Post job

CHRISTUS Health jobs in San Marcos, TX

- 597 jobs
  • RN, Registered Nurse Clinical Educator II - Nursing Education

    Christus Health 4.6company rating

    Christus Health job in San Antonio, TX

    CHRISTUS Santa Rosa Hospital - Westover Hills(CSRH-WH) is a 150-bed hospital serving the fastest growing area of San Antonio. Specialized care includes orthopedic and surgical services, ICU, women's services, a newborn nursery, comprehensive cardiovascular care from diagnostics to open heart surgery, vascular lab, sleep center, emergency services, the CHRISTUS Weight Loss Institute, wound care, rehabilitation, and more. The campus also boasts an Outpatient Imaging Center and three medical plazas, one of which houses our CHRISTUS Santa Rosa Family Medicine Residency Program and CHRISTUS Santa Rosa Family Health Center. Summary: Works in collaboration with the Department Head to identify educational needs of staff in the specialty area, to develop programs to meet these needs, and evaluate outcomes. Orients new staff, trains and serves as a mentor for preceptors, assures competency validation of new staff and facilitates annual competency validation updates. Responsibilities: Identifies educational needs of staff in assigned area in order to upgrade and improve the knowledge, skills and performance standards. Plans for educational offerings, incorporating the goals and needs of the unit and institution as well as the goals and needs of the staff. Organizes, directs, and conducts educational programs for staff in the specialty area. Programs planned support staff in the following area: unit specific orientation, skills/equipment training, clinical practice, and professional development. Evaluates effectiveness of staff development programs in relation to program goals/objectives and its impact on the quality of nursing care services. Utilizes clinical and staff development expertise to provide expert consultation to other units. Researches and directs development of standards of care for specialty area. Serves as a liaison between Educational Resources Department and the unit. Manages and coordinates the distribution of educational funding for assigned area in collaboration with the Department Head. Serves as a resource for staff developing educational projects/programs. Serves as a resource for staff delivering patient care. Participates on hospital committees as appropriate. Contributes to employee performance appraisals. Demonstrates competence to perform assigned responsibilities in a manner that meets the age specific and developmental needs of patients served by the department. Appropriately adapts assigned assessment, treatment, and/or service methods to accommodate the unique physical, psychosocial, cultural, spiritual, age specific and other developmental needs of each patient served. Takes personal responsibility to ensure compliance with all policies, procedures and standards as promulgated by state and federal agencies, the hospital, and other regulatory entities. Performs all duties in a manner that protects the confidentiality of patients and does not solicit or disclose any confidential information unless it is necessary in the performance of assigned job duties. Demonstrates adherence to the core values of Santa Rosa Health Care. Performs other duties as assigned. Requirements: Education/Skills: Bachelor of Science in Nursing is required. Experience: 5 years of experience in the specialty area. Previous experience in education working with the adult learner is required. Licensure/Certification: RN license in Texas is required. CPR certification is required; ACLS or PALS is preferred. Certification in specialty area is preferred Work Schedule: 5 Days - 8 Hours Work Type: Full Time
    $74k-89k yearly est. 6d ago
  • Nurse Intern UIW - Nursing Internship - PRN

    Christus Health 4.6company rating

    Christus Health job in San Antonio, TX

    CHRISTUS Santa Rosa Hospital - Westover Hills (CSRH-WH) is a 150-bed hospital serving the fastest growing area of San Antonio. Specialized care includes orthopedic and surgical services, ICU, women's services, a newborn nursery, comprehensive cardiovascular care from diagnostics to open heart surgery, vascular lab, sleep center, emergency services, the CHRISTUS Weight Loss Institute, wound care, rehabilitation, and more. The campus also boasts an Outpatient Imaging Center and three medical plazas, one of which houses our CHRISTUS Santa Rosa Family Medicine Residency Program and CHRISTUS Santa Rosa Family Health Center. Summary: Under the supervision and direction of a Registered Nurse (RN), the Nurse Intern UIW (University of the Incarnate Word) provides high-quality, direct patient care while developing essential clinical skills. This role serves as an enhanced clinical support position focused on assisting RNs with patient care activities that align with the intern's nursing education and scope of practice. The Nurse Intern performs essential patient care tasks, collaborates with the healthcare team, and enhances their hands-on nursing experience within a structured, supervised environment. Responsibilities: Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders. Identify and report life-threatening situations to the RN and initiate basic life support when needed. Observe, document, and report abnormal vital signs, skin integrity issues, and any changes in patient condition to the RN promptly. Assist with patient mobility, repositioning, and activities of daily living such as feeding, dressing, and hygiene care. Collect and transport laboratory specimens per hospital protocols. Maintain aseptic and sterile techniques when assisting with procedures and patient care. Follow universal precautions and infection control protocols. Provide comfort measures such as bed making, ambulation assistance, and support during diagnostic tests. Participate in department meetings, required training, and in-service programs. Assist with transporting patients and equipment as needed. Function within the intern's educational scope of practice, avoiding any independent clinical decision-making beyond their competency level. Uses supplies and equipment appropriately, documents use in the medical record, and records charges appropriately. Participates in prescribed in-service programs and departmental meetings. Follows hospital and/or unit policy for dress and personal hygiene. Follows necessary safety precautions, hospital policies, and departmental policies. Document care provided according to hospital policy. Completes all required educational requirements. Strong interpersonal and communication skills. Ability to follow directions and work collaboratively within a healthcare team. Eagerness to learn and adapt in a fast-paced clinical environment. Basic knowledge of medical terminology and patient care procedures Job Requirements: Education/Skills • Must be in the final semester of an accredited School of Nursing with whom CHRISTUS Health has executed an affiliation agreement. Experience • Prior healthcare experience preferred (e.g., CNA, Patient Care Technician, or Medical Assistant experience) Licenses, Registrations, or Certifications • Basic Life Support (BLS) required In accordance with the CHRISTUS Health License, Certification, and Registration Verification Policy, all Associates are required to obtain the required certifications for their respective positions within the designated time frame. Work Schedule: PRN Work Type: Per Diem As Needed
    $29k-37k yearly est. 3d ago
  • Ambulatory Services Rep II

