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Edgewood Vista Remote jobs - 1,380 jobs

  • Director, Global Issues & Public Affairs - Hybrid

    Texas Children's Hospital 4.7company rating

    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. #J-18808-Ljbffr
    $157k-252k yearly est. 3d ago
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  • Hybrid Outpatient Psychiatrist - Erie, PA

    Allegheny Health Network 4.9company rating

    Erie, PA jobs

    The Allegheny Health Network (AHN) Psychiatry & Behavioral Health Institute is seeking a motivated psychiatrist eager to work at the forefront of behavioral health care as we continue growing our presence in the Erie region. AHN will support the continued expansion of your skillset as you build a patient panel with myriad diagnoses or craft a sub-specialty niche. Join a vertically integrated fiscal and clinical delivery system that is revolutionizing behavioral health service models, providing evidence-based treatments, and measurement-based care. Highlights: Flexible, hybrid options for in-person and virtual work Bi-monthly, multidisciplinary treatment team meetings which include peer case consultation Onsite opportunity for interventional psychiatry with transcranial magnetic stimulation (TMS) Continuing Medical Education (CME) allowance: $3500 and five paid CME days annually Emphasis on collaboration between behavioral health disciplines, including psychiatry and psychology, within the Institute Weekly Grand Rounds with free CME offerings Opportunities to train and supervise advanced practice providers (APPs), psychiatry residents, medical students, and APP students Qualifications: Completion of ACGME approved Psychiatry residency program Board eligible/board certified in Psychiatry Doctor of Medicine (MD) or Doctor of Osteopathy (DO) Licensed in the state of Pennsylvania prior to employment AHN Proudly Offers Competitive salary and comprehensive medical benefits Sign-on bonus CME allowance EY Financial Planning Services - student loan, PSLF assistance Retirement plans; vested immediately in 401K, 457B. Malpractice insurance with tail coverage A diverse & inclusive workforce with respective loan repayment for qualified candidates Why Erie? Located directly on one of our Great Lakes, Erie is home to Presque Isle State Park offering 7 miles of beaches, 14 miles of trails, and endless water activities. Enjoy our local wineries and breweries, diverse eateries and ski resorts. The city has become home to a variety of educational institutions including top ranked school system. Benefit from the area's low cost of living and international airport. Erie's cultural scene and diverse job market make it an ideal place for healthcare professionals to grow. Why Saint Vincent Hospital? Nationally recognized for innovative practices and quality care, Allegheny Health Network is one of the largest healthcare systems serving Western PA. AHN's Saint Vincent Hospital is a 350- bed tertiary care hospital currently serving the tristate area. Our facilities are equipped with state-of-the-art technology and robotic capabilities . Saint Vincent Hospital has been proud to open a brand new 39-bed Emergency Department, on-site Cancer Institute facility, four state-of-the art 700 sq. ft. Operating Rooms and more! Recently voted Erie's Choice as the ‘Best Hospital' and ‘Best Place to Work', AHN Saint Vincent continues to shine in its commitment to its employees and the Erie community. Email your CV and direct inquiries to: Carissa Johnston | Physician Recruiter ************************
    $222k-320k yearly est. 3d ago
  • Clinical Program Manager RN * Hybrid*

    Providence Health and Services 4.2company rating

    Shallowater, TX jobs

    Clinical Program Manager RN Hybrid. Candidates residing in the areas of Portland, OR, Spokane, WA or Lubbock, TX are encouraged to apply. In collaboration with the Division Director, the Clinical Practice Manager RN supports nursing practice, quality initiatives, and clinical improvement efforts across the division. This role is responsible for leading teams in developing and implementing evidence-based nursing and clinical practices, utilizing established standards, research findings, and quality improvement principles. Providence caregivers are not simply valued - they're invaluable. Join our team at Providence Strategic And Management Services 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. Required Qualifications: Bachelor's Degree: Nursing Master's Degree: Nursing (Practice or Education) 5 years - Nursing experience in an acute care setting. 3 years - Clinical practice development, quality, or education experience. active RN License for WA, OR or TX Preferred Qualifications: Ph.D.: Nursing or DNP (Doctor of Nursing Practice) Salary Range by Location: Oregon: Portland Service Area: Min: $59.39, Max: $93.75 Texas: Min: $45.30, Max: $71.51 Washington: Eastern: Min: $52.85, Max: $83.42 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: 403508 Company: Providence Jobs Job Category: Clinical Administration Job Function: Clinical Support Job Schedule: Full time Job Shift: Day Career Track: Nursing Department: 4007 SS CNTRL DIV EDU ADMIN Address: OR Portland 4400 NE Halsey St Work Location: Providence Health Plaza (HR) Bldg 1-Portland Workplace Type: Hybrid 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. PandoLogic. Category:Healthcare, Keywords:Healthcare Program Manager, Location:Shallowater, TX-79363
    $46k-77k yearly est. 18d ago
  • JR0062540 Associate Customer Service Rep

