Implementation Consultant jobs at HealthStream - 42 jobs
Sr. Implementation Manager
Healthstream 4.7
Implementation consultant job at HealthStream
HealthStream is the leader in healthcare workforce solutions. We help organizations work better by helping their people work smarter. HealthStream provides the leading learning, clinical development, credentialing, and scheduling applications delivered on healthcare's #1 platform. We streamline everyday tasks while improving performance, engagement, and safety - fostering a workplace where people flourish, and care thrives.
Why Join Us
At HealthStream, you'll have the opportunity to make a meaningful impact on the future of healthcare by collaborating with a team of talented professionals dedicated to innovation and excellence. We offer competitive compensation, comprehensive benefits, and a supportive work environment where creativity and collaboration thrive.
Our shared vision is to enhance the quality of healthcare by empowering the people who deliver care - a commitment we have upheld for over 30 years through providing innovative solutions and driving constant growth. Join us in revolutionizing the healthcare industry and shaping the future of patient care. As a HealthStreamer, you will be at the forefront of healthcare technology innovation, making a recurring impact on the industry.
We're proud of our values-forward culture that offers our people:
* Mission-oriented work
* Diverse and inclusive culture
* Competitive Compensation & Bonuses
* Comprehensive Insurance Plans
* Mental and Physical Health Support
* Work-from-home flexibility
* Fitness Center Reimbursements
* Streaming Good time off for volunteering
* Wellness workshops
* Buddy Program for new HealthStreamers
* Collaborative work environment
* Career growth opportunities
* Continuous learning opportunities
* Inspiring workspaces to collaborate and connect with other HealthStreamers
* Free employee parking at our Resource Centers in Nashville and San Diego
At HealthStream, our thriving culture encourages collaboration and values contributions, allowing our team members to continuously solve big problems and grow. We offer flexibility and paid time off to support work-life integration for all employees, including a hybrid work environment and Streaming Good volunteer day. For team members in commutable distance, HealthStream has Resource Centers in Nashville, TN and San Diego, CA. Our resource centers provide an inspiring workspace to collaborate and recharge as well as company-sponsored onsite social events for development, connection, and celebration.
We are committed to driving innovation in healthcare and ensuring that patients receive competent care from qualified professionals. As a HealthStream team member, you will help bring this vision to life. If you want to work for a company committed to its values and vision, HealthStream is the place for you!
HealthStream is an equal opportunity employer. HealthStream prohibits employment practices that discriminate against individual employees or groups of employees on the basis of age, color, disability, national origin, race, religion, sex, sexual orientation, pregnancy, veteran or military status, genetic information or any other category deemed protected by state and/or federal law.
Position Information
Position Overview
Manage successful implementation of HealthStream software products. Analyze existing and future-state business needs to design project schedules and implementation plans to exceed client expectations. Responsible for ensuring resolution of project issues associated with successful implementation. Maintain project documentation for key stake holders, Implementation Analysts, project team members, and client resources including but not limited to meeting minutes, project schedules, status updates, and acceptance documentation. Mentor new and existing Implementation team members.
Key Responsibilities
You will be responsible for adhering to all HealthStream security policies, procedures, and assigned training.
* Develops implementation project plans and scope of work appropriate for each implementation project.
* Manages software implementation projects and the resources necessary to ensure a smooth transition with multiple clients simultaneously. Reviews commitments for technical services, training and project management, ensuring that all commitments are executed according to contractual obligations
* Understands and identifies software functionality to support client business objectives.
* Coordinates all technical services including data transfer and installation between client and HealthStream.
* Reviews hardware recommendations and coordinates software installation process.
* Proactively escalates any client or HealthStream-caused time delays or needs for additional resources beyond the contractual commitments.
* Ensures that an effective training program is planned and executed.
* Develops and maintains implementation documentation and communicates status and concerns to Manager, key stakeholders, project sponsors, and project team.
* Performs related duties as required in support of client service goals.
* Assist Senior Management in the onboarding of Implementations teams
* Responsible for the adherence to documented procedures for Implementations
* Assist in the training of new Implementation staff, providing support whenever necessary
* Assist Senior Management in outlining and formalizing documentation and curating procedures for Implementation tasks
* Manage projects, aligning business goals with software solutions to drive process improvements
* Leverage technical and business acumen to communicate effectively with clients
* Manage project teams and provide high-quality deliverables to meet or exceed timeline and budgetary targets
* Manage software implementation projects and the resources necessary to ensure a smooth transition from current systems to new HealthStream software
* Analyze and map data from existing systems to HealthStream databases
* Perform data and business analysis and provide recommendations for data integrity and data normalization
$68k-113k yearly est. 31d ago
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Customer Implementation Analyst - HNAS
Highmark Health 4.5
Nashville, TN jobs
This job collaborates with internal stakeholder to understand moderate to complex business requirements and processes related client, product, and benefits configuration solutions. Performs standard and custom benefit coding and new client and group installation, translating group and client information into system configuration, including but not limited to client, group, rates, and commissions data.
HNAS (Health Now Administrative Services) offers flexible, cost-effective solutions for employee health benefits. HNAS is part of Highmark Health, a national blended health organization with a mission to create remarkable health experiences. Our culture is built on your growth and development, collaborating across our organization, and making a big impact for those we serve
**This role is looking for someone who has ZELIS/RedCard experience along with reading and interpreting code within the health insurance space. This is a remote based role.**
**ESSENTIAL RESPONSIBILITIES**
+ Perform basic analysis using knowledge of moderate-to-complex business rules by interpreting and analyzing data from various sources and formats and utilize the data for configuration activities.
+ Translate moderate-to-complex business needs and business rules to define and execute operations activities for high quality solutions to meet customer and plan partner needs.
+ Document and execute medium-to-complex product and benefit configuration rules.
+ Assist in and is accountable for identification, documentation, and escalation of risks, data errors and issues throughout the configuration process.
+ Assist in development of testing plan, scenarios, and documentation to ensure high quality of product.
+ Perform both end-to-end and user acceptance testing to ensure high quality of product.
+ Other duties as assigned or requested.
**EDUCATION**
**Required**
+ High School Diploma/GED
**Substitutions**
+ None
**Preferred**
+ Associate's Degree in Healthcare Administration, Business, Information Science or other related field
**EXPERIENCE**
**Required**
+ 3 - 5 years of experience in health care industry or other related field
+ 3 - 5 years of experience in business analysis, system analysis, or other related function working with logical data structures
**Preferred**
+ 3 - 5 years of experience in health insurance operations, benefits operations, or other related field related is preferred
+ 3 - 5 years of experience with client, product, and/or benefits configuration techniques
**LICENSES AND CERTIFICATIONS**
**Required**
+ None
**Preferred**
+ None
**SKILLS**
+ Excellent detail-oriented skills
+ Good customer service skills with moderate experience working with customers, sales, and/or clients
+ High proficient oral and written communication skills
+ Ability to understand and resolve moderate to complex data relationships, data conflicts, and data discrepancies
+ Ability to apply logical thinking and critical thinking skills to resolve moderate to complex problems and designs
+ Proficient in understanding, analyzing, and applying moderate to complex business rules and configuration concepts
**LANGUAGE REQUIREMENT (Other than English)?**
None
**TRAVEL REQUIREMENT**
0% - 25%
**PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS**
**Position Type**
Office-Based
Teaches/Trains others regularly
Rarely
Travels regularly from the office to various work sites or from site-to-site
Rarely
Works primarily out-of-the office selling products/services (Sales employees)
Does Not Apply
Physical Work Site Required
No
Lifting: up to 10 pounds
Does Not Apply
Lifting: 10 to 25 pounds
Does Not Apply
Lifting: 25 to 50 pounds
Does Not Apply
**_Disclaimer:_** _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job._
**_Compliance Requirement:_** _This position adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies._
As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.
**Pay Range Minimum:**
$24.53
**Pay Range Maximum:**
$38.00
_Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets._
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.
We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below.
For accommodation requests, please contact HR Services Online at *****************************
California Consumer Privacy Act Employees, Contractors, and Applicants Notice
Req ID: J273753
$24.5-38 hourly 34d ago
Change Execution Consultant
Highmark Health 4.5
Nashville, TN jobs
This job plays a key role in ensuring projects (i.e. change initiatives) meet objectives on time and on budget by increasing employee adoption and usage of the change solution. The incumbent focuses on the people side of change - including changes to business processes, systems and technology, job roles and organization structures. Creates and implements change execution strategies and plans that maximize employee adoption and usage and minimize risk to implementation. Works to drive faster adoption, higher ultimate utilization and greater proficiency of the changes that impact employees in the organization to increase benefit realization, value creation, ROI and the achievement of results and outcomes. While this job does not have supervisory responsibility, the incumbent works through many others in the organization to succeed. Acts as a coach for senior leaders and executives in helping them fulfill the role of change sponsor. May also provide direct support and coaching to frontline managers and supervisors as they help their direct reports through transitions. Supports project teams in integrating change execution activities into their project plans.
