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City/State Glen Allen, VA Work Shift First (Days) Sentara Health Plansis hiring a School Liaison in Region 1, Central Virginia (Charles City County, Chesterfield County, Colonial Heights, Dinwiddie County, Goochland County, Hanover County, Henrico County, Hopewell, New Kent County, Petersburg, Powhatan County, Prince George County, Richmond, Surry County, Sussex County, VA)! Status: Full-time,permanent position (40 hours) Standard working hours: 8am to 5pm EST, M-F Location: This position is remote in Region 1, Central Virginia (Charles City County, Chesterfield County, Colonial Heights, Dinwiddie County, Goochland County, Hanover County, Henrico County, Hopewell, New Kent County, Petersburg, Powhatan County, Prince George County, Richmond, Surry County, Sussex County, VA). Will need to travel to schools or community/wellness events in Region 1, Central Virginia approx. 3x a month. Job responsibilities: The School Liaison Program was designed to create a link between Virginia school systems and Sentara in an effort to better the communities where Sentara operates. From vaccine clinics, providing volunteers at community events and educating about various online behavioral health tools, the school liaisons are in-touch with communities' needs to help Sentara serve them better. Education: MLD - Master's Level Degree- Education, MLD - Master's Level Degree- Social Work, MLD - Master's Level Degree -Psychology REQUIRED Certification/Licensure None required Experience: Experience working for a school or with schools is preferred Behavioral experience is preferred Sentara Health Plans provides health plan coverage to close to one million members in Virginia. We offer a full suite of commercial products including employee-owned and employer-sponsored plans, as well as Individual & Family Health Plans, Employee Assistance Programs and plans serving Medicare and Medicaid enrollees. Our quality provider network features a robust provider network, including specialists, primary care physicians and hospitals. We offer programs to support members with chronic illnesses, customized wellness programs, and integrated clinical and behavioral health services-all to help our members improve their health. Our success is supported by a family-friendly culture that encourages community involvement and creates unlimited opportunities for development and growth. Be a part of an excellent healthcare organization that cares about our People, Quality, Patient Safety, Service, and Integrity. Join a team that has a mission to improve health every day and a vision to be the healthcare choice of the communities that we serve! To apply, please go to ********************** and use the following as your Keyword Search: JR-92915 Talroo - Health Plan Keywords: Health Plan, Healthcare, Social Work, Psychology, Managed Care, MCO, Education, School, Liaison, Region 1, Central Virginia Charles City County, Chesterfield County, Colonial Heights, Dinwiddie County, Goochland County, Hanover County, Henrico County, Hopewell, New Kent County, Petersburg, Powhatan County, Prince George County, Richmond, Surry County, Sussex County, VA Benefits: Caring For Your Family and Your Career • Medical, Dental, Vision plans • Adoption, Fertility and Surrogacy Reimbursement up to $10,000 • Paid Time Off and Sick Leave • Paid Parental & Family Caregiver Leave • Emergency Backup Care • Long-Term, Short-Term Disability, and Critical Illness plans • Life Insurance • 401k/403B with Employer Match • Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education • Student Debt Pay Down - $10,000 • Reimbursement for certifications and free access to complete CEUs and professional development •Pet Insurance •Legal Resources Plan •Colleagues have the opportunity to earn an annual discretionary bonus ifestablished system and employee eligibility criteria is met. Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves. In support of our mission “to improve health every day,” this is a tobacco-free environment. For positions that are available as remote work, Sentara Health employs associates in the following states: Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.

A community healthcare organization in Boston seeks an experienced Associate Director of Human Resources to develop and execute HR strategies. The role involves advising managers, enhancing employee engagement, and ensuring compliance with legal regulations. Candidates must embody the organization's values and demonstrate effective recruitment strategies. This position offers a hybrid work model and a commitment to serving diverse communities. #J-18808-Ljbffr

A leading health care service organization in Chicago is seeking a Principal Network Management Consultant. The role involves provider recruitment, contracting, and negotiation, ensuring strategic coverage for various lines of business. Requires a Bachelor's or Master's degree combined with extensive experience in provider contracting. This hybrid role allows for 3 days in-office and 2 days remote, offering competitive compensation and a comprehensive benefits package. #J-18808-Ljbffr

A leading health services company is seeking a Risk Management Lead responsible for oversight of risk adjustment operations. The role includes advising on risk management strategies, compliance, and project management. The ideal candidate should have significant experience in project leadership and risk analysis, with a passion for enhancing consumer experiences. This remote position requires strong initiative and the ability to manage multiple projects simultaneously. Interested candidates are encouraged to apply for a rewarding opportunity focused on health improvement. #J-18808-Ljbffr

A leading technology solutions company is seeking a Systems Engineering Lead to manage the product lifecycle for an agile development program. The role requires a minimum of Top Secret clearance and extensive relevant experience (BS: 12-15 years; MS: 10-13 years). Key responsibilities include work with the Systems Engineering Lifecycle and documentation of requirements. Strong communication skills and the ability to collaborate across various disciplines are essential. This position offers a competitive salary range between $131,300 and $237,350. #J-18808-Ljbffr

A leading life sciences company is seeking a Technical Sales Specialist to drive sales and support customers in the northeastern US. The ideal candidate will have a strong background in biology, 5+ years of technical sales experience, and expertise in immunohistochemistry. Responsibilities include achieving sales goals, conducting demos, and collaborating with teams to enhance customer experience. This fully remote position offers competitive insurance benefits and career development opportunities. #J-18808-Ljbffr

A nonprofit fundraising firm is seeking a Lead Consultant and Director of Development. This role demands a senior fundraising strategist to manage individual giving and annual fund campaigns while ensuring client engagement through effective communication. Applicants should possess extensive nonprofit experience. The position allows for remote work but requires occasional in-person meetings in Chicago. Successful candidates will demonstrate strong leadership and organizational skills. #J-18808-Ljbffr

A leading health insurance provider in Boston is looking for a Lead Experience Researcher to drive high-impact experiences by blending qualitative and quantitative research. This role will lead research engagements, partner with cross-functional teams, and provide insights to shape product design. Candidates should have a strong background in experience research methods, strategic problem-solving, and human-centered design. Competitive pay range is between $138,900 and $191,000 annually, plus benefits. #J-18808-Ljbffr

