Job Description Licensure/Certification Qualifications: BC/BE Licensed in MN, WI or ND, as required for practice Employee Benefits at Essentia Health:At Essentia Health, we're committed to supporting your well-being, growth, and work-life balance. Our comprehensive benefits include medical, dental, vision, life, and disability insurance, along with supplemental options to fit your needs.
$180k-247k yearly est. 6d ago
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Hospital Outpatient Coding Educator (1.0 D)
Franciscan Health Indianapolis 4.1
Remote
Work From HomeWork From Home Work From Home, Indiana 46544
The Hospital Outpatient Coding Educator is responsible for coordinating and conducting coding training and developing training content and materials for the Franciscan Alliance Corporate Coding Department, hospital outpatient and professional coding staff. This position ensures training practices are standardized and result in consistent coding outcomes, as well as provides input regarding the content of policies and procedures. This position ensures all new and existing staff members are trained and adhere to current coding policies and procedures.
WHO WE ARE
With 12 ministries and access points across Indiana and Illinois, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in hiring coworkers that provide compassionate, comprehensive care for our patients and the communities we serve.
WHAT YOU CAN EXPECT
Develops and maintains all corporate outpatient coding education, training policies and procedures, and coding reference materials.
Leads training sessions and assess coder comprehension of covered materials.
Makes recommendations for the development of coding resources and policy and procedure development.
Assists corporate coding leadership with training and/or development of a performance improvement track for coding coworkers in the corrective action process related to quality or productivity performance.
Coordinates with Coding Auditors to prepare education material based on audit results.
Develops and maintains a consistent coding operations orientation program, and reports the coders' progress to coding leadership throughout the orientation and training processes
Assists Coding Manager and Supervisor with review and response to external coding audits.
Acts as a nosologist, analyzing and interpreting disease, procedure classifications, and terminologies for the accurate translation of healthcare data.
Applies broad guidelines to specific coding situations, independently utilizing discretion and a significant level of analytic ability.
Ability to analyze information, make decisions and exercise independent judgement.
Serves as the subject matter expert with regards to diagnosis and procedure codes, coding guidelines, medical terminology, anatomy/physiology, reimbursement schemes, payer specific guidelines, public reporting of outcomes, quality of patient care outcome measures, and the interpretation of coded data as it relates to revenue cycle compliance.
Participates in problem identification, performs root cause analysis and recommends a solution to Coding Management.
Assists with development and maintenance of software system workflow for standardization and maximum efficiency.
Oversees system testing with regards to any published software updates or software functionality changes
Identifies template variation within the EMR that has a negative impact on coding edits/errors.
Escalates trends and makes recommendations for template revisions/standardization to FAIS HIM team and Coding Leadership.
Coordinates all testing efforts with coding superusers and FAIS teams.
Assists with annual verification of coding staff credentials.
Orients new physicians with regards to the coding department's role in the revenue cycle, and prepare training material for coding related to physician education.
Assists with identification and implementation of process improvements according to industry best practice standards to make the best use of resources, decrease costs and improve coding services across the specialized service lines.
QUALIFICATIONS
High School Diploma/GED With 5 years of Franciscan coding experience - Required
or
Associate's Degree in Health Information Management - Required
Bachelor's Degree in Health Information Management -
Preferred
Surgery Coding Experience - Required
5 Years Franciscan outpatient coding with CCS, CCS-P, CPC - Required
or
3 Years Outpatient Coding Experience with RHIT/RHIA - Required
3 Years Coding Manager or Trainer/Auditor -
Preferred
CCS, Certified Coding Specialist from American Health Information Management Association (AHIMA) - Required
or
CPC, Certified Professional Coder from the American Academy of Professional Coders (AAPC) - Required
or
CCS-P, Certified Coding Specialist - Physician from the American Health Information Management Association (AHIMA) - Required
RHIT, Registered Health Information Technician from American Health Information Management Association
(AHIMA) -
Preferred or
RHIA, Registered Health Information Administrator from
American Health Information Management Association
(AHIMA) -
Preferred
TRAVEL IS REQUIRED:
Never or RarelyJOB RANGE:Coding Educator - Hospital Outpatient/Professional $51001.60-$75868.00INCENTIVE:
EQUAL OPPORTUNITY EMPLOYER
It is the policy of Franciscan Alliance to provide equal employment to its employees and qualified applicants for employment as otherwise required by an applicable local, state or Federal law.
Franciscan Alliance reserves a Right of Conscience objection in the event local, state or Federal ordinances that violate its values and the free exercise of its religious rights.
Franciscan Alliance is committed to equal employment opportunity.
Franciscan provides eligible employees with comprehensive benefit offerings. Find an overview on the benefit section of our career site, jobs.franciscanhealth.org.
$34k-64k yearly est. Auto-Apply 6d ago
System Vice President Revenue Cycle Management Operational Performance
SSM Health Saint Louis University Hospital 4.7
Hillsboro, MO jobs
It's more than a career, it's a calling.
MO-SSM Health Mission Hill
Worker Type:
Regular
Job Highlights:
The SSM Revenue Cycle team is on a fast track to optimization and looking for a strategic thought leader with a proven track record in transformation. This executive role has high visibility within the organization and is a position considered for long term succession planning.
Named 150 Top Places to Work in Healthcare 2024 - Becker's Healthcare
Named One of the Diversity Leaders 2024 - Modern Healthcare
Named One of America's Greatest Workplaces for Diversity 2024 - Newsweek
Named One of America's Greatest Workplaces for Women 2024 - Newsweek
Named One of America's Greatest Workplaces for Job Starters 2024 - Newsweek
SSM Health is a Catholic, not-for-profit health system serving the comprehensive health needs of communities across the Midwest through a robust and fully integrated health care delivery system. The organization's 40,000 team members and more than 13,900+ providers are committed to providing exceptional health care services and revealing God's healing presence to everyone they serve.
With care delivery sites in Illinois, Missouri, Oklahoma, and Wisconsin, SSM Health includes 23 hospitals, more than 300 physician offices and other outpatient and virtual care services, 12 post-acute facilities, comprehensive home care and hospice services, a pharmacy benefit company, a health insurance company and an accountable care organization. It is one of the largest employers in every community it serves.
This position IS remote work eligible. SSM Health currently offers remote work within limited states.
To request additional information, confidentially submit your interest, or nominate a fellow colleague, please contact:
Angela Jones
Executive Talent Partner
***************************
#LI-Remote
Job Summary:
The Vice President for Revenue Cycle Management Operational Performance is responsible for the strategic leadership, oversight and optimization of hospital and ambulatory revenue cycle operations. Provide visionary leadership while fostering strong partnerships to ensure the accuracy and integrity of revenue processes. Partners with the Chief Revenue Cycle Officer to establish and deliver on the Revenue Cycle strategic vision.
Job Responsibilities and Requirements:
Job Responsibilities and Requirements:
Develop and implement strategic initiatives to enhance revenue cycle operations while ensuring the accuracy and integrity of revenue processes.
Oversight and management of coding, coding education, Health Information Management (HIM), Revenue Integrity to include CDM, Accounts Receivable, Cash Management, and Denial Management to ensure compliance with regulatory standards and optimize reimbursement.
Develop and implement strategies for denial management to minimize revenue loss.
Foster strong partnerships with internal and external stakeholders to drive revenue cycle improvements.
Analyze and report on revenue cycle performance, identifying areas for improvement, and implementing corrective actions.
Thought partner with Net Revenue, Information Technology, Finance, Clinical Operations and other stakeholders in continuous revenue improvement.
Exhibits superior management skills that emphasize team building and strong leadership with the ability to provide clear vision and direction.
Leadership development and career pathing to ensure next level leadership readiness.
Creates a culture supportive of personnel, fostering individual motivation, teamwork and high levels of performance and accountability utilizing a participative management style to ensure staff retention
Develops and manages the operating and capital budgets for operations, analyzes variances, develops plans and takes appropriate actions for productivity and performance improvements.
EDUCATION
Master's degree in business or healthcare administration
OR
Bachelor's degree with equivalent experience
EXPERIENCE
Ten years of experience within the area of revenue management, specifically experience with billing and collections at a multi-entity healthcare organization or large complex revenue cycle services with five year's leadership experience.
