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  • Bilingual Quality Analyst - Remote

    Maximus 4.3company rating

    Missoula, MT jobs

    Description & Requirements Maximus is seeking a detail-oriented and experienced Bilingual 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 position requires fluency in Spanish and English (both written and spoken). The Bilingual Quality Analyst will review customer interactions in Spanish and complete evaluation scoring and documentation in English. Candidates must be comfortable understanding spoken Spanish and writing detailed feedback in English. 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. - 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. 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 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. - 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. - Must be bilingual in Spanish and English with strong written and verbal communication skills in both languages. Call monitoring will be in Spanish; evaluations and scoring will be completed in English. 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 $ 55,000.00 Maximum Salary $ 66,000.00
    $57k-84k yearly est. Easy Apply 1d ago
  • 988 Crisis Call Specialist

    Western Montana Mental Health Center 3.5company rating

    Missoula, MT jobs

    Looking for a career that makes a difference in the lives of others, offering hope, meaningful life choices, and better outcomes? Who we are Since 1971 Western Montana Mental Health Center (WMMHC) has been the center of community partnership in the 15 counties we serve across western Montana. We have committed to providing whole-person, person-centered care by ensuring an approach to health care that emphasizes recovery, wellness, trauma-informed care, and physical-behavioral health integration. We know the work we do is important and makes a significant impact in the lives of our clients and in our communities. Working at WMMHC also gives you the opportunity to work under the Big Sky, giving you the adventure of a life time while serving your community and changing lives. We offer a work life balance so you still have time to discover all the natural beauty and recreational dreams that Montana has to offer while still engaging in a career path that is challenging and fulfilling. If you want to join our team where community is at the heart of what we do, then you've come to the right place! Job Summary: Do you like to talk on the phone? Are you the person your family and friends turn to when they need support? Can you remain calm in stressful situations and empathize without judgement? If you can answer yes to these questions, the National Suicide Prevention Lifeline team needs your help! With training in the following tasks, you will be able to serve your community members. Triage incoming Lifeline calls and obtain caller information. Conduct assessments and dispatch appropriate interventions when needed. Deescalate callers in crisis over the phone. Develop appropriate and realistic safety plans and complete appropriate follow up tasks. Knowledge and familiarity with community resources Complete documentation in an accurate and thorough manner. Location: Remote* only after training and available to come into office when needed. We are seeking a candidate who is able and willing to work varied shifts including evenings, weekends, holidays, and overnights. Overnights shifts offer a pay differential. *Remote work is available after completion of training. Qualifications High School diploma or equivalent Ability to pass background check Provide proof of auto liability insurance coverage per Western's policies Montana Driver's License with a good driving record 1-year related work experience in human services, preferred Benefits: We know that whole-person care is not just important for our clients, but recognize it's just as important for our employees. WMMHC has worked hard to provide a benefits package that encompasses that same concept. Our comprehensive benefits package focuses on the health, security, and growth of our employees. Benefit offerings will vary based upon full time, part time, or variable status. Health Insurance - 3 options to choose from starting as low as $5 per pay period Employer paid benefits: Employee Assistance Program, Life insurance for employees and dependents, and long term disability Voluntary options available: dental & vision insurance, short term disability, additional life insurance and dependent care flexible spending account Health savings account (HAS) with match or medical flexible spending account (FSA) 403(B) Retirement enrollment offered right away with an employer match offered after one year Generous paid time off to take care of yourself and do the things you love Accrued PTO starts immediately Extended sick leave 9 paid holidays and 8 floating holidays Loan forgiveness programs through PSLF or NHSC
    $38k-45k yearly est. Auto-Apply 60d+ ago
  • Client Relationship Manager

    Cardinal Health 4.4company rating

    Helena, MT 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_** + Responsible for regularly reviewing weekly, monthly & quarterly - program activities with the client. + Attend all program and client meetings, takes detailed meeting notes during client interactions and internal strategy sessions, ensuring all key points and decisions are documented. + Monitors all program's activities and IT projects associated with the program + Includes setting due dates and responsible parties + Follows up on action items from meetings, ensuring that responsibilities are clear, and deadlines are met + Regular reporting out of all program's activities + Solicit feedback from the activity/task owners on sub-tasks + Maintain up-to-date activity timeline, articulate progresses and delays + Develops and manages activities timelines to ensure all deliverables are completed on schedule. + Obtain consensus for activities risks, decisions and closures + Coordinates cross-functional teams to ensure alignment and timely completion of tasks related to program activities. + Facilitates communication between internal teams and external clients to ensure all activities objectives are understood and met. + Escalate delayed activities to program's leadership + If activity owners are missing deadlines consistently and/or are unresponsive. + Managing contract amendments and project change requests for the client. + Coordinates customer interactions with internal & external partners to meet the evolving business needs of the client. + Responsible for sharing and presenting current and future program expectations during weekly meetings with client leadership in addition to Quarterly Business Review meetings with client's Access and Marketing teams. + Manages client access to internal applications including client-facing data reports and data streams with 3rd party vendors. + Oversee daily operations and ensure alignment with client expectations and internal standards + Supports audits and regulatory reviews as needed + Ensure financial billing accuracy + Contact healthcare professionals for clarifications and information as needed **_Qualifications_** + Min 5 years related client services experience, preferred + Min 5 years' experience in managing complex program activities with high accountability, preferred + Bachelor's degree preferred + Ability to travel - less than 25% + Proven product knowledge in business area + Licensed pharmacy technician in Texas preferred **_What is expected of you and others at this level_** + Applies advanced knowledge and understanding of concepts, principles, and technical capabilities to manage a wide variety of program activities. + Own and develop tracking tools to achieve specific program management goals and activities. + Create and participate in recurring business review presentations + Recommends new practices, processes, metrics, or models + Projects may have significant and long-term impact + Provides solutions which may set precedent + Independently determines method for completion of new projects + Receives guidance on overall project objectives + Acts as a mentor to less experienced colleagues **TRAINING AND WORK SCHEDULES:** Your new hire training will take place 8:00am-5:00pm CT, 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 CT. **REMOTE DETAILS:** You will work remotely, full-time. It will require a dedicated, quiet, private, distraction free environment with access to high-speed internet. We will provide you with the computer, technology and equipment needed to successfully perform your job. You will be responsible for providing high-speed internet. Internet requirements include the following: Maintain a secure, high-speed, broadband internet connection (DSL, Cable, or Fiber) at the remote location. Dial-up, satellite, WIFI, Cellular connections are NOT acceptable. + Download speed of 15Mbps (megabyte per second) + Upload speed of 5Mbps (megabyte per second) + Ping Rate Maximum of 30ms (milliseconds) + Hardwired to the router + Surge protector with Network Line Protection for CAH issued equipment **Anticipated salary range:** $80,900.00 - $92,400.00 **Bonus eligible:** No **Benefits:** Cardinal Health offers a wide variety of benefits and programs to support health and well-being. + Medical, dental and vision coverage + Paid time off plan + Health savings account (HSA) + 401k savings plan + Access to wages before pay day with my FlexPay + Flexible spending accounts (FSAs) + Short- and long-term disability coverage + Work-Life resources + Paid parental leave + Healthy lifestyle programs **Application window anticipated to close:** 1/19/2026 *if interested in opportunity, please submit application as soon as possible. The salary range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity. _Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply._ _Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal_ _Opportunity/Affirmative_ _Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law._ _To read and review this privacy notice click_ here (***************************************************************************************************************************
    $80.9k-92.4k yearly 24d ago
  • OSP Technician with CDL

