Providence Health & Services Remote jobs

- 102 jobs

Senior Coding Quality Educator - *Remote - Most states eligible*
Providence Health & Services 4.2
Spokane, WA jobs
Senior Coding Quality Educator _Remote - Most states eligible._ _Providence caregivers are not simply valued - they're invaluable. Join our team and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them._ Providence is calling a Senior Coding Quality Educator who will: + Assist with the day-to-day operations of the Coding Integrity, Knowledge Management team + Assist with research and developing coding guidance based on local, state and federal healthcare coding regulations and other payor guidelines as applicable + Obtain, interpret, analyze and communicate information regarding coding matters with all internal and external revenue cycle and coding teams + Collaborate with various departments e.g., Physician Network Operations, Revenue Cycle, Compliance, Practice Operations, and other key stakeholders on all coding matters We welcome 100% remote work for residents in the United States with the exception of the following States: + Colorado + Hawaii + Massachusetts + New York + Ohio + Pennsylvania Essential Functions: + Assist with the identification, development and delivery of new and ongoing coding changes and updates to all regional coding teams + Collaborate with various departments e.g., regional coding teams, revenue cycle, compliance, practice operations, and other key stakeholders on all coding matters + Respond timely (either orally or written) to coding inquiries from coders, educators, and other teams across Providence enterprise + Serve as a resource and subject matter expert for all coding matters + Provide coding support to regional coding teams as needed + Maintain relevant documentation and data as required + Review and update coding guidance annually or as necessary + Maintain document control + Develops action plans as necessary to resolve complex coding cases and to address the implementation of new service offerings or code changes + Facilitates education to support Medicare Risk requirements & organization goals + Review relevant patient details from the medical record based on coding and documentation guidelines + Participate in monthly progress meetings to discuss process improvements, updates in technology, along with any job related details + Communicate any coding updates published in third-party payer newsletters and bulletins and provider manuals to coding and reimbursement staff + Assists management in identifying and creating standardized workflows + Reviews EMR templates and identifies areas of improvement for provider documentation + Attends and presents at regional meetings as needed Required qualifications for this position include: + High School Diploma or GED Equivalency + National Certification from American Health Information Management Association upon hire or National Certification from American Health Information Management Association upon hire. + 6+ years of experience in professional fee inpatient, surgical, outpatient coding, E/M, auditing and related work + 5+ years of experience providing provider education and feedback to facilitate improvement in documentation and coding + Strong experience in Excel (e.g., pivot tables), database, e-mail, and Internet applications on a PC in a Windows environment Preferred qualifications for this position include: + Associate Degree in Health Information Technology or another related field of study + Bachelor's Degree in Health Information Technology or another related field of study + 5+ years of experience in coding for multispecialty practice + 2+ years of experience in professional fee billing methodologies + Experience with IDX, Allscripts, Advanced Web, Meditech + Experience with project management Salary Range by Location: AK: Anchorage: Min: $40.11, Max: $62.27 AK: Kodiak, Seward, Valdez: Min: $41.81, Max: $64.91 California: Humboldt: Min: $40.98, Max: $64.88 California: All Northern California - Except Humboldt: Min:$46.91, Max: $72.82 California: All Southern California - Except Bakersfield: Min: $41.81, Max: $64.91 California: Bakersfield: Min: $40.11, Max: $62.27 Idaho: Min: $35.69, Max: $55.41 Montana: Except Great Falls: Min: $32.29, Max: $50.13 Montana: Great Falls: Min: $30.59, Max: $47.49 New Mexico: Min: $32.29, Max: $50.13 Nevada: Min: $41.81, Max: $64.91 Oregon: Non-Portland Service Area: Min: $37.39, Max: $58.05 Oregon: Portland Service Area: Min: $40.11, Max: $62.27 Texas: Min: $30.59, Max: $47.49 Washington: Western - Except Tukwila: Min: $41.81, Max: $64.91 Washington: Southwest - Olympia, Centralia & Below: Min: $40.11, Max: $62.27 Washington: Tukwila: Min: $41.81, Max: $64.91 Washington: Eastern: Min: $35.69, Max: $55.41 Washington: South Eastern: Min: $37.39, Max: $58.05 Why Join Providence? Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities. Accepting a new position at another facility that is part of the Providence family of organizations may change your current benefits. Changes in benefits, including paid time-off, happen for various reasons. These reasons can include changes of Legal Employer, FTE, Union, location, time-off plan policies, availability of health and welfare benefit plan offerings, and other various reasons. About Providence At Providence, our strength lies in Our Promise of "Know me, care for me, ease my way." Working at our family of organizations means that regardless of your role, we'll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable. Posted are the minimum and the maximum wage rates on the wage range for this position. The successful candidate's placement on the wage range for this position will be determined based upon relevant job experience and other applicable factors. These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits. Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act. About the Team Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. We are focused on supporting our Mission by delivering a robust foundation of services and sharing of specialized expertise. Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement. Requsition ID: 400515 Company: Providence Jobs Job Category: Coding Job Function: Revenue Cycle Job Schedule: Full time Job Shift: Day Career Track: Business Professional Department: 4010 SS PE OPTIM Address: WA Spokane 101 W 8th Ave Work Location: Sacred Heart Medical Center-Spokane Workplace Type: Remote Pay Range: $See posting - $See posting The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
$40.1 hourly Auto-Apply 13d ago
Senior Account Executive *Remote*
Providence Health & Services 4.2
Portland, OR jobs
Providence Health Plan caregivers are not simply valued - they're invaluable. Join our team and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them. The Senior Account Executive, Self-Funded is responsible for Plan revenue growth by generating and implementing new group business in self-insured markets. The position is integral to the development and maintenance of key business relationships and is a highly visible face of the Plan in a complex and competitive marketplace. Serving in a consultative capacity, ensures Producer/Consultant training and productivity and facilitates cross-selling revenue enhancement to maximize Providence Health and Services penetration with Workplace Health Services opportunities. Join a dynamic and forward-thinking health insurance organization and best in class administrator as a Senior Account/Sales Executive, where you'll collaborate with top-tier brokers and consultants to deliver innovative solutions to large employers with 2,500+ employees. This is more than a sales role-it's a chance to shape the future of employee benefits for some of the most influential companies in the market. You'll be empowered with cutting-edge tools, a supportive team, and the autonomy to build lasting relationships and drive strategic growth. If you're ready to do the best work of your career, make a meaningful impact, and thrive in a high-performance environment, we want to hear from you. Providence Health Plan welcomes residents to apply that live within a daily commutable distance (within 25-30 miles) of the following area: + Washington: Portland or Seattle _Please note the following important detail regarding this role:_ + This position is affiliated with Providence Health Plan and will be tied to a location and compensation range in Portland, Oregon + This is a position that will require for you to travel throughout an assigned territory on a weekly basis Providence Health Plan caregivers are not simply valued - they're invaluable. Join our team at Providence Health Plan Partners 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 or experience in all aspects of Health Plan commercial group benefits with a proven ability to self motivate and problem-solve. + 10 or more years successful insurance industry sales, including both fully insured and self-insured experience. + Driving may be necessary as part of this role. Caregivers are required to comply with all state laws and requirements for driving. Caregivers will be expected to provide proof of driver license and auto insurance upon request. See policy for additional information. Preferred Qualifications: + Experience selling self-insured business, and complex benefit and financial structures + Current Health Insurance Producer License for either Washington State or Oregon Why Join Providence Health Plan? 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: 397533 Company: Providence Jobs Job Category: Sales Job Function: Marketing/Public Relations/Community Affairs Job Schedule: Full time Job Shift: Day Career Track: Business Professional Department: 5018 SALES GROUP SALES OR REGION Address: OR Portland 4400 NE Halsey St Work Location: Providence Health Plaza (HR) Bldg 2-Portland Workplace Type: Remote Pay Range: $48.27 - $76.22 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.
