Health Management Associates jobs - 83 jobs

Leavitt Partners, an HMA Company, is seeking to hire a full-time Client Services Specialist in our Washington D.C. office. The Administrative Assistant is responsible for performing routine clerical and administrative functions for the Leavitt Partners team. This includes drafting correspondence, scheduling appointments, preparing expense reports, coordinating travel, supporting meeting and event logistics, maintaining calendars, and assisting with special projects. Leavitt Partners seeks high-caliber candidates who are adaptable, collaborative, professional, and who thrive in fast-paced environments. The company looks for individual qualities such as entrepreneurial spirit, self-efficacy, humility, and a strong desire to learn. This position is expected to work Mon-Fri, occasional weekend work from home may be required. Job Summary The Client Services Specialist is responsible for performing routine clerical and administrative functions for HMA departments and divisions. This includes drafting correspondence, scheduling appointments, preparing expense reports, coordinating travel, supporting meeting and event logistics, maintaining calendars, and assisting with special projects. Responsibilities Work Performed and Job Requirements Communication and Correspondence Manage correspondence, including emails, mail, and phone calls. Respond to inquiries and direct them to the appropriate colleague or department. Administrative Support Assist with expense report preparation for colleagues. Maintain Outlook calendars and schedule meetings or appointments as directed. Input data into databases and prepare documents. Provide administrative support to HMA offices and departments as needed. Travel Coordination Coordinate travel arrangements and itineraries with the travel department. Event and Project Management Actively participate in the logistics and management of assigned HMA events. Assist with special projects as assigned. Cross-Departmental Collaboration Qualifications Education/Training Minimum of a high school diploma or GED required; associate degree in business or related discipline preferred. Notary certification preferred. Experience Minimum of 1 year of experience in event management and/or supporting multiple executives preferred. Knowledge, Skills, and Abilities Proficient with Microsoft Suite, Zoom, Teams, and Smartsheet. Solid time management skills. Excellent attention to detail and organizational skills. Exceptional oral and written communication skills. Superior interpersonal skills. Ability to multi-task. Ability to effectively coordinate events and logistics simultaneously. Ability to manage significant recurring responsibilities with unpredictable short-term demands. Ability to be proactive, flexible, and able to switch gears quickly from one project to the next. Capable of handling confidential information in a discrete manner. Ability to work extended hours when deadlines are approaching. About Leavitt Partners Leavitt Partners is a health care intelligence business. The firm delivers collaborative, high-value intelligence that helps clients transition to new models of care. Through its member-based collaboration called Health Intelligence Partners™ and direct services to clients, the consulting firm provides the best available window to the future of American health care. For more information, visit LeavittPartners.com. EEO Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c) Additional Info The posted hourly rate for this role at HMA includes a range of factors that we consider when making compensation decisions. These factors include but are not limited to experience, education, training, skills, licensures, and certifications, along with other business and organizational needs. HMA may adjust the posted hourly rate estimate for applicable geographic differentials associated with the location where we may fill the position. At HMA, we generally do not hire an individual at or near the top of the range for their role. All compensation decisions are dependent on the variables of each case. A reasonable estimate of the existing hourly rate for this position is $23-$29/hr. HMA offers a robust benefits package for full-time colleagues. Benefits include health, dental, vision, group life/AD&D, voluntary life/AD&D, short-term disability, long-term disability, paid parental leave, paid time off, paid holidays, 401(k) employer match and safe harbor contribution, and our long-term equity incentive plan.

The Provider Recruiting Specialist supports the recruitment of physicians and advanced practice providers (APPs) by sourcing, pre-screening, and qualifying candidates to meet organizational needs. Acting as the first point of contact for candidates, this role is responsible for generating leads, managing the recruitment process, and collaborating with Regional Directors and hospital leadership to ensure effective and timely hiring. The Provider Recruiting Specialist utilizes innovative sourcing techniques, data tracking, and relationship-building skills to attract top talent and align candidates with organizational goals. Essential Functions Drafts and posts job descriptions and recruitment advertisements across professional platforms and job boards. Sources provider candidates through diverse methods, including online job boards, cold calling, direct mail, advertising, professional organizations, database searches, and attendance at career fairs and specialty conferences. Conducts initial candidate outreach to assess qualifications, practice preferences, and alignment with organizational needs. Utilizes the Applicant Tracking System (ATS) to manage the recruitment process, track candidate progress, and generate reports. Engages with hospital CEOs, in-market recruiters, and other stakeholders to gather candidate feedback and refine recruitment strategies. Provides timely and accurate candidate information to Regional Directors and hiring teams to facilitate decision-making. Tracks and meets key performance indicators (KPIs) for recruitment activities, ensuring consistent progress toward departmental goals. Attends virtual and in-person career fairs, conferences, and networking events to identify and engage with potential candidates. Continuously refines sourcing strategies, recruitment techniques, and internal processes to improve efficiency and outcomes. Performs other duties as assigned. Maintains regular and reliable attendance. Complies with all policies and standards. Qualifications Bachelor's Degree in Marketing, Business Administration, or related field required 1-3 years of previous recruitment experience required 1-2 years of experience working with PracticeLink, PracticeMatch, and Doximity preferred Knowledge, Skills and Abilities Knowledge of provider recruitment practices, sourcing strategies, and candidate engagement techniques. Strong communication and interpersonal skills for building relationships with candidates and stakeholders. Proficiency in Applicant Tracking Systems (ATS) and other recruitment technologies. Organizational and time management skills to handle multiple priorities and meet deadlines. Ability to analyze recruitment data and metrics to inform and improve processes. Ability to travel for team meetings and recruiting events.

The Scrum Master is responsible for enabling Agile teams to deliver value effectively by facilitating Scrum ceremonies, coaching team members and stakeholders on Agile principles, and removing impediments to progress. This role fosters a culture of transparency, collaboration, and continuous improvement, ensuring alignment with organizational goals and delivery of high-quality outcomes. Essential Functions Facilitates all Scrum ceremonies (Daily Stand-ups, Sprint Planning, Sprint Reviews, and Sprint Retrospectives) to ensure productive and focused sessions. Coaches team members on self-organization, cross-functionality, and effective communication. Supports Product Owners with backlog refinement, prioritization, and sprint goal development. Guides the organization in understanding and applying Agile principles to improve delivery and collaboration. Identifies and removes impediments or blockers that impact team progress, escalating when necessary. Shields the team from external interruptions to maintain focus and flow. Promotes the use of Agile metrics (e.g., velocity, burn-down/burn-up charts) to monitor performance and drive continuous improvement. Ensures effective collaboration between the Development Team, Product Owner, and business stakeholders. Champions Agile and Scrum values across the organization and contributes to Agile Communities of Practice. Performs other duties as assigned. Maintains regular and reliable attendance. Complies with all policies and standards. Qualifications Bachelor's Degree in Business, Information Technology, or a related field required or Four (4) plus years of direct experience in lieu of a Bachelor's degree required 5-7 years of experience in data engineering or serving as a Scrum Master or Agile facilitator required Experience facilitating Agile ceremonies, backlog refinement, and cross-team coordination required Healthcare or large-scale enterprise transformation experience preferred Knowledge, Skills and Abilities Strong knowledge of Agile principles and Scrum framework, with demonstrated ability to facilitate ceremonies, manage backlogs, and coach teams. Proficiency in SQL, Python, and ETL/ELT processes, with a solid understanding of relational databases, data modeling, and data warehousing. Hands-on experience with Google Cloud Platform (e.g., BigQuery, Dataflow, Composer, Cloud Storage, Pub/Sub) and version control tools (e.g., Git, GitHub). Strong analytical and problem-solving skills with the ability to translate technical data into actionable insights. Effective communication and interpersonal skills, capable of engaging both technical and non-technical stakeholders. Proven leadership and team collaboration skills, including the ability to coach, mentor, and empower cross-functional teams. Familiarity with Agile project management and collaboration tools (e.g., Jira, Rally, Azure DevOps, Confluence). Licenses and Certifications Certified Scrum Master preferred Advanced Agile certifications (e.g., SAFe Scrum Master, PMI-ACP, ICAgile) preferred

