Soleo Health is seeking a Clearance Specialist to support our Specialty Infusion Pharmacy and work Remotely (USA). Join us in Simplifying Complex Care! Acute home infusion experience required, and must be able to work 8:30a-5p Mountain Time. Soleo Health Perks:
Competitive Wages
401(k) with a Match
Referral Bonus
Paid Time Off
Great Company Culture
Annual Merit Based Increases
No Weekends or Holidays
Paid Parental Leave Options
Affordable Medical, Dental, & Vision Insurance Plans
Company Paid Disability & Basic Life Insurance
HSA & FSA (including dependent care) Options
Education Assistance Program
This Position:
The Clearance Specialist is responsible for processing new referrals including but not limited to verifying patient eligibility, test claim adjudication, coordination of benefits, and identifying patient estimated out of pocket costs. They will also be responsible for preparation, submission, and follow up of payer authorization requests. Responsibilities include:
Perform benefit verification of all patient insurance plans including documenting coverage of medications, administration supplies, and related infusion services
Responsible to document all information related to coinsurance, copay, deductibles, authorization requirements, etc
Calculate estimated patient financial responsibility based off benefit verification and payer contracts and/or company self-pay pricing
Initiate, follow-up, and secure prior authorization, pre-determination, or medical review including
Reviewing and obtaining clinical documents for submission purposes
Communicate with patients, referral sources, other departments, and any other external and internal customers regarding status of referral, coverage and/or other updates as needed
Refer or assist with enrollment any patients who express financial necessity to manufacturer copay assistance programs and/or foundations
Generate new patient start of care paperwork
Schedule:
Must be able to work Full time, 40 hours per week, from 8:30a-5pm Mountain Time
Weekend On-call once monthly
Must have experience with Acute Infusion for Prior authorization/Benefits Verification
Requirements
High school diploma or equivalent
At least 2 years of home infusion specialty pharmacy and/or medical intake/reimbursement experience preferred
Working knowledge of Medicare, Medicaid, and managed care reimbursement guidelines including ability to interpret payor contract fee schedules based on NDC and HCPCS units
Strong ability to multi-task and support numerous referrals/priorities while ensuring productivity expectations and quality are met
Ability to work in a fast-paced environment
Knowledge of HIPAA regulations
Basic level skill in Microsoft Excel & Word
Knowledge of CPR+ preferred
About Us: Soleo Health is an innovative national provider of complex specialty pharmacy and infusion services, administered in the home or at alternate sites of care. Our goal is to attract and retain the best and brightest as our employees are our greatest asset. Experience the Soleo Health Difference!
Soleo's Core Values:
Improve patients' lives every day
Be passionate in everything you do
Encourage unlimited ideas and creative thinking
Make decisions as if you own the company
Do the right thing
Have fun!
Soleo Health is committed to diversity, equity, and inclusion. We recognize that establishing and maintaining a diverse, equitable, and inclusive workplace is the foundation of business success and innovation. We are dedicated to hiring diverse talent and to ensuring that everyone is treated with respect and provided an equal opportunity to thrive. Our commitment to these values is evidenced by our diverse executive team, policies, and workplace culture.
Soleo Health is an Equal Opportunity Employer, celebrating diversity and committed to creating an inclusive environment for all employees. Soleo Health does not discriminate in employment on the basis of race, color, religion, sex, pregnancy, gender identity, national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an organization, parental status, military service or other non-merit factor.
Keywords: Prior Auth, Insurance, Referrals, Home Infusion Prior Authorization, Home Infusion Benefits verification, Insurance Verification Specialist, Specialty Infusion Benefits Verification, Now Hiring, Hiring Now, Hiring Immediately, Immediately Hiring
Salary Description
$23.00-$27.00 per hour
$23-27 hourly 2d ago
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Director, Global Issues & Public Affairs - Hybrid
Texas Children's Hospital 4.7
Houston, TX jobs
A leading children's healthcare institution is seeking a Director of Issues Management in hybrid format. This role focuses on shaping and protecting the organization's reputation through strategic leadership across various issues management and external communications. The ideal candidate will have significant experience in navigating high-impact issues and driving public affairs strategies effectively. Candidates should possess a relevant bachelor's degree and at least 12 years in public affairs or related fields.
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$157k-252k yearly est. 3d ago
Senior Manager, Clinical Science, Medical Affairs
Edwards Lifesciences Corp 4.6
Phoenix, AZ jobs
Edwards Lifesciences is the leading global structural heart innovation company, driven by a passion to improve patient lives.
The Transcatheter Mitral and Tricuspid Therapies (TMTT) division is dedicated to solving the complex challenges of mitral and tricuspid disease in order to transform treatment and significantly improve patients' lives. This is an exciting opportunity for an exceptional Clinical Scientist professional to join a team that is boldly designing transcatheter mitral and tricuspid therapies from the ground up.
How you'll make an impact:
As a key member of the Medical Affairs Clinical Science team, the Senior Manager (formal internal title is Senior Manager, Medical Affairs) is responsible for providing scientific expertise throughout the development and implementation of clinical studies and clinical evaluations for a dynamic portfolio of products across TMTT. The Senior Manager will be an experienced medical device professional with strong scientific acumen and a commitment to putting patients first.
This position can be an onsite or a hybrid role based at Edwards Lifesciences' corporate headquarters in Irvine, California, or can be a remote based role in the U.S.
Contribute to strategy and planning of clinical science and medical writing deliverables.
Lead clinical study design and clinical protocol development.
Independently author complex documents including clinical study protocols (pre-market and post-market), clinical study reports, annual progress reports, post-approval study reports, clinical evaluation plans, clinical evaluation reports, post-market clinical follow-up plans and reports, and other scientific documents (as appropriate).
Independently author complex regulatory responses.
Perform systematic literature reviews from initiation to completion (develop search strategies, manage associated documentation, and prepare literature summaries).
Independently review raw and summary clinical data for accuracy; resolve potential discrepancies.
Interpret safety and effectiveness results from pre-market and post-market data sources; conduct systematic data appraisals to support overall benefit-risk assessments.
Independently review and collaborate with cross-functional teams on the review, analysis, and interpretation of study results, including exploratory endpoints and assuring appropriate data review and accurate data reporting.
Summarize key data from clinical studies and published literature and provide updates to internal and external stakeholders (as appropriate).
Ensure documents comply with regulatory guidelines.
May travel up to 15% to attend scientific conferences.
What you'll need (Required):
* Bachelor's Degree in a related field with 10 years of related experience working in clinical science or medical/scientific writing; OR
* Master's degree in a related field with 8 years of related experience working in clinical science or medical/scientific writing; OR
What else we look for (preferred):
Doctorate degree (PhD, MD, PharmD) with 8 years of related experience working in clinical science or medical/scientific writing.
Familiarity with the coronary interventional and/or structural heart environments and current treatment options or have other clinical and/or clinical trial experience.
Experience in the application of MEDDEV 2.7/1 and EU MDR for clinical evaluations.
Experience with FDA PMA applications.
