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BIDMC/Dana-Farber Cancer Institute - Abdominal Radiologist Department of Radiology HMFP at BIDMC Harvard Medical School The Department of Radiology at Beth Israel Deaconess Medical Center, a Harvard Medical School affiliate, is seeking candidates to join our Abdominal Imaging and Interventions Section. This section has a longstanding history of scholarship and innovation in MRI, CT, ultrasound and image-guided procedures. We are seeking an individual who is looking to continue to drive the research, education, and clinical operations by joining our highly collaborative and collegial group. The Abdominal Imaging and Interventions section has 15 dedicated faculty members, an ACGME-accredited fellowship with 6 ACGME abdominal fellows and 2 dedicated body MRI fellows per year, and 4 advanced practitioners. Hospital-based facilities span two main campuses that are within a 5 minute-walk of each other in the Longwood Medical area in the heart of Boston and include 7 clinical MRI scanners, 44 clinical ultrasound machines, 12 CTs, and 2 procedural CT suites. A strong MRI research division utilizes 3T research MRI scanner and small animal MRI scanner and works closely with clinical faculty in the department. Translational MRI and clinical CT and MRI research, quality and safety, healthcare outcomes research, AI are current research endeavors of the Section. The section treasures its close collaborative relationships with referring services. The department will be engaged in the newly announced and exciting clinical collaboration between Dana-Farber Cancer Institute, BIDMC, and Harvard Medical Faculty Physicians (HMFP) to establish New England's only free-standing adult inpatient cancer hospital. The collaboration will bring together world-class clinicians to deliver transformational, precision medicine in an environment solely dedicated to defying cancer. Candidates for this position must be board-eligible/board-certified in diagnostic radiology and be eligible for licensure in the Commonwealth of Massachusetts. Fellowship training in abdominal imaging or an equivalent is required. Candidates should be eligible for appointment at the Instructor, Assistant or Associate Professor level at Harvard Medical School; salary and academic rank will be commensurate with qualifications and experience. BIDMC is a major Harvard Medical School-affiliated teaching hospital with 649 beds, a Level I trauma center, and multi-specialty clinical programs, including renowned pancreatico-biliary and gyneco-oncology practices, liver transplantation center, specialized IBD clinic, an advanced urology department, and an NCI-designated Cancer Center. Candidates should be excited to work in an academic environment and committed to teaching medical students, residents, and fellows. The department will support remote work options. Interested applicants should email cover letter and CV to *************************. For further information, please contact Andrea Baxter, Manager for Faculty Affairs at ************************* or Dr. Olga Brook, Section Chief of Abdominal Imaging and Interventions at ************************. Beth Israel Deaconess Medical Center, a 743-bed hospital and Level 1 Trauma Center, is a founding member of Beth Israel Lahey Health (BILH). BILH, a health care system with 14 hospitals, brings together academic medical centers and teaching hospitals, community and specialty hospitals, and more than 4,000 physicians and 39,000 employees in a shared mission to expand access and advance the science and practice of medicine through groundbreaking research and education. Harvard Medical Faculty Physicians at Beth Israel Deaconess Medical Center (HMFP) is one of the largest physician organizations in New England, dedicated to excellence and innovation in patient care, education, and research. As a physician-led organization, HMFP partners with more than 2,400 providers to support the delivery of exceptional care, promote professional development and foster balance at work and home. HMFP physicians have faculty affiliations with Harvard Medical School (HMS) and provide care throughout BILH system and additional hospitals across Massachusetts. Pay Range: $465,000 - $505,000 The base pay range reflects what Harvard Medical Faculty Physicians at Beth Israel Deaconess Medical Center (HMFP) reasonably and in good faith expects to pay for this role at the time of posting and may be modified from time to time. Actual compensation within this range may be determined based on several factors, including academic appointment, work experience, specialty training, geography of work location, anticipated productivity, FTE basis, and role expectations. In addition to base compensation, this role may be eligible for performance-based incentives, which may include bonuses for productivity and quality HMFP also offers a comprehensive and generous employee benefits program to eligible employees, including health, dental, vision, life, and disability insurance, as well as retirement plan(s) with employer contributions.

UPMC is looking for Help Desk Associates to join their team. These positions are fully remote and will consist of four 10 hour shifts with the following schedules. Wed-Sat 6a-4p Sun-Wed 7a-5p Wed-Sat 7a-5p Must be open to all shifts. Description Under the direction of management and more senior members of the team, the Help Desk Support Analyst - Associate will provide day to day support remotely by telephone and chat, for the UPMC end user. The work shifts are based on a 7/24/365 schedule. Responsibilities: + Communication: Responsible for demonstrating appropriate, clear, concise, and effective written and oral communications in all interactions to build relationships and accomplish day to day work and projects. + Securing UPMC Data/Information: Protect the integrity and confidentiality of all data and information through physical and electronic measures. + Call/Chat Quality Evaluation Acknowledgement/Feedback Application: Consistently acknowledge call/chat quality evaluations in quality evaluation software and consistently apply feedback. + Troubleshooting: Has a fundamental understanding of UPMC System support/Knowledge repository and ability to navigate to resolve common customer issues. Consistently document troubleshooting in the ticket. + System Interruption Response and Handling: Follow the System Interruption Handling process consistently. Communicate with other staff for possible system wide interruption. + Meeting Participation: Attend meetings on time, ask questions and apply feedback + Time Management: Responsible for accurate timecard entry in Kronos and PPM systems. Proper use of phone and chat auxiliary codes within defined parameters. + Scorecard Expectations: Typically achieves expected baseline scores. + Disaster Recovery Adherence: Understand the basics of Disaster Recovery processes. Has UPMC equipment on standby. + Answering Support Calls/Answer Support ChatsProvide customer service support to any or all customers via calls/chats. + Ticket Quality: Document and manage end user requests in the Incident Tracking System. Basic understanding of what demographic information, details related to technical issues to capture to properly route to appropriate team. + Technical Skills/Problem Solving: Understand the basics of UPMC technologies. Apply basic problem solving skills to achieve resolution. + Self/Team Development: Successfully completes projects, tasks, and initiatives by embracing a team-first approach. Works in collaboration with team and offers feedback, where appropriate, to complete individual and group efforts. Shows the ability to adjust and be flexible to change by adapting approach when necessary. Responsible for continuous self-study, trainings, partnering with more senior members of team, and/or seeking out opportunities to broaden scope to stay up to date with industry and organizational trends. Seeks feedback from senior team members for development and effectively incorporates feedback into work and behaviors. Qualifications + Familiarity with modern technology and best support practices through education or practical experience. + Prior customer service experience required. + Excellent interpersonal, written and communication skills required. + Ability to work in a fast-paced environment. Licensure, Certifications, and Clearances: A+, N+, Security+, HDI, ITIL, or other technical certifications preferred. Act 34 UPMC is an Equal Opportunity Employer/Disability/Veteran

If you're ready to be part of our legacy of hope and innovation, we encourage you to take the first step and explore our current job openings. Your best is waiting to be discovered. Day - 08 Hour (United States of America) This is a Stanford Health Care job. A Brief Overview Under the direction of the Director, Claims & Litigation Strategy, the Claims Manager is primarily responsible for handling Employment Practices Liability (EPL) claims for Stanford Health Care, Stanford Health Care Tri-Valley, and Stanford Children's Health. Claims include those involving allegations of discrimination, retaliation, hostile work environment, and wrongful termination. This position requires coordination with internal stakeholders and external partners. Assists Director, Claims & Litigation Strategy in other EPL claims-related projects as requested. Locations Stanford Health Care What you will do Manage pre-suit and litigated claims. Evaluate EPL coverage and ensure timely reporting to carriers. Retain outside counsel for litigated matters, attend mediation, evaluate reserves, monitor litigation costs, prepare discovery responses, and oversee decisions regarding discovery, strategy, and ultimate resolution. Investigate pre-suit claims, including conducting witness interviews. Evaluate claims for early resolution, as appropriate, and directly negotiate settlements with opposing counsel and/or claimants when warranted. Prepare responses to administrative charges. Serve as liaison with other Stanford departments, including Human Resources and Employee & Labor Relations, and external partners, such as defense counsel, insurance brokers, and insurance carriers, to coordinate issues impacting claim resolution. Maintain timely and consistent communication with insurance carriers regarding substantive and procedural claim updates, and ensure compliance with all policy requirements. Manage electronic claims files. Input all work product and case information into the claims database to ensure that files contain updated information. Responsible for review and timely submission of EPL-related invoices. Education Qualifications Bachelor's degree required. Juris Doctor (JD) preferred. Experience Qualifications Five (5) years of progressively responsible and directly-related work experience in EPL claim management required. Required Knowledge, Skills and Abilities Ability to analyze and develop solutions to complex problems. Ability to apply judgment and informed decisions. Ability to communicate effectively in written and verbal formats including summarizing data and presenting results. Ability to establish and maintain effective working relationships. Ability to work effectively both as a team player and leader. Ability to utilize computer systems and software, such as Riskonnect, to manage electronic claim files. Knowledge of local, state and federal laws and regulatory requirements related to EPL claims handling. Licenses and Certifications BAR - CA Attorney preferred These principles apply to ALL employees: SHC Commitment to Providing an Exceptional Patient & Family Experience Stanford Health Care sets a high standard for delivering value and an exceptional experience for our patients and families. Candidates for employment and existing employees must adopt and execute C-I-CARE standards for all of patients, families and towards each other. C-I-CARE is the foundation of Stanford's patient-experience and represents a framework for patient-centered interactions. Simply put, we do what it takes to enable and empower patients and families to focus on health, healing and recovery. You will do this by executing against our three experience pillars, from the patient and family's perspective: Know Me: Anticipate my needs and status to deliver effective care Show Me the Way: Guide and prompt my actions to arrive at better outcomes and better health Coordinate for Me: Own the complexity of my care through coordination Equal Opportunity Employer Stanford Health Care (SHC) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements. Base Pay Scale: Generally starting at $66.52 - $88.14 per hour The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, specialty and training. This pay scale is not a promise of a particular wage.

