Senior Medicaid & Medicare Reimbursement Consultant
Columbus, OH jobs
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 is responsible for preparing and reviewing the Medicare and Medicaid cost reports for all OhioHealth entities.
• This position will be responsible for ensuring the appropriate governmental (Medicare and Medicaid) reimbursement is received for OhioHealth.
• This position is primarily responsible for the proactive calculations and modeling of new regulatory changes and impacts as well as variance analysis of third-party liability accounts. Provides supporting work papers and documentation for third-party inquires.
• This position has supervisory oversight of the Reimbursement Analyst daily work schedule including flow of information, teaching of reimbursement fundamentals and principals, review of work and setting daily priorities.
• This positon supports the Director of Revenue and Reimbursement and Manager of Reimbursement with many special analysis throughout the year associated with revenue cycle, charge analysis, regulatory and financial reporting.
• The Senior Reimbursement Consultant will be a subject matter expert in the following areas, S-10, Wage Index, Bad Debts, Medicare Audits, Disproportionate Share, Indirect Medical Education, Graduate Medical Education, and Governmental Logs, (HCAP, UPL and Franchise Fee programs in the state of Ohio) as well as special projects as assigned.
• Extensive knowledge of Medicare and Medicaid cost reporting and reimbursement and remaining up to date with all regulatory requirements, both federal and state is required.
• The Reimbursement Consultant position leads, advises and consults various reimbursement financial projects, as well as special projects throughout the year and needs to be able to delegate direct reports assigned to the project or process while staying connected to both the pertinent details as well as the high level strategic purpose.
• The Senior Reimbursement Consultant is required to use extensive interpersonal skills in communicating with all management levels at OhioHealth.
• This role functions in a heavily matrixed environment and requires strong prioritization, communication and planning skills.
Responsibilities And Duties:
Consulting and oversite of key areas at OhioHealth in the central Ohio facilities as well as non-central Ohio facilities in the reimbursement functions.
Knowledge in the following areas:
Reimbursement functions:
Subject matter expert on CMS cost reporting, disproportionate share (DSH), Uncompensated Care, Bad debt reporting, IME/GME, Medicare Wage Index, S-10 reporting, Tricare and 855's, Ohio Medicaid, HCAP, UPL and Franchise Fee programs. Knowledge of Acute Care Hospitals, Critical Access Hospitals, Sole Community Hospitals and Rural Health Clinics. Knowledge of reimbursement in specialty areas such psych, inpatient rehabilitation units, Home Health and Hospice. Projects as assigned by Director of Revenue and Reimbursement and Manager of Reimbursement. Provide Director of Revenue and Reimbursement and Manager with updates. CGS audits and auditors Working with our legal vendor for Medicare Appeals. Working with OHA and CBSA facilities on wage index opportunities Special projects / analysis as assigned by the Director of Revenue and Reimbursement and Manager of Reimbursement.
Minimum Qualifications:
Bachelor's Degree: Finance (Required)
Additional Job Description:
BS or BA in Accounting or Finance. Hospital and/or healthcare industry experience. Understanding of the CMS prospective payment system and State of Ohio regulations. Minimum of 4 years' experience in the healthcare industry. Strong team development and delegations skills. Excellent communication and presentation skills.
SPECIALIZED KNOWLEDGE
Min: Proficiency in Microsoft applications, knowledge of clinical & financial patient management systems, demonstrated ability in financial analysis and cost reporting.
DESIRED ATTRIBUTES
CPA, MHA or MBA. Experience with Medicare/Medicaid cost reporting 4 - 6 years as a Sr. Reimbursement Analyst or similar position(s).
Work Shift:
Day
Scheduled Weekly Hours :
40
Department
Reimbursement
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
Remote Work Disclaimer:
Positions marked as remote are only eligible for work from Ohio.
Senior Epic Systems Analyst- Cadance/GrandCentral/Prelude
Columbus, OH jobs
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:
The Senior Systems Analyst will be responsible for the design, development, implementation of builds on special projects in Epic Cadence, Prelude and Grand Central
Ideal candidate MUST HAVE PRIOR CERTIFICATION in as such Epic Cadence, Prelude, Grand Central and Welcome modules.
This position requires a deep understanding of healthcare workflows, system integration, and project management to ensure the efficient operation of the healthcare system's IT infrastructure.
Provides technical expertise by enforcing the vision of the application and safeguarding the integrity and security of the application environment in collaboration and partnership with architects, tech leads and engineers.
Collaborates with end users to identify, analyze, and support ongoing needs while achieving Service Level Agreements (SLAs) relative to the supported applications.
Leads in process improvement activities related to Application Management for enterprise applications includes (Epic, Workday, Kronos) and other major applications.
Responsibilities And Duties:
System Analysis and Design:
Analyze and document current business processes and workflows.
Identify system requirements and translate them into detailed specifications.
Design and implement solutions to improve system efficiency and user experience.
Application Support:
Provide advanced support for (Epic, Workday, Kronos,) and other applications.
Troubleshoot and resolve system issues in a timely manner.
Coordinate with vendors and internal teams for system upgrades and patches.
Collaborate with IT and clinical teams to integrate across IT portfolio with other IT systems (e.g., Epic, 3rd Party Imaging Applications, AI, etc.).
Project Management:
Manage smaller projects related to system implementations and upgrades.
Strong knowledge with various project management approaches, e.g. waterfall, agile.
Ability to lead project teams in project methodology.
Training and Documentation:
Create and maintain comprehensive documentation for system configurations and processes.
Mentor junior analysts and provide guidance on best practices.
Integration and Data Management:
Ensure seamless integration between various healthcare applications.
Manage data integrity and security across systems.
Perform data analysis and generate reports as needed.
Minimum Qualifications:
Bachelor's Degree (Required)
Additional Job Description:
degree in computer science, Information Technology, Healthcare Administration, or a related field.
Minimum of 5-7 years of experience in system analysis and support within a healthcare environment.
In lieu of degree, 10+ years of experience in system analysis and support within a healthcare environment.
SPECIALIZED KNOWLEDGE
Extensive experience with Epic, Workday, and Kronos applications.
Proven track record of managing complex projects and leading cross-functional teams.
Experience with system integration and data migration projects.
Previous experience in a leadership or supervisory role.
Strong analytical and problem-solving skills.
Excellent communication and interpersonal skills.
Liaison with managed service providers, vendors, operational leadership.
Ability to work independently and as part of a team.
Proficiency in project management tools and methodologies.