**ESSENTIAL RESPONSIBILITIES**
+ Apply a structured change methodology and lead change management activities.This involves partnering with sponsors and project managers to create actionable change management deliverables: (e.g. communications plans, sponsor roadmap, management coaching plans, training plans, resistance management plans, etc.).Integrate change management activities into overall master project plan.Consult and coach project teams in value and integration of change management with project management.Support development and execution of communications strategies and plans to build necessary commitment.Support development and execution of training efforts.
+ Complete change management assessments (e.g. risk, sponsorship, capacity, etc.).Identify key stakeholders who play role in organizations commitment to change.Assess the change impact on individuals and organizations and capacity to execute change.Support change execution capability building across the organization (leaders, managers, program/project leaders, front-line employees, etc.).
+ Create and execute a change management strategy.Partner with senior leadership to obtain and maintain sponsorship.Identify, analyze, and prepare risk mitigation tactics.Identify and manage anticipated resistance.Define and measure success metrics and monitor change progress.
+ Assess organizational culture to identify consistency with change and gaps that need to be addressed.Work with leadership to mitigate culture barriers by advising on action plans.Follow through to measure and track results.
+ Work directly with change sponsors and leaders and multiple levels to help strengthen their sponsorship skills.Evaluate and ensure user readiness for change.Train sponsors, project leaders, and stakeholders on change methodology.Coach managers and supervisors in preparing organization and staff for change.
+ Track and report issues to successful change implementation and realization.This includes report outs to senior leadership, project owners, stakeholders, and project sponsors.
+ Other duties as assigned.
**EDUCATION**
**Required**
+ Bachelor's Degree in Business Administration/Management, Industrial Psychology, Organizational Behavior Studies or related field
**Substitutions**
+ 6 years of relevant work experience in healthcare, project management, change management and/or business analysis in lieu of a Bachelor's Degree
**Preferred**
+ Master's Degree in Business Administration/Management, Industrial Psychology, Organizational Behavior Studies or related field
**EXPERIENCE**
**Required**
+ 5 years in Consulting
+ 5 years in Strategic Planning/Corporate Development
**Preferred**
+ None
**LICENSES AND CERTIFICATIONS**
**Required**
+ None
**Preferred**
+ Prosci Certification
+ Certified Change Management Professional (CCMP)
**SKILLS**
+ Change Management
+ Leading Change
+ Organizational Change Management
+ Relationship-builder with Unsurpassed Interpersonal Skills
+ Flexibility
+ Analysis of business problems/needs
+ Stakeholder Management
+ Business Strategy
+ Program Management
+ Training Delivery
**Language (Other than English)**
None
**Travel Required**
0% - 25%
**PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS**
**Position Type**
Office-Based
Teaches / trains others regularly
Constantly
Travel regularly from the office to various work sites or from site-to-site
Occasionally
Works primarily out-of-the office selling products/services (sales employees)
Never
Physical work site required
Yes
Lifting: up to 10 pounds
Constantly
Lifting: 10 to 25 pounds
Occasionally
Lifting: 25 to 50 pounds
Rarely
**_Disclaimer:_** _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job._
**_Compliance Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies._
_As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy._
_Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements._
**Pay Range Minimum:**
$78,900.00
**Pay Range Maximum:**
$147,500.00
_Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets._
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.
We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below.
For accommodation requests, please contact HR Services Online at *****************************
California Consumer Privacy Act Employees, Contractors, and Applicants Notice
Req ID: J273828
$78.9k-147.5k yearly 32d ago
Sr Business Consultant (Remote and Temporary)
Maximus 4.3
Nashville, TN jobs
Description & Requirements Maximus is looking to fill a Sr Business Analyst position. The Sr Business Consultant position supports CDC initiatives by conducting data-driven evaluations of management and organizational structures to improve operational efficiency, customer experience (CX), and overall service quality. Assists in mapping and optimizing the customer journey using quantitative and qualitative insights to identify pain points and opportunities for improvement. Collects, verifies, and analyzes performance and survey data to uncover trends, measure customer satisfaction, and recommend actionable improvements that enhance service delivery and streamline processes.
- Position is remote and temporary through August 31, 2026
- Must be available to work the occasional weekend or holiday depending on business needs
- Will work an 8-hour day between Monday - Friday 8:00 AM - 8:00 PM EST
-You will need to provide your own computer equipment during training. Maximus will provide computer equipment once training is completed.
Please Note: This position requires a personal computer or laptop during training period(Chromebooks, tablets, and notebooks are not allowed) with one of the following operating systems: Windows: 10 or 11 or Mac: Big Sur (11.0.1+), Catalina (10.15), or Monterey (12.3
Essential Duties and Responsibilities:
- Apply business process improvement practices to re-engineer methodologies/principles and business process modernization projects.
- Assist in the application of activity and data modeling, transaction flow analysis, internal control and risk analysis, modern business methods, and performance measurement techniques.
- Assist in establishing standards for information systems procedures.
- Develop solutions to a variety of complex problems.
- Develop and apply organization-wide information models for use in designing and building integrated shared software and database management systems and data warehouses.
- Follow Information Management guiding principles, cost savings, and open system architecture objectives.
Responsibilities:
- Data Analysis & Insights: Collects and validates operational, performance, and customer satisfaction survey data; performs trend analysis and develops metrics to measure efficiency and CX outcomes.
- Customer Journey & CX Optimization: Maps end-to-end customer interactions; identifies friction points and designs solutions to improve engagement and satisfaction.
- Survey Analysis: Analyzes customer feedback and survey results to identify drivers of satisfaction and areas for improvement; translates insights into actionable strategies.
- Process Improvement: Applies data-driven methodologies (e.g., Lean, Six Sigma principles) to redesign workflows, reduce bottlenecks, and improve turnaround times.
- Reporting & Visualization: Develops dashboards, models, and reports to communicate findings; prepares presentations for leadership and stakeholders.
- Facilitation & Collaboration: Leads working groups and stakeholder sessions to align on improvement strategies; ensures recommendations are actionable and measurable.
- Continuous Improvement: Monitors implemented changes for impact; iterates based on performance data, survey feedback, and evolving CDC objectives.
This position requires the use of your own personal computer or laptop during the training period (tablets, iPads, and Chromebooks are not permitted). Once training is complete, the program will provide the required equipment. Maximus will provide computer equipment once training is completed.
Home Office Requirements:
- Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to ******************
- Minimum 5mpbs upload speed
- Connectivity to the internet via Category 5 or 6 ethernet patch cable to the home router
- Personal computer or laptop (Chromebooks, tablets, and notebooks are not allowed) with one of the following operating systems: Windows: 10 or 11 or Mac: Big Sur (11.0.1+), Catalina (10.15), or Monterey (12.3)
- Private and secure work area and adequate power source
- Must currently and permanently reside in the Continental US
Minimum Requirements
- Bachelor's degree in related field.
- 5-7 years of relevant professional experience required.
- Equivalent combination of education and experience considered in lieu of degree.
EEO Statement
Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Annual salary is just one component of Maximus's total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards. Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off. Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience. An applicant's salary history will not be used in determining compensation. Maximus will comply with regulatory minimum wage rates and exempt salary thresholds in all instances.
Accommodations
Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at **************************.
Minimum Salary
$
120,000.00
Maximum Salary
$
130,000.00
$80k-104k yearly est. Easy Apply 2d ago
Sr Business Consultant (Remote and Temporary)
Maximus 4.3
Memphis, TN jobs
Description & Requirements Maximus is looking to fill a Sr Business Analyst position. The Sr Business Consultant position supports CDC initiatives by conducting data-driven evaluations of management and organizational structures to improve operational efficiency, customer experience (CX), and overall service quality. Assists in mapping and optimizing the customer journey using quantitative and qualitative insights to identify pain points and opportunities for improvement. Collects, verifies, and analyzes performance and survey data to uncover trends, measure customer satisfaction, and recommend actionable improvements that enhance service delivery and streamline processes.
- Position is remote and temporary through August 31, 2026
- Must be available to work the occasional weekend or holiday depending on business needs
- Will work an 8-hour day between Monday - Friday 8:00 AM - 8:00 PM EST
-You will need to provide your own computer equipment during training. Maximus will provide computer equipment once training is completed.
Please Note: This position requires a personal computer or laptop during training period(Chromebooks, tablets, and notebooks are not allowed) with one of the following operating systems: Windows: 10 or 11 or Mac: Big Sur (11.0.1+), Catalina (10.15), or Monterey (12.3
Essential Duties and Responsibilities:
- Apply business process improvement practices to re-engineer methodologies/principles and business process modernization projects.
