Medical Home Network jobs

Job DescriptionDescription: We are excited to announce an opening for a Senior Actuarial Analyst to support our Medicare Advantage business. As a Senior Actuarial Analyst you will focus on financial forecasting, IBNR development, benefit design impact, profitability reporting, and strategic analysis to drive data-informed decisions across the organization. The ideal candidate will be on the path to earning their ASA designation and possess strong technical and communication skills and will be highly motivated and detail-oriented. Key Responsibilities: Maintain and enhance actuarial models for medical expense forecasting and IBNR development. Analyze experience data to identify trends, support budgeting, and monitor profitability. Support health plan contract reviews, including pricing, risk adjustment, and benefit value analysis. Collaborate with finance, clinical, and analytics teams to inform strategic initiatives. Prepare and present findings to financial leadership and other key stakeholders. Requirements: Qualifications: Bachelor's degree in Actuarial Science, Mathematics, Statistics, or a related field. 5+ years of actuarial experience. At least 3 exams passed and actively pursuing ASA designation (Society of Actuaries). Proficiency in Excel, SQL, and Power BI or similar tool. Strong analytical, problem-solving, and communication skills. Preferred Qualifications: Familiarity with Actuarial software such as R, or Python. Experience with financial forecasting or value-based care modeling. Medicare Advantage experience. About IMA Medical Group: IMA Medical Group is a visionary and dynamic company focused on high-quality primary care services, with doctors and professionals dedicated to the health and well-being of the elderly. With multiple locations throughout Central Florida, we reiterate our commitment to providing quality medical care and an exceptional experience on each visit. That is the peace of mind and convenience that our patients deserve. What We Offer: Health, Dental, and Vision Insurance 401(K) Retirement Plan with Matching Voluntary Short & Long-Term Disability Employer-Paid Life Insurance Paid Time Off, Floating Holidays, and Paid Major Holidays Employee Assistance Program (EAP) How to Apply: ARE YOU READY TO JOIN OUR TEAM? We understand your time is valuable and that is why we have a very quick and easy application process. If you feel that you are right for this position, please fill out our initial 3-minute, mobile-friendly application so that we can review your information. We look forward to meeting you! IMA Medical Group is an Equal Opportunity Employer (EOE) and we comply with all federal, state, and local anti-discrimination laws, regulations, and ordinances. IMA Medical Group participates in E-Verify, as required by the Florida Medicaid program. IMA Medical Group maintains a drug-free workplace in accordance with applicable Federal and State laws.

Department: 13237 Enterprise Revenue Cycle - Admin: Mid Rev Cycle Clinician Services Status: Full time Benefits Eligible: Yes Hours Per Week: 40 Schedule Details/Additional Information: 1st Shift M-F Pay Range $37.50 - $56.25 Major Responsibilities Orientation & Documentation Support Facilitate Epic-based documentation and navigation orientation for new physicians and APPs. Provide individualized support during orientation, including access to training tools and post-orientation resources. Collaborate with clinical informatics and optimization teams to maintain and update orientation content. Toolkit & Resource Development Assist in developing, customizing, and disseminating documentation tip sheets, Epic job aids, and specialty-specific workflows. Ensure educational content is accurate, up-to-date, and aligned with enterprise documentation standards. Project Planning & Execution Manage small to moderately complex projects aligned with CSS and organizational goals. Develop work plans, monitor project timelines, and apply process improvement or project management tools to ensure deliverables are met. Clinical & Operational Insight Participate in Epic testing and validation efforts to ensure workflows are user-friendly, compliant, and clinically sound. Contribute to project workstreams that focus on documentation improvement, orientation readiness, and clinician engagement. Stakeholder Communication & Liaison Work Serve as a connector between clinicians, Clinical Navigation leadership, and operational partners (e.g., CDI, CMD, clinical informatics). Participate in interdepartmental efforts to align clinical documentation with revenue cycle and compliance goals, Data Monitoring & Reporting Monitor orientation trends and clinician feedback to identify opportunities for improvement. Create reports, presentations, and data summaries for internal leadership and external partners. Compliance, Training & Continuous Improvement Ensure adherence to organizational standards and regulatory requirements related to documentation and training. Support the delivery of educational sessions or project updates for clinical teams and CSS leadership. Professionalism & Team Culture Model a service-oriented, collaborative approach to clinician support. Contribute to a positive, team-focused environment focused on innovation, excellence, and clinician success. Minimum Job Requirements Education Completion of advanced training through a recognized or accredited program, equivalent in scope and rigor to post-secondary education or equivalent knowledge. High school diploma or GED required. Certification / License Clinical or operational credential required. May include licensure as a clinically practicing professional (e.g., RN, RT, LCSW) or certification in healthcare operations or project management (e.g., PMP, LSSGB, HFMA-CRCR). Certification in mid-revenue cycle operations from a recognized professional organization such as AHIMA, AAPC, or HFMA is required. Candidates who do not currently hold a coding certification, revenue cycle certification, or EPIC certification will be required to obtain one within 12 months of hire. Work Experience Minimum of 5 years of healthcare experience, including at least 2 years working as a clinician or in direct partnership with clinicians or management of organizational initiatives. Knowledge / Skills / Abilities Demonstrated proficiency in the Microsoft Office Suite (Word, Excel, PowerPoint, Teams, etc.) or similar products and in patient accounting and billing systems. Ability to deal and work effectively with multiple departments and in matrix organizational structures. Proven ability to influence others not directly reporting to them. Strong negotiating skills. Strong oral and written communication skills. Proficiency in data analysis is essential to examine revenue cycle/reimbursement activities and identifying and addressing related issues. Physical Requirements and Working Conditions Follows organizational and divisional remote work policy and guidelines. Operates all equipment necessary to perform the job. Handles a fast paced and creative work environment moving independently from one task to another. Makes sound decisions within limited time frames and always conducts business in a professional manner and has demonstrates ability to work cooperatively and effectively with others on an individual and team basis. This position may require travel, therefore, will be exposed to weather and road conditions. Preferred Job Requirements Education Bachelors Degree strongly preferred Certification / License Certification in EPIC, coding, revenue cycle management AND/OR project management certification strong preferred. Experience Preference for individuals with project management experience within revenue cycle OR > 1 year experience in a clinical care as a RN, APP, or similar, including direct support of physicians and APPs. Our Commitment to You: Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more - so you can live fully at and away from work, including: Compensation Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training Premium pay such as shift, on call, and more based on a teammate's job Incentive pay for select positions Opportunity for annual increases based on performance Benefits and more Paid Time Off programs Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability Flexible Spending Accounts for eligible health care and dependent care expenses Family benefits such as adoption assistance and paid parental leave Defined contribution retirement plans with employer match and other financial wellness programs Educational Assistance Program About Advocate Health Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation's largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.

