Patient Access Representative I - ED
Remote or Norfolk, VA job
City/State Norfolk, VA Work Shift Second (Evenings) Full-Time, Evenings, Emergency Department As a Patient Access Rep with Sentara, you will work in Patient Registration for the Emergency Department and/or various registration areas of the hospital. This position's primary duties include positively identifying the patient, collecting demographic and insurance information, and admitting the patients. This role allows you to work with both clinical and non-clinical staff. If you desire, there are promotional opportunities such as Patient Access Rep II/III, Team Leader, and Team Coordinator. You will find that teamwork is exceptional, with everyone working together to ensure the best care for our patients.
Click to hear Jasmine tell us about a day in the life of a Patient Access Representative with Sentara Health.
Up to $1,500Sign-On Bonus for Qualified Candidates!
Education
HS - High School Grad or Equivalent
Certification/Licensure
No specific certification or licensure requirements
Experience
2 years of Customer Service and/or Data Entry
Associate or bachelor's degree in Lieu of two years of experience
Proficiency in Keyboarding
K eywords: Customer Service, Patient Registration, Data Entry, Front Desk, First Point of Contact, Insurance, Insurance Verification, Talroo-Allied Health, Scheduling, Receptionist, Non-clinical, monster
.
Benefits: Caring For Your Family and Your Career
• Medical, Dental, Vision plans
• Adoption, Fertility and Surrogacy Reimbursement up to $10,000
• Paid Time Off and Sick Leave
• Paid Parental & Family Caregiver Leave
• Emergency Backup Care
• Long-Term, Short-Term Disability, and Critical Illness plans
• Life Insurance
• 401k/403B with Employer Match
• Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education
• Student Debt Pay Down - $10,000
• Reimbursement for certifications and free access to complete CEUs and professional development
• Pet Insurance
• Legal Resources Plan
• Colleagues may have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met
Here at Sentara, we are committed to consistently enhancing our training, advancement tracks, work-life benefits, and more. Our goal is to make you feel more excited to be here every day!
Sentara Norfolk General Hospital , located in Norfolk, VA, is a 525-bed tertiary care facility that is home to the only Level I Adult Trauma Center and burn trauma unit in Hampton Roads, and also serves as the primary teaching hospital for Eastern Virginia Medical School.
In addition to the high-quality heart program at Sentara Heart Hospital, our facility is home to Nightingale Regional Air Ambulance and several other dedicated facilities and specialized services. As a recognized accredited Comprehensive Stroke Center, and Magnet hospital for nursing excellence, our hospital specializes in heart and vascular, neurosciences, neurosurgery, urology, oncology, spine care, advanced imaging, behavioral health, maternity, and women's health, including a state-of-the-art neonatal intensive care unit.
Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.
In support of our mission “to improve health every day,” this is a tobacco-free environment.
For positions that are available as remote work, Sentara Health employs associates in the following states:
Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.
Manager, Operations Support
Remote or Virginia Beach, VA job
City/State Virginia Beach, VA Work Shift First (Days) SMG Anesthesiology Department in Virginia Beach, VA is looking to hire a Manager, Operations Support Supports the Anesthesia Leadership Team in the management of projects and assigned areas. Is innovative in ongoing maintenance of programs. Responsible for the management of assigned departments. Maintains processes and coordinates all compliance activities across the division. Maintains exceptional Provider Relationships and coordinates all activities associated with workforce management. Will assume other duties as assigned.
Will support 4 hospitals. Quarterly travel to Northen Virginia, Charlottesville Hampton and Harrisonburg.
Clinical Leads Divisional POC
Monthly Rounding- (Minimum 5 Full Days/Month)
Training
Creates content for PMC Meetings
Advocate for site level needs
Advocate for Division initiatives and Goals
Provider Relationship
Provider Engagement Issue Resolution
Physician/CRNA Recruitment Processes:
Onboarding/ Offboarding
Division Orientation
Provider Record Management
Payroll
Compensation
CME Reimbursement Processing
Workday Delegate
Workday Data Updates (FTE/Location/pay record changes)
Compliance (EHS/Flu/RME)
Training (Annual CBTs/RQI, ACLS/BLS/PALS)
CRNA Human Resources
Annual Reviews
Performance / Disciplinary
Action Benefit Liaison / Retirement FMLA
Locums Management-
Requisition Creation and Submissions
Manages selection process
Manages contracts and schedules
Manages Onboarding/Offboarding Tasks
Education:
Bachelor's degree
MBA or MHA preferred
4 years clinical operations experience in lieu of degree required
Experience:
3 years' management experience in a hospital-based clinical setting required.
Consideration given to Administrative Residency experience and internal interim leadership.
Keywords: Talroo-Allied Health, Operations Support, Management, leadership, critical thinking
Benefits: Caring For Your Family and Your Career
• Medical, Dental, Vision plans
• Adoption, Fertility and Surrogacy Reimbursement up to $10,000
• Paid Time Off and Sick Leave
• Paid Parental & Family Caregiver Leave
• Emergency Backup Care
• Long-Term, Short-Term Disability, and Critical Illness plans
• Life Insurance
• 401k/403B with Employer Match
• Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education
• Student Debt Pay Down - $10,000
• Reimbursement for certifications and free access to complete CEUs and professional development
•Pet Insurance
•Legal Resources Plan
•Colleagues have the opportunity to earn an annual discretionary bonus ifestablished system and employee eligibility criteria is met.
Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.
In support of our mission “to improve health every day,” this is a tobacco-free environment.
For positions that are available as remote work, Sentara Health employs associates in the following states:
Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.
AI Test Automation Engineer - Performance & API Focus
Richmond, VA job
McKesson Corporation is seeking detail-oriented and technically proficient Quality Engineer with a strong background in test automation, continuous integration, API testing, performance validation, and AI-enhanced quality practices.
With 4+ years of experience, the ideal candidate will play a key role in ensuring the reliability, scalability, and performance of our software products through intelligent and automated testing strategies.
Key Responsibilities
Design, develop, and maintain automated test frameworks using tools such as Selenium, Playwright, or similar.
Integrate automated tests into CI/CD pipelines using platforms like Jenkins, GitLab CI, Azure DevOps, etc.
Develop and execute API tests using tools like Postman, REST Assured, or SoapUI.
Conduct performance and load testing using tools such as JMeter, Gatling, NeoLoad or LoadRunner.
Collaborate with development, DevOps, and product teams to ensure quality is embedded throughout the software lifecycle.
Leverage AI/ML tools to enhance test coverage, defect prediction, and intelligent automation.
Manage test cases, execution, and reporting using test management tools like Jira, TestRail, or Zephyr.
Analyze test results, identify root causes, and contribute to continuous improvement of testing processes.
Minimum Qualifications
Typically requires 4+ years of relevant experience.
Critical Skills
Strong understanding of API testing, performance testing, and test automation frameworks.
Proficiency in programming languages such as Java, Python, or JavaScript.
Hands-on experience with CI/CD tools and DevOps practices.
Experience implementing AI/ML concepts and their application in quality engineering.
Excellent analytical, problem-solving, and communication skills.
Preferred Attributes
Experience in healthcare or supply chain domain.
Experience with containerization (Docker, Kubernetes).
Exposure to MLOps and AI model validation.
Construction and Land Surveying Technology Sales Representative
Remote or Nashville, TN job
Construction and Land Surveying Technology Sales Representative (Central TN)
Earl Dudley LLC & Hayes Instrument Co have been serving the surveying, engineering, and construction industry for over 80 years. We are a value-added, factory authorized distributor and service center for several top brand manufacturers of GPS, 3D machine control, Optical Instruments and UAV mapping drones. Due to market demand, we are looking to add a Technical Sales Account manager immediately in central Tennessee.
