Senior Supply Chain Program Manager - RN BSN
Hybrid
. Candidates residing within a reasonable commute of our locations in the posting locations are encouraged to apply.
The Senior Program Manager provides strategic guidance to service segment or functional teams in a way that promotes the Mission and Core Values of Providence St Joseph Health. The position oversees the assessment, development, deployment, and adoption of programs and initiatives that support organizational improvements in Experience, Delivery, Quality, and Cost. In conjunction with other PSJH leaders, the Senior Program Manager develops efficient strategies and tactics that solve systemic and acute issues, and in doing so, improves operations.
Providence caregivers are not simply valued - they're invaluable. Join our team at Supply Chain Management and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.
Required Qualifications:
Bachelor's Degree in Business, Healthcare, or related field.
Preferred Qualifications:
Coursework/Training: Lean Six Sigma, Process Improvement.
Coursework/Training: Project Management.
10 or more years experience in appropriate service segment, function, or area of focus.
Salary Range by Location:
AK: Anchorage: Min: $52.19, Max: $82.39
AK: Kodiak, Seward, Valdez: Min: $54.40, Max: $85.88
California: Humboldt: Min: $54.40, Max: $85.88
California: All Northern California - Except Humboldt: Min: $61.04, Max: $96.35
California: All Southern California - Except Bakersfield: Min: $54.40, Max: $85.88
California: Bakersfield: Min: $52.19, Max: $82.39
Idaho: Min: $46.44, Max: $73.31
Montana: Except Great Falls: Min: $42.02, Max: $66.33
Montana: Great Falls: Min: $39.81, Max: $62.84
New Mexico: Min: $42.02, Max: $66.33
Oregon: Non-Portland Service Area: Min: $48.65, Max: $76.80
Oregon: Portland Service Area: Min: $52.19, Max: $82.39
Texas: Min: $39.81, Max: $62.84
Washington: Western - Except Tukwila: Min: $54.40, Max: $85.88
Washington: Southwest - Olympia, Centralia & Below: Min: $52.19, Max: $82.39
Washington: Tukwila: Min: $54.40, Max: $85.88
Washington: Eastern: Min: $46.44, Max: $73.31
Washington: Southeastern: Min: $48.65, Max: $76.80
Why Join Providence?
Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.
Accepting a new position at another facility that is part of the Providence family of organizations may change your current benefits. Changes in benefits, including paid time-off, happen for various reasons. These reasons can include changes of Legal Employer, FTE, Union, location, time-off plan policies, availability of health and welfare benefit plan offerings, and other various reasons.
About Providence
At Providence, our strength lies in Our Promise of “Know me, care for me, ease my way.” Working at our family of organizations means that regardless of your role, we'll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.
Posted are the minimum and the maximum wage rates on the wage range for this position. The successful candidate's placement on the wage range for this position will be determined based upon relevant job experience and other applicable factors. These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits.
Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.
About the Team
Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. We are focused on supporting our Mission by delivering a robust foundation of services and sharing of specialized expertise.
Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.
Requsition ID: 406217
Company: Providence Jobs
Job Category: Value Proposition
Job Function: Supply Chain
Job Schedule: Full time
Job Shift: Day
Career Track: Business Professional
Department: 4012 SS REH CRI TEAM
Address: CA Santa Monica 2121 Santa Monica Blvd
Work Location: Providence Saint John's Health Ctr-Santa Monica
Workplace Type: Hybrid
Pay Range: $see posting - $see posting
The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
PandoLogic. Category:Logistics, Keywords:Supply Chain Program Manager, Location:Slaton, TX-79364
$71k-103k yearly est. 1d ago
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Senior Supply Chain Program Manager RN *Hybrid*
Providence Health and Services 4.2
Wolfforth, TX jobs
Senior Supply Chain Program Manager - RN BSN
Hybrid
. Candidates residing within a reasonable commute of our locations in the posting locations are encouraged to apply.
The Senior Program Manager provides strategic guidance to service segment or functional teams in a way that promotes the Mission and Core Values of Providence St Joseph Health. The position oversees the assessment, development, deployment, and adoption of programs and initiatives that support organizational improvements in Experience, Delivery, Quality, and Cost. In conjunction with other PSJH leaders, the Senior Program Manager develops efficient strategies and tactics that solve systemic and acute issues, and in doing so, improves operations.
Providence caregivers are not simply valued - they're invaluable. Join our team at Supply Chain Management and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.
Required Qualifications:
Bachelor's Degree in Business, Healthcare, or related field.
Preferred Qualifications:
Coursework/Training: Lean Six Sigma, Process Improvement.
Coursework/Training: Project Management.
10 or more years experience in appropriate service segment, function, or area of focus.
Salary Range by Location:
AK: Anchorage: Min: $52.19, Max: $82.39
AK: Kodiak, Seward, Valdez: Min: $54.40, Max: $85.88
California: Humboldt: Min: $54.40, Max: $85.88
California: All Northern California - Except Humboldt: Min: $61.04, Max: $96.35
California: All Southern California - Except Bakersfield: Min: $54.40, Max: $85.88
California: Bakersfield: Min: $52.19, Max: $82.39
Idaho: Min: $46.44, Max: $73.31
Montana: Except Great Falls: Min: $42.02, Max: $66.33
Montana: Great Falls: Min: $39.81, Max: $62.84
New Mexico: Min: $42.02, Max: $66.33
Oregon: Non-Portland Service Area: Min: $48.65, Max: $76.80
Oregon: Portland Service Area: Min: $52.19, Max: $82.39
Texas: Min: $39.81, Max: $62.84
Washington: Western - Except Tukwila: Min: $54.40, Max: $85.88
Washington: Southwest - Olympia, Centralia & Below: Min: $52.19, Max: $82.39
Washington: Tukwila: Min: $54.40, Max: $85.88
Washington: Eastern: Min: $46.44, Max: $73.31
Washington: Southeastern: Min: $48.65, Max: $76.80
Why Join Providence?
Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.
Accepting a new position at another facility that is part of the Providence family of organizations may change your current benefits. Changes in benefits, including paid time-off, happen for various reasons. These reasons can include changes of Legal Employer, FTE, Union, location, time-off plan policies, availability of health and welfare benefit plan offerings, and other various reasons.
About Providence
At Providence, our strength lies in Our Promise of “Know me, care for me, ease my way.” Working at our family of organizations means that regardless of your role, we'll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.
Posted are the minimum and the maximum wage rates on the wage range for this position. The successful candidate's placement on the wage range for this position will be determined based upon relevant job experience and other applicable factors. These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits.
Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.
About the Team
Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. We are focused on supporting our Mission by delivering a robust foundation of services and sharing of specialized expertise.
Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.
Requsition ID: 406217
Company: Providence Jobs
Job Category: Value Proposition
Job Function: Supply Chain
Job Schedule: Full time
Job Shift: Day
Career Track: Business Professional
Department: 4012 SS REH CRI TEAM
Address: CA Santa Monica 2121 Santa Monica Blvd
Work Location: Providence Saint John's Health Ctr-Santa Monica
Workplace Type: Hybrid
Pay Range: $see posting - $see posting
The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
PandoLogic. Category:Logistics, Keywords:Supply Chain Program Manager, Location:Wolfforth, TX-79382
$71k-103k yearly est. 1d ago
Associate, Referral Intake
Bayada Home Health Care 4.5
Springfield, MO jobs
BAYADA Home Health Care is seeking a *Referral Intake Coordinator* to join our Customer Care Center team. This is a work-from-home opportunity. The remote Intake Associate is a critical role to drive the company's success in helping more patients get our high-quality care in the comfort of their homes. You are the face of the company, responsible for receiving and processing new referrals sent from various hospitals, physicians, and medical professionals for BAYADA to provide care to those patients. We provide all the appropriate training on best-in-class customer service, equipment, and access to tools and technology to ensure our clients can receive the best possible care quickly.
The remote Intake Associate is an excellent opportunity with BAYADA to learn about the company and the industry. Successful candidates in this job often move into different parts of BAYADA, from shared services to running operations at the local branches. You will also get to work with an amazing team of 50+ members and build lasting friendships over time. Each year, BAYADA organizes an Awards Weekend in different unique locations (DC, Hollywood, Philadelphia, Charlotte, etc.) to bring the whole company together to build relationships and recognize everyone's hard work.
*Hours*
* Must have flexibility to work either five (5) eight (8) hour days, or four (4) ten (10) hour days, to include 1 weekend day each week, as assigned
* BAYADA invests a lot in training you and your success. Training hours are typically Monday through Friday, 8 hours per day, for the first two month from start date, until you are ready to transition to the permanent schedule.
