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Healthcare Management Systems jobs - 77 jobs

  • Sr. Manager, Technical Operations

    Healthcare Management Administrators 4.0company rating

    Healthcare Management Administrators job in Bellevue, WA or remote

    Job Description HMA is the premier third-party health plan administrator across the PNW and beyond. We relentlessly deliver on our promise to provide medium to large-size employers with customized health plans. We offer various high-quality, affordable healthcare plan options supported with best-in-class customer service. We are proud to say that for three years, HMA has been chosen as a ‘Washington's Best Workplaces' by our Staff and PSBJ™. Our vision, ‘Proving What's Possible in Healthcare™,' and our values, People First!, Be Extraordinary, Work Courageously, Own It, and Win Together, shape our culture, influence our decisions, and drive our results. What we are looking for: We are always searching for unique people to add to our team. We only hire people that care deeply about others, thrive in evolving environments, gain satisfaction from being part of a team, are motivated by tackling complex challenges, are courageous enough to share ideas, action-oriented, resilient, and results-driven. What you can expect: You can expect an inclusive, flexible, and fun culture, comprehensive salary, pay transparency, benefits, and time off package with plenty of personal development and growth opportunities. If you are looking for meaningful work, a clear purpose, high standards, work/life balance, and the ability to contribute to something important, find out more about us at: ************************** How YOU will make a Difference: The Technical Operations Manager will lead and manage the operational integrity of systems supporting healthcare eligibility and enrollment. This role ensures seamless data exchange between internal systems and external trading partners, supports compliance with regulatory requirements, and drives continuous improvement in technical workflows. What YOU will do: Oversee daily operations related to eligibility and enrollment data, focusing on 834 EDI file processing and reconciliation. Manage, lead, and mentor a diverse team of EDI Specialists, Analysts, and Developers as well as Managers overseeing our Plan Build, Enrollment, and Pricing teams. Manage and optimize technical systems that support enrollment operations. Collaborate with IT and business teams to ensure accurate and timely transmission of 834 files to and from trading partners. Develop and maintain custom rule sets and real-time editing logic to support enrollment integrity. Lead troubleshooting efforts for file transmission errors, data mismatches, and system performance issues. Ensure compliance with HIPAA and other regulatory standards related to EDI transactions. Create and maintain dashboards and reporting tools to monitor file processing metrics and operational KPIs. Coordinate with vendors and service providers to resolve technical issues and enhance system capabilities. Provide technical leadership and mentorship to a team of analysts and support staff. Document processes, workflows, and system configurations related to eligibility operations. Facilitate collaboration across multidisciplinary teams using tools such as Teams, SharePoint, and advanced workflow integrations. Requirements Knowledge, Experience and Attributes: Bachelor's degree in Information Technology, Computer Science, or a related field. 7+ years of experience in technical operations, preferably within healthcare or insurance. 5 years minimum managing a high performing team with diverse responsibilities Strong understanding of ANSI X12 834 file format and EDI transaction sets (e.g., 820, 999). Experience with enrollment platforms such as HealthEdge, Mphasis or Facets. Familiarity with real-time editing systems and custom rule development. Edifecs experience preferred Background in healthcare member eligibility operations. Skilled at building relationships and moving projects forward with diverse audiences who have competing priorities Strong problem-solving and analytical skills Strong organization skills Strong leadership skills in keeping projects on schedule Benefits Compensation: The base salary range for this position in the greater Seattle area is $127,000-$149,000 and varies dependent on geography, skills, experience, education, and other job or market-related factors. Performance-based incentive bonus(es) is available. Disclaimer: The salary, other compensation, and benefits information are accurate as of this posting date. HMA reserves the right to modify this information at any time, subject to applicable law. In addition, HMA provides a generous total rewards package for full-time employees that includes: Seventeen (IC) days paid time off (individual contributors) Eleven paid holidays Two paid personal and one paid volunteer day Company-subsidized medical, dental, vision, and prescription insurance Company-paid disability, life, and AD&D insurances Voluntary insurances HSA and FSA pre-tax programs 401(k)-retirement plan with company match Annual $500 wellness incentive and a $600 wellness reimbursement Remote work and continuing education reimbursements Discount program Parental leave Up to $1,000 annual charitable giving match How we Support your Work, Life, and Wellness Goals At HMA, we believe in recognizing and celebrating the achievements of our dedicated staff. We offer flexibility to work schedules that support people in all time zones across the US, ensuring a healthy work-life balance. Employees have the option to work remotely or enjoy the amenities of our renovated office located just outside Seattle with free parking, gym, and a multitude of refreshments. Our performance management program is designed to elevate career growth opportunities, fostering a collaborative work culture where every team member can thrive. We also prioritize having fun together by hosting in person events throughout the year including an annual all hands, summer picnic, trivia night, and a holiday party. We hire people from across the US (excluding the state of Hawaii and the cities of Los Angeles and San Francisco.) HMA requires a background screen prior to employment. Protected Health Information (PHI) Access Healthcare Management Administrators (HMA); employees may encounter protected health information (PHI) in the regular course of their work. All PHI shall be used and disclosed on a need-to-know-basis and according to HMA's standard policies and procedures. HMA is an Equal Opportunity Employer. For more information about HMA, visit: **************************
    $127k-149k yearly 9d ago
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  • BCBS Claims Specialist II

    Healthcare Management Administrators 4.0company rating

    Healthcare Management Administrators job in Bellevue, WA or remote

    HMA is the premier third-party health plan administrator across the PNW and beyond. We relentlessly deliver on our promise to provide medium to large-size employers with customized health plans. We offer various high-quality, affordable healthcare plan options supported with best-in-class customer service. We are proud to say that for three years, HMA has been chosen as a ‘Washington's Best Workplaces' by our Staff and PSBJ™. Our vision, ‘Proving What's Possible in Healthcare™,' and our values, People First!, Be Extraordinary, Work Courageously, Own It, and Win Together, shape our culture, influence our decisions, and drive our results. What we are looking for: We are always searching for unique people to add to our team. We only hire people that care deeply about others, thrive in evolving environments, gain satisfaction from being part of a team, are motivated by tackling complex challenges, are courageous enough to share ideas, action-oriented, resilient, and results-driven. What you can expect: You can expect an inclusive, flexible, and fun culture, comprehensive salary, pay transparency, benefits, and time off package with plenty of personal development and growth opportunities. If you are looking for meaningful work, a clear purpose, high standards, work/life balance, and the ability to contribute to something important, find out more about us at: ***************** How YOU will make a Difference: As a Claims Specialist, you'll be at the heart of our mission to deliver exceptional service. Working alongside a dedicated team, you'll ensure the accurate and timely processing of medical, dental, vision, and short-term disability claims that HMA administers for our members. Your role goes beyond handling claims, you'll be a key player in shaping a positive healthcare experience for our members. Every claim you interact with helps someone navigate their healthcare journey with confidence, making your work both meaningful and impactful. What YOU will do: Research and process ITS claim adjustments, returned checks, refunds and stop payment in an accurate and timely manner Communicate with local Blue plans utilizing real time chat Process priority claims and general inquiries Respond to appeals and correspondence regarding claims functions Support team members and be open to providing assistance when and where neede Become a SME regarding BCBS network Requirements High school diploma required 3-5+ years of claims processing experience 2+ years of BCBS claims processing experience required Strong interpersonal and communication skills Strong attention to detail, with high degree of accuracy and urgency Ability to take initiative and ownership of assigned tasks, working independently with minimal supervision, yet maintain a team-oriented and collaborative approach to problem solving Previous success in a fast-paced environment Benefits Compensation: The base salary range for this position in the greater Seattle area is $28/hr - $32/hr for a level II and varies dependent on geography, skills, experience, education, and other job or market-related factors. While we are looking for level II, we may consider level III for highly qualified candidates. Disclaimer: The salary, other compensation, and benefits information are accurate as of this posting date. HMA reserves the right to modify this information at any time, subject to applicable law. In addition, HMA provides a generous total rewards package for full-time employees that includes: Seventeen (IC) days paid time off (individual contributors) Eleven paid holidays Two paid personal and one paid volunteer day Company-subsidized medical, dental, vision, and prescription insurance Company-paid disability, life, and AD&D insurances Voluntary insurances HSA and FSA pre-tax programs 401(k)-retirement plan with company match Annual $500 wellness incentive and a $600 wellness reimbursement Remote work and continuing education reimbursements Discount program Parental leave Up to $1,000 annual charitable giving match How we Support your Work, Life, and Wellness Goals At HMA, we believe in recognizing and celebrating the achievements of our dedicated staff. We offer flexibility to work schedules that support people in all time zones across the US, ensuring a healthy work-life balance. Employees have the option to work remotely or enjoy the amenities of our renovated office located just outside Seattle with free parking, gym, and a multitude of refreshments. Our performance management program is designed to elevate career growth opportunities, fostering a collaborative work culture where every team member can thrive. We also prioritize having fun together by hosting in person events throughout the year including an annual all hands, summer picnic, trivia night, and a holiday party. We hire people from across the US (excluding the state of Hawaii and the cities of Los Angeles and San Francisco.) HMA requires a background screen prior to employment. Protected Health Information (PHI) Access Healthcare Management Administrators (HMA); employees may encounter protected health information (PHI) in the regular course of their work. All PHI shall be used and disclosed on a need-to-know-basis and according to HMA's standard policies and procedures. HMA is an Equal Opportunity Employer. For more information about HMA, visit: *****************
    $28 hourly Auto-Apply 29d ago
  • Social Worker SW