The Quality Coordinator-Transitions of Care is dedicated to managing quality assurance processes and ensuring compliance with industry standards. This role involves coordinating with various departments to integrate quality systems, facilitating continuous improvement initiatives, and maintaining comprehensive documentation to support assessments and audits. The Quality Coordinator plays a crucial role in fostering a culture of quality and excellence within the organization, driving efforts to meet and exceed quality targets. Essential Functions Implements and monitors quality improvement initiatives to ensure adherence to best practices, policies, and regulatory requirements. Supports teams as a subject matter expert on quality-related workflows, ensuring staff adherence to established procedures. Coordinates and tracks patient outreach efforts to close gaps in care, ensuring timely follow-up on quality attribution reports. Optimizes provider schedules by ensuring appointments address preventive care and chronic disease management gaps. Monitors and analyzes key performance indicators (KPIs) related to quality measures, providing feedback and accountability to stakeholders. Conducts regular rounding with providers and staff to reinforce best practices and identify workflow improvement opportunities. Assists in medical record audits, ensuring compliance with payer requirements and timely submission of quality-related documentation. Facilitates training sessions and provides ongoing support to enhance staff competency in quality care initiatives. Collaborates with data analytics and population health teams to ensure accurate reporting and performance tracking. Maintains compliance with all payer-specific quality programs, ensuring proper documentation and adherence to incentive program requirements. Performs other duties as assigned. Complies with all policies and standards. Qualifications Associate Degree in Healthcare Administration, Nursing, Public Health, or a related field required Bachelor's Degree in Nursing or a related field preferred 2-4 years of experience in quality improvement, population health, or clinical operations within a healthcare setting required Experience in working with payer quality programs and regulatory reporting preferred Knowledge, Skills and Abilities Strong knowledge of quality improvement methodologies and healthcare regulatory requirements. Proficiency in electronic medical records (EMR) systems and quality reporting tools. Excellent communication and interpersonal skills to collaborate effectively with providers, staff, and leadership. Ability to analyze data, identify trends, and develop action plans for performance improvement. Strong organizational skills and attention to detail to ensure compliance with quality initiatives. Ability to adapt to evolving healthcare regulations and payer requirements. Strong problem-solving skills and the ability to drive accountability in a healthcare setting. Licenses and Certifications Certified Medical Assistant (CMA)-AAMA preferred or LPN - Licensed Practical Nurse - State Licensure preferred or RN - Registered Nurse - State Licensure and/or Compact State Licensure preferred CPHQ - Certified Professional in Healthcare Quality preferred

Remote ~ California Opportunities for you! Consecutively recognized as a top employer by Forbes, and in 2025 by Newsweek Free Continuing Education and certification Tuition reimbursement, education programs and scholarships Vacation time starts building on Day 1, and builds with your seniority Free money toward retirement with a 403(b) and matching contributions Commitment to diversity and inclusion is a cornerstone of our culture at Community. All are welcome as valued members of our community. We know that our ability to provide the highest level of care is through taking care of our incredible teams. Learn more on our Benefits page. Responsibilities This role serves the entire Community Health System as part of a team of over 30 people made up of coders, clerical support and educators. This team works together to meet and exceed common goals. In this remote position, you will assign ICD-10-CM/PCS and CPT-4 codes for statistical and reimbursement requirements to inpatient and/or outpatient accounts. We use the most current and up-to-date technology and software, meaning you will have the constant opportunity to grow and learn in your role! Qualifications Education: High School Diploma, High School Equivalency (HSE) or Completion of a CHS Approved Individualized Education Plan (IEP) Certificate Completion of courses in Medical Terminology, Anatomy and Physiology Experience: 5 years of recent inpatient coding experience in an acute care setting Proficient in ICD-10-CM/PCS and CPT-4 coding, DRG and APRDRG assignment Licenses and Certifications CCS - Certified Coding Specialist Disclaimers • Pay ranges listed are an estimate and subject to change. • If any bonuses are noted, they are only applicable to external hires meeting criteria.

Shift: 7:00PM-7:00AM The Phlebotomist is responsible for the proper collection of blood specimens to support accurate laboratory testing for the diagnosis and treatment of diseases. This role ensures positive patient identification, timely specimen collection, and adherence to safety and regulatory standards. The Phlebotomist provides exceptional patient care by maintaining professionalism and demonstrating effective communication during interactions with patients, staff, and visitors. Essential Functions Performs venipuncture and capillary blood collection following laboratory policies and procedures to ensure accurate and timely specimen collection. Ensures positive patient identification by using two patient identifiers and labeling specimens at the patient's bedside to prevent errors. Prepares, packages, and transports specimens to the laboratory while maintaining sample integrity and adhering to safety protocols. Explains procedures to patients, providing reassurance and addressing concerns to ensure a positive patient experience. Cleans, sterilizes, and maintains phlebotomy equipment and workspace in compliance with safety and infection control standards. Accurately documents patient and specimen information in the laboratory system, ensuring compliance with regulatory requirements. Collects timed specimens as ordered, prioritizing and efficiently completing phlebotomy tasks to meet clinical needs. Identifies and resolves specimen issues, including addressing rejections and recollecting samples when necessary. Collaborates with healthcare team members to clarify orders, resolve collection challenges, and communicate specimen status. Adheres to all laboratory and hospital safety requirements and follows Laboratory procedures to ensure compliance with accreditation and regulatory standards. Performs other duties as assigned. Maintains regular and reliable attendance. Complies with all policies and standards. Qualifications 0-2 years of phlebotomy experience required Phlebotomy Certification Required BLS Certification Required Knowledge, Skills and Abilities Knowledge of safety guidelines, sanitation, and infection control protocols. Ability to perform blood collection techniques successfully across all age groups (neonates to geriatrics). Understanding of standards for patient identification, specimen handling, and lab testing requirements. Strong communication skills, both written and verbal, with the ability to interact professionally with patients, staff, and physicians. Ability to multitask, remain calm in stressful situations, and adapt to a dynamic environment. Proficiency in distinguishing sample types and understanding order-of-draw requirements for lab testing. Demonstrates a high level of attention to detail and accuracy in specimen collection and documentation.