The compensation package includes a competitive first-year fixed salary, plus a signing bonus. This structure aligns with our goal of offering a consultative sales experience where team performance and client satisfaction drive success in lieu of an individual Base + Commission plan.
TECHNICAL SURVEY SALES
Bi-weekly base salary
Health Insurance INCLUDED, PTO, 401K and Vehicle Plan
Provide technical sales of Surveying & Construction instruments and accessories
Provide technical support to existing customers
Perform Business Development and new sales
In-house technical and sales training will be provided.
Light travel will be required
Actively prospect new customers
Perform on site product demonstrations
Remote Work option available*** With technical and sales training competency
SKILLS
Positive attitude and a strong desire to sell and succeed in a team environment
Knowledge of land surveying, civil engineering, and/or construction surveying is a plus
Proven Sales experience a plus but not required
Ability to learn technical content, products, and software
Strong technical aptitude with a focus on problem-solving skills
Good written and oral communication skills
Strong computer software, CAD, and Microsoft Office skills a plus
Demonstrated ability to learn technical products, software, and work independently
RESPONSIBILITIES
Develop a sales funnel of business and meet sales targets
Clearly articulate technical features & benefits and product demonstrations
Prospect and generate new leads
Retain and further develop existing business from established accounts
Provide first line technical support
Vice President of Business Development
McLean, VA job
As the largest and leading value-based kidney care company, Somatus is empowering patients across the country living with chronic kidney disease to experience more days out of the hospital and healthier at home.
It takes a village of passionate and tenacious innovators to revolutionize an industry and support individuals living with a chronic disease to fulfill our purpose of creating More Lives, Better Lived. Does this sound like you?
Showing Up Somatus Strong
We foster an inclusive work environment that promotes collaboration and innovation at every level. Our values bring our mission to life and serve as the DNA for every decision we make:
Authenticity: We believe in real dialogue. In any interaction, with patients, partners, vendors, or our teammates, we are true to who we are, say what we mean, and mean what we say.
Collaboration: We appreciate what every person at Somatus brings to the table and believe that together we can do and achieve more.
Empowerment: We make sure every voice gets heard and all ideas are considered, especially when it comes to our patients' lives or our partners' best interests.
Innovation: We relentlessly look for ways to improve upon the status quo to continuously deliver new solutions.
Tenacity: We see challenges as opportunities for growth and improvement - especially when new solutions will make a difference for our patients and partners.
Showing Up for You
We offer more than 25 Health, Growth, and Wealth Work Perks to help teammates learn, grow, and be the best version of themselves, including:
Subsidized, personal healthcare coverage (medical, dental vision)
Flexible PTO
Professional Development, CEU, and Tuition Reimbursement
Curated Wellness Benefits supporting teammates physical and mental well-being
Community engagement opportunities
And more!
As a Vice President of Business Development, you will drive new logo growth and sales pipeline development while playing a key role in the continued growth of the company. You will support strategic initiatives working with health plans, employer groups, ACOs, hospitals and health systems, provider groups, and other healthcare organizations.
Build, own, and maintain a robust pipeline of qualified opportunities by cultivating executive-level relationships with payors, ACOs, Health Systems, and other strategic partners
Work closely with company leadership to lead and coordinate complex deal execution and strategy in a fast-paced, competitive, and entrepreneurial environment
Deliver measurable revenue and membership growth by rapidly advancing opportunities through all stages of the sales pipeline to contract execution
Represent the company at industry events and client meetings to promote thought leadership, and drive new business opportunities
Develop effective outbound content and thought leadership in partnership with the marketing team
Stay up to date on knowledge of industry trends, market intelligence, and state/federal regulations and programs
Lead proposal writing efforts to demonstrate company capabilities and secure new business opportunities
Provide real-time pipeline and relationship updates, forecast accuracy, and growth reporting to executive leadership with a focus on transparency, urgency, and outcomes
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.
7-10 years of relevant experience in business development, enterprise sales, consulting, or commercial role working with health plans, provider groups, or other healthcare organizations
Excellent verbal and written communications skills with demonstrated ability to communicate, present, and influence both credibly and effectively at all levels of an organization, including executive and C-level
Commercial acumen and a proven track record of driving new business development and creatively structuring agreements
Ability to connect with diverse constituents and stakeholders across cross-functional teams (leadership, marketing, account management, new product development, data and analytics, market operations, finance and clinical)
Demonstrated success driving new revenue growth and closing favorable deals with national and regional payors, ACOs, and other risk-bearing entities
Experience developing compelling presentations using Microsoft PowerPoint
Salesforce experience
Travel to HQ in McLean, Virginia and client locations
Remote CSC-AD
Remote or Germantown, MD job
CSC-AD - Certified Supervised Counselor - Alcohol & Drug
Certified Supervised Counselor - Alcohol & Drug (CSC-AD)
Employment Type: Full-Time
Compensation: $32-$36/hour
Healthcare Recruiters International is sourcing a CSC-AD Substance Abuse Counselor for a behavioral health organization committed to ethical, client-centered care. This position provides a balance of remote flexibility and clinical engagement in both individual and group settings.
Core Responsibilities
Conduct intake assessments and provide ongoing counseling
Facilitate group therapy sessions as scheduled
Create, implement, and review individualized treatment plans
Document sessions and progress according to COMAR and agency standards
Coordinate with the Clinical Director for supervision and training
Qualifications
Current CSC-AD certification in good standing
Experience with assessments, counseling, and documentation
Strong organizational and communication skills
Familiarity with regulatory standards (COMAR)
What's Offered
$32-$36/hour
Remote work options
Supportive supervision and training environment
Full-time schedule with flexibility
Diagnostic Imaging Technical Lead
Falls Church, VA job
Inova Fairfax Medical Center is looking for a dedicated Diagnostic Imaging Technical Lead to join the team. This role will be a Full Time Full-time Monday- Thursday 8:45 pm- 6:45am. Sign-on Bonus & Relocation Assistance eligible.
Inova is consistently ranked a national healthcare leader in safety, quality and patient experience.
We are also proud to be consistently recognized as a top employer in both the D.C. metro area and the nation.
Featured Benefits
Committed to Team Member Health: offering medical, dental and vision coverage, a robust team member wellness program.
Retirement: Inova matches the first 5% of eligible contributions - starting on your first day.
Tuition and Student Loan Assistance: offering up to $5,250 per year in education assistance and up to $10,000 for student loans.
Mental Health Support: offering all Inova team members their spouses/partners, and their children 25 mental health coaching or therapy sessions, per person, per year at no cost.
Work/Life Balance: offering paid time off, paid parental leave, flexible work schedules
Diagnostic Imaging Technical Lead Job Responsibilities
Obtains clinical history/informed consent from patients or patients' charts to assist the physician in optimizing the performance and interpretation of the examination, as evidenced by the exam results.
Coordinates new team member and student department orientation/training. Assists with patient and team member scheduling to enhance the productivity of the department.
Maintains an orderly, safe, and clean environment to ensure the safety of patients and staff.
Ensures rooms are stocked with appropriate supplies for procedures.
Operates imaging and other related equipment according to manufacturer's specifications.
Troubleshoots equipment effectively and reports equipment to Biomedical Engineering/Vendor, as evidenced by service reports.
Performs and documents routine quality control testing of equipment.
Performs/recognizes the need for routine maintenance of image processors to maintain consistent image quality, as evidenced by the physician and exam results.
May perform additional duties as assigned.
Ask your Recruiter for the full job description!
