation adoption, and strategic partnerships with technology providers. Collaborate with hospital IT and security teams to develop policies and protocols for safeguarding patient data and critical systems. Advise on incident response plans, breach notification procedures, and risk mitigation strategies. Stay abreast of emerging threats and evolving best practices. Provide legal support for hospital-wide policies on technology use, social media, device management, remote work, mobile access to sensitive information, and enterprise risk for information technology. Ensure policies reflect current legal requirements and operational needs. Support the hospital in managing disputes or litigation related to technology vendors, data breaches, intellectual property claims, and other technology-related matters. Coordinate with litigation counsel as needed. Education and Training: Provide ongoing education to staff and leadership on legal implications of technology adoption, emerging regulatory requirements, and evolving risks in the health technology landscape. Identify and assess legal, operational, and compliance risks in IT contract. Other duties as assigned. Other information: Technical Expertise Openness to learning and keeping pace with rapid changes in both healthcare delivery and technological innovation. Aptitude for working effectively with clinicians, IT professionals, administrators, vendors, and regulators. Capacity to guide organizational leadership through complex legal and strategic decisions regarding technology investments. Resourcefulness and creativity in navigating novel legal challenges emerging from digital health transformation. Education and Experience Education: Juris Doctor (JD) degree from an accredited law school; Ohio bar admission or ability to obtain admission prior to start date. Experience: Minimum of 5 years of legal practice advising in healthcare Information technology contracts is required. Technical Knowledge: Familiarity with healthcare IT systems, data privacy and security laws, and emerging technologies (such as artificial intelligence, cloud computing, and IoT). Skills: Strong contract negotiation, drafting, and analytical skills. Excellent verbal and written communication abilities. Competency in risk assessment and strategic thinking. Demonstrated integrity, discretion, and ability to work collaboratively with multidisciplinary teams. Full Time FTE: 1.000000 Status: Onsite
    $97k-148k yearly est. 20d ago
  • Director, Government and External Relations

    Bon Secours Mercy Health 4.8company rating

    Remote

    This is a remote opportunity based in Columbia, SC, to work at the statehouse. This position supports both our Greenville, SC, market and Roper St. Francis Healthcare in Charleston, SC. Travel will be expected to both of those locations. Summary of Primary Function/General Purpose of Position The Director of Government and External Relations will manage successful statewide relations at all levels of government and among community leaders, state trade associations and other external constituents of importance to implement the state and federal public policy and advocacy agenda of Bon Secours Mercy Health (BSMH) within the State of South Carolina. The Director will report to the System Chief Advocacy & Government Relations Officer while supporting the priorities of internal CEOs in Greenville and in Charleston to effectively advocate and manage external relations with statewide influence. In addition, engaging internal subject matter experts across the spectrum of BSMH is essential. This will ensure an evidence-based approach to developing legislative, regulatory and community solutions on matters such as public program funding for patient care and workforce development affecting clinical operations and external relations priorities across the State of South Carolina. Essential Job Functions Support system-wide legislative, regulatory and advocacy priorities in the State of South Carolina through effective internal and external relations management, including, but not limited to community leaders, trade associations, and government officials. The Director will serve on the Advocacy & Government Relations Committee and Government Reimbursement Council at the system level while developing a strategic statewide vision to achieve goals and objectives that are reflective of the communities we serve and support the current and future needs of BSMH throughout the State of South Carolina. Manage government relations/advocacy agenda on a statewide basis as directed and ensure implementation of system and local priorities in Greenville and in Charleston with internal key stakeholders. Foster and influence relationships throughout the state and in concert with internal regional stakeholders that result in favorable legislative & regulatory outcomes and build strategic alliances to augment external reputational management and system growth. Enhance Bon Secours Mercy Health's public reputation as a relied upon and trusted resource by identifying public and private sector community-based interfaces and partnerships throughout our service areas. Provide legislative, regulatory and health industry intelligence to inform strategic impact analyses in concert with internal content experts that lead to politically viable solutions for the future success of our health system. Identify opportunities to coordinate appropriate Advocacy interface with internal Mission, Foundation, Community Health and Marketing/Communication leader(s) in regional coalitions and partnerships, and to assure adequate representation of the ministry on related issues in the communities we serve. Create effective grass-tops and grassroots support and mobilization, and strong trade association and business organization relations with an emphasis on those organizations where BSMH personnel serve in a board or committee capacity. Identify opportunities to organize grass-tops network and mobilize internal grassroots support for legislative and advocacy issues when appropriate. Champion internal process to develop action plan for executive and clinician engagement on government matters, as well as governmental, industry trade / business organization, and community boards of interest. Partner with internal Foundation personnel to identify local, state and federal grant opportunities to address various community health needs. Lead and manage local market / regional Advocacy outreach in Greenville and in Charleston through education and lobbying strategies with designated internal personnel to realize a positive impact and favorable outcome for legislative & regulatory policy issues and external relations more broadly. Maintain registration as a state lobbyist on behalf of BSMH and ensure compliance of all related reporting requirements. Employment Qualifications Required Minimum Education: Bachelor's Degree in Political Science, Public Policy, Public Administration, Journalism or related degree Preferred Education: Master's Degree Minimum Years and Type of Experience: 5-7 years in an external relations capacity Other Knowledge, Skills and Abilities Required: Effective communicator with excellent interpersonal relationship skills, understanding of government, and strategic agility to collaborate in a complex organization Other Knowledge, Skills and Abilities Preferred: Analytical and business acumen (healthcare experience a plus), and adaptable to change
    $110k-185k yearly est. 20h ago
  • Physician / Radiology / Alabama / Permanent / Physician (MD/DO) - Radiology - General/Other in Alabama, AL

    Healthcare Connections 4.1company rating

    Alabama jobs

    Doctor of Medicine | Radiology - General/Other Location: Alabama, AL Employer: Healthcare Connections Pay: Competitive weekly pay (inquire for details) Shift Information: Nights - 5 days Start Date: ASAP About the Position ALABAMA General Radiologist Partnership A radiology group has a retiring partner that they are seeking a replacement for in their established general practice. This is a hybrid position with some on-site and some remote work.
    $203k-261k yearly est. 20h ago

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