JOB DESCRIPTIONJob Summary Designs and implements processes and solutions associated with a wide variety of data sets used for data/text mining, analysis, modeling, and predicting to enable informed business decisions. Gains insight into key business problems and deliverables by applying statistical analysis techniques to examine structured and unstructured data from multiple disparate sources. Collaborates across departments and with customers to define requirements and understand business problems. Uses advanced mathematical, statistical, querying, and reporting methods to develop solutions. Develops information tools, algorithms, dashboards, and queries to monitor and improve business performance. Creates solutions from initial concept to fully tested production, and communicates results to a broad range of audiences. Effectively uses current and emerging technologies. KNOWLEDGE/SKILLS/ABILITIES
* Extracts and compiles various sources of information and large data sets from various systems to identify and analyze outliers.
* Sets up process for monitoring, tracking, and trending department data.
* Prepares any state mandated reports and analysis.
* Works with internal, external and enterprise clients as needed to research, develop, and document new standard reports or processes.
* Implements and uses the analytics software and systems to support the departments goals.
JOB QUALIFICATIONS
Required Education
Associate's Degree or equivalent combination of education and experience
Required Experience
1-3 years
Preferred Education
Bachelor's Degree or equivalent combination of education and experience
Preferred Experience
3-5 years
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $80,168 - $116,835 / ANNUAL
* Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
About Us
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
$80.2k-116.8k yearly 9d ago
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Adjudicator, Provider Claims-On the phone
Molina Healthcare 4.4
Molina Healthcare job in Las Cruces, NM
Provides support for provider claims adjudication activities including responding to providers to address claim issues, and researching, investigating and ensuring appropriate resolution of claims. - Provides support for resolution of provider claims issues, including claims paid incorrectly; analyzes systems and collaborates with respective operational areas/provider billing to facilitate resolution.
- Collaborates with the member enrollment, provider information management, benefits configuration and claims processing teams to appropriately address provider claim issues.
- Responds to incoming calls from providers regarding claims inquiries - provides excellent customer service, support and issue resolution; documents all calls and interactions.
- Assists in reviews of state and federal complaints related to claims.
- Collaborates with other internal departments to determine appropriate resolution of claims issues.
- Researches claims tracers, adjustments, and resubmissions of claims.
- Adjudicates or readjudicates high volumes of claims in a timely manner.
- Manages defect reduction by identifying and communicating claims error issues and potential solutions to leadership.
- Meets claims department quality and production standards.
- Supports claims department initiatives to improve overall claims function efficiency.
- Completes basic claims projects as assigned.
**Required Qualifications**
- At least 2 years of experience in a clerical role in a claims, and/or customer service setting, including experience in provider claims investigation/research/resolution/reimbursement methodology analysis within a managed care organization, or equivalent combination of relevant education and experience.
- Research and data analysis skills.
- Organizational skills and attention to detail.
-Time-management skills, and ability to manage simultaneous projects and tasks to meet internal deadlines.
- Customer service experience.
- Effective verbal and written communication skills.
- Microsoft Office suite and applicable software programs proficiency.
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
Pay Range: $21.65 - $38.37 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
$21.7-38.4 hourly 26d ago
Level II - CT Technologist - $34+ per hour
HCA St. David's Healthcare 4.5
El Paso, TX job
HCA St. David's Healthcare is seeking a CT Technologist Level II for a job in El Paso, Texas.
Job Description & Requirements
Specialty: CT Technologist
Discipline: Allied Health Professional
Shift: nights
Employment Type: Staff
Shift: Nights (Rotating Weekends)
Description
Introduction
Last year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a(an) CT Technician II with Del Sol Medical Center you can be a part of an organization that is devoted to giving back!
Benefits
Del Sol Medical Center offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:
Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
Free counseling services and resources for emotional, physical and financial wellbeing
401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
Employee Stock Purchase Plan with 10% off HCA Healthcare stock
Family support through fertility and family building benefits with Progyny and adoption assistance.
Referral services for child, elder and pet care, home and auto repair, event planning and more
Consumer discounts through Abenity and Consumer Discounts
Retirement readiness, rollover assistance services and preferred banking partnerships
Education assistance (tuition, student loan, certification support, dependent scholarships)
Colleague recognition program
Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.
Learn more about Employee Benefits
Note: Eligibility for benefits may vary by location.
Would you like to unlock your potential with a leading healthcare provider dedicated to the growth and development of our colleagues? Join the Del Sol Medical Center family! We will give you the tools and resources you need to succeed in our organization. We are looking for an enthusiastic CT Technician II to help us reach our goals. Unlock your potential!
Job Summary and Qualifications
POSITION SUMMARY:
Under general supervision, operates Cat Scan equipment, positions patients to produce diagnostic radiographs in a safe manner and performs related duties.
POPULATION SERVED:
Core competencies will be assessed primarily on the following patient population(s) served; imaging with and without contrast of cardio-pulmonary, vascular, neuro, GI, GU, GYN, skeletal/muscular conditions and diseases including but not limited to: PVD, CVA/TIA, COPD, CHF, HNP, oncology, etc.
ESSENTIAL FUNCTIONS:
Operates C.T. equipment to make radiographic scans of designated portions of body. Adjusts equipment and patient to correct positions for each examination. Instructs and explains procedures to patients. Selects proper technical factors, on an individual patient basis.
Performs reconstruction and special processing of data. Evaluates completed radiographs/scans for positioning, technique and adequacy of examination.
Closely observes patients, performs first aid, as necessary, confers with physician when requested exams appear at odds with the patient's condition, and generally, maintains an acute awareness of any patient under his/her control.
Performs a variety of clerical tasks to include; pulling jackets, inputting/editing exams, and completion of requisition prior to setting films to be read.
Records and maintains data on magnetic disc, tape, PACS, and logs. Responsible for correct identification of film, including side and radiological factors.
Demonstrates Customer Service/Service Plus principles and behaviors appropriately.
Arranges, attaches or adjusts immobilization and supportive devices to obtain precise position, prevent motion and aid in patient comfort.
Keeps current regarding developments in trends and techniques of diagnostic Cat Scan by reading technical journals, participating in in-service education programs, attending conferences, etc.
Practices sterile techniques and prevents cross contamination. Maintains orderliness and cleanliness, including provision for the contamination free condition of rooms, equipment and personnel.
Adheres to prescribed standards of Radiation Safety; participates in the Quality Improvement and safety programs.
