Kaiser Permanente Remote jobs - 300 jobs

Note: Work location is on-site with the flexibility to work remotely, the primary location will be in-office for meetings, per Kaiser Permanente-s Authorized States Policy - Employees may be required to travel to a Kaiser Permanente or customer site. Residency is required in the primary location state: 99 S. Oakland Ave., Pasadena, California 91101 This position may have visibility in all Kaiser Permanente Authorized locations. *Compensation may differ based on the market. This role will support the implementation of an enterprise-wide contract management system for KP. The role will be an individual contributor supporting an initiative to standardize processes across the organization, drive higher service quality, improve contracting outcomes, minimize rework/manual and train and provide support for contract management system and processes. Job Summary: Serves as a consultant to ensure the alignment, buy-in, and coordination of diverse stakeholders to drive the implementation of successful business initiatives and projects. Provides insight and supports the development and implementation of business initiatives, systems, and/or processes to a desired future state. Contributes to business strategy and supports organizational alignment and prioritization of business initiatives. Manages complex projects or project components, participates in and may lead change management activities, and performs data analyses in support of business initiatives. Supports vendor management as required. Monitors compliance of work activities by ensuring business plans and team members adhere to relevant policies and procedures. Essential Responsibilities: + Promotes learning in others by proactively providing and/or developing information, resources, advice, and expertise with coworkers and members; builds relationships with cross-functional/external stakeholders and customers. Listens to, seeks, and addresses performance feedback; proactively provides actionable feedback to others and to managers. Pursues self-development; creates and executes plans to capitalize on strengths and develop weaknesses; leads by influencing others through technical explanations and examples and provides options and recommendations. Adopts new responsibilities; adapts to and learns from change, challenges, and feedback; demonstrates flexibility in approaches to work; champions change and helps others adapt to new tasks and processes. Facilitates team collaboration to support a business outcome. + Completes work assignments autonomously and supports business-specific projects by applying expertise in subject area and business knowledge to generate creative solutions; encourages team members to adapt to and follow all procedures and policies. Collaborates cross-functionally and/or externally to achieve effective business decisions; provides recommendations and solves complex problems; escalates high-priority issues or risks, as appropriate; monitors progress and results. Supports the development of work plans to meet business priorities and deadlines; identifies resources to accomplish priorities and deadlines. Identifies, speaks up, and capitalizes on improvement opportunities across teams; uses influence to guide others and engages stakeholders to achieve appropriate solutions. + Serves as a consultant to ensure the alignment, buy-in, and coordination of diverse stakeholders to drive the implementation of successful business initiatives and projects across one or more functional tracks or workstreams by identifying and ensuring representation and inclusion of appropriate stakeholders; building rapport and partnerships with stakeholder teams, third party vendors, and senior management; working with stakeholders to develop goals and set the prioritization of deliverables; discussing involvement of business processes (e.g. project change management, communication) and facilitating decisions necessary for the delivery of business initiatives; communicating tough issues to stakeholders while maintaining an independent perspective; and making formal presentations and providing reports to various senior level audiences. + Develops requirements for complex business, process, or system solutions within assigned business domain(s) by interfacing stakeholders and cross-functional teams as appropriate; leveraging multiple business requirements gathering methodologies to identify business, functional, and non-functional requirements; developing and documenting comprehensive business cases to assess the costs, benefits, and ROI of proposed solutions; and leading team members in the development process as appropriate. + Provides insight and supports the development and implementation of business initiatives, systems, and/or processes to a desired future state by maintaining a comprehensive understanding of how current processes impact business operations across multiple domains; mapping current state against future state processes; identifying the operational impact of requirements on upstream and downstream solution components; providing options and recommendations to management and business stakeholders on how to integrate solutions and deliverables with current systems and business processes across regions or domains; and identifying and validating value gaps and opportunities for process enhancements or efficiencies. + Contributes to business strategy and supports organizational alignment and prioritization of business initiatives by defining, developing, and evaluating performance metrics, standards, and methods to establish business success; collaborating with multiple stakeholders, often with competing/conflicting objectives, to ensure cohesive and reachable metrics; refining strategic plans and performance metrics as appropriate; and managing assigned initiatives or portfolio to ensure delivery of measurable results and alignment with strategic objectives. + Serves as a advocate of continuous learning and professional development by keeping abreast of industry practices, standards, and benchmarks; attending and participating in roadshows, conferences, and speaking events; contributing to the ongoing enhancement and innovation of consulting practices, standards, and methods across KP; serving as an advocate to ensure continuous learning and improvement is championed as a people strategy; providing training and guidance to stakeholders as appropriate; and providing ongoing coaching to build a continuous improvement mindset and build capabilities that drive results. + Manages complex projects or project components by coordinating stakeholder contacts; recommending or assigning team resources based on project needs and team member strengths; consulting in the development, analysis, and management of project plans; coordinating project schedules and resource forecasts; proactively monitoring and identifying project or business initiative risks, issues, and trigger events; developing mitigation plans and strategies; and resolving or escalating risks or issues as appropriate. + Participates in and may lead change management activities associated with business initiatives by engaging stakeholders to obtain support and buy in for changes; partnering with management, project champions, and business owners to communicate and align improvement initiatives with business objectives; identifying appropriate change management method and approach; and ensuring stakeholders embrace a change management mindset, understand intent and purpose, and foster a culture of change. + Performs data analyses to support business initiatives by identifying appropriate data analysis tools and approach to assess business performance; determining suitable data gathering and analysis methods (e.g., process observation, hard data, etc.); defining data requirements and obtaining customer agreements, including customer requirements as appropriate; conducting analyses and performing experimental tests to evaluate the effectiveness of business solutions; and identifying and alleviating risks through data-driven analysis. + Supports vendor management as required by assisting with reviews of vendor performance levels; ensuring service level agreements are met; managing vendor invoices; and partnering with Procurement and/or Legal to develop service level and/or scope of work agreements as appropriate. + Monitors compliance of work activities by ensuring business plans and team members adhere to KP, departmental, and/or business line policies and procedures. Minimum Qualifications: + Bachelors degree from an accredited college or university and Minimum five (5) years experience in consulting, project management, data analytics, operations or a directly related field OR Masters degree in Business, Public Health, or a directly related field and Minimum three (3) years experience in consulting, project management, data analytics, operations or a directly related field OR Minimum eight (8) years experience in consulting, project management, data analytics, operations or a directly related field. Additional Requirements: + Knowledge, Skills, and Abilities (KSAs): Business Acumen; Change Management; Negotiation; Creativity; Applied Data Analysis; Financial Acumen; Conflict Resolution; Managing Diverse Relationships; Process Validation; Project Management; Risk Assessment; Service Focus; Requirements Elicitation & Analysis Preferred Qualifications: + Three (3) years of experience consulting in a large multi-hospital system. + Three (3) years of experience working with outpatient/ambulatory service line optimization. COMPANY: KAISER TITLE: Consultant IV, Trainer - Provider Contract Management Systems LOCATION: Pasadena, California REQNUMBER: 1391280 External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with Federal, state and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran, or disability status.

Become a part of our caring community and help us put health first The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.

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

Expert on assigned application. Acts independently to lead cross functional, integrated team to create performance improvements across multiple domains. Translates business requirements into operational solutions. Proactively evaluate technical enhancements and consults with business to provide solutions to technical or process issues, guiding to best practices. Provides guidance, trains and develops the skills of less experienced IT staff. This position is based in La Jolla, CA, and is offered as a remote opportunity. Candidates must reside within the San Diego metropolitan area or in one of the approved out-of-area (OOA) states listed below under Work Location Eligibility. This role is supported through Scripps Health's partnership with Superlanet, a professional employer organization (PEO). Required Education/Experience/Specialized Skills\: Five years related experience. Excellent critical and analytical thinking and excellent customer service skills. Exhibit excellent written and verbal communication skills. Expert knowledge of relevant application workflows. Excellent organizational and project management skills. Business acumen in multiple functional areas. Required Certification/Registration\: Specific to applications supported. Must currently hold an active Epic Beaker AP or CP certification Preferred Education/Experience/Specialized Skills/Certification\: Certification\: Bachelor's degree. 7 years of related experience Work Location Eligibility This position is remote, but only open to candidates who reside in\: San Diego Metropolitan Area or one of the following U.S. states: AL, AR, AZ, DE, FL, GA, IA, ID, IN, KS, KY, LA, ME, MI, MO, MS, MT, NC, ND, NE, NH, NM, NV, OH, OK, RI, SC, SD, TN, TX, UT, VA, VT, WI, WV, WY Applicants outside these locations will not be considered at this time. Candidates who reside in the approved U.S. states would be considered Out of Area (OOA) and Scripps Health partners with professional employer organization (PEO) Superlanet.