    Texas Children's Medical Center 4.5company rating

    Austin, TX job

    We're hunting for an Ambulatory Services Rep II, someone who's ready to be part of the best ranked children's hospital in Texas, and among the best in the nation. In this position, you will provide excellent customer service as the first contact for patients, providers and staff accessing virtual and/or non-virtual ambulatory clinics. May orient the patient to the virtual visit process to ensure patient success, if applicable. Will expedite the outpatient check-in and check-out processes by reviewing appointment status using electronic appointment system to view information regarding appointments, insurance, and history. Will collect pre-visit payments and communicate with the clinic liaison regarding factors impacting the patient visit and general clinic-patient flow. Will secure the financial integrity of the patient's account by verifying benefits and obtaining referrals, authorizations, and pre-certifications. Think you've got what it takes? Qualifications: Required H.S. Diploma or GED Required 2 years' experience in customer service or 2 years clerical, medical office, or business experience preferably in a Healthcare environment Responsibilities: Admission- Check-In/Welcome desk, PAR's, Registration, Past Pending. Performs patient registration procedures per department process. May ensure patient is oriented to the virtual visit process and has all technology set up to successfully complete their visit. Ensures that all necessary patient forms are provided and filled out for the clinic visit Communicates with patients, staff and providers regarding patient arrivals, delays, and clinic processes. Alerts clinic staff and providers of any changes or discrepancies in patient's scheduled appointment As part of our commitment to maintaining a safe and healthy workplace, all successful candidates will be required to undergo respiratory fit testing in compliance with occupational health and safety standards.
    $30k-34k yearly est. Auto-Apply 60d+ ago
  • Security Officer - CSO (Nights)

    Texas Children's Medical Center 4.5company rating

    Austin, TX job

    We are searching for a Security Officer - CSO - someone who works well in a fast-paced setting. In this position, you will provide a safe and secure environment during the shift within the boundaries of the assigned position and/or post. You will assist the general public, staff or patients in all matters of safety and security. You will patrol an assigned area and/or facility. You stand post as instructed and serve as a general security presence and visible deterrent to crime and client rule infractions; detect suspicious activities; watch for criminal acts or client/parent rule infractions and address them appropriately. You respond to all incidents by providing assistance as needed, protecting personnel and property within reason, and securing the incident scene until properly relieved. You conduct initial investigation of incidents and are responsible for documenting incident details and completing all appropriate reports and forms, as necessary. Think you've got what it takes? Job Duties & Responsibilities Provide security functions in a designated patrol position and/or posts during varying hours and shifts Periodically foot patrol specific buildings assigned, observing visitors, patient and staff for compliance to the organization's rules and protocol Ensure that the required sign-in logs and documents are properly maintained as prescribed by departmental procedures Operate company vehicles and other assigned duties Monitor traffic and parking in designated areas May respond in the case of an emergency and use AED, or assist in providing basic life support, and utilize Personal Protective Equipment Attend and complete hospital and departmental required training As part of our commitment to maintaining a safe and healthy workplace, all successful candidates will be required to undergo respiratory fit testing in compliance with occupational health and safety standards. Skills & Requirements H.S. Diploma or GED Required LCSO - Commissioned Security Officer License by the Texas Department of Public Safety, acquired within 90 days of entering the role TDR - Texas Driver's License by the State of Texas, acquired within 90 days of entering the role Must pass a Motor Vehicle Record (MVR) check demonstrating a clear driving record as defined by the routine driver qualifications outlined in the Texas Children's Fleet Safety Policy and Procedure by the job entry date. Must also maintain a clean driving record 1 year of Security, law enforcement, or military experience required A bachelor's degree may substitute for the 1 year of required Security, law enforcement, or military experience
    $29k-34k yearly est. Auto-Apply 60d+ ago
  • Laboratory Assistant Lead - Longview Lab - Full Time