Ensures appropriate recording of hours worked, adhering to hospital policy.
Other duties as assigned.
REQUIRED LICENSURE/CERTIFICATIONS
ARRT(R)certification
Texas Medical Board certification as Medical Radiologic Technologist
Current CPR certification
ARRT(CT) Credential
REQUIRED EDUCATION/EXPERIENCE
High School Graduate or equivalent
Associates degree in Radiologic Technology(preferred).
PREFERRED EDUCATION, LICENSURE, CERTIFICATION, EXPERIENCE, SKILLS,KNOWLEDGEAND ABILITIES
Comprehensive knowledge of anatomy, positioning, radiographic techniques, and radiation protection concepts and techniques.
Knowledge of radiographic physics,
Knowledge of medical terminology.
Ability to determine exposure factors to achieve optimum radiographic images with a minimum exposure to patients.
Ability to examine radiographs for the purpose of evaluation techniques, positions, and other related qualities.
Ability to exercise discretion and good judgment with patients during radiographic procedures.
Ability to position patient and adjust equipment to produce desired radiographic.
Skill in safe and efficient operation of Cat Scan equipment.
Ability to deviate from normal techniques when necessary to develop new and better techniques to keep the department up to date.
Del Sol Medical Center is a full service, acute-care hospital in east El Paso, Texas. We have a Level II trauma designation. This facility has 300+ patient beds. Our range of services include emergency care, cardiac care, women's services, Level III NICU, rehabilitation, a bariatric clinic, and a Minimally Invasive Surgery Center. Del Sol Medical Center is part of Las Palmas Del Sol Healthcare. We are a leading healthcare provider for El Paso and the surrounding region that is part of HCA Healthcare.
HCA Healthcare has been recognized as one of the World's Most Ethical Companies by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.
"There is so much good to do in the world and so many different ways to do it."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder
Be a part of an organization that invests in you! We are reviewing applications for our CT Technician II opening. Qualified candidates will be contacted for interviews. Submit your application and help us raise the bar in patient care!
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
St. David's Healthcare Job ID #1-INFOR-4152659. Posted job title: CT Technician II
$61k-78k yearly est. 2d ago
Lead Offensive Engineer (Hiring Immediately)
McKesson 4.6
El Paso, TX job
McKesson is an impact-driven, Fortune 10 company that touches virtually every aspect of healthcare. We are known for delivering insights, products, and services that make quality care more accessible and affordable. Here, we focus on the health, happiness, and well-being of you and those we serve we care.
What you do at McKesson matters. We foster a culture where you can grow, make an impact, and are empowered to bring new ideas. Together, we thrive as we shape the future of health for patients, our communities, and our people. If you want to be part of tomorrows health today, we want to hear from you.
The Red Team Lead is a critical role in our offensive security team, driving advanced security testing and adversarial simulations to safeguard McKesson against emerging cyber threats.
This position requires a blend of deep technical expertise, strategic vision, and leadership to enhance the organization's security posture.
The Red Team Lead will implement strategic plans and foster a culture of continuous improvement in security practices. The successful candidate will have a robust understanding of applications, networks, operating systems, and offensive techniques, and will actively collaborate with cross-functional teams to enhance security efforts and mentor team members.
Essential Job Duties:
- Lead and executecomplex red team engagements to simulate cyber-attacks on the organization's infrastructure, applications, and data.
- Translate high-level security objectives into actionable offensive security strategies and tactical plans.
- Develop, document, and implementcomprehensive methodologies to identify and report vulnerabilities across all McKesson environments.
- Produce clear, detailed reports that articulate findings, vulnerabilities, andrecommended actions to both technical and non-technical stakeholders.
- Recommend actionable remediation strategiesto mitigate identified vulnerabilities and improve the overall security posture.
- Lead purple team exercisesto integrate red and blue team activities, enhancing overall security effectiveness.
- Foster a collaborative environment,promote knowledge sharing, and mentor team members to build a strong, skilled security team.
-Stay current with emerging threats, tools, and techniques in the security industry, continuously innovating to maintain and enhance McKessons security posture.
-Partner with incident response and other technology groups to strengthen defences through informed remediation strategies.
- Champion an environment of collaboration, open communication, and knowledge sharing, ensuring continuous skill development for both peers and junior team members.
- Embody McKessons core values of iLead and iCare by demonstrating integrity, accountability, empathy, and leadership in all security operations.
Minimum Qualifications
- 8+ years of experiencein Red Teaming, Purple Teaming, Penetration Testing, or offensive tool development; or master's degree in computer science / engineering or related cyber field, and 6-8+ years of progressive experience in offensive security, or a combination of academic and hands-on experience.
Requirements:
- Hands-on keys experiencewith Red Team engagements, including planning, execution, and leadership.
- Deep knowledgeof Red Teaming Methodology, including Recon, Exploitation, Persistence, Lateral Movement, Post Exploitation, and Exfiltration.
Additional Skills and Experience:
Any two or more of these skills are part of the qualifications and requirements:
- Experience with C2 frameworks(e.g., Cobalt Strike, Sliver, Brute Ratel), offensive infrastructure deployment, reverse engineering/malware development, Active Directory exploitation, and lateral movement.
-Proven ability to script and develop custom tools and payloads in languages such as C#, C/C++, Golang, Python, Bash, or PowerShell.
- Proficiency in modifying or creating custom exploits tailored to engagement objectives.
- Demonstrated success in evading detection by industry-leading Endpoint Detection and Response (EDR) solutions.Skilled in clearly explaining the tools and techniques used throughout each phase of an engagement to diverse audiences.
- Excellent written and verbal communication skillsfor documenting and explaining technical details clearly and concisely.
- Capable of evaluating operational security (OPSEC) implications to ensure that chosen strategies, tools, and methods remain effective and covert.
- Excellent organizational skillsfor managing time, tasks, and prioritizing actions to meet business needs.
Nice to Have
- Advanced understandingof Windows or Unix based operating system internals.
- Working knowledgeof cloud platforms (AWS, Azure, GCP), collaboration suites (O365, Google Workspace), and container technologies (Kubernetes, Docker).
- Demonstrated expertisein social engineering and phishing/vishing pretext development, with an understanding of email security technologies and countermeasures.
- Experience conducting physical penetration testingengagements, including covert entry skills, bypassing access controls (e.g., lock-picking, RFID hacking) and alarm systems.
- Experience in threat modelling, threat intelligence, or incident response.
-Contributions to public research, technical white papers, or open-source security tools.
