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Full-time Description JOB TITLE: Residential Associate for Juniper Ridge FLSA: .95 FTE, non-Exempt (expected to work 38 hours per week) Sun-Tues & Thurs-Sat 6:30am-7pm 1 WEEK ON/ 1 WEEK OFF SUPERVISOR: Facility Assistant Administrator PAY GRADE: B5 ($19.23 - $26.54 per hour, depending on experience) **Shift differential added to wage for Nights & Weekends ranging from $1.50 - $2.50/hour *** Position eligible for $5,225.00 HIRING BONUS*** (2 year Commitment, staggered payout-taxed) Community Counseling Solutions provides a team-based Servant Leadership environment! Located in Eastern Oregon with year-round recreation based near the Columbia River and at the base of the Blue Mountains. Big city amenities in rural family-oriented communities. Apply Directly at ********************************** Our mission is to provide dynamic, progressive, and diverse supports to improve the well-being of our communities and we're looking for motivated employees to help us continue our vision! CCS has a benefit package including, but not limited to: Health, dental and vision insurance 6% initial 401K match Potential for tuition reimbursement Paid vacation tiers ranging from accrual of 1 day to 4 days per month (Annual rollover cap of 220 hours, additional hours can be paid out at 50% at the end of the fiscal year) 9 Paid holidays, Community service day Floating holiday & 2 mental health days provided after 1 year introduction Workplace Flexibility schedule options available (work from home hours vary by position & schedule) Student loan forgiveness (NHSC & Public Service) Paid licensure supervision. Employee Assistance, Wellness Benefits, Dependent Care & Long-Term Disability Insurance DESCRIPTION Provides services and supports for clients that help the residents develop appropriate skills to increase or maintain their level of functioning. These services may include the mental health services, rehabilitation services, social services, personal services, medical, dental and other health care services, educational services, financial management services, legal services, vocational services, transportation, recreational and leisure activities, and other services required to meet a resident's needs as defined in the guidelines of their personal care plan. This person works directly with residents to promote recovery. SUPERVISION Supervision Received The Assistant Administrator is the immediate supervision and provides supervision of the Residential Associate. However, given the nature of the business, the Facility Administrator will often provide direct supervision, primarily in the absence of the Assistant Administrator. Supervision Exercised Position does not supervise or assign work RESPONSIBILITIES I. Professionalism •Follow & reference the policies and procedures, mission, and values of CCS. •Demonstrate leadership and independent judgment skills. •Manage time efficiently and effectively. •Communicate effectively both verbally and in writing. •Follow & reference OARs. •Maintain confidentiality of information and protect client confidentiality while in the community. •Demonstrate alignment with the philosophy of collaborative problem solving and ability/discipline to utilize this approach in interactions with clients and colleagues. II. Clinical •Actively supervise and interact with clients both in the community and within the facility. •Orient, train, and supervise residents to perform properly, safety, and independently within the guidelines of the personal care plan. •Provide services and support to the clients according to their individual service plan. •Demonstrate active listening and empathy skills. III. Other skills and abilities •Transport clients to and from appointments and activities; provide direct supervision as necessary. •Administer prescribed medications, following physician orders for all medications within agency policies and procedures. •Assist clients as necessary in making and keeping medical appointments and filling prescriptions. •Demonstrate understanding of group dynamics and effectively intervene when necessary. •Assist clients as necessary with food purchases, preparation, and clean up. •Assist clients as necessary in completely housekeeping tasks and maintaining cleanliness of the home. •Provide direct skills training and coaching within skill areas including but not limited to: independent living/self-sufficiency, education, navigating the medical community, community living, and/or as assigned. •Report any suspected violations of client's rights or abuse of a client by another client or staff member according to policies and OARs regarding mandatory reporting. Such reporting is required for, but is not limited to, suspected incidents of physical assault, neglect of care, sexual exploitation or financial exploitation, which may also include borrowing or removing property from the program. •Transfer residents to and from wheelchairs, beds, chairs, toilets, etc. Using the training and guidelines provided for such activities. Pushing clients in wheelchairs may also be required. •Assist residents of either gender in personal self-management activities including eating, toileting, bathing, personal hygiene and grooming, cleaning, community access, personal spending, socialization, recreation, skill acquisition, and self-expression. •Participate in the inventory, ordering and/or purchasing of client program supplies, including food or medications, as assigned. IV. Safety of Milieu •Effectively assess and manage crisis situations. RA Juniper Ridge Page 2 of 5 •Demonstrate effective verbal intervention skills in de-escalating clients. •Demonstrate ability to identify risk situations and manage aggressive behaviors. •Maintain clean, sanitary, and safe conditions; for example, sweeping, mopping, vacuuming, window washing, etc. both routinely and as needed. Report all hazards. •Observe clients for changes in behavior and promptly report these changes to clinical supervisor. •Demonstrate knowledge and understanding of safety procedures, fire drills, and evacuation plans. Conducts evacuation/fire drills as assigned. •Remain up to date on all trainings. V. Documentation •Document critical incidents using Incident Reports. •Document PCS notes/contact log/ADL sheet on residents' daily activities. •Conduct/Facilitate appropriate groups oriented to treatment needs. •Working in conjunction with QMHAs in meeting the facility, staff and resident's needs. •Provided timely documentation as required by OARs and CCS policies and procedures. •Other duties as assigned. VI. Safety Work Environment •Perform all work tasks in a proper and safe manner per established policies, procedures, and guidelines. •Perform all job responsibilities in accordance with prescribed safety and infection control procedures including thorough hand washing, use of disposable gloves where indicated, and proper disposal of soiled materials. •Cooperate with other staff and demonstrate respect of other staff, residents, and visitors to the program. •Contribute to ensuring the work environment is safe and well maintained to prevent unnecessary injury, time loss and agency expense. •Comply with all federal, state, and agency health and safety reporting requirements. •Other duties as assigned. Requirements QUALIFICATIONS Education and Experience This position must have a high school diploma or equivalent, be able to pass a criminal history background check, and have a current drivers license. Ability to effectively communicate in written and verbal formats. CRIMINAL BACKGROUND CHECKS Must pass all criminal history check requirements as required by ORS 181.536-181.537 and in accordance with OAR 410-007-0200 through 410-007-0380. In addition to a pre-employment background check, each employee, volunteer and contractor shall be checked on a monthly basis against the OIG and GSA exclusion lists, as well as other federal and state agency lists. If it is discovered that an employee, volunteer or contractor is excluded or sanctioned it will be the cause for immediate termination of employment, volunteering, or the termination of the contract. PRE-HIRE DRUG SCREEN REQUIRED PERSONAL AUTO INSURANCE Must hold a valid driver's license as well as personal auto insurance for privately owned Vehicles utilized for CCS business such as client service purposes, travel between business offices and the community, to attend required meetings and trainings. Must show proof of $300,000 or more liability coverage for bodily injury and $100,000 or more in property damage and maintain said level of coverage for the duration of employment at CCS.The employee's insurance is primary with CCS insurance being secondary. CCS reserves the right to deny any employee the use of a vehicle owned by CCS. PHYSICAL DEMANDS This position requires an individual to be regularly available for work as scheduled. Position requires professional and personal skills to cope with stress associated with work involving a high degree of mental, emotional and physical demands. This position also requires the ability to bend, stoop, push and pull on an ongoing basis. This position may require an individual to lift and transfer clients using a two-person lifting technique. This position may involve working overtime, weekends, evening or overnight awake shifts. Must be willing to work a flexible work schedule depending on community and resident needs. Reasonable accommodations may be made to enable persons with disabilities to perform the essential functions of this position. Must be willing to work a flexible work schedule; depending on community and resident needs. WORK ENVIRONMENT Work will generally occur at the residential treatment program and throughout the community. The noise level in the office environment is usually moderate, but occasionally one may be exposed to loud noises. The noise in the community, including the homes of customers, is often difficult to predict. Occasional out of area travel and overnight stays will be required for attendance at meetings and/trainings. Work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations many be made to enable individuals with disabilities to perform the essential functions. The duties listed above are intended only as illustrations of the various types of work that may be performed. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or logical assignment to the position. However, the employee also will be required to work in the community. Handicap access may not be available at all places where this position must go. There are some situations where this position may be required to respond to environments where a client is in crisis. The environments in these situations are difficult to predict and may be in uneven terrain. This position exposes the employee to the everyday risks or discomforts which require normal safety precautions typical of such places as an office or home environment. The job description does not constitute an employment agreement between the employer and the employee and is subject to change by the employer as the need of the employer requirements of the job change. Community Counseling Solutions IS AN EQUAL OPPORTUNITY EMPLOYER MEMBER OF NATIONAL HEALTH SERVICES CORPORATION Salary Description $19.23 - $26.54 per hour, depending on experience