Strong knowledge of scientific research methodology, device development process, GCP, ICH guidelines and Global (US FDA, EU MDR, Japan PMDA, China NMPA) regulations.
Experience working in a cross functional, collaborative environment and comfortable interacting with R&D engineers, regulatory specialists, statisticians, physicians, and support personnel.
Excellent communication skills and experience influencing and guiding stakeholders.
Recognized as an expert in own subject area with specialized depth within current or previous organization(s).
Expert understanding of related aspects of clinical science and/or scientific/medical writing.
Expert knowledge of regulatory requirements and study execution.
Demonstrated ability to work independently, ability to prioritize and manage multiple tasks simultaneously.
Excellent oral and written communication skills.
Demonstrated experience with maintaining current, in-depth product knowledge including current developments, clinical literature review, as well as therapeutic and product operation knowledge.
Strong knowledge of statistical analyses, study design methodologies, and clinical trial protocol development.
Advanced working knowledge with the use of MS PowerPoint, MS Word, MS Excel, EndNote, and Adobe Acrobat.
Strong analytical, problem-solving, and scientific writing skills.
Aligning our overall business objectives with performance, we offer competitive salaries, performance-based incentives, and a wide variety of benefits programs to address the diverse individual needs of our employees and their families.
For California (CA), the base pay range for this position is $142,000 to $201,000 (highly experienced).
The pay for the successful candidate will depend on various factors (e.g., qualifications, education, prior experience). Applications will be accepted while this position is posted on our Careers website.
Edwards is an Equal Opportunity/Affirmative Action employer including protected Veterans and individuals with disabilities.
COVID Vaccination Requirement
Edwards is committed to protecting our vulnerable patients and the healthcare providers who are treating them. As such, all patient-facing and in-hospital positions require COVID-19 vaccination. If hired into a covered role, as a condition of employment, you will be required to submit proof that you have been vaccinated for COVID-19, unless you request and are granted a medical or religious accommodation for exemption from the vaccination requirement. This vaccination requirement does not apply in locations where it is prohibited by law to impose vaccination.
$142k-201k yearly 8d ago
Consumer Services Representative
Ocean Dental 3.3
Edmond, OK jobs
We are seeking a customer-focused and detail-oriented Consumer Services Representative to join our team in a fully remote capacity. The ideal candidate will be responsible for assisting customers with inquiries, resolving issues, providing product or service information, and ensuring a positive customer experience across multiple communication channels.
Key Responsibilities
Respond to customer inquiries via phone, email, chat, or messaging platform.
Provide accurate information about products, services, policies, and procedures.
Resolve customer issues efficiently while maintaining professionalism and empathy.
Document all customer interactions in the CRM system.
Process orders, returns, refunds, and account updates as needed.
Escalate complex issues to the appropriate department or supervisor.
Meet performance metrics such as response time, customer satisfaction, and quality standards.
Stay informed about product updates, feature changes, and company policies.
Contribute to a positive team environment and suggest process improvements.
Qualifications
High school diploma or equivalent (Associates or Bachelors degree a plus).
Prior customer service experience preferred (call center, retail, hospitality, or similar).
Strong written and verbal communication skills.
Ability to work independently in a remote environment with minimal supervision.
Comfortable using customer support software, CRM systems, and communication tools.
Strong problem-solving and multitasking abilities.
Reliable high-speed internet and a quiet workspace.
Key Skills
Customer service & communication
Active listening
Conflict resolution
Multitasking & time management
Tech-savviness
Attention to detail
Empathy & patience
Work Environment
100% remote position
Flexible or set schedule depending on role
Requires consistent internet connection and adequate home office setup
Benefits (Optional Section)
Health, dental, and vision insurance
Paid time off & holidays
Retirement savings plan
Performance bonuses
Remote work stipend
Preferred qualifications:
Legally authorized to work in the United States
18 years or older
$24k-28k yearly est. 48d ago
Senior Major Gifts Director - Remote, Six-Figure Campaign Impact
University of Texas Md Anderson Cancer Center 4.3
Houston, TX jobs
A leading healthcare institution in Houston seeks a Senior Associate Director for Major Gifts to secure substantial philanthropic support. The role involves cultivating relationships with high-net-worth donors to raise significantly for institutional priorities. The ideal candidate will have extensive fundraising experience and exceptional leadership skills. This position offers competitive compensation starting at $121,000, with comprehensive employee benefits including paid medical, dental coverage, and tuition assistance.
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Our company helps hospitals and health plans improve their revenue and deliver community benefits. On their behalf, we help their patients and plan members with low or no income, and those who are aged or disabled, to enroll in government-funded assistance programs.
The Disability Specialist is an entry level position and will handle all submitted Social Security Disability applications from beginning to end while providing claimants with outstanding customer service and support and will work closely with Social Security offices nationwide. Disability Specialists work in a fast-paced, multi-tasking, contact center environment, managing both inbound and outbound calls.
The Disability Specialist will coordinate appointments, provide resources and materials, and provide medical updates to Disability Determination Services and private institutions.
A successful Disability Specialist is an empathetic communicator, likes to juggle multiple projects, is detail oriented and, above all, is compassionate.
Role Responsibilities:
Maintains regular communication with claimants, answers questions regarding the application, services, and benefits and clarifies eligibility data
Will manage all inbound and outbound queue calls while staying on top of own tasks
Assists in gathering eligibility data, verifications, completed forms and medical records.
Manages positive professional relationships with agencies and clients.
Submits documents/applications to proper agencies; follows up appropriately with all entities to ensure processing and stays updated on status of claims.
Manages all accounts and taking appropriate action to secure eligibility until all methods are exhausted.
Secures and submits all necessary signed SSA forms and any missing verifications
Contacts providers / secures medical records as needed
Is thoughtful and proactive to anticipate and foresee key requirements for all accounts and takes appropriate action to secure eligibility until all methods are exhausted
Works with government agencies/physician offices to obtain coverage for clients
Maintains positive professional relationship with agencies and clients
Understand and agree to role-specific information security access and responsibilities
Ensure safety and confidentiality of data and systems by adhering to the organizations information security policies
Read, understand, and agree to security policies and complete all annual security and compliance training
Role Requirements:
2 years of Customer Service
Must be fluent in English (speak, read, write)
Fluency in additional language(s) highly desirable!
Excellent communication and interpersonal skills with an ability to clearly communicate and influence
Call Center experience and/or De-Escalation experience a plus
Experience working with government agencies a plus
Experience in Social Services, case management, processing disability/claims evaluation and/or adjudication, and Medicaid/Medicare knowledge a strong plus
Strong interpersonal skills and ability to work in a team environment
Detail Oriented, Willing to Learn, and Goal Driven
Ability to multi-task and manage time appropriately
Strong computer skills, proficiency with Microsoft Word, Excel and Outlook, and ability to navigate multiple platforms and screens smoothly
$51k-82k yearly est. 6d ago
Billing Specialist
Vital Care Infusion Services 4.8
Phoenix, AZ jobs
Recognized as a “Best Place to Work Modern Healthcare” - Join a team where people come first. At Vital Care, we are committed to creating an inclusive, growth-focused environment where every voice matters. Vital Care is the premier pharmacy franchise business with franchises serving a wide range of patients, including those with chronic and acute conditions. Since 1986, our passion has been improving the lives of patients and healthcare professionals through locally-owned franchise locations across the United States. We have over 100 franchised Infusion pharmacies and clinics in 35 states, focusing on the underserved and secondary markets. We know infusion services, and we guide owners along the path of launch, growth, and successful business operations. What we offer:
Comprehensive medical, dental, and vision plans, plus flexible spending, and health savings accounts.