Department: 13244 Enterprise Revenue Cycle - Facility Coding Quality Integrity Status: Full time Benefits Eligible: Yes Hours Per Week: 40 Schedule Details/Additional Information: Monday through Friday 1st shift This is a REMOTE opportunity Pay Range $28.05 - $42.10 Responsible for completing hospital coding accuracy reviews to assist coding leadership in carrying out the department's compliance plan to ensure that our coding team members are coding accurately according to the documentation within each record, validating accurate external reporting and appropriate reimbursement. Reviews coded health information records to evaluate the quality of staff coding and abstracting, verifying accuracy and appropriateness of assigned diagnostic and procedure codes, as well as other abstracted data, such as discharge disposition. Ensure accurate coding for outpatient, day surgery and inpatient records. Verifies all codes and sequencing for claims according to American Hospital Association (AHA) coding guidelines, CPT Assistant, AHA Coding Clinic and national and local coverage decisions. Works collaboratively with coding leadership per their direction in reviewing records with focused diagnosis and procedure codes, including specific APCs, DRGs and OIG work plan targets to assure compliance in all areas of coding, which may give visibility into documentation that is driving codes. Works collaboratively with coding leadership to identify focused prospective records that need to be reviewed. Identifies coder education opportunities, team trends, and consideration of topics to mandate for second level account review, before the account is final coded. Reviews encounters flagged for second level review, including but not limited to; hospital acquired conditions (HACs), complications and other identified records such as core measures or trends as identified by coding leadership. Perform review of coded encounter for appropriate risk-adjustment, including accurate severity and risk of mortality assignment. Responsible for coding participation in the Clinical Documentation Improvement and Hospital Coding alignment process. Review accounts with mismatched DRG assignment following notification from the Inpatient coder. Determine the appropriate DRG based on coding guidelines. Provide follow up to the clinical documentation nurse with rationale on final outcome. Recommends educational topics for coders and clinical documentation nurses based on their observations from reviewing mismatches. Participate in hospital coding denial and appeal processes as directed. Ensure timely review and response to any third-party payer notification of claims where codes are denied. Determine if an appeal will be written based on application of coding guidelines and provider documentation. Following review of overpayment or underpayment denials, provide appropriate follow-up to coding team member as appropriate, rebilling accounts to ensure appropriate reimbursement. All trends identified should be presented to coding leadership in a timely manner and logged for historical tracking purposes. Investigates and resolves all edits or inquiries from the billing office or patient accounts, to prevent any delay in claim submission due to open questions related to coding. Identifies any coding issues as they relate to coding practices. Clarifies changes in coding guidance or coding educational materials. Maintains continuing education credits and credentials by keeping abreast of current knowledge trends, legislative issues and/or technology in Health Information Management through internal and external seminars. Identify opportunities for continuing education for hospital coding team. Scheduled Hours Monday through Friday First Shift This is a REMOTE Opportunity Licenses & Certifications Coding Specialist (CCS) certification issued by the American Health Information Management Association (AHIMA), or Health Information Administrator (RHIA) registration issued by the American Health Information Management Association (AHIMA), or Health Information Technician (RHIT) registration issued by the American Health Information Management Association (AHIMA), or Degrees Associate's Degree in Health Information Management or related field. Required Functional Experience Typically requires 5 years of experience in hospital coding for a large complex health care system, which includes hospital coding, denial review and/or coding quality review functions. Knowledge, Skills & Abilities Demonstrated leadership skills and abilities. Demonstrates knowledge of National Council on Compensation Insurance, Inc. (NCCI) edits, and local and national coverage decisions. Expert knowledge and experience in ICD-10-CM/PCS and CPT coding systems, G-codes, HCPCS codes, Current Procedural Terminology (CPT), modifiers, and Ambulatory Patient Categories (APC), MS-DRGs (Diagnosis related groups). Advanced knowledge in Microsoft Applications, including but not limited to; Excel, Word, PowerPoint, Teams. Advanced knowledge and understanding of anatomy and physiology, medical terminology, pathophysiology (disease process, surgical terminology and pharmacology.) Advanced knowledge of pharmacology indications for drug usage and related adverse reactions. Expert knowledge of coding work flow and optimization of technology including how to navigate in the electronic health information record and in health information management and billing systems. Excellent communication and reading comprehension skills. Demonstrated analytical aptitude, with a high attention to detail and accuracy. Ability to take initiative and work collaboratively with others. Experience with remote work force operations required. Strong sense of ethics. Our Commitment to You: Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more - so you can live fully at and away from work, including: Compensation Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training Premium pay such as shift, on call, and more based on a teammate's job Incentive pay for select positions Opportunity for annual increases based on performance Benefits and more Paid Time Off programs Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability Flexible Spending Accounts for eligible health care and dependent care expenses Family benefits such as adoption assistance and paid parental leave Defined contribution retirement plans with employer match and other financial wellness programs Educational Assistance Program About Advocate Health Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation's largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.

Department: 10395 Enterprise Revenue Cycle - Individualized Clinician Support Surg Hosp Based and Complex Specialties Status: Full time Benefits Eligible: Yes Hours Per Week: 40 Schedule Details/Additional Information: First shift hours covering both CST and EST time zones. The Liaison will work with all New Clinicians to the organization. The Liaison will be responsible for coding education for approximately the first 6 months that a Clinician joins the organization. REMOTE and individuals can work remote for this opportunity for the following states: AL, AK, AR, AZ, DE, FL, GA, IA, ID, IL, IN, LA, KS, KY, ME, MI, MO, MS, MT, NC, ND, NE, NH, NM, NV, OH, OK, PA, SC, SD, TN, TX, UT, VA, WI, WV, WY. Pay Range $34.90 - $52.35 Major Responsibilities: Deliver proactive coding education through newsletters, scorecards, and presentations, covering CPT (E&M, modifiers), ICD-10-CM, HCPCS, Risk Adjustment, payer requirements, and rejection resolutions. Lead onboarding and compliance training for all employed Physicians/APPs, including Locum Tenens, residents, and students, ensuring documentation accuracy from the start. Provide individualized documentation feedback by reviewing new clinician records and conducting spot checks, escalating non-coding issues to appropriate teams. Serve as the primary contact for coding inquiries, coordinating with internal teams to resolve complex issues such as NCCI bundling and high-complexity charge edits. Monitor Epic work queues (charge review, follow-up, claim edit) to ensure timely and accurate charge submissions and reduce claim denials. Collaborate across departments-including CMOs, Clinical Informatics, Risk Adjustment, and Population Health-to enhance documentation practices and system optimization. Participate in specialty and department meetings, identifying trends and delivering targeted education to improve coding and documentation accuracy. Refine Epic documentation tools, including templates, order entries, diagnosis lists, and SmartSets/SmartPhrases, to improve efficiency and accuracy. Ensure compliance with regulatory standards, including Medicare, Medicaid, and AHIMA's Standards of Ethical Coding, while maintaining expert knowledge of evolving policies. Promote a culture of ethical coding and continuous improvement, supporting clinicians with timely updates, feedback, and education to ensure accurate reimbursement and compliance. Licensure, Registration, and/or Certification Required: Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) certification, or Coding Specialist (CCS) certification, or Coding Specialist - Physician (CCS-P) certification issued by the American Health Information Management Association (AHIMA) or Professional Coder (CPC) certification issued by the American Academy of Professional Coders (AAPC). Additional credential preferred. Education Required: Completion of advanced training in revenue cycle management through a recognized or accredited program, equivalent in scope and rigor to post-secondary education. High school diploma or GED required. Experience Required: Typically requires 4 years of experience in expert-level professional coding. Knowledge, Skills & Abilities Required: Advanced Coding Expertise: In-depth knowledge of ICD, CPT, and HCPCS coding guidelines, ensuring accurate and compliant coding practices. Medical Terminology & Anatomy: Strong understanding of medical terminology, anatomy, and physiology to support precise code assignment. Epic & Reporting Solutions: Advanced knowledge of Epic and other reporting tools to analyze data, generate reports, and optimize workflow efficiencies. Critical Thinking & Analytical Skills: Highly proficient in problem-solving and analytical thinking with strong attention to detail. Interpersonal Communication: Excellent verbal and written communication skills, with the ability to educate and collaborate effectively with physicians, APCs, clinical leadership, and coding teams. Advanced Computer Skills: Proficiency in Microsoft Office Suite, electronic coding applications, and email communication. Organizational & Prioritization Skills: Ability to efficiently manage multiple tasks, set priorities, and meet deadlines in a fast-paced environment. Independent Decision-Making: Ability to work independently, exercise sound judgment, and make informed decisions regarding coding and compliance. Collaboration & Initiative: Strong ability to take initiative, contribute to process improvements, and work collaboratively within a team environment. Physical Requirements and Working Conditions: Follow organizational and divisional remote work policy and guidelines. Operates all equipment necessary to perform the job. Handles a fast paced and creative work environment moving independently from one task to another. Makes sound decisions within limited time frames and always conducts business in a professional manner and has demonstrates ability to work cooperatively and effectively with others on an individual and team basis. This position may require travel, therefore, will be exposed to weather and road conditions. This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties. # REMOTE #LI REMOTE Our Commitment to You: Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more - so you can live fully at and away from work, including: Compensation Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training Premium pay such as shift, on call, and more based on a teammate's job Incentive pay for select positions Opportunity for annual increases based on performance Benefits and more Paid Time Off programs Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability Flexible Spending Accounts for eligible health care and dependent care expenses Family benefits such as adoption assistance and paid parental leave Defined contribution retirement plans with employer match and other financial wellness programs Educational Assistance Program About Advocate Health Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation's largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.