If you're ready to be part of our legacy of hope and innovation, we encourage you to take the first step and explore our current job openings. Your best is waiting to be discovered. Day - 08 Hour (United States of America) This is a Stanford Health Care job. A Brief Overview The Clinical Documentation Integrity (CDI) Service Line Outcomes Lead is responsible for partnering with service line & physician leadership to optimize documentation tools, improve processes, and develop strategies to reduce administrative burden on our providers, while maintaining high quality and integrity documentation. This leader will serve as a direct partner to service line leaders with the aim to improve query turnaround, identify & facilitate targeted education opportunities, and strengthen overall buy-in and engagement. Locations Stanford Health Care What you will do Responsibility for management and optimization of the positive relationships between CDI and the service lines assigned, meeting regularly with SL Physician Champion and Chair/Chief. Drive increased workflow efficiency through monitoring and escalating queries as appropriate. Performance of CDI targeted audits and analysis of the findings, related to documentation and coding, to build physician education, identify areas of individual and service line opportunity, and facilitate short and long-term resolutions. Serve as a subject matter expert and authoritative resource on interpretation and application of CDI practices, coding rules and regulations, and conducts risk assessments of potential and detected compliance deficiencies, as well as documentation opportunities within the service lines assigned. Assists in monitoring and evaluating CDI and coding quality in relationship to best practices, while completing project-related reviews and providing relevant feedback to peers, coding, CDI leadership and quality partners, as necessary. Coordinates data collection and analysis, in collaboration with quality teams, related to patient care activities, documentation opportunities, coding opportunities and clinical outcome performance gaps. Coordinates the development of working sessions of multi-disciplinary teams in goal setting and problem solving. Optimizes service line clinical documentation integrity programs, including related provider and multidisciplinary education content creation, delivery and evaluation of effectiveness. Leads multidisciplinary and multi-departmental CDI projects to achieve strategic goals and objectives. Partners with other CDI leads, IT and other technology partners to create and optimize documentation tools, process and strategies to reduce administrative burden on our providers, while maintaining high quality and integrity documentation. Education Qualifications Bachelor's degree in Nursing, Medicine, Health Information Management or similarly related field of study. At least two currently active: - COC, CPC, or CCS certification - Certified Data Management Professional (CDMP) certification, Certified Analytics Professional (CAP) certification, or similar - CRCR or other revenue cycle certification - Health Care Quality (HACP, CPHQ, HCQM) certification - Case Management Certification (CCM) or clinical certification - Physician Educator Certificate Program (PECP) certification, or other education certification Experience Qualifications Five (5) years of progressively responsible and directly related inpatient clinical experience. At least 5 years of CDI, or provider education related work experience. Outcomes data reporting and analysis experience. ICU/ED and Academic Medical Center experience preferred. Case management, utilization review and/or direct provider interaction experience, preferred. Experience in public speaking, as well as educational content creation and delivery of formal multidisciplinary education, preferred. Experience with Vizient, Premier, Elixhauser and other risk adjustment methodologies, highly preferred. Required Knowledge, Skills and Abilities Expertise in coding and CDI practices., maintaining expertise in Medicare/Medicaid rules and regulations, as well as current trends and developments. Knowledge of, but not limited to, current CMS coding guidelines and methodologies, MS-DRGs, APR-DRGs, HCCs; current version of CM/PCS and AMA CPT coding guidelines and conventions, staying abreast of CMS rules and regulations and incorporating those changes into daily practice. Extensive knowledge and experience in computer systems, reporting software and electronic medical record systems used in functional area. Demonstrated leadership ability, organizational savviness, and critical thinking skills. Ability to develop and maintain strong, collaborative and supportive working relationships with peers, physicians and other clinical professionals. Must have demonstrated interpersonal, verbal and written communication skills in dealing with multidisciplinary teams and variety of ongoing activities. Knowledge of project management processes and systems with the ability to lead teams and manage high-profile projects to produce results within schedule and budget. Knowledge of statistical analysis and reporting practices pertaining to quality improvement and program evaluation. Ability to work independently, creatively, and innovation-focused in high-volume, fast- paced, and highly political work environments. Ability to work independently in performing duties with minimal supervision with a high degree of self-motivation. Expertise in developing and delivering training and education to clinical, CDI and coding professionals regarding CDI practices, coding, and documentation requirements, as well as knowledge distribution to multidisciplinary teams. Licenses and Certifications At least 1 currently active: . CCDS - Cert Clinical Document Spec . CCDS-O or CDIP . Nursing\RN - Registered Nurse - State Licensure And/Or Compact State Licensure preferred . These principles apply to ALL employees: SHC Commitment to Providing an Exceptional Patient & Family Experience Stanford Health Care sets a high standard for delivering value and an exceptional experience for our patients and families. Candidates for employment and existing employees must adopt and execute C-I-CARE standards for all of patients, families and towards each other. C-I-CARE is the foundation of Stanford's patient-experience and represents a framework for patient-centered interactions. Simply put, we do what it takes to enable and empower patients and families to focus on health, healing and recovery. You will do this by executing against our three experience pillars, from the patient and family's perspective: Know Me: Anticipate my needs and status to deliver effective care Show Me the Way: Guide and prompt my actions to arrive at better outcomes and better health Coordinate for Me: Own the complexity of my care through coordination Equal Opportunity Employer Stanford Health Care (SHC) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements. Base Pay Scale: Generally starting at $70.52 - $93.43 per hour The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, specialty and training. This pay scale is not a promise of a particular wage.

If you're ready to be part of our legacy of hope and innovation, we encourage you to take the first step and explore our current job openings. Your best is waiting to be discovered. Day - 08 Hour (United States of America) This is a Stanford Health Care job. A Brief Overview The Charge Auditor performs auditing activities, including complex cases that require extensive research, interpretation and application of laws and regulations. Charge Auditor evaluates the adequacy and effectiveness of internal and operational controls designed to ensure that processes and practices lead to appropriate execution of regulatory requirements and guidelines related to professional or facility and documentation, charging, coding and billing, including federal and state regulations and guidelines, CMS (Centers for Medicare and Medicaid Services) and OIG (Office of Inspector General) compliance standards. Locations Stanford Health Care What you will do Conducts defensive charge audits, self-pay/patient requests, or other special audit projects, as requested, comparing itemized bills to corresponding medical records and identifying documented services unbilled and charges for services not documented that need to need to be removed from an account Conducts audits for Medicare/Medicaid Cost Outlier accounts prior to billing, ensuring itemized bill is accurate. Conducts retrospective audits as requested. Collaborates with RI CDM to optimize the integrity of the Chargemaster Applies consistent and standardized compliance monitoring methodology for sample selection, scoring and benchmarking, development and reporting of findings. Prepares written reports of review findings and recommendations and presents to management and maintains monitoring records. Researches, abstracts and communicates federal, state, and payor documentation, and billing rules and regulations; stays current with Medicare, Medi-Cal and other third party rules and regulations including ICD-10 and CPT code updates. Performs defense auditing of targeted medical records in conjunction with the itemized bills for charging error, substandard documentation and inaccurate procedural billing. Performs concurrent review of hospital bills to document non-billed, underbilled, and overbilled items/services. Utilizes charge documents as required by Health System to reconcile charges to items/services documented in the medical record. Prepare reports by management regarding audit results, process improvement recommendations and systemic billing errors. Make monthly observations and recommendations to prevent future reimbursement losses. Education Qualifications Bachelor's degree in a work-related discipline/field required. Required Experience Qualifications Three (3) years of progressively responsible and directly related work experience Required Required Knowledge, Skills and Abilities Ability to analyze and develop solutions to complex problems Ability to communicate effectively in written and verbal formats including summarizing data, presenting results Ability to comply with the American Health Information Management Associate's Code of Ethic and Standards and applicable Uniform Hospital Discharge Data Set (UHDDS) standards Ability to establish and maintain effective working relationships Ability to judgment and make informed decisions Ability to manage, organize, prioritize, multi-task and adapt to changing priorities Ability to use computer to accomplish data input, manipulation and output Ability to work effectively both as a team player and leader Knowledge of Epic EMR and billing Knowledge of charge capture workflows and CDM Knowledge of DRG/APC reimbursement Knowledge of health information systems for computer application to medical records Knowledge of ICD-10-CM & CPT coding conventions to code medical record entries; abstract information from medical records; read medical record notes and reports; set accurate Diagnostic Related Groups Knowledge of standards and regulations pertaining to the maintenance of patient medical records; medical records coding systems; medical terminology; anatomy and physiology and study of diseases Knowledge of governmental payment practices for Medicare and MediCal Working knowledge of commercial payer reimbursement models Knowledge of Medicare billing practices. Proficient EXCEL, WORD, PowerPoint skills Licenses and Certifications RN - Registered Nurse - State Licensure And/Or Compact State Licensure required . or CCS - Certified Coding Specialist required . or CPC and/or CCSP - Certified Professional Coder required . or Certified Outpatient Coder - COC required . and CPC required . or RHIT - Registered Health Information Technician required . or RHIA - Registered Health Information Administrator required . Physical Demands and Work Conditions Blood Borne Pathogens Category III - Tasks that involve NO exposure to blood, body fluids or tissues, and Category I tasks that are not a condition of employment These principles apply to ALL employees: SHC Commitment to Providing an Exceptional Patient & Family Experience Stanford Health Care sets a high standard for delivering value and an exceptional experience for our patients and families. Candidates for employment and existing employees must adopt and execute C-I-CARE standards for all of patients, families and towards each other. C-I-CARE is the foundation of Stanford's patient-experience and represents a framework for patient-centered interactions. Simply put, we do what it takes to enable and empower patients and families to focus on health, healing and recovery. You will do this by executing against our three experience pillars, from the patient and family's perspective: Know Me: Anticipate my needs and status to deliver effective care Show Me the Way: Guide and prompt my actions to arrive at better outcomes and better health Coordinate for Me: Own the complexity of my care through coordination Equal Opportunity Employer Stanford Health Care (SHC) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements. Base Pay Scale: Generally starting at $52.69 - $69.82 per hour The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, specialty and training. This pay scale is not a promise of a particular wage.