Outpatient MAT Opioid Treatment Program (OTP) Now Hiring: Substance Use Counselor Sign-On Bonus Available! Full-Time Schedule: Early morning hours encouraging a great work-life balance: * Monday - Friday, 6 AM - 2 PM, or * Monday - Friday, 7:30 AM - 3:30 PM Hybrid Schedule: * Offered to candidates with extensive SUD counseling experience. * Hybrid clinicians will receive a laptop and can split their schedule between on-site and remote work after completing an initial in-person training period. Why Work With Us? Benefits Include: Semi-Annual Bonus Program Comprehensive Medical, Dental, and Vision insurance Competitive 401(k) with employer match Paid vacation and sick leave Free employer-sponsored clinical supervision Unlimited access to over 500 accredited Continuing Education Units (CEUs) Employee Assistance Program (EAP) supporting your well-being Industry-leading growth and development opportunities Our Team: Lawrence Comprehensive Treatment Center (CTC), located in Lawrence, MA, is part of Acadia Healthcare's Comprehensive Treatment Centers-the nation's leader in medication-assisted treatment (MAT) for individuals seeking recovery from Opioid Use Disorder. We provide a continuum of care that includes Medication-Assisted Treatment (MAT), Office-Based Addiction Treatment (OBAT), Intensive Outpatient Programs (IOP), and mobile treatment units. At Lawrence CTC, you'll have the unique opportunity to work directly with a collaborative team of clinicians, case managers, nurses, and physicians delivering community-based services in a supportive and engaging environment. This role offers exceptional opportunities for learning and skill-building, while contributing to innovative, cutting-edge care. Be part of creating new pathways to recovery and integrated healthcare solutions at the intersection of CTC and local health services. Key Responsibilities: As a Substance Use Counselor, you will be essential in guiding patients through their treatment journey and fostering recovery from Opioid Use Disorder (OUD). This role will focus on community engagement, conducting mobile outreach in collaboration with hospitals, emergency departments, and health centers. It will also involve partnering with local providers and government officials, as well as: Leading individual and group counseling sessions with compassion and professionalism. Designing, managing, and documenting treatment plans tailored to patient needs. Facilitating group or family therapy sessions as required. Keeping thorough, clear, and timely documentation on patient care, progress, and any incidents. Conducting initial and ongoing patient assessments. Determining the necessity of referrals to additional programs or external resources. Coordinating aftercare plans to support long-term recovery. Providing immediate crisis intervention services when needed. Managing patient cases to ensure personalized, high-quality care. Serving as a liaison between patients and referral sources. Compensation for roles at Lawrence CTC varies depending on a wide array of factors including but not limited to the specific location, role, skill set, and level of experience. Lawrence CTC provides a reasonable hourly range of compensation for roles that may be hired in Massachusetts as set forth below. Role Location: Massachusetts Calculated Salary Range for the role: $31.00 - $38.00 per hour Eligible positions may qualify for student loan forgiveness through HRSA, depending on clinic site eligibility. Check your eligibilty here: HRSA Eligibility Required Education: Master's Degree in a relevant field, or one of the following credentials: CAC, CAS, CADC, CRC, LADC, LICSW, LCSW, LMHC, or LMFT. Bachelor's Degree holders without credentials are encouraged to apply if they are committed to obtaining required credentials within 30-60 days of employment. For Bachelor's-level candidates, we provide reimbursement for licensing or certification exam fees to support credential attainment. Degree obtained must be in psychology, social work, or related health services field from an accredited college or university. Licenses/Certifications: Candidates who do not hold a Master's degree must possess one of the following certifications or commit to obtaining it within 60 days of hire: CAC, CAS, CADC, CRC, LADC, LICSW, LCSW, LMHC, LMFT. We provide reimbursement for licensing or certification exam fees to support credential attainment. Your Skills & Experience: * Previous experience in addiction recovery or behavioral health settings, such as outpatient, residential, or correctional facilities. * Familiarity with Medication-Assisted Treatment (MAT), including methadone, buprenorphine, and naltrexone. * Experience conducting individual and group counseling sessions focused on substance use recovery. * Knowledge of evidence-based practices, such as Cognitive Behavioral Therapy (CBT), Motivational Interviewing (MI), and relapse prevention techniques. * Documentation experience, including maintaining clinical notes, treatment plans, and progress updates in accordance with state and federal guidelines. * Familiarity with state regulatory standards (e.g., 42 CFR Part 2, HIPAA, Joint Commission standards). * Experience collaborating in a multidisciplinary team with medical staff, case managers, and peer support specialists. * We are committed to providing equal employment opportunities to all applicants for employment regardless of an individual's characteristics protected by applicable state, federal and local laws. AHCTC #LI-CTC #LI-OB1