Department: 10451 Enterprise Revenue Cycle - HIM: Operations Ambulatory Doc Mgmt Status: Full time Benefits Eligible: Yes Hours Per Week: 40 Schedule Details/Additional Information: Monday thru Friday 7am - 3:30pm Fully Remote. Some weekends Pay Range $19.45 - $29.20Major Responsibilities: Analyzes the content of the medical record for missing documentation and signatures according to State and Federal regulations, such as Det Norski Veritas (DNV) or The Joint Commission (TJC), Centers for Medicare and Medicaid (CMS), all Medical Staff Bylaws and organizational policies. Serves as point of contact for record completion support for clinicians and other providers. Applies knowledge of medical terminology and nomenclature to accurately identify documentation needs based on patient service areas and level of service provided. Assigns, edits, and tracks medical record deficiencies by responsible provider into chart management system accurately and timely following established policies and procedures. Uses strong communication and critical thinking skills to investigate and troubleshoot. Provides support and education to clinicians and providers regarding record completion activities. Verifies accuracy of physician deficiency and suspension status in the chart management system. Supports activities for accurate reporting and of physician delinquencies for the suspension process. Accurately sends notification and/or suspension notifications to clinicians and physician leadership. Supports Revenue Cycle by analyzing and identifying missing documentation elements needed to support physician and hospital coding. Identify problems or issues with front end workflow. Collaborates with Clinical Informatics, Revenue Cycle Trainers, and various department leadership to identify system issues, and to provide educational opportunities to clinicians, providers and team members as needed. Receives, collects, sorts, prepares and scans internal and external clinical documentation into the EHR according to Health Information Management (HIM) procedures. Sorts and measures incoming and remaining scanning to accurately track volumes and turn-around times in the system-wide database. Utilizes medical terminology to accurately classify clinical documentation for all tests, treatments, procedures, and other services. Creates or selects the appropriate patient, encounter, and/or order while assigning the correct document type and description when scanning/importing into the EHR. Performs quality assurance checks of scanned images to verify correct document type/patient/encounter and, if applicable, order. Uses critical thinking and problem solving to make corrections and/or edits according to Health Information Management policy. Verifies the electronic document against the paper document to ensure correctness. Confirms that patient records are scanned correctly to the patient, encounter, document type or order in a timely manner. Ensures clarity, legibility and position of the scanned documents is readable by the end user or indicates best quality. Appropriately forwards completed work to the next step of quality control to ensure integrity, completeness and legibility of scanned patient records. Provides timely, constructive feedback and re-training where appropriate for quality control audits. Accurately abstracts patient information discretely into the EHR to ensure clinical notifications and alerts are present for all clinical team members appropriately. Analyzes documents for validity and generates letters to patients as appropriate. Completes timely error correction; including deleting images and re-scanning and re-indexing/appending documents appropriately. Notifies appropriate leadership for quality review and privacy investigation. Assists patients, visitors and internal and external customers as appropriate in person or via telephone in a prompt and courteous manner. Operates all office equipment, performs daily routine maintenance of equipment and reports any equipment malfunction or poor image quality to the appropriate personnel. Receives and processes continuing care requests in accordance with AAH release of information policies and procedures and any applicable legal regulations. Properly manages the record destruction of all qualified records according to retention and policy. Licensure, Registration, and/or Certification Required: None Required. Education Required: High School Graduate. Experience Required: Typically requires 1 year of experience in Health Information Services or related field, or experience as a Health Unit Coordinator or Medical Assistant. Knowledge, Skills & Abilities Required: Proficient computer and keyboarding skills with the ability to learn new computer software systems such as Epic, OnBase, Microsoft Office and legacy archives. High attention to detail and accuracy with frequent interruptions. Ability to prioritize workload and work under pressure in a fast-paced environment with time constraints. Ability to work independently and make decisions with minimal supervision while maintaining quality and productivity standards. Strong customer service, interpersonal and communication service skills. Works collaboratively in a diverse team environment with openness and respect to learn, create and problem solve. Ability to learn when receiving constructive feedback by leadership or peers and taking personal ownership for success. Ability to adapt to a fast-paced environment and transition to switching tasks without issue while maintaining quality and accuracy. Ability to safeguard protected health information (PHI) and possesses basic knowledge of HIPAA. Physical Requirements and Working Conditions: Ability to proficiently operate all equipment necessary to do the job: fax, multi-phone line, copy machine, etc. Must be able to sit, stand, walk to perform rounds in time allotted, squat, twist/rotate, bend and reach for prolonged periods of time in order to complete required word processing, filing, photocopying, and distribution of materials and other related functions. Requires team member to walk a moderate/significant distance throughout medical center to retrieve records. May require the ability to push/pull a records cart. Ability to perform repetitive functions and hand movements in a normal office environment. Ability to lift, push and pull items weighing up to 20 lbs. This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties. Our Commitment to You: Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more - so you can live fully at and away from work, including: Compensation Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training Premium pay such as shift, on call, and more based on a teammate's job Incentive pay for select positions Opportunity for annual increases based on performance Benefits and more Paid Time Off programs Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability Flexible Spending Accounts for eligible health care and dependent care expenses Family benefits such as adoption assistance and paid parental leave Defined contribution retirement plans with employer match and other financial wellness programs Educational Assistance Program About Advocate Health Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation's largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.

Department: 38592 Wake Forest Baptist Medical Center - Retail Pharmacy: Specialty Rx Status: Full time Benefits Eligible: Yes Hours Per Week: 40 Schedule Details/Additional Information: Monday through Friday, first shift. Remote option upon successful completion of training Pay Range $22.50 - $33.75 Position Highlights Full-Time, Days 1st shift (0800-1900, hrs. vary based on clinic needs), M-F, weekend/holidays TBD. Remote option upon successful completion of training. Winston Campus $6,000 sign-on bonus eligible position for qualified candidates! Click here for more information! How You Will Impact Patient Care: Your responsibilities may include, but are not limited to: Navigates various options for receiving prior authorization requests and further utilizing systems to find resources that best fit the patient's needs, as applicable. Provides assistance to a subset of patients by completing Patient Assistance Program (PAP) applications and co-pay assistance applications. Assists patients by explaining the medication access process, which may include completing applications and reviewing documents required to complete the application. In collaboration with pharmacists, completes medication reconciliation, reviews prescription claim history for medication adherence and documents findings in the electronic health record, as applicable. Also available to patients and families to triage questions regarding medication access needs. Verifies patient insurance benefits to minimize patient cost. Completes PAP and copay assistance applications, records qualitative monthly/quarterly feedback, refill reminders and medication shipment scheduling, and patient re-enrollment in appropriate assistance programs, as appropriate. Apply co-pay assistance payments to the appropriate patient account, as applicable. Performs data entry and prepares tracking reports for both internal and external stakeholders. Garners and maintains knowledge of Health Plan compliance requirements, healthcare operations, and medical terminology. Efficiently determines a patient's ability to utilize enterprise pharmacy services. Routes prescriptions to appropriate pharmacy, as necessary. Supports the development of methods of communication and coordination with patient care team to ensure timely and accurate fulfillment of orders for patient requests and clients. Maintains updated knowledge and skills and contributes to the education of others. Participates in planning processes by establishing personal goals to support quality improvement efforts and contributes to the achievement of departmental objectives. Audits own performance and recommend objectives and standards of performance. Contributes positively to execution of pharmacy department initiatives. Accepts assignments of tasks from other pharmacy teammate roles when workload dictates. Any other duties as assigned. What You Will Need High school diploma or GED equivalent required. Nice To Have (Not Required) Associate degree or bachelor's degree preferred. Three years' pharmacy experience and two years call center or customer service experience highly preferred. Retail pharmacy or healthcare/medical group experience and two years of healthcare related billing preferred. PTCB technician certification (CPhT) preferred. North Carolina Board of Pharmacy registration required within 30 days of employment. PTCB technician certification (CPhT) within 180 days of employment. DISCLAIMER All responsibilities and requirements are subject to possible modification to reasonably accommodate individuals with disabilities. This job description in no way states or implies that these are the only responsibilities to be performed by an employee occupying this job or position. Employees must follow any other job-related instructions and perform any other job-related duties requested by their leaders. Our Commitment to You: Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more - so you can live fully at and away from work, including: Compensation Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training Premium pay such as shift, on call, and more based on a teammate's job Incentive pay for select positions Opportunity for annual increases based on performance Benefits and more Paid Time Off programs Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability Flexible Spending Accounts for eligible health care and dependent care expenses Family benefits such as adoption assistance and paid parental leave Defined contribution retirement plans with employer match and other financial wellness programs Educational Assistance Program About Advocate Health Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation's largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.

