Professional Case Management Remote jobs - 5,862 jobs
Senior Counsel - Healthcare IT and AI Technology Contracts
Akron Children's Hospital 4.8
Hudson, OH jobs
Full-Time, 40 hours/week
Monday - Friday 8 am - 5 pm
Onsite
The Senior Associate Counsel provides legal support for hospital information technology operations, including comprehensive legal and strategic guidance on the procurement, deployment, and governance of information technology systems (ISD) and artificial intelligence. This position reports to the Vice President, Senior Associate Counsel with a reporting matrix to the Chief Information Officer.
Responsibilities:
Advise hospital leadership and procurement teams on the legal implications of acquiring new technologies, such as electronic health records (EHR), telemedicine platforms, cybersecurity tools, and medical devices and the implementation of artificial intelligence tools.
Draft, review, and negotiate a broad array of information technology contracts-such as software-as-a-service (SaaS) agreements, cloud hosting terms, data processing addenda, and business associate agreements. Identify and address legal risks in vendor offerings and technology solutions.
Advise hospital leadership on legal considerations surrounding digital transformation initiatives, innovation adoption, and strategic partnerships with technology providers.
Collaborate with hospital IT and security teams to develop policies and protocols for safeguarding patient data and critical systems. Advise on incident response plans, breach notification procedures, and risk mitigation strategies. Stay abreast of emerging threats and evolving best practices.
Provide legal support for hospital-wide policies on technology use, social media, device management, remote work, mobile access to sensitive information, and enterprise risk for information technology. Ensure policies reflect current legal requirements and operational needs.
Support the hospital in managing disputes or litigation related to technology vendors, data breaches, intellectual property claims, and other technology-related matters. Coordinate with litigation counsel as needed.
Education and Training: Provide ongoing education to staff and leadership on legal implications of technology adoption, emerging regulatory requirements, and evolving risks in the health technology landscape.
Identify and assess legal, operational, and compliance risks in IT contract.
Other duties as assigned.
Other information:
Technical Expertise
Openness to learning and keeping pace with rapid changes in both healthcare delivery and technological innovation.
Aptitude for working effectively with clinicians, IT professionals, administrators, vendors, and regulators.
Capacity to guide organizational leadership through complex legal and strategic decisions regarding technology investments.
Resourcefulness and creativity in navigating novel legal challenges emerging from digital health transformation.
Education and Experience
Education: Juris Doctor (JD) degree from an accredited law school; Ohio bar admission or ability to obtain admission prior to start date.
Experience: Minimum of 5 years of legal practice advising in healthcare Information technology contracts is required.
Technical Knowledge: Familiarity with healthcare IT systems, data privacy and security laws, and emerging technologies (such as artificial intelligence, cloud computing, and IoT).
Skills: Strong contract negotiation, drafting, and analytical skills. Excellent verbal and written communication abilities. Competency in risk assessment and strategic thinking.
Demonstrated integrity, discretion, and ability to work collaboratively with multidisciplinary teams.
Full Time
FTE: 1.000000
Status: Onsite
$97k-148k yearly est. 8d ago
Looking for a job?
Let Zippia find it for you.
Dosimetrist, Remote - Midtown
Piedmont Healthcare 4.1
Columbus, OH jobs
Responsibilities:
Dosimetrist, FT, Piedmont Columbus John B. Amos Cancer Center, "Hybrid "
RESPONSIBLE FOR: Measuring and generating radiation dose distributions and calculations under the direction of the Radiation Physicist and Radiation Oncologist.
Qualifications - External
Qualifications:
MINIMUM EDUCATION REQUIRED:
Bachelors Degree in any discipline.
If hired prior to January 2025, will only require certification by the Medical Dosimetry Certification Board
(MDCB).
MINIMUM EXPERIENCE REQUIRED:
Three years of clinical experience in a radiation therapy department as a radiation therapist or medical
dosimetrist
MINIMUM LICENSURE/CERTIFICATION REQUIRED BY LAW:
Board Eligible by the MDCB (Medical Dosimetrist Certification Board)
Obtains Dosimetrist certification within 13 months of hire date.
Participation in the learning plan activities as required by MDCB (Medical Dosimetrist Certification Board).
Business Unit : Company Name: Piedmont Columbus Midtown
$141k-210k yearly est. 2d ago
Single Billing Office, Customer Service Specialist, FT, Days, - Remote
Prisma Health 4.6
Greenville, SC jobs
Inspire health. Serve with compassion. Be the difference.
Performs tasks of moderate to difficult complexity relating to both hospital and physician accounts. Handles a large volume of inbound calls. Responsible for also making outbound calls related to self-pay follow up on accounts. Assists patients with requests for information, complaints, and resolving issues. Responsible for data analysis and interpretation throughout all functions of revenue cycle, to determine reasons for denials, non-payment and overpayment, post/balance/correct electronic remittances, billing and follow-up of government payers and specialized accounts, analysis/correction of correct coding guidelines, preparation of accounts for appeal, review/analysis of insurance credit balances and analysis/movement of unapplied, unidentified, undistributed balances. Moderate to difficult levels of evaluation, analysis, decision making required in these roles.
Essential Functions
All team members are expected to be knowledgeable and compliant with Prisma Health's values: Inspire health. Serve with compassion. Be the difference.
Resolves billing concerns, addresses inquiries related to insurance concerns/matters, assist patients with MyChart while simultaneously establishing a rapport with our diverse field of patients. Reviews accounts to determine insurance coverage; obtains and corrects any missing or inaccurate information. Discusses patient responsibility, which includes educating patients on claim processing, deductible, coinsurance, and co-pays. Interacts with patients by making patients aware of payment options such as payment plans and financial assistance as well as how to apply for financial assistance if circumstance warrant. Ability to set up payment plans in MyChart based on patient's personal needs.
Greets patients in a professional and courteous manner. Communicates clearly and professionally in both oral and written communication. Be clear and concise in all communication to ensure patients understand the information that is being communicated to them by the Customer Service Specialist. Maintains a high level of poise and professionalism in dealing with patients. Knows when to escalate a patient service issue real time. Research customer requests or issues, determines if further action is needed, forwards to appropriate party for resolution, and exercises good judgement to determine urgency of patient's need.
Contacts payer and makes hard inquiries on account status if needed. Escalates problem accounts to the appropriate area(s). Documents billing activity on a patient's accounts according to departmental guidelines; ensures compliance with all applicable billing regulations and reports any suspected compliance issues to departmental leaders. Properly documents accounts clearly with indicators and activities so that tracking and trending can be prepared for any potential further analysis if needed.
