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Children's Minnesota Remote jobs

- 132 jobs
  • Federal Affairs Director

    Children's Hospitals and Clinics of Minnesota 4.6company rating

    Minnesota jobs

    About Children's Minnesota Children's Minnesota is one of the largest pediatric health systems in the United States and the only health system in Minnesota to provide care exclusively to children, from before birth through young adulthood. An independent and not-for-profit system since 1924, Children's Minnesota is one system serving kids throughout the Upper Midwest at two free-standing hospitals, nine primary care clinics, multiple specialty clinics and seven rehabilitation sites. As The Kids Experts™ in our region, Children's Minnesota is regularly ranked by U.S. News & World Report as a top children's hospital. Find us on Facebook @childrensminnesota or on Twitter and Instagram @childrensmn. Please visit childrens MN.org. Children's Minnesota is proud to be recognized by Modern Healthcare as one of 2023's Top Diversity Leaders. The national honor recognizes the top diverse healthcare executives and organizations influencing public policy, care delivery, and promoting diversity, equity and inclusion in their organizations and the industry. Position Summary The Federal Affairs Director is the organization's key leader for federal policy and government relations planning and implementation. This individual works with other Children's Minnesota staff and external partners to develop and advance federal public policy positions that support the mission, vision and values of Children's Minnesota. This individual will be the primary liaison between Children's Minnesota and federal leaders, including administration, members of Congress and their staff, as well as agency officials and external stakeholders. Location (e.g. remote or on-site)\: Remote - Minnesota or Wisconsin residents only Education: *Bachelor's degree in public policy, Government Affairs, Public Relations, Public Health, Health Care Administration, or other related field or equivalent combination of education/experience required Experience: *Eight (8) or more years in public policy, advocacy, or related field. *Experience working with federal regulatory and legislative processes. Knowledge/Skills/Abilities: *Strong understanding of the political and policy landscape in Washington D.C. and Minnesota. *Demonstrated knowledge of federal regulatory and legislative processes. *Experience working with congressional offices and federal regulators. *Direct experience in health care and health care policy, including Medicaid, disproportionate share funding, graduate medical education funding and other funding streams. *Ability to perform complex policy analyses, formulate and communicate policy recommendations effectively. *Knowledge of vehicles for effective policy communication, including engagement with media, thought leaders, key interest groups, and constituents/citizens. *Demonstrated expertise in developing and implementing a regulatory and legislative policy planning and tracking system and ability to produce results. *Ability to work independently while also contributing to a collaborative team approach. *Ability to thrive in a high-volume and fast-paced work environment. *Strong organizational skills and attention to detail. The posted salary represents a market competitive range based on salary survey benchmark data for similar roles in the local or national market. When determining individual pay rates, we carefully consider a wide range of factors including but not limited to market indicators for the specific role, the skills, education, training, credentials and experience of the candidate, internal equity and organizational needs. In addition to your salary, this position may be eligible for medical, dental, vision, retirement, and other fringe benefits. Positions that require night, weekend or on-call work may be eligible for shift differentials or premium pay. All job offers are contingent upon successful completion of an occupational health assessment, drug screen, background investigation, and compliance with the U.S. Government Form I-9, Employment Eligibility Verification. Children's Minnesota is proud to be an equal opportunity employer whose staff is representative of its community and considers qualified applicants for open positions without regard to race, color, creed, sex, religion, national origin, sexual orientation, genetic information, gender identity or expression, age, veteran status, disability, pregnancy, citizenship status, or any other characteristic protected under applicable federal, state, or local law.
    $167k-231k yearly est. Auto-Apply 11d ago
  • Federal Affairs Director

    Children's Hospitals and Clinics of Minnesota 4.6company rating

    Remote

    About Children's Minnesota Children's Minnesota is one of the largest pediatric health systems in the United States and the only health system in Minnesota to provide care exclusively to children, from before birth through young adulthood. An independent and not-for-profit system since 1924, Children's Minnesota is one system serving kids throughout the Upper Midwest at two free-standing hospitals, nine primary care clinics, multiple specialty clinics and seven rehabilitation sites. As The Kids Experts in our region, Children's Minnesota is regularly ranked by U.S. News & World Report as a top children's hospital. Find us on Facebook @childrensminnesota or on Twitter and Instagram @childrensmn. Please visit childrens MN.org. Children's Minnesota is proud to be recognized by Modern Healthcare as one of 2023's Top Diversity Leaders. The national honor recognizes the top diverse healthcare executives and organizations influencing public policy, care delivery, and promoting diversity, equity and inclusion in their organizations and the industry. Position Summary The Federal Affairs Director is the organization's key leader for federal policy and government relations planning and implementation. This individual works with other Children's Minnesota staff and external partners to develop and advance federal public policy positions that support the mission, vision and values of Children's Minnesota. This individual will be the primary liaison between Children's Minnesota and federal leaders, including administration, members of Congress and their staff, as well as agency officials and external stakeholders. Location (e.g. remote or on-site): Remote - Minnesota or Wisconsin residents only Education: * Bachelor's degree in public policy, Government Affairs, Public Relations, Public Health, Health Care Administration, or other related field or equivalent combination of education/experience required Experience: * Eight (8) or more years in public policy, advocacy, or related field. * Experience working with federal regulatory and legislative processes. Knowledge/Skills/Abilities: * Strong understanding of the political and policy landscape in Washington D.C. and Minnesota. * Demonstrated knowledge of federal regulatory and legislative processes. * Experience working with congressional offices and federal regulators. * Direct experience in health care and health care policy, including Medicaid, disproportionate share funding, graduate medical education funding and other funding streams. * Ability to perform complex policy analyses, formulate and communicate policy recommendations effectively. * Knowledge of vehicles for effective policy communication, including engagement with media, thought leaders, key interest groups, and constituents/citizens. * Demonstrated expertise in developing and implementing a regulatory and legislative policy planning and tracking system and ability to produce results. * Ability to work independently while also contributing to a collaborative team approach. * Ability to thrive in a high-volume and fast-paced work environment. * Strong organizational skills and attention to detail. The posted salary represents a market competitive range based on salary survey benchmark data for similar roles in the local or national market. When determining individual pay rates, we carefully consider a wide range of factors including but not limited to market indicators for the specific role, the skills, education, training, credentials and experience of the candidate, internal equity and organizational needs. In addition to your salary, this position may be eligible for medical, dental, vision, retirement, and other fringe benefits. Positions that require night, weekend or on-call work may be eligible for shift differentials or premium pay. All job offers are contingent upon successful completion of an occupational health assessment, drug screen, background investigation, and compliance with the U.S. Government Form I-9, Employment Eligibility Verification. Children's Minnesota is proud to be an equal opportunity employer whose staff is representative of its community and considers qualified applicants for open positions without regard to race, color, creed, sex, religion, national origin, sexual orientation, genetic information, gender identity or expression, age, veteran status, disability, pregnancy, citizenship status, or any other characteristic protected under applicable federal, state, or local law.
    $98k-171k yearly est. 12d ago
  • Dosimetrist, Remote

    Piedmont Healthcare Inc. 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: Bachelor's 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 5d ago
  • Senior Counsel - Healthcare IT and AI Technology Contracts

    Akron Children's Hospital 4.8company rating

    North Canton, 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. 4d ago
  • Revenue Cycle Billing Liaison Manager - PB