    McKesson 4.6company rating

    Louisville, KY jobs

    Key Responsibilities: Serves as the point of contact for customer queries and resolution. Provides customer services relating to sales, sales promotions, installations and communications. Ensures that good customer relations and seamless turnaround in problem resolution are maintained and customer claims, product orders and complaints are resolved fairly, effectively and in accordance with the consumer laws. May answer questions and provide prompt information related to potential concerns. Develops organization-wide initiatives to proactively inform and educate customers. ***Shift Details - 11:30pm - 8:00pm Minimum Requirements: High School Diploma or GED Required Skills: Ability to complete multiple activities while utilizing excellent customer service skills Demonstrate ability to communicate clearly in both written and oral communication Maintains all patient confidentiality Other duties and responsibilities as assigned by supervisor. Career Level - IC-Business Support - B1 Additional Information ALL ANSWERS MUST BE "YES" Do you have a High School Diploma or GED? Are you able/comfortable working from home?
    $30k-37k yearly est. 11h ago
  • Chief People Officer - Scale Culture & Talent (Remote)

    Stryker Corporation 4.7company rating

    Louisville, KY jobs

    A nonprofit scholarship organization is searching for a Chief People Officer to lead Human Resources and cultural transformation. The ideal candidate will have at least 15 years of leadership experience in talent management, expertise in HR operations, and a proven track record in nonprofit environments. This role requires strategic vision to align people practices with the organization's mission. Working hours are based on East Coast time, and the position offers a remote working flexibility. #J-18808-Ljbffr
    $72k-158k yearly est. 4d ago
  • Healthcare Disability Specialist - Fully Remote!

    Centauri Health Solutions 4.6company rating

    Texas jobs

    Our company helps hospitals and health plans improve their revenue and deliver community benefits. On their behalf, we help their patients and plan members with low or no income, and those who are aged or disabled, to enroll in government-funded assistance programs. Disability Specialists work in a fast-paced, multi-tasking, contact center environment, managing both inbound and outbound calls. Healthcare Specialists is an entry level position and will handle all submitted Social Security applications from beginning to end while providing claimants with outstanding customer service and support and will work closely with Social Security offices nationwide. The Healthcare Specialist will coordinate appointments, provide resources and materials, and provide medical updates to Disability Determination Services and private institutions. A successful Healthcare Specialist is an empathetic communicator, likes to juggle multiple projects, is detail oriented and, above all, is compassionate. Role Responsibilities: Maintains regular communication with claimants, answers questions regarding the application, services, and benefits and clarifies eligibility data Will manage all inbound and outbound queue calls while staying on top of own tasks Assists in gathering eligibility data, verifications, completed forms and medical records. Manages positive professional relationships with agencies and clients. Submits documents/applications to proper agencies; follows up appropriately with all entities to ensure processing and stays updated on status of claims. Manages all accounts and taking appropriate action to secure eligibility until all methods are exhausted. Secures and submits all necessary signed SSA forms and any missing verifications Contacts providers / secures medical records as needed Is thoughtful and proactive to anticipate and foresee key requirements for all accounts and takes appropriate action to secure eligibility until all methods are exhausted Works with government agencies/physician offices to obtain coverage for clients Maintains positive professional relationship with agencies and clients Understand and agree to role-specific information security access and responsibilities Ensure safety and confidentiality of data and systems by adhering to the organizations information security policies Read, understand, and agree to security policies and complete all annual security and compliance training Role Requirements: 2 years of Customer Service Must be fluent in both Arabic and English (speak, read, write) Excellent communication and interpersonal skills with an ability to clearly communicate and influence Call Center experience and/or De-Escalation experience a plus Experience working with government agencies a plus Experience in Social Services, case management, processing disability/claims evaluation and/or adjudication, and Medicaid/Medicare knowledge a strong plus Strong interpersonal skills and ability to work in a team environment Detail Oriented, Willing to Learn, and Goal Driven Ability to multi-task and manage time appropriately Strong computer skills, proficiency with Microsoft Word, Excel and Outlook, and ability to navigate multiple platforms and screens smoothly
    $44k-72k yearly est. 60d+ ago
  • Medical Biller (Invoices)

    Principle Health Systems 3.7company rating

    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 29d ago
  • IS Internal Auditor

