Business Development Executive Healthcare
Rochester, NY jobs
Location: Rochester, NY (In-person preferred; Remote option available for the right candidate) Employment Type: Full-time | Seniority Level: Executive Industry: Healthcare Staffing | Functions: Sales, Business Development, Operations
About the Role:
We are seeking a highly motivated, strategic, and results-driven Business Development Executive to join our executive sales team. As a rapidly expanding healthcare management and staffing firm, we are looking for an experienced sales executive to drive aggressive business growth, strengthen client partnerships, and spearhead the strategic expansion of the DelphiHealthcare business line in a pure "hunter" role.
This executive role will focus on identifying new business opportunities, cultivating relationships with hospital and healthcare system leadership, and executing high-level growth and operational strategies. The ideal candidate brings proven experience in healthcare staffing, possesses existing relationships with key healthcare executives, demonstrates exceptional business development leadership, and exhibits a true business ownership mentality.
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Key Responsibilities
Business Development Leadership
· Develop and implement a comprehensive business development strategy
· Lead new client acquisition and build long-term partnerships with target hospitals, health systems, clinics, and other healthcare organizations
· Represent all lines of Delphi management business, including hospitalist, emergency medicine, anesthesia, and urgent care staffing services
· Create and deliver compelling sales presentations, proposals, and marketing materials
Strategic Relationship Management
· Identify and drive opportunities for expansion within existing accounts
· Attend client meetings, conferences, and industry events to enhance company visibility
· Serve as a key liaison between executive leadership, business development, and recruiting teams
Operational Oversight
· Partner with internal teams to ensure operational excellence and fulfillment of client needs while identifying cross-selling opportunities
· Track performance, KPIs, and growth metrics across DelphiHealthcare business line
· Maintain and manage a structured sales pipeline using CRM systems for accurate forecasting of new accounts/contracts
· Document calls, emails and meetings using CRM system and maintain accurate account records/notes for active opportunities and target lists
Outreach & Market Growth
· Conduct targeted outreach including cold calling, digital prospecting, in-person visits, and strategic follow-up. Some travel required for in-person visits/cold calling
· Analyze industry trends to identify emerging markets, service lines, and competitive opportunities
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Required Qualifications
· Minimum 5 years of successful business development or sales experience in the healthcare staffing industry preferred
· Demonstrated success in generating new business, scaling operations, and managing key accounts
· Bachelor's degree required; Master's degree preferred
· Exceptional communication, negotiation, and presentation skills
· Proficiency with CRM platforms and Microsoft Office Suite
· Ability to manage multiple priorities and work cross-functionally in a fast-paced environment
· Willingness to travel up to 50%
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Work Location
· Rochester, NY office preferred
· Remote option available for highly qualified candidates with strong industry experience
Clinical Program Manager RN * Hybrid*
Wolfforth, TX jobs
Clinical Program Manager RN
Hybrid.
Candidates residing in the areas of Portland, OR, Spokane, WA or Lubbock, TX are encouraged to apply.
In collaboration with the Division Director, the Clinical Practice Manager RN supports nursing practice, quality initiatives, and clinical improvement efforts across the division. This role is responsible for leading teams in developing and implementing evidence-based nursing and clinical practices, utilizing established standards, research findings, and quality improvement principles.
Providence caregivers are not simply valued - they're invaluable. Join our team at Providence Strategic And Management Services and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.
Required Qualifications:
Bachelor's Degree: Nursing
Master's Degree: Nursing (Practice or Education)
5 years - Nursing experience in an acute care setting.
3 years - Clinical practice development, quality, or education experience.
active RN License for WA, OR or TX
Preferred Qualifications:
Ph.D.: Nursing or DNP (Doctor of Nursing Practice)
Salary Range by Location:
Oregon: Portland Service Area: Min: $59.39, Max: $93.75
Texas: Min: $45.30, Max: $71.51
Washington: Eastern: Min: $52.85, Max: $83.42
Why Join Providence?
Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.
Accepting a new position at another facility that is part of the Providence family of organizations may change your current benefits. Changes in benefits, including paid time-off, happen for various reasons. These reasons can include changes of Legal Employer, FTE, Union, location, time-off plan policies, availability of health and welfare benefit plan offerings, and other various reasons.
About Providence
At Providence, our strength lies in Our Promise of “Know me, care for me, ease my way.” Working at our family of organizations means that regardless of your role, we'll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.
The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits.
Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act."
About the Team
Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. We are focused on supporting our Mission by delivering a robust foundation of services and sharing of specialized expertise.
Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.
Requsition ID: 403508
Company: Providence Jobs
Job Category: Clinical Administration
Job Function: Clinical Support
Job Schedule: Full time
Job Shift: Day
Career Track: Nursing
Department: 4007 SS CNTRL DIV EDU ADMIN
Address: OR Portland 4400 NE Halsey St
Work Location: Providence Health Plaza (HR) Bldg 1-Portland
Workplace Type: Hybrid
Pay Range: $see posting - $see posting
The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
PandoLogic. Category:Healthcare, Keywords:Healthcare Program Manager, Location:Wolfforth, TX-79382
Sales and Purchasing Assistant
New York, NY jobs
Job DescriptionSoutheast Asia Food Group is an Asian produce and grocery distributor based in Gowanus, Brooklyn, NY. We are looking for an energetic, outgoing and self-motivated individual to join our team as a Sales and Purchasing assistant.
The Sales and Purchasing Assistant primary role will include but not limited to:
Taking and entering customer's order,
Assist in item creation in our database,
Placing order with vendors,
Calculating preferred and safety stock for all items stocked in the warehouse,
Candidate must have demonstrated in prior work experience:
Ability to communicate effectively via telephone and E-mail with customers and vendors;
Ability to work in a fast-paced team environment,
Ability to organize and handle multiple tasks.
Language requirement - Candidate must be able to communicate fluently in English, Mandarin, Cantonese, or Korean.
Education Level - Bachelor's degree in Business or related fields from an accredited institution is a plus.
The ideal candidate must be flexible to work 6 days a week and is available between 6AM to 6PM. A general work day is 8 hours a day.
Remote work is negotiable after the candidate has acquired proficiency and has met all requirements of the job.
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Ostomy Client Specialist
Spring, TX jobs
Pioneering trusted medical solutions to improve the lives we touch: Convatec is a global medical products and technologies company, focused on solutions for the management of chronic conditions, with leading positions in Advanced Wound Care, Ostomy Care, Continence Care, and Infusion Care. With more than 10,000 colleagues, we provide our products and services in around 90 countries, united by a promise to be forever caring. Our solutions provide a range of benefits, from infection prevention and protection of at-risk skin, to improved patient outcomes and reduced care costs. Convatec's revenues in 2024 were over $2 billion. The company is a constituent of the FTSE 100 Index (LSE:CTEC). To learn more please visit ****************************
Position Overview:
To provide client service support to the Account Management teams. Collect medical documentation and information to setup new clients of 180 Medical.
Key Responsibilities:
* Contact clients to set up medical supply orders
* Handle incoming phone calls from clients regarding orders & customer service issues
* Request Medicare documentation on Medicare clients
* Contacts HH agencies to coordinate sending supplies
* Make entries as appropriate in Medtrack an internal Microsoft Access database
* Place orders in Medtrack
* Change orders in Medtrack
* Support Team Supervisor on miscellaneous projects
* Obtain verbal authorization for supplies from facilities
* Suspense auditor to obtain Plan of Cares and chart notes when needed
* Verifying insurance for existing customer insurance changes
* Performs follow up phone calls to clients after initial shipment
* Verifies that client files are complete and all necessary documentation is in place
* All other duties as assigned.
Qualifications/Education:
* Must have a high school diploma, college degree preferred, not required.
* Six months to one year related experience and/or training; or equivalent combination of education and experience.
* Typing: 35-40 wpm with 40 (adjusted) highly recommended
* Possess medical administrative skills
* Good communication skills with professionals in clinics and hospitals
* Sales experience preferred
* Ability to reason, problem solve, and think outside the box
* Multi-task a variety of issues
* Good organization skills and can prioritize tasks
* Proficient in Microsoft Office programs
* Good attention to detail
* Reliable/dependable
* Flexible and adaptable to changes in environment and industry
* Team Player; work well with others
Dimensions:
Physical Demands
* Regularly required to sit, stand, walk, and occasionally bend and move about the facility.