    Health Systems Management 4.7company rating

    Remote or Lexington, NC job

    Social Worker - Masters Degree (required) Health Systems Management, Inc. (HSM) is a full-service healthcare management organization providing a full range of development, management, and administrative services for dialysis facilities over the past 35 years in Georgia, South Carolina, and North Carolina. HSM has an outstanding reputation in the renal community for providing high quality patient care and encouraging physician input while maintaining efficient business operations. We are currently seeking compassionate, dedicated, and highly motivated Social Workers to join our dialysis team. Social Worker Responsibilities and Physical Demands: Provides direct and indirect interventions to pre-dialysis and chronic dialysis patients. Provides clinical services in collaboration with the multidisciplinary health care team in order to assist patients in reaching their fullest rehabilitative potential. Communicates with patients and their support system to establish plan of care. Completes comprehensive psychosocial assessment. Assesses family dynamics and need for further interventions. Utilizes appropriate community resources in order to meet patient/family concrete needs. Social Worker Education Requirements and Position Qualifications: Master's degree in Social Work required. Ability to solve practical problems and deal with a number of concrete variables in situations. Must be able to work independently and plan/organize priorities autonomously. Willingness to work a flexible schedule and to fill in when needed. Excellent bedside manner and communication skills. Social Worker Benefits: Extensive Benefits Package to Include:Medical and Prescription Coverage OptionsDentalVisionFlexible Spending AccountShort and Long-Term Disability 401K with Company MatchPaid Time Off - start accruing time on your first day with the company Sign on and referral bonuses for qualified positions Employee Assistance Program for: Family Resources, Counseling, Financial, and Legal GuidancePaid on the job training. The training is a combination of classroom setting and direct patient care. Option to work remotely 1 day per week once training is completed. And more... HSM, INC maintains a drug-free workplace in accordance with state and federal laws. Health Systems Management, Inc. is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, age, marital status, pregnancy, genetic information, or other legally protected status. Compensation details: 29-42 Hourly Wage PI7e1c37de0e08-37***********0
    $45k-55k yearly est. 1d ago
  • Office Manager II

    Healthcare Management Administrators 4.0company rating

    Healthcare Management Administrators job in Bellevue, WA or remote

    Job Description HMA is the premier third-party health plan administrator across the PNW and beyond. We relentlessly deliver on our promise to provide medium to large-size employers with customized health plans. We offer various high-quality, affordable healthcare plan options supported with best-in-class customer service. We are proud to say that for three years, HMA has been chosen as a ‘Washington's Best Workplaces' by our Staff and PSBJ™. Our vision, ‘Proving What's Possible in Healthcare™,' and our values, People First!, Be Extraordinary, Work Courageously, Own It, and Win Together, shape our culture, influence our decisions, and drive our results. What we are looking for: We are always searching for unique people to add to our team. We only hire people that care deeply about others, thrive in evolving environments, gain satisfaction from being part of a team, are motivated by tackling complex challenges, are courageous enough to share ideas, action-oriented, resilient, and results-driven. What you can expect: You can expect an inclusive, flexible, and fun culture, comprehensive salary, pay transparency, benefits, and time off package with plenty of personal development and growth opportunities. If you are looking for meaningful work, a clear purpose, high standards, work/life balance, and the ability to contribute to something important, find out more about us at: ***************** How YOU will make a Difference: HMA is seeking a highly organized, proactive and service oriented Office Manager to ensure the smooth, efficient operation of HMA's office while providing high-level administrative support to designated leader(s). As the Office Manager, you will manage all aspects of facilities and office operations, maintaining a Class “A” in-office experience. Additionally, you will manage complex calendars, coordinate meeting logistics, event support, and provide administrative support including documentation, travel arrangements, expense processing, and follow-up on action items. This role handles confidential information with discretion and models professionalism, customer service and operational excellence What YOU will do: Office Operations & Facilities: Investigate, track and resolve safety and facility concerns; coordinate repairs with property management/vendors. Serve as SME for mail/shipping operations and optimization efforts. Support execution of BCDR/Emergency response plan and employee safety programs. Assist with planning and execution of company events hosted by Compliance/Facilities. Support annual SOC audit execution for internal controls assigned to Facilities Administrative Support: Anticipate scheduling conflicts and propose solutions. Collect and prepare briefing materials for meetings; ensure leaders are fully prepared. Collaborate on presentations and reports; edit and format documents. Monitor governance and operational deadlines; proactively ensure compliance. Support Record Management Program execution Coordinate follow-up on action items across departments. Serve as the go-to resource for new team members joining the Compliance and Facilities team. Requirements Knowledge, Experience and Attributes for Success: AA or BA degree in Communications, Business Administration, Healthcare Administration preferred. 3-5+ years of experience in administration support or office support roles. Proficient experience in Microsoft Suite (Outlook, Word, Teams, SharePoint, PPT, etc) Experience with mail operations and facility management best practices. Experience drafting and finalizing internal and external communications as well as creating decks to present Proven track record managing complex calendars, coordinating travel, and handling confidential information. Familiarity with organizational safety protocols, record management programs. Ability to manage budgets, expenses reporting and cost control. Experience working cross-functionally in mid-sized or large organizations. Proactive problem-solver with strong prioritization skills. High emotional intelligence and cultural sensitivity. Able to manage up and across with professionalism and diplomacy. Professional demeanor and responsiveness to staff and visitors. Ability to adjust to changing priorities and environments. Ability to lift, push, carry and pull objects weighing more than 15 pounds on a regular basis. Frequent bending, standing and walking throughout the workday. Must be able to move safely and efficiently in an office environment Ability to perform repetitive motions and maintain physical stamina for extended periods. Available to respond to critical situations outside of standard business hours, including evenings, weekends and holidays as needed. Benefits Compensation: The base salary range for this position in the greater Seattle area is $77,000-$94,000 and varies dependent on geography, skills, experience, education, and other job or market-related factors. Performance-based incentive bonus(es) is available. Disclaimer: The salary, other compensation, and benefits information are accurate as of this posting date. HMA reserves the right to modify this information at any time, subject to applicable law. In addition, HMA provides a generous total rewards package for full-time employees that includes: Seventeen (IC) days paid time off (individual contributors) Eleven paid holidays Two paid personal and one paid volunteer day Company-subsidized medical, dental, vision, and prescription insurance Company-paid disability, life, and AD&D insurances Voluntary insurances HSA and FSA pre-tax programs 401(k)-retirement plan with company match Annual $500 wellness incentive and a $600 wellness reimbursement Remote work and continuing education reimbursements Discount program Parental leave Up to $1,000 annual charitable giving match How we Support your Work, Life, and Wellness Goals At HMA, we believe in recognizing and celebrating the achievements of our dedicated staff. We offer flexibility to work schedules that support people in all time zones across the US, ensuring a healthy work-life balance. Employees have the option to work remotely or enjoy the amenities of our renovated office located just outside Seattle with free parking, gym, and a multitude of refreshments. Our performance management program is designed to elevate career growth opportunities, fostering a collaborative work culture where every team member can thrive. We also prioritize having fun together by hosting in person events throughout the year including an annual all hands, summer picnic, trivia night, and a holiday party. We hire people from across the US (excluding the state of Hawaii and the cities of Los Angeles and San Francisco.) HMA requires a background screen prior to employment. Protected Health Information (PHI) Access Healthcare Management Administrators (HMA); employees may encounter protected health information (PHI) in the regular course of their work. All PHI shall be used and disclosed on a need-to-know-basis and according to HMA's standard policies and procedures. HMA is an Equal Opportunity Employer. For more information about HMA, visit *****************
    $77k-94k yearly 9d ago
  • Physician, Radiology - IR/DR Radiology (Jackson, CA)

    Sutter Health 4.8company rating

    Remote or Sacramento, CA job

    Opportunity Information Sutter Medical Group (SMG) seeks to hire a BE/BC fellowship-trained Body Imaging Radiologist to join an established practice in Jackson, CA. Sutter Imaging is seeking a fellowship-trained imager and to join our close-knit, quality care-centered group within a larger, financially strong, and stable organization. We are seeking a candidate who enjoys the flexibility to work from home and working on-site including diagnostics and IR. This role offers a dynamic work environment with moderate volumes and opportunities for professional growth. The schedule is flexible to allow a good work/life balance. Weekend, STAT, & Flex shifts are available to read from home for anyone wishing to expand income beyond their base salary. Qualifications Board certified/Board eligible Join Us and Enjoy * PLSF eligible * Subspecialty-structured radiology group with advanced practice technology * $600,000 Base compensation with opportunities to earn additional income through flex shifts* * $50k sign-on bonus (paid in 2 parts) * Assistance with relocation expenses * Generous benefits, including employer-matched 401(k) and profit-sharing * Shareholder track * CME allowance * Equitable practice and scheduling structure * A positive work-life balance and Northern California's natural beauty and lifestyle * 10 weeks scheduled vacation * 4-day average work week * Holidays are shared equitably * Ability to work some shifts from home (Weekend, STAT, & Flex Shifts) Organization Details Sutter Medical Group is a successful, 1,500+ member multi-specialty group offering physicians the opportunity to build their practices within a progressive, financially sound, and collaborative organization. SMG is recognized as a Top Performing Physician Group by the Integrated Healthcare Association. Our members are dedicated to providing the highest quality and most complete health care possible to the people in the communities we serve in the greater Sacramento Valley Area of Amador, Placer, Sacramento, Solano, and Yolo Counties. Community Information Jackson, CA is a charming historic town nestled in the Sierra Nevada foothills, known for its Gold Rush heritage and small-town appeal. The downtown area features preserved 19th-century architecture, boutique shops, and local wineries that reflect the region's rich past. Surrounded by scenic rolling hills and outdoor recreation, it's a gateway to hiking, fishing, and exploring California's wine country. Jackson offers a peaceful lifestyle with a strong sense of community, just an hour southeast of Sacramento. Equal Opportunity Statement It is the policy of Sutter Health and its partners to provide equal employment for all qualified individuals; to prohibit discrimination in employment because of basis of race, color, creed, religion, marital status, sexual orientation, registered domestic partner status, sex, gender, gender identity or expression, ancestry, national origin (including possession of a driver's license issued to individuals who did not present proof of authorized presence in the U.S.), age, medical condition, physical or mental disability, military or protected veteran status, political affiliation, pregnancy or perceived pregnancy, childbirth, breastfeeding or related medical condition, genetic information or any other characteristic made unlawful by local, state or federal law, ordinance or regulation. We promote the full realization of equal employment opportunities through a positive continuing program within each medical group, company, hospital, department, and service area. Equal employment opportunities apply to every aspect of Sutter's employment policies and practices.
    $58k-74k yearly est. 60d+ ago
  • Security Officer II