    Christus Health 4.6company rating

    Christus Health job in Mountain City, TX

    Apply now, read the job details by scrolling down Double check you have the necessary skills before sending an application. Performs all lab assistant procedures (including, but not limited to, phlebotomy, client processing, and client services representative functions) and oversees such staff under the guidelines and supervision of the assigned Leader to assure appropriate patient care is met. Responsible for monitoring, rotating stock, or requesting general laboratory and phlebotomy supplies as needed. Assists in specimen processing/handling, collection, and designated testing functions in all areas of the lab. Responsibilities: Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders. Customer Service / AIDET / Standards of Behavior. Trains and performs competency checklist with all Phlebotomist/ laboratory assistant staff. Monitors the collection report; resolves problems; completes related paperwork and computer functions. Uses centrifuge, prepares and assures serum/blood specimens are acceptable; prepares specimen for referral to outside reference laboratories; dispenses blood products under supervision of medical technologist. Monitoring the collection area continuously during the shift to assure that all specimens are collected within a timely manner and assisting the phlebotomists in obtaining specimens, if necessary. Handling inquiries, questions and problems as they arise, both within the laboratory and between the lab and other departments in the hospital, maintaining a professional image and exhibiting excellent service. Greets all customers, clients, outpatients, and visitors physically or on the telephone; provides accurate, appropriate, and courteous response to technical questions and results inquiry as requested by physicians and nursing personnel. Communicating follow-up information regarding patient care issues or physician related complaints to the appropriate supervisor, manager, charge tech or director. Performs clerical office duties, client processing, and client service representative duties, as assigned/required. Enters orders and cancellations using Hospital LIS. Receives and processes specimens collected and/or add-on tests and distributes them to the appropriate departments. Processes and maintains laboratory records and reports; monitors chart print rounds for completion and processes reports for Health Information, faxes or mails reports as requested by physicians or clients, processes reference reports, resolves all pending transactions, and maintains printers, copier, and fax machine. Specimen collections are initiated within the appropriate response time. Monitors the collections pending. Reports and resolves problems, completes related paperwork and computer functions. Works as a team member to perform and complete all patient related testing/reporting regardless of individual assignments, to provide timely results on a daily basis. Completes tasks or special projects within the time frame, allowed per any guidelines established as assigned by laboratory supervisory personnel. Inventory control - monitors supply receiving area, distributes supplies, restocks, and processes packing slips; notifies appropriate supervisor/manager when instrument parts, reagents, or supplies are at reorder levels; dates reagents when received and opened according to laboratory policy, and notifies supervisor of expired reagents; completes supply orders, as assigned. Practices safety, infection control, and security as defined by the hospital department and section policy and procedure manuals; follows all safety and infection control procedures including wearing appropriate PPE for assigned job functions; disposes of biohazardous materials and hazardous chemicals as established by departmental policy; all patient information, including lab results, are maintained in the strictest of confidence, limited to health care professionals needing this information to perform patient care. Demonstrates work schedule flexibility by willingly rotating shifts and changing assignments, as required. Job Requirements: Education/Skills Associate of Science Degree preferred. Basic knowledge in the areas of microbiology, immunology or molecular biology and biochemistry as related to infectious diseases required. Experience 2 years of experience as a Phlebotomist or Laboratory Assistant in a clinical laboratory setting required 5+ years of experience preferred. Licenses, Registrations, or Certifications Medical Laboratory Assistant Certification or Phlebotomist Certification - PBT (ASCP), RPT (AMT), CPT (NPA) or equivalent required. xevrcyc Louisiana requires State Licensure. Work Schedule: 7PM - 7AM Work Type: Full Time
    $76k-111k yearly est. 1d ago
  • Data Analyst III

    Centene Corporation 4.5company rating

    Austin, TX job

    You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. **Position Purpose:** Responsible for analytic data needs of the business unit. Handle complex data projects and acts as a lead for other Data Analysts. + Provide advanced analytical support for business operations in all or some of the following areas: claims, provider data, member data, clinical data, HEDIS, pharmacy, external reporting + Extract, load, model, and reconcile large amounts of data across multiple system platforms and sources + Review data to determine operational impacts and needed actions; elevate issues, trends, areas for improvement and opportunities to management + Develop reports and deliverables for management + Model data using MS Excel, Access, SQL, and/or other data ware house analytical tools + Ensure compliance with federal and state deliverable reporting requirements by performing data quality audits and analysis + Assist with training and mentoring other Data Analysts + Performs other duties as assigned + Complies with all policies and standards **Education/Experience:** Bachelor's degree in related field or equivalent experience. 4+ years of statistical analysis or data analysis experience. Healthcare experience preferred. Experience managing projects or heavy involvement in project implementation. Power BI and Snowflake experience preferred. **_By applying to this requisition, you acknowledge and understand that you may be considered for other job opportunities for which Centene believes you may be qualified_** Pay Range: $68,700.00 - $123,700.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
    $68.7k-123.7k yearly 38d ago
  • Manager of Nursing - Pediatric Dialysis and Apheresis

    Texas Children's Medical Center 4.5company rating

    Austin, TX job

    We're searching for a Manager of Inpatient Nursing, someone who's ready to be part of the best ranked children's hospital in Texas and among the best in the nation. In this position, you will maintain shift accountability for clinical and personnel activities and provide support to the Assistant Clinical Director. The Patient Care Manager participates in the delivery of high quality, family-centered, and developmentally appropriate patient care at the unit level. Think you've got what it takes? Qualifications: • Bachelor's Degree Nursing (BSN) required • RN - Lic-Registered Nurses by the Texas Board of Nursing or Nurse Licensure Compact required • BLS - Cert-Basic Life Support by the American Heart Association required • Certification in specialty-specific area or nursing leadership, with completion of certification within 1 year of assuming the role preferred • 2 years Nursing experience required (experience in dialysis and apheresis) Job Duties & Responsibilities: • Maintains clinical competency by ensuring that the physiologic, psychosocial, and developmental needs of the patient are met within a family-centered care environment. • Monitors and facilitates patient throughput to ensure the delivery of safe quality and efficient care. • Coordinates and collaborates with patient care needs with appropriate members of the healthcare team to achieve desired clinical outcomes and management of care across the continuum. Demonstrates effective communication skills with the health care team and work to eliminate communication barriers. Serves as a liaison between physicians, families, nursing staff, and ancillary departments. • Observes, identifies, and addresses human resources issues for assigned staff. Coaches, counsels, and develops nursing staff to ensure the delivery of high-quality patient care. • Monitors productivity and assures that staffing and resources are aligned with patient care needs. • Supports the implementation of unit goals and communication of the organization's strategic plan to staff. • Participates in unit-based quality initiatives for the purpose of developing and monitoring clinical outcomes that demonstrate nursing excellence. As part of our commitment to maintaining a safe and healthy workplace, all successful candidates will be required to undergo respiratory fit testing in compliance with occupational health and safety standards.
    $73k-92k yearly est. Auto-Apply 60d+ ago
  • Digital Communications Automation Specialist