* Infrequent light physical effort required.
* Occasional lifting up to 10 lbs.
* Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Working Conditions
* Work performed in an office environment,
Special Factors
* This role can be performed remotely.
Beware of scams online or from individuals claiming to represent Convatec
A formal recruitment process is required for all our opportunities prior to any offer of employment. This will include an interview confirmed by an official Convatec email address.
If you receive a suspicious approach over social media, text message, email or phone call about recruitment at Convatec, do not disclose any personal information or pay any fees whatsoever. If you're unsure, please contact us at ********************.
Equal opportunities
Convatec provides equal employment opportunities for all current employees and applicants for employment. This policy means that no one will be discriminated against because of race, religion, creed, color, national origin, nationality, citizenship, ancestry, sex, age, marital status, physical or mental disability, affectional or sexual orientation, gender identity, military or veteran status, genetic predisposing characteristics or any other basis prohibited by law.
Notice to Agency and Search Firm Representatives
Convatec is not accepting unsolicited resumes from agencies and/or search firms for this job posting. Resumes submitted to any Convatec employee by a third party agency and/or search firm without a valid written and signed search agreement, will become the sole property of Convatec. No fee will be paid if a candidate is hired for this position as a result of an unsolicited agency or search firm referral. Thank you.
Already a Convatec employee?
If you are an active employee at Convatec, please do not apply here. Go to the Career Worklet on your Workday home page and View "Convatec Internal Career Site - Find Jobs". Thank you!
Easy ApplyMedical Biller
Clifton Park, NY jobs
CDPHP and its family of companies are mission-driven organizations that support the health and well-being of our customers and the communities we are proud to serve. CDPHP was founded in Albany in 1984 as a physician-guided not-for-profit, and currently offers health plans in 29 counties in New York state. The company values integrity, diversity, and innovation, and its corporate culture supports those values wholeheartedly. At CDPHP, the employees have a voice and are encouraged to make an impact at both the company and community levels through engagement and volunteer opportunities. CDPHP invests in employees who share these values and invites you to be a part of that experience.
CDPHP and its family of companies include subsidiaries Strategic Solutions Management Consultants (SSMC), Practice Support Services (PSS), and ConnectRX Services, LLC.
Strategic Solutions Management Consultants (SSMC) is a full-service medical billing and practice management firm offering a comprehensive, sophisticated approach to private practice physicians, and physician and hospital networks. Strategic Solutions expertise goes beyond traditional transactional billing. Their team of consultants, coders, and billers provide critical insights for their providers.
The Medical Biller with SSMC will be responsible for providing direct billing services to their assigned clients, which may include provider offices, hospitals, and other facilities. They will act as a primary resource for billing support, submission of claims, statement management, reporting and other duties as assigned or requested. Billers are required to meet work quality and productivity standards, to ensure outstanding client service.
QUALIFICATIONS:
* High school diploma or GED required
* Minimum one (1) year of customer service experience required.
* Experience in a medical office setting strongly preferred.
* Knowledge of medical billing and/or collections preferred.
* Experience with Medent preferred.
* Experience with Microsoft Office, including Outlook, Word and Excel required.
* Must be detail-oriented with strong organizational skills.
* Demonstrated ability to pro-actively identify problems, as well as recommend and/or implement effective solutions.
* Demonstrated ability to provide excellent customer service and develop relationships both internally and externally.
* Demonstrated ability to work with and maintain confidential information.
* Excellent verbal and written communication skills.
* Flexibility to adapt to a changing and fast-paced environment.
Please note, the option to work from home is contingent on the below:
* A dedicated private workspace.
* Agreement to our telecommuting policy.
* Wired internet connection and minimum internet speeds.
Salary ranges are designed to be competitive with room for professional and financial growth. Individual compensation is based on several factors unique to each candidate, such as work experience, qualifications, and skills. Some roles may also be eligible for overtime pay.
Our compensation packages go beyond just salary. In addition to cash compensation, employees have access to award-winning health care coverage, health and flexible spending accounts, and a 401(k) plan with company match. The company also provides a generous paid time off allowance, life insurance, and employee assistance programs.
As an Equal Opportunity / Affirmative Action Employer, CDPHP does not discriminate in employment practices on the basis of race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity or expression, transgender status, age, national origin, marital status, citizenship, disability, criminal record, genetic information, predisposition or carrier status, status with respect to receiving public assistance, domestic violence victim status, protected veterans status, or any other characteristics protected under applicable law. To that end, all qualified applicants will receive consideration for employment without regard to any such protected status.
Remote Sales Manager (FIBC Bags) - $65K to $125K, Dallas, TX
Dallas, TX jobs
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.
Billing Specialist
Beacon, NY jobs
Job Description
Billing/Collections Specialist
Billing/Collection Agent
Full Time Billing / Collections Specialist
Full TIME BILLING/COLLECTIONS POSITION AVAILABLE IN FISHKILL, NY
LOOKING FOR A RELIABLE CANDIDATE!!!!!!!
HOURS: 8AM - 4:30PM Monday through Friday
Must be motivated and detail oriented.
Must have a strong background in Medicare, insurance and patient collections as well as all other aspects of billing.
THIS POSITION IS NOT A REMOTE POSITION, PLEASE CONSIDER CAREFULLY
EMAIL RESUME AND SALARY REQUIREMENTS
Job Type: Full-time
Pay: From $18.00 per hour - $25.00 per hour
Sr. Knowledge Analyst - Contact Center Content Specialist (Remote)
San Antonio, TX jobs
Description & Requirements Maximus is looking for a dynamic Senior Knowledge Analyst to serve as the dedicated Contact Center Content Specialist (CCCS). In this pivotal role, you'll collaborate closely with government and internal teams to identify content gaps, drive improvements, and ensure that agents are equipped with clear, effective, and bilingual resources.
*Position is contingent upon contract award*
This is a fully remote role.
Must have the ability to pass a federal background check.
Remote Position Requirements:
- Hardwired internet (ethernet) connection
- Internet download speed of 25mbps and 5mbps (10 preferred) upload or higher required (you can test this by going to ******************
- Private work area and adequate power source
Essential Duties and Responsibilities:
- Build and maintain knowledge base in SharePoint.
- Build document management processes and procedures.
- Assess knowledge base needs, inaccuracies, gaps; work quickly to resolve and make content current.
- Work cross-functionally with internal teams for maximum efficiency and accuracy in documentation content.
- Create hierarchy and ownership structure to sustain knowledge management.
- Empower contributions from key stakeholders to improve the knowledge base.
- Design and implement work flows to manage documentation process.
- Establish standard templates for all documentation for the teams to utilize in document creation.
- Collaborate with and support the Implementation Team to tune and evolve our Knowledge Base.
- Create, promote and apply best practices for writing, style and content in Microsoft style.
- Create training material in support of the Knowledge management process.
- Improve search results by honing and maintaining the knowledge base taxonomy, labels list and ensuring symptoms and subject terms are present in each article.
- Utilize SharePoint knowledge for site management, list creation, workflow creation/modification and document management within SharePoint.
• Coordinate with client content teams, and the Senior Training Manager to identify and address content gaps specific to contact center operations.
• Serve as a bilingual subject matter expert (English and Spanish) for contact center content development.
• Support the creation and refinement of training materials for contact center agents.
• Draft monthly action and improvement reports with recommendations on knowledge content, quality, customer satisfaction, and training materials.
• Represent the contact center perspective in content-related discussions and decisions.
• Work extensively with business partners and SMEs to perform knowledge needs analysis, develop and update training and knowledge resources that meet staff and stakeholder needs and organizational quality standards.
• Manage and develop knowledge articles, chat quick text scripts and email templates.
• Conduct audits of knowledge articles and procedures to ensure accuracy and relevance.
• Identify emerging contact center trends and coordinate content updates to address urgent needs.
• Collaborate with client content teams to create, update, and review contact center-specific content.
• Serve as a subject matter expert for assigned customer agencies.
• Salesforce and SharePoint experience preferred.
• Call center knowledge and experience preferred.
Minimum Requirements
- Bachelor's degree with 5+ years of experience.
- Advanced degree or professional designation preferred.
- Develops solutions to a variety of complex problems.
- Work requires considerable judgment and initiative.