UPMC is hiring a full-time Sr. Diabetes Educator, CDCES to join their Maternal Fetal Medicine office at Magee Women's Hospital! This is an American Diabetes Association, Education Recognition Program with our hospital outpatient maternal fetal medicine diabetes center that specializes in blood sugar management for pregnant patients with diabetes. The Sr. Diabetes Educator provides diabetes education in outpatient setting and manages diabetes care according to standards and in consultation with the physician (when needed). Hours for this position will start with Monday through Friday, daylight hours, with the option to transition to 4 10-hour shifts after orientation and training. This position will also allow for some work from home flexibility after completion of orientation. No evenings, weekends, or holidays! Previous Dietitian experience is preferred but not required. Responsibilities: + Provides education according to the National Standards for Diabetes Self-Management Education in association with all aspects of health care for the person with diabetes. + Demonstrates a service-oriented approach to her/his position by conveying courtesy, respect, enthusiasm and a positive attitude. + Instructs patients and family members/significant others in the implementation of Healthy lifestyles, Blood glucose testing, Medication management, Risk reduction, Insulin administration, Insulin pumps + Accurately documents all patient interactions and ensures appropriate and complete billing for diabetes education services + Educators are expected to provide training and updates on diabetes education to staff. + Manages on-going care for patients (consulting with physician as appropriate) by answering questions, reviewing home glucose monitoring results, reviewing diabetes medications accordingly and monitoring glycemic control + Provides support services for diabetes care/education when applicable. + Act as a resource/advisor for new Diabetes Educators + Assesses diabetes patients' educational needs and create a care plan in outpatient, inpatient or community setting + Participates in achieving/maintaining American Diabetes Association Recognition of Health System's educational programs in outpatient, inpatient or community setting + Adjusts medication/insulin doses according to established protocols. + Bachelor's Degree in Nursing or related health care field required + Minimum of 3 years of clinical experience Experience in diabetes education strongly recommended Must obtain a Solid/Strong/Good or higher on a Performance Evaluation to be promoted to this level. Must maintain a Solid/Strong/Good or higher on annual performance evaluation to maintain status. Annual completion of a VP approved professional contribution selected from one of the corporate goals. Must have VP approval for promotion. Licensure, Certifications, and Clearances: BLS or CPR required based on AHA standards that include both a didactic and skills demonstration component within 30 days of hire + ACSM Certified Exercise Physiologist (ASCM-CEP) OR Doctor of Medicine (MD) OR Doctor of Osteopathic Medicine (DO) OR Doctor of Podiatric Medicine OR Licensed Master Social Work (LMSW) OR Master Certified Health Education Specialist (MCHES) OR Occupational Therapist (OT) OR Optometrist OR Pharmacist OR Physical Therapist (PT) OR Physician Assistant Certified (NCCPA) OR Psychologist OR Registered Dietitian (RD) OR Registered Dietitian Nutritionist (RDN) OR Registered Nurse (RN) + Basic Life Support (BLS) OR Cardiopulmonary Resuscitation (CPR) + Certified Diabetes Care and Education Specialist (CDCES) *Current licensure either in the state where the facility is located or, if the facility is in a state covered by the multistate Nursing Licensure Compact (NLC) agreement, a multistate license issued by a participating NLC state. Hires and current employees working on an out-of-state NLC license who later change their residency to the state where the facility is also located will have 60 days upon changing their residency to apply for licensure within that state. UPMC is an Equal Opportunity Employer/Disability/Veteran

If you're ready to be part of our legacy of hope and innovation, we encourage you to take the first step and explore our current job openings. Your best is waiting to be discovered. Day - 08 Hour (United States of America) This is a Stanford Health Care job. A Brief Overview The Director of Reimbursement is a key leadership role within the Controller's Office, responsible for overseeing the organization's compliance reporting and non-patient services reimbursement activities. This role ensures the timely and accurate preparation and submission of financial and regulatory reports to government agencies, including but not limited to: •Medicare and Medi-Cal cost reports •Financial disclosures to the Department of Health Care Access and Information (HCAI) In addition, the Director of Reimbursement oversees the organization's responses to government audits and inquiries, ensuring full compliance and clear communication with regulatory agencies. The role also ensures the accuracy of invoicing for non-patient related services provided to external customers. The Director of Reimbursement plays a critical role in shaping the financial integrity of the organization. As a senior member of the team, this individual actively contributes to process improvement initiatives, drives innovation in financial systems, and fosters a culture of change, accountability, and continuous improvement. Locations Stanford Health Care What you will do Government Payor Reporting & Reimbursement Ensure timely and accurate filing of annual government cost reports, including Medicare, Medi-Cal, and HCAI submissions. Maintain comprehensive knowledge of federal and state reimbursement laws and regulations to maximize reimbursement. Develop, implement, and maintain internal policies and procedures to ensure complete and accurate capture of all legitimate reimbursement opportunities. Oversee Medicare and Medi-Cal audit processes, addressing inquiries and pursuing appeals or litigation when necessary (e.g., CMS disputes). Review third-party contractual allowances, settlements, and variances (actual vs. budget) to support accurate financial reporting. Participate in the annual budget development process by providing detailed analysis and projections related to government payor net income. Prepare and respond to year-end financial audits, specifically related to third-party liabilities and balance sheet reserves. Serve as the subject matter expert on regulatory compliance reporting, including Medicare and Medi-Cal cost reports Lead alignment of compliance reporting processes across SHC-related entities and partner organizations. Continuously assess and improve reimbursement and reporting processes to increase efficiency, accuracy, and scalability. Non-Patient Care Services Receivable Oversee invoicing, contract compliance, and financial administration for non-patient care service agreements, such as: Graduate Medical Education (GME) affiliation agreements Physician outreach and other academic/clinical support contracts Coordinate with internal department, affiliated entities, and external partners to ensure contract terms are accurately maintained and executed. Ensure obligations are properly managed and tracked within the Workday customer management model. Serve as the subject matter expert for the Workday customer management model, assisting in the development and enhancement of business process workflows. Participate in system testing and user acceptance activities related to workflow improvements and updates within Workday. Leadership, Collaboration & Strategic Support Promote a culture of learning, continuous, improvement, and compliance across the reimbursement function. Mentor and develop staff to deepen their knowledge of reimbursement regulations, reporting, and methodologies. Support talent development and succession planning by identifying growth opportunities and preparing high-potential staff for future leadership roles. Work cross-functionally with leaders and staff from various departments and backgrounds to address complex reimbursement and compliance matters. Communicate complex, variable reimbursement and regulatory issues in clear, concise narratives to support strategic decision-making. Provide analytical and subject matter support to broader strategic and financial initiatives as needed. Education Qualifications Bachelor's Degree in business, finance, health or public administration or a related field. Master's Degree in business, health or public administration, management, or related field strongly preferred. Experience Qualifications Minimum ten (10) years of progressively responsible and directly related work experience required. 10+ years of performing duties similar to those described in essential functions of the description. Preferred experience as an auditor working with CMS or a CMS Medicare Auditor Contractor and strong familiarity with Medicare and Medicaid regulations. Required Knowledge, Skills and Abilities Advanced knowledge of CMS and state Medicaid reimbursement principles and practices. Multi-year skill and experience managing business processes for organizations using a major ERP system. Ability to communicate complex concepts in simple form to non-finance users to understand the appropriate use and limits of the information provided. Ability to communicate and present complex issue with government agencies to resolve audit issues. Ability to manage, organize, prioritize, multi-task and adapt to changing priorities. Ability to foster effective working relationships and build consensus. Ability to partner in the development and achievement of goals, vision, and overall direction of the Controller's Office at Stanford Health Care. Ability to provide clear and concise information/presentations to Senior Executive Team. Ability to develop strong team culture and working relationship with colleagues across the health system. Ability to drive a culture of proactive, integrated, responsive, high quality financial analysis. Ability to effectively manage deliverables and timelines. Preferred Knowledge, Skills and Abilities Ability to develop strong team culture and working relationship with colleagues across the health system Ability to drive a culture of proactive, integrated, responsive, high quality financial analysis Ability to effectively manage deliverables and timelines Licenses and Certifications CPA - Certified Public Accountant preferred HFMA - Certified Rev Cycle Rep (CRCR) preferred Physical Demands and Work Conditions Blood Borne Pathogens Category II - Tasks that involve NO exposure to blood, body fluids or tissues, but employment may require performing unplanned Category I tasks These principles apply to ALL employees: SHC Commitment to Providing an Exceptional Patient & Family Experience Stanford Health Care sets a high standard for delivering value and an exceptional experience for our patients and families. Candidates for employment and existing employees must adopt and execute C-I-CARE standards for all of patients, families and towards each other. C-I-CARE is the foundation of Stanford's patient-experience and represents a framework for patient-centered interactions. Simply put, we do what it takes to enable and empower patients and families to focus on health, healing and recovery. You will do this by executing against our three experience pillars, from the patient and family's perspective: Know Me: Anticipate my needs and status to deliver effective care Show Me the Way: Guide and prompt my actions to arrive at better outcomes and better health Coordinate for Me: Own the complexity of my care through coordination Equal Opportunity Employer Stanford Health Care (SHC) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements. Base Pay Scale: Generally starting at $89.01 - $117.94 per hour The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, specialty and training. This pay scale is not a promise of a particular wage.

