Moda Health jobs - 367 jobs

Let's do great things, together! About Moda Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we're focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, compassionate support to our community and comprehensive benefits to our employees. It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda values diversity and inclusion in our workplace. We aim to demonstrate our commitment to diversity through all our business practices and invite applications from candidates that share our commitment to this diversity. Our diverse experiences and perspectives help us become a stronger organization. Let's be better together. Position Summary Receive, track, sort, prepare, and route all incoming mail to various departments. Operate and maintain office equipment, including Opex, Omation, and multiple scanners. Prepare batches for in-house scanning or external processing with Symbeo while maintaining strict turnaround times. Enter member, group and provider information into the system for processing. Prepare daily inventory reports and assist with training on rotational tasks when necessary. Provide coverage for the receptionist desk and phone when required. This is a FT hybrid position based in Milwaukie, Oregon. Pay Range $17 - $17.50 hourly, DOE. **Actual pay is based on qualifications. Applicants who do not exceed the minimum qualifications will only be eligible for the low end of the pay range. Please fill out an application on our company page, linked below, to be considered for this position. ************************** GK=27768549&refresh=true Benefits: Medical, Dental, Vision, Pharmacy, Life, & Disability 401K- Matching FSA Employee Assistance Program PTO and Company Paid Holidays Schedule: Flexible schedule 8 am - 5 pm Location: 10505 SE 17th Ave, Portland, OR 97222 Requirements: High school diploma or equivalent. At least 6-12 months experience in a production environment preferred. Ability to lift 20+ pounds and work in a fast-paced, physical role. Ability to embrace process improvements and work well in a team-oriented environment. Proficiency with Microsoft Office applications. Typing ability of 35 wpm. 10-key proficiency of 135 kspm. Proficient with prioritizing tasks and completing them with high accuracy and speed. Ability to work well under pressure, with frequent interruptions and shifting priorities. Demonstrates effective reading, writing and oral communication skills. Ability to meet production and quality standards for various types of work and documents. Skilled in handling multiple tasks. Primary Functions: Handle all incoming mail, including inter-office, packages, letters, claims, and certified mail. Sort and prepare medical and dental claims for scanning and vendor handling. Locate, store, rescan, return, or forward claims for further review. Scan paper x-rays. Lift and pull stacks of claims, bins, and mail trays. Track outgoing and incoming claims batches between Moda and Symbeo to ensure compliance and all records are accurate and accounted for. Ensure timely processing of all mail, including scanning, batching, and indexing. Prioritize Medicaid, Medicare, and appeal-related mail to maintain compliance with federal and state regulations. Prepare and batch specialized sorting tasks like medical correspondence, member appeals, and prescription claims. Prepare and distribute daily inventory to Claims Management teams. Keep the mail distribution area clean and organized. Maintain office equipment, including Omation and Opex automatic mail-opening machines and multiple scanners. Enter claims data accurately using Moda systems and ensuring correct member and provider selection while reassigning claims based on dental claims processing guidelines. May write and mail letters to members and providers. Provide relief coverage for the reception desk. Perform other duties as assigned. Contact with Others Internally with various departments. Externally with members, providers, brokers, etc., when covering reception desk. Working Conditions Office environment with extensive close PC and keyboard work, constant sitting, and phone work. Must be able to navigate multiple screens. Work in excess of 40 hours per week, including evenings and occasional weekends, to meet business need. Together, we can be more. We can be better. Moda Health seeks to allow equal employment opportunities for all qualified persons without regard to race, religion, color, age, sex, sexual orientation, national origin, marital status, disability, veteran status or any other status protected by law. This is applicable to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absences, compensation, and training. For more information regarding accommodations please direct your questions to Kristy Nehler & Danielle Baker via our ***************************** email.

ReqID: 29734 Full-time position, 1.0 FTE Schedule is 4 days per week, 10-hour days Limited call; only 4 days per month of after-hours phone call Enjoy working with a collegial group in an established practice Patient-centered medical home model includes co-located providers, MAs, and patient relations specialists. The teams are also supported by social work, a psychologist, psychiatric nurse practitioners, dietician, and pharm D. In addition to primary care, Providence North Coast patients have access to full specialty care including obstetrics and gynecology, pediatrics, general surgery, orthopedics, cardiology, and hematology/oncology. National Health Service Corps (NHSC) approved site location. Approved site location for the Oregon Office of Rural Health provider loan incentive programs Compensation & Benefits: Generous guaranteed salary, incentives, sign-on bonus, and relocation assistance available As a non-profit organization, Providence is an eligible employer for the Public Service Loan Forgiveness (PSLF) program Standard Employed Provider Benefits Package, including PTO, Health, Life, Dental, Vision, Disability and Malpractice CME, cost of licenses, paid membership dues, paid subscriptions, and paid board certification available Qualifications & Requirements: At least 2 years of post-licensure practice experience in primary care or other relevant setting is required Where You?ll Work Providence Seaside Hospital is a 25-bed critical access hospital with a 40+ year legacy of excellence serving three counties on Oregon?s North Coast. With consistently high inpatient and ED satisfaction ratings, it?s no surprise Providence Seaside Hospital has received numerous awards including the Practice Greenhealth's Circle of Excellence Award for environmental sustainability. Residents along the North Oregon Coast have access to more than 50 specialty and primary care providers as well as a full continuum of therapy, rehabilitation, and home health services. Where You?ll Live Located at the end of the Lewis and Clark trail, Seaside is renowned for its magnificent seascapes, lush forests, and bustling downtown with shops, restaurants and entertainment. Recreational opportunities abound, including beach combing, whale watching, surfing, hunting, fishing, hiking and a variety of festivals. Portland is just a pleasant 90-minute drive, offering vibrant art, culinary and recreational scenes. Who You?ll Work For Providence is a nationally recognized, comprehensive healthcare organization spanning seven states with a universal mission ? to provide compassionate care to all who need its services, especially the poor and vulnerable. Its 122,000-plus caregivers/employees (including 34,000 physicians) serve in 51 hospitals, more than 1,000 clinics and a comprehensive range of health and social services. Providence: One name, one family, one extraordinary health system. Check out our benefits page for more information. Equal Opportunity Employer including disability/veteran Job ID Number: 29734 Facility Name: Providence Seaside Hospital Location Name: Seaside Brand Name: Providence Provider Profession: Nurse Practitioner Provider Profession: Physician Assistant Medical Specialty: Family Medicine Job Setting: Medical Clinic Type of Role: Clinical Email: ************************* Phone Number: ************** Schedule: Full Time CP: Yes CB: Yes NP: PA: HC: IS: YM: J1: No H1B: No Let?s get in touch If you have questions about this specific job or others, I'm all ears. Send me a note and we'll be one step closer to the right opportunity. Tessa Kerr Provider Recruiter ************** ************************* Contact Me Pay Range: $ - $ The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

Job Description Let's do great things, together! About Moda Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we're focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, compassionate support to our community and comprehensive benefits to our employees. It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda values diversity and inclusion in our workplace. We aim to demonstrate our commitment to diversity through all our business practices and invite applications from candidates that share our commitment to this diversity. Our diverse experiences and perspectives help us become a stronger organization. Let's be better together. Position Summary The Dental Fraud and Abuse Investigator is responsible for providing accurate and appropriate documentation, research and resolution of written correspondence received from providers and potential Fraud and Abuse investigations under minimal supervision and ensure all resolution letters are in accordance with Delta Dental standards. This is a FT WFH position. Pay Range $25.08 - $28.21 hourly (depending on experience) **Actual pay is based on qualifications. Applicants who do not exceed the minimum qualifications will only be eligible for the low end of the pay range. Please fill out an application on our company page, linked below, to be considered for this position. ************************** GK=27768546&refresh=true Benefits: Medical, Dental, Vision, Pharmacy, Life, & Disability 401K- Matching FSA Employee Assistance Program PTO and Company Paid Holidays Required Skills, Experience & Education: Bachelor's degree or equivalent work experience. 2 years of experience as a Claim Support or Customer Service Representative preferred Typing proficiency of 25 wpm & 10-key proficiency of 105 kspm net on a computer keypad Demonstrated knowledge of dental terminology, multiple benefit plans, and products. Ability to meet correspondence review timelines. Knowledge and understanding of correspondence and fraud and abuse procedures. Detail oriented and proven initiative, analytical, and problem-solving abilities. Highly effective organizational skills with the ability to prioritize and meet deadlines. Strong reading, verbal, written and interpersonal communication skills. Must be able to work independently, as well as part of a team, dealings with all levels of staff, members, providers, and external customers in a professional manner. Ability to work under pressure and exhibit flexibility in changing priorities. Working knowledge of dental terminology. Proficiency in Moda Health operating systems. Demonstrated proficiency in computer applications such as Word, and Excel. Ability to maintain confidentiality and project a professional business image. Ability to communicate positively, patiently, and courteously. Ability to come into work on time and daily. Primary Functions: Coordinates interpreting contracts/handbooks, and policies and understands overall dental health plan processes. Utilizes guidelines to conduct extensive research and analyzes correspondence and/or fraud and abuse cases pertinent to dental claims to make decisions. Reviews clinical records for completeness and determines if the case is related to an administrative policy or clinical decision. Creates packet for clinical decisions for dental consultants/clinicians to review. Will review all administrative policies to respond directly to those. Independently assesses, investigates, and resolves difficult issues by utilizing company and industry knowledge of operational areas and all established policies and procedures. Organizes the volume of work and maintains a constant caseload. Monitors day to day compliance of cases to ensure that the various state and federal mandated response time frames are met. Communicates in writing or telephone call with members, providers, or attorneys regarding claims and policies about Moda Dental Health benefit plans. Requests additional information such as chart notes or other clinical from providers as needed. Accurately enters all correspondence and fraud and abuse cases into the appropriate tacking systems as needed for various reporting and auditing requirements. Consults with management staff on problem cases and interfaces with interdepartmental personnel in resolving provider correspondence and fraud and abuse questions. Responsible for ensuring the correspondence for fraud and abuse cases are completely resolved which may include reaching out to other departments. Prepares all cases upon receipt of the correspondence or fraud and abuse case. Researches and responds to all dental provider correspondence. Performs all primary functions of a dental claims support processor level II which would include adjusting any claims based on outcome of various types of reviews. Other duties as assigned. Working Conditions & Contact with Others Office environment with extensive close PC and keyboard use, constant sitting, and frequent phone communication. Must be able to navigate multiple computer screens. A reliable, high-speed, hard-wired internet connection required to support remote or hybrid work. Must be comfortable being on camera for virtual training and meetings. Work in excess of standard workweek, including evenings and occasional weekends, to meet business need. Internally with dental claims, customer service, membership accounting, and other internal departments. Externally with providers, members, dental consultants, and others. Together, we can be more. We can be better. Moda Health seeks to allow equal employment opportunities for all qualified persons without regard to race, religion, color, age, sex, sexual orientation, national origin, marital status, disability, veteran status or any other status protected by law. This is applicable to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absences, compensation, and training. For more information regarding accommodations please direct your questions to Kristy Nehler or Danielle Baker via our ***************************** email.

