UR Pre-Certification Specialist- Hospital Pickup and Denials (Hybrid Schedule)
Orthocarolina 4.3
Charlotte, NC jobs
At OrthoCarolina, our team is our greatest asset and the foundation of our success. We are a diverse group of individuals, accountable to each other to uphold the standards of excellence and promote an environment of teamwork throughout the organization. OrthoCarolina has 43 unique care locations with over 1300 professionals who share a common goal to make lives better. Our employees are eligible for a full spectrum of benefits including paid company holidays, wellness programs, and tuition reimbursement. To learn more about Team OC please visit **************************************
OrthoCarolina is looking for a UR Pre-Certification Specialist- Hospital Pickup and Denials for our OrthoCarolina Business Office location in Charlotte. This position is a hybrid schedule with rotating days in the office depending on department needs.
The UR Pre-Certification Specialist- Hospital Pickup and Denials is responsible for receiving all OrthoCarolina claim denials for services not authorized for Therapy, MRI, Radiology, Surgery, Physiatry, DME, Hospital E&M, and high dollar injections. This role is required to be familiar with all areas of EMR (clinical, UR, transactions) and investigating documentation for all departments.
Essential Functions:
Completely understanding the authorization process, medical criteria, denials, and appeals and will serve as a liaison between Payor, AR Department, Coding Department, and UR Department for all claim denials related to services not authorized.
Must have knowledge of claims processing as well as the ability to verify eligibility and benefits and obtain any required authorization for all UR Departments.
Education/Experience:
Associates degree preferred, but not required
Two years of experience in medical pre-certification and pre-collection
Experience in utilizing insurance website for verifying eligibility, benefits and obtaining pre-certification.
Employee TypeRegularQualificationsSkillsAuthorizations, Claims Processing, Health Insurance Verification, Insurance Authorizations, Insurance Eligibility Verification, Insurance Verification, Medical Billing and Coding, Medical KnowledgeEducationCertificationsLanguageWork Experience
$37k-63k yearly est. Auto-Apply 60d+ ago
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Registered Nurse (RN) Unit Coordinator - Intensive Care Unit
Sentara Health 4.9
Elizabeth City, NC jobs
City/State Elizabeth City, NC Work Shift Third (Nights) Sentara Albemarle Medical Center is hiring a Registered Nurse (RN) Unit Coordinator for the Intensive Care Unit (ICU). Elevate your career! Hours/Shift: 36-hours, Nights Education
Degree or Diploma in Registered Nursing
Bachelor of Science Nursing- BSN
Certification/Licensure
Registered nursing License (Required)
BLS required within 90 days of hire
Experience
18-months of RN experience is required
RN Unit Coordinators demonstrate proficiency in nursing practice for assigned specialty area and provides clinical leadership for the delivery of nursing care in a department. Under the direction of the department manager leads safety and quality initiatives, focuses on and simplifies workflow, and contributes to the development of staff. Increase staff satisfaction and promotes excellent (Gold Standard) customer service.
Join Our ICU Family - Where Your Voice Matters and Your Growth Matters More!
Looking for more than just a job? Come be part of our 10-bed Medical-Surgical ICU, a close-knit, high-performing team that feels more like family than coworkers. Here, you're not just filling a shift - you're making a difference.
We believe in open communication, shared decision-making, and amplifying every voice on the team. Whether you're a seasoned nurse or just starting your critical care journey, your ideas, input, and experiences are valued every day.
You'll care for a diverse range of medical and surgical patients, sharpening your critical thinking skills in an environment that encourages learning, mentorship, and professional growth. From expanding your clinical skills to pursuing leadership roles, we're here to support your career goals every step of the way. We are proud to share that we recently received Magnet accreditation with distinction, reflecting our commitment to nursing excellence and quality patient outcomes.
Join us and thrive in a place where your voice is heard, your growth is supported, and your team feels like home!
Keywords: Registered Nurse, RN, ICU, Intensive Care, Critical Care, SAMC, Sentara Albemarle, Unit Coordinator, Charge Nurse, Leadership, Management, BSN, Talroo-Nursing
.
Benefits: Caring For Your Family and Your Career
• Medical, Dental, Vision plans
• Adoption, Fertility and Surrogacy Reimbursement up to $10,000
• Paid Time Off and Sick Leave
• Paid Parental & Family Caregiver Leave
• Emergency Backup Care
• Long-Term, Short-Term Disability, and Critical Illness plans
• Life Insurance
• 401k/403B with Employer Match
• Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education
• Student Debt Pay Down - $10,000
• Reimbursement for certifications and free access to complete CEUs and professional development
• Pet Insurance
• Legal Resources Plan
• Colleagues may have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met
Sentara Albemarle Medical Center , located in Elizabeth City, NC, serves northeastern North Carolina with a caring team of approximately 650 employees and 150 medical providers. We think of each other as family, with those bonds extending into our close-knit community and serving as the foundation for our patient care. Our 182-bed facility features 25 specialties including emergency, maternity, orthopedics, medical, and surgical care in addition to our outpatient laboratory, imaging, and comprehensive breast services. In 2022, Sentara broke ground on a new campus, a state-of-the-art 88-bed hospital to replace the current 60-year-old facility on North Road Street. The 135-acre campus, coming out of the ground at Halstead Boulevard Extended and Thunder Road, will be known as the Sentara Albemarle Regional Health Campus. It is projected to cost about $200 million, up from the original estimate of $158 million, due to sharp spikes in costs for building materials and medical equipment.
Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.
In support of our mission “to improve health every day,” this is a tobacco-free environment.
For positions that are available as remote work, Sentara Health employs associates in the following states:
Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.
$28k-33k yearly est. 4d ago
Physician Assistant / Cardiology / North Carolina / Locum Tenens / Hospital Medicine Hybrid APP - Lake Norman
Atrium Health 4.7
Cornelius, NC jobs
Department:
04170 GCMG Hospitalist Group: Lake Norman - Hospitalists
Status:
Full time
Benefits Eligible:
Yes
Hours Per Week:
40
Schedule Details/Additional Information:
Varies
If it's possible, you will find it at Atrium Health?the leading community-focused academic healthcare system serving North Carolina, South Carolina, and Georgia. We invite Advanced Practice Providersto discover all that we can do when we bring healing hearts, inquisitive minds and progressive visionaries together in our Carolinas Hospital Groupteam at Atrium Health.
Position Highlights:
100% inpatient adult medicine.
Join our current team of 6 Physicians.
Hospital based practice with team-based panel of physicians and ACP providers
7 days on and 7 days off, or unless otherwise specified by the specific site
Call is not required
Procedures not expected
Designated clinical support staff including RNs and staff administrative assistants
Teaching opportunities with ACP students and ACP fellows
Eligible year-end bonus based on yearly physician/ACP team goals
Centralized professional support from the Center for Advanced Practice
$2500 of CME allowance
Candidate Qualifications:
Graduation from an accredited NP or PA program. Current license to practice as a NP or PA in North Carolina. Current prescriptive privileges and DEA license required. BLS for healthcare provider from AHA required.
Nurse practitioners are required to have a master's degree or doctorate in nursing practice. Certification as an Adult Acute care NPfrom a nationally recognized certifying body required.
Physician Assistants with master's degree and certification from the National Commission on Certification of Physician Assistants preferred.
2+ years of experience preferred.
Demonstrates appropriate critical thinking and interpersonal skills when working in a fast paced, complex hospital environment.
NC or SC Licensure, depending on practice locations
Nurse Practitioner Candidates:
Master's Degree or Doctor of Nursing Practice required. Acute care certification required.
License to practice as a Registered Nurse required.
Certification in the area of practice from a nationally recognized certifying body required.
ACNP, AGACNP, AGNP, PNP, or PNP-AC board certification preferred based population served.
Physician Assistant Candidates:
Graduate from an accredited Physician Assistant program required. Master's Degree preferred.
Certification from the National Commission on Certification of Physician Assistants preferred.
When you join Atrium Health, you will be welcomed into an inclusive culture that celebrates and respects the contributions a diverse team can make together. Practice where your voice is valued, your passion for advancing medicine is rewarded, and you get the resources and support you need to thrive personally and professionally. In our nationally-renowned integrated health system, you can work alongside the most advanced minds in medicine to improve medicine, elevate hope and advance healing?for all.
Pay Range
$50.05 - $75.10
Our Commitment to You:
Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more ? so you can live fully at and away from work, including:
Compensation
Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training
Premium pay such as shift, on call, and more based on a teammate's job
Incentive pay for select positions
Opportunity for annual increases based on performance
Benefits and more
Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program
About Advocate Health
Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation?s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.
Hospital Medicine Hybrid APP - Lake Norman
$50.1-75.1 hourly 18h ago
Analytics QA Tester (Remote)
Vaya Health 3.7
North Carolina jobs
LOCATION: Remote - This is a home based, virtual position that operates Monday - Friday from 8:30am-5:00pm (EST). Vaya Health welcomes applications from NC, SC, GA, TN, VA, MD, and FL.
GENERAL STATEMENT OF JOB
The Analytics QA Tester works independently, as well as with developers and business analysts, to test complex software and Business Intelligence solutions. Develop test plans, participate in peer reviews of software solutions (including code reviews), and assist end-users with user acceptance testing. Responsible for automated regression testing. Work closely with other software developers and analysts to understand what the product is meant to do, to identify issues in design and development, and to provide recommendations for improvements. Analyze and understand complex data sources in order to validate developed applications, Business Intelligence solutions, data warehouses, data visualizations, and extract, transform, and load (ETL) procedures. As a member of an agile development team this position will test new features for functionality and user experience.