    Boston Medical Center 4.5company rating

    Remote

    Reporting to the Director Revenue Cycle Billing Operations & Cash Posting, the Revenue Cycle Billing Liaison Manager is responsible for supervising and coordinating all facets of Professional billing within the organization. Acting as the primary revenue Cycle liaison between designated between designated department(s), the Professional Billing office, third-party vendors, and all other stakeholders, to proactively identify opportunities to improve the revenue cycle and assist in the resolution of issues. The individual will be responsible for building and maintaining collaborative and productive relationships within the organization, managing revenue cycle projects, and driving performance. Professional revenue cycle expertise and strong communication skills are required. Position: Revenue Cycle Billing Liaison Manager - PB Department: BUMG Corporate PBO General Schedule: Full Time ESSENTIAL RESPONSIBILITIES / DUTIES: Represent the Professional Billing Office in the role as a subject matter expert for revenue cycle items related to the designated department(s). Serve as a liaison to department and practice contacts to ensure that the Professional Billing Office (PBO) is meeting service levels and to address issues that may cause challenges to meet service levels and KPIs. Work collaboratively with departments, practices and third party billing vendor to drive organizational efficiencies and alignment and to ensure processes and systems are standardized and optimized for efficient and effective flow of patient accounts Identify areas of opportunity to apply process changes and/or technology implementation/updates to optimize PBO performance. Manage implementation of standards and systems to enhance quality, consistency, efficiency, and timeliness of responsibilities for the enterprise; designing, develop, and monitor performance improvement processes (e.g. quality, accuracy, productivity and timeliness); identify continuous improvement opportunities and manage productivity metrics and efficiencies Provide consistent monitoring, reporting, and communication of department-specific trends and overall revenue cycle performance for assigned department(s). Establish and maintain a close working relationship with assigned department(s) as well as other stakeholders within the organization. Collaborate with the necessary team(s) to prepare standard revenue cycle reports for the assigned department(s). Review and analyze reports for identification of trends and issues. Facilitate regular meetings with the assigned department(s) Administrative Directors and Physician Leaders to discuss revenue cycle metrics, key trends, and opportunities for improvement. Compile and distribute meeting minutes and action items. Continue timely follow up of action items until resolved. Provide general oversight of third party billing vendor(s). Develop a strong working relationship with assigned vendor Client Managers. Identify opportunities to improve revenue cycle and suggest improvements to Professional Billing Office leadership and assigned department(s). Work to institute improvements in a timely manner. Monitor work queue performance by all parties, including department and third-party vendor. Demonstrate proficiency in all aspects of professional revenue cycle operations to achieve increased collections, optimal billing goals, and adherence to compliance rules and regulations. Participate in multiple projects simultaneously, while keeping priorities aligned with department and organizational goals. Conform to hospital standards of performance and conduct, including those pertaining to patient rights, so that the best possible customer service and patient care may be provided. Must adhere to all of BMC's RESPECT behavioral standards. (The above statements in this job description are intended to depict the general nature and level of work assigned to the employee(s) in this job. The above is not intended to represent an exhaustive list of accountable duties and responsibilities required). JOB REQUIREMENTS EDUCATION: Bachelor's Degree in Business / Healthcare related field (or work experience equivalent). CERTIFICATES, LICENSES, REGISTRATIONS REQUIRED: None EXPERIENCE: Minimum of 5-7 years related experience required. Specifically, experience in an academic medical center managing professional billing functions. 3 - 5 years Epic system experience preferred KNOWLEDGE AND SKILLS: Advanced knowledge of healthcare revenue cycle functions, including coding and billing guidelines, government payer regulations. Must have CPT coding knowledge. Working knowledge of payer reimbursement and rules. Experienced in auditing, training and communicating revenue cycle regulations and concepts. Excellent interpersonal and communication skills to positively interact with a variety of hospital personnel, including administrative and management staff in a fast paced environment. Strong analytical skills. Highly skilled experience and knowledge of Windows-based software required, including but not limited to Microsoft Windows, Outlook, Excel and Access. Proficient skills to collect, organize and analyze data, produce actionable reports and recommend improvements and solutions. Possess effective oral and written skills. Ability to interpret and implement regulatory standards. Working knowledge of multiple healthcare applications, including but not limited to Epic. Possess effective time management skills to permit handling of large workload. Compensation Range: $72,500.00- $105,000.00 This range offers an estimate based on the minimum job qualifications. However, our approach to determining base pay is comprehensive, and a broad range of factors is considered when making an offer. This includes education, experience, skills, and certifications/licensures as they directly relate to position requirements; as well as business/organizational needs, internal equity, and market-competitiveness. In addition, BMCHS offers generous total compensation that includes, but is not limited to, benefits (medical, dental, vision, pharmacy), discretionary annual bonuses and merit increases, Flexible Spending Accounts, 403(b) savings matches, paid time off, career advancement opportunities, and resources to support employee and family well-being. NOTE: This range is based on Boston-area data, and is subject to modification based on geographic location. Equal Opportunity Employer/Disabled/Veterans According to the FTC, there has been a rise in employment offer scams. Our current job openings are listed on our website and applications are received only through our website. We do not ask or require downloads of any applications, or “apps” job offers are not extended over text messages or social media platforms. We do not ask individuals to purchase equipment for or prior to employment.
    $72.5k-105k yearly Auto-Apply 28d ago
  • Business and Operations Specialist, OCCH

    Connecticut Children's Medical Center 4.7company rating

    Remote

    The Business and Operations Specialist provides operational, and financial support for the North Hartford Ascend initiative within the Office for Community Child Health at Connecticut Children's. This grant-funded position manages financial tracking, budget support, and grant compliance activities to ensure accurate and timely use of funds. The Specialist coordinates partner communication, prepares program documents, manages meeting and event logistics, and supports general program operations to advance the initiative's objectives in the North Hartford Promise Zone. Education and/or Experience Required: Education: High School Diploma or GED. Experience: Minimum 3 years' experience directly related to the duties and responsibilities specified. Education and/or Experience Preferred: Education: Bachelor's Degree. License and/or Certification Required: N/A Knowledge, Skills and Abilities: Knowledge: Administrative operations and procedures in healthcare and/or nonprofit organizations. General accounting principles and budget tracking processes. Project coordination practices, particularly in grant-funded or multi-partner initiatives. Electronic systems used for calendar scheduling, document management, and communications (e.g., Microsoft Outlook, SharePoint). Skills: Proficiency in Microsoft Office applications: Word (document creation and formatting), Excel (data tracking, budget management, intermediate to advanced functions), PowerPoint (presentation support). Familiarity with platforms such as WordPress, MailChimp, SurveyMonkey, and CVENT (or similar tools for websites, surveys, email distribution, and event registration). Strong written communication skills for drafting and editing a variety of materials. Effective interpersonal and organizational skills, with the ability to work collaboratively with internal teams and external partners. Abilities: Exercise sound judgment, discretion, and confidentiality in handling sensitive information. Interpret and apply organizational and departmental policies to resolve routine to complex issues. Organize, prioritize, and manage multiple tasks and deadlines in a fast-paced, evolving environment. Analyze information and prepare accurate, comprehensive reports with attention to detail. Communicate effectively with diverse stakeholders, demonstrating cultural sensitivity and responsiveness. Adapt to changing priorities and work both independently and as part of a team. FINANCIAL OVERSIGHT AND GRANTS SUPPORT-40% Reviews and processes invoice submissions and required documentation, ensuring accuracy and alignment with contract and grant requirements. Assists with budget planning, projections, and development, including documentation in support of new funding opportunities. Audits documentation and ensures timely reporting of grant expenditures in compliance with funding guidelines. Identifies potential risks and issues and escalates appropriately. Collaborates with internal departments (e.g., Accounting, Office of Sponsored Programs, and Purchasing) to ensure accurate processing of financial and procurement documents. PROGRAMMATIC ACTIVITIES-20% Manages and coordinates program activities in support of the North Hartford Ascend initiative, including meeting and event scheduling, and preparation of agendas and materials. Prepares and disseminates newsletters, announcements, and electronic surveys. Organizes and maintains comprehensive project documentation, plans and reports. Updates program records, templates, and distribution lists. Facilitates communication with internal departments and external partners to ensure smooth implementation of project activities and timely completion of deliverables. Serves as a point of contact for internal and external inquiries, providing responsive and professional support to visitors, callers, and partner agencies. Demonstrates cultural sensitivity in all interactions. MEETING, EVENT, AND ENGAGEMENT COORDINATION-20% Plans and organizes meetings, webinars, trainings, and community events in support of the initiative. Responsibilities include scheduling, registration, materials preparation, and technology setup. Supports partner engagement, including coordination of speaker engagements, exhibitor/sponsor contracts, and travel arrangements. Ensures proper documentation of meetings and events, including minutes and follow-up task tracking. COMMUNICATIONS AND DOCUMENT MANAGEMENT- 15% Drafts, formats, and distributes written materials such as correspondence, reports, presentations, and meeting documentation. Ensures clarity, consistency, and professionalism across all communications. Develops and maintains templates and forms to support efficient workflows. Manages SharePoint resources and contributes to updates for relevant websites as applicable. TRAINING AND PROFESSIONAL DEVELOPMENT- 5% Provides instruction or training to others on job functions, processes, and associated responsibilities as requested. Maintains and expands professional competencies through participation in training sessions, educational programs, and other development opportunities, as directed. May require travel between departments or off-site locations to support program activities. Performs Other Duties as Assigned
    $43k-56k yearly est. Auto-Apply 60d+ ago
  • Child Life Specialist