We are so glad you are interested in joining Sutter Health! **Organization:** SHSO-Sutter Health System Office-Valley Responsible for supporting a Sutter Health enterprise facilities management program. This role includes the completion of daily tasks and daily maintenance of the program including the interface with related system office service lines and affiliate facility teams. This position will follow departmental processes in providing support and coordination that may include but is not limited to facility management, project management, budget and financial management, work order management, conference center management (where applicable), and safety compliance. This is a hybrid role with both work from home and onsite requirements at various locations in the Sacramento Valley. **Job Description** : **EDUCATION:** + HS Diploma: High School or General Education Diploma (GED) **SKILLS AND KNOWLEDGE:** + Knowledge of facilities, property management and construction + Ability to effectively manage multiple projects and competing priorities. + Ability to accomplish projects independently or with minimal supervision. + Ability to think creatively and recommend smart and both cost effective and cost containment solutions. + MS Office proficiency including Word, Excel, Visio, PowerPoint, and Outlook including electronic mail and calendaring features. + Collaborative working style and ability to develop/sustain productive work relationships with key stakeholders across all areas and levels of the organization as well as external consultants. + Proven organizational skills with ability to handle multiple priorities and adapt to change. + Effectively prioritize work direction from multiple sources with tact and diplomacy. + Communication skills (oral, electronic, and written). **Job Shift:** Days **Schedule:** Full Time **Shift Hours:** 8 **Days of the Week:** Monday - Friday **Weekend Requirements:** None **Benefits:** Yes **Unions:** No **Position Status:** Non-Exempt **Weekly Hours:** 40 **Employee Status:** Regular Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans. Pay Range is $32.36 to $46.93 / hour _The compensation range may vary based on the geographic location where the position is filled. Total compensation considers multiple factors, including, but not limited to a candidate's experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs. Base pay is only one component of Sutter Health's comprehensive total rewards program. Eligible positions also include a comprehensive benefits package._

Starting at $19.50 hourly Join Our Team as a Referrals Specialist! Are you passionate about providing excellent patient care and making a difference in your community? Hawaii Island Community Health Center is looking for a dedicated Referrals Specialist to join our team! Position Summary: As a Referrals Specialist, you will play a crucial role in managing external patient referrals and follow-up in collaboration with the provider and other members of the patient care team. Under the general direction of the Health Services Manager and Referrals Supervisor, you will maintain electronic patient files, respond to and fulfill requests for medical records, and assist in the collection of data. Additionally, you will coordinate travel for patients to and from appointments. Schedule: Monday-Friday (most weekends off) Work hours are between 6:00 AM and 6:00 PM, with shifts totaling either 8 hours or 10 hours per day. Opportunity to work from home on occasions, following work from home guidelines. Benefits Include: Retirement plan Medical, Vision, and Dental Insurance Pet insurance Paid time off Employee Assistance Program Other ancillary benefits Education and Experience: High School graduate or GED certificate One year of related clinical office experience and/or training; OR any equivalent combination of experience, training, and/or education Desirable experience includes: Familiarity with QUEST and other insurance programs Familiarity with Hawaiʻi Health Care Networks Knowledge of ICD-10 and CPT coding Key Responsibilities: Prioritize patient referrals to manage patient flow for maximum efficiency and optimum care provision Utilize medical records appropriately to document care within the scope of job duties Coordinate referrals, preauthorization, and follow-up with appropriate external resources Develop and maintain tracking systems for referrals to outside resources Actively participate in quality improvement and risk management programs Participate as an active team member on the patient care team Engage in continuing education activities Demonstrate competency in managed care preauthorization for travel Document appropriately in the patient medical record Facilitate quality specialty medical, diagnostic, and therapeutic services via appropriate referral and tracking for follow-up Maintain positive interpersonal relations with physicians, patients, patient families, visitors, and co-workers in a professional and confidential manner Embrace the philosophy of continuous quality improvement Maintain a safe, clean, and confidential working environment consistent with OSHA, HIPAA, and HHC standards Communicate accurate and pertinent information with patient care providers and other members of the care delivery team to facilitate effective and efficient patient referrals and tracking Apply age-specific/cultural considerations to the referral process Manage changes in work demand during the workday Ensure patient/family satisfaction with referral services Keep supervisor informed of problems or issues; monitor supplies needed; perform other duties as assigned Why Join Us? At Hawaii Island Community Health Center, we are committed to providing high-quality healthcare services to our community. Join our team and be part of a supportive and dynamic environment where you can grow professionally and make a meaningful impact. Apply Today! If you are ready to take on this rewarding role, please submit your application and resume. We look forward to welcoming you to our team!

In addition to the responsibilities listed above, this position is also responsible for providing consultation and education related to clinical quality and patient safety, accreditation, regulatory and licensing (AR&L), risk management, and infection prevention and control; evaluating, designing, developing, and implementing evidence-based guidelines, principles, and/or programs related to area of work as well as to reduce variation in clinical practice and optimize patient outcomes; collecting, analyzing, reporting, and presenting clinical data for a variety of users including for state, federal, and local agencies; facilitating education regarding the interpretation of compliance methods when preparing for regulatory reviews, the interpretation of regulatory requirements, and regional project goals; monitoring, reporting, and developing mitigation plans for all occurrences which may lead to medical center liability adjusting to remove barriers and/or issues, as necessary; supporting the medical centers continuous survey readiness program to maintain compliance with regulatory standards; and serving as a liaison with applicable government agencies, regulatory agencies, and other organizations. Essential Responsibilities: * Promotes learning in others by communicating information and providing advice to drive projects forward; builds relationships with cross-functional stakeholders. Listens, responds to, seeks, and addresses performance feedback; provides actionable feedback to others, including upward feedback to leadership and mentors junior team members. Practices self-leadership; creates and executes plans to capitalize on strengths and improve opportunity areas; influences team members within assigned team or unit. Adapts to competing demands and new responsibilities; adapts to and learns from change, challenges, and feedback. Models team collaboration within and across teams. * Conducts or oversees business-specific projects by applying deep expertise in subject area; promotes adherence to all procedures and policies. Partners internally and externally to make effective business decisions; determines and carries out processes and methodologies; solves complex problems; escalates high-priority issues or risks, as appropriate; monitors progress and results. Develops work plans to meet business priorities and deadlines; coordinates and delegates resources to accomplish organizational goals. Recognizes and capitalizes on improvement opportunities; evaluates recommendations made; influences the completion of project tasks by others. * Develops and implements data collection and analyses to support quality improvement efforts by: conducting advanced statistical analysis for quality improvement evaluations, special projects, and other work for multidisciplinary review; investigating opportunities to improve the reporting and narrative summaries of improvements by integrating multiple utilization data reporting systems to develop and maintain a variety of statistical reports in a format which enables care providers to see variations in practice patterns; presenting quality improvement metric reports to demonstrate improvements and effectiveness of quality improvement programs to department and program managers; and serving as a technical expert to team members, supervisor, and key stakeholders by interpreting trends, potential errors, and other analyses, by assisting in problem resolution for data source analysis, and by advising on the application of results. * Supports in-depth and advanced quality improvement and improvement risk management efforts by: researching corrective action plan for areas of improvement identified through utilization review, clinical records audit, claim denials, member satisfaction surveys, and auditing surveys for their cost effectiveness and impact on department functioning; ensuring process improvements are compliant with established internal and external regulation requirements at the local and state level; conducting complex root cause analysis, failure mode and effect analysis, and other assessments in response to significant events near misses, and good catches in order to identify areas of improvement and evaluate newly internalized processes and programs; and proactively escalating high-risk issues and trends to appropriate entity for resolutions. * Investigates opportunities to develop new and improve current quality improvement performance metrics development, collection, and utilization by: researching and recommending best practices in the development of performance metrics, standards, and methods to establish improvement success; consulting with multiple stakeholders, often with competing/conflicting objectives, to ensure development of cohesive and reachable metrics are practical, meet multidisciplinary standards, and are approved at the department level; and designing the delivery of measurable results and alignment with strategic objectives by integrating metric utilization into workflows with sound methodology. * Facilitates the development of quality improvement initiatives by: leveraging and implementing advanced technology, methods, and tools to develop stakeholders capabilities for process improvements; monitoring the use of data-driven improvement principles, tools, and problem-solving methods, including Lean/Six-Sigma concepts and techniques using quality improvement metrics; and synthesizes key information and works to break down issues into logical part for the creation of milestones, detailed workplans, and documentation practices in order to create a clear, logical, and realistic plan. * Serves as the subject matter expert for quality improvement processes and regulations for internal and external stakeholders by: providing consultation independently on the interpretation and interaction of current policies, and how they interact with the current climate, and potential changes to regulations and legislation; serving as a technical advisor on committees, projects to drive discussions on drawing guidelines on the enforcement, development of policies or procedures of regulations and auditing processes; fostering collaborative, results oriented partnerships to ensure compliance with regulations and improve patient safety, maintain the KP safety culture, reporting accuracy, and health outcomes and provides insight to the regulation climate; developing educational programs to raise awareness for changes in regulation requirement, internal concerns, and system/database usage; and anticipating issues and weighs practical and technical considerations in addressing issues and coordinates with the appropriate stakeholders to develop resolutions. * Develops stakeholder development and quality performance review processes by: developing and improving the utilization and performance reviews processes by utilizing multidisciplinary criteria and guidelines, and takes a systematic approach to quality improvement; identifying performance areas of improvement for at the program, provides feedback and coaching as needed, and develops a corrective plan; presenting performance review reports at the program level to department managers; and developing the curriculum for training and educational programs related to process improvement for quality improvement programs.

