Key Benefit Administrators jobs - 51,170 jobs

City/State Norfolk, VA Work Shift First (Days) Sentara Health Plan is currently hiring a Senior Fraud and Abuse Investigator- Remote! Status: Full-time, permanent position (40 hours) Work hours: 8am to 5pm EST, M-F Remote opportunities available in the following states: Virginia, North Carolina, Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington (state), West Virginia, Wisconsin, Wyoming. With travelto Virginia Beach 1x a year. Overview Responsible for contributing to in-depth investigations for suspected fraud or abuse with respect to provider, pharmacy, employer, member, and broker interactions involving the full range of products at Sentara Health Plans. Responsible for contributing to the review of the quality of pharmacy, physician, ancillary and hospital based coding in routine desk audits as well as occasional on-site audits. Contribute to the review of reimbursement systems relating to health insurance claims processing and ensures adherence to Optima Health policies and procedures for its various product offerings. Specific progression of responsibility is a follows dependent upon education, certifications, and experience: Conducts investigation-related training. Negotiates settlement agreements to resolve disputes. Maintain current knowledge of relevant laws, regulations and standards. Updates department policies and procedures and assists in training staff on changes. Prepares routine department reporting as needed. Education Bachelor's Degree REQUIRED; Degree in a related field of study preferred. Certification/Licensure Certified Professional Coder REQUIRED (or achieved within 12 months of hire date) Additional Preferred Qualifications: Certified Forensic Interviewer (CFI) Certified Fraud Specialist (CFS) Certified Professional Coder (CPC) or Certified in Healthcare Compliance (CHC) Certified Fraud Examiner (CFE) OR Accredited Health Care Fraud Investigator (AHFI) preferred. (Note: Federal Agents who have successfully completed the Federal Bureau of Investigation Training Program (FBITP) - Criminal Investigator Training Program (CITP) would be considered equivalent to the AHFI). Experience Minimum 5-8 years of related investigative experience OR 3 - 5 years of related health care investigative experience Healthcare, Coding, Audit, Investigations, Regulatory, and/or Compliance 5 years REQUIRED -OR- Healthcare Investigation related to Coding, Audit, Regulatory, and/or Compliance 3 years REQUIRED Sentara Health Plans provides health plan coverage to close to one million members in Virginia. We offer a full suite of commercial products including employee-owned and employer-sponsored plans, as well as Individual & Family Health Plans, Employee Assistance Programs and plans serving Medicare and Medicaid enrollees. Our quality provider network features a robust provider network, including specialists, primary care physicians and hospitals. We offer programs to support members with chronic illnesses, customized wellness programs, and integrated clinical and behavioral health services-all to help our members improve their health. Our success is supported by a family-friendly culture that encourages community involvement and creates unlimited opportunities for development and growth. Be a part of an excellent healthcare organization that cares about our People, Quality, Patient Safety, Service, and Integrity. Join a team that has a mission to improve health every day and a vision to be the healthcare choice of the communities that we serve! We provide market-competitive compensation packages, inclusive of base pay, incentives, and benefits. The base pay rate for Full Time employment is: $29.21 hour- $48.68/hour. Additional compensation may be available for this role such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. To apply, please go to ********************** and use the following as your Keyword Search:JR-92443 Talroo-Health Plan Keywords: Healthcare, Health Plan, Remote, Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington (state), West Virginia, Wisconsin, Wyoming, Bachelor's Degree, Medical Coding, Medical Chart Review, Insurance Billing, Internal/External Audit, Regulatory, Compliance, Claims Investigations, Criminal Investigation, White Collar Crime, Certified Professional Coder (CPC), Certified Fraud Examiner (CFE), Accredited Health Care Fraud Investigator (AHFI), Federal Bureau of Investigation Training Program (FBITP) - Criminal Investigator Training Program (CITP); Certified Forensic Interviewer (CFI), Certified Fraud Specialist (CFS), Certified Professional Coder (CPC) or Certified in Healthcare Compliance (CHC), Fraud, Waste, Abuse, Program Integrity, FWA, PI, Professional Writing, Verbal Communication, Time Management, Complex Problem Solving/Critical Thinking, Microsoft Excel and Word, Microsoft Access and Outlook Benefits: Caring For Your Family and Your Career • Medical, Dental, Vision plans • Adoption, Fertility and Surrogacy Reimbursement up to $10,000 • Paid Time Off and Sick Leave • Paid Parental & Family Caregiver Leave • Emergency Backup Care • Long-Term, Short-Term Disability, and Critical Illness plans • Life Insurance • 401k/403B with Employer Match • Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education • Student Debt Pay Down - $10,000 • Reimbursement for certifications and free access to complete CEUs and professional development •Pet Insurance •Legal Resources Plan •Colleagues have the opportunity to earn an annual discretionary bonus ifestablished system and employee eligibility criteria is met. Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves. In support of our mission “to improve health every day,” this is a tobacco-free environment. For positions that are available as remote work, Sentara Health employs associates in the following states: Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.