Become a part of our caring community and help us put health first The ideal candidate brings a passion for emerging technologies, a strong foundation in Infrastructure Operations and the curiosity and rigor to build next‑generation capabilities that improve healthcare delivery, reduce risk and optimize operational performance. If you're passionate about innovation and love working in an environment where you can constantly improve and adopt new technologies to drive business results, then Humana's Infrastructure Operations team could be the place for you! Use your skills to make an impact Key Responsibilities Lead and provide direction for our Managed Service Provider (MSP) Lead Managed Service Provider in Operations for Azure, GCP and AWS Cloud environment Drives moderate to complex processing improvements through optimization, enhancements and implementation of new operational features and functions around Cloud compliance, metrics/reporting and cost optimization Provide senior level expertise on decisions and priorities regarding the enterprise's overall Cloud Operations strategy, consumption, and optimization opportunities - understand Cost controls and the various cost optimization techniques Identifies, drives and assists in the implementation of opportunities to standardize Cloud environments Provides Cloud governance, processes and technical advisory support to business units and projects by working cross‑functionally and provides recommendations that support the business needs Participant as required (Level 2/3 escalation point) for Incident Management Participate and develop client relationships within Operations, Business partners, Managed Service Providers and Cloud Providers Work with cross-functional teams to support the engineering and implementation of new Cloud applications or solutions and define the related risks and onboard new capabilities Ability to communicate at all levels within an organization and influence strategic direction Ability to work with minimal supervision, making decisions based upon priorities, schedules and understanding business initiatives This leader will explore and prototype AI‑driven solutions to automate incident response, predict system failures, summarize complex telemetry data, and develop intelligent copilots to support Operations teams Lead research and evaluation of cutting‑edge AI and GenAI tools applicable to Infrastructure Operations (e.g., LLMs, vector databases, predictive analytics) Design and prototype AI‑driven systems for automated incident detection, anomaly classification, infrastructure forecasting/resiliency - leading to lower MttR and manual overhead in mission‑critical environments Develop and lead the strategic roadmap for AI adoption in Infrastructure Operations Collaborate with Infrastructure and Cloud Operations teams to pilot and integrate AI/GenAI features into critical workflows Modernize observability and alerting using AI/ML models for proactive monitoring and self‑healing actions Lead R&D of GenAI solutions for predictive alerting, incident triage and infrastructure automation Build AI copilots and natural language tools for infrastructure operations teams Integrate LLMs into observability platforms for real‑time RCA and log summarization Pilot and productionize GenAI‑based assistants, bots, and copilots to support ticket triage, knowledge management and resolution workflows Identify automation opportunities and implement AI‑enhanced runbooks, workflows and self‑healing mechanisms Contribute to a strategic roadmap for GenAI maturity within Infrastructure & Operations, including tools, governance and organizational readiness Partner with internal data science and clinical innovation teams to create proofs of concept, build ML/GenAI pipelines, and integrate with existing toolchains (e.g., ServiceNow, Splunk, Terraform) Autonomous log summarization, RCA generation and playbook suggestions Natural language interfaces for querying system health or telemetry Act as a GenAI ambassador, helping Infrastructure Operations teams upskill in AI‑augmented technologies and use cases Qualifications Bachelor's in Computer Science, Artificial Intelligence, Healthcare Informatics, or a related field 10+ years in infrastructure operations or engineering, with at least 3+ years of hands‑on involvement in AI/ML or GenAI R&D Deep understanding of large language models (LLMs), vector databases, retrieval‑augmented generation (RAG), and model orchestration (e.g., LangChain, Haystack). Experience integrating AI/GenAI capabilities with infrastructure automation tools (Terraform, Ansible, Python, Bash) Familiarity with healthcare systems and compliance frameworks (HIPAA, HITRUST) Proficiency with observability and telemetry platforms (e.g., Splunk, DynaTrace, SolarWinds) and AI‑driven monitoring Strong problem‑solving and experimentation mindset, with the ability to move from concept to pilot rapidly Experience with Continuous Integration and Deployment Pipelines, i.e. Azure DevOps, Jenkins, Git, Git Hub Has hands‑on scripting experience using one of the following: Terraform, Cloud Formation, PowerShell, Azure CLI, Python, JSON, Perl or Bash Preferred Master's degree Azure, AWS, GCP, ITIL and/or SRE certifications Experience with GenAI platforms (e.g., Azure OpenAI, Google Vertex AI) Experience deploying or evaluating open‑source LLMs or fine‑tuning models for infrastructure use cases Additional Information Work‑At‑Home Requirements WAH requirements: Must have the ability to provide a high speed DSL or cable modem for a home office. Associates or contractors who live and work from home in the state of California will be provided payment for their internet expense. A minimum standard speed for optimal performance of 25x10 (25mpbs download x 10mpbs upload) is required. Satellite and Wireless Internet service is NOT allowed for this role. A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information#LI-Remote Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $142,300 - $195,700 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole‑person well‑being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short‑term and long‑term disability, life insurance and many other opportunities. Application Deadline: 01-14-2026 About us Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our *************************************************************************** #J-18808-Ljbffr

Dynavax is a commercial-stage biopharmaceutical company developing and commercializing novel vaccines to help protect the world against infectious diseases. We operate with the highest level of quality, integrity and safety for the betterment of public health. Our proprietary CpG 1018 adjuvant powers our diversified infectious vaccine portfolio, which includes HEPLISAV-B, our commercial product approved in the U.S. and the European Union, for prevention of hepatitis B virus in adults. We also supply CpG 1018 to research collaborations and partnerships globally. Currently, CpG 1018 is being used in development of COVID-19, plague, shingles, and Tdap vaccines. At Dynavax, our vision and work ethic are guided by the collective ideals underpinning our core values, and these form the basis of our dynamic company culture. We strive to maintain a culture where each employee is valued by the organization and where our organization is valued by each employee. We offer a highly flexible work environment for our headquarter employees where individuals work remotely and gather for in-person meetings when necessary. Dynavax is headquartered in the San Francisco Bay area, and our manufacturing facility is in Düsseldorf, Germany. The IDN Key Account Executive II will have full account responsibility and business ownership for assigned Accounts to establish and grow HEPLISAV-B sales. Working with the Director, Vaccine Sales this position will serve as the primary account owner with assigned IDN, Independent and Group Practice accounts. The IDN Key Account Executive II will be responsible for full top down and bottom up ownership and execution in assigned accounts with a primary objective of expanding Adult Hepatitis B Vaccination and greater adoption of HEPLISAV-B. This role will be responsible for understanding sales strategies and execution plans that enable HEPLISAV-B to meet its full revenue potential in assigned accounts. The IDN Key Account Executive II position will be expected to execute all functions of the role independently with minimal supervision from the Director, Vaccine Sales and/or assigned mentor for executive level customer engagements. This position is field based and will require daily travel. The ideal candidate should reside in or near Chicago, but other locations in major metropolitan areas within the assigned territory will be considered. Responsibilities * Responsible for achieving sales targets and owning/managing customer relationships for assigned Accounts. Assigned accounts will include large IDNs, independent customers and group practices. * Serves as sole owner for assigned accounts - responsible for successful execution at all levels of the customer organization to achieve declared goals/objectives. * Demonstrates a deep understanding of vaccine decision making, vaccine adoption and implementation process and key decision makers across all levels of assigned accounts. * Responsible for developing, communicating, and monitoring an account strategy for each assigned account. Conducts quarterly business reviews with Director, Vaccine Sales. * Execute all functions of the role independently with minimal supervision from the Director, Vaccine Sales and/or assigned mentor for executive level customer engagements. * Develop relationships with key stakeholders at each level of organization who are responsible for implementation of vaccines. * Partner with Director, Vaccine Sales to execute sales & marketing strategies to support HEPLISAV-B expansion within assigned accounts. * Responsible for understanding competitive positioning, market dynamics and customer business models to identify opportunities across assigned accounts. * Maintain accurate up-to-date customer records in the Account Management system. * Exercise sound judgement and oversight to ensure integrity and compliance with company policies in all activities and communications. * Foster Dynavax core values and leadership behaviors. * Other duties as assigned. Qualifications * Bachelor's Degree required from an accredited institution; MBA preferred. * 3+ years of life sciences sales experience required; IDN/Hospital experience preferred. * 2 years of vaccine or buy & bill experience required. * 2+ years of strategic account management experience preferred. * Knowledge of the IDN/Hospital landscape within assigned territory required. * Previous health system account management experience is highly preferred. * Strong proven strategic vision, business acumen and influencing skills to drive strategic and operational initiatives across the organization. * Documented track record of consistent sales and growth success along with superb account management skills. * Proven track record of financial/budget management experience. * Knowledge of large health systems, including immunization related quality initiatives. * Excellent oral and written communication skills, presentation and influencing skills. * Ability to drive business results and identify new opportunities and strategies through strategic thinking and business planning. * Experience in matrix management, change advocate. * Heavy travel required. * Key Competencies: Accountability, Customer Engagement, Customer Discovery, Business Acumen, Executional Effectiveness * Ability to operate a motor vehicle. * Ability to sit for prolonged periods; reach with arms and hands; lift and move small objects; and use hands to keyboard and perform other office related tasks including repetitive movement of the wrists, hands and/or fingers. * Must be able to obtain all industry credentials and certifications. Additional Knowledge and Skills desired, but not required: C-suite leadership and account management experience within IDNs and Hospitals is highly preferred. $119,000 - $155,000 a year The estimated salary range for this position is $119,000 to $155,000. Final pay determinations may depend on various factors, including, but not limited to experience level, education, geographical location, knowledge, skills, and abilities. The total compensation package for this position also includes other compensation elements such as stock equity awards and participation in our Company's sales incentive compensation program. Field sales employees receive a company car as well. Dynavax also offers a full range of health and welfare insurance benefits, 401(k) company match, and paid time off benefits, including 17 paid holidays in 2025. California residents: for information on how we handle your personal information and your privacy rights as a job candidate, please see our Candidate Privacy Notice: ********************************************************************************************* Dynavax is an equal opportunity employer & prohibits unlawful discrimination based on race, color, religion, gender, sexual orientation, gender identity/expression, national origin/ancestry, age, disability, marital & veteran status. We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.

