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Grand Strand Medical Center Remote jobs

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  • Quality Analyst - Remote

    Maximus 4.3company rating

    Charleston, SC jobs

    Description & Requirements Maximus is seeking a detail-oriented and experienced Quality Analyst. This role is responsible for conducting quality evaluations of staff performance, supporting calibration sessions, and ensuring alignment with client-defined quality standards. The ideal candidate will demonstrate strong analytical and communication skills, and a commitment to continuous improvement. *Position is contingent upon contract award* This is a fully remote role. Must have the ability to pass a federal background check. Equipment will be provided but must meet the remote position requirement provided below. 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: - Conduct internal audits for the quality assurance program to ensure that quality metric requirements of the project are being met. - Collaborate in developing new procedures and update existing procedures when changes occur. - Analyze reports on operational performance and provide solutions to identified issues. - Analyze and develop routine and ad hoc reports on project performance, and research and suggest solutions to identified issues. - Conduct monitoring activities and audits for quality assurance purposes and to support the effective functioning of the project. - Analyze quality program data to identify trends and to develop and implement corrective action plans as appropriate. - Assist with monitoring performance and meeting contractual requirements using system applications. - Assist in the production and update of staff resource materials including knowledge management system, quick reference guide, matrices, charts, and workflows. - Assist with staff training for the purpose of achieving and maintaining quality program goals. - Analyze effectiveness of key initiatives and quality improvement efforts. - Perform other duties as assigned by management. • Participate in calibration sessions to ensure consistency and alignment in quality evaluations across the team. • Utilize AI tools and technologies to support quality assurance activities, data analysis, and reporting. • Assist the center with taking calls as needed to support operations and maintain service levels. Minimum Requirements - Bachelor's degree in relevant field of study and 3+ years of relevant professional experience required, or equivalent combination of education and experience. • Monitor agent interactions to ensure adherence to quality standards and provide timely, constructive feedback. • Meet daily, weekly, and monthly monitoring goals by completing required evaluations, delivering timely feedback, and documenting results to support overall quality targets. • Maintain strong organizational skills to effectively track monitors across different lines of business • Collaborate in the development and revision of procedures in response to operational changes. • Analyze operational and quality data to identify trends, gaps, and opportunities for improvement. • Make recommendations based on data analysis to enhance performance and service delivery. • Participate in and contribute to calibration sessions to ensure consistency in quality evaluations. • Assist in training initiatives aimed at improving agent performance and overall quality scores. • Support the creation and maintenance of staff resource materials, including guides, workflows, and reference documents. • Utilize AI tools and technologies to enhance quality assurance processes, reporting, and decision-making. • Take calls as needed to support center operations and maintain service levels. • Participate in pilots and provide feedback from a quality assurance perspective to help inform improvements to quality metrics. • Perform other duties as assigned by 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 $ 50,000.00 Maximum Salary $ 61,000.00
    $60k-82k yearly est. Easy Apply 2d ago
  • Director of Operations

    Cardinal Health 4.4company rating

    Columbia, SC 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 (***************************************************************************************************************************
    $77k-101k yearly est. 22d ago
  • Care Advisor - Remote

    Sharecare 4.4company rating

    Columbia, SC jobs

    Sharecare is the leading digital health company that helps people - no matter where they are in their health journey - unify and manage all their health in one place. Our comprehensive and data-driven virtual health platform is designed to help people, providers, employers, health plans, government organizations, and communities optimize individual and population-wide well-being by driving positive behavior change. Driven by our philosophy that we are all together better, at Sharecare, we are committed to supporting each individual through the lens of their personal health and making high-quality care more accessible and affordable for everyone. To learn more, visit ***************** . **Job Summary:** CareLinx is looking for a Care Advisor to assist with CareLinx's Payer Operations line of business. CareLinx is a healthcare technology platform that connects families with non-medical, in-home caregivers, and Care Advisors provide support and guidance to families during the caregiver search, interview, and hire process. Once a caregiver match is made, the Care Advisor will follow closely to ensure satisfaction and assist if the member's needs change. This support includes searching for viable caregiver candidates, setting up interviews, helping with the completion of the hiring process, and caregiver retention. You will be a liaison, maintaining relationships with caregivers and providing ongoing support to ensure that members have an exceptional experience while working with their caregivers. As a Care Advisor, you are the expert for members and families about all things CareLinx-related. You need to love interacting with people and be committed to providing stellar customer service and empathetic guidance for members during their in-home care journey. You should also be a team player and be willing to learn about CareLinx's health plan partners. If you think there's alignment with the description above, CareLinx may be the place for you. **Location:** This role is remote, except for candidates located in the Mesa, AZ area. Those based near our Mesa office will be required to work on-site five days per week. **Job Type:** Full-Time, Hourly **Essential Job Functions:** + Assume responsibility for guiding members on the caregiver search journey through relationship building and exceptional communication in a call center environment. + Provide ongoing support after the caregiver hire to maintain the relationship with the family and caregiver and ensure overall satisfaction + Document accurate and complete notes of all family and caregiver interactions in CareLinx's EHR system + Work collaboratively and professionally with other team members and teams within CareLinx + Exhibit excellent verbal and written communication skills via phone, email, and text **Specific Skills/ Attributes:** + Effective time management skills and high attention to detail + Excellent verbal and written communication skills + Superior organization and multitasking capabilities + Goal-driven, problem solver + Professional, confident, outgoing demeanor + Experience working with Microsoft Office Suite + Ability to maintain strict confidentiality, and exercise good judgment + Care Advisors are expected to meet performance goals set forth per CareLinx guidelines + Additional job duties may be assigned on an as-needed basis **Qualifications:** + High school diploma or equivalent, required + Military experience is a plus but not required + Some college-level coursework, preferred + At least one year of experience in a productivity based customer service role, or call center environment or a minimum of 2 years experience in a customer service environment. + Previous healthcare experience preferred Sharecare and its subsidiaries are Equal Opportunity Employers and E-Verify users. Qualified applicants will receive consideration for employment without regard to race, color, sex, national origin, sexual orientation, gender identity, religion, age, equal pay, disability, genetic information, protected veteran status, or other status protected under applicable law. Sharecare is an Equal Opportunity Employer and doesn't discriminate on the basis of race, color, sex, national origin, sexual orientation, gender identity, religion, age, disability, genetic information, protected veteran status,or other non-merit factor.
    $71k-93k yearly est. 28d ago
  • Sr. Knowledge Analyst - Contact Center Content Specialist (Remote)

    Maximus 4.3company rating

    Columbia, SC 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
    $58k-69k yearly est. Easy Apply 2d ago
  • Ambulatory Coder Professional Billing, FT, Days, - Remote

    Prisma Health 4.6company rating

    Columbia, SC jobs

    Inspire health. Serve with compassion. Be the difference. Responsible for validating/reviewing and assigning applicable CPT, ICD-10, Modifiers and HCPCS codes for inpatient, outpatient and physicians office/clinic settings. Adheres to all coding and compliance guidelines. Maintains knowledge of coding/billing updates and payer specific coding guidelines for multi-specialty medical practice(s). Communicates with providers and team members regarding coding issues. Essential Functions * All team members are expected to be knowledgeable and compliant with Prisma Health's values: Inspire health. Serve with compassion. Be the difference. * Validates/reviews codes for assigned provider(s)/Division(s) based on medical record documentation. Adheres to all coding and compliance guidelines. * Responsible for resolving all assigned pre-billing edits * Communicates billing related issues and participates in meetings to improve overall billing process * Provides feedback to providers in order to clarify and resolve coding concerns. * Assists in identifying areas that need additional training. * Performs other duties as assigned. Supervisory/Management Responsibilities * This is a non-management job that will report to a supervisor, manager, director or executive. Minimum Requirements * Education - High School diploma or equivalent or post-high school diploma / highest degree earned. Associate degree preferred * Experience - Two (2) years professional coding experience In Lieu Of * NA Required Certifications, Registrations, Licenses * Certified Professional Coder-CPC Knowledge, Skills and Abilities * Maintains knowledge of governmental and commercial payer guidelines. * Participates in coding educational opportunities (webinars, in house training, etc.). * Ability to utilizes appropriate coding software and coding resources in order to determine correct codes. * Knowledge of office equipment (fax/copier) * Proficient computer skills including word processing, spreadsheets, database * Data entry skills * Mathematical skills Work Shift Day (United States of America) Location Corporate Facility 7001 Corporate Department 70019178 Medical Group Coding & Education Services Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.
    $28k-33k yearly est. 9d ago
  • Health Information Management Inpatient Coder, FT, Days, - Remote