Serve as the primary point of contact for customers, addressing inquiries and resolving issues promptly.
DESIRED ATTRIBUTES
ITIL Foundation certification desired not required.
Certifications in relevant technologies (e.g., Epic)
Advanced degree (Master's or higher) in a related field is a plus.
Experience in a large healthcare system or hospital setting.
Experience with other healthcare applications and systems.
Knowledge of healthcare regulations and compliance standards.
Familiarity with cloud computing platforms (e.g., AWS, Azure).
Experience with business intelligence and analytics tools.
Work Shift:
Day
Scheduled Weekly Hours :
40
Department
IS Revenue Cycle
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
Remote Work Disclaimer:
Positions marked as remote are only eligible for work from Ohio.
Talent Selection Specialist
Akron, OH jobs
This is an 18-month temporary assignment with full benefit eligibility.
Must reside in Ohio at the time of hire. This is a remote position; however, occasional onsite presence may be required based on business needs.
The Talent Selection Specialist is responsible for providing the highest level of recruitment and staffing services to hiring leaders by delivering top talent.
Responsibilities:
1. Plans and executes the sourcing, recruiting, selection, and hiring process to ensure a diverse pool of top talent for the organization while maintaining excellent relations with hiring managers, co-workers, candidates, and the community.
2. Sets service level agreements with hiring managers to define roles/responsibilities and control the hiring process.
3. Prepares candidates for interviews with hiring managers by providing information on the hospital, business strategy, department background, job description, and expectations.
4. Maintains accurate and well-ordered documentation on all applicants, searches, hiring manager interactions, and other recruiting activities to ensure accurate reporting of employment activities and successful outcomes of audits.
5. Participates in departmental activities including performance and process improvement.
6. Other duties as required.
Other information:
Technical Expertise
1. Experience in full lifecycle recruiting is required.
2. Experience in applicable State and Federal employment laws is required.
3. Experience in working with all levels within an organization is required.
4. Experience in medium to large sized organizations is preferred.
5. Experience in healthcare is preferred.
6. Proficiency in MS Office [Outlook, Excel, Word] or similar software is required. ATS is preferred.
Education and Experience
1. Education: Bachelor's degree in Human Resources or related field is required.
2. Certification: HR certification [PHR, SHRM-CP, CEBS, CCP, etc.] is preferred.
3. Years of relevant experience: 3 years is required.
4. Years of experience supervising: None.
Full Time
FTE: 1.000000
Status: Remote
Staff RN - Hybrid Med/Surg/Intermediate (Nights)
Columbus, OH jobs
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 unit sees a blend of medical patients who often have consultant specialists for procedures or interventions. Examples include GI for endoscopy procedures, or Interventional Radiology for lines, drains, and injections. This unit being med/surg sees a large variety of diagnosis including but not limited to many with cardiac, renal, infectious disease, and gastrointestinal diagnosis.
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:
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:
Night
Scheduled Weekly Hours :
36
Department
Medical Unit 2
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
Senior Associate Counsel
Medina, OH jobs
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
Remote Radiology
Beachwood, OH jobs
Job Description & Requirements Remote Radiology
A leading not-for-profit health system in the Cleveland, OH area is seeking multiple physicians to join a thriving Department of Radiology.
Remote ER Coverage for the following schedules. 126 Shifts Expected annually.
6PM-4AM EST
7PM-5AM EST
9PM-7AM EST
Salary position plus annual quality incentive bonus and an additional bonus for covering ER
Base salary starting at $465,000
Option to work other shifts during (2) weeks off block.
Very Reasonable Volumes
Comprehensive benefits package
Job Benefits
About the Company
At AMN Healthcare, we strive to be recognized as the most trusted, innovative, and influential force in helping healthcare organizations provide quality patient care that continually evolves to make healthcare more human, more effective, and more achievable.
Teleradiologist, Teleradiology, Radiologists, Teleradiology Specialist, Telemedicine, Hospital, radiology,, radiology, radiologist
AMN Healthcare is a digitally enabled workforce solutions partner focused on solving the biggest challenges affecting healthcare organizations today. We offer a single-partner approach to optimize labor sources, increase operating margins, and provide technologies to expand the reach of care.
Maternity Care Authorization Specialist (Hybrid Potential)
Barberton, OH jobs
This role plays a key part in ensuring maternity care bills are processed accurately and members receive timely support during an important season of life. The specialist serves as a detail-oriented professional who upholds CHM's commitment to excellence, compassion, and integrity.
WHAT WE OFFER
Compensation based on experience.
Faith and purpose-based career opportunity!
Fully paid health benefits
Retirement and Life Insurance
12 paid holidays PLUS birthday
Lunch is provided DAILY.
Professional Development
Paid Training
ESSENTIAL JOB FUNCTIONS
Compile, verify, and organize information according to priorities to prepare data for entry
Check for duplicate records before processing
Accurately enter medical billing information into the company's software system
Research and correct documents submitted with incomplete or inaccurate details
Verify member information such as enrollment date, participation level, coverage status, and date of service before processing medical bills
Review data for accuracy and completeness
Uphold the values and culture of the organization
Follow company policies, procedures, and guidelines
Verify eligibility in accordance with established policies and definitions
Identify and escalate concerns to leadership as appropriate
Maintain daily productivity standards
Demonstrate eagerness and initiative to learn and take on a variety of tasks
Support the overall mission and culture of the organization
Perform other duties as assigned by management
SKILLS & COMPETENCIES
Core strengths like problem-solving, attention to detail, adaptability, collaboration, and time management.
Soft skills such as empathy (especially important in maternity care), professionalism, and being able to handle sensitive information with care.
EXPERIENCE REQUIREMENTS
Required: High school diploma or passage of a high school equivalency exam
Medical background preferred but not required.
Capacity to maintain confidentiality.
Ability to recognize, research and maintain accuracy.
Excellent communication skills both written and verbal.
Able to operate a PC, including working with information systems/applications.
Previous experience with Microsoft Office programs (I.e., Outlook, Word, Excel & Access)
Experience operating routine office equipment (i.e., faxes, copy machines, printers, multi-line telephones, etc.)
About Christian Healthcare Ministries
Founded in 1981, Christian Healthcare Ministries (CHM) is a health care sharing ministry for Christians. CHM is a nonprofit, voluntary cost-sharing ministry through which participating Christians meet each other's medical bills. The mission of CHM is to glorify God, show Christian love, and experience God's presence as Christians share each other's medical bills.
