**SHIFT:** Your new hire training will take place Monday-Friday, 8:00am-5pm EST, mandatory attendance is required. Once you have completed new hire training, you will take part in a shift bid to determine your schedule.
Shift bid schedule is based on business need. Must be open & flexible to work any hours 8am EST to 9:00pm EST & will also involve Saturday hours.
**_What Customer Service Operations contributes to Cardinal Health_**
Customer Service is responsible for establishing, maintaining and enhancing customer business through contract administration, customer orders, and problem resolution.
Customer Service Operations is responsible for providing outsourced services to customers relating to medical billing, medical reimbursement, and/or other services by acting as a liaison in problem-solving, research and problem/dispute resolution.
**_Job Summary_**
Responsible for answering inbound calls from customers to place orders or reorders of medical supplies. Agents will act as a liaison, problem-solving order issues, researching accounts and providing resolutions in a high-volume call center.
The Representative II, Customer Service Operations processes orders for distribution centers and other internal customers in accordance with scheduling, demand planning and inventory. The Representative II administers orders in internal systems and responds to customer questions, clearly communicating delays, issues and resolutions. This job also processes non-routine orders, such as product samples, and ensures that special requirements are included in an order.
**_Responsibilities_**
The Customer Care Representative operates as a "Universal Agent", who is able to meet the needs of our customers throughout the entire order placement lifecycle. Ultimately, qualified candidates, will be responsible for providing customer assistance, including, but not limited to, order placement, product information, order status, order discrepancies, and customer complaints for approximately ~60-80 incoming calls per day.
+ Answer incoming phone calls from customers, caregivers, and applicable referral sources regarding various medical supplies while having sincere interest in the speaker
+ Ability to handle high call volumes consistently throughout the workday that range in complexity and sensitivity while maintaining composure with customers
+ Process orders for new and existing customers, collecting necessary information for insurance billing; collect payment as needed
+ Operate company provided hardware and navigate multiple computer programs throughout the day to address customer's concerns
+ Consults with Supervisor or Team Lead on complex and unusual problems
+ Adhere to business processes to ensure all work is being done compliantly and in accordance with regulatory standards
+ Navigate multiple systems and consult with internal resources to provide order status updates to achieve first time call resolution
+ Interpret the meaning of insurance terminology, plans and documentation and explain what it means in an easy-to-understand way
+ Explain our products and offerings to our customers to ensure compatible with customer conditions
+ Identify and communicate appropriate next steps and expectations to customers based upon system messaging, insurance requirements, and order placement process
+ Maintain a positive, empathetic, and professional attitude toward customers and co-workers at all times
**_Qualifications_**
+ High school diploma, GED or equivalent, or equivalent work experience, preferred
+ 2-4 years' experience in high volume call center preferred where communication and active listening skills have been utilized
+ Previous experience working in a remote/work from home setting is preferred
+ Prior experience working with Microsoft Office is preferred
+ Prior experience working with order placement systems and tools preferred
+ Customer service experience in prior healthcare industry preferred
+ Root cause analysis experience preferred
+ Familiarity with call-center phone systems preferred
+ Excellent Phone Skills with a focus on quality
+ Previous experience being able to achieve daily call center metrics including but not limited to average handle time, adherence, average speed to answer, QA
**_What is expected of you and others at this level_**
+ Applies acquired job skills and company policies and procedures to complete standard tasks
+ Works on routine assignments that require basic problem resolution
+ Refers to policies and past practices for guidance
+ Receives general direction on standard work; receives detailed instruction on new assignments
+ Consults with supervisor or senior peers on complex and unusual problems
**REMOTE DETAILS:** You will work from home, full-time.
_As a work from home employee, the expectation is that you have your camera on when participating in your onboarding/training activities. Please note that work from home is not a substitute for childcare or eldercare, arrangements must be made ahead of your start date. You will be required to have a dedicated, quiet, private, distraction free environment with access to high-speed internet._
**Internet requirements include the following:**
Maintain a secure, high-speed, broadband internet connection (DSL, Cable, or Fiber) at the remote location. Dial-up, satellite, WIFI, WIFI extenders, Cellular/Hot Spot connections are **_NOT_** acceptable.
+ _If having connectivity issues and our IT dept. suspects connectivity issues are due to your ISP or your current set up, we will request that you change providers or rework your set up to not disrupt your daily productivity._
Download speed of (25Mbps - Minimum) but (50Mbps - Recommended) if nobody else at home streaming.
Upload speed of (10Mbps - Recommended)
Ping Rate Maximum of 30ms (milliseconds)
Hardwired to the router
Surge protector with Network Line Protection for CAH issued equipment
**WHO WE ARE:** Cardinal Health, Inc. (NYSE: CAH) is a distributor of pharmaceuticals, a global manufacturer and distributor of medical and laboratory products, and a provider of performance and data solutions for healthcare facilities. With 50 years of experience, approximately 48,000 employees and operations in more than 40 countries, Cardinal Health seizes the opportunity to address healthcare's most complicated challenges - now, and in the future.
**Anticipated hourly range:** $15.75/hr. - $18.50/hr.
**Bonus eligible:** NO
**Benefits:** Cardinal Health offers a wide variety of benefits and programs to support health and well-being.
+ Medical, dental and vision coverage
+ Paid time off plan
+ Health savings account (HSA)
+ 401k savings plan
+ Access to wages before pay day with my FlexPay
+ Flexible spending accounts (FSAs)
+ Short- and long-term disability coverage
+ Work-Life resources
+ Paid parental leave
+ Healthy lifestyle programs
**Application window anticipated to close:** 1/19/2025 *if interested in opportunity, please submit application as soon as possible.
The hourly range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity.
_Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply._
_Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal_ _Opportunity/Affirmative_ _Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law._
_To read and review this privacy notice click_ here (***************************************************************************************************************************
$15.8-18.5 hourly 7d ago
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Lead Experience Researcher - Remote Health UX & Strategy
Humana Inc. 4.8
Juneau, AK jobs
A leading health company is seeking a Lead Experience Researcher to inform experience strategy by identifying customer needs and translating insights into actionable recommendations. This role requires expertise in qualitative and quantitative research, and collaboration with product and design teams. Ideal candidates have a background in research design and a passion for human-centered innovation. The position is remote, requiring collaboration during central or eastern hours, and includes an attractive compensation package of $138,900 - $191,000 per year.
#J-18808-Ljbffr
$138.9k-191k yearly 3d ago
Actuarial Principal - Strategic FP&A Leader (Remote)
Humana Inc. 4.8
Juneau, AK jobs
A leading healthcare provider in Alaska is seeking an Actuarial Analytics/Forecasting Principal to join their Financial Planning & Analysis team. This role involves analyzing and forecasting financial data and providing strategic guidance to business leaders. Candidates should have a Bachelor's degree, strong communication skills, and 10+ years of technical experience. The position offers significant exposure to leadership and opportunities for advancement. Competitive salary and benefits included.
#J-18808-Ljbffr
$93k-115k yearly est. 5d ago
Product Adoption Expert
Zoom 4.6
Juneau, AK jobs
What you can expect We are seeking a Product Adoption Expert to drive deep product adoption and maximize business value across Zoom's diverse product portfolio. This role serves as the expert liaison between Product, Marketing, and Customer Success teams, ensuring best-in-class onboarding, workflows, and use cases are scaled across our customer base while being deployable for high-impact customer engagements.
About the Team
This role partners closely with Customer Success Managers, Onboarding Managers, and Product teams to accelerate adoption across Zoom's innovative solutions, including Zoom Phone, Contact Center, AI Companion.
ResponsibilitiesDeployable Customer-Facing Engagements
+ Product Subject Matter Expertise: Serve as the adoption expert for assigned Zoom products (e.g., Zoom Phone, Contact Center, AI Companion, Rooms)
+ Strategic Customer Support: Join customer calls and workshops to map use cases and accelerate product-specific adoption
+ Cross-Team Collaboration: Partner with Customer Success Managers and Onboarding Managers during critical phases including launch, workflow integration, and renewals
+ Customer Education: Deliver impactful customer-facing sessions including office hours, deep dives, and workflow clinics
Scalable & Programmatic Impact
+ Asset Development: Collaborate with Product, Product Marketing, General Managers, and Enablement teams to create scalable adoption resources:
+ Micro-learnings and step-by-step guides
+ Comprehensive playbooks and success plans
+ Educational webinars and customer campaigns
+ Workflow and use case catalogs
+ Program Management: Execute one-to-many initiatives including ongoing office hours, community forums, and customer champion sessions
+ Launch Support: Ensure new product launches include adoption-ready materials for immediate CSM and customer use
+ Product Feedback: Provide strategic feedback to Product teams based on adoption patterns, customer use cases, and implementation blockers
Success Metrics & KPIs
+ Product Adoption Growth: Increase percentage of customers actively using key features and workflows
+ Time-to-Adoption: Accelerate adoption timelines for new product rollouts
+ Scalable Asset Reach: Maximize customer engagement through webinars, micro-learnings, and educational content
+ CSM Enablement Impact: Measure internal adoption of assets and reduction in repetitive support requests
+ Revenue Impact: Contribute to renewals and expansion opportunities tied to product adoption
Products Supported
+ AI and CAIC
+ Events and Webinars
+ Zoom Phone
+ Revenue Accelerator
+ Contact Center
+ Zoom Chat & Productivity Suite (Clips, Whiteboard, Scheduler, Docs, Notetaker, Mail & Calendar)
+ Zoom Workplace & Microsoft Better Together
+ Zoom Ecosystem: APIs, RTMs, Webhooks, Integrations
Salary Range or On Target Earnings:
Minimum:
$76,800.00
Maximum:
$186,200.00
In addition to the base salary and/or OTE listed Zoom has a Total Direct Compensation philosophy that takes into consideration; base salary, bonus and equity value.