    Prisma Health-Midlands 4.6company rating

    Columbia, SC jobs

    Inspire health. Serve with compassion. Be the difference. Codes medical information into the Prisma billing/abstracting systems using established professional and regulatory coding guidelines. Ensures that each diagnosis present on admission (POA) indicator is assigned appropriately. Codes for multiple facilities. Adheres to Prisma Health Coding and Compliance policies and procedures for assignment of complete, accurate, timely and consistent codes. Essential Functions All team members are expected to be knowledgeable and compliant with Prisma Health's values: Inspire health. Serve with compassion. Be the difference. Codes medical information into the Prisma billing/abstracting systems using established professional and regulatory coding guidelines. Performs Inpatient coding including major traumas and Neonatal Intensive Care Unit (NICU) records by assigning International Classification of Diseases (ICD) and International Classification of Diseases-Procedure Coding System (ICD-PCS) codes as well as the Diagnosis Related Groups (DRG) assignment. Abstracts and assigns and verifies codes for Major Complications and Comorbidities/Complications and Comorbidities (MCC/CCs), Hospital-Acquired Condition/Patient Safety Indicator (HAC/PSI) and Quality Indicators capture as appropriate through documentation validation. Ensures that each diagnosis present on admission (POA) indicator is assigned appropriately. Codes for multiple facilities. Incumbent(s) operate under the general supervision of HIM Coding leadership. Applies ICD and ICD-PCS codes to inpatient records, including major traumas, and Neonatal Intensive Care Unit (NICU) records based on review of clinical documentation. Verifies assignment of DRGs, MCC/CCs, Hospital Acquired Conditions (HACs) and Patient Safety Indicators (PSIs) that most appropriately reflect documentation of the occurrence of events, severity of illness, and resources utilized during the inpatient encounter and in compliance with department policies and procedures. Selects the optimal principal diagnoses with appropriate POA indicator assignment and sequencing of risk adjustment diagnoses following established guidelines. Reviews work queues to identify charts that need to be coded and prioritizes as per department-specific guidelines and within designated timelines. Follows up on On-hold accounts daily for final coding. Identifies and requests physician queries following established guidelines when existing documentation is unclear or ambiguous following American Health Information Management (AHIMA) guidelines and established organization policies. Ensures all open queries initiated by Clinical Documentation Specialists have been addressed prior to final coding. Adheres to Prisma Health Coding and Compliance policies and procedures for assignment of complete, accurate, timely and consistent codes. Adheres to department standards for productivity and accuracy. Identifies and trends coding issues escalating identified concerns Consults, provides professional expertise to and collaborates with clinical documentation specialists on coding and documentation practices and standards. Performs other duties as assigned. Supervisory/Management Responsibilities This is a non-management job that will report to a supervisor, manager, director or executive. Minimum Requirements Education - Certification Program or Associate degree or Coding Certificate through American Health Information Management (AHIMA) or other approved coding certification program. Experience - Three (3) years coding experience in an acute care or ambulatory setting. Inpatient coding experience. EPIC health information system experiences preferred. In Lieu Of In lieu of education and experience requirements noted above, successful completion of the IP Coder Associate program or coder associate may be considered. Required Certifications, Registrations, Licenses Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), Certified Inpatient Coder (CIC) or other approved coding credential. Knowledge, Skills and Abilities Participates in on site, remote and/or external training workshops and training. Attends and participates in CDI-Coding Task Force and other collaborative training and education with CDI, PFS and Quality. Demonstrates proficiency in utilizing official coding books as well as the electronic medical record, computer assisted coding/encoding software, and clinical documentation information systems to facilitate coding assignment. Knowledge of electronic medical records and 3M or Encoder System. Knowledge of medical terminology and basic anatomy and physiology, pathophysiology, and pharmacology with the ability to apply this knowledge to the coding process. Knowledge of MS DRG prospective payment system and severity systems. Ability to concentrate for extended periods of time. Ability to work and make decisions independently. Work Shift Day (United States of America) Location 5 Medical Park Rd Richland Facility 7001 Corporate Department 70017512 HIM-Coding Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.
    $30k-40k yearly est. Auto-Apply 25d ago
  • GU Medical Oncologist / Director, Clinical Research

    Start Center for Cancer Research 3.4company rating

    Myrtle Beach, SC jobs

    Job Description The START Center for Cancer Research (“START”) is the world's largest early phase site network, fully dedicated to oncology clinical research. Throughout our history, START has provided hope to cancer patients in global community practices by offering access to cutting edge trials throughout the US and Europe. Today, with over 1,300 studies completed, and with research facilities in the United States and in Spain, Portugal, and Ireland, START's mission is to accelerate the development of new anticancer drugs that will improve the quality of life and survival for patients with cancer and lead to its eventual cure. To date, over 43 therapies conducted at START locations have obtained FDA/EMA approval. Incredibly, while Academic Medical Centers (AMCs) conduct 80% of cancer trials, such trials reach only 20% of the patient population - leaving the majority of patients who are treated in community practices and hospitals without access to a clinical trial when their care journey calls for one. START serves the many - by bringing cancer trials to physicians and their patients in community hospitals and practices when hope is needed most. The Director, Clinical Research / Genitourinary (GU) Clinical Investigator is a physician-scientist with demonstrated clinical research team leadership skills responsible for the overall preparation, conduct, and management of GU Oncology clinical trials including Phase 1 studies. This role will manage the development and execution of clinical trial protocols, contribute to data analysis, and maintain strong communication and alignment with industry sponsors while maintaining compliance with all regulatory requirements and institutional policies. The Genitourinary (GU) Physician Investigator (PI) is a physician-scientist with demonstrated clinical research team leadership skills responsible for the overall preparation, conduct, and management of GU Oncology clinical trials including Phase 1 studies. This role will manage the development and execution of clinical trial protocols, contribute to data analysis, and maintain strong communication and alignment with industry sponsors while maintaining compliance with all regulatory requirements and institutional policies. This role is based on site in Myrtle Beach, South Carolina. Essential Responsibilities Strong leadership skills to oversee early and late phase GU clinical trials by providing overarching medical direction and comprehensive medical reviews of protocols in conformance with the investigational plan and good clinical practice Work collaboratively across healthcare provider disciplines with urologic oncologists, radiation oncologists, nuclear medicine radiologists, pathologists and medical oncology physicians Provide medical and scientific feasibility of all new sponsor inquiries driving growth through strategic partnerships Lead and manage a matrix team responsible for the conduct of GU oncology trials Ensure the safety and well-being of all trial site participants are protected Ensure data collected at the study site is credible and accurate Ensure the ethical rights, integrity, and confidentiality of all participants at the trial site are protected Develop professional working relationships with Sponsors and Clinical Research Organizations involved in study conduct Provide expert guidance and support to clinical operations research staff and sponsor client Lead continuous quality improvement efforts for clinical research services, integrating best practices and fostering a culture of research excellence and multidisciplinary collaboration Develop and implement strategies to enhance patient recruitment and retention in clinical trials Strong collaborative skills working with START Co-Investigator physicians and across the START Network. Required Education and Experience: M.D. or equivalent Board Certified in Medical Oncology or Urology Qualified for relevant US State Medical Licensing Clinical trials experience with a strong interest in drug development and publications Ability to critically analyze clinical scientific data and literature Understanding of Good Clinical Practice (GCP) principles, safety and adverse event reporting, FDA regulations, and biomedical research ethics Passion for providing excellence of clinical care and for working in a collaborative / team-oriented environment Strong leadership skills with entrepreneurial mindset encompassing an aggressive approach to growth and expansion Preferred Education and Experience: Previous experience with industry sponsored clinical trials Excellent communication skills, with experience in publishing and presenting at scientific meetings Translational research experience and familiarity with early and late-stage clinical trials Best-in-Class Benefits and Perks We value our employees' time and efforts. Our commitment to your success is enhanced by a competitive compensation, depending on experience, and an extensive benefits package including: Comprehensive health coverage: Medical, dental, and vision insurance options provided Robust retirement planning: 401(k) plan available with employer matching Financial security: Company-paid life and disability insurance for added protection Flexible financial options: Health savings and flexible spending accounts offered Well-being and work-life balance: Paid time off, flexible schedule, and remote work choices provided Plus, we work to maintain the best environment for our employees, where people can learn and grow with the company. We strive to provide a collaborative, creative environment where everyone feels encouraged to contribute to our processes, decisions, planning, and culture. More about The START Center for Cancer Research Deeply rooted in community oncology centers globally, The START Center for Cancer Research provides access to specialized preclinical and early-phase clinical trials of novel anti-cancer agents. START clinical trial sites have conducted more than a thousand early-phase clinical trials, including for 43 therapies that were approved by the FDA. START represents the world's largest roster of Principal Investigators (PIs) across its eight clinical trial sites. Committed to accelerating passage from trials to treatments, START delivers hope to patients, families, and physicians around the world. Learn more at STARTresearch.com. Ready to be part of a team changing the future of cancer treatment? Join us in our mission to conquer cancer, one clinical trial at a time. Your expertise and dedication can help us bring hope and healing to patients worldwide. Please submit your application online. We are an equal opportunity employer that welcomes and encourages diversity in the workplace. We do not discriminate on the basis of race, color, religion, marital status, age, national origin, ancestry, physical or mental disability, medical condition, pregnancy, genetic information, gender, sexual orientation, gender identity or expression, veteran status, or any other status protected under federal, state, or local law.
    $189k-292k yearly est. 29d ago
  • Patient Financial Services Denials and Appeals Specialist, FT, Days, - Remote