*Salary & Benefits*:
BAYADA Believes That Our Employees Are Our Greatest Asset
* Base Salary: $20.00 per hour
* Monthly bonus up to $250 based on key performance indicators (eligible after 6 months in role)
* BAYADA offers a comprehensive benefits plan that includes the following: Paid holidays, vacation and sick leave, vision, dental and medical health plans, employer paid life insurance, 401k with company match, direct deposit and employee assistance program
*Responsibilities*
The Referral Intake Associate will facilitate the coordination of referrals and communications for BAYADA Service offices via telephone. Duties will include the following:
* Receive, document, and process incoming referrals
* Ensure all referrals are thorough, accurate and complete
* Follow up with our local branches to ensure timely responses to referral sources
* Function as facilitator between Case Managers, Client Services Managers, Clinical Nurse Managers and Field Nurses
* Communicate payer information to our internal Insurance Verification team
* Provide excellent customer service at all times
*Qualifications*
* College Degree required
* 2-3 years' experience in Healthcare, Intake, or Contact Center may be accepted in lieu of degree
* 1 year of work experience (to include internships), required.
* Proven success in a healthcare setting, contact center, and/or experience having worked/learned remotely, required.
* Ability to simultaneously work in multiple systems in a fast-paced call center environment
* Exceptional organizational and communication skills.
* Attention to detail and ability to work with speed and accuracy.
*As an accredited, regulated, certified, and licensed home health care provider, BAYADA complies with all state/local mandates.*
BAYADA is celebrating 50 years of compassion, excellence, and reliability. Learn more about our 50th anniversary celebration and how you can join in [here](
BAYADA Home Health Care, Inc., and its associated entities and joint venture partners, are Equal Opportunity Employers. All employment decisions are made on a non-discriminatory basis without regard to sex, race, color, age, disability, pregnancy or maternity, sexual orientation, gender identity, citizenship status, military status, or any other similarly protected status in accordance with federal, state and local laws. Hence, we strongly encourage applications from people with these identities or who are members of other marginalized communities.
$20 hourly 2d ago
Clinical Case Manager Behavioral Health - Spanish Speaking - Work at Home
CVS Health 4.6
Frankfort, IN jobs
At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day Utilizes advanced clinical judgment and critical thinking skills to facilitate appropriate member physical health and behavioral healthcare through assessment and care planning, direct provider coordination/collaboration, and coordination of psychosocial wraparound services to promote effective utilization of available resources and optimal, cost-effective outcomes. Telephonic clinical case management with Medicare population.Uses Motivational Interviewing and engagement interventions to optimize member participation in case management programs. Completes a Comprehensive Assessment and Plan of care.Will document in clinical systems to support legacy Aetna and Coventry membership.Provides BH consultation and collaboration with Aetna partners.Active participation in clinical treatment rounds.Active participation in team activities focused on program development. Innovative thinking expected.The majority of time is spent at a desk on telephonic member outreaches and computer documentation.Assist members with locating community based behavioral health resources.Required Qualifications3+ years of direct clinical practice experience An active and unrestricted clinical behavioral health license in state of residence is required (ex: LPC, LCSW, LMFT, LPCC, LISW, LSW) Required to use a residential broadband service with internet speeds of at least 25 mbps/3mbps in order to ensure sufficient speed to adequately perform work duties. Some candidates may be eligible for partial reimbursement of the cost of residential broadband service Bilingual Spanish and English Preferred QualificationsCrisis intervention skills preferred Managed care/utilization review experience preferred Case management and discharge planning experience preferred Discharge planning experience Utilization review, prior authorization, concurrent review, appeals experience CCM preferred DSNP experience a plus Knowledge of Substance Abuse DisordersEducationMasters Degree in Social Work or Counseling required Anticipated Weekly Hours40Time TypeFull time Pay RangeThe typical pay range for this role is:$54,095.00 - $116,760.00This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.Great benefits for great people We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.For more information, visit ***************************************** We anticipate the application window for this opening will close on: 01/30/2026Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
$39k-51k yearly est. 7d ago
Director, Global Issues & Public Affairs - Hybrid
Texas Children's Hospital 4.7
Houston, TX jobs
A leading children's healthcare institution is seeking a Director of Issues Management in hybrid format. This role focuses on shaping and protecting the organization's reputation through strategic leadership across various issues management and external communications. The ideal candidate will have significant experience in navigating high-impact issues and driving public affairs strategies effectively. Candidates should possess a relevant bachelor's degree and at least 12 years in public affairs or related fields.
#J-18808-Ljbffr
Current Saint Francis Colleagues - Please click HERE to login and apply. The Centralized Scheduler is responsible for scheduling surgeries, appointments and procedures at the request of physicians and customers. Responsible for transcribing and scanning all orders and H&P's into the electronic medical record. Responsible for maintaining scheduling related work queues. Responsible for "schegistration" of patients, which includes verification of insurance benefits & eligibility. Responsible for initiating medical necessity checking on surgeries, appointments and/or procedures. Assures the specific needs of department, physician and customers are met. Providing assistance and direction to physicians, their staff and other hospital personnel with whatever needs they may have. Maintains the master physician listing for use by the medical center. Working closely with departments on new procedures and requirements to ensure compliance and proper reimbursement. Lives the Mission, Vision, Values and Philosophy of the department and Saint Francis Medical Center. Constantly works with and maintains restricted or confidential information from many sources within the medical center. Any and all duties as assigned by the Assistant Manager, Manager and/or Director.
JOB DETAILS AND REQUIREMENTS
Type: Full Time (80 hours per 2 week pay period, with benefits)
Typical hours for this position: Monday-Thursday 8:00am-4:30pm, Friday 7:30am-4:00pm
Opportunity for remote work after 6 months on-site training
Education:
High School Diploma required
Certification & Licensures:
N/A
Experience:
- One year of experience in a medical environment which included scheduling duties strongly preferred.
- Medical terminology or prior Administrative Partner experience.
- Professional and courteous manners in dealing with customers.
- Appropriate and timely independent judgement.
- Computer experience required.
Saint Francis Healthcare System is committed to a compensation philosophy that aligns to the fiftieth percentile of the marketplace, while also crediting applicable and/or relevant work experience when computing compensation offers for selected candidates. Internal equity is factored into all offers presented to candidates.
Minimum hourly rate: $15.00/hour
A relevant and up to date general benefits description may be found on our website:
**************************************
ADDITIONAL INFORMATION
Saint Francis Healthcare System provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability, sexual orientation, gender identity, or genetics. In addition to federal law requirements, Saint Francis Healthcare System complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.
In compliance with the ADA Amendments Act (ADAAA) should you have a disability and would like to request an accommodation in order to apply for a currently open position with Saint Francis Healthcare System, please call ************ or email us at ***********.
Saint Francis Healthcare System supports the overall health and wellness of our colleagues by discouraging the use of tobacco and nicotine products. If you are selected for a career opportunity with our organization, and are a tobacco or nicotine user, you will be required to complete a tobacco/nicotine cessation program within your first year of employment. This program is free of charge as part of our Employee Assistance Program.
$15 hourly Auto-Apply 9d ago
Senior Coding Quality Educator
Providence Health & Services 4.2
Tye, TX jobs
Senior Coding Quality Educator _Remote - Most states eligible._ _Providence caregivers are not simply valued - they're invaluable. Join our team and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them._
Providence is calling a Senior Coding Quality Educator who will:
+ Assist with the day-to-day operations of the Coding Integrity, Knowledge Management team
+ Assist with research and developing coding guidance based on local, state and federal healthcare coding regulations and other payor guidelines as applicable
+ Obtain, interpret, analyze and communicate information regarding coding matters with all internal and external revenue cycle and coding teams
+ Collaborate with various departments e.g., Physician Network Operations, Revenue Cycle, Compliance, Practice Operations, and other key stakeholders on all coding matters
We welcome 100% remote work for residents in the United States with the exception of the following States:
+ Colorado
+ Hawaii
+ Massachusetts
+ New York
+ Ohio
+ Pennsylvania
Essential Functions:
+ Assist with the identification, development and delivery of new and ongoing coding changes and updates to all regional coding teams
+ Collaborate with various departments e.g., regional coding teams, revenue cycle, compliance, practice operations, and other key stakeholders on all coding matters
+ Respond timely (either orally or written) to coding inquiries from coders, educators, and other teams across Providence enterprise
+ Serve as a resource and subject matter expert for all coding matters
+ Provide coding support to regional coding teams as needed
+ Maintain relevant documentation and data as required
+ Review and update coding guidance annually or as necessary
+ Maintain document control
+ Develops action plans as necessary to resolve complex coding cases and to address the implementation of new service offerings or code changes
+ Facilitates education to support Medicare Risk requirements & organization goals
+ Review relevant patient details from the medical record based on coding and documentation guidelines
+ Participate in monthly progress meetings to discuss process improvements, updates in technology, along with any job related details
+ Communicate any coding updates published in third-party payer newsletters and bulletins and provider manuals to coding and reimbursement staff
+ Assists management in identifying and creating standardized workflows
+ Reviews EMR templates and identifies areas of improvement for provider documentation
+ Attends and presents at regional meetings as needed
Required qualifications for this position include:
+ High School Diploma or GED Equivalency
+ National Certification from American Health Information Management Association upon hire or National Certification from American Health Information Management Association upon hire.