A leading global medical technology company seeks a Senior Director, Financial Processes and Systems to oversee the implementation of finance systems supporting planning and reporting. Candidates should have a bachelor's degree in finance and 10+ years of experience. This role involves leadership of a high-performing team and collaboration with IT and finance stakeholders, all while following a hybrid work model. The anticipated salary range is $172,500 - $327,800, reflecting experience and education. #J-18808-Ljbffr

Job Description Candidates must reside within a reasonable driving distance of Lombard, IL. Hours Scheduled: Mon-Thurs 9:30am-6pm/Fridays 8am-5pm QualDerm Partners is the largest multi-state female-founded and owned dermatology network in the U.S., with over 150 locations across 17 states. Our commitment is to educate, protect, and care for your skin while delivering the highest quality dermatological services. We strive to make skin health accessible to all while fostering a rewarding work environment for both our patients and employees. Position Summary: The Remote Central Scheduling Specialist will be responsible for managing and coordinating the scheduling of patient appointments across our various practice locations. This role requires exceptional customer service skills and the ability to handle a high volume of calls while ensuring that each patient feels valued and supported throughout their scheduling experience. Requirements High School Diploma required; Associate's Degree preferred. Minimum of 1 year customer service experience in a healthcare setting preferred. Strong communication and interpersonal skills. Ability to manage multiple tasks efficiently in a fast-paced environment. Proficiency in scheduling software and Microsoft Office applications. Understanding of HIPAA regulations is a plus. Benefits Competitive Pay Medical, dental, and vision 401(k) - The company match is 100% of the first 3%; and 50% of the next 2%; immediately vested Paid Time Off - accrual starts upon hire, plus 6 Paid Holidays and 2 floating days Company paid life insurance and additional coverage available Short-term and long-term disability, accident and critical illness, and identity theft protection plans Employee Assistance Program (EAP) Employee Discounts Employee Referral Bonus Program QualDerm Partners, LLC is proud to be an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. Compensation Range: $17.00 - 19.50 per hour. Final offer will be based on a combination of skills, experience, location, and internal equity.

