Referral Coordinator
Virginia Beach, VA jobs
City/State Virginia Beach, VA Work Shift First (Days) Provides a direct link between patients, primary care providers, specialty providers, and insurance companies. Coordinates referral process from primary care providers as well as pre-authorization approvals for drugs and other services as ordered by provider.
Medical terminology preferred. Knowledge of Medicare, Medicaid and third party payers. One year of experience with insurance verification/referral processing preferred. Knowledge of EPIC preferred. Proficient in use of computers and excellent organizational skills.
Education
HS Diploma required
Certification/Licensure
None required
Experience
1 year of health insurance experience required.
Keywords: Talroo-Allied Health, Referral Coordinator
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We provide market-competitive compensation packages, inclusive of base pay, incentives, and benefits. The base pay rate for Full Time employment is:$17.31 - $28.85. Additional compensation may be available for this role such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
Benefits: Caring For Your Family and Your Career
• Medical, Dental, Vision plans
• Adoption, Fertility and Surrogacy Reimbursement up to $10,000
• Paid Time Off and Sick Leave
• Paid Parental & Family Caregiver Leave
• Emergency Backup Care
• Long-Term, Short-Term Disability, and Critical Illness plans
• Life Insurance
• 401k/403B with Employer Match
• Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education
• Student Debt Pay Down - $10,000
• Reimbursement for certifications and free access to complete CEUs and professional development
• Pet Insurance
• Legal Resources Plan
• Colleagues may have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met
Sentara Independence provides quality outpatient services to the surrounding community. The facility includes an ambulance-accessible emergency room that is supported by board-certified physicians. Sentara Independence houses state-of-the-art medical equipment and highly-skilled physicians and staff. Sentara Independence is now an extension of the quality services at Sentara Virginia Beach General Hospital including advanced imaging and physical therapy.
Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.
In support of our mission “to improve health every day,” this is a tobacco-free environment.
For positions that are available as remote work, Sentara Health employs associates in the following states:
Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.
Specialty Resource Coordinator
Norfolk, VA jobs
City/State Norfolk, VA Work Shift First (Days) Sentara Medical Group Comprehensive Weight Loss Kempsville Office in Norfolk, VA is looking to hire a Full-Time Specialty Resource Coordinator. Hours:Monday-Friday, 8a - 430p, Dayshift. NO NIGHTS, HOLIDAYS or WEEKENDS!
This is an in-office role.
Overview
As aSpecialty Resource Coordinatorwith Sentara, you will provide independent and high-level support within Specialty Services to physicians and APCs in order to maximize provider efficiency, increase patient satisfaction and maximize patient access. Responsible for coordinating and adjusting resources daily for all practice providers covering all practice offices and hospitals. Must understand the complexity of each specialty and expertise of each provider and coordinate cases and consultations autonomously while accounting for the interdependence of various institutions, including offices and hospitals, requiring provider presence. Must be able to interpret complexity of call schedules across various locations and communicate information among multiple interested parties. Must be able to quickly assimilate and adjust resources. Responsible for making decisions that impact all providers on a given day which impacts provider productivity. Superior time management, analytical and problem-solving skills are required in order to prioritize emergencies in a fast-paced environment.
Education
HS Diploma
Experience
3 years secretarial experience required
Prefer medical office or medical experience, medical terminology comprehension
Prefer scheduling experience
Keywords: Specialty Resource Coordinator, SRC, Allied Health, Medical Office, Talroo-Allied Health
Benefits: Caring For Your Family and Your Career
• Medical, Dental, Vision plans
• Adoption, Fertility and Surrogacy Reimbursement up to $10,000
• Paid Time Off and Sick Leave
• Paid Parental & Family Caregiver Leave
• Emergency Backup Care
• Long-Term, Short-Term Disability, and Critical Illness plans
• Life Insurance
• 401k/403B with Employer Match
• Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education
• Student Debt Pay Down - $10,000
• Reimbursement for certifications and free access to complete CEUs and professional development
•Pet Insurance
•Legal Resources Plan
•Colleagues have the opportunity to earn an annual discretionary bonus ifestablished system and employee eligibility criteria is met.
Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.
In support of our mission “to improve health every day,” this is a tobacco-free environment.
For positions that are available as remote work, Sentara Health employs associates in the following states:
Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.
Assistant Practice Manager
Harrisonburg, VA jobs
City/State Harrisonburg, VA Work Shift First (Days)
This position will cover 2 Sentara locations, our Integrative Medicine team and our East Market team. The locations are about 5 minutes apart and flexibility will be key in this role.
The Assistant Practice Manager supports daily operations within the practice by providing supervision, performing administrative tasks, and managing functions to create an efficient work environment.
Job Description
Acts as lead during Practice Manager's absence . Provides supervision and work assignments to staff based on practice needs. Provides guidance regarding employee relations and staffing issues. Processes time ensures success of practice and management by providing overall support. Manages multip l e projects and performs work assignments as needed.
Education
HS Diploma required
Certification/Licensure
None required
Experience
3 years of clerical experience required
Supervisory experience preferred
Keywords: Talroo - Allied Health, Assistant Practice Manager
Benefits: Caring For Your Family and Your Career
• Medical, Dental, Vision plans
• Adoption, Fertility and Surrogacy Reimbursement up to $10,000
• Paid Time Off and Sick Leave
• Paid Parental & Family Caregiver Leave
• Emergency Backup Care
• Long-Term, Short-Term Disability, and Critical Illness plans
• Life Insurance
• 401k/403B with Employer Match
• Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education
• Student Debt Pay Down - $10,000
• Reimbursement for certifications and free access to complete CEUs and professional development
•Pet Insurance
•Legal Resources Plan
•Colleagues have the opportunity to earn an annual discretionary bonus ifestablished system and employee eligibility criteria is met.
Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.
In support of our mission “to improve health every day,” this is a tobacco-free environment.
For positions that are available as remote work, Sentara Health employs associates in the following states:
Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.
Clinical Exercise Specialist
Virginia jobs
City/State Quinton, VA Work Shift First (Days) Sentara is hiring a Clinical Exercise Specialist I in Quinton, Virginia This is a Full-Time, Day shift opportunity with GREAT Benefits!!! Under the direction and guidance of a licensed clinician, Clinical Exercise Specialist provides quality exercise and health education for patients assuring a safe, pleasant, and professional atmosphere. Administers therapy treatments under the direct supervision of therapists/providers. Provides age appropriate education for Client/participants and caregivers.
Qualifications:
Bachelor's degree in Exercise Science, Health Science, Kinesiology, Athletic Training, Recreational Therapy, Physical Education or Masters in Athletic Training with a concentration in exercise science required.
Benefits:
Sentara offers an attractive array of full benefits, including Paid Time Off, Tuition Reimbursement, Retirement Savings plans, career advancement opportunities, work perks, and more.
Plus, Sentara just added MORE benefits that support your and your family's needs.
Ask about our Student Debt Program!
For more information about our employee benefits click Benefits - Sentara (sentaracareers.com)
Sentara is an integrated, not-for-profit healthcare delivery system with more than 29,000 employees (including 1,375 physicians and advanced practice providers), 12 hospitals in Virginia and Northeastern North Carolina, and the Sentara Health Plans division which serves over 900,000 members.
We are recognized nationally for clinical quality and safety and are strategically focused on innovation and creating an extraordinary healthcare experience for our patients and members.
