Pikeville Medical Center Remote jobs - 383 jobs

Key Responsibilities: Serves as the point of contact for customer queries and resolution. Provides customer services relating to sales, sales promotions, installations and communications. Ensures that good customer relations and seamless turnaround in problem resolution are maintained and customer claims, product orders and complaints are resolved fairly, effectively and in accordance with the consumer laws. May answer questions and provide prompt information related to potential concerns. Develops organization-wide initiatives to proactively inform and educate customers. ***Shift Details - 11:30pm - 8:00pm Minimum Requirements: High School Diploma or GED Required Skills: Ability to complete multiple activities while utilizing excellent customer service skills Demonstrate ability to communicate clearly in both written and oral communication Maintains all patient confidentiality Other duties and responsibilities as assigned by supervisor. Career Level - IC-Business Support - B1 Additional Information ALL ANSWERS MUST BE "YES" Do you have a High School Diploma or GED? Are you able/comfortable working from home?

Step Up For Students is a state-approved, nonprofit scholarship funding organization that helps administer scholarships for Florida schoolchildren: The donor-funded Florida Tax Credit Scholarship (FTC) Program and the Family Empowerment Scholarship for Educational Options (FES-EO) helps K-12 students attend private schools. The Family Empowerment Scholarship for Students with Unique Abilities (FES-UA) empowers families to personalize the education of their students by directing funds to where they're needed most. The Personalized Education Program (PEP), which is part of FTC, for students who are not enrolled full-time in private or public school. New Worlds Scholarship Accounts supports K-5 public school students who need additional academic support in reading and/or math. The Transportation Stipend to help K-8 students travel to a public school of their choice Public education is rooted in the promise of equal educational opportunity, regardless of income, special needs, or home address. Step Up For Students is a partner of public schools, and these scholarships strengthen public education by offering options to all families so they can choose the learning environment that best meets their children's individual needs. The Opportunity: The Chief People Officer (CPO) plays a critical role in supporting the transformation and growth of Step Up For Students. Reporting directly to the CEO, the CPO will provide strategic leadership across Human Resources, Workforce Planning, Coaching and Culture, and Internal Communications. This role requires a collaborative, forward-thinking leader who can align people strategies with the organization's mission and long-term goals. The CPO will work closely with executive leadership to shape a high-performing, inclusive culture that supports both employee well‑being and organizational success. Responsibilities: Build and operationalize a workforce planning model that aligns headcount, skills, and organizational structure to SUFS' growth strategy. Establish an organization-wide performance and talent review rhythm, including leadership assessment, development planning, and succession visibility. Redesign onboarding and reboarding to accelerate clarity, connection to mission, and understanding of the value chain. Set the Learning and Development strategy and introduce programs that strengthen leadership capability and functional excellence at scale. Elevate employee communications and modernize the intranet experience to improve clarity, transparency, and alignment across a fully remote workforce. Lead and develop HR Operations, Talent Acquisition, L&D, Culture, and Employee Communications teams with clear goals, expectations, and operating standards. Partner with C‑Suite to integrate people strategy into financial planning, systems design, and organizational priorities, including compensation philosophy and job architecture. Advise the CEO and senior leadership team on culture, organizational health, and talent decisions while maintaining high standards for employee relations, compliance, and policy stewardship. Ideal Candidate: Minimum 15 years of leadership experience in talent management, including hiring, onboarding, upskilling, performance tracking, and contractor management. SPHR (Senior Professional in Human Resources) certification required. Proven track record of successfully scaling organizations through periods of rapid growth, with experience leading cultural and operational change. Experience leading through complex, high‑pressure, and challenging organizational scenarios with confidence and effectiveness. Demonstrated strategic leadership capabilities and strong policy development proficiency. Minimum 7 years of experience working within nonprofit organizations, especially those serving diverse socio‑economic populations and individuals with a broad range of abilities. Minimum 7 years of experience in fast‑paced, process‑critical sectors such as large enterprises, banking, payments, or retail is an asset, especially with experience supporting timely and efficient operations. Clear alignment with the mission and values of Step Up For Students. Location: United States Remote, East Coast working hours DRiWaterstone is proud to lead this search on behalf of Step Up For Students. #J-18808-Ljbffr

Description & Requirements Maximus is seeking a detail-oriented and experienced Bilingual Quality Analyst. This role is responsible for conducting quality evaluations of staff performance, supporting calibration sessions, and ensuring alignment with client-defined quality standards. The ideal candidate will demonstrate strong analytical and communication skills, and a commitment to continuous improvement. *Position is contingent upon contract award* This position requires fluency in Spanish and English (both written and spoken). The Bilingual Quality Analyst will review customer interactions in Spanish and complete evaluation scoring and documentation in English. Candidates must be comfortable understanding spoken Spanish and writing detailed feedback in English. This is a fully remote role. Must have the ability to pass a federal background check. Equipment will be provided but must meet the remote position requirement provided below. Remote Position Requirements: - Hardwired internet (ethernet) connection - Internet download speed of 25mbps and 5mbps (10 preferred) upload or higher required (you can test this by going to ****************** - Private work area and adequate power source Essential Duties and Responsibilities: - Conduct internal audits for the quality assurance program to ensure that quality metric requirements of the project are being met. - Collaborate in developing new procedures and update existing procedures when changes occur. - Analyze reports on operational performance and provide solutions to identified issues. - Analyze and develop routine and ad hoc reports on project performance, and research and suggest solutions to identified issues. - Conduct monitoring activities and audits for quality assurance purposes and to support the effective functioning of the project. - Analyze quality program data to identify trends and to develop and implement corrective action plans as appropriate. - Assist with monitoring performance and meeting contractual requirements using system applications. - Assist in the production and update of staff resource materials including knowledge management system, quick reference guide, matrices, charts, and workflows. - Assist with staff training for the purpose of achieving and maintaining quality program goals. - Analyze effectiveness of key initiatives and quality improvement efforts. - Perform other duties as assigned by management. - Conduct internal audits for the quality assurance program to ensure that quality metric requirements of the project are being met. - Collaborate in developing new procedures and update existing procedures when changes occur. - Analyze reports on operational performance and provide solutions to identified issues. - Analyze and develop routine and ad hoc reports on project performance, and research and suggest solutions to identified issues. - Conduct monitoring activities and audits for quality assurance purposes and to support the effective functioning of the project. - Analyze quality program data to identify trends and to develop and implement corrective action plans as appropriate. - Assist with monitoring performance and meeting contractual requirements using system applications. - Assist in the production and update of staff resource materials including knowledge management system, quick reference guide, matrices, charts, and workflows. - Assist with staff training for the purpose of achieving and maintaining quality program goals. - Analyze effectiveness of key initiatives and quality improvement efforts. - Perform other duties as assigned by management. - Participate in calibration sessions to ensure consistency and alignment in quality evaluations across the team. - Utilize AI tools and technologies to support quality assurance activities, data analysis, and reporting. - Assist the center with taking calls as needed to support operations and maintain service levels. Equipment will be provided but must meet the remote position requirement provided below. Remote Position Requirements: - Hardwired internet (ethernet) connection - Internet download speed of 25mbps and 5mbps (10 preferred) upload or higher required (you can test this by going to ****************** - Private work area and adequate power source Minimum Requirements - Bachelor's degree in relevant field of study and 3+ years of relevant professional experience required, or equivalent combination of education and experience. - Bachelor's degree in relevant field of study and 3+ years of relevant professional experience required, or equivalent combination of education and experience. - Monitor agent interactions to ensure adherence to quality standards and provide timely, constructive feedback. - Meet daily, weekly, and monthly monitoring goals by completing required evaluations, delivering timely feedback, and documenting results to support overall quality targets. - Maintain strong organizational skills to effectively track monitors across different lines of business - Collaborate in the development and revision of procedures in response to operational changes. - Analyze operational and quality data to identify trends, gaps, and opportunities for improvement. - Make recommendations based on data analysis to enhance performance and service delivery. - Participate in and contribute to calibration sessions to ensure consistency in quality evaluations. - Assist in training initiatives aimed at improving agent performance and overall quality scores. - Support the creation and maintenance of staff resource materials, including guides, workflows, and reference documents. - Utilize AI tools and technologies to enhance quality assurance processes, reporting, and decision-making. - Take calls as needed to support center operations and maintain service levels. - Participate in pilots and provide feedback from a quality assurance perspective to help inform improvements to quality metrics. - Perform other duties as assigned by management. - Must be bilingual in Spanish and English with strong written and verbal communication skills in both languages. Call monitoring will be in Spanish; evaluations and scoring will be completed in English. 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 $ 55,000.00 Maximum Salary $ 66,000.00