+ 6+ years of experience in professional fee inpatient, surgical, outpatient coding, E/M, auditing and related work
+ 5+ years of experience providing provider education and feedback to facilitate improvement in documentation and coding
+ Strong experience in Excel (e.g., pivot tables), database, e-mail, and Internet applications on a PC in a Windows environment
Preferred qualifications for this position include:
+ Associate Degree in Health Information Technology or another related field of study
+ Bachelor's Degree in Health Information Technology or another related field of study
+ 5+ years of experience in coding for multispecialty practice
+ 2+ years of experience in professional fee billing methodologies
+ Experience with IDX, Allscripts, Advanced Web, Meditech
+ Experience with project management
Salary Range by Location:
AK: Anchorage: Min: $40.11, Max: $62.27
AK: Kodiak, Seward, Valdez: Min: $41.81, Max: $64.91
California: Humboldt: Min: $40.98, Max: $64.88
California: All Northern California - Except Humboldt: Min:$46.91, Max: $72.82
California: All Southern California - Except Bakersfield: Min: $41.81, Max: $64.91
California: Bakersfield: Min: $40.11, Max: $62.27
Idaho: Min: $35.69, Max: $55.41
Montana: Except Great Falls: Min: $32.29, Max: $50.13
Montana: Great Falls: Min: $30.59, Max: $47.49
New Mexico: Min: $32.29, Max: $50.13
Nevada: Min: $41.81, Max: $64.91
Oregon: Non-Portland Service Area: Min: $37.39, Max: $58.05
Oregon: Portland Service Area: Min: $40.11, Max: $62.27
Texas: Min: $30.59, Max: $47.49
Washington: Western - Except Tukwila: Min: $41.81, Max: $64.91
Washington: Southwest - Olympia, Centralia & Below: Min: $40.11, Max: $62.27
Washington: Tukwila: Min: $41.81, Max: $64.91
Washington: Eastern: Min: $35.69, Max: $55.41
Washington: South Eastern: Min: $37.39, Max: $58.05
Why Join Providence?
Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.
Accepting a new position at another facility that is part of the Providence family of organizations may change your current benefits. Changes in benefits, including paid time-off, happen for various reasons. These reasons can include changes of Legal Employer, FTE, Union, location, time-off plan policies, availability of health and welfare benefit plan offerings, and other various reasons.
About Providence
At Providence, our strength lies in Our Promise of "Know me, care for me, ease my way." Working at our family of organizations means that regardless of your role, we'll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.
Posted are the minimum and the maximum wage rates on the wage range for this position. The successful candidate's placement on the wage range for this position will be determined based upon relevant job experience and other applicable factors. These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits.
Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.
About the Team
Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. We are focused on supporting our Mission by delivering a robust foundation of services and sharing of specialized expertise.
Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.
Requsition ID: 400515
Company: Providence Jobs
Job Category: Coding
Job Function: Revenue Cycle
Job Schedule: Full time
Job Shift: Day
Career Track: Business Professional
Department: 4010 SS PE OPTIM
Address: TX Lubbock 3615 19th St
Work Location: Covenant Medical Center
Workplace Type: Remote
Pay Range: $See posting - $See posting
The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
$40.1 hourly Auto-Apply 5d ago
Chief Information and Innovation Officer
Hoosier Hills 3.7
Jasper, IN jobs
Join Our Award-Winning Team as the Chief Intelligence and Innovation Officer at Hoosier Hills Credit Union!
Forbes has recognized Hoosier Hills Credit Union as one of Indiana's Top Three Credit Unions again in 2025, for the third consecutive year!
Are you ready to lead a once-in-a-generation transformation? Hoosier Hills Credit Union is on a bold journey to redefine what a modern, member-centric financial institution looks like-and we need a visionary to guide the way.
What We Offer
Competitive Salary: $178,514 - $247,936 per year, commensurate with experience.
Comprehensive Benefits Package: Health insurance, retirement plans, paid time off, incentive plans and more.
Impactful Work: Driving continuous improvement in digital tools and infrastructure to meet evolving member needs and support long-term organizational growth.
Supportive Environment: Collaborate with a team that values your contributions and supports your professional growth.
A Rewarding Career: Make a difference in the lives of members and the communities we serve.
Work Environment: This position is based on-site in Bedford, Indiana. Following the completion of your initial onboarding, you will have the flexibility to work remotely 1 to 2 days per week as part of our hybrid work model.
Opportunity Overview
As our Chief Intelligence and Innovation Officer (CIIO), you'll be the architect and strategic influencer of progress, blending technology modernization, data intelligence, and human-centered design into a future-ready strategy. We're looking for a leader who inspires with a values-driven mindset-someone who champions integrity, inclusivity, and collaboration, ensuring that our culture remains the foundation for growth and transformation. This isn't just a job-it's an opportunity to lead with purpose and shape the digital heartbeat of our organization and deliver exceptional experiences for both our members and team members.
What You'll Do Enterprise Strategy and Leadership
Define and implement a comprehensive enterprise innovation and intelligence strategy that aligns with the credit union's mission, vision, and multi-year strategic plan.
Serve as a senior advisor to executive leadership and the Board of Directors on emerging technologies, data-driven opportunities, and long-term system modernization priorities.
Foster a culture of innovation, disciplined experimentation, and cross-functional collaboration to advance enterprise performance and member value.
Drive measurable progress in organizational intelligence, operational efficiency, and digital fluency across all business lines.
Data Intelligence, Analytics, and AI Enablement
Architect and govern a modern enterprise data and analytics ecosystem, encompassing data platforms, governance models, and team structures that support scalable insight generation and AI adoption.
Advance the organization's capability to use predictive analytics and artificial intelligence in member personalization, lending strategy, risk management, and fraud prevention.
Establish enterprise-wide standards for data integrity, quality, privacy, and compliance in alignment with NCUA, FFIEC, and other regulatory frameworks.
Build a federated data model that connects centralized analytics teams with departmental experts to accelerate adoption and alignment of data-driven decision-making.
Technology and Application Ecosystem Modernization
Own the credit union's application and systems architecture, ensuring a modern, interoperable, and scalable technology ecosystem. Evaluate, build consensus, select, implement, and optimize best-in-class applications (core systems, CRM, digital banking, loan origination, etc.) that improve user experience and drive operational performance.
Lead proactive release management processes to ensure the timely, well-communicated, coordinated, and risk-aware deployment of updates, features, and system enhancements. Partner with business units and focus groups to identify and prioritize feature enhancements that align with member and team member needs.
Implement an API-driven framework that supports automation, integration, and agility across the enterprise.
Continuously evaluate and optimize application performance, vendor solutions, and integrations to ensure alignment with strategic and operational objectives.
Member and Team Experience Optimization
Championing a human-centered design philosophy in all technology and data initiatives, balancing automation, ease of use, and risk mitigation.
Partner with business leaders to initiate and lead internal focus groups across departments for observational learning to identify and eliminate friction points within both member and team member journeys, enhancing usability and productivity.
Ensure systems empower staff through intelligent workflows, simplified interfaces, and accessible data insights that support timely, informed action.
Utilize technology as a strategic lever to elevate both service quality and employee engagement.
Innovation Governance, Vendor, and Risk Management
Establish clear governance structures for innovation, technology investment, and enterprise change management.
Oversee vendor strategy, ensuring technology partners deliver measurable value, performance accountability, and alignment with organizational standards.
Collaborate with the Chief Information Security Officer, Risk, and Compliance leaders to maintain a secure, compliant, and resilient technology environment.
Introduce structured evaluation processes for emerging technologies and fintech partnerships that enhance efficiency, differentiation, or revenue potential.
Leadership, Culture, and Organizational Development
Build and mentor high-performing teams across innovation, analytics, and application management disciplines.
Promote professional development, interdisciplinary collaboration, and succession readiness within the technology and data organization.
Lead by example in cultivating transparency, operational excellence, and enterprise accountability.
Collaborate with the CISO and Infrastructure teams to drive accountability for system reliability, security, and compliance in partnership with IT, Risk, and Compliance functions.