As an Accounts Payable Manager at Community Health Systems (CHS) - Shared Business Operations, you'll play a vital role in supporting our purpose to help people get well and live healthier by providing safe, quality healthcare, building enduring relationships with our patients, and providing value for the people and communities we serve. Our team members enjoy a robust benefits package including: + 120 hours of PTO + 9 paid holidays + Group Medical, Dental, & Vision + Flexible Benefits Plan + 401(k) Plan + Life Insurance/Accidental Death and Dismemberment + Long-Term Disability **Job Summary** The Accounts Payable Manager is responsible for overseeing a large and diverse accounts payable function, including managing a team of accounts payable professionals. This role encompasses the comprehensive management of invoice processing, payments, travel card administration, PCARD administration, auditing expense reports, sales and use tax compliance, and automation of uploads in Excel. The Manager will ensure seamless integration with Oracle Cloud ERP, drive process improvements, and maintain high standards of financial accuracy and compliance. **Essential Functions** + Lead, mentor, and develop a team of accounts payable professionals, including assigning responsibilities, setting performance goals, and conducting performance evaluations. Oversee recruitment, onboarding, and training of new team members. + Foster a collaborative and high-performance work environment, ensuring team members are well-trained and motivated. + Supervise the end-to-end accounts payable process, including invoice receipt, validation, approval, and payment execution. + Ensure timely and accurate processing of invoices and payments, adhering to company policies and vendor agreements. + Implement and monitor controls to prevent errors and fraud in the accounts payable function. + Oversee the administration of corporate travel cards and PCARDS, including issuance, management, and reconciliation. Address and resolve issues related to travel card and PCARD usage, including discrepancies and unauthorized charges. + Supervise the auditing of employee expense reports to ensure compliance with company policies and accuracy in expense reporting. + Implement and maintain procedures for reviewing and approving expense reports, including travel, entertainment, and other business expenses. + Manage the resolution of issues related to expense report discrepancies and policy violations. + Oversee sales and use tax compliance within the accounts payable function, including accurate calculation, reporting, and payment. + Support the preparation and filing of sales and use tax returns and resolve any related issues. + Manage the automation of accounts payable processes, including the execution of Excel upload templates and procedures for integration with Oracle Cloud ERP. + Identify opportunities for process improvements and automation to enhance operational efficiency. + Collaborate with IT and ERP specialists to address system issues, implement updates, and optimize ERP integration. + Ensure compliance with internal controls, company policies, and regulatory requirements related to accounts payable. + Support internal and external audits by providing accurate documentation and explanations related to accounts payable processes and transactions. + Identify and implement process improvements to streamline accounts payable operations and reduce processing times. + Develop and review reports on accounts payable performance, including key metrics such as invoice processing times, payment accuracy, and outstanding liabilities. + Maintain effective relationships with vendors, addressing and resolving issues related to payments, invoices, and contract terms. + Track team KPI's and SLA's and communicate results throughout organization. + Performs other duties as assigned. + Maintains regular and reliable attendance. + Complies with all policies and standards. + **This is a remote position.** **Qualifications** + Associate Degree required + Bachelor's Degree in Accounting, Finance, Business Administration, or a related field preferred + Minimum of 4-6 years of experience in accounts payable required + 2-4 years in a management or leadership role preferred + 1-3 years Advanced proficiency in Microsoft Excel, including experience with complex formulas, pivot tables, and data manipulation required + 1-3 years Experience with automation tools and techniques for data integration and process optimization required + 1-3 years Experience with Oracle Cloud ERP preferred + Healthcare industry experience preferred **Knowledge, Skills and Abilities** + Proficiency in Oracle Cloud ERP or similar enterprise resource planning systems. + Analytical and problem-solving abilities. + Effective communication and interpersonal skills. + Ability to manage multiple priorities and work independently in a fast-paced environment. + Strong leadership and management abilities, with experience in team development and performance management. + Excellent problem-solving and analytical skills, with the ability to manage complex issues and make data-driven decisions. + Effective communication and interpersonal skills, with the ability to collaborate with various stakeholders and build strong relationships. We know it's not just about finding a job. It's about finding a place where you are respected, valued and where your work is purposeful and fulfilling. A place where your talent is recognized, professional development is encouraged and career advancement is possible. The Shared Business Operation (SBO) for CHS offers a wide range of career opportunities, including many fully remote positions. Come be a part of the future of healthcare by joining an organization dedicated to a service-oriented modernized approach to providing the operational support to our facilities, ultimately, our patients. Community Health Systems is one of the nation's leading healthcare providers. Developing and operating healthcare delivery systems in 40 distinct markets across 15 states, CHS is committed to helping people get well and live healthier. CHS operates 71 acute-care hospitals and more than 1,000 other sites of care, including physician practices, urgent care centers, freestanding emergency departments, occupational medicine clinics, imaging centers, cancer centers and ambulatory surgery centers. Equal Employment Opportunity This organization does not discriminate in any way to deprive any person of employment opportunities or otherwise adversely affect the status of any employee because of race, color, religion, sex, sexual orientation, genetic information, gender identity, national origin, age, disability, citizenship, veteran status, or military or uniformed services, in accordance with all applicable governmental laws and regulations. In addition, the facility complies with all applicable federal, state and local laws governing nondiscrimination in employment. This applies to all terms and conditions of employment including, but not limited to: hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. If you are an applicant with a mental or physical disability who needs a reasonable accommodation for any part of the application or hiring process, contact the director of Human Resources at the facility to which you are seeking employment; Simply go to ************************************************* to obtain the main telephone number of the facility and ask for Human Resources.

Wakely, an HMA company, is seeking a highly motivated Risk Adjustment Consultant with hands-on experience supporting or leading health plan operations in both ACA and Medicare Advantage (MA). This role will be instrumental in managing client engagements, coordinating internal teams, driving strategic initiatives, and contributing to the continued growth of Wakely's risk adjustment service offerings. The ideal candidate combines operational expertise, strong communication skills, and the ability to translate complex concepts into clear, actionable insights for clients. Key Responsibilities: Client Leadership & Communication: Serve as a primary point of contact for clients, collaborating with actuarial, coding, data, and operational experts to synthesize complex analyses and communicate them clearly. Project & Workflow Management: Develop, manage, and execute project timelines to ensure high-quality, on-time deliverables across multiple engagements. Product & Tool Proficiency: Learn and apply Wakely tools, products, and methodologies to support client needs and internal initiatives. Business Development Support: Assist with new business opportunities including RFP responses, proposal development, and strategic scoping discussions. Risk Adjustment Operations Oversight: Help guide and manage activities across the risk adjustment ecosystem, including coding operations, provider education, and operational assessments. Cross-Functional Collaboration: Partner closely with internal actuarial, coding, operations, and data engineering teams to deliver integrated and comprehensive client solutions. What We're Looking For: Deep experience supporting or leading ACA and MA risk adjustment operations within a health plan or consulting environment. Strong understanding of the full risk adjustment lifecycle, including coding, submissions, analytics, provider engagement, and regulatory requirements. Strategic mindset with the ability to anticipate market or regulatory changes and turn them into actionable client strategies. Ability to build trust, foster strong client relationships, and develop a professional network. Passion for developing team members through mentoring, guidance, and knowledge-sharing. Excellent written and verbal communication skills, with proven success working across cross-functional teams. Job Summary The Consultant I is responsible for providing analytical support and consulting services to clients. This role involves performing data analysis, developing financial models, and assisting in the design and implementation of healthcare strategies. The Consultant I will work closely with senior actuarial staff and clients to deliver actionable insights that support the client's business objectives. Responsibilities Work Performed and Job Requirements Data Analysis and Modeling: Conduct detailed data analysis to support client projects, including claims data, healthcare utilization, and cost projections. Develop and maintain financial models to assess the impact of various healthcare strategies, policies, and programs. Perform risk assessments and support the development of pricing strategies for healthcare products. Client Management: Collaborate with senior consultants and actuarial staff to understand client needs and objectives. Assist in the development of recommendations and solutions that address client-specific challenges. Prepare and present reports, presentations, and other deliverables that effectively communicate findings and recommendations to clients. Project Support: Participate in the design and implementation of client projects, ensuring that all work is completed on time and meets quality standards. Support project management activities, including tracking progress, managing timelines, and coordinating with other team members. Assist in the preparation of proposals, project plans, and other project-related documentation. Healthcare Industry Knowledge: Stay informed about industry trends, regulatory changes, and emerging issues in the healthcare sector. Apply industry knowledge to client projects, ensuring that recommendations are relevant and timely. Support internal knowledge sharing by contributing to team discussions and training sessions. Collaboration and Communication: Work closely with actuarial analysts, senior consultants, and other team members to ensure a collaborative approach to client projects. Communicate effectively with internal and external stakeholders, ensuring that project objectives and deliverables are clearly understood. Contribute to the development of client relationships through professionalism and a strong understanding of client needs. All other duties as assigned. Qualifications Education/Training Minimum of a bachelor's degree in mathematics, statistics, economics, actuarial science, or a related field required. Experience Minimum of 2 years of experience healthcare consulting, actuarial analysis, or a related field required. Knowledge, Skills and Abilities Strong analytical skills, with experience in data analysis, financial modeling, and risk assessment. Proficiency in Excel and experience with actuarial software or data analysis tools (e.g., SAS, R, SQL) is preferred. Solid understanding of healthcare industry trends, regulations, and financial principles. Excellent written and verbal communication skills, with the ability to present complex information clearly and effectively. Strong problem-solving abilities and attention to detail. Ability to work independently and as part of a team in a fast-paced, dynamic environment. EEO Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c) Additional Info #LI-BR1

