Eastway Behavioral Healthcare Remote jobs - 1,358 jobs
A Radiologist Is Needed for Locum Tenens Coverage in TX
Global Medical Staffing 4.6
Humble, TX jobs
To get this new telehealth adventure started, pick up the phone and call us today.
Remote work Mon-Fri 4pm-1am & Sat-Sun 3pm-1am CST
90 RVU per shift with stat and stroke cases
All modalities coverage required except mammography
Body trained radiologist required
Hospital privileges required
Remote position available
Competitive compensation
Pre-paid travel and housing
Paid AAA-rated claims made malpractice
Licensing assistance and cost reimbursement
Member of NALTO
Global Medical Staffing JOB-
Our history
In the early 1990s, Australia and New Zealand had an urgent need for doctors. A need we were born to fill in the form of an unprecedented business. Since then, we?ve successfully matched thousands of doctors with clients around the world.
Our advantage(s)
Our reach is global. But our service is personal. And our size allows us to move with both the speed and attention to detail our doctors and clients deserve.
At the same time, we?re part of the CHG family of companies, which gives us the resources and support of the largest organization in locum tenens. Although we operate independently, we?re backed by a powerhouse of resources to ensure everything goes to plan.
$122k-219k yearly est. 13d 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. 1d ago
Remote CAD Drafting Supervisor: Substations & Power
Leidos 4.7
Houston, TX jobs
A leading technology company is seeking a CAD Drafting Supervisor in Bethesda, Maryland. The role involves supervising a team of CAD technicians and ensuring the production of accurate drawing packages for utility power delivery projects. Candidates should have experience in AutoCAD and MicroStation, strong leadership abilities, and at least 5 years of relevant experience. Competitive salary and opportunities for professional growth are provided.
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$78k-108k yearly est. 4d ago
Senior Compensation and Benefits Analyst
American Family Care 3.8
Denver, CO jobs
Benefits:
401(k)
401(k) matching
Dental insurance
Health insurance
Opportunity for advancement
Paid time off
. Preferred the candidate be based in or near Denver, CO.
Let's Talk About You.
You're a numbers-savvy HR pro who loves the art and science of total rewards. Excel is your playground, compliance is your comfort zone, and you thrive on making data-driven decisions that support real people.
The Role at a Glance
As our Senior Compensation and Benefits Analyst, you'll lead the charge in designing, managing, and optimizing our compensation structures and benefits programs. You'll work cross-functionally with HR, Finance, and external vendors to keep us competitive, compliant, and ahead of the curve.
You'll be remote-but we'd love it if you're based in Denver, CO for the occasional in-person sync.
What You'll Be Doing
Benefits Work That Matters
Manage employee benefits: health, dental, vision, life, disability, and leave programs
Coordinate with our broker and carriers-quotes, compliance, and contributions
Ensure everything is buttoned-up when it comes to COBRA, HIPAA, ERISA, and data privacy
Educate employees on what's available, what's changing, and what's in it for them
Compensation Strategy & Analysis
Lead salary benchmarking and compensation structure design
Provide insights to guide pay and incentive decisions
Monitor labor market trends and translate data into smart recommendations
Total Rewards Reporting & Insights
Pull data from HRIS, surveys, and the market to track engagement, retention, absenteeism, and cost trends
Tell the story behind the numbers and drive action
Present findings to HR leadership and support better people decisions
We Think You'll Rock This Role If You Have:
5+ years in compensation or benefits roles (HR analytics a bonus)
Bachelor's degree in Human Resources, Finance, Business, or similar
Deep knowledge of benefit regulations (COBRA, HIPAA, ERISA)
Advanced Excel skills and experience with Paycom or similar HRIS
Excellent communication skills-you make complex things sound simple
Why Join AFC?
AFC (American Family Care) is redefining how healthcare gets done-with speed, precision, and kindness. We've built a high-performance team grounded in purpose and accountability.
Growth-minded: We invest in development and promote from within
Team-focused: Collaboration isn't just a buzzword-it's how we work
Mission-driven: We help people live life uninterrupted
At AFC, we don't just fill roles-we build careers.
The Details That Matter
Work Environment & Physical Requirements
Mostly desk work (sitting, typing, Zooming)
Occasionally lifting items up to 15 lbs
Compensation Transparency
The salary range for this role is $80,000-$85,000 total cash compensation.
Equal Opportunity Employer
AFC is an Equal Opportunity Employer. We welcome and celebrate all backgrounds and are committed to creating an inclusive workplace.
Need Accommodation?
We're happy to provide reasonable accommodations for candidates with disabilities. Just reach out during the application process.
Sound Like a Fit?
We'd love to connect. Apply today and let's talk about how you can make an impact at AFC.
Flexible work from home options available.
Compensation: $80,000.00 - $85,000.00 per year
We are an equal opportunity employer and 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.
PS: It's All About You!
American Family Care has pioneered the concept of convenient, patient-centric healthcare. Today, with more than 250 clinics and 800 in-network physicians caring for over 6 million patients a year, AFC is the nation's leading provider of urgent care, accessible primary care, and occupational medicine. Ranked by Inc. magazine as one of the fastest-growing companies in the U.S., AFC's stated mission is to provide the best healthcare possible, in a kind and caring environment, while respecting the rights of all patients, in an economical manner, at times and locations convenient to the patient.
If you are looking for an opportunity where you can make a difference in the lives of others, join us on our mission. We invite you to grow with us and experience for yourself the satisfying and fulfilling work that the healthcare industry provides.
Please note that a position may be for a company-owned or franchise location. Each franchise-owned and operated location recruits, hires, trains, and manages their own employees, sets their own employment policies and procedures, and provides compensation and benefits determined by that franchise owner. Company-owned locations provide a comprehensive benefits package including medical, dental, vision, disability, life insurance, matching 401(k), and more.
We are an Equal Opportunity Employer.
$80k-85k yearly Auto-Apply 60d+ ago
Manager, Document Control (Hybrid Opportunity)
Quest Diagnostics 4.4
Lewisville, TX jobs
The Manager, Document Control will report to the quality management organization, and lead the development, management, and execution of document control programs in support of the QA/RA function.
This position is responsible for managing and maintaining Quest's documents and document control system, including document creation, revision control, approval, publication, retrieval, distribution, and archive of all documents within Quest's quality management system.
