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  • Manager Ancillary Application Solutions

    Akron Children's Hospital 4.8company rating

    Hudson, OH jobs

    Full Time 40 Hours/Week Monday - Friday, 8:00am - 5:00pm Onsite The Manager, Ancillary Application Solutions is a leadership position responsible for the planning, implementation, optimization, and overall management of ancillary clinical applications within the organization. This includes management of hundreds of clinical software applications used in critical areas such as Radiology, Cardiology, Neurology, Pulmonary and Lab. The position demands a blend of technical expertise, healthcare domain knowledge and leadership skills. Building productive relationships with software vendors and monitoring vendor performance are key elements of this role. This role ensures that software application solutions and supporting infrastructure align with the organization's strategic goals, enhance operational effectiveness, and deliver exceptional end-user experiences. The manager will build relationships with executive and clinical leaders and lead a team of application analysts to collaborate with stakeholders and leaders including physicians and nurses. The Manager, Ancillary Applications will serve as the primary point of contact for all matters concerning ancillary applications. This role does not include oversight of EMR applications but will work closely with EMR Management. Responsibilities: Strategic Leadership and Planning: Develop and execute a strategic vision for ancillary application solutions in partnership with executive leadership and key stakeholders. Assess current application landscape, identify gaps, and create actionable roadmaps for enhancements and transition to cloud. Project Management: As needed, serve as Project Manager for the full project lifecycle of ancillary application initiatives, from requirements gathering and vendor selection to deployment and post-implementation review. Ensure projects are completed on time, within scope, and on budget. Team Leadership and Development: Recruit, train, motivate, and evaluate a high-performing team of analysts. Foster a culture of continuous improvement, innovation, and professional growth. Stakeholder Engagement: Serve as the primary liaison between IT, business operations, clinical teams, and external vendors. Facilitate transparent communication, manage expectations, and drive consensus on solution priorities. Solution Design and Integration: Guide the selection, implementation and integration of ancillary applications to ensure seamless interoperability with core business and clinical platforms. Operational Support and Optimization: Establish robust support processes for application maintenance, troubleshooting, and user training. Continually assess performance metrics and drive initiatives to maximize application efficiency and effectiveness. Vendor Management: Oversee relationships with third-party software vendors and service providers. Negotiate contracts, monitor service levels, and ensure compliance with organizational goals and regulatory standards. Risk Management and Compliance: Ensure all ancillary applications adhere to internal policies, industry regulations, and data security best practices. Proactively address potential risks and foster a secure operating environment. Budgeting and Resource Allocation: Develop and manage annual budgets for ancillary applications, including staffing, licensing, and infrastructure costs. Optimize resource allocation to achieve maximum value Other information: Technical Expertise Deep understanding of managing the full lifecycle of ancillary applications, systems integration, data security, and emerging trends in ancillary technologies. General understanding of server environments, cloud hosting and networking to facilitate cross functional trouble shooting. Familiarity with major clinical vendor software platforms Understanding of clinical processes and workflow along with ability to translate technical concepts into solutions with clinical value. Familiarity with project management tools and methodology. Education and Experience Education: Bachelor's degree required. Bachelor's degree in Nursing and licensed RN preferred. Experience: Minimum 5 years implementing and supporting applications and technology solutions, with at least 3 years in a lead or managerial role. Experience with ancillary clinical applications is strongly preferred. Full Time FTE: 1.000000
    $96k-118k yearly est. 42d ago
  • Manager Ancillary Application Solutions

    Akron Children's Hospital 4.8company rating

    Medina, OH jobs

    Full Time 40 Hours/Week Monday - Friday, 8:00am - 5:00pm Onsite The Manager, Ancillary Application Solutions is a leadership position responsible for the planning, implementation, optimization, and overall management of ancillary clinical applications within the organization. This includes management of hundreds of clinical software applications used in critical areas such as Radiology, Cardiology, Neurology, Pulmonary and Lab. The position demands a blend of technical expertise, healthcare domain knowledge and leadership skills. Building productive relationships with software vendors and monitoring vendor performance are key elements of this role. This role ensures that software application solutions and supporting infrastructure align with the organization's strategic goals, enhance operational effectiveness, and deliver exceptional end-user experiences. The manager will build relationships with executive and clinical leaders and lead a team of application analysts to collaborate with stakeholders and leaders including physicians and nurses. The Manager, Ancillary Applications will serve as the primary point of contact for all matters concerning ancillary applications. This role does not include oversight of EMR applications but will work closely with EMR Management. Responsibilities: Strategic Leadership and Planning: Develop and execute a strategic vision for ancillary application solutions in partnership with executive leadership and key stakeholders. Assess current application landscape, identify gaps, and create actionable roadmaps for enhancements and transition to cloud. Project Management: As needed, serve as Project Manager for the full project lifecycle of ancillary application initiatives, from requirements gathering and vendor selection to deployment and post-implementation review. Ensure projects are completed on time, within scope, and on budget. Team Leadership and Development: Recruit, train, motivate, and evaluate a high-performing team of analysts. Foster a culture of continuous improvement, innovation, and professional growth. Stakeholder Engagement: Serve as the primary liaison between IT, business operations, clinical teams, and external vendors. Facilitate transparent communication, manage expectations, and drive consensus on solution priorities. Solution Design and Integration: Guide the selection, implementation and integration of ancillary applications to ensure seamless interoperability with core business and clinical platforms. Operational Support and Optimization: Establish robust support processes for application maintenance, troubleshooting, and user training. Continually assess performance metrics and drive initiatives to maximize application efficiency and effectiveness. Vendor Management: Oversee relationships with third-party software vendors and service providers. Negotiate contracts, monitor service levels, and ensure compliance with organizational goals and regulatory standards. Risk Management and Compliance: Ensure all ancillary applications adhere to internal policies, industry regulations, and data security best practices. Proactively address potential risks and foster a secure operating environment. Budgeting and Resource Allocation: Develop and manage annual budgets for ancillary applications, including staffing, licensing, and infrastructure costs. Optimize resource allocation to achieve maximum value Other information: Technical Expertise Deep understanding of managing the full lifecycle of ancillary applications, systems integration, data security, and emerging trends in ancillary technologies. General understanding of server environments, cloud hosting and networking to facilitate cross functional trouble shooting. Familiarity with major clinical vendor software platforms Understanding of clinical processes and workflow along with ability to translate technical concepts into solutions with clinical value. Familiarity with project management tools and methodology. Education and Experience Education: Bachelor's degree required. Bachelor's degree in Nursing and licensed RN preferred. Experience: Minimum 5 years implementing and supporting applications and technology solutions, with at least 3 years in a lead or managerial role. Experience with ancillary clinical applications is strongly preferred. Full Time FTE: 1.000000
    $96k-118k yearly est. 42d ago
  • Manager Ancillary Application Solutions

    Akron Children's Hospital 4.8company rating

    Akron, OH jobs

    Full Time 40 Hours/Week Monday - Friday, 8:00am - 5:00pm Onsite The Manager, Ancillary Application Solutions is a leadership position responsible for the planning, implementation, optimization, and overall management of ancillary clinical applications within the organization. This includes management of hundreds of clinical software applications used in critical areas such as Radiology, Cardiology, Neurology, Pulmonary and Lab. The position demands a blend of technical expertise, healthcare domain knowledge and leadership skills. Building productive relationships with software vendors and monitoring vendor performance are key elements of this role. This role ensures that software application solutions and supporting infrastructure align with the organization's strategic goals, enhance operational effectiveness, and deliver exceptional end-user experiences. The manager will build relationships with executive and clinical leaders and lead a team of application analysts to collaborate with stakeholders and leaders including physicians and nurses. The Manager, Ancillary Applications will serve as the primary point of contact for all matters concerning ancillary applications. This role does not include oversight of EMR applications but will work closely with EMR Management. Responsibilities: Strategic Leadership and Planning: Develop and execute a strategic vision for ancillary application solutions in partnership with executive leadership and key stakeholders. Assess current application landscape, identify gaps, and create actionable roadmaps for enhancements and transition to cloud. Project Management: As needed, serve as Project Manager for the full project lifecycle of ancillary application initiatives, from requirements gathering and vendor selection to deployment and post-implementation review. Ensure projects are completed on time, within scope, and on budget. Team Leadership and Development: Recruit, train, motivate, and evaluate a high-performing team of analysts. Foster a culture of continuous improvement, innovation, and professional growth. Stakeholder Engagement: Serve as the primary liaison between IT, business operations, clinical teams, and external vendors. Facilitate transparent communication, manage expectations, and drive consensus on solution priorities. Solution Design and Integration: Guide the selection, implementation and integration of ancillary applications to ensure seamless interoperability with core business and clinical platforms. Operational Support and Optimization: Establish robust support processes for application maintenance, troubleshooting, and user training. Continually assess performance metrics and drive initiatives to maximize application efficiency and effectiveness. Vendor Management: Oversee relationships with third-party software vendors and service providers. Negotiate contracts, monitor service levels, and ensure compliance with organizational goals and regulatory standards. Risk Management and Compliance: Ensure all ancillary applications adhere to internal policies, industry regulations, and data security best practices. Proactively address potential risks and foster a secure operating environment. Budgeting and Resource Allocation: Develop and manage annual budgets for ancillary applications, including staffing, licensing, and infrastructure costs. Optimize resource allocation to achieve maximum value Other information: Technical Expertise Deep understanding of managing the full lifecycle of ancillary applications, systems integration, data security, and emerging trends in ancillary technologies. General understanding of server environments, cloud hosting and networking to facilitate cross functional trouble shooting. Familiarity with major clinical vendor software platforms Understanding of clinical processes and workflow along with ability to translate technical concepts into solutions with clinical value. Familiarity with project management tools and methodology. Education and Experience Education: Bachelor's degree required. Bachelor's degree in Nursing and licensed RN preferred. Experience: Minimum 5 years implementing and supporting applications and technology solutions, with at least 3 years in a lead or managerial role. Experience with ancillary clinical applications is strongly preferred. Full Time FTE: 1.000000
    $96k-118k yearly est. 42d ago
  • Manager Ancillary Application Solutions