    Prisma Health-Midlands 4.6company rating

    Greenville, SC jobs

    Inspire health. Serve with compassion. Be the difference. Responsible for the coordination and resolution of the administrative denials and appeals of the system-wide comprehensive denials and appeals management program. Performs the necessary audits to evaluate the revenue cycle process and educates Management Staff on issues impacting reimbursement. Essential Functions All team members are expected to be knowledgeable and compliant with Prisma Health's values: Inspire health. Serve with compassion. Be the difference. Responsible for resolution of denied claims and/or initiate/manage/follow-up on reconsiderations/appeals in a timely manner. - Monitors denial work queues and reports in accordance with assignments from direct supervisor and communicates all denial trends, denial increases, etc. to direct supervisor/PFS management in order to positively affect the volume of denials. Participates in departmental huddles and team meetings involving discussion of A/R processes and denial trends. Maintains required levels of productivity and quality while managing tasks in work queues to ensure timeliness of follow-up and appeals. Organizes denial/rejection related tasks to identify patterns and/or work most efficiently (e.g., by current procedural terminology, diagnosis, payer, etc.) Identifies and monitors negative patterns in denials/rejections. Escalates accordingly to PFS management and the impacted department(s) to avoid negative impact on reimbursement, unsuccessful appeals, and/or increased write-offs. Uses identified and known resources to accomplish follow-up on tasks. Identifies other means and resources to complete tasks, as applicable and appropriate. As needed, participates in A/R clean-up projects or other projects identified by direct supervisor or PFS management. Comply with all government regulatory mandated requirements for billing and collections. Works with other departments to resolve A/R and payer issues. Communicates with other departments on issues that may have negative impact on their cash flow, timely claim reconsideration/filing, failed appeals, and/or increased denials and write-offs. Enters and documents appropriate accounts for adjustments utilizing the appropriate adjustment codes. Identifies and researches all payer issues to the Payer SharePoint in a timely manner and continues to follow-up on said SharePoint information on a weekly basis. Performs other duties as assigned. Supervisory/Management Responsibility This is a non-management job that will report to a supervisor, manager, director, or executive. Minimum Requirements Education - High School diploma or equivalent or post-high school diploma / highest degree earned Experience - Five (5) years hospital/physician billing office and/or healthcare revenue cycle experience In Lieu Of In lieu of the education and experience requirements noted above, the following combination of education, training and/or experience may be considered an equivalent substitution: Bachelor's degree and two years of related work experience. Required Certifications, Registrations, Licenses Certified Revenue Cycle Analyst (CRCA) preferred Knowledge, Skills and Abilities Proficient computer skills (spreadsheets and excel pivot table skills) Data entry skills Mathematical skills Medical terminology/ICD Coding Knowledge of current trends and developments in the healthcare industry and specifically as it relates to denials/appeals through appropriate literature and professional development activities preferred Self-motivation and ability to demonstrate initiative, excellent time management skills, and organizational capabilities and must be able to multi-task in a fast-paced environment and appropriately handle overlapping commitments and deadlines preferred Ability to review/understand all pertinent information such as insurance carrier explanation of benefits, insurance carrier denial letters and electronic remits to ensure denials are worked in a timely manner and reconsideration/appeals for the denial claims are submitted appropriately preferred Comprehensive understanding of remittance and remark codes preferred Knowledge of payer edits, rejections, rules, and how to appropriately respond to each preferred Working knowledge of UB-04 claim forms preferred Work Shift Day (United States of America) Location Patewood Outpt Ctr/Med Offices Facility 7001 Corporate Department 70019012 Patient Account Services Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.
    $23k-30k yearly est. Auto-Apply 2d ago
  • PRN ACUTE CV-BC Subject Matter Expert Clinical Content Reviewer REMOTE

    Interim Healthcare-North Charleston, Sc 4.7company rating

    North Charleston, SC jobs

    Job Description PRN ACUTE CV-BC Clinical Content Reviewer SME Are you a CV-BC looking to flex your skills in a whole new way? Ready to take your expertise and turn it into a rewarding opportunity? Look no further! We're seeking an experienced CV-BC with a passion for excellence to join us as a Subject Matter Expert to write/review clinical content. This is your chance to make a difference from the comfort of your home. REQUIRED: CVRN-BC MUST have at least 2 years of ACUTE experience as a CV-BC within the last 5 years from ABCM Experienced Cardiovascular RN in an acute setting Certification through ABCM Excellent written skills Attention to detail License in good standing Skills: The ability to communicate clearly and effectively. Work with a team and independently. Must meet all deadlines set by content developer. Knowledge and Experience with the following: Cardiomyopathy and Heart Failure Bedside Assessment and Heart Sounds Basic ECG Essentials Coronary Artery Disease and Hypertension Non-Invasive and Interventional Cardiology Certification Review Practice Test Pacemakers and ICDs Intra-Aortic Balloon Pumping Basic ECG Essentials Bedside Assessment and Heart Sounds Cardiomyopathy and Heart Failure Coronary Artery Disease and Hypertension Hemodynamic Monitoring Pharmacology Oxygenation and Mechanical Ventilation Certification Review Practice Test Non-Invasive and Interventional Cardiology 12-Lead ECG and Arrythmias What You'll Do: Review clinical content, ensuring accuracy and clarity. Collaborate with a dynamic team of healthcare professionals Enjoy the flexibility of working on your time, on your terms. Why You'll Love It: Excellent Pay - Your expertise is valuable, and we show it. 1099 Independent Contractor $55.00 an hr. Remote Work - Work from anywhere. Unique Opportunity - Apply your clinical expertise in a fresh, impactful way. Make the Leap Today! Turn your knowledge and experience into meaningful contributions to the healthcare community Why Interim HealthCare? Founded in 1966, Interim HealthCare is the nation's first home care company. Operating through 300+ offices, our commitment to medical professionals is expressed through our passion to put patients first; a culture that values and appreciates all; and our ongoing efforts to advocate for medical professionals in ways that elevate their profession and reward their sacrificial work. Join a nationwide network of medical professionals who have rediscovered the passion that led them to healthcare.
    $55 hourly 16d ago
  • Remote Epic Application Coordinator (Beaker)