This is a hybrid position and requires 3 days on site at a major Quest Diagnostics sites. Sites include Lewisville, TX, Marlborough, MA, Clifton, NJ, Lenexa, KS, Houston, TX, Pittsburgh, PA, Tampa, FL, and Wood Dale, IL.
Responsibilities
Document Management
Maintain and oversee all quality documents and records to ensure accuracy, completeness, and compliance with applicable regulatory/standard requirements and established company procedures/policies/systems.
Receive policy/process changes from multiple sources (e.g. Regulatory, Quality, Product, R&D, etc.) and apply appropriate update actions
Manage and maintain the full lifecycle of all controlled documents in the quality management system (QMS) and electronic quality management system (eQMS).
Oversee the creation of new documents, ensure proper formatting, version control, and approval processes are followed.
Create, maintain, and revise document templates.
Document Distribution, Retrieval, and Compliance
Distribute documents to relevant stakeholders and manage requests for document retrieval.
Ensure all documents are compliant with company policy, regulation requirements, and standards.
Maintain hard copy records in accordance with Quest's retention policy.
Training and Support
Provide training to employees on document control procedures and best practices.
Partner with cross-functional areas to support timely periodic review, gather document requirements, facilitate document updates, assignment of training documents, and resolve document-related issues.
Maintain and implement improvements to the document control and record retention program.
Drive execution change control activities related to document and training.
Drive generation of documents, quality records in support of internal and external audits activities.
Drive generation and preparation of documentation, records, and other artifacts in support of regulatory submissions.
Qualifications
Required Work Experience:
5+ years of experience in document control in the medical device and/or IVD industry.
Previous experience with implementing, maintaining, and/or managing electronic quality management systems (e.g., SmartSolve, MediaLab, Veeva, etc.) in a regulated environment.
Experience applying Medical device regulations (e.g. FDA 21 CFR Part 803, 21 CFR Part 806, 21 CFR Part 820, ISO 13485, ISO 14971, ISO 15189, IVDR, CAP, and CLIA).
Preferred Work Experience:
Technical writing
ASQ or medical device related certification
Physical and Mental Requirements:
Strong attention to detail for thorough documentation to ensure consistency in documentation.
Excellent problem-solving skills to identify and address quality issues effectively.
Ability to work under pressure and meet deadlines, while maintaining accuracy.
Knowledge:
Broad-based technical knowledge and skills in diverse areas of business such as quality engineering, quality assurance, quality systems, regulatory affairs, laboratory operations, GCP, and GMP operations.
Strong working knowledge of applicable regulations, such as but not limited to, the medical device regulations: FDA 21 CFR Part 820 Quality Systems Regulations/new Quality Management System Regulation and ISO 13485 standards. Preferred: ISO 14971, ISO 15189, IVDR, CAP, CLIA, and NYSDOH requirements.
Skills:
Ability to manage large volumes of documents systematically and efficiently.
Demonstrated strong analytical thinking skills and attention-to-detail.
Strong communication and effective interpersonal skills to collaborate with various departments and stakeholders.
Ability to clearly communicate, both verbal and written, with all levels of organization.
Must be able to work/support multiple projects simultaneously and demonstrate organizational, prioritization, and time management proficiencies.
Proficient technical writing and document management tools (e.g., Microsoft Word, Microsoft Visio, Microsoft Excel, and Adobe) and with quality systems.
Ability to work independently and collaboratively with cross-functional departments in a fast-paced environment with minimal supervision.
Proficient in document management systems.
$74k-103k yearly est. Auto-Apply 60d+ ago
Creative Director
EŌS Fitness 3.9
Dallas, TX jobs
EōS Fitness is bold, upbeat, and motivating. Not only in our fitness routines, but in our work environment as well. Like our members, our employees know how to rise to a challenge and handle it head on. EōS Fitness' Core Purpose is to create loyal, lifelong fans and exercise practitioners. To achieve this purpose, our Core Values are: Take Personal Responsibility, Be Optimistic & Have Fun, Learn & Grow, Be A Team Player, and Fight Hard To Win.
Core Purpose: To create loyal, lifelong fans and exercise practitioners.
Sound like you? We're in search of a talented Creative Director to join our Marketing Team.
The position is a full-time, with a hybrid in-office/WFH schedule of Mondays and Fridays being in-office days and Tue-Thu as optional to work from home or be in the office. Our office is located in our Corporate headquarters in the Addison/Farmers Branch area in DFW.
If you have a passion for health, fitness and marketing, and you enjoy working in a fast-paced, challenging environment, we'd love to get to know you!
OVERVIEW
The Creative Director will report directly to the Vice President of Creative and serve as a strategic leader at the intersection of brand development and acquisition marketing. This role is pivotal in shaping the visual and narrative identity of the brand while driving measurable growth through high-performing creative campaigns. The Creative Director will collaborate closely with a multidisciplinary team of designers to develop compelling creative across traditional, digital and experiential channels.
Utilizing a strong foundation in marketing strategy, the Creative Director will partner with other leaders within the Marketing department & other departments to ensure creative assets are optimized for performance. The ideal candidate brings a deep understanding of brand development, consumer behavior, funnel dynamics and platform-specific best practices to craft campaigns that not only look great but deliver results.
RESPONSIBILITIES:
Own and evolve the brand's identity, including visually showcasing content across all touchpoints.
Develop and maintain brand guidelines that ensure consistency and inspire creativity. This includes helping communicate brand guidelines to ensure they are being followed companywide.
Own and maintain external partner relationships and collaborate as needed.
Concept and execute integrated campaigns that drive customer acquisition, engagement and retention.
Collaborate with fellow Marketing leaders and team members to develop creative that converts across all relevant channels, using an AI-first mentality.
Use data and insights to continuously optimize creative for performance and ROI.
Innovate with new formats, platforms and messaging strategies to stay ahead of trends.
Inspire and mentor a high-performing in-house creative team.
Champion a culture of creativity, experimentation and excellence.
IDEAL CANDIDATE PROFILE:
Bachelor's degree in Graphic Design and/or Marketing or related field; Master's degree a plus.
8+ years of experience in creative leadership roles, preferably in branding or marketing environments.
Proven track record of delivering brand-consistent creative solutions across multiple channels.
Strong conceptual thinking, visual storytelling and design expertise.