Education Requirements
- Bachelor's degree in computer science, Information Security, Digital Forensics, Cyber Security, or equivalent experience.
Certifications:
- One or more of the following certifications is preferred: CRTO, CRTL, CRTE, OSCE, OSEE, OSWE, GXPN.
We are proud to offer a competitive compensation package at McKesson as part of our Total Rewards. This is determined by several factors, including performance, experience and skills, equity, regular job market evaluations, and geographical markets. The pay range shown below is aligned with McKesson's pay philosophy, and pay will always be compliant with any applicable regulations. In addition to base pay, other compensation, such as an annual bonus or long-term incentive opportunities may be offered. For more information regarding benefits at McKesson, pleaseclick here.
Our Base Pay Range for this position
$144,200 - $240,300
McKesson has become aware of online recruiting-related scams in which individuals who are not affiliated with or authorized by McKesson are using McKessons (or affiliated entities, like CoverMyMeds or RxCrossroads) name in fraudulent emails, job postings or social media messages. In light of these scams, please bear the following in mind:
McKesson Talent Advisors will never solicit money or credit card information in connection with a McKesson job application.
McKesson Talent Advisors do not communicate with candidates via online chatrooms or using email accounts such as Gmail or Hotmail. Note that McKesson does rely on a virtual assistant (Gia) for certain recruiting-related communications with candidates.
McKesson job postings are posted on our career site: careers.mckesson.com.
McKesson is an Equal Opportunity Employer
McKesson provides equal employment opportunities to applicants and employees, without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability, age, genetic information, or any other legally protected category. For additional information on McKessons full Equal Employment Opportunity policies, visit our Equal Employment Opportunity page.
Join us at McKesson!
$144.2k-240.3k yearly 4d ago
Travel ICU/CCU Registered Nurse - $2,299 per week
Healthtrust Workforce Solutions 4.2
Las Cruces, NM job
HealthTrust Workforce Solutions is seeking a travel nurse RN ICU - Intensive Care Unit for a travel nursing job in Las Cruces, New Mexico.
Job Description & Requirements
Specialty: ICU - Intensive Care Unit
Discipline: RN
Duration: 13 weeks
36 hours per week
Shift: 12 hours, nights
Employment Type: Travel
JA3
Facility Department/Cost Center:ICU/CCU
Role (RN, Tech, LPN, PT, etc.): Registered Nurse
Specialty: CCU
Number of Openings: 1
Shift: Varies, see details
Weekly Guaranteed Hours: 36
Weekend Hours: As Needed/Every Other
Call Requirements: As Needed.
Required Certifications: ACLS, BLS, HWC, NIH
Years of Experience: 1+
Float Requirements: As Needed.
• Additional Notes: N/A
$79k-104k yearly est. 2d ago
Patient Service Center Rep II - Days, Sun-Thurs, THOP Memorial
Tenet Healthcare Corporation 4.5
El Paso, TX job
Spanish Bilingual Preferred The Patient Service Center Representative II is responsible for creating a positive patient experience by accurately and efficiently handling the day-to-day operations relating to both Financial Clearance and Scheduling of a patient. This includes adherence to department policies and procedures related to verification of eligibility/benefits, pre-authorization requirements, available payment options, financial counseling and other identified financial clearance related duties in addition to full scheduling duties. Upon occasion, the PSC REP II may be only assigned to complex pre-registration. The PSC REP II is expected to develop a thorough understanding of assigned function(s).
ESSENTIAL DUTIES AND RESPONSIBILITIES
Include the following. Others may be assigned.
Completes both scheduling functions and registration functions with the patient for an upcoming visit during one call:
* Scheduling: Responsible for timely scheduling, provide callers with important information related to their appointment (i.e. Prep information for test, directions, order management etc.)
* Financial Clearance: up to and including verifying patient demographic, insurance information and securing payment of patients financial liability/performing collection efforts
* If assigned to Order Management: verifies order is complete and matches scheduled procedure. Includes indexing and exporting physicians orders to correct account number.
If assigned to complex Pre-Reg:
* Collect and verify required patient demographic and financial data elements, including determining a patient's financial responsibility and securing pre-payment for future services/performing collection efforts
* Create a complete pre-registration account for an upcoming inpatient/surgical admission
* Completes all pre-certification requirements by obtaining authorization from insurer and/or healthcare facility
* Other duties as assigned based on departmental needs
KNOWLEDGE, SKILLS, ABILITIES
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
* Ability to work in a production driven call-center environment
* Familiarity with working with dual computer monitors (may be required to use dual monitors)
* Must have basic typing ability
* Must have working knowledge of Windows based computer environment
* Ability to multitask in multiple systems (financial clearance and scheduling) simultaneously
* Extensive multitasking ability
* Strong written and verbal communication skills
Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings.
EDUCATION / EXPERIENCE
Include minimum education, technical training, and/or experience preferred to perform the job.
* Required: High school diploma or GED
* Preferred: Two plus years of college (two years in a professional, customer service-driven environment may substitute for two years of college), completion of related medical certification program
* Preferred: Telephone/call center experience
* Preferred: Pre-registration and/or scheduling experience
* Preferred: 2-3 years of customer service experience
PHYSICAL DEMANDS
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
* Must be able to work in sitting position, use computer and answer telephone
* Ability to travel
WORK ENVIRONMENT
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
* Office Work Environment
* Hospital Work Environment
TRAVEL
* Approximately 0% travel may be required
As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities, and succeed at the business of healthcare. Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost and access to healthcare. Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step!
Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
Tenet participates in the E-Verify program. Follow the link below for additional information.
E-Verify: *****************************
The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations.
**********
$32k-36k yearly est. 45d ago
Registrar ED Evenings - THOP East Campus
Tenet Healthcare Corporation 4.5
El Paso, TX job
SHIFT: Mon-Fri with rotating weekends 3PM-11:30PM Responsible for duties in support of departmental efficiencies which may include: but not limited to performing scheduling, registration, patient pre-admission and admission, reception and discharge functions. Must obtain complete and accurate patient demographic information. Patient Access representatives also must employ proper, compliant patient liability collection techniques before, during & after date of service.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Include the following. Others may be assigned.