Join a team with a mission to improve health every day and a vision to be the healthcare choice of the communitieswe serve!
Keywords: Clinical Exercise Specialist, Physical Rehab Therapy, Outpatient, CES, Monster, Talroo-Allied Health
Benefits: Caring For Your Family and Your Career
• Medical, Dental, Vision plans
• Adoption, Fertility and Surrogacy Reimbursement up to $10,000
• Paid Time Off and Sick Leave
• Paid Parental & Family Caregiver Leave
• Emergency Backup Care
• Long-Term, Short-Term Disability, and Critical Illness plans
• Life Insurance
• 401k/403B with Employer Match
• Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education
• Student Debt Pay Down - $10,000
• Reimbursement for certifications and free access to complete CEUs and professional development
•Pet Insurance
•Legal Resources Plan
•Colleagues have the opportunity to earn an annual discretionary bonus ifestablished system and employee eligibility criteria is met.
Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.
In support of our mission “to improve health every day,” this is a tobacco-free environment.
For positions that are available as remote work, Sentara Health employs associates in the following states:
Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.
Health Record & Information Technician I
Norfolk, VA jobs
City/State Norfolk, VA Work Shift Second (Evenings) Full-Time Evenings As a Health Record & Info Tech with Sentara, you will a ccount and prepare all documents for precision scanning into the electronic medical record with strict attention to maintain patient confidentiality guidelines for safeguarding patient medical information. Required to work within many different computer environments to track, scan, identify, validate, and access medical records. You will be responsible for maintaining data and statistics to support activities.
We are looking for an individual who is dependable and reliable. Has critical thinking skills, pays close attention to detail, is team-oriented and works well independently. Excellent customer service skills are a must.
Education Required:
High School Diploma
Experience Required:
One year experience in medical records data
Skills Required:
Critical Thinking, Communication, Active Listening, Mathematics, Monitoring, Reading Comprehension, Speaking and Writing.
K eywords: Customer Service, Data Entry, medical records, Talroo-Allied Health, administrative, health information technology, non-clinical.
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Benefits: Caring For Your Family and Your Career
• Medical, Dental, Vision plans
• Adoption, Fertility and Surrogacy Reimbursement up to $10,000
• Paid Time Off and Sick Leave
• Paid Parental & Family Caregiver Leave
• Emergency Backup Care
• Long-Term, Short-Term Disability, and Critical Illness plans
• Life Insurance
• 401k/403B with Employer Match
• Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education
• Student Debt Pay Down - $10,000
• Reimbursement for certifications and free access to complete CEUs and professional development
• Pet Insurance
• Legal Resources Plan
• Colleagues may have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met
Here at Sentara, we are committed to consistently enhancing our training, advancement tracks, work-life benefits, and more. Our goal is to make you feel more excited to be here every day!
Sentara Norfolk General Hospital , located in Norfolk, VA, is a 525-bed tertiary care facility that is home to the only Level I Adult Trauma Center and burn trauma unit in Hampton Roads, and also serves as the primary teaching hospital for Eastern Virginia Medical School.
In addition to the high-quality heart program at Sentara Heart Hospital, our facility is home to Nightingale Regional Air Ambulance and several other dedicated facilities and specialized services. As a recognized accredited Comprehensive Stroke Center, and Magnet hospital for nursing excellence, our hospital specializes in heart and vascular, neurosciences, neurosurgery, urology, oncology, spine care, advanced imaging, behavioral health, maternity, and women's health, including a state-of-the-art neonatal intensive care unit.
Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.
In support of our mission “to improve health every day,” this is a tobacco-free environment.
For positions that are available as remote work, Sentara Health employs associates in the following states:
Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.
Patient Care Representative
Gordonsville, VA jobs
City/State Zion Crossroads, VA Work Shift First (Days) Responsible for registration process of new and current patients at the site. Completes check-in and check-out functions to include collection of co-pays, scheduling of appointments, and requests for medical records. Answers telephone calls and greets all patients and visitors with a smile.
Must have ability to communicate with insurance carriers and discharge planners in a professional manner. Must be enthusiastic and energetic.
Education
HS Diploma required
Certification/Licensure
None required
Experience
None required
Keywords: Talroo-Allied Health, Patient Care Representative
Benefits: Caring For Your Family and Your Career
• Medical, Dental, Vision plans
• Adoption, Fertility and Surrogacy Reimbursement up to $10,000
• Paid Time Off and Sick Leave
• Paid Parental & Family Caregiver Leave
• Emergency Backup Care
• Long-Term, Short-Term Disability, and Critical Illness plans
• Life Insurance
• 401k/403B with Employer Match
• Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education
• Student Debt Pay Down - $10,000
• Reimbursement for certifications and free access to complete CEUs and professional development
•Pet Insurance
•Legal Resources Plan
•Colleagues have the opportunity to earn an annual discretionary bonus ifestablished system and employee eligibility criteria is met.
Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.
In support of our mission “to improve health every day,” this is a tobacco-free environment.
For positions that are available as remote work, Sentara Health employs associates in the following states:
Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.
Community Health Worker - Sentara Community Care Halifax
South Boston, VA jobs
City/State South Boston, VA Work Shift First (Days) Sentara Medical Group is seeking to hire an individual to join our team as a Community Health Worker-Sentara Community Care Halifax. South Boston, VA (rotation between clinics and mobile bus)
Position Status: Full-time
Hours: Monday through Friday, Dayshift
Night or weekend flexibility is needed for occasional community events.
Overview
Works in collaboration with the Case Manager and other healthcare team members to provide comprehensive and coordinated care. Engages in interventions to improve self-management skills and improve quality of life for patients with chronic and/or complex illness. Provides education and behavior modification strategies and provides social support to patients and families. Acts as a patient advocate and healthcare navigator in assisting with resource allocation and management.
Education
High School Diploma or Equivalent required
Certification/Licensure
Driver's License-Certification-Other/National
Experience
Experience working in a community-based setting preferred
Experience working in community events and organizing events is preferred.
Knowledge of medical terminology is preferred.
Keywords: Talroo-Allied Health, Monster, Community Health Worker, Community Health Care
Benefits: Caring For Your Family and Your Career
• Medical, Dental, Vision plans
• Adoption, Fertility and Surrogacy Reimbursement up to $10,000
• Paid Time Off and Sick Leave
• Paid Parental & Family Caregiver Leave
• Emergency Backup Care
• Long-Term, Short-Term Disability, and Critical Illness plans
• Life Insurance
• 401k/403B with Employer Match
• Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education
• Student Debt Pay Down - $10,000
• Reimbursement for certifications and free access to complete CEUs and professional development
•Pet Insurance
•Legal Resources Plan
•Colleagues have the opportunity to earn an annual discretionary bonus ifestablished system and employee eligibility criteria is met.
Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.
In support of our mission “to improve health every day,” this is a tobacco-free environment.
For positions that are available as remote work, Sentara Health employs associates in the following states:
Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.
EHR Product Demonstration Specialist
Minnetonka, MN jobs
Full-time Description
The role of the EHR Product Demonstration Specialist is to provide dynamic presentations of MEDITECH solutions to prospective and existing customers. The ideal candidate must have superior presentation skills in order to appropriately articulate and highlight the sophistication of MEDITECH's solutions.