Talent Selection Specialist
Medina, OH jobs
This is an 18-month temporary assignment with full benefit eligibility.
Must reside in Ohio at the time of hire. This is a remote position; however, occasional onsite presence may be required based on business needs.
The Talent Selection Specialist is responsible for providing the highest level of recruitment and staffing services to hiring leaders by delivering top talent.
Responsibilities:
1. Plans and executes the sourcing, recruiting, selection, and hiring process to ensure a diverse pool of top talent for the organization while maintaining excellent relations with hiring managers, co-workers, candidates, and the community.
2. Sets service level agreements with hiring managers to define roles/responsibilities and control the hiring process.
3. Prepares candidates for interviews with hiring managers by providing information on the hospital, business strategy, department background, job description, and expectations.
4. Maintains accurate and well-ordered documentation on all applicants, searches, hiring manager interactions, and other recruiting activities to ensure accurate reporting of employment activities and successful outcomes of audits.
5. Participates in departmental activities including performance and process improvement.
6. Other duties as required.
Other information:
Technical Expertise
1. Experience in full lifecycle recruiting is required.
2. Experience in applicable State and Federal employment laws is required.
3. Experience in working with all levels within an organization is required.
4. Experience in medium to large sized organizations is preferred.
5. Experience in healthcare is preferred.
6. Proficiency in MS Office [Outlook, Excel, Word] or similar software is required. ATS is preferred.
Education and Experience
1. Education: Bachelor's degree in Human Resources or related field is required.
2. Certification: HR certification [PHR, SHRM-CP, CEBS, CCP, etc.] is preferred.
3. Years of relevant experience: 3 years is required.
4. Years of experience supervising: None.
Full Time
FTE: 1.000000
Status: Remote
Outside Medical Sales Representative
Minneapolis, MN jobs
Job DescriptionBenefits:
Bonus based on performance
Employee discounts
Flexible schedule
Bhakti Brain Health Clinic is looking for an Outside Sales professional to join our dynamic team! Were seeking a reliable, self-motivated team-player who is dedicated to generating new business opportunities, building strong relationships with clients, professional growth and service to others. The ideal candidate will have at least 2 years of outside sales experience. In this role you will be responsible for generating new business, outreach at trade shows, and promoting our products and services in the market. The successful candidate will have a passion for sales, a proved track record in outside sales, outstanding communication skills, and someone who is motivated to streamline processes for every aspect of the job. If this is you, then we should talk!
Responsibilities
Self-generated leads through cold calling, handing out fliers/brochures, door hangers and developing relationships. Ability to develop and maintain a steady stream of new prospects, sale projections & analysis.
Tabling at industry-specific conferences and gatherings.
Conduct product demonstrations to showcase our offerings to potential clients (Lunch and Learns, in clinic, and when doing outreach to new businesses).
Provide exceptional customer service by addressing client inquiries and resolving issues promptly.
Stay informed about industry trends and competitor activities to effectively position our products in the market.
Provide excellent communication to the customers and potential customers to ensure they understand the products, process and services needed.
Demonstrate a comprehensive understanding of insurance, waivers and fee for service requirements, our product offerings, and the related processes.
Work with current customers to gain new referrals.
Identify and build relationships with potential new referral partners.
Train referral partners ie: health coaches, etc., on our products, services, and website as needed.
Plan and make visits to referral partners and prospects on weekly basis
Submit weekly call reports on visits that include opportunities, complaints, and new product requests
Submit weekly expense reports with appropriate documentation
Address customer queries and concerns promptly
Maintain up-to-date knowledge about BBHC products and services
Business to Business sales: develop strategic relationships with local builders and commercial leads.
Develop Sales and market strategies to exceed the companys Sales objectives through the development and expansion of new markets and revenue streams
Foster a positive culture through clear leadership and open communication
Utilize internal tools and systems, to optimize processes and enhance productivity.
Qualifications
Proven experience in outside sales or retail sales, with a strong understanding of sales techniques.
Familiarity with Salesforce, High Level, or similar CRM software is preferred.
Excellent communication and interpersonal skills to build rapport with clients.
Strong business development skills with the ability to identify market opportunities.
Ability to conduct effective product demos that engage potential customers.
A proactive approach to cold calling and lead generation.
Strong organizational skills with the ability to manage multiple accounts simultaneously.
Join us as an Outside Sales Representative where you can leverage your skills in a rewarding environment that values growth, innovation, and customer satisfaction!
About Bhakti Brain Health Clinic
Our everyday work and interactions are rooted in our Core Values:
Cooperation
Our clinic is built on a belief that we all do better when we all do better (Paul Wellstone). This value embodies the deeper meaning of the word cooperation, the manifestation of an ongoing commitment to relationship and mutual support. At the core of this value is the vow to adhere to the idea that sometimes I give and sometimes I receive. The embodiment of this idea moves us all forward together. As John F. Kennedy stated, A rising tide lifts all boats.
Holistic
We hold a holistic perspective of the workplace - a culture embedded in a mesh work of interconnectedness and interdependence; there are aspects we are responsible
for
and ones we are responsible
to
. Our clinic culture recognizes each individual is a whole on-to themselves and at the same time a part of a larger whole, their department, their company, their community. We encourage, expect and support each individual to act with a sense of responsibility, empowerment, and both agency and connectedness in all they do.
Growth
We value personal and professional growth. Maya Angelou once stated, When we know better, we do better. We support each other to exemplify a growth mindset. As a clinic we demonstrate commitment to our, and our employees, growth. In doing so, each of us gives the best of who we are while we continue to learn and cultivate our own capacities and grow toward a personally and professionally rewarding career.
Openness & Being of Service
Our general response to clinic and colleague needs, issues, and concerns is, first and foremost, how can I help? We deeply value the act of being of service. This isnt an ideological value, it is a lived one each and every day. This act of service carries through to our clients and professional collaborations. We value openness, characterized by the word, yes, and the intention to consider all possibilities without preconceived notions
Job Types: Part-time, Contract
Pay: From $20.00 per hour plus bonus structure
Expected hours: 20 30 per week
Flexible work from home options available.
Director, Government Reimbursement
Ohio jobs
Thank you for considering a career at Ensemble Health Partners!
Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country.
Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference!
O.N.E Purpose:
Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations.
Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation.
Striving for Excellence: Execute at a high level by demonstrating our “Best in KLAS” Ensemble Difference Principles and consistently delivering outstanding results.
