JR0062540 Associate Customer Service Rep
Louisville, KY jobs
Key Responsibilities: Serves as the point of contact for customer queries and resolution. Provides customer services relating to sales, sales promotions, installations and communications. Ensures that good customer relations and seamless turnaround in problem resolution are maintained and customer claims, product orders and complaints are resolved fairly, effectively and in accordance with the consumer laws.
May answer questions and provide prompt information related to potential concerns. Develops organization-wide initiatives to proactively inform and educate customers.
***Shift Details - 11:30pm - 8:00pm
Minimum Requirements:
High School Diploma or GED
Required Skills:
Ability to complete multiple activities while utilizing excellent customer service skills
Demonstrate ability to communicate clearly in both written and oral communication
Maintains all patient confidentiality
Other duties and responsibilities as assigned by supervisor.
Career Level - IC-Business Support - B1
Additional Information
ALL ANSWERS MUST BE "YES"
Do you have a High School Diploma or GED?
Are you able/comfortable working from home?
Director of Operations
Frankfort, KY jobs
Averon is a joint venture between CVS Health and Cardinal Health with a vision of transforming the landscape of biosimilars and simplifying the channel for specialty products. Our mission is: together, we will lower the cost of specialty products for our customers.
**Position Summary:**
Reporting directly to the General Manager (GM) of Averon, the Director of GPO Operations plays a pivotal and strategic role within the organization. This position carries full responsibility and accountability for the development and execution of all operating processes essential to delivering high-quality services.
A key responsibility of the Director is to ensure consistency in operational procedures, promote efficient workflows, and conduct regular evaluations to identify opportunities for ongoing improvement. The Director is responsible for creating, tracking, and reporting important success metrics to leadership, ensuring clear communication and alignment with the organization's goals.
In addition to these core duties, the Director will be responsible for identifying, securing, and managing operations related to strategic partnerships. These partnerships are critical for driving enterprise value and delivering competitive advantages that benefit both customers and the business.
As the leader of GPO Operations, the Director must demonstrate strong business acumen, executive presence, and exceptional customer engagement and presentation skills. The ability to recognize emerging trends, provide informed guidance regarding their impact, and propose actionable solutions to seize new opportunities is essential. Furthermore, the role requires influential leadership capabilities, including the ability to lead and affect change across groups without direct reporting lines, and to interact effectively at all organizational levels.
**Location** - Fully remote
**Expectations**
+ Ability to apply advanced knowledge and understanding of GPO concepts, principles, and technical capabilities to manage a wide variety of projects.
+ Define and develop policies and procedures for the GPO operation's team.
+ Define and develop metrics on measuring outcomes and what is success.
+ Work on or lead complex projects of large scope.
+ Understand current GPO operational processes and be able to adapt to support future growth.
+ Manage, support and mentor less experienced colleagues.
**Responsibilities**
+ Oversee the development, implementation, and continual improvement of Operations strategy by leveraging expertise in the specialty pharmaceutical market and GPO operations.
+ Support cross-functional teams to refine operational processes and technology solutions for Wholesaler Contract Load, Contract Alignment, and Membership Management (including roster management, manufacturer notifications, participant contract performance, etc.).
+ Stay informed about competitors and identify areas for unique positioning.
+ Collaborate with other departments to determine necessary changes to processes and technology, then create and deploy effective solutions.
+ Supervise all aspects of the GPO operating model and team, ensuring efficient and productive workflows.
+ Develop metrics, dashboards, and reports to track performance and keep senior leadership informed.
**Qualifications**
+ **Experience** :
+ Targeting 5+ years of relevant professional experience.
+ 5+ years of leadership and team management demonstrated, including supervision of direct reports.
+ Experience with pharmaceutical Group Purchasing Organizations (GPOs) and strategic partnerships.
+ Firsthand knowledge of specialty pharmaceutical manufacturers and trade concepts.
+ Strong understanding of GPO operations, including work with Manufacturer partners and Wholesalers.
+ Proven entrepreneurial skills in strategy development and team building.
+ Solid grasp of pharmaceutical distribution systems.
+ Successful history leading cross-functional teams and managing complex programs.
+ **Technical Skills** :
+ Advanced Microsoft Office Skills (Excel, PowerBI, MS Teams, SharePoint, etc.).
+ Proficiency with Contract Management software (willingness to learn).
+ **Analytical Skills** :
+ Proven ability to efficiently and effectively use advanced analytical skills to gather insights and data from multiple platforms to support business analyses.
+ **Soft Skills** :
+ Demonstrated ability to manage multiple workstreams.
+ Strong collaborator with solid communication skills.
+ Customer service, problem-solving, and analytical skills.
+ Strong attention to detail and process driven.
_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 (***************************************************************************************************************************
Business Analyst, Operations & Process Improvement (Remote)
Louisville, KY jobs
Description & Requirements We are seeking a Business Analyst, Operations & Process Improvement to support program activities by gathering and interpreting business requirements, optimizing operational processes, and delivering actionable insights to guide management decisions. The ideal candidate demonstrates strong analytical reasoning, works collaboratively with business owners and operational teams, and develops innovative solutions to improve system performance and efficiency.
Why Maximus?
- Work/Life Balance Support - Flexibility tailored to your needs!
- • Competitive Compensation - Bonuses based on performance included!
- • Comprehensive Insurance Coverage - Choose from various plans, including Medical, Dental, Vision, Prescription, and partially funded HSA. Additionally, enjoy Life insurance benefits and discounts on Auto, Home, Renter's, and Pet insurance.
- • Future Planning - Prepare for retirement with our 401K Retirement Savings plan and Company Matching.
- •Unlimited Time Off Package - Enjoy UTO, Holidays, and extended sick leave, along with Short and Long Term Disability coverage.
- • Holistic Wellness Support - Access resources for physical, emotional, and financial wellness through our Employee Assistance Program (EAP).
- • Recognition Platform - Acknowledge and appreciate outstanding employee contributions.
- • Tuition Reimbursement - Invest in your ongoing education and development.
- • Employee Perks and Discounts - Additional benefits and discounts exclusively for employees.
- • Maximus Wellness Program and Resources - Access a range of wellness programs and resources tailored to your needs.
- • Professional Development Opportunities-Participate in training programs, workshops, and conferences.
- •Licensures and Certifications-Maximus assumes the expenses associated with renewing licenses and certifications for its employees.
Essential Duties and Responsibilities:
- Apply strong analytical reasoning to understand end user's requirements and transform them into operational applications.
- Acquire deep knowledge of working systems and bring efficient and effective changes for better performance across programs.
- Extract, analyze, and report data to support program activity and assist in management decision making.
- Audit, evaluate, track, and report performance activity for Performance Management and contract compliance purposes (e.g., alignment with the program's service-level agreements,)
- Work closely with operations staff to define requirements, test criteria, and identify success factors.
- Collect, review, and document business requirements, specifications, and recommendations related to new processes, functionality, and proposed solutions.
- Extract, tabulate, and analyze data to support program activity and assist in management decision-making.
- Work closely with business owners, operations, users, and systems staff to improve business efficiency and deliver effective solutions.
- Collaborate effectively with internal and external business partners to ensure successful solution delivery.
Minimum Requirements
- Bachelor's degree in related field.
- 3-5 years of relevant professional experience.
- Bachelor's degree in a related field, or an equivalent combination of education and experience.
- 3 years of relevant professional experience
- Experience documenting business requirements, processes, and recommendations.
- Proficiency with Microsoft Excel, Word, PowerPoint, and other MS Office products.
- Ability to collaborate effectively with internal and external stakeholders.
- Strong presentation skills and ability to communicate findings to non-technical audiences.
- Strong analytical and problem-solving skills.
Preferred Requirements
- 3 years of experience gathering and interpreting information to support process or operational improvements
- 5 years of experience working with data to identify trends, support decision-making, or evaluate program performance
- 3 years of experience in business analysis, operations support, or a related analytical role.
- Advanced proficiency with Microsoft Excel, Word, PowerPoint, and other MS Office products.
Home Office Requirements
- Maximus provides company-issued computer equipment and cell phone
- Reliable high-speed internet service
* Minimum 20 Mpbs download speeds/50 Mpbs for shared internet connectivity
* Minimum 5 Mpbs upload speeds
- Private and secure workspace
#ClinicalServices #HotJobs1209LI #HotJobs1209FB #HotJobs1209X #HotJobs1209TH #TrendingJobs #LI-Remote
EEO Statement
Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Annual salary is just one component of Maximus's total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards. Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off. Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience. An applicant's salary history will not be used in determining compensation. Maximus will comply with regulatory minimum wage rates and exempt salary thresholds in all instances.
Accommodations
Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at **************************.
Minimum Salary
$
68,000.00
Maximum Salary
$
75,000.00
Easy ApplyNurse Triage Support Specialist (4040)
Lexington, KY jobs
The Nurse Triage Support Specialist (NST) acts as a point of contact for patients and families, providing direct access for asking clinical questions. This position assesses incoming telephone calls and messages from patients and families, resolving patient needs and issues whenever possible, including triage of acute conditions. The NST works collaboratively with other team members to provide care management services in accordance with department protocols and algorithms.
PREFERRED QUALIFICATIONS:
Formal training which will be indicated by a nursing license and experience in medical / surgical or acute care setting; ability to communicate effectively, and ability to work compatibly with physicians and other staff members.