As a member of our Sales and Marketing team, your job would involve:
Providing dynamic presentations and demonstrations of MEDITECH healthcare solutions to customers and prospects
Providing a strong narrative in presentations of contemporary healthcare industry initiatives and how MEDITECH solutions address those needs
Reviewing and responding to "Requests for Proposal" (RFPs), along with our sales team
Participating in Development and product management meetings as required to offer front line, field-level perspectives, and input
Requiring an average travel commitment of 50-60 percent anywhere within the United States and Internationally
Representing MEDITECH at industry trade shows.
Requirements
Bachelor's or associate degree preferred and/or 2-3 years applicable work or military experience
Exceptional presentation skills
Exceptional communication skills - written and verbal
High comfort level presenting to and interacting with all levels of management, including C-Suite
Ability to diagnose and remedy common technical issues
Hospital experience (particularly in a clinical area such as Nursing, Pharmacy, Radiology, Lab, etc.) preferred, but not required
3-5 years of experience in Enterprise Health Record industry knowledge and experience preferred, but not required
Previous sales or software experience desired
Passion for healthcare and technology
Strong capacity to actively listen and qualify questions
High degree of professionalism
Knowledge of hospital and healthcare operational processes and requirements to be applied in product presentations
Ability to work and travel independently and as part of a team
Proven ability to set goals and meet deadlines
Exceptional self-management and organizational skills
Ability to work efficiently under pressure
Ability to successfully execute remote presentations
Ability to create, build and deliver customized presentation content
This is a position that involves extensive travel. In order to fulfill that requirement, you must have access to a personal credit card (or the ability to obtain one) to manage initial expenses incurred during business travel. The company provides timely and complete reimbursement for all approved expenses as outlined in our travel reimbursement guidelines.
You may be required to show proof of vaccination when traveling to a customer site unless you have an approved medical or religious exemption.
Hiring salary range: $58,800- $90,000 per year.
Actual salary will be determined based on an individual's skills, experience, education, and other job-related factors permitted by law.
MEDITECH offers competitive employee benefits including but not limited to health, dental, & vision insurance; profit sharing trust and 401(k); tuition reimbursement, generous paid time off, sick days, personal time, and paid holidays.
This is a hybrid role which includes a blend of in-office and remote work as designated by the management team.
In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification form upon hire. MEDITECH will not sponsor applicants for work visas.
Product Documentation Specialist, (Remote)
Minneapolis, MN jobs
Description & Requirements We are seeking a detail-oriented Product Documentation Specialist to create, maintain, and improve internal documentation that supports our teams and operations across US Services. The ideal candidate has strong writing skills, works collaboratively with internal and external stakeholders, and contributes to process improvements through clear, accurate documentation.
NOTE: This position focuses on operational and process documentation, not technical or engineering documentation.
Why Maximus?
- Work/Life Balance Support - Flexibility tailored to your needs!
- • Competitive Compensation - Bonuses based on performance included!
- • Comprehensive Insurance Coverage - Choose from various plans, including Medical, Dental, Vision, Prescription, and partially funded HSA. Additionally, enjoy Life insurance benefits and discounts on Auto, Home, Renter's, and Pet insurance.
- • Future Planning - Prepare for retirement with our 401K Retirement Savings plan and Company Matching.
- •Unlimited Time Off Package - Enjoy UTO, Holidays, and extended sick leave, along with Short and Long Term Disability coverage.
- • Holistic Wellness Support - Access resources for physical, emotional, and financial wellness through our Employee Assistance Program (EAP).
- • Recognition Platform - Acknowledge and appreciate outstanding employee contributions.
- • Tuition Reimbursement - Invest in your ongoing education and development.
- • Employee Perks and Discounts - Additional benefits and discounts exclusively for employees.
- • Maximus Wellness Program and Resources - Access a range of wellness programs and resources tailored to your needs.
- • Professional Development Opportunities-Participate in training programs, workshops, and conferences.
- •Licensures and Certifications-Maximus assumes the expenses associated with renewing licenses and certifications for its employees.
Essential Duties and Responsibilities:
- Collaborate with internal departments on a regular basis to understand business requirements and needs, participate in working sessions and acquire feedback on documentation.
- Perform strategic and ad-hoc data work in support of Product Managers and Product Owners
- Analyze and manage moderately complex business process flows and updates to system process flows and requirements.
- Create and maintain technical documentation / product development & customer education materials
- Create and maintain internal documentation for the Connection Point team included but not limited to job aids and on-boarding materials.
- Work with Product Managers, Product Owners and Product Analysts to ensure accurate documentation is maintained.
- Oversee multiple forms of documentation audits on existing documentation in SharePoint and Confluence.
- Manage and maintain process improvements. This includes but is not limited to collaboration with PM's, PO's and PAs and in some cases other Connection Point departments.
- Create, update, and maintain internal and documentation, including process guides, work instructions, and training materials.
- Collaborate with internal and external stakeholders to gather requirements and ensure documentation accurately reflects processes and procedures.
- Review and improve existing documentation to enhance clarity, usability, and compliance with standards.
- Support process improvement initiatives by documenting changes, workflows, and system updates.
- Utilize document management systems and Microsoft Office tools to organize and distribute documentation effectively.
Minimum Requirements
- Bachelor's Degree or equivalent experience and 3+ Years.
- Preferred SAFe Agile Certification(s).
- Preferred Jira/Confluence experience.
- Preferred learning development / documentation experience.
- Preferred technical writing experience.
- Bachelor's degree in a related field, or an equivalent combination of education and experience.
- 3 years' relevant experience with documentation and supporting process improvement initiatives.
- Strong attention to detail and organizational skills.
- Excellent written communication skills with the ability to create clear, concise, and accurate documentation.
- Experience working collaboratively with internal stakeholders to gather information and develop documentation.
- Familiarity with document management tools and Microsoft Office (Word, Excel, PowerPoint, SharePoint).
- Ability to manage multiple documentation projects simultaneously and meet deadlines.
Preferred Requirements
- Previous experience in product documentation, writing, or business support role.
- Knowledge of process improvement methodologies
Home Office Requirements
- Maximus provides company-issued computer equipment and cell phone
- Reliable high-speed internet service
* Minimum 20 Mpbs download speeds/50 Mpbs for shared internet connectivity
* Minimum 5 Mpbs upload speeds
- Private and secure workspace
#ClinicalServices #LI-Remote
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
$
68,000.00
Maximum Salary
$
75,000.00
Easy ApplyRegistered Nurse Unit Coordinator- Intensive Care Unit
Norfolk, VA jobs
City/State Norfolk, VA Work Shift First (Days) Sentara Leigh Hospital is hiring a Registered Nurse Unit Coordinator for our Intensive Care Unit Full Time (36 hours per week) Demonstrates proficiency in nursing practice for assigned specialty area and provides clinical leadership for the delivery of nursing care in a department. Under the direction of the department manager leads safety and quality initiatives, focuses on and simplifies workflow, and contributes to the development of staff. Increase staff satisfaction and promotes excellent (Gold Standard) customer service.
Department/Position Overview:
Sentara Leigh Hospital Intensive Care Unit, AACN Gold Beacon Award recipient, is comprised of 20 licensed critical care beds and has an average daily census of 18 patients. Staffing ratios vary and can be 1:1 to 1:3 with 1:2 being the usual assignment.