- Assist in the application of activity and data modeling, transaction flow analysis, internal control and risk analysis, modern business methods, and performance measurement techniques.
- Assist in establishing standards for information systems procedures.
- Develop solutions to a variety of complex problems.
- Develop and apply organization-wide information models for use in designing and building integrated shared software and database management systems and data warehouses.
- Follow Information Management guiding principles, cost savings, and open system architecture objectives.
Responsibilities:
- Data Analysis & Insights: Collects and validates operational, performance, and customer satisfaction survey data; performs trend analysis and develops metrics to measure efficiency and CX outcomes.
- Customer Journey & CX Optimization: Maps end-to-end customer interactions; identifies friction points and designs solutions to improve engagement and satisfaction.
- Survey Analysis: Analyzes customer feedback and survey results to identify drivers of satisfaction and areas for improvement; translates insights into actionable strategies.
- Process Improvement: Applies data-driven methodologies (e.g., Lean, Six Sigma principles) to redesign workflows, reduce bottlenecks, and improve turnaround times.
- Reporting & Visualization: Develops dashboards, models, and reports to communicate findings; prepares presentations for leadership and stakeholders.
- Facilitation & Collaboration: Leads working groups and stakeholder sessions to align on improvement strategies; ensures recommendations are actionable and measurable.
- Continuous Improvement: Monitors implemented changes for impact; iterates based on performance data, survey feedback, and evolving CDC objectives.
This position requires the use of your own personal computer or laptop during the training period (tablets, iPads, and Chromebooks are not permitted). Once training is complete, the program will provide the required equipment. Maximus will provide computer equipment once training is completed.
Home Office Requirements:
- Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to ******************
- Minimum 5mpbs upload speed
- Connectivity to the internet via Category 5 or 6 ethernet patch cable to the home router
- Personal computer or laptop (Chromebooks, tablets, and notebooks are not allowed) with one of the following operating systems: Windows: 10 or 11 or Mac: Big Sur (11.0.1+), Catalina (10.15), or Monterey (12.3)
- Private and secure work area and adequate power source
- Must currently and permanently reside in the Continental US
Minimum Requirements
- Bachelor's degree in related field.
- 5-7 years of relevant professional experience required.
- Equivalent combination of education and experience considered in lieu of degree.
EEO Statement
Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Annual salary is just one component of Maximus's total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards. Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off. Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience. An applicant's salary history will not be used in determining compensation. Maximus will comply with regulatory minimum wage rates and exempt salary thresholds in all instances.
Accommodations
Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at **************************.
Minimum Salary
$
120,000.00
Maximum Salary
$
130,000.00
$79k-103k yearly est. Easy Apply 2d ago
Associate Consultant Activation
GE Healthcare 4.8
Memphis, TN jobs
SummaryThe Associate Consultant will be a part of the Command Center team at GEHC. This role will be responsible for helping with product configuration, training and activation of software and consulting services at hospital sites. Accountable for the quality of own work. Subject to direct operations supervision/prescribed work instructions/systems checking. Executes within a well-defined operations framework. There is generally a step by step sequence of standard operational tasks which need to be followed to achieve an end result.
This is a remote position open across the continental US. The role will require weekly travel to customer sites Monday-Thursday.Job Description
Roles and Responsibilities
Client facing individual responsible for the delivery of consultancy services at a client site(s).
Developing conceptual knowledge of professional discipline. May include support roles with specialized expertise or technical knowledge in broad area.
Applies general knowledge of business developed through education or past experience. Understands how work of own team contributes to the area.
Resolves issues using established procedures. Consults supervisor or more senior team members for issues outside of defined instructions/parameters.
Collaborates with others to solve issues. For customer facing roles, develops strong customer relationships and serves as the interface between customer and GE. Exchanges technical information, asks questions and checks for understanding.
Required Qualifications
Bachelor's Degree related to Health Sciences
Proficiency in Microsoft Office Suite especially Excel and Power Point
Excellent communication skills, teamwork
Strong interpersonal and teamwork skills
Strong written and oral communication skills
Demonstrated business acumen and analytical skills
Dependable: able to work independently and consistently meet or exceed performance expectations.
Adaptable: able to adjust work and communication style based on situational needs.
Demonstrate an aptitude for critical thinking to included evaluation of ideas and synthesizing information into insights
The ability to travel 80% (Monday-Thursday weekly)
Desired Characteristics
Strong oral and written communication skills. Ability to document, plan, market, and execute programs.
Working knowledge/experience in SQL
We will not sponsor individuals for employment visas, now or in the future, for this job opening. For U.S. based positions only, the pay range for this position is $72,000.00-$108,000.00 Annual. It is not typical for an individual to be hired at or near the top of the pay range and compensation decisions are dependent on the facts and circumstances of each case. The specific compensation offered to a candidate may be influenced by a variety of factors including skills, qualifications, experience and location. In addition, this position may also be eligible to earn performance based incentive compensation, which may include cash bonus(es) and/or long term incentives (LTI). GE HealthCare offers a competitive benefits package, including not but limited to medical, dental, vision, paid time off, a 401(k) plan with employee and company contribution opportunities, life, disability, and accident insurance, and tuition reimbursement.Additional Information
GE HealthCare offers a great work environment, professional development, challenging careers, and competitive compensation. GE HealthCare is an Equal Opportunity Employer. Employment decisions are made without regard to race, color, religion, national or ethnic origin, sex, sexual orientation, gender identity or expression, age, disability, protected veteran status or other characteristics protected by law.
GE HealthCare will only employ those who are legally authorized to work in the United States for this opening. Any offer of employment is conditioned upon the successful completion of a drug screen (as applicable).
While GE HealthCare does not currently require U.S. employees to be vaccinated against COVID-19, some GE HealthCare customers have vaccination mandates that may apply to certain GE HealthCare employees.
Relocation Assistance Provided: No
$72k-108k yearly Auto-Apply 3d ago
Strategic Analytics Consultant
Highmark Health 4.5
Nashville, TN jobs
This role is a high-impact role responsible for leading complex strategic initiatives aimed at optimizing the organization's programs in a specific business area or discipline. This individual functions as an internal "consultant," taking ownership of critical projects from conception to actionable recommendations, directly influencing strategy and driving measurable improvements in program effectiveness and resource alignment. With a deep understanding of health plan economics and exceptional strategic problem-solving abilities, the incumbent excels at transforming sophisticated ad-hoc analyses into compelling strategic solutions that align with the organization's mission of improving health outcomes and member value.
**ESSENTIAL RESPONSIBILITIES**
+ Lead and manage end-to-end strategic projects focused on program optimization across various clinical areas, defining project scope, methodologies, deliverables, and timelines.
+ Design and execute comprehensive, data-driven strategic analyses to identify significant opportunities for enhancing efficiency, quality of care, and overall program performance. This includes detailed analysis of trends, outcomes, provider patterns, and regulatory impacts.
+ Translate complex analytical findings and strategic insights into actionable recommendations and compelling business cases for senior management, driving strategic decision-making and investment.
+ Act as a trusted advisor and internal thought partner to cross-functional stakeholders, including leadership, clinical operations, network, finance, and actuarial teams, proactively identifying their strategic needs and proposing analytical solutions.
+ Proactively identify strategic gaps, emerging challenges, or underperforming areas within existing programs, initiating investigations and developing proposals for improvements.
+ Develop robust, quantifiable impact models for proposed strategies, and subsequently monitor and evaluate the effectiveness of implemented initiatives against defined objectives.
+ Mentor and provide guidance to more junior analytical staff on complex problem-solving approaches, analytical techniques, and strategic frameworks.
+ Prepare and deliver executive-level presentations, distilling complex data into clear strategic narratives and actionable insights for diverse audiences.
+ Other duties as assigned
**EXPERIENCE**
**Required**
+ 5 years of progressive experience in strategic consulting, healthcare analytics, or a similar high-impact role, preferably within a large health plan, managed care organization, or consulting firm focused on healthcare.
+ 5 years of a demonstrated track record of successfully leading complex analytical projects and translating insights into actionable business strategies that drove measurable outcomes.
**Preferred**
+ None
**SKILLS**
+ Exceptional Strategic Problem-Solving & Critical Thinking: Ability to independently frame complex, ambiguous strategic challenges, develop innovative solutions, and articulate a clear path forward.
+ Expert-Level Analytical & Modeling Skills: Advanced proficiency in Microsoft Excel for complex data manipulation, statistical analysis, scenario modeling, and financial impact assessment. Experience with other analytical tools (e.g., SQL, Python, R, Tableau, Power BI) is a plus.
+ Deep Healthcare & Business Area/Discipline Acumen: Extensive knowledge of health plan operations, P&L dynamics, value-based care models, and a comprehensive understanding of various levers and their impact.
+ Project Leadership & Management: Proven ability to define project scope, manage multiple workstreams, meet deadlines, and ensure successful project execution in a fast-paced environment.