PHYSICAL GUIDELINES:
Physical guidelines include the ability to move, traverse, position self, remain in a stationary position and negotiate steps for up to eight hours per day. This is a hybrid role consisting of on campus and remote work. There will be a training period of up to 6 month of onsite instruction and role-related skill optimization.
NOTE:
This document is intended to describe the general nature and level of work performed. It is not intended to act, as an exhaustive list of all duties, skills, and responsibilities required of personnel so classified. Attendance is an essential function of the job.
LEXINGTON CLINIC IS AN EQUAL OPPORTUNITY EMPLOYER (EOE)
Auto-ApplyDosimetrist - Proton
Madison, WI jobs
Work Schedule:
40 hours per week, Day shift, Monday through Friday position, with shifts between 7:30AM - 5:00PM. This position may be eligible for a $5000.00 sign-on bonus. Our proton center will be opening in Spring 2026. Candidates will be trained in proton therapy, create workflows and assist in the development of new program standard operating procedures. This is a hybrid remote position working at Eastpark Medical Center in Madison, WI. The first two years, the position will be fully onsite to develop/maintain a strong workflow.
Pay:
This position may be eligible for a $5000.00 sign-on bonus
Relocation assistance may be available for qualified applicants
Be part of something remarkable
Join the #1 hospital in Wisconsin! Help develop routine and complex radiotherapy treatment plans for patients at our brand-new proton treatment center.
We are seeking a Dosimetrist (Radiation Oncology, Medical Dosimetrist) to:
Develop proton treatment plans from 3D medical images (CT, MRI, PET) involving vital areas of the body with assistance.
Perform non-planning dosimetry activities such as implement institutional electronic charting and workflow systems, implement billing methods for a high standard for proper and accurate billing, CT immobilization assistance, order and maintain supplies for in-vivo dosimetry.
Proton planning interest required, and experience is highly preferred
Education:
Successful completion of Medical Dosimetry Program Required OR
Current certification with the Medical Dosimetrist Certification Board will be accepted in lieu of education
Work Experience:
Proton Planning experience Preferred
RayStation Planning Experience Preferred
MIM Experience Preferred
Aria experience Preferred
TOMO Therapy treatment planning experience Preferred
VMAT planning experience Preferred
Licenses and Certifications:
Certification in Medical Dosimetry by the Medical Dosimetrist Certification Board (MDCB) within 12 months of hire Required
At UW Health, you will have:
An excellent benefits package, including health and dental insurance, paid time off, retirement plans, two-week paid parental leave and adoption assistance. Full time benefits for part time work.
Options for a variety of schedules and shifts that offer flexibility and allow for work-life balance.
Access to great resources through the UW Health Employee Wellbeing Department that supports your emotional, financial, and physical well-being.
Tuition benefits eligibility - UW Health invests in your professional growth by helping pay for coursework associated with career advancement.
The opportunity to earn a referral bonus for referring friends, former colleagues or others to apply for open, posted positions.
Our Commitment to Social Impact and BelongingUW Health is committed to fostering a workplace that creates belonging for everyone and is an Equal Employment Opportunity (EEO) employer. Our respect for people shines through patient care interactions and our daily work practices as we work to embrace the knowledge, unique perspectives and qualities each employee and faculty member brings to work each day. It is the policy of UW Health to provide equal opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.
Eastpark Medical Center - UW Health's state-of-the-art ambulatory facility located across from East Madison Hospital on Eastpark Blvd. transforms the patient experience. It is home to many specialties, including women's complex care, adult cancer care, advanced imaging and laboratory services and innovative clinical trials.
Job Description
UW Hospital and Clinics benefits
Auto-ApplyHealth Educator Associate (Remote in Wisconsin)
Marshfield, WI jobs
Come work at a place where innovation and teamwork come together to support the most exciting missions in the world!Job Title:Health Educator Associate (Remote in Wisconsin) Cost Center:301081064 Ctr For Community Health AdvScheduled Weekly Hours:40Employee Type:RegularWork Shift:Mon-Fri; 8:00 am - 5:00 pm (United States of America) Job Description:
Wisconsin residents only eligible to apply
JOB SUMMARY
Under general supervision, the Health Educator Associate assists professional staff by developing, conducting and delivering health education interventions. The Health Educator Associate is an entry-level health education position and works to promote, maintain, and improve individual and community health by assisting individuals and communities to adopt healthy behaviors.
JOB QUALIFICATIONS
EDUCATION
For positions requiring education beyond a high school diploma or equivalent, educational qualifications must be from an institution whose accreditation is recognized by the Council for Higher Education and Accreditation.
Minimum Required: Associate degree in Health Education, Community Health, Public Health, Health Science, Wellness, or related field.
Preferred/Optional: Bachelor's degree in Health Education, Public Health, Community Health, Wellness or related field.
EXPERIENCE
Minimum Required: None
Preferred/Optional: One year of experience working in community health.
CERTIFICATIONS/LICENSES
The following licensure(s), certification(s), registration(s), etc., are required for this position. Licenses with restrictions are subject to review to determine if restrictions are substantially related to the position.
Minimum Required: None
Preferred/Optional: None
Position will support our Substance Use Services team within the Center for Community Health Advancement. As a Regional Prevention Center of Northern and Western Wisconsin, the Substance Use Services team supports substance use coalitions. Responsibilities may include:
Reviewing and processing invoices
Manage and update the program website
Develop training flyers and other program materials
Contribute to bi-weekly newsletter
Support Health Educator and Program Coordinators on projects as needed
Assist with trainings and event logistics
Support reporting and evaluation activities, including data collection and organization
Requirements:
Must reside in Wisconsin
Ability to attend on-site meetings and trainings approximately five times a year
Marshfield Clinic Health System is committed to enriching the lives of others through accessible, affordable and compassionate healthcare. Successful applicants will listen, serve and put the needs of patients and customers first.
Exclusion From Federal Programs: Employee may not at any time have been or be excluded from participation in any federally funded program, including Medicare and Medicaid. This is a condition of employment. Employee must immediately notify his/her manager or the Health System's Compliance Officer if he/she is threatened with exclusion or becomes excluded from any federally funded program.
Marshfield Clinic Health System is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected veteran status, age, or any other characteristic protected by law.
Auto-ApplySupervisor, Customer Service
Frankfort, KY jobs
Cardinal Health Sonexus Health Pharmacy Services 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. Sonexus Health Pharmacy, 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.**
**Job Summary**
The Supervisor, Customer Service Management directly supervises staff that are performing customer service and enrollment activities as well as Reimbursement Staff performing benefit investigations for pharmacy and medical benefit coverage. Serving 1-2 clients, this position is responsible for overseeing the staffing schedule, training, and monitoring of key performance indicators to meet the requirements as outlined by client contracts and internal standard operating policies. Through effective supervision, the Pharmacy Operations Supervisor contributes to high quality customer service and long-term retention of customers.
**Responsibilities**
The Supervisor, Customer Service Management leads program staff performing actions including: customer service, and other patient services.
+ Oversee daily operations for patient access support contact center team of up to 20 team members and provide daily support ensuring team members can perform job responsibilities.
+ Coach, teach, train, and mentor team members in a 100% remote setting while monitoring individual and team performance.
+ Create and maintain creating and maintaining Standard Operating Procedures and work instructions specific to the program.
+ Coordinate and deliver recurring (weekly, monthly, and quarterly) reviews of program metrics / dashboards while proactively sharing results with internal and external senior leaders.
+ Assess/Test / Solution / Approve program changes including those related to Information Technology, platform upgrades, and modifications to program business rules.
+ Report system issues that can impact our client relationship management system (CRM) and/or productivity in a timely manner.
+ Manage employee timecards in addition to standard HR responsibilities as a people leader.
+ Open job requisitions, conduct interviews, and provide personnel recommendations to senior leaders.
+ Coordinate with senior leadership and Advice and Counsel Center to determine appropriate corrective action, not limited to termination when applicable.
+ Continually monitor program adherence, quality, attendance and address accordingly.
+ Report Corrective and Preventative Actions in a timely manner.
+ Coordinate with fellow supervisors and collaborate with business partners to provide effective responses and resolutions to complex program related issues.
+ Conduct recurring development-based 1x1s with team members focused on both performance and goal setting.
+ Effectively manage time and independently prioritize work responsibilities to meet key deadlines.
+ Maintain regular contact with client/3rd party partners by leveraging excellent verbal and written communication skills.
+ Contribute to the building and presentation of quarterly business reviews to clients (either virtually or in-person).
+ Proactively seek and implement process efficiencies to reduce team manual work.
+ Host recurring (bi-weekly/monthly) team meetings to discuss updates, process changes, team SLAs/KPIs, QA, trends, etc.
+ Work well independently and in a team setting by collaborating across different departments.
**Qualifications**
+ Bachelor's degree or equivalent work experience preferred
+ 3-5 years of experience in related fields of patient support programs preferred
+ Previous management experience preferred
+ Strong communication, presentation, and time management skills
+ Commitment to the continued development of oneself and team members
+ Advanced computer skills and proficiency in Microsoft Office including but not limited to Word (e.g. inserting tables, mail merge, tracking changes, updating headers and footers), Teams, Outlook, PowerPoint (e.g. updating slide layout, adding slides, adding & updating charts, and graphs, and updating themes), and preferred Excel capabilities including pivot tables, graphing, and graphing, and basic formulas
+ Travel may be needed to perform your duties up to 10%.