Let's do great things, together! About Moda Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we're focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, compassionate support to our community and comprehensive benefits to our employees. It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda values diversity and inclusion in our workplace. We aim to demonstrate our commitment to diversity through all our business practices and invite applications from candidates that share our commitment to this diversity. Our diverse experiences and perspectives help us become a stronger organization. Let's be better together. Position Summary We are seeking a Manager of Pharmacy Business Development with a focus on industry relations. The domain expertise to be successful in this role requires foundational clinical pharmacy experience, accompanied by a high degree of business acumen, and an interest and passion for partnering closely with pharmaceutical and biotechnology companies, and other vendor partners who engage in contracting opportunities such as rebate management, and clinical programs. Overall, this position is responsible for development of strategic formulary approaches for the management of medications across the medical and pharmacy benefits, driving to low net cost medication utilization. This position includes reviewing rebate initiatives for medications covered under the pharmacy and medical benefits, across various lines of business including commercial, Exchange, Medicare and Managed Medicaid. The role includes facilitating or supporting the implementation of projects or activities with both external and internal stakeholders and articulating this value as necessary. The ideal candidate resides near or within commuting distance of our Portland, Oregon office to support a hybrid work arrangement, however, remote status will also be considered. Pay Range $134,104.74 - $170,987.17 annually (depending on experience) *This role may be classified as hourly (non-exempt) depending on the applicant's location. Actual pay is based on qualifications. Applicants who do not exceed the minimum qualifications will only be eligible for the low end of the pay range. Please fill out an application on our company page, linked below, to be considered for this position. ************************** GK=27766011&refresh=true Benefits: Medical, Dental, Vision, Pharmacy, Life, & Disability 401K- Matching FSA Employee Assistance Program PTO and Company Paid Holidays Required Skills, Experience & Education: Doctor of Pharmacy degree (Pharm.D.) preferred, or Bachelors of Pharmacy degree. Current active and unrestricted Oregon Registered Pharmacist license, or eligible for Oregon licensure which is to be obtained within 60 days of employment. Past supervisory experience managing a team. Three to five years of managed care experience, time can be inclusive of training from an accredited managed care residency program. Experience with Commercial, Medicare, and/or Medicaid lines of business. Experience managing contracts, particularly with biopharmaceutical manufacturers and other pharmacy vendors. Technical understanding of pharmacy claims processing information and systems. Strong analytical skills and business acumen. Ability to communicate and present technical information appropriate for the audience. Ability to work independently and collaborate cross-functionally with various stakeholders. Project management skills and the ability to plan and execute projects as assigned. Commitment to service, organization values, and professionalism. Ability to maintain confidentiality and project a professional business image. Works well under pressure with frequent interruptions and shifting priorities. Ability to work independently. Proficient with Microsoft Office applications such as Word, Excel, Outlook, and PowerPoint. Primary Functions: Lead industry relations and rebate strategies for medical and pharmacy benefit medications, and new and emerging therapies, across all lines of business. Oversee all rebate partners and lead evaluations of new potential partners. Identify and negotiate direct contracts with biopharmaceutical partners. Identify, manage, and assess the value of unique vendor partnerships to advance pharmacy programs, including drug information resources, medical management organizations, digital therapeutics, and point of service solutions. Responsible for ensuring compliance with rebate contracts, rebate terms within client contracts, and contracts held with other vendor partners. Lead rebate modeling and optimize rebate scenarios and bid selections based on client specific goals and strategies. Oversee pipeline developments, including market events and material changes to therapeutic categories, for new and emerging therapies, specialty, and traditional medications, and keeps internal and external stakeholders apprised of such events. Develops educational materials as needed. Leads custom formulary rebate offerings and recommendations for downstream clients. In collaboration with other pharmacy leaders, develop enterprise-wide industry relations strategy. Oversee, develop and manage Moda's Industry Relations team. Lead rebate offerings for existing therapeutic strategies which support ongoing formulary performance, but also identify new opportunities either as contracting changes or new market entrants are FDA-approved. Work closely with vendor partners (PBM, medical management companies, others) on policy or formulary changes driven by cost analysis, including rebate considerations or contracting. Support and/or lead client facing presentations within industry relations as necessary. Responsible for information gathering with legal and/or regulatory teams to understand impact to current formulary strategies, with financial implications, to anticipate or plan for any potential compliance driven update due to changes in existing, or new and emerging states of business. Monitor, anticipate changes, and prepare for pipeline and market events. Develop concise, applicable, comprehensive, and timely communiques as assigned for members, providers, internal, or external stakeholders. Provide clinical support services that intersect industry relations or business development, including but not limited to benefit design, formulary analysis, drug information, P&T participation, client support, and drug utilization management. Contribute, update, and maintain policies and procedures related to industry relations. Complete significant projects and performs all other related duties as assigned. Follow the company HR policies, Code of Conduct, and all department policies and procedures including protecting confidential company, employee, and customer information. Working Conditions & Contact with Others Remote, office environment, and/or hybrid with extensive close PC and keyboard work, and constant sitting. Work in excess of 40 hours per week, including evenings and occasional weekends, to meet business needs. May require occasional travel to conferences or offsite business meetings. Internally with Clinical Pharmacy, Analytics, Marketing, Sales & Account Services, Actuary & Underwriting, Healthcare Services, Medicare and Medicaid Programs, Benefits, Legal, Regulatory Affairs, and Compliance. Externally with PBM, medical management vendor, pharmaceutical and biotechnology manufacturers, consultants and benefit managers, clients, providers, and pharmacists. Together, we can be more. We can be better. Moda Health seeks to allow equal employment opportunities for all qualified persons without regard to race, religion, color, age, sex, sexual orientation, national origin, marital status, disability, veteran status or any other status protected by law. This is applicable to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absences, compensation, and training. For more information regarding accommodations, please direct your questions to Kristy Nehler & Danielle Baker via our ***************************** email.

Let's do great things, together! About Moda Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we're focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, compassionate support to our community and comprehensive benefits to our employees. It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda values diversity and inclusion in our workplace. We aim to demonstrate our commitment to diversity through all our business practices and invite applications from candidates that share our commitment to this diversity. Our diverse experiences and perspectives help us become a stronger organization. Let's be better together. Position Summary The Social Wellness Advocate (SWA) is a non-clinical position that supports members identified as having social needs by referring them to, or connecting them with, community resources. Individuals in this role strive to improve health outcomes, minimize disparities, and reduce stigma surrounding social determinants of health (SDOH). In addition to supporting members one-on-one, the SWA will collaborate with internal teams to identify health inequities, develop targeted interventions to address SDOH needs, and implement initiatives that reduce barriers to health. This is a FT hybrid position based in Portland, Oregon. Pay Range $20.88 - $23.49 hourly (depending on experience) *Actual pay is based on qualifications. Applicants who do not exceed the minimum qualifications will only be eligible for the low end of the pay range. Please fill out an application on our company page, linked below, to be considered for this position. ************************** GK=27768411&refresh=true Benefits: Medical, Dental, Vision, Pharmacy, Life, & Disability 401K- Matching FSA Employee Assistance Program PTO and Company Paid Holidays Required Skills, Experience & Education: Bachelor's degree in Social Work, Public Health, Health Promotion, or a closely related field. One year of advocacy work or service coordination experience preferred. Strong interpersonal and relationship-building skills, both written and verbal. Knowledge of medical terminology required; advanced knowledge preferred. Proficiency in Microsoft Word, Excel, Outlook, Access, and Teams. Strong organizational and time management skills. Ability to problem-solve, retain information, and attend to details. Ability to multi-task and work independently. Ability to maintain confidentiality and project a professional image both telephonically and in person. Must have a valid state driver's license. Fluency in a second language preferred but not required. Primary Functions: Under direct supervision, perform inbound and outbound multi-modal communications with members to address social needs. Support members' social care plans through phone, email, and mail interventions. Apply social-needs-informed care and cultural competency when communicating with members. Provide health education to members as appropriate. Connect members with appropriate programs and teams. Communicate with third parties, such as care providers, family members, and community resource staff, to support members' needs. Refer members to community-based organizations and resources. Build and maintain relationships with community programs. Document member contact, status, and outcomes in customized database systems. Collaborate with other SWAs to resolve complex or unique member situations. Partner with internal teams to develop strategies addressing social determinants of health, health disparities, systemic barriers to health equity, and practice change in healthcare settings. Meet or exceed assigned goals, standards, and objectives. Perform other job-related duties as assigned. Working Conditions & Contact with Others: Office environment with extensive close PC and keyboard use, constant sitting, and frequent phone communication. Must be able to navigate multiple computer screens. A reliable, high-speed, hard-wired internet connection required to support remote or hybrid work. Must be comfortable being on camera for virtual training and meetings. Work in excess of standard workweek, including evenings and occasional weekends, to meet business need. Local travel may be required. Internally with multiple departments. Externally with Moda Health customers, vendors, program administrators, regional clinic and hospital staff, pharmacies, community partners and provider offices. Together, we can be more. We can be better. Moda Health seeks to allow equal employment opportunities for all qualified persons without regard to race, religion, color, age, sex, sexual orientation, national origin, marital status, disability, veteran status or any other status protected by law. This is applicable to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absences, compensation, and training. For more information regarding accommodations, please direct your questions to Kristy Nehler & Danielle Baker via our ***************************** email.