The Regulatory Analyst provides support for Promoting Interoperability, Inpatient Quality Reporting, and other regulatory initiatives. Creates, acquires, tracks completion of, and retains documentation to support regulatory activities, data submissions and audits. Monitors program requirements for completeness and reports gaps and deficiencies to leadership. Is accountable for accuracy, timeliness and efficiencies of documentation gathering for program monitoring. Supports Regulatory Informatics projects. Essential Functions Coordinates the collection of information, data, and audit defense evidence for reporting of regulatory measures to support successful compliance, submission and audit readiness. Participates in report validation and data analysis related to Promoting Interoperability and Electronic Clinical Quality measures Responsible for monitoring data accuracy and completeness and reporting any gaps. Participates in performance improvement activities, investigative problem solving and overall success of regulatory compliance. Accountable for key deliverables as assigned by leadership team members for the successful implementation of regulatory initiatives or projects. Participates in electronic health record implementations and workflow development as related to regulatory compliance and reporting Supports education and training related to regulatory requirements and reporting. Acts as a resource to Corporate, Regional and local market resources to support regulatory compliance, data analysis, and reporting. Qualifications Bachelor's Degree in Nursing (preferred) or another clinical field Clinical Experience in Nursing or other clinical field, minimum of 5 years Required Clinical Informatics Minimum 2 years Required Knowledge, Skills and Abilities Strong knowledge of clinical informatics, system implementation, and healthcare technology best practices. Advanced analytical skills to assess workflow efficiency, system performance, and data quality. Excellent communication and interpersonal skills to engage with clinical staff, IT professionals, and stakeholders across various specialties. Ability to manage multiple projects and adapt informatics solutions to support diverse clinical needs. Knowledge of healthcare regulations, data privacy standards, and compliance requirements related to clinical informatics. Licenses and Certifications Graduate of Accredited School of Nursing - Registered Nurse Preferred

The Bilingual Scheduling Specialist is responsible for supporting scheduling functions across assigned hospitals, clinics, or centralized patient access centers and will be the first point of contact for patients. This focuses on managing patient appointment scheduling, helping with general patient needs, and accurately communicating patient needs to the clinical staff through centralized call center operations. The Scheduling Specialist ensures communications and appointments are accurate, timely, and compliant with organizational policies while fostering effective communication with clinicians, patients, and leadership. The ideal candidate will be bilingual in English and Spanish. As a Scheduling Specialist at Community Health Systems (CHS) - Patient Access Center, you'll play a vital role in supporting our purpose to help people get well and live healthier by providing safe, quality healthcare, building enduring relationships with our patients, and providing value for the people and communities we serve. Our team members enjoy a robust benefits package including medical, dental, and vision insurance, paid time off (PTO), 401(k) with company match, tuition reimbursement, and more Essential Functions Completes accurate patient appointment scheduling across multiple clinics, depending on assignment. Receives inbound communication from clinicians, patients, and staff via phone, text, email, and/or call center platforms to address scheduling needs, and handle urgent or emergent requests. Assesses caller needs to identify urgent clinical matters for immediate warm transfer to clinic staff. For non-urgent requests (refills, clinical questions), accurately documents and route communications to the appropriate staff via the EMR. Verifies patient demographics and insurance information, ensuring compliance with applicable requirements. Research patient requests within the medical record, provide necessary information, and resolve inquiries effectively while maintaining patient confidentiality. Monitors EMR in-baskets, call center systems, and related technology (as needed) to manage communication workflows effectively. Provides timely and professional service to patients, providers, and facility staff, ensuring positive experiences and adherence to standards. Bilingual in English and Spanish Performs other duties as assigned. Complies with all policies and standards. This is a fully remote opportunity. Qualifications H.S. Diploma or GED required Bachelor's Degree in Healthcare Administration, Business Administration, or a related field preferred 1-3 years of experience in scheduling, operations, or healthcare administration required 1-3 years of experience in physician/provider scheduling, patient appointment scheduling, or call center operations Bilingual in English and Spanish Knowledge, Skills and Abilities Proficiency in scheduling software, EMR systems, and Microsoft Office Suite. Excellent verbal and written communication skills with strong customer service orientation. Delivers prompt, courteous, and knowledgeable support to customers. Strong problem-solving skills and attention to detail. Ability to manage multiple priorities in fast-paced hospital, clinic, or call center environments. Knowledge of healthcare industry standards, patient confidentiality, and compliance protocols. We know it's not just about finding a job. It's about finding a place where you are respected, valued and where your work is purposeful and fulfilling. A place where your talent is recognized, professional development is encouraged and career advancement is possible. Community Health Systems is one of the nation's leading healthcare providers. Developing and operating healthcare delivery systems in 40 distinct markets across 15 states, CHS is committed to helping people get well and live healthier. CHS operates 71 acute-care hospitals and more than 1,000 other sites of care, including physician practices, urgent care centers, freestanding emergency departments, occupational medicine clinics, imaging centers, cancer centers and ambulatory surgery centers. This position is not eligible for immigration sponsorship now or in the future. Applicants must be authorized to work in the U.S. for any employer.

The Clinical Utilization Review Specialist is responsible for evaluating the necessity, appropriateness, and efficiency of hospital services to ensure compliance with utilization management policies. This role conducts admission and continued stay reviews, supports denials and appeals activities, and collaborates with healthcare providers to facilitate efficient patient care. The Clinical Utilization Review Specialist monitors adherence to hospital utilization review plans and works to optimize hospital resource utilization, reduce readmissions, and maintain compliance with payer requirements. Essential Functions Performs admission and continued stay reviews using evidence-based criteria, clinical expertise, and regulatory guidelines to ensure appropriate utilization of hospital services. Collaborates with physicians and clinical teams to obtain necessary documentation for medical necessity, discharge planning, and payer requirements. Documents all utilization review activities in the hospital's case management software, including clinical reviews, escalations, avoidable days, payer communications, and authorization details. Works with insurance companies to secure coverage approvals and mitigate concurrent denials by submitting reconsiderations or coordinating peer-to-peer reviews. Communicates effectively with utilization review coordinators, case managers, and discharge planners to ensure a collaborative approach to patient care. Analyzes trends in hospital admissions and extended stays, identifying opportunities for process improvements to enhance utilization management. Serves as a key contact for facility staff and insurance representatives regarding utilization review concerns. Supports training initiatives within the department and escalates complex issues to management as needed. Performs other duties as assigned. Maintains regular and reliable attendance. Complies with all policies and standards. Qualifications Associate Degree in Nursing required Bachelor's Degree in Nursing preferred 2-4 years of clinical experience in utilization review, case management, or acute care nursing required 1-3 years work experience in care management preferred 1-2 years of experience in utilization management, payer relations, or hospital revenue cycle preferred Knowledge, Skills and Abilities Strong knowledge of utilization management principles, payer guidelines, and regulatory requirements. Proficiency in case management software and electronic health records (EHR). Excellent communication and collaboration skills to work effectively with interdisciplinary teams and external payers. Strong analytical and problem-solving skills to assess utilization trends and optimize hospital resource use. Ability to work in a fast-paced environment while maintaining attention to detail and accuracy. Knowledge of HIPAA regulations and patient confidentiality standards. Licenses and Certifications RN - Registered Nurse - State Licensure and/or Compact State Licensure required CCM - Certified Case Manager preferred or Accredited Case Manager (ACM) preferred

