Senior Specialist, Provider Contracts HP
Molina Healthcare job in Lowell, MA
Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to financial and operational performance, in alignment with Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant federal, state and local regulations. Responsible for accurate and timely maintenance of Value Based Contracts (VBCs) post execution, including but not limited to, data analysis and reporting that ensures VBCs fulfill APM provider payment and regulatory requirements related to state-mandated value-based programs. Supports Manager with contracting/re-contracting of VBCs, issue escalations and JOCs on exception. Synchronizes data among multiple systems when applicable and ensures adherence to business and system requirements of customers as it pertains to contracting and network management.
**Job Duties**
This role supports assigned contracts with VBC providers that result in high quality and cost-effective care. Maintains tracking system and publishes reports according to departmental procedures. Contracting/re-contracting of VBCs, issue escalations and Joint Operating Committees on exception.
- Assists Manager and/or Director in the negotiation of medical group/IPA and hospital VBC contracting.
- Serves as VBC regulatory data and reporting lead by developing and producing as required to engage with provider and facilitate VBC performance.
- Supports VBC network throughout the state to include onboarding VBC providers and supporting JOC's.
- Clearly and professionally communicates VBC contract terms to VBC providers.
- Coordinates preparation and routing distribution of documents to complete the contracting process in a timely and thorough manner according to standardized processes.
- Communicates proactively with other departments to ensure effective and efficient business results.
- Trains and monitors newly hired Contract Specialist(s).
- Participates in other VBC related special projects as directed.
- Limited team travel once to twice annually.
**Job Qualifications**
**REQUIRED EDUCATION:**
Bachelor's Degree or equivalent work experience in health care field including, but not limited to, provider's office, managed care, or other health care field.
**REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:**
- 4-6 years' previous experience in contracting with large specialty or multispecialty provider groups.
- 1-3 Years Managed Care experience
**PREFERRED EXPERIENCE** :
Provider facing experience and knowledge of integrated delivery systems, hospitals and groups (specialty and ancillary) highly desirable. Experience generating financial reporting to meet regulatory requirements. Ohio based candidate desired; however, not required.
Pay Range: $30.37 - $61.79 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Senior Facilities Representative
Northborough, MA 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 tomorrow's health today, we want to hear from you.
Sr. Facility Representative- Automated Distribution Center (Medical/Surgical supplies)
Location: Uxbridge, MA, USA - 40 Lackey Dam
Shift: Monday to Friday, 1pm-9:30pm
Note: Shifts subject to change. Emergencies in the building may require mandatory overtime.
This career opportunity comes with a comprehensive benefit program (health and wellness - dental/medical/prescription). Benefits are competitive to meet the needs of each location and may also include paid time off, stock purchase plan, retirement support (401K), education reimbursement, flexible work arrangements, maternity and caregiver leave. A performance-based annual bonus is also offered.
Job Summary:
McKesson's brand-new temperature controlled automated Distribution Center in Uxbridge, MA is expanding their team and currently hiring Facility/Maintenance Technicians. This is a chance to work for a company that touches virtually every aspect of healthcare.
The distribution team is seeking an individual who has repair experience and knowledge of a broad range of complex facility systems. This position requires excellent troubleshooting skills and the ability to perform complex technical tasks. This candidate should be able to communicate professionally with a wide range of groups from upper management to front line employees and possess an aptitude to learn quickly on new conveyance systems.
What You Will Need:
3 years of facility, maintenance or service technician experience
Experience in a trade would be considered a strong asset
Experience coordinating repairs and partnering with vendors
Troubleshooting and repair experience with a variety of different equipment used in a distribution center environment
Knowledge and safe usage of various types of equipment in maintenance/facility trade (hand tools, power tools, conveyors, forklifts, pressure gauges, voltmeters, etc.)
Basic knowledge/exposure to warehouse work environments
Basic knowledge/exposure to various trades
Knowledge of lock out/tag out and OHSHA
Physical Requirements:
Ability to lift and carry up to 50 lbs.
Includes standing, sitting, walking, general labor, ladder, scissor lift & fork truck use, climbing up to (4) story heights in a warehouse environment.
May work at heights and in smaller spaces
Note - This posting is an overview of role and not reflective of all responsibilities/qualifications required for the position.
Career Level - IC - Operations Support - O3
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, please click here.
Our Base Pay Range for this position
$26.74 - $44.56
McKesson is an Equal Opportunity Employer
McKesson provides equal employment opportunities to applicants and employees and is committed to a diverse and inclusive environment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability, age or genetic information. For additional information on McKesson's full Equal Employment Opportunity policies, visit our Equal Employment Opportunity page.
Join us at McKesson!
Auto-ApplyLead Material Handler
Northborough, MA job
Shipping Lead, Northborough Operations
Hours: 1:00 PM - Completion (Monday - Friday)
Scope: Oversee Shipping functions for both Bulk and LUM outbound freight to ensure quality and delivery to our customers.