$48.3-76.2 hourly Auto-Apply 55d ago
Physician / Radiology / South Dakota / Permanent / Physician - Remote Radiology - Virtual Care Center
Sanford Health 4.2
Sioux Falls, SD jobs
Location SD, Sioux Falls Visas Accepted N/A Practice Details Sanford Virtual Care Center is seeking a BE/BC General Radiologists and fellowship trained Radiologists to join the practice. * All shifts will be CST * Schedule is flexible: rotate between days, nights and weekends * Compensation plan: virtual radiologists are on a shift based plan * Hourly rate = $380.
$380 hourly 12h ago
Virtual Safety Companion - St. Elizabeth Youngstown Hospital
Mercy Health 4.4
Youngstown, OH jobs
Thank you for considering a career at Mercy Health! Scheduled Weekly Hours: 40 Work Shift: Days/Afternoons (United States of America) * The Virtual Safety Companion works in the hospital watching our virtual tele-sitter monitors in a centralized location * Will work days (7:00am-3:30pm) and afternoon (3:00pm-11:30pm) shifts on rotation * Full Time - 40 hrs/week Primary Function/General Purpose of Position The Virtual Safety Companion remotely observes and interacts with assigned patients through in-room cameras with verbal interventions and alerts to get bedside staff support for the patient as necessary. This position works closely with the hospital bedside clinical staff, Virtual Safety Coordinator, and the Operations Manager to escalate any patient conditions as necessary and provides hand-off information upon completion of shift assignment. Essential Job Functions Provides continuous observation of assigned patients through a one-way camera with two-way audio device and immediately contacts the appropriate bedside clinical staff if the patient requires assistance Promotes patient safety by reporting unsafe situations or concerns to direct caregivers via phone calls and Epic documentation Participates in hand-off of information/behavior about assigned patients at the beginning and upon completion of the shift assignment Seeks help as soon as possible when patient appears to pose a threat to self or others Participates in collaborative identification and reporting of patient safety issues and assures patient environment safety Provides patients with explanations of service as needed, but does not counsel or provide opinions regarding medical conditions Demonstrates efficiency in following documented workflows Provides high level customer service to all patients, patient's family, visitors, bedside, provider, and associates Provides accurate, precise, timely documentation in Epic and patient observation software when applicable for patient care Uses professional communication, verbal and written Expected to participate in patient service and safety escalation discussions with Virtual Safety Coordinator and bedside nurse Promotes safety and protects the dignity of the observed patient Communicates effectively with patients using a microphone and headset Demonstrates efficiency in multi-tasking Demonstrates safe work practice and attitude, follows safety rules, works to prevent unsafe conditions and behaviors, and participates in organizational and department safety programs and huddles Perform other duties, when there is a low volume of observable patients, under the direction of a nurse This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Employees may be required to perform other job-related duties as required by their supervisor, subject to reasonable accommodation. Licensing/Certification BLS Basic Life Support (required, within 3 months of hire) Work Experience Patient care experience (preferred) Previous hospital environment experience (preferred) Patient Population Demonstrates the knowledge and skills necessary to provide care appropriate to the age of the patients served on his or her assigned unit. Demonstrates knowledge of the principles of growth and development of the life span and possesses the ability to assess data reflective of the patient's status and interprets the appropriate information needed to identify each patient's requirements relative to his or her age, specific needs and to provide the care needed as described in departmental policies and procedures. Adolescents (13-17 years) Adults (18-64 years) Geriatrics (65 years and older) Working Conditions Periods of high stress and fluctuating workloads may occur. General office environment. May be exposed to high noise levels and bright lights. May have periods of constant interruptions. Prolonged periods of working alone. Other: May work from home. Requires private, dedicated space for equipment. Privacy screen for monitors will be required. Skills Communication Alert at all times Respond quickly to behavioral changes Continuous monitoring - multiple patients Function in stressful situations Function in emergency situations Record and communicate patient status and behaviors Basic data analysis HIPPA Professional Basic computer skills Ability to learn new skills Microsoft windows Multitasking Prioritizing Attention to detail Critical thinking Active listening Follow procedures Communication with family members Communication with team members Teamwork Behavior documentation Customer service Calm Conflict resolution Relationship building Escalate unsafe behaviors quickly EPIC Patient safety Safety escalation Mercy Health is an equal opportunity employer. As a Mercy Health associate, you're part of a Misson that matters. We support your well-being - personally and professionally. Our benefits are built to grow with you and meet your unique needs, every step of the way. What we offer • Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible) • Medical, dental, vision, prescription coverage, HAS/FSA options, life insurance, mental health resources and discounts • Paid time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders • Tuition assistance, professional development and continuing education support Benefits may vary based on the market and employment status. Department: Other Ancillary Services - Youngstown Regional Office It is our policy to abide by all Federal and State laws, as well as, the requirements of 41 CFR 60-1.4(a), 60-300.5(a) and 60-741.5(a). Accordingly, a ll applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you'd like to view a copy of the affirmative action plan or policy statement for Mercy Health- Youngstown, Ohio or Bon Secours - Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affirmative Action and Equal Opportunity Employer, please email *********************. If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at *********************.
$35k-43k yearly est. Auto-Apply 1d ago
Professional Physician Services Coding Denial Analyst (1.0)
Franciscan Health Indianapolis 4.1
Remote
Work From HomeWork From Home Work From Home, Indiana 46544 The Professional Physician Services Coding Denial Analyst is responsible for addressing coding related denials across Franciscan Alliance. Additionally, the Coding Denial Analyst monitors denial results and notifies Coding Leadership of any identified trends. WHO WE ARE With 12 ministries and access points across Indiana and Illinois, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in hiring coworkers that provide compassionate, comprehensive care for our patients and the communities we serve. WHAT YOU CAN EXPECT Reviews, researches, and responds to inquiries, denial management, and follow-up questions, according to Coding Department approved resources. Reviews and processes claims and edits for accuracy and insurance and coding compliance. Utilizes official coding guidelines and follows established policies and procedures, to determine accurate code selection based upon documentation in the medical record. Acts as a subject matter expert for coding, billing and payer edits and denials. Assesses and ranks denials priority to align with Rev Cycle goals. Assesses denial and takes action to adjust claim data and resubmit corrected claim, prepare and coordinate appeal response, and prepare avoidable write off documentation. Collaborates with coding leadership, to improve key performance indicators through trending denials. Coordinates timely response to denials, reaching out to other Franciscan Alliance departments, as well as payers, when necessary, through denial resolution. Recommends improvements/adjustments to workflow and system build in response to changes in reimbursement methodology, coding guidelines, regulatory standards, or department workflow changes to prevent denials. QUALIFICATIONS Associate or Bachelor's Degree Healthcare Information Management - Preferred High School Diploma/GED - Required 3 years Coding - Required 1 year Coding Denials/Payer Experience - Preferred Demonstrated experience in surgical operative coding, including accurate interpretation of surgical guidelines, modifiers (co-surgeon and assistant surgeon), and surgeon billing requirements - Preferred CCS - Certified Coding Specialist - American Health Information Management Association (AHIMA) - Required or CCS-P - Certified Coding Specialist - Physician - American Health Information Management Association (AHIMA) - Required or CPC - Certified Professional Coder - American Academy of Professional Coders (AAPC) - Required or RHIT - Registered Health Information Technician - American Health Information Management Association (AHIMA) - Preferred RHIA - Registered Health Information Administrator - American Health Information Management Association (AHIMA) - Preferred TRAVEL IS REQUIRED: Never or RarelyJOB RANGE:Coding Denial Analyst Hosp Outpatient/Professional $47216.00-$70241.60INCENTIVE: EQUAL OPPORTUNITY EMPLOYER It is the policy of Franciscan Alliance to provide equal employment to its employees and qualified applicants for employment as otherwise required by an applicable local, state or Federal law. Franciscan Alliance reserves a Right of Conscience objection in the event local, state or Federal ordinances that violate its values and the free exercise of its religious rights. Franciscan Alliance is committed to equal employment opportunity. Franciscan provides eligible employees with comprehensive benefit offerings. Find an overview on the benefit section of our career site, jobs.franciscanhealth.org.