Excellent communication and presentation skills; ability to influence stakeholders at all levels.
Proficiency in design tools (Adobe Creative Suite) and familiarity with emerging creative technologies.
Superb time management skills, especially managing deadlines and being able to shift project priorities.
Experience in the fitness industry and/or a strong interest in health and fitness.
Great sense of humor, upbeat attitude and exceptional interpersonal skills.
Requirements:
Must successfully pass Background Check.
Must be authorized to work in the U.S.
Benefits and Perks:
A highly energetic and collaborative team.
A management team that cares about your professional development.
Free membership for you and plus one family member.
Discounted Personal Training, and merchandise - including supplements.
Employee referral program.
Daily Pay offered - access your funds before payday.
Competitive pay plus vacation, holiday, and sick pay.*
Group Health, dental, vision, Supplemental Life, Employee Assistant Program and even Pet Insurance are offered!*
401(k) + Company matching!*
Personal education growth options with Sophia Learning.
* Based on eligibility of tenure and full-time vs. part-time employment.
EōS Fitness is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. Employment decisions are based on qualifications, merit, and business needs, without regard to race, color, religion, gender identity, sexual orientation, national origin, age, disability, or any other legally protected status.
To view more information on our CCPA policy, click HERE.
EEO is The Law - click here for more information
Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled
EōS Fitness participates in the government eVerify program.
Please review the details of this program by clicking here
.
We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the Recruiting Help Line at ********************************* or by calling ************. To check on the status of your application, please visit the Greenhouse Candidate Portal at my.greenhouse.com for updates.
$66k-98k yearly est. Auto-Apply 12d 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. 16d 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 6d ago
Medical Biller anesthesia billing and scheduling experience required
Gastroenterology Clinic 4.3
Houston, TX jobs
Job DescriptionBenefits:
401(k)
Bonus based on performance
Paid time off
Training & development
Benefits/Perks
Competitive Compensation
Great Work Environment
Career Advancement Opportunities
Job Summary
We are seeking a Medical Biller to join our team! As a Medical Biller, you will be working closely with clients to answer questions related to billing, processing all forms needed for insurance billing purposes, and collecting necessary documentation from clients. You will also assist other Medical Billers with follow-up inquiries to clients, communicate with physicians' offices and hospitals to obtain records, and accurately record patient information. The ideal candidate has excellent attention to detail, strong customer service skills, and is comfortable spending much of the day on the phone.
Responsibilities
Assist clients with processing insurance claims through both private insurance and Medicaid/Medicare
Note and process all necessary forms from the insurance
Assist patients in navigating the billing and insurance landscape, including collecting all necessary forms and signatures
Work with doctors offices and hospitals to obtain charge information and billing details
Enter all billing and payment information into the system properly and without errors
Follow up with clients and payments, as needed
Answer phones, assist clients with questions, take messages, and screen calls
Maintains the highest level of confidentiality
Qualifications
Strong customer service skills
Previous experience with medical coding or billing desired
Strong organization skills
Excellent attention to detail
IN PERSON- NON-REMOTE POSITION
MUST HAVE ANESTHESIA BILLING EXPERIENCE.
$28k-34k yearly est. 22d ago
Sr Business Consultant (Remote and Temporary)
Maximus 4.3
Denver, CO jobs
Description & Requirements Maximus is looking to fill a Sr Business Analyst position. The Sr Business Consultant position supports CDC initiatives by conducting data-driven evaluations of management and organizational structures to improve operational efficiency, customer experience (CX), and overall service quality. Assists in mapping and optimizing the customer journey using quantitative and qualitative insights to identify pain points and opportunities for improvement. Collects, verifies, and analyzes performance and survey data to uncover trends, measure customer satisfaction, and recommend actionable improvements that enhance service delivery and streamline processes.
- Position is remote and temporary through August 31, 2026
- Must be available to work the occasional weekend or holiday depending on business needs
- Will work an 8-hour day between Monday - Friday 8:00 AM - 8:00 PM EST
-You will need to provide your own computer equipment during training. Maximus will provide computer equipment once training is completed.
Please Note: This position requires a personal computer or laptop during training period(Chromebooks, tablets, and notebooks are not allowed) with one of the following operating systems: Windows: 10 or 11 or Mac: Big Sur (11.0.1+), Catalina (10.15), or Monterey (12.3
Essential Duties and Responsibilities:
- Apply business process improvement practices to re-engineer methodologies/principles and business process modernization projects.
- Assist in the application of activity and data modeling, transaction flow analysis, internal control and risk analysis, modern business methods, and performance measurement techniques.
- Assist in establishing standards for information systems procedures.
- Develop solutions to a variety of complex problems.
- Develop and apply organization-wide information models for use in designing and building integrated shared software and database management systems and data warehouses.
- Follow Information Management guiding principles, cost savings, and open system architecture objectives.
Responsibilities:
- Data Analysis & Insights: Collects and validates operational, performance, and customer satisfaction survey data; performs trend analysis and develops metrics to measure efficiency and CX outcomes.
- Customer Journey & CX Optimization: Maps end-to-end customer interactions; identifies friction points and designs solutions to improve engagement and satisfaction.
- Survey Analysis: Analyzes customer feedback and survey results to identify drivers of satisfaction and areas for improvement; translates insights into actionable strategies.
- Process Improvement: Applies data-driven methodologies (e.g., Lean, Six Sigma principles) to redesign workflows, reduce bottlenecks, and improve turnaround times.
- Reporting & Visualization: Develops dashboards, models, and reports to communicate findings; prepares presentations for leadership and stakeholders.
- Facilitation & Collaboration: Leads working groups and stakeholder sessions to align on improvement strategies; ensures recommendations are actionable and measurable.
- Continuous Improvement: Monitors implemented changes for impact; iterates based on performance data, survey feedback, and evolving CDC objectives.
This position requires the use of your own personal computer or laptop during the training period (tablets, iPads, and Chromebooks are not permitted). Once training is complete, the program will provide the required equipment. Maximus will provide computer equipment once training is completed.
Home Office Requirements:
- Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to ******************
- Minimum 5mpbs upload speed
- Connectivity to the internet via Category 5 or 6 ethernet patch cable to the home router
- Personal computer or laptop (Chromebooks, tablets, and notebooks are not allowed) with one of the following operating systems: Windows: 10 or 11 or Mac: Big Sur (11.0.1+), Catalina (10.15), or Monterey (12.3)
- Private and secure work area and adequate power source
- Must currently and permanently reside in the Continental US
Minimum Requirements
- Bachelor's degree in related field.