Responsibilities:
Coordinate and assist in the daily completion of the Shipping Department.
Assist and support shipping clerks with day-to-day communication on route change and dispatch time
Help improve processes to ensure your team member is put in the position to get 100%.
Manage team's indirect time and break times based on workflow.
Monitor and ensure proper processes and timely submission of all routes.
Ensure proper safety and housekeeping expectations are enforced daily
Experience with power equipment (forklift, stock picker, walkie rider) helpful, but not required selected candidate will be trained to operate all equipment. Must be willing to learn.
Inspecting and ensuring quality and accuracy for all shipping goods.
Assure the team follows all RF processes and guidelines
Lifting of heavy/light weight items safely
Performing daily housekeeping tasks, daily equipment inspection completed, and daily pallet Audits.
Maintain an organized work area while adhering to all McKesson safety rules and regulations
Maintain a professional and positive demeanor while interacting with both internal (put away, picking, inventory…etc.) and external customers (drivers, sales…etc.)
Create a Schedule for all Linehaul Drivers' runs and
Maintain pallet area for minimal dock area congestion
Assist the leadership teams throughout all departments in improvement projects as assigned
Perform other duties as necessary or assigned.
Career Level - IC - Operations Support - O4
Additional InformationAll your information will be kept confidential according to EEO guidelines.
Operations Supervisor
Northborough, MA job
Join our team of leaders to begin a rewarding career.
Schedule
Mon-Fri 11am to complete
Current Need
We are seeking an Operations Supervisor to join our team in Northborough, MA. This position is responsible for the Case pick department.
Responsible for a variety of tasks including picking, housekeeping, safety, customer satisfaction, employee morale, and engagement
May evaluate current procedures and practices for accomplishing department objectives and develop and implement improved procedures and practices.
Gives work direction, resolves problems, and sets deadlines to ensure timely completion of work
Ensures associate safety and builds a positive collaborative team
Continuous development of direct reports, including coaching, direct feedback, and written evaluations
Minimum Requirements
4+ years operational experience
2+ years managerial experience
2+ years experience in a DC/warehouse setting
Critical Skills
2+ years experience working as a supervisor, trainer or leader of a department or group
4+ years experience working in a warehouse/distribution/transportation environment
Proficient with MS Office (Excel, Word and Outlook)
Additional Knowledge & Skills
Experience with WMS systems
LMS experience preferred
Preferred performance management experience
Experience as a diverse people leader with proven results
RF equipment experience preferred
Ability to work autonomously
Powered Industrial equipment certification preferred
Excellent organizational skills
Strong problem solving skills
Excellent time manager
Critical thinker
Excellent written and verbal communication skills
Ability to multi-task
Conflict resolution experience preferred
Attention to detail
Analytical mindset
Team building skill set
Education
4-year degree or equivalent experience
Physical Requirements
General Warehouse/Distribution Center environment
The ability to walk 5-7 miles per day and be on the floor 85% of the day
Benefits & Company Statement
McKesson believes superior performance - individual and team - that helps us drive innovations and solutions to promote better health should be recognized and rewarded. We provide a competitive compensation program to attract, retain and motivate a high-performance workforce, and it's flexible enough to meet the different needs of our diverse employee population.
We are in the business of better health and we touch the lives of patients in virtually every aspect of healthcare. We partner with payers, hospitals, physician offices, pharmacies, pharmaceutical companies and others across the spectrum of care to build healthier organizations that deliver better care to patients in every setting.
But we can't do it without you. Every single McKesson employee contributes to our mission-whatever your title, whatever your role, you act as a catalyst in a chain of events that helps millions of people all over the globe. Talented, compassionate people are the future of our company-and of healthcare. At McKesson, you'll collaborate on the products and solutions that help us carry out our mission to improve lives and advance healthcare. Working here is your opportunity to shape an industry that's vital to us all.
McKesson is an equal opportunity and affirmative action employer - minorities/females/veterans/persons with disabilities.
Qualified applicants will not be disqualified from consideration for employment based upon criminal history.
Career Level - Manager - M1
Career Level
Manager-M1
McKesson is an Equal Opportunity/Affirmative Action employer.
All qualified applicants will receive consideration for employment without regard to race, color, religion, creed, sex, sexual orientation, gender identity, national origin, disability, or protected Veteran status.Qualified applicants will not be disqualified from consideration for employment based upon criminal history.
McKesson is committed to being an Equal Employment Opportunity Employer and offers opportunities to all job seekers including job seekers with disabilities. If you need a reasonable accommodation to assist with your job search or application for employment, please contact us by
Additional InformationAll your information will be kept confidential according to EEO guidelines.
Practice Manager Behavioral Health
Worcester, MA job
The Physician Practice Manager is directly responsible for managing all administrative and operational functions associated with an assigned practice or practices. This includes ensuring a smooth and efficient operation, inventory control, personnel management, patient relations, and patient flow.