Note: Starting pay will be based on a number of factors and commensurate with qualifications & experience.
We also have a location based compensation structure; there may be a different range for candidates in this and other locations.
Ways of WorkingOur structured hybrid approach is centered around our offices and remote work environments. The work style of each role, Hybrid, Remote, or In-Person is indicated in the job description/posting.
BenefitsAs part of our award-winning workplace culture and commitment to delivering happiness, our benefits program offers a variety of perks, benefits, and options to help employees maintain their physical, mental, emotional, and financial health; support work-life balance; and contribute to their community in meaningful ways. Click Learn (********************************* for more information.
About UsZoomies help people stay connected so they can get more done together. We set out to build the best collaboration platform for the enterprise, and today help people communicate better with products like Zoom Contact Center, Zoom Phone, Zoom Events, Zoom Apps, Zoom Rooms, and Zoom Webinars.We're problem-solvers, working at a fast pace to design solutions with our customers and users in mind. Find room to grow with opportunities to stretch your skills and advance your career in a collaborative, growth-focused environment.
Our Commitment
At Zoom, we believe great work happens when people feel supported and empowered. We're committed to fair hiring practices that ensure every candidate is evaluated based on skills, experience, and potential. If you require an accommodation during the hiring process, let us know-we're here to support you at every step.
We welcome people of different backgrounds, experiences, abilities and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law.
If you need assistance navigating the interview process due to a medical disability, please submit an Accommodations Request Form (https://form.asana.com/?k=OIuqpO5Tv9XQTWp1bNYd8w&d=1***********3361) and someone from our team will reach out soon. This form is solely for applicants who require an accommodation due to a qualifying medical disability. Non-accommodation-related requests, such as application follow-ups or technical issues, will not be addressed.
Think of this opportunity as a marathon, not a sprint! We're building a strong team at Zoom, and we're looking for talented individuals to join us for the long haul. No need to rush your application - take your time to ensure it's a good fit for your career goals. We continuously review applications, so submit yours whenever you're ready to take the next step.
#LI-Remote
We believe that the unique contributions of all Zoomies is the driver of our success. To make sure that our products and culture continue to incorporate everyone's perspectives and experience we never discriminate on the basis of race, religion, national origin, gender identity or expression, sexual orientation, age, or marital, veteran, or disability status. Zoom is proud to be an equal opportunity workplace and is an affirmative action employer. All your information will be kept confidential according to EEO guidelines
$76.8k-186.2k yearly 37d ago
Care Advisor - Remote
Sharecare 4.4
Juneau, AK jobs
Sharecare is the leading digital health company that helps people - no matter where they are in their health journey - unify and manage all their health in one place. Our comprehensive and data-driven virtual health platform is designed to help people, providers, employers, health plans, government organizations, and communities optimize individual and population-wide well-being by driving positive behavior change. Driven by our philosophy that we are all together better, at Sharecare, we are committed to supporting each individual through the lens of their personal health and making high-quality care more accessible and affordable for everyone. To learn more, visit ***************** .
**Job Summary:**
CareLinx is looking for a Care Advisor to assist with CareLinx's Payer Operations line of business. CareLinx is a healthcare technology platform that connects families with non-medical, in-home caregivers, and Care Advisors provide support and guidance to families during the caregiver search, interview, and hire process. Once a caregiver match is made, the Care Advisor will follow closely to ensure satisfaction and assist if the member's needs change. This support includes searching for viable caregiver candidates, setting up interviews, helping with the completion of the hiring process, and caregiver retention. You will be a liaison, maintaining relationships with caregivers and providing ongoing support to ensure that members have an exceptional experience while working with their caregivers.
As a Care Advisor, you are the expert for members and families about all things CareLinx-related. You need to love interacting with people and be committed to providing stellar customer service and empathetic guidance for members during their in-home care journey. You should also be a team player and be willing to learn about CareLinx's health plan partners. If you think there's alignment with the description above, CareLinx may be the place for you.
**Location:** This role is remote, except for candidates located in the Mesa, AZ area. Those based near our Mesa office will be required to work on-site five days per week.
**Job Type:** Full-Time, Hourly
**Essential Job Functions:**
+ Assume responsibility for guiding members on the caregiver search journey through relationship building and exceptional communication in a call center environment.
+ Provide ongoing support after the caregiver hire to maintain the relationship with the family and caregiver and ensure overall satisfaction
+ Document accurate and complete notes of all family and caregiver interactions in CareLinx's EHR system
+ Work collaboratively and professionally with other team members and teams within CareLinx
+ Exhibit excellent verbal and written communication skills via phone, email, and text
**Specific Skills/ Attributes:**
+ Effective time management skills and high attention to detail
+ Excellent verbal and written communication skills
+ Superior organization and multitasking capabilities
+ Goal-driven, problem solver
+ Professional, confident, outgoing demeanor
+ Experience working with Microsoft Office Suite
+ Ability to maintain strict confidentiality, and exercise good judgment
+ Care Advisors are expected to meet performance goals set forth per CareLinx guidelines
+ Additional job duties may be assigned on an as-needed basis
**Qualifications:**
+ High school diploma or equivalent, required
+ Military experience is a plus but not required
+ Some college-level coursework, preferred
+ At least one year of experience in a productivity based customer service role, or call center environment or a minimum of 2 years experience in a customer service environment.
+ Previous healthcare experience preferred
Sharecare and its subsidiaries are Equal Opportunity Employers and E-Verify users. Qualified applicants will receive consideration for employment without regard to race, color, sex, national origin, sexual orientation, gender identity, religion, age, equal pay, disability, genetic information, protected veteran status, or other status protected under applicable law.
Sharecare is an Equal Opportunity Employer and doesn't discriminate on the basis of race, color, sex, national origin, sexual orientation, gender identity, religion, age, disability, genetic information, protected veteran status,or other non-merit factor.
$122k-160k yearly est. 10d ago
Remote Maintenance Worker I
Norton Sound Health Corp 4.9
Nome, AK jobs
Operate and maintain village water and wastewater systems.
Uphold the organization's vision, mission, and corporate values. Demonstrate understanding of and compliance with organization's policies, procedures, code of conduct and work rules.
Essential Functions:
Coordinate and help instruct regional training courses, providing routine on-site training and technical assistance to operators in the village, evaluating and training operator(s) in proper operation and maintenance of water treatment and distribution systems, wastewater collection and treatment systems, and equipment
Provide training on regulatory compliance, safety and the development and implementation of preventative maintenance
Maintain contact with community leaders/councils and coordinate with organizations and agencies involved in operation, maintenance and management of water and wastewater systems, attend council meetings and meet with local government officials
Provide emergency assistance to address health and safety concerns of the operator(s) and/or community or prevent catastrophic failure of a water and wastewater system
Provide remote technical assistance to all communities via phone and/or email regarding general troubleshooting, assistance with ordering equipment or supplies, regulatory compliance issues, etc.
Conduct water and wastewater facility plan reviews and provide comments to engineering/project management organizations
Perform other duties as assigned
Personal Traits:
All Norton Sound Health Corporation employees are expected to consistently demonstrate the organization's values: integrity, cultural sensitivity and respect for traditional values, continual learning and improving, compassion, teamwork and pride. Employees are expected to demonstrate integrity, professionalism, accountability, cooperation with and consideration of others.
Required Knowledge:
All Norton Sound Health Corporation employees are expected to have general knowledge of typical office technologies such as computers, printers, copiers, fax machines, and typical office software.
Job Specific knowledge is listed below:
Knowledge of water and wastewater plumbing, heating and electrical systems including pumps, motors, hot water boilers, heating systems, pressure tanks, compressors, water treatment systems, electical control panels, circulating systems, pipes, valves, etc.
Required Skills and Abilities:
All Norton Sound Health Corporation employees are expected to have a broad range of skills and abilities centered around a strong patient focus, efficient performance, and teamwork. All employees should have patient/customer service skills, interpersonal skills and good communication skills. All employees should have the ability to manage their time and organize their work to ensure efficient performance. In addition, all employees should have the ability to follow policy, procedure and instructions, actively communicate with their supervisors to ensure understanding and manage their work accordingly. Finally, all employees should have the ability to understand and manage patient/customer confidentiality.
Job specific skills and abilities are listed below:
Sufficient mechanical skills and ability to train local operators to operate, miaintain and troubleshoot water and wastewater systems
Good organizations skills with attention to detail
Affective written and verbal communication skills
Minimum Requirements
Education
Degree
Program
High School Diploma or Equivalent
Experience
General (Non-supervisory)
Supervisory
Amount:
1 year (over 4 years preferred) working in water, wastewater, maintenance or related field
0 (years)
Type:
Must have both general and supervisory experience if indicated.
Credentials
Licensure, Certification, Etc.
Must obtain provisional water and wastewater certifications within one year of hire and advance as eligible
Physical Requirements:
∙Use hands and arms to operate office or clinical equipment
∙Sit less than half the workday
∙Stand and/or walk more than half the workday
∙Bend, stretch, twist, crouch and/or reach
∙View electronic monitors for prolonged periods of time
∙Use hands and arms for repetitive motion tasks
∙Lift or carry unaided up to 50 pounds
∙Push or pull using more than moderate force
∙See and hear with normal acuity
Working Conditions:
∙Work is conducted in a standard office environment, standard clinical environment and standard water treatment plants and system facilities which could expose incumbent to latex, biohazard, chemical or other harmful substances
∙Substantial travel is required (more than 50% of the time)
∙Travel is required via large aircraft
∙Travel is required via small (less than 16 passenger) aircraft
∙Work may be conducted outside in inclement weather contitions or in environments where extreme low/high temperatures and/or a high noise volumes exist
$57k-64k yearly est. Auto-Apply 60d+ ago
Social Media Senior Manager
Fujifilm 4.5
Juneau, AK jobs
The Senior Manager - social media, plans, develops, directs and executes social media strategies and initiatives that enhance brand reputation, engage stakeholders, and drive overall business goals and objectives for FUJIFILM Holdings America Corporation
Our ideal candidate should reside in the Central or Eastern Time Zone.