*Employment Type:* Part time *Shift:* Evening Shift *Description:* Shift Details: * Mid shift: 10:30 am - 7:00 pm EST. * Monday - Friday. * On-Call weekend rotation required. * In accordance with the Mission and Guiding Behaviors; the Supervisor Sterile Processing supports and assists the SPD Manager in providing 24-hour operations of the SPD service area. Meets or exceeds patient, physician, or other pertinent customer expectations. Assists in the selection, development and if required, corrective action of staff, in order to maintain competence and high-quality service or care. Develops, plans, implements, and evaluates educational programs to meet the needs of the Sterile Processing Department (SPD) and to aide in the professional development of staff. Assists the Surgical Services Manager with overall supervision and daily operations of the Sterile Processing Department. Evaluates workflow and makes staffing assignments. Assists the Manager in meeting productivity and labor expense targets. Oversees the training and competency of Sterile Processing Technicians. Recognizes and identifies the existence of problems or improvement opportunities and takes action to troubleshoot issues. Coordinates Quality Assurance programs and provides in-service and education opportunities for the department. *What you will do:* * Promotes a Culture of Safety by adhering to policy, procedures and plans that are in place to prevent workplace injury, violence or adverse outcome to associates and patients. * Relationship-based Care: Creates a caring and healing environment that keeps the patient and family at the center of care throughout their experience at Mount Carmel following the principles of our interdisciplinary care delivery system. * (For patient care providers) Provides nursing care, ensures an environment of patient safety, promotes evidence-based practice and quality initiatives, and exhibits professionalism in nursing practice within the model of the ANCC Magnet Recognition Program . * Maintains open and active communication with the medical staff, patient care staff and interdepartmental staff. * Coordinates daily work assignments, monitoring all processing areas. Maintains employee schedule ensuring adequate coverage for hours of operation and call coverage on weekends and Holidays. * Assists SPD Manager in evaluations of Sterile Processing staff. * Acts as liaison and facilitates communication between sterile processing and operating room personnel/nursing units. * Facilitates the processing of instrumentation and equipment, ensuring quality and customer satisfaction. Assist with collecting data for Quality Assurance. * Reviews operating room schedules, anticipating needs and/or conflicts with instrumentation, coordinating instrumentation for all procedures with operating room personnel. * Responsible for the daily review of all recording tapes and biological / chemical tests from all sterilizers and records results. Implements hospital policy and procedure for positive biological tests. * Monitors staff compliance with all required safety precautions. * Assumes responsibility of department in absence of Manager SPD * Coaches' staff and rounds with staff consistently. * Conducts staff meetings/huddles and provides educational opportunities for staff. * Ensures SPD policies and procedures are kept updated. * Ensures the competency of all SPD staff and other staff who may be involved in high level disinfection and/or sterilization in other areas. Maintains departmental education records in compliance with regulatory guidelines. * Oversees quality and infection control initiatives for SPD. * Provides a comprehensive and technical orientation, education and training program for the sterile processing staff. * Assists Manager with managing labor and supply components of the budget. * Assists Manager in organization functions of the department. * Assists Manager in conducting annual performance evaluations of SPD staff. * Assist the Manager with evaluation of the department's service delivery. Recommends and implements process improvements. * Responsible for all daily operations in the absence of the SPD Manager. * Develops educational calendar for all in-service training. Provides education and training to SPD staff. * Demonstrated leadership in directing and maintaining productive and positive behavior among staff. *Other Responsibilities:* * Position requires an individual who is self-motivated, able to complete assignments with minimal supervision. Attention to detail, quality of work, and ability to organize work are critical and vital factors. Independent problem solving, strongly recommended. * Must have a good working knowledge of Instruments, the operation/workings of the OR and be able to readily understand their issues and requests. Be able to speak the language of the OR. * Strong written and verbal communication skills. * Strong computer skills required including a working knowledge of MS Word, MS Powerpoint and MS Excel. * Self-starter, ability to work independently when required. Ability to set priorities, be flexible, multi-task and meet deadlines. * Detail oriented, excellent organizational and documentation skills. * Capable of communicating and coordinating with multiple departments. * A team player. * Assigned hours within your shift, starting time, or days of work are subject to change based on departmental and/or organizational needs. * Responsible for compliance with Organizational Integrity through raising questions and * promptly reporting actual or potential wrongdoing. * All other duties as assigned. *Minimum Qualifications:* * Education: Certification as a surgical technologist or sterile processing technician gained through an accredited certification program such as the CBSPD sterilization certification or CRCST (Certified Registered Central Service Technician), * Licensure: Certification as a surgical technologist or sterile processing technician. * Experience: Three (3) years of progressive work experience in a Sterile Processing or Operating Room setting along with a working knowledge of AAMI standards. * Effective Communication Skills *Position Highlights and Benefits:* * Competitive compensation and benefits packages including medical, dental, and vision with coverage starting on day one. * Retirement savings account with employer match starting on day one. * Generous paid time off programs. * Employee recognition programs. * Tuition/professional development reimbursement starting on day one. * Relocation assistance (geographic and position restrictions apply). * RN to BSN tuition 100% paid at Mount Carmel's College of Nursing. * Employee Referral Rewards program. * Mount Carmel offers DailyPay - if you're hired as an eligible colleague, you'll be able to see how much you've made every day and transfer your money any time before payday. You deserve to get paid every day! * Opportunity to join Diversity, Equity, and Inclusion Colleague Resource Groups. *Ministry/Facility Information:* Mount Carmel, a member of Trinity Health, has been a transforming healing presence in Central Ohio for over 135 years. Mount Carmel serves over 1.3 million patients each year at our five hospitals, free-standing emergency centers, outpatient facilities, surgery centers, urgent care centers, primary care and specialty care physician offices, community outreach sites and homes across the region. Mount Carmel College of Nursing offers one of Ohio's largest undergraduate, graduate, and doctor of nursing programs. If you're seeking a rewarding career where your purpose, passion, and desire to make a difference come alive, we invite you to consider joining our team. Here, care is provided by all of us For All of You! *Legal Info (auto-populated in posting):* We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. *Our Commitment * Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

A leading technology company in San Francisco is seeking a TechOps Analyst who will provide essential support for IT operations. The ideal candidate should have 4-6+ years of experience and a strong passion for technology and problem-solving. They will assist employees with technical issues, manage onboarding processes, and contribute to improving internal efficiencies. This role offers a hybrid work model, with benefits including medical and wellness offerings. #J-18808-Ljbffr

We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help people uncover their own power to be healthy. We inspire hope. We learn, grow, and achieve more - in our careers and in our communities. Summary: This position ensures delivery of evidence-based practice by professional nursing personnel and other staff in designated areas of responsibility. He/She plans, organizes, directs and evaluates the unit's delivery of evidence-based patient care in a cost-effective manner, providing leadership and clinical management to members of the health care team. He/She participates in integration of the Nursing Philosophy along with the mission, vision, values, goals and objectives of OhioHealth in unit operations. Responsibilities And Duties: 1. 40% DEPARTMENT MAN Minimum Qualifications: Bachelor's Degree (Required), Master's DegreeLISW - Licensed Independent Social Worker - Social Work Certification and Licensure Board, LPCC - Licensed Professional Clinical Counselors - American Counseling Association, RN - Registered Nurse - Ohio Board of Nursing Additional Job Description: May require advance training in specialty areas. Specialized knowledge in nursing process and clinical skills. Demonstrated skills in interpersonal relationships, verbal and written communication and nursing practice standards. Skills in computer applications as appropriate to area(s) of responsibility. 2-3 years nursing experience in related or similar areas of responsibility. Previous leadership experience such as precepting, charge role, clinical lead role, mentoring, department committee leadership or facilitation of meetings. Work Shift: Day Scheduled Weekly Hours : 40 Department HVP Pickerington Join us! ... if your passion is to work in a caring environment ... if you believe that learning is a life-long process ... if you strive for excellence and want to be among the best in the healthcare industry Equal Employment Opportunity OhioHealth is an equal opportunity employer and fully supports and maintains compliance with all state, federal, and local regulations. OhioHealth does not discriminate against associates or applicants because of race, color, genetic information, religion, sex, sexual orientation, gender identity or expression, age, ancestry, national origin, veteran status, military status, pregnancy, disability, marital status, familial status, or other characteristics protected by law. Equal employment is extended to all person in all aspects of the associate-employer relationship including recruitment, hiring, training, promotion, transfer, compensation, discipline, reduction in staff, termination, assignment of benefits, and any other term or condition of employment

We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help people uncover their own power to be healthy. We inspire hope. We learn, grow, and achieve more - in our careers and in our communities. Summary: Med-surg level of care, with a strong focus on the surgical patient population. Patient centered care through adoption of Collaborative Care Model, a team-based approach including Registered Nurses (RNs), Licensed Practical Nurses (LPNs), and Patient Support Assistants (PSAs) within a care team. This position provides general nursing care to patients and families along the health illness continuum in diverse health care settings while collaborating with the health care team. He/She is accountable for the practice of nursing as defined by the Ohio Board of Nursing. Med-surg level of care, with a strong focus on the surgical patient population. Patient centered care through adoption of Collaborative Care Model, a team-based approach including Registered Nurses (RNs), Licensed Practical Nurses (LPNs), and Patient Support Assistants (PSAs) within a care team. Responsibilities And Duties: Assessment/Diagnosis - Performs initial, ongoing, and functional health status assessment as applicable to the population and or individual (30%). Outcomes Identification/Planning - Based on nursing diagnoses and collaborative problems, documents planned nursing interventions to achieve outcomes appropriate to patient needs (30%). Implementation/Evaluation - Evaluates and documents response to nursing interventions and achievement of outcomes at appropriately determined intervals; as part of a multidisciplinary team, revises plan of care based on evaluative data (20%). Leadership - Actively participates in process improvement activities to achieve targeted measures of clinical quality, customer satisfaction, and financial performance (10%). Operations (10%). As a High Reliability Organization (HRO), responsibilities require focus on safety, quality and efficiency in performing job duties. The job profile provides an overview of responsibilities and duties and is not intended to be an exhaustive list and is subject to change at any time. Minimum Qualifications: BLS - Basic Life Support - American Heart Association, RN - Registered Nurse - Ohio Board of Nursing Additional Job Description: State Driver's License. RN - Registered Nurse BLS - Basic Life Support CPR - Cardiopulmonary Resuscitation Field of Study: Nursing Years of Experience 0 Work Shift: Day Scheduled Weekly Hours : 36 Department Surgical Unit 1 Join us! ... if your passion is to work in a caring environment ... if you believe that learning is a life-long process ... if you strive for excellence and want to be among the best in the healthcare industry Equal Employment Opportunity OhioHealth is an equal opportunity employer and fully supports and maintains compliance with all state, federal, and local regulations. OhioHealth does not discriminate against associates or applicants because of race, color, genetic information, religion, sex, sexual orientation, gender identity or expression, age, ancestry, national origin, veteran status, military status, pregnancy, disability, marital status, familial status, or other characteristics protected by law. Equal employment is extended to all person in all aspects of the associate-employer relationship including recruitment, hiring, training, promotion, transfer, compensation, discipline, reduction in staff, termination, assignment of benefits, and any other term or condition of employment