+ Influence & Stakeholder Management: Superior communication, presentation, and negotiation skills, with the ability to build consensus and influence senior leadership and diverse stakeholder groups effectively.
+ Mentorship & Development: Experience guiding and developing analytical talent.
+ Entrepreneurial Drive: Proactive, self-motivated, and capable of identifying strategic opportunities without direct instruction.
**EDUCATION**
**Required**
+ Bachelor's degree or relevant experience and/or education as determined by the company in lieu of bachelor's degree.
**Preferred**
+ Master's degree.
+ Degrees in a quantitative field such as Economics, Business Administration, Public Health, Health Administration, Finance, Statistics, or a related discipline are strongly preferred.
**LICENSES or CERTIFICATIONS**
**Required**
+ None
**Preferred**
+ None
**Language (Other than English):**
+ None
**Travel Required:**
+ Less than 25%
**PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS**
**Position Type**
+ Office-Based or Remote Position
**Physical work site required**
+ Occasionally
**_Disclaimer:_** _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job._
**_Compliance Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies._
_As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy._
_Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements._
**Pay Range Minimum:**
$78,900.00
**Pay Range Maximum:**
$147,500.00
_Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets._
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.
We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below.
For accommodation requests, please contact HR Services Online at *****************************
California Consumer Privacy Act Employees, Contractors, and Applicants Notice
Req ID: J273847
$78.9k-147.5k yearly 3d ago
Medical Healthcare Consultant
Physician Core Care 4.1
Memphis, TN jobs
Physician Core Care is a premier provider of certified, industry-leading Healthcare services and solutions. With an extensive team of nationwide sales professionals, we deliver a full spectrum of best in class Healthcare solutions directly to local physician offices.
Job Description
Physician Core Care is a clinical consulting & diagnostic company dedicated to preventative medicine as well as improving the lives of people suffering from chronic disease and illness. We provide healthcare professionals with clinical services and tools that help personalize treatment plans to improve clinical outcomes and patient safety.
Due to our rapid growth, we are looking for exceptional, talented people to join our team. We are searching for experienced, highly successful Sales Executives to call on regional physicians and area health care facilities. The successful Sales Executive will be focused on opening new accounts and increasing our presence in their sales territory.
This is an opportunity where you can capitalize on your strengths and fulfill your personal and professional aspirations. We are seeking dynamic and highly motivated individuals who are able to thrive as independent contractors of Physician Core Care, who can effectively prospect and close new business opportunities in markets across the U.S.
We are dedicated to helping our Sales Partners succeed by providing industry leading training coupled with sales assistance on all our products and services. At plan, realistic annual income is expected to reach $120,000 with uncapped upside opportunity. We have the highest revenue share and compensation plan in the industry.
PRODUCTS AND SERVICES:
Medical Devices
Specialty Lab Testing
Clinical Trials
Pharmaceuticals
Medical Software
We look forward to hearing from you.
Qualifications
If you have a combination of any of these qualities, then this opportunity may be a good fit:
*Existing relationships with doctors, office managers or professionals who work in healthcare
*An entrepreneurial spirit and self motivated
*Ability to work out of a virtual office environment and thrive being your own boss
*Referral partner program: ability to maintain an existing job, and earn a significant extra revenue stream on the side (healthcare related preferred)
*Relationships with any of these practice specialties: Cardiology, Pain Management, Substance Abuse, Chiropractic, Family Health, Primary Care, General Practitioner, Internal Medicine, Women's Health
*Positive attitude and good work ethic
*Ethical and honest
*Understanding of physician practices
*Desire to earn significant uncapped income
Additional Information
All your information will be kept confidential according to EEO guidelines.
$120k yearly 1d ago
Medical Healthcare Consultant
Physician Core Care 4.1
Memphis, TN jobs
Physician Core Care is a premier provider of certified, industry-leading Healthcare services and solutions. With an extensive team of nationwide sales professionals, we deliver a full spectrum of best in class Healthcare solutions directly to local physician offices.
Job Description
Physician Core Care is a clinical consulting & diagnostic company dedicated to preventative medicine as well as improving the lives of people suffering from chronic disease and illness. We provide healthcare professionals with clinical services and tools that help personalize treatment plans to improve clinical outcomes and patient safety.
Due to our rapid growth, we are looking for exceptional, talented people to join our team. We are searching for experienced, highly successful Sales Executives to call on regional physicians and area health care facilities. The successful Sales Executive will be focused on opening new accounts and increasing our presence in their sales territory.
This is an opportunity where you can capitalize on your strengths and fulfill your personal and professional aspirations. We are seeking dynamic and highly motivated individuals who are able to thrive as independent contractors of Physician Core Care, who can effectively prospect and close new business opportunities in markets across the U.S.
We are dedicated to helping our Sales Partners succeed by providing industry leading training coupled with sales assistance on all our products and services. At plan, realistic annual income is expected to reach $120,000 with uncapped upside opportunity. We have the highest revenue share and compensation plan in the industry.
PRODUCTS AND SERVICES:
Medical Devices
Specialty Lab Testing
Clinical Trials
Pharmaceuticals
Medical Software
We look forward to hearing from you.
Qualifications
If you have a combination of any of these qualities, then this opportunity may be a good fit:
*Existing relationships with doctors, office managers or professionals who work in healthcare
*An entrepreneurial spirit and self motivated
*Ability to work out of a virtual office environment and thrive being your own boss
*Referral partner program: ability to maintain an existing job, and earn a significant extra revenue stream on the side (healthcare related preferred)
*Relationships with any of these practice specialties: Cardiology, Pain Management, Substance Abuse, Chiropractic, Family Health, Primary Care, General Practitioner, Internal Medicine, Women's Health
*Positive attitude and good work ethic
*Ethical and honest
*Understanding of physician practices
*Desire to earn significant uncapped income
Additional Information
All your information will be kept confidential according to EEO guidelines.
$120k yearly 60d+ ago
Analytics Consultant - Medical Economics
HCSC 4.5
Nashville, TN jobs
At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers. Join HCSC and be part of a purpose-driven company that will invest in your professional development.
Job Summary
The Consultant's primary responsibility is to leverage strong technical skills and healthcare industry knowledge to support clinical and business stakeholders. This role will be accountable for the analytical support and consultancy of internal/external customers, as well as advisory service for internal/external senior leaders.
Required Job Qualifications:
* Bachelor's degree and 2 years of experience in health care services, statistical analysis, or insurance industry economics or related field OR Master's degree in related field OR 6 years of experience in health care services, statistical analysis, or insurance industry economics or related field
* Proficient at querying a wide variety of internal and external data sources to uncover meaningful insights and drive measurable business results
* Performance excellence in computer languages, such as SQL, R, Python and Teradata
* Ability to create a dynamic and visually engaging dashboard leveraging data visualization tools such as Tableau or Power BI
* High degree of business intelligence with proven experience working with analytic initiatives from conception to successful implementation, delivering actionable insights that influence strategic and operational outcomes
* Strong interpersonal skills that can be leveraged to deliver meaningful business focused presentations to our matrix partners and provide a clear interpretation of the analysis performed
* Demonstrate success working both independently and in cross-functional team settings
* Proven ability to work effectively in a matrixed environment and deliver quality outputs on tight deadlines
Preferred Job Qualifications:
* Experience with CMS healthcare data (e.g., MMR, Claims, Eligibility, Provider)
* Experience with CMS payment methodologies (e.g., IPPS, OPPS, etc.)
* Familiarity with medical and pharmacy claims, ICD10, DRG, APC, HCPCS, and/or other CPT codes
* Experience with version control/collaborative tools, such as GitHub
This is a Flex (Hybrid) role: 3 days in office; 2 days remote.
Sponsorship is not available.
#LI-PD1
#LI-Hybrid
INJLF
Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!
Pay Transparency Statement:
At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting **************************************
The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.
HCSC Employment Statement:
We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. 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, or any other legally protected characteristics.
Base Pay Range
$61,500.00 - $136,100.00
Exact compensation may vary based on skills, experience, and location.
$61.5k-136.1k yearly Auto-Apply 9d ago
Lead Business Consultant - Medicare Part D Pharmacy
HCSC 4.5
Nashville, TN jobs
At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.
Join HCSC and be part of a purpose-driven company that will invest in your professional development.
Job SummaryThis position is responsible for driving delivery, contingency planning, business results, and strategic planning for Medicare Part D Pharmacy consisting of multiple programs, complex projects, and initiatives in support of assigned line of business strategy and multi-year plan. Oversees the day-to-day activities of project delivery and contingency execution strategy, vendors relationship management, and business partner engagement while managing various enterprise-wide projects or initiatives. Ensures integration between partner teams and serves as a functional business liaison in the development and implementation of program scope, timing, and budgets as needed, based on the needs of the business. Providing a blend of technical and business acumen to drive the design, development and implementation of strategic IT projects. Building a sufficient level of knowledge of IT products and LOB to enable targeted probing of delivery feasibility and conflicts with other projects. Setting and managing customer expectations; managing and escalating issues and changes. Responsible for tracking key program milestones and recommending adjustments to program leadership and team. It takes innovation, imagination, and a passion for solving problems in new and better ways.