    Sutter Health 4.8company rating

    Washington job

    We are so glad you are interested in joining Sutter Health! Organization: SCH-Sutter Coast Hospital Provides a secure and safe environment that allows patients, visitors, physicians, personnel and volunteers to deliver or receive quality services with minimal threats against their personal well-being and property. Is responsible for patrolling and monitoring facility premises, observing and reporting suspicious and unauthorized activities and unsafe conditions. Is responsible for access control, control of keys and emergency response and notification. Renders assistance and security related services to staff, physicians, patients, and visitors, including monitoring and restraining violent patients. Investigates and documents incidents relative to the facility and provides necessary liaison between staff and local law enforcement agencies. : These Principal Accountabilities, Requirements and Qualifications are not exhaustive, but are merely the most descriptive of the current job. Management reserves the right to revise the job description or require that other tasks be performed when the circumstances of the job change (for example, emergencies, staff changes, workload, or technical development). JOB ACCOUNTABILITIES: SITE SECURITY: • Performs interior/exterior building and ground patrols to prevent fire, theft, misuse and vandalism of property, inspects doors, windows and locks to determine level of security. • Secures or unlocks facility doors/entrances at specified times. • Inspects all elevators and interior fire escape stairwells reporting any identified discrepancies to the Plant Operations and Maintenance Department personnel. • Monitors surveillance equipment, inspects buildings, equipment, garages and access points and prevents losses and damages by reporting irregularities. • Observes and assesses behavior while on patrol to deter incidents and ensure activity is not detrimental to the organization. • Responds to emergency codes, fire drills and alarms. • Provides security education and may conduct fire drills for the Safety Department. EMERGENT SITUATIONS: • Responds to all emergency calls for assistance to control: disorderly conduct or combative patients, potential and/or actual infant or child patient abductions, bomb threats or reports of suspicious packages, evacuation incidents, and/or chemical spills, for crowd control purposes. • Removes and/or restrains individual(s) to a secure location and if needed calls local authorities. • Documents in detail observations, information, occurrences and witness statements. • Assists with local authorities such as the police and fire department when needed. INCIDENT REPORTING: • Reports unusual circumstances to the Lead Security Officer/Manager, and documents utilizing appropriate Security Incident Report (IR) • Completes accurate, clear and legible Security Incident Reports, documenting all steps and results. • Prepares daily incident, traffic, parking citations, work orders and inspection reports as they pertain to the scope and purposes of safety and security. CUSTOMER SERICES: • Provides assistance and information to patients, visitors, physicians, volunteers, students and staff in order to maintain their safety, security and good public relations. • Acts as first point of contact regarding security assistance for staff and visitors. • Assists staff and visitors with lost and found items. • Answers general questions related to the property or security policies and procedures. • Identifies individuals with special needs and provides appropriate assistance. SECURITY OFFICERS ASSIGNED TO ACUTE FACILITIES: • Provides a security presence within the ED for individuals, hospital personnel, County mental health personnel and the general public. • Accepts individuals who are on a 5150 hold from law enforcement officers and works with law enforcement to ensure that the individual is settled into the facility and appears to be relatively stable prior to releasing the law enforcement officer to other duties. • Assist to ensure the continued safety of patients, staff and visitors. • The Security Services staff shall primarily use verbal intervention skills to achieve this goal, but may use physical restraint, if necessary. EDUCATION: HS Diploma or General Education Diploma (GED) CERTIFICATION & LICENSURE: PSO - Proprietary Private Security Officer within 30 days of start date TYPICAL EXPERIENCE: 1 year recent relevant experience SKILLS AND KNOWLEDGE: General knowledge of the usual duty requirements of a security officer with an emphasis on the physical and emotional maturity required for the high degree of judgment and diplomacy necessary to work efficiently in a healthcare environment. Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision. Ability to write incident reports and read business correspondence and procedure manuals. Ability to effectively present information and respond to questions from groups of managers, clients, customers and the general public. Ability to add, subtracts, multiply and divide in all units of measure, using whole numbers, common fractions and decimals. Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form. PHYSICAL ACTIVITIES AND REQUIREMENTS: See required physical demands, mental components, visual activities & working conditions at the following link: Job Requirements Job Shift: Varied Schedule: Full Time Shift Hours: 8 Days of the Week: Variable Weekend Requirements: Every Weekend Benefits: Yes Unions: No Position Status: Non-Exempt Weekly Hours: 32 Employee Status: Regular Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans. Pay Range is $24.30 to $29.16 / hour The compensation range may vary based on the geographic location where the position is filled. Total compensation considers multiple factors, including, but not limited to a candidate's experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs. Base pay is only one component of Sutter Health's comprehensive total rewards program. Eligible positions also include a comprehensive benefits package.
    $24.3-29.2 hourly 5d ago
  • Clinical Informatics Analyst III, CDI

    Sutter Health 4.8company rating

    Remote or Sacramento, CA job

    We are so glad you are interested in joining Sutter Health! Organization: SHSO-Sutter Health System Office-Valley Designs and develops advanced reporting and analytics, integrating clinical, operations and financial data and providing quantitative and qualitative analysis and actionable information to drive clinical/ancillary process improvement and/or to develop workflow enhancements. Evaluates customers' data needs and requirements, defines specifications and conceptualizes reporting solutions to meet business and customer needs. Presents data and analysis to operations, clinical and medical leaders and staff, providing recommendations for action and decision making. Participates in quality improvement efforts throughout the organization. This is a work from home opportunity with some onsite requirements. The successful candidate will live within a commutable distance to Sacramento. Job Description: EDUCATION: Equivalent experience will be accepted in lieu of the required degree or diploma. * Bachelor's: Mathematics, Statistics, Business or Healthcare Management or related field or equivalent education/experience TYPICAL EXPERIENCE: * 5 years recent relevant experience. SKILLS AND KNOWLEDGE: * Working knowledge of healthcare delivery across the continuum of care. * Working knowledge of the various data sources available for quality management reporting and analysis. * Understands medical/clinical data and terminologies, and medical records coding Current Procedural Terminology (CPT) and International Classification of Diseases (ICD). * Knowledge of current issues and trends in health care delivery/operations. * Knowledge and application of quality performance/process improvement methodologies e.g., Lean/Six Sigma, Plan-Do-Study-Act (PDSA), Rapid Cycle, etc. * Quantitative skills with the ability to compute and use statistical calculations. * Technical skills to integrate data/information to produce complex/advance reports and analysis according to user requirements and specifications. * Critical thinking with the ability to analyze and interpret healthcare statistical and quality data, and recognize, research and resolve questionable data or information anomalies. * Organization skills and attention to details. * Ability to define issues, collect data, establish facts and draw valid conclusions. * Displays a customer service focus in all decisions and actions. * Ability to prioritize workload to complete assignments accurately and timely. * Ability to communicate through verbal and written means, especially technical concepts. * Ability to interact and maintain effective working relationships with those contacted in the performance of required duties. * Demonstrates respect for cultural and linguistic differences and promotes an inclusive work environment. * Ability to work effectively in a dynamic and fast-paced environment with changing business priorities. * Demonstrates initiative in providing feedback/input to improve workflow/processes. * Ability to maintain and work discreetly with confidential information. * Ability to use essential applications and/or databases associated with the role's duties and responsibilities. Job Shift: Days Schedule: Full Time Shift Hours: 8 Days of the Week: Monday - Friday Weekend Requirements: None Benefits: Yes Unions: No Position Status: Non-Exempt Weekly Hours: 40 Employee Status: Regular Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans. Pay Range is $50.16 to $75.24 / hour The salary range for this role may vary above or below the posted range as determined by location. This range has not been adjusted for any specific geographic differential applicable by area where the position may be filled. Compensation takes into account several factors including but not limited to a candidate's experience, education, skills, licensure and certifications, department equity, training and organizational needs. Base pay is just one piece of the total rewards program offered by Sutter Health. Eligible roles also qualify for a comprehensive benefits package.
    $50.2-75.2 hourly 26d ago
  • Pharmacy Technician Supervisor