JOB TITLE: CRISIS Mental Health Specialist III (QMHP) SUPERVISOR: Clinical Supervisor PAY GRADE: MHS IV - B12 ($73,900 - $111,600 annually) Exempt - Requires Doctorate or Licensure MHS III - B11 ($67,500 - $101,200 annually) Exempt - Masters Required MHS II - B09 ($56,700 - $82,700 annually) Hourly/ Non-Exempt - Must possess bachelors degree and be enrolled or willing to enroll in a Masters program within 4 months of hire. ( **Hourly Crisis staff receive a shift differential ranging from $1 to $2.50 for working nights and weekends ) *** $5,500 Hiring Bonus!! (2 year Commitment, Staggered-taxed Payout) Community Counseling Solutions provides a team-based Servant Leadership environment! Located in Eastern Oregon with year-round recreation based near the Columbia River and at the base of the Blue Mountains. Big city amenities in rural family-oriented communities. Apply Directly at ********************************** Our mission is to provide dynamic, progressive, and diverse supports to improve the well-being of our communities and we're looking for motivated employees to help us continue our vision! CCS has a benefit package including, but not limited to: Health, dental and vision insurance 6% initial 401K match Potential for tuition reimbursement Paid vacation tiers ranging from accrual of 1 day to 4 days per month (Annual rollover cap of 220 hours, additional hours can be paid out at 50% at the end of the fiscal year) 9 Paid holidays, Community service day Floating holiday & 2 mental health days provided after 1 year introduction Workplace Flexibility schedule options available (work from home hours vary by position & schedule) Exempt employees receive additional admin leave & work from home hours Relocation Benefit of up to $4,000 if moving over 100 miles, $ depending on distance. This is available to be included w/ job offer Student loan forgiveness (NHSC & Public Service) Paid licensure supervision. Employee Assistance, Wellness Benefits, Dependent Care & Long-Term Disability Insurance DESCRIPTION Provides culturally competent and appropriate behavioral health treatment to people served by Community Counseling Solutions. The position provides treatment in accordance with the Oregon Administrative Rules (OAR's) and the mission and values of CCS. This position provides prompt and thorough assessment, evaluation, and intervention via telephone or in person, and provides written and verbal communication where indicated. The position works closely with other involved community partners and is professional in all aspects of service delivery. Additionally, this position assists administration in meeting the behavioral health needs of the community. SUPERVISION Supervision Received This position is supervised by the Crisis Supervisor. Supervision Exercised This position does not supervise other employees. RESPONSIBILITIES Demonstrate ability to assimilate data from a wide range of observations and use various clinical techniques and skills in gathering the client's personal, family, medical, and psychiatric histories. Establish short-term goals with clients, provide follow-up services as needed, and make appropriate/expeditious referrals. Provide home visits and other outreach services to schools and other agencies/providers that are necessary and appropriate. Thoroughly screen referrals to assure proper utilization of Outpatient Services. Promptly and accurately complete clinical records and all collateral forms as necessary and required. Arrange for hospitalization of clients, either on a voluntary or involuntary basis, and thoroughly assess to assure that it is the least restrictive alternative. In facilitating a patient's admission, Crisis Worker must accurately assess for special needs and alert other staff and/or physician to the apparent needs of the patient. Crisis Worker will act expeditiously in assisting police and all community agencies, including hospital staff. Arrange emergency/temporary placement as appropriate. Will work as part of a mental health emergency response team and avail themselves to work various non-traditional work hours covering call-offs when feasible. Cooperate with all referral sources and will provide assistance, directions, and feedback as necessary and appropriate. Provide consultation services to hospital departments and other providers as necessary and appropriate. If varianced, provide clinical services to children, adults and families. This would include but is not limited to screening, assessment, individual and group therapy, consultation, and all other allowed clinical services. Actively participate in joint case planning and coordination with agency employees and relevant agency contractors. Act as a liaison between clients and other agencies. Act as a client advocate when appropriate. Actively participate in group and individual supervision sessions. Work with other staff and community representatives to initiate new programs, reviews, evaluates and revises existing programs as necessary. Perform joint case planning and coordination in areas of behavioral health with other community agencies including but not limited to: schools, group homes, police organizations, district attorney's offices, courts, community clinics and hospitals and other agencies in the Department of Human Services. Provide behavioral health and addiction education, prevention and information to various interest groups. Provide after hours emergency services on a 24 hour, rotating basis to adults. This includes telephone consultation and crisis intervention in the community. If varianced, provides same services to children. If varianced, initiate holds, provide civil commitment investigations, and work with the hospitals, case workers and the state and other individuals/agencies for all individuals in the civil commitment process. Complete all paperwork in a way that is professional, clinically sound and timely as prescribed by the OAR's and other pertinent guidelines. Required to ensure that all paperwork is present, and/or the client record is well maintained. Attend trainings, meetings, conferences, etc. as directed by administration and use the information gathered to benefit the agency and the customers. Assist other clinicians in the facilitation of groups as requested. If varianced, provide intensive children's treatment services. Utilize agency software/computer systems to prepare current client records of treatment and reports as necessary and required. Transports clients as required Administer forms for urinalysis testing (UA's), provide accurate information on the UA's to clients, in some cases observes the UA, and record all pertinent information. Must report all abuse to appropriate legal office, complete all necessary paperwork and investigations, and develop safety plans as required. Other responsibilities as assigned. Requirements QUALIFICATIONS Education and/or Experience MHS IV - Either a doctorate degree from an accredited college in social work, psychology or other human service-related field is required, or a master's degree with accompanying certification as an Licensed Professional Counselor (LPC), a Licensed Clinical Social Worker (LCSW), or a Licensed Marriage and Family Therapist (LMFT). MHS III - Requires a master's degree from an accredited college in social work, psychology or other human service related field. MHS II w/ Variance - Must possess bachelors degree and enrolled or willing to enroll in a Masters program within 4 months of hire. Certifications Must have or be able to obtain certification from the Department of Human Services as a Certified Mental Health Investigator. Must have or be able to obtain Certified Alcohol and Drug Counselor designation or Certified Gambling Addiction Counselor designation. Other Skills and Abilities Must possess, or have the ability to acquire, knowledge of symptoms and challenges faced by people with mental illness and addictions. Must have, or possess the ability to acquire, knowledge about relevant OAR's. Must have the ability to effectively communicate both verbally and in writing and have the ability to work independently and complete all designated tasks and/or assignments in a thorough and timely fashion. Understands the special needs of patients with co-occurring disorders (mental health and substance abuse), and utilizes appropriate assessment and intervention techniques. Must have skills to professionally work with the public and the ability to coordinate services across various agencies and community groups. Must be able to develop cooperative and respectful relationships with clients and their families. Must have knowledge, or the ability to acquire knowledge, about the recovery model. Must possess the ability to represent the interest of the customer and the agency in a favorable light in the community. Must have the ability to work well with teams and other groups of individuals. Must be computer literate and have the ability to type and utilize word processing and other software programs/systems. The position requires the handling of highly confidential information. Must adhere to rules and laws pertaining to client confidentiality. CRIMINAL BACKGROUND CHECKS Must pass all criminal history check requirements as required by ORS 181.536-181.537 and in accordance with OAR 410-007-0200 through 410-007-0380. In addition to a pre-employment background check, each employee, volunteer and contractor shall be checked on a monthly basis against the OIG and GSA exclusion lists, as well as other federal and state agency lists. If it is discovered that an employee, volunteer or contractor is excluded or sanctioned it will be the cause for immediate termination of employment, volunteering, or the termination of the contract. PERSONAL AUTO INSURANCE Must hold a valid driver's license as well as personal auto insurance for privately owned Vehicles utilized for CCS business such as client service purposes, travel between business offices and the community, to attend required meetings and trainings. Must show proof of $300,000 or more liability coverage for bodily injury and $100,000 or more in property damage, and maintain said level of coverage for the duration of employment at CCS. The employee's insurance is primary with CCS insurance being secondary. CCS reserves the right to deny any employee the use of a vehicle owned by CCS. PRE HIRE DRUG SCREEN REQUIRED PHYSICAL DEMANDS While performing the essential duties of this job, the employee is regularly required to use office automation including computer and phone systems that require find manipulation, grasping, typing and reaching. The employee is also regularly required to sit; talk and hear; use hands and fingers and handle, smell or feel. The employee is occasionally required to stand; walk; reach with hands and arms; stoop; kneel and/or squat when adjusting equipment or retrieving supplies. The employee may occasionally lift and/or move up to 30 pounds. Specific vision abilities required by this job include close vision, peripheral vision, distance vision and the ability to adjust focus. When serving in the on-call rotation, employee may be required to perform on less than optimal amounts of sleep. WORK ENVIRONMENT Work is performed in an office environment as well as in the community. The noise level in the office environment is usually moderate, but occasionally one may be exposed to loud noises. The noise in the community, including the homes of customers, is often difficult to predict. Some individuals in this position may be required to drive long distances routinely as a part of their regular job duties. Occasional out of area travel and overnight stays will be required for attendance at meetings and/trainings. However, the employee also will be required to work in the communities, homes and other living environments, of the clients we serve. Handicap access may not be available at all places where this position must go. There are some situations where this position may be required to respond to environments where a client is in crisis. The environments in these situations are difficult to predict and may be in uneven terrain. This position exposes the employee to the everyday risks or discomforts which require normal safety precautions typical of such places as an office. Community Counseling Solutions IS AN EQUAL OPPORTUNITY EMPLOYER MEMBER OF NATIONAL HEALTH SERVICES CORPORATION Salary Description $56,700-$111,600 hrly/slry, depending on education

The position description is a guide to the critical duties and essential functions of the job, not an all-inclusive list of responsibilities, qualifications, physical demands, and work environment conditions. Position descriptions are reviewed and revised to meet the changing needs of the organization. This salary range may be inclusive of several career levels at Valley Medical Center and will be narrowed during the interview process based on several factors, including (but not limited to) the candidate's experience, qualifications, location, and internal equity. TITLE: Patient Resource Representative JOB OVERVIEW: The Patient Resource Representative position is responsible for scheduling, pre-registration, insurance verification, estimates, collecting payments over the phone, and inbound and outbound call handling for Primary and Specialty Clinics supported by the Patient Resource Center. This includes call handling for specialized access programs: Accountable Care Network Contracts Hotline Call Handling, MyChart Scheduling, and Outbound dialing for Referral Epic Workqueues. DEPARTMNT: Patient Resource Center WORK HOURS: As assigned REPORTSTO: Supervisor, Patient Resource Center PREREQUISITES: * High School Graduate or equivalent (G.E.D.) preferred. * Minimum of 2 years of experience in a call center, or 1 year in a physician's office; with experience using multi-line phone systems, Electronic Medical Record systems, and working with several software programs at the same time. * Demonstrates basic skills in keyboarding (35 wpm) * Computer experience in a windows-based environment. * Excellent communication skills including verbal, written, and listening. * Excellent customer service skills. * Knowledge of medical terminology and abbreviations. Ability to spell and understand commonly used terms, preferred. QUALIFICATIONS: * Ability to function effectively and interact positively with patients, peers and providers at all times. * Ability to access, analyze, apply and adhere to departmental protocols, policies and guidelines. * Ability to provide verbal and written instructions. * Demonstrates understanding and adherence to compliance standards. * Demonstrates excellent customer service skills throughout every interaction with patients, customers, and staff: * Ability to communicate effectively in verbal and written form. * Ability to actively listen to callers, analyze their needs and determine the appropriate action based on the caller's needs. * Ability to maintain a calm and professional demeanor during every interaction. * Ability to interact tactfully and show empathy. * Ability to communicate and work effectively with the physical and emotional development of all age groups. * Ability to analyze and solve complex problems that may require research and creative solutions with patient on the telephone line. * Ability to document per template requirements, gather pertinent information and enter data into computer while talking with callers. * Ability to utilize third party payer/insurance portals to identify insurance coverage and eligibility. * Ability to function effectively in an environment where it is necessary to perform several tasks simultaneously, and where interruptions are frequent * Ability to organize and prioritize work. * Ability to multitask while successfully utilizing varying computer tools and software packages, including: * Utilize multiple monitors in facilitation of workflow management. * Scanning and electronic faxing capabilities * Electronic Medical Records * Telephone software systems * Microsoft Office Programs * Ability to successfully navigate and utilize the Microsoft office suite programs. * Ability to work in a fast-paced environment while handling a high volume of inbound calls. * Ability to meet or exceed department performance standards for Quality, Accuracy, Volume and Pace. * Ability to speak, spell and utilize appropriate grammar and sentence structure. UNIQUE PHYSICAL/MENTAL DEMANDS, ENVIRONMENT AND WORKING CONDITIONS: See Generic for Administrative Partner. PERFORMANCE RESPONSIBILITIES: * Generic Job Functions: See Generic Job Description for Administrative Partner. * Essential Responsibilities and Competencies: * In-depth knowledge of VMC's mission, vision, and service offerings. * Demonstrates all expectations outlined in the VMC Caregiver Commitment throughout every interaction with patients, customers, and staff. * Delivers excellent customer service throughout each interaction: * Provides first call resolution, whenever possible. * Acknowledge if patient is upset and de-escalate using key words and providing options for resolution. * Identify and assess patients' needs to determine the best action for each patient. This is done through active listening and asking questions to determine the best path forward. * A knowledgeable resource for patient/customers that works to build confidence and trust in the VMC health care system. * Schedules appointments in Epic by following scheduling guidelines and utilizing tools and resources to accurately appoint patient. * Generates patient estimates and follows Point of Service (POS) Collection Guidelines to determine patient liability on or before time of service. Accepts payment on accounts with Patient Financial Responsibility (PFR) as well as any outstanding balances, documents information in HIS and provides a receipt for the amount paid. * Strives to meet patients access needs for timeliness and provider, whenever possible. * Applies VMC registration standards to ensure patient records are accurate and up to date. * Ensures accurate and complete insurance registration through the scheduling process, including verifies insurance eligibility or updates that may be needed. * Reviews registration work queue for incomplete work and resolves errors prior to patient arrival at the clinic. * Utilizes protocols to identify when clinical escalation is needed based on the symptoms that patients report when calling. * Takes accurate and complete messages for clinic providers, staff, and management. * Relays information in alignment with protocols and provides guidance in alignment with patient's needs. * Routes calls to appropriate clinics, support services, or community resource when needed. * Coordinates resources when needed for patients, such as interpreter services, transportation or connecting with other resources needed for our patient to be successful in obtaining the care they need. * Identifies, researches, and resolves patient questions and inquiries about their care and VMC. * Inbound call handling for our specialized access programs * A.C.N. Hotline Call handling * Knowledge of contractual requirements for VMC's Accountable Care Network contracts and facilitates care in a way that meets contractual obligations. * Applies all workflows and protocols when scheduling for patients that call the A.C.N. Hotline * Completes scheduling patients for all departments the PRC supports. * Facilitates scheduling for all clinics not supported by the PRC. * Completes registration and transfer call to clinic staff to schedule. * Completes the MyChart Scheduling process for appointment requests and direct scheduled appointments. * Utilizes and applies protocols as outlined for MyChart scheduling * Meet defined targets for MyChart message turnaround time. * Outbound dialing for patient worklists * Utilizes patient worklists to identify patients that require outbound dialing. * Outbound dialing for referral work queues. * Utilizes referral work queue to identify patients that have an active/authorized referral in the system and reaches out to complete scheduling process. * Schedules per department protocols * Updates the referral in alignment with the defined workflow. * Receives, distributes, and responds to mail for work area. * Monitor office supplies and equipment, keeping person responsible for ordering updated. * Other duties as assigned. Created: 1/25 Grade: OPEIUC FLSA: NE CC: 8318 #LI-Remote Job Qualifications: PREREQUISITES: 1. High School Graduate or equivalent (G.E.D.) preferred. 2. Minimum of 2 years of experience in a call center, or 1 year in a physician's office; with experience using multi-line phone systems, Electronic Medical Record systems, and working with several software programs at the same time. 3. Demonstrates basic skills in keyboarding (35 wpm) 4. Computer experience in a windows-based environment. 5. Excellent communication skills including verbal, written, and listening. 6. Excellent customer service skills. 7. Knowledge of medical terminology and abbreviations. Ability to spell and understand commonly used terms, preferred. QUALIFICATIONS: 1. Ability to function effectively and interact positively with patients, peers and providers at all times. 2. Ability to access, analyze, apply and adhere to departmental protocols, policies and guidelines. 3. Ability to provide verbal and written instructions. 4. Demonstrates understanding and adherence to compliance standards. 5. Demonstrates excellent customer service skills throughout every interaction with patients, customers, and staff: a. Ability to communicate effectively in verbal and written form. b. Ability to actively listen to callers, analyze their needs and determine the appropriate action based on the caller's needs. c. Ability to maintain a calm and professional demeanor during every interaction. d. Ability to interact tactfully and show empathy. e. Ability to communicate and work effectively with the physical and emotional development of all age groups. 6. Ability to analyze and solve complex problems that may require research and creative solutions with patient on the telephone line. 7. Ability to document per template requirements, gather pertinent information and enter data into computer while talking with callers. 8. Ability to utilize third party payer/insurance portals to identify insurance coverage and eligibility. 9. Ability to function effectively in an environment where it is necessary to perform several tasks simultaneously, and where interruptions are frequent 10. Ability to organize and prioritize work. 11. Ability to multitask while successfully utilizing varying computer tools and software packages, including: a. Utilize multiple monitors in facilitation of workflow management. b. Scanning and electronic faxing capabilities c. Electronic Medical Records d. Telephone software systems e. Microsoft Office Programs 12. Ability to successfully navigate and utilize the Microsoft office suite programs. 13. Ability to work in a fast-paced environment while handling a high volume of inbound calls. 14. Ability to meet or exceed department performance standards for Quality, Accuracy, Volume and Pace. 15. Ability to speak, spell and utilize appropriate grammar and sentence structure.

