Fairchild Medical Ctr jobs - 331 jobs

Value-Based Care (VBC) Analytics is an independent organization covering the Baylor Scott & White Health Plan (Payer) and Baylor Scott & White Quality Alliance (Accountable Care Organization) analytical and data science needs. We are seeking a customer-facing Healthcare Data Scientist who works closely with key business stakeholders within the value-based care team, to develop use cases related to difficult to solve and complex business challenges. The ideal candidate will work on creating machine learning models using appropriate techniques to derive predictive insights that enable stakeholders to glean insights and enable actions to improve business outcomes. **ESSENTIAL FUNCTIONS OF THE ROLE** + Communication and Consulting: Summarize and effectively communicate complex data science concepts to inform stakeholders, gain approval, or prompt action from non-technical audience from data-driven recommendations. + Applied Machine Learning: Implement machine learning solutions within production environments at scale. Apply appropriate machine learning techniques that directly impact HEDIS/Stars initiatives + Data Collection and Optimization: Collect and analyze data from a variety of SQL environments (Snowflake, SQL Server) and other data sources, including vendor derived data, electronic health records, and claims data. + Analyze Healthcare Data: Conduct detailed analyses on complex healthcare datasets to identify trends within HEDIS/Stars and utilization, patterns, and insights that support value-based care initiatives, particularly in quality, adherence to standards of care. + Stay Informed: Stay up to date on the latest advancements in data science and healthcare analytics to continuously improve our methodologies and tools. **KEY SUCCESS FACTORS** The ideal candidate will have some of the following skills and an eagerness to learn the rest. + Healthcare Knowledge: Understanding and prior experience in handling data pertaining to HEDIS, Stars measures and Regulatory specifications. Experience in admin claims data sources such as medical/pharmacy claims, social determinants of health (SDOH) and electronic health records is also required. + Education: Bachelor's or advanced degree in mathematics, statistics, data science, Public Health or another quantitative field. + Effective Communication: Experienced in communicating findings and recommendations directly to Executive-level customers and healthcare professionals. + Analytics Skills: Academic or professional experience conducting analytics and experimentation using algorithms associated with advanced analytics topics, including binary classification algorithms, regression algorithms, Neural Network frameworks, Natural Language Processing, etc. + Technical Skills: Proficiency in common language / tools for AI/ML such as Python, PySpark. Understanding of software engineering topics, including version control, CI/CD, and unit tests. + Problem Solving: A passion for solving puzzles and digging into data. + Technology Stack: Familiarity with deploying data science products at scale in a cloud environment such as Snowflake, Databricks or Azure AI/ML Studio. **BENEFITS** Our competitive benefits package includes the following + · Immediate eligibility for health and welfare benefits + · 401(k) savings plan with dollar-for-dollar match up to 5% + · Tuition Reimbursement + · PTO accrual beginning Day 1 Note: Benefits may vary based upon position type and/or level **QUALIFICATIONS** - EDUCATION - Masters' or Bachelors plus 2 years of work experience above the minimum qualification - EXPERIENCE - 3 Years of Experience As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.

The Insurance Verification Specialist 1, under general supervision, provides patients, physicians and internal hospital personnel with insurance benefit information. This position ensures timely verification of insurance benefits and financial clearance which has a direct impact to the organization?s reimbursement from payers for patient accounts that are scheduled and unscheduled. **ESSENTIAL FUNCTIONS OF THE ROLE** Performs financial clearance of patient accounts by verifying insurance eligibility and benefits and ensuring all notifications and authorizations are completed within the required timeframe. Completes appropriate payor forms related to notification and authorization. Coordinates the submission of clinical documentation from physicians to payers for authorization needs. Calculates accurate patient financial responsibility. Communicates timely with Utilization Review, and collaborates effectively with physician and facility staff to ensure financial clearance of the patient?s account prior to scheduled or unscheduled service during the patient?s hosptial stay. Interprets complex payer coverage information including, but not limited to, network participation status with provider, limited plan coverage and inactive benefits. Documents systems according to the Insurance Verification guidelines to assure accurate and timely reimbursement. **KEY SUCCESS FACTORS** 1 year of healthcare or customer service experience preferred. Must have the ability to consistently meet performance standards of production, accuracy, completeness and quality. Ability to understand and adhere to payer guidelines by plan and service type. Requires good listening, interpersonal and communication skills, and professional, pleasant and respectful telephone etiquette. Ability to maintain a professional demeanor in a highly stressful and emotional environment, behavioral health and/or suffering patients in addition to life or death situations. Must be able to exhibit a high level of empathy with the ability to effectively communicate with patients and family members during traumatic events, while demonstrating exceptional customer service skills. Demonstrates ability to manage multiple, changing priorities in an effective and organized manner. Excellent data entry, numeric, typing and computer navigational skills. Basic computer skills and Microsoft Office. **BENEFITS** Our competitive benefits package includes the following - Immediate eligibility for health and welfare benefits - 401(k) savings plan with dollar-for-dollar match up to 5% - Tuition Reimbursement - PTO accrual beginning Day 1 Note: Benefits may vary based upon position type and/or level **QUALIFICATIONS** - EDUCATION - H.S. Diploma/GED Equivalent - EXPERIENCE - Less than 1 Year of Experience As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.