is $37.35 - $48.56 (Hourly Rate) Placement within the salary range is dependent on several factors such as relevant work experience and internal equity. For positions represented by a labor union, placement within the salary range is guided by the rules outlined in the collective bargaining agreement. We offer a wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial well-being while providing protection for unexpected life events. Please visit our Benefits section located at jobs.nm.org/benefits to learn more. Northwestern Medicine is powered by a community of colleagues who are purpose-driven and committed to our mission to deliver world-class care. Here, you'll work alongside some of the best clinical talent in the nation leading the way in medical innovation and breakthrough research with Northwestern University Feinberg School of Medicine. We recognize where you've been, and we support where you're headed. We celebrate diverse perspectives and experiences, which fuel our commitment to equity and culture of service. Grow your career with comprehensive training and development opportunities, mentorship programs, educational support and student loan repayment. Create the life you envision for yourself with flexible work options, a Reimbursable Well-Being Fund and a Total Rewards package that support your physical, mental, emotional, and financial well-being. Make a difference through volunteer opportunities we offer in local communities and drive inclusive change through our workforce-led resource groups. From discovery to delivery, come help us shape the future of medicine. Benefits: * $10,000 Tuition Reimbursement per year ($5,700 part-time) * $10,000 Student Loan Repayment ($5,000 part-time) * $1,000 Professional Development per year ($500 part-time) * $250 Wellbeing Fund per year ($125 for part-time) * Matching 401(k) * Excellent medical, dental and vision coverage * Life insurance * Annual Employee Salary Increase and Incentive Bonus * Paid time off and Holiday pay Description The Clinical Quality Documentation Specialist I reflects the mission, vision, and values of NM, adheres to the organization's Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards. The Clinical Quality Documentation Specialist I position facilitates improvement in the overall completeness and accuracy of quality data and outcomes through extensive interaction with physicians, nursing staff, interdisciplinary quality committees, multidisciplinary teams and clinical coders. The Clinical Quality Documentation Specialist I applies clinical expertise, knowledge of the national Quality agenda, professional nursing standards, current research, best practices, and interdisciplinary collaboration to advance problem analysis and creative process redesign for clinical documentation. The Clinical Quality Documentation Specialist I acts as a change agent to systematically drive and implement change as prioritized by Clinical Documentation Leadership and Senior Clinical and Senior Quality leadership and/or through the quality and safety committees. Participates in performance improvement initiatives, receives and monitors control plans and data trends under the purview of the Clinical Documentation and Clinical Quality Programs and in collaboration with clinical interdisciplinary quality committees and physician practices. Key to this role is the ability to compel changes in documentation through in-person interaction to facilitate accurate representations of patient characteristics within the medical record so that process and outcome measures based on documentation reflect performance accurately. Responsibilities: * In partnership with Clinical Documentation Leadership and the Medical Directors of Clinical Documentation, maintains integrated relationships with business unit and system physician and administrative leaders to advance quality metrics through front-line documentation efforts. * Rounds daily with physician and advanced practice providers (APPs) in assigned service line(s) or business units to ensure appropriate and accurate documentation in the medical record. Ensures the level of services and acuity of care will accurately be reflected in quality outcomes. * Partners with operational and medical leadership in a given service line or business unit to identify, develop and implement successful communication and education, to engage physicians and improve processes and outcomes. * Performs daily medical record reviews in assigned service line(s). Performs data collection activities to identify documentation issues, quality issues, and opportunities for improvement in patient care and services. * Basic understanding of clinical documentation through the lens of local and national quality and ranking methodologies, including but not limited to, U.S. News and World Report, Vizient, Leapfrog, the CMS Star Rating, and payer contracts and assists the Managers of Clinical Documentation in execution of and maintenance of key strategies to effect change. * Understands the basics of leveraging their NM network to initiate conversations, identify root causes and resolution, and align resources. * Analyzes quality and patient safety data to identify patterns in the management of patient care and services using reported 1.) Hospital acquired conditions, 2) Patient safety indicators, 3) Case Mix index, and 4) Expected mortality. * Collaborates with the Clinical Quality Team to model, teach and improve upon the culture of safety with shared improvement in all venues. * Presents updates to operational and medical leadership, attending and resident physicians and interdisciplinary quality committees. * Communicates effectively and collaborates with colleagues and the Clinical Coding Team. Fosters an environment to execute a shared vision in creating a model of best practice in the accurate reporting of patient diagnoses, comorbid conditions and treatment rendered. * Professional Development and Education: * Masters evidence and literature in relevant clinical area, discipline, and improvement science, including clinical quality improvement, patient safety, human factors, failure modes, root cause analysis, and related performance and safety resources. * Applies knowledge of professional nursing standards, best practices, and interdisciplinary collaboration to advance problem analysis and resolution and creative process redesign. * Other: * Participates in a minimum of one NM Clinical Documentation committee as approved by Manager, Clinical Documentation * Participates on departmental and hospital committees and task-forces as assigned. * Participates in concurrent performance improvement activities and on-going review activities. * Performs other job-related duties as requested, including special projects. * Complies with Northwestern Memorial Hospital policies on patient confidentiality including HIPPA requirements and Personal Rules of Conduct. Qualifications Required: * Registered Nurse in the State of Illinois * Bachelor's or Master's degree in nursing * Minimum 2 years of experience of bedside nursing care and participation in clinical quality, patient safety, or related initiatives with evidence of effective change management skills. * Must possess and consistently demonstrate: * Strong interpersonal, communication, conflict management, diplomacy and negotiation skills. * Proven leadership to affect positive clinical quality outcomes. * Analytical skills necessary to independently collect analyze and interpret clinical data. * Basic computer skills and willingness to learn computer applications relative to this position Preferred: * Master's Degree * Five years' experience in medical/ surgical, critical care, intensive care or emergency care preferred Equal Opportunity Northwestern Medicine is an equal opportunity employer (disability, VETS) and does not discriminate in hiring or employment on the basis of age, sex, race, color, religion, national origin, gender identity, veteran status, disability, sexual orientation or any other protected status. Background Check Northwestern Medicine conducts a background check that includes criminal history on newly hired team members and, at times, internal transfers. If you are offered a position with us, you will be required to complete an authorization and disclosure form that gives Northwestern Medicine permission to run the background check. Results are evaluated on a case-by-case basis, and we follow all local, state, and federal laws, including the Illinois Health Care Worker Background Check Act. Artificial Intelligence Disclosure Artificial Intelligence (AI) tools may be used in some portions of the candidate review process for this position, however, all employment decisions will be made by a person. Benefits We offer a wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial well-being while providing protection for unexpected life events. Please visit our Benefits section to learn more. Sign-on Bonus Eligibility: Internal employees and rehires who left Northwestern Medicine within 1 year are not eligible for the sign on bonus. Exception: New graduate internal employees seeking their first licensed clinical position at NM may be eligible depending upon the job family.

City/State Virginia Beach, VA Work Shift First (Days) The Director of Records Management leads the organization's enterprise-wide approach to records governance, overseeing the systems and standards that ensure documents are properly stored, organized, maintained, and securely disposed of. The role focuses on strengthening compliance, improving accessibility, and advancing technology solutions that support efficient and compliant recordkeeping practices. This position plays a key part in reducing risk and promoting consistent information management across all business units. Education Bachelor's degree (Required) Experience 7 years of document control, records management or similar experience Experience in matrixed or direct leadership roles requiring strong collaboration. Benefits: Caring For Your Family and Your Career• Medical, Dental, Vision plans• Adoption, Fertility and Surrogacy Reimbursement up to $10,000• Paid Time Off and Sick Leave• Paid Parental & Family Caregiver Leave • Emergency Backup Care• Long-Term, Short-Term Disability, and Critical Illness plans• Life Insurance• 401k/403B with Employer Match• Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education• Student Debt Pay Down - $10,000• Reimbursement for certifications and free access to complete CEUs and professional development•Pet Insurance •Legal Resources Plan •Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met. Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves. In support of our mission “to improve health every day,” this is a tobacco-free environment. For positions that are available as remote work, Sentara Health employs associates in the following states: Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.