Description & Requirements Maximus is looking for a dynamic Senior Knowledge Analyst to serve as the dedicated Contact Center Content Specialist (CCCS). In this pivotal role, you'll collaborate closely with government and internal teams to identify content gaps, drive improvements, and ensure that agents are equipped with clear, effective, and bilingual resources. *Position is contingent upon contract award* This is a fully remote role. Must have the ability to pass a federal background check. Remote Position Requirements: - Hardwired internet (ethernet) connection - Internet download speed of 25mbps and 5mbps (10 preferred) upload or higher required (you can test this by going to ****************** - Private work area and adequate power source Essential Duties and Responsibilities: - Build and maintain knowledge base in SharePoint. - Build document management processes and procedures. - Assess knowledge base needs, inaccuracies, gaps; work quickly to resolve and make content current. - Work cross-functionally with internal teams for maximum efficiency and accuracy in documentation content. - Create hierarchy and ownership structure to sustain knowledge management. - Empower contributions from key stakeholders to improve the knowledge base. - Design and implement work flows to manage documentation process. - Establish standard templates for all documentation for the teams to utilize in document creation. - Collaborate with and support the Implementation Team to tune and evolve our Knowledge Base. - Create, promote and apply best practices for writing, style and content in Microsoft style. - Create training material in support of the Knowledge management process. - Improve search results by honing and maintaining the knowledge base taxonomy, labels list and ensuring symptoms and subject terms are present in each article. - Utilize SharePoint knowledge for site management, list creation, workflow creation/modification and document management within SharePoint. • Coordinate with client content teams, and the Senior Training Manager to identify and address content gaps specific to contact center operations. • Serve as a bilingual subject matter expert (English and Spanish) for contact center content development. • Support the creation and refinement of training materials for contact center agents. • Draft monthly action and improvement reports with recommendations on knowledge content, quality, customer satisfaction, and training materials. • Represent the contact center perspective in content-related discussions and decisions. • Work extensively with business partners and SMEs to perform knowledge needs analysis, develop and update training and knowledge resources that meet staff and stakeholder needs and organizational quality standards. • Manage and develop knowledge articles, chat quick text scripts and email templates. • Conduct audits of knowledge articles and procedures to ensure accuracy and relevance. • Identify emerging contact center trends and coordinate content updates to address urgent needs. • Collaborate with client content teams to create, update, and review contact center-specific content. • Serve as a subject matter expert for assigned customer agencies. • Salesforce and SharePoint experience preferred. • Call center knowledge and experience preferred. Minimum Requirements - Bachelor's degree with 5+ years of experience. - Advanced degree or professional designation preferred. - Develops solutions to a variety of complex problems. - Work requires considerable judgment and initiative. - Exerts some influence on the overall objectives and long-range goals of the organization. • Developing website content experience • Self-motivated and able to work independently EEO Statement Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics. Pay Transparency Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Annual salary is just one component of Maximus's total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards. Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off. Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience. An applicant's salary history will not be used in determining compensation. Maximus will comply with regulatory minimum wage rates and exempt salary thresholds in all instances. Accommodations Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at **************************. Minimum Salary $ 65,000.00 Maximum Salary $ 85,200.00

Drive the future of HR and workforce analytics in a large, mission-driven healthcare system, designing and delivering advanced, action-oriented data science solutions that truly impact employee engagement, patient outcomes, and financial performance. This role is ideal for a self-driven, visionary data scientist who thrives on creating transformative projects, influencing leaders at all levels, and building not just insights, but actionable change across the organization-leveraging expertise in AI, causal inference, and predictive analytics to fuel rapid, sustainable improvement. **Role Overview** As a People Analytics Data Scientist, you will design and implement scalable, innovative solutions using advanced data science methods-ranging from observational experimentation and causal inference to predictive modeling and cutting-edge agentic AI. Your work will uncover high-confidence relationships between employee experience and business outcomes, then translate those findings into customer-facing solutions that inspire leaders to take action. You will partner with stakeholders across HR, clinical operations, finance, and executive leadership, ensuring actionable insights are embedded directly into decision-making. In addition, you will mentor colleagues, raising the bar for analytics practices across the team. **Key Responsibilities** + Design and lead analytical projects that transform HR data into actionable insights connected to organizational outcomes. + Develop and apply advanced techniques, including causal inference, experimentation, predictive modeling, and AI-driven solutions, to identify factors influencing workforce, clinical and business performance. + Build analytic frameworks that accelerate not only time to insights but time to action-taking. + Apply agentic AI approaches to create decision-support solutions that nudge and inspire leaders to act on insights. + Translate complex concepts into clear narratives for both technical and non-technical stakeholders, influencing leaders at all levels. + Proactively identify opportunities where data can positively shape outcomes across HR, clinical, and financial domains. + Mentor and coach junior analytics team members, fostering stronger technical, strategic, and storytelling capabilities. **Highly Preferred Skills & Qualifications** + Advanced degree (Master's or PhD) in data science, statistics, computer science, economics, or a related quantitative field. + Proven experience leading end-to-end data science projects in HR, healthcare, or related domains. + Deep expertise in observational studies, causal inference, and experimentation (e.g., quasi-experimental designs, A/B testing, natural experiments). + Proficiency in data science tools and languages (Python, R, SQL, cloud-based environments). + Strong understanding of predictive modeling, machine learning, and AI, including emerging approaches such as agentic AI. + Exceptional communication skills with demonstrated ability to influence organizational leaders and inspire adoption of solutions. + Track record of mentoring and building team capability. + Self-starter who thrives in environments with high autonomy and broad impact. **Nice-to-Have Experience** + Experience in healthcare, hospital systems, or regulated industries. + Integration of data-driven insights directly into workflows, digital tools, or decision-support platforms. + Knowledge of workforce strategy, HR analytics, or organizational effectiveness metrics. **What Makes This Role Unique** + Opportunity to pioneer agentic AI and human-centered data science within healthcare HR. + Direct influence on reducing workforce challenges that affect employee and improve patient and business outcomes. + High visibility across leadership, with the ability to transform insights into systemic organizational change. + A mandate to shape strategy, not just analyze data-this role is built for action-oriented impact. **Salary:** The pay range for this position is $47.41/hour ($98,612/year) for those with entry-level qualifications up to $84.42 ($175,593) for those highly experienced. The specific rate will depend upon the successful candidate's specific qualifications and prior experience. **Minimum Qualifications** + EDUCATION - Masters' or Bachelors plus 2 years of work experience above the minimum qualification + EXPERIENCE - 5 Years of Experience As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.

Part-time Description JOB TITLE: WIC CERTIFIER FLSA: .5 FTE, NON-EXEMPT (EXPECTATION TO WORK 20 HOURS PER WEEK) SUPERVISOR: HEALTH DEPT MANAGER PAY GRADE: B6 ($20.96 - $29.38 hourly, depending on experience) *** $2,750.00 Hiring Bonus!! (2 year Commitment, staggered-taxable payout) Apply Directly at ********************************** Our mission is to provide dynamic, progressive, and diverse supports to improve the well-being of our communities and we're looking for motivated employees to help us continue our vision! CCS has a benefit package including, but not limited to: Health, dental and vision insurance 6% initial 401K match Potential for tuition reimbursement Paid vacation tiers ranging from accrual of 1 day to 4 days per month (Annual rollover cap of 220 hours, additional hours can be paid out at 50% at the end of the fiscal year) 9 Paid holidays, Community service day Floating holiday & 2 mental health days provided after 1 year introduction Workplace Flexibility schedule options available (work from home hours vary by position & schedule) Employee Assistance, Wellness Benefits, Dependent Care & Long-Term Disability Insurance DESCRIPTION WIC Certifiers promote health and nutrition for women, infants, and children in the WIC program by determining eligibility, completing certification and providing nutrition and breastfeeding education to program participants. SUPERVISION Supervision Received Work is performed under the general supervision of the Health Department Manager and WIC Coordinator. Supervision Exercised This position does not supervise other employees. RESPONSIBILITIES & ESSENTIAL FUNCTIONS • Determine initial and ongoing eligibility of potential participants according to federal, state and local policies. • Conduct nutrition assessment, evaluate collected information and assign appropriate risk codes/high risk codes. • Collect and evaluate diet and medical history for conditions relevant to nutritional status. • Promote, educate on and encourage breastfeeding with pregnant and post-partum participants. • Obtain and evaluate blood samples relevant to the measurement of hemoglobin/hematocrit. • Obtain and evaluate height and weight measurements. • Provide nutrition education appropriate to medical/nutritional risk conditions, participant category and level of motivation/understanding. • Complete all certification components and issue nutrition benefits to eligible participants. • Teach prepared group nutrition education sessions on a variety of nutrition topics in facilitative style to encourage client participation and ensure full utilization of maximum program benefits. • Facilitate and promote healthy parenting behavior related to nutrition. • Provide service in a manner that demonstrates and incorporates cultural competence. • Refer WIC participants to appropriate professional and social service agencies. • Assist colleagues with meeting the local and state WIC program objectives. • Attend and participate in required self-development and continuing education opportunities. • Communicate in a professional manner in all contacts with colleagues, participants and the community. • Develop effective, cooperative relationships with colleagues, participants and the community. • Assist in setup, takedown and daily operations of mobile clinic sites. • Transport clinic supplies and equipment as requested. • Promote WIC through periodic outreach activities in the community. *The above list covers the most significant duties performed but does not include other occasional work, they inclusion of which would be in conformity with the factor degrees assigned to this job. REQUIRED KNOWLEDGE, SKILLS AND ABILITIES Knowledge of: • Wellness, prevention and health promotion principles. • Nutrition principles and nutrition education techniques. • Topics relevant to maternal and child health. • Concepts of cultural competence. Skills in • Interpret and implement program guidelines. • Manage multiple priorities in an active work environment. • Multitask with attention to detail. • Maintain confidential information. • Establish effective relationships with colleagues. Ability to use tact and discretion when working with participants and the public. • Learn and adapt to new technology and a changing work environment. Requirements QUALIFICATIONS EXPERIENCE AND TRAINING High School Diploma with two years progressively responsible work experience in a health care setting, educational or social service setting which includes, or is supported by coursework in, nutrition education. Bachelor's degree from an accredited college or university with major course work in nutrition, health, dietetics, education or a related field is preferred. An equivalent combination of experience and training demonstrating the required knowledge and abilities is qualifying will be determined on a case by case basis. Certifications Have or be able to obtain a current CPR certificate. CRIMINAL BACKGROUND CHECKS Must pass all criminal history check requirements as required by ORS 181.536-181.537 and in accordance with OAR 410-007-0200 through 410-007-0380. In addition to a pre-employment background check, each employee, volunteer and contractor shall be checked on a monthly basis against the OIG and GSA exclusion lists, as well as other federal and state agency lists. If it is discovered that an employee, volunteer or contractor is excluded or sanctioned it will be the cause for immediate termination of employment, volunteering, or the termination of the contract. PRE HIRE DRUG SCREEN REQUIRED PERSONAL AUTO INSURANCE Must hold a valid driver's license as well as personal auto insurance for privately owned Vehicles utilized for CCS business such as client service purposes, travel between business offices and the community, to attend required meetings and trainings. Must show proof of $300,000 or more liability coverage for bodily injury and $100,000 or more in property damage and maintain said level of coverage for the duration of employment at CCS. The employee's insurance is primary with CCS insurance being secondary. CCS reserves the right to deny any employee the use of a vehicle owned by CCS. PHYSICAL DEMANDS While performing the essential duties of this job, the employee is regularly required to use office automation including computer and phone system that requires fine manipulation, grasping, typing, and reaching. Sitting for long periods reviewing reports and other written materials and talking on phone. This position may occasionally be required to lift to ten (10) pounds. Incumbent will occasionally have to reach, bend, kneel and squat when adjusting equipment or retrieving supplies. WORK ENVIRONMENT Work is performed in a public health clinic setting and at a variety of public locations within communities throughout the county. In state travel required to attend regional trainings and an occasional out-of-state training may be needed. The noise level is usually moderate, but occasionally may be exposed to loud noise such as raised voice levels and alarms. This position is exposed to the everyday risks or discomforts which require normal safety precautions typical of such places as an office (i.e., moving mechanical parts, airborne particles, and electrical shock). Community Counseling Solutions IS AN EQUAL OPPORTUNITY EMPLOYER MEMBER OF NATIONAL HEALTH SERVICES CORPORATION Salary Description $20.96 - $29.38 hourly, depending on experience