Ensures all work is compliant with privacy, HIPAA, and regulatory requirements.
Participates in general or special assignments and attends all required training. Adheres to policies and procedures as required by Prisma Health and follows all compliant regulatory payer guidance.
Answers all incoming calls from Prisma Health patients
Performs other duties as assigned.
Supervisory/Management Responsibilities
This is a non-management job that will report to a supervisor, manager, director or executive.
Minimum Requirements
Education - High School diploma or equivalent OR post-high school diploma / highest degree earned
Experience - Two (2) years billing, bookkeeping, and/or accounting experience
In Lieu Of
NA
Required Certifications, Registrations, Licenses
NA
Knowledge, Skills and Abilities
Knowledgeable of the job functions required for a A/R Follow-up Representative, Cash Posting Representative, Claims Clearinghouse Representative, Correspondence Representative, Credit Processing Specialist, Denial/Appeals Specialist, Payment Research Specialist and a Quality Assurance Specialist.
Knowledgeable of the entire Revenue Cycle and Epic.
Work Shift
Day (United States of America)
Location
Patewood Outpt Ctr/Med Offices
Facility
7001 Corporate
Department
70019935 System Billing Office
Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.
$22k-28k yearly est. 7d ago
Director, Medical Affairs (Remote)
Stryker Corporation 4.7
Chicago, IL jobs
Abbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-changing technologies spans the spectrum of healthcare, with leading businesses and products in diagnostics, medical devices, nutritionals and branded generic medicines. Our 114,000 colleagues serve people in more than 160 countries.
Working at Abbott
At Abbott, you can do work that matters, grow, and learn, care for yourself and your family, be your true self, and live a full life. You'll also have access to:
Career development with an international company where you can grow the career you dream of.
Employees can qualify for free medical coverage in our Health Investment Plan (HIP) PPO medical plan in the next calendar year.
An excellent retirement savings plan with high employer contribution
Tuition reimbursement, the Freedom 2 Save student debt program and FreeU education benefit - an affordable and convenient path to getting a bachelor's degree
A company recognized as a great place to work in dozens of countries around the world and named one of the most admired companies in the world by Fortune.
A company that is recognized as one of the best big companies to work for as well as a best place to work for diversity, working mothers, female executives, and scientists.
The Opportunity
Abbott Heart Failure (HF) delivers devices for patients living with heart failure in the areas of hemodynamic monitoring and mechanical circulatory support. Medical affairs of Abbott HF is seeking to hire a director who will join a team of medical specialist dedicated to all medical aspects of safe and effective device heart failure treatment. The director will report to the Chief Medical Officer.
The Director of Medical Affairs will provide daily business operations support related to product development and clinical research, product quality, compliance, commercial/marketing activities and customer interactions. The director assists the Chief Medical Officer in being medical representative of Abbott HF to external regulatory agencies and professional societies.
What You'll Work On
The Medical Director
Develops medical opinions, medical platform documents and Health Hazard Assessments.
Provides medical input for promotional and commercial activities as requested.
Serves as medical representative on Risk Evaluation teams.
Assists investigation teams by providing medical input as needed.
Responsible for updating medical affairs procedural documents and submitting change requests when needed.
Provides medical support for MDR reporting when needed.
Provides initial medical input for quality/regulatory customer communications, technical bulletins and quality directives.
Engages with direct customer interactions with medical content as needed.
Regionally responsible for Investigator Initiated Study and Research Grant programs.
Provides input or content to professional education activities.
Responsible for engaging in and documenting off-label discussions.
Assists the Chief Medical Officer in KOL and professional society engagement.
Provides medical input to new product development
An MD is strongly preferred for this role, but a PhD in a relevant area would be considered. A minimum of 5 years of clinical experience including in CV medicine would be clinical research, including interpretation and presentation would be expected. Strong presentation skills required.
The role is remote (US-based)
Up to 70 % travel should be expected.
APPLY NOW
Enjoy a competitive base salary plus exciting bonus opportunities and long-term incentives designed to recognize your success.
Learn more about our health and wellness benefits, which provide the security to help you and your family live full lives: **********************
Follow your career aspirations to Abbott for diverse opportunities with a company that can help you build your future and live your best life. Abbott is an Equal Opportunity Employer, committed to employee diversity.
Connect with us at *************** on Facebook at *********************** and on Twitter @AbbottNews and @AbbottGlobal
#J-18808-Ljbffr
A leading financial institution in Indiana is seeking a Chief Intelligence and Innovation Officer to spearhead technology modernization and data strategy. This role demands over a decade of experience in innovation or digital transformation, ideally in financial services. Responsibilities include defining innovation strategies and advising executive leadership. The position offers a competitive salary, comprehensive benefits, and a hybrid work model post-onboarding.
#J-18808-Ljbffr
$82k-106k yearly est. 4d ago
Healthcare Case Manager/Care Coordinator
Homecare Hub 4.0
La Crosse, WI jobs
Homecare Hub offers a unique solution for people with caregiving needs, focusing on small shared care and co-living environments to help individuals stay out of large institutional nursing facilities. Whether in existing care homes or customized on-demand setups, Homecare Hub provides superior, safe, and affordable care options. The innovative approach allows individuals to age with dignity in their community. In Wisconsin, the focus is on partnering with various organization to accelerate the creation of Adult Family Homes and Community Based Residential Facilities. Currently Homecare Hub partners with > 10% of the existing small homes in Milwaukee, and multiple health systems across the state.
In the La Crosse region who have formed a strategic partnership with the Gundersen (Emplify) Health system. Feel free to learn more here:
*******************************************************************************************************
Role Description
This is a hybrid role for a case manager & care coordination position at Homecare Hub. This individual will help with placement of patients into small homes, and as well oversee a cohort of patients and assuring their clinical healthcare and non-clinical needs are met.
This hybrid role is located in Wisconsin with occasional travel across the state. Most in person work will be local, and there will be a component of work from home as well.
Qualifications
We are seeking a social worker, however, a nurse working in he case management field will be considered.
Experience in the healthcare or caregiving industry
Knowledge of Medicaid and Medicare and various plans
Financial Counseling skills
Knowledge of Services in the La Crosse Region
Excellent communication, interpersonal, and leadership skills.
Technology skills
Bachelor's or Master's degree in Nursing or Social work
$31k-37k yearly est. 9h ago
Business Development Manager
The BJC Group, Inc. 4.6
Nashville, TN jobs
The BJC Group, Inc. is a comprehensive construction management and contracting company specializing in commercial and residential construction, pre-construction services, and maintenance. The company provides end-to-end solutions, encompassing design, permitting, construction, and building occupancy. Backed by a highly experienced team, The BJC Group is dedicated to delivering superior quality projects at competitive prices, catering to a diverse range of project sizes and requirements.