    Connecticut Children's Medical Center 4.7company rating

    Remote

    will be supporting our Norwalk ED- it may be between a 24-32 hour position. ASSESSMENT & PLANNING: Assess the coping responses and needs of assigned patients/families to their healthcare experience; plan and coordinate appropriate developmental, therapeutic and educational opportunities for the patient and family during the hospital stay, taking into consideration the individuality of each child's family, culture and stage of development; develop and implement activities, resources and programs to meet patient/family needs. THERAPEUTIC INTERVENTIONS: Minimize stress and anxiety for patient by providing developmentally appropriate opportunities (in activity rooms and at bedside) that encourage expression of feelings and promote a sense of mastery and understanding of health care experiences. Maintain appropriate supply of therapeutic materials. Prepare children and families for and provide support during tests, surgeries or other medical procedures through education, tours, rehearsal and coping skills development. Promote and support parental role. ESSENTIAL LIFE EXPERIENCES: Provide essential life experiences for children to foster continued growth and development during their hospital stay; organize play activities, materials and other experiences at bedside and/or in activity rooms; coordinate special events in recognition of significant and familiar experiences (e.g. birthdays, holidays, and other family observances); participate in development and implementation of activities with individuals/community groups involved in interacting with children and their families. HEALTH CARE TEAM: Effectively communicate observations, assessments and recommendations for care to other members of healthcare team (through verbal and written channels); accurately documents care and services provided following established policies and procedures. Advocate for patient and family needs; and activate appropriate services/referrals. Assists in the maintenance of a safe and therapeutic patient care environment. As assigned, participates in quality improvement activities. Actively participates on inter-disciplinary teams and committees. EDUCATION/COLLABORATION WITH COMMUNITY: Develop and maintain own knowledge and understanding of the medical conditions and healthcare experiences of specific patient populations. Develop resources and provide education for medical center staff; may develop and provide education and resources for community providers regarding developmental needs of children. Orient, supervise and provide input into the evaluation of Child Life students, interns and hospital volunteers. Participate in continual professional development. BEREAVEMENT SUPPORT: Provide age-appropriate emotional support and education, in collaboration with the health care team, for parents and families surrounding issues of end-of-life care, grief and loss; facilitate memory-making activities relative to family's cultural and traditional practices. SIBLING SUPPORT: Assess the support needs of siblings, both indirectly, through parent report, and directly, through observation and therapeutic interactions. Provide teaching and support regarding surgery and/or procedures, orientation to the hospital environment (i.e. visits to the PICU, NICU), bereavement support and ongoing assessment / support for siblings of chronic and critically ill patients. Offer support/education to parents and other caregivers regarding both normal behaviors of siblings and those that might indicate a need for further interventions. Offer age appropriate opportunities for siblings to participate in certain aspects of the hospitalization, such as decorating the patient's room, or working on a special project with their hospitalized sibling. Demonstrates knowledge of the age-related differences and needs of patients in appropriate, specific populations from neonate through adolescence and applies them to practice. Demonstrates cultural sensitivity in all interactions with patients/families. Demonstrates support for the mission, values and goals of the organization through behaviors that are consistent with the CONNECTICUT CHILDREN'S STANDARDS. Bachelor's degree in Child Life, Child Development or directly related field in behavioral sciences or human development required. Master's degree preferred. 600-hour Child Life Internship required. Position Specific Job Education and/or Experience LICENSE and/or CERTIFICATION REQUIRED Certified Child Life Specialist, issued through Association of Child Life Professionals (ACLP), within one year of hire. Nonviolent Crisis Intervention training certification required within one year of hire and maintained thereafter. Position Specific Job License and/or Certification Required KNOWLEDGE, SKILLS AND ABILITIES REQUIRED KNOWLEDGE OF: Basic knowledge and understanding of the medical conditions and healthcare experiences of specific patient populations Clinical operations policies and procedures; documentation and patient record policies and standards In-depth knowledge of child development theory and practice Therapeutic play activities and materials; teaching techniques; identification of learning needs and provision of patient/family education Legal and ethical issues related to patient rights Crisis intervention techniques SKILLS: Strong interpersonal and communication (verbal and written) skills and the ability to work effectively with a wide range of constituencies in a diverse community Basic proficiency in utilization of personal computers in networked Windows-based health care environment to access related software applications; locate, open, edit and print files and information utilized by the unit; and use of Internet as research tool ABILITY TO: Create effective relationships with individuals of different cultural beliefs and lifestyles Observe, assess, and record symptoms, reactions and progress Maintain emotional stability to cope with human suffering, emergencies and other stresses Maintain confidentiality of information Make administrative/procedural decisions and judgments Evaluate the progress of therapeutic programs and make individual modifications Lead and train staff and/or students in child development theory and practice Work within a multidisciplinary team Draw upon experience from pre-admission tours, pre-procedural teaching, pre-operational teaching, playroom programs, play and art therapy, and sibling support. WORK ENVIRONMENT: Clinical environment with normal noise level.
    $53k-83k yearly est. Auto-Apply 60d+ ago
  • Associate Insurance Representative - Remote IA, MN, ND, SD

    Sanford Health 4.2company rating

    Remote

    Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint. Work Shift: Day (United States of America) Scheduled Weekly Hours: 40Salary Range: $15.00 - $23.00 Union Position: No Department Details WFH Day 1 Summary The Associate Insurance Representative processes and monitors unpaid third party insurance, Medicare, Medicaid or government-assisted program accounts for proper reimbursement; primarily but not limited to prebilled accounts. Job Description Prepares and submits claims to payers either electronically or by paper. Secures necessary medical documentation required or requested by payers. Performs account follow-up on outstanding insurance balances and takes the necessary action for account resolution in accordance with established federal and state regulations. Processes daily workflow changes that depending on department may include, eligibility verification, verification of information, payment postings, initiating refunds, processing month end, resolving and troubleshooting incidents, reporting, initial billings and re-billings of claims, scanning and indexing of documents, and be the point of contact to provide assistance as needed. Responsible for assuring accounts are set up correctly with the information available is completed timely and accurately. Completes work within authorized time to assure compliance with departmental standards. Keeps updated on all state/federal billing requirements and changes for insurance types within area of responsibility. Understands edits and appropriate department procedures to effectively submit and/or correct errors on claims. Processes and resolves denials that are technical in nature (i.e.: records required denials). Performs miscellaneous job related duties as requested. Qualifications High school diploma or equivalent preferred. Previous billing experience preferred. Sanford is an EEO/AA Employer M/F/Disability/Vet. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call ************** or send an email to ************************.
    $15-23 hourly Auto-Apply 5d ago
  • Senior Cyber Security Engineer - Network Security