- Exerts some influence on the overall objectives and long-range goals of the organization.
• Developing website content experience
• Self-motivated and able to work independently
EEO Statement
Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Annual salary is just one component of Maximus's total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards. Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off. Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience. An applicant's salary history will not be used in determining compensation. Maximus will comply with regulatory minimum wage rates and exempt salary thresholds in all instances.
Accommodations
Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at **************************.
Minimum Salary
$
65,000.00
Maximum Salary
$
85,200.00
Easy ApplyCare Manager III - Full Time/Partially Remote Schedule
Utica, NY jobs
Full-time Description
Job Title: Care Manager (Level 3)
Job Category: 9 - Service Worker
Department/Group: Care Management Agency
Travel Required: Yes
Level/Salary Range: NE3 Min $19.18 - Max $30.69
Salary determined by experience and education.
Position Type: Full-Time / Part-Time, Non Exempt, 35 Hours a Week
Position Summary:
The Care Manager conducts and schedules assessments, referrals, advocacy and supports, counseling, education of patients and enrollees and care team members assuring the patient receives quality services to maintain optimum healthcare needs without barriers.
ROLE AND RESPONSIBILITIES:
Activities include but are not limited to the following:
Outreach and engagement to formally enroll referred individuals into the care management program.
Conduct assessments, evaluates needs, establishes and maintains care plan and maintains referrals for enrollees.
Assures supports are in place inclusive of peer and family contacts.
Develops Interim Plan of Care based on preliminary clinical information and assigned level that will identify linkages and services immediately required, based on information received from referral sources if applicable.
Ensures all initial linkages are established and maintained.
Collaborates with all service providers and establishes team communication plan.
Monitor goals on a continuing basis and that team is communicating.
Monitors that care plan is relevant to health home policies and procedures.
Consults with family members and social supports to maintain support consistency.
Advocates for additional services and linkages as appropriate.
Maintains current care management documentation and information regarding care management activities within the required health information technology (HIT) system.
Ensure compliance with all pertinent government and agency regulations and operating standards, including maintaining all required documentation and applicable databases.
All other duties as assigned.
Requirements
QUALIFICATIONS / EDUCATION / EXPERIENCE REQUIREMENTS
A Bachelor's degree in one of the following fields listed: a major or concentration in social work, psychology, nursing, rehabilitation, education, occupational therapy, physical therapy, recreational therapy, counseling, community mental health, child and family studies, sociology, speech and hearing or other related human services field; and two years of experience In providing direct services to people with Serious Mental Illness, Developmental Disabilities, or Substance Use Disorder; OR in linking individuals with Serious Mental Illness, Developmental Disabilities, or Substance Use Disorders to a broad range of services essential to successful living in a community setting (i.e. medical, psychiatric, social, educational, legal, housing and financial services); OR
A NYS teacher's certificate for which a bachelor's degree is required; OR NYS licensure and registration as a Registered Nurse and a bachelor's degree; OR A Bachelor's level education or higher in any field with five years of experience working directly with persons with behavioral health diagnoses; OR A Credentialed Alcoholism and Substance Abuse Counselor (CASAC); OR A Master's Degree in one of the qualifying education fields may be substituted for one year of experience.
Basic Computer Skills (Windows, Outlook, Word, Excel)
Travel is required. Must have a valid NYS Driver's License.
Competencies and experiences necessary include customer service orientation, diplomacy, diversity, flexibility, follow through, informing others, safety orientation, reliability and consistency, written communication and cooperation and teamwork, listening skill, optimism, quality orientation, analytical thinking.
Applies and actively shares knowledge, expertise and best practices with team
Behavior supports the mission, core values and objectives of the organization.
Displays flexibility and openness in daily work and encourages others to stay open to change and improvement.
Accepts and readily adapts to changing priorities, new ideas, strategies, procedures and methods.
Demonstrates and promotes respect toward coworkers and adapts behaviors to work effectively with varying people and situations.
Accumulates all relevant information prior to making job-related decisions.
Presents well-considered alternatives when making recommendations.
Makes decisions in a timely manner.
Represents the organization and its network of providers by displaying a respectful and caring manner with clients and their families.
Addresses all client concerns in a timely and efficient manner and reports any complaints to their immediate supervisor or the Director of Health Home Operations for resolution.
Complies with quality assurance, OSHA, HIPAA, infection control, safety and other policies set forth.
This position has the potential for regular and substantial contact with health home enrollees under age 21 and must satisfactorily pass a Criminal History Record Check (including fingerprinting), State Registered Clearance, Mandated Reporter Training, and Staff Exclusion List.
WORK ENVIRONMENT / HAZARDS
Job related tasks do not involve exposure or potential exposure to blood, body fluids, or tissue and Category I tasks are not a condition of employment. May have exposure to unpredictable individuals and situations when working at CNYHHN sites, its affiliates or the community.
OSHA Exposure Category III
PHYSICAL DEMANDS
Certain deadlines and unanticipated developments may require work during evenings, weekends.
Ability to quickly address any emergent issues without losing focus on task at hand.
The employee must have full sight and hearing with fluency in the English language. While performing the duties of this job, the employee is regularly required to talk or hear.
The employee frequently is required to stand, walk and sit. Must be able to sit for long periods of time.
Constantly operates a computer and other office productivity machinery, such as a copy machine, scanner, computer printer, etc.
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the position without compromising work-flow and efficiency.
Benefits:
Health Insurance
Voluntary Insurance Options
Paid Time Off
Paid Sick Leave
Dental Insurance
Vision Insurance
Pet Insurance
Life Insurance
Retirement Plan
Employee Assistance Program
Flexible Schedule
Flexible Spending Account
Other
WORK CONTACT GROUP
All staff, individuals at sites, visitors, family members, vendors, various county mental health services, various regulatory and professional agencies. There is daily contact with outside providers.
SUPERVISED BY: Program Manager / Project Manager
SUPERVISES:
None
Acknowledgement
I have received, reviewed and fully understand the job description for Care Manager (Level 3). I further understand that I am responsible for the satisfactory execution of the essential functions described therein, under any and all conditions as described.
Salary Description $19.18 hour - Max $30.69 hour
Assoc. Medical Director - Remote
Dallas, TX jobs
Are you looking for a career that offers both purpose and the opportunity for growth? At Parkland Community Health Plan (PCHP), we are united by a mission to provide high-quality, affordable care to those who need it most. Whether your expertise is in healthcare administration, support services, or direct care, everyone at PCHP plays a vital role in improving the health and well-being of individuals and families in our community. Since 1999, we've been dedicated to extending the Parkland Health mission by providing services to Texas STAR Medicaid and Children's Health Insurance Program (CHIP) recipients across Dallas and surrounding counties. With the support of local leaders, we've built a healthcare network where over 9,000 doctors and specialists make affordable, accessible care available to those in need. Our focus is not only on healthcare but on empowering members to live healthier lives by addressing social needs like transportation, housing, and food insecurity. 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
Oversees medical coordination required for effective utilization and quality management of the health plan network. Supports the clinical activities of PCHP Utilization Management, Quality Management, Clinical Policy, Technology Assessment, Credentialing, Population Health and Fraud, Waste and Abuse Functions to assure comprehensive, high quality health care to plan members in accordance with managed care and PCHP policies. Monitors clinical care needed to produce optimal health outcomes and cost-effective care.
Minimum Specifications
Education
- Must have successfully completed an Accreditation Council for Graduate Medical Education (ACGME) or American Medical Association (AMA) approved residency in an appropriate specialty to the PCHP population.
- Master's degree in business administration, healthcare administration, or a related discipline preferred.
Experience
- At least five (5) years of clinical practice experience in a specialty relevant to the care of PCHP members.
- Experience in the development of medical policies, procedures and programs is preferred.
- Qualifications to perform clinical oversight for the services provided by the health plan to include but not limited to education, training or professional experience in medical or clinical practice preferred.
- Past participation in a managed care UM committee preferred.
- Peer Review, medical policy/procedure development experience preferred.
- Experience in Utilization/Quality Program management preferred.
Certification/Registration/Licensure
- Must be currently licensed for the practice of medicine in the State of Texas.
- Must meet and maintain licensing and registration requirements as required by the State of Texas for Managed Care Medical Directors.
- Board certification in the relevant specialty preferred
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.