The Opportunity:
By embodying our core purpose of customer obsession, new ideas, and driving innovation, and delivering excellence, you will help ensure that every touchpoint is meaningful and contributes to our mission of redefining the possible in healthcare.
This role will serve in a consultancy capacity, advising our clients-large health systems-in managing and optimizing healthcare reimbursement processes, focusing on Medicare, Medicaid, Disproportionate Share Hospital (DSH) programs, Medicaid Directed Payment programs, and 340B drug pricing and reimbursement. Additionally, this position provides key support in the preparation and analysis of Medicare cost reports, ensuring compliance with federal regulations and maximizing financial performance for healthcare providers.
Essential Job Functions
Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations.
Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation.Striving for Excellence: Execute at a high level by demonstrating our “Best in KLAS” Ensemble Difference Principles and consistently delivering outstanding results.
Assist in gathering and analyzing data for the preparation of Medicare cost reports, ensuring accurate reflection of hospital costs for reimbursement optimization.
Provide expert advice on reimbursement strategies for governmental lines of business, including Medicaid and Tricare
Support 340B program compliance, eligibility, and ensure correct billing processes.
Analyze hospital eligibility for DSH payments, assess financial impact, and ensure complete and accurate capture of Medicaid days and other considerations.
Monitor Medicaid Directed Payment programs, optimizing revenue opportunities for participating providers.
Serve as a trusted advisor to clients, offering strategic insights and recommendations on reimbursement-related matters.
Maintain expert-level knowledge of state and federal healthcare reimbursement policies, ensuring strict compliance with CMS guidelines, Medicaid Managed Care rules, and HRSA 340B program regulations..
Assist healthcare providers in navigating reimbursement complexities, including audits, appeals, and compliance inquiries.
Analyze financial data to identify trends and areas for improvement in the reimbursement process.
Build and maintain strong relationships with payers, government agencies, and other stakeholders.
Provide guidance and training to client staff on reimbursement regulations and best practices.
Job Competencies
Leadership Decision Making - Makes day-to-day leadership decisions by securing and comparing information from multiple sources to identify issues; commits to an action after weighing alternative solutions against important criteria; effectively communicates decisions to the appropriate people and teams and holds them accountable. Drives results.
Coaching & Building Talent - Achieves results through other leaders by empowering them and providing feedback, instruction and development (coaching the coach) to develop their own associates; plans and supports the growth of individual skills and abilities in preparation for their next role (building bench); focuses on retention of high performers.
Delegation - Successfully shares authority and responsibilities with others to move decision making and accountability downward through the organization while accomplishing strategic priorities; maintains personal ownership of outcomes without excessive involvement.
Executive Communication - Clearly and succinctly conveys information and ideas; communicates in a focused and compelling way that captures and holds others' attention (appropriate, impactful, and clear).
Program/Project Management - Demonstrates high accountability and responsibility for projects and programs from inception through completion/implementation; manages budget and resource planning and awareness to ensure maximized output, reduced waste and exceptional results.
Other Preferred Knowledge, Skills and Abilities
Strong analytical, communication, and negotiation skills.
Ability to work effectively in a fast-paced and ever-changing environment.
CPA Licensed
This position pays between $134,000- $200,000 based on relevant years of experience.
Join an award-winning company
Five-time winner of “Best in KLAS” 2020-2022, 2024-2025
Black Book Research's Top Revenue Cycle Management Outsourcing Solution 2021-2024
22 Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in Revenue Cycle 2019-2024
Leader in Everest Group's RCM Operations PEAK Matrix Assessment 2024
Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong performance 2020, 2022-2023
Energage Top Workplaces USA 2022-2024
Fortune Media Best Workplaces in Healthcare 2024
Monster Top Workplace for Remote Work 2024
Great Place to Work certified 2023-2024
Innovation
Work-Life Flexibility
Leadership
Purpose + Values
Bottom line, we believe in empowering people and giving them the tools and resources needed to thrive. A few of those include:
Associate Benefits - We offer a comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs.
Our Culture - Ensemble is a place where associates can do their best work and be their best selves. We put people first, last and always. Our culture is rooted in collaboration, growth, and innovation.
Growth - We invest in your professional development. Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement.
Recognition - We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company.
Ensemble Health Partners is an equal employment opportunity employer. It is our policy not to discriminate against any applicant or employee based on race, color, sex, sexual orientation, gender, gender identity, religion, national origin, age, disability, military or veteran status, genetic information or any other basis protected by applicable federal, state, or local laws. Ensemble Health Partners also prohibits harassment of applicants or employees based on any of these protected categories.
Ensemble Health Partners provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law. If you require accommodation in the application process, please contact *****************.
This posting addresses state specific requirements to provide pay transparency. Compensation decisions consider many job-related factors, including but not limited to geographic location; knowledge; skills; relevant experience; education; licensure; internal equity; time in position. A candidate entry rate of pay does not typically fall at the minimum or maximum of the role's range.
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Auto-ApplyRadiology - Teleradiology Physician
Ohio jobs
$125k Sign-On Bonus
Flexible schedule!
Schedule options include:
7 on 7 off 8-hr shifts 8 pm 4 am, 9 pm 5 am, 10 pm 6 am, or 11 pm 7 am EST
7 on 14 off 10-hr shifts 8 pm 6 am, 9 pm 7 am, 10 pm 8 am, or 11 pm 9 am EST
Work remotely anywhere in the US at-home workstation provided
Competitive Base Salary + Productivity Bonus with uncapped earning potential
Generous benefits including health/vision/dental, disability, life insurance, 401k with company contribution, and more!
Malpractice and tail coverage, CME stipend
Additional opportunities for income
Fully pay for and assist with licensing and credentialing.
Roles and responsibilities :
Experienced and comfortable interpreting the spectrum of ER studies
Comfortable reading general ER cases in CT, Ultrasounds, X-rays, and limited MR
Eligible for and able to obtain Ohio, Iowa, West Virginia, and/or Nevada State Medical Licensure prior to start, as well as state of residence
Board Certification or Board Eligible
Collaborative, committed to a team environment, and focused on quality patient care
Healthcare Scheduling, Connection Advisor Intermediate, Remote, Bilingual Spanish
Minneapolis, MN jobs
Healthcare Scheduling, Connection Advisor Intermediate, Remote, Bilingual Spanish (251598) Hennepin Healthcare is an integrated system of care that includes HCMC, a nationally recognized Level I Adult Trauma Center and Level I Pediatric Trauma Center and acute care hospital, as well as a clinic system with primary care clinics located in Minneapolis and across Hennepin County.