**Become a part of our caring community and help us put health first** The Fraud and Waste Professional 2 is responsible for conducting comprehensive investigations of reported, alleged or suspected fraud involving Florida's Medicaid Program. The Fraud and Waste Professional 2 coordinates investigation with law enforcement authorities. Assembles evidence and documentation to support successful adjudication, where appropriate. Conducts on-site audits of provider records ensuring appropriateness of billing practices. Prepares complex investigative and audit reports. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures. **Use your skills to make an impact** **Required Qualifications** + Bachelor's degree or equivalent work experience + Strong clinical experience to include multiple practice areas + At least 2 years of healthcare fraud investigations and auditing experience + Knowledge of healthcare payment methodologies + Strong organizational, interpersonal, and communication skills + Inquisitive nature with ability to analyze data to metrics + Computer literate (MS, Word, Excel, Access) + Strong personal and professional ethics + Must be passionate about contributing to an organization focused on continuously improving consumer experiences **Preferred Qualifications** + Graduate degree and/or certifications (MBA, J.D., MSN, Clinical Certifications, CPC, CCS, CFE, AHFI). + Understanding of healthcare industry, claims processing and investigative process development. + Experience in a corporate environment and understanding of business operations **Additional Information** **Work at Home Requirements** - At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested - Satellite, cellular and microwave connection can be used only if approved by leadership - Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. - Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job. - Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information **Interview Format** As part of our hiring process for this opportunity, we will be using an exciting interviewing technology called Hire Vue (formerly Modern Hire) to enhance our hiring and decision-making ability. Hire Vue (formerly Modern Hire allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule. If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview. If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes. If participating in a SMS Text interview, you will be asked a series of questions to which you will be using your cell phone or computer to answer the questions provided. Expect this type of interview to last anywhere from 5-10 minutes. Your recorded interview(s) via text and/or pre-recorded voice will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $65,000 - $88,600 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. **Description of Benefits** Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 01-16-2026 **About us** Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ***************************************************************************

Sharecare is the leading digital health company that helps people - no matter where they are in their health journey - unify and manage all their health in one place. Our comprehensive and data-driven virtual health platform is designed to help people, providers, employers, health plans, government organizations, and communities optimize individual and population-wide well-being by driving positive behavior change. Driven by our philosophy that we are all together better, at Sharecare, we are committed to supporting each individual through the lens of their personal health and making high-quality care more accessible and affordable for everyone. To learn more, visit ***************** . **Job Summary:** CareLinx is looking for a Care Advisor to assist with CareLinx's Payer Operations line of business. CareLinx is a healthcare technology platform that connects families with non-medical, in-home caregivers, and Care Advisors provide support and guidance to families during the caregiver search, interview, and hire process. Once a caregiver match is made, the Care Advisor will follow closely to ensure satisfaction and assist if the member's needs change. This support includes searching for viable caregiver candidates, setting up interviews, helping with the completion of the hiring process, and caregiver retention. You will be a liaison, maintaining relationships with caregivers and providing ongoing support to ensure that members have an exceptional experience while working with their caregivers. As a Care Advisor, you are the expert for members and families about all things CareLinx-related. You need to love interacting with people and be committed to providing stellar customer service and empathetic guidance for members during their in-home care journey. You should also be a team player and be willing to learn about CareLinx's health plan partners. If you think there's alignment with the description above, CareLinx may be the place for you. **Location:** This role is remote, except for candidates located in the Mesa, AZ area. Those based near our Mesa office will be required to work on-site five days per week. **Job Type:** Full-Time, Hourly **Essential Job Functions:** + Assume responsibility for guiding members on the caregiver search journey through relationship building and exceptional communication in a call center environment. + Provide ongoing support after the caregiver hire to maintain the relationship with the family and caregiver and ensure overall satisfaction + Document accurate and complete notes of all family and caregiver interactions in CareLinx's EHR system + Work collaboratively and professionally with other team members and teams within CareLinx + Exhibit excellent verbal and written communication skills via phone, email, and text **Specific Skills/ Attributes:** + Effective time management skills and high attention to detail + Excellent verbal and written communication skills + Superior organization and multitasking capabilities + Goal-driven, problem solver + Professional, confident, outgoing demeanor + Experience working with Microsoft Office Suite + Ability to maintain strict confidentiality, and exercise good judgment + Care Advisors are expected to meet performance goals set forth per CareLinx guidelines + Additional job duties may be assigned on an as-needed basis **Qualifications:** + High school diploma or equivalent, required + Military experience is a plus but not required + Some college-level coursework, preferred + At least one year of experience in a productivity based customer service role, or call center environment or a minimum of 2 years experience in a customer service environment. + Previous healthcare experience preferred Sharecare and its subsidiaries are Equal Opportunity Employers and E-Verify users. Qualified applicants will receive consideration for employment without regard to race, color, sex, national origin, sexual orientation, gender identity, religion, age, equal pay, disability, genetic information, protected veteran status, or other status protected under applicable law. Sharecare is an Equal Opportunity Employer and doesn't discriminate on the basis of race, color, sex, national origin, sexual orientation, gender identity, religion, age, disability, genetic information, protected veteran status,or other non-merit factor.

Description & Requirements Maximus is looking for a limited-service Bilingual Health Specialist position to fill. The Health Specialist role will support our CDC INFO program and will provide advanced and accurate clinical inquiry responses to health related, disease control and prevention issues, including questions related to bioterrorism, first responders and national emergency situations from medical and other health care professionals, educators, and government agencies. - Must hold a current, active RN license - Position is remote and temporary through August 31, 2026 - Must be available to work the occasional weekend or holiday depending on business needs - Computer equipment is not provided for this project. See below for equipment requirements - Will work an 8-hour day between Monday - Friday 8:00 AM - 8:00 PM EST - Must pass a bilingual Spanish/English assessment Essential Duties and Responsibilities: - Provides advanced clinical inquiry responses (verbal and written) to health-related inquiries from consumers, educators or medical/health professionals. - Provides medical subject matter expertise. - Performs advanced database searches. - Composes documents, reports, and correspondence. - Documents all incoming inquiries. - Participates in special projects as required. Duties and Responsibilities: - Provide subject matter expertise on CDC topics covered by CDC-INFO which includes, for example, HIV/AIDS, Immunizations, Environmental Health, NIOSH; Tuberculosis and Statistics. - Respond to inquiries resulting from current events, such as food outbreaks, natural disasters and other events. - Perform advanced database searches - Perform assigned work in accordance with quality assurance measures - Respond to medical personnel and clinicians in both verbal and written formats Education and Experience Requirements: - Bachelor's Degree in Nursing and current RN license is required. - The ability to Read, Speak and Write in both English and Spanish is required. - Experience in medical, scientific and public health discipline - Clinical knowledge of and experience in CDC related topics. - Proficient internet search skills. - Working knowledge of Microsoft Office and ability to learn and utilize software applications - Excellent listening, comprehension, communications (verbal and written), problem solving and customer service skills - Ability to work independently and communicate effectively - Must have demonstrated excellent interpersonal and leadership skills and the ability to organize simultaneous tasks Please Note: This position requires a personal computer or laptop (Chromebooks, tablets, and notebooks are not allowed) with one of the following operating systems: Windows: 10 or 11 or Mac: Big Sur (11.0.1+), Catalina (10.15), or Monterey (12.3). Home Office Requirements: - Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to ****************** - Minimum 5mpbs upload speed - Connectivity to the internet via Category 5 or 6 ethernet patch cable to the home router - Personal computer or laptop (Chromebooks, tablets, and notebooks are not allowed) with one of the following operating systems: Windows: 10 or 11 or Mac: Big Sur (11.0.1+), Catalina (10.15), or Monterey (12.3) - Private and secure work area and adequate power source - Must currently and permanently reside in the Continental US Minimum Requirements - High School diploma or equivalent with 2-4 years of experience. - May have additional training or education in area of specialization. - Must be fluent in English and specified secondary language. 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 For positions on this contract, Maximus will pay the prevailing wage rate for the location in which the employee is working, as determined by the Department of Labor. That wage rate will vary depending on locality. An applicant's salary history will not be used in determining compensation. 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 $ 34.85 Maximum Salary $ 68.55