Role Description
This is a full-time hybrid role for a Business Development Manager, located in Nashville, TN, with flexibility for some remote work. The Business Development Manager will be tasked with identifying and securing new business opportunities, building and maintaining client relationships, and collaborating with internal teams to ensure client satisfaction. Daily responsibilities include market research, preparing sales presentations, negotiating contracts, and contributing to strategic business planning efforts to support company growth.
Qualifications
Strong business development, client relationship management, and negotiation skills
Experience in sales strategy, market research, and lead generation
Ability to analyze market trends and develop actionable insights for business growth
Excellent verbal and written communication skills for preparing proposals, presentations, and reports
Organizational and project management skills to oversee multiple deals and client accounts
Proficiency with CRM software and other digital tools for tracking sales processes and customer interactions
Self-motivated with a proactive approach to achieving business goals
Bachelor's degree in Business Administration, Marketing, Sales, Construction, or a related field is a plus
Industry experience in construction management or contracting is a plus
$58k-79k yearly est. 2d ago
Remote Executive Director - National Women's Sports Awards
Stryker Corporation 4.7
Chicago, IL jobs
An organization for collegiate sports is seeking a visionary Executive Director to lead strategic initiatives and operational management. Responsibilities include overseeing financial resources, driving revenue generation, and managing an annual awards show. Successful candidates will have a Bachelor's degree and extensive leadership experience, preferably in intercollegiate athletics. This position offers a flexible remote work environment and starts on September 1, 2026.
#J-18808-Ljbffr
$157k-231k yearly est. 3d ago
instED Mobile Health Coordinator - Oregon ONLY
Caresource 4.9
Portland, OR jobs
Commonwealth Care Alliance (CCA) is a nonprofit, mission-driven health plan and care delivery organization designed for individuals with the most significant needs. As an affiliate of CareSource, a nationally recognized nonprofit managed care organization with over 2 million members across multiple states, CCA serves individuals enrolled in Medicaid and Medicare in Massachusetts through the Senior Care Options and One Care programs and its care delivery enterprises. CCA is dedicated to delivering comprehensive, integrated, and person-centered care, powered by its unique model of uncommon care, which yields improved quality outcomes and lower costs of care.
Job Summary:
inst ED provides patient-centered, high-quality acute care in place to adults with complex medical needs. Reporting to the Manager, Network Delivery, the inst ED Mobile Health Coordinator (MHC) is the first point of contact for patients who are seeking an inst ED visit. The Mobile Health Coordinator warmly greets all callers and completes a thorough and accurate intake for callers requesting a referral for an inst ED visit. The MHC assigns the visit to one of inst ED's paramedic partners based on geography and availability and monitors the physician assignment algorithm. In addition, the MHC monitors visit progression to ensure timely service delivery. Finally, the MHC assists the nursing team with non-clinical administrative support and serves as the main point of contact for paramedic partner dispatchers, paramedics, and the inst ED Virtual Medical Control (VMC) team for all non-clinical issues.
Essential Functions:
Answer incoming phone calls in a timely manner using a cloud-based platform.
Collect accurate patient information and document in the inst ED NOW platform and Athena medical record to process an inst ED referral.
Collect, review, and accept written consent from patients, upload consents from paramedics.
Verify patient eligibility using inst ED NOW, Athena, or external payor portals.
Collect payment(s) from patients (e.g., copay, co-insurance).
Assign visits to one of inst ED's ambulance partners based on geography and availability; collaborate with nursing staff to prioritize high acuity patients.
Communicate with the dispatchers from the ambulance partners to facilitate throughput of inst ED visits; convey clinical concerns/questions to the nursing team.
Maintain awareness of all ambulance partner vehicle's status and location.
Call patients if mobile health providers are unable to reach patients with an updated ETA; escalate to the nursing team when patients cannot be reached via phone.
Make recommendations to improve the inst ED NOW platform.
Monitor that VMC providers are checked in and out of inst ED NOW in a timely manner and outreach to them if this does not occur.
Monitor VMC auto-assignments and manually re-assign if needed when a VMC provider is nearing the end of shift and cannot complete a visit.
Complete an end of shift report before logging off at the end of a shift.
Ensure that mobile health providers have completed all documentation by the end of their shift and outreach to the paramedic partner when there is outstanding documentation.
Perform any other job related duties as requested.
Education and Experience:
High School or GED required
Associates degree preferred
Five (5) years professional work experience in a healthcare setting with at least one (1) year of remote work experience required
Customer service experience via phone communications, preferably in a health care call center setting interacting with patients required
Process improvement experience required
Experience working closely with colleagues at all levels of a company including front-line staff to senior leaders required
Medical assistant, or other related experience in an urgent care, emergency or home care setting preferred
Administrative support to clinicians in healthcare setting preferred
911 Telecommunicator or Emergency Medical Dispatcher Certification preferred
Mobile integrated health experience preferred
Competencies, Knowledge and Skills:
Ability to communicate effectively without judgment to a diverse patient population while demonstrating empathy
Highly adaptable to frequent workflow changes in a fast-paced environment
Willing to learn and utilize several different software applications (e.g., proprietary inst ED NOW platform, Teams, etc.)
Proficient with Microsoft Outlook
Superb verbal communication skills and strong written communication skills
Computer and phone system proficiency (e.g., Ring Central or other cloud communications platform)
Power BI or other business intelligence software knowledge preferred
Proficient in Excel preferred
Process improvement training (e.g., lean, six sigma, etc.) preferred
Medical terminology preferred
Athena (electronic medical record) knowledge preferred
Bilingual (Spanish), bicultural preferred
Licensure and Certification:
None
Working Conditions:
General office environment; may be required to sit or stand for extended periods of time
Must be willing to work weekends, evenings, and holidays
Travel is not typically required
Compensation Range:
$41,200.00 - $66,000.00 CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee's total well-being and offer a substantial and comprehensive total rewards package.
Compensation Type:
Hourly
Competencies:
- Fostering a Collaborative Workplace Culture - Cultivate Partnerships - Develop Self and Others - Drive Execution - Influence Others - Pursue Personal Excellence - Understand the Business
This is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.
$41.2k-66k yearly 4d ago
Pharmacist-System Specialist, PRN
Prisma Health 4.6
Greenville, SC jobs
Inspire health. Serve with compassion. Be the difference.