The ICU RN's are required to have a wide array of knowledge, skill and ability to competently and safely provide critical care to our patients. Frequent ongoing education, new skill acquisition and skill validation are provided and supported by an experienced ICU CNS for new and experienced ICU nurses. Newly hired RN's will have between 2-14 weeks of orientation depending on prior experience. Our preceptors are purposely selected for their teaching ability and formally trained to meet the training needs of new staff. Specific attention is provided for new graduate ICU RN's as they participate in our Vizient AACN Nurse Residency Program and AACN's essentials of Critical Care Orientation online education. Experienced RN's are encouraged and supported with educational and financial assistance to achieve critical care certification.
ICU staff are supported by an interdisciplinary care team which in part includes unit based respiratory, physical, speech and occupational therapists. Interpreter, nutrition, palliative, chaplaincy and ethical services are readily available as well. Our ICU has onsite and eICU pulmonary critical care intensivists and their team of physician extenders 24/7. Physician lead, nurse driven interdisciplinary rounds are held daily for continuity of care and to address nursing's concerns or questions. These rounds are made educational and even fun at times by our very engaged intensivist MD's.
Our ICU team welcomes you to come check us out!
Education
Bachelor of Science Nursing- BSN (Required) or MSN (Preferred)
Certification/Licensure
Registered nursing License (Required)
BLS required within 90 days of hire
Experience
Minimum of 18 months relevant nursing experience
Be a part of an excellent healthcare organization that cares about our People, Quality, Patient Safety, Service, and Integrity. Join a team that has a mission to improve health every day and a vision to be the healthcare choice of the communities that we serve!
Keywords: #Indeed, Talroo - Nursing, intensive care unit, ICU, critical care,
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Benefits: Caring For Your Family and Your Career
• Medical, Dental, Vision plans
• Adoption, Fertility and Surrogacy Reimbursement up to $10,000
• Paid Time Off and Sick Leave
• Paid Parental & Family Caregiver Leave
• Emergency Backup Care
• Long-Term, Short-Term Disability, and Critical Illness plans
• Life Insurance
• 401k/403B with Employer Match
• Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education
• Student Debt Pay Down - $10,000
• Reimbursement for certifications and free access to complete CEUs and professional development
• Pet Insurance
• Legal Resources Plan
• Colleagues may have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met
Sentara Leigh Hospital , located in Norfolk, VA, is a 274-bed acute care facility that opened in 1903 and relocated to its present site in 1977. Our hospital completed a renovation in 2016, including two new patient towers, a beautiful atrium, and a multi-story parking garage. Sentara Leigh Hospital includes a dedicated Orthopedic Hospital providing patients access to a full continuum of orthopedic care, from the preoperative phase and surgery to rehabilitation and home care services. Along with being a recognized accredited Primary Stroke Center, and Magnet hospital for nursing excellence, we also specialize in orthopedic and spine care, heart, vascular, maternity care, and general surgery. We are also home to the region's only 24-hour hyperbaric oxygen program that helps speed up the healing of carbon monoxide poisoning, wounds that won't heal, infections in which tissues are starved for oxygen, airborne chemical exposures, and scuba diving accidents.
Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.
In support of our mission “to improve health every day,” this is a tobacco-free environment.
For positions that are available as remote work, Sentara Health employs associates in the following states:
Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.
Client Executive, Large Group
Virginia jobs
City/State
Norfolk, VA
Work Shift
First (Days)
Sentara Health Plans is hiring a Client Executive, Large Group Sales- Remote in South Hampton Roads (Norfolk, VA Beach, Suffolk, Chesapeake, Portsmouth), Peninsula (Newport News., Yorktown and Hampton) or Northeast North Carolina (Moyock, Elizabeth City)!
Status: Full-time, permanent position (40 hours)
Standard working hours: 8am to 5pm EST, M-F
Location: Remote in South Hampton Roads (Norfolk, VA Beach, Suffolk, Chesapeake, Portsmouth), Peninsula (Newport News., Yorktown and Hampton) or Northeast North Carolina (Moyock, Elizabeth City); With travel to 2x a month in 1330 Sentara Park office, plus seasonal client and broker meetings/events
Job responsibilities:
The Client Executive is responsible for retaining profitable business in the Large Group segment (i.e., 151+ eligible employees), using a consultative, strategic sales approach to achieve business objectives on assigned book of business.
Manage complex and extended renewal negotiations for a range of funding arrangements related to an assigned book of business.
Lead the relationship management and strategic development of brokers and consultants representing mutual customers.
Communicate with and present to business strategies and employer level reporting to senior level executives, decision makers and key influencers.
Manage an internal team through day-to-day service and operations as well as annual workflow processes.
Coach and evaluate team performance.
Assist with enrollment meetings, support health fairs and participate in market events representing Sentara Health Plan in a positive and professional manner.
Support strategic profitable growth objectives to include EAP, Clinical and Employer Solutions.
Education:
Bachelor's degree and 2 years related experience required or HS grad and 8 years related experience.
Certification/Licensure:
Must obtain a Life and Health Insurance License within 90 days of hire.
Driver's License - Other/National
Experience:
Related experience includes sales or client services, health insurance industry experience required.
Group Insurance Large Group (151+ eligible employees) experience preferred
Sentara Health Plans provides health plan coverage to close to one million members in Virginia. We offer a full suite of commercial products including employee-owned and employer-sponsored plans, as well as Individual & Family Health Plans, Employee Assistance Programs and plans serving Medicare and Medicaid enrollees.
Our quality provider network features a robust provider network, including specialists, primary care physicians and hospitals.
We offer programs to support members with chronic illnesses, customized wellness programs, and integrated clinical and behavioral health services-all to help our members improve their health.
Our success is supported by a family-friendly culture that encourages community involvement and creates unlimited opportunities for development and growth.
Be a part of an excellent healthcare organization that cares about our People, Quality, Patient Safety, Service, and Integrity. Join a team that has a mission to improve health every day and a vision to be the healthcare choice of the communities that we serve!
To apply, please go to ********************** and use the following as your Keyword Search: JR-90615
#LI-PM1
#Indeed
Talroo - Health Plan
Keywords: Sales, Large Group, Commercial, Broker, Health Plan, Healthcare, MCO, Managed Care, L-HIL or L-LIFEHI, Remote, South Hampton Roads (Norfolk, VA Beach, Suffolk, Chesapeake, Portsmouth), Peninsula (Newport News., Yorktown and Hampton) or Northeast North Carolina (Moyock, Elizabeth City)
Benefits: Caring For Your Family and Your Career• Medical, Dental, Vision plans• Adoption, Fertility and Surrogacy Reimbursement up to $10,000• Paid Time Off and Sick Leave• Paid Parental & Family Caregiver Leave • Emergency Backup Care• Long-Term, Short-Term Disability, and Critical Illness plans• Life Insurance• 401k/403B with Employer Match• Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education• Student Debt Pay Down - $10,000• Reimbursement for certifications and free access to complete CEUs and professional development•Pet Insurance
•Legal Resources Plan
•Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met.
Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.
In support of our mission “to improve health every day,” this is a tobacco-free environment.
For positions that are available as remote work, Sentara Health employs associates in the following states:
Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.
Auto-ApplyCulinary Remote Call Center PRN
Washington, DC jobs
Provides telephonic nutrition services to patients utilizing standardized guidelines. This position interacts with clinical caregivers, patients, and patient's family members to explain the meal process and modify meal selections according to provider orders.
Please note that a video interview through Microsoft Teams will be required as well as potential onsite interviews and meetings.