At Cleveland Clinic Health System, we believe in a better future for healthcare. And each of us is responsible for honoring our commitment to excellence, pushing the boundaries and transforming the patient experience, every day.We all have the power to help, heal and change lives - beginning with our own. That's the power of the Cleveland Clinic Health System team, and The Power of Every One.Job TitleAssistant Director of Philanthropic Gift Planning and Estate StrategyLocationClevelandFacilityRemote LocationDepartmentPhilanthropy Institute-Philanthropy InstituteJob CodeT28073ShiftDaysSchedule8:00am-5:00pmJob SummaryJob Details Join the Cleveland Clinic team where you will work alongside passionate caregivers and provide patient-first healthcare. Here, you will receive endless support and appreciation while building a rewarding career with one of the most respected healthcare organizations in the world. As Assistant Director of Development, you will work on various activities and programs that support the fundraising priorities of Cleveland Clinic. You will play a vital role in securing philanthropic gifts through the process of identifying, qualifying, strategizing, cultivating, soliciting, and stewarding major gift prospects. Additionally, this position offers work/life balance, a supportive culture, and an established career path with eligibility for job growth opportunities. A caregiver in this position is located in Ohio and works remotely, Monday-Friday from 8:00AM - 5:00PM. A caregiver who excels in this role will: Identify individual major gift prospects and secures visits through cold calls and other appropriate contact. Develop cultivation and solicitation strategies for each prospective client. Establish a program of personal visits with past, current, and prospective donors. Strategically move major gift prospects through the development cycle from qualification to cultivation to solicitation to closing to stewardship. Meet monthly and yearly metrics with respect to prospect and donor visits, solicitations, and dollars raised. Coordinate donor interests with the priorities of the organization and develop funding proposals to match interests with needs. Coordinate stewardship reports to communicate with donors concerning the use of their gifts. Assists in department projects, events and programs. Other duties as assigned. Minimum qualifications for the ideal future caregiver include: Bachelor's Degree required Advanced degree and or two years of experience in Sales, Project Management, Donor Relations, Marketing or a related field may offset total experience. Ability to establish and maintain friendly and cooperative relations with corporate executives, donors and staff physicians. Preferred qualifications for the ideal future caregiver include: A law degree, paralegal, or legal background is preferred. Experience working with contracts and documentation drafting responsibilities for estate and trust administration Minimum three years of fundraising or face-to-face solicitation experience with major gifts preferred. Willingness to conduct in-person and virtual donor meetings in Northeast Ohio, Florida and Nationally per assigned region. Working knowledge of fundraising techniques and strategies preferred. Our caregivers continue to create the best outcomes for our patients across each of our facilities. Click the link and see how we're dedicated to providing what matters most to you: ******************************************** Physical Requirements: Ability to perform work in a stationary position for extended periods. Ability to operate a computer and other office equipment. Ability to travel throughout the hospital system. Ability to communicate and exchange accurate information. Personal Protective Equipment: Follows standard precautions using personal protective equipment as required. The policy of Cleveland Clinic Health System and its system hospitals (Cleveland Clinic Health System) is to provide equal opportunity to all of our caregivers and applicants for employment in our drug free environment. All offers of employment are followed by testing for controlled substances. Cleveland Clinic Health System administers an influenza prevention program. You will be required to comply with this program, which will include obtaining an influenza vaccination on an annual basis or obtaining an approved exemption. Decisions concerning employment, transfers and promotions are made upon the basis of the best qualified candidate without regard to color, race, religion, national origin, age, sex, sexual orientation, marital status, ancestry, status as a disabled or Vietnam era veteran or any other characteristic protected by law. Information provided on this application may be shared with any Cleveland Clinic Health System facility. Please review the Equal Employment Opportunity poster. Cleveland Clinic Health System is pleased to be an equal employment employer: Women / Minorities / Veterans / Individuals with Disabilities

Become a part of our caring community and help us put health first Humana is looking for an experienced Healthcare Investigator to join its industry leading Special Investigations Unit. Do you enjoy speaking with members, providers, and other industry colleagues? Do you thrive on solving problems and thinking outside the box? Are you self-driven and enjoy being proactive? But, most of all do you have a passion for combating Fraud, Waste, and Abuse in the Health Care Industry? If this resonates with you, then you should strongly consider this amazing opportunity to join Humana's SIU. The Fraud and Waste Professional conducts investigations of allegations of fraudulent and abusive practices. The Fraud and Waste Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The Fraud and Waste Investigator collaborates in investigations with law enforcement authorities. Assembles evidence and documentation to support successful adjudication, where appropriate. Conducts on-site audits of provider records ensuring appropriateness of billing practices. Prepares investigative and audit reports. Begins to influence department's strategy. Makes decisions on issues regarding technical approach for project components. Exercises good judgment with considerable latitude in determining objectives and approaches to assignments. In order to thrive in this role, the following attributes and experience would be helpful: o Self-starter and organized o Interview skills and able to conduct a thorough investigation to maintain compliance with Humana and governmental requirements o Able to collaborate with internal and external partners (Law Enforcement, Legal, Compliance). o Comfort with data analysis (Excel, Access, PowerBI), report writing, and creating/presenting via PPT or other platform o Performing Investigative research and medical record reviews o CPT code experience o Experience with testifying in Court This role will regularly engage with all of the following: o Local, State and Federal Law Enforcement o Humana Legal and Outside Counsel o Internal Compliance o Market Areas o Clinical Teams o Business areas for all product lines (Medicare, Medicaid, Commercial) o Industry Trend areas Use your skills to make an impact WORK STYLE: Work at Home. While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. WORK HOURS: Typical work hours are Monday-Friday, 8 hours/day, 5 days/week. EST/CST time zones Required Qualifications • Bachelor's degree • 2 years of healthcare fraud investigations and auditing experience • Knowledge of healthcare payment methodologies, claims, submissions, and payments • Strong organizational, interpersonal, and communication skills • Inquisitive nature with ability to analyze data to metrics • Proficiency with MS Word, Excel, Access • Strong personal and professional ethics • Must be passionate about contributing to an organization focused on continuously improving consumer experiences Preferred Qualifications • Graduate degree and/or certifications (MBA, J.D., MSN, Clinical Certifications, CPC, CCS, CFE, AHFI) • Experience testifying in court • Understanding of healthcare industry, claims processing, and investigative process development • Experience in a corporate environment and understanding of business operations Additional Information Work at Home Requirements • WAH requirements: Must have the ability to provide a high speed DSL or cable modem for a home office. Associates or contractors who live and work from home in the state of California will be provided payment for their internet expense. • A minimum standard speed for optimal performance of 25x10 (25mpbs download x 10mpbs upload) is required. • Satellite and Wireless Internet service is NOT allowed for this role. • A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information How We Value You • Benefits starting day 1 of employment • Competitive 401k match • Generous Paid Time Off accrual • Tuition Reimbursement • Parent Leave • Go365 perks for well-being Interview Format As part of our hiring process, we will be using an exciting interviewing technology provided by Modern Hire, a third-party vendor. This technology provides our team of recruiters and hiring managers an enhanced method for decision-making. If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview. If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes. If participating in a SMS Text interview, you will be asked a series of questions to which you will be using your cell phone or computer to answer the questions provided. Expect this type of interview to last anywhere from 5-10 minutes. Your recorded interview(s) via text and/or pre-recorded voice will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews. #ThriveTogether #WorkAtHome Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $65,000 - $88,600 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.Application Deadline: 01-15-2026 About us Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

