Additional Information About the Role
BJC is hiring for a Project Manager - Revenue Cycle Management. This person will be responsible for managing a team of 4 people. We are looking for candidates with a broad understanding of the Revenue Cycle. Epic knowledge is preferred. This is a remote position. (applicants must be in MO or IL)
Overview
BJC HealthCare is one of the largest nonprofit health care organizations in the United States, delivering services to residents primarily in the greater St. Louis, southern Illinois and southeast Missouri regions. With net revenues of $6.3 billion and more than 30,000 employees, BJC serves patients and their families in urban, suburban and rural communities through its 14 hospitals and multiple community health locations. Services include inpatient and outpatient care, primary care, community health and wellness, workplace health, home health, community mental health, rehabilitation, long-term care and hospice.
BJC is the largest provider of charity care, unreimbursed care and community benefits in the state of Missouri. BJC and its hospitals and health service organizations provide $785.9 million annually in community benefit. That includes $410.6 million in charity care and other financial assistance to patients to ensure medical care regardless of their ability to pay. In addition, BJC provides additional community benefits through commitments to research, emergency preparedness, regional health care safety net services, health literacy, community outreach and community health programs and regional economic development.
BJC's patients have access to the latest advances in medical science and technology through a formal affiliation between Barnes-Jewish Hospital and St. Louis Children's Hospital with the renowned Washington University School of Medicine, which consistently ranks among the top medical schools in the country.
Preferred Qualifications
Role Purpose
Utilizes project management processes and methodologies to ensure projects are delivered on time, within budget, adhere to high quality standards and meet customer expectations. Responsibilities may include leading an operations team responsible for the ongoing maintenance of business and clinical applications.
Responsibilities
Manages individual(s) including but not limited to: hires, trains, assigns work, manages & evaluates performance, conducts professional development plans. Ensures that the productivity and actions of that group meet/support the overall operational goals of the department as established by department leadership.Leads teams of operational professionals responsible for overseeing application system availability, performance, and enhancements.Consults around the planning and implementation of processes and procedures to achieve cash collection targets, days of credit outstanding and accounts receivable aging goals while maintaining budgeted staffing levels.Implements systems and procedures to insure accurate and timely reimbursements.Assembles project plans and teamwork assignments, directing and monitoring work efforts on a daily basis, identifying resource needs, performing quality review, and escalating issues appropriately.Determines opportunity for operational improvement in patient account functional areas.
Minimum Requirements
Education
Bachelor's Degree
Experience
5-10 years
Supervisor Experience
Preferred Requirements
Licenses & Certifications
Project Management Prof
Benefits and Legal Statement
BJC Total Rewards
At BJC we're committed to providing you and your family with benefits and resources to help you manage your physical, emotional, social and financial well-being.
Comprehensive medical, dental, vison, life insurance, and legal services available first day of the month after hire date
Disability insurance* paid for by BJC
Annual 4% BJC Automatic Retirement Contribution
401(k) plan with BJC match
Tuition Assistance available on first day
BJC Institute for Learning and Development
Health Care and Dependent Care Flexible Spending Accounts
Paid Time Off benefit combines vacation, sick days, holidays and personal time
Adoption assistance
To learn more, go to our Benefits Summary
* Not all benefits apply to all jobs
The above information on this description has been designed to indicate the general nature and level of work performed by employees in this position. It is not designed to contain or be interpreted as an exhaustive list of all responsibilities, duties and qualifications required of employees assigned to this job. Equal Opportunity Employer
All Care Therapies provides speech, occupational, and physical therapy-virtually and in person. With clinics in California, Texas, and Nevada, we support clients of all ages and backgrounds. Our team is made up of passionate clinicians who value flexibility, collaboration, and meaningful care. Whether we're helping a client communicate or supporting recovery after injury, we meet people where they are.
Job Description
We are hiring in all 50 states to provide services for clients in California. We are also offering reimbursement for California licensure!
We are actively seeking part-time Speech Language Pathologists (SLPs) to join our Provider Network. You will have the opportunity to conduct treatment with our diverse client population of children and adults. We deliver skilled speech therapy services and interventions tailored to the unique needs of our clients with receptive and expressive language disorders, fluency, voice, and apraxia of speech.
Responsibilities
Provide remote speech-language therapy services to clients
Conduct online speech-language assessments to determine eligibility for speech services
Develop, coordinate, implement, and monitor an individual's plan of care via teletherapy
Maintain a caseload of kids, adults, and the geriatric population
Keep appropriate and daily documentation
Qualifications
Master's degree in Speech-Language Pathology
Active CA State Speech Language Pathologist License or able to obtain a CA license
Experience in a clinic or school setting or successful clinical interview
Technical proficiency to conduct teletherapy through our all-inclusive platform
Should be comfortable working with children (18 months+)
Bilingual in Spanish required
Location and Hours
This is a 100% remote opportunity, requiring a minimum commitment of 12-29 hours per week for part-time.
Compensation
1099 | Bilingual - $60.00 for 60-minute evaluations and $30.00 for 30-minute therapy sessions.
1099 | Non-Bilingual - $56.00 for 60-minute evaluations and $28.00 for 30-minute therapy sessions.
W2 | $43.00 - $56.00 per hour commensurate with experience, qualifications, and bilingualism.
* Reimbursement for licensure(s) will be paid out after 145 hours of work.
Why Join Us?
Experience the difference of working with a close-knit team of dedicated therapists who value collaboration, mentorship, and shared professional growth.
Competitive compensation that recognizes your expertise
Flexible scheduling that empowers you to maintain work-life balance
A referral bonus program to reward your network
A clear pathway for career advancement through leadership development and internal promotion opportunities
Join us and build a rewarding career in an environment that invests in your success.
Additional Information
All your information will be kept confidential according to EEO guidelines.
All Care Therapies is an equal opportunity employer. All aspects of employment, including the decision to hire, promote, discipline, or discharge, will be based on merit, competence, performance, and business needs. We do not discriminate based on race, color, religion, marital status, age, national origin, ancestry, physical or mental disability, medical condition, pregnancy, genetic information, gender, sexual orientation, gender identity or expression, veteran status, or any other status protected under federal, state, or local law.
$43-56 hourly 3d ago
Quality Analyst - Remote
Maximus 4.3
Springfield, MO jobs
Description & Requirements Maximus is seeking a detail-oriented and experienced Quality Analyst. This role is responsible for conducting quality evaluations of staff performance, supporting calibration sessions, and ensuring alignment with client-defined quality standards. The ideal candidate will demonstrate strong analytical and communication skills, and a commitment to continuous improvement.
*Position is contingent upon contract award*
This is a fully remote role.
Must have the ability to pass a federal background check.
Equipment will be provided but must meet the remote position requirement provided below.
Remote Position Requirements:
- Hardwired internet (ethernet) connection
- Internet download speed of 25mbps and 5mbps (10 preferred) upload or higher required (you can test this by going to ******************
- Private work area and adequate power source
Essential Duties and Responsibilities:
- Conduct internal audits for the quality assurance program to ensure that quality metric requirements of the project are being met.
- Collaborate in developing new procedures and update existing procedures when changes occur.
- Analyze reports on operational performance and provide solutions to identified issues.
- Analyze and develop routine and ad hoc reports on project performance, and research and suggest solutions to identified issues.
- Conduct monitoring activities and audits for quality assurance purposes and to support the effective functioning of the project.
- Analyze quality program data to identify trends and to develop and implement corrective action plans as appropriate.
- Assist with monitoring performance and meeting contractual requirements using system applications.
- Assist in the production and update of staff resource materials including knowledge management system, quick reference guide, matrices, charts, and workflows.
- Assist with staff training for the purpose of achieving and maintaining quality program goals.
- Analyze effectiveness of key initiatives and quality improvement efforts.
- Perform other duties as assigned by management.
• Participate in calibration sessions to ensure consistency and alignment in quality evaluations across the team.
• Utilize AI tools and technologies to support quality assurance activities, data analysis, and reporting.
• Assist the center with taking calls as needed to support operations and maintain service levels.