    Akron Children's Hospital 4.8company rating

    North Canton, OH jobs

    Full Time 40 Hours/Week Monday - Friday, 8:00am - 5:00pm Onsite The Manager, Ancillary Application Solutions is a leadership position responsible for the planning, implementation, optimization, and overall management of ancillary clinical applications within the organization. This includes management of hundreds of clinical software applications used in critical areas such as Radiology, Cardiology, Neurology, Pulmonary and Lab. The position demands a blend of technical expertise, healthcare domain knowledge and leadership skills. Building productive relationships with software vendors and monitoring vendor performance are key elements of this role. This role ensures that software application solutions and supporting infrastructure align with the organization's strategic goals, enhance operational effectiveness, and deliver exceptional end-user experiences. The manager will build relationships with executive and clinical leaders and lead a team of application analysts to collaborate with stakeholders and leaders including physicians and nurses. The Manager, Ancillary Applications will serve as the primary point of contact for all matters concerning ancillary applications. This role does not include oversight of EMR applications but will work closely with EMR Management. Responsibilities: Strategic Leadership and Planning: Develop and execute a strategic vision for ancillary application solutions in partnership with executive leadership and key stakeholders. Assess current application landscape, identify gaps, and create actionable roadmaps for enhancements and transition to cloud. Project Management: As needed, serve as Project Manager for the full project lifecycle of ancillary application initiatives, from requirements gathering and vendor selection to deployment and post-implementation review. Ensure projects are completed on time, within scope, and on budget. Team Leadership and Development: Recruit, train, motivate, and evaluate a high-performing team of analysts. Foster a culture of continuous improvement, innovation, and professional growth. Stakeholder Engagement: Serve as the primary liaison between IT, business operations, clinical teams, and external vendors. Facilitate transparent communication, manage expectations, and drive consensus on solution priorities. Solution Design and Integration: Guide the selection, implementation and integration of ancillary applications to ensure seamless interoperability with core business and clinical platforms. Operational Support and Optimization: Establish robust support processes for application maintenance, troubleshooting, and user training. Continually assess performance metrics and drive initiatives to maximize application efficiency and effectiveness. Vendor Management: Oversee relationships with third-party software vendors and service providers. Negotiate contracts, monitor service levels, and ensure compliance with organizational goals and regulatory standards. Risk Management and Compliance: Ensure all ancillary applications adhere to internal policies, industry regulations, and data security best practices. Proactively address potential risks and foster a secure operating environment. Budgeting and Resource Allocation: Develop and manage annual budgets for ancillary applications, including staffing, licensing, and infrastructure costs. Optimize resource allocation to achieve maximum value Other information: Technical Expertise Deep understanding of managing the full lifecycle of ancillary applications, systems integration, data security, and emerging trends in ancillary technologies. General understanding of server environments, cloud hosting and networking to facilitate cross functional trouble shooting. Familiarity with major clinical vendor software platforms Understanding of clinical processes and workflow along with ability to translate technical concepts into solutions with clinical value. Familiarity with project management tools and methodology. Education and Experience Education: Bachelor's degree required. Bachelor's degree in Nursing and licensed RN preferred. Experience: Minimum 5 years implementing and supporting applications and technology solutions, with at least 3 years in a lead or managerial role. Experience with ancillary clinical applications is strongly preferred. Full Time FTE: 1.000000
    $96k-118k yearly est. 42d ago
  • Manager, UKG

    Ohio Health 3.3company rating

    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: As a UKG Manager/Advisor, this role will be responsible for overseeing the Timekeeping and Scheduling functions within the UKG WFM Pro application for OhioHealth following the post-go-live phase SPECIALIZED KNOWLEDGE * Ability to communicate complex information, concepts, or ideas in a confident and well-organized manner through verbal, written, and/or visual means. * Ability to support a diverse, unpredictable, challenging, and fast-paced work environment. * Ability to collaborate effectively with others. * Ability to coordinate the activities with internal and external stakeholders. * Ability to develop or recommend planning solutions to problems and situations for which no precedent exists. * Ability to function in a collaborative environment, seeking continuous consultation with other analysts and experts * both internal and external to the organization-to leverage analytical and technical expertise. * Ability to tailor, with guidance, technical and planning information to a customer's level of understanding. * Ability to assess and forecast manpower requirements to meet organizational objectives. * Knowledge of risk management processes (e.g., methods for assessing and mitigating risk). * Knowledge of specific operational impacts of cybersecurity lapses. * Knowledge of accepted organization planning systems. * Knowledge of software delivery methodologies such as Agile, and various phases of SDLC and familiarity with DevOps concepts that are critical to efficient operations * Knowledge of key principles, and patterns applicable to the focus area. Knowledge of information security concepts, facilitating technologies and methods. * Strong verbal and written communication skills. * Capable of relating compliance, technical and nontechnical information to varied audiences with impact. * Knowledge and able to strategic roadmap MINIMUM QUALIFICATIONS Bachelor's Degree or equivalent experience Field of Study: Business Administration, Computer/Management Information Systems, Computer Science, Engineering, Mathematics, HealthCare, Nursing or Related Field Years of Experience: 5+ years demonstrated, progressive leadership and IT Applications experience DESIRED ATTRIBUTES Deep Understanding of managing UKG WFM Pro application in the Corporate setting with experience in Scheduling, Timekeeping and Integration within UKG. Prior experience in managing onshore and offshore resources is a plus. Should have following qualities - * Design thinker * Curious & Creative * Able to function in tactical and operational levels * Strong communicator and collaborator * Able to work collaboratively in a highly matrixed environment * Ability to effectively drive people, process, and technology changes * Proven record of effective leadership * Subject Matter Expert Responsibilities And Duties: 30% Operations-Advisors will collaborate with operational leaders to get additional details necessary to act upon strategy. Provides leadership oversight to ensure prioritized projects across the vertical are aligned with the program's strategy/roadmap. 20% Strategy-Supports the organization with strategic initiatives that align the program roadmap to OhioHealth's strategic plan, clinical and business needs. 25% Daily Management-Takes a leadership role in designing, communicating, and implementing new enhancements or functionality aligned with roadmaps. Analyzes, plans, and coordinates the implementation of work with the vendor. 10% Supplier Management - Works with suppliers and, when needed, vendors to produce outcomes consistent with organizational strategy. Overseas reporting metrics, dashboards, and status reporting to meet expectations for quality and performance for discretionary, support and maintenance work. 10% People Management - Directs all human resource aspects of personnel management within assigned area including selection of new associates, initial and ongoing development, evaluation, etc. 5% Financial Management - Plans, monitors and controls operating and capital budget for assigned areas of responsibilities Minimum Qualifications: Bachelor's Degree (Required) Additional Job Description: Experience: * Deep expertise in managing the UKG WFM Pro application within a corporate environment, with hands-on experience in Scheduling, Timekeeping, and Integration capabilities. * Prior experience leading and coordinating onshore and offshore resources is highly desirable. Key Attributes: * Design Thinking mindset with a focus on innovative problem-solving. * Curious and creative, able to explore new approaches and solutions. * Comfortable operating at both tactical and strategic levels. * Strong communicator and collaborator, adept at building relationships across teams. * Proven ability to work effectively in a highly matrixed organization. * Skilled in driving people, process, and technology transformations. * Demonstrated leadership excellence with a track record of delivering results. * Recognized as a Subject Matter Expert (SME) in UKG WFM Pro. Work Shift: Day Scheduled Weekly Hours : 40 Department ERP Support 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.
    $69k-109k yearly est. Auto-Apply 4d ago
  • Manager, Coding