Minimum Additional Requirements
Location: Inova Fairfax Medical Campus
Education: Graduate of accredited school/program of radiography
Experience: Minimum of 3 years of Imaging experience in an applicable modality (Cat Scan, Mammography, MRI, or Nuclear Medicine in a hospital/healthcare environment
Certification: Must be certified by ARRT, ARMRIT, CAMRT or NMTCB, and possess additional certification in Cat Scan or Mammography or MRI; BLS; CPR
About Us
We are Inova, Northern Virginia's leading nonprofit healthcare provider. Every day, our 26,000+ team members provide world-class healthcare to the communities we serve. Our people are the reason we're a national leader in healthcare safety, quality and patient experience. And from best-in-class facilities to professional development opportunities, we support them at every step. At Inova, we're constantly striving to be ever better - to shape a more compassionate future for healthcare.
Inova Health System is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to age, color, disability, gender identity or expression, marital status, national or ethnic origin, political affiliation, pregnancy (including childbirth, pregnancy-related conditions and lactation), race, religion, sex, sexual orientation, veteran status, genetic information, or any other characteristics protected by law.
VP, Clinical Performance
Arlington, VA job
As the largest and leading value-based kidney care company, Somatus is empowering patients across the country living with chronic kidney disease to experience more days out of the hospital and healthier at home.
It takes a village of passionate and tenacious innovators to revolutionize an industry and support individuals living with a chronic disease to fulfill our purpose of creating More Lives, Better Lived. Does this sound like you?
Showing Up Somatus Strong
We foster an inclusive work environment that promotes collaboration and innovation at every level. Our values bring our mission to life and serve as the DNA for every decision we make:
Authenticity: We believe in real dialogue. In any interaction, with patients, partners, vendors, or our teammates, we are true to who we are, say what we mean, and mean what we say.
Collaboration: We appreciate what every person at Somatus brings to the table and believe that together we can do and achieve more.
Empowerment: We make sure every voice gets heard and all ideas are considered, especially when it comes to our patients' lives or our partners' best interests.
Innovation: We relentlessly look for ways to improve upon the status quo to continuously deliver new solutions.
Tenacity: We see challenges as opportunities for growth and improvement - especially when new solutions will make a difference for our patients and partners.
Showing Up for You
We offer more than 25 Health, Growth, and Wealth Work Perks to help teammates learn, grow, and be the best version of themselves, including:
Subsidized, personal healthcare coverage (medical, dental vision)
Flexible Paid Time Off (PTO)
Professional Development, CEU, and Tuition Reimbursement
Curated Wellness Benefits supporting teammates physical and mental well-being
Community engagement opportunities
And more!
The Vice President of Clinical Performance, under direction of the Chief Medical Officer, is responsible for providing physician clinical leadership to direct and advance enterprise-wide efforts to improve value (clinical quality, patient safety, patient experience, access, cost) of care provided to Somatus patients. The VP, Clinical Performance will work closely as the physician partner to the SVP, Clinical Operations and broader clinical operations teams to assess performance across payor-product partners and geographies and to reliably achieve market leading performance. Works closely with clinical data analytics and actuarial teams to develop, refine, and deploy clinical performance population health initiatives and interventions for management use across the enterprise.
The VP, Clinical Performance will be a key member of the corporate clinical leadership team. In close partnership with the SVP, Clinical Operations, the VP will be expected to both develop and deploy a systematic approach to total cost of care (TCOC) improvement as part of routine market management as well as targeted, centrally-led strategic improvement efforts with Operations leaders across the enterprise.
Responsibilities
Provide physician leadership for all aspects of value-based care performance including (but not limited to): multi-payor total cost of care management, clinical quality outcome management, patient safety, NCQA HEDIS quality performance, etc.
Analyze, interpret and apply healthcare payor claims data around $PMPM, Unit/1000, $$/Unit metrics to systematically explore and identify opportunities to improve total cost of care and clinical quality outcomes.
Serve as a physician clinical subject matter expert and resource for clinical program and training teams.
Experienced clinical understanding of inpatient and outpatient care delivery to be able to assess appropriate utilization and reduce avoidable acute care utilization.
Conducts and/or supports quality improvement and outcomes studies related to clinical quality outcomes, total cost of care management, and management of avoidable acute care utilization.
Engages and interacts with physician leaders across payor and provider partners, seeking to identify and operationalize partner collaboration opportunities to improve outcomes for shared patient populations.
Serve as physician leader for robust patient safety program across the enterprise.
Monitors member satisfaction survey results and works with quality team to augment changes as needed to optimize patient experience and satisfaction.
Assists, as appropriate, with the contracting process with providers and evaluates the medical aspects of provider contracts.
Maintains up-to-date knowledge of new information, capabilities, and technologies in value based clinical performance as supported in health plans, ACOs, and value-based providers.
Understands and supports patient stratification, continuous evaluation, and restratification of members for appropriate resource allocation.
Experienced with providing written and verbal presentations to executive leadership.
Represents Somatus at medical group meetings, conferences, etc. as appropriate.
Lead and attract top talent; motivate, assess, and manage performance to achieve highest and best use of talent.
Please note this is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.
Qualifications
Requirements:
Graduate of an accredited medical school with M.D. degree.
Three (3) to five (5) years' experience in clinical practice.
Three (3) to five (5) years' experience in value-based care settings.
Track record of driving process, quality, and cost outcomes while improving patient care, patient satisfaction, and patient outcomes.
Leadership experience of people, programs, and resources.
Preferred:
MBA, or Masters-Degree is preferred in healthcare, or other related fields of study.
Three (3) years of clinical performance and value-based care leadership experience.
Board certified in internal medicine, nephrology or family medicine.
Other Duties
Knowledge, Skills, and Abilities:
- Ability to combine leadership skills with clinical acumen to integrate best in class Clinical Performance.
- Entrepreneurial spirit and ability to drive change that will stretch the organization and push the boundaries.
- Ability to synthesize and interpret large amounts of disparate data. - Comfortable with ambiguity and uncertainty.
- The ability to adapt nimbly and lead others through complex situations in a fast-paced environment.
- Risk-taker who seeks data and input from others.
- Thorough understanding of all aspects of Clinical Performance. - Excellent interpersonal, verbal, and written communications skills.
- Consistently completes continuing education activities relevant to practice area and needed to maintain licensure.
Physical Requirements:
- This job operates in a professional setting. While performing the duties of this job, the employee is regularly required to sit or stand for extended periods of time. Normal manual dexterity is required.
- Normal speaking and hearing abilities to interact with others in an office environment, over telephone or other video conferencing platform.
- The employee is occasionally required to stand; walk; and reach with hands and arms and continuously repeat the same hand, arm finger motion many times as in typing.
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Somatus, Inc. provides equal employment opportunity to all individuals regardless of their race, color, creed, religion, gender, age, sexual orientation, national origin, disability, veteran status, or any other characteristic protected by state, federal, or local law. Further, the company takes affirmative action to ensure that applicants are employed, and employees are treated during employment without regard to any of these characteristics. Discrimination of any type will not be tolerated.
Patient Care Specialist
Remote or Virginia Beach, VA job
City/State Virginia Beach, VA Work Shift First (Days) Sentara Family Medicine Physicians Centerville in Virginia Beach, VA is hiring a Patient Care Specialist! As aPatient Care Specialistwith Sentara Healthcare, you will provide non-clinical support within a physician's office and ensure excellent patient experience by performing a variety of complex administrative tasks to support patient care delivery. Primary duties include answering phones, scheduling appointments, and answering patient questions. In this role, you will find that teamwork is exceptional, with everyone working together to ensure the best care for our patients. Click to hear Joyce tell us about a day in the life of a Patient Care Specialist with Sentara Healthcare.
Education
HS Diploma
Associate Level degree or higher in lieu of the required experience will be considered.
Experience
3 years' Customer Service experience required.
1 yearexperience with Health Insurance Plans, Medical Records Data, Medical Terminology, Registration, Scheduling, or Third-Party Payers required.
Electronic Medical Record preferred.