    Vero Networks 4.2company rating

    Kalispell, MT jobs

    Job DescriptionOSP Technician Department: Outside Plant Reports To: OSP Project Manager We are seeking a skilled OSP Technician with a valid CDL to support the installation, maintenance, and troubleshooting of fiber optic infrastructure in the field. This role requires hands-on work with aerial and underground plant, as well as operating construction vehicles and equipment. The ideal candidate is experienced in telecom construction, committed to safety, and comfortable working in various outdoor environments. RESPONSIBILITIES Install, splice, and test fiber optic cables in both aerial and underground settings Operate and maintain construction vehicles including bucket trucks, trailers, and utility trucks Locate existing utilities and ensure safe digging practices Read and interpret construction prints, route maps, and work orders Perform site prep, conduit installation, handhole placement, and pole transfers Identify and troubleshoot signal loss, fiber breaks, or network damage Adhere to all safety procedures and regulatory requirements (OSHA, DOT, etc.) Complete daily reports and communicate job status to supervisors or project managers Ensure all tools and equipment are maintained and used properly CORE COMPETENCIES There are several competencies required to be successful in this position. The following are some of the most important and definitions of each are included at the end of this job posting: Safety and Security, Quality of work, and Results-Orientation. REQUIRED QUALIFICATIONS 3+ years of experience in outside plant or telecom construction Valid Class A or B Commercial Driver's License (CDL) with a clean driving record Experience operating bucket trucks, trailers, and other heavy equipment Proficient in fiber splicing, testing (OTDR, power meter), and repair Comfortable working at heights and in confined spaces Strong understanding of safety standards (fall protection, traffic control, trench safety) Ability to travel to various job sites as needed Valid driver's license (CDL preferred) JOB DETAILS AND PHYSICAL REQUIREMENTS This role requires extensive travel with the ability to travel to various locations to perform job duties. Travel schedules may be predictable, or variable depending on the needs of the project and may take short trips, longer trips, or extended stays depending on the needs of the project. A company vehicle is provided. Ability to lift and carry up to 75 lbs on a regular basis Ability to walk, bend, kneel, crouch, or stand for extended periods Willingness to work at heights, on ladders, in bucket trucks, or on poles Comfortable working in confined spaces such as handholes or manholes Ability to operate and safely handle power tools and heavy equipment Tolerance for working in various weather conditions (heat, cold, rain, wind) Capable of extended travel to remote job sites as needed Ability to wear and operate in required PPE, including hard hat, safety glasses, high-visibility vest, gloves, and fall protection gear This position requires the ability to crouch and stand in undefined positions in narrow spaces to operate machinery or manufacturing machines. COMPENSATION & BENEFITS Base pay is paid an hourly rate. The hourly range for this position is $27-38 depending on experience. Paid Life Insurance, medical plans, PTO, holidays. Dental and vision options. 401(k) with match. ABOUT VERO Vero Broadband was formed to fill a need in unserviceable and underserved communities where access to affordable, reliable broadband simply does not exist. Our goal is to bring the highest quality fiber optic-based broadband services to these communities. In addition, Vero strives to enhance communities by becoming an active partner in these communities by adding jobs, supporting local causes, and helping improve the connectivity of schools and rural healthcare as well. NOTICES Vero participates in E-Verify. Vero will provide the Social Security Administration (SSA) and, if necessary, the Department of Homeland Security (DHS) with information from each new employee's Form I-9 to confirm work authorization. For more information about E-Verify, please visit: **************** This position requires the ability to pass a standard background check upon offer of position. At least 2 professional references are required.Pre-Employment Screening Requirement for this Safety Sensitive Role At Vero Networks, our commitment to a safe, healthy, and productive work environment is paramount. All offers of employment are contingent upon candidates successfully completing a pre-employment drug screen in compliance with our company policy. Drug Screen Requirement Details: As a part of the hiring process for this position, you will be required to: Accept a Conditional Offer of Employment. Successfully Pass a Post-Offer, Pre-Employment Drug Test before your official start date. This requirement is strictly administered under the guidelines of the Vero Drug & Alcohol Testing Policy and Procedure to ensure a safe workplace, free from the effects of substance abuse, as outlined in our commitment to safety. Important Policy Notes: Substances Tested: The screening will test for a range of substances and their metabolites, including (but not limited to) Amphetamines, Cocaine, Opiates, and PCP. Marijuana (THC) is not tested in pre-employment screens. Safety-Sensitive Roles: This requirement applies to all applicants seeking employment. If this role is defined as Safety-Sensitive (involving risk of injury or harm to the general public), be aware that subsequent Random Testing and Post-Accident Testing will be conditions of continued employment. Marijuana (THC) is tested in Post-Accident and Random Testing. Failure to pass the required drug screen or refusal to comply with testing procedures will result in the offer of employment being rescinded. We encourage all applicants to review the full policy upon request for a complete understanding of our standards. CORE COMPETENCY DEFINITIONS Safety and Security: Employees with a competency of safety and security are able to observe safety and security procedures, report potentially unsafe conditions and use equipment and materials properly. At intermediate levels that can determine appropriate action beyond guidelines. At higher levels of competency, employees make proactive suggestions to improve safety and security within their department or across the organization. Quality of work: Employees with high quality of work demonstrate accuracy and thoroughness in their work product. They look for ways to improve and promote quality and can apply feedback to improve performance. A stronger employee will monitor their own work to ensure quality. Results-oriented: Employees who are results-oriented focus on achieving results for the organization or team. Most employees routinely achieve their goals and gradually move on to more challenging tasks. More results-oriented employees go beyond that baseline to deliver exceptional value in their daily work. Powered by JazzHR RqvmoUIogu
    $27-38 hourly 3d ago
  • Sr. Knowledge Analyst - Contact Center Content Specialist (Remote)

    Maximus 4.3company rating

    Bozeman, MT 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
    $56k-64k yearly est. Easy Apply 5d ago
  • Care Advisor - Remote

    Sharecare 4.4company rating

    Helena, MT 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.
    $67k-91k yearly est. 31d ago
  • Weekend/Evening Remote Licensed Talk Therapist - Fee For Service