    Centene Corporation 4.5company rating

    Austin, TX job

    You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. **Position Purpose:** Responsible for developing digital content thru Sales Force Marketing Cloud (SFMC) or similar communications platform within the member engagement and communications team. Project manage the cross functional communication calendar to ensure deployment of all communication. + Develop digital content by writing engaging content for email, text, and other needed digital communication. + Create graphic design in a communication platform by determining the layout, imagery and icons to build engaging communication. + Develop Web Content and functionality for CTAs to ensure communication is connecting to the correct location and driving traffic to needed detail. + Analyze all metrics to understand the effectiveness of communication. Test and learn to ensure we are being impactful in our space. + Measure communication performance by developing and analyzing reports to show the impact of communications to leadership and providing recommendations for areas of improvements. + Manage technical issues with the platform, build automated journeys. + Perform communication tests to build a variety of paths for engagement to determine the most impactful path. + Project manage the cross functional communication calendar ensuring orchestration with communication and managing tactic deployments to reduce overlap while ensuring are met. **Education/Experience:** Bachelor's degree in Business Administration, Marketing, Computer Science, or related field. 4+ years of Sales Force Marketing Cloud or similar automation system experience required. Knowledge of HTML and modern programming language. Need to be knowledgeable within the computer science along with being an expert at communication best practice and creativity. **License/Certification:** Salesforce Marketing Certificate would be preferred but is not required Pay Range: $68,700.00 - $123,700.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
    $68.7k-123.7k yearly 55d ago
  • Unit Clerical Assistant - NICU

    Texas Children's Medical Center 4.5company rating

    Austin, TX job

    We're searching for a Unit Clerical Assistant, someone who works well in a fast-paced setting. In this position you will perform receptionist and clerical responsibilities for the assigned unit. To represent the Hospital, utilizing effective customer service skills. To ensure that hospital visitation guidelines are followed, and that the waiting area is used appropriately, and to assist the families of patients in obtaining needed information. Think you've got what it takes? Job Duties & Responsibilities Demonstrates effective communication/customer service. Serves as a receptionist to all visitors, provides appropriate information upon request, and accurately takes and delivers family messages, locates families at request of health team members. Positively interacts with other members of the health care team to meet the patient and family's needs. Promptly and courteously answers patient calls and notifies the appropriate clinician of the patient's need. Greets all visitors courteously with respect to social, cultural, and ethnic needs. Acts as a resource to families/visitors by providing information about hospital services and city information (as appropriate). Works with the housekeeper/USA and assigned volunteers, to maintain visitors' areas on a continuous basis, as measured by direct observation. Ensures the proper utilization of the waiting area/rest area, explaining and enforcing hospital visitation guidelines. Keeps accurate records in the patient visitation log (if appropriate) to monitor visitors in the area. Reports quickly to appropriate supervisor or security of any problems. Provides proactive customer service functions to employees and visitors to the hospital. Maintains a professional appearance and demeanor at all times. Performs clerical duties. Coordinates area communication system/procedures. Greets all persons entering and exiting the unit and provides identification stickers to visitors. Participates in Quality Improvement Program. As part of our commitment to maintaining a safe and healthy workplace, all successful candidates will be required to undergo respiratory fit testing in compliance with occupational health and safety standards. Skills & Requirements Required H.S. Diploma or equivalent 1 year experience as secretarial/administrative coordinator in hospital/doctor's office
    $28k-33k yearly est. Auto-Apply 25d ago
  • Quality Practice Advisor

    Centene Corporation 4.5company rating

    Austin, TX job

    You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. **Location: Position is hybrid. Candidate must live in TX. Prefer candidate to live in/around Austin, San Antonio, or Dallas.** **Position Purpose:** Establishes and fosters a healthy working relationship between large physician practices, IPAs and Centene. Educates providers and supports provider practice sites regarding the National Committee for Quality Assurance (NCQA) HEDIS measures and risk adjustment. Provides education for HEDIS measures, appropriate medical record documentation and appropriate coding. Assists in resolving deficiencies impacting plan compliance to meet State and Federal standards for HEDIS and documentation standards. Acts as a resource for the health plan peers on HEDIS measures, appropriate medical record documentation and appropriate coding. Supports the development and implementation of quality improvement interventions and audits in relation to plan providers. + Delivers, advises and educates provider practices and IPAs in appropriate HEDIS measures, medical record documentation guidelines and HEDIS ICD-9/10 CPT coding in accordance with state, federal, and NCQA requirements. + Collects, summarizes, trends, and delivers provider quality and risk adjustment performance data to identify and strategize/coach on opportunities for provider improvement and gap closure. + Collaborates with Provider Relations and other provider facing teams to improve provider performance in areas of Quality, Risk Adjustment and Operations (claims and encounters). + Identifies specific practice needs where Centene can provide support. + Develops, enhances and maintains provider clinical relationship across product lines. + Maintains Quality KPI and maintains good standing with HEDIS Abstraction accuracy rates as per corporate standards. + Ability to travel up to 75% of time to provider offices. + Performs other duties as assigned. + Complies with all policies and standards. **Education/Experience:** Bachelor's Degree or equivalent required 3+ years in HEDIS record collection and risk adjustment (coding) required **Licenses/Certifications:** One of the following required: CCS, LPN, LCSW, LMHC, LMSW, LMFT, LVN, RN, APRN, HCQM, CHP, CPHQ, CPC, CPC-A or CBCS **For Superior HealthPlan:** license/certification is preferred **Location: Position is hybrid. Candidate must live in TX. Prefer candidate to live in/around Austin, San Antonio, or Dallas.** Pay Range: $26.50 - $47.59 per hour Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
    $26.5-47.6 hourly 40d ago
  • Business Analyst II