The comprehensive healthcare system includes a 473-bed academic medical center, a large outpatient Clinic & Specialty Center, and a network of clinics in the North Loop, Whittier, and East Lake Street neighborhoods of Minneapolis, and in the suburban communities of Brooklyn Park, Golden Valley, Richfield, and St.
Anthony Village.
Hennepin Healthcare has a large psychiatric program, home care, and operates a research institute, philanthropic foundation, and Hennepin EMS.
The system is operated by Hennepin Healthcare System, Inc.
, a subsidiary corporation of Hennepin County.
Equal Employment Opportunities: We believe equity is essential for optimal health outcomes and are committed to achieve optimal health for all by actively eliminating barriers due to racism, poverty, gender identity, and other determinants of health.
We are committed to equitable care and working in an environment that celebrates, promotes, and protects diversity, equity, inclusion, and belonging.
We are committed to bringing in individuals with new cultural perspectives to assist in creating a more equitable healthcare organization.
SUMMARYThe Connection Center is a fast-paced, high-volume inbound call center where our schedulers play a critical role in delivering exceptional service.
Team members are expected to multitask efficiently-speaking with patients, scheduling appointments, documenting conversations, and resolving escalations-all while maintaining professionalism and composure in a dynamic environment.
We are currently seeking a Connection Advisor Intermediate, Bilingual Spanish to join our Connection Center team.
This Full-Time role (80 hours per pay period) will primarily work remotely (days).
The Connection Center is open Monday through Friday, 7:30 AM to 5:30 PM.
Shifts will be based on the current business needs and staff seniority.
The schedule will be decided following the 4-week training period.
The training period will be scheduled on Monday through Friday, 8:00 AM to 5:30 PM, and will be held on campus for only 1 week.
Working remotely will start after the training period has been completed.
Individuals will need a quiet working environment, high-speed internet, fire alarm, and desk space.
Hennepin Healthcare will supply computers, monitors, keyboard, mouse, and phone.
Employees will need to be within 100-mile radius of our downtown campus.
Purpose of this position: Under general supervision, the Connection Advisor Intermediate answers incoming calls and meets caller's needs; confirms all patient demographic information is current and complete, verifies insurance information, schedules, cancels, or reschedules appointments for assigned clinic or services using call center, electronic health record and department technology.
Answers inquiries and questions, troubleshoots basic and more complex issues and provides information as needed.
RESPONSIBILITIESAnswers assigned calls for more complex clinics and services; prioritizes, screens, and/or redirects calls as needed.
Answers questions, handles routine matters and takes messages.
Schedules, cancels and reschedules appointments for patients following standard work and departmental policies and procedures Handles complex scheduling that often requires multiple appointments or with different providers andmodalities Obtains and accurately captures demographic information and patient's health insurance information provided by the patient or caller Accurately completes multiple types of patient registrations in a professional, customer-oriented,timely manner while following departmental policies and procedures Assists with shadowing and mentoring newly onboarded Connection Advisor Associate and Connection Advisor Intermediate team members Recommends and supports change and process improvement initiatives while working to upholdstandard process workflows and provide feedback as needed Completes training and continuing education courses to ensure compliance with Federal, State, and HHS guidelines and follows current best practices Completes all work assignments within the time allowed Requests and processes payments for co-pays, pre-pays, and outstanding balances Meets all key performance and call quality standards Transfers calls to Hennepin Healthcare Nurse Line and/or escalates calls to Team Coordinator or Supervisor as needed Performs other duties as assigned, but only after appropriate training QUALIFICATIONSMinimum Qualifications: High School DiplomaOne year data look-up/data entry experience Two years' experience in customer service involving complex analytical problem-solving skills One year experience in a call center with emphasis in a customer service/medical industry6 months of Connection Advisor Associate experience or specialized clinic operational experience One year of remote work experience Bilingual Spanish-OR-An approved equivalent combination of education and experience Preferred Qualifications:One year of post-secondary education Healthcare Call Center experience Working knowledge of Epic cadence and prelude Patient registration experience Knowledge/Skills/Abilities:Excellent organizational, analytical, critical thinking, and written and verbal communication skills Ability to work cohesively, effectively, and respectfully with individuals from a variety of economic, social, and culturally diverse backgrounds Ability to work in a team environment as well as independently Critical thinking skills and ability to analyze situations quickly and escalate as needed Ability to exceed quality standards, including accuracy in patient registrations, scheduling, data entry, and customer service expectations Technical proficiency in basic computer skills and applications like Microsoft Office, Outlook, and softphones Basic knowledge of medical terminology and health insurance Ability to work in a fast-paced, highly structured, and continually changing environment High level of attention to detail Active listening skills Ability to work independently and remotely Ability to become technically competent and are familiar with HHS's computerized systems and ability basic troubleshooting that support operations You've made the right choice in considering Hennepin Healthcare for your employment.
We offer a wealth of opportunities for individuals who want to make an impact in our patients' lives.
We are dedicated to providing Equal Employment Opportunities to both current and prospective employees.
We are driven to connect talented individuals with life-changing career opportunities, enabling you to provide exceptional care without exception.
Thank you for considering Hennepin Healthcare as a future employer.
Please Note: Offers of employment from Hennepin Healthcare are conditional and contingent upon successful clearance of all background checks and pre-employment requirements.
Department: Connection CenterPrimary Location: MN-Minneapolis-Downtown Campus Standard Hours/FTE Status: FTE = 1.
00 (80 hours per pay period) Shift Detail: DayJob Level: StaffEmployee Status: Regular Eligible for Benefits: YesUnion/Non Union: Union Min: 21.
92Max: 28.
36 Job Posting: Oct-13-2025
Auto-ApplyClinical Documentation Specialist-Remote
Columbus, OH jobs
Clinical Documentation Specialist utilizes advanced clinical and coding expertise to direct efforts toward the integrity of clinical documentation through the roles of reviewer, educator and consultant. Facilitates the overall quality, completeness, accuracy, and integrity of medical record documentation through extensive record review. Through extensive interaction with physicians and other members of the healthcare team, achieves appropriate clinical documentation to support code assignment, medical necessity, severity of illness, risk of mortality, and level of services rendered to all patients. Participates in the development and delivery of education for providers and members of the healthcare team.
.
What You Will Do:
* Exhibits each of the Mount Carmel Service Excellence Behavior Standards holding self and others accountable and role modeling excellence for all to see. For example: demonstrates friendliness and courtesy, effective communication creates a professional environment and provides first class service.