    Sanford Health 4.2company rating

    Remote

    Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint. Work Shift: Scheduled Weekly Hours: 40Salary Range: $40.00 - $66.00Pay starts at $40 and increases according to years of applicable experience. Union Position: No Department Details ***Working remotely is an option if you currently live in SD, ND, MN, IA, NE or WI. Required Skills and Qualifications: Strong communication skills to explain complex concepts to various stakeholders Excellent documentation skills for development of diagram, requirements, process mapping and overall design solutions Strong team player with curious and flexible nature. Strong understanding of network protocols (TCP/IP, OSI model) and network security concepts Expertise in network switch, routing, and security technologies (firewalls, VPNs, IDS/IPS, etc.) Experience with security frameworks and standards (NIST, CIS, ISO 27001) Proficiency in scripting languages (Python, Perl, PowerShell) Strong problem-solving and analytical skills Excellent communication and interpersonal skills Summary Responsible for the technical and operational delivery of enterprise cybersecurity solutions. Focuses on the development and implementation of processes and tools for identifying, evaluating, implementing, troubleshooting, and maintaining technical security controls for the organization. These controls are designed to prevent, detect, and contain security threats; enabling Sanford to be productive while maintaining a secure environment that optimizes Sanford's return on investment. Job Description Lead the building, configuring, and maintaining of cybersecurity systems to ensure our operational environments stay compliant and secure. Implements security controls using industry best practices across numerous technologies including, but not limited to SIEM, email filtering, web and content filtering, firewall, IPS/IDS systems, identity and access management, SSO/MFA, vulnerability management, and data protection. Skillfully maintains the existing security systems, including implementing new features, performing upgrades, and managing technical configurations/policies across a variety of business-critical systems. Proficiently monitors and responds to security system health alerts. Respond to day-to-day operational work such as managing security tools while simultaneously multitasking with strategic project initiatives. Provide security consulting services to other Sanford health groups. Provide assistance to a 24x7 team of dedicated security engineers focused on maintaining operational stability while reducing risk. Build and maintain key vendor and supplier relationships. Lead strategic project initiatives ensuring the processes and procedures are well defined and documented. Recognize both internal and external threats and understand/communicate risks to Sanford Assets. Make strategic recommendations to enhance and improve overall security posture. Advise on methods to increase efficiency of current toolsets (such as script automation or process improvement recommendations). Mentor others within the team as well as receive instruction and guidance from others within the team. Write documentation that can be used by all team members and other employees. Identify gaps in established/documented process and update as needed. Works under limited guidance due to previous experience/breadth of knowledge of processes and organizational knowledge. Acts independently to determine methods and procedures on new assignments. Regularly presented with new assignments and projects that require the application of independent judgement/interpretation of policies/practices. Checks own work and the work of other team members. Qualifications Bachelor's degree in cyber security or an information technology related field. Minimum of 4 years experience working in Cyber Security field. Security Certifications (CISSP, CISA, CISM, Security+, CEH, etc.) are highly desired Sanford is an EEO/AA Employer M/F/Disability/Vet. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call ************** or send an email to ************************.
    $40-66 hourly Auto-Apply 26d ago
  • Medical Coder II, Inpatient Hospital Full Time Remote

    Connecticut Children's Medical Center 4.7company rating

    Hartford, CT jobs

    Connecticut Children's is the only health system in Connecticut that is 100% dedicated to children. Established on a legacy that spans more than 100 years, Connecticut Children's offers personalized medical care in more than 30 pediatric specialties across Connecticut and in two other states. Our transformational growth establishes us as a destination for specialized medicine and enables us to reach more children in locations that are closer to home. Our breakthrough research, superior education and training, innovative community partnerships, and commitment to diversity, equity and inclusion provide a welcoming and inspiring environment for our patients, families and team members. At Connecticut Children's, treating children isn't just our job - it's our passion. As a leading children's health system experiencing steady growth, we're excited to expand our team with exceptional team members who share our vision of transforming children's health and well-being as one team. The purpose of this position is to apply the appropriate diagnostic and procedural codes to individual health information for data retrieval, analysis, and claims processing. * Experience Preferred: Successful completion of a coding certificate program with AHIMA approval status preferred. * Education Required: Associate degree or equivalent training acquired through at least three years on-the-job experience. * Certification is required within one year of hire; acceptable certifications for this position include: * American Health Information Management Association (AHIMA): RHIA, RHIT, CCS, CCS-P, CCA * American Academy of Professional Coders (AAPC). Knowledge, Skills and Abilities: Knowledge of: * Coding guidelines for using ICD-9-CM (Volumes 1, 2, and 3), ICD-10-CM, ICD-10-PCS, CPT and HCPCS Level II codes in inpatient and outpatient settings. * Extensive knowledge of anatomy and medical terminology. * Maintains, and increases knowledge of issues that affect coding and billing and the healthcare industry. * Regulatory requirements pertaining to healthcare operations in the practice and hospital settings. * ICD-9-CM (Vol 1, 2, and 3) Official Coding Guidelines. * ICD-10-CM Official Coding Guidelines. * ICD-10-PCS Official Coding Guidelines. * CPT and HCPCS Level II Coding Guidelines including Evaluation & Management Coding, Surgical Coding, and the use of Modifiers. * Data management techniques. Skills: * Advanced Computer skills, PC experience w/ Windows-based applications. * Communication skills including strong verbal, written, and interpersonal skills. * Keyboarding skills with ability to type 40 wpm minimum. Ability to: * Analyze complex medical records and identify billable services. * Work with individuals at all levels within the organization and the community; effectively communicate with providers. * Manage and prioritize workloads to meet deadlines. * Research coding questions. * Gather, review and compile information and prepare reports, often with deadlines. * Maintain quality and compliance standards. * Maintain confidentiality of information. * Function in a fast-paced environment with strong attention to detail meeting productivity and accuracy standards. * The coder abstracts pertinent information from patient records and assigns ICD-9-CM/ICD-10-CM, ICD-10-PCS or CPT/HCPCS codes, creating APC or DRG group assignments. * Queries physicians when code assignments are not straightforward or documentation in the record is inadequate, ambiguous, or unclear for coding purposes. * The coder keeps abreast of coding guidelines and reimbursement reporting requirements. Brings identified concerns to supervisor or department manager for resolution. * Abides by the standards of Ethical Coding as set forth by the American Health Information Management Association and adheres to official coding guidelines. * Documentation assessment and review for accurate abstracting of clinical data to meet regulatory and compliance requirements. The coder assists in coordination of the compilation of data relative to regulatory agencies and the accreditation process. * Review all charges, ensure accurate charge capture and review medical necessity for all ordered tests/procedures. * Perform coding and charge capture for facility services including but not limited to emergency department and IV services. Charge capture may include providers' services. * Monitor coding work queues for simple visit coding including rehabilitation services. * Proactively communicate with physicians and physician's offices to insure adequate documentation to support ordered services. * Verify accuracy of patient account/type and demographic data and coordinates with patient financial services to assure accurate billing/reimbursement and reporting. * The coder displays initiative and supports continuous quality improvement efforts. He/she performs special projects, training, education, and/or other duties as assigned. * Continuously evaluate the quality of clinical documentation to spot incomplete or inconsistent documentation for inpatient encounters that impact code selection and resulting DRG groups. * Monitor unbilled account reports for outstanding or uncoded discharges. * Reviews bills and payments to insure correct billing and reimbursement. * Audits, corrects, and submits any denials as appropriate. Possess knowledge and understanding of discharge, not final billed (DNFB) parameters. * Abstracts data for special projects and quality initiatives * Effectively uses of software to follow through on accuracy of claim submission. * Effectively communicates with patient financial services to resolve coding and billing questions or concerns.
    $52k-64k yearly est. Auto-Apply 16d ago
  • Sr. Financial Analyst- Decision Support (FP&A)