The Pharmacy Data Intelligence Analyst plays a crucial role in analyzing pharmacy data to improve efficiency, reduce costs, and ensure medication safety. This role gathers and analyzes data to identify areas for improvement in pharmacy-related services and operations. The Pharmacy Data Intelligence Analyst will collaborate with pharmacy team and management across various settings to promote new opportunities for the organization and assist with implementing new solutions based on data findings. This role will monitor federal policy developments related to the Inflation Reduction Act and emerging 340B program reforms, assessing potential impacts on eligibility, reimbursement, contract pharmacy models, and manufacturer restrictions. The Pharmacy Data Intelligence Analyst develops data-driven strategies and mitigation plans to help the organization adapt to future 340B shifts, including forecasting financial exposure, modeling operational adjustments, and informing executive-level decision making. This role supports the growth of the Home Infusion Pharmacy service line by developing analytics that monitor referral trends, onboarding throughput, therapy mix, reimbursement performance, and patient outcomes. The Pharmacy Data Intelligence Analyst partners with nursing, pharmacy, and operational leaders to build scalable reporting and forecasting models that guide home infusion capacity planning, financial sustainability, and market expansion opportunities. Job Description: Baptist Health is looking for a Pharmacy Data Intelligence Analyst. This is a remote opportunity for residents of KY or IN. Gather and integrate data from disparate healthcare data sources (e.g., electronic health records, claims data, financial data). Clean, validate, and prepare data for analysis ensuring data accuracy and consistency by correcting errors, handling missing values, and standardizing formats. Perform statistical analysis and modeling to identify trends, patterns, and correlations within healthcare data. Translating and summarizing complex data into clear, concise, and actionable insights for non-technical audiences. Develop and maintain data visualizations (e.g., dashboards, reports) to effectively communicate findings to stakeholders. Compile analyzed data into a structured report tailored for a specific audience. Present data in a visually appealing and easy-to-understand way using charts, graphs, tables, or dashboards. Generate patient data to provide a deep knowledge of patient dynamics in real-world settings and create personalized solutions to improve care. Collaborate to understand data needs and create comprehensive data maps to integrate data from a variety of sources within the EHR. Analyze patient data from various sources (e.g., electronic health records, patient satisfaction surveys, claims data) to identify trends, patterns, and areas for improvement. Conduct root cause analysis to identify factors contributing to poor patient outcomes. Collaborate with clinical services and patient care services to identify patient population and associated disease states and correlate data points for better patient outcomes. Collaborate with physicians, nurses, and other healthcare professionals to understand patient medication needs and challenges. Participate in improvement initiatives and develop data extracts needed to identify weakness and opportunities that will enhance patient satisfaction and outcomes. Assist Director of Pharmacy Outcomes and Data Management to generate insightful reports and presentations to communicate complex data analysis to both technical and non-technical audiences. Incorporate industry benchmarks to illustrate baseline metrics and current state when publishing charts, graphs, pivot tables and other diagrams. Collaborate with pharmacists and healthcare professionals to identify and address data-driven opportunities. Collaborate with pharmacy compliance specialists and pharmacy leadership to investigate identified compliance issues and safety risks. Provide 340B program compliance reports for qualified patients, drugs, providers, vendors, payers, and locations. Publish quality analytics to include weekly or monthly dashboards, productivity, ad-hoc projects, and/or KPI used by directors and managers to improve processes and maintain a pulse of daily operations. Analyze pharmacy financials and utilization data to identify cost-saving opportunities and optimize medication spending. Assist with contract compliance and identification of revenue and savings opportunities. Support Pharmacy and Therapeutics Committee functions by providing financial data to be used in the drug evaluation process. Provide data for accurate pharmacy budgets, forecasting future expenses based on historical data, medication utilization patterns, and anticipated changes in patient population or treatment protocols. This includes analyzing budget variances and providing regular reports to pharmacy leadership to ensure fiscal responsibility. Minimum Experience Required Bachelor's degree in Information Technology, Business Management, Finance, Accounting, or Hospital Administration preferred. Minimum 4 years of Data science or programming experience in lieu of degree. Advanced certifications or AS plus 1 year experience in lieu of degree. Direct experience in data analysis and/or health care planning background is preferred. Excellent Benefits Package 5 days of Paid Time Off available for use upon hire (full-time) PTO Sell Back Program Compassionate Leave Sharing Program (PTO Donation) Company paid Maternity and Paternity Leave Bereavement Leave (includes pets) Employee Support Fund, for employees in need of emergency financial support Retirement plans with company match Company paid Basic Life Insurance & Long-Term Disability Health Insurance, Pharmacy, Dental, Vision and much more! Work Experience Education If you would like to be part of a growing family focused on supporting clinical excellence, teamwork and innovation, we urge you to apply now! Baptist Health is an Equal Employment Opportunity employer.

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

**Become a part of our caring community and help us put health first** The Provider Contracting Professional 2 initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that provides health insurance. Provider Contracting Professional 2 + Actively communicates contract terms, payment structures, reimbursement rates to providers internal and external constituents + Negotiating and maintaining contracts with hospital partners to ensure our network meets regulatory and business requirements. + Managing relationships with key providers to support member access, minimize disruption, and maintain competitive advantage. + Ensuring contract terms are implemented accurately and that our organization is protected from risk, both financially and legally. + Supporting cross-functional teams with timely updates on contracting status, rate changes, and network developments. + Managing these contract relationships with large statewide hospital systems requires the team to work with internal and external constituents on all areas of contracting; network management; adequacy and gaps; provider education; conflict resolution; claim escalation and research; compliance initiatives and grievances; joint operating committees; and all other facets of the business while also working closely with our Humana counterparts on enterprise initiatives. **Use your skills to make an impact** **Required Qualifications** + 2 or more years of experience in negotiating managed care contracts with physician specialty, hospital and/or other provider contracts. + Proficiency in analyzing, understanding and communicating financial impact of contract terms, payment structures and reimbursement rates to providers. + Experience with public speaking and presentation skills **Preferred Qualifications** + Bachelor's degree + Experience with ACO/Risk Contracting + Experience with Value Based Contracting + Excellent written and verbal communication skills + Ability to manage multiple priorities in a fast-paced environment + Proficiency in MS Office applications **Additional Information** + Travel to Provider facing meetings as needed based on business needs + Hours- 8am to 5pm EST As part of our hiring process, we will be using an exciting interviewing technology provided by HireVue, a third-party vendor. This technology provides our team of recruiters and hiring managers an enhanced method for decision-making. If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview. If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes. If participating in a SMS Text interview, you will be asked a series of questions to which you will be using your cell phone or computer to answer the questions provided. Expect this type of interview to last anywhere from 5-10 minutes. Your recorded interview(s) via text and/or pre-recorded voice will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews. **Work at Home Guidance** To ensure Home or Hybrid Home/Office associates' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria: + At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested + Satellite, cellular and microwave connection can be used only if approved by leadership + Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. + Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job. + Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information Internal- If you have additional questions regarding this role posting, please send them to the Ask A Recruiter persona by visiting go/vivaengage and searching Ask A Recruiter! Please be sure to provide the requisition number so we may be able to research your request quicker. \#LI-BB1 Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $65,000 - $88,600 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. **Description of Benefits** Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 01-14-2026 **About us** About CarePlus Health Plans: CarePlus Health Plans is a recognized leader in healthcare delivery that has been offering Medicare Advantage health plans in Florida over 23 years. CarePlus strives to help people with Medicare, or both Medicare and Medicaid, achieve their best possible health and wellness through plans with benefits and services they care about. As a wholly owned subsidiary of Humana, CarePlus currently serves Medicare beneficiaries throughout 21 Florida counties. About Humana: Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers, and our company. Through our Humana insurance services, and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ***************************************************************************

System Clinical Pharmacy Specialists are responsible for target interdisciplinary programs and clinical services and ensure pharmaceutical care programs are appropriately integrated throughout BH system. In these clinical roles, System Clinical Pharmacy Specialists participate in all necessary aspects of the medication-use system while supporting comprehensive and individualized pharmaceutical care in their assigned areas. They also serve as clinical resources and liaisons to other departments, hospital personnel, or external groups. In their role, they may conduct clinical research and practice advancement projects as well as patient care quality and regulatory compliance initiatives designed to improve medication-use processes or pharmacy practice. The System Clinical Pharmacy Specialist - Oncology will serve as subject matter expert for the areas of concentration medical oncology and hematology oncology provided throughout the system. Job Description: Baptist Health is looking for a System Medical Oncology Specialty Pharmacist to join our Pharmacy team! Work from home opportunity. Collaborates with System Director of Clinical Services and other BH leaders to implement, integrate, and maintain evidence-based and regulatory standards of clinical/operational pharmacy services with the overall vision for the organization. Works collaboratively with physicians, pharmacists, and other members of the healthcare team to develop clearly defined guidelines, policies, and procedures that promote evidence-based practice to enhance patient outcomes. Contributes to the initiation and development of clinical, quality, and regulatory metrics for pharmacy related clinical services. Must be willing to travel to sites to review and assess practices and processes, as required. Demonstrates expertise in their area(s) of concentration/specialty. Understand the workflow of front-line professional personnel within their areas of expertise. This would include clinics, inpatient units, and other applicable areas of care pertaining to oncology throughout the health system. Represents the pharmacy department and clinical services as an active committee member or invited attendee on system-wide committees or service lines. This would include, but is not limited to: System Pharmacy and Therapeutic Committee Oncology Service Line Oncology Order Set and Protocol Meeting Research Committee System Residency Advisory Committee May be appointed to serve as a coordinator of the System Residency Advisory Committee. In this role, they would serve as the primary contact for and would assist with the high-level coordination of residency efforts throughout the system. Review oncology protocols for system Collaborative Care Agreements. Complete oncology note reviews and provide feedback to System Pharmacy Credentialing and Privileging Committee. Works collaboratively with clinical staff and physicians to evaluate appropriate medication use at BH. Annually, specialists will be expected to complete medication use evaluations (MUE), continuing education (CE) presentations or in-services (CE preferred), and drug class review. Continued service-line expansions, relevant order set reviews, policy and/or procedure development/modification, and formulary monographs may be required on an as needed basis. Assists in system formulary management to provide safe, effective, and cost-efficient medication use. Serves as a clinical pharmacotherapy specialist for providers, pharmacists, nursing, and other staff on clinically complicated patient cases, investigation of adverse drug events and/or management of drug shortages as needed. Provides verbal and written consultations concerning medication therapy as necessary. Coordinate, facilitate, and promote education, training, competency assessment, and performance improvement of pharmacists, providers, and other healthcare professionals on updates in the applicable area of expertise, as deemed necessary. Provides presentations, publications, and other informative activities relating to area of expertise. Precepts students and residents, as necessary. Responsible for supervising and performing all pharmacy operations in accordance with hospital policies and procedures, ethical and professional practices, accreditation standards, State and Federal requirements and National Patient Safety Goals regarding medication management. Minimum Education and Training Bachelor's degree in pharmacy or Doctorate of Pharmacy required. Kentucky Board of Pharmacy and Indiana Board of Pharmacy license or willing and eligible to achieve within 6 months of hire. Kentucky license must specify that they are a preceptor. Board certified in their area of expertise or able to achieve within 12 months of hire. Must be one of the following qualifications: Board Certified Oncology Pharmacist (BCOP) Must satisfy at least one of the following: Completion of PGY-2 ASHP-accredited Pharmacy Residency in a related area of expertise. Completion of PGY-1 ASHP-accredited Pharmacy Residency and a minimum of 3 years of experience in a related area of expertise AND BPS board certification in that area of expertise as listed above at the time of application. Minimum of 5 years of experience in a related area of expertise AND BPS board certification in that area of expertise as listed above at the time of application. Current Basic Life Support (BLS) and Advanced Cardiovascular Life Support (ACLS) certification required or able to achieve within 12 months of hire. Work Experience Education If you would like to be part of a growing family focused on supporting clinical excellence, teamwork and innovation, we urge you to apply now! Baptist Health is an Equal Employment Opportunity employer.