Coding Full Time AM Shift 8 a.m. to 5 p.m Sign-On Bonus: 5,000 Lexington Health is a comprehensive network of care that includes six community medical and urgent care centers, nearly 80 physician practices, more than 9,000 health care professionals and Lexington Medical Center, a 607-bed teaching hospital in West Columbia, South Carolina. It was selected by Modern Healthcare as one of the Best Places to Work in Healthcare and was first in the state to achieve Magnet with Distinction status for excellence in nursing care. Consistently ranked as best in the Columbia Metro area by U.S. News & World Report, Lexington Health delivers more than 4,000 babies each year, performs more than 34,000 surgeries annually and is the region's third largest employer. Lexington Health also includes an accredited Cancer Center of Excellence, the state's first HeartCARE Center, the largest skilled nursing facility in the Carolinas, and an Alzheimer's care center. Its postgraduate medical education programs include family medicine and transitional year residencies, as well as an informatics fellowship. Job Summary Assigns appropriate ICD and CPT codes for reimbursement and statistical purposes. Follows ICD, CPT, CMS, and other regulatory coding guidelines. Abstracts clinical information from medical records for complete and accurate statistical documentation. Minimum Qualifications Minimum Education: High School Diploma or Equivalent Minimum Years of Experience: 3 Years of Professional Coding Experience Covering Multiple Clinical and/or Surgical Specialties (Combination of Surgical, E/M, or other coding experience as approved by Director), which they Successfully Met Quality and Productivity Standards Substitutable Education & Experience (Optional): None. Required Certifications/Licensure: Active AAPC or AHIMA Coding Credential Required Training: Experience working with CPT, ICD diagnosis coding; Experience with CCI edits; Experience with Medicare LCDs and NCDs; Understanding of state and federal regulations as well as payor billing requirements; Must be computer literate and have experience with Microsoft applications (i.e., Word, Excel, Outlook); Experience with electronic health records software; E/M Documentation Guideline (1995/1997/2021) experience. Essential Functions * Reviews and interprets medical documentation to accurately assign ICD and CPT codes for facility or professional reimbursement and statistical purposes. * Abstracts information into computer for reimbursement and statistical purposes. * Researches and stays current with trends in healthcare coding and compliance. * Keeps department manager up to date with any coding or documentation issues. * Must work independently and collaboratively to support the achievement of department People, Quality, Finance, and Service goals as well as organizational goals. Duties & Responsibilities * Works as a team with physicians, coding staff and other hospital personnel to ensure proper and accurate code assignment and continuous quality improvement. * Responsible for assisting with coding claim edits and reviewing claim denials for correction. * Reports to work in a timely manner and adheres to attendance policies. Conscientious of scheduling time off in advance so as not to interfere dramatically with coding turnaround times. * Performs all Other duties as assigned. We are committed to offering quality, cost-effective benefits choices for our employees and their families: * Day ONE medical, dental and life insurance benefits * Health care and dependent care flexible spending accounts (FSAs) * Employees are eligible for enrollment into the 403(b) match plan day one. LHI matches dollar for dollar up to 6%. * Employer paid life insurance - equal to 1x salary * Employee may elect supplemental life insurance with low cost premiums up to 3x salary * Adoption assistance * LHI provides its full-time employees employer paid short-term disability and long-term disability coverage after 90 days of eligible employment * Tuition reimbursement * Student loan forgiveness Equal Opportunity Employer It is the policy of Lexington Health to provide equal opportunity of employment for all individuals, and to remain compliant with applicable state and federal laws and regulations. Lexington Health strives to provide a discrimination-free environment, and to recruit, select, on-board, and employ all employees without regard to race, color, religion, sex, age, disability, national origin, veteran status, or pregnancy, childbirth, or related medical conditions, including but not limited to, lactation. Lexington Health endeavors to upgrade and promote employees from within the hospital where possible and consistent with the employee's desires and abilities and the hospital's needs.

If you're ready to be part of our legacy of hope and innovation, we encourage you to take the first step and explore our current job openings. Your best is waiting to be discovered. Day - 08 Hour (United States of America) At Stanford Health Care, you'll have the opportunity to work at a leading academic medical center that champions patient safety, innovation, and research excellence. Join a multidisciplinary team where your expertise ensures rigorous protocol implementation and high-quality patient care. As a Sr. Clinical Systems Analyst, you'll be supported by an organization that truly invests in your growth. You'll have access to internal mobility opportunities, annual education funds, and professional development programs that help you continue to advance in your career. We offer a strong benefits package, including paid time off, parental leave, 403(b) matching, tuition reimbursement, health and dental coverage, paid holidays, disability benefits, and even pet insurance. What You'll Do: • Supports core functions of Stanford Health Care's Billing applications to enable cost-effective and efficient revenue cycle functions. • Implement, administer, and support the Epic Resolute billing module along with other assigned systems under the minimal guidance of senior members of the team. • Independently address issues and design decisions of moderate to high complexity with little or no supervision • Deliver clear communication and documentation of complex concepts and issues related to applications, interfaces, data structures, and workflows across the organization. What We're Looking For • Previous Epic Resolute Certification (or willingness to obtain) • Prior experience in supporting of Epic modules, ancillary systems, and health system operations. This is a Stanford Health Care job. A Brief Overview The Clinical Senior Systems Analyst I supports core functions of the health system's applications to enable cost-effective, high quality, efficient, and safe patient care. This position will implement, administer, and support assigned systems under the minimal guidance of senior members of the team. The position will have a thorough understanding of Epic modules, ancillary systems, and health system operations. This position independently addresses issues and design decisions of moderate to high complexity with little or no supervision and delivers clear communication and documentation of complex concepts and issues related to applications, interfaces, data structures, and workflows across the organization. Locations Stanford Health Care What you will do Provide tier-2 support of application incidents reported through the help desk; including 24/7 on call coverage as required Provide analytical assistance to junior team members to resolve application incidents, maintenance items, and enhancement requests Coordinate application support with other information technology teams including Infrastructure, Integration, Reporting, and the help desk Implement changes using documented procedures that are compliant with department's policies and procedures Work with and mentor junior staff members to document workflows Act as a technology subject matter expert and clearly communicate technical concepts in business terms between and across the different groups while influencing outcomes Perform a major role in complex software upgrade initiatives Lead small to medium complexity new software installations and enhancement requests Maintain up-to-date project documents for all initiatives that include technical details, user expectations, project goals, work effort, accountability, and deliverables Continually identity opportunities for functional and stability improvement in applications Identify system optimization and enhancements and collaborate with vendors and other ITS analysts in order to design and implement effective solutions Anticipate and resolve system problems Research issues and use independent analysis and judgment to produce solution options (including alternative solutions when necessary to address system limitations) to complex and/or controversial matters, including pros, cons, risks, benefits, costs, and unintended consequences Participate in and frequently facilitate/organize team and cross-team meetings and maintain appropriate meeting records Education Qualifications Bachelor's Degree Bachelor's degree in Information Technology, Computer Science, Business Administration, Management Systems, Electronics Technology, Computer Engineering, Health Information Management or a directly-related field from an accredited college or university. Must obtain Epic certification in relevant module(s) within 3 months of employment date Required Experience Qualifications 5 or more years of progressively responsible and directly related work experience Required Prefer experience with 2 major Epic upgrades or implementations Preferred Required Knowledge, Skills and Abilities Mid-level Microsoft Office skills Excellent written, oral, instructional, presentation and interpersonal skills focused on motivation and positive attitude. Highly self-motivated, directed and change oriented. Very strong customer orientation Ability to analyze highly complex systems and workflows Ability to conceptualize, plan, organize, coordinate, and manage the work of a major program or function within the department Ability to engage actively in complex discussions, often on challenging and/or controversial subjects Ability to negotiate on behalf of others to achieve best outcomes for the department and the organization as a whole Ability to handle confrontation with appropriate grace, professionalism, cordiality, and firmness, and manages/resolves disputes appropriately Ability to communicate concepts in elegant, concise, eloquent form to management and to cross-functional departments or teams verbally, in writing, and through pictures or diagrams when appropriate Ability to establish a set of tasks and activities associated with an intended outcome and timeline Ability to take action consistent with available facts, constraints, and anticipated consequences Ability to use appropriate interpersonal skills to give information to and receive information from coworkers and clients in a tactfully and professional manner Ability to use effective approaches for choosing a course of action or developing appropriate solutions and/or reaching conclusions Ability to develop new skills and teach others Ability to collaborate and build consensus with stakeholders Ability to understand and adhere to operational standards, policies, and procedures Ability to identify risks and issues Ability to develop solutions for new and unfamiliar challenges Ability to analyze data, draw conclusions and interpret results Knowledge of current issues and trends in health care and clinical operations in a health care system Healthcare knowledge base that promotes a high level of credibility with organization end users and executives Knowledge of Epic Software as well as other information systems, clinical software, and computer applications used in a health care setting Understanding of Software Development Life Cycle (SDLC) Knowledge of a variety of server operating systems, storage systems, databases, scripting languages, monitoring and job scheduling tools These principles apply to ALL employees: SHC Commitment to Providing an Exceptional Patient & Family Experience Stanford Health Care sets a high standard for delivering value and an exceptional experience for our patients and families. Candidates for employment and existing employees must adopt and execute C-I-CARE standards for all of patients, families and towards each other. C-I-CARE is the foundation of Stanford's patient-experience and represents a framework for patient-centered interactions. Simply put, we do what it takes to enable and empower patients and families to focus on health, healing and recovery. You will do this by executing against our three experience pillars, from the patient and family's perspective: Know Me: Anticipate my needs and status to deliver effective care Show Me the Way: Guide and prompt my actions to arrive at better outcomes and better health Coordinate for Me: Own the complexity of my care through coordination Equal Opportunity Employer Stanford Health Care (SHC) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements. Base Pay Scale: Generally starting at $59.21 - $78.43 per hour The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, specialty and training. This pay scale is not a promise of a particular wage.