This position includes occasional travel both in the U.S. and internationally as needed.
**Company Overview**
At FUJIFILM Holdings America Corporation, we're redefining innovation across the industries we touch-from healthcare and photography to semiconductors and data storage. With roots in photosensitive materials and a legacy of groundbreaking technology, we now lead 23 diverse affiliate businesses across the Americas.
We're looking for mission-driven talents eager to join us to help create, market, and support a vast portfolio of products. At Fujifilm you'll have the opportunity to explore and grow your skills in new, exciting ways. Whether you're shaping tomorrow's tech or redefining today's processes, we'll provide a flexible work environment and dynamic culture where innovation thrives.
Our Americas HQ is nestled in Valhalla, New York, a charming town known for its excellent schools, beautiful parks, and easy access to the vibrancy of New York City.
Fujifilm is globally headquartered in Tokyo with over 70,000 employees across four key business segments of healthcare, electronics, business innovation, and imaging. We are guided and united by our Group Purpose of "giving our world more smiles." Visit: ***************************************************
**Job Description**
**Responsibilities**
+ As a member of the Corporate Communications Center of Excellence collaborate and engage with internal business and function stakeholders to create a high-quality social media experience for external audiences.
+ Initiate, create and implement organic and paid social media plans that drive engagement and followership and build awareness of Fujifilm.
+ Develop engaging content using a variety of media that tells the Fujifilm story.
+ Use data and insights to optimize content and drive channel performance.
+ Utilize benchmarking to understand competitor activity and identify opportunities.
+ Manage the company's reputation and engage stakeholders through effective social media community management.
+ Use social media monitoring and community management insights to understand potential emerging issues.
+ Ensure readiness for social media related monitoring and responses as part of the issues and crisis management framework.
+ Lead internal social media networks and represent the company in external networks.
+ Ensure social media content is on brand and compliant with applicable laws and regulations that span multiple different industries, including influencer marketing.
**Required Skills/Education**
+ BA or BS in a related field such as Communications or Marketing. Advanced degree in a related field or MBA a plus.
+ Minimum 5 years of full-time dedicated social media experience including social media community management in a large, global company.
+ Experience with enterprise social media management tools and workflows.
+ Social listening experience including dashboard configuration and developing insights from gathered data.
+ Deep understanding of social media platforms and their associated content formats.
+ Fluency in social media analytics and deriving actionable insights.
+ Fluent in English, Latin American Spanish skills a plus.
**Desired Skills**
+ Commitment to staying updated on social media trends, tools, and best practices to adapt to evolving social media landscape.
+ Social media strategy, management, monitoring and planning.
+ Social media community management.
+ Social media analytics and insights.
+ Strategic Communication Planning.
+ Cross-functional Collaboration.
+ Ethical & Professional Conduct.
**Salary and Benefits**
+ Salary Range: $90,707.00 - $128,369.00
+ Bonus
+ Fully remote (must reside within the United States Eastern time zone and ideally be drivable to Valhalla, NY).
+ Medical, Dental, Vision.
+ Life Insurance.
+ 401k.
+ Paid Time Off.
+ Paid sick days.
*\#LI-REMOTE
**EEO Information**
Fujifilm is committed to providing equal opportunities in hiring, promotion and advancement, compensation, benefits, and training regardless of nationality, age, gender, sexual orientation or gender identity, race, ethnicity, religion, political creed, ideology, national, or social origin, disability, veteran status, etc.
**ADA Information**
If you require reasonable accommodation in completing this application, interviewing, completing any pre-employment testing, or otherwise participating in the employee selection process, please direct your inquiries to our HR Department (***********************).
**Job Locations** _US-Remote_
**Posted Date** _1 week ago_ _(1/13/2026 1:53 PM)_
**_Requisition ID_** _2026-36617_
**_Category_** _Corporate Communications_
**_Company (Portal Searching)_** _FUJIFILM Holdings America Corporation_
$90.7k-128.4k yearly 18d ago
Senior PPI Professional - Inpatient Coding Disputes
Humana 4.8
Juneau, AK jobs
**Become a part of our caring community and help us put health first** The Senior Payment Integrity Professional - Inpatient Coding Disputes on the Disputes Team consults and collaborates with coding professionals across departments to ensure high accountability of coding disputes outcomes for timeliness, compliance and quality.
+ Will be a SME (Subject Matter Expert) medical coder with in-depth experience in inpatient coding audits (MSDRG/APDRG)
+ Contributes to overall accuracy and compliance of coding disputes reviews ensuring that all appropriate coding guidelines are adhered to and will be able to speak to inpatient coding review outcomes to a variety of audiences
+ Leverages advanced auditing expertise to guide onshore and offshore DRG coding disputes auditors, reviews disputes escalations and clarification requests
+ Manages multiple priorities, collaborates across teams, and ensures timely, accurate inventory management
In addition to being a great place to work, Humana also offers industry leading benefits for all employees, starting your FIRST day of employment. Benefits include:
+ Medical Benefits
+ Dental Benefits
+ Vision Benefits
+ Health Savings Accounts
+ Flex Spending Accounts
+ Life Insurance
+ 401(k)
+ PTO including 9 paid holidays, one personal holiday, one day of volunteer time off, 23 days of annual PTO, parental leave, caregiving leave, and weekly well-being time
+ And more
**Use your skills to make an impact**
**Required Qualifications**
+ 5+ years holding **one** of these Coding Credentials from AHIMA: **CCS/** **RHIT/ RHIA**
+ 5+ years' work experience reading and interpreting claims
+ 2+ years verifiable experience in MSDRG disputes/audits
+ Comprehensive knowledge of Microsoft Office Programs Word, PowerPoint, and Excel
+ Excellent communication skills both written and verbal
+ High level of productivity with the ability to turn-around requests quickly and effectively
+ Strong attention to detail
**Preferred Qualifications**
+ 2+ years of verifiable SME and/or leadership experience within the last few years in provider/payer inpatient auditing
+ Verifiable experience working with and supporting onshore and offshore MSDRG vendors/ staff
+ Experience leading people, projects, and/or processes
+ Experience in Financial Recovery
+ Experience in a fast paced, metric driven operational setting
**Additional Information**
Work at Home/Remote Requirements
**Work-At-Home Requirements**
+ To ensure Home or Hybrid Home/Office associates' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria:
+ At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended to support Humana applications, per associate.
+ Wireless, Wired Cable or DSL connection is suggested.
+ Satellite, cellular and microwave connection can be used only if they provide an optimal connection for associates. The use of these methods must be approved by leadership. (See Wireless, Wired Cable or DSL Connection in Exceptions, Section 7.0 in this policy.)
+ Humana will not pay for or reimburse Home or Hybrid Home/Office associates for any portion of the cost of their self-provided internet service, with the exception of associates who live or work from Home in the state of California, Illinois, Montana, or South Dakota. Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
+ Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job.
+ Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information
**Our Hiring Process**
As part of our hiring process, we will be using an exciting interviewing technology provided by HireVue, a third-party vendor. This technology provides our team of recruiters and hiring managers an enhanced method for decision-making.
If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice, Text Messaging, and/or Video Interview. If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone or computer. You should anticipate this interview to take approximately 10-15 minutes. Your recorded interview(s) via text and/or pre-recorded voice will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.
If you have additional questions regarding this role posting and are an Internal Candidate, please send them to the Ask A Recruiter persona by visiting go/Buzz and searching Ask A Recruiter! Please be sure to provide the requisition number so we may be able to research your request quicker.
\#LI-LM1
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.
$71,100 - $97,800 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: 01-30-2026
**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 ***************************************************************************
Calling All Strategic Advisors! Are you a legal expert with a passion for healthcare and a strategic vision for the future? Join Providence St. Joseph Health as our Associate Counsel and become a key player in shaping healthcare delivery across our dynamic organization.
This position can be based in CA, OR, WA, AK, TX, MT, or NM.
The Role:
The Associate Counsel at Providence St. Joseph Health (PSJH) is tasked with providing general legal services and overseeing specific projects under the guidance of Senior Corporate Counsel and Corporate Counsel. This role involves offering legal advice, consultation, policy analysis, and interpretation across various areas of law and policy. Key responsibilities include conducting research and analysis for policy recommendations, preparing written opinions and guidance for executive management and internal clients, and drafting and reviewing contracts, particularly for physician and vendor agreements. The Associate Counsel must stay updated on legal developments affecting hospital and physician requirements and ensure timely responses to client needs, with strong teamwork skills being essential.
What You'll Do:
+ Deliver strategic and pragmatic legal services across PSJH, ensuring practical resolutions to complex legal challenges.
+ Collaborate with Department of Legal Affairs (DLA) colleagues to provide timely and effective legal solutions under the supervision of Senior Corporate Counsel.
+ Serve as the primary legal contact for PSJH hospital administrative teams, addressing their legal needs and challenges.
+ Conduct research and draft legal opinions to resolve complex legal issues, working with senior attorneys on complicated matters.
+ Participate in the supervision and preparation of defense in non-malpractice litigation, developing strategies with outside counsel.
+ Stay informed of legal developments and deepen expertise in healthcare law areas like Stark Law, Anti-kickback Statute, and HIPAA.