Revolution Medicines is a clinical-stage precision oncology company focused on developing novel targeted therapies to inhibit frontier targets in RAS-addicted cancers. The company's R&D pipeline comprises RAS(ON) Inhibitors designed to suppress diverse oncogenic variants of RAS proteins, and RAS Companion Inhibitors for use in combination treatment strategies. As a new member of the Revolution Medicines team, you will join other outstanding Revolutionaries in a tireless commitment to patients with cancers harboring mutations in the RAS signaling pathway. The Opportunity: Reporting directly to the Senior Director, Provider Accounts, the National Account Director, Academic/IDN Oncology (NAD) is responsible for establishing and maintaining strategic relationships to secure optimal market access for our innovative oncology medicines within Large Health Systems, Integrated Delivery Networks (IDNs), KOL stakeholders and institution specific clinical pathways. The NAD will develop and execute account plans and strategies that drive rapid pathway and protocol inclusions to support rapid access while representing the company's interests with key decision-makers. The NAD will help to coordinate cross-functional workstreams to ensure products are included when appropriate in institution-driven clinical pathways. This is a field-based remote position. Key Responsibilities: * Translate national, brand-level strategy to targeted Large Health Systems, IDNs andkey KOL/Pharmacy decision makers. * Lead and oversee account activities such as driving rapid formulary, clinical pathway and treatment protocol inclusion post launch in close collaboration with Medical Affairs. * Lead all Business to Business and C-Suite relationships with key accounts to support speaker programs, access activities, networking events, and company partnerships. * Build and maintain strong KOL and C-level relationships with aligned IDN and large system accounts. * Lead cross-functional team across Commercial Field to pro-actively identify and resolve access barrier issues. * Analyze business opportunities to proactively provide strategic and tactical guidance. * Negotiate favorable contracts and agreements. * Create medium to long term strategic engagement plan spanning multiple product and indication launches and focuses on engaging beyond transactional approaches. * Facilitate executive exchanges to create opportunities for Rev Med leaders and IDN/C-Suite leaders to meet and align. * Identify the overlap between customer needs and Rev Med needs to build collaborative business solutions. * Champion voice of customer to internal stakeholders and commercial leadership. * Consistently strong appropriate engagement with IDN pharmacy leadership and formulary decision makers. * Provide strategic insights and feedback to brands, field, and market access. * Quickly communicate when important opportunities arise. * Activate resources to support opportunities and challenges. * Ability to design and lead pull through projects with commercial field. * Conduct quarterly business reviews with key systems and internal stakeholders. * Track and analyze account performance and identify areas for improvement. Required Skills, Experience and Education: * Bachelor's degree and 10+ years strategic account management experience. * Strong established relationships within IDN/Academic Centers, Pharmacy, C-suite and Key KOL stakeholders. * Demonstrated understanding of reimbursement, economic flows, and oral oncolytic trends within health systems and key customer stakeholders. * Strong communication skills to educate and influence other stakeholders, including the commercial executive leadership team and US Market Access. * Ability to clearly and efficiently communicate the value proposition of novel oncology therapies to customers. * Excellent negotiation skills and pride in P&L and enterprise stewardship. * Prior experience with pipeline products and product launches. * Ability to partner effectively with Medical Affairs, Sales, Marketing and FRM teams. * Strategic account planning and strong business acumen. * 50% travel required to customer meetings, industry conferences, and Rev Med's home office in Redwood City, CA. Preferred Skills: * Advanced degree (MBA, Master's, PharmD, PhD). * Existing relationships within the IDN/ academic oncology segment and key pharmacy/ KOLs stakeholders within the segment. * Comprehensive experience and understanding Large Health Systems/IDNs and the Hospital class of trade. * Experience in GI oncology, PDAC and/or NSCLC, including oral targeted therapies. * Successful coordination of leadership exchanges and strategic partnerships beyond traditional contracting and rebate agreements. * Previous direct experience with contract negotiation, implementation and pull through. * Desire to continuously learn, develop, and stay abreast of the evolving healthcare landscape. * Passion for establishing high-functioning, collaborative relationships with new and rapidly growing teams. * Prior people leadership experience and ability to build team as company grows. #LI-Remote #LI-SS2 The base pay salary range for this full-time position is listed below. Please note that base pay salary is one part of the overall total rewards program at RevMed, which includes competitive cash compensation, robust equity awards, strong benefits, and significant learning and development opportunities. In addition, some positions may include eligibility to earn commissions/bonus based on company and/or individual performance. Note: No amount of pay is considered to be wages or compensation until such amount is earned, vested, and determinable. The amount and availability of any bonus, commission, incentive, field kit benefits, or any other form of compensation and field kit benefits that are allocable to a particular employee remains in the Company's sole and absolute discretion unless and until paid and may be modified at the Company's sole and absolute discretion, consistent with applicable law. Revolution Medicines is an equal opportunity employer and prohibits unlawful discrimination based on race, color, religion, gender, sexual orientation, gender identity/expression, national origin/ancestry, age, disability, marital status, medical condition, and veteran status. Revolution Medicines takes protection and security of personal data very seriously and respects your right to privacy while using our website and when contacting us by email or phone. We will only collect, process and use any personal data that you provide to us in accordance with our CCPA Notice and Privacy Policy. For additional information, please contact privacy@revmed.com. Base Pay Salary Range $240,000-$280,000 USD

This is a hybrid-remote position, open to candidates who reside in Oregon or Washington. The schedule includes on-site work at a designated Legacy Health location, with the flexibility to work remotely from home, on the road, or from a satellite office on other days of the week. Responsibilities We are seeking a detail-oriented and experienced Hospital Billing & Insurance Follow Up Manager to lead our billing and Insurance Follow-Up operations and support the financial health of our organization. This role is responsible for overseeing the accurate and timely processing of medical claims, ensuring compliance with payer regulations, and driving performance across the revenue cycle. Key Responsibilities: Manage day-to-day operations of the hospital billing and Insurance Follow Up department, including staff supervision and workflow optimization. Ensure timely and accurate submission of claims to commercial and government payers. Monitor and resolve billing issues, denials, and discrepancies to maximize reimbursement. Collaborate with coding, registration, and finance teams to streamline revenue cycle processes. Maintain compliance with federal, state, and payer-specific billing regulations. Develop and analyze billing performance reports to identify trends and opportunities for improvement. Provide leadership, training, and support to billing staff to foster a high-performing team environment. Serve as a point of escalation for complex patient billing inquiries and disputes. Qualifications Education: Bachelors Degree in business or related field, or equivalent experience required. Experience: Management experience with a thorough knowledge of operations, including staffing and scheduling, budget management, and workflow planning required. Five years experience in supervision or management of accounts receivable in a health care environment, including experience in billing, collections, electronic billing systems and customer service required. Proven expertise in payor management, with the ability to use data analytics to guide discussions and manage escalations effectively. Experience with Epic systems and Accounts Receivable (AR) management is essential to ensure smooth billing operations and support financial stability. Skills: Strong skills in lean thinking and problem-solving to optimize billing workflows and drive continuous improvement. Ability to manage a broad span of control through implementation of a self-directed team approach. Strong communication and leadership skills, and a willingness to lead by example. Interpersonal skills to be sensitive to the patient's needs while communicating Legacy's needs. Ability to work with insurances and regulatory agencies. Pay Range USD $48.59 - USD $73.35 /Hr. Our Commitment to Health and Equal Opportunity Our Legacy is good for health for Our People, Our Patients, Our Communities, Our World. Above all, we will do the right thing. If you are passionate about our mission and believe you can contribute to our team, we encourage you to apply-even if you don't meet every qualification listed. We are committed to fostering an inclusive environment where everyone can grow and succeed. Legacy Health is an equal opportunity employer and prohibits unlawful discrimination and harassment of any type and affords equal employment opportunities to employees and applicants without regard to race, color, religion or creed, citizenship status, sex, sexual orientation, gender identity, pregnancy, age, national origin, disability status, genetic information, veteran status, or any other characteristic protected by law. To learn more about our employee benefits click here: ********************************************************************