    Spartanburg Regional Medical Center 4.6company rating

    Spartanburg, SC jobs

    Job Requirements This position is 100% remote. We will only consider remote applicants residing in the following US states - AL, AZ, CT, DE, FL, GA, IN, KS, KY, LA, MD, MI, NC, PA, RI, SC, VA, WV, and WI. Epic Beaker Analyst certification and/or previous Epic EMR build experience in another module will be weighted heavily. Position Summary Are you an experienced Epic professional ready to take on a key role in transforming healthcare IT systems? As a Remote Epic Application Coordinator (Beaker) at Spartanburg Regional Healthcare System, you will have the unique opportunity to design, build, test, and support EPIC applications, ensuring they meet the needs of our dynamic healthcare environment. They will be responsible for obtaining and maintaining in-depth knowledge of the software functionality and acquiring / utilizing knowledge of the operational workflows to be implemented with the EPIC system. The Epic Application Coordinator (Beaker) will gain in-depth knowledge of the software by attending application support training and completing application certification projects and tests. Key abilities for this role include: * Understanding of the organization and the user community in the Application Coordinator's assigned area (Beaker) * Ability to lead meetings, prioritize, resolve conflicts, managing issues, and oversight and implementation of project plan activities * Strong communication and follow-up skills * Ability to probe for information about the underlying needs of the organization and user community, which directly influences how the system will be built The Remote Epic Application Coordinator (Beaker) should understand the organization's current laboratory workflows and how it impacts other areas of the organization. This individual should excel in change management and communication to help end users accept and become accustomed to the application. Knowledge of Data Innovations Instrument Manager is helpful but not required. Minimum Requirements Education * Requires an Associate Degree or higher education, or related applicable experience. Experience * 5+ years of Healthcare IT experience License/Registration/Certifications * Must complete required training for product implementation, and pass certification within 45 days of completion of training Preferred Requirements Preferred Education * Bachelor's Degree in Computer Science or related field Preferred Experience * 7+ years of Healthcare IT experience. Core Job Responsibilities * Maintain regular communication with vendor implementation representatives. Work with implementation representatives and the organization's business community and end users to ensure the system meets the organization's business needs. * Assume application expertise by obtaining and maintaining EPIC certification (Beaker) for the assigned application(s) within the required timeframe. * Achieve an in-depth knowledge of assigned application(s) and its relationship to other applications. * Participate in project plan development and monitoring project milestones * Participate in design and validation sessions and ensure appropriate documentation, follow-up and issue escalation occurs. * Perform in-depth analysis of workflows, data collection, report details, and other technical issues associated with Epic software. Provide application expertise to facilitate discussions and decisions. * Work with department representatives to analyze needs and translate these into system design. * Participate in development, execution and sign off of system testing. * Develop and maintain detailed documentation on system configurations and technical components. * Troubleshoot problems identified by team members and end users. * Escalate issues and risks to project leadership. * Collaborate with the training team(s) in the design and development of training programs. * Provide application expertise to the project team and advisory groups. * Participate in the planning and execution of application go-live and post-live activities. * Follow established guidelines for system change control. * Identify potential system enhancement needs. * Introduce best practice options for future-state workflows and processes. * Collect information regarding potential system enhancement needs * Analyze new functionality in releases to determine how and if it should be used. * Coordinate ongoing software updates and changes. * Review and test new software releases. Make an Impact in Healthcare IT! At Spartanburg Regional, you will be part of a forward-thinking team committed to improving healthcare systems through innovative technology. If you are a certified Epic expert with a passion for enhancing operational efficiency and user satisfaction, apply now to join our mission-driven team. Help shape the future of healthcare, one epic application at a time.
    $88k-112k yearly est. 5d ago
  • Coordinator, Individualized Care

    Cardinal Health 4.4company rating

    Columbia, SC jobs

    Cardinal Health Sonexus Access and Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and remain on the therapy they need for a better quality of life. Our diverse expertise in pharma, payer and hub services allows us to deliver best-in-class solutions-driving brand and patient markers of success. We're continuously integrating advanced and emerging technologies to streamline patient onboarding, qualification and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas, Texas, empowering manufacturers to rethink the reach and impact of their products. **Together, we can get life-changing therapies to patients who need them-faster.** **_Responsibilities_** + Maintains a current and in-depth understanding of patient therapy's, prior approval and reimbursement processes and details of health care plans. + Manages a queue of technical or complex therapy and reimbursement questions from customers and applies judgment in resolving service and problems falling within established limits of authority and knowledge. + Meets key performance indicators including service levels, call volumes, adherence and quality standards. + Follows up with patients, pharmacies, physicians and other support organizations as needed regarding inquiries. + Handles sensitive information and personal data with discretion including prescriptions, personal information, date of birth, financials and insurance information. + Escalates highly complex and difficult issues as needed to senior team members and Individualize Care leadership. **_Qualifications_** + 1-3 years of experience, preferred + High School Diploma, GED or equivalent work experience, preferred **_What is expected of you and others at this level_** + Applies acquired job skills and company policies and procedures to complete standard tasks + Works on routine assignments that require basic problem resolution + Refers to policies and past practices for guidance + Receives general direction on standard work; receives detailed instruction on new assignments + Consults with supervisor or senior peers on complex and unusual problems **TRAINING AND WORK SCHEDULES** : Your new hire training will take place 8:00am-5:00pm CST, mandatory attendance is required. This position is full-time (40 hours/week). Employees are required to have flexibility to work any of our shift schedules during our normal business hours of Monday-Friday, 7:00am- 7:00pm CST. **REMOTE DETAILS:** You will work remotely, full-time. It will require a dedicated, quiet, private, distraction free environment with access to high-speed internet. We will provide you with the computer, technology and equipment needed to successfully perform your job. You will be responsible for providing high-speed internet. Internet requirements include the following: + Maintain a secure, high-speed, broadband internet connection (DSL, Cable, or Fiber) at the remote location. Dial-up, satellite, WIFI, Cellular connections are NOT acceptable. + Download speed of 15Mbps (megabyte per second) + Upload speed of 5Mbps (megabyte per second) + Ping Rate Maximum of 30ms (milliseconds) + Hardwired to the router + Surge protector with Network Line Protection for CAH issued equipment **Anticipated hourly range:** $18.10 per hour - $25.80 per hour **Bonus eligible:** No **Benefits:** Cardinal Health offers a wide variety of benefits and programs to support health and well-being. + Medical, dental and vision coverage + Paid time off plan + Health savings account (HSA) + 401k savings plan + Access to wages before pay day with my FlexPay + Flexible spending accounts (FSAs) + Short- and long-term disability coverage + Work-Life resources + Paid parental leave + Healthy lifestyle programs **Application window anticipated to close:** 1/20/2026 *if interested in opportunity, please submit application as soon as possible. The hourly range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity. _Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply._ _Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal_ _Opportunity/Affirmative_ _Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law._ _To read and review this privacy notice click_ here (***************************************************************************************************************************
    $18.1-25.8 hourly 20d ago
  • Project Manager - Strategic Workforce Analytics (Remote)