**What is expected of you and others at this level**
+ Coordinates and supervises the daily activities of operations or business staff
+ Administers and exercises policies and procedures
+ Ensure employees operate within guidelines
+ Decisions have a direct impact on work unit operations and customers
+ Frequently interacts with subordinates, customers, and peer groups at various management levels
+ Interactions normally involve information exchange and basic problem resolution
**TRAINING AND WORK SCHEDULES:** Your new hire training will take place 8:00am-5:00pm CT the first week of employment. Attendance is mandatory. You must be on camera for all training. This position is full-time (40 hours/week). Employees are required to have flexibility to work a scheduled shift of 8am - 7pm CT and overtime when required.
**REMOTE DETAILS** : All U.S. residents are eligible to apply to this position. 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:** $67,500.00 - $86,670.00
**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:** 1/2/2026 *if interested in opportunity, please submit application as soon as possible.
The salary 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 (***************************************************************************************************************************
Sr. Knowledge Analyst - Contact Center Content Specialist (Remote)
Louisville, KY jobs
Description & Requirements Maximus is looking for a dynamic Senior Knowledge Analyst to serve as the dedicated Contact Center Content Specialist (CCCS). In this pivotal role, you'll collaborate closely with government and internal teams to identify content gaps, drive improvements, and ensure that agents are equipped with clear, effective, and bilingual resources.
*Position is contingent upon contract award*
This is a fully remote role.
Must have the ability to pass a federal background check.
Remote Position Requirements:
- Hardwired internet (ethernet) connection
- Internet download speed of 25mbps and 5mbps (10 preferred) upload or higher required (you can test this by going to ******************
- Private work area and adequate power source
Essential Duties and Responsibilities:
- Build and maintain knowledge base in SharePoint.
- Build document management processes and procedures.
- Assess knowledge base needs, inaccuracies, gaps; work quickly to resolve and make content current.
- Work cross-functionally with internal teams for maximum efficiency and accuracy in documentation content.
- Create hierarchy and ownership structure to sustain knowledge management.
- Empower contributions from key stakeholders to improve the knowledge base.
- Design and implement work flows to manage documentation process.
- Establish standard templates for all documentation for the teams to utilize in document creation.
- Collaborate with and support the Implementation Team to tune and evolve our Knowledge Base.
- Create, promote and apply best practices for writing, style and content in Microsoft style.
- Create training material in support of the Knowledge management process.
- Improve search results by honing and maintaining the knowledge base taxonomy, labels list and ensuring symptoms and subject terms are present in each article.
- Utilize SharePoint knowledge for site management, list creation, workflow creation/modification and document management within SharePoint.
• Coordinate with client content teams, and the Senior Training Manager to identify and address content gaps specific to contact center operations.
• Serve as a bilingual subject matter expert (English and Spanish) for contact center content development.
• Support the creation and refinement of training materials for contact center agents.
• Draft monthly action and improvement reports with recommendations on knowledge content, quality, customer satisfaction, and training materials.
• Represent the contact center perspective in content-related discussions and decisions.
• Work extensively with business partners and SMEs to perform knowledge needs analysis, develop and update training and knowledge resources that meet staff and stakeholder needs and organizational quality standards.
• Manage and develop knowledge articles, chat quick text scripts and email templates.
• Conduct audits of knowledge articles and procedures to ensure accuracy and relevance.
• Identify emerging contact center trends and coordinate content updates to address urgent needs.
• Collaborate with client content teams to create, update, and review contact center-specific content.
• Serve as a subject matter expert for assigned customer agencies.
• Salesforce and SharePoint experience preferred.
• Call center knowledge and experience preferred.
Minimum Requirements
- Bachelor's degree with 5+ years of experience.
- Advanced degree or professional designation preferred.
- Develops solutions to a variety of complex problems.
- Work requires considerable judgment and initiative.
- Exerts some influence on the overall objectives and long-range goals of the organization.
• Developing website content experience
• Self-motivated and able to work independently
EEO Statement
Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Annual salary is just one component of Maximus's total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards. Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off. Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience. An applicant's salary history will not be used in determining compensation. Maximus will comply with regulatory minimum wage rates and exempt salary thresholds in all instances.
Accommodations
Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at **************************.
Minimum Salary
$
65,000.00
Maximum Salary
$
85,200.00
Easy ApplyDirector of Reimbursement
Louisville, KY jobs
JOIN TEAM TRILOGY Weekly pay, health and dental after your first month, student loan repayment, a competitive 401(k) match, and more! Make a living while you make a difference at Trilogy Health Services - a senior living provider with the continuous goal of being the Best Healthcare Company in The Midwest.
POSITION OVERVIEW
Job Summary
The Director of Reimbursement is responsible for overseeing Medicare and Medicaid reimbursement for a multi-state skilled nursing facility (SNF) organization, with a focus on cost report preparation, submission, and audit defense. This role ensures compliance with federal and state-specific regulations in Indiana, Ohio, Michigan, and Wisconsin, and supports financial strategies to optimize reimbursement and maintain regulatory compliance.
Roles and Responsibilities
* Manages the Reimbursement Team to prepare and submit accurate Medicare and Medicaid cost reports for SNFs in Indiana, Ohio, Michigan, and Wisconsin.
* Ensures compliance with CMS Form 2540-10 and each state's Medicaid cost reporting requirements.
* Possesses working knowledge of CMS 15-1 and state-specific Medicaid reimbursement manuals.
* Leads audit responses and manages appeals with state agencies and CMS intermediaries.
* Analyzes cost report data to identify trends, risks, and reimbursement opportunities.
* Collaborates with facility administrators, clinical teams, and finance staff to ensure accurate data collection and reporting.
* Monitors regulatory changes and communicates financial implications to leadership.
* Maintains documentation and internal controls to support audit readiness.
* Provides training and guidance to internal team on reimbursement and cost reporting.
* Other duties as assigned.
Qualifications
Education: Bachelor Degree
Experience: 5-8 years
Licenses and Certifications
CPA certification preferred
2 years of Management Experience required
Physical Requirements
Sitting, standing, bending, reaching, stretching, stooping, walking, and moving intermittently during working hours. Must be able to lift at least 50lbs. Must be able to maintain verbal and written communication with co-workers, supervisors, residents, family members, visitors, vendors, and all business associates outside of the health campus.
LOCATION
US-KY-Louisville
Trilogy Health Services
303 N. Hurstbourne Parkway
Louisville
KY
BENEFITS
* Competitive salaries and weekly pay
* 401(k) Company Match
* Mental Health Support Program
* Student Loan Repayment and Tuition Reimbursement
* Health, vision, dental & life insurance kick in on the first of the month after your start date
* First time homebuyers' program
* HSA/FSA
* And so much more!
LIFE AT TRILOGY
Whether you're looking for a new chapter, a change of pace, or a helping hand, Trilogy is committed to being the best place that you've ever belonged.
Flexibility is what you want, and flexibility is what you'll get.
Come into the office because you want to - not because you have to. At Trilogy, we're proud to embrace a hybrid work environment that allows you both the convenience of working from home and the flexibility of meeting with your co-workers in person. With collaborative workspaces, rotating cubicles, and meditation areas, our freshly renovated Home Office will accommodate the working style that works best for you.
Six months of training, orientation, and fun!
We believe in setting our employees up for success. That's why your first six months are referred to as your "blue-badge" period - a time where you are encouraged to ask questions, ask for help when needed, and familiarize yourself with the company culture. Even when your blue badge period ends, you can rest assured that the Trilogy team will always have your back.
ABOUT TRILOGY HEALTH SERVICES
As one of Fortune's Best Places to Work in Aging Services, a certified Great Place to Work, and one of Glassdoor's Top 100 Best Companies to Work, Trilogy is proud to be an equal opportunity employer committed to helping you reach your full potential and to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy or any other protected characteristic as outlined by federal, state or local laws.
FOR THIS TYPE OF EMPLOYMENT STATE LAW REQUIRES A CRIMINAL RECORD CHECK AS A CONDITION OF EMPLOYMENT.
Job Summary
The Director of Reimbursement is responsible for overseeing Medicare and Medicaid reimbursement for a multi-state skilled nursing facility (SNF) organization, with a focus on cost report preparation, submission, and audit defense. This role ensures compliance with federal and state-specific regulations in Indiana, Ohio, Michigan, and Wisconsin, and supports financial strategies to optimize reimbursement and maintain regulatory compliance.
Roles and Responsibilities
* Manages the Reimbursement Team to prepare and submit accurate Medicare and Medicaid cost reports for SNFs in Indiana, Ohio, Michigan, and Wisconsin.
* Ensures compliance with CMS Form 2540-10 and each state's Medicaid cost reporting requirements.
* Possesses working knowledge of CMS 15-1 and state-specific Medicaid reimbursement manuals.
* Leads audit responses and manages appeals with state agencies and CMS intermediaries.
* Analyzes cost report data to identify trends, risks, and reimbursement opportunities.
* Collaborates with facility administrators, clinical teams, and finance staff to ensure accurate data collection and reporting.
* Monitors regulatory changes and communicates financial implications to leadership.
* Maintains documentation and internal controls to support audit readiness.
* Provides training and guidance to internal team on reimbursement and cost reporting.
* Other duties as assigned.
Qualifications
Education: Bachelor Degree
Experience: 5-8 years
Licenses and Certifications
CPA certification preferred
2 years of Management Experience required
Physical Requirements
Sitting, standing, bending, reaching, stretching, stooping, walking, and moving intermittently during working hours. Must be able to lift at least 50lbs. Must be able to maintain verbal and written communication with co-workers, supervisors, residents, family members, visitors, vendors, and all business associates outside of the health campus.