The Manager of Utilization Review oversees a team of utilization review nurses and coordinators, ensuring compliance with clinical regulatory standards, and enhancing the overall utilization review process to optimize patient care and manage resources effectively. The manager supports and coordinates the various aspects of the hospital's utilization management program, denials and appeals activities. Works with UR Director, UR Senior Director, and Payor Relations Manager to facilitate coordination of services related to utilization review. Collaborates with the multidisciplinary team, lending professional clinical expertise to ensure quality, timely, and cost effective utilization management to achieve optimal outcomes. The manager will be responsible for implementing process improvement plans and projects to maximize desired outcomes. Essential Functions Serves as escalation point and oversight of daily functions for UR Clinical Specialists and Coordinators for questions or concerns regarding appropriateness and medical necessity of admission and continued hospital stay. Coordinates with Regional Case Management Directors to address identified issues and trends or escalated challenges. Communicates Utilization Review information with facility Case Manager Directors, proactively sharing KPI (Key Performance indicator) data and trends with facility leadership. Collaborates with the UR Senior Director, Director and Payor Relations Manager to support dashboard/reporting, solution, and training needs based on trends and common issues. Efficiently refers cases to the Physician Advisor or representative of the UR committee when cases are not meeting criteria. Distinctively establishes and maintains criteria or identifies resolutions of problems associated with Utilization Review functions for committee. Completes employee evaluations in a timely manner and assesses staff competencies on an ongoing basis. Collaborates with Training & Education Specialist(s) and Coordinators to address educational needs for staff. Tasked with problem analysis and resolution as it pertains to the areas of job responsibility. Maintains performance metrics in line with Utilization Review Service Line KPIs. May serve as a key contact for facility and insurance contacts. Ensures staff compliance with regulatory requirements including but not limited to Condition Code 44, 2 midnight IP cert audits, physician orders for correct status level, etc. Ensures the operation of the Utilization Review department in their area is in compliance with established UR policies, procedures and guidance documents. Performs responsibilities that contribute towards meeting or exceeding team goals. Promptly escalate appropriate issues to Director and/or Senior Director. Provide suggestions and/or recommendations for changes to applicable processes or tools as recognized from functioning in the role on a daily basis. Provide oversight of department staff to ensure adherence to above duties. Performs other duties as assigned. Maintains regular and reliable attendance. Complies with all policies and standards. Qualifications Associates or Bachelor's Degree in Nursing required Bachelor's or Master's Degree in Nursing preferred 3-5 years work experience in healthcare as a nurse required 1-3 years work experience in Care Management or Utilization Review required 1-2 years work experience as a healthcare manager preferred Knowledge, Skills and Abilities Strong analytical skills for reviewing medical records and treatment plans. In-depth knowledge of healthcare policies and regulations. Strong communication, organizational and customer service skills required. Proven ability to work successfully in a fast-paced environment while maintaining good relationships with co-workers and supervisors. Demonstrated proficiency in computer and web-based applications. Licenses and Certifications CN-RN - General Nursing Practice RN license required Active compact state license or active license in the states of support and review required

Wakely is seeking a Consulting Actuary with expertise in VBP across lines of business, with a focus on Medicare fee-for-service ACOs and Medicare Advantage. This individual will play a key role in leading client engagements, managing internal workflows across various teams, strategic planning with senior leaders, and mentoring the next generation of analysts. Key Responsibilities: Lead and manage client communication, working with multiple experts including non-actuarial staff to piece together and explain complex concepts in a clear and concise manner to clients Manage timeliness of project deliverables by creating, updating, and executing project timelines Delegate and train junior staff on performing actuarial analysis as it relates to risk adjustment operations Learn Wakely Tools and Products for the VBC entities Assist with business development opportunities, such as responding to Request-For-Proposals (RFPs) and other opportunities Train analysts on VBP concepts and financial modeling standard practices Collaborate across internal teams, such as risk adjustment, Medicare Advantage, Medicaid, ACA, and CMS/CMMI model teams What We're Looking For: Demonstrated experience designing, evaluating or operating within value-based payment models across lines of business Strong technical expertise in claims analysis, risk adjustment, and forecast modeling. Strategic thinker who anticipates market and regulatory changes and translates them into actionable client strategies. Ability and interest to build trust with clients and grow personal network. Passion for mentoring and developing actuarial talent. Excellent communication skills and ability to work effectively across cross-functional teams. Job Summary The Consulting Actuary I is responsible for supporting Wakely's strategic growth by learning about new business development and product opportunities. In addition, the position will work to effectively apply the principals of project management and client relations. Responsibilities Work Performed and Job Requirements Client Management - Maintain Client Relationships Foster opportunities to promote Wakely tools, services, and products. Implement a strategic plan consistent to client needs. Increase client interaction skills by partnering with client lead on key initiatives. Identify and implement changes to avoid potential compliance risk. Project Management - Manage Project According to Defined Plan Create and communicate a project plan to include scope, goals, timelines, and billed hours. Manage, adjust, and communicate plan internally/externally throughout project. Deliver high quality work (conceptual & technical) within budget and timeline constraints Organize and set priorities for assigned work. Professional/Industry Development - Gain and Sustain Professional/Industry Knowledge Continue exam progression towards FSA. Seek a deeper knowledge of multiple healthcare concepts and become known for expertise in a particular area. Identify and facilitate learning opportunities for project team and/or individuals. Create core materials, reference items and training programs. New Business Development - Implement New Business Growth Strategies Represent Wakely's brand through involvement in seminars/events and periodicals, etc. Learn and execute on new business and/or product lines. Contribute to new marketing initiatives to generate sales leads. Support and identify value added services to current clients. Internal Operations - Apply Best Business Practices Apply operational improvement initiatives. Incorporate policies and procedures related to cross office collaboration into projects. Recruit top talent and participate in the selection and orientation process. Participate in community and professional volunteer activities/opportunities. Qualifications Education/Training Minimum of a bachelor's degree in actuarial science, math, statistics, or related field required. Experience Minimum of 2 years of healthcare actuarial experience and should be working toward an ASA certification. Knowledge, Skills, and Abilities Initiative - Ability to decide in an independent way what actions should be taken. Effective Communication - Demonstrates the ability to convey thoughts and express ideas effectively, both verbally and written. Team Player - Builds constructive working relationships characterized by a high level of acceptance, cooperation, and mutual respect. Time Management - Makes reasonable estimates of resources needed to achieve goals or complete projects. Uses methods to plan and track work and commitments. Continuous Learning - Displays an ongoing commitment to increasing skills. Leadership - Develops the ability of others to perform and contribute to the organization by providing ongoing feedback and opportunities to learn through formal and informal methods. Emotional Intelligence - Consistently exercises sound judgment. Strategic Thinking - Formulates objectives and priorities and implements plans consistent with the long-term interest of the organization and employees. EEO Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c)