- Working knowledge of managed care principles and Texas Medicaid Regulations is preferred.
- Must understand and demonstrate knowledge of principles of care coordination and collaboration, population health and social determinants of health, clinical evaluation of evidence-based care and value based purchasing.
- Must be familiar with the role of pharmacy and behavioral health in managing health care.
- Ability to apply medical knowledge and principles to business challenges in order to achieve significant member, business, and quality outcomes.
- 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
Reviews prior authorization, concurrent, and pre-service and post-service appeals request for medical necessity and resolves grievances related to medical quality of care.
Participates in identification and analysis of process improvement of jobs design, work processes, and workflows for the clinical area and implements appropriate changes to improve effectiveness, productivity, and efficiency that support the overall goals of the managed care delivery system and PCHP.
Facilitates conformance to Medicaid, NCQA and other regulatory requirements.
Provides clinical oversight for utilization management, disease management and quality management activities as assigned by the PCHP Chief Medical Officer or Medical Director including participation in development of medical policies and procedures for coverage and authorization and clinical standards and guidelines based on evidence-based medicine. As assigned by the Chief Medical Officer or Medical Director, serves as chairperson or member of managed care committees, and participates on various community and interdisciplinary committees.
Performs peer to peer calls as necessary to support the utilization management process.
Strategy
Assists the Chief Medical Officer or Medical Director in oversight, evaluation, and administration of the clinical aspects of PCHP fraud, waste and abuse programs.
Assists the Chief Medical Officer or the Medical Director and the Pharmacy Director of PCHP in overseeing and administering the pharmacy benefit for PCHP members including coordination of care between the Medical and Pharmacy benefits.
Analyzes data to establish health care provider profiles and define acceptability of physician performance and evaluates the effectiveness of UM practices by actively monitoring for over and under-utilization.
Participates in development, implementation, and monitoring of annual goals and objectives for PCHP that support the mission and objectives of Parkland.
Participates in assessment of existing education programs offered to providers and members, developing and evaluating such programs, and provides implementation support for Quality Improvement activities.
Quality
Integrate health literacy principles into all communication including Members and Providers.
Support strategies that meet clinical, quality and network improvement goals.
Promote 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
Develop processes to maintain compliance with regulatory agencies and accrediting bodies. Ensures operations are carried out in compliance with these regulations.
As assigned by the Chief Medical Officer or Senior Medical Director, assists in representing PCHP on clinical activities with relevant State and local bodies such as the Texas Department of Insurance, Texas Health and Human Services Commission, and Texas Medical Association
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
Promote activities to achieve operational efficiency.
Consider operational outcomes and financial implications when making recommendations to implement new programs or modify current programs.
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
dentifies and analyzes the design of jobs, work processes, work flows, etc. for the area and implements appropriate changes to improve effectiveness, productivity, and efficiency that support the overall goals of the department and Parkland.
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 federal, state, and private health plans. 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 Parkland.
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.
Collection Specialist
Frisco, TX jobs
Full-time Description
Soleo Health is seeking a Collection Specialist to support our Specialty Infusion Pharmacy and work Remotely (USA). Join us in Simplifying Complex Care!
Home infusion therapy experience required.
Soleo Health Perks:
Competitive Wages
Flexible schedules
401(k) with a match
Referral Bonus
Annual Merit Based Increases
No Weekends or Holidays!
Affordable Medical, Dental, and Vision Insurance Plans
Company Paid Disability and Basic Life Insurance
HSA and FSA (including dependent care) options
Paid Time Off!
Education Assistant Program
The Position:
The Collection Specialist is responsible for a broad range of collection processes related to medical accounts receivable in support of multiple site locations. The Collections Specialist will proactively work assigned accounts to maximize accurate and timely payment. Responsibilities include:
Researches all balances on the accounts receivable and takes necessary collection actions to resolve in a timely manner
Researches assigned correspondence; takes necessary action to resolve requests
Routinely reviews and works correspondence folder requests in a timely manner
Makes routine collection calls on outstanding claims
Identifies billing errors, short payments, unpaid claims, cash application issues and resolves accordingly
Ability to identify potential risk, write offs and status appropriately and report and escalate to management on as identified
Researches refund requests received by payers and statuses refund according to findings
Documents detailed notes in a clear and concise fashion in Company software system
Identifies issues/trends and escalates to Manager when assistance is needed
Provides exceptional Customer Service to internal and external customers
Ensures compliance with federal, state, and local governments, third party contracts, and company policies
Must be able to communicate well with branch, management, patients and insurance carriers
Ability to perform account analysis when needed
Answering phones/taking patient calls regarding balance questions
Using portals and other electronic tools
Ensure claims are on file after initial submission
Identifies, escalates, and prepares potential payor projects to management and company Liaisons
Write detailed appeals with supporting documentation
Keep abreast of payor follow up/appeal deadlines
Submits secondary claims
Schedule:
M-F 830am-5pm
Requirements
Previous Home Infusion and Specialty Pharmacy experience required
1-3 years or more of strong collections experience
High school diploma or equivalent; an associate degree in finance, accounting, or a related field is preferred
Knowledge of HCPC coding and medical terminology
CPR+ systems experience preferred
Excellent math and writing skills
Excellent interpersonal, communication and organizational skills
Ability to prioritize, problem solve and multitask
Word, Excel and Outlook experience
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.
Keyword: accounts receivable, collection, specialty pharmacy, now hiring, hiring immediately
Salary Description $19-$23 Per Hour
Client Relationship Manager
Austin, TX jobs
Cardinal Health Sonexus Access and Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and remain on the therapy they need for a better quality of life. Our diverse expertise in pharma, payer and hub services allows us to deliver best-in-class solutions-driving brand and patient markers of success. We're continuously integrating advanced and emerging technologies to streamline patient onboarding, qualification and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas, Texas, empowering manufacturers to rethink the reach and impact of their products.
**Together, we can get life-changing therapies to patients who need them-faster.**
**_Responsibilities_**
+ Responsible for regularly reviewing weekly, monthly & quarterly - program activities with the client.
+ Attend all program and client meetings, takes detailed meeting notes during client interactions and internal strategy sessions, ensuring all key points and decisions are documented.
+ Monitors all program's activities and IT projects associated with the program
+ Includes setting due dates and responsible parties
+ Follows up on action items from meetings, ensuring that responsibilities are clear, and deadlines are met
+ Regular reporting out of all program's activities
+ Solicit feedback from the activity/task owners on sub-tasks
+ Maintain up-to-date activity timeline, articulate progresses and delays
+ Develops and manages activities timelines to ensure all deliverables are completed on schedule.
+ Obtain consensus for activities risks, decisions and closures
+ Coordinates cross-functional teams to ensure alignment and timely completion of tasks related to program activities.
+ Facilitates communication between internal teams and external clients to ensure all activities objectives are understood and met.
+ Escalate delayed activities to program's leadership
+ If activity owners are missing deadlines consistently and/or are unresponsive.
+ Managing contract amendments and project change requests for the client.
+ Coordinates customer interactions with internal & external partners to meet the evolving business needs of the client.
+ Responsible for sharing and presenting current and future program expectations during weekly meetings with client leadership in addition to Quarterly Business Review meetings with client's Access and Marketing teams.
+ Manages client access to internal applications including client-facing data reports and data streams with 3rd party vendors.
+ Oversee daily operations and ensure alignment with client expectations and internal standards
+ Supports audits and regulatory reviews as needed
+ Ensure financial billing accuracy
+ Contact healthcare professionals for clarifications and information as needed
**_Qualifications_**
+ Min 5 years related client services experience, preferred
+ Min 5 years' experience in managing complex program activities with high accountability, preferred
+ Bachelor's degree preferred
+ Ability to travel - less than 25%
+ Proven product knowledge in business area
+ Licensed pharmacy technician in Texas preferred
**_What is expected of you and others at this level_**
+ Applies advanced knowledge and understanding of concepts, principles, and technical capabilities to manage a wide variety of program activities.
+ Own and develop tracking tools to achieve specific program management goals and activities.
+ Create and participate in recurring business review presentations
+ Recommends new practices, processes, metrics, or models
+ Projects may have significant and long-term impact
+ Provides solutions which may set precedent
+ Independently determines method for completion of new projects
+ Receives guidance on overall project objectives
+ Acts as a mentor to less experienced colleagues
**TRAINING AND WORK SCHEDULES:** Your new hire training will take place 8:00am-5:00pm CT, mandatory attendance is required.