    Maximus 4.3company rating

    Columbia, SC jobs

    Description & Requirements The Project Manager-Strategic Workforce Analytics will lead the design, implementation, and continuous improvement of Resource Management (RM) processes and system, primarily leveraging Eightfold and integrated platforms with a goal of establishing Resource Management as a structured, enterprise-wide program. This role primarily supports Strategic Workforce Planning (SWP) but is matrixed to support Learning & Organizational Development (L&OD), HRIS, and Operations, driving a strategic, scalable approach to resource management and workforce analytics. The position combines program management expertise, technical systems fluency, and analytical capabilities to deliver accurate resource planning, actionable insights, and enable proactive workforce decisions such as redeployment, reskilling, and capacity forecasting. Essential Duties and Responsibilities: - Manage system administration and configuration for Eightfold Resource Management, ensuring accurate user access and timely release updates within established guidelines. - Coordinate integration activities across assigned platforms (e.g., Salesforce, Kantata, HRIS) in partnership with IT and vendors. - Maintain resource management workflows and monitor data quality, applying compliance standards and established processes. - Prepare and deliver workforce planning reports and dashboards to support decision-making for assigned business areas. - Conduct routine audits and maintain compliance dashboards ensuring adherence to organizational policies. - Onboard and provide guidance to Resource Managers and stakeholders on resource management processes and best practices. - Facilitate regular workforce planning meetings focused on capacity and resource allocation within assigned business areas. - Collaborate with Talent Acquisition, Learning & Development, Finance, and Operations teams to execute workforce planning activities aligned with business needs. - Identify opportunities for process improvement and implement automation solutions within the scope of resource management operations. - Support departmental initiatives that contribute to workforce planning objectives, ensuring alignment with organizational goals. -Deliver recurring workforce planning dashboards, forecasts, and skills intelligence - partner with stakeholders on future talent strategies based on data (build, bot, buy, borrow). -Partner closely with Solution Architects to get timely insights into future talent demands and capabilities. -Support enterprise initiatives such as reskilling programs, AI accelerator communities, and future workforce readiness. Minimum Requirements - Bachelor's degree in relevant field of study and 5+ years of relevant professional experience required, or equivalent combination of education and experience. -Project Management or consulting experience. -Hands-on experience with Eightfold or other Talent Intelligence and/or Resource Management platform. -Proficiency in data visualization tools and advanced analytics platforms -Strong understanding of data workflows, integrations, and process automation -Excellent facilitation, communication, and stakeholder engagement skills -Data & Analytics experience (such as: SQL, Python, Power BI/Tableau, and forecasting models) -Stakeholder Management & Change Leadership -Proven ability to balance strategic thinking with operational execution. Preferred Experience: -Familiarity with data warehousing concepts and skills-based workforce planning, redeployment, and reskilling frameworks -Background with enterprise transformation projects -Workforce planning/resource management experience -HR Technology Fluency: RM platforms, HRIS, CRM systems -Experience with skills taxonomies and workforce analytics platforms (Eightfold, OneModel, SAP Analytics Cloud, Anaplan) -PMP certification, Agile/Scrum methodologies is a plus 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 $ 90,780.00 Maximum Salary $ 122,820.00
    $52k-87k yearly est. Easy Apply 2d ago
  • Culinary Remote Call Center PRN

    Intermountain Health 3.9company rating

    Columbia, SC jobs

    Provides telephonic nutrition services to patients utilizing standardized guidelines. This position interacts with clinical caregivers, patients, and patient's family members to explain the meal process and modify meal selections according to provider orders. Please note that a video interview through Microsoft Teams will be required as well as potential onsite interviews and meetings. **Work Schedule** + **PRN, on call or as needed** + **Remote Position, must be a Utah Resident** + **Shift Assignments:** coverage for time off requests & leave requests in the morning, afternoon & evening + **Hours of Operation:** Sunday-Saturday 0630 - 1930 + **Required:** Rotating holidays and weekends + **Benefits Eligible: No** **Essential Functions** + Takes patient meal selections and modifies them using system standards to meet provider orders. + Checks trays for accuracy during meal assembly. + Communicates clearly to both clinical and culinary caregivers. + Collects and inputs nutrition screening information + May complete calorie count and nutrition analysis as dictated by facility + Utilizes a computer to run reports and take orders. + Follows standardized practices relating to Nutrition Services (e.g. dining experience, meal delivery and maintaining required stock levels) + Performs accurate credit transactions according to system standards and independently resolves basic customer service issues. **Skills** + Nutrition + Diet Management + Computer Literacy + Interpersonal Communication + Active Listening + Coordinating tasks with others + Patient Interactions + Attention to detail **Qualifications** + Virtual Screening through Microsoft Teams before application submitted to Hiring Manager + **Residential Home address and work from home address must be within the state of Utah** + **Immediate access to dedicated, hardwire internet:** 15MBPS per second for download speed, 3MBPS per second for upload speed (no sharing of services) + Experience in Food Service, Nutrition Services, or healthcare call center (preferred) + Demonstrated ability to work with modified diets (preferred) + Demonstrated ability to provide exceptional customer service (preferred) **Physical Requirements:** + Ongoing need for employee to see and read information, labels, monitors, identify equipment and supplies, and be able to assess customer needs. + Frequent interactions with customers that require employee to communicate as well as understand spoken information, alarms, needs, and issues quickly and accurately. + Manual dexterity of hands and fingers to manipulate complex and delicate equipment with precision and accuracy. This includes frequent computer, phone, and cable set-up and use. + Expected to lift and utilize full range of movement to transport, pull, and push equipment. Will also work on hands and knees and bend to set-up, troubleshoot, lift, and carry supplies and equipment. Typically includes items of varying weights, up to and including heavy items. + Remain standing for long periods of time to perform work. + Tolerate extremes in temperature such as performing work at a grill or in a refrigerator and tolerate exposure to cleaning chemicals. **Location:** Vine Street Office Building **Work City:** Murray **Work State:** Utah **Scheduled Weekly Hours:** 0 The hourly range for this position is listed below. Actual hourly rate dependent upon experience. $18.22 - $23.68 We care about your well-being - mind, body, and spirit - which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged. Learn more about our comprehensive benefits package here (***************************************************** . Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. At Intermountain Health, we use the artificial intelligence ("AI") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment. Thank you for considering a career with us and experiencing our AI-enhanced recruitment process. All positions subject to close without notice.
    $27k-33k yearly est. 6d ago
  • Coordinator II, Performance Monitoring

