Ohio Hospital Association jobs

St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. The Provider Talent Acquisition Specialist is responsible for assisting with the mission of the network's growth and provider satisfaction strategies by supporting the recruitment of Advanced Practitioners, Physicians and related provider roles. Activities include sourcing, advertising, candidate relationship management, interviewing, hiring, onboarding and coordination of / attendance at recruitment events, conferences etc. The Provider Talent Acquisition Specialist serves as a resource to employees, managers and applicants in regard to full cycle provider recruitment functions. They will collaborate with the broader recruitment team and internal stakeholders to optimize provider recruitment and retention, budgetary compliance, recruitment strategies and protocols, and contract negotiations. JOB DUTIES AND RESPONSIBILITIES: * Leads recruitment efforts for both existing and newly developed specialties, as assigned. Develops and executes strategic plans to promote SLPG and SLUHN opportunities to providers in training and in practice. Supports growth, retention, and replacement planning for providers as needed. * Partners with Provider Sourcing Specialists and aligned operational leadership to develop and implement recruitment strategies, including job posting optimization, marketing channel development, job board procurement, digital and traditional employment marketing, campaign planning, and talent pipeline development. * Oversees all aspects of the provider recruitment process-from initial candidate outreach and qualification to presentation to operational leaders and recruitment committees. Coordinates candidate site visits and community exposure, manages follow-up communications, and initiates post-offer processes including credentialing, contracting, and onboarding. * Responsible for workforce planning metrics such as average time-to-fill, quality of hire, and retention goals for assigned service lines. * Leads initiatives to engage Advanced Practitioner students through class presentations, job fairs, and other outreach efforts. * Builds and maintains strong relationships with residency and fellowship programs within SLUHN and externally. * Represents SLUHN at national and local medical conferences, job fairs, and provider recruitment events to build brand awareness and attract top talent. * Cultivates relationships with key provider sources including medical schools, training programs, and professional associations at the national, state, and local levels. * Negotiates and manages contracts with external recruitment firms, serving as the primary liaison and contract administrator. * Manages Workday processes related to provider recruitment, including FTE changes, transfers, promotions, and new hires. * Other related duties as assigned. PHYSICAL AND SENSORY REQUIREMENTS: Sitting for up to eight hours per day. Standing and walking as necessary. Frequently using fingers/hands for typing, computer entry etc. Twisting and turning of hands occasionally. Pushing and pulling. Occasionally stoops, bends, squat, kneel and reach above shoulder level. Hearing as it relates to normal conversation. Seeing as it relates to general and near vision. EDUCATION: Minimum of a Bachelor's Degree, preferably in human resources, marketing, public relations or healthcare management. TRAINING AND EXPERIENCE: A minimum of two years of experience in a talent acquisition or related role is required; three years is preferred. Previous experience in provider recruitment is strongly preferred. Please complete your application using your full legal name and current home address. Be sure to include employment history for the past seven (7) years, including your present employer. Additionally, you are encouraged to upload a current resume, including all work history, education, and/or certifications and licenses, if applicable. It is highly recommended that you create a profile at the conclusion of submitting your first application. Thank you for your interest in St. Luke's!! St. Luke's University Health Network is an Equal Opportunity Employer.

Employee Type: Regular Work Shift: Day - 8 hour shift (United States of America) Join Team Tidelands and help people live better lives through better health! Supervisor Provider Coding Specialist Are you passionate about quality and committed to excellence? Consider joining our Tidelands Health team. As our region's largest health care provider, we are also one of our area's largest employers. More than 2,500 team members at more than 70 Tidelands Health locations bring our healing mission to life each day. A Brief Overview The Supervisor, Provider Coding Specialist under the general supervision of the Coding Manager, is responsible for overseeing daily coding workflow in the assignment of ICD-10 CM, CPT, and HCPCS codes. Accountable for quality, timeliness, completeness, and accuracy of the coding team to ensure optimal reimbursement and goal attainment. The coding supervisor performs quality reviews and provides education and training when deficiencies are identified, or new processes are implemented. Incorporates initiatives that improve compliance and reduce risks to the institution. Serves as a resource and technical expert for complex coding/billing issues. Informs, educates, and coordinates with other Revenue Cycle, Clinical Operations, and other stakeholders regarding the coding and charge capture process. Assists coding manager with coding-related projects and staff oversight. What you will do Leads and guides staff that performs medical coding functions and supervises the processes and systems required to accomplish timely, accurate, and compliant record management and coding. Supervise and coordinate all activities of the medical coders to include effective management of staffing schedule to achieve timely coding, provider and coder audits, identification of and implementation of proactive denial mitigants, and staff engagement. Responsible for maintaining current knowledge of applicable medical record and coding laws, rules, and regulations, Follows compliant charge capture in accordance with Medicare, Medicaid or Third-Party payer guidelines. Assists with development of policies, procedures and job aids related to coding and charge entry. Assist in the development of processes and education of team related to provider coding. Translates regulatory requirements into daily operating procedures. Assists with the preparation of special reports for Leadership to document utilization of the charge capture outcomes (e.g., late entry volumes, pricing impacts, etc.). Assists with and works in cooperation with CDM managers to establish charge capture, CDM maintenance practices and methodologies. Recommends revisions to charge codes and submits requests for charge codes for new services. Support ongoing education needs of employee-partners to keep all apprised of most current coding regulations and guidance. Educates caregivers on charge capture as omissions or errors are identified. Supervise daily revenue cycle operations to include creation, monitoring and problem-resolution needed to achieve agreed upon revenue cycle metrics for the coding team Work with physicians to ensure consistent coding and documentation policies and procedures are followed Act as a resource to clinic staff on matters pertaining to the revenue cycle Identifies inconsistencies and works with Clinical Informatics to streamline charge capture process. Lead or participate in cross-functional workgroups/committees as needed Support all other functions of the Revenue Cycle Team Will work with HR, IT Provisioning team, and coding manager/director in all aspects of onboarding new employees Education Qualifications High School Diploma Required Associate's Degree in healthcare administration, Health Information Technology, or related field Preferred Experience Qualifications 2 years of supervisory experience based on education Required 3 years of coding experience for hospital and/or professional fee services for multi-specialty departments Required 2 years of coding auditing experience Preferred Minimum of five (5) years of coding experience and/or charge capture experience, including two (2) years in a healthcare revenue cycle supervisor/lead role Required Experience in a Supervisor/Lead role with oversight of 4+ employees Required Experience with coding and/or auditing in a Healthcare environment for hospital and/or professional fee services for multi-specialty departments Required Experience with ICD-10 diagnosis, ICD-10 procedures, HCPCS level I and II codes, and CPT coding Required Skills and Abilities Knowledge of outpatient charging and OPPS rules Ability to work with departments to identify charge revenue opportunities and ways to improve charge capture Strong understanding of hospital and ambulatory workflows. Must be able to work extended hours and/or flexible hours as needed to meet department project demands and/or department goals. Required to have the ability to apply logical thinking to practical problems. Be able to deal with a variety of abstract and concrete variables and respond effectively to sensitive inquiries or complaints. Attention to detail; ensuring accuracy in work Ability to multi-task and ensure deadlines are met consistently Ability to work as a team member, collaboratively and positively Licenses and Certifications Certified Coding Specialist - American Health Information Management Association Required Certified Coding Specialist - Physician-based - American Health Information Management Association Required Certified Professional Coder - American Academy of Professional Coders Required Registered Health Information Administrator - American Health Information Management Association Required Registered Health Information Technician - American Health Information Management Association Required Physical Demand Light Physical Demand The intent of this job description is to provide a representative and level of the types of duties and responsibilities that will be required of positions given this title and shall not be construed as a contract for employment nor a declaration of the total of the specific duties and responsibilities of any particular position. Employees may be directed to perform tasks other than those specifically presented in this description. Tidelands Health is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex, sexual orientation, or veteran status. Tidelands Health is an equal opportunity employer (EOE). Tidelands Health does not discriminate against employees or applicants for employment on the basis of race, color, creed, religion, age, national origin, disability, marital status, veteran status, gender, genetic information, familial status, or any other legally protected status.