What We're Looking For
Education: A Bachelor's degree in Information Systems, Computer Science, Business Administration, or related field from an accredited school. A Master's is preferred.
Experience: 10+ years of leadership experience in innovation, technology strategy, or digital transformation, ideally within financial services. Proven track record of leading enterprise-level data strategy, business intelligence, and application ecosystem development. Proficiency in modern cloud and data environments (e.g., Azure, AWS, Snowflake, Databricks) and analytics tools (e.g., Power BI, Tableau, dbt, SQL, Python/R). Experience in proactively managing system releases, upgrades, and enhancements across cross-functional environments. Experience integrating modern platforms (e.g., APIs, cloud-based systems, CRM, analytics) into legacy environments.
Expertise: Strong understanding of credit union operations, financial technologies, and regulatory frameworks (NCUA, FFIEC, GLBA, CCPA) and compliance in data and technology operations. Familiarity with AI/ML deployment, automation technologies, and emerging fintech applications. Proven ability to collaborate effectively with senior leadership and the Board of Directors to align technology strategy with organizational goals.
Skills: Demonstrated ability to lead strategic innovation initiatives by driving digital transformation, applying member-centric design thinking, leveraging data-driven insights, managing organizational change, fostering cross-functional collaboration, and ensuring compliance with regulatory and risk standards.
Judgment & Problem‑Solving: The ability to analyze complex situations, apply sound principles, and develop effective solutions. Deep passion for using innovation to deliver value, convenience, and trust to both members and team members.
Hoosier Hills Credit Union is an Equal Employment Opportunity Employer.
If you are a driven leader ready to make a meaningful impact and contribute to our continued success and growth, we invite you to apply!
#J-18808-Ljbffr
$178.5k-247.9k yearly 1d ago
Patient Experience (PX) Advisor - Healthcare
Press Ganey Associates 4.7
Texas jobs
PG Forsta is the leading experience measurement, data analytics, and insights provider for complex industries-a status we earned over decades of deep partnership with clients to help them understand and meet the needs of their key stakeholders. Our earliest roots are in U.S. healthcare -perhaps the most complex of all industries. Today we serve clients around the globe in every industry to help them improve the Human Experiences at the heart of their business. We serve our clients through an unparalleled offering that combines technology, data, and expertise to enable them to pinpoint and prioritize opportunities, accelerate improvement efforts and build lifetime loyalty among their customers and employees.
Like all great companies, our success is a function of our people and our culture. Our employees have world-class talent, a collaborative work ethic, and a passion for the work that have earned us trusted advisor status among the world's most recognized brands. As a member of the team, you will help us create value for our clients, you will make us better through your contribution to the work and your voice in the process. Ours is a path of learning and continuous improvement; team efforts chart the course for corporate success.
Our Mission:
We empower organizations to deliver the best experiences. With industry expertise and technology, we turn data into insights that drive innovation and action.
Our Values:
To put Human Experience at the heart of organizations so every person can be seen and understood.
Energize the customer relationship: Our clients are our partners. We make their goals our own, working side by side to turn challenges into solutions.
Success starts with me: Personal ownership fuels collective success. We each play our part and empower our teammates to do the same.
Commit to learning: Every win is a springboard. Every hurdle is a lesson. We use each experience as an opportunity to grow.
Dare to innovate: We challenge the status quo with creativity and innovation as our true north.
Better together: We check our egos at the door. We work together, so we win together.
Location: Based remotely / work from home (U.S.) or a hybrid work arrangement at our Chicago, IL, Boston, MA, or South Bend, IN, hubs
Travel: Up to 25%
At Press Ganey, we empower healthcare organizations to understand their patients like never before. Our industry-leading Patient Experience Management platform enables providers to see patients from every angle-anticipating needs, removing friction, and delivering seamless care experiences across physical and virtual touchpoints. From start to finish and beyond, we help build better journeys for patients and providers alike.
Position Overview: Patient Experience Advisor
As a Patient Experience Advisor, you will serve as a strategic partner to our clients, owning the day-to-day relationship focused on driving meaningful improvements in patient experience. You'll bring a deep understanding of the healthcare landscape-including key trends, challenges, and priorities-and use that knowledge to guide clients toward impactful solutions.
In this role, you'll collaborate cross-functionally with internal teams and client stakeholders to align on strategy, identify opportunities, and implement support processes that advance the client's patient experience goals. You'll leverage data analytics, industry best practices, peer networking, and Press Ganey's proprietary programs to deliver proactive insights that inform client decision-making.
Job Responsibilities include:
Lead the day-to-day execution of client improvement strategies, ensuring seamless coordination across Press Ganey support teams.
Develop a deep understanding of client stakeholder challenges and priorities, and align Press Ganey's solutions and insights to support strategic decision-making.
Deliver both on-demand and proactive improvement support, leveraging analytics and thought leadership to demonstrate Press Ganey's differentiated value.
Collaborate cross-functionally with internal teams-including consulting, marketing, data science, and knowledge management-to create and adapt innovative resources such as toolkits, blogs, case studies, and scalable insights tailored to key stakeholders.
Partner with Application Support Specialists to ensure timely and strategic follow-through that aligns with each client's patient experience (PX) strategy.
Work closely with product, technology, and delivery teams to identify emerging market trends and inform future solution development.
Coordinate and present regular client performance reviews in partnership with the Managing Director.
Lead and support industry programs, webinars, online communities, and events that foster client networking and reinforce Press Ganey's value proposition.
Collaborate with the Growth team to identify client needs and opportunities for improvement, delivering best practice recommendations that drive measurable impact.
Qualifications
Experience: Minimum 5 years in healthcare, with a strong focus on patient experience improvement.
Expertise: In-depth knowledge of Hospital CAHPS (HCAHPS) and Clinician & Group CAHPS (CG-CAHPS) required.
Skills: Exceptional interpersonal, communication, and presentation skills, with a polished executive presence.
Analytical Ability: Strong grasp of improvement methodologies, data analytics, and industry best practices.
Mindset: Passionate about patient experience, proactive in problem-solving, and committed to follow-through.
Adaptability: Comfortable in a fast-paced environment with the ability to manage multiple priorities.
Travel: Willingness to travel up to 25%
Education
Bachelor's degree required.
Work Model
Remote (U.S.) or hybrid. To work #BetterTogether, we embrace a hybrid model for team members that are located near our hubs in Chicago, South Bend, or Boston. We gather in-office three days a week (Tuesday-Thursday), with remote flexibility on other days. This schedule may adjust based on travel needs.
Don't meet every single requirement? Studies have shown that women and people of color are less likely to apply to jobs unless they meet every single qualification. At PG Forsta we are dedicated to building a diverse, inclusive and authentic workplace, so if you're excited about this role but your past experience doesn't align perfectly with every qualification in the job description, we encourage you to apply anyways. You may be just the right candidate for this or other roles.
Additional Information for US based jobs:
Press Ganey Associates LLC is an Equal Employment Opportunity/Affirmative Action employer and well committed to a diverse workforce. We do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, veteran status, and basis of disability or any other federal, state, or local protected class.
Pay Transparency Non-Discrimination Notice - Press Ganey will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information.
The expected base salary for this position ranges from $81,000 - $115,000. It is not typical for offers to be made at or near the top of the range. Salary offers are based on a wide range of factors including relevant skills, training, experience, education, and, where applicable, licensure or certifications obtained. Market and organizational factors are also considered. In addition to base salary and a competitive benefits package, successful candidates are eligible to receive a discretionary bonus or commission tied to achieved results.
All your information will be kept confidential according to EEO guidelines.
Our privacy policy can be found here: *****************************************
Description & Requirements Maximus is currently hiring a Billing Manager to join the finance team on our Veterans Evaluation Services (VES) Program. This is a remote opportunity. The Billing Manager is responsible for providing critical support, management, and execution of the department's processes. The department is responsible for the review and approval of mission-critical vendor invoices and costs supporting operations. This involves monitoring, management, and guidance of staff, collaboration with third-party account managers and direct support of the Program Finance Leadership. The Billing manager oversees processes that ensure accuracy of vendor invoices & resolves discrepancies of contractually governed billed items, in addition to other duties as assigned. Must provide key analytical support and reconciliation of pre, current, and post billed items or various metrics as requested. This position will be a key liaison between Operations and Finance and will be responsible for providing direct support to the Finance organization within the Federal VES Program.
Due to contract requirements, only US Citizen or a Green Card holder can be considered for this opportunity.
Essential Duties and Responsibilities:
- Oversee the development and implementation of innovative methodologies to improve service levels and overall operational efficiency.
- Manage the project's quality assurance and training programs.
- Monitor performance against key indicators established internally or by the clients
- Responsible for cash application of premium payments, invoice and statement generation, mailing and financial reporting.