Keywords: Patient Care Representative, Customer Service, Talroo-Allied Health, Medical Office
Benefits: Caring For Your Family and Your Career
• Medical, Dental, Vision plans
• Adoption, Fertility and Surrogacy Reimbursement up to $10,000
• Paid Time Off and Sick Leave
• Paid Parental & Family Caregiver Leave
• Emergency Backup Care
• Long-Term, Short-Term Disability, and Critical Illness plans
• Life Insurance
• 401k/403B with Employer Match
• Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education
• Student Debt Pay Down - $10,000
• Reimbursement for certifications and free access to complete CEUs and professional development
•Pet Insurance
•Legal Resources Plan
•Colleagues have the opportunity to earn an annual discretionary bonus ifestablished system and employee eligibility criteria is met.
Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.
In support of our mission “to improve health every day,” this is a tobacco-free environment.
For positions that are available as remote work, Sentara Health employs associates in the following states:
Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.
Remote Sales Manager (FIBC Bags) - $65K to $125K, Dallas, TX
Remote or Dallas, TX job
Remote Sales Manager (FIBC Bags $65K to $125K Dallas, TX About the Role: Are you a results-driven Sales Manager with a passion for driving business growth? We're looking for a motivated, experienced individual to lead our sales efforts in the FIBC bags sector. If you have a strong
background in manufacturing or packaging sales and want to be part of a
company that values strategic thinking and customer relationships, this
role is for you.
*Key Responsibilities:
- Develop and implement targeted sales strategies to grow our footprint
in the U.S. market.
- Actively identify new business opportunities and cultivate
relationships with potential clients.
- Maintain and expand relationships with key customers, ensuring their
needs are met and business is retained.
- Work closely with the marketing team to create compelling sales
campaigns that resonate with our target audience.
- Stay ahead of market trends, adapting strategies to outpace competitors.
- Generate detailed sales reports and forecasts to keep senior
management informed of progress.
- Lead and support a team of sales professionals, fostering a
collaborative and high-performance culture.
- Negotiate contracts, secure deals, and meet sales quotas.
- Monitor and manage the sales budget to ensure profitability and
efficiency.
*What We're Looking For:
- Proven success in sales within the manufacturing or packaging
industries, with a preference for FIBC bag experience.
- Strong closing and negotiation skills.
- Excellent communication skills, both verbal and written, with the
ability to build strong client relationships.
- Expertise in developing and executing sales plans that deliver
measurable results.
- Experience with CRM systems and sales tracking software.
- Leadership experience with a track record of coaching teams to success.
- Deep understanding of the U.S. market, including regional nuances.
- Ability and willingness to travel up to 50%.
*Qualifications:
- Bachelor's degree in Business, Marketing, or a related field.
- 1+ years of experience in CRM software and account management.
- 1+ years of negotiation experience in a sales environment.
- Strong analytical mindset and business strategy development experience.
- Budget management skills and the ability to meet sales targets.
- Customer-centric approach with leadership capabilities.
*Job Type:
- Full-time
- Remote
*Benefits:*
- Competitive salary with performance bonuses
- 401(k) plan
- Comprehensive health, dental, and vision insurance
- Paid time off and flexible scheduling
- Cell phone reimbursement
- Work-from-home flexibility
*Schedule:
- Monday to Friday, 8-hour shifts
*Location:
- Fully remote role based in Dallas, TX, with travel required up to 50%.
If you're a strategic thinker with a proven track record in sales and
are excited about the opportunity to lead a dynamic sales team, we'd
love to hear from you! Apply today to be part of a growing company with
a strong vision for the future.
Senior Business Analyst (Local Hybrid)
Remote or Phoenix, AZ job
Please apply online at:
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Join Arizona's largest, most prominent not-for-profit hospice, serving the valley since 1977.
Hospice of the Valley is a national leader in hospice care and has been serving the Phoenix metropolitan area since 1977. A mission-driven, not-for-profit organization, Hospice of the Valley employs compassionate, skilled professionals who are committed to excellence, enjoy teamwork, and contribute daily to our mission and culture of caring. Team members experience a friendly, supportive atmosphere, leadership support, autonomy, flexibility, and the privilege of doing meaningful, rewarding work.
Benefits:
Supportive work environment with a culture of caring for patients and one another.
Competitive wages and excellent benefit program.
Generous Paid Time Off.
Flexible schedules for work/life balance.
Position Profile
The Senior Business Analyst (BA) works as a liaison between key business stakeholders and the Information Systems (IS) department. BAs are responsible for working with stakeholders to understand their business needs and working with IS partners to implement solutions that meet the business needs, goals and objectives.
Full Time 40 hrs/week
Day Shift
8a - 5p
Responsibilities
Works on multiple projects as an analyst, sometimes as a business subject matter expert (SME) in multiple functions.
Works with enterprise-wide business customers and IT senior management to understand business issues and their environment in order to manage enterprise-wide reporting information support systems.
Provides functional and technical expertise and direction for the development of complex enterprise-wide information system solutions.
Establishes relationships with customers, IT colleagues, contractors, vendors and consultants to influence strategic IT initiatives while managing their expectations.
Works with team members on problem definition and understanding stakeholder needs.
Works with the development teams to ensure projects remain focused on the solution scope.
Transforms business needs into clearly defined requirements that can feasibly be tested and implemented in a solution.
Works with IS leadership to assist with the proper Business Analysis Planning and Monitoring phase activities including: 1) identification of stakeholders, 2) selection of business analysis techniques and the process that will be used to manage requirements and 3) identification of how to assess the progress of the work across all levels.
Works with stakeholders and teams to ensure as-is and to-be business processes are documented.
Responsible for the development, writing and communication of business requirements documentation and ensures appropriate stakeholder sign-off.
Assists with the solution selection process and helps identify which solution best fits the business need. Activities can include: vendor product research, RFP development, vendor demonstrations and scenario scripting, vendor selection criteria/scoring methodology.
Facilitates requirements reviews with all impacted stakeholders including business functions, IT security, IT infrastructure, application support, compliance, legal, and contracting.
Works with IS leadership in the initial budget estimates and resource requirements for solution implementation.
Oversees and consults on system and integration testing activities to ensure system is developed according to defined requirements.
Oversees user acceptance testing and obtains sign-off from business customers.
Stays abreast of significant change management initiatives, assesses organizational impacts and presents to appropriate leadership.
Minimum Qualifications
Bachelor's degree from an accredited college or university in Information Systems MIS or equivalent experience.
Minimum of 6 years of experience as a business/systems analyst on business solutions analysis projects.
Preferred Qualifications
5+ years' experience working in the healthcare/medical environment required.
5+ years' experience in SDLC; solid understanding in multiple methodologies (Waterfall, Agile, etc.)
Experience with the AthenaOne EMR.
Hospice of the Valley is an equal employment opportunity employer. EOE/M/F/D/V
Client Support Manager
Remote or Frisco, TX job
Full-time Description
Soleo Health is seeking a Client Support Manager to support our Specialty Infusion Pharmacy and work Remotely (USA). Join us in Simplifying Complex Care!
Soleo Health Perks:
Competitive Wages
401(k) with a Match
Referral Bonus
Paid Time Off
Great Company Culture
Annual Merit Based Increases
No Weekends or Holidays
Paid Parental Leave Options
Affordable Medical, Dental, & Vision Insurance Plans
Company Paid Disability & Basic Life Insurance
HSA & FSA (including dependent care) Options
Education Assistance Program
The Position:
The Client Support Manager (CSL) serves as a key resource for managing contracted client relationships, including Soleo's narrow network and Site of Care Programs. The CSL communicates with internal and external stakeholders, primarily via phone or email, to resolve payer-related contractual and communication issues promptly and accurately. This role reports to the Patient Access department and ensures compliance with payer program requirements. Responsibilities include
Maintain relationships with assigned payer organization personnel in a customer service capacity.