**Work Schedule**
+ **PRN, on call or as needed**
+ **Remote Position, must be a Utah Resident**
+ **Shift Assignments:** coverage for time off requests & leave requests in the morning, afternoon & evening
+ **Hours of Operation:** Sunday-Saturday 0630 - 1930
+ **Required:** Rotating holidays and weekends
+ **Benefits Eligible: No**
**Essential Functions**
+ Takes patient meal selections and modifies them using system standards to meet provider orders.
+ Checks trays for accuracy during meal assembly.
+ Communicates clearly to both clinical and culinary caregivers.
+ Collects and inputs nutrition screening information
+ May complete calorie count and nutrition analysis as dictated by facility
+ Utilizes a computer to run reports and take orders.
+ Follows standardized practices relating to Nutrition Services (e.g. dining experience, meal delivery and maintaining required stock levels)
+ Performs accurate credit transactions according to system standards and independently resolves basic customer service issues.
**Skills**
+ Nutrition
+ Diet Management
+ Computer Literacy
+ Interpersonal Communication
+ Active Listening
+ Coordinating tasks with others
+ Patient Interactions
+ Attention to detail
**Qualifications**
+ Virtual Screening through Microsoft Teams before application submitted to Hiring Manager
+ **Residential Home address and work from home address must be within the state of Utah**
+ **Immediate access to dedicated, hardwire internet:** 15MBPS per second for download speed, 3MBPS per second for upload speed (no sharing of services)
+ Experience in Food Service, Nutrition Services, or healthcare call center (preferred)
+ Demonstrated ability to work with modified diets (preferred)
+ Demonstrated ability to provide exceptional customer service (preferred)
**Physical Requirements:**
+ Ongoing need for employee to see and read information, labels, monitors, identify equipment and supplies, and be able to assess customer needs.
+ Frequent interactions with customers that require employee to communicate as well as understand spoken information, alarms, needs, and issues quickly and accurately.
+ Manual dexterity of hands and fingers to manipulate complex and delicate equipment with precision and accuracy. This includes frequent computer, phone, and cable set-up and use.
+ Expected to lift and utilize full range of movement to transport, pull, and push equipment. Will also work on hands and knees and bend to set-up, troubleshoot, lift, and carry supplies and equipment. Typically includes items of varying weights, up to and including heavy items.
+ Remain standing for long periods of time to perform work.
+ Tolerate extremes in temperature such as performing work at a grill or in a refrigerator and tolerate exposure to cleaning chemicals.
**Location:**
Vine Street Office Building
**Work City:**
Murray
**Work State:**
Utah
**Scheduled Weekly Hours:**
0
The hourly range for this position is listed below. Actual hourly rate dependent upon experience.
$18.22 - $23.68
We care about your well-being - mind, body, and spirit - which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.
Learn more about our comprehensive benefits package here (***************************************************** .
Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.
At Intermountain Health, we use the artificial intelligence ("AI") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment. Thank you for considering a career with us and experiencing our AI-enhanced recruitment process.
All positions subject to close without notice.
Vice President-Federal Communications and Marketing (Hybrid Remote - McLean, VA / DC Area)
Duluth, MN jobs
Description & Requirements Maximus is seeking a dynamic and experienced Vice President-Federal Communications and Marketing to join our innovative team. The ideal candidate will bridge the gap between technology, business process services and marketing in the Federal Government sector. In this role, you will be responsible for Team Leadership and Change Management in a large organization. The VP-Federal Communications and Marketing will collaborate with cross-functional teams to drive Federal solutions and offerings. If you are a strategic thinker with a passion for technology services and marketing, and if you thrive in a dynamic and collaborative environment, we invite you to apply to the position at Maximus.
This is a hybrid position with the need to go into the office a minimum of 3 days per week and occasionally attend meetings and/or events in the Tyson Corners, VA/ Washington, DC area. This position requires some travel. The selected candidate must live in this geographical area.
Key Areas of Responsibility
- Identify, plan, develop, and oversee differentiated and impactful marketing strategies/materials.
- Developing new programs for customer engagement including integrated marketing programs from concept to execution
- Drive Maximus Federal solutions and offerings.
- Manage digital and social media strategies across the federal market
- Build, manage, and coach a high-performing marketing team.
- Direct and support market research collection, analysis, interpretation of market data for short- and long- term market forecasts and reports.
- Work closely with the growth leaders to align sales and marketing strategies
- Maintain brand standards and ensure compliance across all marketing and communications channels.
- Build long-term relationships with employees, clients, government officials, and stakeholders.
- Serve as a collaborative and senior leader on the Maximus Communication & Marketing Team, helping to align strategy and outcomes across the company.
- Drive the implementation of marketing campaigns that meet business objectives and drive customer engagement.
- Develop relationships with associations, academia and industry partners to drive thought leadership and brand elevation.
This role will develop and oversee the Maximus Federal segment marketing strategy. Responsibilities include building brand visibility in the Federal marketplace, driving customer and partner engagement to support growth goals. This position will be responsible for developing annual marketing plans building strategy, managing the cross functional team and budget and, leveraging partner relationships, driving go-to-market solutions.
Qualifications:
-15+ years of experience in a Federal Marketing and Industry Analysis position including 7+ years managing a team.
-Previous experience at a corporation focused on the Federal sector.
-Bachelor's degree in Marketing, Business, or a related field; technical background and digital marketing are a plus. Additional experience in lieu of degree will be considered.
-MA degree in Marketing, Communication, or similar relevant field, preferred.
-Outstanding communication, presentation, and leadership skills.
-In-depth knowledge of the Federal sector.
-Critical thinker with problem-solving skills.
-Strong interpersonal and communication skills.
Key Competencies include the following: Marketing and Communication Strategies, Team Leadership, Technical Expertise, Cross-Functional Collaboration, Content Development, Sales Enablement, Product and Solutions Positioning and Change 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
$
216,155.00
Maximum Salary
$
292,455.00
Easy ApplyClinical Documentation Improvement Specialist - Part-Time (32 hours per week)
Stillwater, MN jobs
Job Description
Bluestone Physician Services delivers great outcomes by bringing exceptional care to patients living with complex, chronic conditions and disabilities. Our unique, robust model of care goes beyond primary care services - our multidisciplinary care teams collaborate with patients, their families and other healthcare providers to deliver care that is preventative, proactive and tailored to their unique needs.
Using an evidence-based approach focused on quality care management and data-driven medical decisions, Bluestone care teams collaborate to manage patients' chronic conditions, address social determinants of health, manage transitions to and from inpatient settings, provide behavioral health support and more. Under our model of care, Bluestone patients experienced 21% fewer ER visits, 36% fewer hospitalizations and 41% fewer hospital readmissions compared to patients with similar conditions and complexities over the same time period.
Our care teams travel directly to patients who reside in Assisted Living, Memory Care and Group Home communities throughout Minnesota, Wisconsin and Florida and are supported by clinical operations and administrative colleagues who work remotely or at our corporate offices in Stillwater, Minnesota, and Tampa, Florida.
Our success is only possible through the hard work of our employees who bring our core values of Dedication, Excellence, Collaboration and Caring to life every day. Bluestone has been named to the Star Tribune's Top Workplace list for the 13th year in a row! Bluestone also achieved Top Workplace USA 2021-2025! In 2022, Bluestone Accountable Care Organization (ACO) was the best performing ACO in the country as measured by the overall savings per Medicare beneficiary.