Department:
8700000033 RCM Leadership
Work Shift:
Day Shift (United States of America)
Scheduled Weekly Hours:
40
Benefits:
SSM Health values our exceptional employees by offering a comprehensive benefits package to fit their needs.
Paid Parental Leave: we offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE).
Flexible Payment Options: our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday.
Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members.
Explore All Benefits
SSM Health is an equal opportunity employer. SSM Health does not discriminate on the basis of race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity, pregnancy, veteran status, or any other characteristic protected by applicable law. Click here to learn more.
$132k-215k yearly est. Auto-Apply 35d ago
Claims Specialist II PACE (WFH-1.0)
Franciscan Health Indianapolis 4.1
Remote
Work From HomeWork From Home Work From Home, Indiana 46544
The PACE Claims Specialist II is responsible for performing day-to-day claims processing and adjudication tasks while providing support to vendors and internal teams. Serving as a team lead for the claims processing team, this role has additional responsibilities in workflow development, process improvement, and advanced technical knowledge to support complex claims scenarios.
WHO WE ARE
With 12 ministries and access points across Indiana and Illinois, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in hiring coworkers that provide compassionate, comprehensive care for our patients and the communities we serve.
The PACE program's vision statement is to provide unmatched, individualized, and joyful care through teamwork that is worthy of praise so that seniors experience the best quality-of-life in their communities. PACE offers seniors and their families the care, nutrition, rehabilitation, transportation, and supportive services they need to remain healthy so that they can live in their own home. Franciscan is known for our mission of caring.
WHAT YOU CAN EXPECT
Practice Hours: Monday - Friday, 8:00 a.m. - 5:00 p.m.
No Weekends, Evenings, or Holidays
Performs duties related to the timely and accurate adjudication of PACE participant medical claims while maintaining advanced knowledge of coding and billing rules. This includes data entry, processing manual and electronic claims, verifying authorizations, issuing claim payments and remittance advice, and processing claim denials. Responsible for working complex or high-priority claims, ensuring accuracy and compliance. Reviews escalated claim issues and delivers resolutions in alignment with CMS requirements. Ensures claims adhere to CMS rules, Medicare guidelines, and PACE-specific policies. Collaborates with the interdisciplinary team (IDT) to resolve discrepancies in authorizations or documentation. Conducts any necessary follow up with internal and external stakeholders.
Supports the PACE Claims Specialist I in providing industry leading customer service to PACE vendors. Performs customer service activities including, but not limited to, support and education to vendors during onboarding phase of partnership, communicating claim statuses to vendors, investigating vendor inquiries, and gathering information related to vendor claim appeals.
Assists with maintaining the vendor and provider network within the claims adjudication software. Builds and modifies vendor profiles as program's vendor network changes. Ensures accuracy of vendor profiles in relation to reimbursement structure in vendor contracts, provider lists, W-9s, etc. Verifies updates to Medicare and Medicaid rates and codes are accurately reflected in claim adjudication software.
Performs monthly EDPS reporting and error clearance. This includes, but is not limited to, reporting to regulatory agencies, clearing errors for resubmission of codes, and monthly auditing of EDPS return/output data. Generates detailed claim performance reports, identifying trends and potential areas for improvement.
Collaborates with PACE intake and eligibility team members to maintain accurate participant eligibility record in claim adjudication software, driving accurate and compliant claim payments.
Supports the PACE Claims Operations Manager in tracking vendor 1099s and gathering claims data for reinsurance reporting. Works closely with finance to aid in the facilitation of timely and accurate claim payments to vendors. Monitors aging reports to escalate and expedite necessary claim payments. Assists with monthly financial reporting to ensure accurate recordation of financial data.
Works closely with internal stakeholders, including finance, compliance, and clinical teams, to facilitate claims processing workflows. Partners with external stakeholders, such as CMS or third-party vendors, to ensure seamless claims operations.
Trains and mentors PACE Claims Specialist I team members to enhance their understanding of claims adjudication and regulatory requirements. Acts as a resource for troubleshooting technical or procedural issues.
Develops and refines workflows to improve the efficiency of the claims processing team. Assists in the implementation of technology solutions to enhance claims processing reporting capabilities. Innovates workflows to drive automation in claim processing. Monitors claims workflows for bottlenecks and provides recommendations for improvements to PACE Claims Operations Manager.
Assists with the development, implementation, and maintenance of policies and procedures in accordance with best practices for claims adjudication.
QUALIFICATIONS
Associate's Degree- Finance, Business or Healthcare Administration- Required
In lieu of degree- 5 years of medical claims processing experience- Required
In lieu of degree- 3 years of PACE medical claims processing experience- Required
Bachelor's Degree- Preferred
Certified Medical Reimbursement Specialist- American Medical Billing Association- Preferred
3 Years- Medical Claim Adjudication/Processing Experience- Required
1 Year- PACE Specific Medical Claim Processing Experience- Preferred
TRAVEL IS REQUIRED:
Never or RarelyJOB RANGE:PACE Claims Specialist II $54,350.40-$74,733.32INCENTIVE:Not Applicable
EQUAL OPPORTUNITY EMPLOYER
It is the policy of Franciscan Alliance to provide equal employment to its employees and qualified applicants for employment as otherwise required by an applicable local, state or Federal law.
Franciscan Alliance reserves a Right of Conscience objection in the event local, state or Federal ordinances that violate its values and the free exercise of its religious rights.
Franciscan Alliance is committed to equal employment opportunity.
Franciscan provides eligible employees with comprehensive benefit offerings. Find an overview on the benefit section of our career site, jobs.franciscanhealth.org.
$34k-45k yearly est. Auto-Apply 6d ago
Clinical Documentation Specialist, Second Reviewer
SSM Health Saint Louis University Hospital 4.7
Remote
It's more than a career, it's a calling.
MO-REMOTE
Worker Type:
Regular Performs as a vital member of the interdisciplinary care team member, an auditor, and an educator ensuring medical records are complete and clinical documentation comprehensively represents the current health status of network patients against ever-changing risk adjusted models. Responsible for achieving improved documentation results and risk adjusted scores for the organization, along with documentation and electronic health record charts that accurately capture the clinical picture.
Job Responsibilities and Requirements:
PRIMARY RESPONSIBILITIES
Reviews clinical records of both clinical documentation integrity and mortality scoring.
Collaborates with others regarding clinical documentation improvement (CDI) and risk adjustment (mortality) findings.
Maintains knowledge of Centers for Medicare and Medicaid Services (CMS) requirements related to clinical documentation and provides feedback to clinical staff regarding these requirements during the concurrent record review process.
Maintains knowledge of mortality models, observed rate/expected rate (O/E ratios), industry trends, variable and diagnosis review group (DRG) frequency.
Serves as a liaison between coding staff and physicians as appropriate. Identifies and initiates opportunities for new program development or program extensions, as well as opportunities based on outcomes analysis for program process improvements.
Works with other team members regarding opportunities for improvement in standard work.
Maintains documentation, logs adjusted risk and CDI opportunities.
Applies the existing body of evidence-based practice and scientific knowledge in health care to nursing practice, ensuring that nursing care is delivered based on patient's age-specific needs and clinical needs as described in the department's scope of service.
Works in a constant state of alertness and safe manner.
Performs other duties as assigned.
EDUCATION
Graduate of accredited school of nursing, PA, NP, or medical school, or Associate's degree and Certified Clinical Documentation Specialist (CCDS) certification from the Association of Clinical Documentation Improvement Specialist (ACDIS)
EXPERIENCE
Two years in an acute care setting with two years experience in clinical documentation or 4 years experience in clinical documentation with a Certified Clinical Documentation Specialist (CCDS) certification
PHYSICAL REQUIREMENTS
Frequent lifting/carrying and pushing/pulling objects weighing 0-25 lbs.
Frequent sitting, standing, walking, reaching and repetitive foot/leg and hand/arm movements.
Frequent use of vision and depth perception for distances near (20 inches or less) and far (20 feet or more) and to identify and distinguish colors.
Frequent use of hearing and speech to share information through oral communication. Ability to hear alarms, malfunctioning machinery, etc.
Frequent keyboard use/data entry.
Occasional bending, stooping, kneeling, squatting, twisting and gripping.
Occasional lifting/carrying and pushing/pulling objects weighing 25-50 lbs.