- Responsible for daily and monthly financial reconciliation.
- Ensure appropriate financial and system controls are operating in compliance with standard audit procedures.
- Manage audits of operations.
- Develop and implement operational policies and procedures in collaboration with other key stakeholders.
- Establish and maintain effective relationships with clients and other external entities.
- Monitor SLAs and hold team accountable for reviewing and approving third-party invoices - including validation of services performed - to ensure timely payment.
- Work directly with third-party account managers to ensure records are reconciled; monitor troubleshooting and remediation as needed.
- Support IT team with system enhancements or modifications of workflow with an objective of streamlining processes.
- Candidates residing in the Eastern or Central Time Zones (EST/CST) highly preferred.
- Must be willing and able to work over 40 hours when required by the responsibilities of the role.
- Please note upon hire, Veteran Evaluation Services (VES), a Maximus Co. will provide all necessary computer equipment that is to be utilized to fulfil the duties of your role. New hires will not be exempt from using company provided equipment.
Home Office Requirements Using Maximus-Provided Equipment:
- Internet speed of 20mbps or higher required (you can test this by going to (******************
- Connectivity to the internet via either Wi-Fi or Category 5 or 6 ethernet patch cable to the home router
- Private work area and adequate power source
- Must currently and permanently reside in the Continental US
Minimum Requirements
- Bachelor's degree in related field.
- 5-7 years of relevant professional experience required.
- Equivalent combination of education and experience considered in lieu of degree.
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
$
85,000.00
Maximum Salary
$
105,000.00
$37k-51k yearly est. Easy Apply 6d ago
Clinical Program Manager RN * Hybrid*
Providence Health and Services 4.2
Shallowater, TX jobs
Clinical Program Manager RN
Hybrid.
Candidates residing in the areas of Portland, OR, Spokane, WA or Lubbock, TX are encouraged to apply.
In collaboration with the Division Director, the Clinical Practice Manager RN supports nursing practice, quality initiatives, and clinical improvement efforts across the division. This role is responsible for leading teams in developing and implementing evidence-based nursing and clinical practices, utilizing established standards, research findings, and quality improvement principles.
Providence caregivers are not simply valued - they're invaluable. Join our team at Providence Strategic And Management Services and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.
Required Qualifications:
Bachelor's Degree: Nursing
Master's Degree: Nursing (Practice or Education)
5 years - Nursing experience in an acute care setting.
3 years - Clinical practice development, quality, or education experience.
active RN License for WA, OR or TX
Preferred Qualifications:
Ph.D.: Nursing or DNP (Doctor of Nursing Practice)
Salary Range by Location:
Oregon: Portland Service Area: Min: $59.39, Max: $93.75
Texas: Min: $45.30, Max: $71.51
Washington: Eastern: Min: $52.85, Max: $83.42
Why Join Providence?
Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.
Accepting a new position at another facility that is part of the Providence family of organizations may change your current benefits. Changes in benefits, including paid time-off, happen for various reasons. These reasons can include changes of Legal Employer, FTE, Union, location, time-off plan policies, availability of health and welfare benefit plan offerings, and other various reasons.
About Providence
At Providence, our strength lies in Our Promise of “Know me, care for me, ease my way.” Working at our family of organizations means that regardless of your role, we'll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.
Posted are the minimum and the maximum wage rates on the wage range for this position. The successful candidate's placement on the wage range for this position will be determined based upon relevant job experience and other applicable factors. These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits.
Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.
About the Team
Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. We are focused on supporting our Mission by delivering a robust foundation of services and sharing of specialized expertise.
Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.
Requsition ID: 403508
Company: Providence Jobs
Job Category: Clinical Administration
Job Function: Clinical Support
Job Schedule: Full time
Job Shift: Day
Career Track: Nursing
Department: 4007 SS CNTRL DIV EDU ADMIN
Address: OR Portland 4400 NE Halsey St
Work Location: Providence Health Plaza (HR) Bldg 1-Portland
Workplace Type: Hybrid
Pay Range: $see posting - $see posting
The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
PandoLogic. Category:Healthcare, Keywords:Healthcare Program Manager, Location:Shallowater, TX-79363
$46k-77k yearly est. 15d ago
Healthcare Disability Specialist - Fully Remote!
Centauri Health Solutions 4.6
Texas jobs
Our company helps hospitals and health plans improve their revenue and deliver community benefits. On their behalf, we help their patients and plan members with low or no income, and those who are aged or disabled, to enroll in government-funded assistance programs.
Disability Specialists work in a fast-paced, multi-tasking, contact center environment, managing both inbound and outbound calls.
Healthcare Specialists is an entry level position and will handle all submitted Social Security applications from beginning to end while providing claimants with outstanding customer service and support and will work closely with Social Security offices nationwide.
The Healthcare Specialist will coordinate appointments, provide resources and materials, and provide medical updates to Disability Determination Services and private institutions.
A successful Healthcare Specialist is an empathetic communicator, likes to juggle multiple projects, is detail oriented and, above all, is compassionate.
Role Responsibilities:
Maintains regular communication with claimants, answers questions regarding the application, services, and benefits and clarifies eligibility data
Will manage all inbound and outbound queue calls while staying on top of own tasks
Assists in gathering eligibility data, verifications, completed forms and medical records.
Manages positive professional relationships with agencies and clients.
Submits documents/applications to proper agencies; follows up appropriately with all entities to ensure processing and stays updated on status of claims.
Manages all accounts and taking appropriate action to secure eligibility until all methods are exhausted.
Secures and submits all necessary signed SSA forms and any missing verifications
Contacts providers / secures medical records as needed
Is thoughtful and proactive to anticipate and foresee key requirements for all accounts and takes appropriate action to secure eligibility until all methods are exhausted
Works with government agencies/physician offices to obtain coverage for clients
Maintains positive professional relationship with agencies and clients
Understand and agree to role-specific information security access and responsibilities
Ensure safety and confidentiality of data and systems by adhering to the organizations information security policies
Read, understand, and agree to security policies and complete all annual security and compliance training
Role Requirements:
2 years of Customer Service
Must be fluent in both Arabic and English (speak, read, write)
Excellent communication and interpersonal skills with an ability to clearly communicate and influence
Call Center experience and/or De-Escalation experience a plus
Experience working with government agencies a plus
Experience in Social Services, case management, processing disability/claims evaluation and/or adjudication, and Medicaid/Medicare knowledge a strong plus
Strong interpersonal skills and ability to work in a team environment
Detail Oriented, Willing to Learn, and Goal Driven
Ability to multi-task and manage time appropriately
Strong computer skills, proficiency with Microsoft Word, Excel and Outlook, and ability to navigate multiple platforms and screens smoothly
$44k-72k yearly est. 60d+ ago
District Manager
Biote 4.4
Little Rock, AR jobs
Description Biote Medical is the world leader in hormone optimization and we are adding to our team! We partner with providers to take a complete approach to healthier aging through patient-specific bioidentical hormone replacement therapy and the only nutraceutical line created specifically to support hormone health.This position will help support our Little Rock territory. We're looking for someone with a passion for changing healthcare who wants to be in a hands-on and engaged position working within a dynamic and collaborative sales team.You must be located in the Little Rock area to be considered.Position and Scope:We are looking for a driven candidate with the desire to recruit qualified physicians and practitioners into a partnership relationship with Biote; in order to provide cutting edge technology for bioidentical hormone replacement therapy (BHRT) and healthy aging options to their own patients and to the public at large. The ideal candidate is responsible for relationship development, practice development and sales of the Biote Method to practitioners. Sales activity includes prospecting, cold calling, practice development, tradeshows, sales events, and other methods for creating leads and closing sales for Biote within the approved price matrix. In addition, the Liaison provides technical, educational, and Provider Partner support. This is a field-based remote position.As a District Manager, your daily responsibilities will include:
Acquiring and retaining extensive knowledge of hormone replacement therapy through materials provided by Biote, as well as outside sources.
Effectively conducting physician, staff and patient training in the areas of Biote's business protocols; specifically, marketing, financial, therapy, forms, patient seminars, company online resources and other topics that may change from time to time.
Ability to read and understand medical and scientific studies.
Researching and evaluating physicians in assigned areas based on Biote's criteria for appropriateness and suitability.
Effectively presenting Biote's training and business program to physicians, Nurse Practitioners, Physician Assistants, office managers and office staff.
Recruiting suitable physicians and other practitioners through professional and effective prospecting, appointment setting and presentation skills.
Cultivating and maintaining mutually productive partnerships with practitioners to grow new and current practices and maintain patient retention levels of 60% or better.
Effectively conducting physician, staff and patient training in the areas of Biote's business protocols; specifically, marketing, financial, therapy, forms, patient seminars, company online resources and other topics that may change from time to time.