Position Overview:
We are seeking a highly motivated and detail-oriented individual to join our team as a Part-Time Clinical Documentation Improvement (CDI) Specialist. The primary responsibility of this role is to conduct thorough patient chart reviews to identify opportunities for providers to capture risk adjustment diagnostic codes accurately. The successful candidate will play a crucial role in ensuring proper documentation to support appropriate and accurate disease capture and documentation by Bluestone providers.
This part-time position offers remote flexibility and the opportunity to make a meaningful impact on documentation accuracy and comprehensive disease capture for Bluestone providers. If you are passionate about improving coding practices and ensuring quality patient care, we encourage you to apply!
Schedule: Part-time (32 hours per week), weekdays during regular business hours, no evenings, weekends or holidays.
Location: This remote role MUST be located in one of the Bluestone Markets (Minnesota, Wisconsin or Florida).
Salary: $29.00 - $37.00 per hour. Salary will be commensurate with experience.
Responsibilities:
Perform comprehensive reviews of patient charts to identify gaps in documentation and opportunities for risk adjustment coding improvement.
Collaborate with Bluestone providers and other clinical staff to educate them on the importance of accurate documentation for risk adjustment purposes.
Provide ongoing training and support to Bluestone providers to enhance their understanding of risk adjustment coding guidelines and documentation requirements.
Offer guidance and feedback to providers to facilitate improved documentation practices and ensure compliance with coding standards.
Act as a resource for clinical staff regarding coding inquiries and documentation best practices.
Maintain accurate records of chart reviews, coding opportunities identified, and outcomes of provider education efforts.
Stay current with updates and changes in risk adjustment coding guidelines and regulations.
Assist in the development and implementation of CDI initiatives to optimize coding accuracy and capture disease burden among Bluestone's patient population
Qualifications:Education/Certification/Experience
Bachelor's degree in Health Information Management, Nursing, or related field.
Certified Risk Adjustment Coder (CRC) certification, Risk Adjustment Coding (RAC) or related risk certification required
Minimum of 2 years of experience in healthcare coding, with a focus on Hierarchical Condition Category (HCC) coding and risk adjustment.
Knowledge/Skills/Abilities
Proficiency in reviewing and analyzing medical records for documentation deficiencies and coding opportunities.
Strong understanding of ICD-10-CM coding guidelines, particularly as they relate to risk adjustment.
Excellent communication skills with the ability to effectively interact with Bluestone providers and clinical staff.
Demonstrated experience in providing education and training to Bluestone professionals.
Detail-oriented with strong analytical and problem-solving skills.
Ability to work independently and manage time effectively in a remote or part-time role.
Knowledge of healthcare compliance regulations and privacy laws.
Demonstrated compatibility with Bluestone's mission and operating philosophies
Demonstrated ability to read, write, speak, and understand the English language
Bluestone Benefits:
Health Insurance
Dental Insurance
Vision Materials Insurance
Company paid Life Insurance
Company paid Short and Long-term Disability
Health Savings Account (with employer contribution)
Flexible Spending Account (FSA)
Retirement plan with 4% matching contributions
Paid holidays for office closures
Twelve days (12 Days) Paid Time Off (PTO)
Company sponsored laptop and computer accessories
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Financial Services Consultant (Hybrid - Virginia)
Richmond, VA jobs
Description & Requirements Maximus is currently hiring Financial Services Consultants to support our U.S. Services team. This is a hybrid position that requires you to work both onsite at our North Chesterfield, VA office and remotely. The Financial Services Consultant will be responsible for supporting state and local government clients through insightful financial analysis and project support.
At Maximus, we offer a wide range of benefits:
* Work/Life Balance Support - Flexibility tailored to your needs!
* Competitive Compensation - Bonuses based on performance included!
* Comprehensive Insurance Coverage - Choose from various plans, including
Medical, Dental, Vision, Prescription, and partially funded HSA. Additionally,
enjoy Life insurance benefits and discounts on Auto, Home, Renter's, and Pet
insurance.
* Future Planning - Prepare for retirement with our 401K Retirement Savings
plan and Company Matching.
* Paid Time Off Package - Enjoy UTO, Holidays, and extended sick leave,
along with Short and Long Term Disability coverage.
* Holistic Wellness Support - Access resources for physical, emotional, and
financial wellness through our Employee Assistance Program (EAP).
* Recognition Platform - Acknowledge and appreciate outstanding employee
contributions.
* Tuition Reimbursement - Invest in your ongoing education and development.
* Employee Perks and Discounts - Additional benefits and discounts
exclusively for employees.
* Maximus Wellness Program and Resources - Access a range of wellness
programs and resources tailored to your needs.
* Professional Development Opportunities: Participate in training programs,
workshops, and conferences.
Essential Duties and Responsibilities:
* Deliver consulting project activities for medium to long-term engagements requiring varied interpersonal and technical skills.
* Maintain technical responsibilities, which include problem identification, implementation, testing, client training, and solution deployment.
* Analyze complex data and identify patterns, recommend actions, and measure outcomes.
* Conduct market research and understand and apply implications of Health and Human market trends.
* Create system functional specifications from business requirements.
* Identify additional product and service opportunities in customer organization.
* Lead and support consulting projects from planning through implementation.
* Analyze complex data to identify trends, develop insights, and recommend solutions.
* Conduct market research and apply findings to client strategies.
* Translate business requirements into functional system specifications.
* Provide client training, support, and solution deployment.
* Collaborate with clients and internal teams to ensure successful project outcomes.
* Identify opportunities for additional products, services, or process improvements.
Minimum Requirements
* Bachelor's degree with 3-5 years of experience consulting within designated function.
* Able to develop solutions to complex problems which require regular use of ingenuity and innovation.
* Bachelor's degree in Business, Information Technology, Data Analytics, or a related field required. Master's degree preferred.
* 3+ years of experience in consulting, data analysis, or solution implementation is preferred
* Strong analytical and problem-solving skills with the ability to interpret complex data sets is preferred.
* Experience with system design, business requirements gathering, and functional documentation is preferred.
* Excellent interpersonal and communication skills, with the ability to build relationships at all organizational levels is preferred.
* Proficiency with analytical and project management tools (e.g., Excel, SQL, Power BI, or similar) is required.
* Demonstrated ability to manage multiple projects and meet deadlines in a fast-paced environment is preferred.
* Must be willing and able to work both onsite at our North Chesterfield, VA offices as well as remotely.
Home Office Requirements:
* Internet speed of 20mbps 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 the home router.
* Must currently and permanently reside in the Continental US.
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 **************************.
Easy ApplySenior Director, Laboratory Services-Norfolk General
Norfolk, VA jobs
City/State
Norfolk, VA
Work Shift
First (Days)
Assumes responsibility and accountability for the success of integrated hospital laboratory operations and shared functions, including Anatomic Pathology, Clinical Pathology, Transfusion Medicine, Point of Care Testing, Regulatory Compliance, quality, and safety across specific geographic regions in Sentara Healthcare.
Education/Experience
Bachelors Level degree in Science or related field (Required)
5 years of Laboratory Leadership (Required)
Responsibilities
Leads, directs, manages high-performance regional teams, and fulfills system lab services strategic goals and objectives within assigned territory.
Contributes to the success of hospitals by integrating performance improvement initiatives with regulatory requirements, while supporting goals and objectives for facilities spanning multiple divisions.