Baylor Genetics, one of the world leaders in clinical molecular genetics, is excited to announce an opening in the Clinical Genomics Interpretation (CGI) division. This role requires a comprehensive understanding of clinical genetics, familiarity with reviewing clinical notes, and ability to interpret a pedigree. As part of the WGS Clinical Indication Team, the “Clinical Genomic Scientist” reviews clinical notes and converts patient phenotypes into Human Phenotype Ontology (HPO) terminology, records prior genetic testing history, interprets family history from pedigrees, and confirms consent answers from test requisition forms. The Clinical Genomic Scientist position is a remote work opportunity, with daily huddles, clear objectives, and flexible scheduling. Come join our team from the comfort of your home office! Duties and Responsibilities on the WGS Clinical Indication Team: 80 to 100%: Reviewing test requisition forms and clinical notes, extracting clinical information into structured data, such as HPO terms Up to 20%: As needed, opportunities for cross-training in WGS variant curations or WGS report writing may become available Qualifications Degree: Master's in Genetic Counseling, MD/PhD with a background in clinical genetics Preferred: Master's in Genetic Counseling Experience: Expertise in concepts of clinical medicine, genetics, genomics, and molecular biology. Experience in communicating genetic details effectively. Excellence in reading/writing medical language. Proficiency in Microsoft Office (Excel, Word, PowerPoint, Outlook). Desired: Experience in genetic counseling, familiarity reviewing clinical notes and medical writing. Desired: Familiarity with American College of Medical Genetics (ACMG) variant curation guidelines. Desired: Knowledge of genomic variation and its correlation with human disease. Rank: Clinical Genomic Scientist - Clinical Indication I Degree: Masters in Genetic Counseling, MD, or PhD in clinical medicine, genetics, molecular biology, or equivalent. 0-1 years of experience with Human Phenotype Ontology (HPO)-related work and/or clinical experience. Rank: Clinical Genomic Scientist - Clinical Indication II Degree: Masters in Genetic Counseling, MD, or PhD in clinical medicine, genetics, molecular biology, or equivalent. 2-4 years of experience with Human Phenotype Ontology (HPO)-related work and/or clinical experience. Rank: Clinical Genomic Scientist - Clinical Indication III Degree: Masters in Genetic Counseling, MD, or PhD in clinical medicine, genetics, molecular biology, or equivalent. 4-6 years of experience with Human Phenotype Ontology (HPO)-related work and/or clinical experience. Thorough understanding of American College of Medical Genetics (ACMG) variant curation guidelines. Track record of high quality and leading projects toward goals Rank: Clinical Genomic Scientist - Clinical Indication - Senior Degree: Masters in Genetic Counseling, MD, or PhD in clinical medicine, genetics, molecular biology, or equivalent. 4-6 years of experience with Human Phenotype Ontology (HPO)-related work and/or clinical experience. Thorough understanding of American College of Medical Genetics (ACMG) variant curation guidelines. Track record of high quality, leading projects toward goals, training coworkers, demonstration of workflow process improvement Competencies: Quality Assurance, Analytical and Problem-Solving Skills, Technical Skills, Interpersonal Skills, Oral and Written Communication, Teamwork, Organizational Support, Safety and Security, Dependability, Innovation, Adaptability. Physical Demands and Work Environment: At your Home Office: Frequently required to sit, using screen, keyboard, and mouse. Punctuality attending virtual meetings Occasional weekend rotation may be needed (for example, once a month)

**Healthy Weight Coach** **REMOTE - Monday through Friday, no weekends** **Preferred Experience** - Chronic disease (weight loss, diabetes) - Strong behavioral change interest and/or experience - Digital/virtual health coaching experience **Preferred Training** - Licensed RD - Experience with MNT for obesity, diabetes, HTN, Lipid disorders - NBC-HWC - Mastery of the coaching process, foundational theories/principles of behavior change - Requires completing an approved training program (minimum 400 hours), documented coaching sessions, and passing a board exam - Only coaching credential recognized by the National Board of Medical Examiners * **No Credentialing required*** **About Us** Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are: + We serve faithfully by doing what's right with a joyful heart. + We never settle by constantly striving for better. + We are in it together by supporting one another and those we serve. + We make an impact by taking initiative and delivering exceptional experience. **Benefits** Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: + Immediate eligibility for health and welfare benefits + 401(k) savings plan with dollar-for-dollar match up to 5% + Tuition Reimbursement + PTO accrual beginning Day 1 _Note: Benefits may vary based upon position type and/or level._ **Job Summary** As a licensed clinician, the Clinical Program Manager guides clinical programs and performance initiatives. They ensure alignment at a regional or system level. **Essential Functions of the Role** + Partners with internal and external stakeholders to meet contractual and/or regulatory obligations. + Proactively identifies, plans, implements, evaluates and monitors quality improvement and performance improvement initiatives. + Contributes to or runs system and regional initiatives. Gathers data, conducts research, maintains records, and tracks issues. Evaluates the impact of interventions, coordinates activities, and executes plans to resolve issues. + Researches and maintains knowledge of current evidence-based practices. Works with multidisciplinary teams to build a replicable model for clinical programs and guidelines. Develops program tools and resources like guidelines, training materials, and enhancement requirements. + Acts as a credible change agent and Subject Matter Expert (SME) in program management, process improvement, and clinical and contract performance. + Acts as a liaison across the care continuum to multidisciplinary teams and internal/external stakeholders. **Key Success Factors** + Project and/or Program Management experience + Process improvement and/or quality improvement experience + Able to quickly establish professional and cooperative relationships with multidisciplinary team members + Able to work in a fast paced, deadline motivated environment while stabilizing multiple demands + Able to quickly establish professional and cooperative relationships with multidisciplinary team members + Excellent verbal and written communication skills + Excellent critical thinking skills with ability to solve problems and exercise sound judgement + Able to mentor, guide and train team members + Skill in the use of computers and related software + PMP certification preferred **Belonging Statement** We believe that all people should feel welcomed, valued and supported. **QUALIFICATIONS** + EDUCATION - Grad of an Accredited Program + EXPERIENCE - 5 Years of Experience + CERTIFICATION/LICENSE/REGISTRATION - Lic Clinical Social Worker (LCSW), Licensed Dietitian (LICDIET), Lic Masters Social Worker (LMSW), Lic Master Social Wrk AdvPrac (LMSW-AP), License Pract/Vocational Nurse (LVN), Occupational Therapist (OT), Physical Therapist (PT), Respiratory Care Practitioner (RCP), Registered Dietitians (RD), Registered Nurse (RN), Reg Respiratory Therapist (RRT), Speech Language Pathologist (SLP): Must have ONE of the following: + -LCSW + -LMSW + -LMSW-AP + -LVN + -OT + -PT + -RN + -Both RRT (from the National Board Respiratory Care) AND RCP (from the Texas Medical Board) + -SLP + -LICDIET + -RD. As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.