Community Health Systems is seeking an Application Systems Programming Specialist to join its Integration Services team. This advanced technical role is responsible for leading the analysis, design, development, and support of complex system interfaces within a healthcare environment. The specialist will demonstrate expertise in industry trends, best practices, and interface programming using tools such as Mirth, Intersystems, and Rhapsody. Key responsibilities include ensuring seamless data integration, maintaining comprehensive documentation, and providing proactive solutions to optimize system performance. This role requires collaboration with internal and external stakeholders to achieve business objectives and the ability to manage complex technical projects in dynamic environments. Essential Functions Mirth Connect (Primary Focus) Develop, maintain, and monitor HL7/FHIR interfaces using Mirth Connect. Manage channels, transformations, filters, and communication protocols (TCP, SFTP, REST, etc.). Handle Mirth upgrades, performance tuning, and participate in Disaster Recovery/High Availability (DR/HA) documentation and validation. Collaborate with platform specialists to ensure high availability and platform integrity. Troubleshoot production issues and lead root cause analysis across a diverse ecosystem of clinical systems and vendors. Coordinate with offshore/onshore teams for 24x7 support coverage. InterSystems HealthShare (Strategic Focus) Participate in the pilot deployment of HealthShare Health Connect. Build and configure message routes, transformations, and business processes using HealthShare components (IRIS, Ensemble). Support platform consolidation planning across fragmented integration engines. Assist in evaluating cloud-hosted options (e.g., Google Cloud Platform) for future-state deployment. Interoperability & Standards Work closely with the Technical Integration Manager and enterprise architecture team. Implement and support workflows involving HL7 v2/v3, FHIR R4, X12, Continuity of Care Document (CCD), and Clinical Document Architecture (CDA). Contribute to roadmap planning for advanced Health Information Exchange (HIE) participation, API adoption, and care coordination use cases. Documentation & Communication Develop and maintain documentation including design specifications, test cases, support runbooks, and DR plans. Communicate effectively with hospital IT teams, vendors (Cerner, Medhost, Athena), and state agencies. Qualifications Bachelor's degree in Computer Science or Information Technology. 8+ years of hands-on integration engine experience in a healthcare integration environment. 5+ years of hands-on Mirth Connect experience in a healthcare integration environment. Strong working knowledge of HL7 v2.x, FHIR, CCD/CDA, and interfacing protocols. At least 2 years of experience with InterSystems HealthShare (Health Connect or Ensemble). Experience supporting production interfaces in mission-critical hospital or HIE environments. Familiarity with EMRs such as Cerner, Athena, Medhost, or Epic. Basic scripting experience (JavaScript, XSLT, or Python preferred). Ability to contribute to a 24x7 on-call rotation. Preferred Qualifications: Experience with cloud-based integration (Google Cloud Platform preferred). Familiarity with Carequality/CommonWell networks, immunization registries, and HIE frameworks. Understanding of HIPAA, HITECH, and healthcare compliance.

Shape the Future of State Government Solutions with HMA Are you ready to lead transformative strategies for state agencies and public sector programs? As Sector Lead - State Government, you'll define and execute HMA's growth strategy in the state and government space-partnering with key officials and decision-makers to deliver innovative solutions that address complex policy, operational, and technology challenges. This high-impact leadership role combines strategic business development with internal collaboration, aligning marketing, sales, and delivery teams to expand market share and reinforce HMA's reputation as a trusted advisor to state governments. You'll drive thought leadership, foster executive relationships, and position HMA at the forefront of public sector modernization and health and human services transformation. If you thrive on building partnerships, influencing policy, and leading growth in a dynamic government landscape, this is your opportunity to make a lasting impact. The ideal candidate will have at least 10 years of experience shaping and executing growth strategies within the state and public sector market. This leader will be part of our Growth Office and requires significant experience partnering with practices and services lines to identify opportunities for consulting and advisory services. Specific expectations and responsibilities are outlined below. Job Summary The Sector Lead is responsible for driving HMA's business growth, visibility and market leadership within an assigned sector. This individual will develop and execute the sector business plan, align enterprise resources to support market pursuits, and lead direct client engagement and business development efforts. The Sector Lead serves as a strategic and business development leader, ensuring HMA's offerings, thought leadership, and brand prominence are effectively represented with the industry. Responsibilities Work Performed and Job Requirements Strategic Planning and Market Leadership Develop and implement the sector business plan and corresponding execution and marketing strategies aligned with HMA's overall growth objectives. Monitor market trends, client needs, and competitive positioning to inform business priorities and opportunities. Maintain HMA's thought leadership and market prominence with the assigned sector through publications, speaking engagements, and active participation in professional associations. Market Development and Pursuit Coordination Coordinate market pursuits across the enterprise, ensuring collaboration among business units, practice leaders, and sellers to maximize client opportunities. Ensure sales teams have the tools, materials, and support needed to successfully position and sell HMA's services within the sector. Lead development of sector-focused marketing collateral, case studies, and client presentations. Client Engagement and Sales Execution Maintain personal visibility and credibility within the sector, leveraging deep subject matter expertise to build client trust and advance relationships. Lead direct selling efforts to key clients and prospects, achieving or exceeding sales goals. Represent HMA at industry conferences, trade shows, and networking events to promote capabilities and expand market presence. Partner with internal teams to ensure client satisfaction and high-quality delivery of services. Leadership and Collaboration Serve as a sector ambassador within HMA, fostering collaboration, knowledge sharing, and alignment across practices. Provide coaching and mentoring to pursuit teams and emerging business developers within the sector. Collaborate with marketing, communications, and service delivery leaders to align business develop efforts with client solutions and HMA strategy. All other duties as assigned. Qualifications Education/Training Minimum of a bachelor's degree in business, life sciences, public health, or a related field; however, we welcome candidates with significant, directly relevant work experience in place of a formal degree. Experience Minimum of 10+ years of experience in business development, client relationship management, or sector leadership within a professional services or consulting environment. Proven track record of developing and executing business plans and achieving measurable sales growth. Strong subject matter expertise and credibility within the assigned sector. Excellent communication, presentation, and leadership skills along with demonstrated ability to lead cross-functional teams and influence without direct authority. Knowledge, Skills and Abilities Deep knowledge of the assigned industry sector, market dynamics, and competitive landscape. Strong understanding of business planning, market strategy, and go-to-market execution. Strong understanding of at least one of HMA's functional areas of expertise (actuarial services, healthcare policy and regulatory strategy, healthcare delivery and operations) Proven business development and relationship management skills Excellent strategic thinking, communication, and presentation abilities Demonstrated leadership and collaboration skills to drive cross-functional initiatives. Ability to analyze market data and translate insights into actional business plans. Ability to adapt strategies and priorities in response to changing market conditions. Core Competencies Strategic Execution - Drives strategic priorities through cross-functional leadership and accountability Resource Allocation - Anticipates long-term resource needs and aligns allocation with business growth Results Orientation - Leads teams to exceed performance expectations through continuous improvement and accountability Opportunity Development: Builds and advances new client opportunities by identifying needs, designing solutions, and supporting pursuit efforts. Develops professional networks and leverages relationships for new leads. Anticipates client challenges and translates them into consulting solutions. Leads pursuit activities, proposal sections, and pricing strategies. Strategic Positioning: Aligns expertise and market knowledge to strengthen the firm's relevance and differentiation within the sector. Analyzes trends and policy shifts to identify growth potential. Partners with Marketing, Strategy, and Thought Leadership to develop sector insights. Contributes to thought leadership, panels, or publications. Pursuit Leadership: Leads proposals and pursuit efforts that align with client goals and firm capabilities. Shapes pursuit strategy, proposal content, and pricing approaches. Coordinates contributions across internal teams and SMEs. Delivers compelling presentations and follow-up communications. EEO Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c) #LI-DM Additional Info The Sector Lead - State Government is responsible for developing and executing the firm's growth strategy within the state and public sector market, focusing on agencies, departments, and programs that shape health, human services, infrastructure, and workforce systems. This role drives market engagement, fosters relationships with key state officials and decision-makers, and positions the firm as a trusted partner in solving complex policy, operational, and technology challenges facing state governments. The Sector Lead- State Government partners across the enterprise to ensure strong market engagement, coordinate pursuits, develop thought leadership, and expand the firm's presence in the state government sector. This individual combine's state government expertise with strong business development and leadership skills to grow revenue and enhance the firm's visibility and credibility in the state government space. Specific Responsibilities Business Development (30-50%) Lead development and execution of the State Government sector business plan, including, coordinating business development approaches with local HMA leaders, targeting opportunities with state buyers, and ensuring a robust market awareness of HMA's offerings. Build and maintain trusted relationships with state officials, procurement leaders, associations, and policy influencers to identify emerging opportunities. Lead and participate in capture and pursuit efforts, including RFP strategy, proposal development, and bid/no-bid decisions. Coordinate firmwide state government outreach on priority business development initiatives. Engage in direct outreach to key accounts, attend state and regional conferences (e.g., NASCIO, NGA, NASBO), and represent the firm at government forums. Support business developers and consultants in positioning firm capabilities to address client needs in policy, operations, technology, and transformation. Drive brand recognition and thought leadership within the state and local government marketplace. Internal Seller Coordination Across the Firm (25%) Educate and align internal teams on the State Government sector strategy, trends, and procurement landscape. Ensure local HMA leaders and sellers have current sector materials, proposal content, and case studies tailored to government audiences. Collaborate with practice leaders to align services with client needs, identify partnership opportunities, and address capability gaps. Facilitate internal coordination for complex, multi-state opportunities requiring cross-functional collaboration. Marketing Plan Execution (15%) Lead execution of the State Government marketing and engagement plan, including thought leadership, event participation, and public sector campaigns. Oversee creation of government-specific collateral, white papers, and success stories that demonstrate the firm's impact and value. Partner with marketing and communications to amplify visibility through strategic sponsorships, conference participation, and digital outreach. Management Reporting and Business Plan Development (10%) Develop and maintain the annual State Government business plan, tracking pipeline progress, win rates, and sector performance. Report regularly to leadership on revenue performance, market trends, opportunities, and risks. Provide insight into budget cycles, procurement trends, and legislative developments affecting client engagement. Recommend strategic adjustments to enhance competitiveness and market penetration. Preferred Expertise and Knowledge Significant experience in the state or local government sector, with a focus on consulting, business development, or policy/program management. Deep understanding of state agency operations, including budgeting, procurement, and policy implementation processes. Proven success leading large-scale pursuits or contracts within the government market. Familiarity with government procurement processes (RFPs, RFIs, cooperative contracts, and master agreements). Established network of relationships with state officials, association leaders, and key influencers. Strong knowledge of public sector priorities, such as digital modernization, health and human services transformation, workforce development, and fiscal management. Demonstrated ability to navigate political environments and adapt strategies to varying state contexts. Recognized thought leader or subject matter expert in public sector consulting or related disciplines. Performance Emphasis Success in this State Government sector is measured through: Pipeline growth Sales and revenue growth Margin expansion Positive client feedback scores