Paid time off, personal days, and company-paid holidays.
Paid Paternal Leave.
Volunteerism Days off.
Income protection programs include company-sponsored basic life insurance and long-term disability insurance, as well as employee-paid voluntary life, accident, critical illness, and short-term disability insurance.
401(k) matching and tuition reimbursement.
Employee assistance programs include mental health, financial and legal.
Rewards programs offered by our medical carrier.
Professional development and growth opportunities.
Employee Referral Program.
Job Summary: Perform duties to process Home Infusion medical claims with a focus on accuracy, timeliness, and adherence to process, to reduce denial rate, DSO, and bad debt. Performs revenue cycle billing duties to process within the limits of standard Compliance practices. Position is 100% remote.
Duties/Responsibilities:
Create and submit medical, pharmacy and third-party vendor claims timely and accurately. Ensure all revenue opportunities are included, and complete and submit billing to primary and secondary payers.
Resolve rejected electronic claims so that current submission is successful and future submissions are not rejected.
Maintain ready-to-bill delivery tickets and indicate tickets that cannot be billed with appropriate status for communication purposes within RCM and Franchises
Document case activity, communications, and correspondence in CareTend to ensure completeness and accuracy of account activity.
Contribute medical billing expertise to the design of training and knowledge transfer programs, materials, policies, and procedures to improve the efficiency and effectiveness of the RCM team.
Perform other related duties as assigned.
Required Skills/Abilities:
Excellent communications skills; listening, speaking, understanding, and writing English while influencing patients, caregivers, payer representatives, and others, answering questions, and advancing reimbursement and collection efforts.
Proven understanding of processes, systems, and techniques to ensure successful billing and collection working with all payer types.
Proven ability to identify gaps and problems from a review of documentation, determine lasting solutions, make effective decisions, and take necessary corrective action.
Strong organization skills with the ability to track and maintain clear, complete records of activities, cases, and related documentation.
Proven knowledge and skill in the utilization of MS Office suite of software and pharmacy applications.
Ability to complete job duties in a designated workspace outside the dedicated RCM location.
Disciplined work ethic with ability to work remotely with little direct supervision and meet production and collection targets.
Education
and Experience:
2-5 years home infusion billing and/or collections experience required.
High School Diploma and additional specialized training in intake, pharmacy/medical billing, and/or collections.
Experience in an infusion suite setting is a plus.
Previous remote work environment is a plus but not required.
Detailed oriented with post-billing and post-payment investigative experience preferred.
Physical Requirements:
Sitting: Prolonged periods of sitting are typical, often for the majority of the workday.
Keyboarding: Frequent use of a keyboard for typing and data entry.
Reaching: Occasionally reaching for items such as files, documents, or office supplies.
Fine Motor Skills: Precise movements of the fingers and hands for tasks like typing, using a mouse, and handling paperwork
Visual Acuity: Good vision for reading documents, computer screens, and other detailed work.
Be part of an organization that invests in you! We are reviewing applications for this role and will contact qualified candidates for interviews.
Vital Care Infusion Services is an equal-opportunity employer and values diversity at our company. We do not discriminate on the basis of color, race, sex, age, religion, national origin, disability, genetic information, gender identity, sexual orientation, veterans' status, or any other basis protected by applicable federal, state, or local law.
Vital Care Infusion Services participates in E-Verify.
This position is full-time.
Join the AMAZING Southwest Network Team!
Join a supportive, collaborative team culture where learning and professional growth are prioritized. We offer high quality clinical supervision toward Independent licensure and a supportive team environment.
Job Summary:
Provide strength-based short-term and solution-focused counseling interventions for child/adolescent members, caregivers and/or adult members receiving services. Provides individual, family and group interventions to address needs identified by the Child and Family Team/Clinical team. Provides crisis interventions and clinical consultation for Southwest Network staff and Child and Family Teams/Clinical teams.
As an employee, you will receive the following benefits:
This position is offered at a fair, competitive salary.
Affordable healthcare plans: Medical, Dental & Vision
Health Savings and Flex Spending account options
Virta program
Hinge Health
Paid sick, vacation and holiday time: 10 paid holidays per year!
Student loan payment reimbursement
Tuition reimbursement
Retirement plan (403b) with company match
Disability insurance
Basic life insurance with the option to purchase supplemental insurance
Employee Assistance Program
Employee Discounts
Bilingual Stipend
Minimum Qualifications:
Master's degree in social work, counseling, or marriage and family therapy.
Licensure through the Board of Behavioral Examiners, preferred
Must maintain current CPR, First Aid, and Therapeutic Options certifications (offered through Southwest Network).
Must maintain a valid Arizona state fingerprint clearance card.
Must maintain a valid Arizona driver's license and car insurance.
Must be at least 21 years of age.
Knowledge of the spectrum of mental illness, current DSM-5 and ICD-10 codes and descriptions, psychotropic medications and crisis intervention required.
Must have the ability to maintain excellent member and family relationships and provide excellent customer service
Requires effective written, verbal and interpersonal communication skills
Ability to stay organized and have critical thinking, time management and problem solving skills are a must
Ability to utilize multiple types of office equipment (i.e. phones, copier, fax, etc.)
Ability to type 25 to 40 WPM is preferred
Must be proficient in Microsoft Office software
Must be able to utilize the internet and various web browsers
When you consider everything-the salary, the benefits, the ongoing training and support we offer, and the impact you'll have on the lives of others-it could be the right opportunity for you.
Any offer of employment is contingent upon verification of education, employment, driving record and auto insurance, and completion of a criminal background check and drug testing.
Southwest Network is an equal opportunity employer.
$48k-63k yearly est. 4d ago
Scheduling Specialist Remote after training
Radiology Partners 4.3
Chesterfield, MO jobs
RAYUS now offers DailyPay! Work today, get paid today!