- 5-7 years of relevant professional experience required.
- Equivalent combination of education and experience considered in lieu of degree.
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
$
120,000.00
Maximum Salary
$
130,000.00
$93k-121k yearly est. Easy Apply 3d ago
Technical Account Manager
Cardinal Health 4.4
Denver, CO jobs
Cardinal Health Sonexus Access and Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and remain on the therapy they need for a better quality of life. Our diverse expertise in pharma, payer and hub services allows us to deliver best-in-class solutions-driving brand and patient markers of success. We're continuously integrating advanced and emerging technologies to streamline patient onboarding, qualification and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas, Texas, empowering manufacturers to rethink the reach and impact of their products.
**Job Description**
As the leading provider of comprehensive pharmaceutical commercialization services, Sonexus Health empowers pharmaceutical manufacturers by integrating innovative distribution models with patient access, adherence programs and reimbursement services. Patients start therapy faster and stay compliant longer, while manufacturers own their provider relationships and gain actionable, real-time visibility into how, when and why their products are used.
**Position Summary**
Technical Account Management (TAM) is responsible for playing a key/critical role in realizing business value through the application of project management knowledge, skills, tools, and techniques to meet project objectives. The TAM will also use their rich healthcare domain expertise, along with project management and proactive consulting skills, to solve complex technical challenges for some of the largest pharmaceutical manufacturers in the country. To our clients, this individual will be an expert in combining our technology platform and solutions with their programs to provide maximum benefit to their business and patients.
**Role contribution and responsibilities:**
+ Demonstrates advanced knowledge of Cardinal Health and customer industry, including key competitors, terminology, technology, trends, challenges, reimbursement and government regulation; demonstrates working knowledge of how Cardinal Health technical offerings match with a customers' unique business needs
+ Demonstrates knowledge of the project management initiating, planning, executing, monitoring/controlling, and closing processes.
+ Monitors performance and recommends scope, schedule, cost or resource adjustments
+ Connects short-term demands to long-term implications, in alignment with the supporting business case.
+ Prioritizes multiple tasks while meeting deadlines
+ Communicates project status (health, forecast, issues, risks, etc.) to stakeholders in an open and honest fashion.
+ Effectively balances competing project constraints including but not limited to scope, quality, schedule, funding, budget, resources, and risk, to manage project success.
+ Connects project objectives to broader organizational goals.
+ Provides input to contracts, reviews contracts to ensure completeness of scope and appropriate accountability based on role and/or responsibility.
+ Negotiates with stakeholders to obtain the resources necessary for successful project execution.
+ Partners with stakeholders and technologist to implement/automate/operationalize models into day-to-day business decision making.
+ High level of client contact in an Account Management portfolio approach.
**What is expected of you and others at this level**
+ Applies advanced knowledge and understanding of concepts, principles, and technical capabilities to manage a wide variety of projects
+ Participates in the development of policies and procedures to achieve specific goals
+ Recommends new practices, processes, metrics, or models
+ Works on or may lead complex projects of large scope
+ Projects may have significant and long-term impact
+ Provides solutions which may set precedent
+ Independently determines method for completion of new projects
+ Receives guidance on overall project objectives
+ Acts as a mentor to less experienced colleagues
+ Identifies and qualifies opportunities within service portfolio (including but not limited to technology, program design, services expansion, etc....) with existing client and develops plans for introducing new solutions through collaborative relationships
**Accountabilities in this role**
+ Analyze and recommend technical solutions related to new product launches, product discontinuations, vendor integrations, and operational efficiencies among other potential services
+ Acts as single technical liaison for the client
+ Daily interactions with client to assess and advise client needs and requests
+ Analyze client program, needs and propose solutions and options that provide value to client
+ Recommend technical changes/updates/enhancements to current platform and vendor integration landscape to further align with client's strategy and industry advancements.
+ Manage client deliverables, timelines, and artifacts
+ Monitor team backlog and prioritize activities to deliver on time, on budget, on scope
+ Anticipate client needs and proactively make program recommendations to enhance service value
+ Perform necessary project administration, project status, and risk, issue management
_Qualifications_
+ Master's Degree preferred
+ 3-5 years' experience of client relationship management experience at the account management level preferred
+ Prior experience working in a Specialty Pharmaceutical HUB environment, preferred
+ 8+ years' experience in professional services, healthcare, or related field preferred serving in a technical capacity preferred
+ Proficiency in Microsoft Office products preferred
+ Strong oral and written communication skills, with executive facing presentation experience
+ Strong project management skills
+ Proven ability to learn an application of advanced knowledge and understanding of concepts, principles, and technical capabilities to manage a wide variety of projects
+ Travel requirement up to 10%
TRAINING AND WORK SCHEDULES:
+ Your new hire training will take place 8:00am-5:00pm CST, mandatory attendance is required.
+ This position is full-time (40 hours/week).
+ Employees are required to have flexibility to work any of our shift schedules during our normal business hours of Monday-Friday, 7:00am- 7:00pm CST.
REMOTE DETAILS:
+ You will work remotely, full-time. It will require a dedicated, quiet, private, distraction free environment with access to high-speed internet.
+ We will provide you with the computer, technology and equipment needed to successfully perform your job.
+ You will be responsible for providing high-speed internet.
+ Internet requirements include the following:
+ Maintain a secure, high-speed, broadband internet connection (DSL, Cable, or Fiber) at the remote location. Dial-up, satellite, WIFI, Cellular connections are NOT acceptable.
+ Download speed of 15Mbps (megabyte per second)
+ Upload speed of 5Mbps (megabyte per second)
+ Ping Rate Maximum of 30ms (milliseconds)
+ Hardwired to the router
+ Surge protector with Network Line Protection for CAH issued equipment
**Anticipated salary range:** $105,100-$150,100
**Bonus eligible:** Yes
**Benefits:** Cardinal Health offers a wide variety of benefits and programs to support health and well-being.
+ Medical, dental and vision coverage
+ Paid time off plan
+ Health savings account (HSA)
+ 401k savings plan
+ Access to wages before pay day with my FlexPay
+ Flexible spending accounts (FSAs)
+ Short- and long-term disability coverage
+ Work-Life resources
+ Paid parental leave
+ Healthy lifestyle programs
**Application window anticipated to close:** 03/15/2026 *if interested in opportunity, please submit application as soon as possible. The hourly range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity.
_Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply._
_Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal_ _Opportunity/Affirmative_ _Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law._
_To read and review this privacy notice click_ here (***************************************************************************************************************************
$105.1k-150.1k yearly 3d ago
Rare Disease Specialist - Salt Lake City, UT / Denver, CO
Disc Medicine 3.7
Denver, CO jobs
Join our team in a dynamic hybrid role, offering flexibility to work remotely and from our headquarters in Watertown, MA.
Disc Medicine is a clinical-stage biopharmaceutical company committed to discovering, developing, and commercializing novel treatments for patients who suffer from serious hematologic diseases. We are building a portfolio of innovative, first-in-class therapeutic candidates that aim to address a wide spectrum of hematologic diseases by targeting fundamental biological pathways of red blood cell biology, specifically heme biosynthesis and iron homeostasis. Disc Medicine values collaboration, professional development, and scientific integrity and promotes an inclusive company culture that empowers and inspires.
POSITION OVERVIEW:
As a Rare Disease Specialist (RDS) at Disc Medicine, you will play a pivotal role in our inaugural commercial launch. In this highly visible, field-based role, you will translate cutting-edge science into impactful engagements with healthcare professionals (HCPs) who treat patients with serious hematologic conditions. Representing a patient-centric, scientifically rigorous organization, you will help shape the treatment landscape for rare blood disorders. You will be responsible for executing a salesforce-driven lead program, strengthening existing relationships, forging new ones, and driving awareness and adoption of novel therapies.
RESPONSIBILITIES:
Execute a salesforce-driven lead program, including management of qualified leads, territory call plans, target lists, and conversion funnels.
Engage HCPs (e.g., hematologists, dermatologists, academic institutions, rare disease clinics) with compelling, evidence-based messaging aligned with lead generation campaigns.
Maintain up-to-date expertise in disease pathophysiology, clinical data, and competitive dynamics in the rare disease space.
Provide real-time feedback on physician insights, unmet needs, and content performance to Medical Affairs and Commercial Operations.
Collaborate cross-functionally with Marketing, Medical Affairs, Patient Access, and Sales Operations to enhance campaign strategy, tools, and messaging.
Meet or exceed KPIs related to lead conversion, KOL engagement, call frequency, and new account development.
Represent the company at national scientific conferences, advisory boards, and professional meetings as needed.
Ensure all activities adhere to regulatory, legal, and compliance standards, including the Sunshine Act, FDA guidelines, and internal policies.
Accurately document all HCP interactions and expenditures in a timely manner in accordance with federal and state regulations.
Uphold the highest ethical standards in all engagements, prioritizing scientific integrity and patient welfare.
REQUIREMENTS:
Bachelor's degree required; advanced degree (MBA, MS, or PhD) preferred.
Minimum of 10 years of pharmaceutical or biotech sales, with a focus on rare diseases, rare hematology or rare dermatology.
Experience launching early-stage therapies or building lead networks for pre-commercial products strongly preferred.
Proven track record of achieving sales goals and driving adoption of specialty therapies.
Existing HCP relationships and strong account management capabilities within assigned geography.
Exceptional communication and presentation skills with the ability to translate complex clinical data into compelling, value-driven narratives.
Solid understanding of payer landscape, patient-access programs, and reimbursement models in rare disease treatment.
Deep understanding of compliance and regulatory, including the Sunshine Act, HIPPA and FDA promotional guidelines.
Self-motivated, highly organized, and adept at thriving in a fast-paced, scaling commercial environment.
Willingness to travel up to ~50% nationally, with flexibility for regional meetings and conferences.
The annual base salary range for this position is listed below. Actual pay rates are determined by considering multiple factors including qualifications, relevance of experience, education & credentials, subject matter expertise, and internal parity.
Salary Range$158,100-$213,900 USD
Disc Medicine is an equal-opportunity employer committed to providing all qualified candidates and employees equal opportunities. We offer comprehensive benefits and competitive compensation packages. The Company headquarters are in Watertown, MA, and we provide a flexible work environment.
Disc Medicine actively recruits individuals with an entrepreneurial spirit and a drive for excellence. Interested candidates should submit a cover letter and resume to be considered for current and future opportunities.
Disc Medicine respects your privacy. For information about how Disc processes your personal data in the context of your candidacy, please see our Privacy Notice.
$55k-110k yearly est. Auto-Apply 4d ago
Senior Manager, Inside Sales (Remote)
Insulet 4.7
Colorado 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 29d ago
Senior Compliance Coding Auditor (REMOTE)
Central Health 4.4
Austin, TX jobs
This position is responsible for conducting coding audits, communicating results and recommendations to providers, management, and executive administration, and providing training and education to providers and ancillary staff. This position will support the implementation of changes to the CPT, CDT, HCPCS and ICD‐10 codes on an annual basis.
Responsibilities
Essential Duties:
• Conduct prospective and retrospective chart reviews (i.e. baseline, routine periodic, monitoring, and focused) comparing medical and/or dental record notes to reported CDT, CPT, HCPCS, and ICD codes with consideration of applicable FQHC and payer/title/grant coding requirements.
• Identify coding discrepancies and formulate suggestions for improvement.
• Communicate audit results/findings to providers and/or ancillary staff and share improvement ideas.
• Work with the Office of the CMO and provider leadership to identify and assist providers with coding.
• Report findings and recommendations to Compliance Officer or designee, management, and executive leadership.
• Provide continuing education to providers and ancillary staff on CDT, CPT, HCPCS, and ICD-10 coding.
• Support compliance policies with government (Medicare& Medicaid) and private payer regulations.
• Perform research as needed to ensure organizational compliance with all applicable coding and diagnostic guidelines.
• Maintain professional and technical knowledge by attending educational workshops and reviewing professional publications.
• Work closely with all departments, including but not limited to, Clinical Services, Nursing, Practice Leadership, Finance, IT, Training, and Billing to assist in accuracy of reported services and with chart reviews, as requested.
• Work with the Purchasing department to order and distribute annual coding materials for all clinical sites and departments.
• Assist Director of Compliance with incidents and investigations involving coding and/or documentation.