ESSENTIAL JOB FUNCTIONS
Work with the Analytics Development Team to test applications and Business Intelligence products during the systems development life cycle (SDLC).
Assist end-users in performing user acceptance testing on developed solutions.
Responsible for designing and implementing test plans and test cases based on product specifications.
Perform post-implementation testing of developed solutions.
Document test plans, test cases, and test results.
KNOWLEDGE OF JOB
Integrity and decision-making skills necessary to work with and protect confidential personal health information
Problem solver, with ability to debug complex processes and applications
Analytical and troubleshooting skills
Experience within an agile development process, creating and using automating acceptance tests, automated test framework, de-bugging tools and analyzing stack traces.
Microsoft Team Foundation Server for work item tracking and source code control is preferred
Experience testing web applications, including the ability to use and understand advanced features of web browsers
Experience testing end-user reports, ETL packages, and data visualizations including the ability to test Microsoft T-SQL procedures
Excellent verbal and written communication skills, ability to articulate ideas clearly
Proven ability to meet development commitments and manage expectations
Desire for constant improvement
Ability to work independently and as a strong team player
Ability to work in a fast-paced, deadline driven environment running multiple projects simultaneously
High level of computer literacy with spreadsheets, word processing and database software and business systems (Word, Access, Excel, PowerPoint, MS Project, VISIO and other graphic software).
Extensive development, architecture, and configuration skills in Microsoft SQL Server 2008, 2012, or 2014 including strong SQL development skills (preferably Microsoft T-SQL).
Extensive development, architecture, and configuration skills with the Microsoft .NET framework including development of applications using C# or VB.NET.
EDUCATION & EXPERIENCE REQUIREMENTS
Bachelor's Degree in Computer Science, Information Technology, Engineering, or a related discipline required and 5 years of experience testing highly complex software applications crossing multiple platforms and diverse technologies.
PHYSICAL REQUIREMENTS
Close visual acuity to perform activities such as preparation and analysis of documents; viewing a computer terminal; and extensive reading.
Physical activity in this position includes crouching, reaching, walking, talking, hearing and repetitive motion of hands, wrists and fingers.
Sedentary work with lifting requirements up to 10 pounds, sitting for extended periods of time.
Mental concentration is required in all aspects of work.
RESIDENCY REQUIREMENT: The person in this position must live in NC, SC, GA, TN, VA, MD, or FL.
SALARY: Depending on qualifications & experience of candidate. This position is exempt and is not eligible for overtime compensation.
DEADLINE FOR APPLICATION: Open until filled.
APPLY: Vaya Health accepts online applications in our Career Center, please visit ******************************************
Vaya Health is an equal opportunity employer.
$54k-67k yearly est. Auto-Apply 60d+ ago
Vice President-Federal Communications and Marketing (Hybrid Remote - McLean, VA / DC Area)
Maximus 4.3
Charlotte, NC jobs
Description & Requirements Maximus is seeking a dynamic and experienced Vice President-Federal Communications and Marketing to join our innovative team. The ideal candidate will bridge the gap between technology, business process services and marketing in the Federal Government sector. In this role, you will be responsible for Team Leadership and Change Management in a large organization. The VP-Federal Communications and Marketing will collaborate with cross-functional teams to drive Federal solutions and offerings. If you are a strategic thinker with a passion for technology services and marketing, and if you thrive in a dynamic and collaborative environment, we invite you to apply to the position at Maximus.
This is a hybrid position with the need to go into the office a minimum of 3 days per week and occasionally attend meetings and/or events in the Tyson Corners, VA/ Washington, DC area. This position requires some travel. The selected candidate must live in this geographical area.
Key Areas of Responsibility
- Identify, plan, develop, and oversee differentiated and impactful marketing strategies/materials.
- Developing new programs for customer engagement including integrated marketing programs from concept to execution
- Drive Maximus Federal solutions and offerings.
- Manage digital and social media strategies across the federal market
- Build, manage, and coach a high-performing marketing team.
- Direct and support market research collection, analysis, interpretation of market data for short- and long- term market forecasts and reports.
- Work closely with the growth leaders to align sales and marketing strategies
- Maintain brand standards and ensure compliance across all marketing and communications channels.
- Build long-term relationships with employees, clients, government officials, and stakeholders.
- Serve as a collaborative and senior leader on the Maximus Communication & Marketing Team, helping to align strategy and outcomes across the company.
- Drive the implementation of marketing campaigns that meet business objectives and drive customer engagement.
- Develop relationships with associations, academia and industry partners to drive thought leadership and brand elevation.
This role will develop and oversee the Maximus Federal segment marketing strategy. Responsibilities include building brand visibility in the Federal marketplace, driving customer and partner engagement to support growth goals. This position will be responsible for developing annual marketing plans building strategy, managing the cross functional team and budget and, leveraging partner relationships, driving go-to-market solutions.
Qualifications:
-15+ years of experience in a Federal Marketing and Industry Analysis position including 7+ years managing a team.
-Previous experience at a corporation focused on the Federal sector.
-Bachelor's degree in Marketing, Business, or a related field; technical background and digital marketing are a plus. Additional experience in lieu of degree will be considered.
-MA degree in Marketing, Communication, or similar relevant field, preferred.
-Outstanding communication, presentation, and leadership skills.
-In-depth knowledge of the Federal sector.
-Critical thinker with problem-solving skills.
-Strong interpersonal and communication skills.
Key Competencies include the following: Marketing and Communication Strategies, Team Leadership, Technical Expertise, Cross-Functional Collaboration, Content Development, Sales Enablement, Product and Solutions Positioning and Change Management
EEO Statement
Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Annual salary is just one component of Maximus's total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards. Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off. Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience. An applicant's salary history will not be used in determining compensation. Maximus will comply with regulatory minimum wage rates and exempt salary thresholds in all instances.
Accommodations
Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at **************************.
Minimum Salary
$
216,155.00
Maximum Salary
$
292,455.00
$112k-202k yearly est. Easy Apply 7d ago
Intake Counselor
Southlight 3.6
Raleigh, NC jobs
Clinical Outpatient Services Intake Counselor - Full Time Join a supportive team who values Compassion, Excellence, Collaboration, Inclusion, Hope, & Authenticity! As our Intake Counselor on our Clinical Outpatient Services team, you will be responsible for conducting comprehensive clinical assessments for new and returning clients and ensuring required documentation is completed and filed correctly and timely. Comprehensive clinical assessments may be provided at the office location, via telehealth, or at community partner organizations.
This position may be hybrid (work from home and in-office), and may offer flexible schedules based on organizational needs and preferences of employee. This position requires experience in clinical diagnostics and level of care assessment.
Pay
$26.44+ per hour, based on credentials.
Schedule
FT flexible schedule.
Benefits
Being a part of a non-profit behavioral health organization has some unique benefits, along with our incredible health insurance options. Working here at SouthLight, you will be able to make a difference in people's lives every day, and know that you are a part of inspiring positive change in your community.
Full-time employees are eligible for medical benefits the first of the month 30 days after hire date. Options for a standard plan and an HSA plan with a $300 initial contribution and up to a $25 per paycheck match. 10 paid holidays and PTO hours which accrue at a rate of 10 hours per month. After 6 months employees are eligible to enroll in our 401(k) plan which has a 4% match. Company paid life insurance, short and long term disability, in house and paid training opportunities, and additional pay for working holidays.
We are excited to offer an additional benefit of Clinical Supervision Reimbursement. We will provide a monthly reimbursement of up to $200 to each full-time, associate level clinician electing this benefit for no more than 2 years, or until licensure is completed, whichever is first. Licensures eligible to receive this benefit include LCSWA, LCMHCA, LMFTA, LPA, LCASA, and CADC
Job Responsibilities of a Clinical Outpatient Services Intake Counselor
* Provide screening, clinical assessment, and treatment recommendations in a professional and engaging manner
* For each client assigned, provide orientation to treatment that includes person centered treatment planning, crisis plans, schedule of services, confidentiality, client rights, consent for services and financial requirements.
* Maintain client records, including NC-TOPPS: submit assessment within 24 hours of service according to MCO/Medicaid guidelines, obtain all required signatures, maintain chart organization, file in a timely manner
* Provide documentation (comprehensive clinical assessments and person centered plans) to the billing office that satisfies reimbursement authorizations according to guidelines and deadlines established by Wake County, Medicaid and third party insurance.
* Participate in clinical supervision and treatment teams as needed
* Participate in urine drug screen collection as needed. Use the results as a therapeutic tool to determine the client's level of care and need for treatment.
* Demonstrates a willingness to provide clinical coverage, including coverage for the First Responder Crisis phone rotation.
* Participate as needed, in the supervision of interns and other tasks as assigned.
Qualifications of a Clinical Outpatient Services Intake Counselor
Education and Experience
* Master's degree in Social Work or related counseling field
* Experience completing comprehensive clinical assessments
* Minimum 1 year clinical experience, community behavioral health preferred
Licensure/Certifications
* Licensed (fully or provisionally) to practice clinically (LCSW, LCAS, LCMHC) - full LCSW preferred!