This position is full-time (40 hours/week). Employees are required to have flexibility to work any of our shift schedules during our normal business hours of Monday-Friday, 7:00am- 7:00pm CT.
**REMOTE DETAILS:** You will work remotely, full-time. It will require a dedicated, quiet, private, distraction free environment with access to high-speed internet. We will provide you with the computer, technology and equipment needed to successfully perform your job. You will be responsible for providing high-speed internet. Internet requirements include the following:
Maintain a secure, high-speed, broadband internet connection (DSL, Cable, or Fiber) at the remote location. Dial-up, satellite, WIFI, Cellular connections are NOT acceptable.
+ Download speed of 15Mbps (megabyte per second)
+ Upload speed of 5Mbps (megabyte per second)
+ Ping Rate Maximum of 30ms (milliseconds)
+ Hardwired to the router
+ Surge protector with Network Line Protection for CAH issued equipment
**Anticipated salary range:** $80,900.00 - $92,400.00
**Bonus eligible:** No
**Benefits:** Cardinal Health offers a wide variety of benefits and programs to support health and well-being.
+ Medical, dental and vision coverage
+ Paid time off plan
+ Health savings account (HSA)
+ 401k savings plan
+ Access to wages before pay day with my FlexPay
+ Flexible spending accounts (FSAs)
+ Short- and long-term disability coverage
+ Work-Life resources
+ Paid parental leave
+ Healthy lifestyle programs
**Application window anticipated to close:** 1/19/2026 *if interested in opportunity, please submit application as soon as possible.
The salary range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity.
_Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply._
_Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal_ _Opportunity/Affirmative_ _Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law._
_To read and review this privacy notice click_ here (***************************************************************************************************************************
Medical Invoicing Specialist
Houston, TX jobs
Job Title: Invoicing Specialist Job Type: Full-Time, Hybrid Schedule Reports To: A/R Manager
Pay: $19.00 - $20.00 per hour. Benefits: Full-time employees are eligible for competitive benefits, including health/vision/dental, 3 weeks PTO, 9 paid holidays, and a matching 401k plan.
Schedule: Monday - Friday, 8:00 AM to 5:00 PM. Ability to WFH Mondays and Fridays after 90-day probationary period.
Job Summary:
We are on the hunt for a detail-savvy, invoice-wrangling guru to join our team as an invoicing specialist.
Your mission (should you choose to accept it):
Tame the data monster: Navigate through mountains of data like a pro, organizing, analyzing, and mastering data sets.
Invoice with Flair: Ensure every invoice is accurate, timed to perfection, and compliant, because precision + speed = 💰 efficiency!
Champion the AR Cycle: You'll play a vital role in making sure payments flow smoothly, keeping cash flow fabulous for everyone.
Detail Detective: You catch tiny inconsistencies before anyone else sees them (your eagle eye keeps us on point).
A “BIG picture” visionary: You're someone who steps back to see how invoicing fits into the greater business narrative: anticipating trends, suggesting smarter workflows, and always thinking about the “why” beyond line items.
Why you will love it here:
We are a mission-driven company where we put people over profits. Patients are 100% our purpose!
Love spreadsheets? You'll get a front row seat to organized chaos (your everyday playground).
Your work fuels our business! Each clean invoice helps the company thrive, so your impact will be felt everywhere.
Every day is a new challenge, every entry a new clue. You're the Sherlock Holmes of Skilled Nursing Facility (AKA: SNF) invoicing.
You will work alongside a small team that appreciates your expertise and celebrates your victories.
Who you basically are:
A detail-obsessed spreadsheet nerd (in the best way).
A finance-savvy individual with SNF or healthcare invoicing experience.
A cross-checking marvel who knows how to catch, reflect, and correct.
A master of efficiency (your organizational skills are next level).
Feeling called to transform SNF billing into a smooth, well-oiled machine? If organizing data and crafting precision perfect invoices lights you up, we can't wait to meet you!
Key Responsibilities:
Census retrieval and some interpretation.
Ad hoc reporting from LIMS (Laboratory Information Management System) to retrieve raw data and build reports.
Prepare and upload CSV and Standard Driver sheets into LIMS and RCM software.
Prepare and submit invoices for diagnostic services to skilled nursing facilities (SNF) and other contracted clients according to contract terms.
Collaborate with internal team members and SNF administrators, admissions teams, and finance staff to resolve billing discrepancies.
Assist in month-end closing activities, including invoice reconciliation and AR reporting.
Identify and implement process improvements for invoicing efficiency and accuracy.
Manage shared email inbox.
Other duties as assigned by management.
Qualifications:
Proficiency in Microsoft Excel (intermediate to advanced) and Outlook.
Excellent attention to detail and problem-solving skills.
Ability to meet deadlines, demonstrate urgency, prioritize tasks, and work both independently and collaboratively.
Strong verbal and written communication skills.
Preferred Qualifications:
Knowledge of HIPAA and healthcare compliance standards.
Experience working with multi-facility organizations or third-party billing companies.
2+ years billing/invoicing experience, preferably in a Skilled Nursing Facility, long-term care, or healthcare setting.
1+ years working in a LIS or LIMS. (Laboratory Information System)
Familiarity with applicable Skilled nursing facility (SNF) billing systems (e.g., PointClickCare, MatrixCare, Netsmart, or similar).
Bachelor's degree.
We are an Equal Opportunity Employer and are committed to providing reasonable accommodations to individuals with disabilities. If you require accommodations during the application or interview process, please contact ***********************.
Monday-Friday 8:00am-5:00pm; 1 Sunday a month for month-end support
Ability to work from home after 90 days on Monday & Friday
Works within the company's corporate office
Auto-ApplySr. Knowledge Analyst - Contact Center Content Specialist (Remote)
Rochester, NY jobs
Description & Requirements Maximus is looking for a dynamic Senior Knowledge Analyst to serve as the dedicated Contact Center Content Specialist (CCCS). In this pivotal role, you'll collaborate closely with government and internal teams to identify content gaps, drive improvements, and ensure that agents are equipped with clear, effective, and bilingual resources.
*Position is contingent upon contract award*
This is a fully remote role.
Must have the ability to pass a federal background check.
Remote Position Requirements:
- Hardwired internet (ethernet) connection
- Internet download speed of 25mbps and 5mbps (10 preferred) upload or higher required (you can test this by going to ******************
- Private work area and adequate power source
Essential Duties and Responsibilities:
- Build and maintain knowledge base in SharePoint.
- Build document management processes and procedures.
- Assess knowledge base needs, inaccuracies, gaps; work quickly to resolve and make content current.
- Work cross-functionally with internal teams for maximum efficiency and accuracy in documentation content.
- Create hierarchy and ownership structure to sustain knowledge management.
- Empower contributions from key stakeholders to improve the knowledge base.
- Design and implement work flows to manage documentation process.
- Establish standard templates for all documentation for the teams to utilize in document creation.
- Collaborate with and support the Implementation Team to tune and evolve our Knowledge Base.
- Create, promote and apply best practices for writing, style and content in Microsoft style.
- Create training material in support of the Knowledge management process.
- Improve search results by honing and maintaining the knowledge base taxonomy, labels list and ensuring symptoms and subject terms are present in each article.
- Utilize SharePoint knowledge for site management, list creation, workflow creation/modification and document management within SharePoint.
• Coordinate with client content teams, and the Senior Training Manager to identify and address content gaps specific to contact center operations.
• Serve as a bilingual subject matter expert (English and Spanish) for contact center content development.
• Support the creation and refinement of training materials for contact center agents.
• Draft monthly action and improvement reports with recommendations on knowledge content, quality, customer satisfaction, and training materials.
• Represent the contact center perspective in content-related discussions and decisions.
• Work extensively with business partners and SMEs to perform knowledge needs analysis, develop and update training and knowledge resources that meet staff and stakeholder needs and organizational quality standards.
• Manage and develop knowledge articles, chat quick text scripts and email templates.
• Conduct audits of knowledge articles and procedures to ensure accuracy and relevance.
• Identify emerging contact center trends and coordinate content updates to address urgent needs.
• Collaborate with client content teams to create, update, and review contact center-specific content.