• Work closely with all other Compliance personnel to provide coding/compliance support.
• Advise Compliance Officer or designee of government coding and billing guidelines and regulatory updates.
• Provide training to billing coding staff on coding compliance.
• Participate in special projects and performs other duties as assigned.
Knowledge/Skills/Abilities:
• Proficiency in correct application of CPT, CDT, HCPCS procedure, and ICD‐10‐CM diagnosis codes used for coding and billing for medical claims.
• Knowledge in correct application of SNOMED, SNODENT, and LOINC.
• Knowledge of medical terminology, disease processes, and pharmacology.
• Strong attention to detail and accuracy.
• Excellent verbal, written, and communication skills.
• Excellent organizational skills.
• Ability to multi‐task.
• Proficient in Microsoft Office Suite.
• Critical thinking/problem solving.
• Ability to provide data and recommend process improvement practices.
Qualifications
MINIMUM EDUCATION:
High school diploma or equivalent.
MINIMUM EXPERIENCE:
5 years of healthcare experience
4 years of procedural and diagnostic coding
REQUIRED CERTIFICATIONS/LICENSURE: UPON HIRE
AAPC Certified Professional Coder (CPC) certification
OR
Certified Coding Specialist (CCS) certification through American Health Information Management Association (AHIMA)
$62k-78k yearly est. Auto-Apply 60d+ ago
Analyst - Corporate Strategy
Fresenius Medical Care 3.2
Plano, TX jobs
You will be able to work remotely from your home location in the
United States
PURPOSE AND SCOPE: The Analyst, Corporate Strategy will focus on complex problem solving and growth opportunities in the core and adjacent markets. The role requires, excellent problem solving skills, knowledge of Strategy discipline, good business acumen, and the ability to lead cross-functional teams in a matrixed organization. Specifically, key responsibilities will include: conducting strategic analyses and developing business plans for various product and service lines, facilitating integration of these plans into strategic planning process and leading cross functional teams in problem solving of complex and high-impact issues.
PRINCIPAL DUTIES AND RESPONSIBILITIES:
As a highly skilled specialist, contributes to the development of concepts and techniques.
Completes complex tasks in creative and effective ways.
Consistently works on complex assignments requiring independent action and a high degree of initiative to resolve issues.
Makes recommendations for new procedures.
Involved with planning, preparation and final execution of communications.
Often acts as a facilitator and team leader.
Research industry trends and conduct strategic analyses.
Lead nimble cross-functional teams to explore, evaluate, and analyze ideas.
Translate ideas into opportunities worthy of investment.
Develop business/strategic plans in partnership with executive team.
Present business plans to Sr. Executives.
Facilitate the process for prioritization and selection of new opportunities for investment.
Source ideas from a variety of internal (i.e. employees) and external (i.e. industry analysts, market scans) sources.
Assist with developing longer term transformational strategy to pursue new opportunities and address changes in healthcare market.
Raise the level of strategy skills across the organization by advising leaders and sharing appropriate best practices, tools and frameworks.
Review and comply with the Code of Business Conduct and all applicable company policies and procedures, local, state and federal laws and regulations.
Assist with various projects as assigned by direct supervisor.
Other duties as assigned.
Additional responsibilities may include focus on one or more departments or locations. See applicable addendum for department or location specific functions.
PHYSICAL DEMANDS AND WORKING CONDITIONS:
The physical demands and 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 functio
EDUCATION:
Bachelor's Degree required
EXPERIENCE AND REQUIRED SKILLS:
5 - 8 years' related experience; or a Master's degree with 3 years' experience; or a PhD without experience; or equivalent directly related work experience.
Experience in Management Consulting, Investment Banking, or Private Equity industries.
Quantitative skillset in market analysis & scenario modeling, development of business plans.
6+ years' Healthcare industry experience is strongly preferred.
Experience and track record of success in identifying opportunities that have quantifiable and measurable success in business value creation within a mature market.
Strong inductive thinking ability - the ability “connect the dots” and to identify and recognize growth opportunities that are beyond the surface.
Structured deductive thinking- the ability to frame an ambiguous problem/opportunity in a logical and well-structured way.
The ability to identify the most important and consequential component of a problem and where there is value on important issues.
Related to the above, the right candidate will have a strong intuition and appreciation of what it takes to practically implement an opportunity given a set of organizational constraints.
Demonstrated ability to structure and lead projects with cross-functional teams, leveraging cross-functional expertise while exercising influence without formal power.
Ability to communicate to Execs with presence, passion and credibility.
If your location allows for pay/benefit transparency, please click the link below to request further information on this position. Pay Transparency Request Form (smartsheet.com)
EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity
Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.
Fresenius Medical Care is an equal opportunity employer and does not discriminate on the basis of race, color, religion, sexual orientation, gender identity, parental status, national origin, age, disability, military service, or other non-merit-based factors
$55k-90k yearly est. Auto-Apply 60d+ ago
Registered Dietitian Clinical Specialist
Intermountain Health 3.9
Grand Junction, CO jobs
The Registered Dietitian Specialist facilitates the nutrition care process in specialty care areas or specialized populations with a moderate degree of autonomy, using experience-based knowledge, nutrition assessment, and diagnostic reasoning skills and competencies.
**Posting Details**
+ **Shift:** **This role is 5 days per week - 8-hour daytime workdays. It does include some weekends and holidays that rotate amongst the team. You cannot work remotely for this position. Currently, this position has no on-call requirements (i.e., needing to be on-call for certain shifts). However, during a scheduled weekend, Sundays are on-call.**
+ **Part Time 24 hrs/weekly**
**Essential Functions**
+ Provides Medical Nutrition Therapy to individuals with specialized health conditions and or in specialized populations.
+ Uses the Nutrition Care Process to facilitate the provision of more complex nutrition care with moderate autonomy and supportive guidance from advanced practice dietitians.
+ Uses advanced counseling techniques to influence behavior change.
+ Uses technology in estimating needs and nutrition goals (ex: indirect calorimetry, nutrient analysis software, glucometers, etc.)
+ Mentors newly graduated dietitians, dietetic interns, and clinical diet techs.
+ Applies research to improve patient outcomes. Implements the latest evidence-based care with the interdisciplinary team and in updating care practices/processes within the facility.