Required Job Qualifications:
Bachelor's degree and 7 years of experience OR 11 years of experience in project management, business analysis, process improvement, strategic planning, product administration or other relevant healthcare function
4 years of experience leading with large and complex multi-million-dollar projects.
Demonstrated experience leading, coaching, and mentoring teams and more junior resources
Experience communicating with senior management and executive leadership from multiple divisions.
Experience developing and delivering presentations to an executive audience.
Problem resolution experience and skills.
Knowledge of strategic planning techniques and industry trends
Experience interpreting business and financial information
Verbal and written communications skills including establishing working relationships across departments, preparing presentations to senior management, and establishing team environment.
Experience managing and delegating assignments across multiple complex projects successfully in a matrixed environment.
Advanced MS Office products.
Organizational skills.
Problem resolution experience and skills.
Negotiations skills.
Analytical skills.
Detail oriented.
Preferred Job Qualifications:
Ability to influence (direct / indirect reports, project stakeholders and leaders), and manage in a matrix organization
Analytical/critical thinking and problem-solving skills; agility and flexibility to adapt to constantly changing priorities
Experience in negotiation, managing conflict, and organizational / political savvy
Structured, organized and methodical in execution, takes ownership and accountability for outcomes, drives for results and drives certainty in delivery; able to manage multiple parallel efforts ad deliver quality deliverables on schedule
Healthcare acumen, Managed Care Organization, Pharmacy Benefit Manager, Medicare experience
Advanced analytical skills, databases medical/pharmacy data
Experience driving personalization efforts at a large organization.
Monitoring and tracking initiative impacts against the personalization maturity curve and connecting them to key enterprise outcomes.
Health insurance or healthcare industry experience.
Proven strategic thinking and execution.
Ability to drive decisions, create optionality and determine impacts of options.
Ability to clearly articulate and prepare presentations for all levels to share data, options and recommendations.
This is a Flex (Hybrid) role: 3 days in office; 2 days remote.
#LI-PD1
#LI-Hybrid
INJLF
Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!
Pay Transparency Statement:
At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting **************************************
The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.
HCSC Employment Statement:
We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. 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, or any other legally protected characteristics.
Base Pay Range$90,900.00 - $164,200.00
Exact compensation may vary based on skills, experience, and location.
Reporting to the Ambulatory Applications Manager, the Applications Analyst ll, PRN, supports the Epic Ambulatory and ECPlus Teams which includes MyChart and MyChart Bedside. Works with limited autonomy under general supervision, requiring some instruction and guidance. Is knowledgeable and proficient in supporting their team's primary application(s) and also works to gain an increased understanding of overall system integration and functionality. Responsible for building system components, testing, implementation support and maintenance of assigned system applications. Performs analysis, trouble shooting and data collection, and then relays findings related to reported system issues. Analyzes/reviews and tests each product release and communicates needed changes to operations. Must be able to document and follow system change control procedures. Works closely with other analysts, software vendors and operations to ensure that system integrity is maintained and that IT deliverables meet operational business needs. Researches, analyzes, and works with other team members to facilitate and implement business and system workflows in order to expedite process improvement and coordinate business practices. Identifies best practices and works with team to implement opportunities for standardization. Prepares activity and other reports as necessary. Provides some guidance and mentoring to other team members. Attains and maintains necessary certifications, as applicable, in a timely manner according to policy. This individual should have excellent customer service and stakeholder management skills along with highly effective written / verbal communication and interpersonal skills.
Days and hours worked may be variable.
Education:
Required:
1. High School Diploma and 7 years' experience in one or more of the following - Healthcare, IT, and/or Clinical/Financial Operations.
OR
2. Associate's Degree and 5 years' experience in one or more of the following - Healthcare, IT, and/or Clinical/Financial Operations.
OR
Bachelor's Degree and 3 years' experience in one or more of the following - Healthcare, IT, and/or Clinical/Financial Operations
Preferred
Experience:
Required:
* Understanding of information system technology and database applications is necessary.
Preferred:
* N/A
Position Requirement(s): License/Certification/Registration
Required:
* Complete education and pass certification in primary EPIC application module(s) within 120 days of completed education and maintaining EPIC certification(s) as required.
Preferred:
EPIC certification in the module(s) being represented
* Experience in EMR installations
Position Key Performance Indicators (KPIs):
25% - 1. KPI: System Build and/or Configuration
Continues to develop independence and skills to interpret, research, modify, analyze and design system data and information in order to provide routine support and maintenance of assigned application(s) and keeps system current for maximum efficiency. Ensures system integrity is maintained and meets all governing and regulatory requirements.
The above is accomplished by the following (order does not indicate importance):
1.1) Consults with users to identify current operating procedures and clarify process objectives and communicates findings to team.
1.2) Defines system and user workflows to illustrate sequence of steps needed and describe logical operations involved.
1.3) Converts user specifications into functional specifications.
1.4) Assists with the development of implementation plans and advance communication to all impacted stakeholders regarding scheduled system updates/upgrades.
1.5) Adequately tests all system changes and build to appropriately mitigate or eliminate system risks and adverse effects.
1.6) Facilitates communication and acts as a primary liaison between teams, users and vendors.
1.7) Provides regular feedback to Team Lead and/or management on status of work responsible for or assigned.
1.8) Ensures co-workers and operational end users are notified of changes/additions to software system.
1.9) Shows understanding and is receptive to business needs conveyed by operations.
1.10) Respects and follows governance processes, mandates, and associated tools.
1.11) Able to clearly communicate and document system capabilities and constraints in response to change requests.
1.12) Reviews and writes clear documentation to describe system processes, installation, and operating procedures.
1.13) Works with the Instructional Designers to develop and distribute training materials to meet educational requirements.
1.14) Maintains appropriate documentation, audit trails and change control in accordance with Erlanger Health System and IT policies and procedures.
1.15) Develops reports and extracts and works to define interface requirements. Works closely with report writers, data warehouse and interface teams to meet operational and regulatory needs and requirements.
1.16) Assists team and operations in developing business continuity and downtime procedures.
1.17) Following any scheduled or unplanned downtimes, performs appropriate integrity checks when system availability is restored.
20% - 2. KPI: Problem Solving/Issue Resolution
Proactively anticipates, mitigates and/or resolves system problems. Solves system issues/problems reported and assigned to the analyst according to IT Service Level Agreements (SLAs) while working with operational end users and other application analysts.
The above is accomplished by the following (order does not indicate importance):
2.1) Uses cognitive reasoning skills, appropriate level of application knowledge and experience to research problems in order to determine the root cause, potential solutions and recommendation for resolution.
2.2) Appropriately evaluates relative priority of request, keeping in mind factors such as patient safety, regulatory requirements and deadlines, as well as the effectiveness of alternative interim solutions.
2.3) Documents issues and initiates issue tracking. Reports problems or issues to software vendors or other IT departments as appropriate. Monitors and oversees progress of software vendor or other departments to ensure timely resolution of issues. Meets escalation expectations when objectives and deadlines are at risk.
2.4) Maintains clear communication with end users, as well as IT and operational leadership to receive appropriate governance approvals and keep relevant stakeholders informed of issue status and expected resolution dates.
2.5) As part of the team's rotation for on-call, must acknowledge and resolve tickets according to established SLA s.
20% - 3. KPI: Professional Performance
Demonstrates professional behavior and exhibits a positive, supportive and collaborative manner when interacting with team members, end users, leadership, vendors, etc.
The above is accomplished by the following (order does not indicate importance):
3.1) Assists in providing and is receptive to receiving mentorship and guidance for/from other analysts.
3.2) Takes ownership of overall team and IT success.
3.3) As outlined in Erlanger policy 8237.0802, is respectful and courteous to leadership, all team members, operational and external stakeholders, etc.
3.4) Achieves and maintains appropriate certifications related to assigned application and/or role.
3.5) Shows attention to detail and ability to adequately gauge and respond to urgent organizational needs.
3.6) Identifies and capitalizes on opportunities and resources to learn and enhance professional competency.
3.7) Consistently demonstrates that newly acquired knowledge and skills are incorporated into actual practice.
3.8) Ensures delivery of accurate and timely information to end users, team members, etc.
3.9) Works to reduce duplication of effort within department and across organization.
3.10) Actively looks for system opportunities to provide labor/cost savings to the team, department and organization
3.11) Actively participates in process and quality improvement.
3.12) Is punctual to and attentive during meetings and offers relevant expertise and input as needed.