    Trilogy Health Services 4.6company rating

    Louisville, KY jobs

    JOIN TEAM TRILOGY Weekly pay, health and dental after your first month, student loan repayment, a competitive 401(k) match, and more! Make a living while you make a difference at Trilogy Health Services - a senior living provider with the continuous goal of being the Best Healthcare Company in The Midwest. POSITION OVERVIEW Job Summary Serves as a key liaison between IT, audit, and business teams to execute SOX 404B testing and operational IT audits. Evaluates IT controls, identifies risks, and supports remediation efforts while ensuring compliance with HIPAA, NIST, and other regulatory standards. Roles and Responsibilities * Acts as the primary liaison between IT, IS, external audit, and business/IT application control owners to ensure effective communication and collaboration. * Executes SOX 404B testing over IT General Controls (ITGC), IT application controls (ITAC), and key cybersecurity controls across financially relevant systems. * Plans and performs walkthroughs, defines populations, selects samples, evaluates configurations/parameters, reperforms automated control logic, and assesses exceptions to support auditor reliance. * Leads and executes non-SOX operational IT audits- plan and perform routine monitoring and testing of critical IT systems * Identifies control deficiencies and risks, recommends mitigation strategies in partnership with control owners, and follows up on remediation. * Prepares clear, concise audit reports and present findings to management, routinely tracks audit projects, resource hours, and progress against plan; analyzes trends and outcomes; and provide reporting to support forecasting and continuous improvement of the audit plan. * Supports the design and implementation of automated solutions for recurring audit and monitoring activities. * Provides advanced data and reporting support to the audit team-assist with extracting system reports, structuring large datasets, and performing complex analyses (e.g., building dynamic pivot tables, reconciling data across sources, and executing comparative reviews) to enable efficient testing and insightful conclusions. * Participates in annual IT risk assessments and consult with stakeholders in development of the IT audit plan. * Assesses compliance with internal IT policies, regulatory requirements and industry standards, including HIPAA, NIST, and state-specific guidance. * Reviews third-party and vendor risk management practices, including evaluating SOC 1 and SOC 2 reports, testing key controls, assessing subservice organizations, and mapping Complementary User Entity Controls (CUECs) to internal processes to ensure comprehensive coverage and compliance. * Audits data privacy and governance practices, including encryption and data lifecycle management. * Evaluates and participates in disaster recovery, business continuity, and incident response plans. * Consults with internal teams on process and control development, quality improvement, and remediation activities. * Monitors industry trends and emerging technologies to proactively identify risks, recommend improvements, and provide guidance and training to team members and control owners on relevant updates and best practices. * Other duties as assigned. Qualifications Education: Bachelor Degree Experience: 3-5 years Licenses and Certifications Certified Information Systems Auditor (CISA) strongly preferred. Physical Requirements Sitting, standing, bending, reaching, stretching, stooping, walking, and moving intermittently during working hours. Must be able to lift at least 50lbs. Must be able to maintain verbal and written communication with co-workers, supervisors, residents, family members, visitors, vendors, and all business associates outside of the health campus. LOCATION US-KY-Louisville Trilogy Health Services 303 N. Hurstbourne Parkway Louisville KY BENEFITS * Competitive salaries and weekly pay * 401(k) Company Match * Mental Health Support Program * Student Loan Repayment and Tuition Reimbursement * Health, vision, dental & life insurance kick in on the first of the month after your start date * First time homebuyers' program * HSA/FSA * And so much more! TEXT A RECRUITER Lauren ************** LIFE AT TRILOGY Whether you're looking for a new chapter, a change of pace, or a helping hand, Trilogy is committed to being the best place that you've ever belonged. Flexibility is what you want, and flexibility is what you'll get. Come into the office because you want to - not because you have to. At Trilogy, we're proud to embrace a hybrid work environment that allows you both the convenience of working from home and the flexibility of meeting with your co-workers in person. With collaborative workspaces, rotating cubicles, and meditation areas, our freshly renovated Home Office will accommodate the working style that works best for you. Six months of training, orientation, and fun! We believe in setting our employees up for success. That's why your first six months are referred to as your "blue-badge" period - a time where you are encouraged to ask questions, ask for help when needed, and familiarize yourself with the company culture. Even when your blue badge period ends, you can rest assured that the Trilogy team will always have your back. ABOUT TRILOGY HEALTH SERVICES As one of Fortune's Best Places to Work in Aging Services, a certified Great Place to Work, and one of Glassdoor's Top 100 Best Companies to Work, Trilogy is proud to be an equal opportunity employer committed to helping you reach your full potential and to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy or any other protected characteristic as outlined by federal, state or local laws. FOR THIS TYPE OF EMPLOYMENT STATE LAW REQUIRES A CRIMINAL RECORD CHECK AS A CONDITION OF EMPLOYMENT. Job Summary Serves as a key liaison between IT, audit, and business teams to execute SOX 404B testing and operational IT audits. Evaluates IT controls, identifies risks, and supports remediation efforts while ensuring compliance with HIPAA, NIST, and other regulatory standards. Roles and Responsibilities * Acts as the primary liaison between IT, IS, external audit, and business/IT application control owners to ensure effective communication and collaboration. * Executes SOX 404B testing over IT General Controls (ITGC), IT application controls (ITAC), and key cybersecurity controls across financially relevant systems. * Plans and performs walkthroughs, defines populations, selects samples, evaluates configurations/parameters, reperforms automated control logic, and assesses exceptions to support auditor reliance. * Leads and executes non-SOX operational IT audits- plan and perform routine monitoring and testing of critical IT systems * Identifies control deficiencies and risks, recommends mitigation strategies in partnership with control owners, and follows up on remediation. * Prepares clear, concise audit reports and present findings to management, routinely tracks audit projects, resource hours, and progress against plan; analyzes trends and outcomes; and provide reporting to support forecasting and continuous improvement of the audit plan. * Supports the design and implementation of automated solutions for recurring audit and monitoring activities. * Provides advanced data and reporting support to the audit team-assist with extracting system reports, structuring large datasets, and performing complex analyses (e.g., building dynamic pivot tables, reconciling data across sources, and executing comparative reviews) to enable efficient testing and insightful conclusions. * Participates in annual IT risk assessments and consult with stakeholders in development of the IT audit plan. * Assesses compliance with internal IT policies, regulatory requirements and industry standards, including HIPAA, NIST, and state-specific guidance. * Reviews third-party and vendor risk management practices, including evaluating SOC 1 and SOC 2 reports, testing key controls, assessing subservice organizations, and mapping Complementary User Entity Controls (CUECs) to internal processes to ensure comprehensive coverage and compliance. * Audits data privacy and governance practices, including encryption and data lifecycle management. * Evaluates and participates in disaster recovery, business continuity, and incident response plans. * Consults with internal teams on process and control development, quality improvement, and remediation activities. * Monitors industry trends and emerging technologies to proactively identify risks, recommend improvements, and provide guidance and training to team members and control owners on relevant updates and best practices. * Other duties as assigned. Qualifications Education: Bachelor Degree Experience: 3-5 years Licenses and Certifications Certified Information Systems Auditor (CISA) strongly preferred. Physical Requirements Sitting, standing, bending, reaching, stretching, stooping, walking, and moving intermittently during working hours. Must be able to lift at least 50lbs. Must be able to maintain verbal and written communication with co-workers, supervisors, residents, family members, visitors, vendors, and all business associates outside of the health campus. Weekly pay, health and dental after your first month, student loan repayment, a competitive 401(k) match, and more! Make a living while you make a difference at Trilogy Health Services - a senior living provider with the continuous goal of being the Best Healthcare Company in The Midwest.
    $53k-64k yearly est. Auto-Apply 31d ago
  • Billing Manager (Remote) - Veterans Evaluation Services