Support Soleo Health's contracted clients as assigned.
Communicate effectively with payers via email, phone, letter, or portal.
Collaborate with the assigned Payor Director or Senior Director.
Serve as Manager between payers and Soleo departments.
Manage daily communications with designated health plans.
Handle direct referral processes and respond to case managers within required timeframes.
Follow up on payer initiatives and program requirements.
Use Soleo software to review account notes and pricing.
Send updated logs as required by payers.
Act as primary contact for assigned payer initiatives.
Support contract implementation and ensure compliance.
Prepare and submit client reports by due dates.
Complete ad hoc reports and projects as requested.
Assist with reimbursement projects and address client billing inquiries.
Adhere to Soleo Health policies, procedures, and standards of conduct.
Attend mandatory annual training courses.
Report known or suspected violations of policies or standards.
Perform other related duties as assigned.
Schedule:
Monday-Friday 8:30am - 5:00pm
Requirements
Home infusion and/or specialty pharmacy required
Bachelor's degree in business administration, Healthcare Administration, or a related field (preferred), or equivalent relevant experience
2-4 years of experience in healthcare, managed care, customer service, or client account management
Experience with payor relationships and working within healthcare contracts, credentialing, and re-credentialing processes
Familiarity with case management procedures, referral processes, and billing/reimbursement systems
Experience using healthcare management software and online portals for payor and referral management
Must have organizational, written, communication and interpersonal skills
Proficient in Microsoft Office and other applications including Word, and Excel
About Us: Soleo Health is an innovative national provider of complex specialty pharmacy and infusion services, administered in the home or at alternate sites of care. Our goal is to attract and retain the best and brightest as our employees are our greatest asset. Experience the Soleo Health Difference!
Soleo's Core Values:
Improve patients' lives every day
Be passionate in everything you do
Encourage unlimited ideas and creative thinking
Make decisions as if you own the company
Do the right thing
Have fun!
Soleo Health is committed to diversity, equity, and inclusion. We recognize that establishing and maintaining a diverse, equitable, and inclusive workplace is the foundation of business success and innovation. We are dedicated to hiring diverse talent and to ensuring that everyone is treated with respect and provided an equal opportunity to thrive. Our commitment to these values is evidenced by our diverse executive team, policies, and workplace culture.
Soleo Health is an Equal Opportunity Employer, celebrating diversity and committed to creating an inclusive environment for all employees. Soleo Health does not discriminate in employment on the basis of race, color, religion, sex, pregnancy, gender identity, national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an organization, parental status, military service or other non-merit factor.
Keywords: payor support, payor relations, intake, prior authorization, benefit verification, lead, supervisor
Salary Description $60k-$75k per year
Safety Partner
Norfolk, VA job
City/State Norfolk, VA Work Shift Weekend Nights Sentara is currently hiring a Safety Partner to work at Sentara Leigh Hospital, located in Norfolk. Hours/Shift: Part-time. Shifts would fall Friday, Saturday and/or Sunday, nightshift from approximately 6pm to 6am
Department/Position Overview:
This position will work in various units at Sentara Leigh Hospital, including Med Surg, ICU and ED, etc. You are assigned to a unit each shift. Join us in helping to keep our patients safe!
As aSafety Partner with Sentara, you will assist with the provision of a safe hospital environment conducive to individualized patient care for patients at risk of suicide, falls, wandering, agitation, impulsiveness, self-harm or other risk behaviors enabling patients to maintain or enhance function during the hospital stay.
Requirements:
High School Graduate or Equivalent
Prior healthcare experience or enrollment in a health science program strongly preferred.
Applicants without prior experience or current health sciences program status must successfully complete a Sentara Safety Partner Training Course in addition to core competencies during orientation.
Core competencies for all safety partners to include communication, confidentiality, de-escalation, fall prevention, patient safety, restraints, stroke, and suicide.
BLS required within 90 days of hire.
De-escalation and physical intervention training within 30 days of hire, except for those in Behavioral Health within 15 days of hire.
Keywords: NCP & Entry Level, Safety Partner, Sitter, Nursing Assistant, Nursing Care Partner, Monster, Talroo-Allied Health, #LI-CP1
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Benefits: Caring For Your Family and Your Career
• Medical, Dental, Vision plans
• Adoption, Fertility and Surrogacy Reimbursement up to $10,000
• Paid Time Off and Sick Leave
• Paid Parental & Family Caregiver Leave
• Emergency Backup Care
• Long-Term, Short-Term Disability, and Critical Illness plans
• Life Insurance
• 401k/403B with Employer Match
• Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education
• Student Debt Pay Down - $10,000
• Reimbursement for certifications and free access to complete CEUs and professional development
• Pet Insurance
• Legal Resources Plan
• Colleagues may have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met
Sentara Leigh Hospital , located in Norfolk, VA, is a 274-bed acute care facility that opened in 1903 and relocated to its present site in 1977. Our hospital completed a renovation in 2016, including two new patient towers, a beautiful atrium, and a multi-story parking garage. Sentara Leigh Hospital includes a dedicated Orthopedic Hospital providing patients access to a full continuum of orthopedic care, from the preoperative phase and surgery to rehabilitation and home care services. Along with being a recognized accredited Primary Stroke Center, and Magnet hospital for nursing excellence, we also specialize in orthopedic and spine care, heart, vascular, maternity care, and general surgery. We are also home to the region's only 24-hour hyperbaric oxygen program that helps speed up the healing of carbon monoxide poisoning, wounds that won't heal, infections in which tissues are starved for oxygen, airborne chemical exposures, and scuba diving accidents.
Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.
In support of our mission “to improve health every day,” this is a tobacco-free environment.
For positions that are available as remote work, Sentara Health employs associates in the following states:
Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.
Dental Office Manager (Richmond)
Richmond, VA job
Job Description
The Role: Dental Dreams in Richmond, VA seeks a motivated Office Manager professional with managerial dental practice experience. This position will focus on achieving operational goals, managing employee relations, and patient relations. The scope of the role is to assist and cover the front desk staff, fulfill the scheduling requirements and provide the necessary support to the Dental Assistants and Dentists.
Who Are We: Dental Dreams is a dynamic, growing company with offices in Illinois, Massachusetts, Pennsylvania, Maryland, Virginia, New Mexico, South Carolina, Louisiana, California, Michigan, and Washington, DC. Our mission is to provide high-quality dental services in first-class facilities. We hire only the most qualified dentists and staff committed to superior patient care. More than 94% of Dental Dreams' patients say they recommend us to family and friends.
Benefits:
Competitive compensation
Benefits package includes:
Medical & Vision Insurance
Free dental treatment at our locations
PTO
401K
We pride ourselves on observing all CDC and industry guidelines. We have also secured the recommended PPE and have protocols to safeguard our patients and staff.
Responsibilities:
Supervise all front and back-office staff; and cover those roles if necessary.
Have a patient-centric disposition and foster a culture of service
Hiring & training of support staff, performance management & annual reviews
Accurately verify dental benefits and check-in/out processes
Assist with presenting and/or explaining treatment plans
Collect payments, co-payments, and deductibles
Overseeing patient scheduling per goals
Create insurance claims and submit pre-authorizations to insurance companies on a timely basis
Pull patient charts for future appointments when necessary
Other duties as assigned
Qualifications:
Required:
Managerial and Dental Assistant experience
Possesses a track record for providing outstanding customer service
Must be able to work in a fast-paced, hands-on environment
Preferred:
Dental practice management experience
Bilingual
Knowledge in ADP Workforce, Dentrix, and/or Eaglesoft
KOS Services LLC / Dental Dreams is proud to be an Equal Employment Opportunity employer committed to an inclusive and diverse workplace. All qualified candidates will receive consideration for employment and will not be discriminated against based on race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability, age, pregnancy, genetic information, creed, marital status or any other consideration prohibited by law or by contract.