Company DescriptionAt Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. This patient-first approach is what sets us apart as a leader in the healthcare industry. As an integral part of our team, you'll have the opportunity to join our quest for better health care, no matter where you work within the Northwestern Medicine system. We pride ourselves on providing competitive benefits: from tuition reimbursement and loan forgiveness to 401(k) matching and lifecycle benefits, our goal is to take care of our employees. Ready to join our quest for better? Job Description Performs charge capture for all procedures completed in the Bronchoscopy suite. This includes: Audit of CPT codes associated with each procedure Confirmation of supplies used and verification of alignment with operative notes Assists patients with billing and insurance related matters including communicating with patients regarding balances owed and other financial issues and facilitating collection of balances owed. Educates patients about financial assistance opportunities, insurance coverage, treatment costs, and clinic billing policies and procedures. Collaborates closely with physicians and technicians to understand treatment plans and determine costs associated with these plans; Works closely with the staff on managed care and referral related issues; communicates findings to patients. Coordinates the pre-certification process with the clinical staff as it relates to procedures in the Bronchoscopy Suite and Operating Rooms Handles billing inquiries received via telephone or via written correspondence. Responsible for thoroughly investigating and understanding financial resources or programs that may be available to patients and educating staff and patients about these programs. Conducts precertification for appropriate tests or procedures and facilitates the process with managed care and the clinical team. Documents all information and authorization numbers in Epic and acts as a liaison for follow-up related to precertification. Performs activities and responds to patient inquiries related to billing follow-up. Requests necessary charge corrections. Identifies patterns of billing errors and works collaboratively with department manager and outside entity to improve processes as needed. Provides guidance regarding clinical documentation to optimize charges and RVUs Confirms coding accuracy based on clinical documentation and reviews common errors or misses with physicians and leadership. The Billing Coordinator reflects the mission, vision, and values of NM, adheres to the organization's Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards. The Billing Coordinator is responsible for processing charges, payments and/or adjustments for all services rendered at all NM Corporate Health Clinics. Researches and follows- up on all outstanding accounts. Answers all calls regarding charges and claims, providing exceptional customer service to all callers. Possesses extensive knowledge of coding, billing, insurance and collections procedures and coordinates the accounts receivable functions. Performs weekly claims, monthly late bills and patient statement runs and reviews accounts to be placed with an outside collection agency. RESPONSIBILITIES: Department Operations Ensures patient demographic and billing/insurance information is kept current in the computer application. Documents all patient and company contacts. Reviews daily clinic schedules and tracks receipt of documentation to assure completeness of charge capture. Ensures notes are is placed in systems, clearly identifying steps taken, according to established procedures. Works with patients/clients to establish payment plans according to predetermined procedures. Handles all incoming customer service calls in a professional and efficient manner. Provides exceptional service to all customers, guarantors, patients, internal and external contacts. Prepares itemized bill upon request; explains charges, payments and adjustments. Produces a clear and understandable statement to individuals on any outstanding account balance. Responsible for timely submission of accurate bills and invoices to clients, patients and insurance companies. Ensures timely posting of all charges, payments, denials and write-offs to the appropriate account, maintaining the highest level of quality for each transaction processed within 48 hours of receipt. Responsible for balancing each payment and adjustment batch with reconciliation report and bank account deposits after completion. Ensures compliant follow up procedures are followed, to third party payers regarding outstanding accounts receivables. Run outstanding A/R reports, follow-up on unpaid claims or balances with insurance companies, patients, and collection agency, as defined by department. Perform daily systematic review of accounts receivable to ensure all accounts ready to be worked are completed. Recommend accounts for contractual or administrative write-off and provide appropriate justification and documentation. Denials and appeals follow-up including root cause analysis to reduce/prevent future denials. Reviews, prepares and sends pre-collection letters as defined by department procedures. Identifies and sends accounts to outside collection agency. Prepares and distributes reports that are required by finance, accounting, and operations. Handles all work in an accurate and timely manner, consistently meets or exceeds productivity standards, quality standards, department goals and deadlines established by the team. Practice HIPAA privacy standards and ensure compliance with patient health information privacy practices. Identify opportunities for process improvement and submit to management. Demonstrate proficient use of systems and execution of processes in all areas of responsibilities. Communication and Teamwork Fosters and maintains positive relationships with the Corporate Health team, Human Resources, NM employees and physicians. Provides courteous and prompt customer service. Answers the telephone in a courteous professional manner, directs calls and takes messages as appropriate. Checks for messages and returns calls. Demonstrates teamwork by helping co-workers within and across departments. Communicates effectively with others, respects diverse opinions and styles, and acknowledges the assistance and contributions of others. Communicates appropriately and clearly to physicians, manager, nursing staff, front office staff, and employees. Maintains a good working relationship within the department. Organizes time and department schedule well. Demonstrates a positive attitude. Service Excellence Displays a friendly, approachable, professional demeanor and appearance. Partners collaboratively with the functional areas across Northwestern Medicine in support of organizational and team objectives. Fosters the development and maintenance of a cohesive, high-energy, collaborative, and quality-focused team. Supports a “Safety Always” culture. Maintaining confidentiality of employee and/or patient information. Sensitive to time and budget constraints. Other duties as assigned. Qualifications Required: High school graduate or equivalent. Strong Computer knowledge, data entry skills in Microsoft Excel and Word. Thorough understanding of insurance billing procedures, ICD-10, and CPT coding. 3 years of physician office/medical billing experience. Ability to communicate clearly and effectively, both orally and in writing, at all levels within and outside the organization. Ability to work independently. Preferred: 3 years of physician office/medical billing experience in Corporate Health/Occupational Health a plus. CPC (Certified Professional Coder) or R (Registered Medical Coder) Certificate a plus. Additional Information Northwestern Medicine is an equal opportunity employer (disability, VETS) and does not discriminate in hiring or employment on the basis of age, sex, race, color, religion, national origin, gender identity, veteran status, disability, sexual orientation or any other protected status. Background Check Northwestern Medicine conducts a background check that includes criminal history on newly hired team members and, at times, internal transfers. If you are offered a position with us, you will be required to complete an authorization and disclosure form that gives Northwestern Medicine permission to run the background check. Results are evaluated on a case-by-case basis, and we follow all local, state, and federal laws, including the Illinois Health Care Worker Background Check Act. Artificial Intelligence Disclosure Artificial Intelligence (AI) tools may be used in some portions of the candidate review process for this position, however, all employment decisions will be made by a person. Benefits We offer a wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial well-being while providing protection for unexpected life events. Please visit our Benefits section to learn more. Sign-on Bonus Eligibility: Internal employees and rehires who left Northwestern Medicine within 1 year are not eligible for the sign on bonus. Exception: New graduate internal employees seeking their first licensed clinical position at NM may be eligible depending upon the job family.