The Product Manager - Laboratory is responsible for leading product management and application strategy for technology supporting the Laboratory service line across Baylor Scott & White Health. This role serves as the primary relationship manager between clinical, operational, and technical stakeholders, ensuring technology solutions align with clinical workflows, service line priorities, and enterprise standards. This position provides leadership across laboratory service line by managing product delivery, standardizing product and intake processes, and partnering closely with Laboratory Information Services (LIS) leadership, Product Owners and Architects to ensure work is properly scoped, prioritized, and prepared for execution within an agile delivery framework. **Updated Essential Functions of the Role** **1. Relationship & Stakeholder Management** + Serve as the primary point of accountability for technology supporting the Laboratory service line, including Epic Beaker, lab instruments, 3 rd party lab applications and integrations (including Data Innovations, SoftBank, RALS, etc.), and related clinical systems. + Build and maintain strong relationships with internal stakeholders including informatics, LIS team, clinical and operational leaders, laboratory staff, pathologists, physicians, and hospital and clinic leadership. + Partner with IS leadership, LIS leadership, architects, and technical teams to align laboratory technology initiatives with enterprise strategy and standards. + Act as a liaison between clinical stakeholders and technical teams to translate operational needs into clear, actionable technology requirements. **2. Project Planning, Intake, and Scoping** + Lead intake and planning for Laboratory-related technology requests, ensuring requests are clearly defined, documented, and aligned with strategic priorities. + Document scope, objectives, deliverables, assumptions, and dependencies for initiatives in collaboration with requestors, vendors, architects, technical leads, and analysts. + Coordinate with vendors and internal teams to understand level of effort, risks, and resource needs. + Identify when additional governance forums, committees, or approval bodies are required and ensure appropriate engagement. **3. Product Management** + Establish and reinforce best practices for backlog readiness, intake documentation, prioritization, and cross-team coordination. + Ensure technical work is appropriately planned, sequenced, and ready to be pulled into sprint execution. + Provide guidance and oversight to ensure alignment between service line priorities and enterprise delivery capacity. + Manage budgetary components within the IS laboratory service line **4. Agile Delivery & Continuous Improvement** + Partner closely with Product Owners and Architects to continuously improve product and delivery processes within an agile framework. + Ensure stories and features meet Definition of Ready standards prior to sprint execution. + Identify opportunities to streamline workflows, reduce rework, and improve throughput across procedural service line initiatives. + Promote continuous improvement through retrospectives, lessons learned, and process refinement. **Key Success Factors (Updated Emphasis)** + Strong leadership and relationship-building skills across clinical, operational, and technical audiences. + Ability to manage complexity across multiple technologies, vendors, and stakeholder groups. + Demonstrated experience in product management, intake governance, and agile delivery environments. + Excellent communication skills with the ability to translate clinical and operational needs into technical plans. + Ability to balance strategic priorities with execution-focused delivery. **BENEFITS** Our competitive benefits package includes the following- Immediate eligibility for health and welfare benefits- 401(k) savings plan with dollar-for-dollar match up to 5%- Tuition Reimbursement- PTO accrual beginning Day 1Note: Benefits may vary based upon position type and/or level **QUALIFICATIONS** - EDUCATION - Bachelor's or 4 years of work experience above the minimum qualification - EXPERIENCE - 5 Years of Experience - Hybrid expectation- ideally located in DFW but if not, willing to travel up to monthly onsite. Preferences: + Epic Beaker and/or Orders certification + Experience with 3rd party lab applications and their integrations (including Data Innovations, SoftBank, RALS, etc.) + Project management experience - ideal, not required + Agile methodology - ideal, not required As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.

Responsible for compiling complex reimbursement data to support management decision making and internal and external reporting for assigned subsidiaries. Assists in coordination of reimbursement functions related to the strategic financial planning process. Responsible for the integrity of net revenue. Essential Functions and Responsibilities: 1. Prepares and or reviews the schedules required to support the submission of Medicare, Medicaid and Blue Cross cost report, complying with regulations. Analyzes third party cost report changes from prior years, investigating differences. 2. Prepares monthly contractual model and provides thorough analysis of the monthly contractual allowances for assigned subsidiaries. Investigates and makes recommendations for updates to assumptions and/or methodology. 3. Maintains adequate reserve position by complete monthly reserve analysis identifying and reporting any increase or decrease from previously stated reserve position. 4. Provides complex projections and analytical support during the fiscal year budgeted net revenue preparation. 5. Researches and keeps abreast of third party regulations and changes, providing analytical support through financial impact summarization. Estimates the financial impact any changes in payment assumptions and/or budget assumptions may have on the subsidiary and communicates as directed. 6. Coordinates the collection of data and/or preparation of schedules for third party financial audits, settlements, and cash reconciliations. Qualifications: Required: * Bachelor degree in finance, accounting or related field. * Three years experience in a progressively more responsible reimbursement or finance role with Healthcare Net Revenue/Reimbursement responsibilities. Preferred: * CPA or MBA preferred. Additional Information * Schedule: Full-time * Requisition ID: 25007033 * Daily Work Times: Standard Business Hours * Hours Per Pay Period: 80 * On Call: No * Weekends: No

The Collector II under general supervision and according to established procedures, performs collection activities for assigned accounts. Contacts insurance company representatives by telephone or through correspondence to collect inaccurate insurance payments and penalties according to BSWH Managed Care contracts. Maintains collection files on the accounts receivable system. 100% remote position The pay range for this position is $16.12/hour (entry level qualifications) - $24.17/hour (highly experienced). The specific rate will depend upon the successful candidate's specific qualifications and prior experience. ESSENTIAL FUNCTIONS OF THE ROLE Performs collection activities for assigned accounts. Contacts insurance companies to resolve payment difficulties and penalties owed to BSWH in accordance with Managed Care contracts. Contacts insurance company representatives by telephone or through correspondence to check the status of claims, appeal or dispute payments and penalties. Has knowledge of CPT codes, Contracting, per diems, and other pertinent payment methods in the medical industry. Maintains collection files on the accounts receivable system. Enters detailed records consisting of any pertinent information needed for collection follow-up. Processes accounts for write-off and for legal. Conducts thorough research and manual calculation from Managed Care Rate Grids and Contracts to determine accurate amounts due to BSWH per each individual Insurance Contract. Enters data in Patient Accounting systems and Access database to track and monitor payments and penalties. Prepares legal documents to refer accounts to the Managed Care legal group for accounts deemed uncollectable. Through thorough review ensures that balances on accounts are true and accurate as well as correct any contractual or payment entries. Verify insurance coding to ensure accurate payments. Receives, reviews, and responds to correspondence related to accounts. Takes action as required. BENEFITS Our competitive benefits package includes the following * Immediate eligibility for health and welfare benefits * 401(k) savings plan with dollar-for-dollar match up to 5% * Tuition Reimbursement * PTO accrual beginning Day 1 Note: Benefits may vary based upon position type and/or level QUALIFICATIONS * EDUCATION - H.S. Diploma/GED Equivalent * EXPERIENCE - 2 Years of Experience