Weekly pay, health and dental after your first month, student loan repayment, a competitive 401(k) match, and more! Make a living while you make a difference at Trilogy Health Services - a senior living provider with the continuous goal of being the Best Healthcare Company in The Midwest.
Auto-ApplyETL Architect
Wisconsin jobs
Come Find Your Spark at Quartz! The ETL Architect will be responsible for the architecture, design, and implementation of data integration solutions and pipelines for the organization. This position will partner with multiple areas in the Enterprise Data Management team and the business to successfully translate business requirements into efficient and effective ETL implementations. This role will perform functional analysis, determining the appropriate data acquisition and ingestion methods, and design processes to populate various data platform layers. The ETL Architect will work with implementation stakeholders throughout the business to evaluate the state of data and constructs solutions that deliver data to enable analytics reporting capabilities in a reliable manner.
Skills this position will utilize on a regular basis:
* Informatica PowerCenter
* Expert knowledge of SQL development
* Python
Benefits:
* Opportunity to work with leading technology in the ever-changing, fast paced healthcare industry.
* Opportunity to work across the organization interacting with business stakeholders.
* Starting salary range based upon skills and experience: $107,500 - $134,400 - plus robust benefits package.
Responsibilities
* Architects, designs, enhances, and supports delivery of ETL solutions.
* Architects and designs data acquisition, ingestion, transformation, and load solutions.
* Identifies, develops, and documents ETL solution requirements to meet business needs.
* Facilitates group discussions and joins solution design sessions with technical subject matter experts.
* Develops, implements, and maintains standards and ETL design procedures.
* Contributes to the design of the data models, data flows, transformation specifications, and processing schedules.
* Coordinates ETL solution delivery and supports data analysis and information delivery staff in the design, development, and maintenance of data implementations.
* Consults and provides direction on ETL architecture and the implementation of ETL solutions.
* Queries, analyzes, and interprets complex data stored in the systems of record, enterprise data warehouse, and data marts.
* Ensures work includes necessary audit, HIPAA compliance, and security controls.
* Data Management
* Collaborates with infrastructure and platform administrators to establish and maintain scalable and reliable data processing environment for the organization.
* Identifies and triages data quality and performance issues from the ETL perspective and see them through to resolution.
* Tests and validates components of the ETL solutions to ensure successful end-to-end delivery.
* Participates in support rotation.
Qualifications
* Bachelor's degree with 8+ years of experience translating business requirements into business intelligence solutions, data visualization, and analytics solution design and development experience in a data warehouse and OLTP (Online Transaction Processing) environments, semantic layer modeling experience, and SQL programming experience.
* OR associate degree with 11+ years of experience translating business requirements into business intelligence solutions, data visualization, and analytics solution design and development experience in a data warehouse and OLTP environments, semantic layer modeling experience, and SQL programming experience.
* OR high school equivalence with 14+ years of experience translating business requirements into business intelligence solutions, data visualization, and analytics solution design and development experience in a data warehouse and OLTP environments, semantic layer modeling experience, and SQL programming experience.
* Expert understanding of ETL concepts and commercially available enterprise data integration platforms (Informatica PowerCenter, Python)
* Expert knowledge of SQL development
* Expert knowledge of data warehousing concepts, design principles, associated data management and delivery requirements, and best practices
* Expert problem solving and analytical skills
* Ability to understand and communicate data management and integration concepts within IT and to the business and effectively interact with all internal and external parties including vendors and contractors
* Ability to manage multiple projects simultaneously
* Ability to work independently, under pressure, and be adaptable to change
* Inquisitive and seek answers to questions without being asked
Hardware and equipment will be provided by the company, but candidates must have access to high-speed, non-satellite Internet to successfully work from home.
We offer an excellent benefit and compensation package, opportunity for career advancement and a professional culture built on the foundations of Respect, Responsibility, Resourcefulness and Relationships. To support a safe work environment, all employment offers are contingent upon successful completion of a pre-employment criminal background check.
Quartz values and embraces diversity and is proud to be an Equal Employment Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex, gender identity or expression, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified person with disability.
Auto-ApplyVice President-Federal Communications and Marketing (Hybrid Remote - McLean, VA / DC Area)
Bowling Green, KY jobs
Description & Requirements Maximus is seeking a dynamic and experienced Vice President-Federal Communications and Marketing to join our innovative team. The ideal candidate will bridge the gap between technology, business process services and marketing in the Federal Government sector. In this role, you will be responsible for Team Leadership and Change Management in a large organization. The VP-Federal Communications and Marketing will collaborate with cross-functional teams to drive Federal solutions and offerings. If you are a strategic thinker with a passion for technology services and marketing, and if you thrive in a dynamic and collaborative environment, we invite you to apply to the position at Maximus.
This is a hybrid position with the need to go into the office a minimum of 3 days per week and occasionally attend meetings and/or events in the Tyson Corners, VA/ Washington, DC area. This position requires some travel. The selected candidate must live in this geographical area.
Key Areas of Responsibility
- Identify, plan, develop, and oversee differentiated and impactful marketing strategies/materials.
- Developing new programs for customer engagement including integrated marketing programs from concept to execution
- Drive Maximus Federal solutions and offerings.
- Manage digital and social media strategies across the federal market
- Build, manage, and coach a high-performing marketing team.
- Direct and support market research collection, analysis, interpretation of market data for short- and long- term market forecasts and reports.
- Work closely with the growth leaders to align sales and marketing strategies
- Maintain brand standards and ensure compliance across all marketing and communications channels.
- Build long-term relationships with employees, clients, government officials, and stakeholders.
- Serve as a collaborative and senior leader on the Maximus Communication & Marketing Team, helping to align strategy and outcomes across the company.
- Drive the implementation of marketing campaigns that meet business objectives and drive customer engagement.
- Develop relationships with associations, academia and industry partners to drive thought leadership and brand elevation.
This role will develop and oversee the Maximus Federal segment marketing strategy. Responsibilities include building brand visibility in the Federal marketplace, driving customer and partner engagement to support growth goals. This position will be responsible for developing annual marketing plans building strategy, managing the cross functional team and budget and, leveraging partner relationships, driving go-to-market solutions.
Qualifications:
-15+ years of experience in a Federal Marketing and Industry Analysis position including 7+ years managing a team.
-Previous experience at a corporation focused on the Federal sector.
-Bachelor's degree in Marketing, Business, or a related field; technical background and digital marketing are a plus. Additional experience in lieu of degree will be considered.
-MA degree in Marketing, Communication, or similar relevant field, preferred.
-Outstanding communication, presentation, and leadership skills.
-In-depth knowledge of the Federal sector.
-Critical thinker with problem-solving skills.
-Strong interpersonal and communication skills.
Key Competencies include the following: Marketing and Communication Strategies, Team Leadership, Technical Expertise, Cross-Functional Collaboration, Content Development, Sales Enablement, Product and Solutions Positioning and Change Management
EEO Statement
Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Annual salary is just one component of Maximus's total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards. Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off. Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience. An applicant's salary history will not be used in determining compensation. Maximus will comply with regulatory minimum wage rates and exempt salary thresholds in all instances.
Accommodations
Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at **************************.
Minimum Salary
$
216,155.00
Maximum Salary
$
292,455.00
Easy ApplyIS Internal Auditor
Louisville, KY jobs
JOIN TEAM TRILOGY Weekly pay, health and dental after your first month, student loan repayment, a competitive 401(k) match, and more! Make a living while you make a difference at Trilogy Health Services - a senior living provider with the continuous goal of being the Best Healthcare Company in The Midwest.
POSITION OVERVIEW
Job Summary
Serves as a key liaison between IT, audit, and business teams to execute SOX 404B testing and operational IT audits. Evaluates IT controls, identifies risks, and supports remediation efforts while ensuring compliance with HIPAA, NIST, and other regulatory standards.
Roles and Responsibilities
* Acts as the primary liaison between IT, IS, external audit, and business/IT application control owners to ensure effective communication and collaboration.
* Executes SOX 404B testing over IT General Controls (ITGC), IT application controls (ITAC), and key cybersecurity controls across financially relevant systems.
* Plans and performs walkthroughs, defines populations, selects samples, evaluates configurations/parameters, reperforms automated control logic, and assesses exceptions to support auditor reliance.
* Leads and executes non-SOX operational IT audits- plan and perform routine monitoring and testing of critical IT systems
* Identifies control deficiencies and risks, recommends mitigation strategies in partnership with control owners, and follows up on remediation.
* Prepares clear, concise audit reports and present findings to management, routinely tracks audit projects, resource hours, and progress against plan; analyzes trends and outcomes; and provide reporting to support forecasting and continuous improvement of the audit plan.
* Supports the design and implementation of automated solutions for recurring audit and monitoring activities.
* Provides advanced data and reporting support to the audit team-assist with extracting system reports, structuring large datasets, and performing complex analyses (e.g., building dynamic pivot tables, reconciling data across sources, and executing comparative reviews) to enable efficient testing and insightful conclusions.
* Participates in annual IT risk assessments and consult with stakeholders in development of the IT audit plan.
* Assesses compliance with internal IT policies, regulatory requirements and industry standards, including HIPAA, NIST, and state-specific guidance.
* Reviews third-party and vendor risk management practices, including evaluating SOC 1 and SOC 2 reports, testing key controls, assessing subservice organizations, and mapping Complementary User Entity Controls (CUECs) to internal processes to ensure comprehensive coverage and compliance.