Lead Cloud Architect - GCP Focus
Richmond, VA job
We are seeking a Lead Cloud Architect with deep expertise in Google Cloud Platform (GCP) to drive our multi-cloud strategy and modernize our IT landscape. This role will lead the design, development, and deployment of scalable cloud solutions, with a strong emphasis on GCP-native architectures, while supporting hybrid and Azure environments as needed.
The ideal candidate will have prior experience architecting cloud solutions in pharmaceutical distribution, logistics, or supply chain domains, and will play a critical role in shaping our cloud journey, ensuring compliance, performance, and agility in a cost-effective and resilient manner.
Key Responsibilities
Develop and maintain cloud architecture strategy with a strong emphasis on GCP reference architectures, decision records, and design patterns for networking, hybrid connectivity, and core services (DNS/DHCP/IPAM).
Architect and implement secure, scalable infrastructure on Google Cloud Platform, including VPC design, interconnects, VPNs, service segmentation, and secure communication protocols.
Lead cloud migration initiatives from on-premises to GCP, minimizing disruption and aligning with business and technical requirements.
Establish governance frameworks to ensure compliance, security, and performance in regulated environments such as pharma and healthcare.
Drive FinOps practices by optimizing cloud costs and performance through tagging strategies, guardrails, and right-sizing of interconnects and egress patterns.
Automate infrastructure deployment using Terraform and GCP Deployment Manager, with secondary support for Azure ARM Templates.
Mentor junior staff, collaborate with cross-functional teams, and provide strategic guidance on GCP technologies and industry trends.
Minimum Qualifications
Bachelor's degree or equivalent experience; typically requires 10+ years of relevant experience (less with Master's or Doctorate).
Critical Skills
Proven experience leading cloud architecture in GCP-centric environments, ideally within pharma, logistics, or supply chain sectors.
Deep expertise in GCP-native design principles, including containerization (Kubernetes, Docker), serverless computing, and microservices.
Strong proficiency in Infrastructure-as-Code (IaC) using Terraform and GCP Deployment Manager.
Experience with CI/CD pipelines and cloud-native monitoring solutions.
Author and maintain GCP reference architectures and decision records for cloud networking and hybrid connectivity.
Implement guardrails, tagging/cost attribution, and right-sizing strategies with strong FinOps awareness.
Knowledge of GxP compliance, data sovereignty, and operational resilience in pharma/healthcare contexts.
Strong understanding of cloud security controls, identity management, and networking fundamentals including SD-WAN, MPLS, VPN, and WAN design.
Experience standardizing telemetry (NetFlow, packet capture, metrics, traces, logs).
Preferred Certifications
Google Cloud Professional Cloud Architect certification (required or equivalent).
Azure Solutions Architect Expert certification (AZ-305 or equivalent) is a plus.
General Store Manager
Woodbridge, VA job
Ashley is the leader in the Home Furnishing retail industry with over 1000 retail locations worldwide! Our General Sales Managers are responsible for building a successful sales team and ensuring an exceptional in-store experience for every guest that results in increased store sales, profitability, and customer loyalty. The General Sales Manager is responsible for developing and leading a team of retail professionals in the implementation of the company's sales approach, meeting and exceeding key performance indicators, and ensure that company policies and operating procedures are being meet.
What we offer:
Salary, plus weekly, monthly, and annual incentive-based compensation.
Paid Time Off (PTO)
Medical, Dental, Vision benefits
401k -match up to 4%
VP, Corporate Development
Arlington, VA job
This role is hybrid in our Tysons Corner, VA office right outside of the greater Washington, DC area.
As the largest and leading value-based kidney care company, Somatus is empowering patients across the country living with chronic kidney disease to experience more days out of the hospital and healthier at home.
It takes a village of passionate and tenacious innovators to revolutionize an industry and support individuals living with a chronic disease to fulfill our purpose of creating More Lives, Better Lived. Does this sound like you?
Showing Up Somatus Strong
We foster an inclusive work environment that promotes collaboration and innovation at every level. Our values bring our mission to life and serve as the DNA for every decision we make:
Authenticity: We believe in real dialogue. In any interaction, with patients, partners, vendors, or our teammates, we are true to who we are, say what we mean, and mean what we say.
Collaboration: We appreciate what every person at Somatus brings to the table and believe that together we can do and achieve more.
Empowerment: We make sure every voice gets heard and all ideas are considered, especially when it comes to our patients' lives or our partners' best interests.
Innovation: We relentlessly look for ways to improve upon the status quo to continuously deliver new solutions.
Tenacity: We see challenges as opportunities for growth and improvement - especially when new solutions will make a difference for our patients and partners.
Showing Up for You
We offer more than 25 Health, Growth, and Wealth Work Perks to help teammates learn, grow, and be the best version of themselves, including:
Subsidized, personal healthcare coverage (medical, dental vision)
Flexible Paid Time Off (PTO)
Professional Development, CEU, and Tuition Reimbursement
Curated Wellness Benefits supporting teammates physical and mental well-being
Community engagement opportunities
And more!
Reporting to the CFO, the Vice President, Corporate Development will be responsible for growth partnerships, mergers, and acquisitions.
The Vice President, Corporate Development will work with the Company's Executive Team and other senior leaders to execute on the Company's evolving growth partnership, mergers, and acquisitions strategy.
Collaborate with the CFO and Executive Team to develop investments and acquisitions strategies
Develop board and investor materials supporting transaction thesis and financials
Financial modeling
Build out relevant acquisition pipelines and prioritization of potential targets
Lead due diligence activities and process
Lead/support deal negotiations and transaction documents
Work cross-functionally to prepare and the organization to execute acquisition integration activities
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.
Required
Bachelor's degree
5-7 years of corporate development experience or investment banking experience
Minimum 3 years in Audit (Big 4) / Consulting, M&A (industry or boutique), Investment Banking or Private Equity; preferably experience in executing M&A strategy within a growth organization
Proven ability to drive deal execution from start to finish, including identifying what risks require additional evaluation or mitigation, and when to walk away from a deal
Preferred
Master's degree in Business Administration, Finance, or Engineering
Knowledge, Skills, and Abilities:
Strong analytical and conceptual skills, good strategic thinking and business acumen
High energy level, drive and a passion to succeed; eager to learn and to grow
Strong interpersonal skills, including listening and very good communication skills (verbal and written)
Self-starter, ownership and natural leadership & drive to get things done
Pragmatic and "roll up sleeves" mentality, can do attitude, Result driven, strong work ethics.
Courage and self-confidence to take initiatives; autonomy
Ability to work with people from different cultural backgrounds
Thinking big picture yet understanding details
Comfortable working in a very dynamic, fast-growing environment and an entrepreneurial, de-central organization
Previous exposure and solid understanding of the M&A process (NDA, LOI, DD, SPA, PMI, etc.)
Excellent interpersonal, communication, and team leadership skills
Outstanding technical / conceptual understanding of finance and valuations
Excellent knowledge of MS Office tools (Excel, PowerPoint)
Senior, Patient Access Representative
Remote or Elizabeth City, NC job
City/State Elizabeth City, NC Work Shift Third (Nights) Full-Time, Nights The Senior Patient Access Representative is a working resource to the patient registration teams. Responsibilities include registering patients for the Emergency Department, and/or various registration areas of the hospital. The Patient Access Team Leader also assists the Team Coordinator and department leadership by serving as registration system super-user, taking on-call rotation during the week and on the weekends, participating in the interviewing process, preparing and reviewing reports, performing QA audits, mentoring and training staff, managing department supply levels, and participating in meetings and workgroups. The Team Lead is required to meet the written requirements and competency to serve as a preceptor and to provide department orientation. If you desire, there are promotional opportunities in Patient Access such as a Team Coordinator.