+ Manages nutrition care across the continuum including durable medical equipment order writing.
+ Registered Dietitian Nutritionist order writing privileges per policy/protocol.
+ Identify and screen inpatients for nutritional risk and malnutrition in all areas of the hospital including but not limited to orthopedics, surgical, general medicine, telemetry, progressive care step-down, intensive care and behavioral health.
+ Assess nutritional status, develop, and document care plans, monitor results and interventions according to AND Nutrition Care Process using the EMR.
+ Responsible for assessing nutritional needs including management of oral nutrition supplements, enteral nutrition, and parenteral nutrition.
+ Evaluate and monitor patient's estimated nutrition needs for various medical conditions.
+ Participates in interdisciplinary rounds with the care team, acts as the nutrition expert making evidence-based recommendations.
+ Provides nutrition counseling and education for patients and families when indicated.
+ Participates in quality improvement initiatives internal and external to the department.
+ Promote mission, vision and values of Lutheran Medical Center and Intermountain Health.
+ Acts as a nutrition liaison/resource to other hospital departments within the organization.
+ Ensure compliance with applicable regulatory agencies and requirements.
**Skills**
+ Specialty Medical Nutrition Therapy
+ Complex Problem Solving
+ Advanced Counseling Techniques
+ Nutrition Focused Physical Exam
+ Nutrition Related Technology Proficiency
+ Research Study Interpretation
+ Mentoring
+ Professional Communication
**Minimum Qualifications**
+ Registered Dietitian with the Commission on Dietetic Registration.
+ For graduates after Jan 1, 2024, completion of a minimum of a master's degree by an accredited university. Education is verified.
+ Completion of an ACEND accredited Didactic Program in Dietetics, Dietetic Internship, Coordinated Program, or graduate-level competency-based dietitian nutritionist program.
+ State licensure or certification in accordance with the primary state of practice requirement for Registered Dietitians. If the primary state of practice requires licensure or certification, this must be obtained within 6 months of hire.
+ Demonstrated ability to apply the Nutrition Care Process in multiple patient populations and/or disease types.
+ Demonstrated ability to interpret and apply evidence-based research to clinical practice.
+ 2 or more years of dietetics experience in a clinical setting, preferred.
+ Experience in managing patients in a specialty area, preferred.
+ Relevant dietetics-related specialty practice credential (CNSC, CSP, CDCES, CSO, CSR, CSOWM, etc.), preferred
**Physical Requirements**
+ Ongoing need for employee to see and read information, labels, assess patient needs, operate monitors, identify equipment and supplies.
+ Frequent interactions with patient care providers, patients, and visitors that require employee to verbally communicate as well as hear and understand spoken information, alarms, needs, and issues quickly and accurately, particularly during emergency situations.
+ Manual dexterity of hands and fingers to manipulate complex and delicate equipment with precision and accuracy. This includes frequent computer use and typing for documenting patient care, accessing needed information, medication preparation, etc.
+ For roles requiring driving: Expected to drive a vehicle which requires sitting, seeing and reading signs, traffic signals, and other vehicles.
**Physical Requirements:**
**Physical Requirements**
+ Ongoing need for employee to see and read information, labels, assess patient needs, operate monitors, identify equipment and supplies.
+ Frequent interactions with patient care providers, patients, and visitors that require employee to verbally communicate as well as hear and understand spoken information, alarms, needs, and issues quickly and accurately, particularly during emergency situations.
+ Manual dexterity of hands and fingers to manipulate complex and delicate equipment with precision and accuracy. This includes frequent computer use and typing for documenting patient care, accessing needed information, medication preparation, etc.
+ For roles requiring driving: Expected to drive a vehicle which requires sitting, seeing and reading signs, traffic signals, and other vehicles.
**Location:**
St. Marys Regional Hospital
**Work City:**
Grand Junction
**Work State:**
Colorado
**Scheduled Weekly Hours:**
24
The hourly range for this position is listed below. Actual hourly rate dependent upon experience.
$32.02 - $49.44
We care about your well-being - mind, body, and spirit - which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.
Learn more about our comprehensive benefits package here (***************************************************** .
Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.
At Intermountain Health, we use the artificial intelligence ("AI") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment. Thank you for considering a career with us and experiencing our AI-enhanced recruitment process.
All positions subject to close without notice.
$46k-54k yearly est. 60d+ 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
Senior Coding Quality Educator - Onsite
Providence Health & Services 4.2
Tye, TX jobs
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: 411100
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: TX Lubbock 3615 19th St
Work Location: Covenant Medical Center
Workplace Type: On-site
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.
$40.1 hourly Auto-Apply 3d ago
AP/CP Pathologist
Sonic Healthcare USA 4.4
Fort Worth, TX jobs
We're not just a workplace - we're a Great Place to Work certified employer!
Proudly certified as a Great Place to Work, we are dedicated to creating a supportive and inclusive environment. At Sonic Healthcare USA, we emphasize teamwork and innovation. Check out our job openings and advance your career with a company that values its team members!
ProPath, a leading pathology practice based in Dallas, Texas, is seeking a passionate and dedicated AP/CP board-certified or eligible Pathologist to become a part of our dynamic team. With more than 50 experienced physicians and over 550 dedicated employees, ProPath is recognized as a premier provider of full-service diagnostic services nationwide. As a proud member of the Sonic Healthcare USA family, we are at the forefront of practicing unparalleled medical care, fostering a culture of medical leadership across our network of 350 physicians and over 30 practices around the country.
Exciting Development:
We are thrilled to announce the construction of a new state-of-the-art laboratory located within the John Peter Smith Health Network $1.5B expansion, further extending our capabilities and reinforcing our commitment to excellence in pathology services. This development opens up exciting opportunities for innovation and professional growth for our team members.
Opportunity Highlights:
Hybrid/Remote Work Models: Embrace the flexibility of splitting your work between our esteemed facilities and the comfort of your home, facilitated by our advanced digital pathology infrastructure.
Serve an Underserved Community: Play a pivotal role in delivering exceptional medical care to the underserved communities within the John Peter Smith Health Network (JPS) in Fort Worth, Texas. With over 40 clinics and a 537-bed teaching hospital, JPS serves as Tarrant County's only Level 1 Trauma center, offering a challenging yet rewarding practice environment.
Complex and High Complexity Cases: As part of our multi-person practice at JPS, engage in high complexity cases that challenge your skills and foster your growth as a pathologist.