    Ohio Health 3.3company rating

    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 managing all coding personnel, education and operations, department metrics, data abstracting, and related billing processes for inpatient and outpatient encounters to meet financial goals for the OhioHealth enterprise. Vendor management is a key function, ability to engage, hold accountable and partner with external resources to drive success. Responsible for coordination of data collection efforts with other primary users in clinical and non-clinical roles as necessary regarding Claims Processing, Quality Metrics and Data Integrity. Serves as subject matter expert and as an internal Revenue Cycle consultant for OhioHealth initiatives. This position is responsible for the development of coding guidelines in accordance with the most recent published regulations from CMS, AHIMA, and Official Coding Guidelines. Accountable for collaboration with any new payment methodology impacting any area of the department and/or reimbursement. The Manager of Coding encompasses participation in implementation of new or upgraded coding software and hardware systems. Manager is also charged with the development and monitoring of standards of performance, including revisions as new technologies become available and potentially affect production. MINIMUM QUALIFICATIONS Equivalent Experience and Relevant Coding Certification by AHIMA or AAPC (must). Minimum 7 years coding experience, at least 3 years in a large acute care network with multiple specialties. Minimum 1-year progressive leadership experience. PREFERRED QUALIFICATIONS Bachelor's Degree - Field of Study: Health Information or related. RHIA - Registered Health Information Administrator or RHIT - Registered Health Information Technician. Minimum 3 years of hands-on coding experience. Minimum 1 year leadership experience. Responsibilities And Duties: 30% Manage department operations aligning daily function with desired outcomes to meet KPIs. Major goals include workflow efficiency, production to meet coding turnaround time targets, coding accuracy and education, processes, and system integration, DNFB and Pre-AR targets. 20% Works with departments to ensure processes are in place to collaborate on initiatives and/or address issues. Support plans requiring intervention as indicated through identified industry trends, changes, payer behavior or any relevant OhioHealth goal. Serves as an internal consultant with new initiatives, reviews and provides recommendations. 15% Coordinates billing/coding activities with Revenue Cycle representatives Patient Accounts, Patient Access and participates with problem-solving. 10% Develops Coding Supervisors through delegation and direct operational support. 8% Manages staffing scheduling within budget for coding operations. Conducts staff evaluations and disciplinary actions as necessary at all campus locations. Hires and/or fires any direct reporting positions. 7% Works with Medical Record Services management team on department and enterprise-wide processes and operations as related to coding, abstracting, billing, and documentation. Implements and/or updates new IS systems. 5% Maintains current information on governmental regulation changes, especially ICD-10, CPT-4 and HCPCS coding, and APC and DRG updates affecting coding, staffing, and health system reimbursement. 5% Administers physical, procedural, and technical safeguards for protection, control, and monitoring of information assets, including access management, staff education, responses to breaches, business continuity planning, auditing, and information security risk management. Minimum Qualifications: High School or GED (Required) CCS - Certified Coding Specialist - American Health Information Management Association, RHIS - Routine Health Information Systems - State of Ohio, RHIT - Registered Health Information Technician - American Health Information Management Association Additional Job Description: SPECIALIZED KNOWLEDGE * Experience with large multi-facility coding operations and vendor management. Certification in coding by AHIMA or AAPC. * Evidence of successful KPI management and driver. * Strong background in ICD-10 and CPT classifications and corresponding reimbursement methodologies. * Technical skills a plus. Work Shift: Day Scheduled Weekly Hours : 40 Department Hospital Coding 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.
    $69k-109k yearly est. Auto-Apply 6d ago
  • Forecast Manager, HPM

    Philips Healthcare 4.7company rating

    Remote

    Job TitleForecast Manager, HPMJob Description Forecast Manager, HPM As a core member of the North America Hospital Patient Monitoring (HPM) team, you will own the accuracy and strategic value of the orders forecast. Serving as a trusted advisor to commercial leadership, finance, marketing, and business partners, you will turn data into actionable insights that improve forecast confidence, accelerate deal progression, and support growth objectives. Your role: Own the regional orders forecast by ensuring accuracy, transparency, and alignment across sales, finance, and leadership. Drive consistency in forecasting practices to support strategic decision-making and commercial goals. Develop and refine short-, mid-, and long-range forecasting models using funnel analytics, historical trends, seasonality, and sales behaviors. Identify risks, opportunities, and inflection points early to enable proactive business actions. Partner with Sales, Marketing, Supply Chain, Finance, and Business Partners to maintain forecast discipline across all territories and channels. Coach leaders on best practices in funnel management, forecasting rigor, and data quality. Lead analytics on funnel health, conversion rates, velocity, and stage progression, translating findings into actionable recommendations. Provide regular insights to accelerate orders, reduce slippage, and improve forecast confidence. Enhance forecasting tools, dashboards, and CRM data integrity while standardizing processes for governance and consistency. Deliver executive-ready summaries and KPI reports, highlighting risks, opportunities, and strategic focus areas. You're the right fit if: You've acquired 5+ years of experience in sales forecasting, demand planning, commercial analytics, or related commercial excellence experience, with a deep understanding of sales funnels, opportunity stages, conversion analytics, and orders management. Healthcare or highly regulated industry preferred. Your skills include ability to coach and influence sales leaders and business partners without direct authority, strong project management skills, with experience managing complex, cross-functional initiatives, forecasting methodologies, CRM systems (Salesforce preferred), and analytics tools such as advanced Excel, PowerBI. You have a Bachelor's degree, required in Finance, Business, Statistics, Supply Chain, Sales Management or related field. You must be able to successfully perform the following minimum Physical, Cognitive and Environmental job requirements with or without accommodation for this position. You're an exceptional communicator with strong storytelling skills, able to distill complexity into compelling, actionable insights. You are able to travel up to 10 to 20% of the time. How we work together We believe that we are better together than apart. For our office-based teams, this means working in-person at least 3 days per week. Onsite roles require full-time presence in the company's facilities. Field roles are most effectively done outside of the company's main facilities, generally at the customers' or suppliers' locations. This is a field role. About Philips We are a health technology company. We built our entire company around the belief that every human matters, and we won't stop until everybody everywhere has access to the quality healthcare that we all deserve. Do the work of your life to help improve the lives of others. Learn more about our business. Discover our rich and exciting history. Learn more about our purpose. Learn more about our culture. Philips Transparency Details The pay range for this position in AZ, AR, ID, IA, KS, KY, LA, ME, MS, MO, NE, NM, OK, SC, SD, TN, UT, or WV is $106,000 to $171,000. The pay range for this position in AL, CO, FL, GA, HI, IL, IN, MI, MN, NV, NH, NC, ND, OH, OR, PA, TX, VT, VA, WI, or WY is $112,000 to $180,000. The pay range for this position in AK, DE, MD, NY, RI, or WA is $118,000 to $189,000. The pay range for this position in CA, CT, DC, MA, or NJ is $126,000 to $201,000. The actual base pay offered may vary within the posted ranges depending on multiple factors including job-related knowledge/skills, experience, business needs, geographical location, and internal equity. In addition, other compensation, such as an annual incentive bonus, sales commission or long-term incentives may be offered. Employees are eligible to participate in our comprehensive Philips Total Rewards benefits program, which includes a generous PTO, 401k (up to 7% match), HSA (with company contribution), stock purchase plan, education reimbursement and much more. Details about our benefits can be found here. At Philips, it is not typical for an individual to be hired at or near the top end of the range for their role and compensation decisions are dependent upon the facts and circumstances of each case. Additional Information US work authorization is a precondition of employment. The company will not consider candidates who require sponsorship for a work-authorized visa, now or in the future. #LI-PH1 #ConnectedCare This requisition is expected to stay active for 45 days but may close earlier if a successful candidate is selected or business necessity dictates. Interested candidates are encouraged to apply as soon as possible to ensure consideration. Philips is an Equal Employment and Opportunity Employer including Disability/Vets and maintains a drug-free workplace.
    $126k-201k yearly Auto-Apply 10d ago
  • CDI Outsourcing Manager - Remote (Solventum)