Join our dynamic and forward-thinking team at IDEXX as a ServiceNow Application Analyst focused on IT Operations Management (ITOM) and Configuration Management Database (CMDB). Our team is currently working on projects to enhance our initial CMDB implementation by focusing on increasing the quality, comprehensiveness, and reliability of our CMDB. We believe the foundation of a resilient IT ecosystem begins with a mature and trusted CMDB, enabling streamlined security operations, proactive service delivery, and opportunities for further automation. In this ServiceNow Application Analyst role, you will be responsible for maintaining, optimizing, and ensuring the ongoing health, accuracy, and reliability of our CMDB. You will partner closely with technical stakeholders, data owners, and process managers across IT, Security, and Service Management to uphold the integrity of our CMDB and drive operational excellence. Your responsibilities will center on vigilant monitoring, proactive problem-solving, and hands-on maintenance, ensuring that the CMDB remains up to date and accurate for our key stakeholders of the platform. If you are passionate about empowering IT operations through a world-class CMDB and thrive in a collaborative, mission-driven environment, we welcome your application and look forward to advancing together. In this role, you will…. Monitor and maintain the ongoing health, accuracy, and completeness of the CMDB, ensuring it meets organizational standards and stakeholder needs. Perform day-to-day operational tasks, including data quality reviews, reconciliation, CI lifecycle management, and exception handling. Identify, diagnose, and resolve issues impacting the CMDB, either independently or in collaboration with ServiceNow developers and other technical teams. Partner with stakeholders across IT, Security, and Service Management to understand their requirements and help translate them into actionable CMDB use cases. Work with data owners and process managers to enforce proper CI ownership, data stewardship, and process adherence. Support ServiceNow discovery, integration, and automation processes to ensure accurate and timely CI data population. Provide guidance and training to stakeholders on CMDB best practices, data consumption, and reporting. Assist with audits, compliance reviews, and reporting related to CMDB data quality and configuration management processes. Document processes, procedures, and knowledge articles to support operational continuity and CMDB maturity. What You Will Need to Succeed… 3-5+ years of hands-on experience supporting and maintaining a ServiceNow CMDB in a large, complex IT environment. Strong understanding of CMDB data models, CI lifecycle, discovery, reconciliation, and data quality management. Experience with day-to-day CMDB operations, including troubleshooting, issue resolution, and stakeholder engagement. Familiarity with ServiceNow ITOM modules (e.g., Discovery, Service Mapping) and integration points. Excellent analytical and problem-solving skills, with keen attention to detail and data accuracy. Ability to communicate technical concepts to both technical and non-technical audiences. Experience partnering with IT, Security, and Service Management teams to deliver business value through CMDB insights and capabilities. Basic scripting or workflow automation skills (JavaScript, Flow Designer, or similar), a plus but not required. Location: 100% remote with the preference of EST or CST. What you can expect from us: Base annual salary target: $90000 to $100000 (yes, we do have flexibility if needed) Opportunity for annual cash bonus Health / Dental / Vision Benefits Day-One 5% matching 401k Additional benefits including but not limited to financial support, pet insurance, mental health resources, volunteer paid days off, employee stock program, foundation donation matching, and much more! Why IDEXX? We're proud of the work we do, because our work matters. An innovation leader in every industry we serve, we follow our Purpose and Guiding Principles to help pet owners worldwide keep their companion animals healthy and happy, to ensure safe drinking water for billions, and to help farmers protect livestock and poultry from diseases. We have customers in over 175 countries and a global workforce of over 10,000 talented people. So, what does that mean for you? We enrich the livelihoods of our employees with a positive and respectful work culture that embraces challenges and encourages learning and discovery. At IDEXX, you will be supported by competitive compensation, incentives, and benefits while enjoying purposeful work that drives improvement. Let's pursue what matters together. IDEXX values a diverse workforce and workplace and strongly encourages women, people of color, LGBTQ+ individuals, people with disabilities, members of ethnic minorities, foreign-born residents, and veterans to apply. IDEXX is an equal opportunity employer. Applicants will not be discriminated against because of race, color, creed, sex, sexual orientation, gender identity or expression, age, religion, national origin, citizenship status, disability, ancestry, marital status, veteran status, medical condition, or any protected category prohibited by local, state, or federal laws. #LI-REMOTE

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 Lexington 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 Lexington 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!