    Gillette Children's 4.7company rating

    Saint Paul, MN jobs

    The Senior Financial Analyst supports financial operations processes, including forecasting, planning, and financial/business performance. The position develops the annual and quarterly plan, integrating financial data from various systems, and provides strategic insights through analysis and reporting. The Senior Financial Analyst provides analytical support through monthly reporting, complex financial modeling, and development of ad hoc Operational and Financial reporting ensuring data integrity of financial and detailed charge data. This position assists in identifying and evaluating opportunities to improve department performance, and general support of other internal and external users of financial information. The Senior Financial Analyst fosters collaboration across functions to improve financial processes and align financial strategies with departmental and organizational goals. This is a remote opportunity; however, the selected candidate must reside in Minnesota or Wisconsin and have the ability to work onsite in St. Paul, MN as needed. Compensation & Benefits The annual salary range for this opportunity is $86,257/annually to $129,396/annually, with a median salary of $107,827/annually. Pay is dependent on several factors including relevant work experience and internal equity. Salary is just one component of the compensation package for employees. Gillette supports career progression and offers a competitive benefits package, including a retirement saving match, tuition and certification reimbursement, paid time off, and health and wellness benefits for .5 FTE and above. Primary Job Responsibilities Lead dynamic and annual budgeting processes in collaboration with Finance leadership, ensuring accuracy and alignment with organizational goals. Facilitate cross-departmental planning and integrate stakeholder input into comprehensive financial plans. Optimize financial planning tools and maintain workflows that support accurate, consistent, and efficient forecasting and reporting. Prepare and support Monthly Operating Performance Reviews, providing key insights and recommendations. Track and analyze key metrics; develop scorecards and financial models to support decision-making and evaluate business opportunities. Conduct complex financial and cost analyses, including ROI modeling and scenario planning, to guide strategic initiatives. Provide timely ad-hoc financial analysis to support organizational and departmental needs. Partner with departments to align financial strategies, improve processes, and support operational efficiency. Educate business partners on financial tools, systems, and interpreting financial reports. Support accurate reporting for Medicare cost reports, cost accounting, KPIs, and year-end audits. Participate in system testing and implementation of new or updated financial tools and processes. Qualifications Required Bachelor's degree in Accounting, Finance, or related field OR equivalent experience 4 years' experience financials or business operations; 2 years specific to healthcare Advanced proficiency in Excel (e.g. Power Query, macros, basic programming, pivot tables, conditional formatting, data tables, lookups, if statements, etc.). Knowledge, Skills and Abilities Human relations skills, and the ability to work with all levels of management, including explaining and obtaining cooperation for implementation of necessary internal controls. A willingness to learn new and different subjects, independently initiate, research, analyze, and resolve issues, and creatively problem solve, are key attributes to be successful. Must be an organized, detail oriented, self-directed, motivated and collaborative contributor with ability to function autonomously. Evolved Emotional Intelligence. Ability to function under pressure, conflicting priorities and deadlines. Analytical problem-solving skills. Excellent verbal and written communications and presentation skills. Understanding of healthcare billing, charge development, and reimbursement processes, as well as healthcare financial management and reporting. Knowledge of generally accepted accounting, management, and business principles and practices. Demonstrated and proven proficiency in databases and financial software applications. Preferred Masters' degree or equivalent experience CPA/CMA/MBA Proficient understanding of healthcare financial analysis 2 years experience in healthcare reimbursement Experience and knowledge of Infor Financial & Supply Management, Cerner, or other financial software Advanced proficiency with Power BI At Gillette Children's, we foster a culture where every team member feels a sense of belonging and purpose. We are dedicated to building an environment where all feel welcomed, respected, and supported. Our values are embedded at the heart of our culture. We act first from love, embrace the bigger picture, and work side-by-side with our patients, families, and colleagues to help every child create their own story. Together, we work to ensure patients of all backgrounds and abilities reach their full potential. Gillette Children's is an equal opportunity employer and will not discriminate against any employee or applicant for employment because of an individual's race, color, creed, sex, religion, national origin, age, disability, marital status, familial status, genetic information, status with regard to public assistance, sexual orientation or gender identity, military status or any other class protected by federal, state or local laws. Gillette Children's is a global beacon of care for patients with brain, bone and movement conditions that start in childhood. Our research, treatment and supportive technologies enable every child to lead a full life defined by their dreams, not their diagnoses. To learn more about working at Gillette Children's, please visit ****************************************** Gillette Children's participates in the U.S. Department of Homeland Security (DHS) E-Verify program which is an internet-based employment eligibility verification system operated by the U.S. Citizenship and Immigration Services. If E-Verify cannot confirm that you are authorized to work, Gillette will give you written instructions and an opportunity to contact DHS or the Social Security Administration (SSA) to resolve the issue before Gillette takes any further action. Please visit ************************* for further details regarding e-verify.
    $86.3k-129.4k yearly 21d ago
  • Access Center Representative

    Children's Hospitals and Clinics of Minnesota 4.6company rating

    Minnesota jobs

    High School graduate or equivalent *Minimum two (2) years of customer service work *Experience working in a health care environment preferred *Experience working in a contact center preferred *Experience with Cerner and/or eClinical Works electronic health record preferred *Ability to manage continuous inbound telephone calls in a contact center model *Ability to prioritize calls, and redirect emergent calls immediately following department protocols *Ability to independently problem solve and meet patient and family needs *Ability to effectively work in both a team environment and independently *Ability to establish and maintain effective working relationships with provider, patients, families, and employees *Ability to effectively work in a remote environment and connect via multiple communication channels (phone, email, text, etc.) *Ability to meet departmental quality, production and scheduling and registration standards *Skill in communicating with patients and families *Skill in Microsoft Office *Skill in written and oral communication *Skill in data entry with minimal errors Physical Demands Please click here to view the Physical Demands The posted salary represents a market competitive range based on salary survey benchmark data for similar roles in the local or national market. When determining individual pay rates, we carefully consider a wide range of factors including but not limited to market indicators for the specific role, the skills, education, training, credentials and experience of the candidate, internal equity and organizational needs. In addition to your salary, this position may be eligible for medical, dental, vision, retirement, and other fringe benefits. Positions that require night, weekend or on-call work may be eligible for shift differentials or premium pay. All job offers are contingent upon successful completion of an occupational health assessment, drug screen, background investigation, and compliance with the U.S. Government Form I-9, Employment Eligibility Verification. Children's Minnesota is proud to be an equal opportunity employer whose staff is representative of its community and considers qualified applicants for open positions without regard to race, color, creed, sex, religion, national origin, sexual orientation, genetic information, gender identity or expression, age, veteran status, disability, pregnancy, citizenship status, or any other characteristic protected under applicable federal, state, or local law. About Children's Minnesota Children's Minnesota is one of the largest pediatric health systems in the United States and the only health system in Minnesota to provide care exclusively to children, from before birth through young adulthood. An independent and not-for-profit system since 1924, Children's Minnesota is one system serving kids throughout the Upper Midwest at two free-standing hospitals, nine primary care clinics, multiple specialty clinics and seven rehabilitation sites. As The Kids Experts™ in our region, Children's Minnesota is regularly ranked by U.S. News & World Report as a top children's hospital. Find us on Facebook @childrensminnesota or on Twitter and Instagram @childrensmn. Please visit childrens MN.org. Children's Minnesota is proud to be recognized by Modern Healthcare as one of 2023's Top Diversity Leaders. The national honor recognizes the top diverse healthcare executives and organizations influencing public policy, care delivery, and promoting diversity, equity and inclusion in their organizations and the industry. Position Summary The Access Center Representative role serves as the first point of contact for patients seeking care in our Children's Ambulatory Clinics. This role manages inbound and outbound calls and is responsible for providing outstanding customer service, scheduling accurate and timely appointments, responding to patient inquiries, data entry of patient demographic and insurance information and other duties as needed. This position is a representative of Children's Access Center which assists patients and families in accessing Children's services.
    $37k-42k yearly est. Auto-Apply 24d 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. 4d ago
  • Solution Architect