    Healthcare Services 4.1company rating

    Remote

    Thank you for your interest in joining Solventum. Solventum is a new healthcare company with a long legacy of solving big challenges that improve lives and help healthcare professionals perform at their best. At Solventum, people are at the heart of every innovation we pursue. Guided by empathy, insight, and clinical intelligence, we collaborate with the best minds in healthcare to address our customers' toughest challenges. While we continue updating the Solventum Careers Page and applicant materials, some documents may still reflect legacy branding. Please note that all listed roles are Solventum positions, and our Privacy Policy: *************************************************************************************** applies to any personal information you submit. As it was with 3M, at Solventum all qualified applicants will receive consideration for employment without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. Job Description: CDI Outsourcing Manager - Remote (Solventum) 3M Health Care is now Solventum At Solventum, we enable better, smarter, safer healthcare to improve lives. As a new company with a long legacy of creating breakthrough solutions for our customers' toughest challenges, we pioneer game-changing innovations at the intersection of health, material and data science that change patients' lives for the better while enabling healthcare professionals to perform at their best. Because people, and their wellbeing, are at the heart of every scientific advancement we pursue. We partner closely with the brightest minds in healthcare to ensure that every solution we create melds the latest technology with compassion and empathy. Because at Solventum, we never stop solving for you. The Impact You'll Make in this Role As a CDI Outsourcing Manager, you will have the opportunity to tap into your curiosity and collaborate with some of the most innovative and diverse people around the world. Here, you will make an impact by: Assume responsibility/overall management for the assigned outsourced CDI engagements that are either supplemental or total outsourced programs while assisting Consulting Services in obtaining set revenue goals. Monitors and manages relationships with contracted vendors and facilitates the resolution of issues and conflicts Directly supervise and provide expertise to the CDI staff to assure target quality and production levels Continually measure the effectiveness of CDI operations, identify areas for improvement, monitor trends and develop plans of action for and any identified problem areas Provides direct supervision to assigned CDI through leadership, coaching, training and development, allocating work assignments, review of progress in achieving objectives, managing employee compensation, performance appraisals, diversity, disability, all relevant employee data, etc. Understands and enforces corporate/location policies and procedures. Takes appropriate action to address policy violations. Your Skills and Expertise To set you up for success in this role from day one, Solventum requires (at a minimum) the following qualifications: Bachelor's Degree or higher (completed and verified prior to start) from an accredited institution AND seven (7) years of acute care CDI management experience. OR High School Diploma/GED from AND eleven (11) years of acute care CDI management experience. AND In addition to the above requirements, the following are also required: CCDS certification or valid RN license with minimum of five (5) years acute care experience Ability to travel up to 50% of the time Additional qualifications that could help you succeed even further in this role include: Master's degree in HIM, Nursing, or other healthcare clinical background from an accredited institution Preferred 10+ years in management of CDI or Health Information Management (HIM) services consulting or coding functions in mid-to-large size acute care hospital setting or 10+ years in management of outsourced CDI group Strong ICD-10-CM/PCS coding, ICD-10-CM/PCS Coding Guidelines and DRG methodologies experience; Working knowledge of risk-adjusted methodologies (e.g., APR DRGs) and quality of care measures (e.g., HACs, PSIs) Deep understanding of clinical documentation, medical record coding, healthcare billing and revenue cycle management Attention to detail, highly organized, with an absolute focus on quality of work. Proven ability to manage multiple tasks, meet deadlines, work independently and produce excellent results Work location: Remote Travel: May include up to 50% domestic Relocation Assistance: Not authorized Must be legally authorized to work in country of employment without sponsorship for employment visa status (e.g., H1B status). Supporting Your Well-being Solventum offers many programs to help you live your best life - both physically and financially. To ensure competitive pay and benefits, Solventum regularly benchmarks with other companies that are comparable in size and scope. Onboarding Requirement: To improve the onboarding experience, you will have an opportunity to meet with your manager and other new employees as part of the Solventum new employee orientation. As a result, new employees hired for this position will be required to travel to a designated company location for on-site onboarding during their initial days of employment. Travel arrangements and related expenses will be coordinated and paid for by the company in accordance with its travel policy. Applies to new hires with a start date of October 1st 2025 or later.Applicable to US Applicants Only:The expected compensation range for this position is $137,439 - $167,981, which includes base pay plus variable incentive pay, if eligible. This range represents a good faith estimate for this position. The specific compensation offered to a candidate may vary based on factors including, but not limited to, the candidate's relevant knowledge, training, skills, work location, and/or experience. In addition, this position may be eligible for a range of benefits (e.g., Medical, Dental & Vision, Health Savings Accounts, Health Care & Dependent Care Flexible Spending Accounts, Disability Benefits, Life Insurance, Voluntary Benefits, Paid Absences and Retirement Benefits, etc.). Additional information is available at: *************************************************************************************** of this position include that corporate policies, procedures and security standards are complied with while performing assigned duties. Solventum is committed to maintaining the highest standards of integrity and professionalism in our recruitment process. Applicants must remain alert to fraudulent job postings and recruitment schemes that falsely claim to represent Solventum and seek to exploit job seekers. Please note that all email communications from Solventum regarding job opportunities with the company will be from an email with a domain *****************. Be wary of unsolicited emails or messages regarding Solventum job opportunities from emails with other email domains. Please note, Solventum does not expect candidates in this position to perform work in the unincorporated areas of Los Angeles County.Solventum is an equal opportunity employer. Solventum will not discriminate against any applicant for employment on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, or veteran status. Please note: your application may not be considered if you do not provide your education and work history, either by: 1) uploading a resume, or 2) entering the information into the application fields directly. Solventum Global Terms of Use and Privacy Statement Carefully read these Terms of Use before using this website. Your access to and use of this website and application for a job at Solventum are conditioned on your acceptance and compliance with these terms. Please access the linked document by clicking here, select the country where you are applying for employment, and review. Before submitting your application you will be asked to confirm your agreement with the terms.
    $137.4k-168k yearly Auto-Apply 54d ago
  • Cardio Pulmonary Manager (Flint Hills) - Cardio Pulmonary - FT - Day

    Stormont Vail Health 4.6company rating

    Junction City, KS jobs

    Full time Shift: First Shift (Days - Less than 12 hours per shift) (United States of America) Hours per week: 40 Job Information Exemption Status: Exempt The CardioPulmonary Manager is responsible for the management of respiratory care, pulmonary lab and cardiac rehab services, includes managing departmental operations and supervision of team members. This position interacts and fosters positive work relationships with medical staff, hospital team members, patients and families. The manager works with the reginal director and medical director to develop respiratory, pulmonary and cardiac rehab services that support the strategic goals of SVH. This position is responsible for quality monitoring of services provided, effective fiscal and resource management and for facilitating ongoing education and competency of team members. Education Qualifications Bachelor's Degree In Respiratory, Nursing or other related health care field Required Experience Qualifications 5 years In respiratory, pulmonary, nursing or related health care field in an acute care setting. Required 2 years ED/ICU or even Paramedic experience Preferred Skills and Abilities Demonstrates excellent communication and leadership qualities. Demonstrates professionalism and commitment to organization. Demonstrates dedication to promoting and advancing the respiratory practice. Licenses and Certifications ACLS - Advanced Cardiac Life Support Required Must have appropriate license and/or credentials for field of study (Respiratory, Pulmonary, Nursing or related healthcare field) Required What you will do Ensures that all respiratory, pulmonary and cardiac rehab services are in compliance with regulatory standards. Ensures respiratory staffing coverage on a 24x7 basis. Assesses staffing needs on an ongoing basis for respiratory, pulmonary lab and cardiac rehab departments. Coordinates respiratory, pulmonary and cardiac rehab services ensuring services meet patient and customer needs. Stays current with evidence based standards and practices. Brings forth advances in technology and treatment modalities for discussion with director and medical director and facilitates discussion at RT Council. Evaluates team member's performance on an ongoing basis and completed periodic and annual performance evaluations. Manage workload and resources to meet productivity metrics. Works with dept director and business manager to evaluate current fiscal year responsibility summaries, plan capital needs/expenditures and fiscal year budgets. Reviews, updates and develops policies and procedures for respiratory, pulmonary lab and cardiac rehab departments. Reviews departmental charges to ensure accuracy, resolving discrepancies in conjunction with the dept. director and business manager. Works with POCT supervisor to meet regulatory requirements and standards. Ensures respiratory, pulmonary lab and cardiac rehab meet competency requirements on upon hire, annual and as needed basis. Required for All Jobs Complies with all policies, standards, mandatory training and requirements of Stormont Vail Health Performs other duties as assigned Patient Facing Options Position is Patient Facing Remote Work Guidelines Workspace is a quiet and distraction-free allowing the ability to comply with all security and privacy standards. Stable access to electricity and a minimum of 25mb upload and internet speed. Dedicate full attention to the job duties and communication with others during working hours. Adhere to break and attendance schedules agreed upon with supervisor. Abide by Stormont Vail's Remote Worker Policy and will review and acknowledge the Remote Work Agreement annually. Remote Work Capability On-Site; No Remote Scope Has Supervisory Responsibility Has Budget Responsibility Physical Demands Balancing: Rarely less than 1 hour Carrying: Rarely less than 1 hour Climbing (Stairs): Occasionally 1-3 Hours Crawling: Rarely less than 1 hour Crouching: Rarely less than 1 hour Driving (Automatic): Rarely less than 1 hour Eye/Hand/Foot Coordination: Occasionally 1-3 Hours Feeling: Occasionally 1-3 Hours Grasping (Fine Motor): Occasionally 1-3 Hours Grasping (Gross Hand): Occasionally 1-3 Hours Handling: Rarely less than 1 hour Hearing: Frequently 3-5 Hours Kneeling: Rarely less than 1 hour Lifting: Rarely less than 1 hour up to 50 lbs Pulling: Rarely less than 1 hour up to 50 lbs Pushing: Rarely less than 1 hour up to 50 lbs Reaching (Forward): Rarely less than 1 hour Reaching (Overhead): Rarely less than 1 hour Repetitive Motions: Occasionally 1-3 Hours Sitting: Occasionally 1-3 Hours Standing: Occasionally 1-3 Hours Stooping: Rarely less than 1 hour Talking: Occasionally 1-3 Hours Walking: Frequently 3-5 Hours Working Conditions Chemical: Rarely less than 1 hour Combative Patients: Rarely less than 1 hour Dusts: Rarely less than 1 hour Electrical: Rarely less than 1 hour Infectious Diseases: Rarely less than 1 hour Mechanical: Rarely less than 1 hour Needle Stick: Rarely less than 1 hour Noise/Sounds: Occasionally 1-3 Hours Radiant Energy: Rarely less than 1 hour Risk of Exposure to Blood and Body Fluids: Rarely less than 1 hour Risk of Exposure to Hazardous Drugs: Rarely less than 1 hour Stormont Vail is an equal opportunity employer and adheres to the philosophy and practice of providing equal opportunities for all employees and prospective employees, without regard to the following classifications: race, color, ethnicity, sex, sexual orientation, gender identity and expression, religion, national origin, citizenship, age, marital status, uniformed service, disability or genetic information. This applies to all aspects of employment practices including hiring, firing, pay, benefits, promotions, lateral movements, job training, and any other terms or conditions of employment. Retaliation is prohibited against any person who files a claim of discrimination, participates in a discrimination investigation, or otherwise opposes an unlawful employment act based upon the above classifications.
    $76k-103k yearly est. Auto-Apply 34d ago
  • BDR Manager