Join our team in a dynamic hybrid role, offering flexibility to work remotely and from our headquarters in Watertown, MA. Disc Medicine is a clinical-stage biopharmaceutical company committed to discovering, developing, and commercializing novel treatments for patients who suffer from serious hematologic diseases. We are building a portfolio of innovative, first-in-class therapeutic candidates that aim to address a wide spectrum of hematologic diseases by targeting fundamental biological pathways of red blood cell biology, specifically heme biosynthesis and iron homeostasis. Disc Medicine values collaboration, professional development, and scientific integrity and promotes an inclusive company culture that empowers and inspires. POSITION OVERVIEW: As Disc Medicine evolves from a clinical stage to commercial stage organization, the Company has a new role for a Associate director in Manufacturing Operations. The successful candidate will be instrumental in driving the company's growth trajectory and achieving strategic objectives. The successful candidate will support technical teams and manage associated projects both in house and at CDMOs. They will have a strong understanding of the functional operations of Chemistry, Manufacturing, and Controls with a focus on the operational aspects of CMC. Priority will be given to candidates with direct experience in CMC projects working with Contract Development and Manufacturing Organizations (CDMOs) especially on manufacturing oversight, as well as candidates who have direct experience in coordinating CMC teams. RESPONSIBILITIES: Monitor financial approval cadence closely and coordinate budget management within teams Build relationships with key-decision makers in finance and SMEs Work closely with internal teams including CMC leader and CMC functions including Drug Substance, Drug Product, Supply Chain, as well as Quality and Regulatory organizations for small molecules/biologics In collaboration with technical leads, develop and manage risk mitigated CMC development strategies and project plans Coordinate CMC team meetings coordinating with CMC leads, including assembly of agendas and meeting minutes Ensure effective cross-function and cross-project communications in and out of internal development teams Support technical leads with vendor management but not limited to contract review and negotiation, timeline management, and quarterly business review meetings. Collaborate with finance to forecast and manage the budget and quarterly accrual for all tech ops activities Support tech ops with Request for Proposal, contracts, POs and invoice approvals. REQUIREMENTS: Bachelors degree is required in Science, Engineering or related field with at least 10+ years relevant industry experience in biopharma A minimum of 3-5+ years CMC project management experience as designated project manager or PM responsibilities as part of a technical role, specific to CMC teams Working knowledge of small molecules and biologics process development, analytical development, GMP manufacturing and quality control testing PMP certification is a plus Ability to accommodate flexible working hours to support business relationships in different time zones Approximately 10-25% travel may be required The annual base salary range for this position is listed below. Actual pay rates are determined by considering multiple factors including qualifications, relevance of experience, education & credentials, subject matter expertise, and internal parity. Salary Range$162,000-$220,000 USD Disc Medicine is an equal-opportunity employer committed to providing all qualified candidates and employees equal opportunities. We offer comprehensive benefits and competitive compensation packages. The Company headquarters are in Watertown, MA, and we provide a flexible work environment. Disc Medicine actively recruits individuals with an entrepreneurial spirit and a drive for excellence. Interested candidates should submit a cover letter and resume to be considered for current and future opportunities. Disc Medicine respects your privacy. For information about how Disc processes your personal data in the context of your candidacy, please see our Privacy Notice.

Are you an internal caregiver, student, or contingent worker/agency worker at UMass Memorial Health? CLICK HERE to apply through your Workday account. Exemption Status: Non-Exempt Schedule Details: Scheduled Hours: Shift: Hours: 0 Cost Center: This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process. Everyone Is a Caregiver At UMass Memorial Health, everyone is a caregiver - regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day. This position engages in a program of field training to observe and provide therapeutic interventions in a variety of placement settings. Observes, learns, and uses basic skills for behavioral health interventions consistent with the requirements of their academic institution. About Internships at Community Healthlink 1. CHL interns are those looking for their first field placement 2. Interns at CHL work in supportive roles, closely with supervisors. 3. They assist with comprehensive assessment activities, collaborate on treatment plans, provide brief therapeutic 1:1 interventions, milieu management, case management to support aftercare referrals and discharge planning, as well as crisis intervention and de-escalation. 4. Generally, these interns are placed within programs that have a therapeutic milieu, and interns are not completing directly billable activities. Hiring Range: $15.00 - $15.50 Please note that the final offer may vary within this range based on the candidate's experience, skills, qualifications and internal equity considerations. I. Major Responsibilities: 1. Provides clinical support as defined by the level of care and service needs of the population served. Specific treatment expectations are defined by licensing and accreditation standards for each level of care and internship expectations as agreed upon between the student, school, and program. 2. Assists with comprehensive assessments consistent with needs of the population served. 3. Collaborates on the development of treatment plans consistent with regulations as required by the funder/licensor. Participates in treatment planning conferences. 4. Provides case management through brief therapeutic 1:1 interventions to coordinate aftercare referrals and discharge planning consistent with regulations and the level of care. Consults and collaborates with collateral contacts and providers as appropriate for the level of care. 5. Coordinates and facilitates individual or group interventions to address the clinical needs of the needs of the population served. II. Position Qualifications: License/Certification/Education: Required: 1. Undergraduate student must be in a Bachelor's degree program in social work, counseling, public health, or related field. Or may be a practicum student in a Masters or Doctoral degree level program in Mental Health Counseling, Social Work, Marriage and Family Therapy, Clinical Psychology, or related program. 2. Some positions require a current valid US-issued driver's license and a registered, inspected, and insured automobile for work related purposes. 3. For MCI programs, a current valid US-issued driver's license and reliable transportation for work related purposes. Experience/Skills: Required: 1. Strong communication and organizational skills. 2. Detail oriented. 3. Willingness to learn. 4. Able to effectively work alone, and as part of a team. III. Physical Demands and Environmental Conditions: 1. Work is considered medium. May have to lift up to 10 lbs. frequently and up to 50 lbs. occasionally. 2. Work occurs in an indoor, patient-focused environment. ADDENDUM CCBHC-IA Intern Job Summary: Assists the CCBHC IA team in improving access to evidence-based services for behavioral health clients from diverse communities. Major Responsibilities: 1. Assists in tracking grant goals. 2. Gathers information from clients and data entry per grant requirements. 3. Contributes to infrastructure development to support sustainability. 4. Participates in training opportunities. 5. Participates on a CHL committee. 6. Identifies and carries out a special project. 7. Performs other related duties. License/Certification/Education: Required: 1. Undergraduate student must be in their 3rd or 4th year of completing a bachelor's degree in social work, counseling, public health, or related field. Experience/Skills: Required: 1. Interest in health equity and serving marginalized communities. 2. Strong communication and organizational skills. 3. Detail oriented. 4. Willingness to learn. 5. Able to effectively work alone, and as part of a team. 6. Available during business hours (9 a.m. to 5 p.m.)- number of hours per week are negotiable. 7. We will be working in a hybrid model with some time onsite and remote work from home. 8. Community Healthlink (CHL) recognizes the power of a diverse community and seeks applications from individuals with varied experiences, perspectives, and backgrounds. III. Physical Demands and Environmental Conditions: 1. Must be able to remain seated for extended periods of time. 2. Must be able to hear, understand, and distinguish speech and/or other sounds (e.g., machinery alarms, medicals codes or alarms). 3. Must be able to work on a computer 80% of the shift. 4. The characteristics above are representative of those encountered while performing the essential functions of the position. Reasonable accommodations may be made if necessary in order to perform the essential functions. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. We're striving to make respect a part of everything we do at UMass Memorial Health - for our patients, our community and each other. Our six Standards of Respect are: Acknowledge, Listen, Communicate, Be Responsive, Be a Team Player and Be Kind. If you share these Standards of Respect, we hope you will join our team and help us make respect our standard for everyone, every day. As an equal opportunity and affirmative action employer, UMass Memorial Health recognizes the power of a diverse community and encourages applications from individuals with varied experiences, perspectives and backgrounds. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, protected veteran status or other status protected by law. If you are unable to submit an application because of incompatible assistive technology or a disability, please contact us at ***********************************. We will make every effort to respond to your request for disability assistance as soon as possible.