    Thriveworks 4.3company rating

    Montana jobs

    Thriveworks is currently seeking Licensed Clinicians to provide telehealth sessions in the evenings and on weekends in Montana. At Thriveworks, we're not just growing a practice-we're building a movement to transform mental health care. Founded and led by clinicians, we understand what it takes to support our team so they can focus on what they do best: delivering exceptional care. Who We Are Thriveworks is a trusted mental health provider with 340+ locations and a nationwide hybrid care model. We serve over 175,000 clients annually through more than 1.7 million sessions, and those numbers are growing. As a clinician-founded and clinician-led organization, we offer the tools, support, and community you need to build a fulfilling, long-term career. What We're Looking For We're hiring independently licensed clinicians in Montana who are ready to make a difference and grow with us. We're especially interested in: Providers willing to see 10-15 sessions per week Behavioral health generalists (open to seeing couples/children, with our support) Clinicians who value autonomy and also enjoy being part of a team Those interested in clinical leadership or supervisory roles Strong character matters - we value integrity, openness, and a commitment to quality care Qualifications: Active and unrestricted LCSW, LMFT, LPC, or Licensed Psychologist in Montana Must live and be licensed in the state where services are provided Compensation: The range for this position is $28,000 - $42,000 per year, based on licensure type/level, session volume, and bonus opportunities. What We Provide We do the heavy lifting so you can focus on care. As a W2 employee, you'll receive: Guaranteed, bi-weekly pay (no need to wait on reimbursement) Paid orientation and annual pay increases PTO and flexible scheduling (7am-10pm, 7 days/week) No-show protection and caseload build within 90 days of credentialing Credentialing, billing, scheduling, and marketing support CEU reimbursement and free in-house training Opportunities for paid resident supervisory roles A vibrant clinical community-online and in person Monthly peer consultations and professional development A clear path for career growth and internal promotion A Place to Belong and Thrive Thriveworks is a certified Great Place to Work and a community built on inclusion, growth, and support. Whether you're seeking mentorship, advancement, or a place where your impact matters, you'll find it here. 93% of our team reports feeling included, and 87% say their work has purpose-and we think that says a lot. Ready to Join Us? Apply today to become part of a team that's changing mental health care for clients and clinicians alike. #LI-Remote #LI-MS1 Interested in joining Team Thriveworks? We're thrilled to meet you! With Job scams becoming more and more frequent, here's how to know you're speaking with a real member of our team: Our recruiters and other team members will only email you from ************************* or an @thriveworks.com email address. Our interviews will take place over Google Meet (not Microsoft Teams or Zoom) We will never ask you to purchase or send us equipment. If you see a scam related to Thriveworks, please report to ***********************. You can contact ************************** with any questions or concerns. Thriveworks is an Equal Opportunity Employer. Our people are our most valuable assets. We embrace and encourage differences in age, color, disability, ethnicity, gender identity or expression, national origin, physical and mental ability, race, religion, sexual orientation, veteran status, and other characteristics that make our employees unique. We encourage and welcome diverse candidates to apply for any position you are qualified for to bring your unique perspective to our team. By clicking Apply, you acknowledge that Thriveworks may contact you regarding your application.
    $28k-42k yearly Auto-Apply 60d+ ago
  • Non-Acute Pharmaceutical Sales Specialist

    Cardinal Health 4.4company rating

    Helena, MT jobs

    **This role will be 100% remote.** Be a part of the fast-paced Non-Acute pharmaceutical sales team- responsible for winning, maintaining and growing customer relationships. This direct sales and customer account management role is responsible for day-to-day activities like order resolution, placement, and account maintenance as well customer initiatives, sales presentations and more. **_Responsibilities:_** + Wins and retains new business in assigned sales region. + Responsible for cultivating and maintaining on-going customer relationships with an assigned set of customers and strategic accounts. + Provides new and existing customers with the best possible service and recommendations in relation to billing inquiries, service requests, improvements to internal and external processes, and other areas of opportunity. + Provides product service information to customers and identifies upselling opportunities to maintain and increase income streams from customer relationships. **_Qualifications:_** + Bachelor's degree in related field, or equivalent work experience, preferred + 2-4 years of account management or sales experience, preferred + Strong communication and organizational skills + Strong working knowledge of Microsoft Excel and Outlook + Experience using Salesforce or other CRM systems, preferred **Anticipated pay range:** $57,000 - $81,600 **Bonus eligible:** No **Benefits:** Cardinal Health offers a wide variety of benefits and programs to support health and well-being starting on day one of employment. + Medical, dental and vision coverage + Paid time off plan + Health savings account (HSA) + 401k savings plan & employer match + 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:** 12/29/2025 and may close sooner depending on the number of applicants. If interested in opportunity, please submit application as soon as possible. The salary range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity. \#LI-JC1 _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 (***************************************************************************************************************************
    $57k-81.6k yearly 13d ago
  • Hybrid Technologist (1.0)

    Billings Clinic 4.5company rating

    Billings, MT jobs

    You'll want to join Billings Clinic for our outstanding quality of care, exciting environment, interesting cases from a vast geography, advanced technology and educational opportunities. We are in the top 1% of hospitals internationally for receiving Magnet Recognition consecutively since 2006. And you'll want to stay at Billings Clinic for the amazing teamwork, caring atmosphere, and a culture that values kindness, safety and courage. This is an incredible place to learn and grow. Billings, Montana, is a friendly, college community in the Rocky Mountains with great schools and abundant family activities. Amazing outdoor recreation is just minutes from home. Four seasons of sunshine! You can make a difference here. About Us Billings Clinic is a community-owned, not-for-profit, Physician-led health system based in Billings with more than 4,700 employees, including over 550 physicians and non-physician providers. Our integrated organization consists of a multi-specialty group practice and a 304-bed hospital. Learn more about Billings Clinic (our organization, history, mission, leadership and regional locations) and how we are recognized nationally for our exceptional quality. Your Benefits We provide a comprehensive and competitive benefits package to all full- and part-time employees (minimum of 20 hours/week), including Medical, Dental, Vision, 403(b) Retirement Plan with employer matching, Defined Contribution Pension Plan, Paid Time Off, employee wellness program, and much more. Click here for more information or download the Employee Benefits Guide. Magnet: Commitment to Nursing Excellence Billings Clinic is proud to be recognized for nursing excellence as a Magnet-designated organization, joining only 97 other organizations worldwide that have achieved this honor four times. The re-designation process happens every four years. Click here to learn more! Pre-Employment Requirements All new employees must complete several pre-employment requirements prior to starting. Click here to learn more! Hybrid Technologist (1.0) CATH LAB/EP - 6310 (BILLINGS CLINIC HOSPITAL) req10628 Shift: Day Employment Status: Full-Time (.75 or greater) Hours per Pay Period: 1.00 = 80 hours every two weeks (Non-Exempt) Starting Wage DOE: $33.66 - 46.39 May be eligible for $20,000 sign on incentive With minimal supervision, assists and performs adult diagnostic and interventional angiography - peripheral vascular procedures. This includes (but not limited to) EKOS, TEVAR, and ECMO. Able to meet all performance standards in the scrub and circulating positions. Works well with a team and is an effective team member. Responsible for patient and family education and support. Essential Job Functions * Scrub: Scrub assistant to the physician. Sets up and maintains the sterile field as well as arterial and venous lines. Positions patient while under the radiation beam to visualize peripheral anatomy. Performs angiographic analysis. Operates x-ray equipment, balancing quality imaging with radiation safety, assists in catheter/wire manipulation. * Circulator: Monitors the patient condition and response to treatment pre, during, and post procedure. Circulators need to have a basic knowledge of medications patients are receiving in the Hybrid Lab. Provides procedural education for patients and family. Safely transports patients to and from the Hybrid. Verifies proper patient preparation pre-procedure. Performs arterial/venous sheath removal. Able to operate and troubleshoot Hybrid procedural equipment. * Equipment operations: Assist with operating and troubleshooting equipment in the Hybrid. This equipment includes, but is not limited to x-ray and intravascular ultrasound, reporting problems to internal or external service representatives and documenting as such. Work closely with the Bio Medical Department to ensure that preventative maintenance is done timely. * Informs management of any unusual concerns, situations, or conditions relative to staff, patients, and physicians. * Operates, monitors, evaluates, and troubleshoots angiographic imaging and processing equipment. Appropriately notifies and documents service needs and provides follow-up. Serves as a technical resource to the department for radiographic equipment. Assist with: orientation and training of staff members to radiographic equipment, radiation safety including annual training and documentation, radiation safety apparel and radiation badges, monthly and annual service reports to the hospital radiation physicist. Ensures radiological services provided are in compliance with standards established by the institution, state, local, and federal agencies. * Identifies needs and sets goals for own growth and development. * Attends OR staff meetings and participates in departmental committees as required. * Maintains working knowledge of all products/procedures related to diagnostic and interventional peripheral vascular procedures. * Communicates regularly with other staff regarding changes in the workflow schedule or physician protocol. * Assists in identifying products needed (out of stock or new items) * Assumes equitable share of department housekeeping duties (cleaning, restocking, filing, etc.). * Utilizes non-procedure time in a constructive manner to benefit the department or organization. Minimum Qualifications Education * Graduate of a recognized approved American Medical Association Council of Education program in Radiological Technology Certifications and Licenses * VI or equivalent Preferred * ACLS Preferred * Current Montana license as a Radiology Technologist At hire Or an equivalent combination of education and experience relating to the above tasks, knowledge, skills and abilities will be considered. Employees that require a licensed or certification must be properly licensed/certified and the licensure/certification must be in good standing. Billings Clinic is Montana's largest health system serving Montana, Wyoming and the western Dakotas. A not-for-profit organization led by a physician CEO, the health system is governed by a board of community members, nurses and physicians. Billings Clinic includes an integrated multi-specialty group practice, tertiary care hospital and trauma center, based in Billings, Montana. Learn more at ****************************** Billings Clinic is committed to being an inclusive and welcoming employer, that strives to be kind, safe, and courageous in all we do. As an equal opportunity employer, our policies and processes are designed to achieve fair and equitable treatment of all employees and job applicants. All employees and job applicants will be provided the same treatment in all aspects of the employment relationship, regardless of race, color, religion, sex, gender identity, sexual orientation, pregnancy, marital status, national origin, age, genetic information, military status, and/or disability. To ensure we provide an accessible candidate experience for prospective employees, please let us know if you need any accommodations during the recruitment process.
    $27k-32k yearly est. 60d+ ago
  • Project Manager - Strategic Workforce Analytics (Remote)