Rare climbing.
REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS
State of Work Location: Illinois
Certified Clinical Documentation Specialist (CCDS) - Association of Clinical Documentation Improvement Specialists (ACDIS)
Or
Physician Assistant in Medicine, Licensed - Illinois Department of Financial and Professional Regulation (IDFPR)
Or
Physician - Regional MSO Credentialing
Or
Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR)
Or
Advanced Practice Nurse (APN) - Illinois Department of Financial and Professional Regulation (IDFPR)
Or
APN Controlled Substance - Illinois Department of Financial and Professional Regulation (IDFPR)
Or
Full Practice Authority APRN Control Substance - Illinois Department of Financial and Professional Regulation (IDFPR)
Or
Full Practice Authority APRN - Illinois Department of Financial and Professional Regulation (IDFPR)
State of Work Location: Missouri
Certified Clinical Documentation Specialist (CCDS) - Association of Clinical Documentation Improvement Specialists (ACDIS)
Or
Physician Assistant - Missouri Division of Professional Registration
Or
Physician - Regional MSO Credentialing
Or
Registered Nurse (RN) Issued by Compact State
Or
Registered Nurse (RN) - Missouri Division of Professional Registration
Or
Nurse Practitioner - Missouri Division of Professional Registration
State of Work Location: Oklahoma
Certified Clinical Documentation Specialist (CCDS) - Association of Clinical Documentation Improvement Specialists (ACDIS)
Or
Acknowledgement of Receipt of Application for Physician Assistant - Oklahoma Medical Board
Or
Physician Assistant - Oklahoma Medical Board
Or
Physician - Regional MSO Credentialing
Or
Registered Nurse (RN) Issued by Compact State
Or
Registered Nurse (RN) - Oklahoma Board of Nursing (OBN)
Or
Advanced Practice Registered Nurse (APRN) - Oklahoma Board of Nursing (OBN)
Or
Certified Family Nurse Practitioner (FNP-C) - American Academy of Nurse Practitioners (AANP)
State of Work Location: Wisconsin
Certified Clinical Documentation Specialist (CCDS) - Association of Clinical Documentation Improvement Specialists (ACDIS)
Or
Physician Assistant - Wisconsin Department of Safety and Professional Services
Or
Physician - Regional MSO Credentialing
Or
Registered Nurse (RN) Issued by Compact State
Or
Registered Nurse (RN) - Wisconsin Department of Safety and Professional Services
Or
Advanced Practice Nurse Prescriber (APNP) - Wisconsin Department of Safety and Professional Services
Work Shift:
Day Shift (United States of America)
Job Type:
Employee
Department:
********** Sys Clinical Documentation Improvement
Scheduled Weekly Hours:
40
Benefits:
SSM Health values our exceptional employees by offering a comprehensive benefits package to fit their needs.
Paid Parental Leave: we offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE).
Flexible Payment Options: our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday.
Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members.
Explore All Benefits
SSM Health is an equal opportunity employer. SSM Health does not discriminate on the basis of race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity, pregnancy, veteran status, or any other characteristic protected by applicable law. Click here to learn more.
$35k-48k yearly est. Auto-Apply 54d ago
Accounts Payable Associate
SSM Health Saint Louis University Hospital 4.7
Remote
It's more than a career, it's a calling.
WI-REMOTE
Worker Type:
Regular
Job Highlights:
Qualifications: Accounts payable experience is required, SAP experience is strongly preferred.
Schedule: Monday - Friday, Days
Location: SSM Health West Beltline, WI
At SSM Health, we believe in providing our employees with a fulfilling career. We strive to create an environment where individuals can grow both personally and professionally. Our company values diversity, innovation, and collaboration, and we are committed to making a positive impact on the communities we serve.
Joining SSM Health means becoming part of a team that is dedicated to providing exceptional patient care and making a difference in people's lives. Our employees are passionate about what they do, and their commitment to our mission is what sets us apart.
Job Summary:
Performs various accounts payable clerical processes.
Job Responsibilities and Requirements:
PRIMARY RESPONSIBILITIES
Assists with the preparation of invoices, and check requests for payments, under close supervision,.
Verifies amounts payable, terms, and accounts to be charged following clearly defined procedures.
Processes invoices and payment requests and analyzes and resolves payment exceptions.
Performs statement review and issue resolution. Responds to inquiries from internal stakeholders and external vendors.
Performs other duties as assigned.
EDUCATION
High School diploma/GED or 10 years of work experience
EXPERIENCE
One year experience
PHYSICAL REQUIREMENTS
Frequent lifting/carrying and pushing/pulling objects weighing 0-25 lbs.
Frequent sitting, standing, walking, reaching and repetitive foot/leg and hand/arm movements.
Frequent use of vision and depth perception for distances near (20 inches or less) and far (20 feet or more) and to identify and distinguish colors.
Frequent use of hearing and speech to share information through oral communication. Ability to hear alarms, malfunctioning machinery, etc.
Frequent keyboard use/data entry.
Occasional bending, stooping, kneeling, squatting, twisting and gripping.
Occasional lifting/carrying and pushing/pulling objects weighing 25-50 lbs.
Rare climbing.
REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS
None
Department:
8761020033 Accounts Payable
Work Shift:
Day Shift (United States of America)
Scheduled Weekly Hours:
40
Benefits:
SSM Health values our exceptional employees by offering a comprehensive benefits package to fit their needs.
Paid Parental Leave: we offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE).
Flexible Payment Options: our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday.
Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members.
Explore All Benefits
SSM Health is an equal opportunity employer. SSM Health does not discriminate on the basis of race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity, pregnancy, veteran status, or any other characteristic protected by applicable law. Click here to learn more.
$34k-41k yearly est. Auto-Apply 5d ago
Psychologist- Child & Adolescent - St. Cloud MN
Centracare 4.6
Saint Cloud, MN jobs
Child Psychologists to Join a Skilled Team at CentraCare
CentraCare's Specialty Care Child and Adolescent Behavioral health team provides outpatient diagnostic assessment, psychological testing, and psychotherapy services for children and their families impacted by trauma, depression, anxiety, and developmental disorders.
Ideal Candidates will have…
Interest and skill in providing outpatient psychotherapy and psychological testing a plus.
Ability to practice in areas of interest and specialty is possible, including specialty clinics in eating disorders, fetal alcohol spectrum disorders, autism, or health psychology.
Work collaboratively with psychologists, psychiatrists, primary care, and integrated behavioral health providers.
Position Information:
Positions available in St. Cloud
Ability for some remote work, in addition to onsite work
Monday- Friday, 8a-5p
Full benefits package including $8,000 sign-on bonus, medical & dental, retirement, etc.
No nights, holidays, weekends or call
Position Qualifications:
PSYCHOLOGIST
PhD or PsyD in Clinical or Counseling Psychology is required.
Minimum of one-year experience is required.
Completion of post-doc training year prior to start date preferred
License eligible within one year of hire by the State of Minnesota Board of Psychology as Licensed Psychologist (LP).
PSYCHOTHERAPIST
Master's Degree in Psychology, Social Work, Marriage and Family Therapy or related Human Services field required.
Minimum of one-year experience is required.
State of Minnesota licensure required, need to have one of the following:
Licensed Psychologist (LP) with the MN Board of Psychology or
Licensed Independent Clinical Social Worker (LICSW) with the MN Board of Social Work or
Licensed Marriage and Family Therapist (LMFT) with the MN Board of Marriage & Family Therapy or
Licensed Professional Clinical Counselor (LPCC) with the MN Board of Behavioral Health & Therapy.
CentraCare has made a commitment to diversity in its workforce. All individuals including, but not limited to, individuals with disabilities, are encouraged to apply. CentraCare is an EEO/AA employer.
CentraCare
CentraCare is committed to the patients and families we serve in the communities we call home throughout Central, West Central and Southwestern Minnesota. We listen then serve, we guide and heal-because health means everything.