    Cardinal Health 4.4company rating

    Columbia, SC 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.** **What Performance Monitoring contributes to Cardinal Health:** Performance Monitoring is responsible for establishing, maintaining and enhancing customer business through contract administration, customer orders, and problem resolution. Performance Monitoring is responsible for monitoring, analyzing and reviewing customer contact quality. **Responsibilities:** + Conduct quality reviews of Adverse Events submitted by staff before submission to client safety unit. + Conduct case audits to ensure correct process steps have been followed for the "patient journey" + Monitor calls and provide effective written feedback + Maintain knowledge of the client's program and product/service offerings. + Interpret and transcribe inbound and outbound calls from patients and health care providers. + Identify adverse events when monitoring calls. + Ensure documentation is in order following client regulatory guidelines. + Identify trends and training needs from call monitoring and escalate appropriately. + Work effectively with dynamic, integrated task teams + Maintain a work pace appropriate to the workload **Qualifications** + HS Diploma, GED or technical certification in related field or equivalent experience, preferred. + 2 years' call center or transcriptionist experience preferred. Certified Medical Transcriptionist (CMT) qualification would be an asset. + 2 years' quality review experience preferred. + Knowledge of medical terminology preferred. + Exceptional listening skills required. + Proficient in Microsoft Office (Excel, Word, PowerPoint, etc.) + Multi-tasking, time management and prioritization skills considered an asset. + Bilingual Spanish would be an asset. **What is expected of you and others at this level** + Applies acquired job skills and company policies and procedures to complete standard tasks + Works on routine assignments that require basic problem resolution + Refers to policies and past practices for guidance + Receives general direction on standard work; receives detailed instruction on new assignments + Refers to policies and past practices for guidance + Receives general direction on standard work; receives detailed instruction on new assignments + Consults with supervisor or senior peers on complex and unusual problems **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 (8-hour shifts, 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- 8:00pm CST. **Remote Details:** You will work remotely, full-time. It will require a dedicated, quiet, private, distraction free environment with access to high-speed internet. We will provide you with the computer, technology and equipment needed to successfully perform your job. You will be responsible for providing high-speed internet. Internet requirements include the following: + Maintain a secure, high-speed, broadband internet connection (DSL, Cable, or Fiber) at the remote location. Dial-up, satellite, WIFI, Cellular connections are NOT acceptable. + Download speed of 15Mbps (megabyte per second) + Upload speed of 5Mbps (megabyte per second) + Ping Rate Maximum of 30ms (milliseconds) + Hardwired to the router + Surge protector with Network Line Protection for CAH issued equipment **Anticipated hourly range:** $18.35 per hour - $26.40 per hour **Bonus eligible:** No **Benefits:** Cardinal Health offers a wide variety of benefits and programs to support health and well-being. + Medical, dental and vision coverage + Paid time off plan + Health savings account (HSA) + 401k savings plan + Access to wages before pay day with my FlexPay + Flexible spending accounts (FSAs) + Short- and long-term disability coverage + Work-Life resources + Paid parental leave + Healthy lifestyle programs **Application window anticipated to close:** 1/2/2026. If interested in opportunity, please submit application as soon as possible. The hourly range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity. _Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply._ _Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal_ _Opportunity/Affirmative_ _Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law._ _To read and review this privacy notice click_ here (***************************************************************************************************************************
    $18.4-26.4 hourly 2d ago
  • Pharmacy Technician

    Start Center for Cancer Research 3.4company rating

    Myrtle Beach, SC jobs

    Job Description The START Center for Cancer Research (“START”) is the world's largest early phase site network, fully dedicated to oncology clinical research. Throughout our history, START has provided hope to cancer patients in global community practices by offering access to cutting edge trials throughout the US and Europe. Today, with over 1,300 studies completed, and with research facilities in the United States and in Spain, Portugal, and Ireland, START's mission is to accelerate the development of new anticancer drugs that will improve the quality of life and survival for patients with cancer and lead to its eventual cure. To date, over 43 therapies conducted at START locations have obtained FDA/EMA approval. Incredibly, while Academic Medical Centers (AMCs) conduct 80% of cancer trials, such trials reach only 20% of the patient population - leaving the majority of patients who are treated in community practices and hospitals without access to a clinical trial when their care journey calls for one. START serves the many - by bringing cancer trials to physicians and their patients in community hospitals and practices when hope is needed most. START represents the world's largest roster of Principal Investigators (PIs) across its eight clinical trial sites. Committed to accelerating passage from trials to treatments, START delivers hope to patients, families, and physicians around the world. As an example, in San Antonio, where START was founded, START treated the first patient ever with Keytruda - the most effective cancer drug in medical history. The role will assure safe, efficient, and cost-effective preparation of chemotherapy, biologic therapy, and supportive care medications for administration to patients following all applicable regulations. Also, this role will work collaboratively with Site Leaders and Pharmacists to maintain adequate and cost-effective inventory of drugs and supplies. Essential Responsibilities Mix and label chemotherapy, biologic therapy and supportive care medications. Perform proper procedures and documentation in inventory management systems during the fulfillment of the medication order. Prepare parenteral dosage forms utilizing aseptic techniques in accordance with departmental policies, standards set forth in current USP, state & federal regulations and GCP guidelines for investigational medications. Prepare and deliver medication ensuring proper storage location requirements are met based on the stability needs of the product. Perform routine weekly inventory and quality assurance tasks, including checking extemporaneously manufactured medications, commercially available medications, I.V. solutions and equipment for expiration dates, recalls, or signs of deterioration. Receive medication and supplies in accordance with inventory control and purchasing policies. Help to maintain all medication inventory levels within the predetermined stocking level, calling attention to needs for revision, or perpetual supply problems. Interact with study monitors by providing drug accountability reports and temperature storage logs. Facilitate monitor verification of inventory, training and other GCP documentation. Maintain and generate reports through the applicable computer programs. Education & Experience High School Diploma/GED. At least 2 years of experience preparing chemotherapy and biologic therapies. Current State registration as a pharmacy technician (CPhT). Physical & Travel Requirements: 80% of time spent standing and/or walking. Ability to lift up to a 25-pound weight load. Some lifting and bending, pushing and/or pulling loads. Best-in-Class Benefits and Perks We value our employees' time and efforts. Our commitment to your success is enhanced by a competitive compensation, depending on experience, and an extensive benefits package including: Comprehensive health coverage: Medical, dental, and vision insurance provided Robust retirement planning: 401(k) plan available with employer matching Financial security: Life and disability insurance for added protection Flexible financial options: Health savings and flexible spending accounts offered Well-being and work-life balance: Paid time off, flexible schedule, and remote work choices provided Plus, we work to maintain the best environment for our employees, where people can learn and grow with the company. We strive to provide a collaborative, creative environment where everyone feels encouraged to contribute to our processes, decisions, planning, and culture. More about The START Center for Cancer Research Deeply rooted in community oncology centers globally, The START Center for Cancer Research provides access to specialized preclinical and early-phase clinical trials of novel anti-cancer agents. START clinical trial sites have conducted more than a thousand early-phase clinical trials, including for 43 therapies that were approved by the FDA. START represents the world's largest roster of Principal Investigators (PIs) across its eight clinical trial sites. Committed to accelerating passage from trials to treatments, START delivers hope to patients, families, and physicians around the world. Learn more at STARTresearch.com. Ready to be part of a team changing the future of cancer treatment? Join us in our mission to conquer cancer, one clinical trial at a time. Your expertise and dedication can help us bring hope and healing to patients worldwide. Please submit your application online. We are an equal opportunity employer that welcomes and encourages diversity in the workplace. We do not discriminate on the basis of race, color, religion, marital status, age, national origin, ancestry, physical or mental disability, medical condition, pregnancy, genetic information, gender, sexual orientation, gender identity or expression, veteran status, or any other status protected under federal, state, or local law.
    $27k-34k yearly est. 8d ago
  • Network Manager - Population Health