Let's do great things, together! About Moda Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we're focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, compassionate support to our community and comprehensive benefits to our employees. It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda values diversity and inclusion in our workplace. We aim to demonstrate our commitment to diversity through all our business practices and invite applications from candidates that share our commitment to this diversity. Our diverse experiences and perspectives help us become a stronger organization. Let's be better together. Job Summary: The Strategic Operations Supervisor oversees the planning and execution of strategic Medicaid initiatives and innovations. This role manages escalated issues, monitors performance, identifies cost-saving opportunities, and leads fiscal and budgetary planning. The Supervisor ensures compliance with federal, state, and contractual requirements; identifies and mitigates operational risks; and supports the quality, efficiency, and integrity of Medicaid program operations. This is a full-time hybrid position based in Portland, Oregon. Pay Range $70,579.27 - $88,224.08 (annually) depending on experience. Actual pay is based on qualifications. Applicants who do not exceed the minimum qualifications will only be eligible for the low end of the pay range. Please fill out an application on our company page, linked below, to be considered for this position. ************************** GK=27761354&refresh=true Benefits: Medical, Dental, Vision, Pharmacy, Life, & Disability 401K- Matching FSA Employee Assistance Program PTO and Company Paid Holidays Primary Functions: Lead Medicaid cost-saving initiatives by analyzing, recommending, implementing, and tracking outcomes across internal departments and external entities. Develop and maintain departmental and executive dashboards and performance metrics, including identifying measurable KPIs for key priorities and initiatives. Articulate strategic visions and translate them into actionable initiatives, offering alternative pathways and solutions when needed. Provide strategic support on projects and deliverables of varying complexity and across stakeholder groups, incorporating feedback and pivoting direction or proposals as needed. Manage competing departmental priorities and coordinate data requests to ensure effective and timely execution. Recommend and implement policies and operational changes that support cost savings, process improvements, and future expansion efforts. Communicate data findings, insights, and strategic recommendations to department leadership, stakeholders, and executive teams. Stay current on and interpret state and federal legislation impacting Medicaid dollars and operations. Conduct local and national market research to identify opportunities for operational innovation. Ensure regulatory compliance while enhancing infrastructure and minimizing operational risk. Support third-party administrator (TPA) business accounts. Travel frequently to Eastern Oregon and other regions across the state. Perform other duties as assigned. Required Skills & Experience: Bachelor's degree in Business Administration, Finance, or a related field, required; Master's degree preferred. Minimum of 4 years of experience in Oregon Medicaid, healthcare operations, or regulatory compliance, with strong knowledge of financial principles and cost management. Proven ability to identify cost savings and implement operational improvements within healthcare systems. Experience with claims pricing, contract configuration, negotiation, and management, including the ability to identify and propose alternative strategies during complex negotiations. Strong project management, organizational, and analytical skills. Proficiency in Microsoft Office, with the ability to create effective reports and dashboards. Skilled in presenting data, proposals, and recommendations to executive leadership and diverse stakeholders. Excellent written, verbal, and interpersonal communication skills for effective cross-functional collaboration. Demonstrated situational awareness, emotional intelligence, and confident leadership in navigating complex or sensitive situations. Track record of innovation, adaptability, and collaboration in dynamic environments. High attention to detail, reliability, and consistent follow-through. Professional appearance and demeanor in all internal and external interactions. Must possess a valid driver's license. Contact with Others & Working Conditions: Office environment with extensive close PC and keyboard use, constant sitting, and frequent phone communication. Must be able to navigate multiple computer screens. A reliable, high-speed, hard-wired internet connection required to support remote or hybrid work. Must be comfortable being on camera for virtual training and meetings. Work in excess of standard workweek, including evenings and occasional weekends, to meet business need. Frequent travel. Internally with Medicaid Leadership, including the Board of Directors, Clinical Advisory Panel, and internal departments. Externally with various entities and stakeholders. Together, we can be more. We can be better. Moda Health seeks to allow equal employment opportunities for all qualified persons without regard to race, religion, color, age, sex, sexual orientation, national origin, marital status, disability, veteran status or any other status protected by law. This is applicable to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absences, compensation, and training. For more information regarding accommodations, please direct your questions to Kristy Nehler & Danielle Baker via our ***************************** email.

$3,000 Sign-on Bonus for eligible rehire and external candidates who meet all conditions for payment - this is in addition to the fantastic benefits and compensation package offered by Providence that begin on your first day of employment. This is a combined posting for an Associate Clinic RN and Clinic RN. The requirements of each role are listed below under each associated title. Consideration for each role will be based on qualifications. If you have the qualifications of any one of these three positions, we you encourage you to apply. Providence caregivers are not simply valued - they're invaluable. Join our team at Kadlec Regional Medical Center and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them. The Infusion RN is responsible for independent administration of intravenous medications in an outpatient setting. The Infusion RN has knowledge of intravenous access and maintenance, medication administration, patient assessment and care planning, medical equipment management. The infusion nurse applies the nursing process in direct patient care and coordinates the interdisciplinary team to intervene according to assessment findings. Associate Clinic RN Required Qualifications: Graduate of an accredited registered nursing school Associate's Degree or Bachelor's Degree in Nursing Upon hire: Washington Registered Nurse License Upon hire: National Provider BLS - American Heart Association Preferred Qualifications: Related experience in an ambulatory setting, preferably in a medical office. Associate Clinic RN, Salary Range: Eastern Washington (Kennewick,WA) Min: $34.57, Max:$52.90 Clinic RN Required Qualifications: Graduate of an accredited registered nursing school Associate's Degree or Bachelor's Degree in Nursing Upon hire: Washington Registered Nurse License Upon hire: National Provider BLS - American Heart Association 18 months professional nursing experience Clinic RN, Salary Range: Eastern Washington (Kennewick,WA) Min: $38.57, Max:$59.87 Why Join Providence? Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally and achieving financial security. We take care of you, so you can focus on delivering our mission of providing safe, compassionate care. About Providence At Providence, our strength lies in Our Promise of “Know me, care for me, ease my way.” Working at our family of organizations means that regardless of your role, we'll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable. Posted are the minimum and the maximum wage rates on the wage range for this position. The successful candidate's placement on the wage range for this position will be determined based upon relevant job experience and other applicable factors. These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits. Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act. About the Team Providence Clinical Network (PCN) is a service line within Providence serving patients across seven states with quality, compassionate, coordinated care. Collectively, our medical groups and affiliate practices are the third largest group in the country with over 11,000 providers, 900 clinics and 30,000 caregivers. PCN is comprised of Providence Medical Group in Alaska, Washington, Montana and Oregon; Swedish Medical Group in Washington's greater Puget Sound area, Pacific Medical Centers in western Washington; Kadlec in southeast Washington; Providence's St. John's Medical Foundation in Southern California; Providence Medical Institute in Southern California; Providence Facey Medical Foundation in Southern California; Providence Medical Foundation in Northern and Southern California; and Covenant Medical Group and Covenant Health Partners in west Texas and eastern New Mexico. Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement. Requsition ID: 392183 Company: Kadlec Jobs Job Category: Patient Care (Non-Acute) Job Function: Clinical Care Job Schedule: Full time Job Shift: Multiple shifts available Career Track: Nursing Department: 3010 RHEUMATOLOGY Address: WA Kennewick 6710 W Okanogan Pl Work Location: Kadlec Rheumatology-Kennewick Workplace Type: On-site Pay Range: $See Posting - $See Posting The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. PandoLogic. Category:Healthcare, Keywords:Rheumatology Nurse, Location:Umatilla, OR-97882