    Hello Heart 3.9company rating

    Remote

    Hello Heart is on a mission to change the way people care for their hearts. The company provides the first app and connected heart monitor to help people track and manage their heart health. With Hello Heart, users take steps to control their risk of heart attacks and stroke - the leading cause of death in the United States. Peer-reviewed studies have shown that high-risk users of Hello Heart have seen meaningful drops in blood pressure, cholesterol and even weight. Recognized as the digital leader in preventive heart health, Hello Heart is trusted by more than 130 leading Fortune 500 and government employers, national health plans, and labor organizations. Founded in 2013, Hello Heart has raised more than $138 million from top venture firms and is a best-in-class solution on the American Heart Association's Innovators' Network and CVS Health Point Solutions Management platform. Visit ****************** for more information. About the Role Hello Heart is the only digital therapeutic focused exclusively on heart health. We empower people to understand and improve their blood pressure and cholesterol using a connected monitor and mobile app backed by behavioral science and artificial intelligence. As we continue to expand our impact, we are building our go-to-market team and seeking a strategic, hands-on BDR Manager to lead outbound efforts across Employer and Public Sector accounts. Reporting into our SVP, Virtual Sales, you will mentor and scale a team of Business Development Representatives and drive the top-of-funnel engine that fuels our growth. You will refine our outreach strategy, coach BDRs in daily execution, and directly influence how we engage key decision-makers in target markets. This role is ideal for a leader who leads by example, thinks creatively, and thrives in a high-growth environment. Responsibilities Recruit, onboard, and coach BDRs while fostering a high-performing team culture grounded in accountability, creativity, and collaboration Build and execute scalable outbound playbooks targeting decision-makers in Employer and Public Sector accounts Partner closely with Sales, Marketing, and Partnerships to ensure alignment between pipeline generation and revenue goals Monitor, report, and optimize key BDR performance metrics, including outreach volume, conversion rates, and pipeline contribution Identify and test new prospecting tools, workflows, and strategies to drive efficiency and team effectiveness Provide weekly performance updates to leadership and proactively flag risks and opportunities in the top-of-funnel Qualifications 3 to 5 years of business development or sales experience in digital health or healthcare SaaS 2+ years of experience managing and mentoring BDRs with a demonstrated ability to develop early-career talent Strong understanding of prospecting cadences, health plans, third-party administrators, pharmacy benefit managers, and channel partnerships Proven track record of exceeding outbound goals and using data to guide decisions Proficient with Salesforce, Outreach or Salesloft, LinkedIn Sales Navigator, and similar tools Exceptional communicator capable of motivating teams and engaging persuasively with senior decision-makers Thrives in a fast-paced, high-growth environment and is comfortable navigating change and ambiguity The US base salary range for this full-time position is $124,000.00 to $135,000.00. Salary ranges are determined by role and level. Compensation is determined by additional factors, including job-related skills, experience, and relevant education or training. Please note that the compensation details listed in US role postings reflect the salary only, and do not include equity or benefits. Hello Heart has a positive, diverse, and supportive culture - we look for people who are collaborative, creative, and courageous. Oh, and if you want to see some recent evidence of the fun things we do at Hello Heart, check out our Instagram page.
    $124k-135k yearly Auto-Apply 14d ago
  • Google TAG Manager | Atlanta

    Photon Group 4.3company rating

    Remote

    Job Description 2: Google Tag Manager Specialist We are seeking an experienced Google Tag Manager Specialist to ensure seamless tracking and data collection for our digital assets. This role involves managing and optimizing tag setups, troubleshooting issues, and collaborating with analytics teams to drive reliable data insights. Key Responsibilities: Configure, implement, and optimize tags, triggers, and variables in Google Tag Manager (GTM) to support tracking and analytics initiatives. Develop custom tagging solutions using JavaScript, data layers, and advanced GTM functionalities. Troubleshoot and resolve issues in tracking implementations, ensuring data accuracy across platforms. Design and manage event tracking, e-commerce tracking, and consent management setups. Collaborate with the analytics team to align tagging setups with Google Analytics (GA4) requirements. Maintain and document GTM configurations and ensure compliance with industry best practices. Required Qualifications: 3-4 years of professional experience with Google Tag Manager (GTM) in a digital or web analytics role. Hands-on experience with web technologies, including JavaScript, HTML, and CSS. Proven track record in integrating GTM with Google Analytics (GA4) and other analytics tools. Experience with debugging and testing tools like Tag Assistant, Debugger, or browser console. Bachelor's degree in Marketing, Computer Science, or a related field. Preferred Skills: 1-2 years of experience with enhanced e-commerce tracking implementations. Familiarity with privacy frameworks like GDPR and CCPA, including consent management. Google Tag Manager Certification is a plus. Basic knowledge of SEO/SEM tracking and attribution modeling. Compensation, Benefits and Duration Minimum Compensation: USD 14,000 Maximum Compensation: USD 49,000 Compensation is based on actual experience and qualifications of the candidate. The above is a reasonable and a good faith estimate for the role. Medical, vision, and dental benefits, 401k retirement plan, variable pay/incentives, paid time off, and paid holidays are available for full time employees. This position is not available for independent contractors No applications will be considered if received more than 120 days after the date of this post
    $69k-115k yearly est. Auto-Apply 60d+ ago
  • QE Manager - US

    Photon Group 4.3company rating

    Remote

    We need a QA Manager with strong articulation skills to lead QA Maturity Model assessments and a Gen AI PoC for quality engineering. The role involves driving QA improvements using objective metrics, managing stakeholders, and aligning QA with business goals. Responsibilities Lead QA Maturity Model assessments, define gaps, and implement improvements. Drive a Gen AI PoC, exploring AI-driven automation and predictive testing. Manage QA projects with objective metrics, ensuring measurable progress. Align QA strategy with business needs, ensuring scalability and efficiency. Collaborate with cross-functional teams to standardize best QA practices. Requirements E-Commerce & Retail systems experience with deep domain understanding. Strong QA assessment and maturity model expertise. Hands-on experience with test automation, AI-driven testing, and CI/CD. Proven ability to manage stakeholders, drive QA strategy, and articulate value. Experience in accessibility, security, and performance testing is a plus Compensation, Benefits and Duration Minimum Compensation: USD 48,000 Maximum Compensation: USD 168,000 Compensation is based on actual experience and qualifications of the candidate. The above is a reasonable and a good faith estimate for the role. Medical, vision, and dental benefits, 401k retirement plan, variable pay/incentives, paid time off, and paid holidays are available for full time employees. This position is available for independent contractors No applications will be considered if received more than 120 days after the date of this post
    $69k-115k yearly est. Auto-Apply 60d+ ago
  • Manager

    Alliant Health Group, Inc. 4.4company rating

    Remote

    As Change Management Manager, you will work in a team environment alongside some of the best in the business including those with extensive industry experience, years of consulting acumen, recognized certifications and a desire to serve clients. You will lead engagements and consulting teams as we interact with our clients to understand their overall business operations and address their most pressing business challenges. You will make a difference to truly affect their bottom line and allow them to be more successful. Job Description The Change Management Manager oversees and directs the strategic planning and execution of change initiatives across the organization. This senior role ensures that change management efforts align with business goals, leads the development of comprehensive change strategies, and manages a team of change management professionals to drive successful organizational transformations. Critical Skills: Must possess extensive experience with change management principles and methodologies, demonstrating exceptional strategic thinking and problem-solving abilities. Advanced leadership skills are crucial for guiding senior change management professionals and managing complex projects. Superior communication and negotiation skills are necessary for engaging with executives and stakeholders, while proficiency in data analysis and performance measurement drives informed decision-making. The role demands high adaptability and resilience to navigate dynamic environments, along with strong business acumen and a deep understanding of organizational behavior to align change initiatives with overarching business goals. Responsibilities: Develop and implement organization-wide change management strategies to support strategic business objectives and ensure effective change adoption. Lead the assessment of change impact and organizational readiness, providing strategic direction to address challenges. Design and oversee the delivery of comprehensive communication and training programs to facilitate organizational transitions. Provide executive coaching and support to senior leaders, enhancing their capability to lead and manage change effectively. Monitor and analyze change management effectiveness, using insights to drive continuous improvement and achieve desired outcomes. Manage and mentor a team of change management professionals, fostering their development and ensuring high performance. Collaborate with senior executives, project managers, and business leaders to ensure change initiatives align with broader business strategies. Develop and manage relationships with key stakeholders, ensuring their needs and concerns are addressed throughout the change process. Oversee the integration of change management best practices and methodologies into organizational processes. Represent the change management function at the executive level, advocating for resources and support to drive successful change initiatives. Qualifications: Education: Bachelor's degree in business, Finance, Economics, Communications or a related field. Master's degree or MBA is strongly preferred. Experience: 10+ years of relevant experience in management consulting, corporate strategy, or a related field, with a proven track record of successful project delivery and client management. Leadership Skills: Demonstrated leadership and team management skills, with the ability to inspire and develop high-performing teams. Analytical Skills: Superior analytical and problem-solving skills, with the ability to synthesize complex information and develop actionable recommendations. Communication Skills: Outstanding verbal and written communication skills, with the ability to effectively present information to senior clients and stakeholders. Technical Proficiency: Proficiency in Microsoft Office Suite (Excel, PowerPoint, Word). Experience with data analysis tools (e.g., Tableau, SQL) is a plus. Business Acumen: Deep understanding of mid-market business dynamics and challenges, with the ability to provide strategic insights and solutions. Adaptability: Ability to manage multiple projects and priorities in a fast-paced, dynamic environment. Business Development: Ability to identify opportunities to develop/ grow strategic client relationships while ensuring top-notch client deliverables. Preferred Change Certifications: PROSCI, LaMarsh Global Change Management, CCMP, Conner, CAP (change acceleration process) Preferred Technology proficiencies: Microsoft Suite, Canva, Adobe #LI-CH1
    $59k-92k yearly est. Auto-Apply 60d+ ago
  • Manager, Coding