A leading oncology company is seeking a National Account Director to establish strategic relationships with national payers and Pharmacy Benefits Managers. This remote position offers the opportunity to shape market access strategies for innovative oncology medicines. Ideal candidates will have a Bachelor's degree, over 10 years of account management experience, and strong relationships within the UHC/Optum sphere. Responsibilities include negotiation for favorable formulary placements and collaboration with cross-functional teams. Travel of 30-50% is expected. #J-18808-Ljbffr

A top community hospital serving a culturally diverse area of New York City, is seeking a Radiologist, Breast Imaging, to join their team. The Mammography and Women's Imaging department handles a significant number of studies and biopsies annually, providing crucial services to the community. State-of-the-art equipment, including 3-D Hologic Dimension machines, CT scanners, MRI, ultrasound, and nuclear medicine, is available to support the diagnostic and screening needs. Job Responsibilities Collaborate with the Mammography and Women's Imaging department, performing approximately 11,000 Mammogram studies and around 1,100 biopsies each year. Utilize advanced equipment, including 3-D Hologic Dimension machines, Hologic stereotactic machine, CT scanners, PET/CT scanner, MRI, ultrasound, and diagnostic x-rays/fluoroscopy suites. Work alongside a team of full-time Mammographers, supported by Nurses, technologists, and Breast Imaging Supervisor. May involve faculty appointment at a top medical school. Full time or Part time Hybrid schedule Job Requirements Board-certified or eligible in Radiology. Must be licensed to practice in the State of New York. Job Perks Competitive salary, great benefits, and other attractive incentives Generous PTO All major insurances (health, life, disability) Work-life balance is valued Visa (J1/H1B) sponsorship is available. Supportive and experienced leadership. Collaborative, flexible, and academically focused environment. Unionized Position: Promotes a healthy work-life balance and robust employee support. Diverse and Inclusive Environment: The hospital staff speaks over 130 languages, fostering a culturally rich and inclusive workplace. Stability and Collaboration: Opportunity to work with a long-term, stable, and collaborative multidisciplinary team. View all jobs online at: ******************************* The likely salary for this position will be based on qualifications, experience, and education. If you are passionate about what you could accomplish in this role, we would love to hear from you!

Let's do great things, together! About Moda Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we're focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, compassionate support to our community and comprehensive benefits to our employees. It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda values diversity and inclusion in our workplace. We aim to demonstrate our commitment to diversity through all our business practices and invite applications from candidates that share our commitment to this diversity. Our diverse experiences and perspectives help us become a stronger organization. Let's be better together. Position Overview: Are you a dynamic communicator who thrives in a fast-paced environment? Join our team as a Pharmacy Customer Services Representative and be a part of an exciting journey in delivering exceptional customer service experiences. Pay Range $19.00 - $20.00 hourly, DOE. *Actual pay is based on qualifications. Applicants who do not exceed the minimum qualifications will only be eligible for the low end of the pay range. Please fill out an application on our company page, linked below, to be considered for this position: ************************** GK=27768217&refresh=true Primary Functions: Handle a high volume of incoming calls from members, agents, providers, hospitals, pharmacists, Pharmacy Benefit Managers and Mail Order carriers regarding pharmacy benefits or other issues with professionalism and empathy. Provide customer service to members of multiple benefit plans by analyzing the caller's needs and by providing timely and accurate responses. Conduct thorough research to ensure accurate responses to complex customer queries. Work in a fast-paced environment, adapting to changing customer needs and maintaining a positive attitude all while keeping confidentiality of information for all members by adhering to Moda privacy policies and HIPAA laws and guidelines. Exercising good judgment, initiative, and discretion in confidential and sensitive matter. Contacts physicians, pharmacies and Pharmacy Benefit Managers when necessary to answer questions and obtain or provide information Collaborate with a team of dedicated professionals and follow the guidance of experienced leadership. Provide accurate information in a professional manner using current technology and software to document calls from members, providers and other customers in a clear and concise manner. Opportunities for professional growth and career advancement. Comprehensive training program to equip you with the skills needed for success. Supportive and collaborative team environment. Basic Qualifications: Required Work Experience One-year medical insurance, or other healthcare related field. One year call center or customer service. Education: High School Diploma or equivalent Proficient computer skills (Type a minimum of 25 wpm & 10-key) Must be proficient with Microsoft Office applications and able to learn other systems as they pertain to the position Preferred Qualifications: Medical terminology knowledge Previous pharmacy experience or knowledge Excellent verbal and written communication skills and ability to interact professionally, patiently, and courteously with customers over the phone Good analytical, problem solving and decision-making skills Ability to work well under pressure with frequent interruptions and shifting priorities Ability to come to work on time and be ready to work at the time of assigned shift Ability to handle difficult, angry calls and benefit issues with little assistance Benefits: Medical, Dental, Vision, Pharmacy, Life & Disability 401K- Matching FSA Employee Assistance Program PTO and Company Paid Holidays 401(k) matching Dental insurance Employee discount Flexible spending account Health insurance Life insurance Paid training Tuition reimbursement Vision insurance Work from home Moda Health seeks to allow equal employment opportunities for all qualified persons without regard to race, religion, color, age, sex, sexual orientation, national origin, marital status, disability, veteran status or any other status protected by law. This is applicable to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absences, compensation, and training. For more information regarding accommodations please direct your questions to Kristy Nehler and Danielle Baker via our ***************************** email.

About us At Cooper University Health Care , our commitment to providing extraordinary health care begins with our team. Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities, equipment, technologies and research protocols. We have a commitment to our employees to provide competitive rates and compensation programs. Cooper offers full and part-time employees a comprehensive benefits program, including health, dental, vision, life, disability, and retirement. We also provide attractive working conditions and opportunities for career growth through professional development. Discover why Cooper University Health Care is the employer of choice in South Jersey. Short Description * Responsible for designing a treatment plan and carrying out dose calculations based on the Radiation Oncologist's prescribed course of radiotherapy or brachytherapy. * Responsible for data recording and management related to patient radiotherapy and brachytherapy treatment. * Responsible for assisting the Radiation Therapists in the simulation and setup verification of treatment delivery. * Responsible for assisting the Medical Physicists in the quality management practices for ensuring appropriate patient treatment and appropriate use of computer hardware and software, and other equipment. * Experience with Eclipse Treatment Planning System with Mosaiq Record and Verify. * Hybrid Position with 60% remote Experience Required Minimum two years of dosimetry experience required. Education Requirements Graduate of a JRCERT (Joint Review Committee on Education in Radiologic Technology) accredited dosimetry program; OR Licensed Radiation Therapist/Radiological Technician with additional dosimetry training. Special Requirements ARRT (American Registry of Radiologic Technologist) Certified; OR Board eligible- hold an active registration with the ARRTor foreign equivalent. OR Have a Bachelors degree in a science related to Medical Dosimetry. You must also have completed both: * 36 months(or 35 hours per week full time equivalent of 5,460 hours) clinical medical dosimetry experience under the direction of a certified medical dosimetrist or a medical physicist AND * Completed 24 CE credits approved by the MDCB during 36 months(or 35 hours per week full time equivalent) clinical experience. The proof of completion must display the MDCB course reference number.