is fully virtual and includes day and swing shift opportunities. Provides a wide range of clinical social work services in a primary care, inpatient care or home health setting, including support and consultation to care team in managing patients. Evaluate psychosocial assets and deficits for the purpose of enabling the pt to maintain the greatest level of independence. Coordinates with others to establish a plan of care. Provides short-term counseling, teaching and brokering with other resources for care giving needs. Essential Responsibilities: * Provide appropriate social work interventions to all age patients and their families including but not limited to psychosocial assessment, brief individual or family, advocacy, linkage, referral, group work, case coordination, and long-term care planning and placement. * Consultation and coordination with multidisciplinary team of care professionals and primary care site medical/nursery staff, to include family conferences, care conferences, team meetings and etc. * Assesses patient and family needs for care and communicates with other health care providers appropriately. Collects data relevant to visit with ongoing assessment throughout the duration of care. Evaluate psychosocial assets and deficits for the purpose of enabling the patient to maintain the greatest level of independence. * Evaluates patients/family needs through timely assessment, communication and observation. Modifies plan of care through assessment based upon patient/care systems response.

The Department of Radiology at Cleveland Clinic is seeking a Remote Overnight Emergency Radiologist to join our established team. Overnight coverage currently spans from 9:00 p.m. to 6:00 a.m. and 10 p.m. to 7:00 a.m. EST (staggered shifts) with a Core schedule of 7 days on, followed by 14 days off. Each radiologist is assigned 2-3 weeks of emergency back-up for their colleagues throughout the calendar year (very rarely activated but reciprocated if needed). No other work shift requirements beyond this schedule, although ample in-house moonlighting opportunities are available if desired. Few home state restrictions include California, Colorado, New Jersey, and Oklahoma. Each overnight team currently consists of 13 radiologists, including 3 neuroradiologists and 2 pediatrics radiologists. Large team size allows for a team mentality approach to a common worklist, as well as facilitating case sharing and second opinions. Schedule trading between teams is supported and typically very reliable. The Overnight Section is a collegial group with low turnover, and is highly appreciated and supported by department leadership. We take great pride in placing a strong emphasis on quality over quantity. Volume expectations are reasonable, with the focus on team stat exam turnaround time rather than RVU metrics. Our goal is to maintain manageable workloads and adequate staffing to allow our radiologists to focus on quality outcomes. All necessary equipment including phone and workstation supplied at no cost. Full reimbursement for onboarding and ongoing licensure expenses. Funding available for society membership dues. 24/7 IT support, as well as support navigators to assist with provider and site communications. The Overnight Section is housed within the Division of General Radiology which includes an extensive system of community hospitals and ambulatory care facilities as well as imaging centers in the Greater Cleveland/Akron, Ohio area. Additionally, the Overnight Section covers the Main Campus ED and Cleveland Clinic Florida sites. All departments and outpatient facilities within the Cleveland Clinic system are networked with PACS (AGFA EI), Voice Recognition (Powerscribe 360) and EMR (EPIC). This continues to evolve as the Cleveland Clinic invests in state-of-the-art technology as one of the largest integrated systems in the U.S. PREFERRED QUALIFICATIONS + American Board of Radiology Certification or Eligibility is required + Fellowship training strongly preferred, however practicing radiologists with applicable skills and experience will be considered + Overnight or after-hours experience preferred POSITION DUTIES & RESPONSIBILITIES + Core Schedule: 7 on / 14 off + Coverage spans from 9:00 p.m. to 6:00 a.m. and 10 p.m. to 7:00 a.m. EST (staggered shifts) + Interpret STAT/ ER cases for multiple Cleveland Clinic hospitals and emergency departments. BENEFITS THAT GO BEYOND + Competitive salary among academic institutions + Comprehensive health plan + Competitive retirement tax-advantage options + Professional reimbursements + Professional liability insurance + Parental leave equal to 100% pay + Life insurance + Disability coverage + Home workstation **About Us** Cleveland Clinic's vision is to become the best place for care and the best place to work in healthcare. We are committed to providing a safe, stable, and financially fulfilling work environment. Cleveland Clinic is ambitiously investing in growth. Being a physician-led organization means doing what is best for the patients, every day. Cleveland Clinic is one of the world's largest and busiest health centers. Patients come to Cleveland Clinic from all over the world. We offer advanced treatment for all illnesses and disorders of the body. Cleveland Clinic is a nonprofit, multispecialty academic medical center that's recognized in the U.S. and throughout the world for its expertise and care. Cleveland Clinic integrates clinical and hospital care with research and education. Located in Cleveland, Ohio, it was founded in 1921 by four renowned physicians with a vision of providing outstanding patient care based upon the principles of cooperation, compassion and innovation. Cleveland Clinic has pioneered many medical breakthroughs, including coronary artery bypass surgery and the first face transplant in the United States. U.S. News & World Report consistently names Cleveland Clinic as one of the nation's best hospitals in its annual America's Best Hospitals survey. Among Cleveland Clinic's 80,642 employees worldwide are more than 5,743 salaried physicians and researchers, and 20,166 registered nurses and advanced practice providers, representing 140 medical specialties and subspecialties. Cleveland Clinic is a 6,690-bed health system that includes a 173-acre main campus near downtown Cleveland, 23 hospitals, more than 270 outpatient facilities, including locations in northeast Ohio; southeast Florida; Las Vegas, Nevada; Toronto, Canada; Abu Dhabi, UAE; and London, England. In 2024, there were 14.1million total outpatient visits, 333,000 hospital admissions and observations, and 320,000 surgical cases throughout Cleveland Clinic's health system. Patients came for treatment from every state and 185 countries. **Information for Candidates** Candidates will only be asked to provide personal documents once an offer of employment has been made and accepted. Recruitment scams are becoming increasingly common online, with false advertisements and requests for payment or personal details claiming to come from reputable organizations. Please be assured that our physician recruiters will never ask for payment from candidates at any stage of the recruitment or offer process. _The salary range displayed in this job posting reflects the anticipated salary range for new physicians hired into full-time (100% FTE) positions. This range is generally aligned with or below the 50th percentile of nationally recognized compensation benchmarks by specialty. A successful candidate's actual compensation will be determined in accordance with fair market value, considering factors such as professional experience, clinical expertise, board certification, work history, and FTE. This stated range excludes the value of Cleveland Clinic's comprehensive benefits package, which includes healthcare, dental, vision, retirement, and other offerings_ . **Disclaimer** _Cleveland Clinic Health System administers an influenza prevention program. You will be required to comply with the program, which will include obtaining an influenza vaccination or an exemption._ **Our Culture** _Cleveland Clinic is pleased to be an equal employment opportunity employer. Smoke/drug free environment._ **Learn more about Cleveland Clinic** About Cleveland ClinicLiving in ClevelandTake a Tour (******************************************** **Pay Range** Minimum salary: $500,000 Maximum salary: $555,000 Cleveland Clinic Health System is pleased to be an equal employment employer: Women / Minorities / Veterans / Individuals with Disabilities