* Greeting patients following Conifer Standards of Care, provides world-class customer service, completes full patient registration at date of service, adheres to financial & cash control policies & procedures, thoroughly explains and secures Hospital & patient legal forms (i.e., Advance Directives, Conditions of services, Consent for treatment, Important Message from Medicare, EMTALA, etc.). Scan Protected Health Information, create and file patient information packets/folders for upcoming Hospital services. May also assist with scheduling diagnostic procedures (enters data in scheduling system, provide customer with appointment instructions, other tasks as needed).
* Educates patients about patient financial liabilities, employs proper, compliant patient liability collection techniques before, during & after date of service, performs Hospital cash reconciliation & secured payment entry in adherence to financial & cash control policies & procedures.
* Secures medical necessity checks/verification in accordance to Centers for Medicare & Medicaid services, verifies insurance, benefits, coverage & eligibility, completes assigned registration financial clearance work lists activities, obtains insurance authorizations for scheduled & unscheduled Hospital services, and secures inpatient visit notification to payors. May also assist with scheduling and coordinating post discharge care for patients.
KNOWLEDGE, SKILLS, ABILITIES
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
* Minimum typing skills of 35 wpm
* Demonstrated working knowledge of PC/CRT/printer
* Knowledge of function and relationships within a hospital environment preferred
* Customer service skills and experience
* Ability to work in a fast paced environment
* Ability to receive and express detailed information through oral and written communications
* Understanding of Third Party Payor requirements preferred
* Understanding of Compliance standards preferred
* Must be able to perform essential job duties in at least two Patient Access service areas including Emergency Department.
* Uses proper negotiation techniques to professionally collect money owed by our Patients/Guarantors.
* Builds and maintains collaborative relationships with both internal and external Clients that lead to more effective communication and a higher level of productivity and accuracy.
* Must be able to appropriately interpret physician orders, medical terminology and insurance cards while maintaining Conifer Standards of Care.
Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings.
EDUCATION / EXPERIENCE
Include minimum education, technical training, and/or experience preferred to perform the job.
* High School Diploma or GED required.
* 0 - 1 year in a Customer Service role.
* 0 - 1 year administrative experience in medical facility, health insurance, or related area preferred
* Some college coursework is preferred
PHYSICAL DEMANDS
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
* Must be able to sit at computer terminal for extended periods of time.
* Resolves Physician's office and Patient issues. May experience extreme patient volumes and uncooperative Patients.
* Occasionally lift/carry items weighing up to 25 lbs.
* Frequent prolonged standing, sitting, and walking.
* Occasionally push a wheelchair to assist patients with mobility problems.
WORK ENVIRONMENT
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
* Hospital administration
* Can work in patient care locations which include potential exposure to life-threatening patient conditions.
OTHER
* Must be available to work hours and days as needed based on departmental/system demands.
Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
Tenet participates in the E-Verify program. Follow the link below for additional information.
E-Verify: *****************************
The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations.
**********
$32k-51k yearly est. 5d ago
TRA El Paso Constant Observer PRN
Tenet Healthcare Corporation 4.5
El Paso, TX job
Preferred Booking Benefits: Weekly Pay 401K with Company Match Referral bonus (TRA Active Employees) Specialty: Patient Care Discipline: Constant Observer Shifts: AM and PM Local Rate: $15.00 Education: Required: High school diploma or GED. Experience:
6 months of hospital experience
CPI Certification
Certifications:
Required: American Heart BLS
Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
Tenet participates in the E-Verify program. Follow the link below for additional information.
E-Verify: *****************************
The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations.
**********
$15 hourly 60d+ ago
Respiratory Therapist - Student Extern
Tenet Healthcare Corporation 4.5
El Paso, TX job
Who We Are We are a community built on care. Our caregivers and supporting staff extend compassion to those in need, helping to improve the health and well-being of those we serve, and provide comfort and healing. Your community is our community. Our Story
We started out as a small operation in California. In May 1969, we acquired four hospitals, some additional care facilities and real estate for the future development of hospitals. Over the years, we've grown tremendously in size, scope and capability, building a home in new markets over time, and curating those homes to provide a compassionate environment for those entrusting us with their care.
We have a rich history at Tenet. There are so many stories of compassionate care; so many 'firsts' in terms of medical innovation; so many examples of enhancing healthcare delivery and shaping a business that is truly centered around patients and community need. Tenet and our predecessors have enabled us to touch many different elements of healthcare and make a difference in the lives of others.
Our Impact Today
Today, we are leading health system and services platform that continues to evolve in lockstep with community need. Tenet's operations include three businesses - our hospitals and physicians, USPI and Conifer Health Solutions.
Our impact spreads far and deep with 65 hospitals and approximately 510 outpatient centers and additional sites of care. We are differentiated by our top notch medical specialists and service lines that are tailored within each community we serve. The work Conifer is doing will help provide the foundation for better health for clients across the country, through the delivery of healthcare-focused revenue cycle management and value-based care solutions.
Together as an enterprise, we work to save lives and can accept nothing less than excellence from ourselves in service of our patients and their families, every day.
Summary
The Respiratory Care Student (RCS) is responsible for providing Respiratory Care to non-critical patients in the hospital. Training and services provided by this position are appropriate to patients of all age groups. Applies clinical respiratory judgment to implement a clinical respiratory program and maintains standards for professional respiratory practice in the clinical setting. The RCS communicates necessary information and makes needed recommendations to the physician and nurses as appropriate.
Minimum Education: Student currently enrolled and pursuing a course of study leading to graduation from the program. Enrolled for credit in clinical portion of an approved respiratory care education program or graduate of approved respiratory care education program with active application for licensure with Texas Medical Board (TMB) and eligible for National Board of Respiratory Care (NBRC) credentialing as Certified Respiratory Therapist (CRT) and/or Registered Respiratory Therapist (RRT)
Required Licenses/Certifications: Must have a current BLS Certification for Healthcare
#LI-MS4
Tenet complies with federal, state, and/or local laws regarding mandatory vaccination of its workforce. If you are offered this position and must be vaccinated under any applicable law, you will be required to show proof of full vaccination or obtain an approval of a religious or medical exemption prior to your start date. If you receive an exemption from the vaccination requirement, you will be required to submit to regular testing in accordance with the law.
Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
Tenet participates in the E-Verify program. Follow the link below for additional information.
E-Verify: *****************************
The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations.
**********
$36k-56k yearly est. 42d ago
Phlebotomist
HCA 4.5
El Paso, TX job
Introduction Do you want to join an organization that invests in you as a(an) Phlebotomist? At Del Sol Medical Center, you come first. HCA Healthcare has committed up to 300 million in programs to support our incredible team members over the course of three years.