    Maximus 4.3company rating

    Lubbock, TX jobs

    Description & Requirements Maximus is currently hiring a Billing Manager to join the finance team on our Veterans Evaluation Services (VES) Program. This is a remote opportunity. The Billing Manager is responsible for providing critical support, management, and execution of the department's processes. The department is responsible for the review and approval of mission-critical vendor invoices and costs supporting operations. This involves monitoring, management, and guidance of staff, collaboration with third-party account managers and direct support of the Program Finance Leadership. The Billing manager oversees processes that ensure accuracy of vendor invoices & resolves discrepancies of contractually governed billed items, in addition to other duties as assigned. Must provide key analytical support and reconciliation of pre, current, and post billed items or various metrics as requested. This position will be a key liaison between Operations and Finance and will be responsible for providing direct support to the Finance organization within the Federal VES Program. Due to contract requirements, only US Citizen or a Green Card holder can be considered for this opportunity. Essential Duties and Responsibilities: - Oversee the development and implementation of innovative methodologies to improve service levels and overall operational efficiency. - Manage the project's quality assurance and training programs. - Monitor performance against key indicators established internally or by the clients - Responsible for cash application of premium payments, invoice and statement generation, mailing and financial reporting. - Responsible for daily and monthly financial reconciliation. - Ensure appropriate financial and system controls are operating in compliance with standard audit procedures. - Manage audits of operations. - Develop and implement operational policies and procedures in collaboration with other key stakeholders. - Establish and maintain effective relationships with clients and other external entities. - Monitor SLAs and hold team accountable for reviewing and approving third-party invoices - including validation of services performed - to ensure timely payment. - Work directly with third-party account managers to ensure records are reconciled; monitor troubleshooting and remediation as needed. - Support IT team with system enhancements or modifications of workflow with an objective of streamlining processes. - Candidates residing in the Eastern or Central Time Zones (EST/CST) highly preferred. - Must be willing and able to work over 40 hours when required by the responsibilities of the role. - Please note upon hire, Veteran Evaluation Services (VES), a Maximus Co. will provide all necessary computer equipment that is to be utilized to fulfil the duties of your role. New hires will not be exempt from using company provided equipment. Home Office Requirements Using Maximus-Provided Equipment: - Internet speed of 20mbps or higher required (you can test this by going to (****************** - Connectivity to the internet via either Wi-Fi or Category 5 or 6 ethernet patch cable to the home router - Private 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 $ 85,000.00 Maximum Salary $ 105,000.00
    $36k-52k yearly est. Easy Apply 9d ago
  • Chief People Officer