Responsible for ensuring accounts are financially cleared prior to the date of service. Interview patients when scheduled for an elective, urgent, inpatient or outpatient procedure. Essential Functions and Responsibilities: * Financially clears patients for each visit type, admit type and area of service via the Electronic Medical Record- EMR, electronic verification tools. * Accurately and efficiently performs registration using thorough interviewing techniques, registering patients in appropriate status, and following registration guidelines. * Starts the overall patient's experience and billing process for outpatient and inpatient services by collecting, documenting, and scanning all required demographic and financial information. * Responsible for obtaining and verifying accurate insurance information, benefit validation and authorizations. * Estimates and collects copays, deductibles, and other patient financial obligations. * Manages all responsibilities within hospital and department compliance guidelines and in accordance with Meaningful Use requirements. * Applies recurring visit processing according to protocol. * Performs duties otherwise assigned by management. Qualifications: Required: * High school diploma or equivalent required * One year experience in patient access, registration, billing or physician office Preferred: * One-year experience in insurance verification and authorization using Windows (Excel, Word, Outlook, etc.), an EMR system, Electronic Eligibility System and various websites for third party payers for verification Equal Opportunity Employer of Minorities/Females/Disabled/Veterans Additional Information * Schedule: Full-time * Requisition ID: 25005267 * Daily Work Times: Standard Business Hours * Hours Per Pay Period: 80 * On Call: No * Weekends: No

The Manager of Information Systems Applications provides people leadership and application delivery oversight for the Ambulatory & Specialty Product Squad, supporting Epic and third-party applications across Ambulatory, Oncology, Transplant, Value-Based Care, and Research. Reporting to the Product Owner, this role manages an internal Epic project-focused team and serves as the primary IS partner responsible for vendor oversight and support delivery through outsourced managed services provider (MSP). This position is accountable for ensuring that all assigned applications - Epic and non-Epic - are well supported, issues are appropriately escalated, and managed services partners deliver consistent, high-quality outcomes. While not a technical build role, the manager must be able to engage effectively with vendors and stakeholders across Ambulatory & Specialty application domains. **ESSENTIAL FUNCTIONS OF THE ROLE** **People Leadership & Internal Team Management** · Provides direct people management for the internal Epic project team, including coaching, performance management, development, and engagement. · Ensures internal Epic resources are aligned to product priorities and delivery expectations as defined by Product Managers. · Supports a collaborative working model between internal Epic resources, Product Managers, and MSP teams. **Application Support & Delivery Oversight** · Is accountable for the overall health, stability, and support of Ambulatory & Specialty applications within the ambulatory and specialty portfolio. · Serves as the IS escalation point for application support issues impacting clinical and operational workflows. · Ensures incidents, service requests, and defects are triaged, prioritized, and resolved appropriately by MSP. · Monitors trends in incidents and recurring issues and works with vendors and product partners to drive resolution and improvement. **Vendor & Managed Services Governance** · Acts as the primary IS management partner to MSP for ambulatory and specialty applications. · Provides oversight of MSP-delivered Epic application support and all other Ambulatory & Specialty application support and project work. · Holds MSP accountable to SLAs, quality standards, and support expectations. · Leads issue escalation, risk management, and problem resolution in partnership with MSP leadership. · Participates in vendor performance reviews and continuous improvement discussions. **Epic & Third-Party Application Engagement** · Maintains a working knowledge of Epic applications (including Ambulatory, MyChart, Beacon, Phoenix, Healthy Planet, and Hospice) and key third-party applications (ARIA, WellSky BioTherapies, VersaCare, BreezeSuite & SentrySuite, Nexus 360, Iris) supporting ambulatory and specialty care. · Develops sufficient familiarity with third-party applications (e.g., ARIA) to effectively engage in support discussions, escalations, and prioritization conversations. · Partners with Product Managers and stakeholders to ensure support considerations are incorporated into product decisions. **Operational & Continuous Improvement Responsibilities** · Ensures adherence to IS standards, support processes, and change management practices. · Identifies opportunities to improve application support delivery, vendor effectiveness, and stakeholder satisfaction. **KEY SUCCESS FACTORS** · Strong people leadership skills with experience managing application teams. · Demonstrated success operating in a **vendor-reliant, managed-services support model** . · Ability to effectively partner with vendors and escalate issues to drive resolution. · Comfort engaging across **Epic and third-party application ecosystems** ; not limited to Epic-only roles. · Strong stakeholder management and communication skills in a clinical environment. · Willingness and ability to quickly learn unfamiliar third-party applications. **BENEFITS** Our competitive benefits package includes the following - Immediate eligibility for health and welfare benefits - 401(k) savings plan with dollar-for-dollar match up to 5% - Tuition Reimbursement - PTO accrual beginning Day 1 Note: Benefits may vary based upon position type and/or level **QUALIFICATIONS** - EDUCATION - Bachelor's or 4 years of work experience above the minimum qualification - EXPERIENCE - 5 Years of Experience - Hybrid expectation- on-site 1 day a week As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.

The Clinical Genomic Scientist - WGS Review position has a central role in our groundbreaking whole genome sequencing operation. This position involves clinical documentation review, case analysis, candidate variant selection, and collaboration with other clinical reporting teams. We seek candidates with a strong understanding of gene-disease correlation, molecular mechanism, inheritance, and evaluating the clinical relevance of genetic findings. This position is fully remote and offers daily team huddles, clear objectives, and flexible scheduling. Join our team and contribute to cutting-edge genomics-from the comfort of your home office! Why Baylor Genetics? Work at the forefront of genomic medicine with a team of world-class scientists. Contribute to innovations that shape the future of personalized healthcare. Enjoy a collaborative environment that values expertise, growth, and impact. Duties and Responsibilities on the WGS analysis Team: 80%, possibly up to 100%: Review test requisition forms and clinical notes; perform case analysis using the Emedgene platform; identify and select variants relevant to the proband's phenotype; and request confirmatory testing when necessary. Communicate findings at cross-team huddles Up to 20%: As needed, opportunities for cross-training in WGS variant curations or clinical indication (HPO) may become available Qualifications: For all ranks Degree: Masters in Genetic Counseling, MD, or PhD in clinical medicine, genetics, molecular biology, or equivalent. Familiarity with American College of Medical Genetics (ACMG) variant curation guidelines. Rank: Clinical Genomic Scientist - WGS review I 1 year of prior experience with whole exome or whole genome case review is preferred Rank: Clinical Genomic Scientist - WGS review II 2 years of experience with whole exome or whole genome case review is preferred Rank: Clinical Genomic Scientist - WGS review III 5 years of experience with whole exome or whole genome case review is preferred Rank: Clinical Genomic Scientist - WGS review - Senior 7 years of experience with whole exome or whole genome case review is preferred Demonstration of thorough expertise of gene-disease correlation, case analysis variant selection Rank: Clinical Genomic Scientist - WGS review - Professional 10 years of experience with whole exome or whole genome case review is preferred Demonstration of thorough expertise of gene-disease correlation, case analysis variant selection Track record of high quality, leading projects toward goals, training coworkers, demonstration of workflow process improvement Experience and Competencies: Expertise in concepts of clinical medicine, genetics, genomics, and molecular biology. Knowledge of genomic variation and its correlation with human disease. Familiarity with American College of Medical Genetics (ACMG) variant curation guidelines. Experience in communicating genetic details effectively. Proficiency in Microsoft Office (Excel, Word, PowerPoint, Outlook). Competencies include Quality Assurance, Analytical and Problem-Solving Skills, Technical Skills, Interpersonal Skills, Oral and Written Communication, Teamwork, Organizational Support, Safety and Security, Dependability, Innovation, Adaptability. Physical Demands and Work Environment: At your Home Office: Frequently required to sit, using screen, keyboard, and mouse. Punctuality attending virtual meetings Occasional weekend rotation may be needed (for example, once a month) EEO Statement: Baylor Genetics is proud to be an equal opportunity employer dedicated to building an inclusive and diverse workforce. We do not discriminate based on race, religion, color, national origin, sex, sexual orientation, age, gender identity, veteran status, disability, genetic information, pregnancy, childbirth, or related medical conditions, or any other status protected under applicable federal, state, or local law.