Full-Time, 40 hours/week Monday - Friday 8 am - 5 pm Onsite The Senior Associate Counsel provides legal support for hospital information technology operations, including comprehensive legal and strategic guidance on the procurement, deployment, and governance of information technology systems (ISD) and artificial intelligence. This position reports to the Vice President, Senior Associate Counsel with a reporting matrix to the Chief Information Officer. Responsibilities: Advise hospital leadership and procurement teams on the legal implications of acquiring new technologies, such as electronic health records (EHR), telemedicine platforms, cybersecurity tools, and medical devices and the implementation of artificial intelligence tools. Draft, review, and negotiate a broad array of information technology contracts-such as software-as-a-service (SaaS) agreements, cloud hosting terms, data processing addenda, and business associate agreements. Identify and address legal risks in vendor offerings and technology solutions. Advise hospital leadership on legal considerations surrounding digital transformation initiatives, innovation adoption, and strategic partnerships with technology providers. Collaborate with hospital IT and security teams to develop policies and protocols for safeguarding patient data and critical systems. Advise on incident response plans, breach notification procedures, and risk mitigation strategies. Stay abreast of emerging threats and evolving best practices. Provide legal support for hospital-wide policies on technology use, social media, device management, remote work, mobile access to sensitive information, and enterprise risk for information technology. Ensure policies reflect current legal requirements and operational needs. Support the hospital in managing disputes or litigation related to technology vendors, data breaches, intellectual property claims, and other technology-related matters. Coordinate with litigation counsel as needed. Education and Training: Provide ongoing education to staff and leadership on legal implications of technology adoption, emerging regulatory requirements, and evolving risks in the health technology landscape. Identify and assess legal, operational, and compliance risks in IT contract. Other duties as assigned. Other information: Technical Expertise Openness to learning and keeping pace with rapid changes in both healthcare delivery and technological innovation. Aptitude for working effectively with clinicians, IT professionals, administrators, vendors, and regulators. Capacity to guide organizational leadership through complex legal and strategic decisions regarding technology investments. Resourcefulness and creativity in navigating novel legal challenges emerging from digital health transformation. Education and Experience Education: Juris Doctor (JD) degree from an accredited law school; Ohio bar admission or ability to obtain admission prior to start date. Experience: Minimum of 5 years of legal practice advising in healthcare Information technology contracts is required. Technical Knowledge: Familiarity with healthcare IT systems, data privacy and security laws, and emerging technologies (such as artificial intelligence, cloud computing, and IoT). Skills: Strong contract negotiation, drafting, and analytical skills. Excellent verbal and written communication abilities. Competency in risk assessment and strategic thinking. Demonstrated integrity, discretion, and ability to work collaboratively with multidisciplinary teams. Full Time FTE: 1.000000 Status: Onsite

Let's do great things, together About Moda Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we're focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, compassionate support to our community and comprehensive benefits to our employees. It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda values diversity and inclusion in our workplace. We aim to demonstrate our commitment to diversity through all our business practices and invite applications from candidates that share our commitment to this diversity. Our diverse experiences and perspectives help us become a stronger organization. Let's be better together. Position Summary Perform clerical services for the Dental department including filing, mail distribution, tracking productivity statistics, and compiling of various department reports. This is a hybrid position working from home 1 day per week and on-site 4 days per week based in Milwaukie, Oregon. Pay Range $17.00 - $18.55, DOE. Actual pay is based on qualifications. Applicants who do not exceed the minimum qualifications will only be eligible for the low end of the pay range. Please fill out an application on our company page, linked below, to be considered for this position. ************************** GK=27767222&refresh=true Benefits Medical, Dental, Pharmacy, Life & Disability 401K - Matching FSA Employee Assistance Program PTO and paid holidays Primary Functions: Distribute all incoming dental mail. Complete daily inventory reports and track daily production for dental claims department. Prepare daily work for scanning documents to the permanent file. Receive and send facsimile submissions and distribute accordingly. Sort and distribute prints of claims. Backup imaging services as needed. Maintain office supply inventory for the Dental claims and Imaging Service areas. Stuff envelopes, mail and track all outgoing correspondence. Accurately deliver incoming mail and pick up outgoing mail to all departments within the building. Ability to meet production and quality goals while entering claims into a computer system. Ability to use system to locate members and providers for claims where the system could not automatically match the correct member or provider. Use a scanner to accurately enter claims into the National Electronic Association. Perform other duties as assigned. Position Proficiency Requirements High school diploma or equivalent. Six to twelve months office experience. Ability to lift 20 pounds work in a fast paced environment with a lot of walking Experience with both word and excel. Ability to type 30 WPM or better. Ten key skills of 130 SPM. Reading, writing, and oral communication skills. Ability to come into work on time and on a daily basis. Process mail and other documents with a high degree of proficiency and speed. Ability to work in a fast pace environment with competing priorities and frequent interruptions Self-directed, detail oriented and ability to problem solve. Working Conditions & Contact with Others: Internally with own department staff and with staff in other Moda departments. Office environment with extensive close PC and keyboard work, constant sitting, and phone work. Must be able to navigate multiple screens. Work in excess of 37.5 hours per week, including evenings and occasional weekends, to meet business need. Together, we can be more. We can be better. Moda Health seeks to allow equal employment opportunities for all qualified persons without regard to race, religion, color, age, sex, sexual orientation, national origin, marital status, disability, veteran status or any other status protected by law. This is applicable to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absences, compensation, and training. For more information regarding accommodations please direct your questions to Kristy Nehler and Danielle Baker via our ***************************** email.