The Patient Care Technician (PCT) provides high-quality, patient-centered care by performing delegated tasks in alignment with the PCT's training and the department's needs. Under the direct supervision of a Registered Nurse (RN) or Licensed Practical Nurse (LPN) (LVN at Texas facilities), the PCT supports patient care by assisting with activities of daily living, maintaining a safe and organized care environment, and ensuring effective communication within the healthcare team. Essential Functions Assists nursing staff in delivering care, performing delegated basic patient care services, and ensuring a clean, safe, and well-organized environment. Collects and records patient data, including vital signs, height, weight, oxygen saturation, intake/output, and calorie counts, reporting findings to the RN/LPN/LVN. Supports patients with meals, feeding, bathing, oral care, grooming, linen changes, skin care, elimination assistance, and urinary catheter care. Assists with patient positioning, repositioning, dangling, ambulating, and using mobility aids such as walkers, crutches, canes, and wheelchairs. Collects urine and stool samples and performs blood glucose monitoring via finger sticks, documenting and reporting results to the RN/LPN/LVN. Communicates patient information effectively to the care team, adapts to change, and maintains professionalism in all interactions. Maintains a clean, neat, and safe environment for patients and staff, adhering to infection control and safety protocols, including appropriate use of personal protective equipment (PPE). Participates in performance improvement initiatives, risk management reporting, and compliance with National Patient Safety Goals and Core Measures. May be required to maintain continuous visual observation of the patient and remains with them at all times unless relieved by appropriate personnel. Performs other duties as assigned. Maintains regular and reliable attendance. Complies with all policies and standards. Qualifications 0-2 years of experience in an acute care setting or currently enrolled in a Nursing program preferred Knowledge, Skills and Abilities Basic knowledge of patient care practices and equipment. Strong organizational skills with the ability to multitask in a fast-paced environment. Effective communication and interpersonal skills. Ability to follow detailed instructions and work collaboratively within a team. Commitment to maintaining patient confidentiality and adhering to safety protocols. Licenses and Certifications BCLS - Basic Life Support within 90 days of hire required CNA - Certified Nursing Assistant preferred or Certified Patient Care Technician (CPCT) preferred

The Collections Specialist II is responsible for managing outstanding patient accounts, ensuring accurate and timely collections from insurance companies, third-party payers, and self-pay patients. This role requires strong knowledge of insurance processes, medical billing, and collection regulations to maximize reimbursement and minimize bad debt. The Collections Specialist II works independently to research accounts, resolve payment discrepancies, and negotiate payment arrangements while maintaining compliance with federal, state, and organizational guidelines. Essential Functions Manages assigned inventory of outstanding patient accounts, following up on insurance, third-party, and self-pay balances to ensure timely payment collection. Reviews and analyzes patient accounts, identifying alternative payment options, including insurance coverage, financial assistance programs, or legal action when necessary. Communicates with patients, guarantors, and insurance representatives via phone, email, and written correspondence to secure outstanding balances. Understands and explains the litigation process and its requirements, providing guidance on legal collections procedures when applicable. Resolves claim denials and payment discrepancies, working with payers and internal revenue cycle teams to ensure accurate reimbursement. Demonstrates knowledge of third-party collections regulations, utilizing automated resources and payer collection guidelines. Handles inbound and outbound collection calls professionally, ensuring courteous and compliant communication with all stakeholders. Accurately updates and maintains patient account records, documenting all actions taken in the system for compliance and audit purposes. Abides by all local, state, and federal collection laws, including HIPAA, FDCPA, TCPA, and CFPB regulations. Performs other duties as assigned. Maintains regular and reliable attendance. Complies with all policies and standards. Qualifications H.S. Diploma or GED required 2-4 years of experience in medical billing, collections, accounts receivable, or insurance follow-up required Experience in hospital revenue cycle, third-party collections, or litigation-related collections preferred Knowledge, Skills and Abilities Strong knowledge of insurance billing, reimbursement processes, and collection regulations. Familiarity with third-party payer requirements, claim denial management, and payment posting procedures. Ability to interpret and explain patient financial responsibilities, payment options, and litigation processes. Strong communication and negotiation skills, ensuring positive patient interactions and effective payer negotiations. Proficiency in healthcare billing software, electronic health records (EHR), and collections management systems. Knowledge of federal, state, and industry regulations related to collections, including HIPAA, FDCPA, and consumer protection laws. Strong problem-solving skills, with the ability to analyze account details, resolve billing disputes, and secure payments.