JOIN TEAM TRILOGY Weekly pay, health and dental after your first month, student loan repayment, a competitive 401(k) match, and more! Make a living while you make a difference at Trilogy Health Services - a senior living provider with the continuous goal of being the Best Healthcare Company in The Midwest. POSITION OVERVIEW Job Summary Serves as a key liaison between IT, audit, and business teams to execute SOX 404B testing and operational IT audits. Evaluates IT controls, identifies risks, and supports remediation efforts while ensuring compliance with HIPAA, NIST, and other regulatory standards. Roles and Responsibilities * Acts as the primary liaison between IT, IS, external audit, and business/IT application control owners to ensure effective communication and collaboration. * Executes SOX 404B testing over IT General Controls (ITGC), IT application controls (ITAC), and key cybersecurity controls across financially relevant systems. * Plans and performs walkthroughs, defines populations, selects samples, evaluates configurations/parameters, reperforms automated control logic, and assesses exceptions to support auditor reliance. * Leads and executes non-SOX operational IT audits- plan and perform routine monitoring and testing of critical IT systems * Identifies control deficiencies and risks, recommends mitigation strategies in partnership with control owners, and follows up on remediation. * Prepares clear, concise audit reports and present findings to management, routinely tracks audit projects, resource hours, and progress against plan; analyzes trends and outcomes; and provide reporting to support forecasting and continuous improvement of the audit plan. * Supports the design and implementation of automated solutions for recurring audit and monitoring activities. * Provides advanced data and reporting support to the audit team-assist with extracting system reports, structuring large datasets, and performing complex analyses (e.g., building dynamic pivot tables, reconciling data across sources, and executing comparative reviews) to enable efficient testing and insightful conclusions. * Participates in annual IT risk assessments and consult with stakeholders in development of the IT audit plan. * Assesses compliance with internal IT policies, regulatory requirements and industry standards, including HIPAA, NIST, and state-specific guidance. * Reviews third-party and vendor risk management practices, including evaluating SOC 1 and SOC 2 reports, testing key controls, assessing subservice organizations, and mapping Complementary User Entity Controls (CUECs) to internal processes to ensure comprehensive coverage and compliance. * Audits data privacy and governance practices, including encryption and data lifecycle management. * Evaluates and participates in disaster recovery, business continuity, and incident response plans. * Consults with internal teams on process and control development, quality improvement, and remediation activities. * Monitors industry trends and emerging technologies to proactively identify risks, recommend improvements, and provide guidance and training to team members and control owners on relevant updates and best practices. * Other duties as assigned. Qualifications Education: Bachelor Degree Experience: 3-5 years Licenses and Certifications Certified Information Systems Auditor (CISA) strongly preferred. Physical Requirements Sitting, standing, bending, reaching, stretching, stooping, walking, and moving intermittently during working hours. Must be able to lift at least 50lbs. Must be able to maintain verbal and written communication with co-workers, supervisors, residents, family members, visitors, vendors, and all business associates outside of the health campus. LOCATION US-KY-Louisville Trilogy Health Services 303 N. Hurstbourne Parkway Louisville KY BENEFITS * Competitive salaries and weekly pay * 401(k) Company Match * Mental Health Support Program * Student Loan Repayment and Tuition Reimbursement * Health, vision, dental & life insurance kick in on the first of the month after your start date * First time homebuyers' program * HSA/FSA * And so much more! TEXT A RECRUITER Lauren ************** LIFE AT TRILOGY Whether you're looking for a new chapter, a change of pace, or a helping hand, Trilogy is committed to being the best place that you've ever belonged. Flexibility is what you want, and flexibility is what you'll get. Come into the office because you want to - not because you have to. At Trilogy, we're proud to embrace a hybrid work environment that allows you both the convenience of working from home and the flexibility of meeting with your co-workers in person. With collaborative workspaces, rotating cubicles, and meditation areas, our freshly renovated Home Office will accommodate the working style that works best for you. Six months of training, orientation, and fun! We believe in setting our employees up for success. That's why your first six months are referred to as your "blue-badge" period - a time where you are encouraged to ask questions, ask for help when needed, and familiarize yourself with the company culture. Even when your blue badge period ends, you can rest assured that the Trilogy team will always have your back. ABOUT TRILOGY HEALTH SERVICES As one of Fortune's Best Places to Work in Aging Services, a certified Great Place to Work, and one of Glassdoor's Top 100 Best Companies to Work, Trilogy is proud to be an equal opportunity employer committed to helping you reach your full potential and to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy or any other protected characteristic as outlined by federal, state or local laws. FOR THIS TYPE OF EMPLOYMENT STATE LAW REQUIRES A CRIMINAL RECORD CHECK AS A CONDITION OF EMPLOYMENT. Job Summary Serves as a key liaison between IT, audit, and business teams to execute SOX 404B testing and operational IT audits. Evaluates IT controls, identifies risks, and supports remediation efforts while ensuring compliance with HIPAA, NIST, and other regulatory standards. Roles and Responsibilities * Acts as the primary liaison between IT, IS, external audit, and business/IT application control owners to ensure effective communication and collaboration. * Executes SOX 404B testing over IT General Controls (ITGC), IT application controls (ITAC), and key cybersecurity controls across financially relevant systems. * Plans and performs walkthroughs, defines populations, selects samples, evaluates configurations/parameters, reperforms automated control logic, and assesses exceptions to support auditor reliance. * Leads and executes non-SOX operational IT audits- plan and perform routine monitoring and testing of critical IT systems * Identifies control deficiencies and risks, recommends mitigation strategies in partnership with control owners, and follows up on remediation. * Prepares clear, concise audit reports and present findings to management, routinely tracks audit projects, resource hours, and progress against plan; analyzes trends and outcomes; and provide reporting to support forecasting and continuous improvement of the audit plan. * Supports the design and implementation of automated solutions for recurring audit and monitoring activities. * Provides advanced data and reporting support to the audit team-assist with extracting system reports, structuring large datasets, and performing complex analyses (e.g., building dynamic pivot tables, reconciling data across sources, and executing comparative reviews) to enable efficient testing and insightful conclusions. * Participates in annual IT risk assessments and consult with stakeholders in development of the IT audit plan. * Assesses compliance with internal IT policies, regulatory requirements and industry standards, including HIPAA, NIST, and state-specific guidance. * Reviews third-party and vendor risk management practices, including evaluating SOC 1 and SOC 2 reports, testing key controls, assessing subservice organizations, and mapping Complementary User Entity Controls (CUECs) to internal processes to ensure comprehensive coverage and compliance. * Audits data privacy and governance practices, including encryption and data lifecycle management. * Evaluates and participates in disaster recovery, business continuity, and incident response plans. * Consults with internal teams on process and control development, quality improvement, and remediation activities. * Monitors industry trends and emerging technologies to proactively identify risks, recommend improvements, and provide guidance and training to team members and control owners on relevant updates and best practices. * Other duties as assigned. Qualifications Education: Bachelor Degree Experience: 3-5 years Licenses and Certifications Certified Information Systems Auditor (CISA) strongly preferred. Physical Requirements Sitting, standing, bending, reaching, stretching, stooping, walking, and moving intermittently during working hours. Must be able to lift at least 50lbs. Must be able to maintain verbal and written communication with co-workers, supervisors, residents, family members, visitors, vendors, and all business associates outside of the health campus. Weekly pay, health and dental after your first month, student loan repayment, a competitive 401(k) match, and more! Make a living while you make a difference at Trilogy Health Services - a senior living provider with the continuous goal of being the Best Healthcare Company in The Midwest.

JOIN TEAM TRILOGY Weekly pay, health and dental after your first month, student loan repayment, a competitive 401(k) match, and more! Make a living while you make a difference at Trilogy Health Services - a senior living provider with the continuous goal of being the Best Healthcare Company in The Midwest. POSITION OVERVIEW Job Summary The Accounts Receivable Specialist is responsible for accurate and timely billing, payment posting, and follow-up on accounts receivable for Skilled Nursing Facilities (SNF), Senior Housing communities, and other ancillary services. This role ensures claims and statements are processed in compliance with Medicare, Medicaid, Managed Care, and Private Pay requirements. The Specialist works closely with the Revenue Cycle Manager, facility teams, and payers to support optimal cash flow and minimize outstanding balances. Roles and Responsibilities * Manages accounts receivable functions across multiple facilities and collaborates with on-site and centralized teams to resolve discrepancies, standardize procedures, and support financial reporting for all facilities. * Serves as a financial contact for operational leadership, ensuring consistent billing accuracy, payer compliance, and timely cash collection across all assigned facilities. * Performs and oversees billing and collection functions for all payer types within the assigned division, ensuring monthly billing deadlines, collection goals, and compliance standards are met while minimizing bad debt by preparing, reviewing, and submitting accurate claims for SNF and senior housing services to Medicare, Medicaid, Managed Care, and Private Pay payers. * Verifies accuracy of census and charge data prior to billing submission. * Corrects and resubmits rejected or denied claims in a timely manner. * Maintains knowledge of current payer requirements, billing rules, and authorization processes. * Monitors and follows up on unpaid or underpaid claims to ensure timely collections. * Contacts payers, residents, or responsible parties to resolve payment issues and discrepancies. * Documents all collection activity and maintain detailed records in billing systems. * Reconciles payments and adjustments to ensure accurate A/R balances. * Ensures adjustments, write-offs, and refunds are posted to the appropriate accounts. * Ensures deposits and cash postings reconcile with bank and general ledger accounts. * Identifies and resolves payment posting discrepancies. * Assists with month-end close activities, including A/R reconciliations and reporting. * Provides status updates on outstanding accounts and collection activity to management. * Supports preparation of aging reports and denial trend analyses. * Maintains compliance with HIPAA and company confidentiality policies. * Follows all payer and regulatory guidelines to ensure clean claims and accurate reimbursement. * Supports audit requests and provide documentation as needed. * Other duties as assigned. Qualifications Education: High School / GED Experience: 5-8 years Licenses and Certifications Associates degree preferred Working knowledge of Medicare, Medicaid, Managed Care, and Private Pay billing processes and associated reimbursement methodologies.. Proficiency with electronic billing systems and EHR platforms (e.g., PointClickCare, MatrixCare, or similar). Strong attention to detail, organization, and accuracy. Physical Requirements Sitting, standing, bending, reaching, stretching, stooping, walking, and moving intermittently during working hours. Must be able to lift at least 50lbs. Must be able to maintain verbal and written communication with co-workers, supervisors, residents, family members, visitors, vendors, and all business associates outside of the health campus. LOCATION US-KY-Louisville Trilogy Health Services 303 N. Hurstbourne Parkway Louisville KY BENEFITS * Competitive salaries and weekly pay * 401(k) Company Match * Mental Health Support Program * Student Loan Repayment and Tuition Reimbursement * Health, vision, dental & life insurance kick in on the first of the month after your start date * First time homebuyers' program * HSA/FSA * And so much more! LIFE AT TRILOGY Whether you're looking for a new chapter, a change of pace, or a helping hand, Trilogy is committed to being the best place that you've ever belonged. Flexibility is what you want, and flexibility is what you'll get. Come into the office because you want to - not because you have to. At Trilogy, we're proud to embrace a hybrid work environment that allows you both the convenience of working from home and the flexibility of meeting with your co-workers in person. With collaborative workspaces, rotating cubicles, and meditation areas, our freshly renovated Home Office will accommodate the working style that works best for you. Six months of training, orientation, and fun! We believe in setting our employees up for success. That's why your first six months are referred to as your "blue-badge" period - a time where you are encouraged to ask questions, ask for help when needed, and familiarize yourself with the company culture. Even when your blue badge period ends, you can rest assured that the Trilogy team will always have your back. ABOUT TRILOGY HEALTH SERVICES As one of Fortune's Best Places to Work in Aging Services, a certified Great Place to Work, and one of Glassdoor's Top 100 Best Companies to Work, Trilogy is proud to be an equal opportunity employer committed to helping you reach your full potential and to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy or any other protected characteristic as outlined by federal, state or local laws. FOR THIS TYPE OF EMPLOYMENT STATE LAW REQUIRES A CRIMINAL RECORD CHECK AS A CONDITION OF EMPLOYMENT. Job Summary The Accounts Receivable Specialist is responsible for accurate and timely billing, payment posting, and follow-up on accounts receivable for Skilled Nursing Facilities (SNF), Senior Housing communities, and other ancillary services. This role ensures claims and statements are processed in compliance with Medicare, Medicaid, Managed Care, and Private Pay requirements. The Specialist works closely with the Revenue Cycle Manager, facility teams, and payers to support optimal cash flow and minimize outstanding balances. Roles and Responsibilities * Manages accounts receivable functions across multiple facilities and collaborates with on-site and centralized teams to resolve discrepancies, standardize procedures, and support financial reporting for all facilities. * Serves as a financial contact for operational leadership, ensuring consistent billing accuracy, payer compliance, and timely cash collection across all assigned facilities. * Performs and oversees billing and collection functions for all payer types within the assigned division, ensuring monthly billing deadlines, collection goals, and compliance standards are met while minimizing bad debt by preparing, reviewing, and submitting accurate claims for SNF and senior housing services to Medicare, Medicaid, Managed Care, and Private Pay payers. * Verifies accuracy of census and charge data prior to billing submission. * Corrects and resubmits rejected or denied claims in a timely manner. * Maintains knowledge of current payer requirements, billing rules, and authorization processes. * Monitors and follows up on unpaid or underpaid claims to ensure timely collections. * Contacts payers, residents, or responsible parties to resolve payment issues and discrepancies. * Documents all collection activity and maintain detailed records in billing systems. * Reconciles payments and adjustments to ensure accurate A/R balances. * Ensures adjustments, write-offs, and refunds are posted to the appropriate accounts. * Ensures deposits and cash postings reconcile with bank and general ledger accounts. * Identifies and resolves payment posting discrepancies. * Assists with month-end close activities, including A/R reconciliations and reporting. * Provides status updates on outstanding accounts and collection activity to management. * Supports preparation of aging reports and denial trend analyses. * Maintains compliance with HIPAA and company confidentiality policies. * Follows all payer and regulatory guidelines to ensure clean claims and accurate reimbursement. * Supports audit requests and provide documentation as needed. * Other duties as assigned. Qualifications Education: High School / GED Experience: 5-8 years Licenses and Certifications Associates degree preferred Working knowledge of Medicare, Medicaid, Managed Care, and Private Pay billing processes and associated reimbursement methodologies.. Proficiency with electronic billing systems and EHR platforms (e.g., PointClickCare, MatrixCare, or similar). Strong attention to detail, organization, and accuracy. Physical Requirements Sitting, standing, bending, reaching, stretching, stooping, walking, and moving intermittently during working hours. Must be able to lift at least 50lbs. Must be able to maintain verbal and written communication with co-workers, supervisors, residents, family members, visitors, vendors, and all business associates outside of the health campus. Weekly pay, health and dental after your first month, student loan repayment, a competitive 401(k) match, and more! Make a living while you make a difference at Trilogy Health Services - a senior living provider with the continuous goal of being the Best Healthcare Company in The Midwest.