    Maximus 4.3company rating

    Billings, MT 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
    $91k-129k yearly est. Easy Apply 5d ago
  • Hybrid Outpatient/Consultation Psychiatrist

    Providence Health & Services 4.2company rating

    Missoula, MT jobs

    Providence Psychiatry and Counseling is offering an exceptional opportunity for a full-time board-eligible/board-certified Psychiatrist to join an esteemed Behavioral Health Division in the beautiful Missoula, Montana. As part of a dedicated team of 6 psychiatrists, 4 PMHNP, and 7 LCSW/LCPC's, you will have the chance to work in an outpatient department while also engaging in hospital consultation, inpatient psychiatry coverage, call coverage, addiction medicine, ECT, and Spravato treatments. The team is known for its flexible coverage model, which fosters collaboration and enhances the overall wellbeing of the staff. This is a fantastic opportunity to be part of a flourishing clinical department that is committed to expanding access to under-served populations in both urban and rural settings. The position offers a flexible schedule, with options for Monday to Friday, Tuesday to Friday, or Monday to Thursday. Relocation and sign-on bonuses. We welcome new graduates and J1 Visa applicants to apply. * Full-time position * Flexible scheduling options * Minimum call requirement of 1 night per week * Occasional IP coverage * Relocation assistance and sign-on bonus * New graduates are welcome to apply * Open to J1 Visa applicants Where You'll Work Providence Medical Group - Western Montana includes 2000 employees statewide and over 40 primary and specialty care clinics in Missoula, Polson and several smaller communities. The connection to two outstanding hospitals, Providence St. Patrick in Missoula and Providence St. Joseph in Polson, brings comprehensive care to the region. For years, the network of hospitals, providers, clinics and care centers has offered coordinated care with a singular EMR system and the sharing of best practices throughout Western Montana. Where You'll Live Missoula, Montana, is a vibrant university town situated midway between Glacier and Yellowstone national parks. This area boasts endless recreational opportunities, from skiing and paddling to fishing and hiking right outside your door. The town also offers a wealth of cultural amenities, including a symphony and the internationally renowned Missoula Children's Theater, celebrated for its expectational work with young performers. Missoula is family-friendly with excellent schools and year-round social activities. Who You'll Work For Providence is a nationally recognized, comprehensive healthcare organization spanning seven states with a universal mission - to provide compassionate care to all who need its services, especially the poor and vulnerable. Its 122,000-plus caregivers/employees (including 34,000 physicians) serve in 51 hospitals, more than 1,000 clinics and a comprehensive range of health and social services. Providence: One name, one family, one extraordinary health system. Check out our benefits page for more information. Equal Opportunity Employer including disability/veteran _Job ID Number: 29841_ _Facility Name: Providence Medical Group - Western Montana_ _Location Name: Missoula_ _Brand Name: Providence_ _Provider Profession: Physician/Surgeon_ _Medical Specialty: Psychiatry_ _Job Setting: Medical Clinic_ _Type of Role: Clinical_ _Email: *****************************_ _Phone Number: **************_ _Schedule: Full Time_ _CP: Yes_ _CB: Yes_ _NP:_ _PA:_ _HC: Yes_ _IS: No_ _YM: Yes_ _J1: No_ _H1B: No_ Let's get in touch If you have questions about this specific job or others, I'm all ears. Send me a note and we'll be one step closer to the right opportunity. Melisa Shockey Provider Recruiter ************** ***************************** Contact Me
    $321k-459k yearly est. Auto-Apply 38d ago
  • Insurance Billing Supervisor (FT- 1 FTE) Hybrid Possible