St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. The Outpatient Care Manager, Social Worker (OP CM SW) is responsible for providing Social Work and care management services to out-patients and their families (occasional in-patients) as directed by the policies and procedures of the entity and Outpatient Care Management Department. The OP CM SW provides professionally established methods of assessing a patient's unique bio-psychosocial status, assists patients and families in resolving problem areas, and connects them with appropriate community resources and services. Responsible for the psychosocial component of patient care as it relates to medical stability and wellness, the OP CM SW collaborates with both health care and community partners to address social determinants of health and promote self-management of care needs. The OP CM SW also collaborates with the Outpatient Care Manager RN, Community Health Worker and extender staff as needed to address the social needs of the medically complex patient. JOB DUTIES AND RESPONSIBILITIES: * Provides assessment, care planning and intervention to patients and caregivers, including psychosocial and resource evaluation and planning, advocacy, as well as crisis intervention as appropriate. * Provides counseling directed toward helping patients/caregivers cope with and understand the relationship between physical functioning, illness and the consequent social/emotional impact and adjustments required. * Consults with providers, nurses and other members of the health care team to facilitate interdisciplinary care and address effective continuum of care coordination. * Investigates insurance benefits as well as community resources to provide and facilitate appropriate referrals based on patient/caregiver agreement. * Organizes individual patient care meetings with internal and, as necessary, external multidisciplinary team members and the patient/caregiver to evaluate progress and to identify and resolve problems that may interfere with a positive patient outcome. * Provides patient/caregiver and/or care team education as needed as it relates to government mandates/laws. * Proactively collaborates with patient/caregiver, care team members, and community partners as necessary to address bio-psychosocial needs to ensure efficient and effective continuity of care, utilization of resources and to avoid unnecessary hospitalizations. * Ensures appropriate clinical and patient care documentation in patient charts, completes reports and other requested/required patient documentation as needed, and maintains required statistical documentation for the department's management information system. * Functions autonomously under the Organization and Departmental policies and procedures and in compliance with the NASW Code of Ethics. * Acts as a liaison to community agencies, health institutions, etc., to address systems issues affecting patient outcomes by serving, as able, in community groups and organizations. * Demonstrates competency in the assessment, range of treatment, knowledge of growth and development and communication appropriate to the age of the patient treated. PHYSICAL AND SENSORY REQUIREMENTS: Sitting for one to two hours at a time, stand for two to three hours at a time, walk on all surfaces for up to five hours per day, and climb stairs. Must be capable of driving a car. Fingering and handling objects frequently. Occasionally firmly grasp, twist and turn objects with hands and fingers. May be required to lift, carry, push, and/or pull objects weighing up to 25 pounds. Occasionally stoops, bends, squats, kneels and reaches above shoulder level. Must have the ability to hear as it relates to normal conversations and high and low frequencies and to see as it relates to general and peripheral vision. Must have the ability to touch as related to telephone and computer keyboard. EDUCATION: Master's degree in Social Work from an educational institution accredited by the National Council on Social Work Education (NCSWE) preferred. LICENSURE / CERTIFICATION: State licensure for MSW in PA and NJ preferred. State licensure for MSW in NJ required if working in NJ. TRAINING AND EXPERIENCE: MSW with minimum of two (2) years' experience in medical social work case management or other experience as related to site of service preferred or as above. Please complete your application using your full legal name and current home address. Be sure to include employment history for the past seven (7) years, including your present employer. Additionally, you are encouraged to upload a current resume, including all work history, education, and/or certifications and licenses, if applicable. It is highly recommended that you create a profile at the conclusion of submitting your first application. Thank you for your interest in St. Luke's!! St. Luke's University Health Network is an Equal Opportunity Employer.

Job Details Management Haven Behavioral Healthcare Inc - Mt. Juliet, TN Fully Remote Full Time NegligibleDescription The Manager, Accounts Receivable Transactions, is responsible for overseeing the payment posting and reconciliation processes within the revenue cycle department. This position ensures the accurate and timely posting of payments, adjustments, and denials while maintaining compliance with healthcare regulations and financial policies. This role collaborates with billing, collections, and finance teams to optimize revenue operations and improve cash flow. Essential Functions: Oversees payment posting operations to ensure accurate and timely application of all payments, adjustments, and denials across multiple payers and patient accounts. Ensure daily reconciliation of posted payments with bank deposits and financial reports. Identifies and implements process improvements within payment posting workflow to enhance efficiency, accuracy, and overall performance. Monitors compliance with HIPAA, CMS, and other regulatory guidelines for healthcare revenue cycle operations. Reviews and interprets payment trend reports and account-level analytics to identify discrepancies, and support decision-making. Manage and develop team members, providing training, performance feedback, and ongoing support to maintain a high-performing, accurate, and engaged team. Collaborate with IT and finance teams to optimize revenue cycle management (RCM) software and electronic payment processes. Work closely with billing and collections teams to analyze denial trends and improve revenue recovery. Partners with internal departments and external payers to resolve payment discrepancies and ensure proper claim adjudication. Perform other duties as assigned. Qualifications Educational / Experience Requirements: Bachelor's degree in healthcare administration, Finance, Accounting, Business, or a related field (or equivalent experience). Minimum of three years of experience in payment posting, revenue cycle, or healthcare finance. Previous experience in a leadership or supervisory role within a healthcare revenue cycle department. Proficiency in RCM and payment posting software (EMR and clearing house systems). Strong knowledge of payer remittance formats (ERA, EOB), ANSI 835 files, and reconciliation processes. Experience with financial reporting, spreadsheets, and data analysis tools (Excel, Power BI, SQL, etc.). Qualifications / Skills: Proficient in Microsoft Office such as Microsoft Word and Excel. Broad understanding of all revenue cycle functions and interrelationships. Hands on experience and knowledge in medical insurance policy benefits, process improvement, AR management and systems development/implementation. Must be versatile, flexible, and able to perform in stressful situations. Strong organizational and time management skills with the ability to prioritize and manage high-volume workloads effectively. Strong written and oral communication skills; able to collaborate with internal teams, external payers, and cross-functional partners. Must analyze and utilize data and systems to provide individualized quality treatment in a cost-effective manner. Must be able to function with minimal supervision and complete understanding and respect for confidentiality. Interprets and works toward policy and procedure modification that are in accordance with State and Federal Laws, TJC, HCFA and other regulatory boards as required by state and federal laws as well as the mission statement. Work Environment: Subject to many interruptions. Occasional pressure due to multiple calls and inquiries. This position can be high paced and stressful; must be able to cope mentally and physically to atmosphere. Work require spending approximately 90% or more of the time inside a building that offers protection from weather conditions but not necessarily from temperature changes.