Education
Required: Bachelor's degree or an equivalent combination of education and experience
Experience
Required: 3 years of experience in progressive and hands-on managerial experience in a medical practice
#LI-JK1
Oversees the development and implementation of goals and objectives.
Develop and implement new office procedures as necessary to improve office flow and overall operations.
In addition manages the daily operations including staff scheduling, cash reconciliation, charge entry, and operational checks and balances.
Manages Human Resources by interviewing, hiring, orienting and evaluating ensuring optimal staffing at all times.
Reviews the operational budget and expenditures and works to ensure the practice stays within the budget parameters.
Auto-ApplySr. Program Delivery Professional IWHA-Interoperability
Boston, MA job
**Become a part of our caring community and help us put health first** The Senior Program Delivery Professional strategically identifies, develops, and implements programs that influence providers, members or market leadership towards value-based relationships and/or improved quality metrics. The Senior Program Delivery Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.
The Program Delivery Professional - IHWA Interoperability plays a key role in driving seamless data integration and collaboration within the In-Home Health and Wellbeing Assessment (IHWA) team and across interoperability initiatives. Serving as a business subject matter expert (SME), this individual partners closely with internal and external stakeholders, as well as the Interoperability team, to advance program objectives.
Key responsibilities include collaborating with leaders on implementation planning, reviewing and communicating program results, and contributing to the ongoing improvement of processes and automation. The role also begins to influence departmental strategy and requires independent decision-making on moderately complex to complex technical matters related to project components. Work is performed without direct supervision, with considerable latitude in determining objectives and approaches to assignments.
The ideal candidate demonstrates a collaborative approach, a strong interest in technology solutions, and a commitment to continuous process improvement.
**Use your skills to make an impact**
**Required Qualifications**
+ Minimum three, (3) years of IT project management or business process automation, experience in technology solutions.
+ Excellent communication skills, both oral and written
+ Proven experience in interoperability or data integration within a healthcare or technology setting.
+ Strong problem-solving skills with demonstrated success in process improvement initiatives and process automation.
+ Familiarity with various technology solutions and interest in exploring new innovations.
+ Excellent collaboration, and stakeholder management abilities.
+ Experience with managing and monitoring successful and impactful projects.
+ Self-starter with the ability to work independently and as part of a team.
+ Futuristic and broad thinker with attention to detail and downstream impacts.
**Preferred Qualifications**
+ Bachelor's degree in Information Technology, Computer Science, Information Systems, or a related field.
+ Experience with EHR integration or usage.
+ Experience with AI integration.
+ Experience automating business processes.
+ PMP certification a plus
+ Knowledge and experience in health care environment/managed care
+ Strong analytical skills
**Workstyle** : Open for Hybrid or Remote Work at Home
**Location:** U.S.
**Schedule:** 8:00 AM - 5:00 PM Eastern Time Monday through Friday
**Travel:** occasional onsite as business needs require.
**Work at Home Guidance** To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Satellite, cellular and microwave connection can be used only if approved by leadership. Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.
**SSN Alert** Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from ******************** with instructions on how to add the information into your official application on Humana's secure website.
**Interview Format** As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
**Scheduled Weekly Hours**
40
**Pay Range**
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$86,300 - $118,700 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
**Description of Benefits**
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
Application Deadline: 01-08-2026
**About us**
Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
**Equal Opportunity Employer**
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ***************************************************************************
Easy ApplyMRI Tech Assist FT Days
Framingham, MA job
MetroWest Medical Center is the largest community health care system between Worcester and Boston. MetroWest Medical Center is committed to providing high quality, comprehensive care, at a location close to home. The 307-bed regional healthcare system includes Framingham Union Hospital, Leonard Morse Hospital in Natick and the MetroWest Wellness Center. MetroWest Medical Center has been named to the 2019 America's 100 Best Hospitals List by Healthgrades.
Onboarding Process: Please be advised that candidates must successfully complete a background check and pre-employment health screening which includes a drug screen.
Summary
Medical office position responsible for providing direct nursing care in a medical office setting under the direction of a physician, assists medical providers, and maintains a clean and safe environment in accordance with the policies and procedures of the practice.
Responsibilities
Assists in the assessment of patient needs and health plan. Completes all necessary documentation in the patient's medical record in accordance with practice's charting policy. Prepares equipment and assists physicians with medical treatments, exams, and medical procedures. Arranges for specialized consultations and appointments for testing as ordered by the physicians.
Qualifications
Education:
Required: High school diploma or GED with completion of an accredited medical assisting program.
Experience:
Preferred: 6 months of related experience.
Certifications:
Required: Medical Assistant certification. AHA BLS.
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.