    Children's Hospitals and Clinics of Minnesota 4.6company rating

    Remote

    About Children's Minnesota Children's Minnesota is one of the largest pediatric health systems in the United States and the only health system in Minnesota to provide care exclusively to children, from before birth through young adulthood. An independent and not-for-profit system since 1924, Children's Minnesota is one system serving kids throughout the Upper Midwest at two free-standing hospitals, nine primary care clinics, multiple specialty clinics and seven rehabilitation sites. As The Kids Experts in our region, Children's Minnesota is regularly ranked by U.S. News & World Report as a top children's hospital. Find us on Facebook @childrensminnesota or on Twitter and Instagram @childrensmn. Please visit childrens MN.org. Children's Minnesota is proud to be recognized by Modern Healthcare as one of 2023's Top Diversity Leaders. The national honor recognizes the top diverse healthcare executives and organizations influencing public policy, care delivery, and promoting diversity, equity and inclusion in their organizations and the industry. Position Summary The Solution Architect is a subject matter expert responsible for the platform architecture, solution design, capability mapping, and technical roadmap within their specific area of focus. This role translates the overarching enterprise architecture strategy and standards into practical, detailed solution architectures for projects and initiatives within the assigned domain. The Domain Architect provides deep technical leadership, ensuring that domain-specific solutions are robust, scalable, secure, and aligned with both business needs and the enterprise technology direction. This role collaborates closely with Enterprise Architecture, other Domain Architects, and solution delivery teams to ensure cohesive and effective technology implementation that supports organizational goals. We are seeking a versatile and experienced IT professional with a strong foundation in data center architecture and cross-domain infrastructure technologies. The ideal candidate will bring hands-on expertise in server operating systems (Windows Server, Linux variants), enterprise storage solutions (SAN, NAS, DAS), and storage networking protocols (Fibre Channel, iSCSI, NVMe-oF). Familiarity with platforms such as NetApp, Cisco UCS, and VMware vSphere is essential, along with proficiency in automation and scripting tools like Ansible, PowerShell, Python, and Terraform. Candidates should demonstrate a solid understanding of infrastructure orchestration (Kubernetes, Docker Swarm), backup and disaster recovery strategies (Commvault, Zerto), and high availability configurations. Experience with patch management, performance tuning, OS deployment, monitoring, and configuration management tools is highly valued. This role spans multiple IT disciplines and requires a collaborative mindset, adaptability, and a passion for optimizing and automating enterprise infrastructure. Location (e.g. remote or on-site): Remote-Must be MN or WI resident Education: * BA/BS/MS or equivalent work experience, including 7+ years of infrastructure experience. Position requires formal education or equivalent work experience. Experience: * Experience working in Microsoft Office365 environment is required. * Experience working within a ServiceNow incident management (ticket) environment is desired. * Experience with infrastructure observability, logging, monitoring and tracing platforms is preferred. * Experience with disaster recovery architectures, high availability, redundancy, failover/failback processes, backup solutions, etc. is preferred. * Experience managing vendor relationships is desired. * Experience collaborating on procurement and contract negotiations is desired. * Experience working in a Healthcare environment is desired. * Demonstrated experience developing strategic technology roadmaps and enterprise-level architecture blueprints. * Minimum 7-10 years of experience in Information Technology, with at least 3-5 years in a technical leadership or architecture role focused specifically within a relevant domain: Infrastructure, Public Cloud, Data and Analytics, Software Engineering, Networking and Connectivity, ITIL and Service Delivery, Modern Workforce, Endpoint and Mobile, or Information Security. * Proven experience designing, developing, and implementing complex technical solutions within the specified domain. * Demonstrated ability to translate high-level requirements and enterprise architecture guidelines into detailed, practical solution designs. * Experience working directly with development/engineering teams to guide implementation and solution delivery. * Familiarity with Enterprise Architecture concepts. Knowledge/Skills/Abilities: * Deep technical expertise and hands-on experience in the specific domain ([e.g., list specific technologies like AWS/Azure/GCP, SQL/NoSQL databases, ETL tools, specific security frameworks, API management platforms, specific application platforms like SAP/Salesforce if relevant]). * Strong solution design and modeling skills (e.g., UML, sequence diagrams, data models relevant to the domain). * Excellent analytical and technical problem-solving skills. * Strong communication skills, with the ability to explain complex technical details to diverse audiences, including technical teams and business stakeholders. * Ability to collaborate effectively within a team environment and across different functional groups. The posted salary represents a market competitive range based on salary survey benchmark data for similar roles in the local or national market. When determining individual pay rates, we carefully consider a wide range of factors including but not limited to market indicators for the specific role, the skills, education, training, credentials and experience of the candidate, internal equity and organizational needs. In addition to your salary, this position may be eligible for medical, dental, vision, retirement, and other fringe benefits. Positions that require night, weekend or on-call work may be eligible for shift differentials or premium pay. All job offers are contingent upon successful completion of an occupational health assessment, drug screen, background investigation, and compliance with the U.S. Government Form I-9, Employment Eligibility Verification. Children's Minnesota is proud to be an equal opportunity employer whose staff is representative of its community and considers qualified applicants for open positions without regard to race, color, creed, sex, religion, national origin, sexual orientation, genetic information, gender identity or expression, age, veteran status, disability, pregnancy, citizenship status, or any other characteristic protected under applicable federal, state, or local law.
    $109k-152k yearly est. 58d ago
  • Health Educator Associate (Remote in Wisconsin)

    Sanford Health 4.2company rating

    Marshfield, WI jobs

    Come work at a place where innovation and teamwork come together to support the most exciting missions in the world!Job Title:Health Educator Associate (Remote in Wisconsin) Cost Center:301081064 Ctr For Community Health AdvScheduled Weekly Hours:40Employee Type:RegularWork Shift:Mon-Fri; 8:00 am - 5:00 pm (United States of America) Job Description: Wisconsin residents only eligible to apply JOB SUMMARY Under general supervision, the Health Educator Associate assists professional staff by developing, conducting and delivering health education interventions. The Health Educator Associate is an entry-level health education position and works to promote, maintain, and improve individual and community health by assisting individuals and communities to adopt healthy behaviors. JOB QUALIFICATIONS EDUCATION For positions requiring education beyond a high school diploma or equivalent, educational qualifications must be from an institution whose accreditation is recognized by the Council for Higher Education and Accreditation. Minimum Required: Associate degree in Health Education, Community Health, Public Health, Health Science, Wellness, or related field. Preferred/Optional: Bachelor's degree in Health Education, Public Health, Community Health, Wellness or related field. EXPERIENCE Minimum Required: None Preferred/Optional: One year of experience working in community health. CERTIFICATIONS/LICENSES The following licensure(s), certification(s), registration(s), etc., are required for this position. Licenses with restrictions are subject to review to determine if restrictions are substantially related to the position. Minimum Required: None Preferred/Optional: None Position will support our Substance Use Services team within the Center for Community Health Advancement. As a Regional Prevention Center of Northern and Western Wisconsin, the Substance Use Services team supports substance use coalitions. Responsibilities may include: Reviewing and processing invoices Manage and update the program website Develop training flyers and other program materials Contribute to bi-weekly newsletter Support Health Educator and Program Coordinators on projects as needed Assist with trainings and event logistics Support reporting and evaluation activities, including data collection and organization Requirements: Must reside in Wisconsin Ability to attend on-site meetings and trainings approximately five times a year Marshfield Clinic Health System is committed to enriching the lives of others through accessible, affordable and compassionate healthcare. Successful applicants will listen, serve and put the needs of patients and customers first. Exclusion From Federal Programs: Employee may not at any time have been or be excluded from participation in any federally funded program, including Medicare and Medicaid. This is a condition of employment. Employee must immediately notify his/her manager or the Health System's Compliance Officer if he/she is threatened with exclusion or becomes excluded from any federally funded program. Marshfield Clinic Health System is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected veteran status, age, or any other characteristic protected by law.
    $43k-51k yearly est. Auto-Apply 54d ago
  • Physician - Remote Emergency Radiologist