Has grown to be one of the largest health systems in Minnesota
Leading provider of rural health in the state
Recent investment in system-wide employee culture
Innovative population health and wellness initiatives
Collaborative physician and administration leadership model
Access to more than 40 medical and surgical specialties
Work for an organization that offers nationally recognized care. View our most recent awards by clicking here. ********************************************************
CentraCare - St. Cloud Hospital
Access to a regional referral center of 489 beds and Level II trauma center
Highly skilled, specialized support staff and nursing - Magnet designated since 2004
Offers a full spectrum of inpatient and outpatient services, from primary care to specialty care
Single hospital community
St. Cloud, Minnesota
St. Cloud is a wonderful place to live, work and raise a family. Enjoy easy access to Minneapolis/St. Paul but live in a low stress and relaxing community.
60 minutes from Minneapolis
Mini-metro area in the heart of lake country
Four season recreation
Theatre and arts
Excellent education options
Family friendly
Four colleges
For More Information, Visit These Links
About CentraCare ************************************
CentraCare Physician & APP Recruitment *************************************************
St. Cloud, MN Resources
City of St. Cloud *****************************
St. Cloud Chamber of Commerce ***********************************
St. Cloud Area Convention and Visitors Bureau *****************************
St. Cloud Times ************************
St. Cloud Area Education Resources
St. Cloud School District 742 ***********************
Sartell School District 748 ******************************
Sauk Rapids/Rice School District 47 **********************
Diocese of St. Cloud Catholic Schools ******************
St. John's Prep *******************
St. Cloud State University *****************************
St. Cloud Technical College **********************
College of St. Benedict/St. John's University ***********************
Social Media Links
Facebook: *************************************
Twitter: *********************************
LinkedIn: *******************************************
Pinterest: ***************************************
YouTube: ****************************************************
Instagram: ****************************************
Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint.
Work Shift:
Day (United States of America)
Scheduled Weekly Hours:
40Salary Range: $15.00 - $23.00
Union Position:
No
Department Details
WFH Day 1
Summary
The Associate Insurance Representative processes and monitors unpaid third party insurance, Medicare, Medicaid or government-assisted program accounts for proper reimbursement; primarily but not limited to prebilled accounts.
Job Description
Prepares and submits claims to payers either electronically or by paper. Secures necessary medical documentation required or requested by payers. Performs account follow-up on outstanding insurance balances and takes the necessary action for account resolution in accordance with established federal and state regulations.
Processes daily workflow changes that depending on department may include, eligibility verification, verification of information, payment postings, initiating refunds, processing month end, resolving and troubleshooting incidents, reporting, initial billings and re-billings of claims, scanning and indexing of documents, and be the point of contact to provide assistance as needed. Responsible for assuring accounts are set up correctly with the information available is completed timely and accurately.
Completes work within authorized time to assure compliance with departmental standards. Keeps updated on all state/federal billing requirements and changes for insurance types within area of responsibility. Understands edits and appropriate department procedures to effectively submit and/or correct errors on claims. Processes and resolves denials that are technical in nature (i.e.: records required denials). Performs miscellaneous job related duties as requested.
Qualifications
High school diploma or equivalent preferred.
Previous billing experience preferred.
Sanford is an EEO/AA Employer M/F/Disability/Vet.
If you are an individual with a disability and would like to request an accommodation for help with your online application, please call ************** or send an email to ************************.
$15-23 hourly Auto-Apply 8d ago
Certified Coding Specialist (1.0)
Franciscan Health Indianapolis 4.1
Remote
Work From HomeWork From Home Work From Home, Indiana 46544
The Certified Coding Specialist upholds the critical responsibilities of reviewing electronic medical record (EMR) documentation, and applying ICD and CPT codes, per official coding guidelines, with a specific focus on professional primary care and urgent care visits. The position services as a subject matter expert to providers and staff for questions and updates related to coding.
WHO WE ARE
Franciscan Health is a leading healthcare organization dedicated to providing exceptional patient care and promoting health and wellness in our community. Our mission is to ensure that every patient receives the highest quality of care through innovation, compassion, and excellence. With 12 ministries and access points across Indiana and Illinois, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in hiring coworkers who provide compassionate, comprehensive care for our patients and the communities we serve.
WHAT YOU CAN EXPECT
Review and audit EMR content, charts, CPT procedure codes, ICD diagnosis codes, and documentation to ensure accuracy and standard; provide corrective action if needed.
Review MWV, TCM and CCM visits to ensure billing follows Medicare and coding guidelines.
Verify insurance eligibility and update electronic medical record registration as appropriate.
Demonstrates a thorough knowledge of coding guidelines, medical terminology, and anatomy/physiology, and payer specific coding guidelines.
Communicate electronically with the provider and/or staff for documentation or clarification to support codes, and communicate concerns to the manager.
QUALIFICATIONS
High School Diploma/GED - Required
Associate's Degree Health Information Management -
Preferred
1 year of hands-on ICD-10 coding experience in a professional healthcare setting (not solely coursework or software training) -
Preferred
Highly detail-oriented with a commitment to accuracy - Required
CPC, CCS, or CCA coding certification - Required
TRAVEL IS REQUIRED:
Never or RarelyJOB RANGE:Certified Coding Specialist $20.06-$26.81INCENTIVE:
EQUAL OPPORTUNITY EMPLOYER
It is the policy of Franciscan Alliance to provide equal employment to its employees and qualified applicants for employment as otherwise required by an applicable local, state or Federal law.
Franciscan Alliance reserves a Right of Conscience objection in the event local, state or Federal ordinances that violate its values and the free exercise of its religious rights.
Franciscan Alliance is committed to equal employment opportunity.
Franciscan provides eligible employees with comprehensive benefit offerings. Find an overview on the benefit section of our career site, jobs.franciscanhealth.org.
$53k-63k yearly est. Auto-Apply 43d ago
Health Plan Product Manager - Commercial/TPA - Remote
Sanford Health 4.2
Marshfield, WI jobs
Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint.
Work Shift:
Scheduled Weekly Hours:
40Salary Range: $37.50 - $62.00
Union Position:
No
Department Details
Summary
The Product Manager will lead the ongoing analysis, planning, and management of their respective product line or Health Plan or Sanford Health System service and will identify areas of product enhancement or new product development. The Product Manager will interface with external customers and clients, agents, businesses, professional peers, prospects, and members to understand market requirements and translate those requirements into business opportunities for the Health Plan.
Job Description
Leads the end-to-end product lifecycle, from concept and feasibility through development, launch, and performance evaluation to assure alignment with Sanford Health System and Sanford Health Plan strategic goals. Collaborates with leadership, Performance Excellence, and cross-functional teams to ensure product feasibility, translating market needs into actionable requirements that drive the development of market-driven products and services.
Develops and manages comprehensive product plans, including cost-benefit analyses, budgets, schedules, and work plans to support the ongoing success of assigned product lines. Coordinates and leads multidisciplinary teams to assess market opportunities, determine financial viability, and evaluate sales potential. Maintains a strong understanding of marketing strategies including mobile applications, social media, and SEO/SEM to support the Health Plan's digital engagement and overall marketing outreach efforts.
Participates in and leads cross-functional initiatives that support Product Development goals, including product performance tracking, enhancement planning, and retirement strategies. Evaluates and integrates data to inform lifecycle decisions and ensure continuous improvement. Develops competitive intelligence tools to assess Sanford Health Plan and Sanford Health System product positioning in the market and identify opportunities for innovation and differentiation. Integrates multiple complex business cases into a cohesive product portfolio strategy, making recommendations to achieve optimal product mix for target market segments.
Leads stakeholder engagement throughout the product development lifecycle, establishing regular communication, facilitating discussions, and preparing for executive and governance reviews. Communicates the status of product line strategies and execution to Product Development leadership on an ongoing basis. Ensures that all product offerings comply with applicable regulations by working closely with internal regulatory and legal teams, and when applicable, with external regulators to meet submission, filing, and reporting requirements.
Maintains ongoing competency in product management practices and regulatory requirements, ensuring the skills, knowledge, and abilities necessary to perform within scope. Regular attendance and active participation in strategic planning and execution are essential to the role.
Qualifications
Bachelor's degree in Marketing, Business, or related field required. Master's Degree in Marketing, Business, or related field, preferred.
Minimum five to ten years' of relevant experience in healthcare and/or consumer product marketing with emphasis in product management and strategy development.
Sanford is an EEO/AA Employer M/F/Disability/Vet.
If you are an individual with a disability and would like to request an accommodation for help with your online application, please call ************** or send an email to ************************.