Minimum Requirements
- Bachelor's degree in relevant field of study and 3+ years of relevant professional experience required, or equivalent combination of education and experience.
• Monitor agent interactions to ensure adherence to quality standards and provide timely, constructive feedback.
• Meet daily, weekly, and monthly monitoring goals by completing required evaluations, delivering timely feedback, and documenting results to support overall quality targets.
• Maintain strong organizational skills to effectively track monitors across different lines of business
• Collaborate in the development and revision of procedures in response to operational changes.
• Analyze operational and quality data to identify trends, gaps, and opportunities for improvement.
• Make recommendations based on data analysis to enhance performance and service delivery.
• Participate in and contribute to calibration sessions to ensure consistency in quality evaluations.
• Assist in training initiatives aimed at improving agent performance and overall quality scores.
• Support the creation and maintenance of staff resource materials, including guides, workflows, and reference documents.
• Utilize AI tools and technologies to enhance quality assurance processes, reporting, and decision-making.
• Take calls as needed to support center operations and maintain service levels.
• Participate in pilots and provide feedback from a quality assurance perspective to help inform improvements to quality metrics.
• Perform other duties as assigned by management.
EEO Statement
Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Annual salary is just one component of Maximus's total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards. Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off. Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience. An applicant's salary history will not be used in determining compensation. Maximus will comply with regulatory minimum wage rates and exempt salary thresholds in all instances.
Accommodations
Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at **************************.
Minimum Salary
$
50,000.00
Maximum Salary
$
61,000.00
$52k-74k yearly est. Easy Apply 9d ago
Scheduling Representative - West Region
Specialtycare 4.1
Nevada, MO jobs
Passionate, driven people dedicated to making a difference in healthcare. SpecialtyCare is a leading provider of clinical services to hospitals. We partner with hospitals to drive, sustain, and accelerate high performance. We offer a portfolio of solutions that include neuromonitoring, perfusion, surgical assist, autotransfusion, minimally invasive surgical support, and sterile processing. SpecialtyCare's clinicians focus their efforts to improve operational efficiencies, improve outcomes, and maintain exceptional levels of satisfaction. We compete on results. This position will work a schedule of Monday-Friday 8:30am-5:00pm Pacific Time and is fully remote. Candidates that live in Pacific Time are highly preferred along with surgery scheduling experience.
Job Summary
As a Scheduling Representative you are responsible for for answering calls that come into the department, scheduling cases, and facilitating communications between clinicians and hospital staff.
* Answer calls that come into the communications center and determine appropriate action for follow through while providing excellent customer service
* Schedule appointments accurately for all surgical procedures requiring intraoperative neuromonitoing
* Exhibit professional communication, both written and verbal, when interacting with internal and external customers
* Obtain required patient demographic information, including insurance information, surgical information and case details
* Coordinate, process and respond to all incoming faxes and emails for surgical scheduling including case confirmations.
* Communicate case changes in a timely manner to management and clinical staff
* Other duties as assigned
Requirements
* College degree or vocational school certificate preferred
* Experience with scheduling in a fast-paced environment preferred
* Experience in a medical setting or basic understanding of medical terminology preferred.
* Proficiency with Microsoft Office products
The Successful Candidate:
The successful candidate must bring a high level of ethical, intellectual, professional and personal values that complement the team and company vision. The following competencies are highly valued:
* Strong attention to detail
* Ability to work collaboratively with a wide variety of individuals and personalities, presenting a courteous and helpful demeanor at all times
* Ability to recognize and respond appropriately to urgent/emergent situations including case cancellations and changes as required.
* Likes to work in a fast paced, highly collaborative environment with the ability to meet deadlines
* Lives the SpecialtyCare Values - Integrity,Care, Urgency, and Improvement.
Disclosures:
Pay Estimate: $15.43 - $23.89 / hour (Several factors, such as specific skill set, education level, certifications and years of experience, are considered to determine actual compensation.)
Other compensation: Referral bonus
Benefits: Medical, dental, vision, Rx, telehealth, wellness rewards, FSA, HAS, short-term disability, long-term disability, life insurance, 401k, paid time off, professional development funds, professional membership reimbursement, tuition reimbursement program, adoption assistance, life assistance program, wholesale club membership
Anticipated close date: 2/23/26
SpecialtyCare is an Equal Opportunity and Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.
SC Corp
SC IONM
$15.4-23.9 hourly 20d ago
Scheduling Specialist Remote after training
Radiology Partners 4.3
Chesterfield, MO jobs
RAYUS now offers DailyPay! Work today, get paid today!
RAYUS Radiology is looking for a Scheduling Specialist to join our team. We are challenging the status quo by shining light on radiology and making it a critical first step in diagnosis and proper treatment. Come join us and shine brighter together! As a Scheduling Specialist, you will be responsible for providing services to patients and referring professionals by answering phones, managing faxes and scheduling appointments. This is a full-time position working 9:00AM - 5:30PM CST Mon-Fri, Rotating Saturday 7am-1pm CST.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
(85%) Scheduling Activities
Answers phones and handles calls in a professional and timely manner
Maintains positive interactions at all times with patients, referring offices and team members
Schedules patient examinations according to existing company policy
Ensures all appropriate personal, financial and insurance information is obtained and recorded accurately
Ensures all patient data is entered into information systems completely and accurately
Ensures patients are advised of financial responsibilities, appropriate clothing, preparation kits, transportation and/or eating prior to appointment
Communicates to technologists any scheduling changes in order to ensure highest level of patient satisfaction
Maintains an up-to-date and accurate database on all current and potential referring physicians
Handles overflow calls for other centers within market to ensure uninterrupted exam scheduling for referring offices
Provides back up coverage for front office team members as requested by supervisor (i.e., rest breaks, meal breaks, vacations and sick leave)
Fields 1-800 number calls and routes to appropriate department or associate (St. Louis Park only
(10%) Insurance Activities
Pre-certifies all exams with patient's insurance company as required
Verifies insurance for same day add-ons
Uses knowledge of insurance carriers (example Medicare) and procedures that require waivers to obtain authorization if needed prior to appointment
(5%) Other Tasks and Projects as Assigned
$33k-39k yearly est. 3h ago
Care Advisor - Remote
Sharecare 4.4
Jefferson City, MO jobs
Sharecare is a digital healthcare company that delivers software and tech-enabled services to stakeholders across the healthcare ecosystem to help improve care quality, drive better outcomes, and lower costs. Through its data-driven AI insights, evidence-based resources, and comprehensive platform - including benefits navigation, care management, home care resources, health information management, and more - Sharecare helps people easily and efficiently manage their healthcare and improve their well-being. Across its three business channels, Sharecare enables health plan sponsors, health systems and physician practices, and leading pharmaceutical brands to drive personalized and value-based care at scale. To learn more, visit ***************** .
**Job Summary:**
CareLinx is looking for a Care Advisor to assist with CareLinx's Payer Operations line of business. CareLinx is a healthcare technology platform that connects families with non-medical, in-home caregivers, and Care Advisors provide support and guidance to families during the caregiver search, interview, and hire process. Once a caregiver match is made, the Care Advisor will follow closely to ensure satisfaction and assist if the member's needs change. This support includes searching for viable caregiver candidates, setting up interviews, helping with the completion of the hiring process, and caregiver retention. You will be a liaison, maintaining relationships with caregivers and providing ongoing support to ensure that members have an exceptional experience while working with their caregivers.
As a Care Advisor, you are the expert for members and families about all things CareLinx-related. You need to love interacting with people and be committed to providing stellar customer service and empathetic guidance for members during their in-home care journey. You should also be a team player and be willing to learn about CareLinx's health plan partners. If you think there's alignment with the description above, CareLinx may be the place for you.
**Location:** This role is remote, except for candidates located in the Mesa, AZ area. Those based near our Mesa office will be required to work on-site five days per week.
**Job Type:** Full-Time, Hourly
**Essential Job Functions:**
+ Assume responsibility for guiding members on the caregiver search journey through relationship building and exceptional communication in a call center environment.