RAYUS Radiology is looking for a Scheduling Specialist to join our team. We are challenging the status quo by shining light on radiology and making it a critical first step in diagnosis and proper treatment. Come join us and shine brighter together! As a Scheduling Specialist, you will be responsible for providing services to patients and referring professionals by answering phones, managing faxes and scheduling appointments. This is a full-time position working 9:00AM - 5:30PM CST Mon-Fri, Rotating Saturday 7am-1pm CST.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
(85%) Scheduling Activities
Answers phones and handles calls in a professional and timely manner
Maintains positive interactions at all times with patients, referring offices and team members
Schedules patient examinations according to existing company policy
Ensures all appropriate personal, financial and insurance information is obtained and recorded accurately
Ensures all patient data is entered into information systems completely and accurately
Ensures patients are advised of financial responsibilities, appropriate clothing, preparation kits, transportation and/or eating prior to appointment
Communicates to technologists any scheduling changes in order to ensure highest level of patient satisfaction
Maintains an up-to-date and accurate database on all current and potential referring physicians
Handles overflow calls for other centers within market to ensure uninterrupted exam scheduling for referring offices
Provides back up coverage for front office team members as requested by supervisor (i.e., rest breaks, meal breaks, vacations and sick leave)
Fields 1-800 number calls and routes to appropriate department or associate (St. Louis Park only
(10%) Insurance Activities
Pre-certifies all exams with patient's insurance company as required
Verifies insurance for same day add-ons
Uses knowledge of insurance carriers (example Medicare) and procedures that require waivers to obtain authorization if needed prior to appointment
(5%) Other Tasks and Projects as Assigned
$33k-39k yearly est. 3d ago
Laboratory Informatics Consultant-Remote supporting territory aligned to US South West
Varian Medical Systems, Inc. 4.4
Texas jobs
Join us in pioneering breakthroughs in healthcare. For everyone. Everywhere. Sustainably. Our inspiring and caring environment forms a global community that celebrates diversity and individuality. We encourage you to step beyond your comfort zone, offering resources and flexibility to foster your professional and personal growth, all while valuing your unique contributions.
Be the Catalyst for Digital Transformation in Healthcare
Imagine shaping the future of laboratory medicine-where data drives decisions, workflows are seamless, and patient care reaches new heights. At Siemens Healthineers, we're not just transforming technology; we're transforming lives. If you're passionate about innovation and want to make a measurable impact on healthcare systems across North America, this is your opportunity.
A Healthier Future Starts with You
We're looking for a Clinical Laboratory Informatics Consultant (IC) to join our team of trusted advisors driving laboratory digital transformation. In this role, you'll bridge operational workflows, digital solutions, and business outcomes-helping laboratories deliver maximum clinical and operational value for better patient care.
Why You'll Love This Role
* Be at the forefront of digital healthcare innovation
* Work with leading laboratories to optimize workflows and improve patient outcomes
* Collaborate with cross-functional teams in a dynamic, global organization
* Enjoy remote flexibility with opportunities to travel and engage directly with customers
Your Impact
As a Clinical Laboratory Informatics Consultant, you will:
* Lead discovery sessions with lab leadership to identify workflow challenges and strategic goals
* Conduct digital maturity assessments and design transformation roadmaps
* Develop future-state workflows and support business cases for ROI and KPI tracking
* Partner with sales teams to articulate value propositions and deliver executive-level presentations
* Ensure successful implementation alignment and change management for digital solutions
What We're Looking For
* Bachelor's degree in Clinical Laboratory Science, Medical Technology, Biomedical Engineering, Healthcare Informatics, or related field
* 3+ years in laboratory operations or clinical informatics
* Strong knowledge of LIS/HIS integration, middleware, and digital health platforms
* Proven ability to analyze and redesign workflows for efficiency and quality
* Exceptional communication and presentation skills for technical and executive audiences
* Ability to travel up to 60% (company car provided)
Preferred:
* Experience with Siemens Atellica Informatics portfolio or similar platforms
* Familiarity with Lab Automation, multi-site workflow optimization, and regulatory compliance
* Certifications in Lean Six Sigma, PMP, Clinical Informatics, or Change Management
Why Siemens Healthineers?
We offer a culture of collaboration and innovation, competitive compensation, comprehensive benefits, and opportunities for professional growth. Join us and help shape the future of healthcare.
Ready to make an impact?
#LI-BH1
Who we are: We are a team of more than 72,000 highly dedicated Healthineers in more than 70 countries. As a leader in medical technology, we constantly push the boundaries to create better outcomes and experiences for patients, no matter where they live or what health issues they are facing. Our portfolio is crucial for clinical decision-making and treatment pathways.
How we work: When you join Siemens Healthineers, you become one in a global team of scientists, clinicians, developers, researchers, professionals, and skilled specialists, who believe in each individual's potential to contribute with diverse ideas. We are from different backgrounds, cultures, religions, political and/or sexual orientations, and work together, to fight the world's most threatening diseases and enable access to care, united by one purpose: to pioneer breakthroughs in healthcare. For everyone. Everywhere. Sustainably.
To find out more about Siemens Healthineers businesses, please visit our company page here.
The base pay range for this position is:
$98,140 - $134,937
Factors which may affect starting pay within this range may include geography/market, skills, education, experience, and other qualifications of the successful candidate.
If this is a commission eligible position the commission eligibility will be in accordance with the terms of the Company's plan. Commissions are based on individual performance and/or company performance.
The Company offers the following benefits for this position, subject to applicable eligibility requirements: medical insurance, dental insurance, vision insurance, 401(k) retirement plan. life insurance, long-term and short-term disability insurance, paid parking/public transportation, paid time off, paid sick and safe time.
Equal Employment Opportunity Statement: Siemens Healthineers is an Equal Opportunity and Affirmative Action Employer encouraging diversity in the workplace. All qualified applicants will receive consideration for employment without regard to their race, color, creed, religion, national origin, citizenship status, ancestry, sex, age, physical or mental disability unrelated to ability, marital status, family responsibilities, pregnancy, genetic information, sexual orientation, gender expression, gender identity, transgender, sex stereotyping, order of protection status, protected veteran or military status, or an unfavorable discharge from military service, and other categories protected by federal, state or local law.
EEO is the Law: Applicants and employees are protected under Federal law from discrimination. To learn more, click here.
Reasonable Accommodations: Siemens Healthineers is committed to equal employment opportunity. As part of this commitment, we will ensure that persons with disabilities are provided reasonable accommodations.
If you require a reasonable accommodation in completing a job application, interviewing, completing any pre-employment testing, or otherwise participating in the employee selection process, please fill out the accommodations form here. If you're unable to complete the form, you can reach out to our HR People Connect People Contact Center for support at *****************************************************. Please note HR People Connect People Contact Center will not have visibility of your application or interview status.
California Privacy Notice: California residents have the right to receive additional notices about their personal information. To learn more, click here.
Export Control: "A successful candidate must be able to work with controlled technology in accordance with US export control law." "It is Siemens Healthineers' policy to comply fully and completely with all United States export control laws and regulations, including those implemented by the Department of Commerce through the Export Administration Regulations (EAR), by the Department of State through the International Traffic in Arms Regulations (ITAR), and by the Treasury Department through the Office of Foreign Assets Control (OFAC) sanctions regulations."
Data Privacy: We care about your data privacy and take compliance with GDPR as well as other data protection legislation seriously. For this reason, we ask you not to send us your CV or resume by email. We ask instead that you create a profile in our talent community where you can upload your CV. Setting up a profile lets us know you are interested in career opportunities with us and makes it easy for us to send you an alert when relevant positions become open. Register here to get started.