Up to $1,500Sign-On Bonus for Qualified Candidates!
Education
HS - High School Grad or Equivalent
Certification/Licensure
No specific certification or licensure requirements
Experience
2 years of Customer Service and/or Data Entry
Associate or bachelor's degree in Lieu of two years of experience
Two years of previous experience in a healthcare environment in a related area
Proficiency in Keyboarding
K eywords: Customer Service, Patient Registration, Data Entry, Front Desk, First Point of Contact, Insurance, Insurance Verification, Talroo-Allied Health, Scheduling, Receptionist, Non-clinical, monster
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Benefits: Caring For Your Family and Your Career
• Medical, Dental, Vision plans
• Adoption, Fertility and Surrogacy Reimbursement up to $10,000
• Paid Time Off and Sick Leave
• Paid Parental & Family Caregiver Leave
• Emergency Backup Care
• Long-Term, Short-Term Disability, and Critical Illness plans
• Life Insurance
• 401k/403B with Employer Match
• Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education
• Student Debt Pay Down - $10,000
• Reimbursement for certifications and free access to complete CEUs and professional development
• Pet Insurance
• Legal Resources Plan
• Colleagues may have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met
Sentara Albemarle Medical Center , located in Elizabeth City, NC, serves northeastern North Carolina with a caring team of approximately 650 employees and 150 medical providers. We think of each other as family, with those bonds extending into our close-knit community and serving as the foundation for our patient care. Our 182-bed facility features 25 specialties including emergency, maternity, orthopedics, medical, and surgical care in addition to our outpatient laboratory, imaging, and comprehensive breast services. In 2022, Sentara broke ground on a new campus, a state-of-the-art 88-bed hospital to replace the current 60-year-old facility on North Road Street. The 135-acre campus, coming out of the ground at Halstead Boulevard Extended and Thunder Road, will be known as the Sentara Albemarle Regional Health Campus. It is projected to cost about $200 million, up from the original estimate of $158 million, due to sharp spikes in costs for building materials and medical equipment.
Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.
In support of our mission “to improve health every day,” this is a tobacco-free environment.
For positions that are available as remote work, Sentara Health employs associates in the following states:
Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.
Director, Payment Integrity - Hybrid
Remote or Arlington, TX job
Are you looking for a career that offers both purpose and the opportunity for growth? Parkland Community Health Plan (PCHP) is a proud member of the Parkland Health family. PCHP is a Medicaid Managed Care Organization servicing Texas Medicaid and CHIP in the Dallas Service Area. PCHP works to fulfill of our mission by empowering members to live healthier lives. By joining PCHP, you become part of a team focused on innovation, person-centered care, and fostering stronger communities. As we continue to expand our services, we offer opportunities for you to grow in your career while making a meaningful impact. Join us and work alongside a talented team where healthcare is more than just a job-it's a passion to serve and improve lives every day.
Primary Purpose
Provides leadership oversight and directs the operations for the Program Integrity department and associated functions with focus on claims editing, fraud, waste, and abuse (FWA) prevention, and payment accuracy. Accountable for supporting Parkland Community Health Plan's (PCHP) commitment to operational excellence, cost containment, and adherence to state and federal requirements. As the Director of Payment Integrity/Program Integrity, this is a great opportunity to join PCHP. We prioritize our Members, foster creativity and innovation, and simplify the Provider experience.
Minimum Specifications
Education
Bachelor's degree in business administration, healthcare Administration, or related discipline required.
Experience
Required
Five (5) years of management experience required.
Eight (8) years of experience in Payment Integrity Audit and Recovery with knowledge of audit strategies such as Data Mining, Clinical Medical Record Review, and Bill Audit Recovery/Program Integrity experience preferred.
2 years of experience in a Managed Care health plan or state agency required
Knowledge of ICD-10 and CPT/HCPC coding guidelines and terminology required.
Preferred
5 Years of Texas Medicaid, Managed Care Health Plan or State agency experience preferred.
Equivalent Education and/or Experience
Eight (8) years of experience in a comparable position working in Texas Medicaid or Medicaid Managed Care may be considered in lieu of a bachelor's degree.
Certification/Registration/Licensure
Project management or Six Sigma certification preferred.
Required Tests for Placement
Skills or Special Abilities
Excellent verbal and written communication skills including the ability to communicate effectively and professionally across disciplines and with a variety of constituents as well as the ability to articulate complex information in understandable terms.
Demonstrated ability to coach and influence for results.
Strong interpersonal and conflict resolution skills with the ability to establish and maintain effective working relationships with diverse groups across and beyond the organization.
Strategic thinking and long-range planning skills with the ability to lead major organizational initiatives, accomplish results, and achieve measurable outcomes or goals.
Ability to work in challenging situations involving competing interests, and high level-interdisciplinary groups.
Excellent time management and organizational skills with the ability to manage multiple demands and respond to rapidly changing priorities.
Strong analytical and problem-solving skills.
Knowledge of Texas Medicaid (STAR, STAR Kids/CHIP) program, National Committee for Quality Assurance (NCQA), the Uniformed Managed Care Contract, and the Uniform Managed Care Manual.
Sound business acumen.
Proficient Microsoft Office and computer skills.
Responsibilities
Operations
Develops policies and procedures for an effective program integrity program that aligns with State and Federal laws.
Responsible for the discovery, validation, recovery, and adjustments of claims overpayments.
May do all or some of the following in relation to cash receipts, cash application, claim audits collections, overpayment vendor validation, and claim adjustments applicable to Medicaid, CHIP, Medicare, and Marketplace claims.
Audits paid claims for overpayments using various techniques including systems-based queries, specialized reporting, or another research.
Maintains and reconciles department reports for outstanding payments identified, collected, past-due, uncollectable, and auto-payment recoveries.
Assists with Coordination of Benefit, eligibility, DRG validation.
Responsible for complex issues such as coordination of benefits and medical policies.
Works closely with departments within the health plan to identify and correct contractual issues when applicable.
May perform collection activities to ensure the recovery of overpayments and maintenance of unprocessed cash and accounts receivable processes and all other cash applications as required.
Prepares and provides write-off documents that are deemed uncollectible, or collection efforts are exhausted for write-off approval.
Works with Finance to complete accurate and timely posting of provider and vendor refund checks and manual check requests to reimburse providers.
Examines claims for compliance with relevant billing and processing guidelines and identifies opportunities for fraud and abuse prevention and control.
Reviews and conducts analysis of claims and medical records prior to payment and uses required systems/tools to accurately document determinations and continue to next step in the claim's lifecycle.
Research new healthcare related questions as necessary to aid in investigations and stays abreast of current medical coding and billing issues, trends, and changes in laws/regulations.
Collaborates with the Special Investigation Unit and other internal areas on matters of mutual concern.
Recommends possible interventions for loss control and risk avoidance based on the outcome of the investigation.
Prepare and deliver clear, concise, and actionable reports and presentations to executive leadership.
Strategy
Leads the strategy, implementation, and oversight of programs that assure provider payments are appropriate and accurately reflect the plan's policies, provider contracts, and member benefits.
Quality
Integrates health literacy principles into all communication including Members and Providers.
Supports strategies that meet clinical, quality and network improvement goals.
Promotes the use of Health Information Technology to support and monitor the effectiveness of health and social interventions and make data-driven recommendations as needed.
For staff in clinical roles, foster collaborative relationships with members and/or providers to promote and support evidence-based practices and care coordination.
Regulatory
Develops processes to maintain compliance with regulatory agencies and accrediting bodies. Ensures operations are carried out in compliance with these regulations.