    Bon Secours Mercy Health 4.8company rating

    Greenville, SC jobs

    At Bon Secours Mercy Health, we are dedicated to continually improving health care quality, safety and cost effectiveness. Our hospitals, care sites and clinicians are recognized for clinical and operational excellence. **Bon Secours** **About Us** As a faith-based and patient-focused organization, Bon Secours exists to enhance the health and well-being of all people in mind, body and spirit through exceptional patient care. Success in this goal requires a culture of compassion, collaboration, excellence and respect. Bon Secours seeks people that are committed to our values of compassion, human dignity, integrity, service and stewardship to create an environment where associates want to work and help communities thrive. **Primary Function/General Purpose of Position** Network Manager works with market leaders, Population Health team members, and providers to support success across key performance measures (KPI). The Network Manager serves as the front-line driver of network growth, retention, and utilization to improve the quality of care in our markets. The Network Manager supports and engages with affiliate and employed Clinically Integrated Network (CIN) and Accountable Care Organization (ACO) participating providers. *This is primarily a remote/work from home position, with up to 25% onsite requirement. Hire must be local to the Greenville, SC Market. **Essential Job Functions** + Collaborates with the market Director of Network Performance to successfully understand and drive market and system network integrity goals. + Analyzes network utilization and cost data utilizing data analysis to develop creative solutions for achieving KPIs. + Establish regular meetings with participating ACO and CIN providers to review performance expectations, individual performance data, and routine network communications. + Provides support to the market Clinical Integration Oversight Committee by reviewing performance metrics and overseeing the execution of performance improvement plans (PIPs). + Collaborates with the Director of Network Performance and the market Population Health team to determine necessary improvement options for provider performance. + Engages market committees on network improvement options and resolutions. + Collaborates with Population Health Clinical Directors, Population Health Medical Directors, Clinical Outcomes Managers, and governing quality committee members to address communication and escalations in network performance. + Collaborates with other provider-facing/interacting teams within the Network. + Reviews, synthesizes, and implements the strategy to yield the greatest impact on Population Health KPIs. + Collaborate with the market DNP on recruitment strategy and opportunities. + Manage and update provider rosters to support accurate market representation and network participation. This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Employees may be required to perform other job-related duties as required by their supervisor, subject to reasonable accommodation. **Licensing/Certification** None **Education** Bachelors (required) Masters, Business, Marketing, Analytics, Education or Communications (preferred) **Work Experience** 2 years' experience with data analysis and synthesizing data points into actionable steps to solve problems in a healthcare setting (required) **Skills** Population health CIN success drivers Analyzing and Interpreting data Applying data results KPIs Levers in value based contracts Network integrity Quality outcomes Time Management Strategic Thinking Microsoft Office Suite Excel Data Management PowerPoint Detail Oriented Critical Thinking Teamwork Conflict resolution Active listening Relationship building Verbal and interpersonal communication Providing feedback Stakeholder relationships Self driven Proactive Effective communication As a Bon Secours Mercy Health associate, you're part of a Mission that matters. We support your well-being-personally and professionally. Our benefits are built to grow with you and meet your unique needs, every step of the way. **What we offer** + Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible) + Medical, dental, vision, prescription coverage, HSA/FSA options, life insurance, mental health resources and discounts + Paid time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders + Tuition assistance, professional development and continuing education support _Benefits may vary based on the market and employment status._ All applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you'd like to view a copy of the affirmative action plan or policy statement for Bon secours Mercy Health - Youngstown, Ohio or Bon Secours - Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affirmative Action and Equal Opportunity Employers, please email ********************* . If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at *********************
    $76k-97k yearly est. 19d ago
  • Revenue Recovery Analyst I

    Ensemble Health Partners 4.0company rating

    Columbia, SC jobs

    Thank you for considering a career at Ensemble Health Partners! Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country. Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference! O.N.E Purpose: Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations. Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation. Striving for Excellence: Execute at a high level by demonstrating our “Best in KLAS” Ensemble Difference Principles and consistently delivering outstanding results. The Opportunity: CAREER OPPORTUNITY OFFERING: Bonus Incentives Paid Certifications Tuition Reimbursement Comprehensive Benefits Career Advancement This position pays between $45,000.00 - $81,750.00/ based on experience and other factors. The Analyst I is a subject matter expert that is responsible for the maximation of insurance reimbursement by identifying contractual variances between posted payments and expected reimbursement for managed care, government payors, and other payors as needed. The responsibilities include contractual reimbursement analysis and communication of payment discrepancies to both internal and external departments. The Specialist identifies trends in underpayments and determines effective paths to work to resolution of the underpayments and improvement to the revenue cycle going forward. Other responsibilities include analyzing and interpreting contract reimbursement and providing feedback to leadership as required. The Specialist will consistently review large amounts of remittance data to locate charge or billing opportunities for revenue optimization. Essential Job Functions: Communicate directly with payors to follow up on outstanding underpayments, file underpayment appeals with payors, resolve account variance and ensure timely and accurate recovery of underpayments. Identify root cause of underpayments, denials, and delayed payments to clients. Work with the client team to identify, document, and address root causes of issues in the A/R. Maintain a thorough understanding of applicable state and federal insurance regulations as well as payor specific requirements, taking actions on underpayments accordingly. Document all activity accurately with all pertinent information in the client's host system, Ensemble IQ, or other appropriate tracking system. Demonstrate initiative and resourcefulness by making recommendations and communicating trends and issues to management. Operate as a strong problem solver and critical thinker to resolve underpayments. Meet all productivity and quality standards as established by Ensemble and Revenue Recovery leadership. Compile and analyze data to identify underpayments, and trends in the underpayments and report to leadership findings in a timely and consistent manner. Work collaboratively with other departments, including Managed Care, Billing, Coding, Revenue Integrity, and Payor Strategy. Work multiple projects, reports, and tasks efficiently in a fast-paced, KPI-driven, atmosphere autonomously. Job Experience: Minimum five (5) years of experience in the hospital or physician insurance industry, or elsewhere in the revenue cycle, required. Applicants must have a keen and proven understanding of the revenue cycle and the identification of underpaid accounts. Desired Education: Bachelor's degree preferred, but not required. High school diploma or GED required. Other Preferred Knowledge, Skills and Abilities: Excellent verbal and written communication skills. Profession presence. Exceptional customer service. Ability to adapt to multiple client host systems. Integrity and honesty. Internal drive to succeed. Experience with and ability to operate in Microsoft Office suite of programs. Join an award-winning company Five-time winner of “Best in KLAS” 2020-2022, 2024-2025 Black Book Research's Top Revenue Cycle Management Outsourcing Solution 2021-2024 22 Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in Revenue Cycle 2019-2024 Leader in Everest Group's RCM Operations PEAK Matrix Assessment 2024 Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong performance 2020, 2022-2023 Energage Top Workplaces USA 2022-2024 Fortune Media Best Workplaces in Healthcare 2024 Monster Top Workplace for Remote Work 2024 Great Place to Work certified 2023-2024 Innovation Work-Life Flexibility Leadership Purpose + Values Bottom line, we believe in empowering people and giving them the tools and resources needed to thrive. A few of those include: Associate Benefits - We offer a comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs. Our Culture - Ensemble is a place where associates can do their best work and be their best selves. We put people first, last and always. Our culture is rooted in collaboration, growth, and innovation. Growth - We invest in your professional development. Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement. Recognition - We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company. Ensemble Health Partners is an equal employment opportunity employer. It is our policy not to discriminate against any applicant or employee based on race, color, sex, sexual orientation, gender, gender identity, religion, national origin, age, disability, military or veteran status, genetic information or any other basis protected by applicable federal, state, or local laws. Ensemble Health Partners also prohibits harassment of applicants or employees based on any of these protected categories. Ensemble Health Partners provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law. If you require accommodation in the application process, please contact *****************. This posting addresses state specific requirements to provide pay transparency. Compensation decisions consider many job-related factors, including but not limited to geographic location; knowledge; skills; relevant experience; education; licensure; internal equity; time in position. A candidate entry rate of pay does not typically fall at the minimum or maximum of the role's range. EEOC - Know Your Rights FMLA Rights - English La FMLA Español E-Verify Participating Employer (English and Spanish) Know your Rights
    $45k-81.8k yearly Auto-Apply 60d+ ago
  • Product Documentation Specialist, (Remote)