At Cleveland Clinic Health System, we believe in a better future for healthcare. And each of us is responsible for honoring our commitment to excellence, pushing the boundaries and transforming the patient experience, every day.We all have the power to help, heal and change lives - beginning with our own. That's the power of the Cleveland Clinic Health System team, and The Power of Every One.Job TitleResearch Finance Manager IILocationClevelandFacilityCleveland Clinic Main CampusDepartmentJob CodeT99154ShiftDaysSchedule8:00am-5:00pmJob SummaryJob Details Join Cleveland Clinic's Main Campus where research and surgery are advanced, technology is leading-edge, patient care is world-class, and caregivers are family. Cleveland Clinic is recognized as one of the top hospitals in the nation. At Cleveland Clinic, you will work alongside passionate and dedicated caregivers, receive endless support and appreciation and build a rewarding career with one of the most respected healthcare organizations in the world. As Research Finance Manager II for the Taussig Cancer Center, you will supervise and lead financial analysts and support personnel in support of a Finance Director, while managing projects and programs related to revenue cycle, strategic and financial planning, and research initiatives. In this role, you will manage the teams overseeing daily operations and lead clinical research finance activities, including contract review, budget reporting, and budget negotiations. You will also serve as a liaison with physician leadership regarding the financial health of their programs and oversee financial compliance related to grants, certifications, and funding requirements. A caregiver in this role works days from 8:00 a.m. - 5:00 p.m. After completing full training, caregivers may work remotely one day per week. A caregiver who excels in this role will: Lead projects and programs (revenue cycle management, financial planning and research). Participate in the financial performance management initiatives in support of the Finance Director and leadership team. Partner with the Finance Director in all financial matters and analyze business plans and initiatives. Identify benchmarks in financial performance, hospital throughput, cost per case, length of stay and productivity metrics. Assist in preparing financial presentations to review operating performance. Assist the Finance Director in business operations, including financial reporting, billing and reimbursement, informatics, and outside strategic business ventures. Assist in developing financial strategic business plans and lead certain aspects of the plans. Work with the Finance Director to prepare business review meetings and provide analysis and interpretation regarding business plans, new staff recruitment, variance analysis and fete requests. Work with the revenue cycle staff to ensure maximum reimbursement and adherence to revenue cycle related policies. Work with the Finance Director on the outlook and annual budget cycle including budget spreads, budget reconciliation, capital budget, business plans and any other budget-related responsibilities. Support the Finance Director with treasury and research budget preparation. Minimum qualifications for the ideal future caregiver include: Bachelor's degree Five to six years of professional and functionally relevant experience inclusive of demonstrated project or people leadership In lieu of a degree, extensive experience and or certifications may be considered Preferred qualifications for the ideal future caregiver include: Master's degree Certified Public Accountant (CPA) Research finance experience Experience with financial systems (Oracle, CTMS, etc.) Physical Requirements: Ability to communicate and exchange accurate information. Ability to perform work in a stationary position for extended periods. Ability to work with physical records or operate a computer or other office equipment. In some locations, ability to travel throughout the hospital system. In some locations ability to move up to 25 Personal Protective Equipment: Follows standard precautions using personal protective equipment as required. The policy of Cleveland Clinic Health System and its system hospitals (Cleveland Clinic Health System) is to provide equal opportunity to all of our caregivers and applicants for employment in our drug free environment. All offers of employment are followed by testing for controlled substances. Cleveland Clinic Health System administers an influenza prevention program. You will be required to comply with this program, which will include obtaining an influenza vaccination on an annual basis or obtaining an approved exemption. Decisions concerning employment, transfers and promotions are made upon the basis of the best qualified candidate without regard to color, race, religion, national origin, age, sex, sexual orientation, marital status, ancestry, status as a disabled or Vietnam era veteran or any other characteristic protected by law. Information provided on this application may be shared with any Cleveland Clinic Health System facility. Please review the Equal Employment Opportunity poster. Cleveland Clinic Health System is pleased to be an equal employment employer: Women / Minorities / Veterans / Individuals with Disabilities

At Cleveland Clinic Health System, we believe in a better future for healthcare. And each of us is responsible for honoring our commitment to excellence, pushing the boundaries and transforming the patient experience, every day.We all have the power to help, heal and change lives - beginning with our own. That's the power of the Cleveland Clinic Health System team, and The Power of Every One.Job TitleEBI Database Developer IIILocationClevelandFacilityRemote LocationDepartmentData and Analytics-AnalyticsJob CodeT99348ShiftDaysSchedule8:00am-5:00pmJob SummaryJob Details Join the Cleveland Clinic team, where you will work alongside passionate caregivers and provide patient-first healthcare. Cleveland Clinic is recognized as one of the top hospitals in the nation. At Cleveland Clinic, you will work alongside passionate and dedicated caregivers, receive endless support and appreciation, and build a rewarding career with one of the most respected healthcare organizations in the world. As an EBI Developer III, you will support the organization's enterprise database needs by creating various analytics and .NET applications through the use of databases (for example, MS SQL and/or Teradata). A person in this role will develop, maintain, and enhance databases and applications for internal purposes and customer reporting while also providing support and mentorship for fellow developers. Everyone at Cleveland Clinic is a caregiver. As part of our IT and cybersecurity team, you'll do more than explore and expand your discipline and skills - you'll impact patients everywhere by delivering world-class care. Help our teams stay connected, up to date, and equipped with groundbreaking tools and technologies that are changing patients' lives. A caregiver in this position works remotely out of Ohio, Florida, or Nevada, Monday-Friday 8:00AM-5:00PM. A caregiver who excels in this role will: Work with a team of database developers, software developers, and business analysts. Delivers database analytics and web-based applications. Administer existing databases and the analysis, design, and creation of new databases. Perform data modeling, database optimization, understanding and implementation of schemas, and the ability to interpret and write complex code. Proactively monitors systems for optimum performance and capacity constraints. Identify, diagnose, and resolve database application bottlenecks on production level systems. Perform quality assurance; configures the application in all environments; corrects all defects; completes system integration testing to ensure reasonable performance requirements. Design, implement, and support ETL processes. Establishes database development standards, documentation and best practices. Guide and coach developers in tasks and projects. Interact with business units, project managers, and leads to determine application and reporting needs. Performs support, development, and administrative activities as required. Provides periodic on-call duty to support department 7x24x365 applications. Other duties as assigned. Minimum qualifications for the ideal future caregiver include: Bachelor's degree in computer science, engineering or related field and 5 years of database development (e.g., MS SQL and/or Teradata) or C# and/or ASP.net experience required. Additional database development experience may offset the degree requirement. Understands principles of client/server configuration. Solid understanding of database and .NET computing environment concepts. Excellent knowledge of current technologies and project management skills. Diverse technology background required along with strong verbal and written communication skills. Preferred qualifications for the ideal future caregiver include: Master's degree Microsoft Certified Solutions Associate (MCSA) from Microsoft. Teradata Database Certified Associate (TDCA) from Teradata Certified Professional Program (TCPP). Experience at the Informatica Power Center. Programming experience with an emphasis on coding that scales well and is optimized for use in a high-volume environment. Experience in the physical and logical design of database architecture. Experience with Databricks, Snowflake, Apache Spark, and Delta Lake for real-time and batch data processing. Proficiency in data streaming technologies such as Kafka, AWS Kinesis, or Azure Event Hubs. Experience working with APIs to retrieve and integrate data from external systems. Experience developing APIs to provide data as a product. Familiarity with CI/CD pipelines for data engineering workflows. Knowledge of data governance frameworks and compliance standards (e.g., GDPR, HIPAA). Familiarity with business intelligence tools such as Tableau, Power BI, or Looker for delivering insights from data architecture. Physical Requirements: Ability to communicate and exchange accurate information. Ability to perform work in a stationary position for extended periods. Ability to work with physical records or operate a computer or other office equipment. In some locations, ability to travel throughout the hospital system. In some locations ability to move up to 25 lbs. Personal Protective Equipment: Follows standard precautions using personal protective equipment as required. The policy of Cleveland Clinic Health System and its system hospitals (Cleveland Clinic Health System) is to provide equal opportunity to all of our caregivers and applicants for employment in our drug free environment. All offers of employment are followed by testing for controlled substances. Cleveland Clinic Health System administers an influenza prevention program. You will be required to comply with this program, which will include obtaining an influenza vaccination on an annual basis or obtaining an approved exemption. Decisions concerning employment, transfers and promotions are made upon the basis of the best qualified candidate without regard to color, race, religion, national origin, age, sex, sexual orientation, marital status, ancestry, status as a disabled or Vietnam era veteran or any other characteristic protected by law. Information provided on this application may be shared with any Cleveland Clinic Health System facility. Please review the Equal Employment Opportunity poster. Cleveland Clinic Health System is pleased to be an equal employment employer: Women / Minorities / Veterans / Individuals with Disabilities