* Meets population specific and all other competencies according to department requirements.
* 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.
* Conducts concurrent reviews of selected patient records to address legibility, clarity, completeness, consistency, and precision of clinical documentation.
* Demonstrates understanding of clinical documentation requirements to ensure that the severity of illness, risk of mortality, and services provided are accurately reflected in the record. Serves as a resource on appropriate clinical documentation.
* Communicates documentation discrepancies and coding definitions to the physicians both written and verbally as needed to clarify clinical documentation in accordance to query standards and/or policies.
* Conduct 1:1 educational sessions with physicians and other healthcare team members related to specific documentation requirements. Collaborates with the multi-disciplinary team, including physicians, patient care services, case management, coding specialists and other healthcare disciplines regarding clinical documentation issues.
* Utilizes computer systems effectively and maintains record of reviews completed, queries completed and outcome of physician response.
Other Job Responsibilities
* Participates in the performance improvement activities. Attends in-service programs and other activities to promote professional growth and enhance knowledge in care documentation requirements.
* Attends and actively participates in staff meetings, participates in committees as requested.
* Responsible for compliance with Organizational Integrity through raising questions and promptly reporting actual or potential wrongdoing.
* All other duties as assigned.
Minimum Qualifications:
* Education: Associate/Diploma Degree in Nursing and five - ten years acute care medical or surgical experience required. Bachelor of Science in Nursing preferred. A degree in Health
* Information Management with credentials of RHIA, RHIT, or CCS with extensive clinical knowledge and a minimum of 5 years inpatient coding experience will be considered in lieu of a RN..
* Licensure / Certification: Current license to practice as registered nurse in the State of Ohio.
* Registered Health Information Administrator (RHIA), Registered Health Information
* Technologist (RHIT), or Certified Coding Specialist (CCS) will be considered in lieu of a RN.
* Experience: Minimum of 5 years acute care medical or surgical experience required;
* Utilization/Case Management, managed care, or Clinical Documentation and experience in
* ICD-10 coding conventions and DRG methodology preferred.
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.
* Relocation assistance (geographic and position restrictions apply).
* Discounted tuition and enrollment opportunities at the Mount Carmel 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 four 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!
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.
IDN Key Account Executive II - Western PA/Northern OH
Cleveland, OH jobs
Dynavax is a commercial-stage biopharmaceutical company developing and commercializing novel vaccines to help protect the world against infectious diseases. We operate with the highest level of quality, integrity and safety for the betterment of public health. Our proprietary CpG 1018 adjuvant powers our diversified infectious vaccine portfolio, which includes HEPLISAV-B , our commercial product approved in the U.S. and the European Union, for prevention of hepatitis B virus in adults. We also supply CpG 1018 to research collaborations and partnerships globally. Currently, CpG 1018 is being used in development of COVID-19, plague, shingles, and Tdap vaccines. At Dynavax, our vision and work ethic are guided by the collective ideals underpinning our core values, and these form the basis of our dynamic company culture. We strive to maintain a culture where each employee is valued by the organization and where our organization is valued by each employee. We offer a highly flexible work environment for our headquarter employees where individuals work remotely and gather for in-person meetings when necessary. Dynavax is headquartered in the San Francisco Bay area, and our manufacturing facility is in Düsseldorf, Germany.
The IDN Key Account Executive II will have full account responsibility and business ownership for assigned Accounts to establish and grow HEPLISAV-B sales. Working with the Director, Vaccine Sales this position will serve as the primary account owner with assigned IDN, Independent and Group Practice accounts. The IDN Key Account Executive II will be responsible for full top down and bottom up ownership and execution in assigned accounts with a primary objective of expanding Adult Hepatitis B Vaccination and greater adoption of HEPLISAV-B. This role will be responsible for understanding sales strategies and execution plans that enable HEPLISAV-B to meet its full revenue potential in assigned accounts. The IDN Key Account Executive II position will be expected to execute all functions of the role independently with minimal supervision from the Director, Vaccine Sales and/or assigned mentor for executive level customer engagements. This position is field based and will require daily travel.
The ideal candidate should reside in or near Pittsburgh, PA or Cleveland, OH, but other locations in major metropolitan areas within the assigned territory will be considered.
Responsibilities
Responsible for achieving sales targets and owning/managing customer relationships for assigned Accounts. Assigned accounts will include large IDNs, independent customers and group practices.
Serves as sole owner for assigned accounts - responsible for successful execution at all levels of the customer organization to achieve declared goals/objectives.
Demonstrates a deep understanding of vaccine decision making, vaccine adoption and implementation process and key decision makers across all levels of assigned accounts.
Responsible for developing, communicating, and monitoring an account strategy for each assigned account. Conducts quarterly business reviews with Director, Vaccine Sales.
Execute all functions of the role independently with minimal supervision from the Director, Vaccine Sales and/or assigned mentor for executive level customer engagements.
Develop relationships with key stakeholders at each level of organization who are responsible for implementation of vaccines.
Partner with Director, Vaccine Sales to execute sales & marketing strategies to support HEPLISAV-B expansion within assigned accounts.
Responsible for understanding competitive positioning, market dynamics and customer business models to identify opportunities across assigned accounts.
Maintain accurate up-to-date customer records in the Account Management system.
Exercise sound judgement and oversight to ensure integrity and compliance with company policies in all activities and communications.
Foster Dynavax core values and leadership behaviors.
Other duties as assigned.
Qualifications
Bachelor's Degree required from an accredited institution; MBA preferred.
3+ years of life sciences sales experience required; IDN/Hospital experience preferred.
2 years of vaccine or buy & bill experience required.
2+ years of strategic account management experience preferred.
Knowledge of the IDN/Hospital landscape within assigned territory required.
Previous health system account management experience is highly preferred.
Strong proven strategic vision, business acumen and influencing skills to drive strategic and operational initiatives across the organization.
Documented track record of consistent sales and growth success along with superb account management skills.
Proven track record of financial/budget management experience.
Knowledge of large health systems, including immunization related quality initiatives.
Excellent oral and written communication skills, presentation and influencing skills.
Ability to drive business results and identify new opportunities and strategies through strategic thinking and business planning.
Experience in matrix management, change advocate.
Heavy travel required.
Key Competencies: Accountability, Customer Engagement, Customer Discovery, Business Acumen, Executional Effectiveness
Ability to operate a motor vehicle.