$75k-152k yearly est. Auto-Apply 14d ago
Hospital Outpatient Coding Educator (1.0)
Franciscan Health Indianapolis 4.1
Remote
Work From HomeWork From Home Work From Home, Indiana 46544 The Hospital Outpatient Coding Educator is responsible for coordinating and conducting coding training and developing training content and materials for the Franciscan Alliance Corporate Coding Department, hospital outpatient and professional coding staff. This position ensures training practices are standardized and result in consistent coding outcomes, as well as provides input regarding the content of policies and procedures. This position ensures all new and existing staff members are trained and adhere to current coding policies and procedures. WHO WE ARE With 12 ministries and access points across Indiana and Illinois, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in hiring coworkers that provide compassionate, comprehensive care for our patients and the communities we serve. WHAT YOU CAN EXPECT Develops and maintains all corporate outpatient coding education, training policies and procedures, and coding reference materials. Leads training sessions and assess coder comprehension of covered materials. Makes recommendations for the development of coding resources and policy and procedure development. Assists corporate coding leadership with training and/or development of a performance improvement track for coding coworkers in the corrective action process related to quality or productivity performance. Coordinates with Coding Auditors to prepare education material based on audit results. Develops and maintains a consistent coding operations orientation program, and reports the coders' progress to coding leadership throughout the orientation and training processes Assists Coding Manager and Supervisor with review and response to external coding audits. Acts as a nosologist, analyzing and interpreting disease, procedure classifications, and terminologies for the accurate translation of healthcare data. Applies broad guidelines to specific coding situations, independently utilizing discretion and a significant level of analytic ability. Ability to analyze information, make decisions and exercise independent judgement. Serves as the subject matter expert with regards to diagnosis and procedure codes, coding guidelines, medical terminology, anatomy/physiology, reimbursement schemes, payer specific guidelines, public reporting of outcomes, quality of patient care outcome measures, and the interpretation of coded data as it relates to revenue cycle compliance. Participates in problem identification, performs root cause analysis and recommends a solution to Coding Management. Assists with development and maintenance of software system workflow for standardization and maximum efficiency. Oversees system testing with regards to any published software updates or software functionality changes Identifies template variation within the EMR that has a negative impact on coding edits/errors. Escalates trends and makes recommendations for template revisions/standardization to FAIS HIM team and Coding Leadership. Coordinates all testing efforts with coding superusers and FAIS teams. Assists with annual verification of coding staff credentials. Orients new physicians with regards to the coding department's role in the revenue cycle, and prepare training material for coding related to physician education. Assists with identification and implementation of process improvements according to industry best practice standards to make the best use of resources, decrease costs and improve coding services across the specialized service lines. QUALIFICATIONS High School Diploma/GED With 5 years of Franciscan coding experience - Required or Associate's Degree in Health Information Management - Required Bachelor's Degree in Health Information Management - Preferred Surgery Coding Experience - Required 5 Years Franciscan outpatient coding with CCS, CCS-P, CPC - Required or 3 Years Outpatient Coding Experience with RHIT/RHIA - Required 3 Years Coding Manager or Trainer/Auditor - Preferred CCS - Required RHIT/RHIA - Preferred TRAVEL IS REQUIRED: Never or RarelyJOB RANGE:Coding Educator - Hospital Outpatient/Professional $51001.60-$75868.00INCENTIVE: EQUAL OPPORTUNITY EMPLOYER It is the policy of Franciscan Alliance to provide equal employment to its employees and qualified applicants for employment as otherwise required by an applicable local, state or Federal law. Franciscan Alliance reserves a Right of Conscience objection in the event local, state or Federal ordinances that violate its values and the free exercise of its religious rights. Franciscan Alliance is committed to equal employment opportunity. Franciscan provides eligible employees with comprehensive benefit offerings. Find an overview on the benefit section of our career site, jobs.franciscanhealth.org.
$34k-64k yearly est. Auto-Apply 60d+ ago
Associate Counsel - South Division (Remote)
Providence Health & Services 4.2
Irvine, CA jobs
Calling All Strategic Advisors! Are you a legal expert with a passion for healthcare and a strategic vision for the future? Join Providence St. Joseph Health as our Associate Counsel and become a key player in shaping healthcare delivery across our dynamic organization. The Role: The Associate Counsel at Providence St. Joseph Health (PSJH) is tasked with providing general legal services and overseeing specific projects under the guidance of Senior Corporate Counsel and Corporate Counsel. This role involves offering legal advice, consultation, policy analysis, and interpretation across various areas of law and policy. Key responsibilities include conducting research and analysis for policy recommendations, preparing written opinions and guidance for executive management and internal clients, and drafting and reviewing contracts, particularly for physician and vendor agreements. The Associate Counsel must stay updated on legal developments affecting hospital and physician requirements and ensure timely responses to client needs, with strong teamwork skills being essential. What You'll Do: + Deliver strategic and pragmatic legal services across PSJH, ensuring practical resolutions to complex legal challenges. + Collaborate with Department of Legal Affairs (DLA) colleagues to provide timely and effective legal solutions under the supervision of Senior Corporate Counsel. + Serve as the primary legal contact for PSJH hospital administrative teams, addressing their legal needs and challenges. + Conduct research and draft legal opinions to resolve complex legal issues, working with senior attorneys on complicated matters. + Participate in the supervision and preparation of defense in non-malpractice litigation, developing strategies with outside counsel. + Stay informed of legal developments and deepen expertise in healthcare law areas like Stark Law, Anti-kickback Statute, and HIPAA. + Provide legal guidance to PSJH's corporate and community Boards. + Review and draft routine contracts independently and offer advice on complex contracts collaboratively. + Assist in creating presentations and summaries for ongoing legal education on regulatory changes. + Draft and review legal documents to ensure compliance with applicable regulations and policies. + Guide Providence's Integrity, Audit, and Compliance Services Department in investigations and policy development. What You'll Bring: + Educational Requirement: A J.D. degree from an accredited law school or equivalent. + Experience: At least 2 years of experience in a healthcare-related legal field, such as private law firm, in-house legal setting or public/regulatory organization. + Bar Admission: Obtain admission to the California State Bar within one year of hire. Why Join Us? + Impactful Work: Contribute to transforming healthcare through strategic legal leadership. + Professional Growth: Develop your expertise in healthcare law and collaborate with a dedicated legal team. + Collaborative Environment: Engage with PSJH's values and work alongside passionate professionals. + Dynamic Setting: Navigate a rapidly evolving industry and enjoy the challenge of impactful legal work. If you're a strategic advisor with a passion for healthcare, we encourage you to apply and help shape the future of healthcare delivery at PSJH! Salary Range by Location: Redmond, WA or Renton, WA or Irvine, CA + Min: $79.52 + Max: $127.13 Portland, OR or Anchorage, AK + Min: $ 76.29 + Max: $ 121.96 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: 381314 Company: Providence Jobs Job Category: Legal Job Function: Legal/Compliance/Risk Job Schedule: Full time Job Shift: Day Career Track: Leadership Department: 4015 SS LEGAL Address: CA Irvine 15480 Laguna Canyon Rd Work Location: Providence System Offices Discovery Park-Irvine Workplace Type: Remote Pay Range: $79.52 - $127.13 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.