Leads, oversees and ensures the successful delivery and management of projects/systems within scope, quality, schedule, and cost constraints that may be clearly defined or may require dynamic change management to deliver business value. Clinical subject matter expert, and often end user who participates in the selection, planning, and execution of products, services, or outcomes outside of the department scope or regular business duties. May also initiate projects under the direction of pharmacy administration to enhance existing operations. Works with pharmacy executives, directors, functional managers, and clinical pharmacists on a regular basis as well as non-pharmacy clinical, ancillary, informational services, and marketing teams. Collaborates with allocated project team members and evaluates productivity, communication, and teamwork. The job requires project and program management skills to oversee the deliverables for multiple special projects/systems simultaneously so that all projects/systems are integrated across the department. Helps identify project/system strengths, weaknesses, opportunities, and risks. This position allows remote work at the discretion of the reporting operational leader.
Essential Functions
All team members are expected to be knowledgeable and compliant with Prisma Health's values: Inspire health. Serve with compassion. Be the difference
Management of systems/special projects:
-Assess feasibility through research and stakeholder engagement
-Collect project/system requirements, objectives, and acceptance criteria from sponsors and stakeholders
-Ensure that objectives are in line with department and enterprise objectives
-Identify, prioritize, and schedule deliverables, milestones, and required activities/tasks
-Engage operational leadership to estimate resource requirements, activity durations, and costs
-Prepare and update documents such as charter (scope), work breakdown structure, project sign off, and lessons learned
-Follow established standards and procedures for reporting and documentation
-Work with operational leadership to recruit or assign team members to tasks
-Evaluate individual and team performances and provide feedback to operational leadership
-Monitor project/system activities, ensuring the accuracy, quality, and integrity of the information
-Perform risk assessments and implement mitigation plans
-Ensure that the project/system results meet agreed upon business objectives
-Facilitate project closure by archiving project documents and conducting project review sessions with stakeholders
-Work with operational leadership to smoothly transition deliverables to the functional team(s)
Enhancement of operational productivity and performance:
-Actively evaluate operational workflow and develop process improvement initiatives where needed
-Anticipate, mitigate, and solve workflow problems
-Incorporate feedback from patients, clinical staff, ancillary staff, and leaders to improve performance
-Standardize yet customize workflow initiatives for individual clinical sites
Promotion of a successful project and operational team:
-Facilitate effective collaboration and communication among operational, clinical, and ancillary staff
-Guide and educate project/system and operational key stakeholders
-Unite teammates through conflict resolution and prevention
-Recognize individual and team wins
-Encourage leadership and professional development opportunities for the team
Performs other duties as assigned.
Supervisory/Management Responsibilities
This is a non-management job that will report to a supervisor, manager, director or executive.
Minimum Requirements
Education - Bachelor's degree in Pharmacy as a graduate from an ACPE approved College of Pharmacy. PharmD preferred.
Experience - Two (2) years of experience with project management, system management, project coordination, and/or general business management. Pharmacy experience preferred.
In Lieu Of
In lieu of an active SC Pharmacist license, may be a graduate of an ACPE accredited US college of Pharmacy with a SC intern certificate pending initial licensure or have completed requirements for reciprocity pending board of pharmacy interview for licensure.
Required Certifications, Registrations, Licenses
Licensed to practice as a Pharmacist or eligible to become licensed within 4 months of hire date in the state the team member is working.
Knowledge, Skills and Abilities
Demonstrated sensitivity to working in a political environment and to interacting with leadership
Ability to problem solve.
Ability to work in dynamic interdisciplinary team situations; handle urgent, stressful conditions.
Ability to exhibit excellent interpersonal skills in dealing with subordinates, peers, supervisors and others outside the department.
Knowledge of medical and pharmacy terminology; strong mathematical & computer skills. Understand BOP/DHEC/DEA rules/regulations
Work Shift
Variable (United States of America)
Location
Greenville Memorial Med Campus
Facility
7001 Corporate
Department
70017296 Pharmacy System Support
Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.
$77k-108k yearly est. 7d ago
Integration Project Manager II - M&A/Managed Care experience
Caresource 4.9
Dayton, OH jobs
The Integration Project Manager II is responsible for managing medium to high complexity projects within programs and medium complexity standalone projects.
Essential Functions:
Responsible for successful delivery of integration projects at the workstream level
Schedule and facilitate project meetings including weekly status meetings and stakeholder meetings
Lead stakeholders in the refinement of the project charter
Collaborate with business owners on the identification and assignment of business resources
Capture and report on meeting notes, decisions, and action items
Maintain workstream SharePoint site and project document repository
Lead stakeholders in the current state documentation process
Lead stakeholders in the future state recommendation process
Develop and maintain project schedule
Capture and consolidate IT and business estimates for project
Accurately track and report project status against plan to stakeholders at all levels
Escalate issues to Business Owner, Program Manager, and IMO Leadership as applicable
Drive cross-functional communication between impacted business and IT areas
Assess, manage, and control project scope, schedule, and budget change impacts
Ensure project milestone deliverables are completed and approved at every stage of the project lifecycle
Maintain project stakeholder matrix
Assist with the continuous improvement of project management best practices, processes, and tools
Collaborate with IT point of contact on the identification and assignment of IT resources
Represent project in program meetings or in Portfolio Governance meetings
Work with Talent Development and Communications to develop project communication and training plans
Track, compile and report project metrics and budget
Advocate for and adhere to IMO standards, tools and processes
Implement mitigation strategies, contingency plans, and communicate/escalate to stakeholders
Maintain RAID for project items
Develop project operations and support plan
Perform any other job duties as requested
Education and Experience:
Bachelor's Degree in Project Management, Business, Computer Science or related field or equivalent years of relevant work experience is required
Minimum of two (2) years of healthcare insurance experience is required
Minimum of one (1) years of project management experience is required
Minimum of one (1) years of integration management experience is highly preferred
Competencies, Knowledge and Skills:
Must be comfortable leading workstream teams of subject matter excerpts through business requirements discovery phases.
Experience with Microsoft Office tools, including Project, Word, PowerPoint, Excel, Visio, Teams, Outlook, etc.