Samaritan Health Plans (SHP) provides health insurance options to Samaritan employees, community employers, and Medicare and Medicaid members. SHP operates a portfolio of health plan products under several different legal structures: InterCommunityHealth Plans, Inc. (IHN) is designated as a regional Coordinated Care Organization (CCO) for Medicaid beneficiaries; Samaritan Health Plans, Inc. offers Medicare Advantage, Commercial Large Group, and Commercial Large Group PPO and EPO plans; SHP is also the third-party administrator for Samaritan Health Services# self-funded employee health benefit plan. # As part of an Integrated Delivery System, Samaritan Health Plans is strategically and operationally aligned with Samaritan Health Services# mission of Building Healthier Communities Together. This is a remote position in which we are able to employ in the following states:Alabama, Alaska, Arizona, Arkansas, Connecticut, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Louisiana, Michigan, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Mexico, North Carolina, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, West Virginia, or Wisconsin # Preferred candidates will be in pacific time zone, or be willing to work pacific time zone hours.# Our ideal candidate will have the following: Advanced Excel skills and Power BI Knowledge of databases, data models and ER (entity-relationship) diagrams Ability to write intermediate level SQL Critical thinking skills Healthcare insurance concepts / Facets Data analysis experience # JOB SUMMARY/PURPOSE Collects, processes, and analyzes large datasets to identify trends, patterns, and insights to help SHP make informed decisions. Utilizes advanced statistical tools and techniques to analyze/interpret data, create reports, and provide data visualizations to support leadership in strategic planning. Facilitates the development and maintenance of data collection, leveraging existing data to identify gaps and recommends areas of focus for quality improvement activities.# # EXPERIENCE/EDUCATION/QUALIFICATIONS Bachelor#s degree or equivalent experience in a related field required (e.g. healthcare administration, statistics, data analytics, public health, or a related field).# Master#s degree preferred. Two (2) years data analysis experience required, preferably in a managed care setting. Advanced experience and/or training in SQL and Microsoft Excel required. Experience in data visualization software (e.g. Power BI, Tableau, etc.) required. Experience with Arcadia or a similar healthcare data analytics platform preferred. Experience with statistical modeling and analysis preferred.# Certification in healthcare data analysis or a related field preferred. KNOWLEDGE/SKILLS/ABILITIES Ability to generate/extract data from source systems and to understand and work with complex data sets.# Ability to write or work with SQL or other query languages.# Intermediate to advanced Excel and Database skills. Excellent communication and analytical skills. Ability to work independently and on multiple tasks simultaneously. Knowledge of healthcare data standards. PHYSICAL DEMANDS Rarely (1 - 10% of the time) Occasionally (11 - 33% of the time) Frequently (34 - 66% of the time) Continually (67 # 100% of the time) CLIMB - STAIRS LIFT (Floor to Waist: 0#-36#) 0 - 20 Lbs LIFT (Knee to chest: 24#-54#) 0 # 20 Lbs LIFT (Waist to Eye: up to 54#) 0 - 20 Lbs CARRY 1-handed, 0 - 20 pounds BEND FORWARD at waist KNEEL (on knees) STAND WALK # LEVEL SURFACE ROTATE TRUNK Standing REACH - Upward PUSH (0 - 20 pounds force) PULL (0 - 20 pounds force) SIT CARRY 2-handed, 0 - 20 pounds ROTATE TRUNK Sitting REACH - Forward MANUAL DEXTERITY Hands/wrists FINGER DEXTERITY PINCH Fingers GRASP Hand/Fist * Samaritan Health Plans (SHP) provides health insurance options to Samaritan employees, community employers, and Medicare and Medicaid members. SHP operates a portfolio of health plan products under several different legal structures: InterCommunityHealth Plans, Inc. (IHN) is designated as a regional Coordinated Care Organization (CCO) for Medicaid beneficiaries; Samaritan Health Plans, Inc. offers Medicare Advantage, Commercial Large Group, and Commercial Large Group PPO and EPO plans; SHP is also the third-party administrator for Samaritan Health Services' self-funded employee health benefit plan. As part of an Integrated Delivery System, Samaritan Health Plans is strategically and operationally aligned with Samaritan Health Services' mission of Building Healthier Communities Together. This is a remote position in which we are able to employ in the following states:Alabama, Alaska, Arizona, Arkansas, Connecticut, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Louisiana, Michigan, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Mexico, North Carolina, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, West Virginia, or Wisconsin * Preferred candidates will be in pacific time zone, or be willing to work pacific time zone hours. Our ideal candidate will have the following: * Advanced Excel skills and Power BI * Knowledge of databases, data models and ER (entity-relationship) diagrams * Ability to write intermediate level SQL * Critical thinking skills * Healthcare insurance concepts / Facets * Data analysis experience * * JOB SUMMARY/PURPOSE * Collects, processes, and analyzes large datasets to identify trends, patterns, and insights to help SHP make informed decisions. Utilizes advanced statistical tools and techniques to analyze/interpret data, create reports, and provide data visualizations to support leadership in strategic planning. Facilitates the development and maintenance of data collection, leveraging existing data to identify gaps and recommends areas of focus for quality improvement activities. * * EXPERIENCE/EDUCATION/QUALIFICATIONS * Bachelor's degree or equivalent experience in a related field required (e.g. healthcare administration, statistics, data analytics, public health, or a related field). Master's degree preferred. * Two (2) years data analysis experience required, preferably in a managed care setting. * Advanced experience and/or training in SQL and Microsoft Excel required. * Experience in data visualization software (e.g. Power BI, Tableau, etc.) required. * Experience with Arcadia or a similar healthcare data analytics platform preferred. * Experience with statistical modeling and analysis preferred. * Certification in healthcare data analysis or a related field preferred. * KNOWLEDGE/SKILLS/ABILITIES * Ability to generate/extract data from source systems and to understand and work with complex data sets. * Ability to write or work with SQL or other query languages. * Intermediate to advanced Excel and Database skills. * Excellent communication and analytical skills. * Ability to work independently and on multiple tasks simultaneously. * Knowledge of healthcare data standards. * PHYSICAL DEMANDS * Rarely (1 - 10% of the time) Occasionally (11 - 33% of the time) Frequently (34 - 66% of the time) Continually (67 - 100% of the time) CLIMB - STAIRS LIFT (Floor to Waist: 0"-36") 0 - 20 Lbs LIFT (Knee to chest: 24"-54") 0 - 20 Lbs LIFT (Waist to Eye: up to 54") 0 - 20 Lbs CARRY 1-handed, 0 - 20 pounds BEND FORWARD at waist KNEEL (on knees) STAND WALK - LEVEL SURFACE ROTATE TRUNK Standing REACH - Upward PUSH (0 - 20 pounds force) PULL (0 - 20 pounds force) SIT CARRY 2-handed, 0 - 20 pounds ROTATE TRUNK Sitting REACH - Forward MANUAL DEXTERITY Hands/wrists FINGER DEXTERITY PINCH Fingers GRASP Hand/Fist

Description Biote Medical is the world leader in hormone optimization and we are adding to our team! We partner with providers to take a complete approach to healthier aging through patient-specific bioidentical hormone replacement therapy and the only nutraceutical line created specifically to support hormone health.This position will help support our Seattle territory. We're looking for someone with a passion for changing healthcare who wants to be in a hands-on and engaged position working within a dynamic and collaborative sales team.You must be located in the Seattle area to be considered.Position and Scope:We are looking for a driven candidate with the desire to recruit qualified physicians and practitioners into a partnership relationship with Biote; in order to provide cutting edge technology for bioidentical hormone replacement therapy (BHRT) and healthy aging options to their own patients and to the public at large. The ideal candidate is responsible for relationship development, practice development and sales of the Biote Method to practitioners. Sales activity includes prospecting, cold calling, practice development, tradeshows, sales events, and other methods for creating leads and closing sales for Biote within the approved price matrix. In addition, the Liaison provides technical, educational, and Provider Partner support. This is a field-based remote position.As a District Manager, your daily responsibilities will include: Acquiring and retaining extensive knowledge of hormone replacement therapy through materials provided by Biote, as well as outside sources. Effectively conducting physician, staff and patient training in the areas of Biote's business protocols; specifically, marketing, financial, therapy, forms, patient seminars, company online resources and other topics that may change from time to time. Ability to read and understand medical and scientific studies. Researching and evaluating physicians in assigned areas based on Biote's criteria for appropriateness and suitability. Effectively presenting Biote's training and business program to physicians, Nurse Practitioners, Physician Assistants, office managers and office staff. Recruiting suitable physicians and other practitioners through professional and effective prospecting, appointment setting and presentation skills. Cultivating and maintaining mutually productive partnerships with practitioners to grow new and current practices and maintain patient retention levels of 60% or better. Effectively conducting physician, staff and patient training in the areas of Biote's business protocols; specifically, marketing, financial, therapy, forms, patient seminars, company online resources and other topics that may change from time to time. Securing all required contracts, paperwork and documentation as well as payments and fees as needed for attendees to participate in regular training and certification classes. Conducting and facilitating patient educational seminars as needed for trained practitioners on a monthly basis. Contributing to the development of the practice by assisting the Office Manager/Marketing position with email marketing, social media, referral cards and website information cards. Prospecting for new leads and identifying quality sales prospects from active leads. Attending marketing and sales events for prospects and current customers. Working with customers for sales referrals with new prospects. Updating all relevant sales activities in the Company's CRM system. Closing sales accurately and effectively each month to meet or exceed targets. Responding to all emails received from the customer and Biote employees and related vendors in a timely manner. Performing other related duties as required or requested. As a District Manager, your background should include: Bachelor's degree Strong teamwork, communication (written and oral), client management, and interpersonal skills. Minimum of 3-5 years of sales experience in a business-to-business model, preferably medical device, diagnostics, and/or biotech. Strong work ethic and time management skills Ability to make effective and persuasive communications and technical presentations to physicians, management and/or large groups. Ability to thoroughly understand and communicate the attributes and qualities of Company products using professional selling and closing skills. Proficient in Microsoft Office suite and customer relationship management software. Ability to travel in order to do business, approximately 20% of the month. Scheduled hours are 40 to 50 hours per week Monday through Friday but may be extended as required to execute the tasks assigned. Valid driver's license issued by the state/province in which the individual resides and a good driving record is required. Home office capability is required with reliable high-speed internet access Company Perks: Medical, Dental & Vision Insurance, Virtual Visits/Telemedicine Company Paid Life and AD&D Insurance 15 days of Paid Time Off and Company Holidays 401k with a 3% employer contribution Motus mileage program Other excellent health and wellness benefits in line with our business If you're interested in this awesome opportunity, please apply today!

At Vancouver Clinic, caring for people is our first priority and the driving force behind everything we do. New clinicians will find a collegial, supportive, and caring environment of healthcare professionals committed to our patients and community. Our multispecialty, physician-owned clinic prioritizes the highest quality patient care and a strong work-life balance. We're looking for full-time Licensed Independent Clinical Social Workers (LICSW) to join our Mental Health department. The ideal candidate will have a passion for providing evidence-based psychosocial treatment and brief behavioral interventions. The Mental Health Department consists of 7 psychiatrists, 3 psychiatric mental health nurse practitioners, 7 collaborative care social workers and 7 long-term therapists. Basic requirements: Current unrestricted license as a LICSW in WA or ability to obtain LICSW licensure Candidate must reside in either OR or WA to be eligible for remote work Minimum of two years of experience in treating common mental health disorders and substance abuse disorders Ability to engage patients in a therapeutic relationship Additional details: Position is starting bonus eligible Knowledge of chronic and acute disease and how it impacts functioning preferred Therapists see an average of 24-28 patients a week Referrals from internal psychiatrists Flexibility with both in office and remote work CME allowance Vancouver Clinic is rooted in Southwest Washington, located in the beautiful Pacific Northwest. The area offers a variety of housing options from suburban neighborhoods, downtown high rises or rural locations with acreage. We enjoy year round recreational opportunities, a flourishing craft brewery scene, wineries and tasty restaurants. Portland Oregon, is nearby offering world-class food, a vibrant arts and theater scene, and numerous professional sports teams. Plus, if you live and work in Washington, there is no state income tax. We recognize that each person's unique experience, identity, and perspective advances our ability to deliver the best possible care to our patients. We encourage candidates of every background to apply to join our team. Please include a CV and cover letter detailing your interest in our organization and position. Michele Ritter Physician & APC Recruiter ************************** The above information is intended to indicate the general nature and level of work required in this position. It is not designed to contain or be interpreted as a comprehensive description of all duties, responsibilities, and qualifications required of those assigned to this job. We offer a competitive Total Rewards Program. Eligibility for benefits is dependent on factors such as position type and FTE. Benefit-eligible employees qualify for benefits beginning on the first of the month following one month of employment. Vancouver Clinic offers medical, dental, vision, life insurance, AD&D, long term disability, health savings account, flexible spending account, employee assistance program, and multiple supplemental benefits (voluntary life, critical illness, accident, hospital indemnity, identity theft protection, legal services, etc.). We also offer a 401k retirement plan, along with participation in a profit sharing plan. Compensation packages and time off programs vary and are dependent on factors such as department, position type, primary work state and FTE. Contact your Recruiter for full information. Vancouver Clinic is proud to be an Equal Opportunity Employer. Vancouver Clinic does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, gender identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. Vancouver Clinic is an alcohol and drug-free workplace. Offers are contingent on successful completion of background screen and immunization requirements.