Securing all required contracts, paperwork and documentation as well as payments and fees as needed for attendees to participate in regular training and certification classes.
Conducting and facilitating patient educational seminars as needed for trained practitioners on a monthly basis.
Contributing to the development of the practice by assisting the Office Manager/Marketing position with email marketing, social media, referral cards and website information cards.
Prospecting for new leads and identifying quality sales prospects from active leads.
Attending marketing and sales events for prospects and current customers.
Working with customers for sales referrals with new prospects.
Updating all relevant sales activities in the Company's CRM system.
Closing sales accurately and effectively each month to meet or exceed targets.
Responding to all emails received from the customer and Biote employees and related vendors in a timely manner.
Performing other related duties as required or requested.
As a District Manager, your background should include:
Bachelor's degree
Strong teamwork, communication (written and oral), client management, and interpersonal skills.
Minimum of 3-5 years of sales experience in a business-to-business model, preferably medical device, diagnostics, and/or biotech.
Strong work ethic and time management skills
Ability to make effective and persuasive communications and technical presentations to physicians, management and/or large groups. Ability to thoroughly understand and communicate the attributes and qualities of Company products using professional selling and closing skills.
Proficient in Microsoft Office suite and customer relationship management software.
Ability to travel in order to do business, approximately 20% of the month.
Scheduled hours are 40 to 50 hours per week Monday through Friday but may be extended as required to execute the tasks assigned.
Valid driver's license issued by the state/province in which the individual resides and a good driving record is required.
Home office capability is required with reliable high-speed internet access
Company Perks:
Medical, Dental & Vision Insurance, Virtual Visits/Telemedicine
Company Paid Life and AD&D Insurance
15 days of Paid Time Off and Company Holidays
401k with a 3% employer contribution
Motus mileage program
Other excellent health and wellness benefits in line with our business
If you're interested in this awesome opportunity, please apply today!
$53k-98k yearly est. Auto-Apply 60d+ ago
Virtual Care Summer Non-Clinical Intern
Parkview Health 4.4
Fort Wayne, IN jobs
Virtual Care is part of the larger Nursing Informatics team # reporting to Michelle Charles, SVP. Informatics focuses on the use of technology in the care of patients, as well as data analysis. The Virtual Care team is seeking an intern who will work in a hybrid of remote (local to Fort Wayne only) and on-site at the hospitals and the Business # Technology Center.
Remote work will involve the use of a Parkview provided laptop to assist with data gathering, validation, and analysis.
The various project work experienced as an intern provides a great opportunity to learn about healthcare and will prepare them for future roles.
The intern will receive training on the technology used in the hospital and department which the Virtual Care team supports, such as iPhones, iPads, video equipment, etc.
Once trained, the intern may go to the hospital units helping to support the use of these devices or other technologies (working alongside other Virtual Care team members).
The intern may be involved in observing and assisting with the implementation of new processes.
For remote work, the intern may complete chart audits, gather data, create reports, and assist the teams with other similar tasks.
Actual duties will depend upon the project work at that time.
Students will need to have knowledge of Microsoft Office tools, specifically Excel.
Background in data analysis and data visualization is a plus.
Students should be willing and able to assist the Virtual Care team in providing technical and workflow support in the hospital/department setting following training.
Students will need good communication skills, as they may be interacting with Nurses and Patient Care Techs in the hospital.
Work Schedule Monday#Friday, typically 8:00 a.
m.
#5:00 p.
m.
(day shift).
Some flexibility may be available.
An internship is structured for 24#40 hours per week.
The preferred areas of study are students studying Nursing, Health Informatics, or similar fields with an interest in healthcare technology are encouraged to apply.
All years of study are welcome.
# Additional Notes: Applicants must have their own transportation for local travel between hospitals and the Business # Technology Center.
Must be current undergraduate college student or graduate college student.
Specific educational focus or degree may be preferred, depending on the internship hosting department.
A specific license and/or certification may be preferred, depending on the hosting department of the internship.
GPA of 3.
0 or above Submission of Cover Letter Resume and Letter of Recommendation.
Other qualifications may vary by department of internship.
$24k-28k yearly est. 60d+ ago
Revenue Integrity Director- Remote
Conifer Health Solutions 4.7
Frisco, TX jobs
The Director of Revenue Integrity serves in a senior leadership capacity and demonstrates client and unit-specific leadership to Revenue Integrity personnel by designing, directing, and executing key Conifer Revenue Integrity processes. This includes Charge Description Master (“CDM”) and charge practice initiatives and processes; facilitating revenue management and revenue protection for large, national integrated health systems; regulatory review, reporting and implementation; and projects requiring expertise across multiple hospitals and business units. The Director provides clarity for short/long term objectives, initiative prioritization, and feedback to Managers for individual and professional development of Revenue Integrity resources. The Director leverages project management skills, analytical skills, and time management skills to ensure all requirements are accomplished within established timeframes. Interfaces with highest levels of Client Executive personnel.
Direct Revenue Integrity personnel in evaluating, reviewing, planning, implementing, and reporting various revenue management strategies to ensure CDM integrity. Maintain subject-matter expertise and capability on all clinical and diagnostic service lines related to Conifer revenue cycle operations, claims generation and compliance.
Influence client resources implementing CDM and/or charge practice corrective measures and monitoring tools to safeguard Conifer revenue cycle operations; provide oversight for Revenue Integrity personnel monitoring statistics/key performance indicators to achieve sustainability of changes and compliance with regulatory/non-regulatory directives.
Assume lead role and/or provide direction/oversight for special projects and special studies as required for new client integration, system conversions, new facilities/acquisitions, new departments, new service lines, changes in regulations, legal reviews, hospital mergers, etc.
Serve as primary advisor to and collaboratively with Client/Conifer Senior Executives to ensure requirements are met in the most efficient and cost-effective manner; provides direction to clients for implementation of multiple regulatory requirements.
Serve as mentor and coach for Revenue Integrity personnel and as a resource for manager-level associates.
Maintain a high-level understanding of accounting and general ledger practices as it relates to Revenue Cycle metrics; guide client personnel on establishing charges in appropriate revenue centers to positively affect revenue reporting
FINANCIAL RESPONSIBILITY (Specify Revenue/Budget/Expense): Adherence to established/approved annual budget
SUPERVISORY RESPONSIBILITIES
This position carries out supervisory responsibilities in accordance with guidelines, policies and procedures and applicable laws. Supervisory responsibilities include interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.
Direct Reports (incl. titles) : Revenue Integrity Manager/Supervisor
Indirect Reports (incl. titles) : Charge Review Specialist I-II, Revenue Integrity Analyst I-III, Charge Audit Specialist
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Ability to set direction for large analyst team consistent with Conifer senior leadership vision and approach for executing strategic revenue management solutions
Demonstrated critical-thinking skills with proven ability to make sound decisions
Strong interpersonal communication and presentation skills, effectively presenting information to executives, management, facility groups, and/or individuals
Ability to present ideas effectively in formal and informal situations; conveys thoughts clearly and concisely
Ability to manage multiple projects/initiatives simultaneously, including resourcing
Ability to solve complex issues/inquiries from all levels of personnel independently and in a timely manner
Ability to define problems, collect data, establish facts, draw valid conclusions, and make recommendations for improvement
Advanced ability to work well with people of vastly differing levels, styles, and preferences, respectful of all positions and all levels
Ability to effectively and professionally motivate team members and peers to meet goals
Advanced knowledge of external and internal drivers affecting the entire revenue cycle
Intermediate level skills in MS Office Applications (Excel, Word, Access, Power Point)
Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings.
EDUCATION / EXPERIENCE
Include minimum education, technical training, and/or experience required to perform the job.
Bachelor's degree or higher; seven (7) or more years of related experience may be considered in lieu of degree
Minimum of five years healthcare-related experience required
Extensive experience as Revenue Integrity manager
Extensive knowledge of laws and regulations pertaining to healthcare industry required
Prior healthcare financial experience or related field experience in a hospital/integrated healthcare delivery system required
Consulting experience a plus CERTIFICATES, LICENSES, REGISTRATIONS
Applicable clinical or professional certifications and licenses such as LVN, RN, RT, MT, RPH, CPC-H, CCS highly desirable
PHYSICAL DEMANDS
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the employee is regularly required to sit for long periods of time; use hands and fingers; reaching with hands and arms; talk and hear.
Must frequently lift and/or move up to 25 pounds
Specific vision abilities required by this job include close vision
Some travel required
WORK ENVIRONMENT
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Normal corporate office environment
TRAVEL
Approximately 10 - 25%
Compensation and Benefit Information
Compensation
Pay: $104,624- $156,957 annually. Compensation depends on location, qualifications, and experience.