* Audits data privacy and governance practices, including encryption and data lifecycle management.
* Evaluates and participates in disaster recovery, business continuity, and incident response plans.
* Consults with internal teams on process and control development, quality improvement, and remediation activities.
* Monitors industry trends and emerging technologies to proactively identify risks, recommend improvements, and provide guidance and training to team members and control owners on relevant updates and best practices.
* Other duties as assigned.
Qualifications
Education: Bachelor Degree
Experience: 3-5 years
Licenses and Certifications
Certified Information Systems Auditor (CISA) strongly preferred.
Physical Requirements
Sitting, standing, bending, reaching, stretching, stooping, walking, and moving intermittently during working hours. Must be able to lift at least 50lbs. Must be able to maintain verbal and written communication with co-workers, supervisors, residents, family members, visitors, vendors, and all business associates outside of the health campus.
LOCATION
US-KY-Louisville
Trilogy Health Services
303 N. Hurstbourne Parkway
Louisville
KY
BENEFITS
* Competitive salaries and weekly pay
* 401(k) Company Match
* Mental Health Support Program
* Student Loan Repayment and Tuition Reimbursement
* Health, vision, dental & life insurance kick in on the first of the month after your start date
* First time homebuyers' program
* HSA/FSA
* And so much more!
TEXT A RECRUITER
Lauren **************
LIFE AT TRILOGY
Whether you're looking for a new chapter, a change of pace, or a helping hand, Trilogy is committed to being the best place that you've ever belonged.
Flexibility is what you want, and flexibility is what you'll get.
Come into the office because you want to - not because you have to. At Trilogy, we're proud to embrace a hybrid work environment that allows you both the convenience of working from home and the flexibility of meeting with your co-workers in person. With collaborative workspaces, rotating cubicles, and meditation areas, our freshly renovated Home Office will accommodate the working style that works best for you.
Six months of training, orientation, and fun!
We believe in setting our employees up for success. That's why your first six months are referred to as your "blue-badge" period - a time where you are encouraged to ask questions, ask for help when needed, and familiarize yourself with the company culture. Even when your blue badge period ends, you can rest assured that the Trilogy team will always have your back.
ABOUT TRILOGY HEALTH SERVICES
As one of Fortune's Best Places to Work in Aging Services, a certified Great Place to Work, and one of Glassdoor's Top 100 Best Companies to Work, Trilogy is proud to be an equal opportunity employer committed to helping you reach your full potential and to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy or any other protected characteristic as outlined by federal, state or local laws.
FOR THIS TYPE OF EMPLOYMENT STATE LAW REQUIRES A CRIMINAL RECORD CHECK AS A CONDITION OF EMPLOYMENT.
Job Summary
Serves as a key liaison between IT, audit, and business teams to execute SOX 404B testing and operational IT audits. Evaluates IT controls, identifies risks, and supports remediation efforts while ensuring compliance with HIPAA, NIST, and other regulatory standards.
Roles and Responsibilities
* Acts as the primary liaison between IT, IS, external audit, and business/IT application control owners to ensure effective communication and collaboration.
* Executes SOX 404B testing over IT General Controls (ITGC), IT application controls (ITAC), and key cybersecurity controls across financially relevant systems.
* Plans and performs walkthroughs, defines populations, selects samples, evaluates configurations/parameters, reperforms automated control logic, and assesses exceptions to support auditor reliance.
* Leads and executes non-SOX operational IT audits- plan and perform routine monitoring and testing of critical IT systems
* Identifies control deficiencies and risks, recommends mitigation strategies in partnership with control owners, and follows up on remediation.
* Prepares clear, concise audit reports and present findings to management, routinely tracks audit projects, resource hours, and progress against plan; analyzes trends and outcomes; and provide reporting to support forecasting and continuous improvement of the audit plan.
* Supports the design and implementation of automated solutions for recurring audit and monitoring activities.
* Provides advanced data and reporting support to the audit team-assist with extracting system reports, structuring large datasets, and performing complex analyses (e.g., building dynamic pivot tables, reconciling data across sources, and executing comparative reviews) to enable efficient testing and insightful conclusions.
* Participates in annual IT risk assessments and consult with stakeholders in development of the IT audit plan.
* Assesses compliance with internal IT policies, regulatory requirements and industry standards, including HIPAA, NIST, and state-specific guidance.
* Reviews third-party and vendor risk management practices, including evaluating SOC 1 and SOC 2 reports, testing key controls, assessing subservice organizations, and mapping Complementary User Entity Controls (CUECs) to internal processes to ensure comprehensive coverage and compliance.
* Audits data privacy and governance practices, including encryption and data lifecycle management.
* Evaluates and participates in disaster recovery, business continuity, and incident response plans.
* Consults with internal teams on process and control development, quality improvement, and remediation activities.
* Monitors industry trends and emerging technologies to proactively identify risks, recommend improvements, and provide guidance and training to team members and control owners on relevant updates and best practices.
* Other duties as assigned.
Qualifications
Education: Bachelor Degree
Experience: 3-5 years
Licenses and Certifications
Certified Information Systems Auditor (CISA) strongly preferred.
Physical Requirements
Sitting, standing, bending, reaching, stretching, stooping, walking, and moving intermittently during working hours. Must be able to lift at least 50lbs. Must be able to maintain verbal and written communication with co-workers, supervisors, residents, family members, visitors, vendors, and all business associates outside of the health campus.
Weekly pay, health and dental after your first month, student loan repayment, a competitive 401(k) match, and more! Make a living while you make a difference at Trilogy Health Services - a senior living provider with the continuous goal of being the Best Healthcare Company in The Midwest.
Auto-ApplyContact Center Patient Care Representative
Edgewood, KY jobs
**Join our dynamic team as a frontline patient care representative who interacts with our patients to provide exceptional and compassionate patient care! The patient care representative may have the option to work remotely after an introductory training period.
General Job Summary: Vital to the success of our organization with providing OrthoCincy patients and all other callers a premier Ortho experience while focusing on their individual needs.
Essential Job Functions:
Schedules appointments for patients either by phone when they call in, through the company website or when requested from the clinic via computerized message system.
Uses computerized system to match physician/clinician availability with patients' preferences in terms of date and time.
Ability to handle a high volume of incoming calls, while maintaining a high standard of productivity, efficiency and accuracy while working under pressure.
Must be able to respond to various inquiries made by patients, hospitals, insurance companies, as well as other medical entities.
Engaging in active listening with all callers, while acting as a contact point person between patients, providers and staff.
Maintains scheduling system so records are accurate and complete and can be used to analyze patient/staffing patterns. Updates physicians/clinicians or medical assistants.
Ensures that updates (e.g. cancellations or additions) are input daily into master schedule.
Send requests to clinic for prescription refills and follow up with patients on messages from clinic via computerized message system.
Establish and maintain effective working relationships with patients, providers, co-workers, and the public.
Maintaining a calm, pleasant and compassionate tone while being able to diffuse tense situations.
Follows HIPAA regulations.
Perform other duties necessary or in the best interest of the department/organization.
Requirements
Education/Experience: High school diploma. Minimum one year experience in a medical practice and/or position encouraged. Experience in a high volume call center a plus.
Other Requirements: Schedules will change as department needs change.
Performance Requirements:
Knowledge:
Knowledge of OrthoCincy's Mission, Vision and Values.
Knowledge of medical practice protocols related to scheduling appointments.
Knowledge of anatomy and medical terminology.
Knowledge of computerized scheduling systems.
Knowledge of customer service principles and techniques.
Knowledge of OSHA and safety standards.
Skills:
Skill in communicating effectively with providers, employees, customers and patients.
Skill in maintaining appointment schedule via computerized means.
Effective in critical thinking skills.
Strong communication skills in a professional manner during stressful and sensitive situations with patients of all ages.
Abilities:
Ability to multi-task effectively
Ability to communicate calmly and clearly
Ability to analyze situations and respond appropriately.
Ability to alternate between multiple computer systems in a timely manner.
Equipment Operated: Standard office equipment.
Work Environment: Standard call center workstation.
Mental/Physical Requirements: Involves sitting and viewing a computer monitor 90% of the work day. Must be able to remain focused and attentive without distractions (i.e. personal devices).
Network Engineer II - Hybrid/Remote within MCHS locations
Marshfield, WI jobs
Come work at a place where innovation and teamwork come together to support the most exciting missions in the world!Job Title:Network Engineer II - Hybrid/Remote within MCHS locations Cost Center:101651147 System Support-IS-Infrastructure SvcsScheduled Weekly Hours:40Employee Type:RegularWork Shift:40 Normal (United States of America) Job Description:
JOB SUMMARY
This position is open to remote/hybrid work located near one of our Marshfield Clinic Health System Locations. Candidates outside of our service area will be considered but would need to relocate to Wisconsin.
The Network Engineer II is responsible for meeting project goals as well as maintaining the day-to-day operation of computer networks for Marshfield Clinic Health System. This individuals primary duties include project installations, maintenance and administration of network hardware, software and other related components.
JOB QUALIFICATIONS
EDUCATION/EXPERIENCE
For positions requiring education beyond a high school diploma or equivalent, educational qualifications must be from an institution whose accreditation is recognized by the Council for Higher Education and Accreditation.
Minimum Required: Bachelor's degree in an IT related field and two years of relevant work experience or Associate Degree in an Information Technology field and four years of relevant work experience or Six years of relevant work experience.