$79.5-127.1 hourly Auto-Apply 5d ago
Hospital Inpatient Coder VI Specialist (1.0)
Franciscan Health Indianapolis 4.1
Remote
Work From HomeWork From Home Work From Home, Indiana 46544 The Coder VI Specialist- Hospital Inpatient analyzes the ICD 10 codes, suggested by computer assisted coding software, to ensure they align with official coding guidelines and the electronic medical record documentation. In collaboration with the Clinical Documentation Specialist, analyzes the circumstances of the visit to determine the most accurate diagnosis related group (DRG). This position also abstracts key data elements necessary for billing and data analysis. WHO WE ARE With 12 ministries and access points across Indiana and Illinois, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in hiring coworkers that provide compassionate, comprehensive care for our patients and the communities we serve. WHAT YOU CAN EXPECT Accurately review and code patient records in the following clinical areas: hospital acute inpatient services. Meet defined coding accuracy and production standards and demonstrate a thorough knowledge of coding guidelines, medical terminology, anatomy/physiology, reimbursement schemes, and Payor specific guidelines. Review and analyze the content of medical records to appropriately assign ICD diagnosis procedure codes, CPT procedure codes, and modifiers to meet coding guidelines. Notify coding leadership of trends and topics for education and feedback to physicians and departments. Identify and enter data elements for abstracting. Participate actively in performance improvement teams, projects, and committees. Serve as a Superuser and assist with system testing. Serve as a backup to coding reimbursement specialist. QUALIFICATIONS High School Diploma/GED - Required Associate's degree - Preferred 2 years Coding - Required CCS - Required RHIT or RHIA - Preferred TRAVEL IS REQUIRED: Never or RarelyJOB RANGE:Coder VI Specialist - Hospital Inpatient $22.70-$33.77INCENTIVE: EQUAL OPPORTUNITY EMPLOYER It is the policy of Franciscan Alliance to provide equal employment to its employees and qualified applicants for employment as otherwise required by an applicable local, state or Federal law. Franciscan Alliance reserves a Right of Conscience objection in the event local, state or Federal ordinances that violate its values and the free exercise of its religious rights. Franciscan Alliance is committed to equal employment opportunity. Franciscan provides eligible employees with comprehensive benefit offerings. Find an overview on the benefit section of our career site, jobs.franciscanhealth.org.
$32k-38k yearly est. Auto-Apply 54d ago
Clinical Program Coordinator RN *Remote*
Providence Health & Services 4.2
Beaverton, OR jobs
Providence Health Plan caregivers are not simply valued - they're invaluable. Join our team at Providence Health Plan Partners 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. The purpose of this position is to provide care coordination services to Providence Health Plans(PHP) members. Care coordination services include: disease management programs, including educating, motivating and empowering members to manage their disease. Case management including: triage and referral, transition of care planning, end of life care planning, other acute and catastrophic case management. These services are offered to members and their families who have acute and complex health care needs; members with chronic conditions at risk for poor health outcomes and members who are terminal and nearing end of life. Care management services include nurse education, care coordination and general assistance with managing day to day functional needs; assisting with the management of member health plan benefits and offering assistance finding alternative services when benefits are exhausted. This position works within the health plan framework of managing medical expenses while also working to improve access and quality care to our members. Providence Health Plan welcomes 100% remote work for applicants who reside in the following states: + Washington + Oregon Required Qualifications: + 5 years Clinical nursing experience. + Upon hire: Current unencumbered Registered Nurse License in state of residency. + Experience working with physicians in the collaboration and management of patient care. Preferred Qualifications: + Bachelor's Degree in Nursing or health education. + Current nursing experience in the following areas: cardiology, endocrinology, pediatrics, obstetrics, oncology, respiratory, health education. Salary Range by Location: Oregon: Non-Portland Service Area: Min: $45.90, Max: $71.40 Oregon: Portland Service Area: Min: $49.34, Max: $76.59 Washington: Western - Except Tukwila: Min: $51.43, Max: $79.84 Washington: Southwest - Olympia, Centralia & Below: Min: $49.34, Max: $76.59 Washington: Tukwila: Min: $51.43, Max: $79.84 Washington: Eastern: Min: $43.90, Max: $68.16 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: 402825 Company: Providence Jobs Job Category: Clinical Administration Job Function: Clinical Support Job Schedule: Full time Job Shift: Day Career Track: Nursing Department: 5018 HCS CASE AND DISEASE COMM OR REGION Address: OR Beaverton 3601 SW Murray Blvd Work Location: Murray Business Ctr Beaverton-Beaverton Workplace Type: Remote Pay Range: $See Posting - $See Posting The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
$39k-87k yearly est. Auto-Apply 5d ago
Data System Engineer III
Franciscan Health Indianapolis 4.1
Remote
Work From HomeWork From Home Work From Home, Indiana 46544 We are seeking a Site Reliability & DevOps Systems Engineer to design, automate, and maintain the infrastructure supporting our enterprise data and analytics platforms, including Power BI, Tableau, Databricks, and Epic Cogito. This role bridges systems engineering, DevOps development, and data operations - ensuring our analytics ecosystems are resilient, automated, secure, and high-performing. You will manage Azure DevOps and GitHub environments for CI/CD, infrastructure-as-code (IaC), and environment deployments, while collaborating with BI, data engineering, and cloud teams to standardize and optimize platform operations. Data Systems Engineer III (DSE) is responsible for making intuitive, high-level decisions in designing data analytics infrastructure to extract and organize data for authorized individuals to access. Responsibilities include identifying a company's internal and external data sources, collaborating with department heads to determine their data needs and using the information to create and maintain data analytics infrastructure for company employees. Is responsible for software design and implementation for the development team. The Architect will design and develop a unified vision for software characteristics and functions, with the goal of providing a framework for the development of software or systems that result in high-quality IT solutions. DSE III takes direction and guidance from lead data systems architect and department leadership to work towards enhancement of self and the team's capabilities around data and analytic competencies. Mentors junior architects and guides users across the organization to promote data education and a data-driven culture in all aspects of clinical and business operation. WHO WE ARE With 12 ministries and access points across Indiana and Illinois, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in hiring coworkers that provide compassionate, comprehensive care for our patients and the communities we serve. WHAT YOU CAN EXPECT Facilitate the establishment and execution of the roadmap and vision for information delivery and management; including the modernizing the data platforms, on-prim and cloud data, BI & analytics, content management and data management Work with stakeholders to understand their vision, challenges, and pain points. Work with data and analytics experts to strive for greater functionality in our data systems; consults with data systems management teams to get a big-picture idea of the data needs. Conduct detailed assessments of the data landscape including data platforms, technology architecture, data flows, data consumption, data integration and documentation Identifying installation solutions for new databases; determining the requirements for a new database. Develop future state architecture and process/data flows to realize the modern data strategy Design modern data supply chain, and evaluate and recommend new tools and technologies