Beware of Job Scams: Please beware of potentially fraudulent job postings or suspicious recruiting activity by persons that are currently posing as Siemens Healthineers recruiters/employees. These scammers may attempt to collect your confidential personal or financial information. If you are concerned that an offer of employment with Siemens Healthineers might be a scam or that the recruiter is not legitimate, please verify by searching for the posting on the Siemens Healthineers career site.
To all recruitment agencies: Siemens Healthineers does not accept agency resumes. Please do not forward resumes to our jobs alias, employees, or any other company location. Siemens Healthineers is not responsible for any fees related to unsolicited resumes.
$98.1k-134.9k yearly Auto-Apply 3d ago
Locum to Perm - Associate Medical Director - Family Medicine Dallas, TX
Viemed Healthcare Staffing 3.8
Dallas, TX jobs
Job Title: Associate Medical Director - Family Medicine (Locum to Perm Transition) Parkland Community Health Plan (PCHP) seeks a highly qualified, Board-Certified Family Medicine Physician to serve as an Associate Medical Director. This role offers an initial 13-week locum assignment with the potential to transition into a permanent position, providing an excellent opportunity for career growth within a respected managed care organization. The role includes clinical oversight, strategic leadership, and collaboration with multidisciplinary teams to deliver high-quality, patient-centered care.
Key Responsibilities:
Provide clinical review and oversight for prior authorization, claims adjudication, and appeals, assessing medical necessity with a focus on optimal utilization management.
Conduct peer-to-peer reviews to support utilization management processes.
Offer clinical leadership in utilization, disease, and quality management activities, ensuring adherence to evidence-based standards and policies established by senior leadership.
Analyze provider performance data, review provider applications and credentials, and participate in the review of providers failing to meet performance standards.
Collaborate with Pharmacy and other clinical teams to oversee medication management, coordinate care for complex cases, and optimize pharmacy benefits.
Support the development, implementation, and monitoring of policies, procedures, and clinical guidelines to ensure compliant and effective clinical practices.
Participate in organizational initiatives aimed at quality improvement, health promotion, and member/provider education.
Represent PCHP on external clinical activities with state agencies, regulatory bodies, and professional organizations, ensuring compliance with relevant regulations.
Lead or participate in clinical committees, workgroups, and community engagement activities to foster continuous improvement.
Assist in clinical process reviews, workflow optimization, and implementing improvements to enhance operational efficiency.
Maintain current knowledge of healthcare regulations, reimbursement policies, and industry trends to ensure organizational compliance and innovation.
Supervise, mentor, and evaluate clinical staff, promoting a collaborative, educational environment.
Develop departmental budgets aligned with organizational goals and ensure resource allocation supports strategic initiatives.
Qualifications:
Board Certification: Family Medicine (must be current and maintained without lapses)
Valid medical license with no current restrictions or malpractice issues
Minimum of 5 years of clinical practice experience in Family Medicine
Demonstrated leadership experience in managed care or healthcare organizations
Working knowledge of Texas Medicaid regulations and managed care principles
Familiarity with clinical quality metrics, utilization management, and health policy
Strong interpersonal, communication, and organizational skills
Ability to work independently and handle a dynamic, fast-paced environment
Computer literacy with proficiency in electronic health records and clinical management systems
Commitment to patient-centered care, social determinants of health, and population health principles
Work Environment & Salary Benefits:
Initial fully remote engagement, transitioning to a hybrid in-office/remote model upon permanent employment
Opportunity for professional development through involvement in policy development, quality improvement initiatives, and community outreach
Supportive leadership committed to ongoing education and career growth
Competitive compensation package aligned with experience and certifications
Engaged, multidisciplinary team environment focused on innovative care delivery
Additional Requirements:
Must be available for a 13-week locum assignment with a strong likelihood of transitioning to permanent employment
Commitment to maintaining professional licensure, board certification, and current malpractice insurance
Demonstrated ability to collaborate across diverse teams and with external agencies
Join Parkland Community Health Plan as an Associate Medical Director and contribute to transforming healthcare delivery while advancing your career in a dynamic, mission-driven organization.
$155k-232k yearly est. 23d ago
Intern I - Automation System Engineering
Dexcom 4.7
Mesa, AZ jobs
The Company
Dexcom Corporation (NASDAQ DXCM) is a pioneer and global leader in continuous glucose monitoring (CGM). Dexcom began as a small company with a big dream: To forever change how diabetes is managed. To unlock information and insights that drive better health outcomes. Here we are 25 years later, having pioneered an industry. And we're just getting started. We are broadening our vision beyond diabetes to empower people to take control of health. That means personalized, actionable insights aimed at solving important health challenges. To continue what we've started: Improving human health.
We are driven by thousands of ambitious, passionate people worldwide who are willing to fight like warriors to earn the trust of our customers by listening, serving with integrity, thinking big, and being dependable. We've already changed millions of lives and we're ready to change millions more. Our future ambition is to become a leading consumer health technology company while continuing to develop solutions for serious health conditions. We'll get there by constantly reinventing unique biosensing-technology experiences. Though we've come a long way from our small company days, our dreams are bigger than ever. The opportunity to improve health on a global scale stands before us.
About Dexcom's Summer Intern Program:
Are you passionate about innovative technology and improving lives? Dexcom's 12-week U.S. internship program offers a unique opportunity to work on impactful projects that support people living with diabetes. Designed to develop future leaders, our program provides hands-on experience, professional development, and exposure to real-world challenges in a dynamic, mission-driven environment. With flexible onsite, hybrid, and remote work options, we welcome talented students from across the country. Interns at Dexcom don't just participate-they lead. Join us in summer 2026 and help shape the future of healthcare technology!
Internship Department Details:
Department Name: Automation Engineering
Business Function: Global Operations
Team Highlights: Key technical leaders of new manufacturing equipment and process development across all of Dexcom's functional areas
Where you come in:
You will bring robotics, software and data analytics together to build new, high speed automated manufacturing lines in a cutting-edge industry
You will work with cross-functional teams to rapidly investigate issues and collaboratively solve problems
You will design, build and test new ideas and deliver high reliability systems for a 24x7 environment
What makes you successful:
Your systematic problem solving and ability to work in a team environment
You are hands-on and have experience with hardware and software debugging
You are always looking for ways to improve machines and processes
What you'll get from your Intern Program:
A front row seat to life changing CGM technology. Learn about our brave #dexcomwarriors community.
Meaningful work and assignments that impact your early career development.
Participation in a targeted Learning Series that encourages professional development topics and provides insight into Dexcom's culture and career opportunities.
Engagement in Social Events, Intern Recognition Awards, Paid Holidays, and more!
Travel Required: 0-5%
Experience and Education Requirements:
Intern I
Requires a high school diploma/certificate or equivalent.
Must be a currently enrolled student at an accredited college or university in a STEM discipline with an expected graduation date of December 2026 or later.
Non-Exempt Salary Details:
The annualized base salary range for this role is $27.00 to $29.00. Annualized values for non-exempt (hourly) positions are estimates, final annualized salary will depend on total hours worked. Final compensation package will ultimately depend on factors including relevant experience, skillset, knowledge, business needs and market demand.