The Talent Solutions team at St. Luke's Health System administers, governs and maintains multiple strategic talent systems that support workforce experience, engagement and learning. This HR Analyst for Talent Solutions is a critical role that provides technical system expertise to support system configuration, system integrity and upgrades, integration, testing, and end-user experience. The successful candidate will have strong technical literacy with prior experience in configuration and administration of HR Information System and/or Learning Management tools, ability to be proactive and manage workload in a remote environment, and a solutions-focused, customer experience mindset. ***Remote work supported from Idaho, Oregon, Utah, and Arizona only*** **What You Can Expect:** + Administer and maintain talent systems, ensuring accurate course catalogs, user access, role permissions, and system functionality. + Troubleshoot and resolve technical issues through learner tickets and proactive system monitoring. + Manage system upgrades, release testing, and configuration changes to ensure a stable and user-friendly learning environment. + Collaborate with cross-functional teams for system integration and solution optimization. **Qualifications:** + Bachelor's Degree or experience in lieu of. + 4 years of relevant experience (technical experience in LMS, HRIS, HR solutions). **What's in it for you** At St. Luke's, caring for people in the communities we serve is our mission - and this includes our own SLHS team. We offer a robust benefits package to support our teams both professionally and personally. In addition to a competitive salary and retirement plans, we ensure our team feels supported in their benefits beyond the typical medical, dental, and vision offerings. We care about you and have fantastic financial and physical wellness options, such as: on-site massages, on-site counseling via our Employee Assistance Program, access to the Personify Health Wellness tool, as well as other formal training and career development offerings to ensure you are meeting your career goals. St. Luke's is an equal opportunity employer and does not discriminate against any person on the basis of race, religion, color, gender, gender identity, sexual orientation, age, national origin, disability, veteran status, or any other status or condition protected by law. *Please note: this posting is not reflective of all job duties and responsibilities and is intended to provide an overview to job seekers. **Default: Location : City** _Boise_ **Category** _Human Resources_ **Work Unit** _Talent Development System Office_ **Position Type** _Full-Time_ **Work Schedule** _DAY_ **Requisition ID** _2025-107130_ **Default: Location : Location** _US-ID-Boise_ **Work Location : Name** _400 S Broadway Ave, Boise, St Luke's Plaza 1_

St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. Support the St. Luke's network by assisting with student recruitment, internship planning, college and university relations, career coaching, student programming and related data and reports. JOB DUTIES AND RESPONSIBILITIES: The St. Luke's intern supports the network by using their knowledge and talents to bring new ideas, creative solutions, and skills to a variety of projects and tasks for Career Navigation, housed in the human resources department. The Career Navigation Intern should be self-motivated, comfortable with interacting with the public and internal staff, and be able to professionally represent the St. Luke's Network at events and presentations. ESSENTIAL FUNCTIONS: Create marketing plans to share employment opportunities with colleges and universities including content for social media, flyers, etc. Plan and host social and professional development activities for summer interns for both in person and virtual formats. Support various departments and hiring managers hire, recruit and onboard interns. Assist with developing materials, learning guides and activities for career education and career planning. Coordinate job shadow programs for clinical and non-clinical departments. Collect feedback from St. Luke's interns and evaluate internship programs. Host career exploration on-site programs and events. Support Career Planning Academy, an internal program for employees. Collect, track and tabulate data and create reports. Attend career fairs and campus events for recruitment and career education. Provide career related presentations to classrooms and student groups. Manage intern newsletter and intern teams channel communication. Proofread and assist with creative projects and communication initiatives. Complete research and outreach on regional colleges/universities for recruitment purposes. Assist with posting jobs and events to Handshake. Maintain confidentiality of all materials handled within the Network/ Entity as well as the proper release of information. Comply with Network and departmental policies regarding issues of employee, patient and environmental safety and follows appropriate reporting requirements. Demonstrate/model the Network's Service Excellence Standards of Performance in interactions with all customers (internal and external). Demonstrate Performance Improvement in the following areas as appropriate: Clinical Care/Outcomes, Customer/Service Improvement, Operational System/Process, and Safety. Demonstrates financial responsibility and accountability through the effective and efficient use of resources in daily procedures, processes and practices. Complies with Network and departmental policies regarding attendance and dress code. OTHER FUNCTIONS: Other related duties as assigned. PHYSICAL AND SENSORY REQUIREMENTS: May require sitting/standing for up to 4hrs/day, walking up to 2 hrs/day, 20 minutes at a time. Requires frequent fingering, handling, firm grasping, twisting and turning. In a typical workday when performing essential functions, must be able to: stoop/bend; reach above shoulder level; squat; crouch; kneel; climb; lift heavy supplies and equipment; touch to perceive size, shape temperature and texture; hear high frequencies and day to day conversations, perceive objects near and far; and distinguish chromatic colors. In addition, should have good peripheral vision and depth perception. POTENTIAL ON-THE-JOB RISKS: Minimal on the job risks during normal tasks. Identified Risks, None Identified and/or Fit Tested Statement Which States That: Employees who work in patient care areas where they may have potential exposure to patients with suspected or proven tuberculosis (TB) must have the ability to wear a particulate respirator and be fit-tested in compliance with the current recommendations from the CDC (enforced by OSHA) or must provide physician documentation as to the inability to wear a particulate respirator. SPECIFIC PROTECTIVE EQUIPMENT AVAILABLE: MOST COMPLEX DUTY: Excel and data management, public speaking ADDITIONAL REQUIREMENTS: 1. Must maintain client confidentiality at all times. 2. May not give medical advice or opinions. MINIMUM QUALIFICATIONS EDUCATION: Recent graduate or student pursuing bachelor's or master's in Healthcare Administration, Business Administration, Psychology, Communication, Human Resources or a related field. TRAINING AND EXPERIENCE: Preferred familiarity with Handshake, Canva and social media platforms. Ability to speak with large and small groups and professionally communicate through written materials and public speaking. WORK SCHEDULE: 16-40 hours a week. Day shift, Monday-Friday, with occasional varying hours based on the needs of the department. Hybrid position that includes in person work and remote work flexibility. Please complete your application using your full legal name and current home address. Be sure to include employment history for the past seven (7) years, including your present employer. Additionally, you are encouraged to upload a current resume, including all work history, education, and/or certifications and licenses, if applicable. It is highly recommended that you create a profile at the conclusion of submitting your first application. Thank you for your interest in St. Luke's!! St. Luke's University Health Network is an Equal Opportunity Employer.