Knowledge, Skills, and Abilities
* 12 Core Functions
* Familiarity with the DSM-V for diagnostic and treatment purposes.
* Familiarity with levels of care and treatment recommendations
* Working knowledge of systems theory and/or other counseling theories and substance abuse treatment.
* Solid understanding of the symptoms and nature of substance use and mental health conditions
* Excellent interpersonal and communication skills with a wide variety of constituents from diverse backgrounds.
* Excellent organizational skills and attention to detail
* Excellent written communication skills
* Microsoft Office Suite
* Knowledgeable of service definitions
* Knowledgeable of Electronic Medical Records
About SouthLight Healthcare
Tap into your passion at SouthLight Healthcare. Build your career in an environment where your voice, passion and work matters every day. At the core of SouthLight is a commitment to our values, our employees and clients. We strive to be an organization where every colleague can contribute and excel. We are an equal opportunity employer and committed to building a culture that values diversity and inclusion. SouthLight offers competitive opportunities and a robust benefits package.
Founded in 1970, SouthLight Healthcare is one of the area's largest and long-established nonprofit providers of substance use treatment and mental health services. With outpatient and community-based programs, SouthLight provides prevention, education and treatment services in the Triangle and beyond. SouthLight has multiple office locations throughout the Triangle area, serving more than 9,000 clients each year. Services include adult outpatient counseling, Intensive Outpatient Program, Psychiatric Services and Medication Management, Opioid Treatment Program, Court Deferral Program, Peer Support Services, Family Centered Treatment, Community Support Team and a residential treatment program for women and children and more.
We agree not to discriminate against any employee or job applicant because of race, color, religion, national origin, sex. Employment offers are contingent upon a satisfactory pre-employment drug screen. Professional references will be checked and criminal, abuse, driving, and fraud background reports will be obtained. Unsatisfactory results of any of these reports may result in SouthLight withdrawing the offer.
$26.4 hourly 20d ago
Product Content Specialist
Agilent Technologies 4.8
Wilmington, NC jobs
The Product Content Specialist (PCS) exhibits skills in foundational processes and platforms to optimize digital content, user experience and web performance. Collaboration with teams and SMEs across the organization is a critical success factor, enabling the PCS to assist in building a strategic content ecosystem.
Key Responsibilities:
PIM Data Management:
Lead and maintain product data within the PIM system.
Ensure data integrity and accuracy by performing regular audits and updates.
Coordinate with IT and data teams to troubleshoot and resolve any data-related issues.
PIM Content Creation and Management:
Partner with teams in the creation and maintenance of high-quality product descriptions, specifications, images, and other content.
Ensure consistency and accuracy of omni-channel product information for use across all platforms.
Consult with product managers, marketing teams, and other stakeholders to gather and create necessary content.
Submit and lead Service Desk requests to facilitate troubleshooting and resolution of content related issues and/or completion of stakeholder requests.
WCS Content Creation and Management:
Partner with stakeholders in the creation and maintenance of high-quality non-PIM web elements associated with product category navigational pages.
Collaborate with stakeholders in the creation and maintenance of high-quality Flexible Article Template pages.
Submit and lead Service Desk requests to facilitate troubleshooting and resolution of WCS related issues and/or completion of stakeholder requests.
Reference web elements on PIM related content.
Content Optimization:
Partner with stakeholders/ SMEs to optimize product content for SEO to improve visibility, searchability, and ranking.
Leverage all platforms available at Agilent to optimize content such as BrightEdge, GA4, CrazyEgg etc.
Keep abreast of process changes in the content ecosystem such as the use of generative AI, introduce to stakeholders, and integrate into Agilent content processes as needed.
Keep abreast of new platforms in the content ecosystem such as new BrightEdge modules, introduce to stakeholders and integrate into Agilent content processes as needed.
Implement best practices for content formatting and presentation.
Regularly review and update content to reflect changes in product offerings.
Performance Analysis:
Leverage our content investment to expand and measure the impact of content optimization across our organization.
Develop strategic dashboards to monitor and analyze content performance.
Generate reports on content effectiveness and provide recommendations for improvement.
Track key metrics such as engagement, conversion rates, and search rankings.
Assess competitor rankings and SEO.
Collaboration and Communication:
Work closely with PIM Analysts, the Publishing team, the Writing Center of Excellence, and the Localization team to ensure alignment of product content strategies.
Provide training and support to stakeholder team members on product content requirements, usage, and best practices.
Ensure stakeholders understand the effort required to support a high-quality digital content strategy and the positive impact it can provide.
Communicate effectively with stakeholders to understand their content needs and requirements.
New Product Introduction / M&A Support:
Collaborate with stakeholders to understand new content needs and requirements including PIM hierarchy, website navigation, product attribution and web components.
Collaborate with PIM Analyst team to implement new content needs and requirements.
Collaborate with Content Colleagues to ensure consistency across Agilent.
Assist in the creation and entry of high-quality product descriptions, specifications, and other content.
Submit and manage Service Desk tickets to support NPI / M&A needs and requirements.
Qualifications
Bachelor's or Master's Degree or equivalent.
8+ years relevant experience in digital marketing, content strategy or e-commerce.
Proven experience with PIM systems and digital content platforms.
Strong understanding of SEO principles and content optimization strategies.
Proficiency in web analytics tools (e.g., BrightEdge, GA4, CrazyEgg).
Scientific and/or Gas Chromatography experience is preferred .
Familiarity with generative AI and emerging content technologies is a plus.
Experience supporting New Product Introductions (NPI) and M&A content integration.
#LI-DT1
Additional Details
This job has a full time weekly schedule. It includes the option to work remotely. Applications for this job will be accepted until at least November 10, 2025 or until the job is no longer posted.The full-time equivalent pay range for this position is $135,840.00 - $254,700.00/yr plus eligibility for bonus, stock and benefits. Our pay ranges are determined by role, level, and location. Within the range, individual pay is determined by work location and additional factors, including job-related skills, experience, and relevant education or training. During the hiring process, a recruiter can share more about the specific pay range for a preferred location. Pay and benefit information by country are available at: ************************************* Agilent Technologies, Inc. is an Equal Employment Opportunity and merit-based employer that values individuals of all backgrounds at all levels. All individuals, regardless of personal characteristics, are encouraged to apply. All qualified applicants will receive consideration for employment without regard to sex, pregnancy, race, religion or religious creed, color, gender, gender identity, gender expression, national origin, ancestry, physical or mental disability, medical condition, genetic information, marital status, registered domestic partner status, age, sexual orientation, military or veteran status, protected veteran status, or any other basis protected by federal, state, local law, ordinance, or regulation and will not be discriminated against on these bases. Agilent Technologies, Inc., is committed to creating and maintaining an inclusive in the workplace where everyone is welcome, and strives to support candidates with disabilities. If you have a disability and need assistance with any part of the application or interview process or have questions about workplace accessibility, please email job_******************* or contact ***************. For more information about equal employment opportunity protections, please visit *************************************** Required: NoShift: DayDuration: No End DateJob Function: Marketing
$61k-72k yearly est. Auto-Apply 60d+ ago
Intern - Software Engineer
Labcorp 4.5
Durham, NC jobs
At Labcorp, we believe in the power of science to change lives. We are nearly 70,000 people across 100 countries who are harnessing science for human good. Our work combines unparalleled diagnostic laboratories, drug development capabilities and commercial innovations. Together, we fuel scientific breakthroughs and deliver more than 160 million medical test results that help guide treatment decisions, accelerate patient care and change lives.
Join us in our pursuit of answers.
Labcorp 2026 Global Internship Program
Exciting Internship Opportunity - Software Engineer | Durham, NC
Join Labcorp's 2026 Global Internship Program and take the first step toward a meaningful career in healthcare innovation! We're looking for motivated students to be part of a dynamic 12-week paid internship where you'll work on impactful projects and gain real-world experience, all while supporting our mission to improve health and improve lives.
Internship 2026 Dates: May 18, 2026 - August 7, 2026
About the Program
As a Labcorp intern, you'll be immersed in hands-on work that complements your academic background. In addition to your project work, you'll gain valuable exposure to Labcorp's global business, culture, and leadership through:
* Enterprise-wide learning experiences that introduce you to key business functions across Labcorp
* Leadership exposure and visibility, including direct interaction with senior leaders
* An immersive, in-person intern event June 2-4, 2026, designed to connect you with peers and deepen your understanding of our mission
* Senior leader speaker sessions offering insights into strategy, innovation, and career growth
* Continuous opportunities to connect and grow, from intern cohort communication channels and LinkedIn Learning resources to professional development sessions and storytelling opportunities that highlight your internship journey
* Connection to Labcorp's inclusive culture through engagement with our employee resource groups (ERGs)and values-driven community initiatives
* Dedicated mentoring connections to guide your growth, provide career advice, and support your internship journey
Internship Details
* Duration: 12 weeks, full-time
* Dates of Internship: May 18, 2026 - August 7, 2026
* Location: Durham, NC
* Compensation: Paid internship; relocation assistance available for qualified candidates
* Eligibility: Preferred candidates are rising juniors and seniors (Dec 2026 through June 2028 graduation) who are currently enrolled in a relevant degree program; however, all current students pursuing related studies are encouraged to apply.