Auto-ApplyUltrasound Technologist FT Days
Worcester, MA job
Up to $20,000 Sign-on Bonus Based on Eligibility
MetroWest Medical Center is the largest community health care system between Worcester and Boston. MetroWest Medical Center is committed to providing high quality, comprehensive care, at a location close to home. The 307-bed regional healthcare system includes Framingham Union Hospital, Leonard Morse Hospital in Natick and the MetroWest Wellness Center. MetroWest Medical Center has been named to the 2019 America's 100 Best Hospitals List by Healthgrades.
Onboarding Process: Please be advised that candidates must successfully complete a background check and pre-employment health screening which includes a drug screen.
Job Summary:
Under minimal supervision, performs basic diagnostic ultrasound procedures, as requested by a licensed physician. Exercises professional judgment in providing health care services, to assist in diagnosis or treatment of patients in all age groups from newborn to elderly. May be multi-credentialed in sonography. Completes established competencies for the position within designated introductory period. Other related duties as assigned.
Job Responsibilities:
Produces high quality diagnostic sonographs as prescribed by a licensed practitioner; assists with amnio procedure biopsies; processes and files films as needed
Qualifications:
Education:
Required: Graduate of an accredited school of Diagnostic Sonography
Preferred: Associate degree
Experience:
Preferred: 1-3 years
Certifications
Required: Must be registered with ARDMS or ARRT within 24 months of graduation (12 months of hire). BLS certified.
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.
Auto-ApplyBehavioral Health Counselor PRN Days
Worcester, MA job
Saint Vincent Hospital offers a whole new experience in health care. By combining our advanced, state-of-the-art facility with our commitment to providing the best quality of life to the many members of our Worcester community. Saint Vincent Hospital excels at offering the best care in a friendly atmosphere. From our advanced heart and vascular services, to our comprehensive orthopedics and rehabilitation programs, our robust surgical facility including our Da Vinci robotic surgery and Cyberknife technology, to our comfortable and compassionate women & infants programs - you don't have to travel far for high-quality health care: We're right here, in the heart of Worcester.
Onboarding Process: Please be advised that candidates must successfully complete a background check and pre-employment health screening which includes a drug screen.
Position Summary:
Primarily responsible for monitoring services and providing community support services and therapeutic services. The BHC uses a basic knowledge of diagnostic characteristics, symptomology of primary mental illness and knowledge of medications, side effects and benefits to provide services in a person-centered, supportive, community-based environment. The LPC is monitored by periodic supervision.
Qualifications:
Education:
Required: Master's degree in Psychology, Social Work, or related field.
Experience:
Required: If a new graduate, supervised-post graduate counseling experience (internship) with specified direct client contact under the supervision of a board-approved supervisor. Otherwise, 1 year of experience.
Certifications:
Required: Licensed Professional Counselor (LPC).
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.
Auto-ApplyCertified Sterile Processing Tech
Worcester, MA job
Saint Vincent Hospital 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 Saint Vincent Hospital, 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
* Responsible for decontamination, assembly, and sterilization of surgical instrumentation
* Responsible for various software applications, assembly, and delivery of surgical and interventional procedure case carts
* Responsible for paring and replenishment of materials
* Works in collaboration with surgical partners to provide accurate and complete surgical instrumentation and needed supplies.
Up to $10,000 Sign-on Bonus Based on Eligibility
The Sterile Processing Technician is responsible for task-based sterile processing activities.
Required
* Education: High school diploma or GED
* Certifications: IAHCSMM or CBSPD certified.
Preferred
* Experience:1 year in sterile processing.
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.
**********
Content Designer
Boston, MA job
**Become a part of our caring community and help us put health first** Humana is committed to innovative digital experiences that improve our members' quality of life and the interactions they have with us. We are looking for a content designer who is passionate about digital content and the critical role it plays in customer experience. As a member of Humana's Consumer Digital team, you will be responsible for defining and creating content that ensures people get the information they need to successfully choose and use their plans.
By partnering with leaders from business, research, design, technology, marketing and legal and compliance, you will ensure we get the right information, in the right ways, at the right times to audiences that include consumers, members, providers, employers and agents.