+ Provide legal guidance to PSJH's corporate and community Boards.
+ Review and draft routine contracts independently and offer advice on complex contracts collaboratively.
+ Assist in creating presentations and summaries for ongoing legal education on regulatory changes.
+ Draft and review legal documents to ensure compliance with applicable regulations and policies.
+ Guide Providence's Integrity, Audit, and Compliance Services Department in investigations and policy development.
What You'll Bring:
+ Educational Requirement: A J.D. degree from an accredited law school or equivalent.
+ Experience: At least 2 years of experience in a healthcare-related legal field, such as private law firm, in-house legal setting or public/regulatory organization.
+ Bar Admission: Obtain admission to the California, Washington, Oregon, Texas, Alaska, Montana, or New Mexico State Bar within one year of hire.
Why Join Us?
+ Impactful Work: Contribute to transforming healthcare through strategic legal leadership.
+ Professional Growth: Develop your expertise in healthcare law and collaborate with a dedicated legal team.
+ Collaborative Environment: Engage with PSJH's values and work alongside passionate professionals.
+ Dynamic Setting: Navigate a rapidly evolving industry and enjoy the challenge of impactful legal work.
If you're a strategic advisor with a passion for healthcare, we encourage you to apply and help shape the future of healthcare delivery at PSJH!
Salary Range by Location:
Redmond, WA or Renton, WA or Irvine, CA
+ Min: $79.52
+ Max: $127.13
Portland, OR or Anchorage, AK
+ Min: $ 76.29
+ Max: $ 121.96
Missoula, MT or Hobbs, NM
+ Min: $ 61.42
+ Max: $ 98.19
Lubbock, TX
+ Min: $ 58.19
+ Max: $ 93.02
About Providence
At Providence, our strength lies in Our Promise of "Know me, care for me, ease my way." Working at our family of organizations means that regardless of your role, we'll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.
Posted are the minimum and the maximum wage rates on the wage range for this position. The successful candidate's placement on the wage range for this position will be determined based upon relevant job experience and other applicable factors. These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits.
Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.
About the Team
Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. We are focused on supporting our Mission by delivering a robust foundation of services and sharing of specialized expertise.
Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.
Requsition ID: 381314
Company: Providence Jobs
Job Category: Legal
Job Function: Legal/Compliance/Risk
Job Schedule: Full time
Job Shift: Day
Career Track: Leadership
Department: 4015 SS LEGAL
Address: WA Seattle 800 Fifth Ave
Work Location: Swedish Bank Of America Bldg-Seattle
Workplace Type: Remote
Pay Range: $79.52 - $127.13
The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
$79.5-127.1 hourly Auto-Apply 9d ago
Clinical Dietitian 2 REMOTE
Baylor Scott & White Health 4.5
Juneau, AK jobs
**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***
**JOB SUMMARY**
The Clinical Dietitian 2 provides nutrition therapy and education to patients, families and the community. Performs nutritional assessments of patients and develops care plans. Develops and conducts educational programs and in service training programs. Participates in multi disciplinary patient rounds and patient case conferences.
**ESSENTIAL FUNCTIONS OF THE ROLE**
Conducts patient nutrition assessments on a combination of low and higher acuity patients within scope of practice, which may include both inpatient and outpatient. Utilizes assessment techniques which take into consideration the various needs of age specific populations as well as cultural, religious and ethnic concerns.
Provides appropriate and timely documentation that summarizes the nutrition care plan in the patient's medical record, including nutrition assessment, diagnosis, plan, implementation, and progress toward goals in the course of performing primary duties.
Assesses educational needs and the presence of barriers to learning. Provides nutrition counseling for individuals and groups, taking into consideration any adaptations to teaching methods necessary to meet patient learning needs. Provides education to both low and higher acuity patients within practice scope. Facilitates education to ensure compliance with food safety, sanitation and overall workplace safety standards within the Food and Nutrition Department, if applicable.
Evaluates achievement of learning objectives by the patient and family. Provides appropriate follow-up in accordance with the patient's treatment goals, and refers patient for outpatient counseling, community, or home health services, as appropriate. Conducts ongoing evaluations to lead to a correct nutritional diagnosis of the patient's problems and progress while maintaining safety and professional standards.
Interacts with medical staff as well as food and nutrition staff to ensure conformance with medical nutrition therapy. Interacts effectively with multidisciplinary teams to provide patient care that is integrated and compatible with the patient focused medical and nutritional goals.
Leads team conferences and provide food and nutrition related in services to other medical staff as required.
Assists in developing nutritional care and research protocols. Participates in quality assurance program by assisting in development of patient care criteria and analyzing actual care delivered.
Participates in organizing and executing health fairs and other related community events.
Assists in the development, research and revision of facility policies.
**KEY SUCCESS FACTORS**
Accountable for the proper use of patient protected health information.
Ability to deal with complex situations and resolve patient and customer service concerns.
Ability to give clear, concise and complete education and instructions.
Works well in a patient-centered environment as an integral team player.
Ability to adapt communication style to suit different audiences. Empathetic listener, sensitive, upbeat, optimistic, articulate, gracious and tactful. Ability to calm upset patient in a composed and professional demeanor.
Licensed Registered Dietitian preferred.
**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'
- EXPERIENCE - 2 Years of Experience
- CERTIFICATION/LICENSE/REGISTRATION -
Registered Dietitians (RD)
* **No Credentialing required***
**Preferred Experience**
- Chronic disease (weight loss, diabetes)
- Strong behavioral change interest and/or experience
- Digital/virtual health 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
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.
$58k-63k yearly est. 51d ago
Senior Business Systems Analyst - Remote
Providence Health & Services 4.2
Atka, AK jobs
Senior Business Systems Analyst - Remote. Candidates residing in Alaska, Washington, Montana, Oregon, or California are encouraged to apply. Provider Solutions & Development (PS&D), is a wholly owned subsidiary of Providence. While based in Portland, Oregon the position can sit in any Providence approved locations specified in the posting.
PS&D is the national market leader for best-in-class provider recruitment services. We help create healthier communities by strategically partnering with like-minded health care organizations to deliver exceptional recruitment and consultative services steeped in innovation, collaboration, and setting national best practices.
With minimal to no oversight the Senior Business Systems Analyst is responsible for coordinating with vendors, partners, architects, project management and PS&D and Providence leadership to facilitate complex cross departmental and company-wide requirement gathering activities and consulting on complicated system implementations, integrations and upgrades supporting various types for initiatives for all departments within PS&D.
Providence caregivers are not simply valued - they're invaluable. Join our team at Provider Recruitment Medical Center & Children's Hospital and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.
Required Qualifications:
+ Bachelor's Degree in Business, Information Systems or relevant field Or 10 year' of industry related experience.
+ 5 years of Analyst or leadership responsibilities/experience
Preferred Qualifications:
+ Master's Degree IN MBA, MHA, MIS
+ Upon hire: IIBA certification
+ 8 years of Senior analyst or management role in healthcare recruiting and/or marketing
Salary Range by Location:
+ AK: Anchorage: Min: $48.27, Max: $76.22
+ AK: Kodiak, Seward, Valdez: Min: $50.32, Max: $79.45
+ California: Humboldt: Min: $50.32, Max: $79.45
+ California: All Northern California - Except Humboldt: Min: $56.46, Max: $89.13
+ California: All Southern California - Except Bakersfield: Min: $50.32, Max: $79.45
+ California: Bakersfield: Min: $48.27, Max: $76.22
+ Montana: Except Great Falls: Min: $38.86, Max: $61.36
+ Montana: Great Falls: Min: $36.82, Max: $58.13
+ Oregon: Non-Portland Service Area: Min: $45.00, Max: $71.05
+ Oregon: Portland Service Area: Min: $48.27, Max: $76.22
+ Washington: Western - Except Tukwila: Min: $50.32, Max: $79.45
+ Washington: Southwest - Olympia, Centralia & Below: Min: $48.27, Max: $76.22
+ Washington: Tukwila: Min: $50.32, Max: $79.45
+ Washington: Eastern: Min: $42.96, Max: $67.82
+ Washington: Southeastern: Min: $45.00, Max: $71.05
Why Join Providence?
Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.
Accepting a new position at another facility that is part of the Providence family of organizations may change your current benefits. Changes in benefits, including paid time-off, happen for various reasons. These reasons can include changes of Legal Employer, FTE, Union, location, time-off plan policies, availability of health and welfare benefit plan offerings, and other various reasons.
About Providence
At Providence, our strength lies in Our Promise of "Know me, care for me, ease my way." Working at our family of organizations means that regardless of your role, we'll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.
Posted are the minimum and the maximum wage rates on the wage range for this position. The successful candidate's placement on the wage range for this position will be determined based upon relevant job experience and other applicable factors. These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits.
Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.
About the Team
Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. We are focused on supporting our Mission by delivering a robust foundation of services and sharing of specialized expertise.
Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.
Requsition ID: 411967
Company: Providence Jobs
Job Category: Analytics/Business Intelligence
Job Function: Information Technology
Job Schedule: Full time
Job Shift: Day
Career Track: Business Professional
Department: 4014 PSD TECH AND ANALYTICS
Address: OR Portland 1201 Lloyd Blvd
Work Location: Lloyd-Portland
Workplace Type: Remote
Pay Range: $see posting - $see posting
The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
Mission Critical Valor (MCV), a subsidiary of Valor Healthcare, is the leading provider of comprehensive psychological services to the Departments of State, Defense, Justice, and Homeland Security. For nearly two decades, MCV psychologists have provided services to thousands of people working in federal law enforcement positions and individuals operating in potentially hostile environments overseas. MCV psychologists have backgrounds in law enforcement, security, and the U.S. military.