    Ohiohealth 4.3company rating

    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 managing all coding personnel, education and operations, department metrics, data abstracting, and related billing processes for inpatient and outpatient encounters to meet financial goals for the OhioHealth enterprise. Vendor management is a key function, ability to engage, hold accountable and partner with external resources to drive success. Responsible for coordination of data collection efforts with other primary users in clinical and non-clinical roles as necessary regarding Claims Processing, Quality Metrics and Data Integrity. Serves as subject matter expert and as an internal Revenue Cycle consultant for OhioHealth initiatives. This position is responsible for the development of coding guidelines in accordance with the most recent published regulations from CMS, AHIMA, and Official Coding Guidelines. Accountable for collaboration with any new payment methodology impacting any area of the department and/or reimbursement. The Manager of Coding encompasses participation in implementation of new or upgraded coding software and hardware systems. Manager is also charged with the development and monitoring of standards of performance, including revisions as new technologies become available and potentially affect production. MINIMUM QUALIFICATIONS Equivalent Experience and Relevant Coding Certification by AHIMA or AAPC (must). Minimum 7 years coding experience, at least 3 years in a large acute care network with multiple specialties. Minimum 1-year progressive leadership experience. PREFERRED QUALIFICATIONS Bachelor's Degree - Field of Study: Health Information or related. RHIA - Registered Health Information Administrator or RHIT - Registered Health Information Technician. Minimum 3 years of hands-on coding experience. Minimum 1 year leadership experience. **Responsibilities And Duties:** 30% Manage department operations aligning daily function with desired outcomes to meet KPIs. Major goals include workflow efficiency, production to meet coding turnaround time targets, coding accuracy and education, processes, and system integration, DNFB and Pre-AR targets. 20% Works with departments to ensure processes are in place to collaborate on initiatives and/or address issues. Support plans requiring intervention as indicated through identified industry trends, changes, payer behavior or any relevant OhioHealth goal. Serves as an internal consultant with new initiatives, reviews and provides recommendations. 15% Coordinates billing/coding activities with Revenue Cycle representatives Patient Accounts, Patient Access and participates with problem-solving. 10% Develops Coding Supervisors through delegation and direct operational support. 8% Manages staffing scheduling within budget for coding operations. Conducts staff evaluations and disciplinary actions as necessary at all campus locations. Hires and/or fires any direct reporting positions. 7% Works with Medical Record Services management team on department and enterprise-wide processes and operations as related to coding, abstracting, billing, and documentation. Implements and/or updates new IS systems. 5% Maintains current information on governmental regulation changes, especially ICD-10, CPT-4 and HCPCS coding, and APC and DRG updates affecting coding, staffing, and health system reimbursement. 5% Administers physical, procedural, and technical safeguards for protection, control, and monitoring of information assets, including access management, staff education, responses to breaches, business continuity planning, auditing, and information security risk management. **Minimum Qualifications:** High School or GED (Required) CCS - Certified Coding Specialist - American Health Information Management Association, RHIS - Routine Health Information Systems - State of Ohio, RHIT - Registered Health Information Technician - American Health Information Management Association **Additional Job Description:** **SPECIALIZED KNOWLEDGE** + Experience with large multi-facility coding operations and vendor management. Certification in coding by AHIMA or AAPC. + Evidence of successful KPI management and driver. + Strong background in ICD-10 and CPT classifications and corresponding reimbursement methodologies. + Technical skills a plus. **Work Shift:** Day **Scheduled Weekly Hours :** 40 **Department** Hospital Coding 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** .
    $55k-72k yearly est. 5d ago
  • Manager, UKG

    Ohiohealth 4.3company rating

    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:** As a UKG Manager/Advisor, this role will be responsible for overseeing the Timekeeping and Scheduling functions within the UKG WFM Pro application for OhioHealth following the post-go-live phase SPECIALIZED KNOWLEDGE -Ability to communicate complex information, concepts, or ideas in a confident and well-organized manner through verbal, written, and/or visual means. -Ability to support a diverse, unpredictable, challenging, and fast-paced work environment. -Ability to collaborate effectively with others. -Ability to coordinate the activities with internal and external stakeholders. -Ability to develop or recommend planning solutions to problems and situations for which no precedent exists. -Ability to function in a collaborative environment, seeking continuous consultation with other analysts and experts - both internal and external to the organization-to leverage analytical and technical expertise. -Ability to tailor, with guidance, technical and planning information to a customer's level of understanding. -Ability to assess and forecast manpower requirements to meet organizational objectives. -Knowledge of risk management processes (e.g., methods for assessing and mitigating risk). -Knowledge of specific operational impacts of cybersecurity lapses. -Knowledge of accepted organization planning systems. -Knowledge of software delivery methodologies such as Agile, and various phases of SDLC and familiarity with DevOps concepts that are critical to efficient operations -Knowledge of key principles, and patterns applicable to the focus area. Knowledge of information security concepts, facilitating technologies and methods. -Strong verbal and written communication skills. -Capable of relating compliance, technical and nontechnical information to varied audiences with impact. -Knowledge and able to strategic roadmap MINIMUM QUALIFICATIONS Bachelor's Degree or equivalent experience Field of Study: Business Administration, Computer/Management Information Systems, Computer Science, Engineering, Mathematics, HealthCare, Nursing or Related Field Years of Experience: 5+ years demonstrated, progressive leadership and IT Applications experience DESIRED ATTRIBUTES Deep Understanding of managing UKG WFM Pro application in the Corporate setting with experience in Scheduling, Timekeeping and Integration within UKG. Prior experience in managing onshore and offshore resources is a plus. Should have following qualities - · Design thinker · Curious & Creative · Able to function in tactical and operational levels · Strong communicator and collaborator · Able to work collaboratively in a highly matrixed environment · Ability to effectively drive people, process, and technology changes · Proven record of effective leadership · Subject Matter Expert **Responsibilities And Duties:** 30% Operations-Advisors will collaborate with operational leaders to get additional details necessary to act upon strategy. Provides leadership oversight to ensure prioritized projects across the vertical are aligned with the program's strategy/roadmap. 20% Strategy-Supports the organization with strategic initiatives that align the program roadmap to OhioHealth's strategic plan, clinical and business needs. 25% Daily Management-Takes a leadership role in designing, communicating, and implementing new enhancements or functionality aligned with roadmaps. Analyzes, plans, and coordinates the implementation of work with the vendor. 10% Supplier Management - Works with suppliers and, when needed, vendors to produce outcomes consistent with organizational strategy. Overseas reporting metrics, dashboards, and status reporting to meet expectations for quality and performance for discretionary, support and maintenance work. 10% People Management - Directs all human resource aspects of personnel management within assigned area including selection of new associates, initial and ongoing development, evaluation, etc. 5% Financial Management - Plans, monitors and controls operating and capital budget for assigned areas of responsibilities **Minimum Qualifications:** Bachelor's Degree (Required) **Additional Job Description:** **Experience:** + Deep expertise in managing the UKG WFM Pro application within a corporate environment, with hands-on experience in Scheduling, Timekeeping, and Integration capabilities. + Prior experience leading and coordinating onshore and offshore resources is highly desirable. **Key Attributes:** + Design Thinking mindset with a focus on innovative problem-solving. + Curious and creative, able to explore new approaches and solutions. + Comfortable operating at both tactical and strategic levels. + Strong communicator and collaborator, adept at building relationships across teams. + Proven ability to work effectively in a highly matrixed organization. + Skilled in driving people, process, and technology transformations. + Demonstrated leadership excellence with a track record of delivering results. + Recognized as a Subject Matter Expert (SME) in UKG WFM Pro. **Work Shift:** Day **Scheduled Weekly Hours :** 40 **Department** ERP Support 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** .
    $55k-72k yearly est. 4d ago
  • Manager, UKG