Medical Staff Full Time Day Shift 8-4:30pm Lexington Health is a comprehensive network of care that includes six community medical and urgent care centers, nearly 80 physician practices, more than 9,000 health care professionals and Lexington Medical Center, a 607-bed teaching hospital in West Columbia, South Carolina. It was selected by Modern Healthcare as one of the Best Places to Work in Healthcare and was first in the state to achieve Magnet with Distinction status for excellence in nursing care. Consistently ranked as best in the Columbia Metro area by U.S. News & World Report, Lexington Health delivers more than 4,000 babies each year, performs more than 34,000 surgeries annually and is the region's third largest employer. Lexington Health also includes an accredited Cancer Center of Excellence, the state's first HeartCARE Center, the largest skilled nursing facility in the Carolinas, and an Alzheimer's care center. Its postgraduate medical education programs include family medicine and transitional year residencies, as well as an informatics fellowship. Job Summary The position will be responsible for receiving, processing, and validating new and renewed medical staff applications to ensure regulatory and bylaw compliance. Responsibilities include provider data management, review of incoming provider applications, copying, filing, scanning, verification of credentials, correspondence, audit preparation and special projects as assigned. Also will assist with on-line provider and group set up confirmations, enrollments and attestations. Minimum Qualifications MD staff credentialing experience preferred Minimum Education: Associate's Degree * Minimum Years of Experience: 1 Year of work experience related to credentialing or other provider related regulatory process management/oversite * Substitutable Education & Experience: Associate's Degree with 1 year of work experience can be substituted for a High School Diploma or Equivalent with 4 years of experience related to credentialing or other provider related regulatory process management/oversite * Required Certifications/Licensure: None * Required Training: General knowledge of health care provider credentialing process for initial and reappointment applicants; Proficient in database, spreadsheet and word processing applications; Ability to perform multiple tasks in a pressured environment (handle stressful situations; critical timelines); Ability to adapt and apply skills across varied department environments; General knowledge of medical ethics and medical terminology and confidentiality. Essential Functions * Maintains a comprehensive credentialing database, ensuring data integrity of provider information. * Maintains provider charts according to specific chart structure, including imaging, filing, faxing and copying of confidential applications, correspondence and other provider data. * Utilizes information, optimizing efficiency and performs necessary queries to prepare reports, document generation, provider packets, summaries and timelines as appropriate. * Assists with internal credentialing monitoring to ensure compliance with regulatory bodies * (DNV, AHA, STS, NCDR, CMS, federal and state) as well as Professional Staff Policies and procedures and bylaws. * Participates in audits - both on and off site through chart review, process review and demonstration of on-going compliance and timeliness. * Assists with the processing, distribution and management of all credentialing and accreditation documents. * Assists with the administration and coordination of updated provider licensing, ensuring receipt within regulation parameters and requirements. * Identifies issues that require additional investigation and evaluation, validates discrepancies and ensures appropriate follow-up. Duties & Responsibilities * Monitors and communicates training requirements as a part of orientation to the credentialing and privileging program as well as other required training throughout provider participation. * Responds to inquiries from other healthcare organizations and interfaces with internal and external customers on day to day credentialing and privileging issues as they arise. * Responds to inquiries from other healthcare organizations and interfaces with internal and external customers on day-to-day credentialing and privileging issues as they arise. * Utilizes the MD-Staff credentialing database, optimizing efficiency, and performs all necessary queries, report(s), and document generation; submits and retrieves National Practitioner Database reports in accordance with Health Care Quality Improvement Act. * Processes requests for privileges, ensuring compliance with criteria outlined in clinical privilege descriptions. * Develops harmonious relationships with various providers and departments. * Maintains and ensures strict confidentiality of files and databases. * Performs all other duties as assigned. We are committed to offering quality, cost-effective benefits choices for our employees and their families: * Day ONE medical, dental and life insurance benefits * Health care and dependent care flexible spending accounts (FSAs) * Employees are eligible for enrollment into the 403(b) match plan day one. LHI matches dollar for dollar up to 6%. * Employer paid life insurance - equal to 1x salary * Employee may elect supplemental life insurance with low cost premiums up to 3x salary * Adoption assistance * LHI provides its full-time employees employer paid short-term disability and long-term disability coverage after 90 days of eligible employment * Tuition reimbursement * Student loan forgiveness Equal Opportunity Employer It is the policy of LMC to provide equal opportunity of employment for all individuals, and to remain compliant with applicable state and federal laws and regulations. LMC strives to provide a discrimination-free environment, and to recruit, select, on-board, and employ all employees without regard to race, color, religion, sex, age, disability, national origin, veteran status, or pregnancy, childbirth, or related medical conditions, including but not limited to, lactation. LMC endeavors to upgrade and promote employees from within the hospital where possible and consistent with the employee's desires and abilities and the hospital's needs.

Join our Medical Oncology team as a Financial Counselor in Erie, PA! Are you a skilled medical office professional looking to broaden your horizons? We have an exciting opportunity for a Financial Counselor who will not only work in the front office but also play a crucial role in ensuring patients receive the care they need. If you're passionate about healthcare, finance, and teamwork, read on! As a Financial Counselor, you'll be at the forefront of patient care, ensuring that insurance benefits are verified, authorizations are obtained, and financial assistance is explored. Your expertise will contribute to a seamless patient experience, and your ability to collaborate with various departments will make a significant impact. _Why Join Our Team?_ + Teamwork: At our oncology office in Erie, teamwork is at the heart of what we do. Collaborating with colleagues and providers is essential for success. + Work-Life Balance: This full-time position offers regular hours-Monday through Friday, daylight hours. No evenings, holidays, or weekends! + Work from home flexibility will be available once training is completed. + Impact: Your work directly impacts patients' lives. You'll be part of a compassionate team dedicated to making a difference. Ready for the challenge? Apply online today and be part of our mission to provide exceptional care at Hillman Cancer Center! Responsibilities: + Obtain initial and subsequent prior authorization/referrals as required by specific payers. + Secure verification of insurance benefits prior to office visits and required treatments. + Initiate Financial Assessment Application for those patients who do not have adequate insurance coverage. + Work in collaboration with billing department to resolve open insurance claims as presented by walk-in patients. + Assists with other office functions as required. + Ability to work in a team environment. + Evaluate all self pay patients, as well as those patients who are being prescribed drugs that are not reimbursable, to determine eligibility for financial assistance through drug reimbursement programs, off label drug policy, medical assistance and/or all other applicable programs as made available. + Demonstrate the ability to solve problems through effective communication. + Demonstrate an understanding of patient confidentiality with regards to HIPAA Regulations in order to protect both the patient and the UPMC Cancer Centers. + Complete the financial counseling process for all patients prior to treatment, including evaluation of patient financial obligations. + Meet with patients and designated family members to discuss billing issues. + Utilize the Summary of Patient Reimbursement and Liability Form and obtain appropriate approvals, as required, prior to services being rendered. + Completion of High school diploma or GED + 3 years work experience, preferably in a medical office setting + Prefer knowledge of medical terminology; third party payer rules and regulations; and credit and collections laws + Word processing and computer experience required preferably including EPIC experience. + Experience working with health insurance and authorizations is preferred.Licensure, Certifications, and Clearances: + Act 34 UPMC is an Equal Opportunity Employer/Disability/Veteran

If you're ready to be part of our legacy of hope and innovation, we encourage you to take the first step and explore our current job openings. Your best is waiting to be discovered. Day - 08 Hour (United States of America) This is a Stanford Health Care job. A Brief Overview The IT Program Manager is responsible for managing the software development and delivery of patient-facing products and features for Stanford Hospital & Clinics. The position combines project management responsibilities with in-depth, hands-on technical expertise. The Project Manager is responsible for working with a project team that may include developers, researchers, designers, as well as operational and clinical representatives such as physicians and clinic staff. The role entails managing multiple projects concurrently, building cross-functional plans, budgeting, coordinating resources, managing issues, as well as ensuring timely delivery through the full software development life cycle, including launch and post-launch activities. Locations Stanford Health Care What you will do Facilitates Sprint Planning, Release Planning, Daily Stand-Ups, Product Demos and Sprint Retrospectives - full Software Development Life Cycle. Manage and effectively deliver features committed to for the Release Supports team in developing, maintaining and grooming Product Backlog Removes impediments/blockers in order to keep teams productive Identifies and manages dependencies with other internal or external teams Work with the Scrum team and with non-agile Stanford teams to align deliverables Provides metrics and status to senior management Support/Collaborate with team members to implement Agile/Scrum best practices Diligently prepare and collate project progress/status, issues & risks Meticulously track action items and drive them to closure Development capacity planning and helping in release scheduling Work closely with the Technical Development team to identify and communicate critical paths Participate in reviewing QA and leading UAT plans Actively manage project risks and issues Manage multiple work streams Provide excellent customer service and stellar representation of the web team. Look for opportunities to improve processes Education Qualifications Bachelor's Degree from an accredited college or university Experience Qualifications Minimum of three (3) years of experience with SCRUM / Agile methodologies and 5 +years of experience in the software/system development industry. Required Knowledge, Skills and Abilities Results-oriented approach to projects to achieve core goals Strong knowledge of SCRUM / Agile project management techniques and procedures Experience in Jira, Confluence, MS Project, Excel, Visio and other Project Management related software tools. Excellent customer and team management skills Expertise with A/B testing, multi-variate testing and related tools Ability to be efficient and productive under pressure Very organized, able to manage multiple projects concurrently Demonstrated written and verbal communication skills Ability to effectively communicate with all levels of the organization. Ability to demonstrate analytical and problem solving skills Ability to work on multiple overlapping projects Ability to work independently with minimal supervision PMP and/or Agile, Scrum Practitioner certification a plus. Experience with responsive design and native applications on mobile platform a plus. Licenses and Certifications None These principles apply to ALL employees: SHC Commitment to Providing an Exceptional Patient & Family Experience Stanford Health Care sets a high standard for delivering value and an exceptional experience for our patients and families. Candidates for employment and existing employees must adopt and execute C-I-CARE standards for all of patients, families and towards each other. C-I-CARE is the foundation of Stanford's patient-experience and represents a framework for patient-centered interactions. Simply put, we do what it takes to enable and empower patients and families to focus on health, healing and recovery. You will do this by executing against our three experience pillars, from the patient and family's perspective: Know Me: Anticipate my needs and status to deliver effective care Show Me the Way: Guide and prompt my actions to arrive at better outcomes and better health Coordinate for Me: Own the complexity of my care through coordination Equal Opportunity Employer Stanford Health Care (SHC) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements. Base Pay Scale: Generally starting at $79.21 - $104.97 per hour The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, specialty and training. This pay scale is not a promise of a particular wage.