• Serve as a subject matter expert for assigned customer agencies.
• Salesforce and SharePoint experience preferred.
• Call center knowledge and experience preferred.
Minimum Requirements
- Bachelor's degree with 5+ years of experience.
- Advanced degree or professional designation preferred.
- Develops solutions to a variety of complex problems.
- Work requires considerable judgment and initiative.
- Exerts some influence on the overall objectives and long-range goals of the organization.
• Developing website content experience
• Self-motivated and able to work independently
EEO Statement
Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Annual salary is just one component of Maximus's total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards. Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off. Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience. An applicant's salary history will not be used in determining compensation. Maximus will comply with regulatory minimum wage rates and exempt salary thresholds in all instances.
Accommodations
Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at **************************.
Minimum Salary
$
65,000.00
Maximum Salary
$
85,200.00
Easy ApplyPrincipal Product Manager, Care Services
New York, NY jobs
About the Principal Product Manager, Care Services at Headspace:
We are seeking a highly strategic and experienced Principal Product Manager, Care Services to define and execute the product strategy for our full spectrum of clinical and subclinical telehealth services. This critical role will focus on creating best-in-class mobile application experiences for members accessing care (including coaching, therapy, and psychiatry) and building the essential provider companion tools that ensure high-quality, efficient care delivery. You will be the product leader responsible for connecting the mobile experience-from initial clinical assessment and provider matching-to the seamless functionality of the tools our clinicians use daily. This role requires a unique blend of product management excellence, deep understanding of both consumer mobile UX and internal healthcare workflows, and a commitment to clinical efficacy and compliance. At Headspace, product leaders are expected to model experimentation with purpose, share feedback with care, and a deep commitment to the member journey. This role will require not only executional excellence, but courage, clarity, and curiosity to build what's next in mental health.
What you will do:
As a Principal Product Manager, Care Services, you will be responsible for a variety of tasks crucial to the success of Headspace's clinical offering. Your day-to-day responsibilities will include:
Mobile Member Experience (UX) Ownership:
Define and own the product roadmap for the member-facing mobile app experience, focusing on key user journeys such as: clinical assessments (intake and outcomes monitoring), provider matching/triage, and session booking/scheduling across coaching, therapy, and psychiatry.
Optimize the experience to reduce friction in accessing care, increase member engagement with their care plan, and drive adherence to scheduled virtual sessions.
Provider Companion Tools:
Spearhead the strategy and delivery of internal provider companion tools that integrate with the member experience to enable high-quality care.
Focus on features like secure communication, in-session support, and post-session follow-up tracking to ensure providers have the necessary tools
alongside
their primary EMR/EHR system.
Cross-Platform Delivery:
Ensure the seamless technical and user-experience handoff between the member's mobile app experience and the provider's tools for virtual session delivery and post-session actions.
Clinical Efficacy & Compliance:
Partner with Clinical Operations, Legal, and Compliance teams to integrate evidence-based practices and ensure all digital experiences meet rigorous standards for HIPAA/privacy compliance, security, and clinical integrity.
Integration & Architecture:
Manage product requirements for integrating the mobile app and provider tools with core backend systems (e.g., scheduling platforms, telehealth video services) to ensure scalability and reliability.
Data-Driven Optimization:
Define and rigorously track key engagement, operational, and clinical metrics (e.g., Assessment Completion Rate, Time-to-First-Session, Provider Tool Usage, Session Adherence) to inform product iteration.
What you will bring:
To excel in this role, you should possess a strong foundation in both digital product management and the complexities of the healthcare delivery system.
Required Skills:
7+ years of experience in Product Management, with at least 2+ years focused specifically on digital health, telehealth, or clinical products.
Proven experience building and optimizing two-sided platforms (serving both consumer/member mobile apps and professional/provider tools).
Deep functional understanding of clinical or highly regulated workflows (e.g., patient intake, scheduling, documentation).
Strong knowledge of healthcare regulations, including HIPAA and patient data privacy requirements.
Exceptional strategic thinking, communication, and influence skills across highly technical, design, and clinical stakeholder groups.
Preferred Skills:
Prior experience with Electronic Health Records (EHR) systems or defining integration requirements.
Familiarity with clinical outcomes measures (e.g., PHQ-9, GAD-7) and quality reporting.
Experience working in a complex, high-growth consumer technology environment.
Location: We are currently hiring this role in San Francisco (hybrid), New York City (remote) and Seattle (remote). Candidates must permanently reside in the US full-time and be based in these cities.
For candidates with a primary residence in the greater SF area, this role will follow our hybrid model. You'll work 3 days per week from our office, allowing for impactful in-office collaboration and connection, while enjoying the flexibility of remote work for the rest of the week. Your recruiter will share more details about our hybrid model.
Pay & Benefits:
The anticipated new hire base salary range for this full-time position is $162,000 - $258,700 + equity + benefits.
Our salary ranges are based on the job, level, and location, and reflect the lowest to highest geographic markets where we are hiring for this role within the United States. Within this range, individual compensation is determined by a candidate's location as well as a range of factors including but not limited to: unique relevant experience, job-related skills, and education or training.
Your recruiter will provide more details on the specific salary range for your location during the hiring process.
At Headspace, base salary is but one component of our Total Rewards package. We're proud of our robust package inclusive of: base salary, stock awards, comprehensive healthcare coverage, monthly wellness stipend, retirement savings match, lifetime Headspace membership, generous parental leave, and more. Additional details about our Total Rewards package will be provided during the recruitment process.
About Headspace
Headspace exists to provide every person access to lifelong mental health support. We combine evidence-based content, clinical care, and innovative technology to help millions of members around the world get support that's effective, personalized, and truly accessible whenever and wherever they need it.
At Headspace, our values aren't just what we believe, they're how we work, grow, and make an impact together. We live them daily: Make the Mission Matter, Iterate to Great, Own the Outcome, and Connect with Courage. These values shape our decisions, guide our collaborations, and define our culture. They're our shared commitment to building a more connected, human-centered team-one that's redefining how mental health care supports people today and for generations to come.
Why You'll Love Working Here:
A mission that matters-with impact you can see and feel
A culture that's collaborative, inclusive, and grounded in our values
The chance to shape what mental health care looks like next
Competitive pay and benefits that support your whole self
How we feel about Diversity, Equity, Inclusion and Belonging:
Headspace is committed to bringing together humans from different backgrounds and perspectives, providing employees with a safe and welcoming work environment free of discrimination and harassment. We strive to create a diverse & inclusive environment where everyone can thrive, feel a sense of belonging, and do impactful work together.
As an equal opportunity employer, we prohibit any unlawful discrimination against a job applicant on the basis of their race, color, religion, gender, gender identity, gender expression, sexual orientation, national origin, family or parental status, disability*, age, veteran status, or any other status protected by the laws or regulations in the locations where we operate. We respect the laws enforced by the EEOC and are dedicated to going above and beyond in fostering diversity across our workplace.
*Applicants with disabilities may be entitled to reasonable accommodation under the terms of the Americans with Disabilities Act and certain state or local laws. A reasonable accommodation is a change in the way things are normally done which will ensure an equal employment opportunity without imposing undue hardship on Headspace.
Please inform our Talent team by filling out
this form
if you need any assistance completing any forms or to otherwise participate in the application or interview process.
Headspace participates in the
E-Verify Program
.
Privacy Statement
All member records are protected according to our . Further, while employees of Headspace (formerly Ginger) cannot access Headspace products/services, they will be offered benefits according to the company's benefit plan. To ensure we are adhering to best practice and ethical guidelines in the field of mental health, we take care to avoid dual relationships. A dual relationship occurs when a mental health care provider has a second, significantly different relationship with their client in addition to the traditional client-therapist relationship-including, for example, a managerial relationship.
As such, Headspace requests that individuals who have received coaching or clinical services at Headspace wait until their care with Headspace is complete before applying for a position. If someone with a Headspace account is hired for a position, please note their account will be deactivated and they will not be able to use Headspace services for the duration of their employment.
Further, if Headspace cannot find a role that fails to resolve an ethical issue associated with a dual relationship, Headspace may need to take steps to ensure ethical obligations are being adhered to, including a delayed start date or a potential leave of absence. Such steps would be taken to protect both the former member, as well as any relevant individuals from their care team, from impairment, risk of exploitation, or harm.