Senior Coding Quality Educator _Remote - Most states eligible._ _Providence caregivers are not simply valued - they're invaluable. Join our team and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them._ Providence is calling a Senior Coding Quality Educator who will: + Assist with the day-to-day operations of the Coding Integrity, Knowledge Management team + Assist with research and developing coding guidance based on local, state and federal healthcare coding regulations and other payor guidelines as applicable + Obtain, interpret, analyze and communicate information regarding coding matters with all internal and external revenue cycle and coding teams + Collaborate with various departments e.g., Physician Network Operations, Revenue Cycle, Compliance, Practice Operations, and other key stakeholders on all coding matters We welcome 100% remote work for residents in the United States with the exception of the following States: + Colorado + Hawaii + Massachusetts + New York + Ohio + Pennsylvania Essential Functions: + Assist with the identification, development and delivery of new and ongoing coding changes and updates to all regional coding teams + Collaborate with various departments e.g., regional coding teams, revenue cycle, compliance, practice operations, and other key stakeholders on all coding matters + Respond timely (either orally or written) to coding inquiries from coders, educators, and other teams across Providence enterprise + Serve as a resource and subject matter expert for all coding matters + Provide coding support to regional coding teams as needed + Maintain relevant documentation and data as required + Review and update coding guidance annually or as necessary + Maintain document control + Develops action plans as necessary to resolve complex coding cases and to address the implementation of new service offerings or code changes + Facilitates education to support Medicare Risk requirements & organization goals + Review relevant patient details from the medical record based on coding and documentation guidelines + Participate in monthly progress meetings to discuss process improvements, updates in technology, along with any job related details + Communicate any coding updates published in third-party payer newsletters and bulletins and provider manuals to coding and reimbursement staff + Assists management in identifying and creating standardized workflows + Reviews EMR templates and identifies areas of improvement for provider documentation + Attends and presents at regional meetings as needed Required qualifications for this position include: + High School Diploma or GED Equivalency + National Certification from American Health Information Management Association upon hire or National Certification from American Health Information Management Association upon hire. + 6+ years of experience in professional fee inpatient, surgical, outpatient coding, E/M, auditing and related work + 5+ years of experience providing provider education and feedback to facilitate improvement in documentation and coding + Strong experience in Excel (e.g., pivot tables), database, e-mail, and Internet applications on a PC in a Windows environment Preferred qualifications for this position include: + Associate Degree in Health Information Technology or another related field of study + Bachelor's Degree in Health Information Technology or another related field of study + 5+ years of experience in coding for multispecialty practice + 2+ years of experience in professional fee billing methodologies + Experience with IDX, Allscripts, Advanced Web, Meditech + Experience with project management Salary Range by Location: AK: Anchorage: Min: $40.11, Max: $62.27 AK: Kodiak, Seward, Valdez: Min: $41.81, Max: $64.91 California: Humboldt: Min: $40.98, Max: $64.88 California: All Northern California - Except Humboldt: Min:$46.91, Max: $72.82 California: All Southern California - Except Bakersfield: Min: $41.81, Max: $64.91 California: Bakersfield: Min: $40.11, Max: $62.27 Idaho: Min: $35.69, Max: $55.41 Montana: Except Great Falls: Min: $32.29, Max: $50.13 Montana: Great Falls: Min: $30.59, Max: $47.49 New Mexico: Min: $32.29, Max: $50.13 Nevada: Min: $41.81, Max: $64.91 Oregon: Non-Portland Service Area: Min: $37.39, Max: $58.05 Oregon: Portland Service Area: Min: $40.11, Max: $62.27 Texas: Min: $30.59, Max: $47.49 Washington: Western - Except Tukwila: Min: $41.81, Max: $64.91 Washington: Southwest - Olympia, Centralia & Below: Min: $40.11, Max: $62.27 Washington: Tukwila: Min: $41.81, Max: $64.91 Washington: Eastern: Min: $35.69, Max: $55.41 Washington: South Eastern: Min: $37.39, Max: $58.05 Why Join Providence? Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities. Accepting a new position at another facility that is part of the Providence family of organizations may change your current benefits. Changes in benefits, including paid time-off, happen for various reasons. These reasons can include changes of Legal Employer, FTE, Union, location, time-off plan policies, availability of health and welfare benefit plan offerings, and other various reasons. About Providence At Providence, our strength lies in Our Promise of "Know me, care for me, ease my way." Working at our family of organizations means that regardless of your role, we'll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable. Posted are the minimum and the maximum wage rates on the wage range for this position. The successful candidate's placement on the wage range for this position will be determined based upon relevant job experience and other applicable factors. These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits. Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act. About the Team Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. We are focused on supporting our Mission by delivering a robust foundation of services and sharing of specialized expertise. Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement. Requsition ID: 400515 Company: Providence Jobs Job Category: Coding Job Function: Revenue Cycle Job Schedule: Full time Job Shift: Day Career Track: Business Professional Department: 4010 SS PE OPTIM Address: WA Spokane 101 W 8th Ave Work Location: Sacred Heart Medical Center-Spokane Workplace Type: Remote Pay Range: $See posting - $See posting The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

City/State Virginia Beach, VA Work Shift First (Days) Sentara health is looking for an EPIC Scheduling Optimization Specialist to join our team ! . The EPIC Scheduling Optimization Specialist is responsible for the development, maintenance, optimization, and governance of provider, resource, and departmental scheduling tools within the Epic platform, including templates and decision trees. This role ensures consistency, accuracy, and operational alignment of scheduling structures across all departments, supporting access to care, productivity targets, and overall patient experience. The Specialist collaborates closely with Ambulatory Services Division leadership, operations, project management, and IT teams to ensure standard work is developed, implemented, and sustained. The role requires strong analytical skills, Epic system expertise, and a passion for improving access operations through innovative and data-driven solutions. Key Responsibilities * Build, maintain, and troubleshoot Epic scheduling templates, visit types, modifiers, and decision trees. * Support daily Epic scheduling configuration needs across ambulatory departments. * Collaborate with clinical and operational leaders to align scheduling strategies and resolve build issues. * Fulfill template and decision tree requests while educating users on best practices. * Analyze scheduling data to identify trends, root causes, and recommend improvements. * Lead provider onboarding/offboarding projects and optimize template utilization and access. * Deliver training sessions and create user documentation (e.g., tip sheets, guides). * Partner with IS and Epic teams to test and implement system changes. * Use Epic reporting tools, Power BI, Excel, and Tableau for data-driven insights. * Support onboarding efforts to ensure scheduling standards are applied consistently. * Drive continuous improvement in scheduling build quality and turnaround times. Education: High school Diploma required Certification/Licensure : Epic Cadence Certification (must be obtained within 1 year of hire) Experience Required Experience and Skills: * 3 years of direct experience working with Epic scheduling templates and decision tree configurations required * Experience building and maintaining Epic scheduling templates, visit types, modifiers, and decision trees * Strong ability to troubleshoot and support Epic scheduling configuration across ambulatory settings * Proven collaboration with clinical and operational leaders to align scheduling strategy and resolve issues * Ability to analyze scheduling data to identify trends and recommend improvements * Skilled in conducting end-user training and creating supporting documentation * Proficiency in Epic reporting tools and Microsoft Excel Preferred Skills: * Experience with provider onboarding/offboarding and automated workflow design in Epic * Familiarity with Power BI and Tableau for generating scheduling insights * Experience partnering with IS and Epic technical teams on system enhancements * Knowledge of Sentara's scheduling standards or equivalent healthcare system processes * Background in continuous improvement efforts focused on build quality and turnaround time Benefits: Caring For Your Family and Your Career * Medical, Dental, Vision plans * Adoption, Fertility and Surrogacy Reimbursement up to $10,000 * Paid Time Off and Sick Leave * Paid Parental & Family Caregiver Leave * Emergency Backup Care * Long-Term, Short-Term Disability, and Critical Illness plans * Life Insurance * 401k/403B with Employer Match * Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education * Student Debt Pay Down - $10,000 * Reimbursement for certifications and free access to complete CEUs and professional development * Pet Insurance * Legal Resources Plan * Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met. Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves. In support of our mission "to improve health every day," this is a tobacco-free environment. For positions that are available as remote work, Sentara Health employs associates in the following states: Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.

The Senior Manager, Inside Sales position will provide leadership to a team of Inside Sales managers/supervisors. The Senior Manager will be responsible for implementing strategies that balance internal operations and efficiency objectives, regulatory requirements, customer advocacy and customer pipeline management. This position will manage the day to day operations of the inside sales team including but not limited to; coaching and developing both managers and representatives on daily job activities, implementing programs supporting team engagement levels, driving and supporting training initiatives for efficiency and effectiveness, ensuring accountabilities to metrics and productivity measurements, call quality assurances and HIPAA verifications, and the development and performance of inside sales representatives. In addition, this role will work cross functionally with internal departments to ensure customer support and satisfaction, compliance and product quality deliverables, and budgetary objectives are achieved. Responsibilities: Create and communicate a vision and strategy for the department. Demonstrate and lead by driving for the desired outcomes and sales results. Establish and communicate clear performance expectations. Coach, develop and manage the inside sales leadership team against key performance indicators and target objectives. Identify and recruit strong candidates and create an inspirational environment and culture. Provide and promote continuous improvement initiatives and innovative ideas to drive efficiencies and positively impact business results. Promote an environment where information and knowledge are freely shared between individuals and departments, and utilization of reporting tools helps inform good business decisions. Drive increased effectiveness and efficiency in key business processes and ensure team achieves daily, weekly, and monthly commercial metrics and KPI's Responsible for developing the communication network and interface between Inside Sales and relevant internal departments that allow Insulet to meet all complaint reporting requirements, shipping sales goals and customer service objectives. Responsible for managing the timely, accurate exchange of information for reporting purposes and develop programs targeted at improving process efficacies. Develop plans for resourcing support including budget, headcount, skills/competencies, training requirements and performance standards. This includes indirect management of staff with external partners (assist Rx). Responsible for field and customer satisfaction, responsiveness, and escalation management. Performs other duties as assigned. Education and Experience: Minimum Requirements: 10+ years' work experience, to include 5+ years' experience in sales and 3+ years' experience leading leaders Bachelor's Degree Preferred Skills and Competencies: Management of an inside sales center (or equivalent experience) with vendor management, retail and mail order pharmacy experience, and partner relationships as a critical component. Experience implementing complex product training across a diverse work team (internal and external). Experience developing scripts, technical documentation, and training as well as quality and compliance management, coaching, and feedback to management team. Strong analytical skills, with prior experience analyzing call metrics. Familiarity with diabetes industry or strong basic knowledge of the disease and treatment is very helpful. Excellent communication and leadership skills are necessary to effectively manage this department. Able to appropriately coordinate internal resources so ensure internal sales team coverage across the country Strong hands-on computer and analysis skills. Physical Requirements: Position will require some business travel to pharmacy/Vendor partners, Salt Lake City, Nashville, and field travel (multi-day overnight business trips required as needed). Remote/Flexible: (no days required to be onsite) This position is eligible for 100% remote working arrangements (may work from home/virtually 100%; may also work hybrid on-site/virtual as desired) Additional Information: Compensation & Benefits: For U.S.-based positions only, the annual base salary range for this role is $101,550.00 - $152,325.00 This position may also be eligible for incentive compensation. We offer a comprehensive benefits package, including: • Medical, dental, and vision insurance • 401(k) with company match • Paid time off (PTO) • And additional employee wellness programs Application Details: This job posting will remain open until the position is filled. To apply, please visit the Insulet Careers site and submit your application online. Actual pay depends on skills, experience, and education. Insulet Corporation (NASDAQ: PODD), headquartered in Massachusetts, is an innovative medical device company dedicated to simplifying life for people with diabetes and other conditions through its Omnipod product platform. The Omnipod Insulin Management System provides a unique alternative to traditional insulin delivery methods. With its simple, wearable design, the tubeless disposable Pod provides up to three days of non-stop insulin delivery, without the need to see or handle a needle. Insulet's flagship innovation, the Omnipod 5 Automated Insulin Delivery System, integrates with a continuous glucose monitor to manage blood sugar with no multiple daily injections, zero fingersticks, and can be controlled by a compatible personal smartphone in the U.S. or by the Omnipod 5 Controller. Insulet also leverages the unique design of its Pod by tailoring its Omnipod technology platform for the delivery of non-insulin subcutaneous drugs across other therapeutic areas. For more information, please visit insulet.com and omnipod.com. We are looking for highly motivated, performance-driven individuals to be a part of our expanding team. We do this by hiring amazing people guided by shared values who exceed customer expectations. Our continued success depends on it! At Insulet Corporation all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. (Know Your Rights)

Coding Policy Analyst _Remote_ The Coding Policy Analyst is responsible for the coordination of technically detailed work that has a significant impact on all operations and information systems within Providence Health Plan (PHP). This position will update and create Coding Policies and associated edit configurations within the PHP claims editing system. In addition, the Coding Policy Analyst will be responsible for replying to provider and member appeals and providing appropriate CPT, CMS, specialty society, Coding Policy, and/or other official documented rationale for Coding Policy edits. The analyst is responsible for monitoring changes to codes, coding guidelines and regulations, and coding edits from external agencies such as AMA, CMS, Medicaid, and specialty societies, and assists with implementation of such changes to the claims adjudication and editing software. This position requires extensive knowledge of AMA and CMS coding guidelines, policies, and regulations. This person will serve as a coding subject matter expert to other departments within PHP for questions about CPT, HCPCS, and ICD-10 codes, as well as coding guidelines and regulations. The analyst will work closely with the Benefits Management Team and Regulatory Department to ensure coding edits are applied in a manner consistent with member benefits and all state and federal insurance regulations. Providence Health Plan caregivers are not simply valued - they're invaluable. Join our team and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them. _Providence Health Plan welcomes 100% remote work for applicants who reside in the following states:_ + Washington + Oregon + California Required Qualifications: + Coding certification through AAPC (CPC) or AHIMA (CCS) upon hire. + 5 years of experience directly related to CPT coding from chart extraction with a health care provider, a health insurance company, or a capitated managed care company. + 5 years of excellent writing and grammar skills required. + 5 years of demonstrated experience in detailed coding applications, as well as Microsoft Office capabilities, such as Excel, Word, and Access. Preferred Qualifications: + Bachelor's Degree or experience in a Healthcare or Health Plan setting coding and auditing will also be considered. + 2 years of experience with Facets Claims Adjudication system and/or Optum CES editing software. Salary Range by Location: California: Humboldt: Min: $33.05, Max: $51.30 California: All Northern California - Except Humboldt: Min: $37.08, Max: $57.56 California: All Southern California - Except Bakersfield: Min: $33.05, Max: $51.30 California: Bakersfield: Min: $31.71, Max: $49.22 Oregon: Non-Portland Service Area: Min: $29.56, Max: $45.88 Oregon: Portland Service Area: Min: $31.71, Max: $49.22 Washington: Western - Except Tukwila: Min: $33.05, Max: $51.30 Washington: Southwest - Olympia, Centralia & Below: Min: $31.71, Max: $49.22 Washington: Tukwila: Min: $33.05, Max: $51.30 Washington: Eastern: Min: $28.21, Max: $43.80 Washington: South Eastern: Min: $29.56, Max: $45.88 Why Join Providence Health Plan? Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities. Accepting a new position at another facility that is part of the Providence family of organizations may change your current benefits. Changes in benefits, including paid time-off, happen for various reasons. These reasons can include changes of Legal Employer, FTE, Union, location, time-off plan policies, availability of health and welfare benefit plan offerings, and other various reasons. About Providence At Providence, our strength lies in Our Promise of "Know me, care for me, ease my way." Working at our family of organizations means that regardless of your role, we'll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable. Posted are the minimum and the maximum wage rates on the wage range for this position. The successful candidate's placement on the wage range for this position will be determined based upon relevant job experience and other applicable factors. These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits. Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act. About the Team Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. We are focused on supporting our Mission by delivering a robust foundation of services and sharing of specialized expertise. Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement. Requsition ID: 403553 Company: Providence Jobs Job Category: Coding Job Function: Revenue Cycle Job Schedule: Full time Job Shift: Day Career Track: Business Professional Department: 5018 HCS MEDICAL MANAGEMENT OR REGION Address: OR Portland 4400 NE Halsey St Work Location: Providence Health Plaza (HR) Bldg 1-Portland Workplace Type: Remote Pay Range: $31.71 - $49.22 The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