Value-Based Care (VBC) Analytics is an independent organization covering the Baylor Scott & White Health Plan (Payer) and Baylor Scott & White Quality Alliance (Accountable Care Organization) analytical and data science needs. We are seeking a customer-facing Healthcare Data Scientist who works closely with key business stakeholders within the value-based care team, to develop use cases related to difficult to solve and complex business challenges. The ideal candidate will work on creating machine learning models using appropriate techniques to derive predictive insights that enable stakeholders to glean insights and enable actions to improve business outcomes. ESSENTIAL FUNCTIONS OF THE ROLE * Communication and Consulting: Summarize and effectively communicate complex data science concepts to inform stakeholders, gain approval, or prompt action from non-technical audience from data-driven recommendations. * Applied Machine Learning: Implement machine learning solutions within production environments at scale. Apply appropriate machine learning techniques that directly impact HEDIS/Stars initiatives * Data Collection and Optimization: Collect and analyze data from a variety of SQL environments (Snowflake, SQL Server) and other data sources, including vendor derived data, electronic health records, and claims data. * Analyze Healthcare Data: Conduct detailed analyses on complex healthcare datasets to identify trends within HEDIS/Stars and utilization, patterns, and insights that support value-based care initiatives, particularly in quality, adherence to standards of care. * Stay Informed: Stay up to date on the latest advancements in data science and healthcare analytics to continuously improve our methodologies and tools. KEY SUCCESS FACTORS The ideal candidate will have some of the following skills and an eagerness to learn the rest. * Healthcare Knowledge: Understanding and prior experience in handling data pertaining to HEDIS, Stars measures and Regulatory specifications. Experience in admin claims data sources such as medical/pharmacy claims, social determinants of health (SDOH) and electronic health records is also required. * Education: Bachelor's or advanced degree in mathematics, statistics, data science, Public Health or another quantitative field. * Effective Communication: Experienced in communicating findings and recommendations directly to Executive-level customers and healthcare professionals. * Analytics Skills: Academic or professional experience conducting analytics and experimentation using algorithms associated with advanced analytics topics, including binary classification algorithms, regression algorithms, Neural Network frameworks, Natural Language Processing, etc. * Technical Skills: Proficiency in common language / tools for AI/ML such as Python, PySpark. Understanding of software engineering topics, including version control, CI/CD, and unit tests. * Problem Solving: A passion for solving puzzles and digging into data. * Technology Stack: Familiarity with deploying data science products at scale in a cloud environment such as Snowflake, Databricks or Azure AI/ML Studio. BENEFITS Our competitive benefits package includes the following * · Immediate eligibility for health and welfare benefits * · 401(k) savings plan with dollar-for-dollar match up to 5% * · Tuition Reimbursement * · PTO accrual beginning Day 1 Note: Benefits may vary based upon position type and/or level QUALIFICATIONS * EDUCATION - Masters' or Bachelors plus 2 years of work experience above the minimum qualification * EXPERIENCE - 3 Years of Experience

The Manager of Change and Employee Experience is responsible for supporting change management strategies and designing and implementing processes, metrics, and programs that enhance the end-to-end employee experience. The Manager of Change and Experience will assist in the planning, development, and implementation of organizational change and culture programs for Baylor Scott & White Health (BSWH) and will build a deep understanding of the end-to-end employee experience, the strategic drivers, current pain points, and future needs by gathering and analyzing data from multiple sources. The individual will ensure consistent leading practices are applied across change management programs and the employee experience with minimal disruption to BSWH operations. ESSENTIAL FUNCTIONS OF THE ROLE Supports the development and implementation of the change management methodology and enterprise standardization, and supports evolution of BSWH change management plans and strategies to drive new ways of working, behaviors, and cultural shifts for the organization. Assists in the development, delivery, and tailoring of change plans to address the ongoing needs and business objectives. Ensures consistent leading practices across journeys, solutions and experience initiatives. Assists in the identification of CX and EX interdependencies and contribute to resolution. Leverages customer and employee insights to help make data-driven, customer-centric decisions that support employee and customer satisfaction. Responsible for development and execution of measurable, results-based strategies and related deliverables that support experience programs. Leads BSWH's end-to-end employee experience design efforts - from framing the problem and ideation through implementation. Utilizes human-centered design practices to tackle complex problems and enhance employee experiences. Works closely with cross-functional stakeholders to look at the full organizational ecosystem and ensure experiences resonate as intended. Shares insights and data through strong narrative writing and storytelling and clear, thorough recommendations based on the analysis. KEY SUCCESS FACTORS Highly organized, energetic, and creative thinker. Previous consulting experience preferred. Strong analytical skills with the ability to translate analysis into recommendations. Track record of working across multiple teams to build, operationalize, improve, and scale programs. Strong oral and written communication skills. Experience designing and leading business transformation projects. Ability to succeed in team-based or independent environments. Well-organized with the ability to handle several projects/clients simultaneously. BENEFITS Our competitive benefits package includes the following * Immediate eligibility for health and welfare benefits * 401(k) savings plan with dollar-for-dollar match up to 5% * Tuition Reimbursement * PTO accrual beginning Day 1 Note: Benefits may vary based upon position type and/or level QUALIFICATIONS * EDUCATION - Bachelor's or 4 years of work experience above the minimum qualification * EXPERIENCE - 5 Years of Experience