Experience working in project management software is preferred
Demonstrates analysis and reporting skills
Excellent decision making/problem solving skills
Demonstrates interpersonal and relationship building skills
Demonstrates critical listening and thinking skills
Ability to effectively interact with all levels of the organization
Excellent written and verbal communication skills
Customer service oriented
Ability to proactively, effectively and efficiently lead a project team of up to 15 core members and multiple external vendors
Ability to prioritize work and team assignments to deliver projects on time, on budget, and meeting stakeholders expectations
Demonstrates a sense of urgency
Understanding of project management processes, techniques and tools, and development lifecycle (ideally Agile)
Familiarity of and knowledge of Medicaid and Medicare a plus
Licensure and Certification:
Project Management Professional (PMP) certification is preferred
Working Conditions:
General office environment; may be required to sit or stand for extended periods of time
High potential for remote work
Compensation Range:
$72,200.00 - $115,500.00 CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee's total well-being and offer a substantial and comprehensive total rewards package.
Compensation Type:
Salary
Competencies:
- Fostering a Collaborative Workplace Culture - Cultivate Partnerships - Develop Self and Others - Drive Execution - Influence Others - Pursue Personal Excellence - Understand the Business
This is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.
#LI-GB1
$72.2k-115.5k yearly 3d ago
Senior Counsel - Healthcare IT and AI Technology Contracts
Akron Children's Hospital 4.8
Medina, OH jobs
Full-Time, 40 hours/week
Monday - Friday 8 am - 5 pm
Onsite
The Senior Associate Counsel provides legal support for hospital information technology operations, including comprehensive legal and strategic guidance on the procurement, deployment, and governance of information technology systems (ISD) and artificial intelligence. This position reports to the Vice President, Senior Associate Counsel with a reporting matrix to the Chief Information Officer.
Responsibilities:
Advise hospital leadership and procurement teams on the legal implications of acquiring new technologies, such as electronic health records (EHR), telemedicine platforms, cybersecurity tools, and medical devices and the implementation of artificial intelligence tools.
Draft, review, and negotiate a broad array of information technology contracts-such as software-as-a-service (SaaS) agreements, cloud hosting terms, data processing addenda, and business associate agreements. Identify and address legal risks in vendor offerings and technology solutions.
Advise hospital leadership on legal considerations surrounding digital transformation initiatives, innovation adoption, and strategic partnerships with technology providers.
Collaborate with hospital IT and security teams to develop policies and protocols for safeguarding patient data and critical systems. Advise on incident response plans, breach notification procedures, and risk mitigation strategies. Stay abreast of emerging threats and evolving best practices.
Provide legal support for hospital-wide policies on technology use, social media, device management, remote work, mobile access to sensitive information, and enterprise risk for information technology. Ensure policies reflect current legal requirements and operational needs.
Support the hospital in managing disputes or litigation related to technology vendors, data breaches, intellectual property claims, and other technology-related matters. Coordinate with litigation counsel as needed.
Education and Training: Provide ongoing education to staff and leadership on legal implications of technology adoption, emerging regulatory requirements, and evolving risks in the health technology landscape.
Identify and assess legal, operational, and compliance risks in IT contract.
Other duties as assigned.
Other information:
Technical Expertise
Openness to learning and keeping pace with rapid changes in both healthcare delivery and technological innovation.
Aptitude for working effectively with clinicians, IT professionals, administrators, vendors, and regulators.
Capacity to guide organizational leadership through complex legal and strategic decisions regarding technology investments.
Resourcefulness and creativity in navigating novel legal challenges emerging from digital health transformation.
Education and Experience
Education: Juris Doctor (JD) degree from an accredited law school; Ohio bar admission or ability to obtain admission prior to start date.
Experience: Minimum of 5 years of legal practice advising in healthcare Information technology contracts is required.
Technical Knowledge: Familiarity with healthcare IT systems, data privacy and security laws, and emerging technologies (such as artificial intelligence, cloud computing, and IoT).
Skills: Strong contract negotiation, drafting, and analytical skills. Excellent verbal and written communication abilities. Competency in risk assessment and strategic thinking.
Demonstrated integrity, discretion, and ability to work collaboratively with multidisciplinary teams.
Full Time
FTE: 1.000000
Status: Onsite
$97k-147k yearly est. 8d ago
Hospital Outpatient Coder II, FT, Days, - Remote
Prisma Health 4.6
Maryville, TN jobs
Inspire health. Serve with compassion. Be the difference.
Codes medical information into the organization billing/abstracting systems for multiple facilities. Performs moderate to complex Outpatient Surgery, Gastrointestinal (GI) Procedure and Observation coding by assigning International Classification of Diseases (ICD), Current Procedural Terminology (CPT) codes, and HCC codes. Performs Emergency Department, ambulatory clinic, diagnostic, and ancillary coding. Adheres to Prisma Health Coding and Compliance policies and procedures for assignment of complete, accurate, timely and consistent codes.
Essential Functions
All team members are expected to be knowledgeable and compliant with Prisma Health's purpose: Inspire health.Serve with compassion. Be the difference.
Codes moderate to complex Outpatient Surgery, and Observation records from clinical documentation as well as Emergency department, ancillary and ambulatory clinic records; assigns modifiers as appropriate.
Adheres to department standards for productivity and accuracy. Operates under the general supervision of HIM Coding leadership.
Reviews work queues daily to identify charts that need to be coded and prioritizes as per department-specific guidelines and within designated timelines. Follows up on on-hold accounts daily for final coding.
Responds to and follows up on priority accounts daily and any accounts assigned by Patient Financial services or Coding leader(s) for final coding.Communicates with leader when trending requests volumes impact productivity.
Queries physician or clinical area following established guidelines when existing documentation is unclear or ambiguous following American Health Information Management Association (AHIMA) guidelines and established policy.
Applies ICD and CPT codes to the Emergency department, outpatient ambulatory clinic records and ancillary service records based on review of clinical documentation and according to Official coding guidelines; assigns modifiers.
Performs other duties as assigned.
Supervisory/Management Responsibilities
This is a non-management job that will report to a supervisor, manager, director or executive.
Minimum Requirements
Education - Certification Program, Associate degree or coding certificate through approved American Academy of Professional Coders (AAPC), American Health Information Management Association (AHIMA) or other approved coding certification program.
Experience - Two (2) years of coding experience in an acute care or ambulatory setting. Outpatient coding experience
In Lieu Of
NA
Required Certifications, Registrations, Licenses
Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), Certified Coding Specialist-Physician (CCS-P), Certified Professional Coder (CPC), Certified Professional Coder-Hospital (CCP-H), or Certified Outpatient Coder (COC).
Knowledge, Skills and Abilities
Demonstrates proficiency in utilizing official coding books as well as the electronic medical record and computer assisted coding/encoding software to facilitate code assignment.