Schedule: Monday-Friday 8:00am-4:30pm
This role is eligible to be Hybrid with the option of Tuesday, Wednesday, Thursday in office and Monday and Friday work from home.
Why Labcorp?
In 2025, we welcomed over 300 interns across our global offices. As part of the 2026 cohort, you'll join a diverse community of future leaders working to shape the future of diagnostics, biopharmaceutical lab services, corporate functions, and healthcare delivery.
Ready to make a difference?
Apply now to launch your career and create real impact for patients worldwide. #FutureofLabcorp
Education/Qualifications/Skills:
* Pursuing a degree in Analytics, Mathematics, Computer Science or similar.
* Has experience delivering multiple projects in an academic or professional setting.
* Ability to work effectively with various stakeholders and internal/external colleagues.
* Embraces diverse perspectives through partnerships and teamwork.
* This position is not eligible for visa sponsorship.
Benefits: Employees regularly scheduled to work 20 or more hours per week are eligible for comprehensive benefits including: Medical, Dental, Vision, Life, STD/LTD, 401(k), Paid Time Off (PTO) or Flexible Time Off (FTO), Tuition Reimbursement and Employee Stock Purchase Plan. Casual, PRN & Part Time employees regularly scheduled to work less than 20 hours are eligible to participate in the 401(k) Plan only. For more detailed information, please click here.
Labcorp is proud to be an Equal Opportunity Employer:
Labcorp strives for inclusion and belonging in the workforce and does not tolerate harassment or discrimination of any kind. We make employment decisions based on the needs of our business and the qualifications and merit of the individual. Qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex (including pregnancy, childbirth, or related medical conditions), family or parental status, marital, civil union or domestic partnership status, sexual orientation, gender identity, gender expression, personal appearance, age, veteran status, disability, genetic information, or any other legally protected characteristic. Additionally, all qualified applicants with arrest or conviction records will be considered for employment in accordance with applicable law.
We encourage all to apply
If you are an individual with a disability who needs assistance using our online tools to search and apply for jobs, or needs an accommodation, please visit our accessibility site or contact us at Labcorp Accessibility. For more information about how we collect and store your personal data, please see our Privacy Statement.
$49k-84k yearly est. Auto-Apply 20d ago
Billing Coordinator III (Billing Specialist Subsidiary) REMOTE
Labcorp 4.5
Burlington, NC jobs
At Labcorp, you are part of a journey to accelerate life-changing healthcare breakthroughs and improve the delivery of care for all. You'll be inspired to discover more, develop new skills and pursue career-building opportunities as we help solve some of today's biggest health challenges around the world. Together, let's embrace possibilities and change lives!
Billing Coordinator III (Billing Specialist Subsidiary) REMOTE
Labcorp is seeking to add a Subsidiary Billing Specialist (Appeals)- Revenue Cycle Management Division! This individual will be primarily responsible for maximizing revenue for the company. This team interacts with health insurers to secure coverage and reimbursement for our patients. The Subsidiary Billing Specialist (Appeals) is expected to understand all aspects of the insurance appeal process and can identify insurance trends and provide impactful feedback. The result of our work is an innovative, flexible, highly scalable billing operation in a collaborative, fast-paced team environment.
Responsibilities:
Performs research of payer rejections and denials in regards to genetic testing claims
Produces high volume of successful appeals to insurance carriers to obtain payment
Collaborates with multiple teams and to develop best practices and resolve denial issues
Reviews payor medical policies to determine cause of denial
Consistently follows -ups with insurances on payor denials
As needed, communicate via telephone with clients, professionally and concisely.
Participates in projects that extend beyond your day to day to stretch you to think outside the box
Qualifications:
High School Diploma or equivalent required
Minimum two+ years prior experience dealing with healthcare billing, insurances/claims or accessing payor portals required
Experience with Explanation of Benefits (EOBs) and different denials & denial codes from insurances strongly preferred
Experience with Medicare/Medicaid/ HMOs/PPOs/commercial insurances strongly preferred
Revenue Cycle Management (RCM) experience, strongly preferred
Knowledge/experience with Xifin, CRM applications (i.e. Salesforce) preferred
Other desired skills:
Concise and professional communication skills to interact with clients, team members and management via various methods, i.e., telephone, email and virtually.
Detail oriented with good organizational skills
Ability to multitask within multiple systems
Adaptable with changing duties, following an SOP but able to problem solve and deviate as required by specific requests
Ability to manage time and tasks independently while working under minimal supervision
Professional and courteous email communication
Possess a strong work ethic and commitment to improving patients' lives
Enjoys problem-solving in a dynamic, fast paced, team-based and rapidly changing environment
Remote Work, requirements
Dedicated work from home space
Internet download speed of at least 50 megabytes per second
Application Window Closes: 1/1/2026
Pay Range: $ 17.75 - $21.00 per hour
Shift: Mon-Fri, 9:00am - 6pm Eastern Time
All job offers will be based on a candidate's skills and prior relevant experience, applicable degrees/certifications, as well as internal equity and market data.
Benefits: Employees regularly scheduled to work 20 or more hours per week are eligible for comprehensive benefits including: Medical, Dental, Vision, Life, STD/LTD, 401(k), Paid Time Off (PTO) or Flexible Time Off (FTO), Tuition Reimbursement and Employee Stock Purchase Plan. Casual, PRN & Part Time employees regularly scheduled to work less than 20 hours are eligible to participate in the 401(k) Plan only. Employees who are regularly scheduled to work a 7 on/7 off schedule are eligible to receive all the foregoing benefits except PTO or FTO. For more detailed information, please click here.
Labcorp is proud to be an Equal Opportunity Employer:
Labcorp strives for inclusion and belonging in the workforce and does not tolerate harassment or discrimination of any kind. We make employment decisions based on the needs of our business and the qualifications and merit of the individual. Qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex (including pregnancy, childbirth, or related medical conditions), family or parental status, marital, civil union or domestic partnership status, sexual orientation, gender identity, gender expression, personal appearance, age, veteran status, disability, genetic information, or any other legally protected characteristic. Additionally, all qualified applicants with arrest or conviction records will be considered for employment in accordance with applicable law.
We encourage all to apply
If you are an individual with a disability who needs assistance using our online tools to search and apply for jobs, or needs an accommodation, please visit our accessibility site or contact us at Labcorp Accessibility. For more information about how we collect and store your personal data, please see our Privacy Statement.
$17.8-21 hourly Auto-Apply 3d ago
Projects & Systems Intern (Charlotte, Summer 26, Hybrid)
Compass Corporate 4.6
Charlotte, NC jobs
Job Description
Internship Program Duration: May 18th, 2026- Aug 6th, 2026
Internship Location: Charlotte, NC
Internship Hours: Full-time, 8 AM to 5 PM
WE ARE a family of companies delivering the best in food, hospitality, and support services. As the leading foodservice and support services company in the US, we are known for our great people, great service, and great results. If you've been hungry and away from home, chances are you've tasted our delicious food and experienced our outstanding service. Our 250,000 associates work in award-winning restaurants, corporate cafes, hospitals, schools, stadiums, arenas, convention centers, museums, and much more - in all 50 states.
WE BELIEVE that each and every employee plays a key role in our growth, innovation, evolution, and legacy. We know that the next big idea can come from anyone. We encourage developing and attracting diverse talent that differentiates us as a company as we continue to raise the bar in everything we do.
YOU ARE someone that is passionate about developing yourself and those around you. You enjoy being a part of a team that is collaborative, innovative, and driven to succeed. You are inspired to create lasting, memorable experiences for guests. You believe in delivering great service to guests, building strategic partnerships with clients, and continuing to learn and improve each day. You are flexible, adaptable, and are able to act decisively with little or no supervision.
Projects & Systems Intern
Our Team is currently seeking a Projects & Systems intern. This is a great opportunity to gain valuable experience and learn from a team with varied strengths. You will learn the foundation of project management and be given exposure to multiple systems.
Responsibilities:
Assist with automation projects for various teams within Compass Group
Assist with gathering project requirements
Assist with tracking and reporting of the project
Qualifications:
Pursuing Bachelor's, as a rising Junior or Senior, in Accounting or similar undergraduate program with a minimum GPA of 3.0
Proficient in MS Office skills (Excel, Word, Access)
Experience with macros, Power Automation, Power BI, or similar systems
Requirements:
Demonstrate awareness, understanding and skills vital to work in a diverse environment
Excellent writing and editing skills
Proficiency regarding time and meeting target dates
Highly organized, detail oriented, and able to lead multiple projects
Self-directed, proactive, and curious
Ability to be flexible and adjust to changing factors and conditions
Curiosity about the hospitality and service industry
Proven leadership skills
Excellent communication and presentation skills
A collaborative work style
This position is paid, but not eligible for benefits such as medical, relocation, or housing
Apply to Compass Group today!
Click here to Learn More about the Compass Story
At this time, employment-based visa and permanent residency sponsorship is not currently available for this position.
This is a paid intern position; however, it is not eligible for benefits such as medical, dental, vision, etc.
Compass Group is an equal opportunity employer. At Compass, we are committed to treating all Applicants and Associates fairly based on their abilities, achievements, and experience without regard to race, national origin, sex, age, disability, veteran status, sexual orientation, gender identity, or any other classification protected by law.