Department: 10395 Enterprise Revenue Cycle - Individualized Clinician Support Surg Hosp Based and Complex Specialties Status: Full time Benefits Eligible: Yes Hours Per Week: 40 Schedule Details/Additional Information: This is a remote position. Due to complex requirements, remote work is NOT permitted for short or long periods in: CA, DC, CO, CT, HI, MA, MD, MN, NJ, NY, OR, RI, VT, WA and working Internationally (this includes working while on vacation). Pay Range $50.05 - $75.10 Manages the coding function for assigned area(s), including coding production, coder education and quality, productivity, risk-mitigation, denial/appeals, partnerships and/or coding optimization. Develops and implements best practices to enhance the accuracy of coding for reimbursement, benchmarking, outcomes, and operational purposes. Ensures compliance with state and federal regulations, as well as support revenue cycle goals. Major Responsibilities: Manages the Epic coding functions for all types of charges/codes to ensure that claims are submitted to payers in compliance with coding regulations and organizational guidelines. Performs human resources responsibilities for staff which includes coaching on performance, completes performance reviews and overall staff morale. Recommends hiring, compensation changes, promotions, corrective action decisions, and terminations. Responsible for understanding and adhering to the organizations Code of Ethical Conduct and for ensuring that personal actions, and the actions of employees supervised, comply with the policies, regulations and laws applicable to Advocate Aurora's business. Oversees the development, documentation, implementation, maintenance and continuous process improvement efforts of production coding for coding staff. Identifies trends and implements resolution to charge capture, coding and billing issues and rejections. Develops, updates and implements department guidelines and procedures. Educates team members, clinic/hospital leadership and clinicians on coding related guidelines, procedures and practices. Communicates and reinforces changes in CPT, ICD, HCPCS and other requirements and coordinates necessary modifications and updates to appropriate coding staff. Ensures that documentation, coding procedures and requirements are clearly communicated and reinforced to coding staff, physicians, patient care staff and revenue cycle team members as appropriate. Works directly with Coding leadership to research and resolve issues. Collaborates with other leaders in revenue cycle services and clinic/hospital administration, to implement and monitor coding, billing, documentation and charge capture processes. Creates highly functioning, self-directed work teams. Maintains up-to-date knowledge of Medicare, Medicaid and other regulatory requirements pertaining to nationally accepted coding policies and standards. Develops expertise in coding for assigned responsibilities. Manages the timely, accurate review and validation of charges/codes assigned for billing. At times, it may also include customer concerns that question coding. Ensures that coding practices and quality are consistent with coding and other regulatory requirements. Ensures that coding practices are standardized systemwide and consistent with regulatory requirements. Documents all coding procedures and guidelines in writing and ensures all coding team members adhere to them. Identifies opportunities for process and quality improvement based upon analysis and review of current practices. Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association and adheres to official coding guidelines. Practices ethical judgment in assigning and sequencing codes for proper insurance reimbursement. Licensure, Registration, and/or Certification Required: Coding Certification issued by one of the following certifying bodies: American Academy of Coders (AAPC), or American Health Information Management Association (AHIMA) Education Required: Bachelors degree (or equivalent knowledge) in Health Information Management or related field. Experience Required: 7 years of experience in coding that includes experiences in advanced level of ICD, CPT and HCPCS coding in a large, complex clinic or hospital setting at a lead or senior level. Requires 1 year of progressive leadership experience in a high-volume health care setting. Knowledge, Skills & Abilities Required: High leadership skills and abilities including team building, conflict resolution, project management and effective decision making. Advanced knowledge of ICD, CPT and HCPCS coding guidelines. Advanced knowledge of medical terminology, anatomy and physiology. Proficient knowledge of Medicare, Medicaid and commercial payer coding guidelines. Advanced computer skills including the use of Microsoft office products, especially Excel, electronic mail, including experience with electronic coding systems or applications. Excellent communication (oral and written), presentation and interpersonal skills, including the ability to effectively collaborate with multiple departments. Excellent organization and prioritization skills; ability to manage multiple priorities in a stressful, fast-paced work environment. Ability to work independently and exercise independent judgment and decision making. Ability to meet deadlines while working in a fast-paced environment. Ability to take initiative and work collaboratively with others. Physical Requirements and Working Conditions: Exposed to a normal office environment. Must be able to sit for extended periods of time. Must be able to continuously concentrate. Position may be required to travel to other sites; therefore, may be exposed to road and weather hazards. Operates all equipment necessary to perform the job. This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties. #REMOTE #LI-REMOTE Our Commitment to You: Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more - so you can live fully at and away from work, including: Compensation Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training Premium pay such as shift, on call, and more based on a teammate's job Incentive pay for select positions Opportunity for annual increases based on performance Benefits and more Paid Time Off programs Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability Flexible Spending Accounts for eligible health care and dependent care expenses Family benefits such as adoption assistance and paid parental leave Defined contribution retirement plans with employer match and other financial wellness programs Educational Assistance Program About Advocate Health Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation's largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.

3915 Golden Valley Rd Minneapolis, MN 55422-4249 Department: 31601525 Courage Kenny Rehabilitation Institute Handiham Shift: Day/Evening (United States of America) Shift Length: Variable shift length Hours Per Week: 20 Union Contract: Non-Union-NCT Weekend Rotation: Occasional Job Summary: Allina Health is a not-for-profit health system that cares for individuals, families and communities throughout Minnesota and western Wisconsin. If you value putting patients first, consider a career at Allina Health. Our mission is to provide exceptional care as we prevent illness, restore health and provide comfort to all who entrust us with their care. This includes you and your loved ones. We are committed to providing whole person care, investing in your well-being, and enriching your career. Key Position Details: Learn More about our Courage Kenny Handiham Program: Courage Kenny Handiham Program - Amateur Radio and Assistive Technology for People with Disabilities 0.5 FTE (40 hours per 2-week pay period) Hours may vary Monday-Thursday, with occasional weekends for special events (approx. 3-6x/year) This is a fully remote position, but may need to do local travel for radio club meetings, Handiham program events, outstate travel for national radio conference Eligible for mileage reimbursement : Supports the Handiham program coordinator position. The program supports lifelong science, technology, engineering, and mathematics (STEM) learning and interaction via Amateur Radio as a community-based service that enjoys support from the wider Amateur Radio community worldwide. It combines elements of a distance education program with those of a social network. Principle Responsibilities Interacts with members by phone and email. Responds to non-members inquiring about Handiham Program Membership. Supports Handiham Program members with Amateur Radio equipment accessibility for those with disabilities, including people who are visually impaired. Supports students studying for license exams and Morse code with minimum monthly follow up communications (phone/email). Report student progress to Handiham Program Coordinator. Participates in weekly Handiham Program staff meeting. Promotes the Handiham Program by attending virtual and in-person ham radio events, appearing as a guest on podcasts, and helping with the booth at hamfests - including Dayton Hamvention (staffing booth). Assists Handiham Program coordinator with radio camp preparation - yearly attendance required to help manage camp activities including on-site preparation, tear-down, and preparing equipment for the next year. Other duties as assigned. Required Qualifications Must be 18 years of age with education and/or experience needed to meet required functional competencies as listed on the job description 5+ years strong verbal and written communication 5+ years excellent communicator, team player, builds strong relationships, and collaborates effectively 2+ years Computer Skills - Email, word processing, spreadsheets, and using a computer as part of the home amateur radio station Preferred Qualifications High school diploma or GED Active Ham Radio Operator -Regular on-air activity and club involvement Experienced operating CW, HF, and VHV/UHF 2+ years Elmering - Mentoring people to obtain FCC license Experience using JAWS and NVDA (screen readers) Experience using VoiceOver with iPhone and iPad Experience using accessible ham radio assistive technology-JJRadio, Hampod, etc. Experience making satellite contacts Experience with fox hunting Experience with weak signal modes such as aurora and meteor scatter Experience constructing antennas for amateur radio operations Experience with packet radio Experience with kit building Experience with logging software Experience with DMR, AllStar, Echolink, D-Star, Fusion Experience with Clear Node, Nano Node, repeater control Experience in Assistive Technology-Especially focusing on AT for people who are visually blind Licenses/Certifications FCC Technician Radio License required - within 6 months of hire FCC Extra Class Amateur Radio License preferred - within 12 months of hire FEMA IS-100, IS-200, IS-700, IS-800 preferred VE accreditation preferred Physical Demands Light Work: Lifting weight up to 20 lbs. occasionally, up to 10 lbs. frequently Pay Range Pay Range: $22.71 to $31.13 per hour The pay described reflects the base hiring pay range. Your starting rate would depend on a variety of factors including, but not limited to, your experience, education, and the union agreement (if applicable). Shift, weekend and/or other differentials may be available to increase your pay rate for certain shifts or work. Benefit Summary Allina Health believes the best way to provide safe and compassionate care for our patients is by nurturing the passion of those who care for them. That's why we devote extraordinary resources to help you grow and thrive - not only as a professional but also as a whole person. When you join our team, you have access to a wealth of valuable employee benefits that support the total well-being - mind, body, spirit and community - of you and your family members. Allina Health is all in on your well-being. Because well-being means something different to everyone, our award-winning program provides you with the resources you need to help you navigate your personal journey. This includes up to $100 in well-being dollars, dedicated well-being navigators, and many programs, activities, articles, videos, personal coaching and tools to support you on your journey. In addition, Allina Health offers employee resources groups (ERGs) -- voluntary, employee-led groups that serve as a resource for members and organizations by fostering a diverse, inclusive workplace aligned with the organization's mission, values, goals, business practices, and objectives. Allina Health also engages employees in various community involvement and volunteering events. Benefits include: Medical/Dental PTO/Time Away Retirement Savings Plans Life Insurance Short-term/Long-term Disability Paid Caregiver Leave Voluntary Benefits (vision, legal, critical illness) Tuition Reimbursement or Continuing Medical Education as applicable Student Loan Support Benefits to navigate the Federal Public Service Loan Forgiveness Program Allina Health is a 501(c)(3) eligible employer *Benefit eligibility/offerings are determined by FTE and if you are represented by a union.