American Specialty Health Incorporated is seeking a EDI Integration Engineer II to join our Information Technology department. This position will manage file transformations through traditional mapping techniques with the ASH Gateway tool. This role supports delivery of client and internal reporting including X12 transactions and monitors jobs tied to key reporting, mapping, and file delivery processes. The Engineer II role also provides mentorship and leadership to associate engineers and analysts through peer programming, developing automation of manual tasks, and supporting monitoring of key jobs. Integration engineers may engage in external calls, new file testing, QA, and other coordination with clients and/or Trading Partners. Salary Range American Specialty Health complies with state and federal wage and hour laws and compensation depends upon candidate's qualifications, education, skill set, years of experience, and internal equity. $72,000 to $110,000 Full-Time Annual Salary Range. Remote Worker Considerations: Candidates who are selected for this position will be trained remotely and must be able to work from home (WFH) in a designated work area with company-provided technology equipment. This remote/WFH position requires you have a stable connection to your Internet Service Provider with the ability to participate by video in online meetings over a reliable and consistent network (minimum internet download of 50 Mbps and 10 Mbps upload speed. 100 down/20 up is recommended to support higher quality video meetings). Responsibilities * Maintains existing and develops new mapping across a variety of file types, manages inbound file/data processing, develops new files/reports. * Manages a range of EDI transactions including enrollment, benefits, claims, and financial transactions. * Independently develops mapping and translations between data elements for file feeds. * Leads the implementation of EDI connections between client and ASH; provides technical leadership for implementations and the ongoing oversight for workloads in production including monitoring those workloads for error identification/resolution, defining and developing continuous improvement opportunities, and proactively communicating with the trading partners and/or customers to reduce/prevent errors. * Creates and/or maintains appropriate system and process documentation. Provides support to more junior engineers on their documentation. * Defines application and/or process enhancements and upgrades; develops plans to complete enhancements. * Leads testing effort by coaching more junior team members on testing and engaging with user acceptance testing (UAT) and assisting in defect resolution. * Develops and debugs SQL reports. * Executes, monitors, and automates routine EDI jobs. * Maintains advanced understanding of general business logic for areas with which the role is most commonly working. * Recommends possible improvements in applications and executes on said plans. * Work independently with minimal supervision. Qualifications * Bachelor's degree in information systems or business degree or equivalent experience. If equivalent experience, high school diploma required. * At least 4 years of SQL Server experience with emphasis on ETL operations including SSIS packages. * At least 4 years of experience with Python, JSON, and XSLT. * At least 4 years of experience with development of large enterprise level applications with Visual Studio. * At least 4 years of experience with source control. * At least 4 years of experience with monitoring data pipeline processes. * At least 4 years of experience with file transfer protocols i.e., sFTP. * At least 4 years of experience with QA practices. * At least 4 years of experience with .Net preferred, not required. * Advanced-level Excel skills preferred. * Experience with ASC X12 5010 Standards in a healthcare environment required. * At least 4 years of practical experience with third-party EDI mapping and business process tools is preferred. * Knowledge of Microsoft Azure, Logic Apps, Azure Functions. * Knowledge of HIPPA guidelines and training. * Experience with automating and monitoring manual ETL jobs and reporting. * Experience with third-party EDI mapping and business process tools is preferred. * Demonstrates creative problem solving and solves complex challenges using critical thinking. * Shows initiative and leads others to accomplish a goal. * Leads requirement gathering discussions with EDI peers and business users; outlines defined requirements with appropriate attention to detail. * Creating and leading code review standard practices. * Experience of business operations and processes affected by data transformation from one format to another. * Models strong analytical and troubleshooting skills with attention to detail and a willingness to work with others to accomplish a goal. * Ability to effectively partner with senior level staff to both define and execute on business goals and objectives. Core Competencies * Demonstrated ability to interact in a positive, respectful manner and establish and maintain cooperative working relationships. * Ability to display excellent customer service to meet the needs and expectations of both internal and external customers. * Excellent listening and interpersonal communication skills to identify critical core competencies based on success factors and organizational environment. * Ability to effectively organize, prioritize, multi-task and manage time. * Demonstrated accuracy and productivity in a changing environment with constant interruptions. * Demonstrated ability to analyze information, problems, issues, situations and procedures to develop effective solutions. * Ability to exercise strict confidentiality in all matters. Mobility Primarily sedentary, able to sit for long periods of time with ability to travel within and outside the facility. Physical Requirements Ability to speak, see and hear other personnel and/or objects. Ability to communicate both in verbal and written form. Ability to travel within the facility. Capable of using a telephone and computer keyboard. Ability to lift up to 10 lbs. Environmental Conditions Work from home (WFH) setting. American Specialty Health is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to sex (including pregnancy, childbirth, related medical conditions, breastfeeding, and reproductive health decision-making), gender, gender identity, gender expression, race, color, religion (including religious dress and grooming practices), creed, national origin, citizenship, ancestry, physical or mental disability, legally-protected medical condition, marital status, age, sexual orientation, genetic information, military or veteran status, political affiliation, or any other basis protected by applicable local, federal or state law. Please view Equal Employment Opportunity Posters provided by OFCCP here. If you are a qualified individual with a disability or a disabled veteran, you have the right to request an accommodation if you are unable or limited in your ability to use or access our career center as a result of your disability. To request an accommodation, contact our Human Resources Department at ************** x6702. ASH will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the Company's legal duty to furnish information. #LI-Remote #Engineer #EDI #Data #SQL #SQLServer #JASOM #Python #Healthcare

American Specialty Health Incorporated (ASH) is seeking a Fitness Recruiter to join our Fitness Network Management department. The primary function of this position is to successfully recruit new fitness centers, studios, and activity-based locations into different ASH Fitness networks. This includes lead generation; cold calling fitness centers, studios, and activity-based locations; sales negotiations; and contract execution. Salary Range American Specialty Health complies with state and federal wage and hour laws and compensation depends upon candidate's qualifications, education, skill set, years of experience, and internal equity. $45,000 Full-Time Annual Salary. Remote Worker Guidelines * Remote Worker Guidelines: This position will be trained remotely and must be able to work from home (WFH) in a designated work area with company-provided technology equipment. This WFH position requires you have a stable connection to your Internet Service Provider with the ability to participate by video in online meetings over a reliable and consistent network. The internet connection must have a consistent 50 down/10 up Mbps minimum internet speed. 100 down/20 up is recommended to support higher quality video meetings. Responsibilities * Interfaces with various fitness facilities to promote ASH Fitness network options and to execute contracts for key health plan, support relationships with clients, and to provide delivery system updates. * Maintain ongoing focus for productivity in a fast-paced environment and meets deadlines in an environment where priorities may change. * Successful track record in negotiating sales, securing minimum necessary membership discounts, and provider recruitment. * Ability to display effective presentations, deal with objections productively, build and maintain positive interdependent relationships. * Sends all fitness recruitment information and materials requested by fitness centers and fitness studios in support of contracting efforts. * Generates effective electronic and telephonic interface with fitness centers, studios, and activity-based locations. * Identifies lead generation outreach opportunities and requirements; and interfaces with management to coordinate. * Interfaces effectively with management as well as corporate office to ensure recruitment goals are being met. * Contacts fitness centers, studios, and activity-based locations via telephone and email. * Meets minimum weekly, monthly lead generation recruitment goals and applications received. * Effectively utilizes ASH Fitness CRM platform and other related business processes to carry out the duties of this position and accurately update information through submission and acceptance of recruitment applications. * Build and maintain fitness center, studio, and activity-based locations call records in respective databases. * Performs other duties as assigned. * Complies with all policies and standards. Qualifications * Associate's Degree or equivalent experience preferred. If equivalent experience, high school diploma required. * 2 years experience in sales, fitness field, healthcare recruiting, provider contracting preferred. * Knowledge in MS Word, Excel, CRM or similar databases preferred. * Strong verbal, presentation, and written communication skills. * Organized and results oriented team player. * The ability to meet and produce the minimum or more than the minimum individual application/network participation requirements set by the department for each month. * Ability to consistently achieve the monthly recruitment goals to meet the annual application goals set by the department. * Ability to produce 120-200 recruitment calls or emails per week. * Ability to engage key decision makers of available to recruit fitness chains, studios, or other fitness locations using effective sales and negotiation skills to secure agreement to participate in one or more ASH Fitness Networks. Core Competencies * Demonstrated ability to interact in a positive, respectful manner and establish and maintain cooperative working relationships. * Ability to display excellent customer service to meet the needs and expectations of both internal and external customers. * Excellent listening and interpersonal communication skills to identify critical core competencies based on success factors and organizational environment. * Ability to effectively organize, prioritize, multi-task and manage time. * Demonstrated accuracy and productivity in a changing environment with constant interruptions. * Demonstrated ability to analyze information, problems, issues, situations, and procedures to develop effective solutions. * Ability to exercise strict confidentiality in all matters. Mobility * Primarily sedentary, able to sit for long periods of time. Physical Requirements * Ability to see, speak, and hear other personnel and/or objects. Ability to communicate both in verbal and written form. Ability to travel within and around the facility or Work from Home (WFH) environment. Capable of using a telephone, computer keyboard, and mouse. Ability to lift up to 10 lbs. Environmental Conditions * Work-from-home (WFH) environment. American Specialty Health is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to sex (including pregnancy, childbirth, related medical conditions, breastfeeding, and reproductive health decision-making), gender, gender identity, gender expression, race, color, religion (including religious dress and grooming practices), creed, national origin, citizenship, ancestry, physical or mental disability, legally-protected medical condition, marital status, age, sexual orientation, genetic information, military or veteran status, political affiliation, or any other basis protected by applicable local, federal or state law. Please view Equal Employment Opportunity Posters provided by OFCCP here. If you are a qualified individual with a disability or a disabled veteran, you have the right to request an accommodation if you are unable or limited in your ability to use or access our career center as a result of your disability. To request an accommodation, contact our Human Resources Department at ************** x6702. ASH will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the Company's legal duty to furnish information. #LI-Remote #Healthcare #Fitness #Sales #Recruit #Network