St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. The Clinical Triage Specialist (CTS) (RN) - Access Center will compassionately deliver an exceptional patient experience and provide clinical support to CTS-MA team members by serving as a clinical resource. The CTS-RN is responsible for using nursing judgment in answering/returning patient calls related to direct care provided by the practices. When appropriate, the caller's symptoms will be assessed and triaged using approved nursing protocols and guidelines to assist in obtaining the appropriate level of care and/or self-care advice. JOB DUTIES AND RESPONSIBILITIES: * Answers telephones, prioritizes clinical triage calls, follows clinical protocols, and coordinates services, as needed. * Verifies patient demographic information and accurately enters the updated information into electronic health record. * Serves as an escalation point for clinical patient issues and other POD team members requiring clinical support, and provides clinical advice based on clinical protocols and procedures. * Manages and responds to escalated electronic patient messages whenever not answering inbound patient calls and uses clinical judgment to prioritize and accommodate patients. * Creates a positive patient experience at every encounter, attempting to independently resolve any issues or concerns of the patient at the time of the phone call, within the scope of the role. * Consistently meets productivity, schedule adherence, and quality standards as set by the Access Center. * Utilizes all resources and guidelines at his/her disposal to effectively assess, prioritize, advise, schedule appointments, or refer calls when necessary to the appropriate medical facility or personnel. * Accurately documents symptoms/complaints, nursing assessment, advice provided and patient/caller response. * Partners with other Access Center teams/PODs and respective practice clinical team on behalf of the patient to assist with clinical concerns, medication refills, or scheduling appointments. * Other duties as assigned. EDUCATION: Graduate of an accredited nursing program. Active Registered Nurse licensure in the state of Pennsylvania and New Jersey or other nursing compact state and other states as deemed necessary by state law. TRAINING AND EXPERIENCE: * Minimum 2 years recent clinical experience in a physician office, home health, critical care and/or emergency room is required. * Strong communication skills * Focused on compliance * Demonstrates continuous growth * Quality-driven * Service-oriented * Excels at time management * Strong problem-solving skills Ability to work from home in accordance with the Network Work from Home Policy. Please complete your application using your full legal name and current home address. Be sure to include employment history for the past seven (7) years, including your present employer. Additionally, you are encouraged to upload a current resume, including all work history, education, and/or certifications and licenses, if applicable. It is highly recommended that you create a profile at the conclusion of submitting your first application. Thank you for your interest in St. Luke's!! St. Luke's University Health Network is an Equal Opportunity Employer.

At St. Luke's, our team of Contract Managers pride ourselves on fostering a workplace culture that values diversity, promotes collaboration, and prioritizes employee well-being. We strive to foster an environment that embraces our employees' unique strengths, experiences and perspectives which drives our exceptional, patient-centered care. The Contract Manager is responsible for driving and negotiating contracting processes and policies that improve quality throughout the organization. This role negotiates contracts, working with internal stakeholders and external vendors for assigned contracts/category groups. **What you can expect** + Collaborative team that cultivates a positive environment + Hybrid Schedule! Work from home two days a week + Ability to make a high-level impact working with internal and external stakeholders + Room for advancement + Gain knowledge of RFP and RFQ process in healthcare setting + Working with complex contracts with high dollar value + Contracting for implants vertical marrying up to supply chain **Qualifications** + Bachelor's degree or experience in lieu of degree + Five (5) years' relevant experience **What's in it for you** At St. Luke's, caring for people in the communities we serve is our mission - and this includes our own SLHS team. We offer a robust benefits package to support our teams both professionally and personally. In addition to a competitive salary and retirement plans, we ensure our team feels supported in their benefits beyond the typical medical, dental, and vision offerings. We care about you and have fantastic financial and physical wellness options, such as: on-site massages, on-site counseling via our Employee Assistance Program, access to the Virgin Pulse Wellness tool, as well as other formal training and career development offerings to ensure you are meeting your career goals. St. Luke's is an equal opportunity employer and does not discriminate against any person on the basis of race, religion, color, gender, gender identity, sexual orientation, age, national origin, disability, veteran status, or any other status or condition protected by law. *Please note: this posting is not reflective of all job duties and responsibilities and is intended to provide an overview to job seekers. **Default: Location : City** _Meridian_ **Category** _Supply Chain_ **Work Unit** _Supply Chain Management System Office_ **Position Type** _Full-Time_ **Work Schedule** _DAY_ **Requisition ID** _2025-106939_ **Default: Location : Location** _US-ID-Meridian_ **Work Location : Name** _3330 E Louise Dr 5th Floor, Meridian, Portico North Building_

At St. Luke's, we focus on building a workplace that supports growth, teamwork and balance. Our ambulatory care pharmacists are valued members of the care team, and we work hard to create an environment where people can build meaningful careers. With supportive colleagues, strong leadership and a commitment to patient-centered care, St. Luke's is a great place to work. St. Luke's is seeking an Ambulatory Care Pharmacist to join our team in a hybrid role supporting our primary care clinics in McCall, Idaho. This position provides full clinical support from a remote setting and requires one day of on-site work in McCall per month for nine months of the year. This role is an important part of the care team and works closely with clinic partners across the region. The St. Luke's Ambulatory Pharmacy Department includes pharmacists embedded in clinics across the health system in internal medicine, family medicine, endocrinology, anticoagulation, heart failure, lipidology, cystic fibrosis and pediatric specialties. What you can expect from this role An independent hybi ambulatory pharmacist practice with a broad collaborative practice agreement Management of a full remote clinic schedule, typically 8-12 patient appointments per day, using video and phone visits Coordinating closely with clinic teams to support medication management, answer drug questions and troubleshoot pharmacy issues Building strong partnerships with physicians, advanced practice practitioners, behavioral health providers and care managers Collaboration with clinical pharmacy technicians who support patient access and workflow Opportunities to precept pharmacy students and residents through virtual and on-site experiences Required on-site presence in McCall one day per month (nine months per year) for team connection, clinic integration and community partnership Other onsite work up for 40% of work time might be required Preferred qualifications for this role Previous experience managing virtual patient panels in an ambulatory or primary care setting Experience with chronic disease management in primary care Completion of a PGY2 Ambulatory Care Residency, or a PGY1 Pharmacy Residency with strong ambulatory focus, or equivalent ambulatory care experience Board certification (BCPS, BCACP or BCGP) preferred What's in it for you At St. Luke's, caring for people in the communities we serve is our mission - and this includes our own SLHS team. We offer a robust benefits package to support our teams both professionally and personally. In addition to a competitive salary and retirement plans, we ensure our team feels supported in their benefits beyond the typical medical, dental, and vision offerings. We care about you and have fantastic financial and physical wellness options, such as: on-site massages, on-site counseling via our Employee Assistance Program, access to the Virgin Pulse Wellness tool, as well as other formal training and career development offerings to ensure you are meeting your career goals. St. Luke's is an equal opportunity employer and does not discriminate against any person on the basis of race, religion, color, gender, gender identity, sexual orientation, age, national origin, disability, veteran status, or any other status or condition protected by law. *Please note: this posting is not reflective of all job duties and responsibilities and is intended to provide an overview to job seekers. Interested but not ready to apply? Join our Talent Community and stay connected for future opportunities!