As the Content Designer, you will:
+ Create content strategies and direct information hierarchy, content types, voice and tone to ensure content is aligned to established audience and business objectives, research insights, brand standards, legal and compliance requirements, accessibility best practices and digital standards
+ Collaborate with other UX experts on content organization, navigation, site maps and information architecture
+ Seek simplicity, distilling complex concepts into clear, concise and contextual content and taxonomies
+ Create and manage copy for all steps of the digital experience, including headlines, product summaries and comparison, alt text, microcopy, buttons, navigation and error messaging
+ Develop tools such as content matrices and editorial calendars to track and manage content updates
+ Regularly audit and inventory online content to identify gaps in quality, compliance, standards and branding
+ Continuously improve digital content, including partnering to identify research needs, mining user data and insights and conducting competitive assessments
+ Maintain Humana digital content guidelines, standards, tools and processes
**Use your skills to make an impact**
**Required Qualifications**
+ Bachelor's Degree in English, Journalism or similar field
+ At least 3+ years of content strategy and UX writing experience
+ E-commerce experience
+ Experience writing and optimizing content for a variety of content types, digital channels and secure portals
+ Well-organized and detail-oriented, capable of handling multiple projects simultaneously, and able to move between strategic and tactical work
+ Familiar with working in a regulatory environment that requires legal and compliance oversight
+ Excellent verbal, written, and presentation skills
+ Experience with collaboration and agile technology, such as Jira
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
**Scheduled Weekly Hours**
40
**Pay Range**
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$65,000 - $88,600 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
**Description of Benefits**
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
Application Deadline: 01-01-2026
**About us**
Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
**Equal Opportunity Employer**
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ***************************************************************************
Crisis Assessment Social Worker PT Days
Framingham, MA job
Up to $10,000 Sign-on Bonus Based on Eligibility
MetroWest Medical Center is the largest community health care system between Worcester and Boston. MetroWest Medical Center is committed to providing high quality, comprehensive care, at a location close to home. The 307-bed regional healthcare system includes Framingham Union Hospital, Leonard Morse Hospital in Natick and the MetroWest Wellness Center. MetroWest Medical Center has been named to the 2019 America's 100 Best Hospitals List by Healthgrades.
Onboarding Process: Please be advised that candidates must successfully complete a background check and pre-employment health screening which includes a drug screen.
Position Summary:
The Social Worker is responsible to facilitate care along a continuum through effective resource coordination to help patients achieve optimal health, access to care, and appropriate utilization of resources, balanced with the patient's resources and right to self-determination. The individual in this position has overall responsibility for to assess the patient for transition needs including identifying and assessing patients at risk for readmission. Conducts complex psycho-social assessment and intervention to promote timely throughput, safe discharge, and prevent avoidable readmissions. This position integrates national standards for case management scope of services including: Transition Management promoting appropriate length of stay, readmission prevention, and patient satisfaction; Care Coordination by demonstrating throughput efficiency while assuring care is the right sequence and at appropriate level of care. Compliance with state and federal regulatory requirements, TJC accreditation standards, and Tenet policy; Education provided to physicians, patients, families, and caregivers; and Leads a population of patients by service line and/or leads the team by being a resource to Tenet performance standards.
Responsibilities
This individual's responsibility will include the following activities:
a) complex psycho-social transition planning assessment and reassessment and intervention, b) assistance with adoptions, abuse and neglect cases, including assessment, intervention and referral as appropriate to local, state and /or federal agencies, c) care coordination, d) implementation or oversight of implementation of the transition plan, e) leading and/or facilitating multi-disciplinary patient care conferences including Complex Case Review, f) making appropriate referrals to other departments, g ) communicating with patients and families about the plan of care, h) collaborating with physicians, office staff, and ancillary departments, I) assuring patient education is completed to support post-acute needs, j) timely complete and concise documentation in Case Management system, k ) maintenance of accurate patient demographic and insurance information, l) precepts new staff members and acts as a resource to all staff, m) facilitates TEMPO as needed, n) participates in department quality improvement initiatives, and o) other duties as assigned.
Qualifications:
Education:
Required: Master's of Social Work
Experience:
Preferred: 2 years of acute hospital experience
Required Certifications/Licensure: Must be currently licensed or license eligible to practice as a LSW or LCSW in adherence with state regulatory requirements
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.
Auto-ApplyHand Therapist
Worcester, MA job
Saint Vincent Hospital 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 Saint Vincent Hospital, 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
* Responds to physician orders for occupational therapy.
* Administers and interprets tests and measurements of patients.
* Reviews patient charts and progress prior to treatment and modifies treatment plan accordingly.
* Develops functional goals based on patient and/or family expectations.
* Develops, improves, and restores functional mobility, seeking to return patient to highest level of independence.
* Seeks clarification of physician orders as needed.
* Performs other related duties as assigned
Evaluates, plans, and implements specific treatment programs for individual patients according to the principles and practices of a certified hand therapist (OT). Functions as an interdisciplinary team member providing patient assessment/re-assessment, direct patient care, and individualized care planning/implementation.
Required:
* Education: Master's or Doctorate degree in Occupational therapy
* Licensure/Certification: State Licensure
Preferred:
* Experience: 2 years as a practicing OT in a healthcare setting; 1 year experience with hand therapy clientele.
* Education: Certified Hand Therapist Licensure or significant preparation for CHT certification.
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.
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Associate BioMed Tech
Stoughton, MA job
Schedule Monday through Friday 8:30am to 5pm
Specific Responsibilities:
Will perform PM's and minor repairs on a variety of biomedical equipment.
·Will mentor and assist PM technicians Will identify training needs for self
·Will assure the service area is clean and orderly, providing a safe environment for service personnel
·Will assure accurate database entry and reports
·Expected to meet production goals set for department
·Will participate in department on call rotation
Qualifications (Education, Experience, Skills and Abilities)
High school diploma or equivalent.