Please note: The information contained herein is not intended to be an all-inclusive list of the duties and responsibilities of the job, nor are they intended to be an all-inclusive list of the skills and abilities required to do the job. Management may, at its discretion, assign or reassign duties and responsibilities to this job at any time. The duties and responsibilities in this job description may be subject to change at any time due to reasonable accommodation or other reasons. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.
An Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, age, national origin, or protected veteran status and will not be discriminated against on the basis of disability. Dexcom's AAP may be viewed upon request by contacting Talent Acquisition at ****************************.
If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact Dexcom Talent Acquisition at ****************************.
Meritain, an Aetna Company, creates and publishes the Machine-Readable Files on behalf of Dexcom. To link to the Machine-Readable Files, please click on the URL provided: ***************************************************** Code=MERITAIN_I&brand Code=MERITAINOVER/machine-readable-transparency-in-coverage?reporting EntityType=TPA_19874&lock=true
To all Staffing and Recruiting Agencies: Our Careers Site is only for individuals seeking a job at Dexcom. Only authorized staffing and recruiting agencies may use this site or to submit profiles, applications or resumes on specific requisitions. Dexcom does not accept unsolicited resumes or applications from agencies. Please do not forward resumes to the Talent Acquisition team, Dexcom employees or any other company location. Dexcom is not responsible for any fees related to unsolicited resumes/applications.
$27-29 hourly Auto-Apply 41d ago
Collections Specialist
Vital Care Infusion Services 4.8
Glendale, AZ jobs
Recognized as a “Best Place to Work Modern Healthcare” - Join a team where people come first. At Vital Care, we are committed to creating an inclusive, growth-focused environment where every voice matters. Vital Care is the premier pharmacy franchise business with franchises serving a wide range of patients, including those with chronic and acute conditions. Since 1986, our passion has been improving the lives of patients and healthcare professionals through locally-owned franchise locations across the United States. We have over 100 franchised Infusion pharmacies and clinics in 35 states, focusing on the underserved and secondary markets. We know infusion services, and we guide owners along the path of launch, growth, and successful business operations. What we offer:
Comprehensive medical, dental, and vision plans, plus flexible spending, and health savings accounts.
Paid time off, personal days, and company-paid holidays.
Paid Paternal Leave.
Volunteerism Days off.
Income protection programs include company-sponsored basic life insurance and long-term disability insurance, as well as employee-paid voluntary life, accident, critical illness, and short-term disability insurance.
401(k) matching and tuition reimbursement.
Employee assistance programs include mental health, financial and legal.
Rewards programs offered by our medical carrier.
Professional development and growth opportunities.
Employee Referral Program.
Job Summary:
Perform duties to collect Home Infusion claims, focusing on accuracy, timeliness, and adherence to processes to reduce denial rate, DSO, and bad debt. Recognize additional revenue opportunities and improve collection rates; perform revenue cycle collection duties within standard or accepted practice limits.
Position is 100% remote
Duties/Responsibilities:
Review claims with outstanding balances and identifies actions to successfully collect revenues. Follow up with insurers and patients to collect outstanding balances in an environment focused on building enduring customer and business relationships. Utilize Payer Portals via the internet for claim disposition.
Review documents received including Explanations of Benefits (EOBs), Remittance Advices (RAs), and other documents indicating denials or claims acceptance. Identify reasons for denials, take required corrective action, and take ownership of claims through to timely, successful collection.
Analyze denials, identify trends, and recommend process improvement opportunities that will result in DSO reduction, superior collection rate, intervals reduced bad debt and simplified processes that are responsive to the requirements of specific payers.
Identify payor requirements for submittal of appeals for denied claims. Verify insurance information with patients, order medical records, review original claim coding, compile other validating documentation required, and submit appeals in keeping with payor requirements and VCI processes.
Communicate effectively with franchise partners and other VCI departments regarding the status of collections. Resolve payer issues/concerns timely.
Document case activity, communications, and correspondence in the computer system to ensure completeness and accuracy of account activity and actions are taken to resolve outstanding claims issues. Schedule follow-ups in required intervals.
Investigate and verify benefits for pharmacy and medical third-party claims.
Communicate billing problems found during collection process as to avoid the same issues in the future.
Communicate financial obligation information with patients so that they have a clear understanding of all costs of therapy prior to starting service.
Contribute medical billing expertise to the design of training and knowledge transfer programs, materials, policies, and procedures to improve the efficiency and effectiveness of the RCM team. Assist with the processing of online adjudication of collection issues and nurse billing as assigned.
Perform other related duties as assigned.
Required Skills/Abilities:
Excellent communications skills; listening, speaking, understanding, and writing English while influencing patients, caregivers, payer representatives, and others, answering questions, and advancing reimbursement and collection efforts.
Proven understanding of processes, systems, and techniques to ensure successful billing and collection working with all payer types.
Proven ability to identify gaps and problems from the review of documentation, determine lasting solutions, make effective decisions, and take necessary corrective action.
Strong organization skills with the ability to track and maintain clear, complete records of activities, cases, and related documentation.
Proven knowledge and skill in the utilization of MS Office suite of software and pharmacy applications.
Ability to complete job duties in a designated workspace outside the dedicated RCM location
Disciplined work ethic with ability to work remotely with minimum direct supervision, to effectively meet production and collection targets.
Education and Experience:
2-5 years home infusion billing and/or collections experience required.
High School Diploma and additional specialized training in intake, pharmacy/medical billing, and/or collections.
Previous remote work environment is a plus but not required.
Detailed oriented with post-billing and post-payment investigative experience preferred.
Physical Requirements:
Sitting: Prolonged periods of sitting are typical, often for the majority of the workday.
Keyboarding: Frequent use of a keyboard for typing and data entry.
Reaching: Occasionally reaching for items such as files, documents, or office supplies.
Fine Motor Skills: Precise movements of the fingers and hands for tasks like typing, using a mouse, and handling paperwork
Visual Acuity: Good vision for reading documents, computer screens, and other detailed work.
Be part of an organization that invests in you! We are reviewing applications for this role and will contact qualified candidates for interviews.
Vital Care Infusion Services is an equal-opportunity employer and values diversity at our company. We do not discriminate on the basis of color, race, sex, age, religion, national origin, disability, genetic information, gender identity, sexual orientation, veterans' status, or any other basis protected by applicable federal, state, or local law.
Vital Care Infusion Services participates in E-Verify. This position is full-time. #LI-remote
$32k-43k yearly est. 3d ago
Senior Manager, Inside Sales (Remote)
Insulet 4.7
Arizona jobs
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)
$101.6k-152.3k yearly Auto-Apply 36d ago
Medical Invoicing Specialist
Principle Health Systems 3.7
Houston, TX jobs
Job Title: Invoicing Specialist Job Type: Full-Time, Hybrid Schedule Reports To: A/R Manager
Pay: $19.00 - $20.00 per hour. Benefits: Full-time employees are eligible for competitive benefits, including health/vision/dental, 3 weeks PTO, 9 paid holidays, and a matching 401k plan.