Job DescriptionAbout The Role Brighton Health Plan Solutions is seeking an experienced Specialist for our Enrollment and Eligibility/ Employer Services Department to work remotely. We are a hybrid unit, a balance of a contact center and processing department. The Enrollment and Eligibility Team's (EET) mission is to create, audit, process and update the member and eligible dependents' profile(s) keeping their health, well-being, and continuity of care at the forefront of our day-to-day operations. And we partner and collaborate with key stakeholders (the client, employer partners, Customer Service, IT, Finance, Carriers, Vendors, and more) to do so successfully and timely. The Enrollment and Eligibility Specialist plays a critical role in our Enrollment and Eligibility/Employer Services Department. Our Specialists are responsible for completing the day-to-day functions of the enrollment and eligibility processing, ensuring that participants are appropriately enrolled in the correct health plan, supporting Eligibility Call Centers, as well as managing the daily communication requirements to and from participants. The E&E Specialists must be very detail orientated in order to ensure that all forms and documents received in house are processed efficiently, and according to procedure, as well as ensuring that all eligibility and enrollment functions are completed in a timely and accurate manner. The E&E Specialists are also responsible for supporting the client, employers, and members via phone and email support. Primary Responsibilities Case Management: Create, audit, process and update the member and eligible dependents' profile(s) into the enrollment database & update the database with changes. Data Analytics: Reconciling eligibility discrepancies, analyzing transactional data & submitting retroactive eligibility changes. Troubleshoot Enrollment and Eligibility related inquiries from the Clients, Employer Partners, Health Plan Carriers, the COBRA vendor, and Call Center Representatives. Works directly with the Finance team to review, process, and resolve inquiries from the employers and premium related issues: including outreach to employers, the client and State officials --as needed. Contact Employers regarding delinquencies and late file submissions -when applicable. Communicate effectively with individuals/teams in the program to ensure high quality and timely expedition of requests from the client, employers, and members. Participate in activities designed to improve customer satisfaction and business performance. Solve problems that are sometimes out of the ordinary and that may require reliance on conceptual thinking. Maintain broad knowledge of client requirements, procedures and key contacts. Support projects and other departments in completing tasks/projects. Other duties as required. Essential Qualifications Ability to work alternate schedules/hours based on the business's need. Our client is on the West Coast. As such, the department's hours are 10am-9pmEST (7am-6pm PST). Bachelor's Degree preferred or High School diploma / GED (or higher) OR 5-7 years of equivalent working experience. 2+ years of experience in an office setting environment using the telephone and computer as the primary instruments to perform job duties. Knowledge of managed care, labor and commercial carrier enrollment and eligibility procedures including hourly based eligibility and waiting periods. Knowledge of eligibility files and transaction sets a plus. Must be able to process and/or enter sensitive PHI and confidential Financial Information. Proficiency in HIPAA, COBRA, FMLA, LOAs, QLE, PTO regulations and other eligibility related transactions preferred. Knowledge of Medicare/Medicaid Benefits is a plus Knowledge of Salesforce is a plus. Moderate proficiency with Windows 365 applications, which includes the ability to learn new and complex computer system applications. Ability to multi-task, this includes ability to understand multiple products and multiple levels of benefits within each product. Ability to use critical thinking to solve complex problems and identify when to escalate. Excellent attention to detail, analytical, and good problem solver. Excellent attendance, punctuality and work performance record required. Must maintain a high-level of professionalism and communication skills (written and verbal) at all times. Excellent interpersonal and organizational skills. Must be susceptible to change and change management. Must be a team player that is able to work independently as well. About At Brighton Health Plan Solutions (BHPS), we're creating something new and different in health care, and we'd love for you to be part of it. Based in New York City, BHPS is a rapidly growing, entrepreneurial health care enablement company bringing tangible innovation to the health care delivery system. Our team is committed to transforming how health care is accessed and delivered. We believe that cost, quality, and population health are optimized when people have long term relationships with their health care providers - and that's why we're creating new products that today do not exist anywhere in the New York/New Jersey market. With a growing labor business under the well-known MagnaCare brand, the launch of Create - a new marketplace of health systems focused on self-insured commercial health plan sponsors, and a successful Casualty business, we're fiercely committed to positively impacting our partners. Company Mission Transform the health plan experience - how health care is accessed and delivered - by bringing outstanding products and services to our partners. Company Vision Redefine health care quality and value by aligning the incentives of our partners in powerful and unique ways. *We are an EEO Employer Powered by JazzHR gww9LLZMvt