The Insurance Verification Specialist 1, under general supervision, provides patients, physicians and internal hospital personnel with insurance benefit information. This position ensures timely verification of insurance benefits and financial clearance which has a direct impact to the organization's reimbursement from payers for patient accounts that are scheduled and unscheduled. **ESSENTIAL FUNCTIONS OF THE ROLE** Performs financial clearance of patient accounts by verifying insurance eligibility and benefits and ensuring all notifications and authorizations are completed within the required timeframe. Completes appropriate payor forms related to notification and authorization. Coordinates the submission of clinical documentation from physicians to payers for authorization needs. Calculates accurate patient financial responsibility. Communicates timely with Utilization Review, and collaborates effectively with physician and facility staff to ensure financial clearance of the patients account prior to scheduled or unscheduled service during the patient's hospital stay. Interprets complex payer coverage information including, but not limited to, network participation status with provider, limited plan coverage and inactive benefits. Documents systems according to the Insurance Verification guidelines to assure accurate and timely reimbursement. **KEY SUCCESS FACTORS** 1 year of healthcare or customer service experience preferred. Must have the ability to consistently meet performance standards of production, accuracy, completeness and quality. Ability to understand and adhere to payer guidelines by plan and service type. Requires good listening, interpersonal and communication skills, and professional, pleasant and respectful telephone etiquette. Ability to maintain a professional demeanor in a highly stressful and emotional environment, behavioral health and/or suffering patients in addition to life or death situations. Must be able to exhibit a high level of empathy with the ability to effectively communicate with patients and family members during traumatic events, while demonstrating exceptional customer service skills. Demonstrates ability to manage multiple, changing priorities in an effective and organized manner. Excellent data entry, numeric, typing and computer navigational skills. Basic computer skills and Microsoft Office. **BENEFITS** Our competitive benefits package includes the following - Immediate eligibility for health and welfare benefits - 401(k) savings plan with dollar-for-dollar match up to 5% - Tuition Reimbursement - PTO accrual beginning Day 1 Note: Benefits may vary based upon position type and/or level **QUALIFICATIONS** - EDUCATION - H.S. Diploma/GED Equivalent - EXPERIENCE - Less than 1 Year of Experience As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.

**Healthy Weight Coach** **REMOTE - Monday through Friday, no weekends** **Preferred Experience** - Chronic disease (weight loss, diabetes) - Strong behavioral change interest and/or experience - Digital/virtual health coaching experience **Preferred Training** - Licensed RD - Experience with MNT for obesity, diabetes, HTN, Lipid disorders - NBC-HWC - Mastery of the coaching process, foundational theories/principles of behavior change - Requires completing an approved training program (minimum 400 hours), documented coaching sessions, and passing a board exam - Only coaching credential recognized by the National Board of Medical Examiners * **No Credentialing required*** **About Us** Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are: + We serve faithfully by doing what's right with a joyful heart. + We never settle by constantly striving for better. + We are in it together by supporting one another and those we serve. + We make an impact by taking initiative and delivering exceptional experience. **Benefits** Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: + Immediate eligibility for health and welfare benefits + 401(k) savings plan with dollar-for-dollar match up to 5% + Tuition Reimbursement + PTO accrual beginning Day 1 _Note: Benefits may vary based upon position type and/or level._ **Job Summary** As a licensed clinician, the Clinical Program Manager guides clinical programs and performance initiatives. They ensure alignment at a regional or system level. **Essential Functions of the Role** + Partners with internal and external stakeholders to meet contractual and/or regulatory obligations. + Proactively identifies, plans, implements, evaluates and monitors quality improvement and performance improvement initiatives. + Contributes to or runs system and regional initiatives. Gathers data, conducts research, maintains records, and tracks issues. Evaluates the impact of interventions, coordinates activities, and executes plans to resolve issues. + Researches and maintains knowledge of current evidence-based practices. Works with multidisciplinary teams to build a replicable model for clinical programs and guidelines. Develops program tools and resources like guidelines, training materials, and enhancement requirements. + Acts as a credible change agent and Subject Matter Expert (SME) in program management, process improvement, and clinical and contract performance. + Acts as a liaison across the care continuum to multidisciplinary teams and internal/external stakeholders. **Key Success Factors** + Project and/or Program Management experience + Process improvement and/or quality improvement experience + Able to quickly establish professional and cooperative relationships with multidisciplinary team members + Able to work in a fast paced, deadline motivated environment while stabilizing multiple demands + Able to quickly establish professional and cooperative relationships with multidisciplinary team members + Excellent verbal and written communication skills + Excellent critical thinking skills with ability to solve problems and exercise sound judgement + Able to mentor, guide and train team members + Skill in the use of computers and related software + PMP certification preferred **Belonging Statement** We believe that all people should feel welcomed, valued and supported. **QUALIFICATIONS** + EDUCATION - Grad of an Accredited Program + EXPERIENCE - 5 Years of Experience + CERTIFICATION/LICENSE/REGISTRATION - Lic Clinical Social Worker (LCSW), Licensed Dietitian (LICDIET), Lic Masters Social Worker (LMSW), Lic Master Social Wrk AdvPrac (LMSW-AP), License Pract/Vocational Nurse (LVN), Occupational Therapist (OT), Physical Therapist (PT), Respiratory Care Practitioner (RCP), Registered Dietitians (RD), Registered Nurse (RN), Reg Respiratory Therapist (RRT), Speech Language Pathologist (SLP): Must have ONE of the following: + -LCSW + -LMSW + -LMSW-AP + -LVN + -OT + -PT + -RN + -Both RRT (from the National Board Respiratory Care) AND RCP (from the Texas Medical Board) + -SLP + -LICDIET + -RD. As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.