We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help people uncover their own power to be healthy. We inspire hope. We learn, grow, and achieve more - in our careers and in our communities. Summary: At OhioHealth, we help registered nurses new to acute care transition to bedside care by building the knowledge, skills, professional presence, and experience needed to be an OhioHealth nurse. Our residents will experience the benefit of centralized recruitment during the application, interview and hiring process. Beginning upon hire, OhioHealth's Nurse Residency Program is customized to meet the needs of the transitioning nurse by incorporating central and track specific learning experiences. Our program is designed to extend beyond clinical orientation to support the nurse residents throughout their first year by facilitating interactions with experienced preceptors, subject matter experts and small peer groups. This position provides general nursing care to patients and families along the health illness continuum in diverse health care settings while collaborating with the health care team. He/She is accountable for the practice of nursing as defined by the Ohio Board of Nursing. Responsibilities And Duties: Assessment/Diagnosis - Performs initial, ongoing, and functional health status assessment as applicable to the population and or individual (30%). Outcomes Identification/Planning - Based on nursing diagnoses and collaborative problems, documents planned nursing interventions to achieve outcomes appropriate to patient needs (30%). Implementation/Evaluation - Evaluates and documents response to nursing interventions and achievement of outcomes at appropriately determined intervals; as part of a multidisciplinary team, revises plan of care based on evaluative data (20%). Leadership - Actively participates in process improvement activities to achieve targeted measures of clinical quality, customer satisfaction, and financial performance (10%). Operations (10%). As a High Reliability Organization (HRO), responsibilities require focus on safety, quality and efficiency in performing job duties. The job profile provides an overview of responsibilities and duties and is not intended to be an exhaustive list and is subject to change at any time. Minimum Qualifications: Associate's Degree (Required) BLS - Basic Life Support - American Heart Association, RN - Registered Nurse - Ohio Board of Nursing Additional Job Description: RN - Registered Nurse BLS - Basic Life Support CPR - Cardiopulmonary Resuscitation Field of Study: Nursing Years of Experience 0 Work Shift: Variable Scheduled Weekly Hours : 36 Department CC Med Surg Fellowship Join us! ... if your passion is to work in a caring environment ... if you believe that learning is a life-long process ... if you strive for excellence and want to be among the best in the healthcare industry Equal Employment Opportunity OhioHealth is an equal opportunity employer and fully supports and maintains compliance with all state, federal, and local regulations. OhioHealth does not discriminate against associates or applicants because of race, color, genetic information, religion, sex, sexual orientation, gender identity or expression, age, ancestry, national origin, veteran status, military status, pregnancy, disability, marital status, familial status, or other characteristics protected by law. Equal employment is extended to all person in all aspects of the associate-employer relationship including recruitment, hiring, training, promotion, transfer, compensation, discipline, reduction in staff, termination, assignment of benefits, and any other term or condition of employment

This role involves assisting patients with insurance verification, scheduling clinical services, and ensuring pre-registration requirements are met, with a pay rate of $16/hr and eligibility for quarterly bonuses. Responsibilities include maintaining patient information, securing authorizations, ensuring accurate scheduling, and assisting with financial responsibilities. Prior experience in patient access or healthcare is preferred. GetixHealth offers comprehensive benefits, including health coverage, life insurance, 401(k), and paid time off. *** Must be able to type a minimum of 35 words per minute (WPM). A typing assessment will be administered during the interview process.*** Key Responsibilities: Insurance Verification & Documentation: Capture and verify patient demographics, insurance details (policy numbers, co-pays, deductibles), and benefits eligibility. Secure necessary pre-certifications and authorizations from insurance companies and physician offices. Scheduling: Accurately schedule clinical services, ensuring available times are identified and patient demographic and insurance details are confirmed. Customer Service: Maintain a professional and helpful relationship with patients, providing support with financial responsibilities and pre-registration requirements. Data Entry & Systems Management: Accurately input patient and insurance data into appropriate systems, including procedure/diagnosis codes and authorization details. Compliance: Ensure adherence to HIPAA guidelines and organizational policies regarding patient information and financial responsibilities. Patient Financial Support: Assist patients in understanding their financial responsibilities and help guide them through the billing and payment processes. Team Collaboration: Work closely with internal teams to meet registration goals and minimize errors in scheduling and billing. Qualifications: Education: High School Diploma or GED required. An Associate or Bachelor's degree in Business, Financial/Healthcare fields is preferred. Experience: Minimum of 1 year in patient access, financial services, or healthcare-related roles. 2-3 years of experience preferred. Skills: Proficiency in medical terminology and insurance protocols. Strong communication skills (oral and written). Ability to multitask in a fast-paced environment and meet deadlines. Experience with hospital billing requirements and documentation processes. Knowledge of Protected Health Information (PHI) and HIPAA. Ability to work in a team environment and adapt to flexible schedules. Bilingual skills are a plus. About GetixHealth: Founded in 1992, GetixHealth has grown into a leading provider of healthcare revenue cycle management services, with offices across the United States and India. We work with healthcare organizations to optimize their financial performance, offering solutions that enhance efficiency and profitability. Our team of 1,800 dedicated professionals delivers exceptional patient care, compliance, and cutting-edge technology to help clients succeed. With a relentless commitment to patient satisfaction, we ensure that every step of the revenue cycle is streamlined and patient centered. Benefits & Incentives: Comprehensive Health Coverage: Enjoy medical, dental, and vision plans available starting after 90 days of full-time employment. Life & Disability Insurance: Benefit from basic life/AD&D, short-term, and long-term disability coverage, with optional voluntary life/AD&D plans. 401(k) Plan: Eligible to participate in the company's 401(k) plan after 6 months of continuous service. Paid Time Off (PTO): Start accruing PTO from your very first day of employment. Flexible Benefits: Customize your benefits package to fit your personal and family needs. GetixHealth is an equal opportunity employer and participates in E-Verify.