    Sutter Health 4.8company rating

    Remote or Los Altos, CA job

    We are so glad you are interested in joining Sutter Health! Organization: PAMF-Palo Alto Medical Foundation CAD is eligible to work from home but must be available to go on-site as needed Responsible for daily departmental operations, implementing standardized processes and best practices, carrying out the concept of one team, assisting in monitoring compliance with regulatory, accreditation, and safety standards. Monitors every day activities and maintains an effective working relationship with internal and external customers. Collaborates closely with referring physicians, physician office staff, physician liaisons, and all other key department managers impacted by these services. Job Description: JOB ACCOUNTABILITIES: OPERATIONS: * Plans, organizes, and directs the workflow in assigned financial areas, ensuring the quality and quantity of work produced. * Creates a culture of patient centered care and customer service, consistent with the organization's mission, values, and vision. * Responsible for supervising and assigning staff resources to ensure all registration functions are adequately staffed. * Collaborates with others to coordinate services, streamline work flow, standardize procedures, and/or drive positive outcomes. * Identifies areas of non-compliance or vulnerability, developing, recommending and implementing corrective action plans to address or minimize risk. * Keeps leadership informed of operations, and escalates complex issues requiring higher level direction. PLANNING: * Identifies ways to improve work processes, enhance quality, productivity, and service delivery. * Participates in departmental goal setting process and communicates goals to staff. * Monitors staff productivity, ensuring optimal use of resources and makes appropriate changes in response to fluctuations in workload. * Provides input to leadership chain of command on current and future needs of personnel to meet needs of clients and/or operational demands. * May prepare reports and/or analyses, identifying operational trends and recurrent issues, and recommends and implements course of action. FINANCIAL MANAGEMENT: * Assists in meeting financial targets by effectively managing and utilizing personnel and resources. * Manages and monitors staffing to minimize labor costs. * Monitors expenses and works with leadership to develop and implement corrective actions plans to address unfavorable variances. * May participate in the operating and capital budgeting process. PEOPLE: * Supervises assigned staff, makes or provides input into hiring and termination decisions, develops work schedules, and reviews and approves timekeeping records. * Sets and maintains expectations with all direct reports and holds individuals and work teams accountable. * Evaluates staff performance and recommends associated merit increase. Provides constructive feedback, coaching and counseling. Implements disciplinary actions and/or performance improvement plans to achieve desired performance. Works with leadership when major disciplinary action is necessary and, if appropriate, in consultation with Human Resources. * Provides opportunities for career development, role expansion, and cross-training. * Develops department training and orientation plans, ensuring staff meets competency requirements and participates in appropriate education and training programs. * Conducts staff meetings for informative and educational purposes. * Responds timely to alleged violations of policies, procedures, regulations and standards of conduct by evaluating or recommending the initiation of investigative procedures. EDUCATION: * HS Diploma or General Education Diploma (GED) TYPICAL EXPERIENCE: * 5 years of recent relevant experience. SKILLS AND KNOWLEDGE: * Solid understanding of medical terminology and insurance. * Familiarity with general hospital management principles, practices, and procedures. * Knowledge and understanding of applicable local, state, federal and other laws, regulations and requirements impacting department operations. * Leadership skills, including team building, and coaching/mentoring with the ability to motivate and engage others. * Organizational and time management skills, with the ability to prioritize multiple projects while delivering quality service/achieving business results. * Demonstrates ability to work in a dynamic and fast-paced environment with changing business priorities. * Ability to work concurrently on a variety of tasks/projects in an environment that may have competing priorities, be high volume, and working with individuals having diverse personalities and work styles. Job Shift: Days Schedule: Full Time Days of the Week: Monday - Friday Weekend Requirements: None Benefits: Yes Unions: No Position Status: Exempt Weekly Hours: 40 Employee Status: Regular Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans. Pay Range is $43.34 to $65.00 / hour The compensation range may vary based on the geographic location where the position is filled. Total compensation considers multiple factors, including, but not limited to a candidate's experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs. Base pay is only one component of Sutter Health's comprehensive total rewards program. Eligible positions also include a comprehensive benefits package.
    $43.3-65 hourly 26d ago
  • Manager, Government Audit

    Health Business Solutions 4.7company rating

    Remote or Cooper City, FL job

    HBiz is seeking an experienced and highly organized Manager of Audit to lead all audit-related operations across government, commercial, and post-payment audits. This fully remote role will report directly to the VP of Clinical Appeals and is responsible for overseeing end-to-end audit processes, ensuring regulatory compliance, and managing a team that includes offshore staff. The ideal candidate is a strong communicator, detail-oriented, and comfortable working flexible hours to support coordination across global teams and time zones. Key Responsibilities: Audit Oversight & Lifecycle Management Lead the management and response process for a variety of audits including RAC, MAC, CERT, PERM, TPE, and commercial payer audits. Oversee case intake, documentation collection, quality review, and timely submission. Track and analyze audit trends, denials, and appeal outcomes to identify risks and recommend improvements. Reporting & Tracking Maintain detailed audit logs and status reports using audit tracking systems. Develop and deliver regular audit performance dashboards and summaries to leadership. Identify audit trends and provide insights for proactive risk mitigation. Team Management & Workflow Coordination Supervise and support a team of audit staff, including managing offshore resources. Assign and coordinate cases with clinical, coding, technical, and documentation teams. Ensure efficient workflows and balanced workloads across team members. Work flexible hours when needed to support offshore operations and tight deadlines. Collaboration Across Departments Act as the liaison between clinical, coding, HIM, compliance, and IT teams for audit support. Ensure audit responses include accurate, complete, and compliant documentation. Facilitate escalation and resolution of complex audit issues. Compliance & Quality Assurance Ensure all audit activity complies with CMS, commercial payer, and regulatory requirements. Support policy and process development to strengthen audit readiness and response. Participate in internal audits and risk assessments as needed. Qualifications: Bachelor's degree in Health Information Management, Healthcare Administration, Business, or related field (Master's preferred). Minimum 5 years of healthcare audit experience, including government and post-payment audits. At least 2 years in a supervisory or leadership role, including managing remote/offshore staff. In-depth understanding of audit regulations, payer requirements, and healthcare reimbursement. Familiarity with medical coding (ICD-10, CPT, HCPCS), billing practices, and clinical documentation standards. Excellent communication, organizational, and leadership skills. Proficient with audit tracking software, EHRs, and Microsoft Office Suite. The ideal candidate is articulate, organized, detail-oriented, and able to adjust their schedule as needed to engage with teams across a global network and multiple time zones. Acts as a liaison between internal Hbiz clients, (i.e.: coding, HIM, compliance, and IT teams); as well as external clients we are supporting with our services.
    $52k-76k yearly est. 60d+ ago
  • Hospice Aide

    Sutter Health 4.8company rating

    Washington job

    We are so glad you are interested in joining Sutter Health! Organization: SCH-Sutter Coast Hospital Provides personal care and related non-professional household services necessary to meet the hygiene, activities of daily living (ADL), and comfort needs of the homebound patient in alignment with affiliate mission, goals and objectives. Job Description: EDUCATION: HS Diploma or General Education Diploma (GED) CERTIFICATION & LICENSURE: HHA-Home Health Aide BLS-Basic Life Support Healthcare Provider AUTO-Automobile Insurance DL-Valid Drivers License Class C TYPICAL EXPERIENCE: 1 year recent relevant experience SKILLS AND KNOWLEDGE: Working knowledge of medical terminology and health care practices is required Demonstrate a positive customer service orientation; skill working with diverse groups of patients and co-workers; ability to solve customer-service related problems for internal and external customers. Ability to recognize the special needs and concerns of diverse groups of patients and others in the home. Ability to communicate with patients and significant others in an effective, mature, and caring manner. Tolerance for body secretions, odors, potential exposure to disease, and varied environmental conditions. Competency is evaluated by written test and during joint visits in the care of patients. Job Shift: Days Schedule: Full Time Shift Hours: 8 Days of the Week: Monday - Friday Weekend Requirements: None Benefits: Yes Unions: No Position Status: Non-Exempt Weekly Hours: 40 Employee Status: Regular Employees of Sutter Health and its entities may handle hazardous drugs in the course of their work, including patient care, which requires them to manage, store, prepare, receive, unpack, transport, dispose of, or administer drugs identified as hazardous or potentially hazardous by the National Institute for Occupational Safety and Health (NIOSH) and in accordance with the USP 800 guidelines. Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans. Pay Range is $28.23 to $33.87 / hour The compensation range may vary based on the geographic location where the position is filled. Total compensation considers multiple factors, including, but not limited to a candidate's experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs. Base pay is only one component of Sutter Health's comprehensive total rewards program. Eligible positions also include a comprehensive benefits package.
    $28.2-33.9 hourly 2d ago
  • EDI Data Integrations Engineer II

    Healthcare Management Administrators 4.0company rating

    Healthcare Management Administrators job in Bellevue, WA or remote

    HMA is the premier third-party health plan administrator across the PNW and beyond. We relentlessly deliver on our promise to provide medium to large-size employers with customized health plans. We offer various high-quality, affordable healthcare plan options supported with best-in-class customer service. We are proud to say that for three years, HMA has been chosen as a ‘Washington's Best Workplaces' by our Staff and PSBJ™. Our vision, ‘Proving What's Possible in Healthcare™,' and our values, People First!, Be Extraordinary, Work Courageously, Own It, and Win Together, shape our culture, influence our decisions, and drive our results. What we are looking for: We are always searching for unique people to add to our team. We only hire people that care deeply about others, thrive in evolving environments, gain satisfaction from being part of a team, are motivated by tackling complex challenges, are courageous enough to share ideas, action-oriented, resilient, and results-driven. What you can expect: You can expect an inclusive, flexible, and fun culture, comprehensive salary, pay transparency, benefits, and time off package with plenty of personal development and growth opportunities. If you are looking for meaningful work, a clear purpose, high standards, work/life balance, and the ability to contribute to something important, find out more about us at: ************************** How YOU will make a Difference: The Data Integrations Engineer plays a key role ensuring the smooth transmission and processing of data between internal and external systems. The ideal candidate will have experience in writing complex SQL queries, creating ETL's, and understanding inbound and outbound EDI transactions and protocols. The incumbent will work closely with IT, business partners, and external vendors to implement new systems and update existing systems. Excellent communication skills are a must to ensure the continued smooth operation of the company. What YOU will do: Design, code, test, deploy, maintain, monitor and execute production ETL processes Investigate production ETL issues / problems Work with business users to gather requirements and design, create, and implement database systems & applications. Lead troubleshooting episodes and communicate solutions/resolutions to the team Translate concepts to requirements and technical design Complete projects and development activities timely and accurately while following the System Development Life Cycle (SDLC) Develop, implement, and optimize stored procedures and functions using T-SQL Analyze existing SQL queries for performance improvements. Create and update EDI document mappings Take ownership of SQL development for future products and enhancements of existing products. Must possess analytical and complex problem-solving skills. Performance tuning of database assets and writing queries used for front-end applications (websites, desktop applications, or cloud apps). Evaluating new tools, new technologies to help modernize existing applications. Designing Architecture for ETL/SSIS packages and Designing SSIS packages with different data sources (SQL, Flat files and XMLs etc.) and loaded the data into target source by performing different kinds of transformations. Requirements Knowledge, Experience and Attributes: BA Degree in computer science or related field preferred 3-5+ years of experience in MSSQL T-SQL development 3-5+ years of experience in MSSQL SSIS development 3-5+ years of experience with Data Warehouse - (ETL) Extract, Transform, and Load Skilled at building and optimizing complicated SQL queries and stored procedures Proficiency in programming languages (C# / Python), scripting, and data analysis tools. Bachelor's degree in IT or equivalent experience Excellent communication skills. Benefits Compensation: The base salary range for this position in the greater Seattle area is $117,000-$145,000 and varies dependent on geography, skills, experience, education, and other job or market-related factors. Performance-based incentive bonus(es) is available. Disclaimer: The salary, other compensation, and benefits information are accurate as of this posting date. HMA reserves the right to modify this information at any time, subject to applicable law. In addition, HMA provides a generous total rewards package for full-time employees that includes: Seventeen (IC) days paid time off (individual contributors) Eleven paid holidays Two paid personal and one paid volunteer day Company-subsidized medical, dental, vision, and prescription insurance Company-paid disability, life, and AD&D insurances Voluntary insurances HSA and FSA pre-tax programs 401(k)-retirement plan with company match Annual $500 wellness incentive and a $600 wellness reimbursement Remote work and continuing education reimbursements Discount program Parental leave Up to $1,000 annual charitable giving match How we Support your Work, Life, and Wellness Goals At HMA, we believe in recognizing and celebrating the achievements of our dedicated staff. We offer flexibility to work schedules that support people in all time zones across the US, ensuring a healthy work-life balance. Employees have the option to work remotely or enjoy the amenities of our renovated office located just outside Seattle with free parking, gym, and a multitude of refreshments. Our performance management program is designed to elevate career growth opportunities, fostering a collaborative work culture where every team member can thrive. We also prioritize having fun together by hosting in person events throughout the year including an annual all hands, summer picnic, trivia night, and a holiday party. We hire people from across the US (excluding the state of Hawaii and the cities of Los Angeles and San Francisco.) HMA requires a background screen prior to employment. Protected Health Information (PHI) Access Healthcare Management Administrators (HMA); employees may encounter protected health information (PHI) in the regular course of their work. All PHI shall be used and disclosed on a need-to-know-basis and according to HMA's standard policies and procedures. HMA is an Equal Opportunity Employer. For more information about HMA, visit **************************
    $117k-145k yearly Auto-Apply 60d+ ago
  • Oncology Data Specialist (ODS) Remote