Qualified candidates must be able to perform the essential functions of this position satisfactorily with or without a reasonable accommodation.
Disclaimer: this job post is not necessarily an exhaustive list of all essential responsibilities, skills, tasks, or requirements associated with this position. While this is intended to be an accurate reflection of the position posted, the Company reserves the right to modify or change the essential functions of the job based on business necessity.
We will consider for employment all qualified applicants, including those with a criminal history (including relevant driving history), in a manner consistent with all applicable federal, state, and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance, the San Francisco Fair Chance Ordinance, and the New York Fair Chance Act. We encourage applicants with a criminal history (and driving history) to apply.
$33k-40k yearly est. 10d ago
Cardiac Critical Care Hybrid APP- SHVI- Charlotte, NC
Advocate Health and Hospitals Corporation 4.6
Charlotte, NC jobs
Department:
Status:
Benefits Eligible:
Yes
Hours Per Week:
40
Schedule Details/Additional Information:
Pay Range
$50.05 - $75.10
If it's possible, you will find it at Atrium Health-the leading community-focused academic healthcare system serving North Carolina, South Carolina and Georgia. We invite Physicians to discover all that we can do when we bring healing hearts, inquisitive minds, and progressive visionaries together.
Atrium Health Sanger Heart & Vascular Institute is seeking an experienced full-time Cardiology Acute Care Nurse Practitioner or Physician Assistant to provide quality care to the patients we serve in the Charlotte community. This Advanced Practice Provider (APP) will be part of an established team of specialized cardiology Physicians and APPs. This position will be covering Sanger Heart & Vascular Institute at Carolinas Medical Center.
This role is a highly coveted APP position in a closed unit CCU at a large quaternary care center in Charlotte metro area. In this role you will be part of a care team that provides comprehensive management for CV patients with highly complex disease processes including hemodynamically unstable patients and mechanical support devices.
Position Highlights:
Scheduled consists of 13-hour shifts
Q3 weekends rotations
No call coverage
Inpatient coverage; Day shift only
Competitive salary and generous benefits
Qualifications:
Minimum of two years of relevant cardiology or ICU experience required. New Graduate are not being considered at this time.
Candidate will preferably have experience with mechanical support devices and invasive hemodynamic monitoring and management.
Candidate must be detail oriented, an effective communicator, and able to work independently.
Approved to practice as a Nurse Practitioner or Physician Assistant in the state one works.
Nurse Practitioner - Master's Degree or Doctorate of Nursing Practice required. License to practice as a Registered Nurse required. Certification in the area of practice from a nationally recognized certifying body required. Acute Care board certification required based upon population and acuity served.
At this time Family Nurse Practitioners candidates are not being considered for this position
.
Physician Assistant - Graduate from an accredited Physician Assistant program required; Master's Degree preferred. Certification from the National Commission on Certification of Physician Assistants preferred.
Must have at least two year of relevant cardiology experience, new graduates are not being considered at this time.
About SHVI
Sanger Heart & Vascular Institute is one of the Southeast's largest cardiac and vascular programs providing the highest quality care available to patient with cardiovascular disease throughout North and South Carolina. SHVI employs more than 110 physicians in a network of more than 25 locations to provide the highest quality care available to patient with cardiovascular disease throughout North and South Carolina. SHVI has more than 50 years of experience in providing world-class, comprehensive acute and chronic cardiovascular services including the region's only heart transplant center and pediatric heart surgery program.
Our Commitment to You:
Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more - so you can live fully at and away from work, including:
Compensation
Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training
Premium pay such as shift, on call, and more based on a teammate's job
Incentive pay for select positions
Opportunity for annual increases based on performance
Benefits and more
Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program
About Advocate Health
Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation's largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.
$43k-75k yearly est. Auto-Apply 41d ago
Psychologist Peer Reviewer (Remote NC)
Vaya Health 3.7
North Carolina jobs
LOCATION: Remote - this is a home based, virtual position. This person must live in North Carolina or within 40 miles of the North Carolina border.
GENERAL STATEMENT OF JOB
The Psychologist Peer Reviewer is part of the Utilization Management Team who conducts Peer Reviews and fulfills multiple other functions involved with service reviews and appeals, ensuring that Vaya Health (Vaya) adheres to regulatory due process requirements and to Vaya policies and procedures. The Peer Reviewer conducts Initial Peer Reviews of authorization requests for behavioral health, intellectual/developmental disability (I/DD), and traumatic brain injury (TBI) services that Utilization Management Clinicians cannot approve for medical necessity reasons and conducts Reconsideration and First Level Appeal reviews when initial denial decisions are appealed. The individual also participates in planning and conducting Mediations, Office of Administrative Hearing appeals of Medicaid service denials, and State Level appeals of state-funded service denials. The individual provides support to the Member Appeals Team in their generation of accurate and timely correspondence to members, legally responsible persons, and providers explaining denial and appeal decisions. The person in this role provides information to Vaya staff, consumers, guardians, providers and others regarding the denial and appeals processes in general and regarding the status of specific cases as needed. Finally, the Peer Reviewer works with other staff on the Member Appeals Team and with other Vaya departments to report denial and appeal outcomes and processes, and to ensure adherence to quality standards.
ESSENTIAL JOB FUNCTIONS
Conduct Clinical Peer Reviews:
Conduct Initial Peer Reviews of non-physician-directed services when Utilization Review Clinicians are unable to authorize requested services due to medical necessity concerns
Conduct first level appeal Peer Reviews of Medicaid and State-Funded service denials for which the initial Peer Reviewer was a Psychologist and not the contracted employee's supervisor.
The Psychologist Peer Reviewer must be located in a state or territory of the United States when conducting a Clinical Peer Review.
Facilitate Denial and Appeal Processes:
Assist other Member Appeals Team staff and UM Clinicians implementing denial and appeal processes consistent with regulatory requirements and Vaya policies and procedures.
Assist other Member Appeals Team staff with maintaining team procedures, templates, and other documentation needed for completion of Member Appeals' responsibilities and tasks.
Provide consultation to members, guardians, providers and Vaya staff, as requested, regarding the First Level Appeal processes.
Review Clinical Peer Reviews completed by others to ensure that reviews were conducted appropriately; address any deficiencies identified.
Review Notification Letters to ensure accuracy of information.
Assist with generation of principal reasons from denial and appeal decisions for inclusion in appeal correspondence.
Participate in review and planning for cases in which second level (OAH) appeals are requested.
As requested, represent Vaya in Mediation Hearings
Clinical Consultation and Support:
Provide clinical consultation and support to other Vaya teams and departments as requested on topics such as I/DD conditions and services, Critical Incident Training for law enforcement personnel, etc.
As requested, participate in reviewing and responding to grievances regarding Vaya's denial and appeal processes.
Participate in the identification and implementation of quality improvement activities for denial and appeal processes.
Committee Participation and Meeting Attendance:
Attend scheduled committee meetings. Provide adequate notice if unable to attend and request proxy attendance if a proxy is assigned
Prepare presentation materials as needed for assigned committees.
Provide consultation in areas of expert competence as needed.
Provide trainings to other Vaya teams, providers, or community entities.
Participate in internal ad hoc workgroups as assigned. Various different duties related to the needs of the incumbent's assigned department
KNOWLEDGE, SKILLS, & ABILITIES
Participate in process to evaluate medical necessity and clinical appropriateness of services requested and make determinations on intensity and level of care requests
A high level of diplomacy and discretion is required to effectively negotiate and resolve issues with minimal assistance. This will require exceptional interpersonal skills, highly effective communication ability, and the propensity to make prompt independent decisions based upon relevant facts. Problem solving, negotiation, arbitration and conflict resolution skills are essential to balance the needs of both internal and external customers.
Strong writing and editing skills are required.
Knowledge and understanding of state and federal managed care and due process regulations is required.
Mastery of utilization review principles to ensure continuity of care and clinical evaluations as needed for appropriate provision of intensive, crisis services and other levels of care.
Knowledge of prior authorization review, continued stay and discharge reviews for MH/SU services to ensure appropriate service intensity and level of care for consumer.
Knowledge of documentation and clinical protocols for utilization purposes.
Knowledge of linkage, authorization and level of care determinations, assisting providers with creative problem solving to suggest alternative approaches to care.
Clinical knowledge of managed systems of mental health and substance use disorders. Knowledge of managed behavioral care practices and principles involved in Utilization Review.
Ability to collaborate with providers and other agencies.
Clinical knowledge of mental health, substance abuse and intellectual/developmental disability treatment as a basis for clinical reviews and decisions for authorization.
Comprehensive knowledge of resources and the ability to use a personal workstation. Knowledge of database and data entry is essential.
QUALIFICATIONS & EDUCATION REQUIREMENTS
Doctoral degree in Psychology from a regionally accredited university or professional school of psychology is required. Clinical experience in behavioral health setting with 3 or more years experience in IDD and Autism Spectrum Disorder populations.
Licensure/Certification Required:
Current, unrestricted North Carolina licensure as a Psychologist (Psy.D, or PhD).
Preferred work experience:
Experience in Utilization Management in a managed care environment (as a clinician, employee, or peer reviewer).
PHYSICAL REQUIREMENTS
Close visual acuity to perform activities such as preparation and analysis of documents; viewing a computer terminal; and extensive reading.