+ Provide ongoing support after the caregiver hire to maintain the relationship with the family and caregiver and ensure overall satisfaction
+ Document accurate and complete notes of all family and caregiver interactions in CareLinx's EHR system
+ Work collaboratively and professionally with other team members and teams within CareLinx
+ Exhibit excellent verbal and written communication skills via phone, email, and text
**Specific Skills/ Attributes:**
+ Effective time management skills and high attention to detail
+ Excellent verbal and written communication skills
+ Superior organization and multitasking capabilities
+ Goal-driven, problem solver
+ Professional, confident, outgoing demeanor
+ Experience working with Microsoft Office Suite
+ Ability to maintain strict confidentiality, and exercise good judgment
+ Care Advisors are expected to meet performance goals set forth per CareLinx guidelines
+ Additional job duties may be assigned on an as-needed basis
**Qualifications:**
+ High school diploma or equivalent, required
+ Military experience is a plus but not required
+ Some college-level coursework, preferred
+ At least one year of experience in a productivity based customer service role, or call center environment or a minimum of 2 years experience in a customer service environment.
+ Previous healthcare experience preferred
Sharecare and its subsidiaries are Equal Opportunity Employers and E-Verify users. Qualified applicants will receive consideration for employment without regard to race, color, sex, national origin, sexual orientation, gender identity, religion, age, equal pay, disability, genetic information, protected veteran status, or other status protected under applicable law.
Sharecare is an Equal Opportunity Employer and doesn't discriminate on the basis of race, color, sex, national origin, sexual orientation, gender identity, religion, age, disability, genetic information, protected veteran status,or other non-merit factor.
$84k-110k yearly est. 14d ago
Sr. Knowledge Analyst - Contact Center Content Specialist (Remote)
Maximus 4.3
Kansas City, MO jobs
Description & Requirements Maximus is looking for a dynamic Senior Knowledge Analyst to serve as the dedicated Contact Center Content Specialist (CCCS). In this pivotal role, you'll collaborate closely with government and internal teams to identify content gaps, drive improvements, and ensure that agents are equipped with clear, effective, and bilingual resources.
*Position is contingent upon contract award*
This is a fully remote role.
Must have the ability to pass a federal background check.
Remote Position Requirements:
- Hardwired internet (ethernet) connection
- Internet download speed of 25mbps and 5mbps (10 preferred) upload or higher required (you can test this by going to ******************
- Private work area and adequate power source
Essential Duties and Responsibilities:
- Build and maintain knowledge base in SharePoint.
- Build document management processes and procedures.
- Assess knowledge base needs, inaccuracies, gaps; work quickly to resolve and make content current.
- Work cross-functionally with internal teams for maximum efficiency and accuracy in documentation content.
- Create hierarchy and ownership structure to sustain knowledge management.
- Empower contributions from key stakeholders to improve the knowledge base.
- Design and implement work flows to manage documentation process.
- Establish standard templates for all documentation for the teams to utilize in document creation.
- Collaborate with and support the Implementation Team to tune and evolve our Knowledge Base.
- Create, promote and apply best practices for writing, style and content in Microsoft style.
- Create training material in support of the Knowledge management process.
- Improve search results by honing and maintaining the knowledge base taxonomy, labels list and ensuring symptoms and subject terms are present in each article.
- Utilize SharePoint knowledge for site management, list creation, workflow creation/modification and document management within SharePoint.
• Coordinate with client content teams, and the Senior Training Manager to identify and address content gaps specific to contact center operations.
• Serve as a bilingual subject matter expert (English and Spanish) for contact center content development.
• Support the creation and refinement of training materials for contact center agents.
• Draft monthly action and improvement reports with recommendations on knowledge content, quality, customer satisfaction, and training materials.
• Represent the contact center perspective in content-related discussions and decisions.
• Work extensively with business partners and SMEs to perform knowledge needs analysis, develop and update training and knowledge resources that meet staff and stakeholder needs and organizational quality standards.
• Manage and develop knowledge articles, chat quick text scripts and email templates.
• Conduct audits of knowledge articles and procedures to ensure accuracy and relevance.
• Identify emerging contact center trends and coordinate content updates to address urgent needs.
• Collaborate with client content teams to create, update, and review contact center-specific content.
• Serve as a subject matter expert for assigned customer agencies.
• Salesforce and SharePoint experience preferred.
• Call center knowledge and experience preferred.
Minimum Requirements
- Bachelor's degree with 5+ years of experience.
- Advanced degree or professional designation preferred.
- Develops solutions to a variety of complex problems.
- Work requires considerable judgment and initiative.
- Exerts some influence on the overall objectives and long-range goals of the organization.
• Developing website content experience
• Self-motivated and able to work independently
EEO Statement
Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Annual salary is just one component of Maximus's total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards. Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off. Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience. An applicant's salary history will not be used in determining compensation. Maximus will comply with regulatory minimum wage rates and exempt salary thresholds in all instances.
Accommodations
Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at **************************.
Minimum Salary
$
65,000.00
Maximum Salary
$
85,200.00
$58k-68k yearly est. Easy Apply 4d ago
Case Builder Auditor - Veterans Evaluation Services
Maximus 4.3
Kansas City, MO jobs
Description & Requirements Maximus is currently hiring for a Case Builder Auditor to join our Veterans Evaluation Services (VES) team. This is a remote opportunity. The Case Builder Auditor is responsible for reviewing Disability Benefits Questionnaires ("DBQs") built by Case Builders on the "Build Team" so that Veterans may be evaluated on behalf of the Department of Veterans Affairs (the "VA"). Auditors are responsible for providing guidance and instructions to Case Builders with questions on VA specific build criteria and also second reviews and audit cases built to ensure builds meet VA specific build criteria for VBA exams. An Auditor works closely with the of Auditors and Builders, as well as with the Case Builder Manager, to maintain a respectful, positive, and high sense of urgency work environment and to make sure the Case Building Department is producing the highest quality exams possible.
Due to contract requirements, only US Citizens or Green Card holders can be considered for this opportunity.
Essential Duties and Responsibilities:
- Enter any missed build information into the software for the doctor to be able to utilize during and after the appointment.
- Ensure providers have the necessary documentation and medical records to properly evaluate Veterans.
- Research medical conditions and new information when necessary in order to assist builders with any case questions during the build process.
- Identify and confirm that all relevant worksheets and diagnostics were added during the build process as requested by the VA.
- Track Case Builder (CB) errors and monitor progress of assigned builders through weekly audit reports and master error log.
- Communicate with CB supervisors when patterns of concern regarding quality and production are identified.
- Communicate with other departments to share relevant information when necessary in order to best complete the case.
- Thoroughly checks over and approves Case Builder's work when in audit, to make sure the build is sufficient.
- Complete audits as assigned by Supervisor or Case Building Management.
- Assists with clarification response (CR) updates when a CB on the build team is out of office.
- Complete one-on-one conferencing with assigned Case Builders to review error trends and provide build feedback with the goal of improving assigned Case Builder quality.
- Responds promptly and appropriately to messages from supervisors, co- workers, and other departments.
Please note upon hire, Veterans Evaluation Services (VES), a Maximus Co. will provide all necessary computer equipment that is to be utilized to fulfill the duties of your role. New hires will not be exempt from using company provided equipment.
Home Office Requirements using Maximus-Provided Equipment:
- Internet speed of 20 mbps or higher required (you can test this by going to ******************
- Connectivity to the internet via either Wi-Fi or Category 5 or 6 ethernet patch cable to home router
- Private work area and adequate power source
- Must currently and permanently reside in the Continental US
In accordance with SCA contract requirements, remote work must be conducted from the location specified at the time of hire. Travel is not permitted, and your are required to remain at your designated home location for all work activities.
Minimum Requirements
- High school graduate or GED required.
- Minimum of 2 years of related experience.
- Minimum of 1 year of Case Building experience, to include high productivity and low error percentage, during time as a Case Builder.
- 2 or more years previous Case Building experience is strongly preferred.
EEO Statement
Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
For positions on this contract, Maximus will pay the prevailing wage rate for the location in which the employee is working, as determined by the Department of Labor. That wage rate will vary depending on locality. An applicant's salary history will not be used in determining compensation.