As a Workforce Planning Analyst, you will play a crucial role in our overall workforce strategy - responsible not only for extraction and analysis of data for predictive modeling but also in the design and building of a system solution for workforce optimization. The successful candidate will have a blend of skills and abilities that include data analytics, translation of data into actionable insights, and technical proficiency in operating systems and system configuration (ie, Cornerstone or other platform for performance management, succession planning, skills work). This is a remote position but you must reside in Idaho, Oregon, Utah or Arizona. What to Expect: Coordinates with all levels of management to provide insights to business unit leadership and key stakeholders. Performs analysis and interpretation on projects of moderate size, risk and complexity. Provides operational context, highlights opportunities, and proactively supports decision making. Understands and interprets operational processes and business context to translate clinical, financial, and operational data into insights and information to support decision making. Communicates regularly with managers and key stakeholders to ensure alignment to strategic business initiatives Evaluates options and makes recommendations on courses of action to leadership and key stakeholders as appropriate. Challenges and supports business decisions with analytical rigor, insights, and judgments to drive better decisions. Responsible for and performs all moderately complex assignments and work requiring independent judgment and moderate guidance. Supports and maximizes the business units' operational and strategic performance delivering insights that ensure high level customer service. Builds successful partnerships with key internal customers and cross functional teams. Partners with Business Intelligence and Data Management teams to industrialize proven analytical solutions to meet recurring insight needs. Works with and contributes to Data Management and Data Governance to understand and help define data policies and standards to ensure high quality data and analytics. Typically handles matters and issues that are complex in nature and only escalates situation in rare circumstances. Maintains a high degree of functional, analytical, and technical acumen. Participates on special projects, workgroups and teams, as assigned. Completes other duties and responsibilities as assigned. Minimum Qualifications: Education: Bachelor's degree or experience in lieu of degree Experience: 4 years relevant experience Preferred Qualifications: Experience in the healthcare industry Experience with Power BI, data bricks, HR management system, EPIC What's in it for you At St. Luke's, caring for people in the communities we serve is our mission - and this includes our own SLHS team. We offer a robust benefits package to support our teams both professionally and personally. In addition to a competitive salary and retirement plans, we ensure our team feels supported in their benefits beyond the typical medical, dental, and vision offerings. We care about you and have fantastic financial and physical wellness options, such as: on-site massages, on-site counseling via our Employee Assistance Program, access to the Personify Health Wellness tool, as well as other formal training and career development offerings to ensure you are meeting your career goals. St. Luke's is an equal opportunity employer and does not discriminate against any person on the basis of race, religion, color, gender, gender identity, sexual orientation, age, national origin, disability, veteran status, or any other status or condition protected by law. *Please note: this posting is not reflective of all job duties and responsibilities and is intended to provide an overview to job seekers. Interested but not ready to apply? Join our Talent Community and stay connected for future opportunities!

At St. Luke's, Infusion Authorization Specialists are a pivotal role that involves extensive interaction with various internal and external stakeholders. These subject matter experts engage with insurance companies, third-party payers, prescription benefit management companies, governmental peer review organizations, and referring physicians' offices. This is a remote position that will require 8-12 weeks training in Boise, Idaho. Shift details: Monday-Friday 8:30am-5pm What you can expect from this role: obtaining insurance prior authorizations for episode-based infusion treatment referrals primarily administered in SLHS non-oncology infusion centers providing clear and effective communication to guide providers, patients, and insurance companies through the authorization process. This includes multitasking and communicating via Microsoft Teams, Outlook, and Epic working proficiently in various insurance portals to submit prior authorizations, perform benefits investigations, and follow up on submission statuses. other duties as assigned Minimum Qualifications for this Role: Education: High School Diploma or Equivalent At least three (3) years of healthcare experience, specifically in one or more of the following areas: authorization, billing, registration, financial advocacy, or home infusion authorizations. Must live in Idaho, Arizona, Utah or Oregon Preferred qualifications: EPIC experience 2 years direct experience with infusion, home infusion authorizations or medical authorizations What's in it for you At St. Luke's, caring for people in the communities we serve is our mission - and this includes our own SLHS team. We offer a robust benefits package to support our teams both professionally and personally. In addition to a competitive salary and retirement plans, we ensure our team feels supported in their benefits beyond the typical medical, dental, and vision offerings. We care about you and have fantastic financial and physical wellness options, such as: on-site massages, on-site counseling via our Employee Assistance Program, access to the Personify Health Wellness tool, as well as other formal training and career development offerings to ensure you are meeting your career goals. St. Luke's is an equal opportunity employer and does not discriminate against any person on the basis of race, religion, color, gender, gender identity, sexual orientation, age, national origin, disability, veteran status, or any other status or condition protected by law. *Please note: this posting is not reflective of all job duties and responsibilities and is intended to provide an overview to job seekers.

St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. Exciting new position with our Care Anywhere Practice! The Advanced Practitioner (Nurse Practitioner or Physician Assistant) is responsible for providing healthcare services to patients under the supervision of, and/or in collaboration with, the attending physician. These services include, but not limited to, medical evaluation, treatment, counseling, and referrals. Consists of diagnostic evaluations, therapeutic remediation, surgical assistance, and pharmaceutical prescription As with any other health care professional, the Advanced Practitioner is charged with being a patient advocate. The Advanced Practitioner will participate in patient satisfaction, quality, and performance improvement initiatives. JOB DUTIES AND RESPONSIBILITIES: Care Anywhere Night Hybrid Position SCHEDULE: Hybrid night position - in person at West End Ortho Hospital Monday-Thursdays; Virtual Fri-Sun The Care Anywhere Night Hybrid Advanced Practitioner (Physician Assistant or Nurse Practitioner) is a clinician who thrives in a changing environment where care delivery is enhanced through technology. This is a unique and innovative role, responsible for providing excellent patient care and experience in both the in person and virtual space. Customer Service and Compassionate and Empathetic communication skills will be critical in this roll. Must be able to treat children & adults. Virtual Care - Night Coverage Care Anywhere Practice * During overnight hours (may vary in time), conduct live and interactive clinical assessments, diagnose and treat patients via our virtual care platform, including recommending suitable treatment plans and considering cost-effective treatment modalities including but not limited to prescribing medication and assisting in care coordination or escalation as appropriate and within scope of licensure. * Complete "eVisits" (Asynchronous) that come to the care anywhere pool * Complete scheduled visits escalated from our after hours nurse triage line * Respond to patient questions/messages that come through the portal to the care anywhere team or our Care Anywhere number West End Ortho Hospital Coverage * Attend to medical/clinical needs of in house overnight surgical patients * Respond to nursing questions about in house patients and any medical emergencies * Collaborate with Physicians for escalation issues and arrange for transfer if necessary * Complete appropriate notes when care is provided Clinical Concierge After Hours Practice Coverage * Answer calls from our Concierge Medicine Primary Care Practice Patients after hours via dedicated phone line (or other identified and approved communication method) * Provide guidance within scope of practice and escalate care as appropriate to include but not limited to virtual visit, handoff to other care location, orders, prescriptions, etc. * Document patient interactions and collaboration with Concierge Practice Attending Physician Hospitalist Floor Call Support * Respond timely to floor calls from our Hospitalist Service for identified units/campuses * Document interactions and enter orders as appropriate * Collaborate with in house Hospitalist staff and Nursing Additional Skills: * Basic technology skills - able to personally troubleshoot and patiently help others troubleshoot basic audio/video connections * Dynamic communicator - Able to connect with patients through technology. * Relationship Builder - Able to build care team relationships * Motivated and independent * Adapts easily to new processes and change * at least 1 year experience working as an Advanced Practitioner PHYSICAL AND SENSORY REQUIREMENTS: Sit up to 8 hours per day; 3 hours at a time. Stand for up to 8 hours per day; 8 hours at a time. Walking for up to 6 hours per day. Frequently lifting, carrying and pushing objects up to 10 pounds. Rarely lifting, carrying and pushing objects up to 75 pounds. Frequently stooping and bending. Frequently reaching above shoulder level. Frequently handling, firm grasping and twisting & turning as it relates to performing procedures. Must be able to perceive attributes of an object through touch. Must be able to hear as it relates to normal conversation, high and low frequencies. Must be able to see as it relates to general, near, far, color and peripheral vision. Must be able to speak as it relates to normal conversation and projection as it relates to lectures and presentations. EDUCATION: Certified Registered Nurse Practitioner or Medical Physician Assistant with current license to practice in the state of Pennsylvania or New Jersey, as determined by the job location. Physician Assistants must also have a current certification through the National Commission on Certification of Physician Assistants (NCCPA). Please complete your application using your full legal name and current home address. Be sure to include employment history for the past seven (7) years, including your present employer. Additionally, you are encouraged to upload a current resume, including all work history, education, and/or certifications and licenses, if applicable. It is highly recommended that you create a profile at the conclusion of submitting your first application. Thank you for your interest in St. Luke's!! St. Luke's University Health Network is an Equal Opportunity Employer.