Radiology Partners is seeking an Interventional Radiologist for its practice in Bowling Green, KY. Details for this position include: * Full-time Partnership Track option: Monday - Friday 7:30 a.m. - 5:00 p.m.; 210 shifts total annually with 10 remote Dx weekends; Dx Call - approximately 1 overnight call shift every 3 weeks (only going in for emergencies) * Part-time Partner and Associate Physician options also available * Experience with PICC lines, paracentesis, thoracentesis, core biopsies, fine needle aspirations, thyroid biopsies, lumbar puncture, myelograms, arthrograms, abscess drainage, nephrostomy and biliary tube placement, and fluoroscopy procedures * A plus if experienced with kyphoplasty, vertebroplasty, and pain management procedures such as epidural steroid injections * 8-10 patient facing cases in a normal day * Subspecialty help available with dedicated readers for MSK, Neuro, & Peds cases with complexity beyond general skillsets Full-time median partner compensation. All opportunities come with incentive bonus options. Full-time employees are also eligible for a generous commencement bonus and a comprehensive benefits package. This includes immediate vesting in a 401(k) profit-sharing plan, substantial time off, as well as health, life, disability, and malpractice insurance coverage. Additionally, we offer an internal moonlighting program with exceptional flexibility, enabling radiologists to work remotely from home as much or as little as they choose. LOCAL PRACTICE AND COMMUNITY OVERVIEW Radiology Partners covers 13 hospitals and 17 imaging centers across Middle Tennessee and Southern Kentucky. Our collaborative approach ensures outstanding patient care through shared resources and staffing, while also providing incoming provider candidates the flexibility to customize their roles to match their personal goals and preferences. Joining this team means becoming part of a well-supported, physician-led, and highly collegial group! Located 60 miles north of Nashville and 110 miles south of Louisville, Bowling Green is the third-most populous city in the state of Kentucky after Louisville and Lexington. One of the most interesting and vibrant cities in the Bluegrass State of Kentucky, Bowling Green has a lot to offer its residents. From an urban nature reserve in the center of the city to the historic downtown square, the city offers a medley of exploration activities. Sports fans in Bowling Green can follow the Western Kentucky University Hilltopper teams or are also just a short drive away from Nashville where they can catch a pro game. Families also love the affordability of Bowling Green with a great variety of lodging and dining options to satisfy a budget-friendly getaway or a special occasion splurge. TriStar Greenview Regional Hospital is a 211-bed facility serving Southern Kentucky and surrounding areas. Recognized by the Joint Commission as a Top Performer on Key Quality Measures, TriStar Greenview is a national leader in providing quality healthcare. TriStar Greenview offers emergency care, cardiology, orthopedics, neurology, and surgical services. Home of Kentucky's first CardioMEMS HF System, TriStar Greenview provides state-of-the-art cardiac care to patients managing heart failure. The facility is also an Accredited Chest Pain Center and a Certified Primary Stroke Center. DESIRED PROFESSIONAL SKILLS AND EXPERIENCE * Fellows and Residents welcome to apply * Candidates must be a Doctor of Medicine or Osteopathy, and residency trained in the practice of Diagnostic Radiology * Completion of a post-residency fellowship or integrated residency training in vascular interventional radiology * Board certified/eligible by the American Board of Radiology or the American Osteopathic Board of Radiology * Licensed in or have the ability to be licensed in the state of TN and KY COMPENSATION: The salary range for this position is $600,00-$900,000. Final determinations may vary based on several factors including but not limited to education, work experience, certifications, geographic location etc. This role is also eligible for an annual discretionary bonus. In addition to this range, Radiology Partners offers competitive total rewards packages, which include health & wellness coverage options, 401k benefits, and a broad range of other benefits such as family planning and telehealth (all benefits are subject to eligibility requirements). FOR MORE INFORMATION OR TO APPLY: For inquiries about this position, please contact Adam Meyer at ************************** or ************ RADIOLOGY PARTNERS OVERVIEW Radiology Partners, through its affiliated practices, is a leading radiology practice in the U.S., serving hospitals and other healthcare facilities across the nation. As a physician-led and physician-owned practice, we advance our bold mission by innovating across clinical value, technology, service and economics, while elevating the role of radiology and radiologists in healthcare. Using a proven healthcare services model, Radiology Partners provides consistent, high-quality care to patients, while delivering enhanced value to the hospitals, clinics, imaging centers and referring physicians we serve. Radiology Partners is an equal opportunity employer. RP is committed to being an inclusive, safe and welcoming environment where everyone has equal access and equitable resources to reach their full potential. We are united by our Mission to Transform Radiology and in turn have an important impact on the patients we serve and the healthcare system overall. We hold that diversity is a key source of strength from which we will build a practice culture that is inclusive for all. Our goal is to empower and engage the voice of every teammate to promote awareness, compassion and a healthy respect for differences. Radiology Partners participates in E-verify. Beware of Fraudulent Messages: Radiology Partners will never request payment, banking, financial or personal information such as a driver's license in exchange for interviews or as part of the hiring process. Additionally, we will not send checks for deposit into your bank account at any stage of recruitment. All communication during the interview and hiring process should come from an email address ending in "@radpartners.com." If you suspect you are receiving a fraudulent job offer or solicitation from Radiology Partners or one of our local practices, please notify our Recruiting Team at **************************.