Job Description Let's do great things, together! About Moda Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we're focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, compassionate support to our community and comprehensive benefits to our employees. It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda values diversity and inclusion in our workplace. We aim to demonstrate our commitment to diversity through all our business practices and invite applications from candidates that share our commitment to this diversity. Our diverse experiences and perspectives help us become a stronger organization. Let's be better together. Position Summary The Software Engineering Manager will supervise a team of skilled developers responsible for building, integrating, and supporting critical web-based systems serving both internal and external customers and business partners. Applications include online portals, sales and marketing tools, intranet collaboration, and customer support services. Directly reporting to this role are software engineering managers for each of the development teams. The development team includes software engineers focused on developing solutions using Java, .Net, JavaScript, Web Services, and Content Management Systems. You will collaborate with business teams and IT stakeholders to determine and implement online solutions which support Moda Health's goals. This is a FT WFH position. Pay Range $113,543.26 - $147,602.10 annually (depending on experience) *This role may be classified as hourly (non-exempt) depending on the applicant's location. Actual pay is based on qualifications. Applicants who do not exceed the minimum qualifications will only be eligible for the low end of the pay range. Please fill out an application on our company page, linked below, to be considered for this position. ************************** GK=27766416&refresh=true Benefits: Medical, Dental, Vision, Pharmacy, Life, & Disability 401K- Matching FSA Employee Assistance Program PTO and Company Paid Holidays Required Skills, Experience & Education: Bachelor's degree or equivalent specializing in Computer Science or a related field. Minimum of five (5) years of experience programming or managing the development of web applications using Java or .Net technologies. Extensive understanding of web technologies, software engineering, and programming languages. Ability to keep current with emerging internet technologies. Solid background in client/server programming and relational database systems. Outstanding analytical, problem-solving, organizational, and detail orientation skills. Strong ability to negotiate, prioritize, determine tasks, and allocate resources. Ability to work well under pressure, work with frequent interruptions, and shifting priorities. Maintain confidentiality and project a professional business image. Demonstrated ability to manage customer escalations. Willingness to work additional or non-standard hours when necessary. Primary Functions: Oversees and coordinates activities for a single web development team, including but not limited to, hiring, monitoring performance, training, coaching, and mentoring. Makes recommendations for processes and policies used to develop systems and services. Effectively communicate project status, project goals, and milestones to customers as needed. Provides guidance, estimates, and recommendations on system development, Supervises the creation, update, and maintenance of system support documentation. Effectively collaborate with internal and external stakeholders to identify and prioritize project deliverables. Ability to project a professional business image and maintain confidentiality. Perform other duties and responsibilities as assigned. Working Conditions: Office environment with extensive close PC and keyboard use, constant sitting, and frequent phone communication. Must be able to navigate multiple computer screens. A reliable, high-speed, hard-wired internet connection required to support remote or hybrid work. Must be comfortable being on camera for virtual training and meetings. Work in excess of standard workweek, including evenings and occasional weekends, to meet business need. Together, we can be more. We can be better. Moda Health seeks to allow equal employment opportunities for all qualified persons without regard to race, religion, color, age, sex, sexual orientation, national origin, marital status, disability, veteran status or any other status protected by law. This is applicable to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absences, compensation, and training. For more information regarding accommodations, please direct your questions to Kristy Nehler & Danielle Baker via our ***************************** email.

Senior Coding Quality Educator _Remote - Most states eligible._ _Providence caregivers are not simply valued - they're invaluable. Join our team and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them._ Providence is calling a Senior Coding Quality Educator who will: + Assist with the day-to-day operations of the Coding Integrity, Knowledge Management team + Assist with research and developing coding guidance based on local, state and federal healthcare coding regulations and other payor guidelines as applicable + Obtain, interpret, analyze and communicate information regarding coding matters with all internal and external revenue cycle and coding teams + Collaborate with various departments e.g., Physician Network Operations, Revenue Cycle, Compliance, Practice Operations, and other key stakeholders on all coding matters We welcome 100% remote work for residents in the United States with the exception of the following States: + Colorado + Hawaii + Massachusetts + New York + Ohio + Pennsylvania Essential Functions: + Assist with the identification, development and delivery of new and ongoing coding changes and updates to all regional coding teams + Collaborate with various departments e.g., regional coding teams, revenue cycle, compliance, practice operations, and other key stakeholders on all coding matters + Respond timely (either orally or written) to coding inquiries from coders, educators, and other teams across Providence enterprise + Serve as a resource and subject matter expert for all coding matters + Provide coding support to regional coding teams as needed + Maintain relevant documentation and data as required + Review and update coding guidance annually or as necessary + Maintain document control + Develops action plans as necessary to resolve complex coding cases and to address the implementation of new service offerings or code changes + Facilitates education to support Medicare Risk requirements & organization goals + Review relevant patient details from the medical record based on coding and documentation guidelines + Participate in monthly progress meetings to discuss process improvements, updates in technology, along with any job related details + Communicate any coding updates published in third-party payer newsletters and bulletins and provider manuals to coding and reimbursement staff + Assists management in identifying and creating standardized workflows + Reviews EMR templates and identifies areas of improvement for provider documentation + Attends and presents at regional meetings as needed Required qualifications for this position include: + High School Diploma or GED Equivalency + National Certification from American Health Information Management Association upon hire or National Certification from American Health Information Management Association upon hire. + 6+ years of experience in professional fee inpatient, surgical, outpatient coding, E/M, auditing and related work + 5+ years of experience providing provider education and feedback to facilitate improvement in documentation and coding + Strong experience in Excel (e.g., pivot tables), database, e-mail, and Internet applications on a PC in a Windows environment Preferred qualifications for this position include: + Associate Degree in Health Information Technology or another related field of study + Bachelor's Degree in Health Information Technology or another related field of study + 5+ years of experience in coding for multispecialty practice + 2+ years of experience in professional fee billing methodologies + Experience with IDX, Allscripts, Advanced Web, Meditech + Experience with project management Salary Range by Location: AK: Anchorage: Min: $40.11, Max: $62.27 AK: Kodiak, Seward, Valdez: Min: $41.81, Max: $64.91 California: Humboldt: Min: $40.98, Max: $64.88 California: All Northern California - Except Humboldt: Min:$46.91, Max: $72.82 California: All Southern California - Except Bakersfield: Min: $41.81, Max: $64.91 California: Bakersfield: Min: $40.11, Max: $62.27 Idaho: Min: $35.69, Max: $55.41 Montana: Except Great Falls: Min: $32.29, Max: $50.13 Montana: Great Falls: Min: $30.59, Max: $47.49 New Mexico: Min: $32.29, Max: $50.13 Nevada: Min: $41.81, Max: $64.91 Oregon: Non-Portland Service Area: Min: $37.39, Max: $58.05 Oregon: Portland Service Area: Min: $40.11, Max: $62.27 Texas: Min: $30.59, Max: $47.49 Washington: Western - Except Tukwila: Min: $41.81, Max: $64.91 Washington: Southwest - Olympia, Centralia & Below: Min: $40.11, Max: $62.27 Washington: Tukwila: Min: $41.81, Max: $64.91 Washington: Eastern: Min: $35.69, Max: $55.41 Washington: South Eastern: Min: $37.39, Max: $58.05 Why Join Providence? Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities. Accepting a new position at another facility that is part of the Providence family of organizations may change your current benefits. Changes in benefits, including paid time-off, happen for various reasons. These reasons can include changes of Legal Employer, FTE, Union, location, time-off plan policies, availability of health and welfare benefit plan offerings, and other various reasons. About Providence At Providence, our strength lies in Our Promise of "Know me, care for me, ease my way." Working at our family of organizations means that regardless of your role, we'll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable. Posted are the minimum and the maximum wage rates on the wage range for this position. The successful candidate's placement on the wage range for this position will be determined based upon relevant job experience and other applicable factors. These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits. Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act. About the Team Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. We are focused on supporting our Mission by delivering a robust foundation of services and sharing of specialized expertise. Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement. Requsition ID: 400515 Company: Providence Jobs Job Category: Coding Job Function: Revenue Cycle Job Schedule: Full time Job Shift: Day Career Track: Business Professional Department: 4010 SS PE OPTIM Address: WA Spokane 101 W 8th Ave Work Location: Sacred Heart Medical Center-Spokane Workplace Type: Remote Pay Range: $See posting - $See posting The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