Physical activity in this position includes crouching, reaching, walking, talking, hearing and repetitive motion of hands, wrists and fingers.
Sedentary work with lifting requirements up to 10 pounds, sitting for extended periods of time.
Mental concentration is required in all aspects of work.
RESIDENCY REQUIREMENT: The person in this position is required to reside in North Carolina or within 40 miles of the North Carolina border.
SALARY: Depending on qualifications & experience of candidate. This position is exempt and is not
eligible for overtime compensation.
DEADLINE FOR APPLICATION: Open Until Filled
APPLY: Vaya Health accepts online applications in our Career Center, please visit ******************************************
Vaya Health is an equal opportunity employer.
$61k-73k yearly est. Auto-Apply 60d+ ago
Account Support Coordinator (Medical Billing)- hybrid schedule
Orthocarolina 4.3
Charlotte, NC jobs
At OrthoCarolina, our team is our greatest asset and the foundation of our success. We are a diverse group of individuals, accountable to each other to uphold the standards of excellence and promote an environment of teamwork throughout the organization. OrthoCarolina has 43 unique care locations with over 1300 professionals who share a common goal to make lives better. Our employees are eligible for a full spectrum of benefits including paid company holidays, wellness programs, and tuition reimbursement. To learn more about Team OC please visit **************************************
We are seeking an Account Support Coordinator to work with our team in the OrthoCarolina Business Office.
This position is a hybrid schedule with rotating days in the office depending on department needs.
The Account Support Coordinator position is responsible for monitoring unpaid, true account balances beginning at age 60 days to ensure that insurance claims have been filed and paid. Follows up on unpaid claims to identify reasons for non-payment. Pre-certification and benefit verification may be required.
Essential Functions:
* Identifying and correcting internal problems within assigned accounts to expedite payments from insurance companies.
* Serves as liaison between patient and insurance companies.
* Performs month-end closing on routine schedule with other patient account reps.
* Substitutes in other areas of the business office as needed.
Employee Type
Regular
Qualifications
Skills
Customer Satisfaction, Problem Solving
Education
High School
Certifications
Language
Work Experience
Customer Service Experience, Healthcare Experience
Job Description
Internship Program Duration: May 18th, 2026- Aug 6th, 2026
Internship Location: Charlotte, NC
Internship Hours: Full-time, 8 AM to 5 PM
WE ARE a family of companies delivering the best in food, hospitality, and support services. As the leading foodservice and support services company in the US, we are known for our great people, great service, and great results. If you've been hungry and away from home, chances are you've tasted our delicious food and experienced our outstanding service. Our 250,000 associates work in award-winning restaurants, corporate cafes, hospitals, schools, stadiums, arenas, convention centers, museums, and much more - in all 50 states.
WE BELIEVE that each and every employee plays a key role in our growth, innovation, evolution, and legacy. We know that the next big idea can come from anyone. We encourage developing and attracting diverse talent that differentiates us as a company as we continue to raise the bar in everything we do.
YOU ARE someone that is passionate about developing yourself and those around you. You enjoy being a part of a team that is collaborative, innovative, and driven to succeed. You are inspired to create lasting, memorable experiences for guests. You believe in delivering great service to guests, building strategic partnerships with clients, and continuing to learn and improve each day. You are flexible, adaptable, and are able to act decisively with little or no supervision.
Our Team is currently seeking an Accounting Analyst intern within the Compass Technology Finance department. This is a great opportunity to gain valuable experience and learn from a team with varied strengths. You will be working with vendors and internal customers to research and resolve concerns.
Responsibilities:
Research and escalate billing errors with vendors and Compass Tech Managers
Analyze, compare, and organize data from various sources and vendors
Research backup and support against vendor invoices, purchase orders, and requests
Use SAP system to research invoice status
Create and maintain cost center and employee information on IT equipment
Ensure business spend is with approved vendors
Prepare monthly journal entries, payments, and reconciliations
Research and resolve general ledger account variances
Special projects as assigned
Qualifications:
Pursuing Bachelor's, as a rising Junior or Senior, in Accounting or similar undergraduate program with a minimum GPA of 3.0
Proficient in MS Office skills (Excel, Word, Access)
Requirements:
Demonstrate awareness, understanding, and skills vital to work in a diverse environment
Strong communication and interpersonal skills
Proficiency regarding time and meeting deadlines
Self-directed, proactive, and curious
Curiosity about the hospitality and service industry
Can-do attitude
Attention to detail
Apply to Compass Group today!
Click here to Learn More about the Compass Story
At this time, employment-based visa and permanent residency sponsorship is not currently available for this position.
This is a paid intern position; however, it is not eligible for benefits such as medical, dental, vision, etc.
Compass Group is an equal opportunity employer. At Compass, we are committed to treating all Applicants and Associates fairly based on their abilities, achievements, and experience without regard to race, national origin, sex, age, disability, veteran status, sexual orientation, gender identity, or any other classification protected by law.
Qualified candidates must be able to perform the essential functions of this position satisfactorily with or without a reasonable accommodation.
Disclaimer: this job post is not necessarily an exhaustive list of all essential responsibilities, skills, tasks, or requirements associated with this position. While this is intended to be an accurate reflection of the position posted, the Company reserves the right to modify or change the essential functions of the job based on business necessity.
We will consider for employment all qualified applicants, including those with a criminal history (including relevant driving history), in a manner consistent with all applicable federal, state, and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance, the San Francisco Fair Chance Ordinance, and the New York Fair Chance Act. We encourage applicants with a criminal history (and driving history) to apply.
$28k-44k yearly est. 5d ago
PartnersACCESS Call Center Representative (Remote)-NC
Partners Behavioral Health Management 4.3
Elkin, NC jobs
Competitive Compensation & Benefits Package!
eligible for -
Annual incentive bonus plan
Medical, dental, and vision insurance with low deductible/low cost health plan
Generous vacation and sick time accrual
12 paid holidays
State Retirement (pension plan)
401(k) Plan with employer match
Company paid life and disability insurance
Wellness Programs
Public Service Loan Forgiveness Qualifying Employer
See attachment for additional details.
Office Location: Remote option; Available for any of Partners' NC locations
Closing Date: Open Until Filled
Primary Purpose of Position: This position provides nonclinical administrative support to the PartnersACCESS call center. The Call Center Representative primary responsibility is to answer inbound calls and assist callers by connecting them to the appropriate party, sharing information, providing technical assistance, answering questions, handling and/or resolving complaints. Must maintain a high level of professionalism, patience and empathy working with callers who may be frustrated and may have complex medical, behavioral health, intellectual and other developmental conditions; and must still maintain the highest level of customer satisfaction by seeking first call resolution.
Must live in North Carolina and preferably in Partners counties.
Role and Responsibilities:
Ability to learn complex information about two Medicaid health plans and their benefits.
Work in a call center environment and interact with callers who are generally members and providers, to deliver information, answer frequently asked questions, and address complaints.
Route calls to the appropriate resource. Including appropriately identifying and elevating those more complex or crisis calls.
Understand Health/Mental Health (MH)/Substance Use (SU)/Traumatic Brain Injury (TBI)/Intellectual/Developmental Disability (I/DD) treatment needs, benefit information and referral of members calling to determine if they may potentially qualify for services.
Review call notes, enrollments, registrations, or other identified documents for completeness and/or accuracy.
Collect and enter demographic data into the electronic record, completion of appropriate forms, explanation of services, benefits and resources, verifies Medicaid and dispatch.
Provide follow up calls.
This position demands a high level of accuracy and confidentiality. Information must be handled according to NC standards and rules, state and federal laws and LME/MCO and NCQA standards, procedures, policies and protocol.
Trained on the requirements, policies and procedures of the BH I/DD Tailored Plan operating in North Carolina and can respond to all areas within the Member Handbook and Provider Manual, including resolving claims payment inquires in one touch.
Automation:
Screenings are completed using standard and specialized computer programs.
Inputs accurate information into the system and unlocks electronic service records with appropriate consents, enters all necessary data elements into data systems.
Cooperative Efforts:
Must be a team player and have a positive attitude.
Establish and maintain effective working relationships within the unit, agency, and service system
Consistently demonstrate professionalism, tact and diplomacy in handling volatile callers and/or working with contract providers and other external parties.
Participate in Unit Staff meeting, Agency Staff meetings, (All staff meetings) and assigned committees.
Interacts by phone with providers to provide information in response to inquiries, concerns, and questions.
Interact with providers to provide information in response to inquiries about services and other resources.
BH I/DD Tailored Plan eligibility and services.
Knowledge, Skills and Abilities:
Knowledge/Ability to Learn:
Health, mental health, substance use, traumatic brain injury and intellectual/developmental disability service delivery and NC Medicaid Managed Care system as well as the resources available in the community.
Call center functions, member population, potential for crisis issues, confidentiality laws and program protocols/policies.
High level computer skills.
Ability communicate effectively orally and in writing, have good keyboarding skills and be able to multi-task.
Ability to provide technical assistance to both members and Providers.
Ability to maintain confidentiality when screening and referring calls.
Education/Experience Required: High School diploma and at least (1) year of healthcare and/or MH/SU/IDD/TBI experience.
Education/Experience Preferred: Associate degree or higher and one (1) year of healthcare or MH/SU/IDD/TBI experience, or Associates Degree in Nursing (ADNs) and at least one (1) year of healthcare and/or MH/SU/IDD/TBI experience.