Typically requires 1+ years of related Experience.
:·Basic troubleshooting ability
·Some knowledge of various hospital / homecare medical equipment
·Excellent customer communication skills
·Computer literate with an understanding of database operations
·Understanding of and ability to operate basic electronic test equipment
·Basic knowledge of electronics, electricity, electro-mechanical, fluidics, pneumatics and hydraulic theories and practices
.·Associate degree in an electronic field, preferably biomedical, or a combination of education and experience
·Strong work ethic and focus on quality work
·Must be organized.
·Ability to communicate with all levels of personnel
·Strong attention to detail, ability to maintain focus with intermittent distractions
·Strong organization and time management skills
·Professionalism and mature sense of accountability
Additional InformationAll your information will be kept confidential according to EEO guidelines.
Transport Aide FT Rotating
Framingham, MA job
MetroWest Medical Center is the largest community health care system between Worcester and Boston. MetroWest Medical Center is committed to providing high quality, comprehensive care, at a location close to home. The 307-bed regional healthcare system includes Framingham Union Hospital, Leonard Morse Hospital in Natick and the MetroWest Wellness Center. MetroWest Medical Center has been named to the 2019 America's 100 Best Hospitals List by Healthgrades.
Onboarding Process: Please be advised that candidates must successfully complete a background check and pre-employment health screening which includes a drug screen.
Summary
Collaborates with multidisciplinary team members to provide the very best care for our med-surg patients in our advanced facilities that include a primary stroke center and a long-term acute care unit.
Responsibilities
Receives and transports patients and visitors in a safe and timely manner to their designated destination. Will document request for services in order to provide an accurate and timely tracking system. Will maintain wheelchairs, stretchers, and all other used equipment in clean and sanitary condition, as well as proper working order (i.e., oiling wheels of such equipment). Completes established competencies for the position within designated introductory period. Other related duties as assigned.
Transports patients from one area of the hospital to another as needed. Cleans all equipment as assigned, assists other employees as directed, and may assist with clerical work in the department as time permits.
Qualifications
Education
Required: High school diploma or equivalent
Experience
Preferred: Patient transportation or customer service experience
Certifications:
Preferred: BLS
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.
Auto-ApplyInfection Prevention Manager
Worcester, MA job
Saint Vincent Hospital offers a whole new experience in health care. By combining our advanced, state-of-the-art facility with our commitment to providing the best quality of life to the many members of our Worcester community. Saint Vincent Hospital excels at offering the best care in a friendly atmosphere. From our advanced heart and vascular services, to our comprehensive orthopedics and rehabilitation programs, our robust surgical facility including our Da Vinci robotic surgery and Cyberknife technology, to our comfortable and compassionate women & infants programs - you don't have to travel far for high-quality health care: We're right here, in the heart of Worcester.
Onboarding Process: Please be advised that candidates must successfully complete a background check and pre-employment health screening which includes a drug screen.
Job Summary
The Infection Control Manager directs and coordinates the infection control program in the hospital. The designated person will be given the authority to implement and enforce the Surveillance, Prevention and Control Program policies, coordinate all infection prevention, and control within the hospital and facilitate ongoing monitoring of the effectiveness of prevention and/or control activities and interventions.
Qualifications:
Education
Required: Bachelor's degree in Nursing, or other healthcare related field.
Experience
Required: 4 years of experience in infection prevention with previous experience in health care.
Certifications
Mass RN License, or ASCP, CIC certification preferred
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.
Auto-ApplySenior Manager, MarketPoint Sales - Raleigh Durham, NC.
Boston, MA job
**Become a part of our caring community and help us put health first** With over 10 million sales interactions annually, Humana understands that while great products are important, it's the quality of our service that truly defines us. We know that when our members and prospects have delightful and memorable experiences, it strengthens their connection with us and enables us to put their Health First. After all, a health services company that has multiple ways to improve the lives of its customers is uniquely positioned to put those customers at the center of everything it does.
Are you passionate about the Medicare population, looking for a role in management with the ability to directly impact your own income potential? If so, we are looking for licensed, highly motivated and self-driven individuals to join our team. Our Senior Manager, Medicare Sales, motivates and drives a team of Medicare Sales Field Agents who sell individual health plan products and educate beneficiaries on our services in a field setting. Our teams also sell Life, Annuity, Indemnity, Dental, Vision, Prescription plans, and more.
Humana has an inclusive and diverse culture welcoming candidates with multilingual skill sets to service our consumers.