$37.5-62 hourly Auto-Apply 31d ago
Financial and Regulatory Analyst
Centracare 4.6
Saint Cloud, MN jobs
Find your purpose as a Financial and Regulatory Analyst at CentraCare. The Financial and Regulatory Policy Analyst serves as a cross-functional expert supporting financial analysis, payer policy review, and regulatory compliance. This role is responsible for evaluating the financial and operational impact of payer policies, government reimbursement regulations, and healthcare legislation. The analyst partners with managed care, revenue cycle, government reimbursement, compliance, and clinical operations teams to ensure alignment with payer requirements, optimize reimbursement, and mitigate regulatory risk.
Schedule:
Full-time 72 hours every 2 weeks
Hours between Monday - Friday 8:00a-5:00p CST
Fully remote
Pay and Benefits:
Starting pay begins at $63,747.33 per year and increases with experience.
Salary range: $63,747.33-$95,642.90 per year
Salary range is based on a 1.0 FTE, reduced FTE will result in a prorated offer rate
We offer a generous benefits package that includes medical, dental, flexible spending accounts, PTO, 401(k) retirement plan & match, LTD and STD, tuition reimbursement, discounts at local and national businesses and so much more!
Qualifications:
Bachelor's degree in Finance, Health Administration, Public Health, Economics, or related field or 5+ years of experience in financial analysis, strong report-building skills, payer relations, or regulatory affairs in a healthcare environment.
Understanding of Medicare and Medicaid payment systems, managed care contracts, and payer policies required.
Proficiency in Excel and financial modeling; ability to interpret large datasets required.
Familiarity with EHR and revenue systems (e.g., Epic, Lawson, Strata, or similar) preferred.
Experience with payer audits, prior authorization processes, and coverage policy review preferred.
Strong analytical, report creation, and critical thinking skills.
Clear written and verbal communication.
Regulatory and policy acumen.
Detail orientation with the ability to synthesize complex information.
Collaboration and stakeholder engagement
Core Functions:
Payer Policy & Regulatory Intelligence
Monitor and interpret payer policy updates, government reimbursement rules (e.g., Medicare, Medicaid, commercial plans), and legislation impacting financial performance.
Analyze changes in payer coverage determinations, billing guidelines, and authorization policies to assess impact on access, documentation, and reimbursement.
Collaborate with internal stakeholders to implement payer policy changes and ensure compliance across the revenue cycle and clinical departments.
Identify opportunities for revenue enhancement and cost reduction through proactive management of payer policies.
Financial Analysis & Forecasting
Build and maintain financial models to forecast the revenue impact of regulatory or payer policy changes.
Analyze variances in net revenue, denials, and reimbursement trends related to policy shifts and provide regular reports to the HealthCare Affordability Committee.
Support budget planning and value-based contract modeling by incorporating regulatory and policy data.
Develop metrics to track policy compliance, identify gaps, and propose solutions to improve processes and outcomes.
Document and communicate findings, recommendations, and action plans to the HealthCare Affordability Committee.
Regulatory Compliance & Reporting
Track regulatory requirements from CMS, state Medicaid agencies, and commercial payers.
Collaborate with compliance teams and revenue integrity teams to implement and maintain internal controls and audits to minimize risk.
Collaborate with payer relations to address any payer-policy-related issues.
Monitor adherence to payer policies across the organization.
Partner with clinical and operational teams to ensure policy changes are implemented efficiently and effectively.
Collaborate with the legal department to review and interpret contracts, agreements, and regulations.
Communicate effectively with payers to clarify policy details and resolve disputes.
Work closely with the revenue cycle management team to optimize claims processing and reimbursement.
Cross-Functional Collaboration
Act as a liaison between Finance, Compliance, Managed Care, Revenue Cycle, and Clinical Operations teams.
Analyze clinical vendor reimbursement assumptions.
Deliver policy summaries and financial impact briefs to operational leaders, with clear recommendations.
Support stakeholders on new or updated payer policies and regulatory requirements.
CentraCare has made a commitment to diversity in its workforce and all individuals, including, but not limited to, individuals with disabilities, are encouraged to apply. CentraCare is an EEO/AA employer.
$63.7k-95.6k yearly Auto-Apply 25d ago
Lead Clinical Documentation Integrity Specialist (1.0)
Franciscan Health Indianapolis 4.1
Remote
Work From HomeWork From Home Work From Home, Indiana 46544
The Lead CDI Specialist assists the CDI Manager by overseeing the day-to-day work functions of the CDI Specialists. In this role, you will assign daily duties, monitor CDI department volumes, and round with employees on a defined basis to solicit feedback. The position is responsible for escalating employee concerns, workflow opportunities, and technology barriers to the Manager/Director of CDI.
WHO WE ARE
With 12 ministries and access points across Indiana and Illinois, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in hiring coworkers that provide compassionate, comprehensive care for our patients and the communities we serve.
WHAT YOU CAN EXPECT
Oversee day-to-day CDI functions, including daily assignments and department-wide tasks, and escalates recommendations to the CDI Manager for adjustments to workflow when necessary.
Coordinate staff schedules to meet service level expectations.
Escalate inconsistencies in CDI operations that do not align with corporate standards.
Make recommendations for the development of CDI resources and policy and procedure development based on observations with staff.
Participate in problem identification, perform root cause analysis, and recommend a solution to CDI Management.
QUALIFICATIIONS
Associate's Degree Nursing or Healthcare related field - Required
Bachelor's Degree Nursing or Healthcare related field -
Preferred
7 years Acute Care Nursing in lieu of Bachelor's Degree - Required
3 years Direct CDI experience - Required
2 years Lead, Supervisory or Management -
Preferred
1 year Prior leadership or mentoring experience formally as team lead or informally as a seasoned CDI specialist -
Preferred
3 years EPIC/EHR experience - Required
Certified Clinical Documentation Specialist (CCDS) - Association of Clinical Documentation Integrity Specialists (ACDIS) - Required within 180 days
Registered Nurse (RN) - State Licensing Board -
Preferred
Strong communicator and approachable leader with a positive, servant-leadership style - Required
Self-starter who takes initiative, solves problems effectively, and adapts well to change - Required
Organized and confident working in dynamic environments - Required
TRAVEL IS REQUIRED:
Never or RarelyJOB RANGE:CDI Lead Specialist: $75,441.60 - $103,750.40INCENTIVE:
EQUAL OPPORTUNITY EMPLOYER
It is the policy of Franciscan Alliance to provide equal employment to its employees and qualified applicants for employment as otherwise required by an applicable local, state or Federal law.
Franciscan Alliance reserves a Right of Conscience objection in the event local, state or Federal ordinances that violate its values and the free exercise of its religious rights.
Franciscan Alliance is committed to equal employment opportunity.
Franciscan provides eligible employees with comprehensive benefit offerings. Find an overview on the benefit section of our career site, jobs.franciscanhealth.org.
$52k-70k yearly est. Auto-Apply 6d ago
Prior Authorization Specialist
Franciscan Health Indianapolis 4.1
Remote
Work From HomeWork From Home Work From Home, Indiana 46544
The Prior Authorization Specialist is responsible for obtaining prior authorization for provider practices which may include outpatient services, specialty care and other ancillary services. The Prior Authorization Specialist verifies insurance coverage and gathers clinical information to ensure that all reimbursement requirements are met. The ability to Compassionately engage in conversation with patients on their responsibilities for Copayment, Prepayment and Outstanding Balances.
WHO WE ARE
With 12 ministries and access points across Indiana and Illinois, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in hiring coworkers that provide compassionate, comprehensive care for our patients and the communities we serve.
WHAT YOU CAN EXPECT
Follows payer processes (website, fax, contact number) to submit appropriate clinical documentation; remains current on updates from payers to ensure appropriate reimbursement from payers.
Serves as primary resource to ambulatory clinics regarding the prior authorization process and requirements.
Collects clinical information regarding services to be rendered for prior authorizations.
Contacts payers to obtain prior authorizations; enters standardized documentation within electronic medical record, to identify prior authorization and the criteria surrounding each authorization.
Educates providers and their clinical staff regarding the prior authorization process; advises providers and their clinical staff when issues arise relating to obtaining prior authorization.
Primary resource to patients regarding prior authorization process.
Verifies that all insurance requirements have been met.