    Ohiohealth 4.3company rating

    Ohio 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: As a UKG Manager/Advisor, this role will be responsible for overseeing the Timekeeping and Scheduling functions within the UKG WFM Pro application for OhioHealth following the post-go-live phase SPECIALIZED KNOWLEDGE -Ability to communicate complex information, concepts, or ideas in a confident and well-organized manner through verbal, written, and/or visual means. -Ability to support a diverse, unpredictable, challenging, and fast-paced work environment. -Ability to collaborate effectively with others. -Ability to coordinate the activities with internal and external stakeholders. -Ability to develop or recommend planning solutions to problems and situations for which no precedent exists. -Ability to function in a collaborative environment, seeking continuous consultation with other analysts and experts - both internal and external to the organization-to leverage analytical and technical expertise. -Ability to tailor, with guidance, technical and planning information to a customer's level of understanding. -Ability to assess and forecast manpower requirements to meet organizational objectives. -Knowledge of risk management processes (e.g., methods for assessing and mitigating risk). -Knowledge of specific operational impacts of cybersecurity lapses. -Knowledge of accepted organization planning systems. -Knowledge of software delivery methodologies such as Agile, and various phases of SDLC and familiarity with DevOps concepts that are critical to efficient operations -Knowledge of key principles, and patterns applicable to the focus area. Knowledge of information security concepts, facilitating technologies and methods. -Strong verbal and written communication skills. -Capable of relating compliance, technical and nontechnical information to varied audiences with impact. -Knowledge and able to strategic roadmap MINIMUM QUALIFICATIONS Bachelor's Degree or equivalent experience Field of Study: Business Administration, Computer/Management Information Systems, Computer Science, Engineering, Mathematics, HealthCare, Nursing or Related Field Years of Experience: 5+ years demonstrated, progressive leadership and IT Applications experience DESIRED ATTRIBUTES Deep Understanding of managing UKG WFM Pro application in the Corporate setting with experience in Scheduling, Timekeeping and Integration within UKG. Prior experience in managing onshore and offshore resources is a plus. Should have following qualities - · Design thinker · Curious & Creative · Able to function in tactical and operational levels · Strong communicator and collaborator · Able to work collaboratively in a highly matrixed environment · Ability to effectively drive people, process, and technology changes · Proven record of effective leadership · Subject Matter Expert Responsibilities And Duties: 30% Operations-Advisors will collaborate with operational leaders to get additional details necessary to act upon strategy. Provides leadership oversight to ensure prioritized projects across the vertical are aligned with the program's strategy/roadmap. 20% Strategy-Supports the organization with strategic initiatives that align the program roadmap to OhioHealth's strategic plan, clinical and business needs. 25% Daily Management-Takes a leadership role in designing, communicating, and implementing new enhancements or functionality aligned with roadmaps. Analyzes, plans, and coordinates the implementation of work with the vendor. 10% Supplier Management - Works with suppliers and, when needed, vendors to produce outcomes consistent with organizational strategy. Overseas reporting metrics, dashboards, and status reporting to meet expectations for quality and performance for discretionary, support and maintenance work. 10% People Management - Directs all human resource aspects of personnel management within assigned area including selection of new associates, initial and ongoing development, evaluation, etc. 5% Financial Management - Plans, monitors and controls operating and capital budget for assigned areas of responsibilities Minimum Qualifications: Bachelor's Degree (Required) Additional Job Description: Experience: Deep expertise in managing the UKG WFM Pro application within a corporate environment, with hands-on experience in Scheduling, Timekeeping, and Integration capabilities. Prior experience leading and coordinating onshore and offshore resources is highly desirable. Key Attributes: Design Thinking mindset with a focus on innovative problem-solving. Curious and creative, able to explore new approaches and solutions. Comfortable operating at both tactical and strategic levels. Strong communicator and collaborator, adept at building relationships across teams. Proven ability to work effectively in a highly matrixed organization. Skilled in driving people, process, and technology transformations. Demonstrated leadership excellence with a track record of delivering results. Recognized as a Subject Matter Expert (SME) in UKG WFM Pro. Work Shift: Day Scheduled Weekly Hours : 40 Department ERP Support 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.
    $55k-72k yearly est. Auto-Apply 4d ago
  • Manager Cardiopulmonary Rehab

    Ohiohealth 4.3company rating

    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 Manager of Cardiovascular Services is responsible for achieving the goals for his or her designated functions in a cost-effective manner while maintaining a focus on quality and patient experience. Ensures sound fiscal management of business areas and participates in strategic planning and business plan development. Responsible for daily operations of each department. This position is responsible for Cardiac, Pulmonary and Peripheral Arterial Disease (PAD SET) Rehabilitation at designated central Ohio locations. This position serves as a liaison with OhioHealth hospitals and outpatient centers for seamless care across the continuum for safety and clinical services. Ensures program/services structure and operations meet accreditation and regulatory requirements (e.g., Joint Commission, American Association of Cardiovascular and Pulmonary Rehabilitation (AACVPR)). **Responsibilities And Duties:** 1. 40% Operations. Responsible for all aspects of operations, personnel, and clinical performance of Cardiovascular Disease Prevention and Lipids Clinic, Behavioral Health, Cardiac and Pulmonary Rehabilitation program, and CORE Community Outreach, Research and Education n . Ensures effective and efficient utilization of professional staff: Provides leadership, guidance in daily operations of all staff and consultants reporting to this position; assigns responsibility and delegates authority. Utilizes process improvement methodology to refine operations. Prepares, administers and controls service line operating and capital budgets for designated cost centers. Manages fiscal resources to achieve budgetary goals. Works in a collaborative manner with the Medical Director for Cardiac Rehab in Central Ohio, the Medical Director for Pulmonary Rehab, the Medical director of the McConnell Heart Health Center, McConnell physicians and OhioHealth Physicians Group, for decision making and development of programs. Works collaboratively with OhioHealth entities e. g. , central Ohio hospitals, Westerville Medical Center r to transition care safely and effectively for superior clinical outcomes. Accountable for efficient, high quality services of McConnell programs at all locations where they are offered e. g. , Doctors, Dublin, Grady, Westerville e . 2. 30% Associate management and development. Directs, motivates, and enables professional staff practices in all areas of responsibility, assuring consistently safe and high quality care, exemplary service, and fiscal effectiveness. Responsible for hiring, training and orientation of staff, coaching and performance management. Promotes teamwork through ensuring clarity of roles, focus on key and aligned operational goals, and multidisciplinary communication and problem solving. Fosters quality of Worklife through open communication and establishing positive relationships with associates, enforcing policies and procedures in a fair and equitable manner, ensuring a safe and clean working environment, providing training and otherwise developing associates according to their unique talents and skills, and other means as appropriate. Maintains familiarity with and follows Human Resources H r policies and procedures and consults with HR representatives as necessary. 2. 15% : Strategic Planning & Development: Works with Director of Clinical Services, Business Development, OhioHealth Physicians Group, RMH leadership, and others to inform strategic planning related to designated functions. Identifies growth opportunities related to development of new clinical services and expansion of current services. Responsible for development and ongoing management of program infrastructure, processes, and relationships, to positively affect delivery of quality patient care and customer service. 3. 5% : Enhancement of Clinical Practice. Works with McConnell Medical Director, McConnell physicians, mid-level providers, and other clinical professionals e. g. , pharmacist s to promote consistent, high quality clinical practice, leveraging national guidelines, up to date and rigorous clinical research findings, and McConnell-based clinical research and outcomes reporting. Fosters multidisciplinary collaboration among caregivers. Ensures integrity of data collection procedures for clinical outcomes reporting. 4. 10% : Accreditation and Compliance: Assures compliance with relevant regulations and standards of care and quality for the McConnell Center and satellite operations JCAHO, OSHA, American Association of Cardiovascular and Pulmonary Rehabilitation, Ohio Department of Health, Centers for Medicare and Medicaid Services, et c . Participates in the McConnell Patient Safety Council and is a liaison to OhioHealth Ambulatory, JCAHO and Patient Safety Committees. Ensures implementation of approved standards, policies and procedures. Maintains accreditation requirements e. g. , Cardiac Rehabilitation, Pulmonary Rehabilitation n and appropriate licensure of staff in department. **Minimum Qualifications:** Bachelor's Degree (Required) **Additional Job Description:** Field of Study: Nursing Field of Study: related field. Years of Experience: 3 **Work Shift:** Day **Scheduled Weekly Hours :** 40 **Department** RMH Mcconnell Heart Health Ctr 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
    $55k-72k yearly est. 11d ago
  • Manager, Coding

    Ohiohealth 4.3company rating

    Homeworth, 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 managing all coding personnel, education and operations, department metrics, data abstracting, and related billing processes for inpatient and outpatient encounters to meet financial goals for the OhioHealth enterprise. Vendor management is a key function, ability to engage, hold accountable and partner with external resources to drive success. Responsible for coordination of data collection efforts with other primary users in clinical and non-clinical roles as necessary regarding Claims Processing, Quality Metrics and Data Integrity. Serves as subject matter expert and as an internal Revenue Cycle consultant for OhioHealth initiatives. This position is responsible for the development of coding guidelines in accordance with the most recent published regulations from CMS, AHIMA, and Official Coding Guidelines. Accountable for collaboration with any new payment methodology impacting any area of the department and/or reimbursement. The Manager of Coding encompasses participation in implementation of new or upgraded coding software and hardware systems. Manager is also charged with the development and monitoring of standards of performance, including revisions as new technologies become available and potentially affect production. MINIMUM QUALIFICATIONS Equivalent Experience and Relevant Coding Certification by AHIMA or AAPC (must). Minimum 7 years coding experience, at least 3 years in a large acute care network with multiple specialties. Minimum 1-year progressive leadership experience. PREFERRED QUALIFICATIONS Bachelor's Degree - Field of Study: Health Information or related. RHIA - Registered Health Information Administrator or RHIT - Registered Health Information Technician. Minimum 3 years of hands-on coding experience. Minimum 1 year leadership experience. Responsibilities And Duties: 30% Manage department operations aligning daily function with desired outcomes to meet KPIs. Major goals include workflow efficiency, production to meet coding turnaround time targets, coding accuracy and education, processes, and system integration, DNFB and Pre-AR targets. 20% Works with departments to ensure processes are in place to collaborate on initiatives and/or address issues. Support plans requiring intervention as indicated through identified industry trends, changes, payer behavior or any relevant OhioHealth goal. Serves as an internal consultant with new initiatives, reviews and provides recommendations. 15% Coordinates billing/coding activities with Revenue Cycle representatives Patient Accounts, Patient Access and participates with problem-solving. 10% Develops Coding Supervisors through delegation and direct operational support. 8% Manages staffing scheduling within budget for coding operations. Conducts staff evaluations and disciplinary actions as necessary at all campus locations. Hires and/or fires any direct reporting positions. 7% Works with Medical Record Services management team on department and enterprise-wide processes and operations as related to coding, abstracting, billing, and documentation. Implements and/or updates new IS systems. 5% Maintains current information on governmental regulation changes, especially ICD-10, CPT-4 and HCPCS coding, and APC and DRG updates affecting coding, staffing, and health system reimbursement. 5% Administers physical, procedural, and technical safeguards for protection, control, and monitoring of information assets, including access management, staff education, responses to breaches, business continuity planning, auditing, and information security risk management. Minimum Qualifications: High School or GED (Required) CCS - Certified Coding Specialist - American Health Information Management Association, RHIS - Routine Health Information Systems - State of Ohio, RHIT - Registered Health Information Technician - American Health Information Management Association Additional Job Description: SPECIALIZED KNOWLEDGE Experience with large multi-facility coding operations and vendor management. Certification in coding by AHIMA or AAPC. Evidence of successful KPI management and driver. Strong background in ICD-10 and CPT classifications and corresponding reimbursement methodologies. Technical skills a plus. Work Shift: Day Scheduled Weekly Hours : 40 Department Hospital Coding 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.
    $54k-72k yearly est. Auto-Apply 6d ago
  • Manager SIU