Benefits
Del Sol Medical Center offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:
* Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
* Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
* Free counseling services and resources for emotional, physical and financial wellbeing
* 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
* Employee Stock Purchase Plan with 10% off HCA Healthcare stock
* Family support through fertility and family building benefits with Progyny and adoption assistance.
* Referral services for child, elder and pet care, home and auto repair, event planning and more
* Consumer discounts through Abenity and Consumer Discounts
* Retirement readiness, rollover assistance services and preferred banking partnerships
* Education assistance (tuition, student loan, certification support, dependent scholarships)
* Colleague recognition program
* Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
* Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.
Learn more about Employee Benefits
Note: Eligibility for benefits may vary by location.
You contribute to our success. Every role has an impact on our patients' lives and you have the opportunity to make a difference. We are looking for a dedicated Phlebotomist like you to be a part of our team.
Job Summary and Qualifications
POSITION SUMMARY:
Assumes the responsibility for performing phlebotomy skills appropriately and efficiently, under the philosophy, policies and procedures established by the hospital and the laboratory department. Performs general clerical duties and minor technical duties as assigned.
POPULATION SERVED:
Core competencies will be assessed primarily on the following patient population(s) served: All diagnoses/conditions of patients admitted to the hospital.
* Demonstrates ability in accurately identifying patient and patient specimens.
* Demonstrates skill, knowledge and accuracy in obtaining specimens.
* Demonstrates ability to perform phlebotomy in a timely manner.
* Demonstrates ability to perform complicated phlebotomy procedures.
* Demonstrates ability to perform clerical duties.
* Demonstrates ability to perform A.I.D.E.T. customer service 100% of the time.
* Is able to operate Point of Care instruments and perform point of care testing per standard operating procedures.
* Participates in the unit based Quality Improvement process. (Emergency Room Only)
* Continuous monitoring of supplies in the ED, replace and restock as needed. (Emergency Room Only)
* Knowledgeable with 100% compliance with core measures in the Emergency Department. (Emergency Room Only)
What qualifications you will need:
* BLS (Emergency Room Only)
* High School diploma or GED required.
* General knowledge and education in phlebotomy acquired through and accredited training program is required.
* Completion of formal training through an accredited phlebotomy training program or one year of phlebotomy experience
Del Sol Medical Center is a full service, acute-care hospital in east El Paso, Texas. We have a Level II trauma designation. This facility has 300+ patient beds. Our range of services include emergency care, cardiac care, women's services, Level III NICU, rehabilitation, a bariatric clinic, and a Minimally Invasive Surgery Center. Del Sol Medical Center is part of Las Palmas Del Sol Healthcare. We are a leading healthcare provider for El Paso and the surrounding region that is part of HCA Healthcare.
HCA Healthcare has been recognized as one of the World's Most Ethical Companies by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated 3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.
"Good people beget good people."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder
We are a family 270,000 dedicated professionals! Our Talent Acquisition team is reviewing applications for our Phlebotomist opening. Qualified candidates will be contacted for interviews. Submit your resume today to join our community of caring!
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
$29k-35k yearly est. 2d ago
Processor, Coordination of Benefits
Molina Healthcare 4.4
Molina Healthcare job in Las Cruces, NM
Provides support for coordination of benefits review activities that directly impact medical expenses and premium reimbursement. Responsible for primarily coordinating benefits with other carriers responsible for payment. Facilitates administrative support, data entry, and accurate maintenance of other insurance records.
**Job Duties**
+ Provides telephone, administrative and data entry support for the coordination of benefits (COB) team.
+ Phones or utilizes other insurance company portals to validate state, vendor, and internal COB leads.
+ Updates the other insurance table on the claims transactional system and COB tracking database.
+ Review of claims identified for overpayment recovery.
**Job Qualifications**
**REQUIRED QUALIFICATIONS:**
+ At least 1 year of administrative support experience, or equivalent combination of relevant education and experience.
+ Strong organizational and time management skills; ability to manage simultaneous projects and tasks to meet internal deadlines.
+ Strong verbal and written communication skills.
+ Ability to work cross-collaboratively across a highly matrixed organization and establish and maintain effective relationships with internal and external stakeholders.
+ Microsoft Office suite proficiency.
**PREFERRED QUALIFICATIONS:**
+ Health care experience
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $21.65 - $31.71 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
$21.7-31.7 hourly 8d ago
Associate Specialist, Appeals & Grievances
Molina Healthcare 4.4
Molina Healthcare job in Las Cruces, NM
Provides entry level support for claims activities including reviewing and resolving member and provider complaints, and communicating resolution to members or authorized representatives in accordance with the standards and requirements established by the Centers for Medicare and Medicaid Services (CMS).
**Essential Job Duties**
- Enters denials and requests for appeals into information system and prepares documentation for further review.
- Researches claims issues utilizing systems and other available resources.
- Assures timeliness and appropriateness of appeals according to state, federal and Molina guidelines.
- Requests and obtains medical records, notes, and/or detailed bills as appropriate to assist with research.
- Determines appropriate language for letters and prepares responses to member appeals and grievances.
- Elevates appropriate appeals to the next level for review.
- Generates and mails denial letters.
- Provides support for interdepartmental issues to help coordinate problem-solving in an efficient and timely manner.
- Creates and/or maintains appeals and grievances related statistics and reporting.
- Collaborates with provider and member services to resolve balance bill issues and other member/provider complaints.
**Required Qualifications**
- At least 1 year of experience in claims, and/or 1 year of customer/provider service experience in a health care setting, or equivalent combination of relevant education and experience.
- Customer service experience.
- Organizational and time management skills; ability to manage simultaneous projects and tasks to meet internal deadlines.
- Effective verbal and written communication skills.
- Microsoft Office suite/applicable software program(s) proficiency.
**Preferred Qualifications**
- Customer/provider experience in a managed care organization (Medicaid, Medicare, Marketplace and/or other government-sponsored program), or medical office/hospital setting experience.
- Completion of a health care related vocational program (i.e., certified coder, billing, or medical assistant).
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $21.65 - $34.88 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
$21.7-34.9 hourly 6d ago
Director of Nursing Children's Hospital
Tenet Healthcare 4.5
El Paso, TX job
The Director provides leadership and support to the senior executive position (CNO) responsible for all nursing and other designated patient care functions/services within the hospital organization. The role will assume responsibility for assisting in assessing, planning, coordinating, implementing, and evaluating nursing practice on a multi-unit level. Role assumes 24/7 responsibility of Director's assigned areas. The role is accountable to support CNO to ensure high quality, safe and appropriate nursing care, competency of clinical staff, and appropriate resource management related to patient care. You will oversee the PICU, pediatric unit, and pediatric transport team. You will also have an assistant director to assist.