Job Description Let's do great things, together! About Moda Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we're focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, compassionate support to our community and comprehensive benefits to our employees. It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda values diversity and inclusion in our workplace. We aim to demonstrate our commitment to diversity through all our business practices and invite applications from candidates that share our commitment to this diversity. Our diverse experiences and perspectives help us become a stronger organization. Let's be better together. Position Summary The Health Promotion and Wellness Consultant will partner with Moda Health's employer groups to consult on high-impact workplace wellness program. The Consultant will identify key strategies to build wellness into company cultures and to maximize employee engagement in workplace wellness programs. Some human capital initiatives include health assessments, health education presentations, interest surveys, needs assessments, and connections to Moda Health and vendor resources - all of which support our clients' organizational health and wellness efforts. This is a FT WFH position. Pay Range $48,900.76 - $61,125.95 annually (depending on experience) *This role may be classified as hourly (non-exempt) depending on the applicant's location. Actual pay is based on qualifications. Applicants who do not exceed the minimum qualifications will only be eligible for the low end of the pay range. Please fill out an application on our company page, linked below, to be considered for this position. ************************** GK=27768547&refresh=true Benefits: Medical, Dental, Vision, Pharmacy, Life, & Disability 401K- Matching FSA Employee Assistance Program PTO and Company Paid Holidays Required Skills, Experience & Education: Bachelor's degree and two years of experience in wellness, public health, health promotion, health coaching or healthcare preferred. Strong customer service, written & verbal communication skills. Ability to work independently and collaboratively with a team. Thorough knowledge and understanding of health behavior change theory and workplace environmental applications. Strong organizational, time-management, and problem-solving skills, with high attention to detail. Proficiency in Microsoft Word, Excel, Outlook, and Access (data entry forms). Ability to learn proprietary databases. Valid Oregon driver's license. Ability to handle a pushcart/hand truck and to lift boxes up to 40 lbs. in and out of a car trunk. Ability to maintain confidentiality and project a professional business image telephonically and in person. Primary Functions: Serves as the wellness program expert, working with groups to design, implement and evaluate worksite wellness programming, based on Moda's suite of population health and wellness programs. Serves as a liaison between the groups contact and the wellness product, providing ongoing follow up, responding to questions regarding program operations and resolving any issues. Provides basic interpretation of aggregate health risk assessment data, review of utilization reports, discussion of resources. Conducts wellness and health promotion presentations to members and employees, as needed. Works closely with group contacts to coordinate employer-based wellness activities (e.g. biometric screenings, health fairs, and activity incentives) and evaluate program impact. Contributes to the selection, development, implementation, and evaluation of educational materials and other member communications. Reviews and maintains a suite of materials; works with supervisor to identify and request additional resources, as needed. Develops and maintains effective and productive relationships with clients, prospects, vendors, and other Moda Health departments. Perform other duties as assigned. Working Conditions & Contact with Others: Office environment with extensive close PC and keyboard use, constant sitting, and frequent phone communication. Must be able to navigate multiple computer screens. A reliable, high-speed, hard-wired internet connection required to support remote or hybrid work. Must be comfortable being on camera for virtual training and meetings. Work in excess of standard workweek, including evenings and occasional weekends, to meet business need. Internally with multiple departments. Externally with clients and vendors. Together, we can be more. We can be better. Moda Health seeks to allow equal employment opportunities for all qualified persons without regard to race, religion, color, age, sex, sexual orientation, national origin, marital status, disability, veteran status or any other status protected by law. This is applicable to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absences, compensation, and training. For more information regarding accommodations, please direct your questions to Kristy Nehler & Danielle Baker via our ***************************** email.

Job Description Let's do great things, together! About Moda Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we're focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, compassionate support to our community and comprehensive benefits to our employees. It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda values diversity and inclusion in our workplace. We aim to demonstrate our commitment to diversity through all our business practices and invite applications from candidates that share our commitment to this diversity. Our diverse experiences and perspectives help us become a stronger organization. Let's be better together. Position Summary As a Medical Claims Operations Assistant, you will support the daily operations that help Moda deliver timely and accurate claims services. Responsibilities include organizing incoming mail, preparing documents for imaging, updating tracking tools, and assisting with departmental correspondence and administrative tasks. This position is ideal for someone who enjoys detail-focused work and takes pride in supporting reliable processes that benefit our members and providers. Additional responsibilities include ordering and maintaining supplies, ensuring the supply room is organized, and assisting with special projects as needed. This is a fully on-site position based in Milwaukie, Oregon. Pay Range $17.00 - $18.55 hourly, DOE. *Actual pay is based on qualifications. Applicants who do not exceed the minimum qualifications will only be eligible for the low end of the pay range. Please fill out an application on our company page, linked below, to be considered for this position. ************************** GK=27765792&refresh=true Benefits: Medical, Dental, Vision, Pharmacy, Life, & Disability 401K- Matching FSA Employee Assistance Program PTO and Company Paid Holidays Required Skills, Experience & Education: High school diploma or equivalent. At least 6-12 months' experience in a production environment is preferred. Ability to lift 50+ pounds and work in a fast-paced, physical role. Ability to embrace process improvements and work well in a team-oriented environment. Strong proficiency with Microsoft Office applications. Typing ability of 35 wpm. 10-key proficiency of 135 kspm. Strong organizational skills and attention to detail. Proficient with prioritizing tasks and completing them with high accuracy and speed. Ability to work well under pressure, with frequent interruptions and shifting priorities. Demonstrates effective reading, writing and oral communication skills. Ability to meet production and quality standards for various types of work and documents. Skilled in handling multiple tasks. Primary Functions: Handle all incoming mail, including inter-office, packages, letters, claims, and certified mail. Scan and index incoming mail at the printer or compile documents to send to Imaging. Receive and send facsimile submissions and distribute accordingly. Work assigned imaging application queues. Write and mail letters to members and providers. Examine claims to determine if further investigation is needed from the Hospital Audit department, request itemizations of services from providers, mail outgoing letters, and route claims appropriately through the claims processing system. Manage and update multiple tracking spreadsheets for claim audits and follow-up tasks. Processes voided checks. Issues follow up correspondence letters as needed. Communicate via telephone with providers and facilities. Responds and follows up using Facets, Content Manager, E-mail and Teams. Responsible for ordering, maintaining supplies and ensuring supply room is properly stocked and organized. Provide assistance to Medical Claims department as needed for special projects. Other duties as assigned. Working Conditions & Contact with Others: Office environment with extensive close PC and keyboard use, constant sitting, and frequent phone communication. Must be able to navigate multiple computer screens and system applications simultaneously. Inside the company with own claims department staff, Imaging Department, Facilities, and other as required. Internally with Claims, Customer Service, Healthcare Services, Membership Accounting, Information Technology, and Professional Relations. Externally with Providers/Facilities, Vendors, and Insurance companies. Primary communications will be with the team of RN Hospital Auditors. Together, we can be more. We can be better. Moda Health seeks to allow equal employment opportunities for all qualified persons without regard to race, religion, color, age, sex, sexual orientation, national origin, marital status, disability, veteran status or any other status protected by law. This is applicable to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absences, compensation, and training. For more information regarding accommodations please direct your questions to Danielle Baker & Kristy Nehler via our ***************************** email.

Let's do great things, together! About Moda Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we're focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, compassionate support to our community and comprehensive benefits to our employees. It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda values diversity and inclusion in our workplace. We aim to demonstrate our commitment to diversity through all our business practices and invite applications from candidates that share our commitment to this diversity. Our diverse experiences and perspectives help us become a stronger organization. Let's be better together. Position Summary We are seeking a clinical pharmacist with a focus on industry relations. The domain expertise requires both foundational clinical pharmacy experience alongside an interest and passion for partnering closely with pharmaceutical and biotechnology companies, and other vendor partners who engage in contracting opportunities such as rebate management, and clinical programs. Overall, this position is responsible for supporting formulary and policy development, driving to the lowest net cost which are supported by our clinical strategies, and articulating this value as necessary to key stakeholders. This position includes reviewing rebate initiatives for medications covered under the pharmacy and medical benefits, across various lines of business including commercial, Exchange, Medicare and Managed Medicaid. The role includes facilitating or supporting the implementation of projects or activities with both external and internal stakeholders. The ideal candidate resides near or within commuting distance of our Portland, Oregon office to support a hybrid work arrangement, however, remote status will also be considered. Pay Range $111,640.18 - $142,337.61 annually (depending on experience) *This role may be classified as hourly (non-exempt) depending on the applicant's location. Actual pay is based on qualifications. Applicants who do not exceed the minimum qualifications will only be eligible for the low end of the pay range. Please fill out an application on our company page, linked below, to be considered for this position. ************************** GK=27765265&refresh=true Benefits: Medical, Dental, Vision, Pharmacy, Life, & Disability 401K- Matching FSA Employee Assistance Program PTO and Company Paid Holidays Required Skills, Experience & Education: Doctor of Pharmacy degree (Pharm.D.) preferred. Current active and unrestricted Oregon Registered Pharmacist license, or eligible for Oregon licensure which is to be obtained within 60 days of hire date. Two to three years of managed care experience or training from an accredited managed care residency program. Strong analytical skills and business acumen. Ability to communicate and present technical information appropriate for the audience. Ability to work independently and collaborate cross-functionally with various stakeholders. Project management skills and the ability to plan and execute projects as assigned. Commitment to service, organization values, and professionalism through appropriate conduct and demeanor always. Ability to maintain confidentiality and project a professional business image. Works well under pressure with frequent interruptions and shifting priorities. Strong written and verbal communication skills. Proficient with Microsoft Word, Excel, Outlook, and PowerPoint. Primary Functions: Obtain and review rebate offerings for existing therapeutic strategies which support ongoing formulary performance but also identify new opportunities either as contracting changes or new market entrants are FDA-approved. Work closely with vendor partners (PBM, medical management companies, others) on policy or formulary changes driven by cost analysis, including rebate considerations or contracting. Request and identify medical and pharmacy rebate management across all lines of business (i.e. commercial, Exchange, Managed Medicaid, custom clients, and Medicare as needed). Support and/or lead client facing presentations within industry relations as necessary. Responsible for information gathering with legal and/or regulatory teams to understand impact to current formulary strategies, with financial implications, to anticipate or plan for any potential compliance driven update due to changes in existing, or new and emerging states of business. Monitor, anticipate changes, and prepare for pipeline and market events. Develop concise, applicable, comprehensive, and timely communiques as assigned for members, providers, internal, or external stakeholders. Provide clinical support services that intersect industry relations or business development, including but not limited to benefit design, formulary analysis, drug information, P&T participation, client support, and drug utilization management. Provide clinical expertise with a focus on industry relations to all key stakeholders, including Senior Rx Program Analyst, Clinical Pharmacy, Benefits, within or outside of pharmacy. For example, specific to analyst level support, provide clinical expertise for indication-based dosing and defining therapeutic landscape. Contribute, update, and maintain policies and procedures related to industry relations. Lead as needed, from both a clinical pharmacy and industry relations perspective, weekly drug compendia formulary management file. Complete significant projects and performs all other related duties as assigned. Follow the company HR policies, Code of Conduct, and all department policies and procedures including protecting confidential company, employee, and customer information. Working Conditions & Contact with Others Remote, office environment, and/or hybrid with extensive close PC and keyboard work, constant sitting, and phone work. Must be able to navigate multiple screens. Work in excess of 40 hours per week, including evenings and occasional weekends, to meet business needs. May require occasional travel to conferences or offsite business meetings. Internally with Clinical Pharmacy, Marketing, Sales & Account Services, Actuary & Underwriting, Healthcare Services, Customer Service, Information Technology, Benefits, Regulatory Affairs, Legal, and Membership Accounting. Externally with PBM, medical management vendor, pharmaceutical and biotechnology manufacturers, producers, benefit managers, clients, providers, and pharmacists. Together, we can be more. We can be better. Moda Health seeks to allow equal employment opportunities for all qualified persons without regard to race, religion, color, age, sex, sexual orientation, national origin, marital status, disability, veteran status or any other status protected by law. This is applicable to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absences, compensation, and training. For more information regarding accommodations, please direct your questions to Kristy Nehler & Danielle Baker via our ***************************** email.