Department: 10212 Enterprise Corporate - Internal Audit Status: Full time Benefits Eligible: Yes Hours Per Week: 40 Schedule Details/Additional Information: This is a full-time role offering remote work from home flexibility with the ability to attend on-site meetings as required. Pay Range $50.05 - $75.10 This position provides oversight to assigned audit teams, monitors the timely performance of assignments, and completes assigned audits and reviews that support the annual audit plan. The position performs quality reviews of audit testing for accuracy, completeness and alignment with Internal Audit policies, and oversees the timely communication of audit results to management that add value to the areas audited. The position completes assigned audits and special projects that arise in accordance with Internal Audit policies. And, this position assists in the oversight of the coordination efforts for the external audit assistance as well as performs external audit assistance as assigned. Critical thinking is applied in providing recommendations that strengthen and support internal controls, operations, culture and values. Major Responsibilities: Assists with the implementation and completion of the Audit Plan by providing knowledge of subject matter and associated risks; overseeing the performance and timeliness of test work and communications, and reviewing work papers for accuracy, completeness and quality, and support of audit results. Completes assigned audits with higher risks in accordance with Internal Audit policies. Assists in the development of audit objectives and testing procedures of scheduled audits, and performance of risk analysis for each audit assignment. Assists with data trending and analysis to identify organizational risks. Performs quality reviews of audits for completeness of audit objectives, accuracy of audit testing, and appropriateness of conclusions reached, as well as Internal Audit Standards compliance. Assesses risks and effectively communicates them to leadership; provides recommendations to mitigate the risks; and, incorporates risks into the Internal Audit risk assessment. Assists in the oversight of the coordination of the external audit assistance. Ensures accuracy of audit monitoring data and produces monitoring reports to analyze audit performance, audit timeliness, and completeness of work papers. Assists in the preparation of quarterly reports. Plans and leads assigned audits and special projects, including the performance of testing and reporting of results in written audit reports. Performs external audit assistance testing. Researches and recommends best practices to strengthen the internal audit activities. Assists with standardizing templates and documentation and adhering to Internal Audit Standards. Develops and provides oversight to the Internal Auditors; provides technical expertise to all teammates. Performs human resources responsibilities for staff which include interviewing and selection of new employees, promotions, staff development, performance evaluations, compensation changes, resolution of employee concerns, corrective actions, terminations, and overall employee morale. Responsible for understanding and adhering to the organization's Code of Ethical Conduct and for ensuring that personal actions, and the actions of employees supervised, comply with the policies, regulations and laws applicable to the organization's business. Monitor emerging risks and regulatory changes to ensure audit plan remains current and relevant. Identify and assess key risks for the organization. Plan and execute control testing procedures to evaluate the design and operating effectiveness of internal controls. Document and communicate control deficiencies and collaborate with management to remediate issues. Review and approve workpapers, findings and report. Promote a culture of continuous improvement within the internal audit function ad across the organization. Stay abreast of industry best practices and evolving regulatory requirements, and ensure internal controls are aligned with relevant laws and standards. Licensure, Registration, and/or Certification Required: Certified Public Accountant (CPA) issued by a State Board of Accountancy, or Internal Auditor (CIA) certification issued by The Institute of Internal Auditors (IIA) Certified Health Care (CHC) certification issued by the Health Care Compliance Association (HCCA) Certified Information Systems Auditor (CISA) issued by ISACA Other relevant certification(s) Education Required: Bachelor's Degree in Accounting or similar degree. Experience Required: Typically requires 5 years of experience in Public accounting and/or Internal Audit. Knowledge, Skills & Abilities Required: Strong knowledge of the Institute of Internal Auditors Standards, the COSO framework and internal controls over financial reporting as well information systems. Excellent communication skills essential in order to interact effectively with all levels of management and staff. Demonstrated ability to explain complex financial issues to non-financial staff and leadership. Demonstrated ability to handle multiple priorities. Strong organizational skills to multi-task through planning, coordinating, monitoring and performing audit related projects assigned to self and the team. Strong relational skills and ability to get things done through teamwork, persuasion and influence. Strong analytical skills, including ability to review quantitative and qualitative data and reach sound conclusions. Ability to identify and provide recommendations to mitigate risks and address internal control deficiencies. Strong written and verbal communication skills to present to all levels within the System, as well as strong interpersonal skills to address disagreements and misalignments of behavior. Ability to create audit objectives and procedures that address risks and matters of concern. Ability to influence, drive change and effectively deliver results. Ability to work independently with minimal supervision as well as lead and direct team members. Experience in performing or providing external audit assistance to an external auditing firm. Experience in utilizing an automated work paper system. Proficient in Microsoft Office products, including word, excel, and power point. Strong understanding of health care dynamics and economics. Physical Requirements and Working Conditions: This position requires travel, therefore, will be exposed to weather and road conditions. Operates all equipment necessary to perform the job. Exposed to a normal office environment. This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties. Our Commitment to You: Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more - so you can live fully at and away from work, including: Compensation Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training Premium pay such as shift, on call, and more based on a teammate's job Incentive pay for select positions Opportunity for annual increases based on performance Benefits and more Paid Time Off programs Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability Flexible Spending Accounts for eligible health care and dependent care expenses Family benefits such as adoption assistance and paid parental leave Defined contribution retirement plans with employer match and other financial wellness programs Educational Assistance Program About Advocate Health Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation's largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.

Department: 12206 Advocate Aurora Health Corporate - Acute Clinical Status: Full time Benefits Eligible: Yes Hours Per Week: 40 Schedule Details/Additional Information: Normal hours 8AM-5PM, 40 hours per week, mainly remote work, but may be required to go on site as needed, schedule also includes 24x7 rotating team on call. Pay Range $37.50 - $56.25 Major Responsibilities: Identify, map, measure, analyze and improve routine to moderately complex clinical and business processes, problems and information requirements for assigned Epic application(s). Perform current and future workflow analysis and map out critical business processes using business process reengineering techniques, industry standards and best practices. Prepare documentation for business requirements by using case diagrams, data flow diagrams, data models, and object models to present, discuss and analyze various dimensions. Evaluate whether a proposed solution meets the business and clinical needs. Translate user requirements into functional and technical design specifications and reviews with the user to ensure accuracy. Prioritize requirements based on business needs and discuss the technological impact of business requirements. Perform applicable system(s) configuration that meets business requirements. Develop test plans, test cases, and test scripts to validate performance of all functions. Conduct effective unit, integration, system and end-user acceptance testing through execution of the tests, tracking problem reports and documenting all final outcomes. Provide client and support training through development of training materials, training trainers and end-user(s) as appropriate to the project Monitor system functionality and clinical and business processes instituting changes as needed Effectively explains the functioning of the assigned application(s) and related systems to the users. Assists users with using the full functionality of the application(s) and process flow Develop and maintain product documentation including current workflows, requirements, functional specifications, installation instructions, product test procedures, user manuals, procedures and troubleshooting guidelines. Completes all appropriate change and quality control documentation using department standards Communicate project status and upgrades to clinic users, including any potential delays/downtime related to application(s). Manages multiple requests from multiple users and balances priorities. Schedules and manages application version upgrades for assigned applications. Resource for assigned application(s). Assist with support and troubleshooting as needed. Respond to user calls as necessary Licensure, Registration, and/or Certification Required: Obtain within 6 months and maintain annual educational requirements for EPIC certification(s) as required by department Education Required: Bachelor's Degree (or equivalent knowledge) in Computer Science or related field Experience Required: Typically requires 3 years in an IT or clinical environment with business process mapping, analysis, defining business and user requirements, acceptance testing and documentation experiences Knowledge, Skills & Abilities Required: Experience in using applications, operating systems and databases to include the basic hardware, platform, connectivity, and interface design Experience in Epic and other Healthcare applications Project management experience with ability to use project management software Ability to work with a minimal amount of supervision, to balance multiple tasks, be detail oriented, set priorities and accomplish assignments in a timely manner utilizing excellent customer service skills Organizational and analytical skills. Strong problem and issue resolution skills Strong written and oral communication skills. Ability to work closely with health care application users, vendors, and technical professionals Demonstrated ability to translate user requirements into system specifications. Understanding of change management practices and procedures Demonstrated understanding of technical components and how they relate to applications Physical Requirements and Working Conditions: Must have the ability to perform work related travel and therefore may be exposed to road and weather hazards. Exposed to a normal office environment. Must operate all equipment necessary to perform the duties of the job. Must be able to lift up to 40 lbs. occasionally. Sits the majority of the workday; also lifts, reaches, and bends throughout This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties. Our Commitment to You: Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more - so you can live fully at and away from work, including: Compensation Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training Premium pay such as shift, on call, and more based on a teammate's job Incentive pay for select positions Opportunity for annual increases based on performance Benefits and more Paid Time Off programs Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability Flexible Spending Accounts for eligible health care and dependent care expenses Family benefits such as adoption assistance and paid parental leave Defined contribution retirement plans with employer match and other financial wellness programs Educational Assistance Program About Advocate Health Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation's largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.