**This role is** **field** **based, and you will be out and about in the field in the Raleigh** **Durham, NC.** **area working with your team and meeting members face to face. You must reside in Raleigh** **Durham, NC.** **area or be willing to relocate to the area.**
In this **field** position, you will; coach, mentor, educate, motivate and train a team of sales individuals. The Senior Manager, Medicare Sales, must have a solid understanding of the market they serve, how to resolve operational problems and provide creative solutions to increase sales while following CMS guidelines. This role also involves cultivating, maintaining, and building relationships with Humana's customers, both internal and external business partners, along with the community we serve through telephonic, virtual, and face-to-face interactions with individuals and groups. Other responsibilities include developing marketing budgets, and looking for branding opportunities.
**Use your skills to make an impact**
**Required Qualifications**
+ **Must reside in the** **Raleigh** **Durham, NC.** **area or be willing to relocate**
+ **Active Health & Life Insurance Licenses**
+ 2 or more years of sales leadership experience
+ 6 or more years of experience working in the insurance industry
+ Must be able to travel up to 50% of the time
+ Ability to lead a team of sales associates and train them in successful sales techniques, educational presentation skills, utilizing technology tools as well as building relationships with communities and medical providers
+ Strong aptitude for technology with proficiency in MS Office products, various CRM platforms, and various iPhone app capabilities
+ Must be a strong leader, strong producer
+ Strong organizational, interpersonal, communication and presentation skills
+ Ability to adapt and overcome when necessary
+ Community Engagement/Grassroots experience in marketing Medicare plans in the community
+ Must be passionate about contributing to an organization focused on continuously improving consumer experiences
+ This role is part of Humana's Driver safety program and therefore requires an individual to have a valid state driver's license and proof of personal vehicle liability insurance with at least 100/300/100 limits
**Preferred Qualifications**
+ Bachelor's Degree
+ Prior experience working in Medicare and the health solutions industry
+ Engaged with the community through service, organizations, activities and volunteerism
+ Project management background or certification a plus
+ Bilingual with the ability to speak, read and write without limitations or assistance
**Humana Perks:**
Full time associates enjoy:
+ Base salary with a competitive commission structure
+ Medical, Dental, Vision and a variety of other supplemental insurances
+ Paid time off (PTO) & Paid Holidays
+ 401(k) retirement savings plan
+ Tuition reimbursement and/or scholarships for qualifying dependent children.
+ And much more!
**Social Security Task:**
Alert: Humana values personal identity protection. Please be aware that applicants being considered for an interview will be asked to provide a social security number, if it is not already on file. When required, an email will be sent from ******************** with instructions to add the information into the application at Humana's secure website.
**Virtual Pre-Screen:**
As part of our hiring process for this opportunity, we will be using exciting virtual pre-screen technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information for you pertaining to your relevant skills and experience at a time that is best for your schedule. If you are selected for a virtual pre-screen, you will receive an email and text correspondence inviting you to participate in a HireVue interview. In this virtual pre-screen, you will receive a set of questions to answer. You should anticipate this virtual pre-screen to take about 10-15 minutes.
\#MedicareSalesManager \#MedicareSalesReps
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
**Scheduled Weekly Hours**
40
**Pay Range**
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$77,000 - $105,100 per year
This job is eligible for a commission incentive plan. This incentive opportunity is based upon company and/or individual performance.
**Description of Benefits**
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
Application Deadline: 01-30-2026
**About us**
Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
**Equal Opportunity Employer**
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ***************************************************************************
Easy ApplyX-Ray Technologist Per Diem
Framingham, MA job
MetroWest Medical Center is the largest community health care system between Worcester and Boston. MetroWest Medical Center is committed to providing high quality, comprehensive care, at a location close to home. The 307-bed regional healthcare system includes Framingham Union Hospital, Leonard Morse Hospital in Natick and the MetroWest Wellness Center. MetroWest Medical Center has been named to the 2019 America's 100 Best Hospitals List by Healthgrades.
Onboarding Process: Please be advised that candidates must successfully complete a background check and pre-employment health screening which includes a drug screen.
Summary
Under minimal supervision, performs basic to complex diagnostic radiographic procedures, as requested by a licensed physician. Exercises professional judgment in providing health care services, applying x-ray energy, to assist in diagnosis or treatment of patients in all age groups from newborn to elderly. Completes established competencies for the position within designated introductory period. Other related duties as assigned.
Job Responsibilities
Produces high quality diagnostic radiographs, rotates through advanced areas of diagnostic radiology to include OR, Urography, open reductions, myelography, arthrography, placements, and trauma; assists practitioner with fluoroscopy, arthrography, OR procedures and trauma.
Qualification
Education
Required: Graduate of accredited Imaging Program
Preferred: Associate degree
Experience
Preferred: 1-3 years
Certifications
Required: ARRT or registry eligible; must have ARRT within one year post graduation; BLS, state license if required
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.
Auto-ApplyClinical Educator Emergency Department FT Days
Framingham, MA job
MetroWest Medical Center is the largest community health care system between Worcester and Boston. MetroWest Medical Center is committed to providing high quality, comprehensive care, at a location close to home. The 307-bed regional healthcare system includes Framingham Union Hospital, Leonard Morse Hospital in Natick and the MetroWest Wellness Center. MetroWest Medical Center has been named to the 2019 America's 100 Best Hospitals List by Healthgrades.