Demonstrates continuous learning as evidenced by personally developed reference materials, online publications etc., to stay abreast of new and revised guidelines, practices and terminology, for reference and application.
Participates in on site, remote and/or external training workshops and training.
Ability to pass internal coding test.
Knowledge of electronic medical records and 3M or other Encoder System.
Ability to concentrate for extended periods of time; ability to solve problems with close attention to detail and to work and make decisions independently.
Knowledge of medical terminology and basic anatomy and physiology, pathophysiology, and pharmacology with the ability to apply this knowledge to the coding process.
Demonstrated competence in coding and correct extrapolation of official coding and select billing guidelines to specific coding situations.
Basic computer skills
Work Shift
Day (United States of America)
Location
Blount Memorial Hospital
Facility
7001 Corporate
Department
70017512 HIM-Coding
Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.
$31k-39k yearly est. 7d ago
Risk Adjustment Coder Professional Billing II, FT, Days, - Remote
Prisma Health 4.6
Greenville, SC jobs
Inspire health. Serve with compassion. Be the difference.
Conducts prospective review to abstract Hierarchical Condition Categories (HCC's) codes to report for the calendar year. Communicates (via Epic and in person) with providers on any outstanding HCC capture opportunities. Conducts retrospective reviews to ensure that documentation supports reporting the Hierarchical Condition Category code prior to payor submission.
Essential Functions
All team members are expected to be knowledgeable and compliant with Prisma Health's values: Inspire health. Serve with compassion. Be the difference.
Conducts prospective review of charts to identify HCC opportunity.
Conducts retrospective review of charts to confirm documentation supports reporting.
Utilizes payor specific software to assist in capturing HCCs.
Communicates with providers about HCC opportunities for improvement.
Identifies suspect conditions that would potentially support reporting an HCC.
Participates in education offerings
Participates in monthly meetings
Performs other duties as assigned.
Supervisory/Management Responsibilities
This is a non-management job that will report to a supervisor, manager, director or executive.
Minimum Requirements
Education - High School diploma or equivalent or post-high school diploma / highest degree earned. Associate degree preferred
Experience - Five (5) years professional fee coding experience
In Lieu Of
NA
Required Certifications, Registrations, Licenses
Certified Professional Coder (CPC), and
Certified Risk Adjustment Coder(CRC)
Knowledge, Skills and Abilities
Knowledge of office equipment (fax/copier)
Proficient computer skills including word processing, spreadsheets, database
Data entry skills
Mathematical skills
Work Shift
Day (United States of America)
Location
Independence Pointe
Facility
7002 Value-Based Care and Network Services
Department
70028459 HCC Coding Services
Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.
$28k-33k yearly est. 7d ago
Head of Data Integration & Architecture (Remote)
Stryker Corporation 4.7
Denver, CO jobs
A leading technology company is seeking a Director of Data Integration & Architecture to oversee teams responsible for integrating and converting data for public safety systems. This role involves leadership, strategy development, and cross-functional collaboration to enhance Axon's cloud-based platform. Ideal candidates should have substantial experience in technical leadership and integration solutions, and familiarity with cloud platforms. The position offers a competitive salary, benefits, and requires 30% travel.
#J-18808-Ljbffr
$94k-123k yearly est. 4d ago
Intern - Community Support Specialist - Bachelor's level
Health Connect America, Inc. 3.4
Atlanta, GA jobs
Join Our Impactful Team at Health Connect America!
Before you get started on your journey with Health Connect America , take some time to learn more about us. At Health Connect America , all services are guided by a unified, trauma-informed approach. Across every program, we are committed to providing compassionate, client-centered care that fosters healing and growth. Our services are delivered by clinically trained staff, grounded in a therapeutic mindset and informed by research and evidence-based practices at every level of care. Health Connect America and its affiliate brands are leaders in providing mental and behavioral health services to children, families, and adults across the nation. We provide our services directly to those in need whether that be within a person's home, their community, or in one of our office settings. Health Connect America is honored to be a part of the communities we serve and the clients we walk alongside as they embark on a journey to self-improvement and more fulfilling lives. At Health Connect America , we are dedicated to making meaningful connections every day through creating quality, affordable opportunities for individuals and families to achieve their greatest potential in a safe, positive living environment.
Come make a difference and grow with us!
Our Brands
Responsibilities:
Provide skills-based services to assist clients and families in meeting identified goals (example: coping skills education, parenting skills training, etc.)
Work with children, adolescents and/or adults, as assigned
Link families to resources in the community, based on needs
Collaborate with other Georgia HOPE/HCA staff and community partners to ensure effective treatment, service provision and case collaboration
Document case notes in online electronic medical record system (CareLogic)
Attend regular team meetings
Attend agency trainings, as needed
Qualifications:
Intern Position Requirements:
Working towards Bachelor's degree in a Human Services-related field
Basic computer skills, including familiarity with using the internet and Microsoft Word
Ability to navigate online electronic medical record system (CareLogic)
Ability to work independently and manage time efficiently
Ability to function as a member for a multi-disciplinary treatment team and work cooperatively with other agency employees
Ability to conduct oneself professionally and ethically with clients, co-workers and community partners
Be Well with HCA and GA HOPE:
Two weeks of onboarding training including shadowing opportunities counting towards direct hours
Weekly clinical supervision with Licensed Clinical Supervisor
Interns are considered highly eligible for employment at Georgia HOPE
Access to free trainings and workshops on a variety of topics to support intern education
Monthly and bimonthly meetings with other interns to staff cases, discuss topics related to professional development, and provide a sense of camaraderie
The ability to create your own flexible schedule
The ability to work remotely when completing admin-related task
Join a team where your contributions truly make a difference in the lives of others. Apply now to be part of our dynamic and supportive community at Health Connect America!
Employment at Health Connect America and it's companies is contingent upon meeting the requirements of a comprehensive background investigation prior to joining our team.
Health Connect America and its companies are an Equal Opportunity Employer and consider applicants for employment without regard to race, color, religion, sex, orientation, national origin, age, disability, genetics, or any other basis forbidden under federal, state, or local law. For more information on Equal Opportunity, please click here Equal Employment Opportunity Posters
$24k-35k yearly est. Auto-Apply 2d ago
Intensive Home Based Therapist
Health Connect America, Inc. 3.4
Greenville, SC jobs
Overview: Join Our Impactful Team at Health Connect America! Before you get started on your journey with Health Connect America , take some time to learn more about us. At Health Connect America , all services are guided by a unified, trauma-informed approach. Across every program, we are committed to providing compassionate, client-centered care that fosters healing and growth. Our services are delivered by clinically trained staff, grounded in a therapeutic mindset and informed by research and evidence-based practices at every level of care. Health Connect America and its affiliate brands are leaders in providing mental and behavioral health services to children, families, and adults across the nation. We provide our services directly to those in need whether that be within a person's home, their community, or in one of our office settings. Health Connect America is honored to be a part of the communities we serve and the clients we walk alongside as they embark on a journey to self-improvement and more fulfilling lives. At Health Connect America , we are dedicated to making meaningful connections every day through creating quality, affordable opportunities for individuals and families to achieve their greatest potential in a safe, positive living environment.