The experience indicated above must be in networking in an enterprise environment for one or more of the following:
Cisco Network Routing and Switching
Network Monitoring and troubleshooting tools
Cisco Wireless LAN controllers
Preferred/Optional: Experience with Palo Alto or Cisco Firewalls and Network Load Balancers.
CERTIFICATIONS/LICENSES
The following licensure(s), certification(s), registration(s), etc., are required for this position. Licenses with restrictions are subject to review to determine if restrictions are substantially related to the position.
Minimum Required: Vendor certifications may be required. State of Wisconsin valid Driver's License with an acceptable driving record.
Preferred/Optional: Cisco Certified Network Associate (CCNA) or equivalent certification.
Marshfield Clinic Health System is committed to enriching the lives of others through accessible, affordable and compassionate healthcare. Successful applicants will listen, serve and put the needs of patients and customers first.
Exclusion From Federal Programs: Employee may not at any time have been or be excluded from participation in any federally funded program, including Medicare and Medicaid. This is a condition of employment. Employee must immediately notify his/her manager or the Health System's Compliance Officer if he/she is threatened with exclusion or becomes excluded from any federally funded program.
Marshfield Clinic Health System is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected veteran status, age, or any other characteristic protected by law.
Auto-ApplyManager of Revenue Cycle
Louisville, KY jobs
JOIN TEAM TRILOGY Weekly pay, health and dental after your first month, student loan repayment, a competitive 401(k) match, and more! Make a living while you make a difference at Trilogy Health Services - a senior living provider with the continuous goal of being the Best Healthcare Company in The Midwest.
POSITION OVERVIEW
Job Summary
The Revenue Cycle Manager oversees all aspects of the billing, collections, and reimbursement processes for a Skilled Nursing Facility (SNF) and Senior Housing portfolio. This role ensures accurate and timely billing, maximizes reimbursement, and drives process improvements across payer types including Medicare, Medicaid, Managed Care, and Private Pay. The manager will work closely with facility leadership, admissions, and accounting teams to ensure complete and compliant revenue capture, census reconciliation, and cash flow optimization.
Roles and Responsibilities
* Manages end-to-end billing and collections for SNF and senior housing entities, including Medicare A/B, Medicaid, Managed Care, and Private Pay accounts.
* Oversees the accuracy of census, charge capture, and claim submission processes to minimize denials and delays.
* Conducts regular revenue cycle audits to ensure compliance with regulatory and payer requirements.
* Monitors key performance indicators (KPIs) such as days in A/R, DSO, bad debt percentage, and collection rates.
* Leads monthly census reconciliation processes in collaboration with Admissions, MDS, and Finance.
* Supervises and mentors billing, collections, and cash posting staff.
* Collaborates with facility business office managers and regional operations leaders to resolve reimbursement and payment issues.
* Partners with accounting and financial reporting teams to ensure accurate month-end close and revenue recognition.
* Manages the appeals process for denied or underpaid claims-ensuring appeals are supported with appropriate documentation, clinical records, and regulatory references.
* Maintains current knowledge of Medicare/Medicaid regulations, managed care contract terms, and evolving reimbursement models.
* Ensures compliance with HIPAA, payer, and state/federal billing regulations.
* Oversees denial management, appeals process, and root cause analysis to implement corrective action plans.
* Identifies opportunities for automation and workflow enhancement to improve billing efficiency.
* Develops and distributes monthly revenue cycle reports and dashboards for leadership.
* Supports implementation and optimization of EHR, billing, and collection systems.
* Partners with Accounting to ensure accurate and timely month-end close processes for all SNF and senior housing entities.
* Partners with accounting to reconcile accounts receivable subledgers to the general ledger and resolve discrepancies.
* Reviews and validates monthly revenue and adjustment entries to ensure accuracy of financial reporting.
* Prepares and submits month-end revenue cycle reports and variance analyses to management.
* Provides detailed A/R aging, cash posting summaries, and payer trend data to support financial statements.
* Supports audit requests and provide documentation for internal and external financial reviews.
* Other duties as assigned
Qualifications
Education: High School / GED
Experience: 5-8 years
Licenses and Certifications
Bachelors Degree preferred
Experience with multi-facility revenue cycle operations.
Prior experience leading census reconciliation and payer audits.
Working knowledge of Medicare, Medicaid, Managed Care, and Private Pay billing processes and associated reimbursement methodologies.
Proficiency with electronic billing systems and EHR platforms (e.g., PointClickCare, MatrixCare, or similar).
Strong attention to detail, organization, and accuracy.
Physical Requirements
Sitting, standing, bending, reaching, stretching, stooping, walking, and moving intermittently during working hours. Must be able to lift at least 50lbs. Must be able to maintain verbal and written communication with co-workers, supervisors, residents, family members, visitors, vendors, and all business associates outside of the health campus.
LOCATION
US-KY-Louisville
Trilogy Health Services
303 N. Hurstbourne Parkway
Louisville
KY
BENEFITS
* Competitive salaries and weekly pay
* 401(k) Company Match
* Mental Health Support Program
* Student Loan Repayment and Tuition Reimbursement
* Health, vision, dental & life insurance kick in on the first of the month after your start date
* First time homebuyers' program
* HSA/FSA
* And so much more!
LIFE AT TRILOGY
Whether you're looking for a new chapter, a change of pace, or a helping hand, Trilogy is committed to being the best place that you've ever belonged.
Flexibility is what you want, and flexibility is what you'll get.
Come into the office because you want to - not because you have to. At Trilogy, we're proud to embrace a hybrid work environment that allows you both the convenience of working from home and the flexibility of meeting with your co-workers in person. With collaborative workspaces, rotating cubicles, and meditation areas, our freshly renovated Home Office will accommodate the working style that works best for you.
Six months of training, orientation, and fun!
We believe in setting our employees up for success. That's why your first six months are referred to as your "blue-badge" period - a time where you are encouraged to ask questions, ask for help when needed, and familiarize yourself with the company culture. Even when your blue badge period ends, you can rest assured that the Trilogy team will always have your back.
ABOUT TRILOGY HEALTH SERVICES
As one of Fortune's Best Places to Work in Aging Services, a certified Great Place to Work, and one of Glassdoor's Top 100 Best Companies to Work, Trilogy is proud to be an equal opportunity employer committed to helping you reach your full potential and to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy or any other protected characteristic as outlined by federal, state or local laws.
FOR THIS TYPE OF EMPLOYMENT STATE LAW REQUIRES A CRIMINAL RECORD CHECK AS A CONDITION OF EMPLOYMENT.
Job Summary
The Revenue Cycle Manager oversees all aspects of the billing, collections, and reimbursement processes for a Skilled Nursing Facility (SNF) and Senior Housing portfolio. This role ensures accurate and timely billing, maximizes reimbursement, and drives process improvements across payer types including Medicare, Medicaid, Managed Care, and Private Pay. The manager will work closely with facility leadership, admissions, and accounting teams to ensure complete and compliant revenue capture, census reconciliation, and cash flow optimization.
Roles and Responsibilities
* Manages end-to-end billing and collections for SNF and senior housing entities, including Medicare A/B, Medicaid, Managed Care, and Private Pay accounts.
* Oversees the accuracy of census, charge capture, and claim submission processes to minimize denials and delays.
* Conducts regular revenue cycle audits to ensure compliance with regulatory and payer requirements.
* Monitors key performance indicators (KPIs) such as days in A/R, DSO, bad debt percentage, and collection rates.
* Leads monthly census reconciliation processes in collaboration with Admissions, MDS, and Finance.
* Supervises and mentors billing, collections, and cash posting staff.
* Collaborates with facility business office managers and regional operations leaders to resolve reimbursement and payment issues.
* Partners with accounting and financial reporting teams to ensure accurate month-end close and revenue recognition.
* Manages the appeals process for denied or underpaid claims-ensuring appeals are supported with appropriate documentation, clinical records, and regulatory references.
* Maintains current knowledge of Medicare/Medicaid regulations, managed care contract terms, and evolving reimbursement models.
* Ensures compliance with HIPAA, payer, and state/federal billing regulations.
* Oversees denial management, appeals process, and root cause analysis to implement corrective action plans.
* Identifies opportunities for automation and workflow enhancement to improve billing efficiency.
* Develops and distributes monthly revenue cycle reports and dashboards for leadership.
* Supports implementation and optimization of EHR, billing, and collection systems.
* Partners with Accounting to ensure accurate and timely month-end close processes for all SNF and senior housing entities.
* Partners with accounting to reconcile accounts receivable subledgers to the general ledger and resolve discrepancies.
* Reviews and validates monthly revenue and adjustment entries to ensure accuracy of financial reporting.
* Prepares and submits month-end revenue cycle reports and variance analyses to management.
* Provides detailed A/R aging, cash posting summaries, and payer trend data to support financial statements.
* Supports audit requests and provide documentation for internal and external financial reviews.
* Other duties as assigned
Qualifications
Education: High School / GED
Experience: 5-8 years
Licenses and Certifications
Bachelors Degree preferred
Experience with multi-facility revenue cycle operations.
Prior experience leading census reconciliation and payer audits.
Working knowledge of Medicare, Medicaid, Managed Care, and Private Pay billing processes and associated reimbursement methodologies.
Proficiency with electronic billing systems and EHR platforms (e.g., PointClickCare, MatrixCare, or similar).
Strong attention to detail, organization, and accuracy.