    Sanford Health 4.2company rating

    Marshfield, WI jobs

    Come work at a place where innovation and teamwork come together to support the most exciting missions in the world!Job Title:Physician - Remote Emergency RadiologistCost Center:201641261 System Radiology-ProfScheduled Weekly Hours:40Time Type:Full time Job Description: Marshfield Medical Center is looking for a BC/BE Radiologist to join our ED section in Wisconsin. Fellowship training in Body, Neuro, ED or MSK is required. Must be comfortable with all emergent diagnostic imaging modalities including Neuro CTA/perfusion, trauma (including MRI), Ultrasound (including OB), pediatrics and occasional musculoskeletal MRI/CT. No CVIR, nuclear medicine or mammography. Choose to work remote as a Non-Associate on a casual contract or may have the option to work locally at one of our centers as an Associate physician with additional salary and benefits. If working onsite, you will need to be comfortable with and will be responsible to occasionally perform some local minor procedures. Service coverage includes a level 2 soon to be level 1 trauma center and stroke center as well as additional regional hospitals and urgent care centers. Coverage needed for afternoons and evenings. No midnight shifts required. Yearly work requirement is 182 shifts a year - typically 7 on/7 off schedule/26 weeks per year Compensation/Benefits: Competitive Salary Flexible shift based model Health, Dental, Life, and Occurrence Based Malpractice insurance Relocation support available if working onsite Marshfield Clinic Health System is a non-profit 501(c)(3) organization. This may qualify you for additional state and/or federal education loan forgiveness programs. MCHS strongly encourages our physicians to be involved in medical education and research to continue building our strong foundation of patient care, research, and education for years to come. Marshfield Clinic Research Institute: ********************************** Marshfield Clinic Division of Education: ****************************************** Marshfield, Wisconsin Nestled in the heart of Wisconsin, Marshfield is a safe, clean community with a population of about 20,000 people. The region boasts a solid economy and a low cost of living, which includes below national average costs for housing and transportation. Community pride is evident in the private and city funds invested in making Marshfield a great place to live. Located one mile outside of town, you will have access to 6,500 acres for hiking, biking, hunting, canoeing, cross-country skiing, berry picking, and wildlife or bird watching or simply enjoying the fresh air. With excellent schools and high school graduation rates high above the national average, Marshfield is committed to offering and preparing students for top-notch educational opportunities. Those of us that have chosen to call Marshfield home have come to enjoy the benefits of short commutes, safe and friendly neighborhoods, fresh air and water, bountiful nature, and so much more. Come and see for yourself. Fun Fact: Marshfield is known as the HEART of Wisconsin! Marshfield Clinic Health System physicians and staff are motivated by our mission to enrich lives. We serve more than 350,000 unique patients each year through accessible, high quality health care, research and education. With more than 1,600 providers in 170 medical specialties and subspecialties as well as over 13,000 employees in 65 clinical locations in 45 communities serving Wisconsin and Michigan's Upper Peninsula, Marshfield Clinic Health System is nationally recognized for innovative practices and quality care. The Marshfield Promise Motivated by our mission to enrich lives, we use common values to ensure those we serve feel supported in their healthcare journey and staff and providers are actively engaged with one another. Together through our actions, we promise to deliver compassionate, safe and expert care to everyone. The Marshfield Promise is centered around 5 core values; Patient-Centered, Trust, Teamwork, Excellence and Affordability. For more information, please contact: Lindsay Becker, Physician and Advanced Practice Clinician Recruiter Phone: ************ *********************************** Marshfield Clinic Health System is committed to enriching the lives of others through accessible, affordable and compassionate healthcare. Successful applicants will listen, serve and put the needs of patients and customers first. Exclusion From Federal Programs: Employee may not at any time have been or be excluded from participation in any federally funded program, including Medicare and Medicaid. This is a condition of employment. Employee must immediately notify his/her manager or the Health System's Compliance Officer if he/she is threatened with exclusion or becomes excluded from any federally funded program. Marshfield Clinic Health System is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected veteran status, age, or any other characteristic protected by law.
    $282k-517k yearly est. Auto-Apply 60d+ ago
  • Patient Account Representative

    Gillette Children's 4.7company rating

    Saint Paul, MN jobs

    1.0 FTE (40 hrs/wk); Monday - Friday, business hours. This position requires initial on-site training at the River Park Plaza location in St. Paul, and then will transition to a remote working role. However, the selected candidate must reside in Minnesota or Wisconsin and have the ability to work onsite in St. Paul, MN as needed. Purpose of Position: This position provides support for recovering back-end revenue by ensuring timely and accurate processing of patient accounts to both third party payors and patients/guarantors. Promotes and maintains professional and positive patient and family experience as the last impression of the organization. Claims Processing: Responsible for resolving front end claim edits to ensure accurate and timely clean claim submission to third party payors for adjudication. Account Follow-Up: Follows up on outstanding patient accounts to clarify reason or delayed and/or delinquent processing and resolving technical denials to ensure accurate and timely processing in order to reconcile outstanding balances. Additional responsibilities are defined as those specific duties relating to the various revenue cycle functions as assigned by the Revenue Cycle Practice Manager, Team Goals, and Organizational job performance standards. Compensation & Benefits: The hourly wage for this opportunity is $21.00/hour to $30.27/hour, with a median wage of $25.22/hour. Pay is dependent on several factors including relevant work experience, education, certification & licensure, and internal equity. Hourly pay is just one part of the compensation package for employees. Gillette supports career progression and offers a competitive benefits package that includes a retirement savings match, tuition and certification reimbursement, paid time off, and health and wellness benefits for 0.5 FTE and above. Core Responsibilities and Duties: Claims Processing Knowledge of commercial and government payor regulatory requirements, timely filing guidelines and payment methodology Knowledge of claim forms - UB04, HCFA 1500, etc. Ability to research and resolve claim edits to release clean and timely claims for processing Provides feedback to analysts and/or leader when barriers arise in resolving claim edits preventing claims to release Meets and maintains quality and productivity metrics as well as Gillette CARES values as set by the department Account Follow-Up Knowledge of and ability to accurately read EOB's Knowledge of CARC/RARC codes Demonstrates understanding and ability to apply patient account policies and procedures Follow up on claims submitted to payors for adjudication to ensure claim has been received and in process for payment or denial within 30-45 days of claim submission Follow up on delinquent accounts after 30 days of no response with payors by calling and/or utilizing payor portals for clarification on delays Files corrected claims when necessary using correct bill types/submission codes Works with peers and analysts as necessary to resolve claim issues Works with analysts and other departments to file claim appeals Processes hospital receivables in a timely and accurate manner Performs basic maintenance of patient accounts in EMR system as necessary Assessment of outstanding balances for assigned accounts to determine proper course of action for obtaining payment and reconciling balance. Meets and maintains quality and productivity metrics as well as Gillette CARES values as set by the department Technology, Policies and Procedures Demonstrates competency in organizational systems including: Cerner Revenue Cycle, Change Healthcare, eDOCS, online resources and other relevant technology Adheres to all organization and department policies, guidelines, and workflows to eliminate errors in practice Adheres to organization and department attendance policy Independently completes annual training as assigned Completes self-assessment timely and with contributing comments Completes 80% of peer feedback for direct peers Qualifications: Required: High School Diploma/ GED 1 -3 years' experience in customer service, administrative or healthcare setting Preferred: Advanced education (Associate or Bachelors) 2+ years of medical billing or coding experience that includes exposure to payor DME Billing Experience Knowledge, Skills and Abilities: Knowledge & understanding of medical terminology Knowledge & understanding of commercial insurance carriers and standard insurance forms Strong computer aptitude including knowledge of Microsoft Office (Word, Excel, Outlook) Demonstrated strength in customer service, organization, attention to detail and the ability to work independently Demonstrated ability to work and problem solve in a collaborative manner within the department and organization Demonstrated ability to multi-task and respond quickly/reprioritize changing needs At Gillette Children's, we foster a culture where every team member feels a sense of belonging and purpose. We are dedicated to building an environment where all feel welcomed, respected, and supported. Our values are embedded at the heart of our culture. We act first from love, embrace the bigger picture, and work side-by-side with our patients, families, and colleagues to help every child create their own story. Together, we work to ensure patients of all backgrounds and abilities reach their full potential. Gillette Children's is an equal opportunity employer and will not discriminate against any employee or applicant for employment because of an individual's race, color, creed, sex, religion, national origin, age, disability, marital status, familial status, genetic information, status with regard to public assistance, sexual orientation or gender identity, military status or any other class protected by federal, state or local laws. Gillette Children's is a global beacon of care for patients with brain, bone and movement conditions that start in childhood. Our research, treatment and supportive technologies enable every child to lead a full life defined by their dreams, not their diagnoses. To learn more about working at Gillette Children's, please visit ****************************************** Gillette Children's participates in the U.S. Department of Homeland Security (DHS) E-Verify program which is an internet-based employment eligibility verification system operated by the U.S. Citizenship and Immigration Services. If E-Verify cannot confirm that you are authorized to work, Gillette will give you written instructions and an opportunity to contact DHS or the Social Security Administration (SSA) to resolve the issue before Gillette takes any further action. Please visit ************************* for further details regarding e-verify.
    $21-30.3 hourly 27d ago
  • Compliance Auditor