Looking for meaningful work with an Organization that values you? It's here! Monroe Plan for Medical Care is hiring Care Managers in the Albany area! Join our team of dedicated, caring professionals in our passionate pursuit of improved access and quality of healthcare for underserved populations. For over 50 years, Monroe Plan for Medical Care, a not-for-profit health care services organization, has been focused on improving the health status of individuals and families who are recipients of government sponsored health insurance. Monroe Plan is the largest Care Management Agencies serving 28 counties and over 3000 members with an outstanding reputation for excellence throughout our service area! We've earned that reputation by providing quality care management focused on compassion, empowerment, and teamwork. Our award-winning work culture is built on these same principles! When you join our team, you can expect to reap the intrinsic rewards of serving others while enjoying flexible work arrangements, competitive pay, superior benefits, and a supportive, inclusive culture! Candidate must be willing to travel throughout the Rochester and surrounding area; candidate should have previous experience working with adults. Grade 207: This is a full time position, working from home. The minimum and maximum annual salary that Monroe Plan believes in good faith to be accurate for this position at the time of this posting are $46,948 - $57,380. In addition to your salary, Monroe Plan offers a comprehensive benefits package (all benefits are subject to eligibility requirements) and non-monetary perks. The company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws. POSITION SUMMARY Provides care management services to specific population eligible for Health Home services. Provides information, referrals, and/or care management on health and psychosocial issues. This position works with substantial independence in the field, with consultation available from Team Lead and/or Supervisor, as needed. ESSENTIAL JOB DUTIES/FUNCTIONS % of Time Essential Function 50% Care Management * Receives referrals of members for Health Home services from internal and external sources. * Contacts referral within appropriate timeframe, addresses any urgent /emergent issues and schedules an appointment for a face-to-face intake, within required time frame. * Conducts comprehensive bio-psycho-social assessments for adults and/or children using NYS and agency approved processes and documents. * Develops therapeutic relationship with member utilizing person centered interventions based on the member's level of activation and presenting conditions. * Coordinates services through communication with all identified health and community providers/agencies connected to the member. * Develops a Person-Centered Plan of Care with the member and involved providers. * Disseminates this information to all individuals who are involved in members' care, as approved by member. * Interviews referrals and their families to collect data, disseminate pre-approved health education information. * Determines need and makes recommendations for continuation of or change in services. * Maintains, at minimum, monthly telephonic contact with the member and an in-person visits at minimum once every three months. Contacts may be more often depending upon the acuity and/or complexity of the member's current condition or situation. If staff manage members that are in a program that requires a higher level of engagement such as Health Home Plus or Children's, the required number of contacts and core services are made. Seeks out consultation/information for complex medical, behavioral health or psycho-social needs, as needed. * Recognizes cultural differences, demonstrates responsiveness to those differences when working with members and others in the community. * Travels as required for home visits and other community activities. * Adheres to Monroe Plan professional boundaries and protocols. 30% Documentation * Completes all required documentation in a complete, clear, concise and timely fashion insuring that the information presented is readily understood and actionable by team members. * Must show aptitude in software platforms used within the program within 3 months of initial training and/or 6 months of hire, whichever comes first. * Completes all necessary assessments to include a comprehensive assessment as required by the Health Home hub, Health Home authorization, HML assessment within regulatory time frames, and any other documentation requirements as defined by each Health Home hub. * Documentation of a Person-Centered Care Plan, in collaboration with the client and providers * Review and update of assessments, as mandated by regulations. * Maintains documentation that is thorough, clearly written, and reflective of members' plan of care activities. Documentation needs to be completed at minimum 1x/month and more often as contacts and actions occur in the members' case and/or as needed for specific program requirements. * Documents in electronic record regarding care management/coaching activities and termination as appropriate. 15% Collaboration * Participates as a member of multi-disciplinary Care Management team. * Initiates and facilitates member focused meetings to include the member, community providers and significant others, as identified by member for the purpose of care coordination and establishment of a natural support group. * Participates in inter-agency teams to enhance the work environment and provision of services for members. * Participate effectively as a team member within the Monroe Plan team by fostering a positive working relationship with members, providers, and Monroe Plan staff; working effectively with others to coordinate member and access care support services; supporting team members for cross coverage as workload dictates. * Collaborate with other members of Health Home staff related to member needs, barriers to care and outcome enhancement strategies. * Manages conflict to support a positive outcome. * Participate in community activities to promote health and public awareness using Monroe Plan specified materials. * Assists in locating members in the community through home visits and collaboration with known providers. * Attend and participate in in-service training. 10% Communication * Presents in a professional and articulate manner that supports the development of a therapeutic relationship with the member and community providers. * Provide feedback to providers regarding the progress made and barriers encountered by their patients. * Demonstrates listening skills to support member engagement and development of a person-centered plan of care. * Provide program information to members and providers, and other organizations as requested to introduce and support program participation. OTHER FUNCTIONS AND RESPONSIBILITIES Position Limitations: * Cannot perform any tasks which are governed by license or registration (i.e. cannot answer questions or make recommendations RE diagnosis, medications or treatment). * Cannot transport active Monroe Plan members at any time. * Cannot perform hands on care. MINIMUM REQUIREMENTS/LICENSES/CERTIFICATIONS * Master's degree in Social Work, Psychology, Nursing, Rehabilitation, Education, OT, PT, Recreation, Counseling, Community Mental Health, Child & Family Studies, Sociology, Speech & Hearing or other Human Services field AND 1 year of experience providing direct services to people with Serious Mental Illness, developmental disabilities, alcoholism or substance abuse and/or children with SED; or linking individuals with Serious Mental Illness, children with SED, developmental disabilities and/or alcoholism or substance abuse to a broad range of services essential to successful living in a community setting. * Bachelor's degree in Social Work, Psychology, Nursing, Rehabilitation, Education, OT, PT, Recreation, Counseling, Community Mental Health, Child & Family Studies, Sociology, Speech & Hearing or other Human Services field AND 2 years of experience providing direct services to people with Serious Mental Illness, developmental disabilities, alcoholism or substance abuse and/or children with SED; or linking individuals with Serious Mental Illness, children with SED, developmental disabilities and/or alcoholism or substance abuse to a broad range of services essential to successful living in a community setting. * Credentialed Alcoholism and Substance Abuse Counselor (CASAC) AND 2 years of experience providing direct services to people with Serious Mental Illness, developmental disabilities, alcoholism or substance abuse and/or children with SED; or linking individuals with Serious Mental Illness, children with SED, developmental disabilities and/or alcoholism or substance abuse to a broad range of services essential to successful living in a community setting. * Bachelor's degree or higher in ANY field with either 3 years of experience providing direct services to people with Serious Mental Illness, developmental disabilities, alcoholism or substance abuse and/or children with SED; or linking individuals with Serious Mental Illness, children with SED, developmental disabilities and/or alcoholism or substance abuse to a broad range of services essential to successful living in a community setting OR 2 years of experience as a Health Home Care Manager serving the SMI or SED population. * Demonstrates ability to respect individual/family diversity and maintain confidentiality. * Demonstrates ability to work as a team member. * Knowledge of and ability to work collaboratively with providers and county/community health and human services. * Ability to demonstrate excellent communication skills both oral and written as well as strong interpersonal skills. * Proven ability to work independently and to manage time appropriately * Strong organizational skills. * Computer literate. * Candidates will need a NYS driver's license and to own or have access to reliable transportation that enables them to fulfill travel requirements of the job including but not limited to, daily visits to members' homes. Preferred Qualifications * Previous experience working as a Health Home Care Manager PHI MINIMUM NECESSARY USE: This staff position PHI access will be determined based on Minimum Necessary standards. The Minimum Necessary Grid can be found on the Human Resources and Compliance Web pages. This job description is only a summary of the typical functions of the job, not an exhaustive or comprehensive list of all possible job responsibilities, tasks and duties. Additional responsibilities, tasks and duties may be assigned as necessary. Monroe Plan for Medical Care is an Equal Opportunity Employer