Leads, directs, manages high-performance regional teams, and fulfills system lab services strategic goals and objectives within assigned territory.
.
Benefits: Caring For Your Family and Your Career
• Medical, Dental, Vision plans• Adoption, Fertility and Surrogacy Reimbursement up to $10,000• Paid Time Off and Sick Leave• Paid Parental & Family Caregiver Leave • Emergency Backup Care• Long-Term, Short-Term Disability, and Critical Illness plans• Life Insurance• 401k/403B with Employer Match• Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education• Student Debt Pay Down - $10,000• Reimbursement for certifications and free access to complete CEUs and professional development• Pet Insurance • Legal Resources Plan• Colleagues may have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met Here at Sentara, we are committed to consistently enhancing our training, advancement tracks, work-life benefits, and more. Our goal is to make you feel more excited to be here every day!
Sentara Norfolk General Hospital, located in Norfolk, VA, is a 525-bed tertiary care facility that is home to the only Level I Adult Trauma Center and burn trauma unit in Hampton Roads, and also serves as the primary teaching hospital for Eastern Virginia Medical School.
In addition to the high-quality heart program at Sentara Heart Hospital, our facility is home to Nightingale Regional Air Ambulance and several other dedicated facilities and specialized services. As a recognized accredited Comprehensive Stroke Center, and Magnet hospital for nursing excellence, our hospital specializes in heart and vascular, neurosciences, neurosurgery, urology, oncology, spine care, advanced imaging, behavioral health, maternity, and women's health, including a state-of-the-art neonatal intensive care unit.
Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.
In support of our mission “to improve health every day,” this is a tobacco-free environment.
For positions that are available as remote work, Sentara Health employs associates in the following states:
Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.
Auto-ApplyClient Specialist, Large Group
Virginia Beach, VA jobs
City/State Virginia Beach, VA Work Shift First (Days) Sentara Health Plans is hiring a Client Specialist, Large Group - Remote in South Hampton Roads (Norfolk, VA Beach, Suffolk, Chesapeake, Portsmouth), Peninsula (Newport News., Yorktown and Hampton) or Northeast North Carolina (Moyock, Elizabeth City)!
Status: Full-time, permanent position (40 hours)
Standard working hours: 8am to 5pm EST, M-F
Location: Remote in South Hampton Roads (Norfolk, VA Beach, Suffolk, Chesapeake, Portsmouth), Peninsula (Newport News., Yorktown and Hampton) or Northeast North Carolina (Moyock, Elizabeth City); With travel to 2x a month in 1330 Sentara Park office, plus seasonal client and broker meetings/events
Job responsibilities:
* Support (Sr.) Client Executive in producing and retaining profitable business in the Large Group segment.
* Interact with consultants, brokers, and benefit administrators and Sentara Health Plan's business units to achieve these objectives.
* Conduct group educational meetings with members and prospective members as requested.
* Demonstrate knowledge about health insurance products, basic underwriting principles, reporting and other value-added provisions related to the Large Employer segment.
* Responsible for maintaining the accuracy of prospect and/or customer data, quoting and proposals, plan documents and contracts.
* Also monitors compliance adherence.
* Research and resolve escalated claims issues and benefit interpretation questions.
Education:
* Bachelor's degree OR HS grad and 4 years related experience REQUIRED
Certification/Licensure:
* Must obtain a Life and Health Insurance License within 90 days of hire.
* Driver's License - Other/National
Experience:
* Related years of experience includes Business Acumen, Customer Relation or related field.
* Group Insurance Large Group (151+ eligible employees) experience preferred
Sentara Health Plans provides health plan coverage to close to one million members in Virginia. We offer a full suite of commercial products including employee-owned and employer-sponsored plans, as well as Individual & Family Health Plans, Employee Assistance Programs and plans serving Medicare and Medicaid enrollees.
Our quality provider network features a robust provider network, including specialists, primary care physicians and hospitals.
We offer programs to support members with chronic illnesses, customized wellness programs, and integrated clinical and behavioral health services-all to help our members improve their health.
Our success is supported by a family-friendly culture that encourages community involvement and creates unlimited opportunities for development and growth.
Be a part of an excellent healthcare organization that cares about our People, Quality, Patient Safety, Service, and Integrity. Join a team that has a mission to improve health every day and a vision to be the healthcare choice of the communities that we serve!
To apply, please go to ********************** and use the following as your Keyword Search: JR-90620
#LI-PM1
#Indeed
Talroo - Health Plan
Keywords: Sales, Large Group, Commercial, Broker, Health Plan, Healthcare, MCO, Managed Care, L-HIL or L-LIFEHI, Remote, South Hampton Roads (Norfolk, VA Beach, Suffolk, Chesapeake, Portsmouth), Peninsula (Newport News., Yorktown and Hampton) or Northeast North Carolina (Moyock, Elizabeth City), Specialist
Benefits: Caring For Your Family and Your Career
* Medical, Dental, Vision plans
* Adoption, Fertility and Surrogacy Reimbursement up to $10,000
* Paid Time Off and Sick Leave
* Paid Parental & Family Caregiver Leave
* Emergency Backup Care
* Long-Term, Short-Term Disability, and Critical Illness plans
* Life Insurance
* 401k/403B with Employer Match
* Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education
* Student Debt Pay Down - $10,000
* Reimbursement for certifications and free access to complete CEUs and professional development
* Pet Insurance
* Legal Resources Plan
* Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met.
Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.
In support of our mission "to improve health every day," this is a tobacco-free environment.
For positions that are available as remote work, Sentara Health employs associates in the following states:
Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.
Auto-ApplyRevenue Cycle Net Revenue Manager
Virginia jobs
Inova Health is looking for a dedicated Net Revenue Manager Lead to join their Revenue Cycle - Financial team. This remote role will be full-time day shift from Monday - Friday, 9:00 a.m. - 5:30 p.m.
We are seeking a Revenue Cycle Net Revenue Manager with a strong background in finance and analytics to drive revenue cycle performance and net revenue optimization. The ideal candidate brings advanced Excel skills, proven experience in financial modeling and reporting, and the ability to translate complex data into actionable insights that support strategy, process improvement, and payer contract success.
Inova is consistently ranked a national healthcare leader in safety, quality and patient experience. We are also proud to be consistently recognized as a top employer in both the D.C. metro area and the nation.
Featured Benefits:
Committed to Team Member Health: offering medical, dental and vision coverage, and a robust team member wellness program.
Retirement: Inova matches the first 5% of eligible contributions - starting on your first day.
Tuition and Student Loan Assistance: offering up to $5,250 per year in education assistance and up to $10,000 for student loans.
Mental Health Support: offering all Inova team members, their spouses/partners, and their children 25 mental health coaching or therapy sessions, per person, per year, at no cost.
Work/Life Balance: offering paid time off, paid parental leave, and flexible work schedules
Revenue Cycle Net Revenue Manager Job Responsibilities:
Creates and enforces work standards, quality measures, and process improvements that are consistent with the organization's goals and objectives. Ensures regulatory compliance with Medicare and state authorities, Generally Accepted Accounting Principles and any external governing authority.
Assures claims are reviewed, corrections are identified/made or resolutions are initiated while ensuring all follow-up claims/actions are submitted via the appropriate medium and with all required attachments.