JOB TITLE: Residential Associate for Lakeview Heights FLSA: 36 hours per week, .9 FTE (3-12's rotating schedule) SUPEVISOR: Facility Assistant Administrator PAY GRADE: B5 ($19.23 - $26.54 per hour, depending on experience) **Shift differential added to wage for Nights & Weekends ranging from $1.50 - $2.50/hour *** Position eligible for $4,950.00 HIRING BONUS*** (2 year Commitment, staggered payout-taxed) Community Counseling Solutions provides a team-based Servant Leadership environment! Located in Eastern Oregon with year-round recreation based near the Columbia River and at the base of the Blue Mountains. Big city amenities in rural family-oriented communities. Apply Directly at ********************************** Our mission is to provide dynamic, progressive, and diverse supports to improve the well-being of our communities and we're looking for motivated employees to help us continue our vision! CCS has a benefit package including, but not limited to: Health, dental and vision insurance 6% initial 401K match Potential for tuition reimbursement Paid vacation tiers ranging from accrual of 1 day to 4 days per month (Annual rollover cap of 220 hours, additional hours can be paid out at 50% at the end of the fiscal year) 9 Paid holidays, Community service day Floating holiday & 2 mental health days provided after 1 year introduction Workplace Flexibility schedule options available (work from home hours vary by position & schedule) Student loan forgiveness (NHSC & Public Service) Paid licensure supervision. Employee Assistance, Wellness Benefits, Dependent Care & Long-Term Disability Insurance DESCRIPTION Provides services and supports for clients that help the residents develop appropriate skills to increase or maintain their level of functioning. These services may include the mental health services, rehabilitation services, social services, personal services, medical, dental and other health care services, educational services, financial management services, legal services, vocational services, transportation, recreational and leisure activities, and other services required to meet a resident's needs as defined in the guidelines of their personal care plan. This person works directly with residents to promote recovery. SUPERVISION Supervision Received The Assistant Administrator is the immediate supervision and provides supervision of the Residential Associate. However, given the nature of the business, the Facility Administrator will often provide direct supervision, primarily in the absence of the Assistant Administrator. Supervision Exercised Position does not supervise or assign work RESPONSIBILITIES This position provides residential care that means the provision of room, board, care and services that assist the resident with ADL's. This includes 24-hour supervision; being aware of the residents' general whereabouts; monitoring the activities of the resident while on the premises of the SRTF to ensure their health, safety and welfare. This position will or may: Reads log and other client support documents as needed upon reporting to work and to make all appropriate entries during and before the conclusion of the shift. Stays awake and alert throughout the shift. Assists residents in personal self-management activities including eating, toileting, bathing, personal hygiene and grooming, cleaning, community access, personal spending, socialization, recreation, skill acquisition, and self-expression. Transfers residents to and from wheelchairs, beds, chairs, toilets, etc. Using the training and guidelines provided for such activities. Pushing clients in wheelchairs is also required. Administers prescribed medications, following physician's orders and nurse policies for all medications and/or procedures, and documents on medical charts and count sheets according to established procedures. Supervises and/or assists in the preparation of meals and assists with the feeding of residents according to menus and dining plans. Conducts evacuation/fire drills as assigned. Orients, trains, and works with the residents to perform in an appropriate, safe, and independent, recovery oriented manner within the guidelines of the residents personal care plan (PCP) or individual support plan (ISP). Receives SRTF trainings prior to giving care; passes and maintains certification in CPR. Participates in the inventory, ordering and/or purchasing of client or program supplies, including food or medications, as assigned. Maintains clean, sanitary and safe conditions, for example, sweeping, mopping, vacuuming, window washing, etc., both routinely, and as needed. Reports all safety hazards. Provides timely and accurate documentation as required per OAR's and Community Counseling Solutions policies and procedures. Reports any suspected violations or clients rights or abuse of a client by another client or a staff member according to policies and OAR's regarding mandatory reporting. Such reporting is required for, but is not limited to, suspected incidents of physical assault, neglect of care, sexual exploitation of financial exploitation, which may also include borrowing or removing property from the home. Attends staff meetings and training sessions as scheduled. Follows the policies and procedures of Community Counseling Solutions. Other duties as assigned. Requirements QUALFICATIONS The ability to interact and relate to residents, staff, managers and others with respect and dignity. Ability to communicate effectively both verbally and in writing; comprehend laws, administrative rules and regulations and agency policies, and develop and maintain effective working relationships with peers, supervisors and other professionals. Ability to deal with clients experiencing crisis situations. Education and Experience This position must have a high school diploma or equivalent, be able to pass a criminal history background check, and have a current drivers license. The ideal candidate will have three years combination of training or experience in psychology, counseling, or a related field. This could be college coursework in psychology, social work or related social sciences, experience in a social service setting; or any satisfactory equivalent combination of experience (professional and/or personal) and training which demonstrates the ability to perform the above-described duties. Other Skills and Abilities The position requires the handling of highly confidential information. Must adhere to rules and laws pertaining to client confidentiality. Must posses, or have the ability to possess functional knowledge of business English and medical terminology. Must have good spelling and basic mathematical skills. Must have the ability to learn assigned tasks readily and to adhere to general office procedures. Good organizational and time management skills are essential. Must have in depth knowledge of standard office equipment. Must possess the ability to represent the interest of the customer and the agency in a favorable light in the community. Must have the ability to work well with teams and other groups of individuals. Must be able to communicate effectively in both written and oral formats. Must have the ability to present and exchange information internally across teams and co-workers, and externally with customers and the public. CRIMINAL BACKGROUND CHECKS Must pass all criminal history check requirements as required by ORS 181.536-181.537 and in accordance with OAR 410-007-0200 through 410-007-0380. In addition to a pre-employment background check, each employee, volunteer and contractor shall be checked on a monthly basis against the OIG and GSA exclusion lists, as well as other federal and state agency lists. If it is discovered that an employee, volunteer or contractor is excluded or sanctioned it will be the cause for immediate termination of employment, volunteering, or the termination of the contract. PERSONAL AUTO INSURANCE Must hold a valid driver's license as well as personal auto insurance for privately owned Vehicles utilized for CCS business such as client service purposes, travel between business offices and the community, to attend required meetings and trainings. Must show proof of $300,000 or more liability coverage for bodily injury and property damage, and maintain said level of coverage for the duration of employment at CCS. The employee's insurance is primary with CCS insurance being secondary. CCS reserves the right to deny any employee the use of a vehicle owned by CCS. PHYISCAL DEMANDS This position requires an individual to be regularly available for work as scheduled. Position requires professional and personal skills to cope with stress associated with work involving a high degree of mental, emotional and physical demands. This position also requires the ability to bend, stoop, push and pull on an ongoing basis. This position may require an individual to lift and transfer clients using a two-person lifting technique. This position may involve working overtime, weekends, evening or overnight awake shifts. Reasonable accommodations may be made to enable persons with disabilities to perform the essential functions of this position. Must be willing to work a flexible work schedule; depending on community and resident needs. WORK ENVIRONMENT Work is performed in an office/home environment as well as in the community. The noise level in the office environment is usually moderate, but occasionally one may be exposed to loud noises. The noise in the community, including the homes of customers, is often difficult to predict. Occasional out of area travel and overnight stays will be required for attendance at meetings and/trainings. However, the employee also will be required to work in the community. Handicap access may not be available at all places where this position must go. There are some situations where this position may be required to respond to environments where a client is in crisis. The environments in these situations are difficult to predict and may be in uneven terrain. This position exposes the employee to the everyday risks or discomforts which require normal safety precautions typical of such places as an office or home environment. Salary Description $19.23 - $26.54 per hour, depending on experience

Description & Requirements Maximus is seeking a dynamic and experienced Vice President-Federal Communications and Marketing to join our innovative team. The ideal candidate will bridge the gap between technology, business process services and marketing in the Federal Government sector. In this role, you will be responsible for Team Leadership and Change Management in a large organization. The VP-Federal Communications and Marketing will collaborate with cross-functional teams to drive Federal solutions and offerings. If you are a strategic thinker with a passion for technology services and marketing, and if you thrive in a dynamic and collaborative environment, we invite you to apply to the position at Maximus. This is a hybrid position with the need to go into the office a minimum of 3 days per week and occasionally attend meetings and/or events in the Tyson Corners, VA/ Washington, DC area. This position requires some travel. The selected candidate must live in this geographical area. Key Areas of Responsibility - Identify, plan, develop, and oversee differentiated and impactful marketing strategies/materials. - Developing new programs for customer engagement including integrated marketing programs from concept to execution - Drive Maximus Federal solutions and offerings. - Manage digital and social media strategies across the federal market - Build, manage, and coach a high-performing marketing team. - Direct and support market research collection, analysis, interpretation of market data for short- and long- term market forecasts and reports. - Work closely with the growth leaders to align sales and marketing strategies - Maintain brand standards and ensure compliance across all marketing and communications channels. - Build long-term relationships with employees, clients, government officials, and stakeholders. - Serve as a collaborative and senior leader on the Maximus Communication & Marketing Team, helping to align strategy and outcomes across the company. - Drive the implementation of marketing campaigns that meet business objectives and drive customer engagement. - Develop relationships with associations, academia and industry partners to drive thought leadership and brand elevation. This role will develop and oversee the Maximus Federal segment marketing strategy. Responsibilities include building brand visibility in the Federal marketplace, driving customer and partner engagement to support growth goals. This position will be responsible for developing annual marketing plans building strategy, managing the cross functional team and budget and, leveraging partner relationships, driving go-to-market solutions. Qualifications: -15+ years of experience in a Federal Marketing and Industry Analysis position including 7+ years managing a team. -Previous experience at a corporation focused on the Federal sector. -Bachelor's degree in Marketing, Business, or a related field; technical background and digital marketing are a plus. Additional experience in lieu of degree will be considered. -MA degree in Marketing, Communication, or similar relevant field, preferred. -Outstanding communication, presentation, and leadership skills. -In-depth knowledge of the Federal sector. -Critical thinker with problem-solving skills. -Strong interpersonal and communication skills. Key Competencies include the following: Marketing and Communication Strategies, Team Leadership, Technical Expertise, Cross-Functional Collaboration, Content Development, Sales Enablement, Product and Solutions Positioning and Change Management EEO Statement Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics. Pay Transparency Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Annual salary is just one component of Maximus's total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards. Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off. Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience. An applicant's salary history will not be used in determining compensation. Maximus will comply with regulatory minimum wage rates and exempt salary thresholds in all instances. Accommodations Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at **************************. Minimum Salary $ 216,155.00 Maximum Salary $ 292,455.00