Ability to sit for prolonged periods; reach with arms and hands; lift and move small objects; and use hands to keyboard and perform other office related tasks including repetitive movement of the wrists, hands and/or fingers.
Must be able to obtain all industry credentials and certifications.
Additional Knowledge and Skills desired, but not required:
C-suite leadership and account management experience within IDNs and Hospitals is highly preferred.
California residents: for information on how we handle your personal information and your privacy rights as a job candidate, please see our Candidate Privacy Notice:
*********************************************************************************************
Dynavax is an equal opportunity employer & prohibits unlawful discrimination based on race, color, religion, gender, sexual orientation, gender identity/expression, national origin/ancestry, age, disability, marital & veteran status.
Auto-ApplyNational Director of Business Development
Cleveland, OH jobs
Acadian Health
JOB DESCRIPTION
Job Title:
National Director of Business Development
Alternate Job Title(s):
National Director of Business Development
Division/Department:
Acadian Health
Status:
Salary- Exempt
Performance Appraisal Type:
Senior Director
JOB SUMMARY: This high impact role is responsible for accelerating revenue growth and expanding market presence through strategic business development, sales, and partnership initiatives. The Director of Business development will drive EBITDA improvements by identifying growth opportunities, forging strategic partnerships, and leading marketing and sales efforts.
REPORTS TO: Senior Director of Acadian Health
KEY RESPONSIBILITIES:
Business Development & Growth Strategy:
Identify, evaluate, and pursue new business opportunities to expand the footprint of at-home healthcare services.
Lead market expansion efforts, including strategic planning, competitive analysis, and execution of growth initiatives
Develop and implement go-to-market strategies that drive revenue and enhance profitability.
Build and nurture healthcare relationships for partnership opportunities.
Strategic Vision & Leadership:
Define and communicate a clear growth vision aligned with corporate goals.
Serve as a strategic advisor to executive leadership on market trends, expansion opportunities, and emerging business models.
Represent the organization externally to promote strategic partnerships and elevate visibility in key markets.
Relationship Management & Sales Enablement:
Cultivate and maintain strong relationships with key stakeholders.
Partner with internal teams to support sales enablement tools and customer experience improvements
Monitor business performance metrics and adjust strategies to optimize outcomes and ensure sustained growth
Collaborate with operations and clinical teams to align business development initiatives with service capabilities and quality standards.
Partner with finance to develop accurate revenue projections
Community & Industry Engagement:
Participate in events supporting Community Paramedicine programs.
Serve as a thought leader and advocate for value-based at home care services.
Travel Requirements
Up to 50%
QUALIFICATIONS:
Undergraduate degree in Business, Marketing or Healthcare a plus
Minimum of 5 years in a sales or business development role with increasing responsibility and proven success.
Demonstrated success in driving revenue, closing partnerships, and launching new service lines or markets.
Understanding of the healthcare industry, including operational knowledge, compliance, and regulatory requirements preferred.
Excellent communication, negotiation, and relationship-building skills
Financial acumen with the ability to interpret and act on business performance metrics.
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
PB Analyst
Cleveland, OH jobs
Epic Professional Billing certification required
100% remote
up to $115k DOE
The PB/HB Analyst is responsible to resolve technical and application issues and support ongoing workflow and optimization issues. This position oversees the design, configuration, testing and support of Epic Patient Billing.
Responsibilities
Design, build and test Epic Patient/Hospital Billing software, including current- and future-state workflows
Troubleshoot and resolve issues, conforming to client change control and change management policies
Work in a complex and quick-moving client environment, meeting all project timelines and critical path requirements.
May be required to participate in 24-hour on-call rotations
Participate in project planning and manage applicable responsibilities
Facilitate and participate in team meetings and work groups
Minimum Requirements
BA with 5+ years' revenue cycle operational experience in healthcare setting
3+ years Epic HB/PB Analyst experience with current Epic certification
RN Utilization Management remote - MediGold Health Plan
Columbus, OH jobs
*Employment Type:* Full time *Shift:* *Description:* *Why MediGold?* [MediGold]( is a not-for-profit Medicare Advantage insurance plan serving seniors and other Medicare beneficiaries across the United States. We're dedicated to providing excellent customer service, cost-effective care, and exceptional healthcare coverage. We rely on talented colleagues in a wide variety of professional roles including information technology, financial analysis, audit, provider relations and more.
*Position Purpose*
RN Utilization Management MCHP is responsible for the coordination of the medical care provided to Plan members with Plan providers, the member's family and other resources as appropriate. Assist in the development of the Plan's UM Program and the review of the Plan's Utilization Management Plan.
*What you will do*
* Participates in designated committees and task forces according to the UM Program and at the direction of the Director, Utilization Management.
* Coordinates with the utilization review, case management, discharge planning staff within network facilities.
* Coordinates with Medical Director/Associate Medical Directors on case-specific issues.
* Coordinates with Claims, Member Services, Grievance Coordinator and other operational departments regarding case management issues.
* Documents and communicates to QM staff appropriately all identified quality concerns related to Members.
* All other duties as assigned.
*Minimum Qualifications*
* Education: Associate or Bachelor's Degree in Nursing
* Licensure / Certification: Current license to practice as a Registered Nurse in their home state or hold a compact nursing license.
* Experience: Minimum of 5-7 years of clinical nursing experience with at least 2 years' experience in utilization review or case management. Nursing experience in an HMO insurance setting preferred· Demonstrated ability to analyze, summarize and concisely report medical utilization and medical chart audit results.
* Ability to compare approved criteria with clinical information to determine appropriateness of service and to document all related information according to department policies and procedures.
* Conducts claim review as required for appropriate claims processing
*Position Highlights and Benefits:*
* Mount Carmel Health System recognized by Forbes in 2025 as one of America's Best State Employers.
* 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.
* RN to BSN tuition 100% paid at Mount Carmel's College of Nursing.
* Relocation assistance (geographic and position restrictions apply).
* 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!
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.
IS Systems Analyst II ERP Applications
Columbus, OH jobs
This is a remote position but will require the candidate to come onsite as needed (once a month on an average). Candidate must be within 100 miles of Columbus or willing to relocate after hire.
Candidate must have prior experience writing & supporting integrations, complex reports & configuration changes. Workday HCM knowledge is preferred or other areas in Workday such as Finance or Supply Chain. ERP system experience preferred (SAP, Peoplesoft or similar) in a technical position.