If you're ready to be part of our legacy of hope and innovation, we encourage you to take the first step and explore our current job openings. Your best is waiting to be discovered. Day - 08 Hour (United States of America) This is a Stanford Health Care job. A Brief Overview The Revenue Cycle Optimization Program Manager reports to the Director of Revenue Cycle Optimization and is responsible for development and execution of optimization activities to completion. The manager will work with Revenue Cycle Leadership to identify ways to increase their net revenue, accelerate cashflow and reduce costs by addressing people, process, and technology components across the revenue cycle. The manager will employ a prescriptive and tailored approach that focuses on standard work, integrated workflow automation and technology improvements. The manager will use data and analytics to drive and recommend new initiatives to Revenue Cycle leadership and inform department priorities. The Revenue Cycle Optimization Program Manager's project scope will span across the enterprise requiring collaboration with the School of Medicine Directors of Finance and Administration, SHC, Stanford Medicine-Partners, and Tri-Valley Hospital and Ambulatory Directors, IT, as well as various SHC Revenue Cycle Leadership. The incumbent reviews, assesses, and designs workflows, as well as makes system functionality recommendations for the entire revenue cycle. . Additionally, the Revenue Cycle Optimization Program Manager ensures that all existing and new workflows are compliant and follow government, payer, and internal Revenue Cycle policies for both technical (facility) and professional policies. Other responsibilities include continuous collaborative learning and mentoring of indirect reports. Locations Stanford Health Care What you will do Directs individuals and/or teams that lead performance improvement through lean methodology and tools for the mid-revenue cycle. Develops and Manages improvement activities through engagement of teams, subject-matter experts, and stakeholders. Provides leadership for large strategic initiatives, cross functional workflow issues or complex rapid improvement events for value stream analysis, standard work, improved flow, pull, waste reduction, error proofing, workplace organization, and other objectives. Identifies best counter-measures and solutions needed to address root causes. Provides leadership to project training teams and provides mentoring support in root cause analysis, discovery workshops, and data interpretation. Provides, leadership, subject-matter expertise, and delivery of continuous improvement practices to Revenue Cycle Leadership and staff within the organization. Effectively creates a culture of accountability, communication, problem-solving, and resource/data effective decision-making, while keeping aligned with revenue cycle best practices. Ensures appropriate project management, and data analytics is utilized. Establishes baseline data for project improvement, as well as implement measures for monitoring and continues improvement. Captures ROI for all improvement initiatives. Manages and facilitates process improvement teams and directs timely completion of multiple projects, Kaizen events, and consultative activity that support strategic goals for Revenue Cycle. Serves as a Revenue Cycle methodology & systems expert and applies multiple performance improvement methodologies and tools to complex and cross functional solutions for resolution. Monitors organizational KPI's, performs operational data analysis and interprets revenue cycle initiatives to align improvement efforts with the strategic goals of the organization and department. Promotes a culture of performance excellence, quality, high-reliability, and staff engagement. Presents information to diverse audiences with clarity and impact. Adjusts approach to match the audience and situation. Possesses expert leadership skills and maturity in managing difficult situations and conducting crucial conversations. Develops executive level presentations and statuses for senior revenue cycle leadership. Delivers presentations on Revenue Cycle programs and initiatives to a variety of audience levels Delivers ongoing status of past and present project initiatives and impacts including realized project benefits Participates in team intake process of project requests submitted by revenue cycle leadership for approval, benefits and prioritization. Provides feedback to Revenue Cycle leaders on project acceptance/rejection as well as recommendations for advancement as applicable. Drives meaningful and impactful change to key KPIs. Performs other related duties as needed or assigned. Education Qualifications Bachelor's degree in Business Administration, Public Administration, or a work-related discipline. Experience Qualifications Five (5) years of progressively responsible and directly related mid-revenue cycle work experience. EPIC experience required (certification preferred). Required Knowledge, Skills and Abilities Knowledge of health care industry trends related to the patient experience Knowledge of Revenue Cycle industry trends and best practices Knowledge of the patient, family, and caregiver path through the health system and how to identify key pain points stemming from revenue cycle workflow Knowledge (proficient) of the Epic system as well as operational aspect Knowledge and experience in facilitating multi-disciplinary teams to determine solutions to recurring challenges Ability to maintain confidentiality of sensitive verbal and written information Ability to analyze operational and procedural problems and develop, recommend, and evaluate proposed solutions Ability to establish and maintain effective relationships with widely diverse groups, including individuals at all levels both within and outside the organization Ability to communicate effectively and act as a thought leader at all organizational levels and in situations requiring instructing, persuading, negotiating, conflict resolution, change management, consulting and advising, as well as prepare clear, comprehensive written and oral reports and materials Ability to prioritize and drive to results with a high emphasis on quality & integrity Ability to work autonomously, as part of a team as well as motivate, influence and direct the work of others Solid proficiency and skill with process improvement and root cause analysis Ability to collaborate and build consensus with stakeholders Highly self-motivated, directed, and change-oriented skills Demonstrated strong customer orientation skills Demonstrated Quantitative analytical skills Ability to engage actively in complex discussions, often on challenging and/or controversial subjects Ability to handle confrontation with appropriate grace, professionalism, cordiality, and firmness Ability to manage/resolve disputes appropriately Strong project management skills Experience and skilled in leadership/management Demonstrated knowledge and understanding of Lean, project management, and/or Six Sigma principles and their applications Licenses and Certifications EPICC - EPIC Certification preferred . These principles apply to ALL employees: SHC Commitment to Providing an Exceptional Patient & Family Experience Stanford Health Care sets a high standard for delivering value and an exceptional experience for our patients and families. Candidates for employment and existing employees must adopt and execute C-I-CARE standards for all of patients, families and towards each other. C-I-CARE is the foundation of Stanford's patient-experience and represents a framework for patient-centered interactions. Simply put, we do what it takes to enable and empower patients and families to focus on health, healing and recovery. You will do this by executing against our three experience pillars, from the patient and family's perspective: Know Me: Anticipate my needs and status to deliver effective care Show Me the Way: Guide and prompt my actions to arrive at better outcomes and better health Coordinate for Me: Own the complexity of my care through coordination Equal Opportunity Employer Stanford Health Care (SHC) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements. Base Pay Scale: Generally starting at $74.73 - $99.04 per hour The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, specialty and training. This pay scale is not a promise of a particular wage.

The University of Pittsburgh Medical Center (UPMC) in Altoona, PA is seeking a General Radiologist to join our world class health system. Option for tele-radiology or on-site as well as full-time or part-time positions. Candidate must be residency trained in general radiology. About the Position + Flexible Scheduling + Full or part time + Join a group of 19 Radiologists including, 6 Neuroradiology/MSK/Body Imaging, 2 Mammographers (one part time), 2 Interventional Radiologists, 2 Nuclear Medicine/PET Radiologists, Physician extenders and several nurses + Option for an academic appointment if desired + Live in a great community while having the support of UPMC through teleradiology. The UPMC Department of Radiology is one of the largest academic departments in the country with over 184 Radiologists, 31 research faculty, 67 residents and fellows. + Visa sponsorship + Phillips iSite and Powerscibe which will convert to Phillips Vue PACS. Cerner is used as the inpatient EMR and EPIC as the outpatient. Will be all EPIC fall 2025. What we Offer + Earning potential $700K plus + Sign-on bonus + Competitive base salary commensurate with experience plus lucrative incentive plan + Relocation expenses + Outstanding benefit package including health, dental, vision and pension + Option to earn significant additional income + CME allowance + Work at a busy community hospital + Employed by UPMC Altoona Regional Health System About UPMC Altoona and UPMC + Part of the University of Pittsburgh Medical Center's 40+ hospital network + 400-bed regional tertiary health care system for residents in central Pennsylvania + Joint Commission certified thrombectomy capable stroke center with 24/7 care and a renowned interventional neurology program + Other signature services include Level lll Trauma Center, UPMC Hillman Cancer Center, UPMC Heart & Vascular Institute, UPMC Magee Womens + 400 primary care and specialty credentialed physicians on medical staff + 'A' patient safety grade in Leapfrog's most recent hospital safety survey + 4-star quality hospital, as rated by Centers for Medicare and Medicaid services (CMS). + HeartCARE Center National Distinction of Excellence award recipient by the American College of Cardiology. + UPMC is a $23 billion world-renowned health care provider and insurer + 92,000 employees, including 4,900 physicians + Over 40 academic, community and specialty hospitals + Over 800 doctors' offices and outpatient sites + UPMC is inventing new models of accountable, cost-effective, patient-centered care + Closely affiliated with the University of Pittsburgh About the Community + Choose to live in the Altoona/Hollidaysburg area or State College (hometown of Penn State University's main campus). Both communities offer safe and enriching environments to enjoy work/life balance + Located in the Altoona/Blair County/Central Pennsylvania region + Very reasonable cost of living + Excellent school systems + Abundant cultural amenities including theatre, symphony, minor league baseball, transportation history, festivals, Big10 sports and national touring performing artists + Centrally located with easy access to larger, neighboring cities. Between 40 minutes to 4.5 hours to major cities including Pittsburgh, State College, Philadelphia, DC, and NYC. + Mountains to climb and ski, rivers and lakes to paddle and fish, trails and roadways to bike, numerous golf courses, tennis and pickle ball courts - right here! + Everything you need within a 15-minute drive - no rush hour traffic, no parking fees Must have an MD or equivalent, be BC or BE in Radiology with the ability to obtain an unrestricted PA license.