Onboarding Process: Please be advised that candidates must successfully complete a background check and pre-employment health screening which includes a drug screen.
Summary
Under the guidance of the Market Education Director, the Nursing Educator collaborates with facility/market nursing leadership and staff across departments to assess, plan, develop, implement, facilitate, evaluate, and revise educational programming for all levels of nursing personnel and non-nursing personnel as indicated or requested. The educator acts as a key resource in the orientation and continuing education of nursing staff at Tenet Healthcare. The Nursing Educator implements a comprehensive education program for his/her assigned units while following and contributing to Tenet educational goals and vision. Educational programs typically include, but are not limited to, orientation, continuing education, and in-services. Other services may include, but are not limited to, process, performance and service-delivery consultation, and contributions to the organization through councils, committees, and workgroups.
Responsibilities
Supports the educational needs for assigned units/clinics including classroom, clinical experiences, and learning technologies. Implements Tenet comprehensive education programs to meet the orientation and ongoing competency needs and professional development needs of the nursing staff, with specific focus for his/her units/clinics, which supports the Tenet model of professional nursing practice. Ensures all program/course revisions meet the Department of Nursing and regulatory expectations and standards. Adheres to national education practice standards and stays abreast of current research into nursing education practice. Programs are executed and revised based on adult learning principles, organizational, and learning theory consistent with Tenet endorsed philosophy and direction. Provides consultation to enhance continuing education, professional development opportunities and mentorship opportunities; delivers/coordinates other educational programs as directed (e.g., Grand Rounds, in-services, continuing education, job-specific and specialty curricula) to support competence and professional growth of Tenet nursing staff. Provides leadership to preceptors and serves as a role model through educational programs and ongoing coaching and mentoring. Serves as a facilitator to nurse residents and actively mentors and supports their growth in the profession and clinical practice. Participates in continuing education provider unit learning. Evaluates nursing education activities, which qualify for continuing education credit. Participates in activities to keep abreast of the changes to market/facility policies/procedures of the provider unit, and the expectations of the educator role. Assists in development of clinical policies and procedures as requested. Provides guidance, resources, and knowledge for professional growth of others. Mentors colleagues, other nurses, students, and others as appropriate. Participates in quality performance improvement activities. Performs other duties as assigned/required. Covers all Hospital Services.
Qualifications
Education
Required: Bachelor's degree in nursing, nursing education, or related specialty
Experience
Required: 3 years of nursing experience in an acute care setting
Certifications:
Required: Current state licenses and certifications
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.
Auto-ApplySenior Specialist, Provider Contracts HP
Molina Healthcare job in Boston, MA
Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to financial and operational performance, in alignment with Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant federal, state and local regulations. Responsible for accurate and timely maintenance of Value Based Contracts (VBCs) post execution, including but not limited to, data analysis and reporting that ensures VBCs fulfill APM provider payment and regulatory requirements related to state-mandated value-based programs. Supports Manager with contracting/re-contracting of VBCs, issue escalations and JOCs on exception. Synchronizes data among multiple systems when applicable and ensures adherence to business and system requirements of customers as it pertains to contracting and network management.
**Job Duties**
This role supports assigned contracts with VBC providers that result in high quality and cost-effective care. Maintains tracking system and publishes reports according to departmental procedures. Contracting/re-contracting of VBCs, issue escalations and Joint Operating Committees on exception.
- Assists Manager and/or Director in the negotiation of medical group/IPA and hospital VBC contracting.
- Serves as VBC regulatory data and reporting lead by developing and producing as required to engage with provider and facilitate VBC performance.
- Supports VBC network throughout the state to include onboarding VBC providers and supporting JOC's.
- Clearly and professionally communicates VBC contract terms to VBC providers.
- Coordinates preparation and routing distribution of documents to complete the contracting process in a timely and thorough manner according to standardized processes.
- Communicates proactively with other departments to ensure effective and efficient business results.
- Trains and monitors newly hired Contract Specialist(s).
- Participates in other VBC related special projects as directed.
- Limited team travel once to twice annually.
**Job Qualifications**
**REQUIRED EDUCATION:**
Bachelor's Degree or equivalent work experience in health care field including, but not limited to, provider's office, managed care, or other health care field.
**REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:**
- 4-6 years' previous experience in contracting with large specialty or multispecialty provider groups.
- 1-3 Years Managed Care experience
**PREFERRED EXPERIENCE** :
Provider facing experience and knowledge of integrated delivery systems, hospitals and groups (specialty and ancillary) highly desirable. Experience generating financial reporting to meet regulatory requirements. Ohio based candidate desired; however, not required.
Pay Range: $30.37 - $61.79 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.