Supervises team to review and request primary source information and verifications. Proactively identifies, suggests improvements to, and provides resolutions for complex gaps in vendor relationships. Serves as an escalation point of contact for external queries regarding practitioner status. Evaluates applications and supports highly complex documents. Guides team to conduct improvements to credentialing and privileging processes. Guides and supervises team to evaluate complex practitioner sanctions. Participates in surveys and audits of credentialing entities. Facilitates and implements strategic initiatives for cost-effective due process. Identifies and provides leadership to resolve adverse actions/issues. Leads and evaluates audits of data between different departments. Conducts and supervises the facilitation, orientation, and training of newly appointed physician leaders. Develops highly complex informational documents. Maintains working relationships with key stakeholders. Maintains awareness of current policy and climate interactions. Guides team to facilitate meetings with leadership to develop on-boarding processes. Supervises team to process complex provider enrollment information. Ensures team completes communications of relevant information to appropriate parties. Supervises team to enact control of data systems and applications. Supervises team to ensure credentialing data analyses. Reviews multiple types of database structures and data. Communicates status, leads development of corrective action plans, and collaborates with relevant teams to conduct audits and site visits. Essential Responsibilities: * Recommends developmental opportunities for others; builds collaborative, cross-functional relationships. Solicits and acts on performance feedback; provides team members with feedback; and mentors and coaches to drive performance improvement. Pursues professional growth; provides training and development to talent for growth opportunities; supports execution of performance management guidelines and expectations. Implements, adapts, and stays up to date with organizational change, challenges, feedback, best practices and processes. Fosters open dialogue, supports, mentors, engages, and motivates team members on collaboration. Delegates tasks and decisions as appropriate; provides appropriate support, guidance and scope. * Supervises and coordinates daily activities of designated work team or unit by monitoring the execution and completion of tactical action items and work assignments; ensures all policies and procedures are followed. Aligns team efforts and standards, and measures progress in achieving results; determines and carries out processes and methodologies; resolves escalated issues as appropriate. Develops work plans to meet business priorities and deadlines; coordinates, obtains and distributes resources. Removes obstacles that impact performance; identifies and recommends improvement opportunities; influences teams to execute in alignment with operational objectives. * Manages credentialing and privileging maintenance and management by: guiding teams to implement requirements when completing evaluation of applications and supporting documents for completeness and to determine applicants initial eligibility for membership/participation; serving as an escalation point of contact for practitioner during application process, providing timely updates and additional information as requested; planning and scheduling team to prepare and complete complex documents (e.g., Board Reports, Delegation reports) related to practitioner-specific data for presentations to decision-making bodies (e.g., committees); guiding teams to implement and suggest improvements to credentialing and privileging processes for all practitioners/providers; and gathering documentation needed to influence decisions on the enforcement and development of policies/procedures for regulations and auditing processes. * Manages data management and analyses by: supervising team to ensure efficient file completion, conduct privileging analyses, and verify privileging to the appropriate specialty/facility, based on data; and supervising team to leverage and independently leveraging complex tools and policies to support knowledge management, record-keeping, and internal and external communication. * Applies and ensures control and application of data systems by: supervising and reviewing the team to maintain data structures, system functions, creations of workflows, portal management and coordinating the access and controls of data; leading teams to engage in auditing, assessing, procuring, implementing, effectively utilizing, and maintaining practitioner/provider credentialing and delegated processes and information systems (e.g., files, reports, minutes, databases) as outlined; and reviewing, evaluating, and escalating improvements to processes (e.g., electronic board memos) to ensure compliance. * Conducts database management by: reviewing multiple types of structures and data within a computerized data base of physician data for use in the credentialling and appointment process in alignment with department guidelines. * Engages in delegations by: communicating status of, assisting in development of corrective action plans, and identifying gaps or breach of delegated credentialing agreements in alignment with developed strategy for potential and existing delegates; aiding the facilitation of mutual agreement and amendments as needed, obtaining signatures, and maintaining Delegated Credentialing Agreements; scheduling and conducting pre-assessment, annual site visits, and/or electronic assessments to validate credentialing information; and collaborating with State Standardization and Audit teams (e.g., Washington Credentialing Standardization Group Shared Delegation Audit Team, ICE) on shared delegation audits. * Leads primary source verification and management by: supervising team to engage in requesting, obtaining, and reviewing information from primary source verifications and ensuring accuracy in evaluation of applications and provided sources for alignment; maintaining the primary source vendor/relationships to ensure accessibility to information and beginning to resolve issues with vendor information; planning and scheduling the continuous process of, providing resources for, and conducting the review process of applications, primary source verifications, and sources provided to identify potential discrepancies, recognize adverse information, and meet organizational objectives and timelines; leading team to engage in verifying and documenting expirables using acceptable verification sources to ensure compliance with accreditation and regulatory standards; and serving as escalation point for external queries regarding practitioners status, ensuring responses occur in a timely matter. * Manages the provider enrollment process by: supervising team, reviewing for accuracy, and conducting moderately complex detailed and thorough review of the information used to submit the enrollment applications; supervising team to prepare and submit timely data and applications to the contracted and government payors in a manner commensurate with their expectations, policies and accreditation standards; and ensuring team completes communication of enrollment status to all stakeholders in a clear and timely manner. * Ensures quality assurance, improvement, and resolution by: guiding and supervising team to obtain and evaluate practitioner sanctions, complaints, and adverse data to ensure compliance; supervising and evaluating ongoing assessments of governing documents (e.g., bylaws/rules and regulations/policies and procedures) to ensure continuous compliance; maintaining collaborative efforts and participating in surveys and audits of credentialing entities (e.g., CMOs, delegates and health plans for NCQA); guiding team on techniques and strategies to facilitate efficient and cost-effective due process that complies with internal fair hearing and appeals policies and external legal and regulatory requirements; evaluating team identification, resolving, escalating as needed, and responding to adverse actions/issues (e.g., sanctions and complaints) taken against a practitioner/provider in accordance with applicable law and contractual requirements to the necessary parties; and guiding team to audit and reconcile data between different departments for consistency and monitoring credentialing and contracting. * Leads training and regulatory awareness by: guiding team during and independently facilitating orientation and training for newly appointed physician leaders for effective management of their departments credentialing, proctoring, privileging and reappointment processes; supervising team during and independently developing complex informational/educational documents (newsletters, memos) to communicate critical information regarding organizational programs and policies; supervising the development and cultivation of working relationships with key stakeholders, both internal and external, to ensure appropriate awareness of key issues and decision-making; guiding team to facilitate meeting with leadership to develop on-boarding processes (orientation, training activities) to assist practitioners/providers and to meet education requirements; updating applicable governing documents (bylaws, rules and regulations/policies and procedures) that support and direct organizational practices and ensure compliance; and maintaining awareness of current internal policies and external regulations, and legislation.