Accommodations
Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at **************************.
Minimum Salary
$
26.45
Maximum Salary
$
35.35
$29k-38k yearly est. Easy Apply 5d ago
Technical Account Manager
Cardinal Health 4.4
Jefferson City, MO jobs
Cardinal Health Sonexus Access and Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and remain on the therapy they need for a better quality of life. Our diverse expertise in pharma, payer and hub services allows us to deliver best-in-class solutions-driving brand and patient markers of success. We're continuously integrating advanced and emerging technologies to streamline patient onboarding, qualification and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas, Texas, empowering manufacturers to rethink the reach and impact of their products.
**Job Description**
As the leading provider of comprehensive pharmaceutical commercialization services, Sonexus Health empowers pharmaceutical manufacturers by integrating innovative distribution models with patient access, adherence programs and reimbursement services. Patients start therapy faster and stay compliant longer, while manufacturers own their provider relationships and gain actionable, real-time visibility into how, when and why their products are used.
**Position Summary**
Technical Account Management (TAM) is responsible for playing a key/critical role in realizing business value through the application of project management knowledge, skills, tools, and techniques to meet project objectives. The TAM will also use their rich healthcare domain expertise, along with project management and proactive consulting skills, to solve complex technical challenges for some of the largest pharmaceutical manufacturers in the country. To our clients, this individual will be an expert in combining our technology platform and solutions with their programs to provide maximum benefit to their business and patients.
**Role contribution and responsibilities:**
+ Demonstrates advanced knowledge of Cardinal Health and customer industry, including key competitors, terminology, technology, trends, challenges, reimbursement and government regulation; demonstrates working knowledge of how Cardinal Health technical offerings match with a customers' unique business needs
+ Demonstrates knowledge of the project management initiating, planning, executing, monitoring/controlling, and closing processes.
+ Monitors performance and recommends scope, schedule, cost or resource adjustments
+ Connects short-term demands to long-term implications, in alignment with the supporting business case.
+ Prioritizes multiple tasks while meeting deadlines
+ Communicates project status (health, forecast, issues, risks, etc.) to stakeholders in an open and honest fashion.
+ Effectively balances competing project constraints including but not limited to scope, quality, schedule, funding, budget, resources, and risk, to manage project success.
+ Connects project objectives to broader organizational goals.
+ Provides input to contracts, reviews contracts to ensure completeness of scope and appropriate accountability based on role and/or responsibility.
+ Negotiates with stakeholders to obtain the resources necessary for successful project execution.
+ Partners with stakeholders and technologist to implement/automate/operationalize models into day-to-day business decision making.
+ High level of client contact in an Account Management portfolio approach.
**What is expected of you and others at this level**
+ Applies advanced knowledge and understanding of concepts, principles, and technical capabilities to manage a wide variety of projects
+ Participates in the development of policies and procedures to achieve specific goals
+ Recommends new practices, processes, metrics, or models
+ Works on or may lead complex projects of large scope
+ Projects may have significant and long-term impact
+ Provides solutions which may set precedent
+ Independently determines method for completion of new projects
+ Receives guidance on overall project objectives
+ Acts as a mentor to less experienced colleagues
+ Identifies and qualifies opportunities within service portfolio (including but not limited to technology, program design, services expansion, etc....) with existing client and develops plans for introducing new solutions through collaborative relationships
**Accountabilities in this role**
+ Analyze and recommend technical solutions related to new product launches, product discontinuations, vendor integrations, and operational efficiencies among other potential services
+ Acts as single technical liaison for the client
+ Daily interactions with client to assess and advise client needs and requests
+ Analyze client program, needs and propose solutions and options that provide value to client
+ Recommend technical changes/updates/enhancements to current platform and vendor integration landscape to further align with client's strategy and industry advancements.
+ Manage client deliverables, timelines, and artifacts
+ Monitor team backlog and prioritize activities to deliver on time, on budget, on scope
+ Anticipate client needs and proactively make program recommendations to enhance service value
+ Perform necessary project administration, project status, and risk, issue management
_Qualifications_
+ Master's Degree preferred
+ 3-5 years' experience of client relationship management experience at the account management level preferred
+ Prior experience working in a Specialty Pharmaceutical HUB environment, preferred
+ 8+ years' experience in professional services, healthcare, or related field preferred serving in a technical capacity preferred
+ Proficiency in Microsoft Office products preferred
+ Strong oral and written communication skills, with executive facing presentation experience
+ Strong project management skills
+ Proven ability to learn an application of advanced knowledge and understanding of concepts, principles, and technical capabilities to manage a wide variety of projects
+ Travel requirement up to 10%
TRAINING AND WORK SCHEDULES:
+ Your new hire training will take place 8:00am-5:00pm CST, mandatory attendance is required.
+ This position is full-time (40 hours/week).
+ Employees are required to have flexibility to work any of our shift schedules during our normal business hours of Monday-Friday, 7:00am- 7:00pm CST.
REMOTE DETAILS:
+ You will work remotely, full-time. It will require a dedicated, quiet, private, distraction free environment with access to high-speed internet.
+ We will provide you with the computer, technology and equipment needed to successfully perform your job.
+ You will be responsible for providing high-speed internet.
+ Internet requirements include the following:
+ Maintain a secure, high-speed, broadband internet connection (DSL, Cable, or Fiber) at the remote location. Dial-up, satellite, WIFI, Cellular connections are NOT acceptable.
+ Download speed of 15Mbps (megabyte per second)
+ Upload speed of 5Mbps (megabyte per second)
+ Ping Rate Maximum of 30ms (milliseconds)
+ Hardwired to the router
+ Surge protector with Network Line Protection for CAH issued equipment
**Anticipated salary range:** $105,100-$150,100
**Bonus eligible:** Yes
**Benefits:** Cardinal Health offers a wide variety of benefits and programs to support health and well-being.
+ Medical, dental and vision coverage
+ Paid time off plan
+ Health savings account (HSA)
+ 401k savings plan
+ Access to wages before pay day with my FlexPay
+ Flexible spending accounts (FSAs)
+ Short- and long-term disability coverage
+ Work-Life resources
+ Paid parental leave
+ Healthy lifestyle programs
**Application window anticipated to close:** 03/15/2026 *if interested in opportunity, please submit application as soon as possible. The hourly range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity.
_Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply._
_Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal_ _Opportunity/Affirmative_ _Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law._
_To read and review this privacy notice click_ here (***************************************************************************************************************************
$105.1k-150.1k yearly 13d ago
Billing Specialist
Compass Health Network 4.0
Clinton, MO jobs
Job DescriptionDescriptionKeep care moving forward by ensuring every service is accurately supported and billed. is 40 hours weekly. As a Billing Specialist, you'll play an essential role in helping our organization deliver high-quality, accessible care by ensuring timely and accurate billing processes. You'll prepare patient records for billing, submit claims, post payments, and work directly with payers and patients to resolve account questions. This position combines precision and purpose-your attention to detail helps sustain the mission of bringing vital health services to communities across Missouri.
This is a full-time, benefit-eligible position.
Remote position open to Missouri residents only.
This is a great opportunity for someone who enjoys working with data and details, values accuracy and efficiency, and wants to contribute to a mission-based organization that makes a difference in people's lives every day.
Key Responsibilities
Prepare, submit, and follow up on claims to ensure accurate and timely billing.
Post payments, process corrections, and verify insurance coverage and eligibility.
Review aging accounts and take appropriate follow-up actions.
Manage denials and complete appeals as needed.
Maintain current knowledge of payer billing requirements and compliance standards.
Communicate clearly and professionally with payers, patients, and coworkers regarding accounts.
Generate and manage billing reports as needed.
Participate in ongoing training and professional development.
Requirements, Skills, Knowledge and ExpertiseHigh School diploma or GED required
Work Experience/Training/Additional Requirements:
Experience in healthcare receivables preferred
Experience with Microsoft Excel preferred
Valid Missouri driver's license with agency-established minimum automobile coverage required (remote position with occasional travel for trainings and/or meetings)
You'll be a great fit for this role if you:
Take pride in accurate, organized, and timely work.