Guide the decision making of selecting cloud vs on-premise environments and assist with cloud service provider selection Document and present data strategies to stakeholders, gain buy in, and grow strategic relationships Assist in the development of capability roadmaps Identifying areas for improvement in current systems; participate in setting objectives and scope, and developing a roadmap for the data initiatives that support the client leadership in meeting their objectives Auditing database regularly to maintain quality; creating systems to keep data secure Own the technical relationship with the client, be a technical subject matter expert and principal data evangelist across the planning efforts that intersect the data discipline. Educate clients and internal constituents on the available technologies and general best practices. Mentor others as they build complex strategy and solutions Provide specialized expertise, cross-industry perspective, and thought leadership in big data, cloud, enterprise information management, and other next generation technology offerings Provides maintenance and support; performs other duties, as assigned. Qualifications Required Bachelor's Degree Business, Computer Science, Engineering, Information Systems, Public Health, or related field Preferred Master's Degree Computer Science, Business, Healthcare Management, Information Systems, or related field 6 years Systems, Application, and/or Database platforms administration experience with platforms such as Epic, SQL Server, Tableau, SAS, BusinessObjects etc. Experience architecting data management, analytics, business intelligence and application integration solutions. Required TRAVEL IS REQUIRED: Never or RarelyJOB RANGE:Data Systems Engineer III $82,931.74 - $114,031.14INCENTIVE:Not Applicable EQUAL OPPORTUNITY EMPLOYER It is the policy of Franciscan Alliance to provide equal employment to its employees and qualified applicants for employment as otherwise required by an applicable local, state or Federal law. Franciscan Alliance reserves a Right of Conscience objection in the event local, state or Federal ordinances that violate its values and the free exercise of its religious rights. Franciscan Alliance is committed to equal employment opportunity. Franciscan provides eligible employees with comprehensive benefit offerings. Find an overview on the benefit section of our career site, jobs.franciscanhealth.org.
$83k-107k yearly est. Auto-Apply 60d+ ago
Psychotherapist PRN (Remote)
Aurora Health Care 4.7
Charlotte, NC jobs
Department: 02040 GCMG Behavioral Health Integration: Abbey Place - Behavioral Health Status: Part time Benefits Eligible: No Hours Per Week: 0 Schedule Details/Additional Information: PRN: Shift times vary by department needs, within business hours of M-F, 8a-7p. Pay Range $30.15 - $45.25 Essential Functions Develops, implements and evaluates patient care according to identified needs. Manages clients in crisis utilizing appropriate therapeutic skills and assessment techniques. Writes appropriate treatment plans according to patient diagnosis, age and clinical presentation. Writes appropriate discharge plans based on individual needs of client and follows through with termination process. Collaborates with appropriate guardians and community agencies to insure effective service delivery. Completes patient care assignments with attention to detail and accuracy. Provides accurate and consistent documentation of patient care/response in the medical record. Completes accurate and timely billing information. Designs, plans, implements effective patient education. Maintains open lines of communication, collaborates with healthcare team for patient outcome. Physical Requirements Works in patient care areas including hospital units, emergency room, individual offices and conference areas with exposure to potentially combative and hostile patients. Work requires frequent moving from one area to another, answering pages, and coordinating and communicating with other staff persons in various disciplines and agencies. Education, Experience and Certifications Master's degree in a relevant human services field such as Social Work, Counseling, Psychology, or Marriage and Family Therapy from an accredited school of graduate education required. Full licensure in applicable state required. 2 years clinical experience required. CPI and CPR training required for psychotherapist working in inpatient psychiatric setting. Our Commitment to You: Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more - so you can live fully at and away from work, including: Compensation Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training Premium pay such as shift, on call, and more based on a teammate's job Incentive pay for select positions Opportunity for annual increases based on performance Benefits and more Paid Time Off programs Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability Flexible Spending Accounts for eligible health care and dependent care expenses Family benefits such as adoption assistance and paid parental leave Defined contribution retirement plans with employer match and other financial wellness programs Educational Assistance Program About Advocate Health Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation's largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.
$30.2-45.3 hourly Auto-Apply 26d ago
Certified Tumor Registrar (PRN-D)
Franciscan Health Indianapolis 4.1
Remote
Work From HomeWork From Home Work From Home, Indiana 46544 At Franciscan Health, the Certified Tumor Registrar (CTR) is a data information specialist responsible for the identification, collection, and management of health, medical, and outcome information on oncology patients. Primary responsibilities include abstracting and coding specific patient, cancer, and treatment information from numerous sources, as well as maintaining and updating existing patient records. WHO WE ARE Franciscan Health is a leading healthcare organization dedicated to providing exceptional patient care and promoting health and wellness in our community. Our mission is to ensure that every patient receives the highest quality of care through innovation, compassion, and excellence. With 12 ministries and access points across Indiana and Illinois, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in hiring coworkers who provide compassionate, comprehensive care for our patients and the communities we serve. WHAT YOU CAN EXPECT Abstract cancer-related data, according to ICD-10, American College of Surgeons, American Joint Commission On Cancer (AJCC), and other guidelines, to generate reports regarding cancer surveillance and improvement of care. Review patient cases, identify potential cases for the registry, and assess whether the case is reportable, is already reported, or could potentially be recorded in a file of non-reportable cases. Assist with monthly and annual data submissions and quality assurance reviews, to ensure compliance with the American College of Surgeons, American Joint Commission On Cancer (AJCC), and other guidelines. Facilitate and organize tumor board and other case conferences. Monitor, report, and record tumor registry activities, to ensure compliance with Commission On Cancer (CoC) and other accreditations. QUALIFICATIONS Associate's Degree - Required High School Diploma/GED - Required 1 year Tumor Registry - Preferred 1 year Tumor Registry - Preferred Certified Tumor Registry (CTR) - National Cancer Registrars Association (NCRA) - Required or Licensure - Oncology Data Specialist - Certified (ODS-C) - Required RHIA, Registered Health Information Administrator - American Health Information Management Association (AHIMA) - Preferred RHIT, Registered Health Information Technician - American Health Information Management Association (AHIMA) - Preferred TRAVEL IS REQUIRED: Never or RarelyJOB RANGE:INCENTIVE: EQUAL OPPORTUNITY EMPLOYER It is the policy of Franciscan Alliance to provide equal employment to its employees and qualified applicants for employment as otherwise required by an applicable local, state or Federal law. Franciscan Alliance reserves a Right of Conscience objection in the event local, state or Federal ordinances that violate its values and the free exercise of its religious rights. Franciscan Alliance is committed to equal employment opportunity. Franciscan provides eligible employees with comprehensive benefit offerings. Find an overview on the benefit section of our career site, jobs.franciscanhealth.org.