Opportunity Summary
We are seeking independent contractor / 1099 Clinical Psychologists to join our growing network supporting government behavioral health interviewers/evaluators. In this role, psychologists would complete remote telehealth psychological evaluations for employment suitability for law enforcement, ensuring all individuals are mentally fit for duty.
Highlights:
* This is a PRN opportunity that will fluctuate weekly/monthly.
* Set your own schedule! A great side job for when you are available.
* Fully remote as long as you reside in the United States.
* Opportunity to expand your knowledge and work with different populations.
Responsibilities
* Must have excellent writing skills, with the ability to translate sound clinical judgment into clear and appropriate recommendations for initial or continued employment.
* Complete and submit all required documentation expeditiously and accurately in the required format.
* Provide exceptional customer service.
Requirements
* Must have a PsyD or PhD from an APA-accredited doctoral program.
* Must have a valid and unrestricted license to practice independently as a psychologist and hold a PSYPACT if applicable (with the exception of the following states or territories not under PSYPACT; Alaska, California, Hawaii, Iowa, Louisiana, New Mexico, Oregon, Massachusetts, New York, Puerto Rico, U.S. Virgin Islands, Guam)
* At least 2 years of experience in an evaluator or interviewer capacity working with military police or special forces, law enforcement, security, or first responders.
* Experienced in one or more Electronic Health Records
* Microsoft Office (Word, Excel, Outlook, PowerPoint, and Teams)
* Must be a US citizen and reside in the United States.
We consider applicants for all positions without regard to race, color, religion, creed, gender, national origin, age, sexual orientation, gender identity, disability or medical or veteran status in accordance with federal law. In addition, Valor Healthcare. complies with applicable state and local laws prohibiting discrimination in employment in every jurisdiction in which it maintains facilities.
$86k-98k yearly est. 5d ago
Reimbursement Coordinator
Cardinal Health 4.4
Juneau, AK jobs
Cardinal Health Sonexus Access and Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and remain on the therapy they need for a better quality of life. Our diverse expertise in pharma, payer and hub services allows us to deliver best-in-class solutions-driving brand and patient markers of success. We're continuously integrating advanced and emerging technologies to streamline patient onboarding, qualification and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas, Texas, empowering manufacturers to rethink the reach and impact of their products.
**Together, we can get life-changing therapies to patients who need them-faster.**
**_Responsibilities_**
+ First point of contact on inbound calls and determines needs and handles accordingly.
+ Creates and completes accurate applications for enrollment with a sense of urgency.
+ Scrutinizes forms and supporting documentation thoroughly for any missing information or new information to be added to the database.
+ Conducts outbound correspondence when necessary to help support the needs of the patient and/or program.
+ Resolve patient's questions and any representative for the patient's concerns regarding status of their request for assistance.
+ Maintain accurate and detailed notations for every interaction using the appropriate database for the inquiry.
+ Make all outbound calls to patient and/or provider to discuss any missing information and/or benefit related information.
+ Assess patient's financial ability to afford therapy and provide hand on guidance to appropriate financial assistance.
+ Provides detailed activity notes as to what appropriate action is needed for the Benefit Investigation processing.
+ Working alongside teammates to best support the needs of the patient population .
+ Follow through on all benefit investigation rejections, including Prior Authorizations, Appeals, etc. All avenues to obtain coverage for the product must be fully exhausted.
+ Track any payer/plan issues and report any changes, updates, or trends to management
+ Search insurance options and explain various programs to the patient while helping them to select the best coverage option for their situation
+ Handle all escalations based upon region and ensure proper communication of the resolution within required timeframe agreed upon by the client
+ As needed conduct research associated with issues regarding the payer, physician's office, and pharmacy to resolve issues swiftly
**_Qualifications_**
+ 3-6 years of experience, preferred
+ High School Diploma, GED, or equivalent work experience, preferred
+ Patient Support Service experience, preferred
+ Clear knowledge of Medicare (A, B, C, D), Medicaid & Commercial payer policies and guidelines for coverage, preferred
+ Knowledge of Diagnostic Medical Expense and Medicare Administrative Contractor practices, preferred
+ Clear understanding of Medical, Supplemental, and pharmacy insurance benefit practices, preferred
+ 1-2 years experience with Prior Authorization and Appeal submissions, preferred
+ Ability to work with high volume production teams with an emphasis on quality
+ Intermediate to advanced computer skills and proficiency in Microsoft Office including but not limited to Word, Outlook, and preferred Excel capabilities
+ Previous medical experience is preferred
+ Adaptable and Flexible, preferred
+ Self-Motivated and Dependable, preferred
+ Strong ability to problem solve, preferred
+ Bilingual is preferred
**_What is expected of you and others at this level_**
+ Effectively applies knowledge of job and company policies and procedures to complete a variety of assignments
+ In-depth knowledge in technical or specialty area
+ Applies advanced skills to resolve complex problems independently
+ May modify process to resolve situations
+ Works independently within established procedures; may receive general guidance on new assignments
+ May provide general guidance or technical assistance to less experienced team members
**TRAINING AND WORK SCHEDULES:**
+ Your new hire training will take place 8:00am-5:00pm CST the first week of employment, mandatory attendance is required.
+ This position is full-time (40 hours/week).
+ Employees are required to have flexibility to work a scheduled shift of Monday-Friday, 8:00am- 5:00pm CST.
**REMOTE DETAILS:**
**You will work remotely, full-time. It will require a dedicated, quiet, private, distraction free environment with access to high-speed internet. We will provide you with the computer, technology and equipment needed to successfully perform your job. You will be responsible for providing high-speed internet. Internet requirements include the following:**
+ Maintain a secure, high-speed, broadband internet connection (DSL, Cable, or Fiber) at the remote location. **Dial-up, satellite, WIFI, Cellular connections are NOT acceptable.**
+ Download speed of 15Mbps (megabyte per second)
+ Upload speed of 5Mbps (megabyte per second)
+ Ping Rate Maximum of 30ms (milliseconds)
+ Hardwired to the router
+ Surge protector with Network Line Protection for CAH issued equipment
**Anticipated hourly range:** $21.40 per hour - $30.60 per hour
**Bonus eligible:** No
**Benefits:** Cardinal Health offers a wide variety of benefits and programs to support health and well-being.
+ Medical, dental and vision coverage
+ Paid time off plan
+ Health savings account (HSA)
+ 401k savings plan
+ Access to wages before pay day with my FlexPay
+ Flexible spending accounts (FSAs)
+ Short- and long-term disability coverage
+ Work-Life resources
+ Paid parental leave
+ Healthy lifestyle programs
**Application window anticipated to close:** 3/21/2026 *if interested in opportunity, please submit application as soon as possible. The hourly range listed is an estimate.
Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity.
_Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply._
_Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal_ _Opportunity/Affirmative_ _Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law._
_To read and review this privacy notice click_ here (***************************************************************************************************************************
$21.4-30.6 hourly 3d ago
Patient Access Optimization Analyst
Baylor Scott & White Health 4.5
Juneau, AK jobs
The Patient Access Optimization Analyst role is to configure and provide functional and technical support for access optimization initiatives. This position also assists with the analysis, solutioning, documentation, and implementation of Epic-build related functions.
+ This is a remote position
+ Working hours Central time zone - 8AM - 5PM
+ Two positions available
_The pay range for this position is $31.73/hour (entry level qualifications) - $54.90/hour (highly experienced). The specific rate will depend upon the successful candidate's specific qualifications and prior experience._
**ESSENTIAL FUNCTIONS OF THE ROLE**
+ Presentation - able to communicate information professionally and formally to stakeholders through meetings and written presentations.
+ Independence - proven ability to manage small to medium projects to ensure successful project implementation and engagement.
+ Excellent verbal and written communication skills, as well as presentation skills.
+ Strong analytical and advanced research skills.
+ Solid organizational skills, especially the ability to meet project deadlines with a focus on details.
+ Ability to successfully multi-task while working independently or within a group environment.
+ Ability to work in a deadline-driven environment, and handle multiple projects simultaneously.
+ Ability to interact effectively with people at all organizational levels.
+ Build and maintain strong relationships.
**KEY SUCCESS FACTORS**
+ Decision tree design, documentation, and maintenance experience strongly preferred.
+ Ability to think critically and analyze complex technical solutions.
+ Epic Cadence Certified strongly preferred.
+ ServiceNow experience preferred.
+ Epic Cadence Provider template management and build experience strongly preferred.
+ Ambulatory and/or Surgery scheduling experience required.
+ Experienced proficiency in Excel and SQL required.
+ Able to work through complex business problems and partner with clients using a consultative approach.
+ Exceptional data/modeling skills with ability to convert raw data into actionable business insights.
+ Able to apply knowledge of healthcare industry trends and their drivers.
+ Able to work in a dynamic setting and work well under pressure.
+ Intermediate to advanced knowledge of statistics (including modeling techniques) preferred.
+ Lean Six Sigma experience preferred.
+ 5 years of experience working in Epic strongly preferred.
**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
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.