St. Luke's Health Partners is a clinically integrated network with about 300,000 attributed members across Idaho. We are committed to advancing value-based care by improving outcomes, enhancing patient experience, and reducing costs through data-driven insights and actionable analytics. The Network Reimbursement Analyst is responsible for developing, maintaining, and updating SLHP's fee schedule, pricing updates, and reimbursement policy execution. The role evaluates Medicare and industry changes, translates coding and regulatory updates into pricing recommendations, and models the financial impact of reimbursement decisions on provider performance and network affordability. **Full-time or part-time option** **What You Can Expect:** + Support the development, updates, and maintenance of SLHP professional and facility fee schedules by applying established pricing methodologies (percent-of-Medicare, custom rates, case rates, blended models) and ensuring accuracy across annual update cycles. + Monitor and interpret Medicare updates, CPT/HCPCS changes, RVU shifts, APC/DRG refinements, modifier rules, NCCI edits, and payer policy changes; prepare analytical summaries and recommended pricing adjustments. + Build and maintain models using claims, clinical, and operational data to evaluate the financial and operational impact of reimbursement changes on provider revenue, medical spend (PMPM), site-of-service patterns, and value-based care programs. + Prepare scenario models, forecasts, dashboards, and ad-hoc analyses to support payer contracting, strategy development, and network performance monitoring. + Perform post-claims audits, confirm alignment with fee schedules and reimbursement policies, and collaborate with Data & Analytics teams to validate datasets and ensure analytical reliability. + Collaborate with contracting, provider relations, finance, and analytics partners to provide reimbursement insights and communicate findings clearly to a variety of stakeholders. + Document pricing logic, analytic assumptions, data sources, and methodologies; contribute to analytical best practices and team knowledge-sharing. **Qualifications:** + Bachelor's degree or experience in lieu of degree + 4 years' relevant experience ***Remote work supported from the Idaho, Oregon, Utah, and Arizona ONLY*** **What's in it for you** At St. Luke's, caring for people in the communities we serve is our mission - and this includes our own SLHS team. We offer a robust benefits package to support our teams both professionally and personally. In addition to a competitive salary and retirement plans, we ensure our team feels supported in their benefits beyond the typical medical, dental, and vision offerings. We care about you and have fantastic financial and physical wellness options, such as: on-site massages, on-site counseling via our Employee Assistance Program, access to the Personify Health Wellness tool, as well as other formal training and career development offerings to ensure you are meeting your career goals. St. Luke's is an equal opportunity employer and does not discriminate against any person on the basis of race, religion, color, gender, gender identity, sexual orientation, age, national origin, disability, veteran status, or any other status or condition protected by law. *Please note: this posting is not reflective of all job duties and responsibilities and is intended to provide an overview to job seekers. **Default: Location : City** _Boise_ **Category** _Data & Analytics_ **Work Unit** _SLHP Admin Salaries Only System Office_ **Position Type** _Full-Time_ **Work Schedule** _DAY_ **Requisition ID** _2025-107707_ **Default: Location : Location** _US-ID-Boise_ **Work Location : Name** _701 Morrison Knudsen Dr, Boise, St Luke's Plaza 2_

St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. The Patient Engagement Partner - Access Center role is critical to an exceptional patient experience. This role provides a positive patient experience during all encounters and is responsible for answering patient calls, scheduling appointments, working referral work queues, and assisting the patient with their current needs. The Patient Engagement Partner establishes and maintains ongoing partnerships with designated practice and clinical partners to ensure achievement of aligned goals. JOB DUTIES AND RESPONSIBILITIES: * Answers incoming calls and performs a variety of actions including scheduling, rescheduling, or canceling appointments within established time frames and protocols in a fast paced, high volume Access Center environment. * Determines how requests should be handled using expert questioning techniques to determine how a request should be scheduled, when to refer a call to a specific clinic or escalate the call to a nurse for immediate attention; coordinates services, as needed. * Verifies and updates patient demographic and insurance information. * Creates a positive patient experience at every encounter, attempting to resolve any issues or concerns of the patient at the time of the phone call, within the scope of the role. * Manages and works referral work queues when assigned and provides supplemental inbound patient call support during high volume times using (and vice versa), and uses judgment to prioritize and accommodate patients, based on patient needs. * Actively participates as a team member in resolution of problems as they are identified. * Escalates any scheduling or insurance issue to the Patient Engagement Supervisor or Patient Engagement Manager to resolve. * Consistently meets productivity, schedule adherence, and quality standards as set by the Access Center. * Works with designated clinical partners to establish and maintain appropriate appointment scheduling protocols. Consistently acts to build positive relationships with our clinical partners. * Other duties as assigned. PHYSICAL AND SENSORY REQUIREMENTS: Requires sitting for extended periods of time (up to 8 hours at time). Requires continual use of fingers, writing and computer entry. Requires ability to hear normal conversation and good general near and peripheral vision. EDUCATION: * High School diploma or equivalent required TRAINING AND EXPERIENCE: * Previous general computer experience with data entry required * Minimum 1-2 years of demonstrated customer service excellence in a contact center preferred * Previous healthcare experience with medical terminology preferred * Previous experience with electronic medical record (EMR) preferred Competencies required: * Excellent communication, facilitation, and presentation skills. * Focused on compliance * Demonstrates continuous growth * Quality-driven * Service-oriented * Excels at time management Ability to work from home in accordance with the Network Work from Home Policy if needed. Please complete your application using your full legal name and current home address. Be sure to include employment history for the past seven (7) years, including your present employer. Additionally, you are encouraged to upload a current resume, including all work history, education, and/or certifications and licenses, if applicable. It is highly recommended that you create a profile at the conclusion of submitting your first application. Thank you for your interest in St. Luke's!! St. Luke's University Health Network is an Equal Opportunity Employer.