Job Title: Endovascular / Cardiology Coder (Remote) Company: GetixHealth Employment Type: Full-Time (FTE) Pay Range: $28.00 - $29.00 per hour ( based on experience ) + Quarterly Bonus Eligible Work Environment: Reliable high-speed internet is required and Candidates must successfully complete an internet speed test prior to hire ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- Position Summary: The Endovascular/Cardiology Coder is responsible for reviewing clinical documentation and assigning accurate ICD-10-CM, CPT, HCPCS, and modifier codes for complex endovascular and cardiology procedures. This role requires strong specialty expertise, attention to detail, and adherence to regulatory and client-specific guidelines. CIRCC-certified Interventional Cardiology & Endovascular coding role supporting Cath Lab and complex cardiac procedures Essential Duties & Responsibilities Review electronic health record (EHR) documentation and abstract accurate ICD-10-CM, CPT, HCPCS, and modifier codes Determine appropriate code selection and sequencing in compliance with AMA, CMS, and client-specific guidelines Submit provider queries when documentation clarification is required, following compliance and clinical documentation standards Maintain professional coding conduct and confidentiality standards Consistently meet established production and quality benchmarks Assist with coding denials as needed Participate in monthly quality assurance (QA) reviews Provide training and support to new coding staff as assigned Required Qualifications: CIRCC certification - Required One of the following certifications: CCS, RHIT, or CPC Minimum 2 years of recent coding experience in: Endovascular procedures Cardiology (including open surgery) Minimum 1 year of experience with: Quality assurance reviews Training or mentoring coding staff Hands-on experience with EPIC EHR Strong written communication skills Ability to successfully complete a pre-employment coding assessment Preferred Qualifications: Experience coding for acute care hospitals Familiarity with payer-specific and client-specific coding requirements Strong analytical and problem-solving skills Compensation: $28.00 - $29.00 per hour, commensurate with experience and qualifications About GetixHealth: Founded in 1992, GetixHealth is a trusted leader in healthcare revenue cycle management, with offices across the U.S. and India. We're more than revenue cycle experts-we're a mission-driven team dedicated to helping healthcare organizations improve financial outcomes while delivering compassionate care. With over 1,800 employees, we foster a culture that values professionalism, innovation, and-above all-people. GetixHealth provides comprehensive outsourced medical coding and revenue cycle services to acute care hospitals and physician practices nationwide. We are committed to accuracy, compliance, and delivering high-quality coding solutions to our clients. Why Join GetixHealth: Competitive pay within market range Remote-friendly coding environment (if applicable) Opportunity to work with complex, specialty-level cases Collaborative team culture with growth opportunities Benefits and Incentives: Comprehensive Health Coverage: Group medical, dental, and vision plans available from the first day of the month following 90 days of full-time employment. Life and Disability Insurance: Basic life/AD&D, short-term, and long-term disability coverage provided, with options for voluntary life/AD&D. 401(k) Retirement Savings Plan: Eligible to participate in the company's 401(k) plan at the beginning of the first calendar quarter following three (3) months of continuous service. Paid Time Off (PTO): Accrue Paid Time Off starting on your first day of employment. Flexibility in Benefits: The company reserves the right to amend, modify, or terminate any benefits programs as needed. Note: This job description outlines the primary duties and qualifications for the role. It is not intended to be an exhaustive list of responsibilities or working conditions. GetixHealth is an Equal Opportunity and E-Verify Employer.

Revolution Medicines is a clinical-stage precision oncology company focused on developing novel targeted therapies to inhibit frontier targets in RAS-addicted cancers. The company's R&D pipeline comprises RAS(ON) Inhibitors designed to suppress diverse oncogenic variants of RAS proteins, and RAS Companion Inhibitors for use in combination treatment strategies. As a new member of the Revolution Medicines team, you will join other outstanding Revolutionaries in a tireless commitment to patients with cancers harboring mutations in the RAS signaling pathway. The Opportunity: Reporting directly to the Senior Director, Payer Account Team & Access Marketing, the National Account Director (NAD) is responsible for establishing and maintaining strategic relationships to secure optimal market access for our innovative oncology medicines with national payers, Pharmacy Benefits Managers (PBMs), and payer-driven clinical pathways. This person will lead engagement with the NAD will develop and execute account plans and strategies that drive rapid formulary placement, reimbursement, and support patient access while representing the company's interests with key decision-makers. In addition to securing positive policy decisions, the NAD will help to coordinate cross-functional workstreams to ensure products are included when appropriate in payer-driven clinical pathways, this is a field-based remote position, and the candidate can live anywhere in the United States. Key Responsibilities: Translates national, brand-level payer strategy to key accounts across National Payers/PBMs, Regional Payers/PBMs/IDNs, VA/DoD, and state Medicaid plans, and work with Market Access leadership to refine value story and messaging as needed. Leads and oversees account activities such as driving rapid payer coverage and payer clinical pathways inclusion post launch in close collaboration with Medical Affairs. Leads cross-functional team across Commercial Field to pro-actively identify and resolve payer policy and pathway issues. Negotiates with customers to enable favorable formulary positioning and net revenue profitability. Creates medium to long term strategic payer/PBM/pathway engagement plan spanning multiple product and indication launches, and focuses on engaging beyond traditional rebates with tactics such as facilitating executive exchanges. Champions voice of customer to internal stakeholders and Commercial leadership. Required Skills, Experience and Education: Bachelor's degree. Strong existing relationships with the UHC/Optum/Emisar organization and 10+ years in account management. Deep understanding of pharmacy benefit management, economic flows, and oral oncolytic trends within Medicare Part D, Commercial, Medicaid FFS and Managed Medicaid plans. Strong communication skills to educate and influence other Commercial stakeholders, including the executive leadership team, Access Marketing, and Strategic Pricing. Ability to clearly and efficiently communicate the value proposition of novel oncology therapies to customers. Excellent negotiation skills and pride in P&L and enterprise stewardship. Prior experience with pipeline products and product launches. Ability to partner effectively with Medical Affairs, Sales, and FRM teams. ~30-50% travel required to customer meetings, industry conferences, and RevMed's home office in Redwood City, CA. Preferred Skills: Advanced degree (MBA, Master's, PharmD, PhD). Existing relationships with key regional plans that are OptumRx clients. Comprehensive understanding of federal accounts and VA/DoD processes and procedures. Experience in GI oncology, PDAC and/or NSCLC, including oral targeted therapies. Successful coordination of leadership exchanges and strategic partnerships beyond traditional contracting and rebate agreements. Desire to continuously learn, develop, and stay abreast of the evolving healthcare landscape. Passion for establishing high-functioning, collaborative relationships with new and rapidly growing teams. Prior experience or demonstrated development interest in payer marketing. Prior people leadership experience and ability to build team as company grows. #J-18808-Ljbffr

We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help people uncover their own power to be healthy. We inspire hope. We learn, grow, and achieve more - in our careers and in our communities. Summary: Every other weekend. Provides general nursing care to patients and families throughout the continuum of care in diverse, acute health care settings. (Department has scheduled staff to operate 24/7/365). The RN accountable for the practice of nursing as defined by the Ohio Board of Nursing. The RN delegates nursing tasks to licensed practical nurses (LPNs) and unlicensed assistive personnel (UAPs) using the criteria written in the Ohio Nurse Practice Act. According to department policies and nursing care standards, provides professional nursing care services to patients. Responsible for assessing, planning, implementing, and evaluating nursing care provided to assigned patients. Responsibilities And Duties: Assessment/Diagnosis - Performs initial, ongoing, and functional health status assessment as applicable to the population and or individual (30%). Outcomes Identification/Planning - Based on nursing diagnoses and collaborative problems, documents planned nursing interventions to achieve outcomes appropriate to patient needs (30%). Implementation/Evaluation - Evaluates and documents response to nursing interventions and achievement of outcomes at appropriately determined intervals; as part of a multidisciplinary team, revises plan of care based on evaluative data (20%). Leadership - Actively participates in process improvement activities to achieve targeted measures of clinical quality, customer satisfaction, and financial performance (10%). Operations (10%). As a High Reliability Organization (HRO), responsibilities require focus on safety, quality and efficiency in performing job duties. The job profile provides an overview of responsibilities and duties and is not intended to be an exhaustive list and is subject to change at any time. Minimum Qualifications: BLS - Basic Life Support - American Heart Association, RN - Registered Nurse - Ohio Board of Nursing Additional Job Description: MINIMUM QUALIFICATIONS Current Registered Nurse license from the State of Ohio BLS certification BSN required at 5 years of employment Work Shift: Day Scheduled Weekly Hours : 36 Department Med Surg Unit 1 Join us! ... if your passion is to work in a caring environment ... if you believe that learning is a life-long process ... if you strive for excellence and want to be among the best in the healthcare industry Equal Employment Opportunity OhioHealth is an equal opportunity employer and fully supports and maintains compliance with all state, federal, and local regulations. OhioHealth does not discriminate against associates or applicants because of race, color, genetic information, religion, sex, sexual orientation, gender identity or expression, age, ancestry, national origin, veteran status, military status, pregnancy, disability, marital status, familial status, or other characteristics protected by law. Equal employment is extended to all person in all aspects of the associate-employer relationship including recruitment, hiring, training, promotion, transfer, compensation, discipline, reduction in staff, termination, assignment of benefits, and any other term or condition of employment