Education
Required: Associate degree from an accredited nursing school with a bachelor's degree in a health care related field or a BSN.
Preferred: MSN or master's in a health care related field.
Experience
Required: 2 years of progressive management experience in a hospital environment as a manager or full-time charge nurse/related position.
Certifications
Required: Currently licensed, certified, or registered to practice profession as required by law, regulation in state of practice or policy. AHA BLS.
#LI-JG2
Tenet complies with federal, state, and/or local laws regarding mandatory vaccination of its workforce. If you are offered this position and must be vaccinated under any applicable law, you will be required to show proof of full vaccination or obtain an approval of a religious or medical exemption prior to your start date. If you receive an exemption from the vaccination requirement, you will be required to submit to regular testing in accordance with the law.
Active and current registered nurse license in the state of residence/practice. Has highly effective interpersonal and communication skills, proven leadership ability and hospital operational ability, and ability to serve as role model and advocate for the professional discipline of nursing.
$83k-135k yearly est. Auto-Apply 52d ago
Supervisor, Pharmacy Operations/Call Center
Molina Healthcare 4.4
Molina Healthcare job in Las Cruces, NM
Leads and supervises a team of pharmacy call center representatives and operations staff responsible to ensure that members have access to medically necessary prescription drugs. Contributes to overarching pharmacy strategy for optimization of medication related health care outcomes, and quality cost-effective member care.
**Essential Job Duties**
- Hires, trains, develops, and supervises a team of pharmacy service representatives supporting processes involved with Medicare Stars and Pharmacy quality operations.
- Ensures that average phone call handle time, average speed to answer, and average hold time are compliant with Centers for Medicare and Medicaid Services (CMS) regulations.
- Ensures that adequate staffing coverage is present at all times of operation.
- Assists pharmacy leadership with monitoring and oversight of Molina's contracted Pharmacy Benefit Manager (PBM) for pharmacy contractually delegated functions.
- Responsible for key performance indicators (KPI) reporting to department leadership on a monthly basis.
- Participates, researches, and validates materials for both internal and external program audits.
- Acts as liaison to internal and external customers to ensure prompt resolution of identified issues.
- Assists pharmacy leadership in the collection and tabulation of data for reporting purposes and maintains files of confidential information submitted for review.
- Assures that activities and processes are compliant with CMS, National Committee of Quality Assurance (NCQA) guidelines, and Molina policies and procedures.
- Participates in the daily workload of the department, performing Representative duties as needed.
- Facilitates interviews with pharmacy service representative job applicants, and provides hiring recommendations to leadership.
- Provides coaching for pharmacy representatives, and helps identify and provide for training needs in collaboration with pharmacy leadership.
- Communicates effectively with practitioners and pharmacists.
- Collaborates with and keeps pharmacy leadership apprised of operational issues, including staffing resources, program and system needs.
- Assists with development of and maintenance of pharmacy policies and procedures
- Participates in the development of programs designed to enhance preferential or required targeted drugs or supplies.
**Required Qualifications**
- At least 5 years of experience in health care, preferably within a health-related call center environment, or equivalent combination of relevant education and experience.
- Knowledge of prescription drug products, dosage forms and usage.
- Experience designing, implementing, monitoring, and evaluating metrics that measure call center agent productivity.
- Working knowledge of medical/pharmacy terminology
- Excellent verbal and written communication skills.
- Microsoft Office suite, and applicable software program(s) proficiency.
**Preferred Qualifications**
- Supervisory/leadership experience.
- Certified Pharmacy Technician (CPhT) and/or state pharmacy technician license (state specific if state required). If licensed, license must be active and unrestricted in state of practice.
- Call center experience.
- Managed care experience.
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
Pay Range: $55,706.51 - $80,464.96 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
$55.7k-80.5k yearly 26d ago
Surgical Tech First Assistant Surgery Per Diem Rotate
Tenet Healthcare 4.5
El Paso, TX job
The surgical technologist first assistant, under the direction and supervision of the surgeon, provides aid in exposure, hemostasis, closure, and other intraoperative technical functions that are within validated skills received during approved, first assistant training course as well as those approved by applicable regulatory agencies, e.g. state and/or federal. The surgical technologist first assistant may also perform preoperative and postoperative duties to facilitate patient care.
Education:
Required: Graduate of a CAAHEP accredited program.Preferred: Associate degree.
Experience:
Required: 3 years scrub and/or assisting experience.
Preferred: 5 years as surgical technician.
Certifications:
Required: AHA BLS, Surgical Technology certification, Surgical First Assistant certification, currently licensed, certified, or registered to practice profession as required by law, regulation in state of practice or policy.
#LI-LG2
Tenet complies with federal, state, and/or local laws regarding mandatory vaccination of its workforce. If you are offered this position and must be vaccinated under any applicable law, you will be required to show proof of full vaccination or obtain an approval of a religious or medical exemption prior to your start date. If you receive an exemption from the vaccination requirement, you will be required to submit to regular testing in accordance with the law.
Responsible for ensuring appropriate equipment is available; reviewing permit to confirm procedure; assist in moving and positioning patient; providing assistance throughout the procedure in a variety of surgical techniques.
$79k-100k yearly est. Auto-Apply 60d+ ago
Strategy Advancement Director
Molina Healthcare Inc. 4.4
Molina Healthcare Inc. job in Las Cruces, NM
The Strategy Advancement Director is responsible for advancing Molina's growth strategy and positioning the company for success in Medicaid, CHIP, DSNP, and Marketplace procurements. Reporting to the Vice President, Business Development, this position plays a pivotal role in the pre-RFP and procurement phases, guiding and organizing the project, ensuring deliverables are met, conducting research, tracking Business Development and/or Health Plan steps and projects, owning the governance structure for every opportunity, pulling together all the supporting team activities and pieces and connecting the dots between winning strategy and the relationships and partnerships developed by the VP, Business Development.