    Stryker Corporation 4.7company rating

    Louisville, KY jobs

    Step Up For Students is a state-approved, nonprofit scholarship funding organization that helps administer scholarships for Florida schoolchildren: The donor-funded Florida Tax Credit Scholarship (FTC) Program and the Family Empowerment Scholarship for Educational Options (FES-EO) helps K-12 students attend private schools. The Family Empowerment Scholarship for Students with Unique Abilities (FES-UA) empowers families to personalize the education of their students by directing funds to where they're needed most. The Personalized Education Program (PEP), which is part of FTC, for students who are not enrolled full-time in private or public school. New Worlds Scholarship Accounts supports K-5 public school students who need additional academic support in reading and/or math. The Transportation Stipend to help K-8 students travel to a public school of their choice Public education is rooted in the promise of equal educational opportunity, regardless of income, special needs, or home address. Step Up For Students is a partner of public schools, and these scholarships strengthen public education by offering options to all families so they can choose the learning environment that best meets their children's individual needs. The Opportunity: The Chief People Officer (CPO) plays a critical role in supporting the transformation and growth of Step Up For Students. Reporting directly to the CEO, the CPO will provide strategic leadership across Human Resources, Workforce Planning, Coaching and Culture, and Internal Communications. This role requires a collaborative, forward-thinking leader who can align people strategies with the organization's mission and long-term goals. The CPO will work closely with executive leadership to shape a high-performing, inclusive culture that supports both employee well‑being and organizational success. Responsibilities: Build and operationalize a workforce planning model that aligns headcount, skills, and organizational structure to SUFS' growth strategy. Establish an organization-wide performance and talent review rhythm, including leadership assessment, development planning, and succession visibility. Redesign onboarding and reboarding to accelerate clarity, connection to mission, and understanding of the value chain. Set the Learning and Development strategy and introduce programs that strengthen leadership capability and functional excellence at scale. Elevate employee communications and modernize the intranet experience to improve clarity, transparency, and alignment across a fully remote workforce. Lead and develop HR Operations, Talent Acquisition, L&D, Culture, and Employee Communications teams with clear goals, expectations, and operating standards. Partner with C‑Suite to integrate people strategy into financial planning, systems design, and organizational priorities, including compensation philosophy and job architecture. Advise the CEO and senior leadership team on culture, organizational health, and talent decisions while maintaining high standards for employee relations, compliance, and policy stewardship. Ideal Candidate: Minimum 15 years of leadership experience in talent management, including hiring, onboarding, upskilling, performance tracking, and contractor management. SPHR (Senior Professional in Human Resources) certification required. Proven track record of successfully scaling organizations through periods of rapid growth, with experience leading cultural and operational change. Experience leading through complex, high‑pressure, and challenging organizational scenarios with confidence and effectiveness. Demonstrated strategic leadership capabilities and strong policy development proficiency. Minimum 7 years of experience working within nonprofit organizations, especially those serving diverse socio‑economic populations and individuals with a broad range of abilities. Minimum 7 years of experience in fast‑paced, process‑critical sectors such as large enterprises, banking, payments, or retail is an asset, especially with experience supporting timely and efficient operations. Clear alignment with the mission and values of Step Up For Students. Location: United States Remote, East Coast working hours DRiWaterstone is proud to lead this search on behalf of Step Up For Students. #J-18808-Ljbffr
    $99k-126k yearly est. 4d ago
  • Hybrid Body Radiologist - Consultants in Radiology P.A.

    Radiology Partners 4.3company rating

    Dallas, TX jobs

    Consultants in Radiology P.A. (CIRPA), A Radiology Partners Practice, is looking for fellowship-trained radiologists for daytime weekday coverage, to staff at outpatient imaging sites across the Dallas Ft Worth area due to continued growth. POSITION DUTIES AND RESPONSIBILITIES * Monday-Friday on-site coverage in the Dallas/Fort Worth area (8am-5pm) * No nights, weekends, holidays or on-call duties * Full-time and part time positions available * All positions eligible for partnership * Fellowship directed studies allowing for up to 100% sub-specialty reads, if desired * Competitive Salary and Benefits * Internal moonlighting opportunities available LOCAL PRACTICE AND COMMUNITY OVERVIEW CIRPA is more than a radiology practice. We are a team of professionals working together to provide the highest quality of care to the patients, referring doctors, and communities we are proud to serve. CIRPA is a quality driven (versus wRVU driven) practice, focused on providing the highest quality interpretations. With a 40-year history of providing exceptional care to the Dallas/Fort Worth area, CIRPA specializes in outpatient imaging which allows our radiologists to read up to 100% within their sub-specialty. DESIRED PROFESSIONAL SKILLS AND EXPERIENCE * Candidates must be a Doctor of Medicine or Osteopathy and residency trained in the practice of Diagnostic Radiology. * Board certified by the American Board of Radiology or American Osteopathic Board of Radiology (or board-eligible for recent graduates falling under the new ABR guidelines). * Active TX license or the ability to obtain license COMPENSATION: The salary range for this position is $250,000-$350,000. Final determinations may vary based on several factors including but not limited to education, work experience, certifications, geographic location etc. This role is also eligible for an annual discretionary bonus. In addition to this range, Radiology Partners offers competitive total rewards packages, which include health & wellness coverage options, 401k benefits, and a broad range of other benefits such as family planning and telehealth (all benefits are subject to eligibility requirements). FOR MORE INFORMATION OR TO APPLY: For inquiries about this position, please contact Jessica Williams at ************************** or **************. RADIOLOGY PARTNERS OVERVIEW Radiology Partners, through its affiliated practices, is a leading radiology practice in the U.S., serving hospitals and other healthcare facilities across the nation. As a physician-led and physician-owned practice, we advance our bold mission by innovating across clinical value, technology, service and economics, while elevating the role of radiology and radiologists in healthcare. Using a proven healthcare services model, Radiology Partners provides consistent, high-quality care to patients, while delivering enhanced value to the hospitals, clinics, imaging centers and referring physicians we serve. Radiology Partners is an equal opportunity employer. RP is committed to being an inclusive, safe and welcoming environment where everyone has equal access and equitable resources to reach their full potential. We are united by our Mission to Transform Radiology and in turn have an important impact on the patients we serve and the healthcare system overall. We hold that diversity is a key source of strength from which we will build a practice culture that is inclusive for all. Our goal is to empower and engage the voice of every teammate to promote awareness, compassion and a healthy respect for differences. Radiology Partners participates in E-verify. Beware of Fraudulent Messages: Radiology Partners will never request payment, banking, financial or personal information such as a driver's license in exchange for interviews or as part of the hiring process. Additionally, we will not send checks for deposit into your bank account at any stage of recruitment. All communication during the interview and hiring process should come from an email address ending in "@radpartners.com." If you suspect you are receiving a fraudulent job offer or solicitation from Radiology Partners or one of our local practices, please notify our Recruiting Team at **************************.
    $250k-350k yearly 22d ago
  • Hybrid Overnight Emergency Neuroradiologist - Austin Radiological Association