Bilingual preferred (for one of the positions).
Licensure/Certification Requirements: N/A
$23k-27k yearly est. Auto-Apply 24d ago
Sentara Health System Wide Virtual Hiring Event for Imaging - All Modalities!
Sentara Healthcare 4.9
Elizabeth City, NC jobs
City/State Norfolk, VA Work Shift Multiple shifts available Join us virtually on Wednesday, December 10, 2025 between 11am and 3pm (EST) for a Virtual Hiring Event specifically for Imaging! Opportunities currently available: * CT Technologist * Diagnostic Medical Sonographer
* Interventional Technologist
* Mammography Technologist
* MRI Technologist
* Nuclear Medicine Technologist
* PET/CT Technologist
* Radiology Technologist
* Vascular Lab Sonographer
Locations included:
* Sentara Albemarle Medical Center in Elizabeth City, NC
* Sentara BelleHarbour in Suffolk, VA
* Sentara Brock Cancer Center in Norfolk, VA
* Sentara CarePlex Hospital in Hampton, VA
* Sentara Greenbrier in Chesapeake, VA
* Sentara Lake Ridge in Lake Ridge, VA
* Sentara Leigh Hospital in Norfolk, VA
* Sentara Martha Jefferson Hospital in Charlottesville, VA
* Sentara Norfolk General Hospital in Norfolk, VA
* Sentara Northern Virginia Medical Center in Woodbridge, VA
* Sentara Obici Hospital in Suffolk, VA
* Sentara Port Warwick in Newport News, VA
* Sentara Princess Anne Hospital in Virginia Beach, VA
* Sentara RMH Medical Center in Harrisonburg, VA
* Sentara Virginia Beach General Hospital in Virginia Beach, VA
* Sentara Williamsburg Regional Medical Center in Williamsburg, VA
We have Full Time, Part Time, and Flexi/PRN options. Many shifts available including perm weekends.
Sign on bonus and relocation assistance available for qualified applicants.
This is an exciting opportunity to speak directly with recruiters and hiring managers and discuss what your future goals may be and how Sentara can help get you there.
Please click on the following link for job requirements, additional details, and to register to virtually attend this event: Sentara Health System Wide Virtual Hiring Event for Imaging
.
Benefits: Caring For Your Family and Your Career
* Medical, Dental, Vision plans
* Adoption, Fertility and Surrogacy Reimbursement up to $10,000
* Paid Time Off and Sick Leave
* Paid Parental & Family Caregiver Leave
* Emergency Backup Care
* Long-Term, Short-Term Disability, and Critical Illness plans
* Life Insurance
* 401k/403B with Employer Match
* Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education
* Student Debt Pay Down - $10,000
* Reimbursement for certifications and free access to complete CEUs and professional development
* Pet Insurance
* Legal Resources Plan
* Colleagues may have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met
Here at Sentara, we are committed to consistently enhancing our training, advancement tracks, work-life benefits, and more. Our goal is to make you feel more excited to be here every day!
Sentara Norfolk General Hospital, located in Norfolk, VA, is a 525-bed tertiary care facility that is home to the only Level I Adult Trauma Center and burn trauma unit in Hampton Roads, and also serves as the primary teaching hospital for Eastern Virginia Medical School.
In addition to the high-quality heart program at Sentara Heart Hospital, our facility is home to Nightingale Regional Air Ambulance and several other dedicated facilities and specialized services. As a recognized accredited Comprehensive Stroke Center, and Magnet hospital for nursing excellence, our hospital specializes in heart and vascular, neurosciences, neurosurgery, urology, oncology, spine care, advanced imaging, behavioral health, maternity, and women's health, including a state-of-the-art neonatal intensive care unit.
Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.
In support of our mission "to improve health every day," this is a tobacco-free environment.
For positions that are available as remote work, Sentara Health employs associates in the following states:
Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.
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Hybrid APP- Sanger Heart & Vascular Institute- Shelby, NC
Shelby, NC, United States
Shift: Various
Job Type: Regular
Share: mail
$53k-110k yearly est. Auto-Apply 60d+ ago
I/DD Care Manager, QP (Gaston/Cleveland/Rutherford NC)-Mobile
Partners Behavioral Health Management 4.3
Gastonia, NC jobs
which will work primarily out in the assigned communities.**
Competitive Compensation & Benefits Package!
eligible for -
Annual incentive bonus plan
Medical, dental, and vision insurance with low deductible/low cost health plan
Generous vacation and sick time accrual
12 paid holidays
State Retirement (pension plan)
401(k) Plan with employer match
Company paid life and disability insurance
Wellness Programs
Public Service Loan Forgiveness Qualifying Employer
See attachment for additional details.
Location: Available for Gaston, Cleveland, Rutherford NC locations; Mobile/Remote position
Projected Hiring Range: Depending on Experience
Closing Date: Open Until Filled
Primary Purpose of Position: The Intellectual and Developmental Disabilities (I/DD) Care Manager is responsible for providing Tailored Care Management and/or care coordination to members/recipients with I/DD to help secure and coordinate a variety of physical health, developmental disability, behavioral health and long-term services and support (LTSS) services. The I/DD Care Manager actively engages with members/ recipients through comprehensive assessment, care planning, health promotion, and comprehensive transitional care. Tailored Care Management is comprehensive and longitudinal for members with Medicaid coverage. Recipients with no Medicaid receive Tailored Care Management based on specified triggers and for a duration not to exceed ninety (90) days. Travel is an essential function of this position.
Role and Responsibilities:
Duties of the I/DD Care Manager include, but are not limited to, the following:
Comprehensive Care Management
Provide assessment and care management services aimed at the integration of primary, behavioral and specialty health care and community support services, using a comprehensive person-centered care plan which addresses all clinical and non-clinical needs and promotes wellness and management of chronic conditions in pursuit of optimal health outcomes
Complete a care management comprehensive assessment within required timelines and update as needed
Develop a comprehensive Individual Support Plan and update as needed
Provide diversion activities to support community tenure
Care Coordination
Facilitate access to and the monitoring of services identified in the Individual Support Plan to manage chronic conditions for optimal health outcomes and to promote wellness.
Facilitate communication and regularly scheduled interdisciplinary team meetings to review care plans and assess progress.
Monitors services for compliance with state standards and Medicaid regulations, including home and community-based standards for 1915i services
Verify that services are delivered as outlined in ISP and addresses any deviations in services Individual and Family Supports
Provide education and guidance on self-management and self-advocacy
Provide information about rights, protections, and responsibilities, including the right to change providers, the grievance and complaint resolution process, and fair hearing processes
Educate members and recipients about the Registry of Unmet Needs, with referral as indicated
Utilize person centered planning methods/strategies to gather information and to get to know the members supported
Ensure that members/legally responsible persons are informed of services available, service options available, processes (e.g. requirements for specific service), etc.
Promote prevention and health through education on the member's chronic conditions and/or disabilities for the member, family members, and their caregivers/support members
Promote culturally competent services and supports.
Health Promotion
Educate and engage the member/recipient and caregivers in making decisions that promote his/her maximum independent living skills, good health, pro-active management of chronic conditions, early identification of risk factors, and appropriate screening for emerging health problems
Closely coordinate care with the member's I/DD, behavioral health, and physical health providers, including in person visits to Emergency Departments and Skilled Nursing Facilities
Support medication management as prescribed by medical providers, focusing on treatment adherence monitoring, side effects, and effectiveness of treatment
Transitional Care Management
Proactive and intentional care management when the member/recipient is experiencing care transitions (including, but not limited to transitions related to hospitalization, nursing facility, rehabilitation facility, community-based group home, etc.), significant life changes including, but not limited to loss of primary caregiver, transition from school services, etc.) or when a member/recipient is transitioning between health plans.
Create and implement a 90-day transition plan as an amendment to the ISP that outlines how services will be maintained or accessed and includes a process to transition to the new care setting and integrate into his or her community.
Referral to Community/Social Supports
Provide information and assistance in referring members/recipients to community-based resources and social support services, regardless of funding source, which can meet identified needs
Provide comprehensive assistance securing health-related services, including assistance with initial application and renewal with filling out and submitting applications and gathering and submitting required documentation, including in-person assistance when it is the most efficient and effective approach.
Time-Limited Care Coordination for Member Excluded from Receiving Tailored Care Management
Assist member who are receiving care management from other entities (e.g., CCNC, CAP/C, CAP/DA) with referral/linkage to I/DD services available through the Tailored Plan or Medicaid Direct contract
Provide transitional care management
Participate in weekly conference with CCNC, as needed, to share information on high-risk members, including members with a behavioral health transitional care need and members with special health care needs, who are receiving care coordination and care management from both entities or require referrals
Coordinate with each member's care manager to the extent the member is engaged in care management through another entity (e.g. PCCM Vendor, Skilled Nursing Facility, CAP/C or CAP/DA, etc.)
Share the results of the any assessments completed, the member's person-centered plan, and the member's Care Plan (to the extent one exists) with entity providing care management
Notify the member's care manager that the member is undergoing a transition and engage the member's assigned care manager to assist with transitioning the member into the community, including in the development of the ninety (90) day post-discharge transition plan to the extent there are items within the care manager's scope.