The Talent Solutions team at St. Luke's Health System administers, governs and maintains multiple strategic talent systems that support workforce experience, engagement and learning. This HR Analyst for Talent Solutions is a critical role that provides technical system expertise to support system configuration, system integrity and upgrades, integration, testing, and end-user experience. The successful candidate will have strong technical literacy with prior experience in configuration and administration of HR Information System and/or Learning Management tools, ability to be proactive and manage workload in a remote environment, and a solutions-focused, customer experience mindset. *Remote work supported from Idaho, Oregon, Utah, and Arizona only* What You Can Expect: Administer and maintain talent systems, ensuring accurate course catalogs, user access, role permissions, and system functionality. Troubleshoot and resolve technical issues through learner tickets and proactive system monitoring. Manage system upgrades, release testing, and configuration changes to ensure a stable and user-friendly learning environment. Collaborate with cross-functional teams for system integration and solution optimization. Qualifications: Bachelor's Degree or experience in lieu of. 4 years of relevant experience (technical experience in LMS, HRIS, HR solutions). What's in it for you At St. Luke's, caring for people in the communities we serve is our mission - and this includes our own SLHS team. We offer a robust benefits package to support our teams both professionally and personally. In addition to a competitive salary and retirement plans, we ensure our team feels supported in their benefits beyond the typical medical, dental, and vision offerings. We care about you and have fantastic financial and physical wellness options, such as: on-site massages, on-site counseling via our Employee Assistance Program, access to the Personify Health Wellness tool, as well as other formal training and career development offerings to ensure you are meeting your career goals. St. Luke's is an equal opportunity employer and does not discriminate against any person on the basis of race, religion, color, gender, gender identity, sexual orientation, age, national origin, disability, veteran status, or any other status or condition protected by law. *Please note: this posting is not reflective of all job duties and responsibilities and is intended to provide an overview to job seekers. Interested but not ready to apply? Join our Talent Community and stay connected for future opportunities!

St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. The Physician Coder codes and abstracts physician services performed in the hospital setting according to AHA, AMA, guidelines and CMS directives. Must assure data quality through quarterly reviews. Performs data entry of physician services statistics into specialty-specific databases. Works with Medical Records, Finance, and Physician Billing to ensure appropriate flow of information. JOB DUTIES AND RESPONSIBILITIES: * Codes and abstracts professional fee hospital services performed by SLPG physicians from medical records according to ICD-9/ICD-10, CPT-4, HCPCS II, and CMS guidelines. Utilizes 3M Encoder for validation of RVUs and CPT-4 procedure unbundling. * Maintains a 95% coding accuracy rate as measured through quality reviews. * Maintains daily productivity as outlined * Responsible for maintaining up-to-date knowledge of coding guidelines as they relate to physician services for hospital inpatient, observation, consultant, surgical, critical care, and E & M services. * Performs data entry of abstracted physician information into specialty- specific databases. * Conducts educational sessions to the medical staff for coding and documentation compliance. PHYSICAL AND SENSORY REQUIREMENTS: Sitting for up to seven hours per day, three- four at a time. Frequently uses fingers for typing, data entry, etc. Frequent use of hands. Use of upper extremities to rarely lift up to ten pounds. Rarely stoops, bends, or reaches above shoulder level. Hearing as it relates to normal conversation. Seeing as it relates to general vision, near vision, peripheral vision and visual monotony. EDUCATION: RHIA, RHIT, CPC, OR CCS-P with working knowledge of ICD-9/ICD-10, CPT and HCPCS coding required. TRAINING AND EXPERIENCE: Minimum 1-3 years experience in CPT/HCPCS physician procedural coding. Previous experience with computerized patient record and coding system preferred. Please complete your application using your full legal name and current home address. Be sure to include employment history for the past seven (7) years, including your present employer. Additionally, you are encouraged to upload a current resume, including all work history, education, and/or certifications and licenses, if applicable. It is highly recommended that you create a profile at the conclusion of submitting your first application. Thank you for your interest in St. Luke's!! St. Luke's University Health Network is an Equal Opportunity Employer.

As a Workforce Planning Analyst, you will play a crucial role in our overall workforce strategy - responsible not only for extraction and analysis of data for predictive modeling but also in the design and building of a system solution for workforce optimization. The successful candidate will have a blend of skills and abilities that include data analytics, translation of data into actionable insights, and technical proficiency in operating systems and system configuration (ie, Cornerstone or other platform for performance management, succession planning, skills work). This is a remote position but you must reside in Idaho, Oregon, Utah or Arizona. What to Expect: Coordinates with all levels of management to provide insights to business unit leadership and key stakeholders. Performs analysis and interpretation on projects of moderate size, risk and complexity. Provides operational context, highlights opportunities, and proactively supports decision making. Understands and interprets operational processes and business context to translate clinical, financial, and operational data into insights and information to support decision making. Communicates regularly with managers and key stakeholders to ensure alignment to strategic business initiatives Evaluates options and makes recommendations on courses of action to leadership and key stakeholders as appropriate. Challenges and supports business decisions with analytical rigor, insights, and judgments to drive better decisions. Responsible for and performs all moderately complex assignments and work requiring independent judgment and moderate guidance. Supports and maximizes the business units' operational and strategic performance delivering insights that ensure high level customer service. Builds successful partnerships with key internal customers and cross functional teams. Partners with Business Intelligence and Data Management teams to industrialize proven analytical solutions to meet recurring insight needs. Works with and contributes to Data Management and Data Governance to understand and help define data policies and standards to ensure high quality data and analytics. Typically handles matters and issues that are complex in nature and only escalates situation in rare circumstances. Maintains a high degree of functional, analytical, and technical acumen. Participates on special projects, workgroups and teams, as assigned. Completes other duties and responsibilities as assigned. Minimum Qualifications: Education: Bachelor's degree or experience in lieu of degree Experience: 4 years relevant experience Preferred Qualifications: Experience in the healthcare industry Experience with Power BI, data bricks, HR management system, EPIC What's in it for you At St. Luke's, caring for people in the communities we serve is our mission - and this includes our own SLHS team. We offer a robust benefits package to support our teams both professionally and personally. In addition to a competitive salary and retirement plans, we ensure our team feels supported in their benefits beyond the typical medical, dental, and vision offerings. We care about you and have fantastic financial and physical wellness options, such as: on-site massages, on-site counseling via our Employee Assistance Program, access to the Personify Health Wellness tool, as well as other formal training and career development offerings to ensure you are meeting your career goals. St. Luke's is an equal opportunity employer and does not discriminate against any person on the basis of race, religion, color, gender, gender identity, sexual orientation, age, national origin, disability, veteran status, or any other status or condition protected by law. *Please note: this posting is not reflective of all job duties and responsibilities and is intended to provide an overview to job seekers.