Position may be eligible for an Annual Incentive Plan bonus of 10%-25% depending on role level.
Management level positions may be eligible for sign-on and relocation bonuses.
Benefits
Conifer offers the following benefits, subject to employment status:
Medical, dental, vision, disability, life, and business travel insurance
Management time off (vacation & sick leave) - min of 12 days per year, accrued accrue at a rate of approximately 1.84 hours per 40 hours worked.
401k with up to 6% employer match
10 paid holidays per year
Health savings accounts, healthcare & dependent flexible spending accounts
Employee Assistance program, Employee discount program
Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance.
For Colorado employees, Conifer offers paid leave in accordance with Colorado's Healthy Families and Workplaces Act.
$104.6k-157k yearly Auto-Apply 60d+ ago
Centralized Scheduler
Saint Francis Healthcare System 4.2
Cape Girardeau, MO jobs
Current Saint Francis Colleagues - Please click HERE to login and apply. The Centralized Scheduler is responsible for scheduling surgeries, appointments and procedures at the request of physicians and customers. Responsible for transcribing and scanning all orders and H&P's into the electronic medical record. Responsible for maintaining scheduling related work queues. Responsible for "schegistration" of patients, which includes verification of insurance benefits & eligibility. Responsible for initiating medical necessity checking on surgeries, appointments and/or procedures. Assures the specific needs of department, physician and customers are met. Providing assistance and direction to physicians, their staff and other hospital personnel with whatever needs they may have. Maintains the master physician listing for use by the medical center. Working closely with departments on new procedures and requirements to ensure compliance and proper reimbursement. Lives the Mission, Vision, Values and Philosophy of the department and Saint Francis Medical Center. Constantly works with and maintains restricted or confidential information from many sources within the medical center. Any and all duties as assigned by the Assistant Manager, Manager and/or Director.
JOB DETAILS AND REQUIREMENTS
Type: Full Time (80 hours per 2 week pay period, with benefits)
Typical hours for this position: Monday-Friday 8:30am-5:00pm
Opportunity for remote work after 6 months on-site training
Education:
High School Diploma required
Certification & Licensures:
N/A
Experience:
- One year of experience in a medical environment which included scheduling duties strongly preferred.
- Medical terminology or prior Administrative Partner experience.
- Professional and courteous manners in dealing with customers.
- Appropriate and timely independent judgement.
- Computer experience required.
Saint Francis Healthcare System is committed to a compensation philosophy that aligns to the fiftieth percentile of the marketplace, while also crediting applicable and/or relevant work experience when computing compensation offers for selected candidates. Internal equity is factored into all offers presented to candidates.
Minimum hourly rate: $15.00/hour
A relevant and up to date general benefits description may be found on our website:
**************************************
ADDITIONAL INFORMATION
Saint Francis Healthcare System provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability, sexual orientation, gender identity, or genetics. In addition to federal law requirements, Saint Francis Healthcare System complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.
In compliance with the ADA Amendments Act (ADAAA) should you have a disability and would like to request an accommodation in order to apply for a currently open position with Saint Francis Healthcare System, please call ************ or email us at ***********.
Saint Francis Healthcare System supports the overall health and wellness of our colleagues by discouraging the use of tobacco and nicotine products. If you are selected for a career opportunity with our organization, and are a tobacco or nicotine user, you will be required to complete a tobacco/nicotine cessation program within your first year of employment. This program is free of charge as part of our Employee Assistance Program.
$15 hourly Auto-Apply 6d ago
Locum to Perm - Associate Medical Director - OB/GYN Dallas, TX
Viemed Healthcare Staffing 3.8
Dallas, TX jobs
Associate Medical Director (Locum to Perm) - OB/GYN We are seeking a highly qualified and dedicated Associate Medical Director with expertise in Obstetrics and Gynecology to join our team in a leadership capacity. This role offers the opportunity to transition from a locum position to a permanent leadership role within our organization, contributing to the delivery of comprehensive, patient-centered care.
Key Responsibilities:
Provide clinical oversight for OB/GYN services, including review and approval of prior authorizations, appeals, hospital stays, procedures, and medications to ensure medical necessity and appropriate care.
Conduct peer-to-peer consultations to support utilization management decisions.
Lead and support utilization management, disease management, and quality improvement initiatives, collaborating closely with senior leadership and participating in the development of evidence-based medical policies, guidelines, and clinical standards.
Analyze provider performance through data review, including provider credentialing, site reviews, and medical record audits, to ensure adherence to managed care standards.
Collaborate with Pharmacy and other clinical departments to oversee care coordination, especially in managing pharmacy benefits and medication adherence.
Support oversight of fraud, waste, and abuse programs from a clinical perspective.
Assist in the development, implementation, and monitoring of organizational goals aligned with our mission.
Contribute to educational initiatives for members and providers, evaluating and enhancing health promotion programs.
Represent the organization in clinical matters with regulatory and professional bodies, including the Texas Department of Insurance, Texas Health and Human Services Commission, and related associations.
Participate in process improvement activities, workflow optimizations, and clinical programs to enhance efficiency and quality.
Serve on or chair clinical and managed care committees, fostering collaborative efforts across the organization and the community.
Qualifications:
Board Certification in Obstetrics and Gynecology (certification must be current; re-certification required if lapsed).
Valid medical license with a clean malpractice history.
Extensive experience in OB/GYN clinical practice, ideally with prior leadership roles.
Demonstrated knowledge of managed care principles, Medicaid regulations, and healthcare compliance.
Strong leadership, organizational, and communication skills, capable of working effectively with diverse teams and stakeholders.
Proficiency in data analysis, quality improvement techniques, and clinical standards development.
Experience with pharmacy benefits, behavioral health integration, and population health management is preferred.
Ability to interpret and apply federal and state healthcare regulations accurately.
Computer literacy and familiarity with healthcare management software.
Commitment to patient-centered care and ethical practice.
Work Environment & Career Growth:
This role is initially fully remote during the locum period, with a transition to a hybrid model upon permanent appointment. Candidates will have ongoing opportunities for professional development, participation in strategic initiatives, and the potential for leadership advancement within our organization.
Additional Information:
This position is not open to 1099 or visa candidates.
Candidates must have active, unrestricted medical licenses and board certification.
Commitment to ethical standards and professional integrity is required.
To Apply:
If you meet the qualifications and are interested in a leadership role focused on quality patient care and organizational excellence, we invite you to submit your application.
Note:
This position involves significant leadership responsibilities and requires a commitment to advancing healthcare delivery standards within our organization and community.
Description & Requirements Maximus is currently hiring a Billing Manager to join the finance team on our Veterans Evaluation Services (VES) Program. This is a remote opportunity. The Billing Manager is responsible for providing critical support, management, and execution of the department's processes. The department is responsible for the review and approval of mission-critical vendor invoices and costs supporting operations. This involves monitoring, management, and guidance of staff, collaboration with third-party account managers and direct support of the Program Finance Leadership. The Billing manager oversees processes that ensure accuracy of vendor invoices & resolves discrepancies of contractually governed billed items, in addition to other duties as assigned. Must provide key analytical support and reconciliation of pre, current, and post billed items or various metrics as requested. This position will be a key liaison between Operations and Finance and will be responsible for providing direct support to the Finance organization within the Federal VES Program.
Due to contract requirements, only US Citizen or a Green Card holder can be considered for this opportunity.
Essential Duties and Responsibilities:
- Oversee the development and implementation of innovative methodologies to improve service levels and overall operational efficiency.
- Manage the project's quality assurance and training programs.
- Monitor performance against key indicators established internally or by the clients
- Responsible for cash application of premium payments, invoice and statement generation, mailing and financial reporting.
- Responsible for daily and monthly financial reconciliation.
- Ensure appropriate financial and system controls are operating in compliance with standard audit procedures.
- Manage audits of operations.
- Develop and implement operational policies and procedures in collaboration with other key stakeholders.
- Establish and maintain effective relationships with clients and other external entities.
- Monitor SLAs and hold team accountable for reviewing and approving third-party invoices - including validation of services performed - to ensure timely payment.
- Work directly with third-party account managers to ensure records are reconciled; monitor troubleshooting and remediation as needed.
- Support IT team with system enhancements or modifications of workflow with an objective of streamlining processes.
- Candidates residing in the Eastern or Central Time Zones (EST/CST) highly preferred.
- Must be willing and able to work over 40 hours when required by the responsibilities of the role.
- Please note upon hire, Veteran Evaluation Services (VES), a Maximus Co. will provide all necessary computer equipment that is to be utilized to fulfil the duties of your role. New hires will not be exempt from using company provided equipment.