QUALIFICATIONS
Required High School Diploma/GED
1 year Prior Authorizations and Revenue Cycle Required
TRAVEL IS REQUIRED:
Never or RarelyJOB RANGE:Prior Authorization Specialist $18.55-$24.12INCENTIVE:Not Applicable
EQUAL OPPORTUNITY EMPLOYER
It is the policy of Franciscan Alliance to provide equal employment to its employees and qualified applicants for employment as otherwise required by an applicable local, state or Federal law.
Franciscan Alliance reserves a Right of Conscience objection in the event local, state or Federal ordinances that violate its values and the free exercise of its religious rights.
Franciscan Alliance is committed to equal employment opportunity.
Franciscan provides eligible employees with comprehensive benefit offerings. Find an overview on the benefit section of our career site, jobs.franciscanhealth.org.
$30k-36k yearly est. Auto-Apply 4d ago
Coding Manager
Franciscan Health Indianapolis 4.1
Remote
Work From HomeWork From Home Work From Home, Indiana 46544
The Corporate Coding Manager develops and implements coding strategies and provides operational leadership to manage and maintain efficient coding processes. This position supervises staff, prepares and forecasts budgets and strategic plans oversees quality assurance programs, and ensures regulatory compliance.
WHO WE ARE
With 12 ministries and access points across Indiana and Illinois, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in hiring coworkers that provide compassionate, comprehensive care for our patients and the communities we serve.
WHAT YOU CAN EXPECT
Provides oversight and leadership to the Coding Supervisors within the department, and manages the performance of coworkers through ongoing coaching, feedback, and development to motivate, engage and drive a high performing team.
Oversees the auditing and education program to ensure accurate and compliant coding and billing practices.
Makes decisions regarding changes to coding staff day-to-day functions; aligns all aspects of coding operations to align acute and ambulatory corporate initiatives, including standardized corporate coding policy and procedure development and enforcement.
Participates in problem identification, performs root cause analysis, and develops a solution that produces expected outcomes and intended results.
Assists with the development of the organizational wide standardization and implementation of a corporate coding compliance plan to include compliance with external regulatory and accreditation requirements.
Creates an environment that coworkers want to work in and maintain a high level of coworker satisfaction.
Serves as department liaison for regional meetings and projects and to other teams that interact with the coding team; assists with items specific to coding needs for planning of new department builds and department revisions.
Assists the Coding Manager with inquiries/audits and denials from third party agencies related to coding.
Function Purpose Orientation to coding fundamental support role in business operations in supporting the revenue cycle and how coding influences. (ex. Physicians, Clinical Operations teams, BPCI, quality measures
Acts as a nosologist, analyzing and interpreting disease and procedure classifications and terminologies for the accurate translation of healthcare data; applies broad guidelines to specific coding situations, independently utilizing discretion and a significant level of analytic ability.
Serves as the subject matter expert with regards to diagnosis and procedure codes, coding guidelines, medical terminology, anatomy/physiology, reimbursement schemes, payer specific guidelines, public reporting of outcomes, quality of patient care outcome measures, and the interpretation of coded data as it relates to revenue cycle compliance.
Maintains expert knowledge of Franciscan Alliance coding software tools; assists with development and maintenance of software system workflow for standardization and maximum efficiency.
Assists with identification and implementation of process improvements, according to industry best practice standards, to make the best use of resources, decrease costs and improve coding services across the specialized service lines.
Director with development and manages departmental budgets, including making budget allocations, approving expenditures and ensuring expenses are within budget.
Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association/American Association of Procedural Coders, and adheres to official coding guidelines.
QUALIFICATIONS
Associate's Degree Health Information Management - Required
Bachelor's Degree Health Information Management - Preferred
4 years Coding Manager - Required
4 years Franciscan Coding Supervisor - Required
3 years Coding Experience - Required
Registered Health Information Administrator (RHIA) - American Health Information Management Association (AHIMA) - Required - OR -
Registered Health Information Technician (RHIT) - American Health Information Management Association (AHIMA) - Required
TRAVEL IS REQUIRED:
Up to 20%JOB RANGE:Coding Manager $77,750.40 - $121,492.80INCENTIVE:Not Applicable
EQUAL OPPORTUNITY EMPLOYER
It is the policy of Franciscan Alliance to provide equal employment to its employees and qualified applicants for employment as otherwise required by an applicable local, state or Federal law.
Franciscan Alliance reserves a Right of Conscience objection in the event local, state or Federal ordinances that violate its values and the free exercise of its religious rights.
Franciscan Alliance is committed to equal employment opportunity.
Franciscan provides eligible employees with comprehensive benefit offerings. Find an overview on the benefit section of our career site, jobs.franciscanhealth.org.
$57k-75k yearly est. Auto-Apply 11d ago
Specialty Pharmacy Clinical Pharmacy Specialist
Franciscan Health Indianapolis 4.1
Remote
Work From HomeWork From Home Work From Home, Indiana 46544
The Clinical Pharmacy Specialist provides comprehensive pharmacotherapy services for patient populations, responds to complex drug therapy issues, and provides leadership to improve medication use. The Specialist leads education efforts for Clinical Staff Pharmacists, Pharmacy Students, Pharmacy Residents, and other healthcare professionals. This position collaborates with other Franciscan Alliance medical staff and facilities to achieve best practices and optimal outcomes for all patients.
BOTH INDIANA AND ILLINOIS PHARMACIST LICENSE REQUIRED.
WHO WE ARE
With 12 ministries and access points across Indiana and Illinois, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in hiring coworkers that provide compassionate, comprehensive care for our patients and the communities we serve.
WHAT YOU CAN EXPECT
Collaborate with allied health disciplines to provide quality patient care.
Consult with and advise other Healthcare professionals and patients on matters pertaining to selection, procurement, distribution, and safe and appropriate use of medications.
Coordinate and deliver ongoing staff education for clinical staff pharmacist.
Direct and precept students and/or residents.
Lead cost effective formulary management initiatives.
Review adverse events related to the medication use process, recommend improvements to the medication use process, as needed, and ensure improvements are implemented.
Review literature and publications in area of specialization, and recommend improvements to the medication use process.
Review prescriptions and medication orders, check for appropriateness, and provide information needed to properly and safely administer the medication.
Attend and participate in local and system-wide committees to improve the medication use process.
Draft, review, and revise medication related policies, procedures, guidelines and protocols.
Provide clinical pharmacy services as outlined in approved hospital policies, including but not limited to: pharmacokinetic consults, renal dosing, parenteral nutrition management, anticoagulation management, neonatal/pediatric/geriatric dosing management, route optimization, antimicrobial stewardship, and reviewing medications at transitions of care.
QUALIFICATIONS
Required Bachelor's Degree Pharmacy
Preferred Doctorate Pharmacy
1 year PGY1 Pharmacy Residency Required
3 years In area of specialization Required
1 year PGY-2 Pharmacy residency Preferred
Registered Pharmacist (RPh) - State Licensing Board
Board Certified in applicable area of specialty or pharmacotherapy (if specialty area not available) - . Required within 24 months
Basic Life Support Program (BLS) - American Heart Association As required by unit
TRAVEL IS REQUIRED:
Never or RarelyJOB RANGE:Clinical Pharmacy Specialist $128960.00-$153140.00INCENTIVE:Not Applicable
EQUAL OPPORTUNITY EMPLOYER
It is the policy of Franciscan Alliance to provide equal employment to its employees and qualified applicants for employment as otherwise required by an applicable local, state or Federal law.
Franciscan Alliance reserves a Right of Conscience objection in the event local, state or Federal ordinances that violate its values and the free exercise of its religious rights.
Franciscan Alliance is committed to equal employment opportunity.
Franciscan provides eligible employees with comprehensive benefit offerings. Find an overview on the benefit section of our career site, jobs.franciscanhealth.org.
$84k-135k yearly est. Auto-Apply 14d ago
Principal HRIS Analyst
Centracare 4.6
Saint Cloud, MN jobs
The Principal Oracle HCM Analyst is a strategic and technical leader responsible for maximizing the value of the organization's Oracle Fusion HCM platform. This role serves as the subject matter expert for HCM functionality, system configuration, automation, integrations, and reporting. The Principal Analyst partners with HR and business leaders to design, implement, and optimize HCM solutions that drive operational efficiency, reduce manual workflows, and enhance data-driven decision-making.