$47k-61k yearly est. Auto-Apply 14d ago
Data Science Product Manager *Remote*
Providence Health & Services 4.2
Renton, WA jobs
Providence is seeking a full-time Data Science Product Manager to leverage a robust data science skillset as well as a customer service and process-oriented skillset to assess customer needs, design product roadmaps, lead efforts to build/test/validate/iterate, and maintain data science and analytic products. Execute data science projects, including analyzing large amounts of raw information and preprocessing structured and unstructured data. Build predictive models, conduct experimental designs and web analytics, and build machine learning algorithms using advanced technologies to support Healthcare Research Accelerator initiatives. Exhibit a strong curiosity about data and excels at harvesting insights from highly complex data across multiple data sources. Work closely with Data Engineers and establish the entire project/product life cycle. Employee has option to telecommute full-time from any state in which Providence has an office (currently: AK, WA, OR, CA, NM, MT, TX) Applicants must have: + Master's degree in Data Science, Computer Science, Statistics, Mathematics, Engineering, or a similar field. + Three (3) years experience in data science or related. + Requires skills and experience in the following: + 3 years of experience with querying large datasets using SQL, Python and/or R, Jupyter Notebook, NumPy, Pandas, Matplotlib/Seaborn, and Spark/PySpark. + 3 years of experience with big data, database query, and analysis languages (e.g., Python, SQL, Snowflake SQL, R, Scala, SAS, Azure DataBricks, interactive dashboarding) and data visualization tools (e.g., Power BI, Tableau). + 3 years of experience with Machine learning, deep learning model development, NLP model (Natural Language Processing) development, and other methods to solve complex problems using structured and unstructured data. + 3 years of experience with SciPy, Scikit-learn (SKLearn), Spacy, TensorFlow/Keras, and Docker. + 3 years of experience working with Electronic Medical Record, clinical data, Healthcare standard code sets such as ICD, CPT/HCPCS, LOINC, OMOP. + 3 years of experience working in Microsoft Azure or other major Cloud platforms. + 3 years of experience with Kubernetes, DataBricks, Snowflake, and Azure Data Factory/Airflow. + 3 years of Data architecture experience, including data ingestion, processing, storage and reporting in a big data environment. + 3 years of experience supporting healthcare research projects. Understanding of research project life cycle from planning through implementation and reporting phases. + 2 years of demonstrated expertise in ensuring compliance with healthcare regulations and standards. Knowledge of health data privacy guidelines, including HIPAA de-identification standards. Experience handling Protected Health Information (PHI) and Personally Identifiable Information (PII) with a focus on maintaining confidentiality and security. + 1 year of experience in statistical modeling, including designing and conducting hypothesis testing, survival analysis, probabilistic modeling, with the ability to interpret and present results. + 1 year of experience working with biomarker genomics data and understanding of genomic and proteomic data pipelines. + Experience in product management with a focus on data management, analytics, product design and operations support. Salary Range by Location: + AK: Anchorage: Min: $48.27, Max: $76.22 + AK: Kodiak, Seward, Valdez: Min: $50.32, Max: $79.45 + California: Humboldt: Min: $50.32, Max: $79.45 + California: All Northern California - Except Humboldt: Min: $56.46, Max: $89.13 + California: All Southern California - Except Bakersfield: Min: $50.32, Max: $79.45 + California: Bakersfield: Min: $48.27, Max: $76.22 + Montana: Except Great Falls: Min: $40.19, Max: $61.36 + Montana: Great Falls: Min: $40.19, Max: $58.13 + New Mexico: Min: $40.19, Max: $61.36 + Oregon: Non-Portland Service Area: Min: $45.00, Max: $71.05 + Oregon: Portland Service Area: Min: $48.27, Max: $76.22 + Texas: Min: $40.19, Max: $58.13 + Washington: Western - Except Tukwila: Min: $50.32, Max: $79.45 + Washington: Southwest - Olympia, Centralia & Below: Min: $48.27, Max: $76.22 + Washington: Tukwila: Min: $50.32, Max: $79.45 + Washington: Eastern: Min: $42.96, Max: $67.82 + Washington: Southeastern: Min: $45.00, Max: $71.05 Why Join Providence? Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities 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. 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. Check out our benefits page for more information. Equal Opportunity Employer including disability/veteran 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. Requsition ID: 397279 Company: Providence Jobs Job Category: Data Sciences Job Function: Information Technology Job Schedule: Full time Job Shift: Day Career Track: Business Professional Department: 4007 SS HEALTHCARE RESEARCH ACCELERATOR Address: WA Renton 1801 Lind Ave SW Work Location: Providence Valley Office Park-Renton Workplace Type: Remote Pay Range: $See Posting - $See Posting The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
$143k-193k yearly est. Auto-Apply 60d+ ago
Coding Policy Analyst *Remote*
Providence Health & Services 4.2
Moro, OR jobs
Coding Policy Analyst _Remote_ The Coding Policy Analyst is responsible for the coordination of technically detailed work that has a significant impact on all operations and information systems within Providence Health Plan (PHP). This position will update and create Coding Policies and associated edit configurations within the PHP claims editing system. In addition, the Coding Policy Analyst will be responsible for replying to provider and member appeals and providing appropriate CPT, CMS, specialty society, Coding Policy, and/or other official documented rationale for Coding Policy edits. The analyst is responsible for monitoring changes to codes, coding guidelines and regulations, and coding edits from external agencies such as AMA, CMS, Medicaid, and specialty societies, and assists with implementation of such changes to the claims adjudication and editing software. This position requires extensive knowledge of AMA and CMS coding guidelines, policies, and regulations. This person will serve as a coding subject matter expert to other departments within PHP for questions about CPT, HCPCS, and ICD-10 codes, as well as coding guidelines and regulations. The analyst will work closely with the Benefits Management Team and Regulatory Department to ensure coding edits are applied in a manner consistent with member benefits and all state and federal insurance regulations. Providence Health Plan caregivers are not simply valued - they're invaluable. Join our team and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them. _Providence Health Plan welcomes 100% remote work for applicants who reside in the following states:_ + Washington + Oregon + California Required Qualifications: + Coding certification through AAPC (CPC) or AHIMA (CCS) upon hire. + 5 years of experience directly related to CPT coding from chart extraction with a health care provider, a health insurance company, or a capitated managed care company. + 5 years of excellent writing and grammar skills required. + 5 years of demonstrated experience in detailed coding applications, as well as Microsoft Office capabilities, such as Excel, Word, and Access. Preferred Qualifications: + Bachelor's Degree or experience in a Healthcare or Health Plan setting coding and auditing will also be considered. + 2 years of experience with Facets Claims Adjudication system and/or Optum CES editing software. Salary Range by Location: California: Humboldt: Min: $33.05, Max: $51.30 California: All Northern California - Except Humboldt: Min: $37.08, Max: $57.56 California: All Southern California - Except Bakersfield: Min: $33.05, Max: $51.30 California: Bakersfield: Min: $31.71, Max: $49.22 Oregon: Non-Portland Service Area: Min: $29.56, Max: $45.88 Oregon: Portland Service Area: Min: $31.71, Max: $49.22 Washington: Western - Except Tukwila: Min: $33.05, Max: $51.30 Washington: Southwest - Olympia, Centralia & Below: Min: $31.71, Max: $49.22 Washington: Tukwila: Min: $33.05, Max: $51.30 Washington: Eastern: Min: $28.21, Max: $43.80 Washington: South Eastern: Min: $29.56, Max: $45.88 Why Join Providence Health Plan? 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: 403553 Company: Providence Jobs Job Category: Coding Job Function: Revenue Cycle Job Schedule: Full time Job Shift: Day Career Track: Business Professional Department: 5018 HCS MEDICAL MANAGEMENT OR REGION Address: OR Portland 4400 NE Halsey St Work Location: Providence Health Plaza (HR) Bldg 1-Portland Workplace Type: Remote Pay Range: $31.71 - $49.22 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.