Come make a difference and grow with us!
Our Brands
Responsibilities: The Family Centered Treatment Therapist- Licensed provides quality psychotherapeutic services to children, adolescents, and families utilizing the Family Centered Treatment model.
Essential Duties & Responsibilities
Provide Family Centered Treatment (FCT) Clinical Services as per the service definition and model fidelity requirements.
FCT Certification is required and must be completed within one year of employment in order to continue to provide FCT services and maintain employment with Health Connect America (HCA).
Complete FCT Checkoffs and other internal training within designated deadlines. Trainings are assigned and monitored through an e-learning system.
Deliver FCT clinical services to children, adolescents, and their families, primarily in their living environments, with a family focus.
Provide 24/7 on-call coverage to a caseload of families and children. Service is regularly provided in the home and community and will require service provision at the convenience of the child and family requiring a flexible work schedule.
Complete all required Clinical Records and FCT documents with the child and family and ensure the documents are entered/uploaded timely in the Electronic Health Record, according to company standards.
Develop Service Plan in coordination with Treatment Team Process and maintain the plan per designated authorization processes in the clinician's area of service. Work collaboratively on behalf of the child and family with the identified Treatment Team members to ensure effective communication and coordinated service provision.
Provide psychoeducation as indicated in the Service Plan.
Conduct interventions with the family aligned with the FCT model to include facilitating the movement of the child and family through the four phases of treatment and completing all fidelity documents.
Assist the families and children to establish weekly goals and help them to identify the steps that need to be taken to reach the established goals.
Develop and coordinate discharge plan based on treatment, indicating all relevant aftercare needs and plans. Access community resources that would be beneficial to client aftercare needs.
Coordinate and oversee the initial and ongoing assessment activities.
Convene the Treatment Team for Service Plan.
Consult with identified medical (e.g., primary care and psychiatric) and non-medical (e.g., Dept. of Child Services, school, Dept. of Juvenile Justice) providers; engage community and natural supports and include their input in the person-centered planning process.
Provide and coordinate behavioral health services and other interventions for the youth or other family members with other behavioral health professionals and Treatment Team members.
As a licensed clinician working for Health Connect America your NPI number will be used to bill for services performed by those being supervised by you.
As a licensed clinician you will be responsible for ensuring that your credentials remain current, you comply with all training requirements, and you are adequately supervising your staff.
Qualifications:
Master's degree in Social Work, Counseling, or related field.
Must hold a current professional license in state where services are provided including LPC, LMFT, LCSW, or one of the state-specific licenses listed below.
Additional State-Specific Licensure Qualifications:
Alabama - ALC
Florida - LMHC
North Carolina - LCMHC
South Carolina - LISW-CP, LPCC, or LMFT-S
Current Family Centered Treatment Certification is preferred.
Be Well with HCA:
We recognize the importance of self-care and work/life balance.
We offer flexibility in scheduling and provide all employees access to our Employee Assistance Program (EAP), which includes 8 mental health counseling sessions annually.
Full-time HCA employees enjoy paid time off, paid holidays, and a comprehensive benefits package that includes medical, dental, vision, and other voluntary insurance products.
Additional benefits include:
Access to a Health Navigator
Health Savings Account with company contribution
Dependent Daycare Flexible Spending Account
Health Reimbursement Account
401(k) Retirement Plan
Benefits Hub
Tickets at Work
Join a team where your contributions truly make a difference in the lives of others. Apply now to be part of our dynamic and supportive community at Health Connect America!
Employment at Health Connect America and it's companies is contingent upon meeting the requirements of a comprehensive background investigation prior to joining our team.
Health Connect America and its companies are an Equal Opportunity Employer and consider applicants for employment without regard to race, color, religion, sex, orientation, national origin, age, disability, genetics, or any other basis forbidden under federal, state, or local law. For more information on Equal Opportunity, please click here Equal Employment Opportunity Posters
$43k-55k yearly est. 1d ago
Clinical Program Manager RN * Hybrid*
Providence Health and Services 4.2
Shallowater, TX jobs
Clinical Program Manager RN
Hybrid.
Candidates residing in the areas of Portland, OR, Spokane, WA or Lubbock, TX are encouraged to apply.
In collaboration with the Division Director, the Clinical Practice Manager RN supports nursing practice, quality initiatives, and clinical improvement efforts across the division. This role is responsible for leading teams in developing and implementing evidence-based nursing and clinical practices, utilizing established standards, research findings, and quality improvement principles.
Providence caregivers are not simply valued - they're invaluable. Join our team at Providence Strategic And Management Services and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.
Required Qualifications:
Bachelor's Degree: Nursing
Master's Degree: Nursing (Practice or Education)
5 years - Nursing experience in an acute care setting.
3 years - Clinical practice development, quality, or education experience.
active RN License for WA, OR or TX
Preferred Qualifications:
Ph.D.: Nursing or DNP (Doctor of Nursing Practice)
Salary Range by Location:
Oregon: Portland Service Area: Min: $59.39, Max: $93.75
Texas: Min: $45.30, Max: $71.51
Washington: Eastern: Min: $52.85, Max: $83.42
Why Join Providence?
Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.
Accepting a new position at another facility that is part of the Providence family of organizations may change your current benefits. Changes in benefits, including paid time-off, happen for various reasons. These reasons can include changes of Legal Employer, FTE, Union, location, time-off plan policies, availability of health and welfare benefit plan offerings, and other various reasons.
About Providence
At Providence, our strength lies in Our Promise of “Know me, care for me, ease my way.” Working at our family of organizations means that regardless of your role, we'll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.
Posted are the minimum and the maximum wage rates on the wage range for this position. The successful candidate's placement on the wage range for this position will be determined based upon relevant job experience and other applicable factors. These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits.
Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.
About the Team
Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. We are focused on supporting our Mission by delivering a robust foundation of services and sharing of specialized expertise.
Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.