    Radiology Partners 4.3company rating

    Austin, TX jobs

    W2 employee, with payment rates to rival the highest 1099 offer on the MarketBase pay of $650k + $55/RVU over a threshold of 95 RVUHIGH RVU Case-Mix. Very little Plain FilmDynamic Work Environment: Well respected and enjoyable section that values collaborative teamwork Strong Relationship with ER Physicians: Benefit from a close rapport with emergency room physicians with effective communication and patient care Supportive Infrastructure: Access 24/7 IT Support and dedicated radiology assistants to streamline workflow and minimize interruptions Remote Reading Capability: Enjoy the flexibility to read from anywhere, enhancing work-life balance and accessibility This position offers an exciting opportunity for a radiologist looking to join a supportive and forward-thinking team in emergency radiology. * Work Hours: Experience manageable 9-hour shifts from 10:30pm - 7:30am CST, optimizing your work-life balance * Team Structure: Collaborate with a 4-member team each night, ensuring a blend of expertise including both body and neuro radiology for comprehensive care * Flexible Scheduling: Enjoy the flexibility of schedule "trading" for other section members to accommodate significant life events, ensure you never miss out on important moments * Internal Moonlighting: Benefit from numerous opportunities for internal moonlighting, allowing for additional income and experience within the practice This unique schedule not only supports a balanced lifestyle but also promotes a collaborative and supportive work environment tailored to the needs of our team members. ARA is expanding our team and seeking candidates for both Body Radiologist and Neuroradiologist positions within our Emergency Radiology Section. * Neuroradiologist - Proficient in all modalities of general body imaging. No MRI Body/MSK * ARA supports your growth by offering time and resources to get up to speed on any specific studies that are new to you * Rewarding case mix covering a range of facility types including stroke centers and level 1 trauma centers * No Mammography/No Call ARA is committed to fostering an environment where learning and growth are an integral part of your career journey, ensuring you feel confident and supported in your role. LOCAL PRACTICE AND COMMUNITY OVERVIEW Austin Radiological Association (ARA) stands as a Radiology Partners affiliated practice, showcasing a nationally renowned radiology practice with a remarkable 70-year history. Throughout this time, ARA has been dedicated to delivering exceptional service and clinical care to the patients of Austin and Central Texas. Austin Radiological Association, a practice held in high national regard, boasts a team of 118 radiologists, solidifying its position as one of the largest radiology groups in the country. Notably, it has earned a place in the top 10 on the Radiology Business Journal's prestigious Radiology 100 list. Austin Radiological Association (ARA) is a comprehensive healthcare provider, serving a network of 20 hospitals and operating 17 outpatient imaging centers. These centers cater to a diverse range of needs, offering general multimodality services, as well as specialized centers with an exclusive focus on women's health. Austin Radiological Association (ARA) has established a strategic partnership with the Dell Medical School at the University of Texas. This collaboration is aimed at redefining the landscape of diagnostic testing by innovatively designing, delivering, and leveraging diagnostic services to enhance overall health outcomes. DESIRED PROFESSIONAL SKILLS AND EXPERIENCE * Fellows and residents welcome to apply * Board eligible or certified by American Board of Radiology or the American Osteopathic Board of Radiology COMPENSATION: The salary range for this position is $425,000-$450,000. Final determinations may vary based on several factors including but not limited to education, work experience, certifications, geographic location etc. This role is also eligible for an annual discretionary bonus. In addition to this range, Radiology Partners offers competitive total rewards packages, which include health & wellness coverage options, 401k benefits, and a broad range of other benefits such as family planning and telehealth (all benefits are subject to eligibility requirements). FOR MORE INFORMATION OR TO APPLY: For inquiries about this position, please contact Jen Cunningham at ************************** or ************. RADIOLOGY PARTNERS OVERVIEW Radiology Partners, through its affiliated practices, is a leading radiology practice in the U.S., serving hospitals and other healthcare facilities across the nation. As a physician-led and physician-owned practice, we advance our bold mission by innovating across clinical value, technology, service, and economics, while elevating the role of radiology and radiologists in healthcare. Using a proven healthcare services model, Radiology Partners provides consistent, high-quality care to patients, while delivering enhanced value to the hospitals, clinics, imaging centers and referring physicians we serve. Radiology Partners is an equal opportunity employer. RP is committed to being an inclusive, safe and welcoming environment where everyone has equal access and equitable resources to reach their full potential. We are united by our Mission to Transform Radiology and in turn have an important impact on the patients we serve and the healthcare system overall. We hold that diversity is a key source of strength from which we will build a practice culture that is inclusive for all. Our goal is to empower and engage the voice of every teammate to promote awareness, compassion and a healthy respect for differences. Radiology Partners participates in E-verify. CCPA Notice: When you submit a job application or resume, you are providing the Practice with the following categories of personal information that the Practice will use for the purpose of evaluating your candidacy for employment: (1) Personal Identifiers; and (2) Education and Employment History. Beware of Fraudulent Messages: Radiology Partners will never request payment, banking, financial or personal information such as a driver's license in exchange for interviews or as part of the hiring process. Additionally, we will not send checks for deposit into your bank account at any stage of recruitment. All communication during the interview and hiring process should come from an email address ending in "@radpartners.com." If you suspect you are receiving a fraudulent job offer or solicitation from Radiology Partners or one of our local practices, please notify our Recruiting Team at **************************.
    $101k-180k yearly est. 4d ago
  • Benefits Call Center Rep