JOIN TEAM TRILOGY Weekly pay, health and dental after your first month, student loan repayment, a competitive 401(k) match, and more! Make a living while you make a difference at Trilogy Health Services - a senior living provider with the continuous goal of being the Best Healthcare Company in The Midwest. POSITION OVERVIEW Job Summary Manages and maintains clinical quality documentation for healthcare organizations. Ensures compliance with regulatory requirements and standards by developing and implementing documentation processes and procedures. Reviews and analyzes documentation for accuracy, completeness, and adherence to guidelines. Collaborates with cross-functional teams to identify areas for improvement and implement corrective actions. Provides training and support to staff on documentation practices and quality improvement initiatives. Monitors and reports on key performance indicators related to clinical documentation and quality outcomes. Roles and Responsibilities * Conceptualizes the development of all clinical excellence enterprises. * Participates and identifies strategies for improving professional development activities, clinical system practices, and effective system use by users for quality improvement. * Provides clinical content expertise and knowledge of care provider systems to create solutions that will impact quality across the care continuum. * Creates and assists in the development of accurate documentation in MatrixCare. * Troubleshoots and assists in creating an action plan for quality improvement. * Establishes the strategic direction to incorporate division based multi-disciplinary teams that are focused on reducing variations and improving clinical performance. * Assists in readiness of the state surveys. * Utilizes trends, quality data and analysis to identify and design a plan to implement performance improvement initiatives in quality and safety indicators. * Provides education related to quality measures, processes, and procedures. * Designs and conducts analysis that quantifies the impact of policy and/or market changes. * Directs automated reporting to provide timely information, allowing decisions to be made in a real-time environment. * Reviews medical record documentation for newly admitted residents to ensure all documentation is in place to support the primary medical diagnosis. * Uses critical thinking skills to know when to request and communicate on missing documentation essential to supporting the resident's SNF stay. * Reviews all infection, fall and wound events and tracks, analyzes trends, and advises management on areas of improvement. * Develops tools to optimize the efficiency of clinical quality and reporting clinical quality, strategies, and analytical needs. * Directs and provides leadership of the clinical data systems. * Ensures that systems are kept up to date; eliminating reporting that is no longer relevant. * Collaborates with department heads, divisional support, and campus personnel to achieve goals and objectives. * Completes external audit requests and uploads them timely. * Other duties as assigned. Qualifications Education: High School / GED Experience: 1-3 years Licenses and Certifications None Required Physical Requirements Sitting, standing, bending, reaching, stretching, stooping, walking, and moving intermittently during working hours. Must be able to lift at least 50lbs. Must be able to maintain verbal and written communication with co-workers, supervisors, residents, family members, visitors, vendors, and all business associates outside of the health campus. LOCATION US-KY-Louisville Trilogy Health Services 303 N. Hurstbourne Parkway Louisville KY BENEFITS * Competitive salaries and weekly pay * 401(k) Company Match * Mental Health Support Program * Student Loan Repayment and Tuition Reimbursement * Health, vision, dental & life insurance kick in on the first of the month after your start date * First time homebuyers' program * HSA/FSA * And so much more! LIFE AT TRILOGY Whether you're looking for a new chapter, a change of pace, or a helping hand, Trilogy is committed to being the best place that you've ever belonged. Flexibility is what you want, and flexibility is what you'll get. Come into the office because you want to - not because you have to. At Trilogy, we're proud to embrace a hybrid work environment that allows you both the convenience of working from home and the flexibility of meeting with your co-workers in person. With collaborative workspaces, rotating cubicles, and meditation areas, our freshly renovated Home Office will accommodate the working style that works best for you. Six months of training, orientation and fun! We believe in setting our employees up for success. That's why your first six months are referred to as your "blue-badge" period - a time where you are encouraged to ask questions, ask for help when needed, and familiarize yourself with the company culture. Even when your blue badge period ends, you can rest assured that the Trilogy team will always have your back. ABOUT TRILOGY HEALTH SERVICES As one of Fortune's Best Places to Work in Aging Services, a certified Great Place to Work, and one of Glassdoor's Top 100 Best Companies to Work, Trilogy is proud to be an equal opportunity employer committed to helping you reach your full potential and to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws. FOR THIS TYPE OF EMPLOYMENT STATE LAW REQUIRES A CRIMINAL RECORD CHECK AS A CONDITION OF EMPLOYMENT. Job Summary Manages and maintains clinical quality documentation for healthcare organizations. Ensures compliance with regulatory requirements and standards by developing and implementing documentation processes and procedures. Reviews and analyzes documentation for accuracy, completeness, and adherence to guidelines. Collaborates with cross-functional teams to identify areas for improvement and implement corrective actions. Provides training and support to staff on documentation practices and quality improvement initiatives. Monitors and reports on key performance indicators related to clinical documentation and quality outcomes. Roles and Responsibilities * Conceptualizes the development of all clinical excellence enterprises. * Participates and identifies strategies for improving professional development activities, clinical system practices, and effective system use by users for quality improvement. * Provides clinical content expertise and knowledge of care provider systems to create solutions that will impact quality across the care continuum. * Creates and assists in the development of accurate documentation in MatrixCare. * Troubleshoots and assists in creating an action plan for quality improvement. * Establishes the strategic direction to incorporate division based multi-disciplinary teams that are focused on reducing variations and improving clinical performance. * Assists in readiness of the state surveys. * Utilizes trends, quality data and analysis to identify and design a plan to implement performance improvement initiatives in quality and safety indicators. * Provides education related to quality measures, processes, and procedures. * Designs and conducts analysis that quantifies the impact of policy and/or market changes. * Directs automated reporting to provide timely information, allowing decisions to be made in a real-time environment. * Reviews medical record documentation for newly admitted residents to ensure all documentation is in place to support the primary medical diagnosis. * Uses critical thinking skills to know when to request and communicate on missing documentation essential to supporting the resident's SNF stay. * Reviews all infection, fall and wound events and tracks, analyzes trends, and advises management on areas of improvement. * Develops tools to optimize the efficiency of clinical quality and reporting clinical quality, strategies, and analytical needs. * Directs and provides leadership of the clinical data systems. * Ensures that systems are kept up to date; eliminating reporting that is no longer relevant. * Collaborates with department heads, divisional support, and campus personnel to achieve goals and objectives. * Completes external audit requests and uploads them timely. * Other duties as assigned. Qualifications Education: High School / GED Experience: 1-3 years Licenses and Certifications None Required Physical Requirements Sitting, standing, bending, reaching, stretching, stooping, walking, and moving intermittently during working hours. Must be able to lift at least 50lbs. Must be able to maintain verbal and written communication with co-workers, supervisors, residents, family members, visitors, vendors, and all business associates outside of the health campus. Weekly pay, health and dental after your first month, student loan repayment, a competitive 401(k) match, and more! Make a living while you make a difference at Trilogy Health Services - a senior living provider with the continuous goal of being the Best Healthcare Company in The Midwest.