This position also provides leadership within the HRIS team, mentoring and upskilling staff, establishing best practices, and ensuring governance across all HR systems. The Principal Oracle HCM Analyst plays a critical role in advancing the organization's HR technology strategy, consolidating disparate technologies, and ensuring the HCM platform evolves to meet current and future business needs.
Schedule:
Full-time | 80 hours every two weeks
Day shift | Monday - Friday | 8:00 a.m. - 5:00 p.m.
This role will work remotely
Pay and Benefits:
Pay begins at $129,181.45 annually, exact pay determined by years of experience
Pay Range: $129,181.45 - $193,761.22 annually
Full-time benefits: medical, dental, PTO, retirement, employee discounts and more!
Qualifications:
Bachelor's degree in Human Resources, Computer Science, Management Information Systems, or a related field
10+ years of HR technology experience
7+ years of Oracle Cloud HCM application/configuration experience
Experience with Oracle HCM system administrations and/or other Cloud applications
Ability to develop and administer documentation related to projects, recommendations, and implementation procedures preferred
Reporting experience and SQL knowledge preferred
CentraCare has made a commitment to diversity in its workforce. All individuals including, but not limited to, individuals with disabilities, are encouraged to apply. CentraCare is an EEO/AA employer.
$50k-70k yearly est. Auto-Apply 21d ago
Psychologist - Adult - St. Cloud
Centracare 4.6
Saint Cloud, MN jobs
CentraCare is hiring Adult Psychologists/Psychotherapists
Find your purpose on our Adult Behavioral Health Team. You'll make a difference by providing outpatient diagnostic assessments, psychological testing, and psychotherapy services. You will serve patients and their families impacted by anxiety, depression, pain, stress, and trauma issues.
Position Information:
Positions available in St. Cloud
Ability for some remote work, in addition to onsite work
Monday- Friday, 8a-5p
Full benefits package, sign-on bonus, medical & dental, retirement, relocation etc.
No nights, holidays, weekends, or call
Position Details:
Work collaboratively with other specialty care and IBH psychologists, psychiatrists, psychotherapists and other medical providers.
Provide outpatient diagnostic assessment, psychological testing, and psychotherapy services.
Opportunity to develop part of your practice in areas of interest- neuropsychological testing, group therapy, or consultation in one of our partial hospital programs, or inpatient mental health unit.
Preference given to licensed psychologists/psychotherapists having previous experience with outpatient services in a Behavioral Health Specialty Clinic.
Pay and Benefits for Psychologists
Starting pay begins at $92,092 per year; exact wage determined by years of related experience
Salary range: $92,092 - $138,127 per year
Salary and salary range are based on a 1.0 FTE, reduced FTE will result in a prorated offer rate
Full-time benefits: medical, dental, PTO, retirement, employee discounts and more!
Position Qualifications:
PSYCHOLOGIST
PhD or PsyD in Clinical or Counseling Psychology is required.
Minimum of one-year experience is preferred.
Completion of post-doc training year prior to start date preferred.
Licensure by the State of Minnesota Board of Psychology as Licensed Psychologist (LP) must be obtained within 18 months of employment. Licensure at the time of employment is preferred.
PSYCHOTHERAPIST
Master's Degree in Psychology, Social Work, Marriage and Family Therapy, Counseling or related Human Services field required.
State of Minnesota licensure required, need to have one of the following:
The Board of Psychology as a Licensed Psychologist (LP) or the Board of Social Work at Independent Clinical level (LICSW) or the Board of Marriage and Family Therapy as a Licensed Marriage and Family Therapist (LMFT) or the Board of Behavioral Health & Therapy as a Licensed Professional Clinical Counselor (LPCC).
Minimum of one-year experience is preferred.
ASSOCIATE PSYCHOTHERAPIST
Master's Degree in Psychology, Social Work, Marriage and Family Therapy, Counseling or related Human Services field required.
State of Minnesota licensure required, need to have one of the following:
The Board of Social Work as a Licensed Graduate Social Worker (LGSW) or Licensed Independent Social Worker (LISW) or the Board of Marriage and Family Therapy as a Licensed Associate Marriage and Family Therapist (LAMFT) or the Board of Behavioral Health & Therapy as a Licensed Professional Counselor (LPC).
Full MN licensure (LP, LICSW, LMFT or LPCC) for independent practice is required within 5 years.
Clinical internship experience relevant to the position is preferred.
CentraCare has made a commitment to diversity in its workforce. All individuals including, but not limited to, individuals with disabilities, are encouraged to apply. CentraCare is an EEO/AA employer.
CentraCare
CentraCare is committed to the patients and families we serve in the communities we call home throughout Central, West Central and Southwestern Minnesota. We listen then serve, we guide and heal-because health means everything.
Has grown to be one of the largest health systems in Minnesota
Leading provider of rural health in the state
Recent investment in system-wide employee culture
Innovative population health and wellness initiatives
Collaborative physician and administration leadership model
Access to more than 40 medical and surgical specialties
Work for an organization that offers nationally recognized care. View our most recent awards by clicking here. ********************************************************
CentraCare - St. Cloud Hospital
Access to a regional referral center of 489 beds and Level II trauma center
Highly skilled, specialized support staff and nursing - Magnet designated since 2004
Offers a full spectrum of inpatient and outpatient services, from primary care to specialty care
Single hospital community
St. Cloud, Minnesota
St. Cloud is a wonderful place to live, work and raise a family. Enjoy easy access to Minneapolis/St. Paul but live in a low stress and relaxing community.
60 minutes from Minneapolis
Mini-metro area in the heart of lake country
Four season recreation
Theatre and arts
Excellent education options
Family friendly
Four colleges
For More Information, Visit These Links
About CentraCare ************************************
CentraCare Physician & APP Recruitment *************************************************
St. Cloud, MN Resources
City of St. Cloud *****************************
St. Cloud Chamber of Commerce ***********************************
St. Cloud Area Convention and Visitors Bureau *****************************
St. Cloud Times ************************
St. Cloud Area Education Resources
St. Cloud School District 742 ***********************
Sartell School District 748 ******************************
Sauk Rapids/Rice School District 47 **********************
Diocese of St. Cloud Catholic Schools ******************
St. John's Prep *******************
St. Cloud State University *****************************
St. Cloud Technical College **********************
College of St. Benedict/St. John's University ***********************
Social Media Links
Facebook: *************************************
Twitter: *********************************
LinkedIn: *******************************************
Pinterest: ***************************************
YouTube: ****************************************************
Instagram: ****************************************
$92.1k-138.1k yearly Auto-Apply 60d+ ago
Compliance Auditor
Sanford Health 4.2
Remote
Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint.
Work Shift:
Scheduled Weekly Hours:
40Salary Range: 19.00 - 30.50
Union Position:
No
Department Details
Summary
Responsible for conducting internal audits and monitors to ensure that the organization's processes and operations are in compliance with laws, corporate guidelines, best practices, and contractual agreements.
Job Description
Knowledgeable of general audit concepts and techniques, including the type of audits, the approaches and processes, and the subsequent activities, as they relate to internal audits. Demonstrates the ability to interpret Federal rules and regulations. Demonstrates the ability to research regulation from various data sources. Demonstrates an advanced knowledge and skill in analyzing patient records to identify non-conformances in Current Procedural Terminology (CPT), International Classification of Diseases, Tenth Edition (ICD-10), and Healthcare Common Procedure Coding System (HCPCS) code assignment. Demonstrates both knowledge and application of Sanford Health Systems, policies, procedures, and guidelines. Demonstrates commitment to continuous learning for themselves and performs as a role model to other coding staff.
Qualifications
High school diploma or equivalent preferred. Advanced diploma or degree in Health Information Management or healthcare related field is preferred.
Prior relevant compliance work experience is preferable. Two years' experience is required.
Certification in one of the following is required: Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS), Certified Professional Coder (CPC) or an equivalent. Certified Healthcare Auditor (CHA) certification to be completed within one year of employment is preferred.
Sanford is an EEO/AA Employer M/F/Disability/Vet.
If you are an individual with a disability and would like to request an accommodation for help with your online application, please call ************** or send an email to ************************.