This role requires a deep understanding of Medicaid programs, the regulatory environment, and the unique challenges of populations (i.e. TANF, ABD, DSNP, Foster Care, and DD/IDD). The Strategy Advancement Director works collaboratively across departments, including Product Development, Business Development, and Health Plans, to ensure that strategic initiatives align with state-specific priorities and are positioned for success in competitive procurements. The Director partners with the VP Market Development to provide thought leadership and subject matter expertise, identifying trends, providing insights, and continuously innovating to strengthen Molina's market position.
Job Duties
* Strategy Development & Innovation
* Collaborate on the development of state-specific strategies aligned with state priorities, procurement objectives, and evolving Medicaid needs. Translate state regulatory requirements into actionable go-to-market strategies that are innovative and differentiate Molina in competitive procurements
* Collaborate with Product Development, Health Plan leaders, Growth Leaders and cross-functional teams to support integration of innovative care models, operational efficiencies, and value-based care solutions tailored to the unique needs of market specific Medicaid populations, especially high-risk or vulnerable groups such as dual-eligible members, foster care, and ABD
* Conduct market research, analyze industry trends, and monitor competitor activities to identify innovation opportunities. Propose solutions that address Medicaid ecosystem pain points and enhance Molina's value proposition
* Use insights from market research and competitive analysis to stay informed on state Medicaid trends, regulatory changes, and market conditions, and to guide strategic adjustments and future market positioning
* Drive the development of win themes and strategy recommendations that align with state priorities, competitive dynamics, and the latest Medicaid trends, positioning Molina as a leader in Medicaid managed care
* Track regulatory compliance and address any operational concerns or state-specific issues identified during the pre-procurement phase. Escalate issues when necessary and work to resolve them proactively
* Market Development and Strategy Execution
* Collaborate on the development of pre-RFP strategy and market readiness, creating and tracking playbooks, plans, and deliverables for Molina's strategy two to three years before RFP release. Ensure alignment with organizational goals and state requirements by collaborating with Market VPs, AVPs, and stakeholders
* Identify and engage in thought leadership opportunities by representing Molina at state and national Medicaid conferences, industry forums, and other key events that enhance Molina's brand and expertise in Medicaid care delivery
* Stakeholder Engagement & Thought Leadership
* Support and track the development of relationships with state agencies, legislative leaders, regulatory bodies, and community organizations to enhance Molina's reputation and strengthen partnerships that could influence procurement outcomes
* Represent Molina in strategic discussions with external partners and internal leadership, ensuring clear communication of strategy, innovation, and value propositions
* Collaborate with internal stakeholders to influence thought leadership materials and content that showcase Molina's innovative approaches to Medicaid, particularly in high-needs areas like DSNP, ABD, and complex populations
* Proposal Support & Competitive Differentiation
* Serve as an expert on the pre-procurement process for the proposal team and closely collaborate with the Proposal Director to ensure consistency between market strategy, capture strategy and proposal content. Collaborate with the Proposal Director to ensure consistency between market strategy and RFP content
* Track and support the execution of win strategy and strategic recommendations being incorporated throughout the proposal, ensuring Molina's proposals are differentiated and align with state-specific priorities and the competitive landscape
* Actively participate in blue, pink, and red team reviews, providing strategic feedback to ensure proposal materials effectively communicate Molina's competitive advantages and compliance with RFP requirements
* Support orals preparation, working across matrix partners to refine materials and messaging for presentations to state agencies
* Operational Excellence & Cross-Functional Coordination
* Use tools (i.e. Salesforce) to document market intelligence, track engagement activities, and share insights across departments. Ensure that data-driven insights are leveraged in proposal content development and strategic planning
* Collaborate with the Growth Strategy, Competitive Intelligence and other stakeholders to leverage the competitive intelligence repository that informs decision-making and provides a strategic edge in Medicaid procurements
* Develop project plans and roadmaps to guide the timely execution of pre-RFP and procurement activities, ensuring effective collaboration and alignment across functional teams
* Facilitate cross-functional coordination for market entry, retention, and development strategies, ensuring that all teams are aligned and executing efficiently
* Supports the VP Business Development as a SME during the "warranty period" post award through implementation to the IMO and health plan leadership
* Mentorship & Team Development
* Mentor junior staff and interns within the Business Development teams, fostering skills in strategic thinking, market research, and pre-procurement planning
* Participate in business development activities on an ad-hoc basis, contributing to team knowledge and providing strategic insights to senior leadership
* 50% or more Travel required
Job Qualifications
REQUIRED QUALIFICATIONS:
* Bachelor's degree in business, Public Policy, Healthcare Administration or a related field or equivalent combination of education and experience
* 7 years in market strategy, business development, or healthcare consulting, specifically within Medicaid managed care or equivalent related field
* Proven experience in pre-RFP strategy development, with a strong understanding of Medicaid programs, including TANF, ABD, DSNP, and CHIP populations
* Demonstrated ability to drive innovative solutions in the Medicaid space, leveraging market research and industry trends to inform strategic decisions
* Experience with Salesforce or similar tools to track market insights, engagement activities, and manage data
* Strong experience in stakeholder engagement, particularly with state Medicaid agencies, regulatory bodies, and community-based organizations
* Advanced proficiency in Microsoft Office tools (Excel, PowerPoint, Word), including for strategy development, data analysis, and presentation creation
PREFERRED QUALIFICATIONS:
* Master's degree (MBA, MPH, MPA) in business, public policy, or healthcare administration
* 7+ years in business development and Medicaid procurements, particularly with complex populations (e.g., DD/IDD, Foster Care, Dual-Eligible Members)
* Experience with Salesforce or similar tools to track market insights, engagement activities, and manage data
* Conference management experience and participation in industry forums
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
Pay Range: $107,028 - $208,705 / ANNUAL
* Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
About Us
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
$107k-208.7k yearly 9d ago
Analyst, Compliance (Sales)
Molina Healthcare 4.4
Molina Healthcare job in Las Cruces, NM
**(Sales) Compliance Analyst** Molina Healthcare's Medicare Compliance team supports sales operations for the Molina Medicare product lines. It is a centralized corporate function supporting compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** is primarily responsible for Sales Oversight.
· Provide regulatory expertise to the Sales Organization: both State and Federal
· Have working knowledge of federal and state guidelines pertaining to Sales and Marketing.
· Perform internal Sales/Marketing Compliance Reporting.
· Perform internal Sales/Marketing monitoring.
· Detailed oriented to conduct thorough Sales allegations investigations.
· Recommend applicable corrective action(s) when applicable to business partners.
· Process improvement driven.
· Create, update, and retire P&Ps, Standard Operating Procedures and Training documents.