If you're ready to be part of our legacy of hope and innovation, we encourage you to take the first step and explore our current job openings. Your best is waiting to be discovered. Day - 08 Hour (United States of America) This is a Stanford Health Care job. A Brief Overview The Patient Account Representative (PAR) is responsible for the timely and accurate processing of insurance balance patient claims in accordance with contracts and policies. The PAR works in various capacities to support the primary goal of the business office to resolve of unpaid, underpaid, denied or unresolved patient accounts. Depending on the specific team, the PAR's focus may be on a mix of various responsibilities from across the Patient Financial Services (PFS) operations. Responsibilities may include: - Accounts receivable collections and payer follow-up - Payer denial review and appeals processing - Payment posting and batch reconciliation - Credit balance review and resolution - Retroactive eligibility and registration - Underpayment reconciliation - Client or other special billing A PAR IV works primarily in Epic, to perform the full range of duties for this assigned class. The PAR IV position is an expert-level position with a proven track record in hospital patient accounting, and an extensive knowledge of reimbursement requirements of all types of healthcare payers. A PAR IV will act as a key resource for the team management in problem-solving difficult issues, analyzing complex accounts, and assisting with training needs. Locations Stanford Health Care What you will do Working a wide range of denial types from various payers, applying critical thinking to the follow-up process, researching payer policies, and reviewing billing errors Resolving claim edits Electronic or hardcopy claims editing and submission to payers Reconciling payment posting files in Epic, as well as related adjustments Identifying trends and root cause analysis for various payer, denial, cash posting, credit or other patterns to resolve; identify potential prevention steps Reviewing and analyzing payer variances, pursuing underpayments with payers as necessary Aiding in the Epic configuration of payer contract models Reviewing and resolving payer rejections, denials, and performing customized appeals Resolving credit balances Completing all types of charge corrections Completing special projects as assigned by management as needed Education Qualifications High School diploma or GED equivalent Experience Qualifications Six (6) years of progressively responsible and directly-related work experience Required Knowledge, Skills and Abilities Meets weekly individual productivity goals and standards while following planned priorities as set by the Team Manager Can maintain professional communication with various PFS staff, payers, and patients regarding the billing of services. Ability to follow oral and written instructions and interpret institutional and other policies accurately Ability to communicate clearly and professionally both verbally and in writing Ability to maintain confidentiality of sensitive information Ability to perform basic data analysis Proficient in Excel, including creating, organizing, and performing basic PivotTables Ability to plan, prioritize, and meet deadlines Ability to work effectively with individuals at all levels of the organization Knowledge of accounts receivable software systems and medical billing operations Familiarity with medical reimbursement policies and procedures and medical terminology Knowledge of payer landscape, including Medicare, Medicaid, Workers' Compensation, Managed Care, or other Commercial insurance Licenses and Certifications None These principles apply to ALL employees: SHC Commitment to Providing an Exceptional Patient & Family Experience Stanford Health Care sets a high standard for delivering value and an exceptional experience for our patients and families. Candidates for employment and existing employees must adopt and execute C-I-CARE standards for all of patients, families and towards each other. C-I-CARE is the foundation of Stanford's patient-experience and represents a framework for patient-centered interactions. Simply put, we do what it takes to enable and empower patients and families to focus on health, healing and recovery. You will do this by executing against our three experience pillars, from the patient and family's perspective: Know Me: Anticipate my needs and status to deliver effective care Show Me the Way: Guide and prompt my actions to arrive at better outcomes and better health Coordinate for Me: Own the complexity of my care through coordination Equal Opportunity Employer Stanford Health Care (SHC) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements. Base Pay Scale: Generally starting at $38.15 - $42.96 per hour The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, specialty and training. This pay scale is not a promise of a particular wage.

Are you looking for a career that transcends the ordinary? At Concentra, we offer opportunities beyond patient care. As a valued member of our team, you'll be part of our efforts to provide exceptional service to our employer clients and exceptional care to their employees. Our values define our path forward - always working to ensure welcoming, respectful, and skillful care. Join Concentra, and see what makes us different and better. The Lead Development Representative (LDR) will focus on implementing Concentra's outbound sales strategy, specifically by prospecting and filling the field sales funnel with qualified opportunities. This position's primary responsibility will be to vet leads, make phone calls to prospective customers and schedule appointments. The LDR will work various lead types to identify opportunities that meet a minimum qualification criterion to hand off to field sales. This position will initially report to the Senior Director of Sales Effectiveness where the focus will be on training and special projects until a defined LDR territory becomes available. Responsibilities * Initiate a high volume of prospecting/calling * Effectively use CRM (Microsoft Dynamics) to accurately track activity and account information of all prospects * Work various lead types defined by the sales organization to qualify or disqualify based on specific criteria * Build rapport with prospects by offering resources (webinar invitations, white papers, relevant blog articles, etc.) and understanding based on where the prospect is in the buying process * When a lead is identified the LDR utilizes tools such as CRM, Google and LinkedIn to determine organizational structure, decision makers, and key influencers in the prospect organization * Gather key information during conversations with the decision makers by asking pertinent discovery and follow up questions to determine current needs and challenges * Execute a precise contact cadence (phone calls, emails, social media) in efforts to schedule appointments with qualified prospects * Consistently meet and exceed daily activity metrics in areas of leads worked, completed calls, and appointments scheduled * Compliment quantity of work with quality and effectiveness of work performed * Nurture a lead effectively until they are Sales Ready * Learn and demonstrate a fundamental understanding of Concentra services and state regulations to clearly articulate capabilities and advantages to prospective customers to successfully manage and overcome prospect objections This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice. Qualifications Education Level: High School Diploma or GED Job-Related Experience * Customarily has at least one year of sales experience * Telephonic sales experience a plus * Remote work environment experience a plus * Experience in occupational health care or workers' compensation industry is a bonus Job-Related Skills/Competencies * Concentra Core Competencies of Service Mentality, Attention to Detail, Sense of Urgency, Initiative and Flexibility * Ability to make decisions or solve problems by using logic to identify key facts, explore alternatives, and propose quality solutions * Outstanding customer service skills as well as the ability to deal with people in a manner which shows tact and professionalism * The ability to properly handle sensitive and confidential information (including HIPAA and PHI) in accordance with federal and state laws and company policies * Display a self-discipline/self-starter attitude and focus to effectively manage and prioritize in an intense and high-volume business * Strategic thinking skills: critical thinking is a must when identifying customer concerns, revenue maximization opportunities, and customer next steps * Team player who possesses a desire and ability to work in a fast paced, goal oriented, high growth sales environment * Demonstrated success in prospecting * Strong organizational and time management skills * Exceptional verbal communication skills coupled with excellent listening skills through telephonic conversation * Excellent written communication skills with the ability to write a relevant message to the buyer * Flexibility in moving between diverse job tasks * Possesses an outstandingly warm, positive, energetic and professional demeanor * Solid work ethic and integrity with a desire to work with a high level of energy and be a Concentra brand advocate * Comfortable and familiar with technology * Ability to leverage sales automation and tools to streamline efforts Additional Data Employee Benefits * 401(k) Retirement Plan with Employer Match * Medical, Vision, Prescription, Telehealth, & Dental Plans * Life & Disability Insurance * Paid Time Off & Extended Illness Days Offered * Colleague Referral Bonus Program * Tuition Reimbursement * Commuter Benefits * Dependent Care Spending Account * Employee Discounts This job requires access to confidential and critical information, requiring ongoing discretion and secure information management. We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation. Concentra is an equal opportunity employer, including disability/veterans Concentra is an equal opportunity employer that prohibits discrimination, and will make decisions regarding employment opportunities, including hiring, promotion and advancement, without regard to the following characteristics: race, color, national origin, religious beliefs, sex (including pregnancy), age, disability, sexual orientation, gender identity, citizenship status, military status, marital status, genetic information, or any other basis protected by federal, state or local fair employment practice laws.

UPMC Corporate Payor Contracts is hiring a Financial Analyst, Senior to join our team! We are seeking an individual with healthcare knowledge and strong data analytic skills in the population health space. The ideal candidate will perform data analysis of value-based healthcare programs and be responsible for tracking potential reimbursement, collating and sharing that information across UPMC and the clinically integrated network. This individual will be responsible for creating dashboards and budgets that display revenue opportunity and monitor program(s) performance. This individual will disseminate information for population health-based opportunities derived from data driven insights. Strong Excel skills required. This role will be a hyrbid model with work from home as well as being on site in Harrisburg. The position will work Monday through Friday during daylight hours. Look no further and apply today! Responsibilities + Interpret value based programs and transactions for users who must make economic or business decisions. + Review costs and perform cost benefit analysis related to projects and/or programs. + Analyze financial data and extract payor data and define relevant information; interpret data for the purpose of determining past financial performance and/or to project a financial probability. + Perform moderately complex statistical, cost, and financial analysis of data reported in the various financial systems. + Develop quality, utilization, and financial reports for forecasting, trending, and results analysis. + Record, classify, and summarize financial transactions and events in accordance with generally accepted accounting principles. + Collect and study data to determine costs of business activities. Recommend budget adjustments, and other cost improvement measures + Bachelor's degree in finance or related business field required. + Minimum of one year of related work experience required. + OR High School Diploma/GED and three years of related work experience. + Microsoft Office spreadsheet application required, and PeopleSoft General Ledger proficiency preferred. + Power BI experience preferred. + Population health and payer relations experience preferred. + Epic, electronic health record experience preferred. Licensure, Certifications, and Clearances: + Act 33 with renewal + Act 34 with renewal + Act 73 FBI Clearance with renewal UPMC is an Equal Opportunity Employer/Disability/Veteran + Act 34 UPMC is an Equal Opportunity Employer/Disability/Veteran