$31.7-54.9 hourly 5d ago
Coder II - OP Physician Coding (Ortho Surgery)
Baylor Scott & White Health 4.5
Juneau, AK jobs
** **Upper Extremity:** **- Shoulders:** Total/Hemi Arthroplasty, Arthroscopy, Rotator cuff repair, Biceps tenodesis, Acromioplasty, Distal claviculectomy, Superior Labrum Anterior to Posterior tear (SLAP) repair
**- Elbows:** Cubital tunnel release, Bursectomy, Arthroplasty
**- Wrist:** Carpal tunnel release, Carpectomy, TFCC debridement/repair, 4-corner fusion, De Quervain (1st dorsal compartment)
**- Hands:** Trigger fingers, Ganglions, Mallet fingers, Carpometacarpal (CMC) arthroplasty, , Dupuytren's (Palmar fascial fibromatosis), Amputations
**Lower Extremity:**
**- Hips:** Dislocation reductions, Total/partial Arthroplasty, Femoral fracture treatments, Arthroscopy
**- Pelvis:** Fracture repairs
**- Femur:** ORIF neck fractures, Trochanteric repairs, shaft fracture repairs
**- Knees:** Dislocation repairs/reductions, Total/hemi arthroplasty, Meniscal repairs, Ligamentous reconstructions and repairs, Arthroscopy
**- Tibia/Fibula:** Plateau repairs, shaft Fracture repairs, Percutaneous repairs, Arthrodesis, Pilon/Plafond repairs, Malleolar repairs, Sprain
**WORK MODEL/SALARY**
Days: Monday - Friday
Hours: 8hrs a day, 80hrs a pay period
100% Remote
The pay range for this position is $26.66 (entry-level qualifications) - $40.00 (highly experienced) The specific rate will depend upon the successful candidate's specific qualifications and prior experience.
**JOB SUMMARY**
+ The Coder 2 is proficient in three or more types of outpatient, Profee, or low acuity inpatient coding.
+ The Coder 2 may code low acuity inpatients, one time ancillary/series, emergency department, observation, day surgery, and/or professional fee to include evaluation and management (E/M) coding or profee surgery.
+ For professional fee coding, team members in this job code will be proficient for inpatient and outpatient, for multi-specialties.
+ Coder 2 utilizes the International Classification of Disease (ICD-10-CM. ICD-10-PCS), Healthcare Common Procedure Coding System (HCPCS) including Current Procedural Terminology (CPT) and other coding references to ensure accurate coding.
+ Coding references will be used to ensure accurate coding and grouping of classification assignment (e.g., MS-DRG, APR-DRG, APC etc.)
+ The Coder 2 will abstract and enter required data.
**ESSENTIAL FUNCTIONS OF THE ROLE**
+ Examines and interprets documentation from medical records and completes accurate coding of diagnosis, procedures and professional fees.
+ Reviews diagnostic and procedure codes and charges in the applicable documentation system to generate appropriate coding and billing.
+ Communicates with providers for missing documentation elements and offers guidance and education when needed.
+ Reconciles billing issues by formulating the rationale for rejecting and correcting inaccurate charges.
+ Works collaboratively with revenue cycle departments to ensure coding and edits are processed timely and accurately.
+ Reviews and edits charges.
**KEY SUCCESS FACTORS**
+ Sound knowledge of applicable rules, regulations, policies, laws and guidelines that impact the coding area.
+ Sound knowledge of transaction code sets, HIPAA requirements and other issues impacting the coding and abstracting function.
+ Sound knowledge of anatomy, physiology, and medical terminology.
+ Demonstrated proficiency of the use of computer applications, group software and Correct Coding Initiatives (CCI) edits.
+ Sound knowledge of ICD-10 diagnosis and procedural coding and Current Procedural Terminology (CPT) procedural coding.
+ Ability to interpret health record documentation to identify procedures and services for accurate code assignment.
+ Flexibility and adaptability while also balancing requirements and regulatory and accreditation guidelines that are non-negotiables.
Must have one of the following Certifications:
+ Registered Health Information Administrator (RHIA)
+ Registered Health Information Technologist (RHIT)
+ Certified Coding Specialist (CCS)
+ Certified Coding Specialist Physician-based (CCS-P)
+ Certified Professional Coder (CPC)
+ Certified Outpatient Coder (COC)
+ Certified Inpatient Coder (CIC)
+ Certified Interventional Radiology Cardiovascular Coder (CIRCC)
**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
**MQUALIFICATIONS**
+ EDUCATION - H.S. Diploma/GED Equivalent
+ EXPERIENCE - 2 Years of Experience
+ CERTIFICATION/LICENSE/REGISTRATION - Must have ONE of the coding certifications as listed:
+ Cert Coding Specialist (CCS)
+ Cert Coding Specialist-Physician (CCS-P)
+ Cert Inpatient Coder (CIC)
+ Cert Interv Rad CV Coder (CIRCC) - Cert Outpatient Coder (COC)
+ Cert Professional Coder (CPC)
+ Reg Health Info Administrator (RHIA)
+ Reg Health Information Technician (RHIT).
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.
$26.7 hourly 60d+ ago
Part Time Remote Psychiatric Nurse Practitioner - Fee For Service
Thriveworks 4.3
Alaska jobs
Thriveworks is currently seeking Psychiatric Mental Health Nurse Practitioners in Alaska.
***Clinicians need to be licensed and living in the state in which they will be practicing.***
Compensation: This is a Fee for Service (W2) position, the range for this position is $71,000-$102,000 per year based on 15-20 clinical hours per week.
To maintain safety and best practices for our clinicians and patients via telemedicine, Thriveworks does not push or incentivize the use of stimulant medications; instead, we offer them as an option based on the client's specific symptoms and diagnosis, with prescribing decisions left to the discretion of the clinician. We do not currently treat substance use disorders, and make every effort to refer out to an in-person provider when symptoms arise that are too severe to be treated via telemedicine only.
Thriveworks Nurse Practitioners are expected to provide care to a diverse population of clients with mental health conditions such as depression, anxiety, ADHD, and more. They work with a broad range of age groups, primarily adults and adolescents, with a future focus on expanding care across the lifespan.
Qualifications:
Licensed Psychiatric Mental Health Nurse Practitioner - Board Certification required
Master's in Nursing with active prescriptive authority required in the state
Understanding of AdvancedMD (AMD) EMR is a plus
Three years of experience is a plus; 1 year of psychiatry practice is required
Licensed Psychiatric Mental Health Nurse Practitioners need to be licensed and live in the state in which they will be practicing
Part-time requires 15 - 20 hours of availability per week
All clinicians are required to complete an in-house training on our ADHD treatment standards, guidelines, and approach, followed by a brief exam. While all new hires are enrolled in the ADHD Clinic and expected to accept and treat ADHD clients, there are no quotas for the number of clients or prescriptions.
What We Need:
Make Psychiatric assessments and evaluations of clients in an ongoing telemedicine capacity
Willingness to treat 14 years old and up
Prescribe medication to reduce mental health symptoms, as needed
Create and collaborate with clients on care plans
Complete and/or administer appropriate paperwork and assessment tools for clients
Adhere to Thriveworks' Clinical Practice Guidelines
Consult with Regional Clinic Directors and staff on clients, programs, and services at the various sites
What We Give:
We are dedicated to taking great care of our employees and empowering them to succeed. This enables them to focus on providing excellent care to our clients. We offer the following benefits:
Fully Remote
Remote Medical Assistants
Guaranteed, bi-weekly pay (no need to wait on reimbursement)
401K with 3% employer match
Paid orientation and annual pay increases
Flexible scheduling (Sessions are available from 7 am-10 pm, 7 days/week)
Paid orientation, Paid Credentialing, Paid Malpractice Coverage, In-house professional development, including case consultation groups
Annual pay increases and Bonus Opportunities
Schedule Flexibility with No Show Protection and No required on-call
Amazing team culture and clinical support
Who we are - about Thriveworks:
Thriveworks is a trusted mental health provider with 340+ locations and a nationwide hybrid care model. We serve over 175,000 clients annually through more than 1.7 million sessions, and these numbers continue to grow. As a clinician-founded and clinician-led organization, we offer the tools, support, and community you need to build a fulfilling, long-term career.
A career at Thriveworks isn't just about finding a job that pays the bills. It's about helping others, joining a community, and learning to thrive both personally and professionally. We believe that the success of our employees is just as important as the success of our organization; they go hand in hand.
So, what do you say? Are you interested in joining our team? Apply today.
#LI-Remote #LI-MS1
Interested in joining Team Thriveworks? We're thrilled to meet you!
With Job scams becoming more and more frequent, here's how to know you're speaking with a real member of our team:
Our recruiters and other team members will only email you from ************************* or an @thriveworks.com email address.
Our interviews will take place over Google Meet (not Microsoft Teams or Zoom)
We will never ask you to purchase or send us equipment.
If you see a scam related to Thriveworks, please report to ***********************. You can contact ************************** with any questions or concerns.
Thriveworks is an Equal Opportunity Employer. Our people are our most valuable assets. We embrace and encourage differences in age, color, disability, ethnicity, gender identity or expression, national origin, physical and mental ability, race, religion, sexual orientation, veteran status, and other characteristics that make our employees unique. We encourage and welcome diverse candidates to apply for any position you are qualified for to bring your unique perspective to our team.
By clicking Apply, you acknowledge that Thriveworks may contact you regarding your application.
$71k-102k yearly Auto-Apply 60d+ ago
Technical Account Manager
Cardinal Health 4.4
Juneau, AK jobs
Cardinal Health Sonexus Access and Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and remain on the therapy they need for a better quality of life. Our diverse expertise in pharma, payer and hub services allows us to deliver best-in-class solutions-driving brand and patient markers of success. We're continuously integrating advanced and emerging technologies to streamline patient onboarding, qualification and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas, Texas, empowering manufacturers to rethink the reach and impact of their products.
**Job Description**
As the leading provider of comprehensive pharmaceutical commercialization services, Sonexus Health empowers pharmaceutical manufacturers by integrating innovative distribution models with patient access, adherence programs and reimbursement services. Patients start therapy faster and stay compliant longer, while manufacturers own their provider relationships and gain actionable, real-time visibility into how, when and why their products are used.