    Centene Corporation 4.5company rating

    Austin, TX job

    You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. **Position Purpose:** Perform various analysis and interpretation to link business needs and objectives for assigned function. + Support business initiatives through data analysis, identification of implementation barriers and user acceptance testing of new systems + Identify and analyze user requirements, procedures, and problems to improve existing processes + Perform detailed analysis on assigned projects, recommend potential business solutions and assist with implementation + Identify ways to enhance performance management and operational reports related to new business implementation processes + Develop and incorporate organizational best practices into business applications + Lead problem solving and coordination efforts between various business units + Assist with formulating and updating departmental policies and procedures + Performs other duties as assigned + Complies with all policies and standards **Education/Experience:** Bachelor's degree in related field or equivalent experience. 2+ years of business process analysis, preferably healthcare (i.e. documenting business process, gathering requirements) or claims payment/analysis experience. Knowledge of managed care information systems and experience in benefits, pricing, contracting or claims preferred. Knowledge of provider reimbursement methodologies preferred. Previous structured testing experience preferred. **_"By applying to this requisition, you acknowledge and understand that you may be considered for other job opportunities for which Centene believes you may be qualified."_** Pay Range: $55,100.00 - $99,000.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
    $55.1k-99k yearly 4d ago
  • Lead Portfolio Optimization Process Owner

    Centene Corporation 4.5company rating

    Austin, TX job

    You could be the one who changes everything for our 28 million members by using technology to improve health outcomes around the world. As a diversified, national organization, Centene's technology professionals have access to competitive benefits including a fresh perspective on workplace flexibility. **Position Purpose:** Accountable for leading, defining, executing, and continuously advancing Strategic Portfolio Management (SPM) processes to align portfolio initiatives with organizational objectives. Establishes and drives data driven decision making, optimizes process efficiency and establishes robust mechanisms to monitor portfolio health enabling maximum value realization and achievement of strategic goals. + Lead the design, implementation and continuous improvement of new and existing Strategic Portfolio Management (SPM) processes, driving tool adoption while ensuring alignment with guiding principles, governance frameworks, and organizational strategy. + Architect, document, and deliver clear, impactful communication of processes, controls, and updates to stakeholders and users + Develop, analyze and maintain governance process metrics, delivering actionable insights to measure process effectiveness and adherence. + Orchestrate collaboration across process owners and interfacing teams, synchronizing improvement initiatives to optimize the entire value chain + Validate process designs, including the correct business requirements, ensuring scalability and alignment with strategic needs + Own and prioritized technical backlog for future enhancements to portfolio management processes, ensuring continuous improvement + Accountable for alignment between organizational strategy and operational execution, enabling agile decision making around budgets, and resource reprioritization + Accountable to define and communicate the process mission, vision, tactics, goals, objectives, and KPI's (Key Performance Indicators), ensuring they remain tightly aligned with enterprise strategies + Oversee portfolio process health proactively ensuring alignment with strategic priorities, organizational roadmaps, governance policies and quality standards + Deliver in-depth insights and provide actionable recommendations on portfolio reports, with a focus on the health, performance, and outcomes of portfolio, sub-portfolio, and projects + Serve as a strategic escalation point for critical portfolio challenges, collaborating with Portfolio Management leadership to resolve issues and drive outcomes + Champion and sponsor transformative business process changes and capability investments that elevate process maturity and enable sustained excellence + Performs other duties as assigned + Complies with all policies and standards **Education/Experience:** Requires a Bachelor's degree and 5 - 7 years of related experience. Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position. **Soft Skills:** + Intermediate - Seeks to acquire knowledge in area of specialty + Intermediate - Ability to identify basic problems and procedural irregularities, collect data, establish facts, and draw valid conclusions + Intermediate - Ability to work independently + Intermediate - Demonstrated analytical skills + Intermediate - Demonstrated project management skills + Intermediate - Demonstrates a high level of accuracy, even under pressure + Intermediate - Demonstrates excellent judgment and decision making skills + Intermediate - Ability to communicate and make recommendations to upper management + Intermediate - Ability to drive multiple projects to successful completion **License/Certification:** + CSSBB - Six Sigma Black Belt , Non-Black Belt certifications will be considered as well, preferred + Portfolio Management Professional (PMP) , SAFe LPM certfication will be considered as well, preferred + Certified Project Management Professional (PMP)-PMI preferred Pay Range: $119,100.00 - $220,500.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
    $56k-105k yearly est. 59d ago
  • Lead Application Software Engineer