Schedule: Monday - Friday, 8:00 AM to 5:00 PM. Ability to WFH Mondays and Fridays after 90-day probationary period.
Job Summary:
Principle Health Systems is on the hunt for a detail-savvy, invoice-wrangling guru to join our team as an invoicing specialist.
Your mission (should you choose to accept it):
Tame the data monster: Navigate through mountains of data like a pro, organizing, analyzing, and mastering data sets.
Invoice with Flair: Ensure every invoice is accurate, timed to perfection, and compliant, because precision + speed = 💰 efficiency!
Champion the AR Cycle: You'll play a vital role in making sure payments flow smoothly, keeping cash flow fabulous for everyone.
Detail Detective: You catch tiny inconsistencies before anyone else sees them (your eagle eye keeps us on point).
A “BIG picture” visionary: You're someone who steps back to see how invoicing fits into the greater business narrative: anticipating trends, suggesting smarter workflows, and always thinking about the “why” beyond line items.
Why you will love it here:
We are a mission-driven company where we put people over profits. Patients are 100% our purpose!
Love spreadsheets? You'll get a front row seat to organized chaos (your everyday playground).
Your work fuels our business! Each clean invoice helps the company thrive, so your impact will be felt everywhere.
Every day is a new challenge, every entry a new clue. You're the Sherlock Holmes of Skilled Nursing Facility (AKA: SNF) invoicing.
You will work alongside a small team that appreciates your expertise and celebrates your victories.
Who you basically are:
A detail-obsessed spreadsheet nerd (in the best way).
A finance-savvy individual with SNF or healthcare invoicing experience.
A cross-checking marvel who knows how to catch, reflect, and correct.
A master of efficiency (your organizational skills are next level).
Feeling called to transform SNF billing into a smooth, well-oiled machine? If organizing data and crafting precision perfect invoices lights you up, we can't wait to meet you!
Key Responsibilities:
Census retrieval and some interpretation.
Ad hoc reporting from LIMS (Laboratory Information Management System) to retrieve raw data and build reports.
Prepare and upload CSV and Standard Driver sheets into LIMS and RCM software.
Prepare and submit invoices for diagnostic services to skilled nursing facilities (SNF) and other contracted clients according to contract terms.
Collaborate with internal team members and SNF administrators, admissions teams, and finance staff to resolve billing discrepancies.
Assist in month-end closing activities, including invoice reconciliation and AR reporting.
Identify and implement process improvements for invoicing efficiency and accuracy.
Manage shared email inbox.
Other duties as assigned by management.
Qualifications:
Proficiency in Microsoft Excel (intermediate to advanced) and Outlook.
Excellent attention to detail and problem-solving skills.
Ability to meet deadlines, demonstrate urgency, prioritize tasks, and work both independently and collaboratively.
Strong verbal and written communication skills.
Preferred Qualifications:
Knowledge of HIPAA and healthcare compliance standards.
Experience working with multi-facility organizations or third-party billing companies.
2+ years billing/invoicing experience, preferably in a Skilled Nursing Facility, long-term care, or healthcare setting.
1+ years working in a LIS or LIMS. (Laboratory Information System)
Familiarity with applicable Skilled nursing facility (SNF) billing systems (e.g., PointClickCare, MatrixCare, Netsmart, or similar).
Bachelor's degree.
We are an Equal Opportunity Employer and are committed to providing reasonable accommodations to individuals with disabilities. If you require accommodations during the application or interview process, please contact ***********************.
Monday-Friday 8:00am-5:00pm; 1 Sunday a month for month-end support
Ability to work from home after 90 days on Monday & Friday
Works within the company's corporate office
$19-20 hourly Auto-Apply 13d ago
Revenue Integrity Director- Remote
Conifer Health Solutions 4.7
Frisco, TX jobs
The Director of Revenue Integrity serves in a senior leadership capacity and demonstrates client and unit-specific leadership to Revenue Integrity personnel by designing, directing, and executing key Conifer Revenue Integrity processes. This includes Charge Description Master (“CDM”) and charge practice initiatives and processes; facilitating revenue management and revenue protection for large, national integrated health systems; regulatory review, reporting and implementation; and projects requiring expertise across multiple hospitals and business units. The Director provides clarity for short/long term objectives, initiative prioritization, and feedback to Managers for individual and professional development of Revenue Integrity resources. The Director leverages project management skills, analytical skills, and time management skills to ensure all requirements are accomplished within established timeframes. Interfaces with highest levels of Client Executive personnel.
Direct Revenue Integrity personnel in evaluating, reviewing, planning, implementing, and reporting various revenue management strategies to ensure CDM integrity. Maintain subject-matter expertise and capability on all clinical and diagnostic service lines related to Conifer revenue cycle operations, claims generation and compliance.
Influence client resources implementing CDM and/or charge practice corrective measures and monitoring tools to safeguard Conifer revenue cycle operations; provide oversight for Revenue Integrity personnel monitoring statistics/key performance indicators to achieve sustainability of changes and compliance with regulatory/non-regulatory directives.
Assume lead role and/or provide direction/oversight for special projects and special studies as required for new client integration, system conversions, new facilities/acquisitions, new departments, new service lines, changes in regulations, legal reviews, hospital mergers, etc.
Serve as primary advisor to and collaboratively with Client/Conifer Senior Executives to ensure requirements are met in the most efficient and cost-effective manner; provides direction to clients for implementation of multiple regulatory requirements.
Serve as mentor and coach for Revenue Integrity personnel and as a resource for manager-level associates.
Maintain a high-level understanding of accounting and general ledger practices as it relates to Revenue Cycle metrics; guide client personnel on establishing charges in appropriate revenue centers to positively affect revenue reporting
FINANCIAL RESPONSIBILITY (Specify Revenue/Budget/Expense): Adherence to established/approved annual budget
SUPERVISORY RESPONSIBILITIES
This position carries out supervisory responsibilities in accordance with guidelines, policies and procedures and applicable laws. Supervisory responsibilities include interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.
Direct Reports (incl. titles) : Revenue Integrity Manager/Supervisor
Indirect Reports (incl. titles) : Charge Review Specialist I-II, Revenue Integrity Analyst I-III, Charge Audit Specialist
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Ability to set direction for large analyst team consistent with Conifer senior leadership vision and approach for executing strategic revenue management solutions
Demonstrated critical-thinking skills with proven ability to make sound decisions
Strong interpersonal communication and presentation skills, effectively presenting information to executives, management, facility groups, and/or individuals
Ability to present ideas effectively in formal and informal situations; conveys thoughts clearly and concisely
Ability to manage multiple projects/initiatives simultaneously, including resourcing
Ability to solve complex issues/inquiries from all levels of personnel independently and in a timely manner
Ability to define problems, collect data, establish facts, draw valid conclusions, and make recommendations for improvement
Advanced ability to work well with people of vastly differing levels, styles, and preferences, respectful of all positions and all levels
Ability to effectively and professionally motivate team members and peers to meet goals
Advanced knowledge of external and internal drivers affecting the entire revenue cycle
Intermediate level skills in MS Office Applications (Excel, Word, Access, Power Point)
Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings.