Department: 38590 API Central Fill - Retail Pharmacy Status: Full time Benefits Eligible: Yes Hours Per Week: 40 Schedule Details/Additional Information: M-F 8am-6pm. Training will be completed onsite in-person until training has been completed (6-8 weeks). Upon completion, you will be remote. Pay Range $21.45 - $32.20 Major Responsibilities: Develops competency in servicing pharmacy customers including obtaining and recording initial demographic and other required information, data entry of required information into the pharmacy system for record keeping, insurance verification and label generation purposes, and cashiering. Develops competence in dispensing and delivery of medications. This includes developing competence in the department's us of information systems, technology, and automation use for dispensing, storage of medications and clerical duties. Develop competence in insurance and third party billing functions including: data entry of customer demographics and third-party information, obtaining prior authorizations from appropriate third-party carriers, maintaining files of prior authorization, investigating and correcting errors in submission to third parties and handling private insurance, workers compensation, and third-party insurance coverage and prescription-related issues. Develops competence in clinical support needs such as but not limited to DIR fees. If applicable per assigned work location and workflow scope, will promote the sale of and assist customers in the appropriate selection and fitting of diabetic footwear, submit insurance billing (Medicare, Medicaid, and commercial), as well as maintain documentation records. If applicable, float technician develops competency in pharmacy workflow across multiple Aurora Pharmacy locations. Develops competence in pharmacy procedures and documentation as required, satisfying legal, regulatory, and department requirements of pharmacy practice. Complies with legal, regulatory, accreditation standards. This includes (but is not limited to) controlled substance procedures and USP requirements. Must be able to demonstrate knowledge and skills necessary to provide care appropriate to the age of the patients served. Must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient's status and interpret the appropriate information needed to identify each patient's requirements relative to his/her age-specific needs, and to provide the care needed as described in the department's policies and procedures. Age-specific information is developed further in the departmental job standards. Licensure, Registration, and/or Certification Required: Licensure (IL only): State of Wisconsin (registration): Pharmacy Technician or Pharmacy Technician Student; Certification (CPhT) issued by PTCB or ExCPT within two years of hire, or sooner if required by law. Must sit for the certification exam at least one time within the first year of employment. Patient facing teammates may be required to have three certifications: Immunization, BLS through an entity approved by Advocate Health and non-vaccine injectable to be granted from the state of WI or if from out of state, the program is approved by the accreditation council for pharmacy education (ACPE) or by the WI pharmacy examining board. Education Required: High School Graduate. Experience Required: No experience required. Knowledge, Skills & Abilities Required: Good Mathematic skills Attention to details Good customer service, communication, organization, problem resolution and process development skills Basic computer skills If applicable per assigned work location and workflow scope, diabetic shoe fitting certification is required and will be obtained through on the job training. Life support training courses may be required dependent on department discretion. Physical Requirements and Working Conditions: Ability to stand for long periods of time. Ability to walk, lift, squat, bend, twist, crawl, kneel, climb and reach about shoulders throughout the work day. Lifts, carries and/or pushes/pulls various items (bags, boxes, carts, etc.) while utilizing proper technique. Ability to deliver medications to via patient preferred mode (bedside, curbside, etc) Flexibility to travel amongst Aurora Pharmacy locations Must be able to: lift up to 35 lbs from floor to chest-level. lift and carry up to 35 lbs at waist height a reasonable distance. Must be able to: push/pull with 30 lbs of force. This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties. Our Commitment to You: Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more - so you can live fully at and away from work, including: Compensation Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training Premium pay such as shift, on call, and more based on a teammate's job Incentive pay for select positions Opportunity for annual increases based on performance Benefits and more Paid Time Off programs Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability Flexible Spending Accounts for eligible health care and dependent care expenses Family benefits such as adoption assistance and paid parental leave Defined contribution retirement plans with employer match and other financial wellness programs Educational Assistance Program About Advocate Health Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation's largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.

Department: 12219 Advocate Aurora Health Corporate - Endpoint and IT Field Tech Central Operations Status: Full time Benefits Eligible: Yes Hours Per Week: 40 Schedule Details/Additional Information: Regular business hours, 40 hours a week minimum. Some travel to office. Pay Range $62.15 - $93.25 The IT Asset Management team is responsible for managing the full lifecycle of IT assets, from procurement to disposal. This includes defining and optimizing processes, policies, and workflows; maintaining asset databases; and providing stockroom and logistical support. The team leverages the ServiceNow Hardware Asset Module and various endpoint tools to ensure comprehensive control, visibility, and security over the entire hardware lifecycle; optimizing asset usage, enhancing security, and ensuring cost-effective management. Major Responsibilities Responsible for the compliance, communication, implementation and the deployment of Advocate Health's system-wide endpoint, both client and mobile, management standards and technologies. Provides analytical, technical, and problem resolution services, in conjunction with the standard management solutions provide to the enterprise Provides business services to assigned facilities and core service lines, to provide optimal business value, and lead complex system selections, and product evaluations Responsible for providing technical and functional knowledge of Advocate Health's standard, client and mobile, management solutions as well as standard hardware and software products. Performs human resources responsibilities for staff which include interviewing and selection of new employees, promotions, staff development, performance evaluations, compensation changes, resolution of employee concerns, corrective actions, terminations, and overall employee morale. Develops and recommends operating and capital budgets and controls expenditures within approved budget objectives. Responsible for understanding and adhering to the organization's Code of Ethical Conduct and for ensuring that personal actions, and the actions of employees supervised, comply with the policies, regulations, and laws applicable to the organization's business. Minimum Job Requirements Education Bachelor's Degree in Information Technology or related field Work Experience 3 years in progressive information technology. Includes 1 year of supervisory experience in managing staff and budgets in an Information Technology environment Knowledge / Skills / Abilities Demonstrated project management skills Knowledgeable of performance management and improvement techniques. Excellent verbal and written communication skills and the demonstrated ability to communicate well with all levels of the organization. Good presentation skills Proven experience working in a team oriented, collaborative environment. Excellent team player Excellent organizational, analytical, interpersonal skill; technical and problem-solving abilities Self-motivated, able to work independently to complete tasks and respond to department requests and to collaborate with others to utilize their resources and knowledge to identify high quality solutions Strong decision-making abilities Physical Requirements and Working Conditions This position requires travel, therefore, will be exposed to weather and road conditions. Operates all equipment necessary to perform the job. Exposed to a normal office environment. #Remote #LI-Remote DISCLAIMER All responsibilities and requirements are subject to possible modification to reasonably accommodate individuals with disabilities. This job description in no way states or implies that these are the only responsibilities to be performed by an employee occupying this job or position. Employees must follow any other job-related instructions and perform any other job-related duties requested by their leaders. Our Commitment to You: Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more - so you can live fully at and away from work, including: Compensation Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training Premium pay such as shift, on call, and more based on a teammate's job Incentive pay for select positions Opportunity for annual increases based on performance Benefits and more Paid Time Off programs Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability Flexible Spending Accounts for eligible health care and dependent care expenses Family benefits such as adoption assistance and paid parental leave Defined contribution retirement plans with employer match and other financial wellness programs Educational Assistance Program About Advocate Health Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation's largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.

Department: 39733 Enterprise Corporate - Care Transitions Status: Part time Benefits Eligible: Yes Hours Per Week: 20 Schedule Details/Additional Information: Remote position. Hours are M-F 0800-1630. High speed internet is required. Familiarity with community resources in the areas of Charlotte, NC to Rome, GA. Some travel may be required. License required for North Carolina, Georgia and Alabama. (WI license not needed). Pay Range $30.15 - $45.25 Major Responsibilities: Provides social work services to individuals or groups including: screening, psychosocial assessment, discharge planning, determination of social work goals, appropriate concrete and/or therapeutic interventions and follow-up. Exercises a substantial degree of professional judgment, recognizing deviations from the usual patient/family functioning, anticipating problems and taking measures to maximize coping capabilities. Documents activity according to department and program protocols or standards. Implements interventions substantiated by assessment as appropriate to the needs of the patient/client system and consistent with available resources. Advocates for patient involvement in the plan of care. Initiates and coordinates interventions with the activities of other members of the health care team. Collaborates with community agencies and institutions to plan continued care and to coordinate interventions related to finances, housing, childcare, family discord and other psychosocial problems. Provides crisis intervention services. Assists with managing utilization of hospital resources especially as related to patients with complex continuity of care needs. Supports and participates in the case management planning process to achieve desired outcomes. Provides education to patients/families regarding Advance Directives for health care decision-making. Assists with execution of these documents as appropriate. Communicates effectively with patients, family, other members of the health care team and community agencies and facilitates resolution of issues which could impact on continuity of care (e.g., prior-approvals, application requirements, transfer paperwork). Establishes and maintains effective professional relationships, positively representing the social work profession throughout the organization and in the community. Promotes constructive approach to problem solving. Adheres to the professions Code of Ethics; consistently practices within a framework guided by ethical principles. Participates in the orientation of new staff and/or education of social work students. Participates in unit-based educational programs to enhance the understanding of psychosocial aspects of health care delivery. Works cooperatively with other professional and non-professional staff to identify and resolve problems in the service delivery systems and to improve quality of patient care. Participates in the quality improvement process as it relates to supported area. Must be able to demonstrate knowledge and skills necessary to provide care appropriate to the age of the patients served. Must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient's status and interpret the appropriate information needed to identify each patient's requirements relative to his/her age-specific needs, and to provide the care needed as described in the department's policies and procedures. Age-specific information is developed further in the departmental job standards. Licensure, Registration, and/or Certification Required: Social Worker license issued by the state in which teammate practices. Education Required: Master's Degree in Social Work. Experience Required: Typically requires 1 year of experience in providing social work services in a complex health care system. Knowledge, Skills & Abilities Required: Demonstrated knowledge of social work principles and methods, and the ability to apply these in a health care setting. Demonstrated decision making, team building, time management, customer service, and conflict resolution skills. Excellent communication and human relation skills. Intermediate computer skills including word processing, presentation applications and electronic mail. Certification Addendum Team members will maintain annual educational requirements for hospital based certifications (e.g.DNV, CARF or others). Physical Requirements and Working Conditions: Generally exposed to a patient care environment. May be exposed to mechanical, electrical, chemical, and radiation hazards as well as blood and body fluids; therefore, personal protective equipment must be worn as necessary. Must sit, stand, speak, read/write, and walk throughout the workday. Position may require travel; therefore may be exposed to road and weather hazards. Operates all equipment necessary to perform the job. This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties. Our Commitment to You: Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more - so you can live fully at and away from work, including: Compensation Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training Premium pay such as shift, on call, and more based on a teammate's job Incentive pay for select positions Opportunity for annual increases based on performance Benefits and more Paid Time Off programs Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability Flexible Spending Accounts for eligible health care and dependent care expenses Family benefits such as adoption assistance and paid parental leave Defined contribution retirement plans with employer match and other financial wellness programs Educational Assistance Program About Advocate Health Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation's largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.