    Trilogy Health Services 4.6company rating

    Louisville, KY jobs

    JOIN TEAM TRILOGY Weekly pay, health and dental after your first month, student loan repayment, a competitive 401(k) match, and more! Make a living while you make a difference at Trilogy Health Services - a senior living provider with the continuous goal of being the Best Healthcare Company in The Midwest. POSITION OVERVIEW Job Summary The Benefits Call Center Representative serves as a key point of contact for employees, providing frontline support on a wide range of benefit and well-being programs. This call center-based role involves spending the majority of the day handling inbound and outbound phone calls, responding to benefit-related inquiries, and assisting with Qualifying Life Events. Representatives are responsible for resolving routine concerns, escalating complex issues when needed, and documenting each interaction accurately and thoroughly. This role ensures employees receive timely, high-quality service by following established procedures, leveraging communication materials, and working closely with vendors to research and resolve benefit questions. Strong communication, customer service, and attention to detail are essential for success in this role. Roles and Responsibilities * Delivers customer service support to internal and external customers by addressing benefits-related questions, leveraging communication materials, and researching issues. * Escalates complex benefits questions and concerns to the Benefits Coordinator while coordinating with vendors to ensure timely and accurate resolution of employee issues. * Tracks escalated concerns and reporting of incoming and outgoing calls and emails. * Prioritizes and documents customer interactions, satisfaction, and feedback for reporting purposes. * Provides Open Enrollment and Qualifying Live Event support. * Maintains targeted outreach on employee benefit and well-being enrollments, elections, etc. * Other duties as assigned. Qualifications Education: High School / GED Experience: 1-3 years Licenses and Certifications Bilingual in English and Spanish, with the ability to read, write, and speak both languages fluently. Physical Requirements Sitting, standing, bending, reaching, stretching, stooping, walking, and moving intermittently during working hours. Must be able to lift at least 20lbs. Must be able to maintain verbal and written communication with co-workers, supervisors, residents, family members, visitors, vendors, and all business associates outside of the health campus. LOCATION US-KY-Louisville Trilogy Health Services 303 N. Hurstbourne Parkway Louisville KY BENEFITS * Competitive salaries and weekly pay * 401(k) Company Match * Mental Health Support Program * Student Loan Repayment and Tuition Reimbursement * Health, vision, dental & life insurance kick in on the first of the month after your start date * First time homebuyers' program * HSA/FSA * And so much more! LIFE AT TRILOGY Whether you're looking for a new chapter, a change of pace, or a helping hand, Trilogy is committed to being the best place that you've ever belonged. Flexibility is what you want, and flexibility is what you'll get. Come into the office because you want to - not because you have to. At Trilogy, we're proud to embrace a hybrid work environment that allows you both the convenience of working from home and the flexibility of meeting with your co-workers in person. With collaborative workspaces, rotating cubicles, and meditation areas, our freshly renovated Home Office will accommodate the working style that works best for you. Six months of training, orientation, and fun! We believe in setting our employees up for success. That's why your first six months are referred to as your "blue-badge" period - a time where you are encouraged to ask questions, ask for help when needed, and familiarize yourself with the company culture. Even when your blue badge period ends, you can rest assured that the Trilogy team will always have your back. ABOUT TRILOGY HEALTH SERVICES As one of Fortune's Best Places to Work in Aging Services, a certified Great Place to Work, and one of Glassdoor's Top 100 Best Companies to Work, Trilogy is proud to be an equal opportunity employer committed to helping you reach your full potential and to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy or any other protected characteristic as outlined by federal, state or local laws. FOR THIS TYPE OF EMPLOYMENT STATE LAW REQUIRES A CRIMINAL RECORD CHECK AS A CONDITION OF EMPLOYMENT. Job Summary The Benefits Call Center Representative serves as a key point of contact for employees, providing frontline support on a wide range of benefit and well-being programs. This call center-based role involves spending the majority of the day handling inbound and outbound phone calls, responding to benefit-related inquiries, and assisting with Qualifying Life Events. Representatives are responsible for resolving routine concerns, escalating complex issues when needed, and documenting each interaction accurately and thoroughly. This role ensures employees receive timely, high-quality service by following established procedures, leveraging communication materials, and working closely with vendors to research and resolve benefit questions. Strong communication, customer service, and attention to detail are essential for success in this role. Roles and Responsibilities * Delivers customer service support to internal and external customers by addressing benefits-related questions, leveraging communication materials, and researching issues. * Escalates complex benefits questions and concerns to the Benefits Coordinator while coordinating with vendors to ensure timely and accurate resolution of employee issues. * Tracks escalated concerns and reporting of incoming and outgoing calls and emails. * Prioritizes and documents customer interactions, satisfaction, and feedback for reporting purposes. * Provides Open Enrollment and Qualifying Live Event support. * Maintains targeted outreach on employee benefit and well-being enrollments, elections, etc. * Other duties as assigned. Qualifications Education: High School / GED Experience: 1-3 years Licenses and Certifications Bilingual in English and Spanish, with the ability to read, write, and speak both languages fluently. Physical Requirements Sitting, standing, bending, reaching, stretching, stooping, walking, and moving intermittently during working hours. Must be able to lift at least 20lbs. Must be able to maintain verbal and written communication with co-workers, supervisors, residents, family members, visitors, vendors, and all business associates outside of the health campus. Weekly pay, health and dental after your first month, student loan repayment, a competitive 401(k) match, and more! Make a living while you make a difference at Trilogy Health Services - a senior living provider with the continuous goal of being the Best Healthcare Company in The Midwest.
    $24k-30k yearly est. Auto-Apply 60d+ ago
  • Locum to Perm - Associate Medical Director - Family Medicine Dallas, TX