Physical Requirements
Sitting, standing, bending, reaching, stretching, stooping, walking, and moving intermittently during working hours. Must be able to lift at least 50lbs. Must be able to maintain verbal and written communication with co-workers, supervisors, residents, family members, visitors, vendors, and all business associates outside of the health campus.
Weekly pay, health and dental after your first month, student loan repayment, a competitive 401(k) match, and more! Make a living while you make a difference at Trilogy Health Services - a senior living provider with the continuous goal of being the Best Healthcare Company in The Midwest.
Auto-ApplySr. Consultant, Change Management
Frankfort, KY 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**
Are you ready to lead change at the forefront of healthcare innovation in patient access and support?
Sonexus is undergoing a major transformation-scaling rapidly, reimagining how we deliver patient services, integrating emerging technologies & AI, and collaborating across the specialty pharma ecosystem. We're looking for a Senior Change & Transformation Consultant who's not just experienced but energized by the opportunity to shape the future of patient care and a rapidly growing business division of Cardinal Health.
This is a high-impact role reporting to the Director of Business Transformation and Change Management. This consultant will be responsible for driving adoption, inspiring stakeholders, and embedding lasting change across complex, regulated environments. Too often, patients forego or can't complete prescribed therapy because of complicated qualification processes, unmanageable costs, or uncertainty about their medications. Cardinal Health Sonexus Access and Patient Support combines best-in-class program and pharmacy operations with smart digital tools to streamline patient onboarding and increase adherence to prescribed care. If you thrive in fast-paced settings and want to make a real difference in the lives of patients, this is your moment.
**Responsibilities**
· Design and execute enterprise-level change strategies that support transformation across patient services, pharmacy operations, and digital/AI innovation.
· Conduct impact assessments, stakeholder analyses, and readiness evaluations to guide successful implementation.
· Build strong partnerships across Patient Access, Case Management, Specialty Hubs, Pharmacy Operations, IT, and executive leadership.
· Develop and facilitate dynamic workshops to elevate organizational change capability and leadership transformation IQ to scale a rapidly growing business.
· Design communication strategies, plans, and craft visually appealing and compelling communications (infographics, Veeva Engage posts, slides, manager huddle scripts) tailored to diverse audiences-from frontline teams to senior leaders.
· Champion AI initiatives includes building use cases, managing barriers to change and adoption, and managing the complex people-side of change for adopting AI (must have prior experience).
· Monitor adoption metrics, create surveys, feedback loops, and performance indicators to ensure long-term success.
· Identify risks and lead proactive mitigation strategies to keep business and AI transformation momentum strong. Leverage data and insights to refine approaches.
· Contribute to the evolution of our new Transformation and Change office.
**Qualifications**
· Bachelor's degree in Business, Organizational Development, Healthcare Administration, or related field, preferred
· Strong consulting, communication, analysis, data gathering and organizational skills.
· Microsoft Office 365 (Teams, Copilot) Proficiency preferred
· Ability to work in a fast-paced, collaborative environment and deliver quality results within aggressive timeframes.
· Willingness to travel up to 25%.
· Must be willing to work Central Time Zone business hours. Prefer candidates located in Columbus, OH or Dallas, TX area.
· 6+ years of experience in change management with AI, digital business transformation experience, preferred
· Prosci certification required; CCMP certification preferred with advanced certifications in digital/AI transformation, coaching, training facilitation, lean six sigma, organizational development (ODCP), etc.
· Deep understanding and application of Change Management methodology end-to-end from strategy and planning to change impact analysis, communications plans and messaging, stakeholder analysis and engagement, readiness assessments, training and facilitation, change reporting and metrics, and reinforcement and sustainability.
· Must be comfortable and proficient delivering change and transformation workshops and courses.
· Proven success managing change for AI-driven solutions, preferred within patient services or pharmacy operations.
· Solid understanding of the specialty pharma ecosystem, with highly preferred experience in Payors, PBMs, Specialty Hubs, Patient Services, Patient Assistance Programs, Medicaid, and Pharmacy Operations.
· Exceptional communication, executive presence, facilitation, and stakeholder management skills.
· Experience with CRM platforms like Salesforce, patient support technologies, or specialty pharmacy systems is a plus.
· Can identify the differences between change and transformation, and provide work/project examples, including knowledge of transformation methodologies, models, AI strategy/transformation models, frameworks, building roadmaps. Framework examples include SAP BTM2, USAII, and CXO Transform.
· Knowledge of product, agile methodologies a plus.
**Why Join Us?**
· Be a catalyst for change in a mission-driven organization transforming patient care.
· Work alongside passionate professionals in a collaborative, forward-thinking environment.
· Lead initiatives that integrate cutting-edge technologies like AI to improve outcomes and efficiency.
· Make a lasting impact on how specialty pharma supports patients across the care continuum.
**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 highspeed 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 issue
**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:** 1/13/2026 *if interested in opportunity, please submit application as soon as possible.
The salary 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 (***************************************************************************************************************************
Software Engineering Intern (Spring 2026)
Kentucky jobs
ABOUT NAR Simulation Our mission is to develop and produce realistic training tools that provide the realism demanded by our military and emergency medical clients. In addition to the realism, true training tools need to be a complement to training exercises, not a piece that demand time and attention. Training sessions are effective, both in cost and in educational value, when they can be repeated with minimal interruption - they must serve the greatest number for the greatest amount of time.
This NAR Associate will participate as a TEAM member within the Simulations department and help facilitate smooth processes among other team members.
ESSENTIAL RESPONSIBILITIES
This is not an all-inclusive list of duties and responsibilities. Projects/duties may be change as dictated by the needs of the business.
* Experience developing software for the following languages/platforms
* C#
* WPF
* Visual Studio or similar
* .NET Framework
* Git
* Design, test and develop software components that work with existing software
* Familiarity working with medium-sized code bases (>10,000 LOC)
* Familiarity designing and developing user interfaces
* Familiarity working with a messaging API to request/respond to remote devices
* Familiarity gathering and analyzing requirements
* Punctual and dependable. As a student position, work scheduling is flexible relative to your class schedule, but once hours are set for the semester adherence to the agreed upon schedule is expected.
* Remote work eligibility will be considered on a case-by-case basis. Reliable transportation to and from our LaGrange, KY facility is required for on-site work.
AUTHORITY
* Works on a small multi-disciplinary engineering team
* Reports to lead Software Engineer.
ACCOUNTABILITY
* Provides design support to the engineering team
QUALIFICATIONS
Education
* Junior level status towards a BS in an ABET accredited software development program. Proof of enrollment is required
Competency and Skills
* Basic computer skills (Word, Excel, e-mail)
* Knowledge of fundamental software development principles
Experience
* Prior work experience a plus, but not required
Specific Characteristics
* Self-starter - ability to carry a task from start to finish with minimal direction.
* Task oriented - ability to define tasks from vague concepts, handles multiple tasks, prioritizes, periodically provides updates to supervisor.
* Builds effective working relationships.
* Consistently applies good communication skills: both oral and written.
* Possesses strong quality orientation, attention to detail, and personal desire to meet/exceed requirements.
* Works effectively and efficiently with limited direction and supervision.
* Demonstrates ability to change direction and focus as directed.
DEMANDS
Time and Availability
* Must be able to work a minimum of 15 hours, but not exceeding 40 hours, each week. Schedule to be determined dependent on class schedule within our normal operating hours of 8:00 AM and 5:00 PM, Monday - Friday.
Travel
* Travel is optional as schedule permits. Travel will generally be limited to the greater Louisville, KY area and not to exceed 10% of the time.
Physical
The physical demands described here are representative of those that must be met by a typical office employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
* Occasional bending, stooping, squatting, kneeling, crawling, reaching, and lifting of up to 25 lbs.
Environment (on-site)
* Must be able to work in a moderate industrial noise level environment up to 80 dB (not needed on a consistent basis but will need occasionally)
* Must be able to work in a non-smoking facility.
* Due to the nature of our business, you will encounter simulated sounds and images of a medically graphic nature. Discretion is advised.
* You may be inadvertently exposed to smoke, dust, engine exhaust, coolant mists, organic vapors, sudden loud noises and/or bright flashing lights while working in our facility. Any disabilities relating to the aforementioned will be reasonably accommodated and PPE will be provided as needed.
DISCLAIMERS
* AAP/EEO Statement
NAR Training provides equal employment opportunity to all individuals regardless of their race, color, creed, religion, gender, age, sexual orientation, national origin, disability, veteran status, or any other characteristic protected by state, federal, or local law. Further, the company takes affirmative action to ensure that applicants are employed and employees are treated during employment without regard to any of these characteristics. Discrimination of any type will not be tolerated.
Care Manager Float Part-Time (Hybrid)
De Pere, WI jobs
Join our award winning culture as we serve members in your area!
The part-time Care Manager (CM) Float acts as a temporary member of an interdisciplinary team (IDT), serving frail elders, adults with physical disabilities and adults with intellectual/developmental disabilities who are members of Lakeland Care (LCI). The team's goal is to support members of LCI in navigating health systems and utilizing resources to promote optimal health and wellness by providing high quality, person-centered, outcome-based care.
The part-time CM Float provides care management in partnership with a part-time Registered Nurse Care Manager (RN CM) Float to LCI members. The part-time CM Float coordinates and designs provision of services and supports based on a comprehensive assessment of the member's identified outcomes and needs.