The Collector II under general supervision and according to established procedures, performs collection activities for assigned accounts. Contacts insurance company representatives by telephone or through correspondence to collect inaccurate insurance payments and penalties according to BSWH Managed Care contracts. Maintains collection files on the accounts receivable system. 100% remote position **_The pay range for this position is $16.12/hour (entry level qualifications) - $24.17/hour (highly experienced). The specific rate will depend upon the successful candidate's specific qualifications and prior experience._** **ESSENTIAL FUNCTIONS OF THE ROLE** Performs collection activities for assigned accounts. Contacts insurance companies to resolve payment difficulties and penalties owed to BSWH in accordance with Managed Care contracts. Contacts insurance company representatives by telephone or through correspondence to check the status of claims, appeal or dispute payments and penalties. Has knowledge of CPT codes, Contracting, per diems, and other pertinent payment methods in the medical industry. Maintains collection files on the accounts receivable system. Enters detailed records consisting of any pertinent information needed for collection follow-up. Processes accounts for write-off and for legal. Conducts thorough research and manual calculation from Managed Care Rate Grids and Contracts to determine accurate amounts due to BSWH per each individual Insurance Contract. Enters data in Patient Accounting systems and Access database to track and monitor payments and penalties. Prepares legal documents to refer accounts to the Managed Care legal group for accounts deemed uncollectable. Through thorough review ensures that balances on accounts are true and accurate as well as correct any contractual or payment entries. Verify insurance coding to ensure accurate payments. Receives, reviews, and responds to correspondence related to accounts. Takes action as required. **BENEFITS** Our competitive benefits package includes the following - Immediate eligibility for health and welfare benefits - 401(k) savings plan with dollar-for-dollar match up to 5% - Tuition Reimbursement - PTO accrual beginning Day 1 Note: Benefits may vary based upon position type and/or level **QUALIFICATIONS** - EDUCATION - H.S. Diploma/GED Equivalent - EXPERIENCE - 2 Years of Experience As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.

The Product Manager - Laboratory is responsible for leading product management and application strategy for technology supporting the Laboratory service line across Baylor Scott & White Health. This role serves as the primary relationship manager between clinical, operational, and technical stakeholders, ensuring technology solutions align with clinical workflows, service line priorities, and enterprise standards. This position provides leadership across laboratory service line by managing product delivery, standardizing product and intake processes, and partnering closely with Laboratory Information Services (LIS) leadership, Product Owners and Architects to ensure work is properly scoped, prioritized, and prepared for execution within an agile delivery framework. Updated Essential Functions of the Role 1. Relationship & Stakeholder Management * Serve as the primary point of accountability for technology supporting the Laboratory service line, including Epic Beaker, lab instruments, 3rd party lab applications and integrations (including Data Innovations, SoftBank, RALS, etc.), and related clinical systems. * Build and maintain strong relationships with internal stakeholders including informatics, LIS team, clinical and operational leaders, laboratory staff, pathologists, physicians, and hospital and clinic leadership. * Partner with IS leadership, LIS leadership, architects, and technical teams to align laboratory technology initiatives with enterprise strategy and standards. * Act as a liaison between clinical stakeholders and technical teams to translate operational needs into clear, actionable technology requirements. 2. Project Planning, Intake, and Scoping * Lead intake and planning for Laboratory-related technology requests, ensuring requests are clearly defined, documented, and aligned with strategic priorities. * Document scope, objectives, deliverables, assumptions, and dependencies for initiatives in collaboration with requestors, vendors, architects, technical leads, and analysts. * Coordinate with vendors and internal teams to understand level of effort, risks, and resource needs. * Identify when additional governance forums, committees, or approval bodies are required and ensure appropriate engagement. 3. Product Management * Establish and reinforce best practices for backlog readiness, intake documentation, prioritization, and cross-team coordination. * Ensure technical work is appropriately planned, sequenced, and ready to be pulled into sprint execution. * Provide guidance and oversight to ensure alignment between service line priorities and enterprise delivery capacity. * Manage budgetary components within the IS laboratory service line 4. Agile Delivery & Continuous Improvement * Partner closely with Product Owners and Architects to continuously improve product and delivery processes within an agile framework. * Ensure stories and features meet Definition of Ready standards prior to sprint execution. * Identify opportunities to streamline workflows, reduce rework, and improve throughput across procedural service line initiatives. * Promote continuous improvement through retrospectives, lessons learned, and process refinement. Key Success Factors (Updated Emphasis) * Strong leadership and relationship-building skills across clinical, operational, and technical audiences. * Ability to manage complexity across multiple technologies, vendors, and stakeholder groups. * Demonstrated experience in product management, intake governance, and agile delivery environments. * Excellent communication skills with the ability to translate clinical and operational needs into technical plans. * Ability to balance strategic priorities with execution-focused delivery. BENEFITS Our competitive benefits package includes the following * Immediate eligibility for health and welfare benefits * 401(k) savings plan with dollar-for-dollar match up to 5% * Tuition Reimbursement * PTO accrual beginning Day 1 Note: Benefits may vary based upon position type and/or level QUALIFICATIONS * EDUCATION - Bachelor's or 4 years of work experience above the minimum qualification * EXPERIENCE - 5 Years of Experience * Hybrid expectation- ideally located in DFW but if not, willing to travel up to monthly onsite. Preferences: * Epic Beaker and/or Orders certification * Experience with 3rd party lab applications and their integrations (including Data Innovations, SoftBank, RALS, etc.) * Project management experience - ideal, not required * Agile methodology - ideal, not required

The Insurance Verification Specialist 1, under general supervision, provides patients, physicians and internal hospital personnel with insurance benefit information. This position ensures timely verification of insurance benefits and financial clearance which has a direct impact to the organization's reimbursement from payers for patient accounts that are scheduled and unscheduled. ESSENTIAL FUNCTIONS OF THE ROLE Performs financial clearance of patient accounts by verifying insurance eligibility and benefits and ensuring all notifications and authorizations are completed within the required timeframe. Completes appropriate payor forms related to notification and authorization. Coordinates the submission of clinical documentation from physicians to payers for authorization needs. Calculates accurate patient financial responsibility. Communicates timely with Utilization Review, and collaborates effectively with physician and facility staff to ensure financial clearance of the patients account prior to scheduled or unscheduled service during the patient's hospital stay. Interprets complex payer coverage information including, but not limited to, network participation status with provider, limited plan coverage and inactive benefits. Documents systems according to the Insurance Verification guidelines to assure accurate and timely reimbursement. KEY SUCCESS FACTORS 1 year of healthcare or customer service experience preferred. Must have the ability to consistently meet performance standards of production, accuracy, completeness and quality. Ability to understand and adhere to payer guidelines by plan and service type. Requires good listening, interpersonal and communication skills, and professional, pleasant and respectful telephone etiquette. Ability to maintain a professional demeanor in a highly stressful and emotional environment, behavioral health and/or suffering patients in addition to life or death situations. Must be able to exhibit a high level of empathy with the ability to effectively communicate with patients and family members during traumatic events, while demonstrating exceptional customer service skills. Demonstrates ability to manage multiple, changing priorities in an effective and organized manner. Excellent data entry, numeric, typing and computer navigational skills. Basic computer skills and Microsoft Office. BENEFITS Our competitive benefits package includes the following * Immediate eligibility for health and welfare benefits * 401(k) savings plan with dollar-for-dollar match up to 5% * Tuition Reimbursement * PTO accrual beginning Day 1 Note: Benefits may vary based upon position type and/or level QUALIFICATIONS * EDUCATION - H.S. Diploma/GED Equivalent * EXPERIENCE - Less than 1 Year of Experience