    Health Information Alliance 4.1company rating

    Remote or Washington job

    Health Information Alliance (HIA) is seeking a Remote Oncology Data Specialist (ODS) PRN Join HIA's growing team of hard working, and dedicated people, who continually grow and improve our company, and services to our clients. Our team of professionals offer abstracting services to our clients with abstracting current cases, backlogs, and reports and many more lines of specialized services. This provides a solution to our clients through outsourcing. The Oncology Data Specialist (ODS) Performs data abstraction by capturing a complete patient history, diagnosis, staging and treatment information for all patients into the cancer registry. Must be currently working at ODS, and have 2 years experience with the following abstracting the following ODS registries; Breast, Colon, Lung, Prostate and Bladder. This is a Subcontractor Position (1099) Must be able to work a minimum of 20 Hours/Per Week on a consistent basis. 100% Remote position Reliable, high-speed internet connection is required Must be QUOPI, ACS, APBC Cert and Radiology Oncology Certified Responsibilities The Oncology Data Specialist (ODS) abstracts the following registries: Breast, Colon, Lung, Prostate, and Bladder. Deliver quality solutions to hospital partners across the country, approaching each hospital engagement as an opportunity to apply your expertise with precision. Reviews the medical records for each eligible patient by analyzing the patient history, physical exam, diagnostic tests, staging, medical and nursing care to complete the abstract in accordance with ACOS Cancer Program standards, and state requirements. Maintains abstracting productivity and quality rates of 98%, which is compatible with the organization and nationally established benchmark. Assists with timely monthly reporting to the State ODS, including any special studies and audits. Assists in the submission to Rapid Cancer Reporting System (RCRS). Monthly exports and submits all eligible cases for valid performance quality measures and adheres to RCRS terms and conditions. Reviews, monitors, and updates all the alerts and cases in RCRS to ensure compliance for each specific quality measure. Assist in the Annual NCDB submission.: Each year submits cases diagnosed on January 2003 or later meet the quality criteria for the annual Call for Data on initial submission. Assists in systematic methods of case finding. Enters and/or updates cases in the suspense database. Assists in maintaining a follow-up program for the life of all required abstracts by reviewing hospital documentation, and contacting physicians, state offices, and possibly patients for current follow-up information. Enters this data into a microcomputer for further analysis. Participates in ongoing studies for the American College of Surgeons and local studies. Demonstrates knowledge and skills to operate cancer registry software to perform the job. Identifies the needs of the patient population served and modifies and delivers care specific to those needs (i.e., age, culture, language, hearing and/or visually impaired, etc.) This process includes communicating with the patient, parent, and/or primary caregiver(s) at their level (developmental/age, educational, literacy, etc.). Collaborate with the staff at all campuses to mutually develop opportunities for improvement and action plans. Actively participates in HMH Health Cancer Registries team member meetings. Attend educational conferences to maintain their certification. Adheres to the standards identified in the Medical Center's Organizational Competencies. Qualifications Qualifications Must be currently active working as Oncology Data Specialist (ODS) Must be QUOPI, ACS, APBC Cert and Radiology Oncology Certified Must know Oncology and Epic Successful completion at minimum an Associate's degree or equivalent (60 college level credits including 2 semesters of Anatomy & Physiology) effective 1/1/2010 OR Certificate in Cancer Registry Management or Cancer Information Management form a NCRA-accredited program Minimum of 1 year in a related field; cancer, nursing, medical records, or health science. Education, Knowledge, Skills and Abilities Required Direct data abstraction experience in the Cancer Registry. Exposure to patient medical record systems (EMRs) and clinical databases. Proficiency with Epic, Oncology & MS Office (Microsoft Excel) A college degree from An accredited nursing program CAHIIM accredited program, Or Other accredited healthcare program Healthcare credential associated with their program of study Other healthcare information related abstraction and coding credentials desirable, Licenses and Certifications Required: Oncology Data Specialist (ODS) Certification Preferred Skills: Use of the tools and techniques of continuous quality improvement and computer skills for data display. Attention to detail and follow-up necessary. Strong interpersonal skills, and the ability to communicate effectively with patients, families, hospital staff, physicians and community resources required. Must be able to work independently. General Requirements: The ideal candidate must possess the following characteristics: Commitment and reliability; be able to dedicate consistent time to HIA Superb communication and responsiveness Computer literacy Must be comfortable with, but not limited to: Excel, web-browsers, email, electronic health records (non-specific) Must be familiar with various technologies such as, but not limited to: Epic, Oncology, security (e.g., Citrix), data collection/abstraction, encoders, web-based applications Self-maintenance of skillset Maintaining credentials Staying current with abstraction/coding rules, manuals, and guidelines Prior experience in position applying for Must have a minimum of 2 years of current experience in ODS Motivation; remote work can be team-based, but requires the ability to work independently Strong interpersonal skills and tactfulness to be able to effectively communicate with team members and client contacts May require Background and Drug Screening This position is for a Subcontractor (1099), who is willing to work 20 hours per week on a regular basis. This is a Remote - PRN Position (Subcontractor 1099) The specific statements shown in this description are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job
    $35k-59k yearly est. 7d ago
  • Certified Phlebotomy Technician Lab Assistant II

    Sutter Health 4.8company rating

    Washington job

    We are so glad you are interested in joining Sutter Health! Organization: PAMF-Palo Alto Medical Foundation CAD Collects blood specimens, as well as receives, handles and processes specimens for Laboratory testing. Interacts with patients of diverse ages, backgrounds, values, beliefs and behavior. Receives, sorts and accessions specimens, assigning to appropriate pre-analytic and analytic workflow. Completes computerized tasks related to patient registration and/or test order entry, specimen collection, receiving and processing. Performs basic post-analytic tasks, including distributing reports, storing and/or retrieving specimens. Completes quality-related tasks such as documentation of work, maintaining a clean, stocked and safe work area, and monitoring pending work, as well as escalating priority work. Operates and/or uses basic pre-analytic lab equipment. Adheres to all local/state/federal regulations, codes, policies and procedures to ensure privacy and safety while delivering optimal patient care. Job Description: EDUCATION: HS Diploma: High School or General Education Diploma (GED) provided prior to start date CERTIFICATION & LICENSURE: CPTI-Certified Phlebotomy Technician I provided prior to start date OR CPT II-Certified Phlebotomy Technician II provided prior to start date SKILLS AND KNOWLEDGE: Knowledge and practice of standard principles, processes, procedures, and equipment related to: 1) ordering Laboratory testing, 2) collecting blood specimens, 3) compassionately and effectively interacting with patients, 4) handling and processing biological specimens routinely submitted to the Laboratory for analysis. Ability to accurately, precisely, and reliably perform job duties and assigned tasks. 1) Ability to organize and prioritize job duties and assigned tasks for completion within expected timeframes. 2) Ability to compassionately and effectively interact with patients of diverse ages, backgrounds, values, beliefs and behaviors. Workflow Management Ability to appropriately respond to: 1) fluctuations in volume, 2) unexpected situations or problems such as equipment or IS failure, 3) shift-to-shift hand-offs, 4) STAT test orders, 5) specimen integrity issues, 6) regular review of pending logs, priority assignments, etc. Adherence to Practices & Procedures: 1) Ability to follow standard practices, processes, and procedures in sequence. 2) Knowledge of applicable local/state/federal regulations, codes, policies, and procedures aimed at ensuring the privacy and safety of patients. Applied Job Knowledge, Critical Thinking & Problem Solving: 1) Solid critical thinking in applying knowledge and decision-making. 2) Knowledge of and ability to recognize and appropriately escalate complex and unusual deviations, problems, unusual occurrences and unexpected outcomes. 3) Effective verbal and written communication skills. 4) Ability to work in a collaborative setting where the communication of current, factual, and relevant work information is required. Job Shift: Days Schedule: Short Hour Shift Hours: 8 Days of the Week: Monday - Friday Weekend Requirements: Every other Weekend, Rotating Weekends Benefits: No Unions: No Position Status: Non-Exempt Weekly Hours: 8 Employee Status: Short Hour Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans. Pay Range is $33.53 to $41.91 / hour The compensation range may vary based on the geographic location where the position is filled. Total compensation considers multiple factors, including, but not limited to a candidate's experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs. Base pay is only one component of Sutter Health's comprehensive total rewards program. Eligible positions also include a comprehensive benefits package.
    $33.5-41.9 hourly 8d ago
  • Technical Program Manager III