St. Luke's Health Partners is a clinically integrated network with about 300,000 attributed members across Idaho. We are committed to advancing value-based care by improving outcomes, enhancing patient experience, and reducing costs through data-driven insights and actionable analytics. The Network Reimbursement Analyst is responsible for developing, maintaining, and updating SLHP's fee schedule, pricing updates, and reimbursement policy execution. The role evaluates Medicare and industry changes, translates coding and regulatory updates into pricing recommendations, and models the financial impact of reimbursement decisions on provider performance and network affordability. **Full-time or part-time option** What You Can Expect: Support the development, updates, and maintenance of SLHP professional and facility fee schedules by applying established pricing methodologies (percent-of-Medicare, custom rates, case rates, blended models) and ensuring accuracy across annual update cycles. Monitor and interpret Medicare updates, CPT/HCPCS changes, RVU shifts, APC/DRG refinements, modifier rules, NCCI edits, and payer policy changes; prepare analytical summaries and recommended pricing adjustments. Build and maintain models using claims, clinical, and operational data to evaluate the financial and operational impact of reimbursement changes on provider revenue, medical spend (PMPM), site-of-service patterns, and value-based care programs. Prepare scenario models, forecasts, dashboards, and ad-hoc analyses to support payer contracting, strategy development, and network performance monitoring. Perform post-claims audits, confirm alignment with fee schedules and reimbursement policies, and collaborate with Data & Analytics teams to validate datasets and ensure analytical reliability. Collaborate with contracting, provider relations, finance, and analytics partners to provide reimbursement insights and communicate findings clearly to a variety of stakeholders. Document pricing logic, analytic assumptions, data sources, and methodologies; contribute to analytical best practices and team knowledge-sharing. Qualifications: Bachelor's degree or experience in lieu of degree 4 years' relevant experience *Remote work supported from the Idaho, Oregon, Utah, and Arizona ONLY* What's in it for you At St. Luke's, caring for people in the communities we serve is our mission - and this includes our own SLHS team. We offer a robust benefits package to support our teams both professionally and personally. In addition to a competitive salary and retirement plans, we ensure our team feels supported in their benefits beyond the typical medical, dental, and vision offerings. We care about you and have fantastic financial and physical wellness options, such as: on-site massages, on-site counseling via our Employee Assistance Program, access to the Personify Health Wellness tool, as well as other formal training and career development offerings to ensure you are meeting your career goals. St. Luke's is an equal opportunity employer and does not discriminate against any person on the basis of race, religion, color, gender, gender identity, sexual orientation, age, national origin, disability, veteran status, or any other status or condition protected by law. *Please note: this posting is not reflective of all job duties and responsibilities and is intended to provide an overview to job seekers. Interested but not ready to apply? Join our Talent Community and stay connected for future opportunities!

Employee Type: Regular Work Shift: Day - 8 hour shift (United States of America) Join Team Tidelands and help people live better lives through better health! Provider Coding Specialist Are you passionate about quality and committed to excellence? Consider joining our Tidelands Health team. As our region's largest health care provider, we are also one of our area's largest employers. More than 2,500 team members at more than 70 Tidelands Health locations bring our healing mission to life each day. A Brief Overview Under the supervision of the Coding Supervisor, the Provider Coding Specialist is responsible for analyzing and assigning ICD-10-CM diagnostic codes, CPT, and HCPCS codes to professional surgical patient accounts, based on the medical information provided and consistent with regulatory guidance and best practices in the industry and Organization policy and procedure. Abides by the Standards of Ethical Coding as set forth by AHIMA and AAPC. Abstracting required clinical information from the medical record. Queries physicians as needed, to clarify documentation to ensure accurate code assignment. Organizes and prioritizes work to meet deadlines and goals. Maintains and expands knowledge of coding and sequencing guidelines to ensure coding compliance and accuracy. Responsible for resolving coding edits, account checks, rejections, and denials to ensure proper reimbursement of service rendered and to maintain an industry standard clean claim rate. What you will do Analyze medical records, interprets documentation, and assigns proper International Classification of Diseases, Tenth Edition Clinical Modification (ICD 10 CM), Current Procedural Terminology/HealthCare Common Procedure Coding System (CPT/HCPCS), and modifiers utilizing designated software, coding manuals and other reference material as required Enter charges for procedures that are not soft coded as instructed for certain patient types Consistently meet coding quality and productivity standards established by the coding department Work closely with Patient Financial Service (PFS) to review documentation and serve as department expert on coding questions. Assist with coding inquiries from billing and administrative staff, ensuring that accurate codes are applied for appropriate reimbursement Gather and verify all information required to produce a clean claim including special billing procedures that may be defined by a payer or contract Review and resolve clearinghouse rejection errors, denials, and charge review/claim edits daily. Also reviews accounts returned from various departments and processes corrections for clean claim submission Collaborate with the Compliance/Quality Team when alerted to coding quality issues found via internal or external reviews; implement with accuracy coding quality recommendations Work with HIM operations as needed to clarify queries and documentation needs for the completion of the medical record. Query providers for clarification on incomplete or ambiguous documentation and follow up to ensure timely resolution Review and code Orthopedic, OB/GYN, and other surgical specialties procedures with minimal supervision, ensuring correct coding and sequencing of diagnoses and procedures Provide continuous education and feedback to surgeons and clinical staff regarding ICD-10 coding and documentation best practices for surgical procedures Education Qualifications High School Diploma Required Experience Qualifications 2+ years of abstract coding for physician services Required Minimum of four years of healthcare experience, with at least three years of professional coding experience in Orthopedics or OB/GYN Required Experience working remotely Preferred Skills and Abilities Basic knowledge of ICD 10-CM diagnostic and CPT/HCPCS procedure codes principles and guidelines Basic knowledge of medical terminology, abbreviations, techniques and surgical procedures; anatomy and physiology; major disease processes; pharmacology; and metric systems Basic knowledge of Standards of Ethical Coding Skills and ability to communicate effectively both orally and in writing Skills and ability to maintain working relationships with physicians and other staff Skills and ability to review the work of others and maintain confidentiality Knowledge of Microsoft Applications including (Excel, Word, PowerPoint, Outlook, etc) Strong analytical capabilities Strong organizational skills Advanced ability to function independently and be a self-starter Outstanding research skills and ability to use independent judgment to solve problems Handle multiple priorities Listen and acknowledge ideas and expressions of others attentively Converse clearly using appropriate verbal and body language Collaborate with others to achieve a common goal through cooperation Influence others for positive and productive outcomes Review medical record documentation and ensure accurate diagnosis and procedure code assignment to patient records Expertise in assigning accurate CPT , HCPCS Level II, and ICD-10-CM medical codes and modifiers based on coding and payer guidelines. Maintain a solid understanding of anatomy, physiology, and medical terminology as required to accurately code provider services and diagnoses Licenses and Certifications Registered Health Information Administrator - American Health Information Management Association Required or Registered Health Information Technician - American Health Information Management Association Required or Certified Coding Specialist - American Health Information Management Association Required or Certified Coding Specialist - Physician-based - American Health Information Management Association Required or Certified Coding Associate - American Health Information Management Association Required Physical Demand Light Physical Demand The intent of this job description is to provide a representative and level of the types of duties and responsibilities that will be required of positions given this title and shall not be construed as a contract for employment nor a declaration of the total of the specific duties and responsibilities of any particular position. Employees may be directed to perform tasks other than those specifically presented in this description. Tidelands Health is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex, sexual orientation, or veteran status. Tidelands Health is an equal opportunity employer (EOE). Tidelands Health does not discriminate against employees or applicants for employment on the basis of race, color, creed, religion, age, national origin, disability, marital status, veteran status, gender, genetic information, familial status, or any other legally protected status.