Summary:
Analyses business needs, defines requirements, develops solutions, implements, manages, and supports systems. Ability to work flexible schedules to meet job requirements; requires 24/7 on call after-hours support.
Job Description:
Essential Functions:
Carries out systems analysis and provides support for complex medium to large systems across several departments. Manipulates, mines, and analyzes large, complex datasets.
Creates and maintains high quality system, report, and interface test scripts.Tests and debugs systems to ensure they are functioning properly. coordinates user acceptance testing.
Serves as a customer liaison for assigned business areas and provides technical support and troubleshooting for systems issues.
Documents system design, testing, and maintenance procedures for future reference. Assures data integrity and system survivability by developing and maintaining Disaster Recovery plans for assigned systems.
Collaborates with other IT professionals to integrate new systems with existing ones.
Performs system updates, patches, service releases, and upgrades as needed. Evaluates and recommends new technologies to improve system efficiency and performance.
Education Requirement:
Bachelor's degree or equivalent experience, required.
Certifications:
ITIL certification or training, preferred.
Skills:
Strong skills in SQL programming, relational database management, reporting software tools and MS Excel, preferred.
Strong skills in data management systems and extensive spreadsheet, database and presentation graphics knowledge are preferred.
Advanced knowledge in Microsoft Office (Word, Excel, PowerPoint, Visio and Project) required.
Excellent communication and organizational skills to effectively interact with external contacts, administrators, medical staff, and employees at all levels.
Strong attention to detail and demonstrated problem solving skills.
Ability to quickly learn, adapt and work with new applications or tools.
Able to be a visionary and see the larger picture.
Experience:
5 years of combined experience providing information technology support, or equivalent education, required.
Experience in a healthcare environment, required.
Business and financial experience, preferred.
Epic Principal Trainer
Columbus, OH jobs
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:
Supports the curriculum development and maintenance lifecycle for assigned applications including participation in workflow evaluation, development of new curriculum and related documentation (e.g., tip sheets, quick start guides, knowledge articles). Collaborate with user departments to identify, analyze, and support ongoing needs while achieving Service Level Agreements (SLAs) relative to the supported curriculum.
Responsibilities And Duties:
System Analysis and Design:
Analyze and document current business processes and workflows.
Identify system requirements and translate them into detailed specifications.
Design and implement solutions to improve system efficiency and user experience.
Application Support:
Provide support for (Epic, Workday, Kronos,) and other applications.
Troubleshoot and resolve system issues in a timely manner.
Coordinate with vendors and internal teams for system upgrades and patches.
Collaborate with IT and clinical teams to integrate across IT portfolio with other IT systems (e.g., Epic, 3rd Party Imaging Applications, AI, etc.).
Project Management:
Under the direction of the Sr. Systems Analyst strong participation smaller projects related to system implementations and upgrades.
Knowledge with various project management approaches, e.g. waterfall, agile.
Training and Documentation:
Contribute to comprehensive documentation for system configurations and processes.
Assist and provide guidance on best practices.
Integration and Data Management:
Contribute to seamless integration between various healthcare applications.
Manage data integrity and security across systems.
Perform data analysis and generate reports as needed.
Minimum Qualifications:
Bachelor's Degree: Computer and Information Science (Required)
Additional Job Description:
EDUCATION and/or EXPERIENCE:
Knowledge typically acquired through a associate degree in a healthcare field (e.g., nursing, respiratory therapy, health information management, etc.), computer science, education, business, or related field; equivalent experience will be considered.
SPECIALIZED KNOWLEDGE:
Healthcare operations, basic knowledge of computers, education theory
KIND & LENGTH OF EXPERIENCE:
1 to 3 years experience in systems analysis, programming, or business / clinical operations
SPECIALIZED KNOWLEDGE
Knowledge typically acquired through a Field of Study: a healthcare field (e. g. , nursing, respiratory therapy, health information management, etc. ), computer science, education, business, or related field; equivalent Experience will be considered
DESIRED ATTRIBUTES
Application management lifecycle, Clinical / Hospital Operational experience Additional experience
Work Shift:
Day
Scheduled Weekly Hours :
40
Department
CareConnect Training
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
Remote Work Disclaimer:
Positions marked as remote are only eligible for work from Ohio.
Musculoskeletal and Spine Radiologist
Sartell, MN jobs
At Medical Scanning Consultants (MSC) here in St. Cloud, you would join 3 radiologists and 2 Pain Care mid-levels as you focus on reading and working with your MSK specialty. We have an excellent 8-5 daytime schedule and minimal call that is conducive to the ideal work / life balance. If working from home is appealing, we have the option of a hybrid model for you.
The pay range for this position is $350,000-$800,000/year based on direct and relevant experience.
At our practices, you'll experience our commitment to excellence, quality and thoughtful, patient-centered care. We are a fully committed subspecialty oriented radiologist group providing outpatient imaging services at a handful of RAYUS Radiology Sites in the area (formerly known as Center for Diagnostic Imaging (CDI).
As a physician led organization, our subspecialized radiologists are the cornerstone of our success. MSC has a well-established radiology practice with state of the art technology and highly skilled, credentialed team of radiologists and technologists that serve the needs of the local community and have strong relationships with our referring providers. Our group operates on a fair and equitable work model, with a division of labor between all associates; we do not believe in overburdening the newer members of our practice.
MUSCULOSKELETAL RADIOLOGIST
The ideal candidate is a fellowship trained MSK Radiologist comfortable with all modalities within the MSK specialty, including spine.
HIGHLIGHTS
Cohesive, Experienced Team
MSK Focus, with other services if desired
Outpatient Only
Minimal Call
Partnership track
Highly Lucrative Salary
401K w/ Match
Production Bonus
Health/dental insurance, malpractice insurance, life insurance, optional pet insurance and much more
Generous Vacation Time (8+WEEKS)
LOCATION
Life is good in St. Cloud! With a metropolitan population of around 200,000, you'll find big-city businesses, amenities and entertainment with a smaller community feel. St. Cloud sits along the Mississippi River about 45 minutes from the northwestern portion of the Twin Cities.
A college town, the St. Cloud area has several nationally renowned secondary education institutions, including St. Cloud State, St. John's University, College of St. Benedict and College of St. Scholastica, along with community and technical colleges. Residents can enjoy 20+ miles of walking and biking trails and 1,500+ acres of parks and green spaces.
This welcoming community offers many housing options and a lower cost of living. All of these factors combined have contributed to St. Cloud being named a “Best Small City in America.”