**Position Summary**
Technical Account Management (TAM) is responsible for playing a key/critical role in realizing business value through the application of project management knowledge, skills, tools, and techniques to meet project objectives. The TAM will also use their rich healthcare domain expertise, along with project management and proactive consulting skills, to solve complex technical challenges for some of the largest pharmaceutical manufacturers in the country. To our clients, this individual will be an expert in combining our technology platform and solutions with their programs to provide maximum benefit to their business and patients.
**Role contribution and responsibilities:**
+ Demonstrates advanced knowledge of Cardinal Health and customer industry, including key competitors, terminology, technology, trends, challenges, reimbursement and government regulation; demonstrates working knowledge of how Cardinal Health technical offerings match with a customers' unique business needs
+ Demonstrates knowledge of the project management initiating, planning, executing, monitoring/controlling, and closing processes.
+ Monitors performance and recommends scope, schedule, cost or resource adjustments
+ Connects short-term demands to long-term implications, in alignment with the supporting business case.
+ Prioritizes multiple tasks while meeting deadlines
+ Communicates project status (health, forecast, issues, risks, etc.) to stakeholders in an open and honest fashion.
+ Effectively balances competing project constraints including but not limited to scope, quality, schedule, funding, budget, resources, and risk, to manage project success.
+ Connects project objectives to broader organizational goals.
+ Provides input to contracts, reviews contracts to ensure completeness of scope and appropriate accountability based on role and/or responsibility.
+ Negotiates with stakeholders to obtain the resources necessary for successful project execution.
+ Partners with stakeholders and technologist to implement/automate/operationalize models into day-to-day business decision making.
+ High level of client contact in an Account Management portfolio approach.
**What is expected of you and others at this level**
+ Applies advanced knowledge and understanding of concepts, principles, and technical capabilities to manage a wide variety of projects
+ Participates in the development of policies and procedures to achieve specific goals
+ Recommends new practices, processes, metrics, or models
+ Works on or may lead complex projects of large scope
+ Projects may have significant and long-term impact
+ Provides solutions which may set precedent
+ Independently determines method for completion of new projects
+ Receives guidance on overall project objectives
+ Acts as a mentor to less experienced colleagues
+ Identifies and qualifies opportunities within service portfolio (including but not limited to technology, program design, services expansion, etc....) with existing client and develops plans for introducing new solutions through collaborative relationships
**Accountabilities in this role**
+ Analyze and recommend technical solutions related to new product launches, product discontinuations, vendor integrations, and operational efficiencies among other potential services
+ Acts as single technical liaison for the client
+ Daily interactions with client to assess and advise client needs and requests
+ Analyze client program, needs and propose solutions and options that provide value to client
+ Recommend technical changes/updates/enhancements to current platform and vendor integration landscape to further align with client's strategy and industry advancements.
+ Manage client deliverables, timelines, and artifacts
+ Monitor team backlog and prioritize activities to deliver on time, on budget, on scope
+ Anticipate client needs and proactively make program recommendations to enhance service value
+ Perform necessary project administration, project status, and risk, issue management
_Qualifications_
+ Master's Degree preferred
+ 3-5 years' experience of client relationship management experience at the account management level preferred
+ Prior experience working in a Specialty Pharmaceutical HUB environment, preferred
+ 8+ years' experience in professional services, healthcare, or related field preferred serving in a technical capacity preferred
+ Proficiency in Microsoft Office products preferred
+ Strong oral and written communication skills, with executive facing presentation experience
+ Strong project management skills
+ Proven ability to learn an application of advanced knowledge and understanding of concepts, principles, and technical capabilities to manage a wide variety of projects
+ Travel requirement up to 10%
TRAINING AND WORK SCHEDULES:
+ Your new hire training will take place 8:00am-5:00pm CST, mandatory attendance is required.
+ This position is full-time (40 hours/week).
+ Employees are required to have flexibility to work any of our shift schedules during our normal business hours of Monday-Friday, 7:00am- 7:00pm CST.
REMOTE DETAILS:
+ You will work remotely, full-time. It will require a dedicated, quiet, private, distraction free environment with access to high-speed internet.
+ We will provide you with the computer, technology and equipment needed to successfully perform your job.
+ You will be responsible for providing high-speed internet.
+ Internet requirements include the following:
+ Maintain a secure, high-speed, broadband internet connection (DSL, Cable, or Fiber) at the remote location. Dial-up, satellite, WIFI, Cellular connections are NOT acceptable.
+ Download speed of 15Mbps (megabyte per second)
+ Upload speed of 5Mbps (megabyte per second)
+ Ping Rate Maximum of 30ms (milliseconds)
+ Hardwired to the router
+ Surge protector with Network Line Protection for CAH issued equipment
**Anticipated salary range:** $105,100-$150,100
**Bonus eligible:** Yes
**Benefits:** Cardinal Health offers a wide variety of benefits and programs to support health and well-being.
+ Medical, dental and vision coverage
+ Paid time off plan
+ Health savings account (HSA)
+ 401k savings plan
+ Access to wages before pay day with my FlexPay
+ Flexible spending accounts (FSAs)
+ Short- and long-term disability coverage
+ Work-Life resources
+ Paid parental leave
+ Healthy lifestyle programs
**Application window anticipated to close:** 03/15/2026 *if interested in opportunity, please submit application as soon as possible. The hourly range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity.
_Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply._
_Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal_ _Opportunity/Affirmative_ _Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law._
_To read and review this privacy notice click_ here (***************************************************************************************************************************
$105.1k-150.1k yearly 9d ago
Senior Coding Quality Educator - Onsite
Providence Health & Services 4.2
Atka, AK jobs
Senior Coding Quality Educator _Remote - Most states eligible._ _Providence caregivers are not simply valued - they're invaluable. Join our team and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them._
Providence is calling a Senior Coding Quality Educator who will:
+ Assist with the day-to-day operations of the Coding Integrity, Knowledge Management team
+ Assist with research and developing coding guidance based on local, state and federal healthcare coding regulations and other payor guidelines as applicable
+ Obtain, interpret, analyze and communicate information regarding coding matters with all internal and external revenue cycle and coding teams
+ Collaborate with various departments e.g., Physician Network Operations, Revenue Cycle, Compliance, Practice Operations, and other key stakeholders on all coding matters
We welcome 100% remote work for residents in the United States with the exception of the following States:
+ Colorado
+ Hawaii
+ Massachusetts
+ New York
+ Ohio
+ Pennsylvania
Essential Functions:
+ Assist with the identification, development and delivery of new and ongoing coding changes and updates to all regional coding teams
+ Collaborate with various departments e.g., regional coding teams, revenue cycle, compliance, practice operations, and other key stakeholders on all coding matters
+ Respond timely (either orally or written) to coding inquiries from coders, educators, and other teams across Providence enterprise
+ Serve as a resource and subject matter expert for all coding matters
+ Provide coding support to regional coding teams as needed
+ Maintain relevant documentation and data as required
+ Review and update coding guidance annually or as necessary
+ Maintain document control
+ Develops action plans as necessary to resolve complex coding cases and to address the implementation of new service offerings or code changes
+ Facilitates education to support Medicare Risk requirements & organization goals
+ Review relevant patient details from the medical record based on coding and documentation guidelines
+ Participate in monthly progress meetings to discuss process improvements, updates in technology, along with any job related details
+ Communicate any coding updates published in third-party payer newsletters and bulletins and provider manuals to coding and reimbursement staff
+ Assists management in identifying and creating standardized workflows
+ Reviews EMR templates and identifies areas of improvement for provider documentation
+ Attends and presents at regional meetings as needed
Required qualifications for this position include:
+ High School Diploma or GED Equivalency
+ National Certification from American Health Information Management Association upon hire or National Certification from American Health Information Management Association upon hire.
+ 6+ years of experience in professional fee inpatient, surgical, outpatient coding, E/M, auditing and related work
+ 5+ years of experience providing provider education and feedback to facilitate improvement in documentation and coding
+ Strong experience in Excel (e.g., pivot tables), database, e-mail, and Internet applications on a PC in a Windows environment
Preferred qualifications for this position include:
+ Associate Degree in Health Information Technology or another related field of study
+ Bachelor's Degree in Health Information Technology or another related field of study
+ 5+ years of experience in coding for multispecialty practice
+ 2+ years of experience in professional fee billing methodologies
+ Experience with IDX, Allscripts, Advanced Web, Meditech
+ Experience with project management
Salary Range by Location:
AK: Anchorage: Min: $40.11, Max: $62.27
AK: Kodiak, Seward, Valdez: Min: $41.81, Max: $64.91
California: Humboldt: Min: $40.98, Max: $64.88
California: All Northern California - Except Humboldt: Min:$46.91, Max: $72.82
California: All Southern California - Except Bakersfield: Min: $41.81, Max: $64.91
California: Bakersfield: Min: $40.11, Max: $62.27
Idaho: Min: $35.69, Max: $55.41
Montana: Except Great Falls: Min: $32.29, Max: $50.13
Montana: Great Falls: Min: $30.59, Max: $47.49
New Mexico: Min: $32.29, Max: $50.13
Nevada: Min: $41.81, Max: $64.91
Oregon: Non-Portland Service Area: Min: $37.39, Max: $58.05
Oregon: Portland Service Area: Min: $40.11, Max: $62.27
Texas: Min: $30.59, Max: $47.49
Washington: Western - Except Tukwila: Min: $41.81, Max: $64.91
Washington: Southwest - Olympia, Centralia & Below: Min: $40.11, Max: $62.27
Washington: Tukwila: Min: $41.81, Max: $64.91
Washington: Eastern: Min: $35.69, Max: $55.41
Washington: South Eastern: Min: $37.39, Max: $58.05
Why Join Providence?
Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.