$49k-58k yearly est. Auto-Apply 60d+ ago
Data System Engineer III
Franciscan Health Indianapolis 4.1
Remote
Work From HomeWork From Home Work From Home, Indiana 46544
We are seeking a Site Reliability & DevOps Systems Engineer to design, automate, and maintain the infrastructure supporting our enterprise data and analytics platforms, including Power BI, Tableau, Databricks, and Epic Cogito.
This role bridges systems engineering, DevOps development, and data operations - ensuring our analytics ecosystems are resilient, automated, secure, and high-performing.
You will manage Azure DevOps and GitHub environments for CI/CD, infrastructure-as-code (IaC), and environment deployments, while collaborating with BI, data engineering, and cloud teams to standardize and optimize platform operations.
Data Systems Engineer III (DSE) is responsible for making intuitive, high-level decisions in designing data analytics infrastructure to extract and organize data for authorized individuals to access. Responsibilities include identifying a company's internal and external data sources, collaborating with department heads to determine their data needs and using the information to create and maintain data analytics infrastructure for company employees. Is responsible for software design and implementation for the development team. The Architect will design and develop a unified vision for software characteristics and functions, with the goal of providing a framework for the development of software or systems that result in high-quality IT solutions. DSE III takes direction and guidance from lead data systems architect and department leadership to work towards enhancement of self and the team's capabilities around data and analytic competencies. Mentors junior architects and guides users across the organization to promote data education and a data-driven culture in all aspects of clinical and business operation.
WHO WE ARE
With 12 ministries and access points across Indiana and Illinois, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in hiring coworkers that provide compassionate, comprehensive care for our patients and the communities we serve.
WHAT YOU CAN EXPECT
Facilitate the establishment and execution of the roadmap and vision for information delivery and management; including the modernizing the data platforms, on-prim and cloud data, BI & analytics, content management and data management
Work with stakeholders to understand their vision, challenges, and pain points.
Work with data and analytics experts to strive for greater functionality in our data systems; consults with data systems management teams to get a big-picture idea of the data needs.
Conduct detailed assessments of the data landscape including data platforms, technology architecture, data flows, data consumption, data integration and documentation
Identifying installation solutions for new databases; determining the requirements for a new database.
Develop future state architecture and process/data flows to realize the modern data strategy
Design modern data supply chain, and evaluate and recommend new tools and technologies
Guide the decision making of selecting cloud vs on-premise environments and assist with cloud service provider selection
Document and present data strategies to stakeholders, gain buy in, and grow strategic relationships
Assist in the development of capability roadmaps
Identifying areas for improvement in current systems; participate in setting objectives and scope, and developing a roadmap for the data initiatives that support the client leadership in meeting their objectives
Auditing database regularly to maintain quality; creating systems to keep data secure
Own the technical relationship with the client, be a technical subject matter expert and principal data evangelist across the planning efforts that intersect the data discipline.
Educate clients and internal constituents on the available technologies and general best practices.
Mentor others as they build complex strategy and solutions
Provide specialized expertise, cross-industry perspective, and thought leadership in big data, cloud, enterprise information management, and other next generation technology offerings
Provides maintenance and support; performs other duties, as assigned.
Qualifications
Required Bachelor's Degree Business, Computer Science, Engineering, Information Systems, Public Health, or related field
Preferred Master's Degree Computer Science, Business, Healthcare Management, Information Systems, or related field
6 years Systems, Application, and/or Database platforms administration experience with platforms such as Epic, SQL Server, Tableau, SAS, BusinessObjects etc. Experience architecting data management, analytics, business intelligence and application integration solutions. Required
TRAVEL IS REQUIRED:
Never or RarelyJOB RANGE:Data Systems Engineer III $82,931.74 - $114,031.14INCENTIVE:Not Applicable
EQUAL OPPORTUNITY EMPLOYER
It is the policy of Franciscan Alliance to provide equal employment to its employees and qualified applicants for employment as otherwise required by an applicable local, state or Federal law.
Franciscan Alliance reserves a Right of Conscience objection in the event local, state or Federal ordinances that violate its values and the free exercise of its religious rights.
Franciscan Alliance is committed to equal employment opportunity.
Franciscan provides eligible employees with comprehensive benefit offerings. Find an overview on the benefit section of our career site, jobs.franciscanhealth.org.
$83k-107k yearly est. Auto-Apply 60d+ ago
Physician - Remote Emergency Radiologist
Sanford Health 4.2
Marshfield, WI jobs
Come work at a place where innovation and teamwork come together to support the most exciting missions in the world!Job Title:Physician - Remote Emergency RadiologistCost Center:201641261 System Radiology-ProfScheduled Weekly Hours:40Time Type:Full time Job Description:
Marshfield Medical Center is looking for a BC/BE Radiologist to join our ED section in Wisconsin.
Fellowship training in Body, Neuro, ED or MSK is required.
Must be comfortable with all emergent diagnostic imaging modalities including Neuro CTA/perfusion, trauma (including MRI), Ultrasound (including OB), pediatrics and occasional musculoskeletal MRI/CT.
No CVIR, nuclear medicine or mammography.
Choose to work remote as a Non-Associate on a casual contract or may have the option to work locally at one of our centers as an Associate physician with additional salary and benefits.
If working onsite, you will need to be comfortable with and will be responsible to occasionally perform some local minor procedures.
Service coverage includes a level 2 soon to be level 1 trauma center and stroke center as well as additional regional hospitals and urgent care centers.
Coverage needed for afternoons and evenings. No midnight shifts required.
Yearly work requirement is 182 shifts a year - typically 7 on/7 off schedule/26 weeks per year
Compensation/Benefits:
Competitive Salary
Flexible shift based model
Health, Dental, Life, and Occurrence Based Malpractice insurance
Relocation support available if working onsite
Marshfield Clinic Health System is a non-profit 501(c)(3) organization. This may qualify you for additional state and/or federal education loan forgiveness programs.
MCHS strongly encourages our physicians to be involved in medical education and research to continue building our strong foundation of patient care, research, and education for years to come.
Marshfield Clinic Research Institute: **********************************
Marshfield Clinic Division of Education: ******************************************
Marshfield, Wisconsin
Nestled in the heart of Wisconsin, Marshfield is a safe, clean community with a population of about 20,000 people. The region boasts a solid economy and a low cost of living, which includes below national average costs for housing and transportation. Community pride is evident in the private and city funds invested in making Marshfield a great place to live. Located one mile outside of town, you will have access to 6,500 acres for hiking, biking, hunting, canoeing, cross-country skiing, berry picking, and wildlife or bird watching or simply enjoying the fresh air. With excellent schools and high school graduation rates high above the national average, Marshfield is committed to offering and preparing students for top-notch educational opportunities. Those of us that have chosen to call Marshfield home have come to enjoy the benefits of short commutes, safe and friendly neighborhoods, fresh air and water, bountiful nature, and so much more. Come and see for yourself.
Fun Fact: Marshfield is known as the HEART of Wisconsin!
Marshfield Clinic Health System physicians and staff are motivated by our mission to enrich lives. We serve more than 350,000 unique patients each year through accessible, high quality health care, research and education. With more than 1,600 providers in 170 medical specialties and subspecialties as well as over 13,000 employees in 65 clinical locations in 45 communities serving Wisconsin and Michigan's Upper Peninsula, Marshfield Clinic Health System is nationally recognized for innovative practices and quality care.
The Marshfield Promise
Motivated by our mission to enrich lives, we use common values to ensure those we serve feel supported in their healthcare journey and staff and providers are actively engaged with one another. Together through our actions, we promise to deliver compassionate, safe and expert care to everyone.
The Marshfield Promise is centered around 5 core values; Patient-Centered, Trust, Teamwork, Excellence and Affordability.
For more information, please contact:
Lindsay Becker, Physician and Advanced Practice Clinician Recruiter
Phone: ************
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Marshfield Clinic Health System is committed to enriching the lives of others through accessible, affordable and compassionate healthcare. Successful applicants will listen, serve and put the needs of patients and customers first.
Exclusion From Federal Programs: Employee may not at any time have been or be excluded from participation in any federally funded program, including Medicare and Medicaid. This is a condition of employment. Employee must immediately notify his/her manager or the Health System's Compliance Officer if he/she is threatened with exclusion or becomes excluded from any federally funded program.
Marshfield Clinic Health System is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected veteran status, age, or any other characteristic protected by law.