At Cleveland Clinic Health System, we believe in a better future for healthcare. And each of us is responsible for honoring our commitment to excellence, pushing the boundaries and transforming the patient experience, every day.We all have the power to help, heal and change lives - beginning with our own. That's the power of the Cleveland Clinic Health System team, and The Power of Every One.Job TitleData Registry CoordinatorLocationClevelandFacilityCleveland Clinic Main CampusDepartmentHVTI Business Office-Heart Vascular & Thoracic InstituteJob CodeT99945ShiftDaysSchedule8:00am-4:30pmJob SummaryJob Details Join the Cleveland Clinic team where you will work alongside passionate caregivers and make a lasting, meaningful impact on patient care. Here, you will receive endless support and appreciation while building a rewarding career with one of the most respected healthcare organizations in the world. The Data Registry Coordinator is responsible for collecting, validating, analyzing, and submitting accurate clinical data to designated clinical registries, including CathPCI. This role ensures data integrity and compliance with registry requirements while using reports and outcomes data to identify trends, opportunities for performance improvement, and quality initiatives. The Coordinator serves as a content expert for registry standards, measures, and guidelines, and collaborates with multidisciplinary clinical teams and committees across a multi-hospital environment. Prior Cath Lab or cardiovascular clinical experience is strongly preferred to support effective interpretation of data and meaningful engagement with stakeholders. This position is specific to supporting the CathPCI registry so cath lab experience is ideal. A caregiver in this position works remotely from 8:00AM - 4:30PM. Can work 4x10 hour shifts or 5 x 8-hour shifts. A caregiver who excels in this role will: Provide oversight and adherence with Human Subject Protection to ensure data quality and integrity implementing high reliability organization training Identify patients for inclusion in the clinical registries through the application of strict inclusion/exclusion criteria and protocols. Collect and validate data for the program using the applicable criteria and definitions established by the registry. Establish and maintain adequate workflow for data collection. Provide accurate and timely submission of data into the program's website and assure the transmission of completed data according to the program's targets and deadlines. Analyze data and report to identify opportunities for improvement. Collaborate with clinical departments/units on performance improvement initiatives. Ensure that our data registry(ies) is in compliance with all relevant regulations and that our data is of the highest quality. Provide registry oversight, guidance and alignment of IRB policies and procedure under the direction of Dermatology Research Manager. Minimum qualifications for the ideal future caregiver include: Bachelor's Degree in Science, Healthcare or a related field and three years of clinical experience or related research/registry experience OR diploma from an accredited School of Nursing or a certification from an Allied Healthcare Program with five years of experience OR Associate's Degree and five years of experience Familiarity with medical record documentation and mainframe systems for patient information Preferred qualifications for the ideal future caregiver include: Current licensure as a Registered Nurse (RN) Bachelor's of Science in Nursing (BSN) Physical Requirements: High degree of dexterity to produce material on a PC and normal or corrected vision to normal range. Frequent sitting, standing and walking required. Must possess ability to clearly communicate verbally by phone and in person. Sedentary Work - Exerting up to 10 pounds of force occasionally (Occasionally: activity or condition exists up to 1/3 of the time) and/or a negligible amount of force frequently (Frequently: activity or condition exists from 1/3 to 2/3 of the time) to lift, carry, push, pull, or otherwise move objects, including the human body. Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met. Personal Protective Equipment: Follows standard precautions using personal protective equipment as required. keywords: clinical registry, research, registry, data abstract The policy of Cleveland Clinic Health System and its system hospitals (Cleveland Clinic Health System) is to provide equal opportunity to all of our caregivers and applicants for employment in our drug free environment. All offers of employment are followed by testing for controlled substances. Cleveland Clinic Health System administers an influenza prevention program. You will be required to comply with this program, which will include obtaining an influenza vaccination on an annual basis or obtaining an approved exemption. Decisions concerning employment, transfers and promotions are made upon the basis of the best qualified candidate without regard to color, race, religion, national origin, age, sex, sexual orientation, marital status, ancestry, status as a disabled or Vietnam era veteran or any other characteristic protected by law. Information provided on this application may be shared with any Cleveland Clinic Health System facility. Please review the Equal Employment Opportunity poster. Cleveland Clinic Health System is pleased to be an equal employment employer: Women / Minorities / Veterans / Individuals with Disabilities

Required Education/Experience/Specialized Skills: Bachelor's degree. . Preferred Education/Experience/Specialized Skills/Certification: Bachelor's degree in Computer Sciences or Engineering. Master's degree preferred. Preferred Education / Experience / Specialized Skills / Certifications (Concise): 15+ years of progressive infrastructure or architecture experience in a complex environment (healthcare preferred). Experience leading major modernization efforts (cloud migration, data center consolidation, network redesign). Knowledge of enterprise architecture frameworks (e.g., TOGAF) and cloud platforms (Azure/AWS). Familiarity with automation/orchestration tools (Terraform, Ansible, etc.). Strong understanding of cybersecurity frameworks and healthcare compliance (HIPAA/HITECH). Experience supporting large EHR environments, especially Epic. Proven ability to lead cross-functional teams through organizational and technology change. Strong vendor, budget, and contract management skills. This is a full-time leadership position, eligible for Scripps Health Director Incentive Compensation Plan. This partial remote position is located in San Diego and does require residence in San Diego. Elevate your career with Scripps Health, where Compassion Meets Excellence. Invest, Empower & Belong. At Scripps Health, your potential is limitless. We're more than a healthcare provider, at Scripps you will join a community where your views, beliefs and values are celebrated. Grow through industry-leading development programs and empower yourself to deliver innovative care. Be a part of an extraordinary team, impacting health in beautiful San Diego. Why join Scripps Health? AWARD-WINNING WORKPLACE: At Scripps Health, your ambition is empowered, and your abilities are appreciated: Nearly a quarter of our employees have been with Scripps Health for over 10 years. Scripps is a Great Place to Work Certified company for 2025. Scripps Health has been consistently ranked as a top employer for women, millennials, diversity, and as an overall workplace by various national publications. Beckers Healthcare ranked Scripps Health on its 2024 list of 150 top places to work in health care. We have transitional and professional development programs to create a learning environment that enables you to thrive in your specific field as well as in your overall career. Our specialties have been nationally recognized for quality in areas such as cardiovascular care, oncology, orthopedics, geriatrics, obstetrics and gynecology, and gastroenterology. The Director, Infrastructure Operations, also known as Director, IS Enterprise Architecture provides leadership and oversight for network services, computing platforms, IS and data center operations, and system integration activities. This role ensures regulatory compliance, timely project delivery, system readiness, reliability, and consistent service quality. As a strategic leader, this position sets the direction for the organization's technical infrastructure and upholds high performance standards that support patient care and service excellence. The Director leads change initiatives, fosters innovation, and builds enthusiasm among staff for continuous improvement. Scripps Health is seeking a strong communicator and collaborative leader who can execute the organization's strategic vision and drive creative, forward-thinking technology solutions. Key Responsibilities: · Partner with departments and leaders across the organization. · Design, build, maintain, and enhance enterprise computing infrastructure. · Provide strategic direction for computing, storage, cloud services, data centers, network servers, and information security infrastructure. · Epic infrastructure experience preferred. · Evaluate and implement emerging technologies, including cloud-based solutions suited for healthcare. #LI-EE1

At Cleveland Clinic Health System, we believe in a better future for healthcare. And each of us is responsible for honoring our commitment to excellence, pushing the boundaries and transforming the patient experience, every day.We all have the power to help, heal and change lives - beginning with our own. That's the power of the Cleveland Clinic Health System team, and The Power of Every One.Job TitleSystems Analyst III - FinanceLocationClevelandFacilityRemote LocationDepartmentCorporate Accounting-FinanceJob CodeT31033ShiftDaysSchedule8:00am-5:00pmJob SummaryJob Details Join the Cleveland Clinic team, where you will work alongside passionate caregivers and provide patient-first healthcare. Cleveland Clinic is recognized as one of the top hospitals in the nation. At Cleveland Clinic, you will work alongside passionate and dedicated caregivers, receive endless support and appreciation, and build a rewarding career with one of the most respected healthcare organizations in the world. As a Systems Analyst III, you will support Oracle ERP, EPM and FDI systems, as well as accounts payable, tax and local finance users, to maintain and enhance their systems to meet new business requirements and reporting needs. In this role, you will identify and implement solutions,and assist with feasibility analysis, estimation, planning, design, development, quality assurance evaluation and modification of automated systems. Utilizing your experience, you will help propel the department forward and support goal completion, playing a critical role in supporting the general ledger team and local finance users. A caregiver in this role works remotely from 8:00 a.m. -- 5:00 p.m. and is required to provide off-hours support. Candidates must reside in Ohio, Florida, or Nevada to be considered for this role. A caregiver who excels in this role will: Participate in feasibility analysis, estimating, planning, designing, developing, prototyping, implementing, quality assurance evaluation and modification of automated systems. Define training requirements and assist with automated systems training. Recommend solutions to enhance system functionality. Support and design department project assignments and small system implementation. Provide input to solution development efforts. Maintain schedules. Track information system resources for assigned projects. Report on project timelines and document performance. Develop work products, documentation of operational and business objectives, best technology capabilities and task level resource requirements. Maintain project task plans, documentation and communications. Minimum qualifications for the ideal future caregiver include: Associate's degree in Information Technology/Computer Science, Health Sciences, Healthcare Admin or related field and five years of experience in information technology dealing with applications development and support, or end user training, or equivalent experience in an operational or financial role utilizing the systems or data generated by the systems supported by this position OR High School Diploma / GED or equivalent and seven years of experience OR Bachelor's degree and three years of experience Strong analytical, critical thinking and communication skills For Information Technology Division caregivers, ITIL Foundations certification is required within 6 months of position start date Preferred qualifications for the ideal future caregiver include: Bachelor's degree in Information Technology, Information Systems, Accounting, Finance, Healthcare Administration, or a closely related field 5+ years of hands-on experience supporting Oracle Fusion ERP Financials in a complex, highly regulated enterprise environment Direct experience supporting Oracle Tax and Accounts Payable modules, including configuration support, issue resolution, period-close activities, and collaboration with Finance stakeholders Experience supporting financial systems within a large healthcare, academic medical center, or similarly regulated organization Demonstrated experience supporting post-go-live operations, including system stabilization, enhancements, user support, and ongoing optimization Experience working within formal IT governance, change management, and release management frameworks Strong ability to partner cross-functionally with Finance, IT, external vendors, and auditors to support compliance-driven financial processes Relevant professional or technical certifications (e.g., Microsoft, CompTIA, Oracle, or equivalent) Physical Requirements: High degree of dexterity to produce materials on a computer. Requires normal or corrected vision, hearing and speech. Mobility sufficient to attend meetings. Ability to lift up to 25 pounds. The position must be available after hours for support by pager and computer dial-in. Personal Protective Equipment: Follows standard precautions using personal protective equipment as required. The policy of Cleveland Clinic Health System and its system hospitals (Cleveland Clinic Health System) is to provide equal opportunity to all of our caregivers and applicants for employment in our drug free environment. All offers of employment are followed by testing for controlled substances. Cleveland Clinic Health System administers an influenza prevention program. You will be required to comply with this program, which will include obtaining an influenza vaccination on an annual basis or obtaining an approved exemption. Decisions concerning employment, transfers and promotions are made upon the basis of the best qualified candidate without regard to color, race, religion, national origin, age, sex, sexual orientation, marital status, ancestry, status as a disabled or Vietnam era veteran or any other characteristic protected by law. Information provided on this application may be shared with any Cleveland Clinic Health System facility. Please review the Equal Employment Opportunity poster. Cleveland Clinic Health System is pleased to be an equal employment employer: Women / Minorities / Veterans / Individuals with Disabilities