Are you an accomplished Board Certified Physical Medicine & Rehabilitation physician? Are you passionate about your work/life balance? We are seeking flexible and experienced physicians for our medical reviewstream division. This telecommute role provides the ability for you to customize your schedule and caseload within a Monday - Friday work week and within business hours. Create a flexible work schedule and be compensated on a per case basis as a 1099 independent contractor. Candidates must have a CA license. JOB SUMMARY: Relying on clinical background, reviews health claims providing medical interpretation and decisions about the appropriateness of services provided by other healthcare professionals in compliance with Concentra Physician Review policies, procedures, and performance standards and URAAC guidelines and state regulations Responsibilities MAJOR DUTIES AND RESPONSIBILITIES: * Reviews medical files and provides recommendations for utilization review, chart reviews, medical necessity, appropriateness of care and return to work, short and long-term disability, Family and Medical Leave Act (FMLA), Group health and workers' compensation claims. • Meets (when required) with Concentra Physician Review Medical Director to discuss quality of care and credentialing and state licensure issues.• Maintain proper credentialing and state licenses and any special certifications or requirements necessary to perform the job.• Returns cases in a timely manner with clear concise and complete rationales and documented criteria. • Telephonically contacts providers and interacts with other health professionals in a professional manner. Discusses the appropriate disclaimers and appeal process with the providers.• Attends orientation and training• Performs other duties as assigned including identifying and responding to quality assurance issues, complaints, regulatory issues, depositions, court appearances, or audits.• Identifies, critiques, and utilizes current criteria and resources such as national, state, and professional association guidelines and peer reviewed literature that support sound and objective decision making and rationales in reviews.• Provides copies of any criteria utilized in a review to a requesting provider in a timely manner Qualifications EDUCATION/CREDENTIALS: * Board certified MD, DO, with an excellent understanding of network services and managed care, appropriate utilization of services and credentialing, quality assurance and the development of policies that support these services. -Current, unrestricted clinical license(s) (or if the license is restricted, the organization has a process to ensure job functions do not violate the restrictions imposed by the State Board); -Board certification by American Board of Medical specialties or American Board of Osteopathic Specialties is required for MD or DO reviewer. -Must be in active medical practice to perform appeals JOB-RELATED EXPERIENCE:Post-graduate experience in direct patient care JOB-RELATED SKILLS/COMPETENCIES: -Demonstrated computer skills, telephonic skills-Demonstrated ability to perform review services.-Ability to work with various professionals including members of regulatory agencies, carriers, employers, nurses and health care professionals. -Medical direction shall also be provided consistent with the requirement that the physician advisor shall not have a financial conflict of interest -Must present evidence of current error and omissions liability coverage for job duties and activities performed-Managed care orientation-Knowledge of current practice standards in specialty-Good negotiation and communication skills WORKING CONDITIONS/PHYSICAL DEMANDS: -Phone accessability -Access to a computer to complete reviews-Ability to complete cases accompanied by a typed report in specified time frames-Telephonic conferences This job requires access to confidential and sensitive information, requiring ongoing discretion and secure information management. Concentra is an Equal Opportunity Employer M/F/Disability/Veteran Concentra's Data Protection Commitment* Concentra is committed to protect patient data and to ensure privacy of personal and medical information.* Every Concentra colleague has the responsibility to adhere to data protection principles.* If a colleague's role includes handling or processing sensitive data, role-specific policies and requirements apply to ensure the protection of patient information. Additional Data Concentra is an Equal Opportunity Employer, including disability/veterans

Planned Parenthood is the nation's leading provider and advocate of high-quality, affordable sexual and reproductive health care for all people, as well as the nation's largest provider of sex education. Planned Parenthood organizations serve all people with care and compassion, with respect, and without judgment, striving to create equitable access to health care. Through health centers, programs in schools and communities, and online resources, Planned Parenthood is a trusted source of reliable education and information that allows people to make informed health decisions. We do all this because we care passionately about helping people lead healthier lives. Planned Parenthood Federation of America (PPFA) is a 501(c)(3) charitable organization that supports the independently incorporated Planned Parenthood affiliates, which operate non-profit health centers across the USA. PPFA also works to educate the public on and advocate for issues of sexual and reproductive health. Formed as the advocacy and political arm of Planned Parenthood Federation of America, Planned Parenthood Action Fund is a separate non-profit membership organization tax-exempt under section 501(c)(4). The Action Fund engages in educational, advocacy, and limited electoral activity, including grassroots organizing, legislative advocacy, and voter education in furtherance of the Planned Parenthood mission. Planned Parenthood Federation of America (PPFA) and Planned Parenthood Action Fund (Action Fund) seek a Louisiana State Director, reporting to the National Director of Campaigns, to oversee the policy, political, and advocacy campaign efforts within their assigned state to protect and promote reproductive health, rights, and justice. Our overarching goal is to create the conditions for change in states where access to care is under threat, expand or fortify care in access states, and use the power of supportive allies and the 19 million Planned Parenthood supporters to defend access to sexual and reproductive healthcare nationally. The Louisiana State Director would also oversee the Action Fund's electoral efforts within their assigned state. This position is remote, based in Louisiana. Applicants must be based in the state of Louisiana for this position. Purpose:The Louisiana State Director will serve as PPFA and the Action Fund's primary strategist and director of advocacy and the Action Fund's electoral campaigns in Louisiana This role will work in collaboration with the Campaigns Director to develop and execute all aspects of PPFA and Action Fund's work in state, including legislative advocacy, issue or candidate specific civic engagement, and advocacy coalition partnerships, and supporter engagement. The Louisiana State Director may serve as the organizational lobbyist in service of the local Planned Parenthood affiliate and the provision of services in the state, and will serve as PPFA and Action Fund's media spokesperson in the state where appropriate. The Louisiana State Director will be adept at advancing in-state goals while navigating the internal systems of the national office. Engagement: •Leads legislative advocacy, organizing, and state-level communications for the state in coordination with PPFA and the Action Fund national office staff and state advocacy organizations in state, in state in support of the provision of care.•Maintains or coordinates relationships with legislative members and staff, state regulatory agencies, lobbyists, consultants, local-level office holders, and members of Congress, where appropriate. Manages contract lobbyist, if applicable. •Serves as PPFA/Action Fund spokesperson to media and stakeholders where appropriate. •Serves as a credible source of local political and policy knowledge within the federation and with partners. •Leads Action Fund political endorsement process.•Seeks new opportunities for collaboration to improve the lives of patients served by Planned Parenthood affiliates and enhance their ability to access reproductive health information and care, with a priority on supporting health equity efforts for historically underserved and/or under-resourced populations. •Serves as lead liaison to in-state advocacy-focused coalition partners and works to build strong relationships with allied organizations.•Manages constituency organizing in-state in coordination with Constituency Program Leads, if applicable. •Maintains familiarity and compliance with all state and local lobbying reporting requirements. Maintains consistent internal reporting of lobbying activities as directed. •Develops and maintains expertise in the use of the Voter Activation Network and assures consistent, accurate, and timely reporting in the VAN. •Persuades internal and external stakeholders towards campaign and project completion.•Fosters collaboration and resolves conflict. Debriefs and evaluates each campaign. Works as a team player in a high-pressure work environment.•Collaborates with teams across the national office to ensure the goals of PPFA and Action Fund's advocacy campaigns and Action Fund's electoral campaigns in-state are being met.•Serves as lead strategist and ensures the successful implementation of strategies in Louisiana.•Adapts national days of action and leads organizing peaks to in-state goals and capacity, and responds to catalyzing moments at the state and national level. •Coordinates people and resources, manages expectations, and oversees tasks. Delivery:•Ensures the successful implementation of strategies in Louisiana.•Identifies strategies to defend, restore, and expand the provision of services in state•Adapts national days of action and organizing peaks to in-state goals and capacity.•Ensures the successful implementation of Action Fund's electoral strategies in state•Anticipates and responds to catalyzing moments at the state and national level. •Coordinates people and resources, manages expectations, and oversees tasks.•Adapts national office assistance for in-state work as needed.•Keeps the national organization engaged on local public affairs priorities, needs, and activities.•Maintains current and accurate files, tracks affiliate activity to provide regular reports, and monitors work-related financial expenditures.•Works across teams to nationalize state campaigns, helping set goals for state response to national threats, including goals for how to engage state-based national targets.•Deftly manages multiple in-state campaigns while supporting national-level goals.•Tracks progress, measures performance, and adapts project plans if needed.•On behalf of PP Action Fund, oversees the endorsement process in-state. •Works with PPFA's Office of General Counsel to manage in-state lobbying compliance. •On behalf of PP Action Fund, works with the Action Fund's Office of General Counsel and Campaign Director to manage in-state lobbying and electoral compliance. •Performs other duties as assigned. Knowledge, Skills, and Abilities (KSAs): •At least 7 years of related advocacy and electoral campaign experience in organizing and management is required.•Minimum 3 years experience as a campaign manager or director (or comparable) with demonstrated proficiency in project management of legislative, electoral, organizing, or other public affairs campaigns.•High school degree or equivalent required.•Demonstrated proficiency in project management of legislative, electoral, organizing, and other public affairs campaigns is required.•Experience working with Planned Parenthood, either at a local organization or the national office, is preferred but not required.•Impeccable organization and strong familiarity with project management software tools, methodologies, and best practices, including the MOCHA(R) framework for defining clear roles and responsibilities on projects.•Strong interpersonal skills, adept in managing conflict and crisis creatively and keeping teams moving towards results.•Required track record of creating and maintaining strong work relationships with a diverse set of colleagues.•Must be able to motivate and lead teammates and colleagues who are not direct reports and across divisions and geographies.•Professional integrity and ambition to effectively represent and promote the PP Action Fund and the PPFA team work.•Strong communicator who can show progress towards goals to audiences and through diverse channels.•Ability to identify priorities, work independently, and develop systems for addressing issues or requests.•Able to work extended hours as needed.•Passionate about the Planned Parenthood mission.•Working knowledge of voter databases (specifically VAN) is preferred.•Self-starter with a high level of creative initiative.•Ability to incorporate resilience best practices into project plans. Travel: 0-10% domestic. Occasional travel in-state and throughout the region may be required. Total offer package to include generous vacation + sick leave + paid holidays, individual/family-provided medical, dental and vision benefits effective day 1, life insurance, short/long term disability, paid family leave and 401k. We also offer voluntary opt-in for Flexible Spending Account (FSA) and Transportation/Commuter accounts. Planned Parenthood's cultural ethos, "In This Together", reflects our commitment to building a workplace culture that fosters belonging, promotes learning throughout the employee lifecycle, and recognizes individual contributions to our mission. Planned Parenthood Federation of America participates in the E-Verify program. Planned Parenthood Federation of America is an equal employment opportunity employer and is committed to maintaining a non-discriminatory work environment, and does not discriminate against any employee or applicant for employment on the basis of race, color, religion, sex, national origin, age, disability, veteran status, marital status, sexual orientation, gender identity, or any other characteristic protected by applicable law. Planned Parenthood Federation of America is committed to creating a dynamic work environment that values diversity and inclusion, respect and integrity, customer focus, and innovation. #LI-SY1PDN-HR Roles that are denoted as NYC, DC, or both will work a hybrid schedule and are expected to work in their assigned PPFA office a minimum 2 days per week unless the role is denoted as onsite, which requires working onsite full time or 5 days per week.