Accepting a new position at another facility that is part of the Providence family of organizations may change your current benefits. Changes in benefits, including paid time-off, happen for various reasons. These reasons can include changes of Legal Employer, FTE, Union, location, time-off plan policies, availability of health and welfare benefit plan offerings, and other various reasons.
About Providence
At Providence, our strength lies in Our Promise of "Know me, care for me, ease my way." Working at our family of organizations means that regardless of your role, we'll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.
Posted are the minimum and the maximum wage rates on the wage range for this position. The successful candidate's placement on the wage range for this position will be determined based upon relevant job experience and other applicable factors. These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits.
Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.
About the Team
Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. We are focused on supporting our Mission by delivering a robust foundation of services and sharing of specialized expertise.
Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.
Requsition ID: 411100
Company: Providence Jobs
Job Category: Coding
Job Function: Revenue Cycle
Job Schedule: Full time
Job Shift: Day
Career Track: Business Professional
Department: 4010 SS PE OPTIM
Address: TX Lubbock 3615 19th St
Work Location: Covenant Medical Center
Workplace Type: On-site
Pay Range: $See posting - $See posting
The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
$40.1 hourly Auto-Apply 9d ago
Senior Manager Claims *Remote*
Providence Health & Services 4.2
Atka, AK jobs
Senior Manager Claims \*Remote * Candidates residing in Alaska, Washington, Montana, Oregon, California, Texas or New Mexico are encouraged to apply. The Senior Manager, Claims role is responsible for management and supervision of a team handling multi-line health provider and institutional claims. This position is responsible for file management, stewardship and file outcomes of the team in collaboration with key system leadership throughout Providence St. Joseph's Health. Also, the role is responsible for ensuring accurate regulatory compliance, adherence to department policy and procedures, stakeholder presentations, and team development.
This role utilizes expertise to coach to best outcomes for high exposure, complex matters including medical negligence, organizational negligence, directors and officers, fiduciary, general liability and similar matter types. The role participates in procuring and sharing conclusions to provide actionable insights to key stakeholders across the organization. There is collaboration with various teams to provide consultation, oversight, risk avoidance and mitigation recommendations, data analytics, and efficiency execution. The role also coordinates with operational staff as needed to ensure efficient outcomes.
Providence caregivers are not simply valued - they're invaluable. Join our team at Integrity Compliance Audit Services and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.
Required qualifications:
+ Bachelor's Degree or an equivalent combination of education and experience.
+ Coursework/Training: Formal education or training in supervision, management, or leadership.
+ 7 years of documented direct management or supervisory experience in a in a medical negligence and multi-line setting.
+ 7 years of Claims experience.
+ 2 years of experience in an insurance or managed care setting.
+ Demonstrated experience in program planning, development and evaluation.
Preferred qualifications:
+ Master's Degree
+ Project management, Six Sigma, Lean, Change Acceleration Process (CAP) experience.
+ Experience with HEDIS, CAHPS, Medicare 5-Star Rating, NCQA and/or URAC accreditation.
Salary Range by Location:
AK: Anchorage: Min: $56.40, Max: $89.04
AK: Kodiak, Seward, Valdez: Min: $58.79, Max: $92.82
California: Humboldt: Min:$57.64, Max: $92.79
California: All Northern California - Except Humboldt: Min: $65.96, Max: $104.13
California: All Southern California - Except Bakersfield: Min: $58.79, Max: $92.82
California: Bakersfield: Min: $56.40, Max: $89.04
Idaho: Min: $50.19, Max: $79.23
Montana: Except Great Falls: Min: $45.41, Max: $71.69
Montana: Great Falls: Min: $43.02, Max: $67.91
New Mexico: Min: $45.41, Max: $71.69
Oregon: Non-Portland Service Area: Min: $52.58, Max: $83.01
Oregon: Portland Service Area: Min: $56.40, Max: $89.04
Texas: Min: $43.02, Max: $67.91
Washington: Western - Except Tukwila: Min: $58.79, Max: $92.82
Washington: Southwest - Olympia, Centralia & Below: Min: $56.40, Max: $89.04
Washington: Min: $58.79, Max: $92.82
Washington: Eastern: Min: $50.19, Max: $79.23
Washington: South Eastern: Min: $52.58, Max: $83.01
Why Join Providence?
Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.
Accepting a new position at another facility that is part of the Providence family of organizations may change your current benefits. Changes in benefits, including paid time-off, happen for various reasons. These reasons can include changes of Legal Employer, FTE, Union, location, time-off plan policies, availability of health and welfare benefit plan offerings, and other various reasons.
About Providence
At Providence, our strength lies in Our Promise of "Know me, care for me, ease my way." Working at our family of organizations means that regardless of your role, we'll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.
Posted are the minimum and the maximum wage rates on the wage range for this position. The successful candidate's placement on the wage range for this position will be determined based upon relevant job experience and other applicable factors. These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits.
Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.
About the Team
Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. We are focused on supporting our Mission by delivering a robust foundation of services and sharing of specialized expertise.
Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.
Requsition ID: 408221
Company: Providence Jobs
Job Category: Claims
Job Function: Revenue Cycle
Job Schedule: Full time
Job Shift: Day
Career Track: Leadership
Department: 4008 SS RIS
Address: WA Renton 1801 Lind Ave SW
Work Location: Providence Valley Office Park-Renton
Workplace Type: Remote
Pay Range: $see posting - $see posting
The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
$56.4 hourly Auto-Apply 13d ago
Medical Dosimetrist
Intermountain Health 3.9
Juneau, AK jobs
The Medical Dosimetrist is a member of the Radiation Oncology team who has knowledge of the overall characteristics and clinical relevance of radiation oncology treatment machines and equipment. They have the education and expertise necessary to generate radiation dose distributions and dose calculations in collaboration with the Medical Physicist and Radiation Oncologist.
**Medical Dosimetrist - Radiation Oncology**
**Location:** Greater Salt Lake City Area (South Market)
**Organization:** Intermountain Health
**Join Our Growing Radiation Oncology Team**
Intermountain Health is expanding its Radiation Oncology services to two new locations in 2026, and we're seeking a **Medical Dosimetrist** to join our dynamic team on-site, hybrid or fully remote. This is an exciting opportunity to work with advanced technology, collaborate with experienced professionals, and help deliver cutting-edge cancer care.
**Why You'll Love This Role**
+ **Innovative Practice:** Participate in advanced treatment techniques including frameless SRS with HyperArc, Lattice SFRT, tattoo-free SGRT setups, cooperative group clinical trials and extensive use of SBRT & hypofractionation.
+ **Collaborative Environment:** Work closely with 5 physicians, 4 physicists, and 3 dosimetrists across four sites in Park City, Provo, American Fork, and Saratoga Springs.
+ **Flexibility & Growth:** Choose an on-site, hybrid, or fully remote schedule while benefiting from well-established workflows that foster efficiency and the chance to help shape new clinical programs.
+ **Lifestyle & Location:** Enjoy Utah's incredible outdoor recreation with world-class skiing, hiking, and national parks
**Technology & Programs**
+ **Treatment Platforms:** Varian TrueBeam systems with RapidArc at all sites
+ **Imaging & Simulation:** VisionRT SGRT, Philips Big Bore CT simulators (3 locations)
+ **Software:** Eclipse v18 TPS with GPU acceleration, Aria R&V, Full Radformation suite (ClearCheck, ClearCalc, RadMonteCarlo, EZFluence, AutoContour)
**Your Role**
As a Medical Dosimetrist, you will:
+ Design and calculate accurate radiation treatment plans for a variety of techniques including IMRT, VMAT, SBRT, and SRS.
+ Collaborate with physicians and physicists to optimize treatment plans for safety and efficacy.
+ Ensure compliance with departmental protocols and regulatory standards.
+ Support implementation of new technologies and treatment techniques.
**Qualifications**
**Minimum:**
+ Graduate of a JRCERT-accredited Medical Dosimetry program or equivalent.
+ Certified Medical Dosimetrist (CMD) or eligible for certification.
**Preferred:**
+ Experience with Eclipse TPS and Aria R&V.
+ Familiarity with advanced techniques such as SRS and SBRT.
**Physical Requirements**
+ Ongoing need for employee to see and read information, labels, assess patient needs, operate monitors, identify equipment and supplies.
+ Frequent interactions with patient care providers, patients, and visitors that require employee to verbally communicate as well as hear and understand spoken information, alarms, needs, and issues quickly and accurately, particularly during emergency situations.
+ Manual dexterity of hands and fingers to manipulate complex and delicate equipment with precision and accuracy. This includes frequent computer use and typing for documenting patient care, accessing needed information, medication preparation, etc.
+ Expected to lift and utilize full range of movement to transfer patients. Will also bend to retrieve, lift, and carry supplies and equipment. Typically includes items of varying weights, up to and including heavy items.
+ Need to walk and assist with transporting/ambulating patients and obtaining and distributing supplies and equipment. This includes pushing/pulling gurneys and portable equipment, including heavy items. Often required to navigate crowded and busy rooms (full of equipment, power cords on the floor, etc.)
+ May be expected to stand in a stationary position for an extended period of time.
+ For roles requiring driving: Expected to drive a vehicle which requires sitting, seeing and reading signs, traffic signals, and other vehicles.
**Location:**
Intermountain Health American Fork Hospital, Intermountain Health Park City Hospital, Intermountain Health Utah Valley Hospital
**Work City:**
Park City
**Work State:**
Utah
**Scheduled Weekly Hours:**
40
The hourly range for this position is listed below. Actual hourly rate dependent upon experience.
$62.44 - $96.34
We care about your well-being - mind, body, and spirit - which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.
Learn more about our comprehensive benefits package here (***************************************************** .
Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.
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All positions subject to close without notice.