· Lead regularly scheduled Sales & Compliance leadership meetings.
· Interpret and analyze Medicare, Medicaid, and MMP Required Sales & Marketing Reporting Technical Specifications.
· Create and maintain monthly and quarterly Sales Complaint Key Performance Indicator (KPI) reports.
· Review and interpret internal Sales dashboards for outliers and deeper dive research.
· Manage compliance Sales Allegations, Secret Shops, and recommend corrective action plans for deficiencies found.
· Responds to legislative inquiries/ Sales complaints (state insurance regulators, Congressional, etc.).
· Leads projects to achieve Sales compliance objectives.
· Interprets and analyzes state and federal regulatory manuals and revisions.
· Interpret and analyze federal and state rules and requirements for proposed & final rules for Sales Oversight.
· Interact with Molina external customers, via verbal and written communication.
· Ability to work independently and set priorities.
**Experience**
· 2-4 years' related compliance work experience
· Exceptional communication skills, including presentation capabilities, both written and verbal.
· Excellent interpersonal communication and oral and written communication skills.
· High level Interaction with Leadership.
· Sales Allegation Investigations
· Policy & Procedures
Pay Range: $80,168 - $116,835 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
$80.2k-116.8k yearly 29d ago
Medical Records Collector
Molina Healthcare Inc. 4.4
Molina Healthcare Inc. job in Las Cruces, NM
JOB DESCRIPTION Job SummaryProvides support for medical records collection activities. Supports quality improvement activities through outreach to providers for collection of medical records for Healthcare Effectiveness Data and Information Set (HEDIS) specific data collection, projects and audit processes. Contributes to overarching strategy to provide quality and cost-effective member care.
Essential Job Duties
* Outreaches to providers via phone call, fax, mail, electronic medical record system retrieval and direct on-site pick up for collection of medical records.
* Loads medical records and reports from provider offices into the Healthcare Effectiveness Data and Information Set (HEDIS) application.
* Supports annual HEDIS audit and other like audits, and organizes provider outreach, pursuit, collection and upload of provider medical records into the internal database.
* Provides project management support to leadership via coordination, identification, pursuit and collection of medical records and other required data with other HEDIS staff.
* Participates in meetings with vendors related to the medical record collection process.
* Some medical records collection related travel may be required.
Required Qualifications• At least 1 year customer service experience, preferably in an administrative support capacity in a health care setting, or equivalent combination of relevant education and experience.
* Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements.
* Excellent customer service and active listening skills.
* Proficiency with data analysis tools (e.g., Excel).
* Ability to manage files, schedules and information efficiently.
* Ability to effectively interface with staff, clinicians, and leadership.
* Strong prioritization skills and detail orientation.
* Strong verbal and written communication skills, including professional phone etiquette.
* Microsoft Office suite/applicable software program(s) proficiency, and ability to learn new programs.
Preferred Qualifications
* Registered Health Information Technician (RHIT).
* Medical records collection experience.
* Managed care experience.
* Basic knowledge of Healthcare Effectiveness Data Information Set (HEDIS) and National Committee for Quality Assurance (NCQA).
* Project planning experience.
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
Pay Range: $21.65 - $31.71 / HOURLY
* Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
About Us
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
$21.7-31.7 hourly 2d ago
Certified Lab Assistant II
Tenet Healthcare Corporation 4.5
El Paso, TX job
The Hospitals of Providence - Memorial Campus Hospital is committed to providing exceptional patient care in a supportive and collaborative environment. As a member of our team, you will have the opportunity to work with advanced technology and be part of a healthcare community dedicated to making a positive impact on the lives of our patients.
At The Hospitals of Providence - Memorial Campus, we understand that our greatest asset is our dedicated team of professionals. That's why we offer more than a job - we provide a comprehensive benefit package that prioritizes your health, professional development, and work-life balance. The available plans and programs include:
* Medical, dental, vision, and life insurance
* 401(k) retirement savings plan with employer match
* Generous paid time off
* Career development and continuing education opportunities
* Health savings accounts, healthcare & dependent flexible spending accounts
* Employee Assistance program, Employee discount program
* Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, auto & home insurance
Note: Eligibility for benefits may vary by location and is determined by employment status
Per Diem, Nights
POSITION SUMMARY
Prepares solutions, labels tubes and specimen containers, collects specimens, and performs simple tests under supervision. Performs routine technical and clerical functions. May operate simple lab equipment under supervision. Processes anatomic pathology and cytology specimens. Obtains blood specimens for all age groups serviced. Assists pathologists as needed. Uses, maintains, and cleans laboratory equipment and uses protective equipment to protect form exposure to chemical, radiation, and infectious hazards. Must be knowledgeable of emergency procedures. Performs phlebotomist duties as assigned.
Education:
* Required: High school diploma or equivalent
* Preferred: Completion of phlebotomy program
Experience:
* Required: Ability to complete blood draws independently within six-weeks of hire
* Preferred: 6 months of laboratory experience
#LI-AT1
Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
Tenet participates in the E-Verify program. Follow the link below for additional information.
E-Verify: *****************************
The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations.
**********
$32k-37k yearly est. 6d ago
Manager, IT Services
Molina Healthcare 4.4
Molina Healthcare job in Las Cruces, NM
Responsible for all information technology operations activities, including computer operations, data and operations support. Monitor budgets and expenses within department and accountable for meeting budget goals. Recommends input to policy principles and budget constraints. Provides expertise to departments regarding policies and procedures, problem resolution, and methods.
**KNOWLEDGE/SKILLS/ABILITIES**
+ Analyzes, reviews and measures service level performance against agreed upon service level agreements (Service Level Agreements) with the business and operating-level agreements with service providers (internal and external).
+ Works closely with the business and service providers to negotiate and agree on service level requirements off any proposed new services and changes to existing services.
+ Works with the business and service providers to define the proper metrics and KPIs in evaluating service delivery quality and performance levels. Produces regular reports on service performance and achievement to stakeholders.
+ Organizes and maintains the service level review process with the business and service providers. Initiates any actions required to maintain or improve service levels.
+ Acts as a change agent to implement and manage quality improvement processes in service delivery management.
**JOB QUALIFICATIONS**
**Required Education**
Bachelor's Degree or equivalent combination of education and experience
**Required Experience**
5-7 years
**Preferred Education**
Graduate Degree or equivalent combination of education and experience
**Preferred Experience**
7-9 years
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
Pay Range: $80,412 - $188,164 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.