Coding Policy Analyst _Remote_ The Coding Policy Analyst is responsible for the coordination of technically detailed work that has a significant impact on all operations and information systems within Providence Health Plan (PHP). This position will update and create Coding Policies and associated edit configurations within the PHP claims editing system. In addition, the Coding Policy Analyst will be responsible for replying to provider and member appeals and providing appropriate CPT, CMS, specialty society, Coding Policy, and/or other official documented rationale for Coding Policy edits. The analyst is responsible for monitoring changes to codes, coding guidelines and regulations, and coding edits from external agencies such as AMA, CMS, Medicaid, and specialty societies, and assists with implementation of such changes to the claims adjudication and editing software. This position requires extensive knowledge of AMA and CMS coding guidelines, policies, and regulations. This person will serve as a coding subject matter expert to other departments within PHP for questions about CPT, HCPCS, and ICD-10 codes, as well as coding guidelines and regulations. The analyst will work closely with the Benefits Management Team and Regulatory Department to ensure coding edits are applied in a manner consistent with member benefits and all state and federal insurance regulations. Providence Health Plan caregivers are not simply valued - they're invaluable. Join our team and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them. _Providence Health Plan welcomes 100% remote work for applicants who reside in the following states:_ + Washington + Oregon + California Required Qualifications: + Coding certification through AAPC (CPC) or AHIMA (CCS) upon hire. + 5 years of experience directly related to CPT coding from chart extraction with a health care provider, a health insurance company, or a capitated managed care company. + 5 years of excellent writing and grammar skills required. + 5 years of demonstrated experience in detailed coding applications, as well as Microsoft Office capabilities, such as Excel, Word, and Access. Preferred Qualifications: + Bachelor's Degree or experience in a Healthcare or Health Plan setting coding and auditing will also be considered. + 2 years of experience with Facets Claims Adjudication system and/or Optum CES editing software. Salary Range by Location: California: Humboldt: Min: $33.05, Max: $51.30 California: All Northern California - Except Humboldt: Min: $37.08, Max: $57.56 California: All Southern California - Except Bakersfield: Min: $33.05, Max: $51.30 California: Bakersfield: Min: $31.71, Max: $49.22 Oregon: Non-Portland Service Area: Min: $29.56, Max: $45.88 Oregon: Portland Service Area: Min: $31.71, Max: $49.22 Washington: Western - Except Tukwila: Min: $33.05, Max: $51.30 Washington: Southwest - Olympia, Centralia & Below: Min: $31.71, Max: $49.22 Washington: Tukwila: Min: $33.05, Max: $51.30 Washington: Eastern: Min: $28.21, Max: $43.80 Washington: South Eastern: Min: $29.56, Max: $45.88 Why Join Providence Health Plan? Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities. Accepting a new position at another facility that is part of the Providence family of organizations may change your current benefits. Changes in benefits, including paid time-off, happen for various reasons. These reasons can include changes of Legal Employer, FTE, Union, location, time-off plan policies, availability of health and welfare benefit plan offerings, and other various reasons. About Providence At Providence, our strength lies in Our Promise of "Know me, care for me, ease my way." Working at our family of organizations means that regardless of your role, we'll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable. Posted are the minimum and the maximum wage rates on the wage range for this position. The successful candidate's placement on the wage range for this position will be determined based upon relevant job experience and other applicable factors. These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits. Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act. About the Team Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. We are focused on supporting our Mission by delivering a robust foundation of services and sharing of specialized expertise. Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement. Requsition ID: 403553 Company: Providence Jobs Job Category: Coding Job Function: Revenue Cycle Job Schedule: Full time Job Shift: Day Career Track: Business Professional Department: 5018 HCS MEDICAL MANAGEMENT OR REGION Address: OR Portland 4400 NE Halsey St Work Location: Providence Health Plaza (HR) Bldg 1-Portland Workplace Type: Remote Pay Range: $31.71 - $49.22 The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

Let's do great things, together! About Moda Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we're focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, compassionate support to our community and comprehensive benefits to our employees. It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda values diversity and inclusion in our workplace. We aim to demonstrate our commitment to diversity through all our business practices and invite applications from candidates that share our commitment to this diversity. Our diverse experiences and perspectives help us become a stronger organization. Let's be better together. Position Summary This position will provide support to the Medical Management team by assisting in the investigation and research of prior authorization requests. Completes reviews or support the clinical staff in the review processes by preparing or completing the requests as assigned. This is a temporary WFH role. Pay Range $20.88- $23.49 hourly (depending on experience). Actual pay is based on qualifications. Applicants who do not exceed the minimum qualifications will only be eligible for the low end of the pay range. Please fill out an application on our company page, linked below, to be considered for this position. ************************** GK=27767811&refresh=true Benefits: Medical, Dental, Vision & Pharmacy PTO and Company Paid Holidays 401k - Matching Required Skills, Experience & Education: High school education or equivalent. 1-2 years of experience in a medical office and/or insurance experience needed. Proficient with PC and Microsoft Office applications. Type a minimum of 35 wpm and 10key proficiency of 135spm on computer number keypad. Excellent written, verbal, and interpersonal communication skills including demonstrated business writing and grammar skills. Excellent organizational and detail orientation skills. Must present a professional business image in all settings. Ability to work well under pressure, work with frequent interruptions and shifting priorities. Ability to come to work on time and daily. Ability to work independently, as well as part of a team, dealing with all levels of staff, members, providers, in a professional manner. Ability to maintain confidentiality. High level of understanding of medical terminology and coding, state and federal regulations for claims adjudication and provider contracting. Knowledge of Health Plan benefits. Ability to interpret complex benefit packages and contract language. Strong problem-solving skills and decision quality preferred. Familiar with CMS (Medicare) rules and regulations a plus but not required. Primary Functions: Determines the requirement for prior authorization based on the plan type, ICD-10 code, CPT/HCPC code or place of service. Review and research referral and authorization requests received in Healthcare Services. Process or route per appropriate guideline. Provides education to members and providers regarding prior authorization process. Interacts with providers and provider offices to gather complete, accurate information to process prior authorizations and referrals and coordinates with providers to ensure consideration is given to unique treatment. Consults the RN, Manager or Supervisor on complex cases. Responsible for daily administrative functions of the clinical team in Healthcare Services, ensuring deadlines are met to support required processes of the clinical team, members and providers as well as facilitates the timely processing of documentation submitted to the Medical Management department. Utilizes the Moda Health systems for documentation of contact with providers and members. Communicates effectively with other Medical Management support staff. Analyze claims and encounters according to the limits of authorization, benefit plan and provider contracts. Effectively uses the Moda Health systems to accurately determine eligibility, benefit plan, and physician networks associated with the member's plan. Completes approvals, and denials by the medical director, of claims and prior authorization requests in a professional, positive manner. Send proper correspondence to providers, members, and other departments to either obtain additional information necessary for the review of claims or denial of requested services. Analyze authorizations for correct information, such as authorization maximums, limitations, and special instructions for performance groups. Ensure adherence of Health Insurance Portability and Accountability Act (HIPAA) and other regulatory guidelines including privacy and security. Responsible for the auditing of individual daily work for accuracy, consistency and compliance based on Moda Health policies and procedures, state, federal and CMS (Medicare)/Medicaid regulations. Identifies problems and researches alternative solutions. Works with other team members to maintain the workflow to meet productivity and compliance standards. Completes other duties and special projects as assigned by the HCS Supervisor and/or the HCS Manager. Maintains an established productivity based on the complexity and demands of a heavy workload, complex services agreements, provider contracts and complex benefit packages. Responsible for utilizing all applicable policies, procedures and materials used in determining the proper review of claims, review, and processing of prior authorization requests for services. Enter data into appropriate system Facets UM or CT Dynamo must be able to accurately determine member eligibility and provider participation within a network. Maintain accurate patient note entry when not approving a request, when awaiting additional information or when routing the referral or preauthorization request. Perform other tasks as assigned. Working Conditions & Contact with Others Office environment with extensive close PC and keyboard work, constant sitting, and phone work. Must be able to navigate multiple screens. Work in excess of 37.5 hours per week, including evenings and occasional weekends, to meet business need. Internally with own department and Customer Service. Externally with Moda members, PBM vendor, providers, provider offices. Together, we can be more. We can be better. Moda Health seeks to allow equal employment opportunities for all qualified persons without regard to race, religion, color, age, sex, sexual orientation, national origin, marital status, disability, veteran status or any other status protected by law. This is applicable to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absences, compensation, and training. For more information regarding accommodations please direct your questions to Kristy Nehler and Danielle Baker via our ***************************** email.