3.13) Provides proper handoffs of information as necessary using communication skills and tools.
15% - 4. KPI: Integrated Application Management
Understands and monitors the system for successful integration, especially before/after changes/moves to production environment to ensure data integrity and successful flow of data between applications. Continually works to identify opportunities for functional and stability improvement in applications and ensures system integration and intra-operability while acting as a gatekeeper to maintain core functionality of the system.
The above is accomplished by the following (order does not indicate importance):
4.1) With oversight from more senior team members and increasing knowledge, works within cross-functional team and with end-users to achieve application integration to meet operational needs.
4.2) Works to continually develop and learn integration between applications. Shares integration knowledge with other team members, other teams, and operational stakeholders.
4.3) Actively participates in team and cross-team meetings using effective communication skills.
4.4) Assists and when assigned, takes responsibility for appropriate functional testing and executes required testing in a timely fashion, ensuring that it is completed before integrated testing.
4.5) If designated monthly integrated tester, actively participates in script review/development, testing, issue resolution and communication. Takes responsibility for overall success of integrated testing success.
4.6) Demonstrates increasing independence in collaboration activities with system security team members in creating and maintaining role-based access specifications.
4.7) Demonstrates increasing proficiency in understanding how application security structure meets organizational, regulatory and audit requirements regarding segregation of duties, HIPAA and scope of practice, etc.
4.8) If designated as point-person for specific integrated area (i.e, Reporting, BCA, etc.) or assigned to help temporarily, takes ownership fulfilling requirements of the role and communicates effectively.
15% - 5. KPI: Project management and Performance
This position will often be expected to participate in eChart-related projects. These projects range in size, scope and complexity with varying timelines and build requirements. All participating analysts will be required to follow appropriate project life cycle protocols and processes, including appropriate documentation.
The above is accomplished by the following (order does not indicate importance):
5.1) Effectively completes assigned tasks associated with projects by deadlines specified.
5.2) May be asked to serve as project lead and/or team member for the implementation of new applications/systems or updates to existing applications.
5.3) Performs assigned role in complex application upgrade initiatives.
5.4) Uses project management techniques, tools and methodologies to ensure project scope objectives, timelines and budgets are met.
5% - 6. KPI: Miscellaneous duties
Performs other duties as assigned.
'273936
$63k-83k yearly est. 60d+ ago
Sr Business Solutions Consultant
HCSC 4.5
Nashville, TN jobs
At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers. Join HCSC and be part of a purpose-driven company that will invest in your professional development.
Job Summary
This position is responsible for leading business analysis, ensuring alignment and integration across functional areas in support of divisional strategies, and ensuring consistency and efficiency of major, complex, and strategic cross-divisional and enterprise-wide projects and initiatives from inception to completion. Provides oversight & coordination of project teams, resources, and budget to implement projects or initiatives according to dynamic and critical timelines. Interacts with all levels of management including senior management. Supports the prioritization of transformational program activities and tracks progress to goals. Support writing and executing test cases based on business requirement hands on experience with SQL excel and test management
NOTE: This hybrid role can be located in CHICAGO IL, NASHVILLE, TN or RICHARDSON TX ~ relocation will not be offered; sponsorship is not available.
Required Job Qualifications:
* Bachelor's degree and 5 years of experience OR 9 years of experience in business testing, business analysis, process improvement, project management, business operations or relevant health care industry experience
* 3 years of experience leading with large and complex multi-million-dollar projects.
* Experience communicating with senior management from multiple divisions.
* Experience developing and delivering presentations.
* Problem resolution experience and skills.
* Knowledge of strategic planning techniques and industry trends
* Experience interpreting business and financial information
* Negotiations skills.
* Verbal and written communications skills including establishing working relationships across departments, preparing presentations to senior management, and establishing team environment.
* Organizational skills.
* Experience managing multiple complex projects successfully.
* Detail oriented.
* PC proficiency to include MS Office products
* Knowledge and/or experience with:
* · Medicare Part A/B/D
* · Provider workflows & Provider application - Symplr
* · EDI formats - 837 I&P, 276/277, 270/271, 278, 834
* · Member Enrollment - Elements application
* · Member Collaterals
* · Provider Credentialing - sCRED application
* · Claims Intake process
* · Claims Adjudication logic - FACETS application
* · EOB
* · Provider Payments - 835 remittance files & EOP
* · CMS reporting
* · SalesForce
* · Evolve/Broker
* Test case management tools such as Zephyr
* Agile tool such as Jira/Rally
* SQL
* Health insurance or healthcare industry experience with emphasis on Product/Sales knowledge
Preferred Required Job Qualifications:
* Proven strategic thinking and execution
* Ability to drive decisions, create optionality and determine impacts of options
#LI-BS1
#LI-Hybrid
#INCR
Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!
Pay Transparency Statement:
At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting **************************************
The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.
HCSC Employment Statement:
We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. 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, or any other legally protected characteristics.
Base Pay Range
$82,700.00 - $149,300.00
Exact compensation may vary based on skills, experience, and location.
$82.7k-149.3k yearly Auto-Apply 33d ago
Application Analyst II PRN
Erlanger 4.5
Tennessee jobs
Reporting to the Ambulatory Applications Manager, the Applications Analyst ll, PRN, supports the Epic Ambulatory and ECPlus Teams which includes MyChart and MyChart Bedside. Works with limited autonomy under general supervision, requiring some instruction and guidance. Is knowledgeable and proficient in supporting their team's primary application(s) and also works to gain an increased understanding of overall system integration and functionality. Responsible for building system components, testing, implementation support and maintenance of assigned system applications. Performs analysis, trouble shooting and data collection, and then relays findings related to reported system issues. Analyzes/reviews and tests each product release and communicates needed changes to operations. Must be able to document and follow system change control procedures. Works closely with other analysts, software vendors and operations to ensure that system integrity is maintained and that IT deliverables meet operational business needs. Researches, analyzes, and works with other team members to facilitate and implement business and system workflows in order to expedite process improvement and coordinate business practices. Identifies best practices and works with team to implement opportunities for standardization. Prepares activity and other reports as necessary. Provides some guidance and mentoring to other team members. Attains and maintains necessary certifications, as applicable, in a timely manner according to policy. This individual should have excellent customer service and stakeholder management skills along with highly effective written / verbal communication and interpersonal skills.
Days and hours worked may be variable.
Education\:
Required\:
1. High School Diploma and 7 years' experience in one or more of the following - Healthcare, IT, and/or Clinical/Financial Operations.
OR
2. Associate's Degree and 5 years' experience in one or more of the following - Healthcare, IT, and/or Clinical/Financial Operations.
OR
Bachelor's Degree and 3 years' experience in one or more of the following - Healthcare, IT, and/or Clinical/Financial Operations
Preferred
Experience\:
Required:
- Understanding of information system technology and database applications is necessary.
Preferred:
- N/A
Position Requirement(s)\: License/Certification/Registration
Required:
- Complete education and pass certification in primary EPIC application module(s) within 120 days of completed education and maintaining EPIC certification(s) as required.
Preferred\:
EPIC certification in the module(s) being represented
- Experience in EMR installations
Position Key Performance Indicators (KPIs):
25% - 1. KPI\: System Build and/or Configuration
Continues to develop independence and skills to interpret, research, modify, analyze and design system data and information in order to provide routine support and maintenance of assigned application(s) and keeps system current for maximum efficiency. Ensures system integrity is maintained and meets all governing and regulatory requirements.
The above is accomplished by the following (order does not indicate importance):
1.1) Consults with users to identify current operating procedures and clarify process objectives and communicates findings to team.
1.2) Defines system and user workflows to illustrate sequence of steps needed and describe logical operations involved.
1.3) Converts user specifications into functional specifications.
1.4) Assists with the development of implementation plans and advance communication to all impacted stakeholders regarding scheduled system updates/upgrades.
1.5) Adequately tests all system changes and build to appropriately mitigate or eliminate system risks and adverse effects.
1.6) Facilitates communication and acts as a primary liaison between teams, users and vendors.
1.7) Provides regular feedback to Team Lead and/or management on status of work responsible for or assigned.
1.8) Ensures co-workers and operational end users are notified of changes/additions to software system.
1.9) Shows understanding and is receptive to business needs conveyed by operations.
1.10) Respects and follows governance processes, mandates, and associated tools.
1.11) Able to clearly communicate and document system capabilities and constraints in response to change requests.
1.12) Reviews and writes clear documentation to describe system processes, installation, and operating procedures.
1.13) Works with the Instructional Designers to develop and distribute training materials to meet educational requirements.
1.14) Maintains appropriate documentation, audit trails and change control in accordance with Erlanger Health System and IT policies and procedures.
1.15) Develops reports and extracts and works to define interface requirements. Works closely with report writers, data warehouse and interface teams to meet operational and regulatory needs and requirements.