Requsition ID: 403508
Company: Providence Jobs
Job Category: Clinical Administration
Job Function: Clinical Support
Job Schedule: Full time
Job Shift: Day
Career Track: Nursing
Department: 4007 SS CNTRL DIV EDU ADMIN
Address: OR Portland 4400 NE Halsey St
Work Location: Providence Health Plaza (HR) Bldg 1-Portland
Workplace Type: Hybrid
Pay Range: $see posting - $see posting
The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
PandoLogic. Category:Healthcare, Keywords:Healthcare Program Manager, Location:Shallowater, TX-79363
$46k-77k yearly est. 18d ago
Maternity Care Authorization Specialist (Hybrid Potential)
Christian Healthcare Ministries 4.1
Barberton, OH jobs
This role plays a key part in ensuring maternity care bills are processed accurately and members receive timely support during an important season of life. The specialist serves as a detail-oriented professional who upholds CHM's commitment to excellence, compassion, and integrity.
WHAT WE OFFER
Compensation based on experience.
Faith and purpose-based career opportunity!
Fully paid health benefits
Retirement and Life Insurance
12 paid holidays PLUS birthday
Lunch is provided DAILY.
Professional Development
Paid Training
ESSENTIAL JOB FUNCTIONS
Compile, verify, and organize information according to priorities to prepare data for entry
Check for duplicate records before processing
Accurately enter medical billing information into the company's software system
Research and correct documents submitted with incomplete or inaccurate details
Verify member information such as enrollment date, participation level, coverage status, and date of service before processing medical bills
Review data for accuracy and completeness
Uphold the values and culture of the organization
Follow company policies, procedures, and guidelines
Verify eligibility in accordance with established policies and definitions
Identify and escalate concerns to leadership as appropriate
Maintain daily productivity standards
Demonstrate eagerness and initiative to learn and take on a variety of tasks
Support the overall mission and culture of the organization
Perform other duties as assigned by management
SKILLS & COMPETENCIES
Core strengths like problem-solving, attention to detail, adaptability, collaboration, and time management.
Soft skills such as empathy (especially important in maternity care), professionalism, and being able to handle sensitive information with care.
EXPERIENCE REQUIREMENTS
Required: High school diploma or passage of a high school equivalency exam
Medical background preferred but not required.
Capacity to maintain confidentiality.
Ability to recognize, research and maintain accuracy.
Excellent communication skills both written and verbal.
Able to operate a PC, including working with information systems/applications.
Previous experience with Microsoft Office programs (I.e., Outlook, Word, Excel & Access)
Experience operating routine office equipment (i.e., faxes, copy machines, printers, multi-line telephones, etc.)
About Christian Healthcare Ministries
Founded in 1981, Christian Healthcare Ministries (CHM) is a health care sharing ministry for Christians. CHM is a nonprofit, voluntary cost-sharing ministry through which participating Christians meet each other's medical bills. The mission of CHM is to glorify God, show Christian love, and experience God's presence as Christians share each other's medical bills.
$31k-35k yearly est. 2d ago
Diversity Equity and Inclusion Manager *Hybrid*
Providence Health & Services 4.2
Portland, OR jobs
Diversity, Equity and Inclusion Manager. _Hybrid_ The Manager, Diversity, Equity & Inclusion (DEI) plays a key role in creating, managing, and executing diversity, equity, and inclusion strategic priorities that support our goal of advancing world-class health with human connection through our shared commitment to Diversity, Equity, and Inclusion. This role will also lead Diversity, Equity, and Inclusion communications efforts, crafting and executing campaigns that support the deployment of DEI strategies, programs, and initiatives across the Providence family of organizations. The Diversity, Equity, and Inclusion Manager should possess project management skills, change management skills, as well as experience developing DEI communications and performs all duties in a manner which promotes an environment where everyone feels they belong and that supports our values of compassion, dignity, justice, excellence, and integrity.
This role will be expected to work onsite 2 to 3 days a week rotating among locations in the greater Portland area as needed.
Providence caregivers are not simply valued - they're invaluable. Join our team at Providence Human Resources and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.
Required Qualifications:
+ 4 years related experience
+ Experience successfully leading, managing, and continuously improving programs, processes, projects, or operational and administrative solutions in areas such as Diversity, Equity, and Inclusion, Human Resources, recruiting, marketing, sales, technology, data, operations or administrative experience.
+ Experience working across departments with team leaders, vendors, project teams and SMEs to achieve alignment, the goals of the work and operational excellence of the solution, program, process or project.
+ Experience consulting, creating and implementing large project plans, communications, social media or creative documents, training, data analysis process or project documents, presentations, reports, technology requirements and other materials.
+ Experience presenting to leadership teams, and small groups. Experience producing and/or managing data reports, cost analysis, invoicing and/or budgets.
+ Strong project management skills, including the ability to set priorities, manage multiple projects simultaneously, and meet deadlines.
+ Demonstrated ability to build relationships, influence stakeholders, and work collaboratively across various levels of an organization.
+ Excellent communication skills, both written and verbal, with the ability to effectively present complex information to diverse audiences.
+ Experience with and knowledge of change management principles, methodologies and tools.
+ Proficiency in using relevant software and tools for project management and data analysis.
Preferred Qualifications:
+ Bachelor's Degree in Business Administration, Organizational Development, or a related field.
+ Coursework/Training: Project Management (PMP) Certification
Why Join Providence?
Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.
Accepting a new position at another facility that is part of the Providence family of organizations may change your current benefits. Changes in benefits, including paid time-off, happen for various reasons. These reasons can include changes of Legal Employer, FTE, Union, location, time-off plan policies, availability of health and welfare benefit plan offerings, and other various reasons.
About Providence
At Providence, our strength lies in Our Promise of "Know me, care for me, ease my way." Working at our family of organizations means that regardless of your role, we'll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.
Posted are the minimum and the maximum wage rates on the wage range for this position. The successful candidate's placement on the wage range for this position will be determined based upon relevant job experience and other applicable factors. These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits.
Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.
About the Team
Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. We are focused on supporting our Mission by delivering a robust foundation of services and sharing of specialized expertise.
Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.
Requsition ID: 408628
Company: Providence Jobs
Job Category: HR Operations
Job Function: Human Resources
Job Schedule: Full time
Job Shift: Day
Career Track: Business Professional
Department: 4002 DEI
Address: OR Portland 4400 NE Halsey St
Work Location: Providence Health Plaza (HR) Bldg 1-Portland
Workplace Type: Hybrid
Pay Range: $37.84 - $58.75
The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
$37.8-58.8 hourly Auto-Apply 8d ago
Learn more about Professional Case Management jobs