For how how we will use the personal information you provide as part of the application process, please see: ******************************************
Auto-ApplyAccess Services Scheduling Specialist- HYBRID
College Station, TX jobs
The Scheduling Specialist under general supervision and in accordance with established procedures, schedules outpatient diagnostic procedures including but not limited to radiology and imaging procedures, validates outpatient orders, and captures patient demographic and insurance information.
**ESSENTIAL FUNCTIONS OF THE ROLE**
Contacts patients or providers for outpatient diagnostic procedures.
Contacts patients to schedule outpatient diagnostic procedures.
Collects patient demographic and insurance information during scheduling phone call with provider or patient.
Validates insurance is in network with the provider.
Compiles patient information such as diagnosis, reason for procedure, medications, allergies and other applicable information prior to scheduled procedure.
Monitors inbound orders process to ensure orders are validated and routed appropriately to ensure patients are contacted timely to schedule procedure.
Contacts department affected by schedule adjustments to ensure patient is prepared and necessary personnel and equipment are available.
Responsible for meeting telephone system metrics and any other productivity standards set by the department to include length of call, length of answer time, and number of calls taken within a specific period.
**KEY SUCCESS FACTORS**
Must consistently meets performance standards of production, accuracy, completeness and quality.
Requires good listening, interpersonal and communication skills, and professional, pleasant and respectful telephone etiquette.
Ability to maintain a professional demeanor in a highly stressful and emotional environment, behavioral health and suffering patients in addition to life/death situations.
Must be able to exhibit a high level of empathy with the ability to effectively communicate with patients and family members during traumatic events, while demonstrating exceptional customer service skills.
Demonstrates ability to manage multiple, changing priorities in an effective and organized manner.
Excellent data entry, numeric, typing and computer navigational skills.
Basic computer skills and Microsoft Office.
**BENEFITS**
Our competitive benefits package includes the following
- Immediate eligibility for health and welfare benefits
- 401(k) savings plan with dollar-for-dollar match up to 5%
- Tuition Reimbursement
- PTO accrual beginning Day 1
Note: Benefits may vary based upon position type and/or level
**QUALIFICATIONS**
- EDUCATION - H.S. Diploma/GED Equivalent
- EXPERIENCE - Less than 1 Year of Experience
As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.
Vice President-Federal Communications and Marketing (Hybrid Remote - McLean, VA / DC Area)
Rochester, NY jobs
Description & Requirements Maximus is seeking a dynamic and experienced Vice President-Federal Communications and Marketing to join our innovative team. The ideal candidate will bridge the gap between technology, business process services and marketing in the Federal Government sector. In this role, you will be responsible for Team Leadership and Change Management in a large organization. The VP-Federal Communications and Marketing will collaborate with cross-functional teams to drive Federal solutions and offerings. If you are a strategic thinker with a passion for technology services and marketing, and if you thrive in a dynamic and collaborative environment, we invite you to apply to the position at Maximus.
This is a hybrid position with the need to go into the office a minimum of 3 days per week and occasionally attend meetings and/or events in the Tyson Corners, VA/ Washington, DC area. This position requires some travel. The selected candidate must live in this geographical area.
Key Areas of Responsibility
- Identify, plan, develop, and oversee differentiated and impactful marketing strategies/materials.
- Developing new programs for customer engagement including integrated marketing programs from concept to execution
- Drive Maximus Federal solutions and offerings.
- Manage digital and social media strategies across the federal market
- Build, manage, and coach a high-performing marketing team.
- Direct and support market research collection, analysis, interpretation of market data for short- and long- term market forecasts and reports.
- Work closely with the growth leaders to align sales and marketing strategies
- Maintain brand standards and ensure compliance across all marketing and communications channels.
- Build long-term relationships with employees, clients, government officials, and stakeholders.
- Serve as a collaborative and senior leader on the Maximus Communication & Marketing Team, helping to align strategy and outcomes across the company.
- Drive the implementation of marketing campaigns that meet business objectives and drive customer engagement.
- Develop relationships with associations, academia and industry partners to drive thought leadership and brand elevation.
This role will develop and oversee the Maximus Federal segment marketing strategy. Responsibilities include building brand visibility in the Federal marketplace, driving customer and partner engagement to support growth goals. This position will be responsible for developing annual marketing plans building strategy, managing the cross functional team and budget and, leveraging partner relationships, driving go-to-market solutions.
Qualifications:
-15+ years of experience in a Federal Marketing and Industry Analysis position including 7+ years managing a team.
-Previous experience at a corporation focused on the Federal sector.
-Bachelor's degree in Marketing, Business, or a related field; technical background and digital marketing are a plus. Additional experience in lieu of degree will be considered.
-MA degree in Marketing, Communication, or similar relevant field, preferred.
-Outstanding communication, presentation, and leadership skills.
-In-depth knowledge of the Federal sector.
-Critical thinker with problem-solving skills.
-Strong interpersonal and communication skills.
Key Competencies include the following: Marketing and Communication Strategies, Team Leadership, Technical Expertise, Cross-Functional Collaboration, Content Development, Sales Enablement, Product and Solutions Positioning and Change Management
EEO Statement
Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Annual salary is just one component of Maximus's total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards. Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off. Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience. An applicant's salary history will not be used in determining compensation. Maximus will comply with regulatory minimum wage rates and exempt salary thresholds in all instances.
Accommodations
Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at **************************.
Minimum Salary
$
216,155.00
Maximum Salary
$
292,455.00
Easy ApplyOstomy Client Specialist
Spring, TX jobs
Pioneering trusted medical solutions to improve the lives we touch: Convatec is a global medical products and technologies company, focused on solutions for the management of chronic conditions, with leading positions in Advanced Wound Care, Ostomy Care, Continence Care, and Infusion Care. With more than 10,000 colleagues, we provide our products and services in around 90 countries, united by a promise to be forever caring. Our solutions provide a range of benefits, from infection prevention and protection of at-risk skin, to improved patient outcomes and reduced care costs. Convatec's revenues in 2024 were over $2 billion. The company is a constituent of the FTSE 100 Index (LSE:CTEC). To learn more please visit ****************************
Position Overview:
To provide client service support to the Account Management teams. Collect medical documentation and information to setup new clients of 180 Medical.
Key Responsibilities:
Contact clients to set up medical supply orders
Handle incoming phone calls from clients regarding orders & customer service issues
Request Medicare documentation on Medicare clients
Contacts HH agencies to coordinate sending supplies
Make entries as appropriate in Medtrack an internal Microsoft Access database
Place orders in Medtrack
Change orders in Medtrack
Support Team Supervisor on miscellaneous projects
Obtain verbal authorization for supplies from facilities
Suspense auditor to obtain Plan of Cares and chart notes when needed
Verifying insurance for existing customer insurance changes
Performs follow up phone calls to clients after initial shipment
Verifies that client files are complete and all necessary documentation is in place
All other duties as assigned.
Qualifications/Education:
Must have a high school diploma, college degree preferred, not required.
Six months to one year related experience and/or training; or equivalent combination of education and experience.
Typing: 35-40 wpm with 40 (adjusted) highly recommended
Possess medical administrative skills
Good communication skills with professionals in clinics and hospitals
Sales experience preferred
Ability to reason, problem solve, and think outside the box
Multi-task a variety of issues
Good organization skills and can prioritize tasks
Proficient in Microsoft Office programs
Good attention to detail
Reliable/dependable
Flexible and adaptable to changes in environment and industry
Team Player; work well with others
Dimensions:
Physical Demands
Regularly required to sit, stand, walk, and occasionally bend and move about the facility.
Infrequent light physical effort required.
Occasional lifting up to 10 lbs.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Working Conditions
Work performed in an office environment,
Special Factors
This role can be performed remotely.
Beware of scams online or from individuals claiming to represent Convatec
A formal recruitment process is required for all our opportunities prior to any offer of employment. This will include an interview confirmed by an official Convatec email address.
If you receive a suspicious approach over social media, text message, email or phone call about recruitment at Convatec, do not disclose any personal information or pay any fees whatsoever. If you're unsure, please contact us at ********************.
Equal opportunities
Convatec provides equal employment opportunities for all current employees and applicants for employment. This policy means that no one will be discriminated against because of race, religion, creed, color, national origin, nationality, citizenship, ancestry, sex, age, marital status, physical or mental disability, affectional or sexual orientation, gender identity, military or veteran status, genetic predisposing characteristics or any other basis prohibited by law.