With the assistance of the care management entity, encouraging, supporting, and facilitating communication between primary care providers and the Partners network providers regarding medication management, shared roles in care transitions and ongoing care, the exchange of clinically relevant information, annual exams, coordination of services, case consultation, and problem-solving as well as identification of a medical home for persons determined to have need.
Other:
Assist state-funded recipients apply for Medicaid
Coordinate Medicaid deductibles, as applicable, with the member/legally responsible person and provider(s)
Proactively monitor documentation/billing to ensure that issues/errors are resolved as quickly as possible
Ensure all clinical documentation (e.g. goals, plans, progress notes, etc.) meet state, agency and Medicaid requirements
Maintain medical record compliance/quality, as demonstrated by ≥90% compliance on Qualitative Record Reviews
Recognizes and reports critical incidents
Promotes member satisfaction through ongoing communication and timely follow-up on any concerns/issues
Collaborates with providers to ensure accurate/timely submission of authorization requests for all Tailor Plan-funded services/supports
Document within the grievance system any expression of dissatisfaction/concern expressed by member/recipient supported or others on behalf of the member/recipient supported
Ensure strong leadership to care team for each member/recipient, including effectively communicating with and providing direction to Care Management extenders
Knowledge, Skills, and Abilities:
Demonstrated knowledge of the assessment and treatment of I/DD needs, with or without co-occurring physical health, mental health or substance use disorder needs
Ability to develop strong, person-centered plans
Exceptional interpersonal skills, highly effective communication ability, and the propensity to make prompt independent decisions based upon relevant facts and established processes
Demonstrated ability to collaborate and communicate effectively in team environment
Ability to maintain effective and professional relationships with member/recipients, family members and other members of the care team
Problem solving, negotiation and conflict resolution skills
Excellent computer skills including proficiency in Microsoft Office products (such as Word, Excel, Outlook, etc.)
Detail oriented
Ability to learn and understand legal, waiver and program practices/requirements and apply this knowledge in problem-solving and responding to questions/inquiries
Ability to independently organize multiple tasks and priorities and to effectively complete duties within assigned timeframes
Ability to manage and uphold integrity and confidentiality of sensitive data
Sensitivity and knowledge of different cultures, ethnicities, spiritual beliefs and sexual orientation.
Education/Experience Required:
Bachelor's degree in a field related to health, psychology, sociology, social work, nursing or another relevant human services area and two (2) years of full-time experience with I/DD population OR
Bachelor's degree in a field other than human services and four (4) years of full-time experience with I/DD population OR
Master's degree in human services and one (1) year of full-time experience with I/DD population OR
Licensure as a registered nurse (RN) and four (4) years of full-time accumulated experience with I/DD
AND
Two (2) years of prior Long-Term Services and Supports (LTSS)and/or Home and Community Based Services (HCBS) coordination, care delivery monitoring and care management experience. This experience may be concurrent with the two years of experience working with I/DD population described above
AND
Must reside in North Carolina
Must have ability to travel regularly as needed to perform job duties
Education/Experience Preferred:
Experience working with member/recipients with co-occurring physical health and/or behavioral health needs preferred.
Licensure/Certification Requirements:
If a Registered Nurse (RN), must be licensed in North Carolina.
$69k-82k yearly est. Auto-Apply 60d+ ago
Supervisor, Outpatient Rehabilitation
Sentara Healthcare 4.9
Elizabeth City, NC jobs
City/State
Elizabeth City, NC
Work Shift
First (Days)
Sentara Therapy Center Tanglewood is hiring a Supervisor for their Outpatient
Full Time
*We offer Great Benefits and Competitive Salary*
Manages staff and provides on-site supervision for daily operations, coordination of work, quality and service issues. Provides patient care staff assignments, coordinates quality improvement activities, resolution of customer service issues, resource utilization, and liaison activities in support of facility administrators. Serve as a resource to staff to ensure the quality of work and customer service. Assist with program and staff development, program implementation and policy/procedure development and compliance.
Education
Bachelor's of Physical Therapy or higher
Certification/Licensure
North Carolina License - Physical Therapy
BLS
Experience
Clinical Rehabilitation Experience - 3 years
Benefits: Caring For Your Family and Your Career• Medical, Dental, Vision plans• Adoption, Fertility and Surrogacy Reimbursement up to $10,000• Paid Time Off and Sick Leave• Paid Parental & Family Caregiver Leave • Emergency Backup Care• Long-Term, Short-Term Disability, and Critical Illness plans• Life Insurance• 401k/403B with Employer Match• Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education• Student Debt Pay Down - $10,000• Reimbursement for certifications and free access to complete CEUs and professional development•Pet Insurance
•Legal Resources Plan
•Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met.
Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.
In support of our mission “to improve health every day,” this is a tobacco-free environment.
For positions that are available as remote work, Sentara Health employs associates in the following states:
Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.
$45k-63k yearly est. Auto-Apply 60d+ ago
Prov Network Relations Supervisor-Physical Health (Remote-NC)
Partners Behavioral Health Management 4.3
Gastonia, NC jobs
Competitive Compensation & Benefits Package!
eligible for -
Annual incentive bonus plan
Medical, dental, and vision insurance with low deductible/low cost health plan
Generous vacation and sick time accrual
12 paid holidays
State Retirement (pension plan)
401(k) Plan with employer match
Company paid life and disability insurance
Wellness Programs
Public Service Loan Forgiveness Qualifying Employer
See attachment for additional details.
Location: Available for any Partners' NC locations; Remote option in NC or within 40 miles of NC border
Projected Hiring Range: Depending on Experience
Closing Date: Open Until Filled
Primary Purpose of Position:
The Provider Relations Physical Health Supervisor provides oversight and supervision to a team of Provider Account Specialists responsible for supporting relationships for providers in the Partners Health Management Network that primarily provide services to Physical Health Providers. This position is expected to build and sustain strong working relationships with cross functional departments, physical health plan partners, both physical and behavioral health providers, and essential providers. The Physical Health Provider Network Relations Supervisor supports successful operations of primarily physical health providers but also providers who deliver both physical and behavioral health services, and essential health providers within our healthcare delivery model. This position assists and promotes problem solving, communication, excellent customer service, process improvement and education/development. The position requires inter and intra departmental collaboration on projects, business development, network requirements, network expansion and fortification including knowledge of care management, contracting, value-based programs along with state and departmental reporting. Managed Care experience in the State of North Carolina is desired.
Role and Responsibilities:
Network Support and Development
Supervise and provide oversight to provider account specialists to support the needs of primarily Physical Health Providers but can include Behavioral Health and Essential Health Providers in the Partners Health Management Network.
Assist Physical Health Provider Network Relationship Manager in needed training and/or consultation related to provider issues.
Provide assistance with value-based and fee-for-service provider contracting.
Assist in development and enhancement of the provider network through engagement with Physical Health providers both in and out of the Partners Health Management network.
Work collaboratively with internal departments to increase knowledge and development opportunities for the network.
Provide technical assistance and guidance as necessary to Provider Account Specialists and Physical Health providers in the network.
Create reports as requested or needed for support of the provider network.
Provide support and assistance to the Physical Health Provider Network Relationship Manager.
Provide strong and comprehensive support in the area of Physical Health to ensure the best potential outcomes for the Physical Health providers and members.
Provider Relations
Ability to establish and maintain relationships with providers in and out of the network.
Facilitate and provide assistance as requested by both providers and other internal departments to mitigate provider issues or concerns.
Participate in provider meetings across the agency when appropriate or needed to foster and support the relationship between providers and Partners Health management.
Serving as a resource to other departments within the organization on provider-related issues.
Coordinate/attend meetings with providers and internal staff.
Participating in Provider Forums as requested and providing technical support and assistance to Provider Council as needed
Assist the Physical Health Provider Network Relationship Manager by participating in internal workgroups that involve Physical Health providers.
Collaborate with all levels of the organization including Executive Leadership Team, Departmental Directors, and Managers to assist with problem resolution.
Enhance relationships with providers by assisting in investigating, documenting, and resolving provider issues and concerns.
Knowledge, Skills and Abilities:
Considerable knowledge of the laws, regulations and policies that govern the program
General knowledge of Physical Health business practices, rules, and regulations
Exceptional interpersonal and communication skills
Strong problem solving, negotiation, arbitration, and conflict resolution skills
Excellent computer skills and proficiency in Microsoft Office products (such as Word, Excel, Outlook, and PowerPoint
Demonstrated ability to verify documents for accuracy and completeness; to understand and apply laws, rules and regulations to various situations; to apply regulations and policies for maintenance of consumer medical records, personnel records, and facility licensure requirements
Demonstrated ability to lead and manage workload distribution.
Ability to make prompt independent decisions based upon relevant facts
Ability to establish rapport and maintain effective working relationships
Ability to act with tact and diplomacy in all situations
Ability to maintain strict confidentiality in all areas of work
Education/Experience Required: Bachelor's Degree in mental health, public health, social work, psychology, education, sociology, business, or public administration and five (5) years of experience in a community, business, or governmental program in health-related fields, social work or education including experience in network operations, provider relations, and management experience. Three (3) three years of supervisory, consultative, or administrative experience. A combination of relevant experience may be considered in lieu of a bachelor's degree.
NC Residency is required.
Education/Experience Preferred: Master's Degree and two(2) years' experience directly interacting in clinical environment.
Licensure/Certification Requirements: None