Let's do great things, together! About Moda Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we're focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, compassionate support to our community and comprehensive benefits to our employees. It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda values diversity and inclusion in our workplace. We aim to demonstrate our commitment to diversity through all our business practices and invite applications from candidates that share our commitment to this diversity. Our diverse experiences and perspectives help us become a stronger organization. Let's be better together. Position Summary The Accounting Operations Specialist II - Payables will be responsible for processing, monitoring, coding payment requests to applicate general ledger accounts and paying suppliers, creditors and other miscellaneous payables. Maintain accurate payable and vendor files. Request stop payments and photocopies of checks for various departments within the company. This is a hybrid position based in Portland, Oregon. Pay Range $19.05 - $23.81 hourly (depending on experience) Actual pay is based on qualifications. Applicants who do not exceed the minimum qualifications will only be eligible for the low end of the pay range. Please fill out an application on our company page, linked below, to be considered for this position. ************************** GK=27765880&refresh=true Benefits: Medical, Dental, Vision, Pharmacy, Life, & Disability 401K- Matching FSA Employee Assistance Program PTO and Company Paid Holidays Required Skills, Experience & Education: High school diploma or equivalent. 2-4 year of accounting experience preferred. 1-2 years of high volume payable processing experience. Personal computer knowledge including Excel spreadsheets. Good understanding of internal controls surrounding the payables process and have knowledge of the appropriate approval levels. Banking experience a plus. Ability to take ownership of payables process and develop a good working knowledge of the various vendors and creditors. Strong understanding of balancing concepts. Strong analytical, problem solving, reconciliation, organizational, and detail orientation skills. Ability to work well under pressure, work with frequent interruptions, and shifting priorities. Maintain confidentiality and project a professional business image. Ability to come into work, on time and daily. Primary Functions: Responsible for processing all payables for Moda Health entities on a weekly basis, including inputting the invoices into our ERP system SAGE 100 and ensuring that the expenditures are coded to the appropriate general ledger account. Completes weekly check runs and answer questions and resolve comments from the controller. Input of vendor invoices and internal payment requests in SAGE 100. Maintains Accounting Operations department filing system via Content Manager for all paid invoices and accompanying documentation. Create positive pay files for uploading to U.S. bank when checks are issued. Perform upload function from Excel to SAGE 100 when batched payment requests are submitted. This includes member premium refunds, capitations payments and provider incentive payments. Manage and monitor invoices through the invoice approval platform Beanworks. This includes a front end review of uploaded invoices to ensure the entity, vendor and amount are accurately listed. This will also include assisting with General Ledger coding primarily used from past invoice coding. Promptly respond to any external or internal inquiry regarding payment. Performs other duties as assigned. Working Conditions & Contact with Others Office environment with extensive close PC and keyboard work, constant sitting, and phone work. Must be able to navigate multiple screens. Work in excess of standard work week in order to meet business needs. Internally with all departments and subsidiary companies. Externally with various groups and banks. Together, we can be more. We can be better. Moda Health seeks to allow equal employment opportunities for all qualified persons without regard to race, religion, color, age, sex, sexual orientation, national origin, marital status, disability, veteran status or any other status protected by law. This is applicable to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absences, compensation, and training. For more information regarding accommodations please direct your questions to Kristy Nehler and Danielle Baker via our ***************************** email.

Let's do great things, together About Moda Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we're focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, compassionate support to our community and comprehensive benefits to our employees. It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda values diversity and inclusion in our workplace. We aim to demonstrate our commitment to diversity through all our business practices and invite applications from candidates that share our commitment to this diversity. Our diverse experiences and perspectives help us become a stronger organization. Let's be better together. Position Summary This position is responsible for timely, accurate data entry and maintenance of Medical and Dental member eligibility, member and billing reconciliation, customer service to assigned groups or accounts, and generation of ID cards for all Moda Health and BHS lines of business including; Individual, Medicare, Medicaid, (CCO and DCO) and Employer Group customers of all sizes (ASO and Fully insured) COBRA and TPA accounts. This is a full-time hybrid position based in Portland, Oregon. Pay Range $18.03- $20.18 hourly, DOE. *Actual pay is based on qualifications. Applicants who do not exceed the minimum qualifications will only be eligible for the low end of the pay range. Please fill out an application on our company page, linked below, to be considered for this position ************************** GK=27766506&refresh=true Benefits: Medical, Dental, Pharmacy, and Vision Coverage 401K FSA PTO and Paid Holidays Required Skills, Experience, & Education: High school diploma or equivalent. Previous experience and/or knowledge of Facets preferred. A minimum of 3 years' experience preferred in fast paced business, data entry, customer service, enrollment, billing, and reconciliation environment. Computer proficiency with Microsoft Office applications particularly Excel and Word. Ten key proficiency of 135 kpm on a computer numeric keypad/calculator preferred. Typing proficiency of 25 wpm preferred. Strong analytical, problem solving, decision making, organizational and detail-oriented skills. Strong verbal, written and interpersonal communication skills. Ability to be courteous, patient and communicate with Moda Health and BHS members, Moda Health and BHS employees and Employer Groups in a positive and productive manner. Maintain confidentiality and project a professional business image. Primary Functions: Responsible for eligibility and enrollment procedures daily via paper enrollment, electronic file, web-based transactions, email enrollments, and sending welcome packet to our new members for all Moda and BHS products and lines of business. Ensure the accuracy and timeliness of entering enrollments within the department, Employer Groups, State and Federal standards depending on Product and Line of Business. Responsible for following delinquency policy and procedures to ensure both compliance and timely receipt of administrative fees and premiums. Ensures all member, premium and administrative fees are reconciled monthly to the penny. Maintains confidentiality of all information related to members, employer groups, employees, and as appropriate, other information. Highly motivated and able to take initiative, demonstrated ability to identify and solve problems. Responds to all internal and external customer inquiries regarding enrollments, ID cards and attends customer meetings as requested by Sales and Account Services. Responsible to log and track enrollment applications in excel and give monthly reports to the Supervisor and the groups that shows a running balance on total enrollments received; enrollments entered into our system; voids and pending. Accurately enter COB, COBRA and Pre-Existing for timely and accurate claims adjudication as well as sending out required COBRA notifications. Requests and verifies the issuance and accuracy of member ID cards. Keeping track of supplies and ordering when necessary. Process Return Mail. Adhere to and enforces group contract, State and Federal guidelines regarding eligibility standards and requirements. Be a supportive and collaborative teammate. Performs other duties and projects as assigned. Together, we can be more. We can be better. Moda Health seeks to allow equal employment opportunities for all qualified persons without regard to race, religion, color, age, sex, sexual orientation, national origin, marital status, disability, veteran status or any other status protected by law. This is applicable to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absences, compensation, and training. For more information regarding accommodations, please direct your questions to Kristy Nehler & Danielle Baker via our ***************************** email.