1.16) Assists team and operations in developing business continuity and downtime procedures.
1.17) Following any scheduled or unplanned downtimes, performs appropriate integrity checks when system availability is restored.
20% - 2. KPI\: Problem Solving/Issue Resolution
Proactively anticipates, mitigates and/or resolves system problems. Solves system issues/problems reported and assigned to the analyst according to IT Service Level Agreements (SLAs) while working with operational end users and other application analysts.
The above is accomplished by the following (order does not indicate importance):
2.1) Uses cognitive reasoning skills, appropriate level of application knowledge and experience to research problems in order to determine the root cause, potential solutions and recommendation for resolution.
2.2) Appropriately evaluates relative priority of request, keeping in mind factors such as patient safety, regulatory requirements and deadlines, as well as the effectiveness of alternative interim solutions.
2.3) Documents issues and initiates issue tracking. Reports problems or issues to software vendors or other IT departments as appropriate. Monitors and oversees progress of software vendor or other departments to ensure timely resolution of issues. Meets escalation expectations when objectives and deadlines are at risk.
2.4) Maintains clear communication with end users, as well as IT and operational leadership to receive appropriate governance approvals and keep relevant stakeholders informed of issue status and expected resolution dates.
2.5) As part of the team's rotation for on-call, must acknowledge and resolve tickets according to established SLA s.
20% - 3. KPI\: Professional Performance
Demonstrates professional behavior and exhibits a positive, supportive and collaborative manner when interacting with team members, end users, leadership, vendors, etc.
The above is accomplished by the following (order does not indicate importance):
3.1) Assists in providing and is receptive to receiving mentorship and guidance for/from other analysts.
3.2) Takes ownership of overall team and IT success.
3.3) As outlined in Erlanger policy 8237.0802, is respectful and courteous to leadership, all team members, operational and external stakeholders, etc.
3.4) Achieves and maintains appropriate certifications related to assigned application and/or role.
3.5) Shows attention to detail and ability to adequately gauge and respond to urgent organizational needs.
3.6) Identifies and capitalizes on opportunities and resources to learn and enhance professional competency.
3.7) Consistently demonstrates that newly acquired knowledge and skills are incorporated into actual practice.
3.8) Ensures delivery of accurate and timely information to end users, team members, etc.
3.9) Works to reduce duplication of effort within department and across organization.
3.10) Actively looks for system opportunities to provide labor/cost savings to the team, department and organization
3.11) Actively participates in process and quality improvement.
3.12) Is punctual to and attentive during meetings and offers relevant expertise and input as needed.
3.13) Provides proper handoffs of information as necessary using communication skills and tools.
15% - 4. KPI\: Integrated Application Management
Understands and monitors the system for successful integration, especially before/after changes/moves to production environment to ensure data integrity and successful flow of data between applications. Continually works to identify opportunities for functional and stability improvement in applications and ensures system integration and intra-operability while acting as a gatekeeper to maintain core functionality of the system.
The above is accomplished by the following (order does not indicate importance):
4.1) With oversight from more senior team members and increasing knowledge, works within cross-functional team and with end-users to achieve application integration to meet operational needs.
4.2) Works to continually develop and learn integration between applications. Shares integration knowledge with other team members, other teams, and operational stakeholders.
4.3) Actively participates in team and cross-team meetings using effective communication skills.
4.4) Assists and when assigned, takes responsibility for appropriate functional testing and executes required testing in a timely fashion, ensuring that it is completed before integrated testing.
4.5) If designated monthly integrated tester, actively participates in script review/development, testing, issue resolution and communication. Takes responsibility for overall success of integrated testing success.
4.6) Demonstrates increasing independence in collaboration activities with system security team members in creating and maintaining role-based access specifications.
4.7) Demonstrates increasing proficiency in understanding how application security structure meets organizational, regulatory and audit requirements regarding segregation of duties, HIPAA and scope of practice, etc.
4.8) If designated as point-person for specific integrated area (i.e, Reporting, BCA, etc.) or assigned to help temporarily, takes ownership fulfilling requirements of the role and communicates effectively.
15% - 5. KPI\: Project management and Performance
This position will often be expected to participate in eChart-related projects. These projects range in size, scope and complexity with varying timelines and build requirements. All participating analysts will be required to follow appropriate project life cycle protocols and processes, including appropriate documentation.
The above is accomplished by the following (order does not indicate importance):
5.1) Effectively completes assigned tasks associated with projects by deadlines specified.
5.2) May be asked to serve as project lead and/or team member for the implementation of new applications/systems or updates to existing applications.
5.3) Performs assigned role in complex application upgrade initiatives.
5.4) Uses project management techniques, tools and methodologies to ensure project scope objectives, timelines and budgets are met.
5% - 6. KPI\: Miscellaneous duties
Performs other duties as assigned.
Consultant, Salesforce Functional Business Analysis
Cardinal Health 4.4
Nashville, TN jobs
**What Product Systems Analysis contributes to Cardinal Health** Commercial Technologies manages the enterprise's portfolio of commercial technologies to maximize the business value of the technologies and enhance the customer experience. This function creates strategies for the portfolio and innovative solutions based on relationships with business leaders, develops back-end solutions and capabilities, and improves the front-end experience.
Product System Analysis serves as a liaison between the business and IT to align product strategies and capabilities, also providing technical business specifications to IT. This job family identifies and analyzes product needs, defines requirements, objectives, and participates in the solutions making process. This job family optimize business processes by leveraging the functionality of the technology and product solution.
**Job Summary**
The team manages build and re-shaping of business process, procedures and accountability standards for sales enablement tools, specifically Salesforce.com and other associated technologies to maximize the business value of the technologies and enhance the user experience. This function creates strategies for the portfolio and innovative solutions based on relationships with business leaders, develops back-end solutions and capabilities, and improves the front-end experience.
This role serves as a liaison between the business and IT to align product strategies and capabilities, also providing technical business specifications to IT. This job family identifies and analyzes product needs, defines requirements, objectives, and participates in the solutions making process. This job family optimize business processes by leveraging the functionality of the technology and product solution.
**Responsibilities**
+ Functional requirements development and ownership
+ Work with stakeholders to understand business requirements, map key processes, understand pain points
+ Assess and improve upon potential business processes that need review to more efficiently migrate to Salesforce.com
+ Work closely with IT team to act as the voice of the customer and provide feedback on requirements and functionality
+ Support the business by applying cross functional subject matter expertise of business processes, systems, and integration to facilitate continuous improvement and innovation
+ Coordinate with the Salesforce admin team to design the functionality in SFDC
+ UAT testing management and hypercare support
+ Work closely with development team and core project team to produce product documentation including user guides, test scripts, and internal/external materials
+ Ability to describe complex concepts with the appropriate amount of detail based on audience
+ Support the field in answering questions. Provide key details to learning business partner for training materials related to functionality
+ User adoption management
+ Develop strategies and plans to drive end user adoption and optimization
+ Manage KPI and tools supporting change management and user adoption, providing a clear picture to stakeholders on change process and continued focal areas that may need additional support
+ Ability to describe complex concepts with the appropriate amount of detail based on audience
+ Training support
+ Capturing key details of the process and work with training to incorporate into user guides that support the end user experience and training strategy
+ Training change network to become subject matter experts and provide support to them as they work to train the business end users
**Qualifications**
+ Bachelor's degree in related field, or equivalent work experience, preferred
+ 5+ years of general business experience, preferred
+ 2+ years experience working within Salesforce.com, preferred
+ Salesforce Administrator or other relevant certification, preferred
+ Experience with Salesforce.com implementation, configuration and/or optimization, preferred
+ Ability to align CRM functionality with business goals
+ Experience contributing to long-term strategy and execution
+ Ability to work cross-functionally to understand and improve business processes and determine the functional requirements
+ Project management experience (formal or informal)
+ KPI tracking and reporting for adoption and optimization
+ Ability to influence and negotiate across teams
+ Strong communication and presentation skills
+ Problem solving and process identification skills, preferred
+ Ability to travel up to 25%
**What is expected of you and others at this level**
+ Applies comprehensive knowledge and a thorough understanding of concepts, principles, and technical capabilities to perform varied tasks and projects
+ May contribute to the development of policies and procedures
+ Works on complex projects of large scope
+ Develops technical solutions to a wide range of difficult problems. Solutions are innovative and consistent with organization objectives
+ Completes work independently receives general guidance on new projects
+ Work reviewed for purpose of meeting objectives
+ May act as a mentor to less experienced colleagues
**Anticipated salary range:** $80,900 - $115,500
**Bonus eligible:** No
**Benefits:** Cardinal Health offers a wide variety of benefits and programs to support health and well-being.
+ Medical, dental and vision coverage
+ Paid time off plan
+ Health savings account (HSA)
+ 401k savings plan
+ Access to wages before pay day with my FlexPay
+ Flexible spending accounts (FSAs)
+ Short- and long-term disability coverage
+ Work-Life resources
+ Paid parental leave
+ Healthy lifestyle programs
**Application window anticipated to close:** 02/13/2026 *if interested in opportunity, please submit application as soon as possible.