Enjoy problem-solving and seeing tasks through to completion.
Communicate clearly and professionally in all interactions.
Want to support a mission-driven organization that helps people access the care they need.
$28k-33k yearly est. 7d ago
Intern - AI Solution Engineering (Remote)
Maximus 4.3
Saint Louis, MO jobs
Description & Requirements Maximus is seeking a remote Intern-AI Solution Engineering to help us accelerate the integration of cutting-edge AI technologies including Large Language Models, ModelOps, Rules Engines, and custom neural networks. The successful candidates work will impact production systems and help us achieve our 2026 AI goals.
Please Note: This is a 10-week Internship, 40 hours per week.
Essential Duties and Responsibilities:
- Work on IT assignments of moderate difficulty under the direction of a more senior mentor to build a well-rounded skillset.
- Escalate issues and questions to management, as necessary.
- Participate in group discussions with peers or external groups to solution problems of moderate scope.
- Participate in meetings to gain process knowledge and guidance on assigned projects.
- Read, understand, and perform assignments within prescribed guidelines.
- Approach challenges and create solutions with a critical thinking and customer service mindset.
- Prepare standard reports and presentation materials.
Minimum Requirements
- High school diploma or GED required and 0-2 years of relevant professional experience required, or equivalent combination of education and experience.
Required:
- Familiarity with Python, Probability and Statistics, Calculus and Linear Algebra
Preferred:
- Familiarity with multiple programming languages, Git, API programming and Cloud Infrastructure
EEO Statement
Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Annual salary is just one component of Maximus's total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards. Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off. Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience. An applicant's salary history will not be used in determining compensation. Maximus will comply with regulatory minimum wage rates and exempt salary thresholds in all instances.
Accommodations
Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at **************************.
Minimum Salary
$
25.00
Maximum Salary
$
25.00
$28k-46k yearly est. Easy Apply 7d ago
Medical Coding Auditor
St. Luke's Hospital of Chesterfield Mo 4.6
Chesterfield, MO jobs
Job Posting We are dedicated to providing exceptional care to every patient, every time. * Sign On Bonus Available * St. Luke's Hospital is a value-driven award-winning health system that has been nationally recognized for its unmatched service and quality of patient care. Using talents and resources responsibly, we provide high quality, safe care with compassion, professional excellence, and respect for each other and those we serve. Committed to values of human dignity, compassion, justice, excellence, and stewardship St. Luke's Hospital for over a decade has been recognized for "Outstanding Patient Experience" by HealthGrades.
Position Summary:
Performs data quality reviews on patient records to validate coding appropriateness, missed secondary diagnoses and procedures, and ensures compliance with all coding related regulatory mandates and reporting requirements. Monitors Medicare and other payer bulletins and manuals and reviews the current OIG Work Plans for coding risk areas. Responsible for promoting teamwork with all members of the healthcare team. Performs all duties in a manner consistent with St. Luke's mission and values. This position is 40hrs/week and 100% remote.
Education, Experience, & Licensing Requirements:
Education: Associate degree in Health Services
Experience: 5 years of production coding experience or 5 years coding auditing experience. ICD-10-CM (including coding conventions and guidelines), CPT-4 (including coding conventions and guidelines), HCPCS, NCCI edits, and APC experience. Cerner and 3M/Solventum experience.
Licensure: RHIA, RHIT, or CCS certification
Benefits for a Better You:
* Day one benefits package
* Pension Plan & 401K
* Competitive compensation
* FSA & HSA options
* PTO programs available
* Education Assistance
Why You Belong Here:
You matter. We could not achieve our mission daily without the hands of our team. Our culture and compassion for our patients and team is a distinct reflection of our dynamic workforce. Each team member is focused on being part of something much bigger than themselves. Join our St. Luke's family to be a part of making life better for our patients, their families, and one another.
$44k-65k yearly est. Auto-Apply 60d+ ago
Ancillary Application Analyst
Western Missouri Medical Center 4.3
Warrensburg, MO jobs
SHIFT REQUIREMENTS
80% on-site work.
20% remote work.
The Ancillary Application Analyst must be located within a reasonable distance from the hospital.
PURPOSE STATEMENT
The Ancillary Application Analyst is responsible for application and integration of information technology in the healthcare setting. This position will serve as a liaison between the IT department and operations to align system design with operational processes. This includes data collection, workflow analysis, system configuration, testing, and support. Participates in application deployment and procedure documentation. This position supports ancillary services including but not limited to pharmacy, laboratory, and radiology information systems. This position performs analytical and reporting activities to support the clinical, regulatory, and business functions of a department or division. This position is accountable for generating and preparing reports, performing analysis, tracking, and submitting data, and related activities in a timely and accurate manner.
ESSENTIAL FUNCTIONS
Create project and operational support documentation, which may include requirement documents, process and data flow diagrams, solution design specifications, implementation plans and testing scripts, and reporting of results.
Maintain database information for the facility and/or department personnel on a daily, weekly, and monthly basis. This includes ensuring accessibility of accurate information to department personnel as needed.
Prepare and distribute weekly, monthly, and ad-hoc business object reports in accordance with established guidelines and procedures or as requested.
Assist department staff by performing project-related work, as needed or requested.
Review, analyze and evaluate user needs and documents findings and recommend changes to processes to increase system effectiveness for end users.
Perform all functions according to established policies, procedures, regulatory and accreditation requirements, as well as applicable professional standards.
Provide recognized knowledge of product features, functionality, and utilization of the application software.
Utilize system analysis techniques and procedures, including consulting with users to determine software application and/or system functional specifications.
Design, develop, analyze, test, and train modifications made to software applications based on user design specifications.
Manage stakeholder expectations by analyzing expectations and requirements.
Identify project issues and risks and resolve or escalate as appropriate.
Collaborate effectively with colleagues to complete tasks.
Lead or actively participate in meetings.
Monitor system effectiveness and/or performance to determine if there are any potential problems, report critical findings to peers and/or manager and resolve somewhat complex problems.
Develop and maintain test scripts to reflect proposed workflow solutions.
Review and test changes, interfaces, data conversion, enhancements, and each new release as assigned.
Participate in disaster recovery initiatives.
Support the training team by keeping trainers abreast of new functionality and system changes.
Provide assigned on-site support during go-lives and system upgrades.
Provide 24/7 support when scheduled.
Resolve or triage support calls as applicable.
Requirements
EDUCATION/EXPERIENCE/SKILL REQUIREMENTS
High school diploma/GED or equivalent working knowledge.
Bachelor's degree in nursing, information management, computer science, healthcare administration or equivalent. Master's degree or certification in health informatics preferred.
A background or a strong knowledge of these departments using the respective applications as well as the healthcare organization as a whole.
Two years' Meditech Expanse experience preferred, not required.
Current knowledge of regulatory standards and the impact on business operations.
Obtain and maintain system certifications, if applicable.
Equivalent proven work experience and technical training and some college will be considered.
Experience in the information technology areas, such as personal software packages, generating reports and presenting information in a written or spreadsheet format. SQL or equivalent report writing experience preferred.
Knowledge of commonly used concepts, practices, and procedures within a particular field respective to the system functions.
Excellent oral and written communication skills to effectively interact with internal and external customers and department staff.
Must be self-motivated and have the ability to work within the established policies, procedures, and practices prescribed by the hospital/clinic.
English sufficient to provide and receive instructions/directions.
Ability to follow verbal directions and instructions to perform work.
Ability to organize, prioritize, and manage a variety of tasks and activities in a timely and effective manner.
Must possess strong research and data-gathering abilities, along with the capability to interpret data to develop and implement policies, procedures, or solutions within a healthcare setting.
Proficient with Microsoft Office
PHYSICAL/MENTAL REQUIREMENTS
Must be able to sit and stand, intermittent 8 to 10 hours a day.
Must be able to use standard office equipment, including the telephone and computer keyboard.
Continuously works under pressure of near 100% accuracy while meeting inflexible deadlines.