$31.7-49.2 hourly Auto-Apply 23d ago
Physician Coding AR Specialist - Medical Specialties
Aurora Health Care 4.7
Remote
Department: 13245 Enterprise Revenue Cycle - Professional Coding Denials Integrity Status: Full time Benefits Eligible: Yes Hours Per Week: 40 Schedule Details/Additional Information: First Shift Remote Desired Experience: Medical Specialties Pay Range $26.10 - $39.15 Major Responsibilities: In collaboration with Customer Service, analyze and resolve professional coding complaints in a timely manner using correct coding and payer guidelines to ensure patient satisfaction. Identifies and analyzes coding denials for a specific population of charges and works in collaboration with the Production Coding team. Coordinates coding rejection data collection activities used for reporting and accountability tracking. Identifies potential trends or knowledge concerns and opportunities for improvement and prevention. Researches and documents applicable regulatory, coding and billing rules. Develops standardized processes and tools for the coding production team to utilize when dealing with insurance rejections and recommendations to avoid future denials. Works with Professional Coding Leadership to develop monthly coding update reports to continually educate and communicate coding related recommendations based on monthly findings. Maintains up-to-date information regarding coding denials and rejections and communicates the changes accordingly. Identifies and problem solves trends and issues. Collaborates with department leadership clinic operations managers, system contracting team to determine preventative measures, follow-up and resolve these issues. Communicates with and acts as a resource for others regarding coding and appeal issues. Provides regular statistical reports to leadership regarding rejection/denial volumes, response timeliness, success rates, identified trends, and recommendations to prevent future coding rejections/denials. Maintains up-to-date knowledge of Medicare, Medicaid and other regulatory requirements pertaining to nationally and locally (i.e., NCD, LCD) accepted coding policies and standards. Develops expertise in coding for assigned specialties. Communicates and reinforces changes in CPT, ICD-10-CM/PCS, HCPCS and other requirements and coordinates necessary modifications and updates appropriately. Responsible for retrospective chart and claim coding review. Identifies coding errors and recommends correct coding based on CPT, ICD-10 CM/PCS, HCPCS in accordance with coding and payer guidelines. Licensure, Registration, and/or Certification Required: Coding Associate (CCA) certification issued by the American Health Information Management Association (AHIMA), or Coding Specialist - Physician (CCS-P) certification issued by the American Health Information Management Association (AHIMA), or Health Information Administrator (RHIA) registration issued by the American Health Information Management Association (AHIMA), or Health Information Technician (RHIT) registration issued by the American Health Information Management Association (AHIMA), or Professional Coder (CPC) certification issued by the American Academy of Professional Coders (AAPC), or Specialty Coding Professional (SCP) certification issued by the Board of Medical Specialty Coding and Compliance (BMSC). Education Required: Advanced training beyond High School that includes the completion of an accredited or approved program in Medical Coding Specialist. Experience Required: Typically requires 5 years of professional coding and at least 3 years of payer background experience in physician revenue cycle processes, health information workflows and reimbursement in a large, complex clinic or medical group. Knowledge, Skills & Abilities Required: Advanced knowledge of ICD, CPT and HCPCS coding guidelines. Advanced of medical terminology, anatomy, and physiology. Advanced ability to identify coding discrepancies and provide recommendations for improvement Advanced ability to analyze trends and data and display them in a statistical reporting format. Advanced knowledge of care delivery documentation systems and related medical record documents. Advanced knowledge of Medicare, Medicaid, and commercial payer coding guidelines. Advanced computer skills including the use of Microsoft Office, email and exposure or experience with electronic coding systems or applications. Proficient interpersonal and communication (oral and written) skills, including the ability to effectively collaborate with multiple departments. Excellent organization and prioritization skills; ability to manage multiple priorities in a stressful, fast-paced work environment. Excellent analytical skills, with a great attention to detail. Ability to work independently and exercise independent judgment and decision making. Ability to meet deadlines while working in a fast-paced environment. Physical Requirements and Working Conditions: Exposed to normal office environment. Position requires travel which will result in exposure to road and weather hazards. Operates all equipment necessary to perform the job. This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties. #REMOTE #LI-REMOTE Our Commitment to You: Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more - so you can live fully at and away from work, including: Compensation Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training Premium pay such as shift, on call, and more based on a teammate's job Incentive pay for select positions Opportunity for annual increases based on performance Benefits and more Paid Time Off programs Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability Flexible Spending Accounts for eligible health care and dependent care expenses Family benefits such as adoption assistance and paid parental leave Defined contribution retirement plans with employer match and other financial wellness programs Educational Assistance Program About Advocate Health Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation's largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.
$26.1-39.2 hourly Auto-Apply 18d ago
Senior Actuarial Analyst *Remote*
Providence Health & Services 4.2
Oregon, OH jobs
Senior Actuarial Analyst _Remote_ Reporting to the Manager Actuarial Analytics the Senior Actuarial Analyst analyzes the financial performance of Commercial line of business and leads the rate development and filing efforts including competitive analysis, network analysis, risk adjustment, trend, actuarial benefit value analysis, rate adequacy review and etc. Providence Health Plan caregivers are not simply valued - they're invaluable. Join our team at Providence Health Plan Partners and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them. _Providence Health Plan welcomes 100% remote work for applicants who reside in the following states:_ + Washington + Oregon + California Required Qualifications: + Bachelor's Degree in Statistics, Mathematics, Actuarial, Finance, or a related field of study. + Coursework/Training: Successful completion of 4+ exams of the Associate of the Society of Actuaries (ASA) designation. + 5 years of healthcare actuarial experience. + Experience with writing queries in SQL or another programming language. + 2 years Actuarial experience. + Demonstrated experience applying project management skills in data-related and financial analysis projects. Preferred Qualifications: + Coursework/Training: Associate of the Society of Actuaries (ASA) designation. + Fellow or Associate in the Society of Actuaries (FSA or ASA) upon hire. Salary Range by Location: California: Humboldt: Min: $47.05, Max: $73.04 California: All Northern California - Except Humboldt: Min: $52.79, Max: $81.94 California: All Southern California - Except Bakersfield: Min: $47.05, Max: $73.04 California: Bakersfield: Min: $45.14, Max: $70.07 Oregon: Non-Portland Service Area: Min: $42.08, Max: $65.32 Oregon: Portland Service Area: Min: $45.14, Max: $70.07 Washington: Western - Except Tukwila: Min: $47.05, Max: $73.04 Washington: Southwest - Olympia, Centralia & Below: Min: $45.14, Max: $70.07 Washington: Tukwila: Min: $47.05, Max: $73.04 Washington: Eastern: Min: $40.16, Max: $62.35 Washington: South Eastern: Min: $42.08, Max: $65.32 Why Join Providence Health Plan? 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: 405560 Company: Providence Jobs Job Category: Actuarial Job Function: Finance Job Schedule: Full time Job Shift: Multiple shifts available Career Track: Business Professional Department: 5018 FINAN FINANCIAL ANALYTICS OR REGION Address: OR Portland 4805 NE Glisan St Work Location: Providence Portland Medical Ctr-Portland Workplace Type: Remote Pay Range: $See Posting - $See Posting The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