Works collaboratively with others to validate and sustain compliance with regulatory and accreditation standards.
Conducts routine compliance audits identifying gaps and implementing remediation plans as necessary.
Works collaboratively with leadership and/or PCHP Compliance to investigate and respond to matters of concern or alleged violations taking corrective action as necessary.
Provides timely and accurate responses to requests for information from regulatory agencies and accrediting bodies.
Fiscal Management and Operating Budget
Operationally responsible for the financial performance of assigned area(s).
Promote activities to achieve operational efficiency.
Manage the approved budget through frequent and regular monitoring. Implement written action plans to address variances adjusting strategies as necessary to meet budgetary targets.
Consider operational outcomes and financial implications when making recommendations to implement new programs or modify current programs.
Manage staffing levels within established targets.
Talent Management
Recruits and retain diverse talent with a variety of backgrounds, skills, experiences, and viewpoints that reflect the communities we serve.
Promotes and support a culturally welcoming, inclusive, collaborative, and highly engaged work environment where everyone feels empowered to bring their full, authentic selves to work.
Accountable for orientation, ongoing education and training, and competency verification for all employees.
Ensures Human Resource metrics (i.e., retention, vacancy, engagement) meet established targets. Utilize workforce metrics to monitor, identify, and respond to workforce trends.
Timely completion of employee performance appraisals.
Conducts regular meetings, inform team of changes in policy or procedure, and provide information regarding overall strategy and direction of the health plan.
Mentors, coach, and support direct reports with building teamwork, professional development, and education to achieve optimal performance and develop talent.
Ensures employee engagement survey participation rates and results meet established targets.
Mandatory requirements are completed timely by employees.
Required licensure, certification, and/or registry are current and in good standing for all employees.
Employee performance is monitored and managed. Consult with the Office of Talent Management as appropriate regarding employee performance concerns and disciplinary action.
Professional Accountability
Acts with the highest integrity and ethical standards while adhering to Parkland's Mission, Vision, and Values.
Adheres to organizational policies, procedures, and guidelines.
Completes assigned training, self-appraisal, and annual health requirements timely.
Adheres to hybrid work schedule requirements.
Attends required meetings and town halls.
Recognizes and communicate ethical and legal concerns through the established channels of communication.
Demonstrates accountability and responsibility by independently completing work, including projects and assignments on time, and providing timely responses to requests for information.
Maintains confidentiality at all times.
Performs other work as requested that is reasonably related to the employee's position, qualifications, and competencies.
Job Accountabilities
Identifies and analyzes the design of jobs, work processes, workflows, etc. for the area and implements appropriate changes to improve effectiveness, productivity, and efficiency that support the overall goals of PCHP.
Stays abreast of the latest developments, advancements, and trends in the field by attending seminars/workshops, reading professional journals, actively participating in professional organizations, and/or maintaining certification or licensure. Integrates knowledge gained into current work practices.
Maintains knowledge of applicable rules, regulations, policies, laws and guidelines that impact the area. Develops effective internal controls designed to promote adherence with applicable laws, accreditation agency requirements, and customer requirements. Seeks advice and guidance as needed to ensure proper understanding.
Develops and monitors annual budgets that ensure the department has the necessary funds to carry out the goals and objectives that have been established for the department.
Develops, implements, monitors, and revises annual goals and objectives for the department that support the missions and objectives of PCHP.
Selects, trains, schedules, motivates, supervises, and evaluates employees making recommendations for disciplinary actions up to and including termination, to ensure maximum utilization of individual and group capabilities. Ensures that assigned employees receive opportunities to further their knowledge.
#L1-NB1
Parkland Community Health Plan (PCHP) prohibits discrimination based on age (40 or over), race, color, religion, sex (including pregnancy), sexual orientation, gender identity, gender expression, genetic information, disability, national origin, marital status, political belief, or veteran status.
Engineering Document Controls Manager
Remote job
Circ's flexible technology is powering the clean closet and helping the fashion industry make monumental strides toward a truly circular eco-economy.
We've pioneered a technology that can recycle polycotton - what the majority of our clothes are made of - into reusable fibers. In essence: our process takes textile waste and turns it into materials that your most beloved fashion labels can use for tomorrow's clothes.
Circ is a registered B Corp Company, named one of Fast Company's Most Innovative Companies and a finalist in the Earthshot Prize. We're unafraid to tackle the hardest challenges and we set ambitious goals that ensure our hard work will make the maximum impact.
Overview
Circ is seeking a diligent and efficient seasoned Engineering Document Controls Manager to support our project team. The candidate will be responsible for performing project documentation, organizing design meetings with internal and external stakeholders, maintaining project documents, performing administrative tasks, and conducting research to assist in the successful completion of our projects.
The ideal candidate is highly organized, able to manage multiple priorities simultaneously, and has a keen eye for detail. This individual will oversee the proper filing and tracking of engineering activities and ensure all documentation complies with established quality management processes and standards.
Ideal candidate location: France
Alternative candidate locations: Belgium, Amsterdam, or London.
Requirement: Excellent verbal and written communication skills in English.
Nice to Have: Strong verbal and written communication skills in French.
Key Responsibilities
Set up and maintain the Project Document Control System (EDMS) supplied by the EPC Contractor, including live archives and storage of project information and documentation.
Monitor the EPC Contractor's Schedule Monitoring System.
Ensure all company documentation is properly filed (both hard copy and electronic), with up-to-date tracking logs.
Assist the project team in searching and retrieving documents/information in the systems.
Manage SharePoint/Teams folder structure and ensure adherence to requirements.
Provide management tools such as Status Reports, Input Audit Reports, and other monitoring reports as required by the Project Director, Construction Manager, and QA/QC Manager.
Audit site document control processes and folder structures.
Manage and update the SPV Database and EPC Database.
Monitor project progress and communicate updates to stakeholders.
Maintain a comprehensive and accurate project files.
Coordinate with project team members to ensure tasks are completed on schedule.
Recommend process and productivity improvements.
Administration
Provide administrative support throughout bid development, submission, financial close, construction, and operations.
Coordinate EPC and O&M interactions during the contract negotiation period.
Collaborate with Head of Procurement and Technical Teams to support main equipment supplier activities.
Project Trackers & Reporting
Manage the Project Deliverables List and EDMS, including:
Updating records.
Following up with responsible personnel.
Tracking timelines and deliverables.
Qualifications
Minimum of 5 years of experience in the Energy or Construction industry as a Document Controller.
Proven experience with Electronic Document Management System (EDMS).
Knowledge of document control processes, project documentation systems, and vendor interface management.
Understanding of engineering documents and project approval processes.
Experience with various filing systems.
Strong communication and interpersonal skills.
Proficiency with MS Office (Word, Excel, Outlook), Microsoft Teams, and SharePoint.
Strong attention to detail and ability to work independently.
Willingness to travel as needed.
Highly organized, self-motivated, and able to manage multiple projects and priorities effectively.
Excellent verbal and written communication skills in English (must-have).
Strong verbal and written communication skills in French (nice-to-have).
Experience with cloud technologies and proficiency in Microsoft tools preferred.
Diversity, Equity, and Inclusion at Circ
We believe an equitable and inclusive work environment and a diverse, empowered team are key to achieving our mission. We're looking for candidates who can expand our culture and challenge business as usual. We strive to foster an environment where all team members can bring their whole selves to work, by their own definition, and we strive to provide all candidates with an equitable and accessible recruitment process.
We provide equal employment opportunities to all team members and applicants for employment without regard to race, color, religion, sex, national origin, age, disability, sexual orientation, gender identity or expression, veteran status, or genetics.
In addition to federal law requirements, we comply with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities.
This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.
If we can offer accommodations for you in the recruitment process, or if you have feedback on how to make our recruiting more equitable or accessible, please let us know!
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