Department: 10098 Advocate Aurora Health Corporate - Cross Functional Analytics Status: Full time Benefits Eligible: Yes Hours Per Week: 40 Schedule Details/Additional Information: Remote Work, M-F business hours Revenue Cycle Preferred Pay Range $37.50 - $56.25 Major Responsibilities: Independently complete analysis, development and enhancement of analytical and operational BI solutions to fulfill business needs. Independently work closely with end users to understand and translate business needs to create well-designed and validated BI solutions using business intelligence tools. Maintain technical currency and certifications in areas of responsibility and communicates effectively with team members and associates at all levels. Provides complete and accurate documentation for work based on current documentation standards. Provides production support for business intelligence solutions. Activities include problem analysis, break/fix, design/modeling, implementation/coding, and testing. Provides technical leadership to team members and leads medium size projects through all phases of system development including: planning, development, implementation and operation. Licensure, Registration, and/or Certification Required: Epic Cogito Data Warehouse certification issued by Epic. needs to be obtained within 90 days, and Epic Caboodle Data Model certification issued by Epic. needs to be obtained within 90 days, and Epic Clarity Administration certification issued by Epic. needs to be obtained within 90 days. Education Required: Bachelor's Degree in Computer Science or related field. Experience Required: Typically requires 2 years of experience in Epic Cogito and/or Business Intelligence tools. Knowledge, Skills & Abilities Required: Demonstrate analytical and logical thinking, creativity, self-reliance, communication skills Work independently or as part of a group and balance multiple priorities while consistently completing complex tasks in a rigorous goal-oriented manner Team player with a positive attitude, strong commitment to customer service and a desire to learn healthcare related systems and business processes. Experience in logical and physical database design Experience with business intelligence and ETL tools Ability to understand and develop complex queries Knowledge of business intelligence tools Knowledge of change control methodology #Remote #LIRemote Preferred remote locations in IL, WI, NC, GA Fully Remote Role from these states: AL, AK, AR, AZ, DE, FL, GA, IA, ID, IL, IN, LA, KS, KY, ME, MI, MO, MS, MT, NC, ND, NE, NH, NM, NV, OH, OK, PA, SC, SD, TN, TX, UT, VA, WI, WV, WY. Due to complex requirements, remote work is NOT permitted for short or long periods in: CA, CO, CT, HI, MA, MD, MN, NJ, NY, OR, RI, VT, WA and working Internationally (this includes working while on vacation). No relocation, No Sponsorship or transfer of visa for this position. Physical Requirements and Working Conditions: Travel outside of workplace is required and thus incumbent is exposed to weather and road conditions. Operates all equipment necessary to perform the job. Exposed to normal office environment. This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties. Our Commitment to You: Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more - so you can live fully at and away from work, including: Compensation Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training Premium pay such as shift, on call, and more based on a teammate's job Incentive pay for select positions Opportunity for annual increases based on performance Benefits and more Paid Time Off programs Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability Flexible Spending Accounts for eligible health care and dependent care expenses Family benefits such as adoption assistance and paid parental leave Defined contribution retirement plans with employer match and other financial wellness programs Educational Assistance Program About Advocate Health Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation's largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.

Department: 10341 Enterprise Revenue Cycle - Revenue Recovery Audit Status: Full time Benefits Eligible: Yes Hours Per Week: 40 Schedule Details/Additional Information: Monday through Friday 8:00am to 5:00pm This is a REMOTE Opportuni Pay Range $40.30 - $60.45 Major Responsibilities: Responsible for training, evaluating and staffing coverage for Revenue Recovery. Performs quality review process audits and staff feedback. Ensures acceptable productivity levels and assigned tasks/appeals are completed Identify process inefficiencies and opportunities for daily workflow improvement and participate in developing new processes with Revenue Recovery Manager. Keeps abreast of current standards, regulations, and issues related to denials and Revenue Recovery including but not limited to, Government and Insurance Payer reimbursement regulations, clinical practices, utilization management, process improvement and health care industry trends via literature, educational offerings, federal register, etc. Maintains an effective working relationship with both internal and external customers. Act as a resource for new payer requirements. Participate in monthly Payer meetings, gathers data and reports issues/discrepancies Monitors and manage daily reports to ensure timely appeals per payer requirements. Investigate and respond to questions from other departments, physicians, payers, and patient related to insurance denials. Perform clinical denial review and appeals as needed based on coverage needed. Ensure personal and staff productivity goals are met or exceeded. Performs human resources responsibilities for staff which includes coaching on performance, completes performance reviews and overall staff morale. Recommends hiring, compensation changes, promotions, corrective action decisions, and terminations. Responsible for understanding and adhering to the organization's Code of Ethical Conduct and for ensuring that personal actions, and the actions of employees supervised, comply with the policies, regulations and laws applicable to the organization's business. Licensure: Nurse, Registered (RN) Education/Experience Required: Bachelor's degree in Nursing Knowledge, Skills & Abilities Required: Solid knowledge of third-party health care insurance plans, denials and appeals procedures. Solid knowledge of utilization/denial management and managed care. Knowledge of CMS and other regulatory requirements. Understanding of process improvement. Demonstrated flexibility, teamwork, and system thinking. Proven understanding and analyzing patient bills and medical records. Knowledge of government and nongovernment clinical denial and appeal procedures Excellent relationship building skills. Excellent written and verbal skills. Physical Requirements and Working Conditions: This position requires travel, therefore, will be exposed to weather and road conditions. Operates all equipment necessary to perform the job. Exposed to a normal office environment. Our Commitment to You: Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more - so you can live fully at and away from work, including: Compensation Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training Premium pay such as shift, on call, and more based on a teammate's job Incentive pay for select positions Opportunity for annual increases based on performance Benefits and more Paid Time Off programs Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability Flexible Spending Accounts for eligible health care and dependent care expenses Family benefits such as adoption assistance and paid parental leave Defined contribution retirement plans with employer match and other financial wellness programs Educational Assistance Program About Advocate Health Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation's largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.

La Clinica de Familia (LCDF) is a FQHC with several locations in Southern New Mexico. For over 40 years, La Clinica as provided services to the residents of Southern New Mexico. Our mission statement definitely speaks to what La Clinica de Familia stands for, which is to empower and enrich families, individuals, and communities by providing quality medical, dental, behavioral health and educational service for people of all cultures. Non - Exempt Up to $22.00 hr Job Summary: Under the supervision of the Director of Population Health, the Chronic Care Navigator will support chronic care management efforts by providing telephonic and in person support to patients with chronic conditions by identifying barriers to accessing health care, providing social support and health education. The Chronic Care Navigator will serve as a liaison/intermediary between individuals, communities and health and social services to facilitate access to care, improve the quality and cultural responsiveness of service deliver, and address social determinants of health. Work in both clinical and community-based settings, including client's homes. Core Competencies: Experience working with Medicare, Medicaid or Special Needs populations. Ability to connect with people and understand the challenges they face. Ability to use a range of outreach methods to engage individuals and groups in diverse settings. Well connected to the community and resources within the community they will serve. Effective written and verbal communication skills demonstrating respect and cultural awareness during interactions with patients. Ability to travel throughout the assigned region and comfort with conducting home visits. Fluent written and verbal skills in English and Spanish, preferred. Job Requirements: High school plus specialized, short-term training in clinical, medical skills Current, nationally recognized Medical Assistant certification, required Certified Community Health Worker preferred 2+ years of experience in a physician's office, clinical or hospital setting Proficient computer skills to work efficiently with electronic medical records Benefits Health Insurance - PPO Dental Insurance Vision Insurance 401(K) with employer matching Life and AD&D Insurance Short Term Disability Long Term Disability Supplement Life Insurance Paid Time Off (PTO) Holidays (9) Education Reimbursement Cafeteria Plan Employee Assistance Program Travel Reimbursement 44-00-717-02 #INDML