CHSPSC, LLC seeks an IT Specialty Services Support & Process Analyst to assist with leading escalated support activities and provide process improvement initiatives. The department handles services lines such as Surgery, Anesthesia, OB/Perinatal, and others. The role will be involved with the facilitation of application services management processes pertaining to analyzing value, evaluating risk, prioritizing projects and onboarding new technology requests to ensure alignment with organizational strategies for the service lines. Key responsibilities include: Alignment with the service lines to address escalated support issues Review transition materials from the Project Management Office for application product ownership Develop and maintain application support plans Document current state and contribute to the direction of the application lifecycle management (LCM) roadmap to reduce costs, mitigate risks, and drive growth and revenue Participate in related efforts such as Disaster Recovery exercises, Cyber Table Top exercises, etc. Present to executive leadership on support-related issues Understand current processes and propose more efficient methods Strategic analysis of the enterprise application portfolio including lifecycle management, application rationalization, consolidation and standardization to achieve the department objectives of the organization including reducing variation of redundant or unused applications Understand the definition, implementation and support of portfolio management standards, policies and processes Understand the data driven decisions pertaining to IT project investments Participate in the structure, attributes, taxonomies and nomenclature of service line elements and categories within the repository toolset (ServiceNow) to ensure completeness and accuracy of the list of enterprise IT business applications Collaborate with business partners, technology leaders and department directors to identify and promote adoption of enterprise standards and rationalization of application systems to achieve economic and patient experience improvement goals Provide expertise on decisions and priorities regarding the overall enterprise application portfolio Track application and vendor trends and maintain knowledge of new technologies to support the organization's current and future needs Maintain an awareness of industry standard best practices and apply relevant methodologies for process improvement Participate in application rationalization feasibility analysis and proposals for management and business partners which support the organization's clinical and economic objectives Review and support applications' advantages, risks, costs, benefits and impact on the enterprise business process and goals Develop and maintain productive relationships of trust both within and outside CHS and embrace the authoritative role in respect to maintaining enterprise standards and align others to the strategic direction Collaborate with Audit teams to respond to and mitigate audit findings and manage audit controls related to application systems and LCM Educate peers and business partners on department methodologies and drive adoption of standard process Support and evaluate portfolio risks and recommend mitigation plans Support business impact analysis and application criticality assessments Partner with key business and delivery stakeholders to conduct application and service line reviews including scope, metrics, expenses and net promoter scores to determine the disposition of existing and proposed solutions Communicate timely and accurate status to appropriate levels and stakeholders including the development and delivery of status reports and presentations Required: Results oriented mentality to drive accurate deliverables with appropriate time to market while taking responsibility for the outcomes Customer focused to align services with customer needs Creativity in developing and executing innovative strategies to meet unique customer needs Excellent verbal and written communication, presentation and customer service skills Ability to handle pressure to meet business requirement demands and deadlines Expertise in analyzing and presenting large volumes of data to senior leadership Critical thinking in developing proposals with sound analysis and achievable outcomes Ability to prioritize tasks and quickly adjust in a rapidly changing environment Exceptional analytic problem solving skills Ability to work independently and in a team environment Organizational awareness and the ability to understand relationships to get things accomplished more effectively Preferred: Experience with APM, CMDB and CSDM components within the ServiceNow platform Application product ownership experience Strong relationship management experience Project management experience/certification 2 or more years in an application portfolio/services management role Lean / Six Sigma Green Belt ITIL certifications Qualifications and Education Requirements: Bachelor's degree in Clinical Informatics, Health Science, Information Systems, Computer Science or a related discipline, or 2 years of relevant experience

HMA is excited to enter 2026 with renewed energy and a mindset for growth. As part of these efforts, we are recruiting for a physician principal role to support two of our growing service lines, Behavioral Health (inclusive of Substance Use Disorders) and Justice Involved Services. We recently engaged in a firm-wide realignment that promises to position us for great success in this new year and for years to come. We have identified the need to recruit a dynamic, national leader to join our team of existing physician principals and the two identified service lines. The psychiatrist who is successful in this role will work nationally support projects across several states, both large and small. They will be able to collaborate with existing experts and contribute new expertise and knowledge, act as a thought leader in the field, increase HMA's visibility across the country and also contribute to business development and growth. Job Summary The Physician Principal is responsible for providing expertise and advice to help organizations improve their business performance in terms of operations, profitability, management, structure, and strategy; develops and maintains client relationships; and is responsible for achieving firm expectations for effective client services (i.e., project direction, project management, and work product quality). The Physician Principal also mentors junior staff, contributes to HMA's strategic objectives, meets internal administrative expectations, accepts accountability, and contributes to HMA's culture. Responsibilities Work Performed and Job Requirements Business development Performs business development activities to expand funded work from existing clients or new Develops and maintains a pipeline of future work that demonstrates a likelihood of achieving business development requirements in future Both lead and participate in proposal development and Client management Meets with client to understand Gathers and organizes information about the issue to be solved or the procedure to be Analyzes data to identify and understand issues to be Presents findings to Provides advice, implementation plans, and/or suggestions for improvement according to project Evaluates the client's needs as warranted and adjusts as Ensures that all deliverables are high-quality. Project management Serves as subject matter expert on Undertakes internal and external short-term or long-term projects to address identified issues and Develop and document tools, analysis, frameworks, tracking tools, road maps, dashboards, and other approaches to manage a variety of large and small projects Leadership Leads and manages teams, provides feedback and development, and advances internal Serves as a mentor for other staff members, as requested. Performance metrics Ensures performance meets or exceeds HMA expectations in the following areas: Business development Billable hour target attainment Manages to budget/project caps established at the outset or assists in negotiating additional fees Meets quality and operational standards Completes and submits timesheets, expense reports, revenue forecasts, and other internal reports when due Participates in and completes all HMA training and development requirements in a timely manner Participates in internal activities related to business strategies, forecasts, adoption of new technologies/platforms/approaches, and other process All other duties as Qualifications Education/Training Minimum of a medical degree (MD or DO), as well as a current active license is required. A master's degree in a related discipline is strongly preferred. Experience Minimum of 15 years of progressively increasing prior leadership or management experience in work involving publicly funded healthcare including, but not limited to policy, administration, operations, compliance, research, consulting, and/or evaluation. Knowledge, Skills, and Abilities Strong project management Solid time management Excellent internal and excellent professional networking Excellent attention to Excellent critical thinking Exceptional oral and written communication Superior interpersonal skills, including leadership, contribution to culture, and acceptance of accountability Ability to multi-task and adhere to strict Capable of handling confidential information in a discrete Ability to work extended hours when deadlines are Demonstrated thought leadership and deep expertise in more than one critical healthcare Maintains approach to stay current in trends in areas of subject matter EEO Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c)