Home Office Requirements Using Maximus-Provided Equipment:
- Internet speed of 20mbps or higher required (you can test this by going to (******************
- Connectivity to the internet via either Wi-Fi or Category 5 or 6 ethernet patch cable to the home router
- Private work area and adequate power source
- Must currently and permanently reside in the Continental US
Minimum Requirements
- Bachelor's degree in related field.
- 5-7 years of relevant professional experience required.
- Equivalent combination of education and experience considered in lieu of degree.
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
$
85,000.00
Maximum Salary
$
105,000.00
$37k-52k yearly est. Easy Apply 6d ago
(Non-Remote) Revenue Cycle Manager
Asian American Health Coalition 4.0
Houston, TX jobs
Full-time Description
Revenue Cycle Manager
REPORTS TO: Chief Financial Officer
EDUCATION: Bachelor's degree from four-year college or university, and/ or 5-7 years of experience in lieu of
WORK EXPERIENCE: One to two years supervisor experience and/or training; and FQHC experience a plus!
SALARY RANGE: DOE
FLSA STATUS: Exempt
POSITION TYPE: Full-Time
LANGUAGE: Fluent in English; Bilingual in English and Spanish, Arabic, Burmese, Chinese or other languages is preferred
HOPE Clinic provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.
**This is not a fully remote position**
JOB SUMMARY:
As the Revenue Cycle Manager for HOPE Clinic, you focus on partnering with our patients to clearly understand their institutional goals, challenges, organizational structure, and key business drivers. The role of the Revenue Cycle Manager oversees the Billing and Insurance Verification team's daily activities and follows up with teams to drive the overall performance and daily management of multiple assigned providers' schedules. The Revenue Cycle Manager serves as a liaison between the Billing and Insurance Verification team and other HOPE Clinic departments and the patients.
MAJOR DUTIES & RESPONSIBILITIES:
Manage overall medical billing operations such as ensuring effective flow of demographic changes and payment information, claims accuracy and timely submission, and account reconciliations;
Oversee aggressive follow-ups with accounts receivables (A/R), including preparation of denial appeals and distribution of patient statements;
Track fee schedules and insurance denials to ensure fully allowed reimbursements;
Identify and implement strategies to improve internal and patient billing processes;
Incorporate and execute quality assurance processes related to ensuring accurate patient billing activities;
Review and analyze patient accounts, identify trends and issues, and recommend solutions;
Collaborate with other team members to improve/maintain an overall positive work environment for the team;
Provide a high level of customer service to both practices and patients by identifying and efficiently resolving insurance and other billing-related issues;
Collaborate with the front desk, call center, and other departments as needed to resolve any billing/payor issues;
Research, compile the necessary documentation, and complete appeal process for denied claims, via phone/email with payers, facilitating correct claims if necessary;
Prepare, review, and transmit claims using billing software to include electronic and paper claim processing both primary claims and secondary claims;
Follow up on unpaid claims within the standard billing cycle timeframe;
Collaborate with the billing team when necessary to make coding changes to submit corrected claims or appeals;
Stay current with payer trends as to how to submit corrected claims and the payer-specific appeal processes;
Analyze root causes of denials; trends and issues: propose solutions and work with the management team to determine the appropriate action to resolve;
Identify areas of concern regarding the various areas of the revenue cycle;
Share trending and feedback to reduce denials to the CFO and/or Credentialing Coordinator;
Hospital billing - identify charges that are billed for hospital visits, update spreadsheets and reports for documentation, and create claims to be billed;
Apply insurance and patient payments to the Practice Management system, utilizing ERAs and manual application;
Reconcile payments applied to the system to cash received;
Answer patient's estimate of benefits or statements, telephone inquiries verifying insurance and benefits within the practice management system;
Attend on-site/off-site community engagement activities, clinic events, and/or training as needed;
Perform other duties as assigned to support HOPE Clinic's Mission, Vision, and Values.
Requirements
QUALIFICATION REQUIREMENTS:
5-7 years of experience with revenue cycles, medical billing, collections, and payment posting;
Understand regulatory and compliance requirements associated with submitting claims to payers;
Experience with Electronic Medical Records (EMR);
Strong communication and interpersonal skills;
Expertise with medical and billing terminology;
Excellent organization and time management skills;
Proficiency in computers, particularly Word and Excel.
EDUCATION and/or EXPERIENCE:
Bachelor's degree from four-year college or university (desired);
Or 5-7 years related experience and/or training; or equivalent combination of education and experience;
1-2 years of supervisory experience;
Knowledge of medical billing, front-office, physician practice management, and healthcare business processes;
Strong understanding of medical billing/coding, with an understanding of various insurance carriers, including Medicare, private HMOs, and PPOs;
Previous FQHC (Federally Qualified Health Center) RCM experience.
OTHER SKILLS and ABILITIES:
Bilingual (Vietnamese, Chinese, Arabic, and/or Spanish with English) is preferred.
Above average skills in language ability as well as public speaking and writing.
Must have good transportation and a valid Texas Driver's license.
Salary Description DOE
$72k-101k yearly est. 60d+ ago
Quality Improvement Advisor - Missouri
Telligen 4.1
Missouri City, MO jobs
As a Quality Improvement Advisor, you will serve as the primary liaison and coach for healthcare facilities within your state, focusing on identifying areas for improving patient care and outcomes, implementing improvement activities and achieving healthcare goals.
This is a remote position but you must live in Missouri to qualify for this position.Essential Functions
You will collaborate with health care providers (nursing homes, hospitals, and/or outpatient clinical practices) to identify the need for and drive measurable improvements in patient outcomes.
You will partner with local, state, and national organizations to connect providers and patients to relevant initiatives and learning opportunities
You will analyze state- and provider-level quality data, facilitate learning collaboratives, and provide technical assistance to facilities as they implement evidence-based practices.
You will bring deep knowledge of state-specific healthcare systems, experience in quality improvement methodologies, and strong relationship-building skills to effectively engage with partners and providers across the healthcare continuum while ensuring alignment with both state and federal healthcare quality objectives.
Requirements
Bachelor's degree in public administration, public policy, public health, or a related field, required or equivalent experience (i.e. 10 years healthcare experience, associate's degree with 5+ years' experience, etc.).
Healthcare quality improvement experience required.
In-depth knowledge of the principles of quality improvement practices and methodologies used in nursing home, primary care, and/or hospital settings.
Strong interpersonal and communication skills, with the ability to build productive relationships with C-suite leaders, clinicians, administrators, and other health professionals.
Familiarity with state and federal regulations impacting nursing homes, hospitals, and/or physician practices, including CMS quality measures, value-based payment models, and accreditation standards.
Ability to coach and facilitate improvement activities with providers and partners, providing technical assistance in designated subject matter expertise or setting-specific areas.
Preferred Skills/Experience
Nursing home setting experience.
Master's degree in public health, quality improvement science, health informatics, or related field.
Licensed RN, LPN, MSW, or CPHQ.
Proven experience working with multidisciplinary teams, including physicians and nurses, pharmacists, and administrators.
Proven ability to manage project timelines, meet deadlines, and produce detailed written reports.
Experience in translating complex data into actionable insights and meaningful narratives for multidisciplinary teams, including clinical and non-clinical audiences.
Who We Are: Telligen is one of the most respected population health management organizations in the country. We work with state and federal government programs, as well as employers and health plans offering clinical, analytical, and technical expertise.
Over our 50-year history, health care has evolved - and so have we. What hasn't changed is our deep commitment to those we serve. Our success is built on our ability to adapt, respond to client needs and deliver innovative, mission-driven solutions.
Our business is our people and we're seeking talented individuals who share our passion and are ready to take ownership, make an impact and help shape the future of health.
Are you Ready? We're on a mission to transform lives and economies by improving health. Ownership: As a 100% employee-owned company, our employee-owners drive our business and share in our success.Community: We show up - for our clients, our communities and each other. Being a responsible corporate partner is part of who we are.Ingenuity: We value bold ideas and calculated risks. Innovation thrives when we challenge the status quo and listen to diverse perspectives.Integrity: We foster a respectful, inclusive, and collaborative environment built on trust and excellence. Thank you for your interest in Telligen!Follow us on Twitter, Facebook, and LinkedIn to learn more about our mission-driven culture and stay up to speed.
While we use artificial intelligence tools to enhance our initial screening process, all applications are thoroughly reviewed by our human recruitment team to ensure a fair and comprehensive evaluation of each candidate.
Telligen and our affiliates are Equal Opportunity Employers and E-Verify Participants.
Telligen will not provide sponsorship for this position. If you will require sponsorship for work authorization now or in the future, we cannot consider your application at this time. We will not accept 3rd party solicitations from outside staffing firms.
We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.