**Healthy Weight Coach** **REMOTE - Monday through Friday, no weekends** **Preferred Experience** - Chronic disease (weight loss, diabetes) - Strong behavioral change interest and/or experience - Digital/virtual health coaching experience **Preferred Training** - Licensed RD - Experience with MNT for obesity, diabetes, HTN, Lipid disorders - NBC-HWC - Mastery of the coaching process, foundational theories/principles of behavior change - Requires completing an approved training program (minimum 400 hours), documented coaching sessions, and passing a board exam - Only coaching credential recognized by the National Board of Medical Examiners * **No Credentialing required*** **About Us** Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are: + We serve faithfully by doing what's right with a joyful heart. + We never settle by constantly striving for better. + We are in it together by supporting one another and those we serve. + We make an impact by taking initiative and delivering exceptional experience. **Benefits** Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: + Immediate eligibility for health and welfare benefits + 401(k) savings plan with dollar-for-dollar match up to 5% + Tuition Reimbursement + PTO accrual beginning Day 1 _Note: Benefits may vary based upon position type and/or level._ **Job Summary** As a licensed clinician, the Clinical Program Manager guides clinical programs and performance initiatives. They ensure alignment at a regional or system level. **Essential Functions of the Role** + Partners with internal and external stakeholders to meet contractual and/or regulatory obligations. + Proactively identifies, plans, implements, evaluates and monitors quality improvement and performance improvement initiatives. + Contributes to or runs system and regional initiatives. Gathers data, conducts research, maintains records, and tracks issues. Evaluates the impact of interventions, coordinates activities, and executes plans to resolve issues. + Researches and maintains knowledge of current evidence-based practices. Works with multidisciplinary teams to build a replicable model for clinical programs and guidelines. Develops program tools and resources like guidelines, training materials, and enhancement requirements. + Acts as a credible change agent and Subject Matter Expert (SME) in program management, process improvement, and clinical and contract performance. + Acts as a liaison across the care continuum to multidisciplinary teams and internal/external stakeholders. **Key Success Factors** + Project and/or Program Management experience + Process improvement and/or quality improvement experience + Able to quickly establish professional and cooperative relationships with multidisciplinary team members + Able to work in a fast paced, deadline motivated environment while stabilizing multiple demands + Able to quickly establish professional and cooperative relationships with multidisciplinary team members + Excellent verbal and written communication skills + Excellent critical thinking skills with ability to solve problems and exercise sound judgement + Able to mentor, guide and train team members + Skill in the use of computers and related software + PMP certification preferred **Belonging Statement** We believe that all people should feel welcomed, valued and supported. **QUALIFICATIONS** + EDUCATION - Grad of an Accredited Program + EXPERIENCE - 5 Years of Experience + CERTIFICATION/LICENSE/REGISTRATION - Lic Clinical Social Worker (LCSW), Licensed Dietitian (LICDIET), Lic Masters Social Worker (LMSW), Lic Master Social Wrk AdvPrac (LMSW-AP), License Pract/Vocational Nurse (LVN), Occupational Therapist (OT), Physical Therapist (PT), Respiratory Care Practitioner (RCP), Registered Dietitians (RD), Registered Nurse (RN), Reg Respiratory Therapist (RRT), Speech Language Pathologist (SLP): Must have ONE of the following: + -LCSW + -LMSW + -LMSW-AP + -LVN + -OT + -PT + -RN + -Both RRT (from the National Board Respiratory Care) AND RCP (from the Texas Medical Board) + -SLP + -LICDIET + -RD. As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.

The Insurance Verification Specialist 1, under general supervision, provides patients, physicians and internal hospital personnel with insurance benefit information. This position ensures timely verification of insurance benefits and financial clearance which has a direct impact to the organization?s reimbursement from payers for patient accounts that are scheduled and unscheduled. **ESSENTIAL FUNCTIONS OF THE ROLE** Performs financial clearance of patient accounts by verifying insurance eligibility and benefits and ensuring all notifications and authorizations are completed within the required timeframe. Completes appropriate payor forms related to notification and authorization. Coordinates the submission of clinical documentation from physicians to payers for authorization needs. Calculates accurate patient financial responsibility. Communicates timely with Utilization Review, and collaborates effectively with physician and facility staff to ensure financial clearance of the patient?s account prior to scheduled or unscheduled service during the patient?s hosptial stay. Interprets complex payer coverage information including, but not limited to, network participation status with provider, limited plan coverage and inactive benefits. Documents systems according to the Insurance Verification guidelines to assure accurate and timely reimbursement. **KEY SUCCESS FACTORS** 1 year of healthcare or customer service experience preferred. Must have the ability to consistently meet performance standards of production, accuracy, completeness and quality. Ability to understand and adhere to payer guidelines by plan and service type. Requires good listening, interpersonal and communication skills, and professional, pleasant and respectful telephone etiquette. Ability to maintain a professional demeanor in a highly stressful and emotional environment, behavioral health and/or suffering patients in addition to life or death situations. Must be able to exhibit a high level of empathy with the ability to effectively communicate with patients and family members during traumatic events, while demonstrating exceptional customer service skills. Demonstrates ability to manage multiple, changing priorities in an effective and organized manner. Excellent data entry, numeric, typing and computer navigational skills. Basic computer skills and Microsoft Office. **BENEFITS** Our competitive benefits package includes the following - Immediate eligibility for health and welfare benefits - 401(k) savings plan with dollar-for-dollar match up to 5% - Tuition Reimbursement - PTO accrual beginning Day 1 Note: Benefits may vary based upon position type and/or level **QUALIFICATIONS** - EDUCATION - H.S. Diploma/GED Equivalent - EXPERIENCE - Less than 1 Year of Experience As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.