JOIN TEAM TRILOGY Weekly pay, health and dental after your first month, student loan repayment, a competitive 401(k) match, and more! Make a living while you make a difference at Trilogy Health Services - a senior living provider with the continuous goal of being the Best Healthcare Company in The Midwest. POSITION OVERVIEW Job Summary The Director of Reimbursement is responsible for overseeing Medicare and Medicaid reimbursement for a multi-state skilled nursing facility (SNF) organization, with a focus on cost report preparation, submission, and audit defense. This role ensures compliance with federal and state-specific regulations in Indiana, Ohio, Michigan, and Wisconsin, and supports financial strategies to optimize reimbursement and maintain regulatory compliance. Roles and Responsibilities * Manages the Reimbursement Team to prepare and submit accurate Medicare and Medicaid cost reports for SNFs in Indiana, Ohio, Michigan, and Wisconsin. * Ensures compliance with CMS Form 2540-10 and each state's Medicaid cost reporting requirements. * Possesses working knowledge of CMS 15-1 and state-specific Medicaid reimbursement manuals. * Leads audit responses and manages appeals with state agencies and CMS intermediaries. * Analyzes cost report data to identify trends, risks, and reimbursement opportunities. * Collaborates with facility administrators, clinical teams, and finance staff to ensure accurate data collection and reporting. * Monitors regulatory changes and communicates financial implications to leadership. * Maintains documentation and internal controls to support audit readiness. * Provides training and guidance to internal team on reimbursement and cost reporting. * Other duties as assigned. Qualifications Education: Bachelor Degree Experience: 5-8 years Licenses and Certifications CPA certification preferred 2 years of Management Experience required Physical Requirements Sitting, standing, bending, reaching, stretching, stooping, walking, and moving intermittently during working hours. Must be able to lift at least 50lbs. Must be able to maintain verbal and written communication with co-workers, supervisors, residents, family members, visitors, vendors, and all business associates outside of the health campus. LOCATION US-KY-Louisville Trilogy Health Services 303 N. Hurstbourne Parkway Louisville KY BENEFITS * Competitive salaries and weekly pay * 401(k) Company Match * Mental Health Support Program * Student Loan Repayment and Tuition Reimbursement * Health, vision, dental & life insurance kick in on the first of the month after your start date * First time homebuyers' program * HSA/FSA * And so much more! LIFE AT TRILOGY Whether you're looking for a new chapter, a change of pace, or a helping hand, Trilogy is committed to being the best place that you've ever belonged. Flexibility is what you want, and flexibility is what you'll get. Come into the office because you want to - not because you have to. At Trilogy, we're proud to embrace a hybrid work environment that allows you both the convenience of working from home and the flexibility of meeting with your co-workers in person. With collaborative workspaces, rotating cubicles, and meditation areas, our freshly renovated Home Office will accommodate the working style that works best for you. Six months of training, orientation, and fun! We believe in setting our employees up for success. That's why your first six months are referred to as your "blue-badge" period - a time where you are encouraged to ask questions, ask for help when needed, and familiarize yourself with the company culture. Even when your blue badge period ends, you can rest assured that the Trilogy team will always have your back. ABOUT TRILOGY HEALTH SERVICES As one of Fortune's Best Places to Work in Aging Services, a certified Great Place to Work, and one of Glassdoor's Top 100 Best Companies to Work, Trilogy is proud to be an equal opportunity employer committed to helping you reach your full potential and to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy or any other protected characteristic as outlined by federal, state or local laws. FOR THIS TYPE OF EMPLOYMENT STATE LAW REQUIRES A CRIMINAL RECORD CHECK AS A CONDITION OF EMPLOYMENT. Job Summary The Director of Reimbursement is responsible for overseeing Medicare and Medicaid reimbursement for a multi-state skilled nursing facility (SNF) organization, with a focus on cost report preparation, submission, and audit defense. This role ensures compliance with federal and state-specific regulations in Indiana, Ohio, Michigan, and Wisconsin, and supports financial strategies to optimize reimbursement and maintain regulatory compliance. Roles and Responsibilities * Manages the Reimbursement Team to prepare and submit accurate Medicare and Medicaid cost reports for SNFs in Indiana, Ohio, Michigan, and Wisconsin. * Ensures compliance with CMS Form 2540-10 and each state's Medicaid cost reporting requirements. * Possesses working knowledge of CMS 15-1 and state-specific Medicaid reimbursement manuals. * Leads audit responses and manages appeals with state agencies and CMS intermediaries. * Analyzes cost report data to identify trends, risks, and reimbursement opportunities. * Collaborates with facility administrators, clinical teams, and finance staff to ensure accurate data collection and reporting. * Monitors regulatory changes and communicates financial implications to leadership. * Maintains documentation and internal controls to support audit readiness. * Provides training and guidance to internal team on reimbursement and cost reporting. * Other duties as assigned. Qualifications Education: Bachelor Degree Experience: 5-8 years Licenses and Certifications CPA certification preferred 2 years of Management Experience required Physical Requirements Sitting, standing, bending, reaching, stretching, stooping, walking, and moving intermittently during working hours. Must be able to lift at least 50lbs. Must be able to maintain verbal and written communication with co-workers, supervisors, residents, family members, visitors, vendors, and all business associates outside of the health campus. Weekly pay, health and dental after your first month, student loan repayment, a competitive 401(k) match, and more! Make a living while you make a difference at Trilogy Health Services - a senior living provider with the continuous goal of being the Best Healthcare Company in The Midwest.

The Associate Consultant will be a part of the Command Center team at GEHC. This role will be responsible for helping with product configuration, training and activation of software and consulting services at hospital sites. Accountable for the quality of own work. Subject to direct operations supervision/prescribed work instructions/systems checking. Executes within a well-defined operations framework. There is generally a step by step sequence of standard operational tasks which need to be followed to achieve an end result. This is a remote position open across the continental US. The role will require weekly travel to customer sites Monday-Thursday. **Job Description** **Roles and Responsibilities** + Client facing individual responsible for the delivery of consultancy services at a client site(s). + Developing conceptual knowledge of professional discipline. May include support roles with specialized expertise or technical knowledge in broad area. + Applies general knowledge of business developed through education or past experience. Understands how work of own team contributes to the area. + Resolves issues using established procedures. Consults supervisor or more senior team members for issues outside of defined instructions/parameters. + Collaborates with others to solve issues. For customer facing roles, develops strong customer relationships and serves as the interface between customer and GE. Exchanges technical information, asks questions and checks for understanding. **Required Qualifications** + Bachelor's Degree related to Health Sciences + Proficiency in Microsoft Office Suite especially Excel and Power Point + Excellent communication skills, teamwork + Strong interpersonal and teamwork skills + Strong written and oral communication skills + Demonstrated business acumen and analytical skills + Dependable: able to work independently and consistently meet or exceed performance expectations. + Adaptable: able to adjust work and communication style based on situational needs. + Demonstrate an aptitude for critical thinking to included evaluation of ideas and synthesizing information into insights + The ability to travel 80% (Monday-Thursday weekly) **Desired Characteristics** + Strong oral and written communication skills. Ability to document, plan, market, and execute programs. + Working knowledge/experience in SQL We will not sponsor individuals for employment visas, now or in the future, for this job opening. For U.S. based positions only, the pay range for this position is $72,000.00-$108,000.00 Annual. It is not typical for an individual to be hired at or near the top of the pay range and compensation decisions are dependent on the facts and circumstances of each case. The specific compensation offered to a candidate may be influenced by a variety of factors including skills, qualifications, experience and location. In addition, this position may also be eligible to earn performance based incentive compensation, which may include cash bonus(es) and/or long term incentives (LTI). GE HealthCare offers a competitive benefits package, including not but limited to medical, dental, vision, paid time off, a 401(k) plan with employee and company contribution opportunities, life, disability, and accident insurance, and tuition reimbursement. **Additional Information** GE HealthCare offers a great work environment, professional development, challenging careers, and competitive compensation. GE HealthCare is an Equal Opportunity Employer (****************************************************************************************** . Employment decisions are made without regard to race, color, religion, national or ethnic origin, sex, sexual orientation, gender identity or expression, age, disability, protected veteran status or other characteristics protected by law. GE HealthCare will only employ those who are legally authorized to work in the United States for this opening. Any offer of employment is conditioned upon the successful completion of a drug screen (as applicable). While GE HealthCare does not currently require U.S. employees to be vaccinated against COVID-19, some GE HealthCare customers have vaccination mandates that may apply to certain GE HealthCare employees. **Relocation Assistance Provided:** No

SYNERGY HEALTHCARE: Nurse Case Manager/Advocate - LOUISVILLE, KY (Remote) Job Summary: We are seeking an experienced Case Manager to join our growing team and serve as a Nurse Advocate for our new client and their employees. The ideal candidate will be located in the greater Louisville area, have a thorough understanding of the healthcare system, and will be responsible for providing guidance and support to members in navigating the complex healthcare landscape. As the dedicated Nurse Advocate, you will be responsible for resolving a myriad of issues for their members and allow you the flexibility to “think outside the box”. With your clinical experience and background, you will help members better understand their health status, and will play a pivotal role in promoting patient wellness, managing chronic conditions, and enhancing overall health outcomes through personalized coaching and education. This position requires a blend of clinical expertise, strong communication skills, and a passion for helping others achieve their health goals. While this specific client has a a couple primary offices in KY, this opportunity allows for remote work so can be flexible on location. Minimal travel within the State for periodic client visits may be required. Most if not all work will be done virtually out of the convenience of your own home office. The key to your success will rely on your ability to cultivate trusted relationships with stakeholders, members, and their families. Our growing Synergy team is passionate about delivering an exceptional healthcare experience that is personal, data driven, and value based to help every person live their healthiest life. Key Responsibilities: Serve as the primary point of contact for members seeking assistance with navigating the healthcare system. Work with members to identify their healthcare needs and provide clinical support. Liaison with TPAs and insurance companies to resolve claim and billing issues. Educate members on healthier lifestyle, member benefits and how to effectively utilize them. Advocate for members so they can receive improved healthcare outcomes, including referrals to specialists and timely access to care. Collaborate with other healthcare professionals, including physicians and nurses to ensure seamless coordination of care. Monitor member health status and progress towards achieving their healthcare goals. Maintain accurate and up-to-date records of member interactions and healthcare interventions. Client facing reporting with the potential for limited travel to client worksites. Health Risk Assessment review to encourage lifestyle modification and improve overall wellness. Qualifications: Active nursing license with a Bachelor of Science in Nursing (BSN) degree preferred. Minimum of 3 years of experience as a nurse case manager or in a related healthcare field. CCM certification or CCM eligible. Commit to CCM exam within the first year. In-depth knowledge of the healthcare and insurance systems. Strong analytical and problem-solving skills with the ability to identify and resolve complex healthcare issues. Excellent communication and interpersonal skills with the ability to interact effectively with employees and healthcare professionals. Ability to work remotely, independently, and as part of a team in a fast-paced, dynamic environment. Strong organizational skills with the ability to manage multiple tasks and priorities simultaneously. Proficient in the use of electronic health records (EHRs), Outlook, Excel, and other healthcare-related software. If you are passionate about helping others and have a solid understanding of the healthcare system, we encourage you to apply for this exciting opportunity as a Case Manager Nurse Advocate with our growing organization. Questions... Please reach out to *************************** today!