    Healthcare Management Administrators 4.0company rating

    Healthcare Management Administrators job in Bellevue, WA

    HMA is the premier third-party health plan administrator across the PNW and beyond. We relentlessly deliver on our promise to provide medium to large-size employers with customized health plans. We offer various high-quality, affordable healthcare plan options supported with best-in-class customer service. We are proud to say that for three years, HMA has been chosen as a ‘Washington's Best Workplaces' by our Staff and PSBJ™. Our vision, ‘Proving What's Possible in Healthcare™,' and our values, People First!, Be Extraordinary, Work Courageously, Own It, and Win Together, shape our culture, influence our decisions, and drive our results. What we are looking for: We are always searching for unique people to add to our team. We only hire people that care deeply about others, thrive in evolving environments, gain satisfaction from being part of a team, are motivated by tackling complex challenges, are courageous enough to share ideas, action-oriented, resilient, and results-driven. What you can expect: You can expect an inclusive, flexible, and fun culture, comprehensive salary, pay transparency, benefits, and time off package with plenty of personal development and growth opportunities. If you are looking for meaningful work, a clear purpose, high standards, work/life balance, and the ability to contribute to something important, find out more about us at: ************************** How YOU will make a Difference: This role brings together technical leadership, thoughtful planning, and strong cross‑team collaboration. As a Technical Program Manager, you guide complex initiatives from concept to completion to shaping clear roadmaps, defining meaningful milestones, and ensuring every technical decision supports long‑term scalability and compliance. You work closely with engineers to design systems that truly meet HMA's needs, while keeping communication flowing smoothly between technical teams, business partners, vendors, and regulatory groups. HMA's Tech Stack Regardless of level, all candidates are expected to have familiarity or expertise with the following: · Care Management: CaseTrakker for utilization management and clinical workflows. · CRM & Engagement: Microsoft Dynamics 365 for member and provider services. · Roadmap & Strategy: Aha! for roadmap, reporting and dashboards. · Delivery Management: Azure DevOps (ADO) for backlog management, pipelines, and reporting. What YOU will do: At Level 1, you are responsible for the tactical execution of specific technical initiatives. You work closely with engineering leads to ensure sprints are organized and blockers are removed. · Agile Execution: Manage daily stand-ups, sprint planning, and retrospectives for a single dedicated development team using Azure DevOps. Ensure tickets are properly scoped and tagged. · Tool Support: Act as the first point of contact for technical issues regarding CaseTrakker or Dynamics 365 workflows, triaging bugs to the appropriate engineering teams. · Documentation: Maintain technical documentation and process flows for system updates. · Release Coordination: Assist in the coordination of release schedules, ensuring that User Acceptance Testing (UAT) is completed and signed off before deployment. · Reporting: Generate basic burn-down charts and velocity reports from ADO to track team progress against timelines. At Level 2, you manage complex programs that span multiple tools. You understand how data flows between systems and proactively manage the dependencies between the claims engine and the CRM. · Integrated Program Management: Lead technical programs that require simultaneous updates to our claims system and Dynamics 365. Ensure APIs and data integrations are aligned across teams. · Dependency Management: Identify and track critical path dependencies across programs. Resolve conflicts where resource availability clashes. · Solution Architecture Support: Partner with Architects to define technical requirements. Translate business needs (e.g., "New Medicare Plan launch") into technical tasks across the ecosystem. · Risk Mitigation: Proactively identify technical risks (e.g., legacy code refactoring need) and propose mitigation strategies to leadership. · ADO Optimization: customize Azure DevOps boards, queries, and dashboards to provide real-time visibility into program health for stakeholders. As a level 3 Technical Program Manager, you own the technical roadmap. You are looking 6-12 months ahead, aligning IT strategy with organizational healthcare goals, and managing high-level relationships with software vendors. Leadership: Define and evolve program management standards, guide and assist program managers to meet standards. Programs Oversight: Manage the "Program of Programs." Balance resources across conflicting business priorities. Mentorship: Mentor Level 1 and 2 TPMs, establishing best practices for technical delivery and fostering a culture of engineering excellence. Strategic Roadmap: Define the long-term technical strategy for the internal toolset. Plan and execute system upgrades to keep up-to-date. Coordinate dependencies to ensure system compatibility. Governance & Compliance: Establish the governance framework for how we use Azure DevOps across the enterprise. Ensure all technical solutions comply with HIPAA and security standards. Requirements Knowledge, Experience and Attributes: Bachelor's degree in Computer Science, Software Engineering, or a related technical field; advanced degrees (Master's or MBA). 5-7+ years of experience in technical program management, with a focus on delivering scalable technology solutions in healthcare or insurance sectors. Proven expertise in managing health insurance platforms, data pipelines, and claims processing systems. Hands-on experience with self-funded insurance models and associated technologies is highly preferred. Proven ability to meet deadlines in a fast-paced, changing environment Skilled at building relationships and moving projects forward with diverse audiences who have competing priorities Strong problem-solving and analytical skills Strong organization skills Strong leadership skills in keeping projects on schedule Benefits Compensation: The base salary range for this position in the greater Seattle area is $152,000-173,000 and varies dependent on geography, skills, experience, education, and other job or market-related factors. Performance-based incentive bonus(es) is available. Disclaimer: The salary, other compensation, and benefits information are accurate as of this posting date. HMA reserves the right to modify this information at any time, subject to applicable law. In addition, HMA provides a generous total rewards package for full-time employees that includes: Seventeen (IC) days paid time off (individual contributors) Eleven paid holidays Two paid personal and one paid volunteer day Company-subsidized medical, dental, vision, and prescription insurance Company-paid disability, life, and AD&D insurances Voluntary insurances HSA and FSA pre-tax programs 401(k)-retirement plan with company match Annual $500 wellness incentive and a $600 wellness reimbursement Remote work and continuing education reimbursements Discount program Parental leave Up to $1,000 annual charitable giving match How we Support your Work, Life, and Wellness Goals At HMA, we believe in recognizing and celebrating the achievements of our dedicated staff. We offer flexibility to work schedules that support people in all time zones across the US, ensuring a healthy work-life balance. Employees have the option to work remotely or enjoy the amenities of our renovated office located just outside Seattle with free parking, gym, and a multitude of refreshments. Our performance management program is designed to elevate career growth opportunities, fostering a collaborative work culture where every team member can thrive. We also prioritize having fun together by hosting in person events throughout the year including an annual all hands, summer picnic, trivia night, and a holiday party. We hire people from across the US (excluding the state of Hawaii and the cities of Los Angeles and San Francisco.) HMA requires a background screen prior to employment. Protected Health Information (PHI) Access Healthcare Management Administrators (HMA); employees may encounter protected health information (PHI) in the regular course of their work. All PHI shall be used and disclosed on a need-to-know-basis and according to HMA's standard policies and procedures. HMA is an Equal Opportunity Employer. For more information about HMA, visit **************************
    $152k-173k yearly Auto-Apply 25d ago
  • Medical Assistant ll, Sutter Coast Community Clinic

    Sutter Health 4.8company rating

    Washington job

    We are so glad you are interested in joining Sutter Health! Organization: SCH-Sutter Coast Hospital We are willing to provide training for the right candidate. No prior experience is required, as we are eager to invest in your growth and success within the role. Provides clinical and clerical support to providers and members of the patient care team(s) by performing a variety of back office and patient-related tasks supporting the delivery of high-quality patient care. Helps ensure smooth patient and workflow within the department and assists the patient care team in implementing the medical plan of care. Integrates education, technical competence, and patient interaction skills to gain confidence and cooperation from the patient, their family/support group, and other healthcare providers. Performs all duties under the direction of a clinician. Job Description: Watch how our team brings heart and excellence to every moment: ************************ What's it like to work and live in Crescent City? Click HERE to check it out! About Crescent City: Moderate in climate and nestled along a gorgeous ocean coastline with a surrounding mountain landscape, Crescent City is beautiful, peaceful, affordable, and perfect for those with a propensity for outdoor activities such as hiking, fishing, surfing, and camping. With lush groves of redwood trees and wildlife in abundance, it's a hidden gem and the ideal place to write the next chapter of your life, both professional and personal. Visit Crescent City by visitcalifornia.com EDUCATION: HS Diploma: High School Diploma or General Education Diploma (GED) Other: Completion of a course of study consistent with the requirements for Medical Assistants as specified by the Medical Board of California. (Must present diploma within 90 days) OR Other: Equivalent Sutter Health Training program. DEPARTMENT REQUIRED EDUCATION Department, SCH: Employees hired without prior completion of a Medical Assistant course of study as specified by the Medical Board of California must complete MA competencies before beginning work as an MA CERTIFICATION & LICENSURE: BLS-Basic Life Support Healthcare Provider TYPICAL EXPERIENCE: 1 year of recent relevant experience. SKILLS AND KNOWLEDGE: General knowledge of various medical procedures, views, and equipment. Basic understanding of human anatomy, physiology, pathology, and medical terminology. Competent and validated in basic Medical Assisting skills such as taking vital signs, preparing patients for exam, and administering injections. Ability to interpret a variety of data and instructions, furnished in written, oral, diagram, or schedule form. Possess written and verbal communications skills to explain sensitive information clearly and professionally to diverse audiences, including non-medical people. Well-developed time management and organizational skills, including the ability to prioritize assignments and work within standardized operating procedures and scientific methods to achieve objectives and meet deadlines. General knowledge of computer applications, such as Microsoft Office Suite (Word, Excel and Outlook) and electronic health record (EHR). Ability to Prioritize assignments and work within standardized policies, procedures, and scientific methods to achieve objectives and meet deadlines. Work independently, as well as be part of the team, including accomplishing multiple tasks in an environment with interruptions. Identify, evaluate and resolve standard problems by selecting appropriate solutions from established options. build collaborate relationships with peers and other healthcare providers to achieve departmental and corporate objectives. Job Shift: Days Schedule: Per Diem/Casual Shift Hours: 8 Days of the Week: Variable Weekend Requirements: Rotating Weekends Benefits: No Unions: No Position Status: Non-Exempt Weekly Hours: 0 Employee Status: Per Diem/Casual Employees of Sutter Health and its entities may handle hazardous drugs in the course of their work, including patient care, which requires them to manage, store, prepare, receive, unpack, transport, dispose of, or administer drugs identified as hazardous or potentially hazardous by the National Institute for Occupational Safety and Health (NIOSH) and in accordance with the USP 800 guidelines. Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans. Pay Range is $26.25 to $32.81 / hour The salary range for this role may vary above or below the posted range as determined by location. This range has not been adjusted for any specific geographic differential applicable by area where the position may be filled. Compensation takes into account several factors including but not limited to a candidate's experience, education, skills, licensure and certifications, department equity, training and organizational needs. Base pay is just one piece of the total rewards program offered by Sutter Health. Eligible roles also qualify for a comprehensive benefits package.
    $26.3-32.8 hourly 60d+ ago
  • Trauma Registrar - (100% Remote)