Site: Mass General Brigham Health Plan Holding Company, Inc. Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham. Job Summary Mass General Brigham Health Plan is hiring for two Behavioral Health Specialists to work as part of an interdisciplinary care team providing expert recommendations for managing behavioral health conditions and providing specialized coordination of care for enrollees with Serious Mental Illness (SMI) and Substance Use Disorders (SUD). As the behavioral health clinical expert on the Interdisciplinary Care Team, the Behavioral Health Specialist partners with the Interdisciplinary Care Team, facilities, and providers to address behavioral health challenges, evaluate treatment options, and implement targeted strategies and interventions. Essential Functions * Collaborate with interdisciplinary care teams (ICT)-including LTSC, GSSC, primary care providers, specialists, and behavioral health treatment facilities-to support program enhancements, process improvements, care coordination, discharge planning, and aftercare. * Participate actively in ICT meetings, contributing insights on behavioral health concerns, treatment options, care strategies, and engaging in collaborative decision-making regarding enrollees' care. * Receive and triage behavioral health and substance use referrals, coordinating with the ICT and primary care providers to refer enrollees to appropriate inpatient or outpatient services. * Develop, update, and implement enrollee-centered care plans in collaboration with enrollees and care teams, promoting self-care, shared decision-making, and addressing identified needs through routine engagement and proactive outreach. * Conduct outreach, assessments, and home visits via telephonic, electronic, or in-person contact for identified enrollees, including routine evaluations and post-transition care. * Monitor clinical status to identify early signs of deterioration, intervening proactively with the ICT to prevent unnecessary hospitalizations and escalate behavioral health needs during weekly case conferences. * Establish consistent communication and reporting schedules with providers and enrollees to review enrollee status, progress toward goals, care needs, utilization plans, and follow-up. * Ensure compliance with DSNP regulations and quality assurance standards by documenting, monitoring, and evaluating enrollee interventions and care plans accurately within electronic medical record systems. * Serve as a key resource and liaison within the ICT by addressing enrollee questions, concerns, and care needs, facilitating access to services, and performing additional duties as assigned by the supervisor. Qualifications * Master's Degree required * Licensed Independent Clinical Social Worker (LICSW) required * Minimum 3 years of direct clinical experience required * Certified Case Management Certification preferred * Previous counseling experience 5-7 years preferred * Experience with community case management preferred * Experience with Dually Eligible Enrollees (Medicare and Medicaid) preferred * NCQA experience preferred Skills for Success * Competency in working with multiple health care computer platforms, * EPIC experience preferred * Experience working with individuals with complex medical, behavioral, and social needs * Strong communication and interpersonal skills to effectively engage with enrollees and interdisciplinary teams * Critical thinking and problem-solving skills. Demonstrates autonomy in decision-making * Strong organizational skills with an ability to manage routine work, triage and reset priorities as needed * Interpersonal skills and ability to work effectively with providers and their staff to develop rapport, build trust, and promote Population Health initiatives. Excellent oral, written, and telephonic skills and abilities * Competency in working with multiple health care computer platforms * Ability to work effectively in a complex fast fast-paced medical environment and multiple practice locations * Ability to work independently while contributing to a collaborative team environment * Knowledge of healthcare and community BH services to assist enrollees effectively * Must be comfortable with change, have the ability to adapt and pivot as part of continuous process improvement activities Additional Job Details (if applicable) Working Model Required * This is a full-time position with a schedule of Monday through Friday, 8:30 AM-5:00 PM EDT with the ability to flex hours to meet members' needs * This is a hybrid schedule, which includes practice-based work, remote work, and in-person home and community visits (these days will vary weekly and these visits may increase as the program launches) * Must be local, ideally in Eastern, MA with the ability to travel to the community. * This role offers autonomy to build own schedule to accommodate members' needs. * Remote working days require stable, quiet, secure, compliant working station and access to Teams Video via MGB equipment Our goal will be to geographically align employees, which depends on residence, and can vary based on business needs, member enrollment, and team staffing. Employees must accommodate the hybrid work model, including practice-based work, remote work, and in-person home and community visits with members. The member population will reside primarily in Essex, Middlesex, Suffolk, Norfolk, Plymouth, Bristol, Dukes, and Nantucket counties. The responsibilities and caseload may be adjusted based on enrollment trends. Remote Type Hybrid Work Location 399 Revolution Drive Scheduled Weekly Hours 40 Employee Type Regular Work Shift Day (United States of America) Pay Range $78,000.00 - $113,453.60/Annual Grade 7 At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package. EEO Statement: Mass General Brigham Health Plan Holding Company, Inc. is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran's Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at **************. Mass General Brigham Competency Framework At Mass General Brigham, our competency framework defines what effective leadership "looks like" by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.

The position description is a guide to the critical duties and essential functions of the job, not an all-inclusive list of responsibilities, qualifications, physical demands, and work environment conditions. Position descriptions are reviewed and revised to meet the changing needs of the organization. This salary range may be inclusive of several career levels at Valley Medical Center and will be narrowed during the interview process based on several factors, including (but not limited to) the candidate's experience, qualifications, location, and internal equity. TITLE: Patient Resource Representative JOB OVERVIEW: The Patient Resource Representative position is responsible for scheduling, pre-registration, insurance verification, estimates, collecting payments over the phone, and inbound and outbound call handling for Primary and Specialty Clinics supported by the Patient Resource Center. This includes call handling for specialized access programs: Accountable Care Network Contracts Hotline Call Handling, MyChart Scheduling, and Outbound dialing for Referral Epic Workqueues. DEPARTMNT: Patient Resource Center WORK HOURS: As assigned REPORTSTO: Supervisor, Patient Resource Center PREREQUISITES: * High School Graduate or equivalent (G.E.D.) preferred. * Minimum of 2 years of experience in a call center, or 1 year in a physician's office; with experience using multi-line phone systems, Electronic Medical Record systems, and working with several software programs at the same time. * Demonstrates basic skills in keyboarding (35 wpm) * Computer experience in a windows-based environment. * Excellent communication skills including verbal, written, and listening. * Excellent customer service skills. * Knowledge of medical terminology and abbreviations. Ability to spell and understand commonly used terms, preferred. QUALIFICATIONS: * Ability to function effectively and interact positively with patients, peers and providers at all times. * Ability to access, analyze, apply and adhere to departmental protocols, policies and guidelines. * Ability to provide verbal and written instructions. * Demonstrates understanding and adherence to compliance standards. * Demonstrates excellent customer service skills throughout every interaction with patients, customers, and staff: * Ability to communicate effectively in verbal and written form. * Ability to actively listen to callers, analyze their needs and determine the appropriate action based on the caller's needs. * Ability to maintain a calm and professional demeanor during every interaction. * Ability to interact tactfully and show empathy. * Ability to communicate and work effectively with the physical and emotional development of all age groups. * Ability to analyze and solve complex problems that may require research and creative solutions with patient on the telephone line. * Ability to document per template requirements, gather pertinent information and enter data into computer while talking with callers. * Ability to utilize third party payer/insurance portals to identify insurance coverage and eligibility. * Ability to function effectively in an environment where it is necessary to perform several tasks simultaneously, and where interruptions are frequent * Ability to organize and prioritize work. * Ability to multitask while successfully utilizing varying computer tools and software packages, including: * Utilize multiple monitors in facilitation of workflow management. * Scanning and electronic faxing capabilities * Electronic Medical Records * Telephone software systems * Microsoft Office Programs * Ability to successfully navigate and utilize the Microsoft office suite programs. * Ability to work in a fast-paced environment while handling a high volume of inbound calls. * Ability to meet or exceed department performance standards for Quality, Accuracy, Volume and Pace. * Ability to speak, spell and utilize appropriate grammar and sentence structure. UNIQUE PHYSICAL/MENTAL DEMANDS, ENVIRONMENT AND WORKING CONDITIONS: See Generic for Administrative Partner. PERFORMANCE RESPONSIBILITIES: * Generic Job Functions: See Generic Job Description for Administrative Partner. * Essential Responsibilities and Competencies: * In-depth knowledge of VMC's mission, vision, and service offerings. * Demonstrates all expectations outlined in the VMC Caregiver Commitment throughout every interaction with patients, customers, and staff. * Delivers excellent customer service throughout each interaction: * Provides first call resolution, whenever possible. * Acknowledge if patient is upset and de-escalate using key words and providing options for resolution. * Identify and assess patients' needs to determine the best action for each patient. This is done through active listening and asking questions to determine the best path forward. * A knowledgeable resource for patient/customers that works to build confidence and trust in the VMC health care system. * Schedules appointments in Epic by following scheduling guidelines and utilizing tools and resources to accurately appoint patient. * Generates patient estimates and follows Point of Service (POS) Collection Guidelines to determine patient liability on or before time of service. Accepts payment on accounts with Patient Financial Responsibility (PFR) as well as any outstanding balances, documents information in HIS and provides a receipt for the amount paid. * Strives to meet patients access needs for timeliness and provider, whenever possible. * Applies VMC registration standards to ensure patient records are accurate and up to date. * Ensures accurate and complete insurance registration through the scheduling process, including verifies insurance eligibility or updates that may be needed. * Reviews registration work queue for incomplete work and resolves errors prior to patient arrival at the clinic. * Utilizes protocols to identify when clinical escalation is needed based on the symptoms that patients report when calling. * Takes accurate and complete messages for clinic providers, staff, and management. * Relays information in alignment with protocols and provides guidance in alignment with patient's needs. * Routes calls to appropriate clinics, support services, or community resource when needed. * Coordinates resources when needed for patients, such as interpreter services, transportation or connecting with other resources needed for our patient to be successful in obtaining the care they need. * Identifies, researches, and resolves patient questions and inquiries about their care and VMC. * Inbound call handling for our specialized access programs * A.C.N. Hotline Call handling * Knowledge of contractual requirements for VMC's Accountable Care Network contracts and facilitates care in a way that meets contractual obligations. * Applies all workflows and protocols when scheduling for patients that call the A.C.N. Hotline * Completes scheduling patients for all departments the PRC supports. * Facilitates scheduling for all clinics not supported by the PRC. * Completes registration and transfer call to clinic staff to schedule. * Completes the MyChart Scheduling process for appointment requests and direct scheduled appointments. * Utilizes and applies protocols as outlined for MyChart scheduling * Meet defined targets for MyChart message turnaround time. * Outbound dialing for patient worklists * Utilizes patient worklists to identify patients that require outbound dialing. * Outbound dialing for referral work queues. * Utilizes referral work queue to identify patients that have an active/authorized referral in the system and reaches out to complete scheduling process. * Schedules per department protocols * Updates the referral in alignment with the defined workflow. * Receives, distributes, and responds to mail for work area. * Monitor office supplies and equipment, keeping person responsible for ordering updated. * Other duties as assigned. Created: 1/25 Grade: OPEIUC FLSA: NE CC: 8318 #LI-Remote Job Qualifications: PREREQUISITES: 1. High School Graduate or equivalent (G.E.D.) preferred. 2. Minimum of 2 years of experience in a call center, or 1 year in a physician's office; with experience using multi-line phone systems, Electronic Medical Record systems, and working with several software programs at the same time. 3. Demonstrates basic skills in keyboarding (35 wpm) 4. Computer experience in a windows-based environment. 5. Excellent communication skills including verbal, written, and listening. 6. Excellent customer service skills. 7. Knowledge of medical terminology and abbreviations. Ability to spell and understand commonly used terms, preferred. QUALIFICATIONS: 1. Ability to function effectively and interact positively with patients, peers and providers at all times. 2. Ability to access, analyze, apply and adhere to departmental protocols, policies and guidelines. 3. Ability to provide verbal and written instructions. 4. Demonstrates understanding and adherence to compliance standards. 5. Demonstrates excellent customer service skills throughout every interaction with patients, customers, and staff: a. Ability to communicate effectively in verbal and written form. b. Ability to actively listen to callers, analyze their needs and determine the appropriate action based on the caller's needs. c. Ability to maintain a calm and professional demeanor during every interaction. d. Ability to interact tactfully and show empathy. e. Ability to communicate and work effectively with the physical and emotional development of all age groups. 6. Ability to analyze and solve complex problems that may require research and creative solutions with patient on the telephone line. 7. Ability to document per template requirements, gather pertinent information and enter data into computer while talking with callers. 8. Ability to utilize third party payer/insurance portals to identify insurance coverage and eligibility. 9. Ability to function effectively in an environment where it is necessary to perform several tasks simultaneously, and where interruptions are frequent 10. Ability to organize and prioritize work. 11. Ability to multitask while successfully utilizing varying computer tools and software packages, including: a. Utilize multiple monitors in facilitation of workflow management. b. Scanning and electronic faxing capabilities c. Electronic Medical Records d. Telephone software systems e. Microsoft Office Programs 12. Ability to successfully navigate and utilize the Microsoft office suite programs. 13. Ability to work in a fast-paced environment while handling a high volume of inbound calls. 14. Ability to meet or exceed department performance standards for Quality, Accuracy, Volume and Pace. 15. Ability to speak, spell and utilize appropriate grammar and sentence structure.