    Viemed Healthcare Staffing 3.8company rating

    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. 13d ago
  • AP/CP Pathologist

    Sonic Healthcare USA 4.4company rating

    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
  • Revenue Integrity Director- Remote

    Conifer Health Solutions 4.7company rating

    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
  • Medical Biller anesthesia billing and scheduling experience required

    Gastroenterology Clinic 4.3company rating

    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. 20d ago
  • (Non-Remote) Revenue Cycle Manager

    Asian American Health Coalition 4.0company rating

    Houston, TX jobs

    Full-time Description 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. Salary Description DOE
    $72k-101k yearly est. 60d+ ago
  • Billing Manager (Remote) - Veterans Evaluation Services

    Maximus 4.3company rating

    Pittsburgh, PA jobs

    Description & Requirements Maximus is currently hiring a Billing Manager to join the finance team on our Veterans Evaluation Services (VES) Program. This is a remote opportunity. The Billing Manager is responsible for providing critical support, management, and execution of the department's processes. The department is responsible for the review and approval of mission-critical vendor invoices and costs supporting operations. This involves monitoring, management, and guidance of staff, collaboration with third-party account managers and direct support of the Program Finance Leadership. The Billing manager oversees processes that ensure accuracy of vendor invoices & resolves discrepancies of contractually governed billed items, in addition to other duties as assigned. Must provide key analytical support and reconciliation of pre, current, and post billed items or various metrics as requested. This position will be a key liaison between Operations and Finance and will be responsible for providing direct support to the Finance organization within the Federal VES Program. Due to contract requirements, only US Citizen or a Green Card holder can be considered for this opportunity. Essential Duties and Responsibilities: - Oversee the development and implementation of innovative methodologies to improve service levels and overall operational efficiency. - Manage the project's quality assurance and training programs. - Monitor performance against key indicators established internally or by the clients - Responsible for cash application of premium payments, invoice and statement generation, mailing and financial reporting. - Responsible for daily and monthly financial reconciliation. - Ensure appropriate financial and system controls are operating in compliance with standard audit procedures. - Manage audits of operations. - Develop and implement operational policies and procedures in collaboration with other key stakeholders. - Establish and maintain effective relationships with clients and other external entities. - Monitor SLAs and hold team accountable for reviewing and approving third-party invoices - including validation of services performed - to ensure timely payment. - Work directly with third-party account managers to ensure records are reconciled; monitor troubleshooting and remediation as needed. - Support IT team with system enhancements or modifications of workflow with an objective of streamlining processes. - Candidates residing in the Eastern or Central Time Zones (EST/CST) highly preferred. - Must be willing and able to work over 40 hours when required by the responsibilities of the role. - Please note upon hire, Veteran Evaluation Services (VES), a Maximus Co. will provide all necessary computer equipment that is to be utilized to fulfil the duties of your role. New hires will not be exempt from using company provided equipment. Home Office Requirements Using Maximus-Provided Equipment: - Internet speed of 20mbps or higher required (you can test this by going to (****************** - Connectivity to the internet via either Wi-Fi or Category 5 or 6 ethernet patch cable to the home router - Private 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 $ 85,000.00 Maximum Salary $ 105,000.00
    $45k-66k yearly est. Easy Apply 9d ago
  • JR0062540 Associate Customer Service Rep

    McKesson 4.6company rating

    Louisville, KY jobs

    Key Responsibilities: Serves as the point of contact for customer queries and resolution. Provides customer services relating to sales, sales promotions, installations and communications. Ensures that good customer relations and seamless turnaround in problem resolution are maintained and customer claims, product orders and complaints are resolved fairly, effectively and in accordance with the consumer laws. May answer questions and provide prompt information related to potential concerns. Develops organization-wide initiatives to proactively inform and educate customers. ***Shift Details - 11:30pm - 8:00pm Minimum Requirements: High School Diploma or GED Required Skills: Ability to complete multiple activities while utilizing excellent customer service skills Demonstrate ability to communicate clearly in both written and oral communication Maintains all patient confidentiality Other duties and responsibilities as assigned by supervisor. Career Level - IC-Business Support - B1 Additional Information ALL ANSWERS MUST BE "YES" Do you have a High School Diploma or GED? Are you able/comfortable working from home?
    $30k-37k yearly est. 60d+ ago

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