    Health Information Alliance 4.1company rating

    Remote or Washington job

    Health Information Alliance (HIA) is looking for Trauma Registrars (PRN) Requirements: 100% Remote Work Reliable, high-speed internet connection is required Must be able to work 15-20 hours a week or more on a consistent basis National Positions available in all 50 States with immediate needs. Role and Responsibilities: Health Information Alliance, Inc. is looking for experienced trauma registrars committed to abstracting high quality, standardized trauma data to join our growing trauma registry division. The successful candidate will be responsible for the trauma registry and ensuring the accuracy (high-quality) trauma data, and completeness of patient data. Excellent opportunity for medical professional with a flexible schedule. Client will only consider applicants with current 5+ years of Trauma Registrar Experience. This is a Subcontractor (1099) PRN Position Job Summary: Abstracts physiological and anatomical data on trauma patients for inclusion into a trauma data collection system Performs identification, prioritization and injury coding of trauma patients for inclusion into a trauma data collection system Performs duties to support the abstraction of quality trauma data for use locally, statewide and nationally Performs other trauma registry duties as may be required per the contract Major Duties and Responsibilities: Maintains confidentiality and security of patient data at all times Abstracts data from the medical record according to the requirements of the hospital, state and national trauma registry data definitions including demographic characteristics, prehospital information, initial hospital treatment, operating room usage, outcome and final disposition. Participates in periodic quality reviews Interacts in a positive manner with client(s) Remotely accesses electronic health records and trauma data collection systems Competencies and Skills: Must have completed coursework in physiology, anatomy and medical terminology Must have the ability to code in ICD-10-CM specific to injuries and mechanism of injuries Must have the ability to code in ICD-10-PCS Must have the ability to assign severity of injury utilizing the AAAM Abbreviated Injury Scale Must be able to analyze and process detail-oriented information Must be able to read and understand data definitions using a standard data dictionary Must be self-motivated and able to work independently Must be very comfortable working with technology and personal computer Education and Experience: Minimum 5 years (Current) of trauma registry experience required Must have experience with electronic health records Must have experience with NTDS trauma data definitions Must have CSTR or CAISS Must have experience with one or more trauma data collection systems (e.g. TQIP, DI COLLECTOR, TraumaOne, Trauma Base, TSE, etc.) RHIA, RHIT, RN, LPN Preferred Experience abstracting trauma data for pediatric and/or ABA burn patients is desired General Requirements: The ideal candidate must possess the following characteristics: Commitment and reliability; be able to dedicate consistent time to HIA Superb communication and responsiveness Computer literacy Must be comfortable with, but not limited to: Excel, web-browsers, email, electronic health records (non-specific) Must be familiar with various technologies such as, but not limited to: security (e.g., Citrix), data collection/abstraction, encoders, web-based applications Self-maintenance of skillset Maintaining credentials Staying current with abstraction/coding rules, manuals, and guidelines Prior 5+ years experience in position applying for Motivation; remote work can be team-based, but requires the ability to work independently Strong interpersonal skills and tactfulness to be able to effectively communicate with team members and client contacts May require Covid Vaccination May require Background and Drug Screening The specific statements shown in this description are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job
    $36k-47k yearly est. 6d ago
  • HIM Representative

    Sutter Health 4.8company rating

    Washington job

    We are so glad you are interested in joining Sutter Health! Organization: S3-Sutter Shared Services-Valley Receives and processes requests for medical record copies within appropriate timeframes according to state and federal law. Prepares, scans, indexes, and performs quality assurance on patient documents entered into the electronic health record. Analyzes records for incomplete or missing deficiencies in accordance with medical staff bylaws. Locates and tracks legacy records. Coordinates merges of medical records across systems and physical charts, ensuring completeness and accuracy, following all policies and procedures. *Epic experience is highly desired. Job Description: EDUCATION: HS Diploma or General Education Diploma (GED) TYPICAL EXPERIENCE: 2 years recent relevant experience SKILLS AND KNOWLEDGE: Knowledge of The Joint Commission (TJC) standards, California Medical Information Act (CMIA), Centers for Medicare and Medicaid Conditions of Participation (COP), Title 22, AAAHC (ASC), IMQ, and other state and federal laws as appropriate Knowledge of changes in laws relating to release of information by regular attendance of Regional, State and National seminars. Basic knowledge of anatomy and physiology. Familiarity with HIM within the Revenue Cycle. General knowledge of all areas related to Document Imaging/Forms Management and how they interrelate. Ability to communicate ideas both verbally and in writing to influence others using one-on-one contact and group discussions. #LI-TH1 Job Shift: Days Schedule: Full Time Shift Hours: 8 Days of the Week: Monday - Friday Weekend Requirements: None Benefits: Yes Unions: No Position Status: Non-Exempt Weekly Hours: 40 Employee Status: Regular Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans. Pay Range is $28.67 to $35.83 / hour The compensation range may vary based on the geographic location where the position is filled. Total compensation considers multiple factors, including, but not limited to a candidate's experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs. Base pay is only one component of Sutter Health's comprehensive total rewards program. Eligible positions also include a comprehensive benefits package.
    $28.7-35.8 hourly 28d ago
  • Physician, Radiology - Body (Sacramento, CA)

    Sutter Health 4.8company rating

    Remote or Sacramento, CA job

    Opportunity Information Sutter Medical Group (SMG) seeks to hire a BE/BC fellowship-trained Body Imaging Radiologist to join an established practice in Sacramento, CA. Sutter Imaging is seeking a fellowship-trained body imager to join our close-knit, quality care-centered group of mammographers within a larger, financially strong, and stable organization. We are seeking a candidate who enjoys the flexibility to work from home and working on-site, dedicated almost exclusively to body imaging, including diagnostics and procedures. This role offers a dynamic work environment with moderate volumes and opportunities for professional growth. The schedule is flexible to allow a good work/life balance. Weekend, STAT, & Flex shifts are available to read from home for anyone wishing to expand income beyond their base salary. Qualifications Board certified/Board eligible Join Us and Enjoy PLSF eligible Subspecialty-structured radiology group with advanced practice technology $700,000 Base compensation with opportunities to earn additional income through flex shifts* -Day Radiologist: 179 shifts/yr (130 weekdays, 22 weekends, 27 evenings) -Evening Radiologist: 165 shifts/yr (143 weekdays, 22 weekends) -Swing Radiologist: ~160 shifts/yr (138 weekdays, 22 weekends) -Night Radiologist: 123 shifts/yr $50k sign-on bonus (paid in 2 parts) Assistance with relocation expenses Generous benefits, including employer-matched 401(k) and profit-sharing Shareholder track CME allowance Equitable practice and scheduling structure A positive work-life balance and Northern California's natural beauty and lifestyle 10 weeks scheduled vacation 4-day average work week Holidays are shared equitably Ability to work some shifts from home (Weekend, STAT, & Flex Shifts) Organization Details Sutter Medical Group is a successful, 1,500+ member multi-specialty group offering physicians the opportunity to build their practices within a progressive, financially sound, and collaborative organization. SMG is recognized as a Top Performing Physician Group by the Integrated Healthcare Association. Our members are dedicated to providing the highest quality and most complete health care possible to the people in the communities we serve in the greater Sacramento Valley Area of Amador, Placer, Sacramento, Solano, and Yolo Counties. Community Information Sacramento, the capital city of California, offers an exceptional quality of life that makes it a great place to live. One of the standout features of Sacramento is its vibrant food scene. Known as the "Farm-to-Fork Capital," the city boasts a plethora of restaurants, farmers' markets, and food festivals that celebrate fresh, locally sourced ingredients. This culinary richness is complemented by a strong sense of community, where residents enjoy a variety of local events, cultural festivals, and community activities that foster a warm and inclusive atmosphere. Additionally, Sacramento's strategic location provides easy access to some of California's most popular destinations. Just a short drive away, you can find yourself in the bustling city of San Francisco, enjoying the world-class wine country of Napa Valley, or experiencing the stunning natural beauty of Lake Tahoe, which offers both winter sports and summer recreational activities. The city's proximity to diverse landscapes means residents can easily enjoy the snow-capped mountains, scenic coastlines, and lush forests. Sports enthusiasts in Sacramento also have much to cheer about. The city is home to the Sacramento Kings, an NBA team that brings exciting basketball action to the Golden 1 Center. Moreover, the recent relocation of the Oakland A's to Sacramento has added another layer of excitement for baseball fans. With its rich cultural scene, convenient location, and passionate sports culture, Sacramento truly stands out as a dynamic and desirable place to live. Equal Opportunity Statement It is the policy of Sutter Health and its partners to provide equal employment for all qualified individuals; to prohibit discrimination in employment because of basis of race, color, creed, religion, marital status, sexual orientation, registered domestic partner status, sex, gender, gender identity or expression, ancestry, national origin (including possession of a driver's license issued to individuals who did not present proof of authorized presence in the U.S.), age, medical condition, physical or mental disability, military or protected veteran status, political affiliation, pregnancy or perceived pregnancy, childbirth, breastfeeding or related medical condition, genetic information or any other characteristic made unlawful by local, state or federal law, ordinance or regulation. We promote the full realization of equal employment opportunities through a positive continuing program within each medical group, company, hospital, department, and service area. Equal employment opportunities apply to every aspect of Sutter's employment policies and practices.
    $144k-189k yearly est. Auto-Apply 60d+ ago
  • Clinician I Home Based- YFS (53701)