Continuously utilizes manual/bi-manual dexterity, near vision, speech, and hearing.
Frequently stands, walks, sits and utilizes eye/hand coordination and color definition.
Occasionally reaches above shoulder, regularly required to life and/or carry up to 40 lbs.
Occasionally walks on uneven surfaces.
$66k-83k yearly est. 60d+ ago
Coordinator, Individualized Care
Cardinal Health 4.4
Jefferson City, MO jobs
Cardinal Health Sonexus Access and Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and remain on the therapy they need for a better quality of life. Our diverse expertise in pharma, payer and hub services allows us to deliver best-in-class solutions-driving brand and patient markers of success. We're continuously integrating advanced and emerging technologies to streamline patient onboarding, qualification and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas, Texas, empowering manufacturers to rethink the reach and impact of their products.
**Together, we can get life-changing therapies to patients who need them-faster.**
**_Responsibilities_**
+ Responsible for handling inbound and outbound calls, with ability to determine needs and provide one call resolution
+ Responsible for reporting adverse events within the required timeframe
+ Create and complete accurate referrals and applications and keep updated on policy or procedural changes
+ Investigate and resolve patient/physician inquiries and concerns in a timely manner
+ Enter detailed information into company proprietary software while conversing via telephone
+ Place outbound phone calls for patient follow ups or confirmations
+ Demonstrate superior customer support talents
+ Interact with the patient referral sources to process new applicants
+ Steward patient accounts from initial contact through final approval/denial
+ Prioritize multiple, concurrent assignments and work with a sense of urgency
+ Maintaining quality and providing an empathetic and supportive experience to the patient by controlling the patient conversation, educating the caller as they provide effective and efficient strategies and processes
**_Qualifications_**
+ High School diploma or equivalent, preferred
+ Previous customer service experience, preferred
+ Knowledge of practices and procedures commonly used in a call center or customer service environment, preferred
+ Knowledge of Medicare, Medicaid and Commercially insured payer common practices and policies, preferred
+ Ability to use well-known and company proprietary software for maximum efficiencies, preferred
+ Maintain a high level of productivity, preferred
+ Ability to multitask while conversing, preferred
**_What is expected of you and others at this level_**
+ Applies acquired job skills and company policies and procedures to complete standard tasks
+ Works on routine assignments that require basic problem resolution
+ Refers to policies and past practices for guidance
+ Receives general direction on standard work; receives detailed instruction on new assignments
+ Refers to policies and past practices for guidance
+ Receives general direction on standard work; receives detailed instruction on new assignments
+ Consults with supervisor or senior peers on complex and unusual problems
**TRAINING AND WORK SCHEDULES:** Your new hire training will take place 8:00am-5:00pm CST, mandatory attendance is required.
This position is full-time (40 hours/week). Employees are required to have ability to work the scheduled shift of Monday-Friday, 10:00am- 7:00pm CT.
**REMOTE DETAILS:** You will work remotely, full-time. It will require a dedicated, quiet, private, distraction free environment with access to high-speed internet. We will provide you with the computer, technology and equipment needed to successfully perform your job. You will be responsible for providing high-speed internet. Internet requirements include the following:
+ Maintain a secure, high-speed, broadband internet connection (DSL, Cable, or Fiber) at the remote location. Dial-up, satellite, WIFI, Cellular connections are NOT acceptable.
+ Download speed of 15Mbps (megabyte per second)
+ Upload speed of 5Mbps (megabyte per second)
+ Ping Rate Maximum of 30ms (milliseconds)
+ Hardwired to the router
+ Surge protector with Network Line Protection for CAH issued equipment
**Anticipated hourly range:** $18.10 per hour - $25.80 per hour
**Bonus eligible:** No
**Benefits:** Cardinal Health offers a wide variety of benefits and programs to support health and well-being.
+ Medical, dental and vision coverage
+ Paid time off plan
+ Health savings account (HSA)
+ 401k savings plan
+ Access to wages before pay day with my FlexPay
+ Flexible spending accounts (FSAs)
+ Short- and long-term disability coverage
+ Work-Life resources
+ Paid parental leave
+ Healthy lifestyle programs
**Application window anticipated to close:** 3/22/2026 *if interested in opportunity, please submit application as soon as possible. The hourly range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity.
_Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply._
_Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal_ _Opportunity/Affirmative_ _Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law._
_To read and review this privacy notice click_ here (***************************************************************************************************************************
Description & Requirements The Project Manager-Strategic Workforce Analytics will lead the design, implementation, and continuous improvement of Resource Management (RM) processes and system, primarily leveraging Eightfold and integrated platforms with a goal of establishing Resource Management as a structured, enterprise-wide program. This role primarily supports Strategic Workforce Planning (SWP) but is matrixed to support Learning & Organizational Development (L&OD), HRIS, and Operations, driving a strategic, scalable approach to resource management and workforce analytics.
The position combines program management expertise, technical systems fluency, and analytical capabilities to deliver accurate resource planning, actionable insights, and enable proactive workforce decisions such as redeployment, reskilling, and capacity forecasting.
Essential Duties and Responsibilities:
- Manage system administration and configuration for Eightfold Resource Management, ensuring accurate user access and timely release updates within established guidelines.
- Coordinate integration activities across assigned platforms (e.g., Salesforce, Kantata, HRIS) in partnership with IT and vendors.
- Maintain resource management workflows and monitor data quality, applying compliance standards and established processes.
- Prepare and deliver workforce planning reports and dashboards to support decision-making for assigned business areas.
- Conduct routine audits and maintain compliance dashboards ensuring adherence to organizational policies.
- Onboard and provide guidance to Resource Managers and stakeholders on resource management processes and best practices.
- Facilitate regular workforce planning meetings focused on capacity and resource allocation within assigned business areas.
- Collaborate with Talent Acquisition, Learning & Development, Finance, and Operations teams to execute workforce planning activities aligned with business needs.
- Identify opportunities for process improvement and implement automation solutions within the scope of resource management operations.
- Support departmental initiatives that contribute to workforce planning objectives, ensuring alignment with organizational goals.
-Deliver recurring workforce planning dashboards, forecasts, and skills intelligence - partner with stakeholders on future talent strategies based on data (build, bot, buy, borrow).
-Partner closely with Solution Architects to get timely insights into future talent demands and capabilities.
-Support enterprise initiatives such as reskilling programs, AI accelerator communities, and future workforce readiness.
Minimum Requirements
- Bachelor's degree in relevant field of study and 5+ years of relevant professional experience required, or equivalent combination of education and experience.
-Project Management or consulting experience.
-Hands-on experience with Eightfold or other Talent Intelligence and/or Resource Management platform.
-Proficiency in data visualization tools and advanced analytics platforms
-Strong understanding of data workflows, integrations, and process automation
-Excellent facilitation, communication, and stakeholder engagement skills
-Data & Analytics experience (such as: SQL, Python, Power BI/Tableau, and forecasting models)
-Stakeholder Management & Change Leadership
-Proven ability to balance strategic thinking with operational execution.
Preferred Experience:
-Familiarity with data warehousing concepts and skills-based workforce planning, redeployment, and reskilling frameworks
-Background with enterprise transformation projects
-Workforce planning/resource management experience
-HR Technology Fluency: RM platforms, HRIS, CRM systems
-Experience with skills taxonomies and workforce analytics platforms (Eightfold, OneModel, SAP Analytics Cloud, Anaplan)
-PMP certification, Agile/Scrum methodologies is a plus
#LI-JH1 #maxcorp #HotJobs1223LI #HotJobs1223FB #HotJobs1223X #HotJobs1223TH #TrendingJobs #c0rejobs #HotJobs0113LI #HotJobs0113FB #HotJobs0113X #HotJobs0113TH #HotJobs0121LI #HotJobs0121FB #HotJobs0121X #HotJobs0121TH
EEO Statement
Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Annual salary is just one component of Maximus's total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards. Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off. Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience. An applicant's salary history will not be used in determining compensation. Maximus will comply with regulatory minimum wage rates and exempt salary thresholds in all instances.