Lead RN - Long Term Care at Providence Child Center. This posting represents a .6 FTE, day shift opening (2, 12-hour shifts per week) with rotating weekends. Providence offers a fantastic benefits package which include but is not limited to: Free, convenient, and ample parking TriMet annual pass (Hop Fastpass) for benefit eligible staff who work within the Portland Service Area (does NOT include Wilsonville, Newberg, Seaside, Hood River, Washington State, or Medford) Medical Plan Assistance Program- provides free or reduced-cost coverage to caregivers and their eligible dependents who qualify based on household size and income Tuition reimbursement/education- includes 100% tuition paid program options; up to $5,250 per year for select undergraduate and masters degrees within Guild catalog. Required books and fees are 100% covered or reimbursable for select schools in the Guild catalog up to program funding cap Paid Time Off - Benefit eligible caregivers receive generous PTO accrual allowances Retirement - The Providence retirement program consists of employer match and discretionary contributions that work together with your pre-tax (and/or Roth aftertax) contributions to help you save for retirement. Lyra Caregiver Assistance program- Up to 25 counseling or coaching sessions per eligible member per year The Lead Nurse coordinates the clinical operations and activities on their nursing unit. The Lead Nurse is responsible for the flow of patient/resident care on their unit and provides direct patient/resident care. The Lead Nurse will facilitate the workflow in the area by distributing workload assignments. The Lead Nurse will maintain compliance to nursing standards and regulatory requirements and will be an essential member of the team to deliver quality health care to patients/residents taking into account the age-related needs. The Lead Nurse will be responsible for all yearly performance evaluations for the CNAs on their unit. Providence caregivers are not simply valued - they're invaluable. Join our team at Providence Child Center and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them. Required Qualifications: Education to meet certification, license or registration requirement. Oregon Registered Nurse License upon hire. National Provider BLS - American Heart Association within 30 days of hire. In compliance with the Department of Human Services, a criminal history check is required for this position upon hire. 2 years of Nursing experience. Preferably in long-term care. Preferred Qualifications: Supervisory experience. Why Join Providence? Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities. Accepting a new position at another facility that is part of the Providence family of organizations may change your current benefits. Changes in benefits, including paid time-off, happen for various reasons. These reasons can include changes of Legal Employer, FTE, Union, location, time-off plan policies, availability of health and welfare benefit plan offerings, and other various reasons. About Providence At Providence, our strength lies in Our Promise of “Know me, care for me, ease my way.” Working at our family of organizations means that regardless of your role, we'll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable. Posted are the minimum and the maximum wage rates on the wage range for this position. The successful candidate's placement on the wage range for this position will be determined based upon relevant job experience and other applicable factors. These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits. Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act. About the Team Providence has been serving the Pacific Northwest since 1856 when Mother Joseph of the Sacred Heart and four other Sisters of Providence arrived in Vancouver, Washington Territory. As the largest healthcare system and largest private employer in Oregon, Providence is located in areas ranging from the Columbia Gorge to the wine country to sunny southern Oregon to charming coastal communities to the urban setting of Portland. Our award-winning and comprehensive medical centers are known for outstanding programs in cancer, cardiology, neurosciences, orthopedics, women's services, emergency and trauma care, pediatrics and neonatal intensive care. Our not-for-profit network also provides a full spectrum of care with leading-edge diagnostics and treatment, outpatient health centers, physician groups and clinics, numerous outreach programs, and hospice and home care. Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement. Requsition ID: 405608 Company: Providence Jobs Job Category: Patient Care (Non-Acute) Job Function: Clinical Care Job Schedule: Part time Job Shift: Day Career Track: Nursing Department: 5004 PCC NURSING ADMIN Address: OR Portland 830 NE 47th Ave Work Location: Providence Child Ctr-Portland Workplace Type: On-site Pay Range: $43.87 - $68.11 The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. PandoLogic. Category:Healthcare, Keywords:Long Term Care Nurse, Location:Gresham, OR-97030

Let's do great things, together! About Moda Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we're focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, compassionate support to our community and comprehensive benefits to our employees. It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda values diversity and inclusion in our workplace. We aim to demonstrate our commitment to diversity through all our business practices and invite applications from candidates that share our commitment to this diversity. Our diverse experiences and perspectives help us become a stronger organization. Let's be better together. Position Summary The Health Promotion and Wellness Consultant will partner with Moda Health's employer groups to consult on high-impact workplace wellness program. The Consultant will identify key strategies to build wellness into company cultures and to maximize employee engagement in workplace wellness programs. Some human capital initiatives include health assessments, health education presentations, interest surveys, needs assessments, and connections to Moda Health and vendor resources - all of which support our clients' organizational health and wellness efforts. This is a FT WFH position. Pay Range $48,900.76 - $61,125.95 annually (depending on experience) *This role may be classified as hourly (non-exempt) depending on the applicant's location. Actual pay is based on qualifications. Applicants who do not exceed the minimum qualifications will only be eligible for the low end of the pay range. Please fill out an application on our company page, linked below, to be considered for this position. ************************** GK=27768547&refresh=true Benefits: Medical, Dental, Vision, Pharmacy, Life, & Disability 401K- Matching FSA Employee Assistance Program PTO and Company Paid Holidays Required Skills, Experience & Education: Bachelor's degree and two years of experience in wellness, public health, health promotion, health coaching or healthcare preferred. Strong customer service, written & verbal communication skills. Ability to work independently and collaboratively with a team. Thorough knowledge and understanding of health behavior change theory and workplace environmental applications. Strong organizational, time-management, and problem-solving skills, with high attention to detail. Proficiency in Microsoft Word, Excel, Outlook, and Access (data entry forms). Ability to learn proprietary databases. Valid Oregon driver's license. Ability to handle a pushcart/hand truck and to lift boxes up to 40 lbs. in and out of a car trunk. Ability to maintain confidentiality and project a professional business image telephonically and in person. Primary Functions: Serves as the wellness program expert, working with groups to design, implement and evaluate worksite wellness programming, based on Moda's suite of population health and wellness programs. Serves as a liaison between the groups contact and the wellness product, providing ongoing follow up, responding to questions regarding program operations and resolving any issues. Provides basic interpretation of aggregate health risk assessment data, review of utilization reports, discussion of resources. Conducts wellness and health promotion presentations to members and employees, as needed. Works closely with group contacts to coordinate employer-based wellness activities (e.g. biometric screenings, health fairs, and activity incentives) and evaluate program impact. Contributes to the selection, development, implementation, and evaluation of educational materials and other member communications. Reviews and maintains a suite of materials; works with supervisor to identify and request additional resources, as needed. Develops and maintains effective and productive relationships with clients, prospects, vendors, and other Moda Health departments. Perform other duties as assigned. Working Conditions & Contact with Others: Office environment with extensive close PC and keyboard use, constant sitting, and frequent phone communication. Must be able to navigate multiple computer screens. A reliable, high-speed, hard-wired internet connection required to support remote or hybrid work. Must be comfortable being on camera for virtual training and meetings. Work in excess of standard workweek, including evenings and occasional weekends, to meet business need. Internally with multiple departments. Externally with clients and vendors. Together, we can be more. We can be better. Moda Health seeks to allow equal employment opportunities for all qualified persons without regard to race, religion, color, age, sex, sexual orientation, national origin, marital status, disability, veteran status or any other status protected by law. This is applicable to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absences, compensation, and training. For more information regarding accommodations, please direct your questions to Kristy Nehler & Danielle Baker via our ***************************** email.

Providence Heart Institute and Providence St. Vincent Hospital are seeking a physician to join a growing multidisciplinary team in both Cardiac Critical Care and Cardiac Anesthesiology. As Oregon's highest-volume cardiac surgery program and a leading tertiary referral center for the Pacific Northwest, we provide comprehensive care for patients with complex cardiovascular conditions. Our program offers the full spectrum of cardiac surgery, including CABG, valve procedures, redo sternotomy, and complex aortic surgery. We have a robust advanced heart failure service featuring LVADs, ECMO, and heart transplantation, as well as a busy cardiogenic shock program utilizing a wide array of mechanical circulatory support systems. Our structural heart program performs high-volume TAVR, mitral, and tricuspid repairs. The Cardiac ICU operates under a physician-led, multidisciplinary team model. Within the next two years, we will open a brand-new 28-bed cardiac ICU designed specifically for advanced cardiac care. * Combined, full-time position in Cardiac Anesthesiology and Critical Care Medicine * Fellowship training (board certified or board eligible) in both Critical Care Medicine and Cardiac Anesthesiology, is required * The ideal candidate will have an interest in quality improvement and leadership within our divisions, as well as a desire to work in a collaborative care team environment. * Experience with heart transplant and mechanical circulatory support, including VA ECMO, required * Opportunity for mentorship, career growth, and professional independence in a dynamic and innovative setting * Competitive compensation and excellent benefits Where You'll Work The Providence Heart Institute is an integrated cardiovascular service line with more than 80 specialists serving hospital and clinic locations throughout Oregon and southwest Washington. In addition, the program is a hub for vast data registries in cardiovascular care, including the Center for Cardiovascular Analytics, Research and Data Science (CARDS). This state-of-the-art institute is a leader in new therapies, and consistently receives national recognition, including the American Heart Association's "Get With The Guidelines" designation for coronary artery disease care. Where You'll Live In Portland, Oregon, you'll find a perfect blend of urban excitement and natural beauty. Home to the Portland Trail Blazers, "Rip City" offers residents endless entertainment, with eclectic art and culinary scenes, sports culture and distinct neighborhood identities. Nestled between the Willamette and Columbia rivers, and just a drive away from Mt. Hood, the Columbia Gorge and the Oregon Coast, Portland offers unparalleled, year-round access to outdoor adventures. Who You'll Work For Providence is a nationally recognized, comprehensive healthcare organization spanning seven states with a universal mission - to provide compassionate care to all who need its services, especially the poor and vulnerable. Its 122,000-plus caregivers/employees (including 34,000 physicians) serve in 51 hospitals, more than 1,000 clinics and a comprehensive range of health and social services. Providence: One name, one family, one extraordinary health system. Check out our benefits page for more information. Equal Opportunity Employer including disability/veteran _Job ID Number: 30126_ _Facility Name: Providence Heart Institute_ _Location Name: Portland_ _Brand Name: Providence_ _Provider Profession: Physician/Surgeon_ _Medical Specialty: Anesthesiology_ _Job Setting: Hospital_ _Type of Role: Clinical_ _Sub-specialty: Other_ _Email: **************************_ _Phone Number: **************_ _Schedule: Part Time_ _CP: Yes_ _CB: Yes_ _NP:_ _PA:_ _HC: Yes_ _IS: No_ _YM: Yes_ _J1: No_ _H1B: No_ Let's get in touch If you have questions about this specific job or others, I'm all ears. Send me a note and we'll be one step closer to the right opportunity. Emma Frires Provider Recruiter ************** ************************** Contact Me