    Bozeman Health Deaconess Hospital 3.6company rating

    Bozeman, MT jobs

    This position may be eligible for a hybrid schedule (3 days in-office, 2 days remote) following successful completion of a 6-month probationary period (or 6 months in-role for internal transfers) and with sustained satisfactory job performance. Eligible applicants must reside within commuting distance of Bozeman Health's main campus. Position Summary: The Insurance Billing Supervisor is responsible for assisting with planning, directing, organizing, monitoring and staffing departmental services subject to policies, budgets, objectives and directives mandated by regulatory agencies, DNV and the hospital administrative team in collaboration with the Patient Financial Services (PFS) manager. This role oversees and coordinates the insurance billing function for Bozeman Health and all related entities, including claims submission, follow-up, and denial management. The supervisor supports staff in maintaining accuracy and timeliness in claims processing to maximize reimbursement. Additional responsibilities include developing and implementing quality assurance initiatives, monitoring compliance with payer and policy requirements, conducting regular audits, and analyzing performance metrics. The supervisor also partners with Revenue Cycle leadership on training and process improvement initiatives while ensuring effective communication across departments to resolve systemic billing issues. Qualifications: Required: Associate's degree in Business, Accounting, or related field; or equivalent combination of education and experience. Three (3) years of experience in medical billing and claims. One (1) year of supervisory experience. Knowledge of electronic healthcare payment transactions. Prior experience in healthcare administration, revenue cycle, or accounts receivable management. Regulatory knowledge required for PPS and CAH Hospital, Provider-Based, Free-Standing Clinic, and Swing Bed Billing. Preferred: Bachelor's degree in Business or related field. Prior experience with Epic billing systems. Essential Job Functions: In addition to the essential functions of the job listed below, employees must have on-time completion of all required education as assigned per DNV requirements, Bozeman Health policy, and other registry requirements. Assists department leadership with broad operations to ensure the provision of comprehensive departmental services in compliance with all regulatory agencies and hospital requirements. Ensures a collaborative departmental approach to long-range strategic operational planning, care and service design and development of organizational policies, which reflect the mission of the organization. Coordinates and oversees the organization-wide departmental services. Continuously assesses, measures and improves departmental performance. Demonstrates responsible management of all departmental resources. Demonstrates clinical/technical and managerial competency. Ensures staff professional needs are met. Leads, teaches, inspires, helps and consistently demonstrates hospital behavioral standards Oversees billing team productivity and quality, including monitoring Epic work queues to ensure timely and accurate claim follow-up and resolution. Develops and leads the QA program in collaboration with the System Manager, incorporating productivity tracking, regular audits, and performance reporting. Conducts data analysis and prepares performance reports, identifying trends in billing, denials, and underpayments to inform process improvements. Collaborates with the PFS Manager, Contract Specialist, and Compliance team to address denial trends and payer issues, and escalates concerns as needed. Ensures compliance with payer regulations and internal policies through continuous oversight and quality monitoring. Approves account adjustments within defined thresholds and escalates recurring issues or trends to leadership. Leads recruiting, onboarding, and performance evaluations for billing staff and supports professional development through coaching and feedback. Drives training initiatives and operational enhancements, partnering with Revenue Cycle leadership and external resources to implement system-wide improvements. Knowledge, Skills and Abilities Strong leadership managerial skills; ability to plan, delegate, monitor and improve work performance Demonstrates sound judgment, patience, and maintains a professional demeanor at all times Exercises tact, discretion, sensitivity, and maintains confidentiality Performs essential job functions successfully in a busy and stressful environment Learns current and new computer applications and office equipment utilized at Bozeman Health Strong interpersonal, verbal, and written communication skills Analyzes, organizes, and prioritizes work while meeting multiple deadlines Schedule Requirements This role requires regular and sustained attendance. The position may necessitate working beyond a standard 40-hour workweek, including weekends and after-hours shifts. On-call work may be required to respond promptly to organizational, patient, or employee needs. Physical Requirements Lifting (Rarely - 30 pounds): Exerting force and/or using a negligible amount of force to lift, carry, push, pull, or otherwise move objects or people. Sit (Continuously): Maintaining a sitting posture for extended periods may include adjusting body position to prevent discomfort or strain. Stand (Occasionally): Maintaining a standing posture for extended periods may include adjusting body position to prevent discomfort or strain. Walk (Occasionally): Walking and moving around within the work area requires good balance and coordination. Climb (Rarely): Ascending or descending ladders, stairs, scaffolding, ramps, poles, and the like using feet and legs; may also use hands and arms. Twist/Bend/Stoop/Kneel (Occasionally): Twisting, bending, stooping, and kneeling require flexibility and a wide range of motion in the spine and joints. Reach Above Shoulder Level (Occasionally): Lifting, carrying, pushing, or pulling objects as necessary above the shoulder, requiring strength and stability. Push/Pull (Occasionally): Using the upper extremities to press or exert force against something with steady force to thrust forward, downward, or outward. Fine-Finger Movements (Continuously): Picking, pinching, typing, or otherwise working primarily with fingers rather than using the whole hand as in handling. Vision (Continuously): Close visual acuity to prepare and analyze data and figures and to read computer screens, printed materials, and handwritten materials. Cognitive Skills (Continuously): Learn new tasks, remember processes, maintain focus, complete tasks independently, and make timely decisions in the context of a workflow. Exposures (Rarely): Bloodborne pathogens, such as blood, bodily fluids, or tissues. Radiation in settings where medical imaging procedures are performed. Various chemicals and medications are used in healthcare settings. Job tasks may involve handling cleaning products, disinfectants, and other substances. Infectious diseases due to contact with patients in areas that may have contagious illnesses. *Frequency Key: Continuously (100% - 67% of the time), Repeatedly (66% - 33% of the time), Occasionally (32% - 4% of the time), Rarely (3% - 1% of the time), Never (0%). The above statements are intended to describe the general nature and level of work being performed by people assigned to the job classification. They are not to be construed as a contract of any type nor an exhaustive list of all job duties performed by the personnel so classified. 77211370 Patient Financial Services
    $40k-52k yearly est. Auto-Apply 60d+ ago
  • Pharmacy Business Consultant (1.0)

    Billings Clinic 4.5company rating

    Billings, MT jobs

    You'll want to join Billings Clinic for our outstanding quality of care, exciting environment, interesting cases from a vast geography, advanced technology and educational opportunities. We are in the top 1% of hospitals internationally for receiving Magnet Recognition consecutively since 2006. And you'll want to stay at Billings Clinic for the amazing teamwork, caring atmosphere, and a culture that values kindness, safety and courage. This is an incredible place to learn and grow. Billings, Montana, is a friendly, college community in the Rocky Mountains with great schools and abundant family activities. Amazing outdoor recreation is just minutes from home. Four seasons of sunshine! You can make a difference here. About Us Billings Clinic is a community-owned, not-for-profit, Physician-led health system based in Billings with more than 4,700 employees, including over 550 physicians and non-physician providers. Our integrated organization consists of a multi-specialty group practice and a 304-bed hospital. Learn more about Billings Clinic (our organization, history, mission, leadership and regional locations) and how we are recognized nationally for our exceptional quality. Your Benefits We provide a comprehensive and competitive benefits package to all full- and part-time employees (minimum of 20 hours/week), including Medical, Dental, Vision, 403(b) Retirement Plan with employer matching, Defined Contribution Pension Plan, Paid Time Off, employee wellness program, and much more. Click here for more information or download the Employee Benefits Guide. Magnet: Commitment to Nursing Excellence Billings Clinic is proud to be recognized for nursing excellence as a Magnet-designated organization, joining only 97 other organizations worldwide that have achieved this honor four times. The re-designation process happens every four years. Click here to learn more! Pre-Employment Requirements All new employees must complete several pre-employment requirements prior to starting. Click here to learn more! Pharmacy Business Consultant (1.0) SPECIALTY PHARMACY (Billings Clinic Main Campus) req10865 Shift: Fully Remote Employment Status: Full-Time (.75 or greater) Hours per Pay Period: 1.00 = 80 hours every two weeks (Exempt) Starting Wage DOE: $27.69 - 34.61 Job may be remote within the US or a hybrid role for someone in the Billings area. Works effectively with Pharmacy Leadership Team, Accounting department, and 340B team to manage the pilot 340B Rebate Program. The 340B Business Consultant will be responsible for rebate accounts receivable tracking, third party vendor portal ownership, and collections follow-up for outstanding manufacturer payments. Ensures that our 340B Rebate program is organized, current, and efficient. Accountabilities include strategic planning for optimized financial capture, establishment of an effective manufacturer network, and ongoing process improvements based on incoming information and discoveries. Candidates with previous 340B and Accounts Receivable experience will be an ideal fit for this role. Essential Job Functions * Supports and models behaviors consistent with Billings Clinic's mission, vision, values, code of business conduct and service expectations. Meets all mandatory organizational and departmental requirements. Maintains competency in all organizational, departmental and outside agency standards as it relates to the environment, employee, patient safety or job performance. * Understands the overall workflow to proactively solve problems, provide analysis, and evaluate trends in the revenue cycle. Displays initiative to resolve 835 remittance issues including, but not limited to: unapplied cash, claim exceptions, and partial pays. Provide claims resolution to ensure accuracy in the process. * Assists with inventory, supply and equipment acquisition and repair, and vendor relations. * Conducts performance and payment audits for both internal and external audits. Supervises the collection of payment data and provides recommendations and resolution to audit results. Attends, reviews, researches, and responds to payer audits. Develops audit responses and correspondences with payer and escalates adverse audits to management. * Provides proactive and ongoing follow-up and problem solving with insurance companies and pharmacy sites to identify trends, communicate proactively, and ensure accuracy in the revenue cycle process. * Ensures optimal revenue cycle performance through evaluation, analysis, and problem solving. Provides analysis to stakeholders and constantly analyzes operations in an attempt to improve processes in order to provide better customer service and improve the revenue cycle. * Reviews payments for accuracy, ensure collection according to contracts, and follows-up with insurance companies to leverage the revenue process. * Oversees the creation of analysis consisting of proformas, IRR's, capital requests, and business line opportunities. * Collect and analyze data for fiscal impact of existing and proposed contracts, business lines, and product lines for both internal and external customers. Provide analysis, recommendations, and summary to stakeholders * Understands contracts to achieve results and department metrics, including but not limited to: payer DSO equal or exceeds department goals, A/R percentage over 60 days equals or exceeds department goals, and timely submission of secondary payer billings equals or exceeds department goals. * Maintains competency in all organizational, departmental and outside agency environmental, employee or patient safety standards relevant to job performance. * Performs other duties as assigned or needed to meet the needs of the department/organization. Minimum Qualifications Education * Bachelor's degree in business, economics, or other related field * Master's degree in business or healthcare administration, preferred Experience * Three (3) years' experience in business operations and financial process improvement * Prior healthcare experience, preferred Or an equivalent combination of education and experience relating to the above tasks, knowledge, skills and abilities will be considered. Employees that require a licensed or certification must be properly licensed/certified and the licensure/certification must be in good standing. Billings Clinic is Montana's largest health system serving Montana, Wyoming and the western Dakotas. A not-for-profit organization led by a physician CEO, the health system is governed by a board of community members, nurses and physicians. Billings Clinic includes an integrated multi-specialty group practice, tertiary care hospital and trauma center, based in Billings, Montana. Learn more at ****************************** Billings Clinic is committed to being an inclusive and welcoming employer, that strives to be kind, safe, and courageous in all we do. As an equal opportunity employer, our policies and processes are designed to achieve fair and equitable treatment of all employees and job applicants. All employees and job applicants will be provided the same treatment in all aspects of the employment relationship, regardless of race, color, religion, sex, gender identity, sexual orientation, pregnancy, marital status, national origin, age, genetic information, military status, and/or disability. To ensure we provide an accessible candidate experience for prospective employees, please let us know if you need any accommodations during the recruitment process.
    $27.7-34.6 hourly 41d ago
  • Director, Information Security and Risk (Identity & Access Management)