Accommodations
Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at **************************.
Minimum Salary
$
90,780.00
Maximum Salary
$
122,820.00
$72k-113k yearly est. Easy Apply 7d ago
Intern - System Engineering (Remote)
Maximus 4.3
Kansas City, MO jobs
Description & Requirements Maximus is seeking a motivated REMOTE Systems Engineering Intern - 10 weeks (40 hours per week). Orientation will start the last week in May of 2026. We're looking for candidates with a strong foundation in technical fundamentals, eager to apply systems thinking, automation, and analytical skills. This internship will introduce you to support real-world engineering solutions while learning from experienced engineers.
Essential Duties and Responsibilities:
- Work on IT assignments of moderate difficulty under the direction of a more senior mentor to build a well-rounded skillset.
- Escalate issues and questions to management, as necessary.
- Participate in group discussions with peers or external groups to solution problems of moderate scope.
- Participate in meetings to gain process knowledge and guidance on assigned projects.
- Read, understand, and perform assignments within prescribed guidelines.
- Approach challenges and create solutions with a critical thinking and customer service mindset.
- Prepare standard reports and presentation materials.
Assist with system documentation (requirements, architecture diagrams, interface definitions)
Support system integration and testing by executing test cases and documenting results
Help analyze system performance, logs, and data to identify issues or trends
Use engineering tools (Jira, Confluence, Git, Excel) to track work and maintain artifacts
Write basic scripts (Python/Bash/PowerShell) to automate tests or data collection
Collaborate with engineers in design reviews, standups, and troubleshooting sessions
Minimum Requirements
- High school diploma or GED required and 0-2 years of relevant professional experience required, or equivalent combination of education and experience.
Systems fundamentals: basic understanding of how software, hardware, networks, and data interact
Technical skills: familiarity with at least one programming or scripting language (Python preferred)
Tools & documentation: experience with Excel/Sheets, Git (basic), and technical documentation
Testing & analysis: ability to follow test procedures, analyze results, and identify anomalies
Problem-solving: logical thinking, curiosity, and willingness to troubleshoot with guidance
Communication & teamwork: clear written/verbal communication and ability to collaborate in team environments
EEO Statement
Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Annual salary is just one component of Maximus's total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards. Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off. Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience. An applicant's salary history will not be used in determining compensation. Maximus will comply with regulatory minimum wage rates and exempt salary thresholds in all instances.
Accommodations
Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at **************************.
Minimum Salary
$
25.00
Maximum Salary
$
25.00
$24k-31k yearly est. Easy Apply 9d ago
Centralized Scheduler - Referrals
St. Francis Medical Center 4.6
Cape Girardeau, MO jobs
Current Saint Francis Colleagues - Please click HERE to login and apply. The Centralized Scheduler is responsible for scheduling surgeries, appointments and procedures at the request of physicians and customers. Responsible for transcribing and scanning all orders and H&P's into the electronic medical record. Responsible for maintaining scheduling related work queues. Responsible for "schegistration" of patients, which includes verification of insurance benefits & eligibility. Responsible for initiating medical necessity checking on surgeries, appointments and/or procedures. Assures the specific needs of department, physician and customers are met. Providing assistance and direction to physicians, their staff and other hospital personnel with whatever needs they may have. Maintains the master physician listing for use by the medical center. Working closely with departments on new procedures and requirements to ensure compliance and proper reimbursement. Lives the Mission, Vision, Values and Philosophy of the department and Saint Francis Medical Center. Constantly works with and maintains restricted or confidential information from many sources within the medical center. Any and all duties as assigned by the Assistant Manager, Manager and/or Director.
JOB DETAILS AND REQUIREMENTS
Type: Full Time (80 hours per 2 week pay period, with benefits)
Typical hours for this position: Monday-Friday 8:00am-4:30pm
Opportunity for remote work after 6 months on-site training
Education:
High School Diploma required
Certification & Licensures:
N/A
Experience:
- One year of experience in a medical environment which included scheduling duties strongly preferred.
- Medical terminology or prior Administrative Partner experience.
- Professional and courteous manners in dealing with customers.
- Appropriate and timely independent judgement.
- Computer experience required.
Saint Francis Healthcare System is committed to a compensation philosophy that aligns to the fiftieth percentile of the marketplace, while also crediting applicable and/or relevant work experience when computing compensation offers for selected candidates. Internal equity is factored into all offers presented to candidates.
Minimum hourly rate: $15.00/hour
A relevant and up to date general benefits description may be found on our website:
**************************************
ADDITIONAL INFORMATION
Saint Francis Healthcare System provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability, sexual orientation, gender identity, or genetics. In addition to federal law requirements, Saint Francis Healthcare System complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.
In compliance with the ADA Amendments Act (ADAAA) should you have a disability and would like to request an accommodation in order to apply for a currently open position with Saint Francis Healthcare System, please call ************ or email us at ***********.
Saint Francis Healthcare System supports the overall health and wellness of our colleagues by discouraging the use of tobacco and nicotine products. If you are selected for a career opportunity with our organization, and are a tobacco or nicotine user, you will be required to complete a tobacco/nicotine cessation program within your first year of employment. This program is free of charge as part of our Employee Assistance Program.
$15 hourly Auto-Apply 9d ago
Sr. Knowledge Analyst - Contact Center Content Specialist (Remote)
Maximus 4.3
Saint Louis, MO jobs
Description & Requirements Maximus is looking for a dynamic Senior Knowledge Analyst to serve as the dedicated Contact Center Content Specialist (CCCS). In this pivotal role, you'll collaborate closely with government and internal teams to identify content gaps, drive improvements, and ensure that agents are equipped with clear, effective, and bilingual resources.
*Position is contingent upon contract award*
This is a fully remote role.
Must have the ability to pass a federal background check.
Remote Position Requirements:
- Hardwired internet (ethernet) connection
- Internet download speed of 25mbps and 5mbps (10 preferred) upload or higher required (you can test this by going to ******************
- Private work area and adequate power source
Essential Duties and Responsibilities:
- Build and maintain knowledge base in SharePoint.
- Build document management processes and procedures.
- Assess knowledge base needs, inaccuracies, gaps; work quickly to resolve and make content current.
- Work cross-functionally with internal teams for maximum efficiency and accuracy in documentation content.
- Create hierarchy and ownership structure to sustain knowledge management.
- Empower contributions from key stakeholders to improve the knowledge base.
- Design and implement work flows to manage documentation process.
- Establish standard templates for all documentation for the teams to utilize in document creation.
- Collaborate with and support the Implementation Team to tune and evolve our Knowledge Base.
- Create, promote and apply best practices for writing, style and content in Microsoft style.
- Create training material in support of the Knowledge management process.
- Improve search results by honing and maintaining the knowledge base taxonomy, labels list and ensuring symptoms and subject terms are present in each article.
- Utilize SharePoint knowledge for site management, list creation, workflow creation/modification and document management within SharePoint.
• Coordinate with client content teams, and the Senior Training Manager to identify and address content gaps specific to contact center operations.
• Serve as a bilingual subject matter expert (English and Spanish) for contact center content development.
• Support the creation and refinement of training materials for contact center agents.
• Draft monthly action and improvement reports with recommendations on knowledge content, quality, customer satisfaction, and training materials.
• Represent the contact center perspective in content-related discussions and decisions.
• Work extensively with business partners and SMEs to perform knowledge needs analysis, develop and update training and knowledge resources that meet staff and stakeholder needs and organizational quality standards.
• Manage and develop knowledge articles, chat quick text scripts and email templates.
• Conduct audits of knowledge articles and procedures to ensure accuracy and relevance.
• Identify emerging contact center trends and coordinate content updates to address urgent needs.
• Collaborate with client content teams to create, update, and review contact center-specific content.
• Serve as a subject matter expert for assigned customer agencies.
• Salesforce and SharePoint experience preferred.
• Call center knowledge and experience preferred.
Minimum Requirements
- Bachelor's degree with 5+ years of experience.
- Advanced degree or professional designation preferred.
- Develops solutions to a variety of complex problems.