    Sanford Health 4.2company rating

    Remote

    Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint. Work Shift: Scheduled Weekly Hours: 40Salary Range: 19.00 - 30.50 Union Position: No Department Details Summary Responsible for conducting internal audits and monitors to ensure that the organization's processes and operations are in compliance with laws, corporate guidelines, best practices, and contractual agreements. Job Description Knowledgeable of general audit concepts and techniques, including the type of audits, the approaches and processes, and the subsequent activities, as they relate to internal audits. Demonstrates the ability to interpret Federal rules and regulations. Demonstrates the ability to research regulation from various data sources. Demonstrates an advanced knowledge and skill in analyzing patient records to identify non-conformances in Current Procedural Terminology (CPT), International Classification of Diseases, Tenth Edition (ICD-10), and Healthcare Common Procedure Coding System (HCPCS) code assignment. Demonstrates both knowledge and application of Sanford Health Systems, policies, procedures, and guidelines. Demonstrates commitment to continuous learning for themselves and performs as a role model to other coding staff. Qualifications High school diploma or equivalent preferred. Advanced diploma or degree in Health Information Management or healthcare related field is preferred. Prior relevant compliance work experience is preferable. Two years' experience is required. Certification in one of the following is required: Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS), Certified Professional Coder (CPC) or an equivalent. Certified Healthcare Auditor (CHA) certification to be completed within one year of employment is preferred. Sanford is an EEO/AA Employer M/F/Disability/Vet. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call ************** or send an email to ************************.
    $49k-58k yearly est. Auto-Apply 40d ago
  • Risk Adjustment Revenue Manager (Remote)

    Sanford Health 4.2company rating

    Marshfield, WI jobs

    Come work at a place where innovation and teamwork come together to support the most exciting missions in the world!Job Title:Risk Adjustment Revenue Manager (Remote) Cost Center:682891390 SHP-Strategic FinanceScheduled Weekly Hours:40Employee Type:RegularWork Shift:Mon-Fri; 8:00 am - 5:00 pm (United States of America) Job Description: The Risk Adjustment Revenue Manager is responsible for risk adjustment strategy and related revenue management for Security Health Plan's Medicare, Affordable Care Act and Medicaid business. This individual provides development and implementation of programs and initiatives to improve the accuracy of the coding, including education; retrospective and prospective review processes; and vendor contract management; accountability for preparation for and management of the Centers for Medicare and Medicaid Services (CMS) and the Department of Health Services (DHS) auditing processes; management of encounter data processes; and management of applicable state and federal guidance. The Risk Adjustment Revenue Manager works collaboratively with Security Health Plan executives and leadership as well as Marshfield Clinic Health System (MCHS) executives and leadership to lead risk adjustment strategy and process. JOB QUALIFICATIONS EDUCATION Minimum Required: Bachelor's Degree in Business Administration, Finance, Health Care Administration, Management or related field required. Preferred/Optional: Post graduate degree(s) desirable. EXPERIENCE Minimum Required: Five years of experience in risk adjustment or related area. Three years of experience in a management or leadership role and experience in the healthcare industry. Demonstrate a broad understanding of healthcare and health insurance. Demonstrate proficiency with verbal and written communication, strategic planning and business acumen. Preferred/Optional: Working knowledge of CMS and/or Medicaid risk adjustment methodologies. CERTIFICATIONS/LICENSES The following licensure(s), certification(s), registration(s), etc., are required for this position. Licenses with restrictions are subject to review to determine if restrictions are substantially related to the position. Minimum Required: Certifications in professional coding and risk adjustment coding from American Academy of Professional Coders. State of Wisconsin driver's license with an acceptable driving record. Preferred/Optional: None Marshfield Clinic Health System is committed to enriching the lives of others through accessible, affordable and compassionate healthcare. Successful applicants will listen, serve and put the needs of patients and customers first. Exclusion From Federal Programs: Employee may not at any time have been or be excluded from participation in any federally funded program, including Medicare and Medicaid. This is a condition of employment. Employee must immediately notify his/her manager or the Health System's Compliance Officer if he/she is threatened with exclusion or becomes excluded from any federally funded program. Marshfield Clinic Health System is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected veteran status, age, or any other characteristic protected by law.
    $72k-94k yearly est. Auto-Apply 60d+ ago
  • Emergency Dept. Technician- 36hr- Evening shift

    Connecticut Children's Medical Center 4.7company rating

    Remote

    Under the direct supervision of a Registered Nurse, as part of an inpatient/hospital unit, performs a variety of routine direct patient care as well as environmental and administrative support activities to promote the health, safety and comfort of patients and families. All patient care and support activities are completed in accordance with CCMC and unit policies and procedures. Education and/or Experience Required: Required: High School Diploma, GED equivalent, or a higher level of education that would require the completion of high school. Education and/or Experience Preferred: Preferred: EMT Basic, EMT-Intermediate, or EMT-Paramedic certification preferred. Successful completion of PCA or nurse's aide training program or enrollment in program preferred. Preferred: Minimum of one-year pediatric experience preferred. License and/or Certification Required: Certified Nurse Aide (CNA) certification/EMT by State of Connecticut preferred. Current Basic Life Support (BLS) / CPR in adult, child & infant is required upon hire and maintained. Nonviolent Crisis Intervention training certification required within 3 months of hire and maintained thereafter. Knowledge, Skills and Abilities: Knowledge Of: Basic medical terminology, math and measurements CT Children's organization's environment of care and infection control policies and procedures Skills: Good interpersonal and communication skills. Effectively communicate both orally and in writing in English demonstrating a command of basic grammar and spelling is required. Ability To: Communicate Bilingually (Spanish/English) is preferred. Understand and follow specific written and verbal instructions and procedures. Learn and demonstrate competency in standard clinical procedures within specialty area, according to established protocols. Maintain quality, safety, and/or infection control standards. Learn and follow established protocols in order to initiate appropriate action in emergency/crisis situations. Learn and demonstrate competency in basic data entry/data retrieval in electronic patient records and/or patient supply systems utilized on unit. Direct Patient Care - Provides direct patient care (as defined by unit) that addresses the population- specific needs of the patients on the unit. Activities may include any of the following: Assist patient with feedings and personal care (e.g. hygiene, ambulating and activities of daily living, etc.). Obtain vital signs, temperature, weight, height, head circumference or other patient data as required. Obtain and test specimens (e.g. blood glucose, urine, pharyngeal swabs, etc.; 1 and 2 step point of care tests). Apply splints and other orthopedic devices (slings, immobilizers); perform crutch walking instruction. Perform EKGs. Apply cardiac monitors, pulse oximetry, and non-invasive blood pressure cuffs. Transport patients; assist with patient admissions and discharges. Discontinues indwelling saline locks/IV. Performs basic wound care including wound cleansing, irrigation, and preparation for provider; applies and documents basic wound dressings. Provide all levels of observations for behavioral health/psychiatric patients as delegated/ordered by LIP or RN. Demonstrates an awareness of safety needs and a basic knowledge of medical terminology, infection control, risk management and environment of care policies in all interactions with patients/families. Responds with tact and discretion to the needs of patients and families, and reports needs beyond the Emergency Department Technician skill level to the RN. Documentation - Accurately documents patient information on appropriate forms. Demonstrates basic data entry and data retrieval competency in electronic patient records and/or patient supply systems utilized on unit. Unit Support Activities - Maintains appropriate inventories of unit supplies in patient rooms/bedside stands, and in treatment, utility, medication and linen rooms. Cleans, maintains and inventories unit equipment. Performs quality control checks on equipment or supplies as directed by the RN. Utilizes all equipment appropriately and notifies appropriate team members of equipment or facility breakdown or damage. Assist with miscellaneous tasks, and transportation of medication (including controlled substances) blood, equipment and supplies, as directed by the RN. Assist with routine clerical tasks. Demonstrates knowledge of the population-specific differences and needs of patients in appropriate, specific populations from neonate through adolescence and applies them to practice. Demonstrates cultural sensitivity in all interactions with patients/families and co-workers. Demonstrates support for the mission, values and goals of the organization through behaviors that are consistent with the Connecticut Children's Medical Center Standards.
    $33k-37k yearly est. Auto-Apply 8d ago

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