    Cardinal Health 4.4company rating

    Helena, MT jobs

    **_What Information Security and Risk contributes to Cardinal Health_** Information Security and Risk develops, implements, and enforces security controls to protect the organization's technology assets from intentional or inadvertent modification, disclosure or destruction. This job family develops system back-up and disaster recovery plans. Information Technology also conducts incident response, threat management, vulnerability scanning, virus management and intrusion detection and completes risk assessments. The _Director, Information Security and Risk (Identity & Access Management)_ is responsible for leading the organization's Identity & Access Management (IAM) strategy, governance, and operations to ensure secure, efficient, and compliant access to technology resources. This role requires a leader with proven ability to execute large-scale enterprise IAM programs that directly impact how employees, contractors, and customers interact with Cardinal Health technology. Success in this role demands a balance between delivering a frictionless, user-friendly experience and maintaining the highest standards of security. The Director must also excel at building partnerships across the organization and collaborating on program delivery, while driving operational excellence and anticipating business risks associated with IAM changes. **Location** - Ideally targeting individuals local to Central Ohio, but open to candidates located nationwide (fully remote). If living within commutable distance of our corporate HQ in Dublin, OH - the expectation would be to come in-office two or three days a month for team meetings. **Responsibilities** + Act as a visionary in designing and executing multi-year IAM strategy that aligns with business goals and customer needs + Develop and oversee enterprise IAM policies, standards, and procedures, ensuring consistent enforcement across the organization. + Lead IAM initiatives including identity lifecycle management (provisioning, de-provisioning, role-based access, entitlement reviews). + Direct privileged access management (PAM) programs to safeguard critical systems and sensitive data. + Ensure compliance with internal policies and external regulatory requirements (e.g., SOX, HIPAA, GDPR, PCI-DSS) through strong access controls. + Execute enterprise IAM programs with significant business impact, ensuring seamless access for employees, contractors, and customers. + Balance user experience with security by designing IAM solutions that are simple, intuitive, and resilient. + Drive operational excellence by establishing repeatable processes, KPIs, and service delivery models for IAM functions. + Build strong partnerships across IT, Security, HR, and business units to align IAM delivery with organizational priorities. + Establish metrics and reporting mechanisms to monitor IAM effectiveness, operational performance, and program maturity for executive leadership. + Lead training and awareness programs related to IAM policies, secure access practices, and identity governance. **Qualifications** + Bachelor's degree in Information Technology, Computer Science, Cybersecurity, or a related field preferred. + Ideally targeting individuals with 12+ years of IT/security experience with at least 5 years in IAM leadership roles preferred. + Proven track record of executing enterprise IAM programs with measurable business impact. + Prior people leadership experience and demonstrated ability to manage operational IAM teams, highly preferred. + Expertise with IAM tools and platforms (e.g., Okta, SailPoint, CyberArk, Azure AD). + Strong understanding of relevant Regulatory and Compliance requirements (HIPAA, SOX, HITRUST CSF, etc.). + Strong understanding of authentication protocols (SAML, OAuth, OpenID Connect, Kerberos) and cloud IAM (AWS IAM, Azure RBAC, GCP IAM). + Certifications such as CISSP, CIAM, or CISM preferred. + Strong analytical, relationship management, and communication skills (both written and verbal). + Ability to collaborate across functions and influence stakeholders to achieve IAM program success. **What is expected of you and others at this level** + Provides leadership to managers and experienced professional staff; may also manage front line supervisors + Manages an organizational budget + Develops and implements policies and procedures to achieve organizational goals + Assists in the development of functional strategy + Decisions have an extended impact on work processes, outcomes, and customers + Interacts with internal and/or external leaders, including senior management + Persuades others into agreement in sensitive situations while maintaining positive relationships _\#LI-LP_ _\#LI-Remote_ **Anticipated salary range:** $135,400 - $228,910 **Bonus eligible:** Yes **Benefits:** Cardinal Health offers a wide variety of benefits and programs to support health and well-being. + Medical, dental and vision coverage + Paid time off plan + Health savings account (HSA) + 401k savings plan + Access to wages before pay day with my FlexPay + Flexible spending accounts (FSAs) + Short- and long-term disability coverage + Work-Life resources + Paid parental leave + Healthy lifestyle programs **Application window anticipated to close:** 12/25/2025 *if interested in opportunity, please submit application as soon as possible. The salary range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity. _Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply._ _Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal_ _Opportunity/Affirmative_ _Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law._ _To read and review this privacy notice click_ here (***************************************************************************************************************************
    $135.4k-228.9k yearly 12d ago
  • Coordinator II, Performance Monitoring