    Centene Corporation 4.5company rating

    Austin, TX job

    You could be the one who changes everything for our 28 million members by using technology to improve health outcomes around the world. As a diversified, national organization, Centene's technology professionals have access to competitive benefits including a fresh perspective on workplace flexibility. **Position Purpose:** Leads the team in the design and development of complex automated tests scripts using automation tools and scripting tools, refining the acceptance criteria into automated acceptance test cases/scripts, and executing automated test scripts and individual tests in support of IT changes to business processes. Conducts test automation code reviews and evangelizes test automation best practices to the entire engineering organization. + Leads the team in the design, development, maintenance, and execution of moderately complex test automation scripts and helps make decisions on reporting showing results summarizing defects and recommends resolutions + Develops and executes complex manual and automated tests using appropriate tools and requirements to report defects for specific product functions and verify resolutions for all defects for an assigned project + Develops and implements standards and methods for inspection, testing, and evaluation relative to the organization's quality management system + Defines quality standards by identifying and recommending new procedures, standards, and resolution of outages + Keeps updated with the latest industry developments and assure compliance of Centene's products and processes + Designs new procedures and standards, leads improvements to existing standards, and participate in internal and cross functional code and design reviews + Verifies product quality by analyzing product and technical artifacts + Protects assets by ensuring that all work is stored appropriately in the proper repository (Quality Centers, Subversion etc.) in compliance with department standards + Creates reports by collecting, analyzing, and summarizing information to include accurate data for project reporting as well as a weekly personal status report + Leverages synthetic data in partnership with TDM team for testing + Integrates automated suite with CI/CD platform + Mentors and provides guidance for lower level engineers + Performs other duties as assigned + Complies with all policies and standards **Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.** **Education/Experience:** A Bachelor's degree in a quantitative or business field (e.g., statistics, mathematics, engineering, computer science) and requires 5 - 7 years of related experience. Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position. **Technical Skills:** + One or more of the following skills are desired. + Knowledge of Test Automation + Knowledge of Java (Programming Language); Python (Programming Language) + Knowledge of Other: CI/CD tools + Cloud technologies **Soft Skills:** + Seeks to acquire knowledge in area of specialty + Ability to identify basic problems and procedural irregularities, collect data, establish facts, and draw valid conclusions + Ability to work independently + Demonstrated analytical skills + Demonstrated project management skills + Demonstrates a high level of accuracy, even under pressure + Demonstrates excellent judgment and decision making skills + Ability to communicate and make recommendations to upper management + Ability to drive multiple projects to successful completion + Possesses technical aptitude Pay Range: $100,900.00 - $186,800.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
    $100.9k-186.8k yearly 7d ago
  • Senior Product Marketer

    Centene Corporation 4.5company rating

    Austin, TX job

    You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. **Position Purpose:** Ensure successful execution, maintenance, and improvement of Centene's products. Manage a specific product (e.g. Value, Virtual, etc.) and support issues that arise in the current plan year while also building the vision and strategy for future years. Drive execution of the strategy to implementation with a cross-functional team. + Own and drive resolution for in-year issues identified for complex product offering(s) or portfolios of products. Provide support to team in addressing issues for their assigned products. + Support definition and execution of roadmaps for higher complexity products or product portfolios requiring greater cross-organizational alignment. + Drive near and long-term strategies that increase product or portfolio value over time + Track performance (market, financial, operational) of assigned product(s) or portfolio and collaborate with cross-functional partners to mitigate performance risks across functional verticals (e.g. Rx, Network, Risk Adjustment, Health Plans) + Serve as subject matter expert to internal and external stakeholders on products and provide proactive communication to applicable cross-functional partners, health plans, and executive leadership team. + Support the Manager in interviewing, hiring, onboarding, and training newly hired team members **Education/Experience:** Bachelor's degree in Business Administration, Marketing and Sales, or related field, or equivalent experience. 6+ years of experience managing healthcare products and/or managed care, including but not limited to health plan, provider, or health system experience. Experience driving product implementations, managing product operational performance preferred.Pay Range: $105,600.00 - $195,400.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
    $105.6k-195.4k yearly 60d+ ago
  • National Vice President, Sales Ambetter

    Centene Corporation 4.5company rating

    Austin, TX job

    Centene is transforming the health of our communities one person at a time. As an Executive on our team, you could be the one who changes everything for our 28 million members. Development and achievement of sales forecast by establishing and maintaining sales and business relationships with clients, prospects, and business partners for multiple territories. Direct, strategize and negotiate sales related activities within assigned territory and accounts. Direct and manage assigned Regional Vice President of Sales personnel to achieve quotas within their assigned territories and accounts. + Manage, mentor and direct regional sales VPs to achieve their individual sales goals. + Develop active pipeline of new business leads within defined healthcare vertical markets through cold calling and warm leads for multiple territories. + Oversee sales and marketing activities to achieve sales goals through prospecting and identifying opportunities within key healthcare markets. + Develop and maintain relationships with key decision-makers within the client and consulting firm environment. + Represent the company at trade shows, conferences, and other sales events to generate new business opportunities. + Develop and oversee the development and maintenance of account plans for active prospects and opportunities for individual and Regional Sales VP assigned accounts. + Oversee the development and presentation of client proposals and sales presentations and assist with escalated or complex client proposals and sales presentations to generate increased sales and maintain existing business. + Oversee the negotiation and finalization of client contracts and assist with escalated or complex client contracts. + Make sales presentations to clients, prospects, consulting firms, and business partners to generate increased sales and maintain existing business. + Develop and maintain knowledge of company solutions and industry trends to support value based selling and product positioning. + Work with the product, client services and implementation teams to ensure a smooth transition and implementation post contract. + Ensure timely and accurate documentation of sales encounters and review formal written reports and contact information in SalesForce. + Travel as required. + Performs other duties as assigned + Complies with all policies and standards **Education/Experience:** Bachelor's Degree in Business Administration, Marketing or related field required. Master's Degree in Business Administration, Marketing, or related field preferred. 6+ years direct sales and sales management experience required. Direct enterprise software sales experience preferred. Healthcare IT experience preferred. Health Plan experience beneficial. Professional clinical experience beneficial. As a field-based role, a minimum of 75% of this role will take place in the marketplace. (Note: Working in an office or remotely within a home-based environment is not considered field-based work. Overnight travel maybe required based on territory/marketplace. Active health insurance license required or obtained within 60 days. state insurance license required. Requirements vary state by state. Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position. Pay Range: $185,200.00 - $352,700.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
    $185.2k-352.7k yearly 24d ago
  • Utilization Review Clinician - Behavioral Health