Maintains knowledge of government regulations, payer requirements, UB-04 standards, information system functionality (i.e. Hospital, clearinghouse, payer), hospital policies/procedures and departmental SRGs.
Evaluates the impact of new or upgrades to existing systems/tools while performing testing of system changes, providing technical/operational support during implementation and evaluating the success of new systems/tools.
Ensures timely/accurate billing, collection, posting, servicing, and/or auditing of the $1.5 billion receivable stream.
Ensures follow-up is completed utilizing TRAC work lists, QMS, or other systems/reports according to department policy/procedure, SRG, or industry best practice standards.
Demonstrates a working knowledge of CareMedic systems, DSS electronic billing systems, Syntellect IVR systems, HealthQuest 2000, QMS, and Premis electronic billing systems.
Provides feedback and training to supervisors and staff. Provides resolution for pended (WIP backlog) claims within allowable timeframes (as defined for appropriate deficiency) and/or ensures billed claims receive timely and appropriate follow up based on established protocol or SRG.
Oversees assigned department or functional area to ensure it is performing effectively, which may include but not limited to, hiring and training team members, creating and implementing business strategies, managing performance of team members, and delegating tasks.
Minimum Qualifications:
Experience: Four years of experience in Revenue Cycle, Clinic Operations, Credentialing, Denials Management and/or HB/PB Operation roles; Two years in leadership roles
Education: Bachelors Degree or lesser educational degree with four additional years of experience
Preferred Qualifications:
Bachelor's degree in Accounting, Finance, or related field preferred; advanced degree or certification a plus.
Strong proficiency in Microsoft Excel (advanced formulas, pivot tables, financial modeling, dashboards).
Proven experience in financial analytics, reporting, budgeting/forecasting, and revenue cycle performance metrics (Net Revenue, AR, Denials, Cash).
Demonstrated ability to support managed care contract strategy, including payer trend analysis, financial modeling, and negotiation support.
Skilled in process improvement, workflow streamlining, and ensuring accuracy, timeliness, and completeness of financial data.
Strong communication and presentation skills with experience translating complex data into actionable insights for leadership.
Remote Eligibility: This position is eligible for remote work for candidates residing in the following states - VA, MD, DC, DE, FL, GA, NC, OH, PA, SC, TN, TX, WV
Auto-ApplyProduct Documentation Specialist, (Remote)
Duluth, MN jobs
Description & Requirements We are seeking a detail-oriented Product Documentation Specialist to create, maintain, and improve internal documentation that supports our teams and operations across US Services. The ideal candidate has strong writing skills, works collaboratively with internal and external stakeholders, and contributes to process improvements through clear, accurate documentation.
NOTE: This position focuses on operational and process documentation, not technical or engineering documentation.
Why Maximus?
- Work/Life Balance Support - Flexibility tailored to your needs!
- • Competitive Compensation - Bonuses based on performance included!
- • Comprehensive Insurance Coverage - Choose from various plans, including Medical, Dental, Vision, Prescription, and partially funded HSA. Additionally, enjoy Life insurance benefits and discounts on Auto, Home, Renter's, and Pet insurance.
- • Future Planning - Prepare for retirement with our 401K Retirement Savings plan and Company Matching.
- •Unlimited Time Off Package - Enjoy UTO, Holidays, and extended sick leave, along with Short and Long Term Disability coverage.
- • Holistic Wellness Support - Access resources for physical, emotional, and financial wellness through our Employee Assistance Program (EAP).
- • Recognition Platform - Acknowledge and appreciate outstanding employee contributions.
- • Tuition Reimbursement - Invest in your ongoing education and development.
- • Employee Perks and Discounts - Additional benefits and discounts exclusively for employees.
- • Maximus Wellness Program and Resources - Access a range of wellness programs and resources tailored to your needs.
- • Professional Development Opportunities-Participate in training programs, workshops, and conferences.
- •Licensures and Certifications-Maximus assumes the expenses associated with renewing licenses and certifications for its employees.
Essential Duties and Responsibilities:
- Collaborate with internal departments on a regular basis to understand business requirements and needs, participate in working sessions and acquire feedback on documentation.
- Perform strategic and ad-hoc data work in support of Product Managers and Product Owners
- Analyze and manage moderately complex business process flows and updates to system process flows and requirements.
- Create and maintain technical documentation / product development & customer education materials
- Create and maintain internal documentation for the Connection Point team included but not limited to job aids and on-boarding materials.
- Work with Product Managers, Product Owners and Product Analysts to ensure accurate documentation is maintained.
- Oversee multiple forms of documentation audits on existing documentation in SharePoint and Confluence.
- Manage and maintain process improvements. This includes but is not limited to collaboration with PM's, PO's and PAs and in some cases other Connection Point departments.
- Create, update, and maintain internal and documentation, including process guides, work instructions, and training materials.
- Collaborate with internal and external stakeholders to gather requirements and ensure documentation accurately reflects processes and procedures.
- Review and improve existing documentation to enhance clarity, usability, and compliance with standards.
- Support process improvement initiatives by documenting changes, workflows, and system updates.
- Utilize document management systems and Microsoft Office tools to organize and distribute documentation effectively.
Minimum Requirements
- Bachelor's Degree or equivalent experience and 3+ Years.
- Preferred SAFe Agile Certification(s).
- Preferred Jira/Confluence experience.
- Preferred learning development / documentation experience.
- Preferred technical writing experience.
- Bachelor's degree in a related field, or an equivalent combination of education and experience.
- 3 years' relevant experience with documentation and supporting process improvement initiatives.
- Strong attention to detail and organizational skills.
- Excellent written communication skills with the ability to create clear, concise, and accurate documentation.
- Experience working collaboratively with internal stakeholders to gather information and develop documentation.
- Familiarity with document management tools and Microsoft Office (Word, Excel, PowerPoint, SharePoint).
- Ability to manage multiple documentation projects simultaneously and meet deadlines.
Preferred Requirements
- Previous experience in product documentation, writing, or business support role.
- Knowledge of process improvement methodologies
Home Office Requirements
- Maximus provides company-issued computer equipment and cell phone
- Reliable high-speed internet service
* Minimum 20 Mpbs download speeds/50 Mpbs for shared internet connectivity
* Minimum 5 Mpbs upload speeds
- Private and secure workspace
#ClinicalServices #LI-Remote
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
$
68,000.00
Maximum Salary
$
75,000.00
Easy ApplyScheduling Specialist Remote after training
Saint Louis Park, MN 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
Required:
* High school diploma, or equivalent
* Microsoft Office Suite experience
* Proficient with using computer systems and typing
* Able to handle multi-level phone system with a high volume of calls at one time
Preferred:
* One (1) year customer service experience
* Medical terminology and previous clinical business office experience
* Bilingual
RAYUS is committed to delivering clinical excellence in communities across the U.S., driven by our passion for and superior service to referring providers and patients. RAYUS Radiology is built on our brilliant medicine, brilliant team, brilliant technology and services - all to provide the highest level of patient care possible.
We bring brilliance to health and wellness. Join our team and shine the light on Radiology Services! RAYUS Radiology is an EO Employer/Vets/Disabled.
We offer benefits (based on eligibility) including medical, dental and vision insurance, 401k with company match, life and disability insurance, tuition reimbursement, adoption assistance, pet insurance, PTO and holiday pay and many more! Visit our career page to see them all *******************************
DailyPay implementation is contingent upon initial set-up period.