- Work requires considerable judgment and initiative.
- Exerts some influence on the overall objectives and long-range goals of the organization.
• Developing website content experience
• Self-motivated and able to work independently
EEO Statement
Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Annual salary is just one component of Maximus's total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards. Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off. Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience. An applicant's salary history will not be used in determining compensation. Maximus will comply with regulatory minimum wage rates and exempt salary thresholds in all instances.
Accommodations
Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at **************************.
Minimum Salary
$
65,000.00
Maximum Salary
$
85,200.00
$58k-68k yearly est. Easy Apply 4d ago
Case Builder Auditor - Veterans Evaluation Services
Maximus 4.3
Springfield, MO jobs
Description & Requirements Maximus is currently hiring for a Case Builder Auditor to join our Veterans Evaluation Services (VES) team. This is a remote opportunity. The Case Builder Auditor is responsible for reviewing Disability Benefits Questionnaires ("DBQs") built by Case Builders on the "Build Team" so that Veterans may be evaluated on behalf of the Department of Veterans Affairs (the "VA"). Auditors are responsible for providing guidance and instructions to Case Builders with questions on VA specific build criteria and also second reviews and audit cases built to ensure builds meet VA specific build criteria for VBA exams. An Auditor works closely with the of Auditors and Builders, as well as with the Case Builder Manager, to maintain a respectful, positive, and high sense of urgency work environment and to make sure the Case Building Department is producing the highest quality exams possible.
Due to contract requirements, only US Citizens or Green Card holders can be considered for this opportunity.
Essential Duties and Responsibilities:
- Enter any missed build information into the software for the doctor to be able to utilize during and after the appointment.
- Ensure providers have the necessary documentation and medical records to properly evaluate Veterans.
- Research medical conditions and new information when necessary in order to assist builders with any case questions during the build process.
- Identify and confirm that all relevant worksheets and diagnostics were added during the build process as requested by the VA.
- Track Case Builder (CB) errors and monitor progress of assigned builders through weekly audit reports and master error log.
- Communicate with CB supervisors when patterns of concern regarding quality and production are identified.
- Communicate with other departments to share relevant information when necessary in order to best complete the case.
- Thoroughly checks over and approves Case Builder's work when in audit, to make sure the build is sufficient.
- Complete audits as assigned by Supervisor or Case Building Management.
- Assists with clarification response (CR) updates when a CB on the build team is out of office.
- Complete one-on-one conferencing with assigned Case Builders to review error trends and provide build feedback with the goal of improving assigned Case Builder quality.
- Responds promptly and appropriately to messages from supervisors, co- workers, and other departments.
Please note upon hire, Veterans Evaluation Services (VES), a Maximus Co. will provide all necessary computer equipment that is to be utilized to fulfill the duties of your role. New hires will not be exempt from using company provided equipment.
Home Office Requirements using Maximus-Provided Equipment:
- Internet speed of 20 mbps or higher required (you can test this by going to ******************
- Connectivity to the internet via either Wi-Fi or Category 5 or 6 ethernet patch cable to home router
- Private work area and adequate power source
- Must currently and permanently reside in the Continental US
In accordance with SCA contract requirements, remote work must be conducted from the location specified at the time of hire. Travel is not permitted, and your are required to remain at your designated home location for all work activities.
Minimum Requirements
- High school graduate or GED required.
- Minimum of 2 years of related experience.
- Minimum of 1 year of Case Building experience, to include high productivity and low error percentage, during time as a Case Builder.
- 2 or more years previous Case Building experience is strongly preferred.
EEO Statement
Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
For positions on this contract, Maximus will pay the prevailing wage rate for the location in which the employee is working, as determined by the Department of Labor. That wage rate will vary depending on locality. An applicant's salary history will not be used in determining compensation.
Accommodations
Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at **************************.
Minimum Salary
$
26.45
Maximum Salary
$
35.35
$27k-37k yearly est. Easy Apply 5d ago
Quality Improvement Advisor - Missouri
Telligen 4.1
Missouri City, MO jobs
As a Quality Improvement Advisor, you will serve as the primary liaison and coach for healthcare facilities within your state, focusing on identifying areas for improving patient care and outcomes, implementing improvement activities and achieving healthcare goals.
This is a remote position but you must live in Missouri to qualify for this position.What you'll do:
Collaborate with health care providers (nursing homes, hospitals, and/or outpatient clinical practices) to identify the need for and drive measurable improvements in patient outcomes.
Partner with local, state, and national organizations to connect providers and patients to relevant initiatives and learning opportunities
Analyze state- and provider-level quality data, facilitate learning collaboratives, and provide technical assistance to facilities as they implement evidence-based practices.
Bring knowledge of state-specific healthcare systems, experience in quality improvement methodologies, and strong relationship-building skills to effectively engage with partners and providers across the healthcare continuum while ensuring alignment with both state and federal healthcare quality objectives.
Required Skills and Experience
Bachelor's degree in public administration, public policy, public health, or a related field, required or equivalent experience (i.e. 10 years healthcare experience, associate's degree with 5+ years' experience, etc.).
Healthcare quality improvement experience required.
In-depth knowledge of the principles of quality improvement practices and methodologies used in nursing home, primary care, and/or hospital settings.
Strong interpersonal and communication skills, with the ability to build productive relationships with C-suite leaders, clinicians, administrators, and other health professionals.
Familiarity with state and federal regulations impacting nursing homes, hospitals, and/or physician practices, including CMS quality measures, value-based payment models, and accreditation standards.
Ability to coach and facilitate improvement activities with providers and partners, providing technical assistance in designated subject matter expertise or setting-specific areas.
Preferred Skills and Experience
Nursing home setting experience
Master's degree in public health, quality improvement science, health informatics, or related field
Licensed RN, LPN, MSW, or CPHQ
Proven experience working with multidisciplinary teams, including physicians and nurses, pharmacists, and administrators
Proven ability to manage project timelines, meet deadlines, and produce detailed written reports
Experience in translating complex data into actionable insights and meaningful narratives for multidisciplinary teams, including clinical and non-clinical audiences
Who We Are: Telligen is one of the most respected population health management organizations in the country. We work with state and federal government programs, as well as employers and health plans offering clinical, analytical, and technical expertise.
Over our 50-year history, health care has evolved - and so have we. What hasn't changed is our deep commitment to those we serve. Our success is built on our ability to adapt, respond to client needs and deliver innovative, mission-driven solutions.
Our business is our people and we're seeking talented individuals who share our passion and are ready to take ownership, make an impact and help shape the future of health.
Are you Ready? We're on a mission to transform lives and economies by improving health. Ownership: As a 100% employee-owned company, our employee-owners drive our business and share in our success.Community: We show up - for our clients, our communities and each other. Being a responsible corporate partner is part of who we are.Ingenuity: We value bold ideas and calculated risks. Innovation thrives when we challenge the status quo and listen to diverse perspectives.Integrity: We foster a respectful, inclusive, and collaborative environment built on trust and excellence. Thank you for your interest in Telligen!Follow us on Twitter, Facebook, and LinkedIn to learn more about our mission-driven culture and stay up to speed.
While we use artificial intelligence tools to enhance our initial screening process, all applications are thoroughly reviewed by our human recruitment team to ensure a fair and comprehensive evaluation of each candidate.
Telligen and our affiliates are Equal Opportunity Employers and E-Verify Participants.
Telligen will not provide sponsorship for this position. If you will require sponsorship for work authorization now or in the future, we cannot consider your application at this time. We will not accept 3rd party solicitations from outside staffing firms.
Telligen is an equal opportunity employer. Qualified applicants will be considered without regard to race, color, religion, creed, sex, sexual orientation, gender identity, marital status, national origin, age, protected veteran status, disability or any other protected class.
Telligen is committed to ensuring that our employment process is open to all individuals, and provides reasonable accommodations to individuals who need assistance during any part of the employment process due to a disability, medical condition, or physical or mental impairment. Reasonable accommodations are considered on a case-by-base basis.
If you need assistance to navigate Telligen's careers website or to apply for a position, please send an email to
[email protected]
We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.