    Centene Corporation 4.5company rating

    Austin, TX job

    You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. **Position Purpose:** Performs a clinical review and assesses care related to mental health and substance abuse. Monitors and determines if level of care and services related to mental health and substance abuse are medically appropriate. + Evaluates member's treatment for mental health and substance abuse before, during, and after services to ensure level of care and services are medically appropriate + Performs prior authorization reviews related to mental health and substance abuse to determine medical appropriateness in accordance with regulatory guidelines and criteria + Performs concurrent review of behavioral health (BH) inpatient to determine overall health of member, treatment needs, and discharge planning + Analyzes BH member data to improve quality and appropriate utilization of services + Provides education to providers members and their families regrading BH utilization process + Interacts with BH healthcare providers as appropriate to discuss level of care and/or services + Engages with medical directors and leadership to improve the quality and efficiency of care + Formulates and presents cases in staffing and integrated rounds + Performs other duties as assigned. + Complies with all policies and standards. **Education/Experience:** Requires Graduate of an Accredited School Nursing or Bachelor's degree and 2 - 4 years of related experience. License to practice independently, and/or have obtained the state required licensure as outlined by the applicable state required. Master's degree for behavioral health clinicians required. Clinical knowledge and ability to review and/or assess treatment plans related to mental health and substance abuse preferred. Knowledge of mental health and substance abuse utilization review process preferred. Experience working with providers and healthcare teams to review care services related to mental health and substance abuse preferred. **License/Certification:** + LCSW- License Clinical Social Worker required or + LMHC-Licensed Mental Health Counselor required or + LPC-Licensed Professional Counselor required or + Licensed Marital and Family Therapist (LMFT) required or + Licensed Mental Health Professional (LMHP) required or + RN - Registered Nurse - State Licensure and/or Compact State Licensure required + For Fidelis Care only: LMSW, LCSW, LMHC, LPC, LMFT, LMHP or RN required Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
    $53k-67k yearly est. 6d ago
  • RN, Registered Nurse Clinic Lead - Cardiology Cath

    Christus Health 4.6company rating

    Christus Health job in Austin, TX

    Oversees and coordinates day-to-day clinical operations of multiple clinic(s) with multiple providers. Provides direction to Clinical Staff in all aspects of clinical operations including regulatory compliance. Provides professional nursing care for clinic patients in conjunction with providers. Works independently and often with little supervision. CHRISTUS Santa Rosa Hospital - San Marcos, which originated in 1923 as Hays County Soldiers, Sailors and Marines Memorial Hospital, opened at its current Wonder World Drive location in 1983. Our staff of more than 700 Associates works with more than 300 active and consulting physicians to provide quality services to patients and their families. For more than 20 consecutive years, we have been named The Best Hospital in Hays County in the annual "Best of Hays" publication released by the San Marcos Daily Record. In addition to interventional cardiac services, CHRISTUS Santa Rosa Hospital - San Marcos is a Certified Chest Pain Center and an accredited Primary Stroke Center. We lead the region in da Vinci robotic-assisted surgery and offers a variety of specialty care services including medical imaging, rehabilitation, hospice, women's services and more. Requirements: Graduate of a Registered Nursing program Bachelor or Master Degree preferred Excellent customer service, negotiation and communication skills Minimum of 2 years clinical patient care experience in a relevant setting Minimum of 1 year of experience overseeing work of assigned units Previous healthcare management experience, preferred RN license in good standing in state of employment or a compact state , if applicable Registered Nurse (RN) required American Heart Association Basic Life Support Work Type: Full Time
    $53k-86k yearly est. 5d ago
  • Lead Systems Engineer

    Centene Corporation 4.5company rating

    Austin, TX job

    You could be the one who changes everything for our 28 million members by using technology to improve health outcomes around the world. As a diversified, national organization, Centene's technology professionals have access to competitive benefits including a fresh perspective on workplace flexibility. **Position Purpose:** Oversees the planning, design and implementation of system engineering projects. Provides technical direction in-line with business goals. Trains, mentors, and supports systems engineers. Installs, configures and upgrades and enhancements to software/hardware/network systems. + Oversees the planning, design and implementation of system engineering projects. + Leads the enhancement of processes, procedures, and policies relating to systems functioning and performance. + Meets with management team of multiple functional areas and vendors on the planning, upgrading, testing, securing, and servicing of IT solutions. + Provides technical direction in-line with business goals. + Develops, modifies, tests, implements, documents, and maintains systems software and hardware. + Troubleshoots and resolves server, operating system, and other infrastructure problems. + Monitors systems and networks for viruses, malfunctions, and errors. + Prepares network analytics, data reports, and operational manuals. + Performs troubleshooting and remediation, ensure successful project implementation, and perform post project end user support. + Manages project timelines, budgets, and documentation. + Trains the engineering team on new systems, protocols, and best practices. + Performs other duties as assigned. + Complies with all policies and standards. **Education/Experience:** A Bachelor's degree in a quantitative or business field (e.g., statistics, mathematics, engineering, computer science) and requires 5 - 7 years of related experience. Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position. **Technical Skills:** + Experience with Cyber Security + Experience with PowerShell, Bash, or Shell scripting and Endpoint Engineering, network protocols + Linux and Windows server vulnerability remediation + Linux and Windows server OS patching + Automation (Ansible or similar) + Connections via API to systems (ServiceNow, Satellite or similar) **Soft Skills:** + Intermediate - Seeks to acquire knowledge in area of specialty + Intermediate - Ability to identify basic problems and procedural irregularities, collect data, establish facts, and draw valid conclusions + Intermediate - Ability to work independently + Intermediate - Demonstrated analytical skills + Intermediate - Demonstrated project management skills + Intermediate - Demonstrates a high level of accuracy, even under pressure + Intermediate - Demonstrates excellent judgment and decision making skills + Intermediate - Ability to communicate and make recommendations to upper management + Intermediate - Ability to drive multiple projects to successful completion + Intermediate - Possesses technical aptitude **License/Certification:** + CISSP Certified Information Systems Security Professional preferred Pay Range: $100,900.00 - $186,800.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
    $100.9k-186.8k yearly 60d+ ago
  • Regional Provider Engagement Manager