EDUCATION / EXPERIENCE
Include minimum education, technical training, and/or experience required to perform the job.
Bachelor's degree or higher; seven (7) or more years of related experience may be considered in lieu of degree
Minimum of five years healthcare-related experience required
Extensive experience as Revenue Integrity manager
Extensive knowledge of laws and regulations pertaining to healthcare industry required
Prior healthcare financial experience or related field experience in a hospital/integrated healthcare delivery system required
Consulting experience a plus CERTIFICATES, LICENSES, REGISTRATIONS
Applicable clinical or professional certifications and licenses such as LVN, RN, RT, MT, RPH, CPC-H, CCS highly desirable
PHYSICAL DEMANDS
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the employee is regularly required to sit for long periods of time; use hands and fingers; reaching with hands and arms; talk and hear.
Must frequently lift and/or move up to 25 pounds
Specific vision abilities required by this job include close vision
Some travel required
WORK ENVIRONMENT
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Normal corporate office environment
TRAVEL
Approximately 10 - 25%
Compensation and Benefit Information
Compensation
Pay: $104,624- $156,957 annually. Compensation depends on location, qualifications, and experience.
Position may be eligible for an Annual Incentive Plan bonus of 10%-25% depending on role level.
Management level positions may be eligible for sign-on and relocation bonuses.
Benefits
Conifer offers the following benefits, subject to employment status:
Medical, dental, vision, disability, life, and business travel insurance
Management time off (vacation & sick leave) - min of 12 days per year, accrued accrue at a rate of approximately 1.84 hours per 40 hours worked.
401k with up to 6% employer match
10 paid holidays per year
Health savings accounts, healthcare & dependent flexible spending accounts
Employee Assistance program, Employee discount program
Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance.
For Colorado employees, Conifer offers paid leave in accordance with Colorado's Healthy Families and Workplaces Act.
$104.6k-157k yearly Auto-Apply 60d+ ago
Vice President-Federal Communications and Marketing (Hybrid Remote - McLean, VA / DC Area)
Maximus 4.3
Kansas City, MO jobs
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
$89k-168k yearly est. Easy Apply 3d ago
Intern - System Engineering (Remote)
Maximus 4.3
Tucson, AZ jobs
Description & Requirements Maximus is seeking a motivated REMOTE Systems Engineering Intern - 10 weeks (40 hours per week). Orientation will start the last week in May of 2026. We're looking for candidates with a strong foundation in technical fundamentals, eager to apply systems thinking, automation, and analytical skills. This internship will introduce you to support real-world engineering solutions while learning from experienced engineers.
Essential Duties and Responsibilities:
- Work on IT assignments of moderate difficulty under the direction of a more senior mentor to build a well-rounded skillset.
- Escalate issues and questions to management, as necessary.
- Participate in group discussions with peers or external groups to solution problems of moderate scope.
- Participate in meetings to gain process knowledge and guidance on assigned projects.
- Read, understand, and perform assignments within prescribed guidelines.
- Approach challenges and create solutions with a critical thinking and customer service mindset.
- Prepare standard reports and presentation materials.
Assist with system documentation (requirements, architecture diagrams, interface definitions)
Support system integration and testing by executing test cases and documenting results
Help analyze system performance, logs, and data to identify issues or trends
Use engineering tools (Jira, Confluence, Git, Excel) to track work and maintain artifacts
Write basic scripts (Python/Bash/PowerShell) to automate tests or data collection
Collaborate with engineers in design reviews, standups, and troubleshooting sessions
Minimum Requirements
- High school diploma or GED required and 0-2 years of relevant professional experience required, or equivalent combination of education and experience.
Systems fundamentals: basic understanding of how software, hardware, networks, and data interact
Technical skills: familiarity with at least one programming or scripting language (Python preferred)
Tools & documentation: experience with Excel/Sheets, Git (basic), and technical documentation
Testing & analysis: ability to follow test procedures, analyze results, and identify anomalies
Problem-solving: logical thinking, curiosity, and willingness to troubleshoot with guidance
Communication & teamwork: clear written/verbal communication and ability to collaborate in team environments
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
$
25.00
Maximum Salary
$
25.00
$25k-32k yearly est. Easy Apply 7d ago
Centralized Scheduler
St. Francis Medical Center 4.6
Cape Girardeau, MO jobs
Current Saint Francis Colleagues - Please click HERE to login and apply. The Centralized Scheduler is responsible for scheduling surgeries, appointments and procedures at the request of physicians and customers. Responsible for transcribing and scanning all orders and H&P's into the electronic medical record. Responsible for maintaining scheduling related work queues. Responsible for "schegistration" of patients, which includes verification of insurance benefits & eligibility. Responsible for initiating medical necessity checking on surgeries, appointments and/or procedures. Assures the specific needs of department, physician and customers are met. Providing assistance and direction to physicians, their staff and other hospital personnel with whatever needs they may have. Maintains the master physician listing for use by the medical center. Working closely with departments on new procedures and requirements to ensure compliance and proper reimbursement. Lives the Mission, Vision, Values and Philosophy of the department and Saint Francis Medical Center. Constantly works with and maintains restricted or confidential information from many sources within the medical center. Any and all duties as assigned by the Assistant Manager, Manager and/or Director.
JOB DETAILS AND REQUIREMENTS
Type: Full Time (80 hours per 2 week pay period, with benefits)
Typical hours for this position: Monday-Friday 8:30am-5:00pm
Opportunity for remote work after 6 months on-site training
Education:
High School Diploma required
Certification & Licensures:
N/A
Experience:
- One year of experience in a medical environment which included scheduling duties strongly preferred.
- Medical terminology or prior Administrative Partner experience.
- Professional and courteous manners in dealing with customers.
- Appropriate and timely independent judgement.
- Computer experience required.
Saint Francis Healthcare System is committed to a compensation philosophy that aligns to the fiftieth percentile of the marketplace, while also crediting applicable and/or relevant work experience when computing compensation offers for selected candidates. Internal equity is factored into all offers presented to candidates.
Minimum hourly rate: $15.00/hour
A relevant and up to date general benefits description may be found on our website:
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ADDITIONAL INFORMATION
Saint Francis Healthcare System provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability, sexual orientation, gender identity, or genetics. In addition to federal law requirements, Saint Francis Healthcare System complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.
In compliance with the ADA Amendments Act (ADAAA) should you have a disability and would like to request an accommodation in order to apply for a currently open position with Saint Francis Healthcare System, please call ************ or email us at ***********.
Saint Francis Healthcare System supports the overall health and wellness of our colleagues by discouraging the use of tobacco and nicotine products. If you are selected for a career opportunity with our organization, and are a tobacco or nicotine user, you will be required to complete a tobacco/nicotine cessation program within your first year of employment. This program is free of charge as part of our Employee Assistance Program.