    Caresource Management Services 4.9company rating

    Dayton, OH jobs

    The Manager, Program Integrity is responsible for managing Program Integrity requirements to include allegation intake, report analysis, triage, investigation, correction and reporting of fraud, waste and abuse Essential Functions: Responsible for deposition, testifying in court in support of CareSource and Attorney General legal actions Manage all efforts of your investigative team focusing on thorough but timely investigations, highest impact prioritization, root cause identification, state and federal law enforcement collaboration, evidence development and investigative actions Drive and encourage innovative approaches to increase department effectiveness and efficiency Ensure quantitative and qualitative measures are used to meet performance objectives Develops and maintains key business contacts for investigative and SIU management purposes Ensure employees meet all state and federal contract requirements and follow department work processes Lead the Investigative team through investigative resolution including corrective action plans, terminations, Fair Hearings, recoveries, negotiations, mediation, and litigation Mentor employees on effective and through investigative case presentation Mentor direct reports including, coaching, development, performance feedback, disciplinary issues, annual performance evaluations and bonus review Lead and promote Employee Engagement Drive fraud identification through information sharing efforts, OIG Work Plan, Fraud Task Force participation and seminars Drive internal process and procedure changes by working with cross departmental teams to resolve identified internal system gaps that may present a FWA or financial risk to CareSource Take a leadership role in state and federal regulatory audits Proactively manage investigative team growth to meet new business requirements Take a leadership role in state and federal program integrity operations and fraud organizations such as NHCAA, HFPP, and ACFE Speak at national conferences on investigative efforts and fraud trends. Develop and maintain an in-depth knowledge of the company's business and regulatory environments Works closely with leadership to establish, communicate, and perpetuate the corporate vision, ensuring appropriate communication to all stakeholders Recognize and proactively manage operational dependencies and risks Maintains a framework of standards and best practice methodologies that are repeatable and evidence based Participate in strategic planning and implement action plans Perform any other jobs, as requested Education and Experience: Bachelor of Science/Arts Degree in Criminal Justice, Medical/Health Care Field or related industry or equivalent years of relevant work experience is required Minimum of six to eight (6-8) years of investigative or health care experience is required Extensive experience in health care, legal, auditing, claims and/or investigative services is required Leadership/supervisory experience preferred Competencies, Knowledge and Skills: Demonstrated leadership qualities Support the development of effective working relationships with business partners Solid understanding of claims processing preferred Knows and uphold the provisions of the Corporate Compliance Plan Intermediate to advanced proficiency level of computer skills, including Microsoft Outlook, Word, Excel, Access, and Power Point Advanced troubleshooting and problem-solving capabilities Effective communication and interaction skills Ability to formally present to a wide audience internally and at national conferences Ability to lead a team and achieve performance metrics Highest levels of ethics, integrity and professionalism Significant knowledge of government program compliance requirements - Medicare, Medicaid, Affordable Care Act (ACA), etc. preferred Significant knowledge of medical insurance and/or state regulatory requirements Licensure and Certification: Certified Fraud Examiner (CFE), Certifications through America's Health Insurance Plans (AHIP), Healthcare Anti-Fraud Association (HCAFA) and/or Managed Healthcare Professional (MHP), Accredited Health Care Fraud Investigator (AHFI), and/or Certified Professional Coder (CPC) are preferred Working Conditions: General office environment; may be required to sit or stand for extended periods of time Compensation Range: $81,400.00 - $130,200.00 CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee's total well-being and offer a substantial and comprehensive total rewards package. Compensation Type (hourly/salary): Salary Organization Level Competencies Fostering a Collaborative Workplace Culture Cultivate Partnerships Develop Self and Others Drive Execution Influence Others Pursue Personal Excellence Understand the Business This is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.#LI-SD1
    $81.4k-130.2k yearly Auto-Apply 10d ago
  • Rehab Manager

    Intermountain Health 3.9company rating

    Denver, CO jobs

    The Rehabilitation Manager II has both leadership and clinical responsibilities. This role is accountable for implementing and adhering to all system best practice standards. Additionally, this role ensures that Rehabilitation Services achieves and sustains excellence in all organizational fundamentals; patient safety, patient experience, caregiver engagement, equity, quality, access, growth, and stewardship and continually drives toward achieving One Intermountain. Rehabilitation Manager II will have a larger scope, portfolio, number of services/disciplines, and locations compared to Rehabilitation Manager I. Job Specifics: + **Location:** Denver, CO / Front Range (Multiple Sites) + **Benefits Eligible** : Yes - Explore employee benefits here (**************************************************** + **Schedule:** Full-Time - Monday-Friday. **About the Role:** We are looking for a passionate rehab leader with 3-5 years of leadership experience . In this role, you'll have the chance to drive growth, launch strategic initiatives, and collaborate with multiple hospitals and leadership teams across the beautiful Denver/Colorado Front Range. If you thrive on building connections and creating strategic solutions, this is your opportunity to grow and lead in a dynamic, supportive environment. **Why You'll Love This Role** + **Lead with impact** : Drive strategic growth and shape the future of rehab services. + **Collaborate widely** : Partner with multiple hospitals and leadership teams across the Denver/Front Range. + **Grow your career** : High-visibility role with opportunities for advancement and innovation. + **Enjoy flexibility** : Primarily on-site with the option for remote work periodically when needed + **Live where you love** : Work in the vibrant Denver/Colorado Front Range-known for its outdoor lifestyle and thriving healthcare community. Find out why people love working at Intermountain Health: Learn more (******************************************* **Essential Functions** + Evaluates current programs and approves, creates, and supervises new programs in collaboration with appropriate stakeholders. + Participates in creating and implementing the department's vision, direction, and continuous improvement process, managing patient care teams, and providing direct patient care. + Identifies staffing needs and oversees recruiting, hiring, terminating, disciplinary action, and scheduling to maintain adequate services and ensure both individual and team productivity. + Ensures each team member complies with professional licensure and credentialing, Intermountain policies and procedures, and third-party regulatory requirements. + Participates in marketing and strategic planning. Develops and enhances relationships with physicians, referral sources, and customers. + Maintains current knowledge of standard practices for discipline in each age group required by work assignment. + Oversees caregivers to ensure documentation and billing for each patient is done in a complete, thorough, appropriate, and timely manner, according to regulatory, and department, requirements. Ensures provision of appropriate services and appropriate documentation from team members. + Promotes appropriate and consistent interaction and communication among team members and other professionals. + Ensures that equipment is reliable and in good working condition. Arranges for timely repair, engineering safety inspections, and calibration per manufacturer recommendations **Skills** + Leadership + Verbal and Written Communication + Ability to establish and maintain relationships + Ability to interpret and present data + Strategic Planning + Standardization + Compliance + Policy and Procedures **Qualifications** + Degree and education in Rehabilitation profession consistent with licensure requirements (Physical Therapy, Occupational Therapy, Speech Therapy, Audiology, Athletic Trainer, and Exercise Physiology). + Current and applicable rehabilitation license to practice in the state where you reside. + Current Basic Life Support (BLS) for healthcare providers. + Three years of previous experience as a practicing rehabilitation professional. + 3-5 years of previous leadership experience in Rehab preferred **Physical Requirements:** + Ongoing need to see and read information, documents, monitors, identify equipment and supplies, and be able to assess customer needs. + Frequent interactions with patient care providers, patients, and visitors that require employee to verbally communicate as well as hear and understand spoken information, alarms, needs, and issues quickly and accurately, particularly during emergency situations. + Manual dexterity of hands and fingers to manipulate complex and delicate equipment with precision and accuracy. This includes frequent computer, phone, and cable set-up and use. + When doing patient care, lift and utilize full range of movement to transfer patients. Will also bend to retrieve, lift, and carry supplies and equipment. Typically includes items of varying weights, up to and including heavy items. **Location:** Good Samaritan Hospital, Intermountain Health Lutheran Hospital, Platte Valley Hospital, Saint Joseph Hospital **Work City:** Denver **Work State:** Colorado **Scheduled Weekly Hours:** 40 The hourly range for this position is listed below. Actual hourly rate dependent upon experience. $50.97 - $78.69 We care about your well-being - mind, body, and spirit - which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged. Learn more about our comprehensive benefits package here (***************************************************** . Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. At Intermountain Health, we use the artificial intelligence ("AI") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment. Thank you for considering a career with us and experiencing our AI-enhanced recruitment process. All positions subject to close without notice.
    $38k-47k yearly est. 26d ago

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