    Cardinal Health 4.4company rating

    Helena, MT 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 5d ago
  • Clinical Review Coordinator (Remote)

    Maximus 4.3company rating

    Billings, MT jobs

    Description & Requirements Maximus is hiring a Clinical Review Coordinator (Remote) to support the OR MED program. The Clinical Review Coordinator will review assessments for quality and review medical records and other documentation as needed. **This is a Part-Time fully remote position that requires Oregon licensure. About the program: We partner with Oregon DHS to manage in-person eligibility reviews for people that may be experiencing mental illness along with possible physical needs for the Aging and People with Disabilities (APD) Program. Through the mental or emotional disorders (MED) Review process, we give DHS accurate review recommendations of an individual's primary need for services. Our assessment enables DHS to make informed program eligibility decisions based on a clear and accurate understanding of which programs may best address an individual's unique needs. Why Join 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. Essential Duties and Responsibilities: - Review requests for services including admission, discharges and continued stays for adherence to clinical criteria, state and federal policy, and related requirements. - Issue approvals, denials or recommendations based on contract requirements. - Identify need for additional clinical documentation or consultation. - Complete documentation of activities within contract systems. - Communicate with providers, individuals and their designees, or state workers as required. - Performs other related duties as assigned. Minimum Requirements - Current Registered Nurse (RN) license valid in the state of practice is required - High School Degree or equivalent required - Minimum 2 years of clinical experience required - Active and unrestricted RN or LCSW license Preferred Skills and Qualifications: -Minimum of 1 (one) year of psychiatric experience Home Office Requirements: - Maximus provides company-issued computer equipment - 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 $ 35.00 Maximum Salary $ 35.00
    $46k-61k yearly est. Easy Apply 2d ago
  • Coder II - OP Physician Coding (Ortho Surgery)

    Baylor Scott & White Health 4.5company rating

    Helena, MT jobs

    ** **Upper Extremity:** **- Shoulders:** Total/Hemi Arthroplasty, Arthroscopy, Rotator cuff repair, Biceps tenodesis, Acromioplasty, Distal claviculectomy, Superior Labrum Anterior to Posterior tear (SLAP) repair **- Elbows:** Cubital tunnel release, Bursectomy, Arthroplasty **- Wrist:** Carpal tunnel release, Carpectomy, TFCC debridement/repair, 4-corner fusion, De Quervain (1st dorsal compartment) **- Hands:** Trigger fingers, Ganglions, Mallet fingers, Carpometacarpal (CMC) arthroplasty, , Dupuytren's (Palmar fascial fibromatosis), Amputations **Lower Extremity:** **- Hips:** Dislocation reductions, Total/partial Arthroplasty, Femoral fracture treatments, Arthroscopy **- Pelvis:** Fracture repairs **- Femur:** ORIF neck fractures, Trochanteric repairs, shaft fracture repairs **- Knees:** Dislocation repairs/reductions, Total/hemi arthroplasty, Meniscal repairs, Ligamentous reconstructions and repairs, Arthroscopy **- Tibia/Fibula:** Plateau repairs, shaft Fracture repairs, Percutaneous repairs, Arthrodesis, Pilon/Plafond repairs, Malleolar repairs, Sprain **WORK MODEL/SALARY** Days: Monday - Friday Hours: 8hrs a day, 80hrs a pay period 100% Remote The pay range for this position is $26.66 (entry-level qualifications) - $40.00 (highly experienced) The specific rate will depend upon the successful candidate's specific qualifications and prior experience. **JOB SUMMARY** + The Coder 2 is proficient in three or more types of outpatient, Profee, or low acuity inpatient coding. + The Coder 2 may code low acuity inpatients, one time ancillary/series, emergency department, observation, day surgery, and/or professional fee to include evaluation and management (E/M) coding or profee surgery. + For professional fee coding, team members in this job code will be proficient for inpatient and outpatient, for multi-specialties. + Coder 2 utilizes the International Classification of Disease (ICD-10-CM. ICD-10-PCS), Healthcare Common Procedure Coding System (HCPCS) including Current Procedural Terminology (CPT) and other coding references to ensure accurate coding. + Coding references will be used to ensure accurate coding and grouping of classification assignment (e.g., MS-DRG, APR-DRG, APC etc.) + The Coder 2 will abstract and enter required data. **ESSENTIAL FUNCTIONS OF THE ROLE** + Examines and interprets documentation from medical records and completes accurate coding of diagnosis, procedures and professional fees. + Reviews diagnostic and procedure codes and charges in the applicable documentation system to generate appropriate coding and billing. + Communicates with providers for missing documentation elements and offers guidance and education when needed. + Reconciles billing issues by formulating the rationale for rejecting and correcting inaccurate charges. + Works collaboratively with revenue cycle departments to ensure coding and edits are processed timely and accurately. + Reviews and edits charges. **KEY SUCCESS FACTORS** + Sound knowledge of applicable rules, regulations, policies, laws and guidelines that impact the coding area. + Sound knowledge of transaction code sets, HIPAA requirements and other issues impacting the coding and abstracting function. + Sound knowledge of anatomy, physiology, and medical terminology. + Demonstrated proficiency of the use of computer applications, group software and Correct Coding Initiatives (CCI) edits. + Sound knowledge of ICD-10 diagnosis and procedural coding and Current Procedural Terminology (CPT) procedural coding. + Ability to interpret health record documentation to identify procedures and services for accurate code assignment. + Flexibility and adaptability while also balancing requirements and regulatory and accreditation guidelines that are non-negotiables. Must have one of the following Certifications: + Registered Health Information Administrator (RHIA) + Registered Health Information Technologist (RHIT) + Certified Coding Specialist (CCS) + Certified Coding Specialist Physician-based (CCS-P) + Certified Professional Coder (CPC) + Certified Outpatient Coder (COC) + Certified Inpatient Coder (CIC) + Certified Interventional Radiology Cardiovascular Coder (CIRCC) **BENEFITS** Our competitive benefits package includes the following: + Immediate eligibility for health and welfare benefits + 401(k) savings plan with dollar-for-dollar match up to 5% + Tuition Reimbursement + PTO accrual beginning Day 1 Note: Benefits may vary based upon position type and/or level **MQUALIFICATIONS** + EDUCATION - H.S. Diploma/GED Equivalent + EXPERIENCE - 2 Years of Experience + CERTIFICATION/LICENSE/REGISTRATION - Must have ONE of the coding certifications as listed: + Cert Coding Specialist (CCS) + Cert Coding Specialist-Physician (CCS-P) + Cert Inpatient Coder (CIC) + Cert Interv Rad CV Coder (CIRCC) - Cert Outpatient Coder (COC) + Cert Professional Coder (CPC) + Reg Health Info Administrator (RHIA) + Reg Health Information Technician (RHIT). As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.
    $26.7 hourly 29d ago
  • Product Documentation Specialist, (Remote)

    Maximus 4.3company rating

    Missoula, MT 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 #ClinicalServices #LI-Remote EEO Statement Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics. Pay Transparency Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Annual salary is just one component of Maximus's total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards. Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off. Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience. An applicant's salary history will not be used in determining compensation. Maximus will comply with regulatory minimum wage rates and exempt salary thresholds in all instances. Accommodations Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at **************************. Minimum Salary $ 68,000.00 Maximum Salary $ 75,000.00
    $28k-35k yearly est. Easy Apply 5d ago
  • Coding Quality Auditor, HEDIS *Remote - Many States Eligible*