Notice to Agency and Search Firm Representatives
Convatec is not accepting unsolicited resumes from agencies and/or search firms for this job posting. Resumes submitted to any Convatec employee by a third party agency and/or search firm without a valid written and signed search agreement, will become the sole property of Convatec. No fee will be paid if a candidate is hired for this position as a result of an unsolicited agency or search firm referral. Thank you.
Already a Convatec employee?
If you are an active employee at Convatec, please do not apply here. Go to the Career Worklet on your Workday home page and View "Convatec Internal Career Site - Find Jobs". Thank you!
Auto-ApplyClinical Program Manager RN * Hybrid*
Slaton, TX jobs
Clinical Program Manager RN
Hybrid.
Candidates residing in the areas of Portland, OR, Spokane, WA or Lubbock, TX are encouraged to apply.
In collaboration with the Division Director, the Clinical Practice Manager RN supports nursing practice, quality initiatives, and clinical improvement efforts across the division. This role is responsible for leading teams in developing and implementing evidence-based nursing and clinical practices, utilizing established standards, research findings, and quality improvement principles.
Providence caregivers are not simply valued - they're invaluable. Join our team at Providence Strategic And Management Services and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.
Required Qualifications:
Bachelor's Degree: Nursing
Master's Degree: Nursing (Practice or Education)
5 years - Nursing experience in an acute care setting.
3 years - Clinical practice development, quality, or education experience.
active RN License for WA, OR or TX
Preferred Qualifications:
Ph.D.: Nursing or DNP (Doctor of Nursing Practice)
Salary Range by Location:
Oregon: Portland Service Area: Min: $59.39, Max: $93.75
Texas: Min: $45.30, Max: $71.51
Washington: Eastern: Min: $52.85, Max: $83.42
Why Join Providence?
Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.
Accepting a new position at another facility that is part of the Providence family of organizations may change your current benefits. Changes in benefits, including paid time-off, happen for various reasons. These reasons can include changes of Legal Employer, FTE, Union, location, time-off plan policies, availability of health and welfare benefit plan offerings, and other various reasons.
About Providence
At Providence, our strength lies in Our Promise of “Know me, care for me, ease my way.” Working at our family of organizations means that regardless of your role, we'll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.
The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits.
Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act."
About the Team
Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. We are focused on supporting our Mission by delivering a robust foundation of services and sharing of specialized expertise.
Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.
Requsition ID: 403508
Company: Providence Jobs
Job Category: Clinical Administration
Job Function: Clinical Support
Job Schedule: Full time
Job Shift: Day
Career Track: Nursing
Department: 4007 SS CNTRL DIV EDU ADMIN
Address: OR Portland 4400 NE Halsey St
Work Location: Providence Health Plaza (HR) Bldg 1-Portland
Workplace Type: Hybrid
Pay Range: $see posting - $see posting
The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
PandoLogic. Category:Healthcare, Keywords:Healthcare Program Manager, Location:Slaton, TX-79364
Revenue Integrity Director- Remote
Frisco, TX jobs
The Director of Revenue Integrity serves in a senior leadership capacity and demonstrates client and unit-specific leadership to Revenue Integrity personnel by designing, directing, and executing key Conifer Revenue Integrity processes. This includes Charge Description Master (“CDM”) and charge practice initiatives and processes; facilitating revenue management and revenue protection for large, national integrated health systems; regulatory review, reporting and implementation; and projects requiring expertise across multiple hospitals and business units. The Director provides clarity for short/long term objectives, initiative prioritization, and feedback to Managers for individual and professional development of Revenue Integrity resources. The Director leverages project management skills, analytical skills, and time management skills to ensure all requirements are accomplished within established timeframes. Interfaces with highest levels of Client Executive personnel.
Direct Revenue Integrity personnel in evaluating, reviewing, planning, implementing, and reporting various revenue management strategies to ensure CDM integrity. Maintain subject-matter expertise and capability on all clinical and diagnostic service lines related to Conifer revenue cycle operations, claims generation and compliance.
Influence client resources implementing CDM and/or charge practice corrective measures and monitoring tools to safeguard Conifer revenue cycle operations; provide oversight for Revenue Integrity personnel monitoring statistics/key performance indicators to achieve sustainability of changes and compliance with regulatory/non-regulatory directives.
Assume lead role and/or provide direction/oversight for special projects and special studies as required for new client integration, system conversions, new facilities/acquisitions, new departments, new service lines, changes in regulations, legal reviews, hospital mergers, etc.
Serve as primary advisor to and collaboratively with Client/Conifer Senior Executives to ensure requirements are met in the most efficient and cost-effective manner; provides direction to clients for implementation of multiple regulatory requirements.
Serve as mentor and coach for Revenue Integrity personnel and as a resource for manager-level associates.
Maintain a high-level understanding of accounting and general ledger practices as it relates to Revenue Cycle metrics; guide client personnel on establishing charges in appropriate revenue centers to positively affect revenue reporting
FINANCIAL RESPONSIBILITY (Specify Revenue/Budget/Expense): Adherence to established/approved annual budget
SUPERVISORY RESPONSIBILITIES
This position carries out supervisory responsibilities in accordance with guidelines, policies and procedures and applicable laws. Supervisory responsibilities include interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.
Direct Reports (incl. titles) : Revenue Integrity Manager/Supervisor
Indirect Reports (incl. titles) : Charge Review Specialist I-II, Revenue Integrity Analyst I-III, Charge Audit Specialist
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Ability to set direction for large analyst team consistent with Conifer senior leadership vision and approach for executing strategic revenue management solutions
Demonstrated critical-thinking skills with proven ability to make sound decisions
Strong interpersonal communication and presentation skills, effectively presenting information to executives, management, facility groups, and/or individuals
Ability to present ideas effectively in formal and informal situations; conveys thoughts clearly and concisely
Ability to manage multiple projects/initiatives simultaneously, including resourcing
Ability to solve complex issues/inquiries from all levels of personnel independently and in a timely manner
Ability to define problems, collect data, establish facts, draw valid conclusions, and make recommendations for improvement
Advanced ability to work well with people of vastly differing levels, styles, and preferences, respectful of all positions and all levels
Ability to effectively and professionally motivate team members and peers to meet goals
Advanced knowledge of external and internal drivers affecting the entire revenue cycle
Intermediate level skills in MS Office Applications (Excel, Word, Access, Power Point)
Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings.
EDUCATION / EXPERIENCE
Include minimum education, technical training, and/or experience required to perform the job.
Bachelor's degree or higher; seven (7) or more years of related experience may be considered in lieu of degree
Minimum of five years healthcare-related experience required
Extensive experience as Revenue Integrity manager
Extensive knowledge of laws and regulations pertaining to healthcare industry required
Prior healthcare financial experience or related field experience in a hospital/integrated healthcare delivery system required
Consulting experience a plus CERTIFICATES, LICENSES, REGISTRATIONS
Applicable clinical or professional certifications and licenses such as LVN, RN, RT, MT, RPH, CPC-H, CCS highly desirable
PHYSICAL DEMANDS
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the employee is regularly required to sit for long periods of time; use hands and fingers; reaching with hands and arms; talk and hear.
Must frequently lift and/or move up to 25 pounds
Specific vision abilities required by this job include close vision
Some travel required
WORK ENVIRONMENT
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Normal corporate office environment
TRAVEL
Approximately 10 - 25%
Compensation and Benefit Information
Compensation
Pay: $104,624- $156,957 annually. Compensation depends on location, qualifications, and experience.
Position may be eligible for an Annual Incentive Plan bonus of 10%-25% depending on role level.
Management level positions may be eligible for sign-on and relocation bonuses.
Benefits
Conifer offers the following benefits, subject to employment status:
Medical, dental, vision, disability, life, and business travel insurance
Management time off (vacation & sick leave) - min of 12 days per year, accrued accrue at a rate of approximately 1.84 hours per 40 hours worked.
401k with up to 6% employer match
10 paid holidays per year
Health savings accounts, healthcare & dependent flexible spending accounts
Employee Assistance program, Employee discount program
Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance.
For Colorado employees, Conifer offers paid leave in accordance with Colorado's Healthy Families and Workplaces Act.
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