Subspecialty Fellowship Training: Candidates with fellowship training in surgical pathology subspecialties such as general surgpath, cytopath, breast, GI, and/or gyn are highly desirable. Additional experience with complex surgical pathology cases is a bonus.
Collaborative Environment: Benefit from subspecialty backup, in-house esoteric testing capabilities, frequent courier runs, and daily virtual case conferences, enabling real-time case sharing and discussion.
Ideal Candidate Profile:
Medical degree, AP/CP board certified or eligible.
Licensed or eligible for licensure to practice medicine in the State of Texas.
Excellent diagnostic skills, communication abilities, and a commitment to serving underserved communities.
Enthusiastic about learning and/or contributing to digital pathology.
Why ProPath?
Competitive Salary: Commensurate with background and experience.
Comprehensive Benefits Package: Includes medical, dental, a matched 401(K) plan, and more.
Professional Growth: Be part of a team that's leading the digital pathology revolution, offering both in-person and remote work opportunities.
ProPath is dedicated to fostering a diverse and inclusive work environment. We are an equal opportunity employer (EOE M/F/Disabled/Veteran) and provide accessibility accommodations to ensure all our team members can thrive.
Take The Next Step:
If you're driven by a passion for pathology and a desire to make a difference in an underserved community, while enjoying the flexibility of a hybrid work model, we would love to hear from you.
Company:
Sonic Anatomic Pathology
Scheduled Weekly Hours:
40
Work Shift:
Job Category:
Pathology
Company:
ProPath Associates
Sonic Healthcare USA is an equal opportunity employer that celebrates diversity and is committed to an inclusive workplace for all employees. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, age, national origin, disability, genetics, veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.
$61k-109k yearly est. Auto-Apply 60d+ ago
(Non-Remote) Revenue Cycle Manager
Asian American Health Coalition 4.0
Houston, TX jobs
Job DescriptionDescription:
Revenue Cycle Manager
REPORTS TO: Chief Financial Officer
EDUCATION: Bachelor's degree from four-year college or university, and/ or 5-7 years of experience in lieu of
WORK EXPERIENCE: One to two years supervisor experience and/or training; and FQHC experience a plus!
SALARY RANGE: DOE
FLSA STATUS: Exempt
POSITION TYPE: Full-Time
LANGUAGE: Fluent in English; Bilingual in English and Spanish, Arabic, Burmese, Chinese or other languages is preferred
HOPE Clinic provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.
**This is not a fully remote position**
JOB SUMMARY:
As the Revenue Cycle Manager for HOPE Clinic, you focus on partnering with our patients to clearly understand their institutional goals, challenges, organizational structure, and key business drivers. The role of the Revenue Cycle Manager oversees the Billing and Insurance Verification team's daily activities and follows up with teams to drive the overall performance and daily management of multiple assigned providers' schedules. The Revenue Cycle Manager serves as a liaison between the Billing and Insurance Verification team and other HOPE Clinic departments and the patients.
MAJOR DUTIES & RESPONSIBILITIES:
Manage overall medical billing operations such as ensuring effective flow of demographic changes and payment information, claims accuracy and timely submission, and account reconciliations;
Oversee aggressive follow-ups with accounts receivables (A/R), including preparation of denial appeals and distribution of patient statements;
Track fee schedules and insurance denials to ensure fully allowed reimbursements;
Identify and implement strategies to improve internal and patient billing processes;
Incorporate and execute quality assurance processes related to ensuring accurate patient billing activities;
Review and analyze patient accounts, identify trends and issues, and recommend solutions;
Collaborate with other team members to improve/maintain an overall positive work environment for the team;
Provide a high level of customer service to both practices and patients by identifying and efficiently resolving insurance and other billing-related issues;
Collaborate with the front desk, call center, and other departments as needed to resolve any billing/payor issues;
Research, compile the necessary documentation, and complete appeal process for denied claims, via phone/email with payers, facilitating correct claims if necessary;
Prepare, review, and transmit claims using billing software to include electronic and paper claim processing both primary claims and secondary claims;
Follow up on unpaid claims within the standard billing cycle timeframe;
Collaborate with the billing team when necessary to make coding changes to submit corrected claims or appeals;
Stay current with payer trends as to how to submit corrected claims and the payer-specific appeal processes;
Analyze root causes of denials; trends and issues: propose solutions and work with the management team to determine the appropriate action to resolve;
Identify areas of concern regarding the various areas of the revenue cycle;
Share trending and feedback to reduce denials to the CFO and/or Credentialing Coordinator;
Hospital billing - identify charges that are billed for hospital visits, update spreadsheets and reports for documentation, and create claims to be billed;
Apply insurance and patient payments to the Practice Management system, utilizing ERAs and manual application;
Reconcile payments applied to the system to cash received;
Answer patient's estimate of benefits or statements, telephone inquiries verifying insurance and benefits within the practice management system;
Attend on-site/off-site community engagement activities, clinic events, and/or training as needed;
Perform other duties as assigned to support HOPE Clinic's Mission, Vision, and Values.
Requirements:
QUALIFICATION REQUIREMENTS:
5-7 years of experience with revenue cycles, medical billing, collections, and payment posting;
Understand regulatory and compliance requirements associated with submitting claims to payers;
Experience with Electronic Medical Records (EMR);
Strong communication and interpersonal skills;
Expertise with medical and billing terminology;
Excellent organization and time management skills;
Proficiency in computers, particularly Word and Excel.
EDUCATION and/or EXPERIENCE:
Bachelor's degree from four-year college or university (desired);
Or 5-7 years related experience and/or training; or equivalent combination of education and experience;
1-2 years of supervisory experience;
Knowledge of medical billing, front-office, physician practice management, and healthcare business processes;
Strong understanding of medical billing/coding, with an understanding of various insurance carriers, including Medicare, private HMOs, and PPOs;
Previous FQHC (Federally Qualified Health Center) RCM experience.
OTHER SKILLS and ABILITIES:
Bilingual (Vietnamese, Chinese, Arabic, and/or Spanish with English) is preferred.
Above average skills in language ability as well as public speaking and writing.
Must have good transportation and a valid Texas Driver's license.
$72k-101k yearly est. 7d ago
Learn more about Eastway Behavioral Healthcare jobs