    Health Solutions 4.7company rating

    Remote or Pueblo, CO job

    Health Solutions is a premier wellness center focused on whole-person care. With over 400 employees in Southern Colorado, you would be joining a mighty team of support and administrative staff, case managers, clinicians, physicians, nurses, and others in our efforts to improve the health and wellbeing of our community. We're looking for an Outpatient Clinician to join the Youth & Family Services team at 1012 W. Abriendo in Pueblo. What You'd Be Doing As a Home-Based Clinician at Youth & Family Services you would be a vital member of a multidisciplinary team working to promote healthy youth and families in an outpatient and home environments. Your work in case management and outpatient therapy for individuals and families means you would have rewarding opportunities to directly enhance the wellbeing of clients, their families, and our community both now and in the future. Specifically, the Home-Based Clinician Provides intake and assessment, including professional interpretation and clinical analysis to develop treatment plan; Provides individual and family services in the home; Provides case management services, collaborative and integrative services with resources in the community; Provides assessments and treatment planning for clients who are seeking residential treatment; Monitors client placement, discharge planning and identifying step-down services to youth and their family; Keeps accurate, complete and up-to-date records with 100% compliance with Center standards; Maintains competency and proficiency with the agency's Electronic Health Record; Works in collaboration with community providers as well as health care professionals; Requires some evening and on-call hours. Performs other job-related duties as assigned by a Program Director or Supervisor. Physical requirements include the following Frequently remains active with clients for prolonged periods Frequently moves within and between facilities Occasionally moves equipment and/or materials up to 20 pounds Frequently exposed to stressful or emergent situations Constantly communicates with clients and other staff members Occasionally exposed to communicable diseases or bodily fluids Frequently uses computer and other office equipment to enter, manage or look up data What You'll Like About Us Competitive pay. $60,000-$76,458 per year, depending on license, with the potential for additional compensation based on productivity Generous benefits package. For most positions, includes paid holidays, PTO, EAP, tuition reimbursement, retirement, insurances, FSA, and a premier wellness program Insurance: Medical, Dental, and Vision, with low deductibles. Also, Wellness benefits program available. HS Funded: EAP, LifeLock, Direct Path, Life and AD&D, LTD Retirement 403(b) with employer match up to 6% Additional Insurance: FSA, Voluntary Life, Sun Life Voluntary benefits School age daycare Flexible work schedule Potential for qualified onsite supervision for your pursuit of a professional license Employee recognitions and celebrations Warm and friendly work environment in which staff respect and learn from one another Opportunities to serve our neighbors in Pueblo What We're Looking For-The Must-Haves * Graduate degree in social work, psychology, or a closely related field * Colorado professional license (i.e., LPC, LCSW, LMFT) or license eligible * Demonstrated computer proficiency and experience with electronic health records * Colorado driver's license and access to transportation during work hours What We'd Like to See in You-The Nice-to-Haves * At least one year of mental healthcare experience treating children/adolescents * Previous experience working in a home-based program * Spanish language skills Health Solutions expects all staff to * Adapt to change in the workplace and use change as an opportunity for innovation and creativity; * Take ownership of problems, brainstorm resolutions, use sound judgment in selecting solutions to problems, and then demonstrate consistent follow through; * Possess the job knowledge and skills to perform the fundamental job functions, and willingly assume greater responsibility over time regarding the scope of work; * Inspire and model collaborative teamwork; and * Demonstrate accommodation, politeness, helpfulness, trust building, appropriate boundaries, and flexibility in customer service. Open Until 02/28/26 EOE M/F
    $60k-76.5k yearly 10d ago
  • Health Plan Configuration Analyst II

    Healthcare Management Administrators 4.0company rating

    Healthcare Management Administrators job in Bellevue, WA or remote

    HMA is the premier third-party health plan administrator across the PNW and beyond. We relentlessly deliver on our promise to provide medium to large-size employers with customized health plans. We offer various high-quality, affordable healthcare plan options supported with best-in-class customer service. We are proud to say that for four years, HMA has been chosen as a ‘Washington's Best Workplaces' by our Staff and PSBJ™. Our vision, ‘Proving What's Possible in Healthcare™,' and our values, People First!, Be Extraordinary, Work Courageously, Own It, and Win Together, shape our culture, influence our decisions, and drive our results. What we are looking for: We are always searching for unique people to diversify our team. We only hire people that care deeply about others, thrive in evolving environments, gain satisfaction from being part of a team, are motivated by tackling complex challenges, are courageous enough to share ideas, action-oriented, resilient, and results-driven. What you can expect: You can expect an inclusive, flexible, and fun culture, comprehensive salary, pay transparency, benefits, and time off package with plenty of personal development and growth opportunities. If you are looking for meaningful work, a clear purpose, high standards, work/life balance, and the ability to contribute to something important, find out more about us at: ************************** How YOU will make a Difference: This role is responsible for the successful implementation and programming clients benefit plans, as setting up buy up products for our clients as well as managing third party vendor files. The importance of this role is to ensure benefits are correctly programmed and product services are readily available for members. What YOU will do: Review prior SPD's and make recommendations for new group implementations, such as system capabilities and regulatory requirements, and present to new clients as needed. Ask clarifying questions about plan details that could be missing. Create and update plan summaries and program the claims system for simple and medium complexity client renewals and implementation of off-cycle benefit changes. With the assistance of the Plan Building Specialist II or III, assist with programming updates for clients with complex renewals. Assist with complex and escalated customer service issues to ensure resolution. maintaining the vendor file maintenance for buy-up products. This includes incoming/outgoing files, setting up SFRP and retroactive programming of the balance of our Book of Business, to facilitate non-standard benefits for select groups. Work with vendor to ensure accurate EOB design and setup as needed. Review and respond to applicable TechOps Support tickets and MDI claims queries as needed. Assist Plan Building Specialist III with programming new group implementations as needed. Assist with complex and escalated customer service issues to ensure resolution. Retroactive programming of the balance of our Book of Business, to facilitate non-standard benefits for select groups. Assist in training of Plan Building Specialist I team members. Review and respond to applicable TechOps Support tickets and MDI claims queries as needed. Conduct peer-to-peer audit for Plan Building team programming. Requirements Knowledge, Experience, and Key Attributes needed for Success: High school diploma or equivalent experience required 3-5 years of recent relevant experience Strong QicLink knowledge is beneficial for the programming of benefits in QicLink. Strong analytical skills are crucial for translating client intent into programming of their benefits in QicLink. Comprehensive understanding of benefits that we administer and different plan types. Solid understanding of regulations that impact benefit design, including but not limited to, the Affordable Care Act, Mental Health Parity and IRS rules related to administration of high deductible health plans. Clear and effective verbal and written communication skills. Strong interpersonal skills and ability to work with team members at all levels. Benefits The base salary for this position in the greater Seattle area is $108,000-$120,000 and varies dependent on geography, skills, experience, education, and other job or market-related factors. Performance-based incentive bonus(es) is available. Disclaimer: The salary, other compensation, and benefits information are accurate as of this posting date. HMA reserves the right to modify this information at any time, subject to applicable law. In addition, HMA provides a generous total rewards package for full-time employees that includes: Seventeen (IC) days paid time off (individual contributors) Eleven paid holidays Two paid personal and one paid volunteer day Company-subsidized medical, dental, vision, and prescription insurance Company-paid disability, life, and AD&D insurances Voluntary insurances HSA and FSA pre-tax programs 401(k)-retirement plan with company match Annual $500 wellness incentive and a $600 wellness reimbursement Remote work and continuing education reimbursements Discount program Parental leave Up to $1,000 annual charitable giving match How we Support your Work, Life, and Wellness Goals At HMA, we believe in recognizing and celebrating the achievements of our dedicated staff. We offer flexibility to work schedules that support people in all time zones across the US, ensuring a healthy work-life balance. Employees have the option to work remotely or enjoy the amenities of our renovated office located just outside Seattle with free parking, gym, and a multitude of refreshments. Our performance management program is designed to elevate career growth opportunities, fostering a collaborative work culture where every team member can thrive. We also prioritize having fun together by hosting in person events throughout the year including an annual all hands, summer picnic, trivia night, and a holiday party. We hire people from across the US (excluding the state of Hawaii and the cities of Los Angeles and San Francisco.) HMA requires a background screen prior to employment. Protected Health Information (PHI) Access Healthcare Management Administrators (HMA); employees may encounter protected health information (PHI) in the regular course of their work. All PHI shall be used and disclosed on a need-to-know-basis and according to HMA's standard policies and procedures. HMA is an Equal Opportunity Employer. For more information about HMA, visit ******************
    $108k-120k yearly Auto-Apply 60d+ ago

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Healthcare Management Systems may also be known as or be related to Healthcare Management Consultants, Healthcare Management Systems and Healthcare Management Systems, Inc.