This part-time CM Float is a job-sharing position. It will provide coverage for Care Managers during periods of extended leaves of absence, filling a time between the departure and hiring/training of a new employee, or any other reason deemed appropriate by the CM Supervisor/Program Manager. The part-time CM Float will be responsible for coordinating shadowing opportunities and warm hand offs as caseload transitions occur. This position will ideally carry a half caseload at a given time but may vary based on business need.
The part-time CM Float position may be required to cover multiple service regions and be flexible with travel time.
Responsibilities & Competencies:
Conduct a comprehensive assessment of the member's outcomes, needs and risks; and conduct a reassessment as the member's outcomes and/or condition changes.
Coordinate care and benefits to ensure a comprehensive support approach, as well as on-going access to federal and state programs.
Monitor and evaluate the members' outcome-based member-centered plans, considering cost and effectiveness in authorizing services and choosing providers.
Coordinate and participate in home visits and care conferences involving the member, their supports and providers to assess and reassess long-term care needs and coordinate appropriate interventions.
Implement risk mitigation strategies to promote the member's health, safety and independence while respecting the member's rights.
Create and maintain member records as required by the Department of Health Services (DHS) contract and LCI policy.
Participate in on-going training as required; maintain current knowledge to ensure compliance with Federal and State regulations, LCI policy and procedure and accepted professional standards.
Strong time management skills to manage workload and caseload logistics.
Ability to establish relationships across LCI with the assigned CM Supervisor, team and their support divisions during times of coverage.
Maintain the confidentiality of member information and protected health information (PHI) as required by State and Federal regulations, including the Health Insurance Portability and Accountability Act (HIPAA) of 1996.
Requirements
Certified Social Worker in the State of Wisconsin with a minimum of one (1) year experience working with at least one of the Family Care target populations, or
A four-year bachelor's degree or more advanced degree in Human Services or related field with one (1) year experience working with at least one of the family care populations, or
A four-year bachelor's degree or more advanced degree in any other area than Human Services with a minimum of three (3) years' experience working with at least one of the Family Care target populations.
Ability to be adaptable, prioritize and work in a fast-paced environment.
Working knowledge of computers, computer programs, typing, and data entry.
Ability to access members' homes which are not required to comply with the ADA regulations.
Ability to lift up to 25lbs.
Current driver's license, acceptable driving record and proof of adequate insurance.
-------------------------------------------------------------------------------------------------
Lakeland Care is a Wisconsin-based non-profit organization that focuses on creating a world we all want to live in. With long-standing roots as a managed care organization (MCO), we provide long-term care services through public and private care management to eligible elders and individuals with physical and intellectual or developmental disabilities. Additionally, we have branched out to provide organizational and professional development services to businesses within our communities. Our service offerings allow us to live our mission! Currently we serve members in 22 counties and have 10 offices throughout the Central to North East region of Wisconsin.
Our Mission
Empowering individuals. Strengthening communities. Inspiring futures.
Our Vision
To create a world we all want to live in.
Our Core Values
Kindness - We believe kindness is always possible and that no compassionate act is ever wasted.
Inclusion - We believe that open hearts and open minds are the only path to a brighter future.
Trust - We believe that honesty is still in style and that promises still have power.
We are an equal employment opportunity employer functioning under an Affirmative Action Plan. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, disability status, protected veteran status or any other characteristic protected by law. We are an organization that participates in E-Verify.
Reimbursement Auditing Specialist (Remote in Wisconsin)
Marshfield, WI jobs
Come work at a place where innovation and teamwork come together to support the most exciting missions in the world!Job Title:Reimbursement Auditing Specialist (Remote in Wisconsin) Cost Center:101651059 Coding-Audit Appeals EducScheduled Weekly Hours:40Employee Type:RegularWork Shift:Mon-Fri; day shifts (United States of America) Job Description:
**Wisconsin residents only eligible to apply**
JOB SUMMARY
The Reimbursement Auditing Specialist assists personnel in various areas of Revenue Integrity/Revenue Cycle as needed to properly code clinic, inpatient, outpatient, emergency room, nursing home, homecare/hospice, dialysis, OR/ambulatory surgery, supply and Durable Medical Equipment (DME) and regional center services. This individual is required to have knowledge and coding expertise of various CMS specialties and subspecialties within the Marshfield Clinic Health System. This Reimbursement Auditing Specialist reviews surgical and medical record documentation to assure complete/accurate charging for all properly documented services. This individual will utilize their leadership, analytical, and problem solving skills to complete audits, identify and resolve coding issues, and educate staff for training purposes or to optimize coding/billing results.
JOB QUALIFICATIONS
EDUCATION
For positions requiring education beyond a high school diploma or equivalent, educational qualifications must be from an institution whose accreditation is recognized by the Council for Higher Education and Accreditation.
Minimum Required: AHIMA or AAPC approved Medical Coding Diploma or Health Information Management Degree or related program.
Preferred/Optional: Associate degree in Medical Billing and Coding, Health Information Management, or a related field.
EXPERIENCE
Minimum Required: Three years of coding experience.
Preferred/Optional: Three years progressive surgical coding/auditing experience.
CERTIFICATIONS/LICENSES
The following licensure(s), certification(s), registration(s), etc., are required for this position. Licenses with restrictions are subject to review to determine if restrictions are substantially related to the position.
Minimum Required: Coding certification from the AAPC, AHIMA, or other approved coding certification.
Preferred/Optional: None
**Wisconsin residents only eligible to apply**
Marshfield Clinic Health System is committed to enriching the lives of others through accessible, affordable and compassionate healthcare. Successful applicants will listen, serve and put the needs of patients and customers first.
Exclusion From Federal Programs: Employee may not at any time have been or be excluded from participation in any federally funded program, including Medicare and Medicaid. This is a condition of employment. Employee must immediately notify his/her manager or the Health System's Compliance Officer if he/she is threatened with exclusion or becomes excluded from any federally funded program.
Marshfield Clinic Health System is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected veteran status, age, or any other characteristic protected by law.
Auto-ApplyDENIAL COORDINATOR, FCH - PATIENT FINANCIAL SERVICES
Menomonee Falls, WI jobs
Discover. Achieve. Succeed. #BeHere This job is fully REMOTE. FTE: 1.000000 Standard Hours: 40 Shift: 1st Shift Details: Standard office hours are 8am - 4:30pm but there is flexibility with your schedule.
Job Summary:
Responsible for collecting, analyzing, and distributing denial and write off data for federal, state and commercial payers. Identifies trends and issues related to denials and write offs. Works with other departments including Admitting, Health Information Management (HIM), Case Management, clinical staff, Resource Management and Patient Financial Services (PFS) to implement process improvements for denial and write off reduction strategies. Other duties as assigned.
EXPERIENCE:
* Minimum of five years of hospital billing office, or utilization review or coding experience in a hospital setting is required.
* Experience in denial management is preferred.
EDUCATION:
* Bachelor's Degree is required.
* In lieu of degree equivalent relevant hospital experience is required. Relevant experience would include: team lead or supervisor experience in a hospital billing office, extensive experience leading denial management activities including report writing, leading workgroup activities related to denials, implementing denial reduction tactics, and tracking of outcomes over time. Prior job history should include experience that would be commonly gained through bachelors degree education including writing competency and public presentation.
SPECIAL SKILLS:
* Analysis and Project management for Denials and Claims, Report writing knowledge, and comfortable presenting In front of C-level executives.
* Microsoft Office applications, Document Imaging , Midas, Patient Accounting systems, Knowledge of medical terminology and coding.
* Knowledge of the revenue cycle, payer claim adjudication process and payer denial reasons.
* Knowledge of managed care contracts and government billing (Medicare & Medicaid) as it applies to reimbursement and denials, appropriate medical necessity documentation in the medical record, ICD-9 codes that apply to CMS's LCD and NCD coverage, CMS and commercial payor regulations and medical necessity criteria for inpatient and outpatient LOC.
Compensation, Benefits & Perks at Froedtert Health
Pay is expected to be between: (expressed as hourly) $24.05 - $38.48. Final compensation is based on experience and will be discussed with you by the recruiter during the interview process.
Froedtert Health Offers a variety of perks & benefits to staff, depending on your role you may be eligible for the following:
* Paid time off
* Growth opportunity- Career Pathways & Career Tuition Assistance, CEU opportunities
* Academic Partnership with the Medical College of Wisconsin
* Referral bonuses
* Retirement plan - 403b
* Medical, Dental, Vision, Life Insurance, Short & Long Term Disability, Free Workplace Clinics
* Employee Assistance Programs, Adoption Assistance, Healthy Contributions, Care@Work, Moving Assistance, Discounts on gym memberships, travel and other work life benefits available
The Froedtert & the Medical College of Wisconsin regional health network is a partnership between Froedtert Health and the Medical College of Wisconsin supporting a shared mission of patient care, innovation, medical research and education. Our health network operates eastern Wisconsin's only academic medical center and adult Level I Trauma center engaged in thousands of clinical trials and studies. The Froedtert & MCW health network, which includes ten hospitals, nearly 2,000 physicians and more than 45 health centers and clinics draw patients from throughout the Midwest and the nation.
We are proud to be an Equal Opportunity Employer who values and maintains an environment that attracts, recruits, engages and retains a diverse workforce. We welcome protected veterans to share their priority consideration status with us at ************. We maintain a drug-free workplace and perform pre-employment substance abuse testing. During your application and interview process, if you have a need that requires an accommodation, please contact us at ************. We will attempt to fulfill all reasonable accommodation requests.