    Centene Corporation 4.5company rating

    Austin, TX job

    You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. **_***Candidate must reside in either Austin TX or surrounding areas. Role will require both in office presence as well as travel throughout the region. Highly preferred that candidate possess experience in the following areas:_** + **Train on Provider Performance:** Equip market associates with the knowledge and tools to improve Medical Expense Ratio, Risk Adjustment accuracy, and overall financial outcomes. + **Guide Effective JOCs:** Teach teams how to plan, execute, and leverage Joint Operations Committee meetings to align providers and internal teams on performance goals. + **Develop Data Proficiency:** Train associates to interpret and act on financial and quality metrics (e.g., HEDIS, STARs) to drive targeted improvement strategies. + **Coach on Engagement Strategies:** Educate market teams on building strong provider relationships, optimizing incentive programs, and implementing value-based care models. **_***_** **Position Purpose:** The Regional Provider Engagement Manager will support provider performance and engagement efforts within a specific region that includes multiple local markets. This role will drive strategies and initiatives that support improvements in provider quality, cost-effectiveness, and clinical efficiency. + Provide hands-on PEOM support and guidance to include in person training, new hire following, process re-enforcement, new reports/initiatives roll out for assigned markets (All Levels) + Engage in Monthly/Quarterly PE Regional Leadership Check-ins + Lead new PE implementations within assigned regions (Templates, reporting, etc.) + Drive the execution of key strategic initiatives to support local markets, recommending opportunities for increasing business value. + Support the development of strategic operational plans and monitor implementation, including large-scale transformation projects. + Collaborate with health plan leaders to assist in facilitating system-wide implementations and ensure continuous improvement from pilot to full-scale implementation. + Drive key performance indicators (KPIs) and interpret data to improve provider performance. + Utilize data analysis to identify areas for service level improvements and develop specific actions based on findings. + Support local market relationships, providing high-touch and responsive servicing of critical providers through shared service resources. + Partner with health plans and enterprise Provider Experience team to monitor provider performance of risk arrangements for multiple product lines. + Assist in driving development of provider-related corporate initiatives, business plans, strategies, and goals. + Analyze industry trends and new technologies to maintain cutting-edge services and capitalize on emerging opportunities. + Analyze and interpret facts/results using research methods and techniques. + Prepare meaningful, actionable reports and provide routine communication of status via project plans, dashboards, presentations, or other tools as appropriate. + Escalate issues, as appropriate, to ensure timely resolution and on-time project delivery. + Enhance and leverage analytics, member demographics, and healthcare facility usage patterns to identify efficiency opportunities. + Collaborate with operational areas and appropriate vendors on initiatives supporting provider performance and financial efficiencies. + Perform special projects as assigned or directed. + Performs other duties as assigned. + Complies with all policies and standards. **Education/Experience:** Bachelor's Degree health care administration, business, or related field or equivalent experience required **Master's Degree preferred** **:** 5+ years within provider management or healthcare strategy required In-depth knowledge of provider engagement, network management, and performance improvement methodologies required. Demonstrated track record of successfully leading cross-functional provider engagement teams and driving results in a dynamic environment required. Pay Range: $86,000.00 - $154,700.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
    $86k-154.7k yearly 24d ago
  • Supervisor, Care Management (RN)

    Centene Corporation 4.5company rating

    Austin, TX job

    You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. **Location: Position will require up to 25% travel. Candidate must live in Texas.** **Position Purpose:** Supervises the care management team and the care management of members to promote quality and efficacy of care management delivery. Supervises day-to-day escalations and care management issues related to members or providers. + Monitors and reviews care management required documentation to maintain and ensure compliance with federal and state regulations and contractual agreements + Assigns caseloads and work assignments to care management team based on state requirements, care management staff experience, and member needs + Works with senior management on escalated and complex care cases, and provides guidance to junior team members to address member concerns + Educates and provides resources for care management team on key initiatives and member outreach to facilitate on-going communication between care management team, members, and providers + Evaluates care management team performance and provides feedback regarding performance, goals, and career milestones + May perform telephonic, digital, home and/or other site outreach to assess member needs and collaborate with resources + Provides coaching and guidance to care management team to improve member and provider experience and high-quality care + Assists with onboarding, hiring, and training care management team members + Leads and champions change within scope of responsibility + Performs other duties as assigned + Complies with all policies and standards **Education/Experience:** Requires Graduate from an Accredited School or Nursing or a Bachelor's degree and 4+ years of related experience. **License/Certification:** + RN - Registered Nurse - State Licensure and/or Compact State Licensure required **Location: Position will require up to 25% travel. Candidate must live in Texas.** Pay Range: $85,300.00 - $158,100.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
    $85.3k-158.1k yearly 11d ago

Learn more about CHRISTUS Health jobs

Most common locations at CHRISTUS Health