The salary range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity.
\#LI-TF1
_Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply._
_Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal_ _Opportunity/Affirmative_ _Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law._
_To read and review this privacy notice click_ here (***************************************************************************************************************************
$80.9k-115.5k yearly 34d ago
CCNA Certified Technical Consultant - Patient Monitoring (Based in Memphis, TN or Little Rock, AR)
Philips Healthcare 4.7
Memphis, TN jobs
Job TitleCCNA Certified Technical Consultant - Patient Monitoring (Based in Memphis, TN or Little Rock, AR) Job DescriptionAllow your passion for improving lives to shine in this role where you'll be responsible for customer relationship management through the effective application of technical knowledge to install/implement, service, test, and troubleshoot complex solutions on IT networks to ensure a high quality of service in delivering real time patient data requirements.
Your role:
Provide technical recommendations that best suit the environment based on customer requirements, support the transition from a break fix operating model to a customer solutions focused operating model. Drive continuous improvement of implementation methodology and service offerings; actively support to implement service strategies to achieve customer loyalty.
Actively participate as a member of the regional work team, collaborating with a diverse team of internal and external resources to include clinical, sales, and service partners. Coordinate project resources and tasks, enabling team members to focus on customer deliverables.
Perform all administrative duties within established Philips, State, and Federal regulatory requirements and timeframes including timesheets, service work orders, expense reports, Field Change Orders (FCO), preventative maintenance (PM), installation documents, site and service documentation, and other related paperwork. Adhere to established training, quality, and safety requirements.
Install complex, multi-phased systems comprised of IT infrastructure and patient monitoring equipment in both clinical and non-clinical environments (build, deploy, and/or integrate solutions). Provide a technical review of system configuration to ensure viability of system performance during implementations; diagnose and resolve electronic, networking, and mechanical problems.
Approximately 70% travel across the specified geography is required including parts of Tennessee and Arkansas. The average driving time is 1-4 hours daily. Occasional overnight stays and travel by air and/or train may be required.
You're the right fit if:
You've acquired 3+ years of professional working experience in the IT technologies or electronics industry, preferably in a field or hospital-based service environment. Experience with patient monitoring, telemetry units, ventilators, and defibrillators highly preferred.
Your skills include network configuration and/or troubleshooting experience, and you have obtained the Cisco Certified Network Associate (CCNA) certification (or required to obtain within 6 months from beginning of employment).
You have a bachelor's degree in computer science, electronics, biomedical, or other related disciplines or equivalent combination of education and above listed experience.
You must be able to successfully perform the following minimum Physical, Cognitive and Environmental job requirements with or without accommodation for this Field Service position.
You must be able to:
Work in an office/home office and/or remote setting, as well as in a hospital/healthcare environment; adhere to requirements.
Work flexible hours (based on business needs to include overtime, weekends, and on-call rotations).
Wear all required personal protective equipment.
How we work together
We believe that we are better together than apart. For our office-based teams, this means working in-person at least 3 days per week. Onsite roles require full-time presence in the company's facilities. Field roles are most effectively done outside of the company's main facilities, generally at the customers' or suppliers' locations.
This is a field role.
About Philips
We are a health technology company. We built our entire company around the belief that every human matters, and we won't stop until everybody everywhere has access to the quality healthcare that we all deserve. Do the work of your life to help improve the lives of others.
Learn more about our business.
Discover our rich and exciting history.
Learn more about our purpose.
Learn more about our culture.
Philips Transparency Details
The hourly pay range for this position in TN or AR is $32.00 to $49.00, plus overtime eligible.
This role also includes field service incentive bonus plans, on-call pay, company fleet/car, training, and advancement opportunities. The actual base pay offered may vary depending on multiple factors including, job-related knowledge/skills, experience, business needs, geographical location, and internal equity.
In addition, other compensation, such as an annual incentive plan, sales commission or long-term incentives may be offered. Employees are eligible to participate in our comprehensive Philips Total Rewards benefits program, which includes a generous PTO, 401k (up to 7% match), HSA (with company contribution), stock purchase plan, education reimbursement and much more. Details about our benefits can be found here.
At Philips, it is not typical for an individual to be hired at or near the top end of the range for their role and compensation decisions are dependent upon the facts and circumstances of each case.
Additional Information
US work authorization is a precondition of employment. The company will not consider candidates who require sponsorship for a work-authorized visa, now or in the future.
Company relocation benefits
will not
be provided for this position. For this position, you must reside in or within commuting distance to Memphis, TN or Little Rock, AR.
This requisition is expected to stay active for 45 days but may close earlier if a successful candidate is selected or business necessity dictates. Interested candidates are encouraged to apply as soon as possible to ensure consideration.
Philips is an Equal Employment and Opportunity Employer including Disability/Vets and maintains a drug-free workplace.
$32-49 hourly Auto-Apply 55d ago
Consultant-Reimbursement-PRN
Baptist Memorial Health Care 4.7
Memphis, TN jobs
Assists Director for cost reporting and audit support as needed Responsibilities Registers patients accurately, efficiently and professionally to ensure data base integrity and facilitate claims processing. Applies financial screening guidelines to ensure proper procedures are followed in obtaining upfront collections for the specific facility.
Strives to expedite patient flow through prompt and courteous service.
Completes assigned goals.
Performs other duties as assigned, to include health screening.
Education
Minimum Required
BS in Finance, Business or related field.
Preferred/Desired
Master and/or CPA preferred
Job Responsibilities/Essential Functions
Assists in compliant reimbursement reporting and optimal revenue achievement from cost reports and modeling from regulations.
Helps oversee filing of annual Medicare, Medicaid (including Tennessee Joint Annual Report), and Tricare cost reports along with all audits, surveys, and appeals related to such reports.
Tracks cost report process to ensure compliant, accurate, and timely reporting of such reports.
Assist in maintenance of 3rd party balance sheet accounts for all entities with costs reporting generated settlements, are maintained and calculates/recommends reserves as needed.
Assists Sr. Appeal Manager in the reviews appeals and reopening's requested so as to determine cost/benefit analysis of pursuing with regard to the identified issues.
Reviews year-end estimates and all supporting calculations for consistency with each hospital's services.
Works with system outside consultants, contractors, and attorneys as needed to support system's hospital government reimbursement activities.
Provides guidance to Senior Leadership regarding compliance with new laws/regulations as applied to government reporting requirements.
Ensures hospital E.H.R./Meaningful Use attestations are filed timely and provides all documentation needed for hospital MU audits.
Serves on association reimbursement-related committees.
Reviews rate changes, both facility specific and government published global, for correct contractual calculations within the patient accounting system.
Oversees preparation of annual State supplemental & DSH surveys/audits.
Evaluates medical education reimbursement information working closely with Chief Academic Officer and Medical Education Staff.
Performs other duties assigned.
Experience Description:
10 plus years finance leadership with solid background of government reimbursement reporting processes.
Experience in multi-hospital healthcare system.
Abilities to foster collaborative relationships with key stakeholders.
Comprehensive knowledge of all government reimbursement-related regulations including but not limited to Medicare, Medicaid, and Tricare.
This includes knowledge of Medicare and Medicaid medical education, transplant, allied health, CAH, 340b, and all other related areas.
Must possess strong interpersonal, analytic and organization skills with demonstrated experience leading, managing deadline driven projects, and teams in a fast paced environment.
$59k-80k yearly est. 11d ago
Avalanche Consultant - Memphis, TN / Pittsburgh, PA
Info. Services Inc. 4.2
Memphis, TN jobs
Role: Avalanche Consultant Duration: 6+ Months BGV will be done for the selected candidates. The first set of tasks requires user knowledge of the (Wavelink) Avalanche Management Console, Avalanche Package Builder Windows application, and limited knowledge of the devices. Support personnel would be expected to take a previously defined configuration file from Package builder and a new set of files from the developer team, and make the appropriate changes to build the new package with the updated files, date and revision number. They would then need to be able to import that package into the correct Avalanche software profile and deploy that software to the units.
Scope of Work -
1. Package creation or modification for Network Wireless devices
2. Add, deletion and/or change of registry settings for above devices
3. Post script installation settings as part of the package builds
4. OS update / configuration within WinCE or Win Mobile platforms
5. Documented change and back-out provisions for all package creation, registry change or OS modification
6. Adherence to FedEx development standards and processes
7. Own, analyze and fix support trackers per the priority defined by FedEx lead/manager
8. Results of all testing prior to scheduling deployment to test instance of Avalanche
Additional Information
All your information will be kept confidential according to EEO guidelines.