    Maximus 4.3company rating

    Columbia, SC jobs

    Description & Requirements We are seeking a detail-oriented Product Documentation Specialist to create, maintain, and improve internal documentation that supports our teams and operations across US Services. The ideal candidate has strong writing skills, works collaboratively with internal and external stakeholders, and contributes to process improvements through clear, accurate documentation. NOTE: This position focuses on operational and process documentation, not technical or engineering documentation. 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: - Collaborate with internal departments on a regular basis to understand business requirements and needs, participate in working sessions and acquire feedback on documentation. - Perform strategic and ad-hoc data work in support of Product Managers and Product Owners - Analyze and manage moderately complex business process flows and updates to system process flows and requirements. - Create and maintain technical documentation / product development & customer education materials - Create and maintain internal documentation for the Connection Point team included but not limited to job aids and on-boarding materials. - Work with Product Managers, Product Owners and Product Analysts to ensure accurate documentation is maintained. - Oversee multiple forms of documentation audits on existing documentation in SharePoint and Confluence. - Manage and maintain process improvements. This includes but is not limited to collaboration with PM's, PO's and PAs and in some cases other Connection Point departments. - Create, update, and maintain internal and documentation, including process guides, work instructions, and training materials. - Collaborate with internal and external stakeholders to gather requirements and ensure documentation accurately reflects processes and procedures. - Review and improve existing documentation to enhance clarity, usability, and compliance with standards. - Support process improvement initiatives by documenting changes, workflows, and system updates. - Utilize document management systems and Microsoft Office tools to organize and distribute documentation effectively. Minimum Requirements - Bachelor's Degree or equivalent experience and 3+ Years. - Preferred SAFe Agile Certification(s). - Preferred Jira/Confluence experience. - Preferred learning development / documentation experience. - Preferred technical writing experience. - Bachelor's degree in a related field, or an equivalent combination of education and experience. - 3 years' relevant experience with documentation and supporting process improvement initiatives. - Strong attention to detail and organizational skills. - Excellent written communication skills with the ability to create clear, concise, and accurate documentation. - Experience working collaboratively with internal stakeholders to gather information and develop documentation. - Familiarity with document management tools and Microsoft Office (Word, Excel, PowerPoint, SharePoint). - Ability to manage multiple documentation projects simultaneously and meet deadlines. Preferred Requirements - Previous experience in product documentation, writing, or business support role. - Knowledge of process improvement methodologies 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 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
    $26k-38k yearly est. Easy Apply 2d ago
  • Manager, ITS, Revenue Cycle Systems, Front, FT, Days, - Remote

    Prisma Health-Midlands 4.6company rating

    Greenville, SC jobs

    Inspire health. Serve with compassion. Be the difference. Provides leadership for the implementation, development and support of billing applications. Leads the day-to-day operations of the billing systems teams to include management of ongoing operations, financial management, customer service to internal customers, oversight for large scale projects, vendor management and contractual oversight for applications and systems in areas of responsibility. Essential Functions All team members are expected to be knowledgeable and compliant with Prisma Health's purpose: Inspire health. Serve with compassion. Be the difference Leads operational and strategic planning for revenue cycle systems, including budgeting, forecasting, and resource management Ensures revenue cycle ITS initiatives support organizational goals and compliance standards. Participates in and supports ITS governance committees focused on revenue cycle systems. Collaborates with operational leaders to identify and analyze areas for improvement, ensuring alignment with business processes and strategic vision. Key decision-maker for complex issues involving revenue cycle systems and workflows. Partners with ITS and operational departments to define system requirements and implement solutions that enhance efficiency and customer service. Develops and executes plans for financial systems strategy in coordination with leadership and governance structures. Prepares and manages the annual operating budget for revenue cycle systems. Builds and maintains vendor relationships to optimize pricing, service quality, and system performance. Ensures compliance with industry standards, data security, and privacy regulations. Performs other duties as assigned. Supervisory/Management Responsibilities Job has direct and/or indirect supervision of team members that may include final budget authority, hire/termination authority, performance appraisal responsibility and disciplinary authority. Job will be considered a member of management staff at Prisma Health or affiliate and will have direct reports. Minimum Requirements Education - Bachelor's degree in Computer Science, Information Technology, Business Administration, Healthcare Administration or related field of study Experience - Five (5) years of experience in revenue cycle operations and/or healthcare information technology. In Lieu Of In lieu of the education and work experience noted above, an equivalent combination of work/academic experience may be considered (i.e., nine years related work experience OR Associate degree and seven years of related work experience OR Master's degree and three years of experience). Required Certifications, Registrations, Licenses Epic Certification preferred Knowledge, Skills and Abilities Computer skills including spreadsheets and databases Leadership experience in healthcare revenue cycle operations Large-scale project implementation experience (mergers & acquisitions, divestitures, joint venture partnerships, etc.) Understanding of revenue cycle workflows and systems Technical expertise in healthcare IT systems, especially EHR and billing platforms Ability to manage cross-functional teams and vendor relationships Strategic thinking and problem-solving skills Communication and stakeholder engagement abilities Work Shift Day (United States of America) Location Corporate Facility 7001 Corporate Department 70019419 ITS Financial Billing Systems Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.
    $127k-163k yearly est. Auto-Apply 28d ago
  • Data Analyst - Technical Staff

    Intermountain Health 3.9company rating

    Columbia, SC jobs

    This remote role supports the development and deployment of data analytics at Intermountain Health. As a Data Analyst-Technical-Staff, you will be part of a team that contributes to strategic initiatives, clinical standards, and operational goals through data insights. Reporting to senior leaders in Digital Technology Services (DTS), you will collaborate with business and clinical leaders across Intermountain Health. The team ensures data applications are maintained, monitored, promoted, and used effectively. **Position Details:** This is a remote position. Incumbent will work Monday-Friday during regular business hours. We offer flexible work options where noted in the posting. Candidates in California, Connecticut, Hawaii, Illinois, New York, Rhode Island, Vermont, and Washington will not be considered. All remote roles require a Microsoft Teams video interview and may include onsite interviews and meetings. **Essential Functions** + Primary support for management level leadership of a system/regional business or clinical area. + Meet regularly with leadership to provide work updates, set project priorities, and establish deliverable timelines. + Partner with Healthcare Data Advisors and Data Architects to ensure the integrity and accuracy of data for the area(s) they support. + Receive customer requests and develop/deliver meaningful information through data exploration, interpretation, report development and visual storytelling. + Effectively communicate analytic findings and recommendations to both technical and business executives. T + Regularly schedule and provide analytic work demonstrations and hands-on training for customers to promote understanding and independent consumption of analytic work. + Augment technical skillset through individual learning and participation in Intermountain analytic community educational offerings. **Skills** + SQL & database design + Data visualization tools + Office applications proficiency + Communication skills + Health care data expertise + Lifelong learner + Individual & team success **Minimum Qualifications** + Intermediate skills in SQL and database tasks. + Ability to create effective visualizations and dashboards. + Proficiency in office applications for daily tasks + Good communication skills with experience presenting data insights to peers. + Knowledge of healthcare data through relevant projects + Experience collaborating with team members and contributing to group projects. + Proficiency in Product Management, Project Management, or Program Management philosophies and methodologies, and capable of applying them to data analytic projects to ensure alignment with business goals and efficient execution. **Preferred Qualifications** + Bachelor's degree in analytics related fields such as statistics, mathematics, information systems, computer science, finance, business management, or economics and two years of relevant experience performing statistical data analysis. + Previous experience with databricks. + Experience with healthcare finance. + Experience developing key performance indicators for healthcare systems (LOS, CMI, Net Revenue, etc.) **Physical Requirements:** Remain sitting or standing for long periods of time to perform work on a computer, telephone, or other equipment. **Location:** Lake Park Building **Work City:** West Valley City **Work State:** Utah **Scheduled Weekly Hours:** 40 The hourly range for this position is listed below. Actual hourly rate dependent upon experience. $39.57 - $62.29 We care about your well-being - mind, body, and spirit - which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged. Learn more about our comprehensive benefits package here (***************************************************** . Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. At Intermountain Health, we use the artificial intelligence ("AI") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment. Thank you for considering a career with us and experiencing our AI-enhanced recruitment process. All positions subject to close without notice.
    $43k-54k yearly est. 2d ago

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