At Cleveland Clinic Health System, we believe in a better future for healthcare. And each of us is responsible for honoring our commitment to excellence, pushing the boundaries and transforming the patient experience, every day.We all have the power to help, heal and change lives - beginning with our own. That's the power of the Cleveland Clinic Health System team, and The Power of Every One.Job TitleRegistered Dietitian - Outpatient (Sign-On Bonus Eligible) LocationClevelandFacilityCleveland Clinic Main CampusDepartmentDDSI Nutrition-Main Campus HospitalJob CodeT23012ShiftDaysSchedule8:00am-4:30pmJob SummaryJob Details Join Cleveland Clinic's Main Campus where research and surgery are advanced, technology is leading-edge, patient care is world class and caregivers are family. Here, you will work alongside a passionate and dedicated team, receive endless support and appreciation, and build a rewarding career with one of the most respected healthcare organizations in the world. People seek guidance from a Registered Dietitian (RD) for many reasons, whether to maximize wellness, learn healthier eating habits or decrease the risk of chronic diseases. Using your knowledge and education, you will develop personalized treatment plans for patients according to their medical histories, individual needs and goals. This role is integral to our comprehensive model of care, encompassing every aspect of wellness and health. A caregiver in this position works 8:00am - 4:30pm. The role includes three days onsite at the medical center and two days remote (work from home) each week, allowing for a balanced and flexible work schedule while supporting specialized patient needs. A caregiver who excels in this role will: Provide individualized medical nutrition therapy, education and counseling to patients. Implement nutritional care plans, communicate plans, establish a follow-up system and maintain documentation. Write changes for diet orders, initiate nutrient intake assessments, assess patients for nutritional deficiencies, evaluate fluids and electrolytes and review laboratory and clinical progress notes. Inform physicians of patient nutritional status and need for diet changes. Create and revise education materials, participate in program development and develop, implement and market services. Support the dietetic internship program as a supervised practice rotation preceptor and class instructor. Minimum qualifications for the ideal future caregiver include: Bachelor's Degree in Nutrition, Dietetics or a related field Current licensure as a Licensed Dietitian (LD) Active certification as a Registered Dietitian (RD) One year of experience as a Registered Dietitian in Clinical Nutrition OR successful completion of CCF Dietetic Internship Program Our caregivers continue to create the best outcomes for our patients across each of our facilities. Click the link and see how we're dedicated to providing what matters most to you: ******************************************** Physical Requirements: Ability to navigate extensively to provide services to a large number of patients throughout the hospital and manual dexterity sufficient to perform computer entry. Must have physical ability to measure and weigh patients. Personal Protective Equipment: Follows standard precautions using personal protective equipment as required. The policy of Cleveland Clinic Health System and its system hospitals (Cleveland Clinic Health System) is to provide equal opportunity to all of our caregivers and applicants for employment in our drug free environment. All offers of employment are followed by testing for controlled substances. Cleveland Clinic Health System administers an influenza prevention program. You will be required to comply with this program, which will include obtaining an influenza vaccination on an annual basis or obtaining an approved exemption. Decisions concerning employment, transfers and promotions are made upon the basis of the best qualified candidate without regard to color, race, religion, national origin, age, sex, sexual orientation, marital status, ancestry, status as a disabled or Vietnam era veteran or any other characteristic protected by law. Information provided on this application may be shared with any Cleveland Clinic Health System facility. Please review the Equal Employment Opportunity poster. Cleveland Clinic Health System is pleased to be an equal employment employer: Women / Minorities / Veterans / Individuals with Disabilities

We are so glad you are interested in joining Sutter Health! Organization: SHSO-Population Health Services-Utah Aids patients in obtaining the correct level of care with the appropriate provider at the right time. Provides advance clinical telephone support to Sutter Health patients, other callers, in-basket and other remote support for physicians, and limited in-clinic support. Uses the nursing process, input from physicians, and Sutter Health's approved telephone nursing guidelines and protocols to maintain highly efficient operations, to provide quality care, and to ensure positive patient outcomes. Assesses patients' needs, appropriately dispositions cases, collaborates with the clinic and hospital-based providers to renew electronic prescriptions, identifies hospital and community resources, consultations and referrals, and preforms nursing follow-up activities. Clinical support includes assisting physician partners with message management and other communications within the electronic medical record (EMR) system, as well as limited patient care in an outpatient setting. Job Description: DISCLAIMER Applicants must be a resident of one of the following states to be eligible for consideration for this position: Utah, Idaho, Arizona, Arkansas, Louisiana, Tennessee, Missouri, Montana, or South Carolina. DISCLAIMER 2 This is a Work from Home position, therefore internet minimum speeds of 15 mbps download and 5 mbps upload are required. EDUCATION Graduate of an accredited school of nursing CERTIFICATION & LICENSURE RN-Registered Nurse of California (You can submit application without the CA RN license, but must acquire it prior to your start date if selected). RN-Registered Nurse in State of Residence PREFERRED EXPERIENCE AS TYPICALLY ACQUIRED IN: 2 years' experience of practical nursing in a hospital, clinic, urgent care, or emergency room/department 2 years' experience with several specialties and subspecialties. OB/GYN experience helpful SKILLS AND KNOWLEDGE Professional knowledge of clinical nursing protocols, regulations and institutional standards of care and risk management with an emphasis in the areas of disease processes, emergencies, health sciences and pharmacology. Advanced clinical knowledge of medical diagnoses, procedures, protocols, treatments, and terminology, including a working knowledge of state and federal regulations and guidelines. Solid analytical and project management skills, including the ability to analyze problems, situations, practices, and procedures, reach practical conclusions, recognize alternatives, provide solutions, and institute effective changes. Communication, interpersonal, and interviewing skills, including the ability to build rapport and explain medical lab results or sensitive information clearly and professionally to diverse audiences (patients). Proficient computer skills, including Microsoft Office Suite and experience working electronic medical/health records. Work independently, as well as part of a multidisciplinary team, while demonstrating exceptional attention to detail and organizational skills. Manage multiple priorities/projects simultaneously, sometimes with rapidly changing priorities, while maintaining event/project schedules. Recognize unsafe or emergency situations and respond appropriately and professionally. Ensure the privacy of each patient's protected health information (phi). Analyze possible solutions using precedents, existing departmental guidelines and policies, experience and good judgment to identify and solve standard problems. Build collaborative relationships with peers, physicians, nurses, administrators, and public to provide the highest quality of patient care. Pay Range: Starting wage is $37.19 hourly Job Shift: Varied Schedule: Part Time Shift Hours: 8/10 Blended Days of the Week: Variable Weekend Requirements: Rotating Weekends Benefits: Yes Unions: No Position Status: Non-Exempt Weekly Hours: 32 Employee Status: Regular Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans. Pay Range is $0.00 to $0.00 / hour The compensation range may vary based on the geographic location where the position is filled. Total compensation considers multiple factors, including, but not limited to a candidate's experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs. Base pay is only one component of Sutter Health's comprehensive total rewards program. Eligible positions also include a comprehensive benefits package.