    Providence Health & Services 4.2company rating

    Montana jobs

    _Providence Health Plan caregivers are not simply valued - they're invaluable. Join our team and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them._ Providence Health Plan is calling a Coding Quality Auditor, HEDIS who will: + Be responsible for conducting clinical quality audits/overreads for the Quality Department + Identify and reports issues related to clinical audits to determine potential areas for quality improvement within the HEDIS project + Collect data by way of chart extraction, using objective specifications for the Healthcare Effectiveness and Data Information Set (HEDIS) program + Conduct Audits inclusive of review of outpatient medical records, hospital records, clinical lab and pharmacy records + Be responsible for collecting data based on standardized methodologies + Organize the data to identify and address opportunities for improvement + Perform chart audits electronically during the audit season + Complete HEDIS training prior to performing chart abstractions + Be provided direction regarding charts requiring auditing + Maintain all collected records in a confidential manner + Performs all duties in a manner which promotes team concept and reflects the Sisters of Providence mission and philosophy + Communicate in a collaborative manner with clinic and other staff with whom they interact, in a manner that represents Sisters of Providence _Please note the following important detail regarding this HEDIS Seasonal Role:_ + This posting is for multiple openings of a Coding Quality Auditor, HEDIS + This position is affiliated with Providence Health Plan and will be tied to a location and compensation range in Beaverton, Oregon + Position Type: Temporary, Per Diem, Non Benefitted + Length of Program Anticipated to last between: January 2026 - May 2026 + Work Schedule: Monday - Friday + Work Hours Scheduled Weekly: 40 + Additional Info: + This position will require a full time commitment to the project, meaning no extended time off during the HEDIS Season (January 2026 - May 2026) + Positions specified as "on call/per diem" refer to employment consisting of shifts scheduled on an "as needed basis" to fill in for staff vacancies. Providence welcomes 100% remote work for applicants who reside in the following states: + Alaska + Washington + Montana + Oregon + California + Texas - Levelland, Lubbock or Plainview area + New Mexico + Alabama + Arizona + Delaware + Florida + Iowa + Idaho + Michigan + Minnesota + North Carolina + New Jersey + Utah Required Qualification: + Technical certification/licensure in the area of Medical Assistant, Certified Nurse Assistant, or Licensed Practical Nurse upon hire. + H.S. Diploma or GED. + 3 years - Medical record audit experience, experience with extraction of clinical data points from medical records, experience with electronic medical records (EMR), comfortable with use of technology. Ability to interpret and understand medical knowledge/terminology in a medical record. + 2 years - HEDIS, Quality management/quality improvement/utilization review auditing experience, including experience in auditing within electronic health records. + 1 year - Experience in the medical field as a Medical Assistant, Certified Nurse Assistant, or Licensed Practical Nurse (LPN). Preferred Qualifications: + Associate's Degree - Nursing or Healthcare related field, Health Information Management degree. + Experience with health plans, project management, data analysis, and/or case review. Why Join Providence? Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities. Accepting a new position at another facility that is part of the Providence family of organizations may change your current benefits. Changes in benefits, including paid time-off, happen for various reasons. These reasons can include changes of Legal Employer, FTE, Union, location, time-off plan policies, availability of health and welfare benefit plan offerings, and other various reasons. About Providence At Providence, our strength lies in Our Promise of "Know me, care for me, ease my way." Working at our family of organizations means that regardless of your role, we'll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable. The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits. Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act." About the Team Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. We are focused on supporting our Mission by delivering a robust foundation of services and sharing of specialized expertise. Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement. Requsition ID: 403837 Company: Providence Jobs Job Category: Coding Job Function: Revenue Cycle Job Schedule: Part time Job Shift: Multiple shifts available Career Track: Business Professional Department: 5018 HCS QUALITY MANAGEMENT OR REGION Address: OR Beaverton 3601 SW Murray Blvd Work Location: Murray Business Ctr Beaverton-Beaverton Workplace Type: Remote Pay Range: $See Posting - $See Posting The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
    $18k-47k yearly est. Auto-Apply 10d ago
  • Vice President-Federal Communications and Marketing (Hybrid Remote - McLean, VA / DC Area)

    Maximus 4.3company rating

    Bozeman, MT jobs

    Description & Requirements Maximus is seeking a dynamic and experienced Vice President-Federal Communications and Marketing to join our innovative team. The ideal candidate will bridge the gap between technology, business process services and marketing in the Federal Government sector. In this role, you will be responsible for Team Leadership and Change Management in a large organization. The VP-Federal Communications and Marketing will collaborate with cross-functional teams to drive Federal solutions and offerings. If you are a strategic thinker with a passion for technology services and marketing, and if you thrive in a dynamic and collaborative environment, we invite you to apply to the position at Maximus. This is a hybrid position with the need to go into the office a minimum of 3 days per week and occasionally attend meetings and/or events in the Tyson Corners, VA/ Washington, DC area. This position requires some travel. The selected candidate must live in this geographical area. Key Areas of Responsibility - Identify, plan, develop, and oversee differentiated and impactful marketing strategies/materials. - Developing new programs for customer engagement including integrated marketing programs from concept to execution - Drive Maximus Federal solutions and offerings. - Manage digital and social media strategies across the federal market - Build, manage, and coach a high-performing marketing team. - Direct and support market research collection, analysis, interpretation of market data for short- and long- term market forecasts and reports. - Work closely with the growth leaders to align sales and marketing strategies - Maintain brand standards and ensure compliance across all marketing and communications channels. - Build long-term relationships with employees, clients, government officials, and stakeholders. - Serve as a collaborative and senior leader on the Maximus Communication & Marketing Team, helping to align strategy and outcomes across the company. - Drive the implementation of marketing campaigns that meet business objectives and drive customer engagement. - Develop relationships with associations, academia and industry partners to drive thought leadership and brand elevation. This role will develop and oversee the Maximus Federal segment marketing strategy. Responsibilities include building brand visibility in the Federal marketplace, driving customer and partner engagement to support growth goals. This position will be responsible for developing annual marketing plans building strategy, managing the cross functional team and budget and, leveraging partner relationships, driving go-to-market solutions. Qualifications: -15+ years of experience in a Federal Marketing and Industry Analysis position including 7+ years managing a team. -Previous experience at a corporation focused on the Federal sector. -Bachelor's degree in Marketing, Business, or a related field; technical background and digital marketing are a plus. Additional experience in lieu of degree will be considered. -MA degree in Marketing, Communication, or similar relevant field, preferred. -Outstanding communication, presentation, and leadership skills. -In-depth knowledge of the Federal sector. -Critical thinker with problem-solving skills. -Strong interpersonal and communication skills. Key Competencies include the following: Marketing and Communication Strategies, Team Leadership, Technical Expertise, Cross-Functional Collaboration, Content Development, Sales Enablement, Product and Solutions Positioning and Change Management EEO Statement Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics. Pay Transparency Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Annual salary is just one component of Maximus's total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards. Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off. Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience. An applicant's salary history will not be used in determining compensation. Maximus will comply with regulatory minimum wage rates and exempt salary thresholds in all instances. Accommodations Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at **************************. Minimum Salary $ 216,155.00 Maximum Salary $ 292,455.00
    $91k-164k yearly est. Easy Apply 5d ago

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