Job DescriptionDescription: We are excited to announce an opening for a Front Office Assistant. As a Front Office Assistant, you will be responsible for providing excellent customer service while welcoming patients to the clinic, answering patient calls, providing referral status, confirming insurance information, and maintaining the doctor's and ancillary services schedules. This role is perfect for someone empathetic, charismatic, and professional. Front Office Assistants also offer exceptional support to our doctors and other staff by assisting in all aspects of the medical office. Are you a natural leader with a welcoming demeanor and a desire to help others? Read on! Key Responsibilities: Manage incoming and outgoing phone calls with a friendly and professional attitude. Schedule appointments for Providers and ancillary services. Maintain patient lobby clean and organized. Greet patients and check them in or out. Verify medical insurance and collect copayments and balances. Record messages that are complete, meaningful, and logged with the correct spelling. Provide referral status to patients and specialist offices. Manage incoming and outgoing medical records. Requirements: High School Diploma (GED) or Equivalent Electronic Medical Records (EMR) Experience - 1 year (EClinicalWorks - Preferred) Required language: English & Spanish. Effective interpersonal relationships and customer service skills Good organizational and time management skills Excellent Verbal and Written communication skills Availability to work Monday through Friday between 8:30 a.m. to 5:30 p.m. About IMA Medical Group: IMA Medical Group is a visionary and dynamic company focused on high-quality primary care services, with doctors and professionals dedicated to the health and well-being of the elderly. With multiple locations throughout Central Florida, we reiterate our commitment to providing quality medical care and an exceptional experience on each visit. That is the peace of mind and convenience that our patients deserve. What We Offer: Low-Cost Health, Dental, and Vision Insurance 401(K) Retirement Plan Voluntary Short & Long-Term Disability Employer-Paid Life Insurance Accrued Paid Time Off, Floating Holidays, and Paid Major Holidays Employee Assistance Program (EAP) How to Apply: ARE YOU READY TO JOIN OUR TEAM? We understand your time is valuable and that is why we have a very quick and easy application process. If you feel that you are right for this position, please fill out our initial 3-minute, mobile-friendly application so that we can review your information. We look forward to meeting you! IMA Medical Group is an Equal Opportunity Employer (EOE) and we comply with all federal, state, and local anti-discrimination laws, regulations, and ordinances. IMA Medical Group participates in E-Verify, as required by the Florida Medicaid program. IMA Medical Group maintains a drug-free workplace in accordance with applicable Federal and State laws.

Job DescriptionDescription: We are excited to announce an opening for a Sr. Community Outreach Specialist in Polk County. As a Sr. Community Outreach Specialist, you will proactively seek out opportunities to meet potential patients and build positive community relationships to build referrals. Provide education and information to seniors (and their families) regarding the services of IMA and how to navigate the process of obtaining home care. Develop and execute a plan for the assigned coverage area, in consultation with the Regional Sales Director, to achieve individual (and organizational growth) goals. Work independently and manage time effectively without close supervision. Establish and maintain cooperative relationships with representatives of the community, consumers, and employees. Complete the entire enrollment packet with the participant and facilitate the site tour. Accurately and timely enter sales information and data into CRM. Presentations at retail locations, senior centers, and any community location promoting our medical doctors and services. Public Speaking with small and/or large groups. Requirements: Responsibilities The Sr. COS proactively seeks out opportunities to meet potential patients and build positive community relationships in order to build referrals. Provide education and information to seniors (and their families) regarding the services of IMA and how to navigate the process of obtaining home care. Develop and execute plan for assigned coverage area, in consultation with Regional Sales Director, to achieve individual (and organizational growth) goals. Work independently and manage time effectively without close supervision. Establish and maintain cooperative relationships with representatives of the community, consumers, and employees. Complete entire enrollment packet with participant and facilitate site tour. Accurate and timely enter sales information and data into CRM. Presentations at retail locations, senior centers, and any community location promoting our medical doctors and services. Public Speaking with small and/or large groups. Requirements High school diploma or equivalent; College degree preferred. Minimum of 2 years sales/marketing experience including working with the public in diverse communities. Excellent customer service skills. Bilingual (Spanish) preferred. Microsoft Office Proficient (Outlook, Word, Excel, and Power Point) Strong CRM skills (Sales Force preferred). Excellent reading and writing skills. Valid Florida license and reliable vehicle. About IMA Medical Group IMA Medical Group is a visionary and dynamic company focused on high-quality primary care services, with doctors and professionals dedicated to the health and well-being of the elderly. With many locations throughout Central Florida, we reiterate our commitment to providing quality medical care and an exceptional experience on each visit. That is the peace of mind and convenience that our patients deserve. What We Offer A welcoming and inclusive work environment Opportunities for professional growth and development Competitive salary and benefits package Health, Dental, and Vision Insurance 401(K) Retirement Plan with Matching Voluntary Short & Long-Term Disability Employer-Paid Life Insurance Paid Time Off, Floating Holidays, and Paid Major Holidays Employee Assistance Program (EAP) How to Apply ARE YOU READY TO JOIN OUR TEAM? We understand your time is valuable and that is why we have a very quick and easy application process. If you feel that you are right for this position, please fill out our initial 3-minute, mobile-friendly application so that we can review your information. We look forward to meeting you! IMA Medical Group is an Equal Opportunity Employer (EOE) and we comply with all federal, state, and local anti-discrimination laws, regulations, and ordinances. IMA Medical Group participates in E-Verify, as required by the Florida Medicaid program. IMA maintains a drug-free workplace in accordance with applicable Federal and State laws. .

Department: 38590 API Milwaukee: Store 1002 - Retail Pharmacy Status: Full time Benefits Eligible: Yes Hours Per Week: 40 Schedule Details/Additional Information: This position will be half time (24-28 hours) on site at 6901 W Edgerton Ave, and floating throughout the district (12-16 hours) Hours on site at Greenfield location (6901 W Edgerton Ave) M-F 8A-9P Sat-Sun 8A-8P Typically will work every 4th weekend on site. Floating schedule varies by location. Shifts are 1st Typically cross trained to work remote dispensing (RD) facilities independently. Pay Range $21.45 - $32.20 Major Responsibilities: Develops competence in dispensing and delivery of medications. This includes developing competence in the department's use of information systems, technology, and automation used for dispensing and storage of medications. Develops competence in preparing non-sterile products following USP, state, and federal recommendations, as required. Develops competence in entering medication orders in the computer system and/or processing medication requests via the computer system. Develops competence in managing phone calls from customers and team members such as nurses, physicians or patients. This includes accurately understanding and interpreting the issue, timely resolution, or timely hand-off to another team member as appropriate. Develops competence in pharmacy procedures and documentation as required, satisfying legal, regulatory, and department requirements of pharmacy practice. Complies with legal, regulatory, accreditation standards. This includes (but is not limited to) controlled substance procedures, USP procedures and DNV requirements. Licensure, Registration, and/or Certification Required: Licensure (IL only): State of Wisconsin (registration): Pharmacy Technician or Pharmacy Technician Student; Certification (CPhT) issued by PTCB or ExCPT within two years of hire, or sooner if required by law. Must sit for the certification exam at least one time within the first year of employment. Patient facing teammates may be required to have three certifications: Immunization, BLS through an entity approved by Advocate Health and non-vaccine injectable to be granted from the state of WI or if from out of state, the program is approved by the accreditation council for pharmacy education (ACPE) or by the WI pharmacy examining board. Education Required: High School Graduate. Experience Required: No experience required. Knowledge, Skills & Abilities Required: Good mathematics skills. Attention to details. Good communication (written and verbal) and interpersonal skills. Basic computer skills. Physical Requirements and Working Conditions: Operates all equipment necessary to perform the job Frequent fine motor motion of hands and wrists to operate keyboard and manipulate syringes Lifts, carries, and/or pushes/pulls various items (bags, boxes, carts, etc.) while utilizing proper technique Will be frequently required to lift to 35 lbs., lift and carry up to 35 lbs. at waist height a reasonable distance, push/pull with 30 lbs. of force Must be able to sit, stand, walk, lift, bend, kneel, climb, twist, crawl and reach above shoulders Must have functional speech, vision, touch, and hearing May be exposed to chemical hazards May be exposed to chemical and hazardous waste as well as blood and body fluids and communicable disease. Therefore, protective clothing and equipment must be worn as necessary. This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties. Our Commitment to You: Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more - so you can live fully at and away from work, including: Compensation Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training Premium pay such as shift, on call, and more based on a teammate's job Incentive pay for select positions Opportunity for annual increases based on performance Benefits and more Paid Time Off programs Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability Flexible Spending Accounts for eligible health care and dependent care expenses Family benefits such as adoption assistance and paid parental leave Defined contribution retirement plans with employer match and other financial wellness programs Educational Assistance Program About Advocate Health Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation's largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.