$55k-66k yearly est. Auto-Apply 13d ago
Manager Underwriting
Providence Health & Services 4.2
Portland, OR jobs
Providence Health Plan caregivers are not simply valued - they're invaluable. Join our team in 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. In support of Plan Association Health Plan & Small Group revenue, profitability and membership goals, the Manager, Underwriting of Association Health Plans and Small Group performs all duties in a manner which promotes the development of Underwriters reporting to this role, maximizing underwriting team dynamic and reflecting the Mission and values of the Plan. The Manager, Underwriting of Association Health Plans & Small Group collaborates with key leaders, consulting on technical underwriting and detailed, complex concepts and implementations while engaging the technical expertise of Underwriters, Actuaries and other Business partners both internal and external to the Plan. Oversees underwriting risk, analysis, pricing models, process and procedures for our Association Health Plans and Small Group commercial fully insured line of business. Maintains a high degree of efficiency and accuracy in all areas of responsibility. Assures that both internal and external service standards are tracked, and that there is effective team management of Service Level Agreements (SLAs). Facilitates a smooth integration with other functional areas within the Plan. _Providence Health Plan welcomes 100% remote work for applicants who reside in the following states:_ + Washington + Oregon + California Required Qualifications: + Bachelor's Degree Finance, Mathematics, or related field or an equivalent combination of education and experience + 5 years Management experience in underwriting. + 5 years Experienced in developing processes, guidelines, procedures and policies in collaboration with other impacted areas. + 5 years Extensive Underwriting and consulting experience in large group (including self-funded and other funding arrangements and association business) and Medicare product lines. Salary Range by Location: California: Humboldt: Min: $50.32, Max: $79.45 California: All Northern California - Except Humboldt: Min: $56.46, Max: $89.13 California: All Southern California - Except Bakersfield: Min: $50.32, Max: $79.45 California: Bakersfield: Min: $48.27, Max: $76.22 Oregon: Non-Portland Service Area: Min: $45.00, Max: $71.05 Oregon: Portland Service Area: Min: $48.27, Max: $76.22 Washington: Western - Except Tukwila: Min: $50.32, Max: $79.45 Washington: Southwest - Olympia, Centralia & Below: Min: $48.27, Max: $76.22 Washington: Tukwila: Min: $50.32, Max: $79.45 Washington: Eastern: Min: $42.96, Max: $67.82 Washington: Southeastern: Min: $45.00, Max: $71.05 Why Join Providence Health Plan? 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. Requsition ID: 402389 Company: Providence Jobs Job Category: Underwriting Job Function: Finance Job Schedule: Full time Job Shift: Day Career Track: Leadership Department: 5018 SALES UNDERWRITING OR REGION Address: OR Portland 4400 NE Halsey St Work Location: Providence Health Plaza (HR) Bldg 1-Portland Workplace Type: Remote Pay Range: $see posting - $see posting The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
$53k-80k yearly est. Auto-Apply 27d ago
Network Convergence Engineer -Intermediate
UPMC 4.3
Pittsburgh, PA jobs
UPMC is looking for a Network Convergence Engineer -Intermediate to join their team. This position will be primarily ON-SITE, you will work 4 days a week ON-SITE and get 1 day a week to work remote/from home. We are targeting local candidates in and around the PA area. Description The Converged Network Engineer - Intermediate works closely with all UPMC departments and business units, ISD departments and/or groups, as required, to meet business objectives, resolve problems, provide technical assistance in accordance with assigned responsibilities, and when necessary, coordinates with other telecommunications resources in carrying out the assigned responsibilities. This position also interacts with vendors and suppliers. Responsibilities: + Functions in an upper level position, with responsibility for timely service delivery as well as project management. + Work on medium to large-scale projects in addition to providing services, as determined by the management team. + Possesses advanced knowledge of the PBX system, voice mail and wiring support design and function. Provides technical assistance to departmental personnel, clients, vendors, and other parties as assigned. + Interfaces with others on system infrastructure problems and advises management on technical problems, priorities, and methods. + Contributes to systems infrastructure plans based on an understanding of the customer's organizational direction, technical context and business needs. + Participates in day-to-day orders, Special Projects, and trouble tickets to include Move, Add, and Change requests for the data and/or voice network. + Contributes to the creation of new policies and procedures for Maintenance Plan and Continuity of Operations Plan. + Provides network performance statistics and reports and recommends technical enhancements to the network. + The Converged Engineer - Intermediate is responsible for handling and working in all aspects of the UPMC Enterprise Communications Group. This includes responsibilities on the telephony systems, PBXs, data networks, wireless networks, and data network infrastructure. Converged Network Engineers are responsible for using Nokia, Cisco, Alcatel-Lucent, and Avaya products, as well as a working knowledge of encryption solutions, private branch exchanges (PBX), and local and wide area networks and wireless networks (LAN/WAN/WLAN). + Reviews, organizes, communicates and records all requests for voice services. + Responsible for creating, managing, tracking, and reporting the status of assigned projects, using the specified project management software. Coordinates, with other Engineers in the delivery to telecommunications and networking services. + Reviewing, organizing, communicating and recording requests for Telecommunications systems, including adds, moves and changes on PBX, Voice Mail, Networking, wiring support, and maintenance of all voice related databases at UPMC and affiliated business units. + Constructs, tests and implements integrated network, hardware and software solutions, distributed computing solutions, and/or physical and logical communications networks for the customer. + Researches, evaluates and stays current on emerging tools, techniques and technologies. + Responsible for the day to day maintenance and support of the data communications equipment and systems within UPMC and affiliated business units for connectivity requests and/or reported problems. + Ensures customer satisfaction with the resolution or circumvention of hardware, software, and/or circuit problems including the assessment of bandwidth requirements based upon empirical data. + Configuration of data communications devices, design and implementation of local and wide area networking, problem determination knowledge in these areas. Qualifications * Typically has 2+ years of converged communications infrastructure design and support experience. * Required Experience/Skills/Attributes: o Experience conducting site surveys and organizing the documentation into an Engineering Plan. o Up-to-date Avaya voice product experience. o Up-to-date PBX experience. * Hands-on skills to include: o Aura Communication Manager, ACD call center, CMS, unified messaging, SIP/H.323 trunking, SIP services, G430/450, S8800. o Intermediate to expert level skills required in networking to support converged applications including voice/video/WLAN Strong interpersonal, written and oral skills. o From time to time, candidates may be asked to present project outline to customers. o Ability to conduct research on products with various vendors to accommodate changing customer requirements. o Ability to work in a team-oriented collaborative environment while being highly motivated to take the lead on projects. * Desired Experience/Skills/Attributes: o Experience with Microsoft products including Windows 2000 Server, Active Directory, and Exchange Unified Messaging would be a plus. o Experience with Cisco Enterprise solution products. o Understanding of Cisco router, switch, and ASA products. o Ability to troubleshoot access-lists, IPv4 and IPv6 issues across varying protocols such as OSPF, BGP, and Static Routing. o Hands-on administration experience with Linux/Solaris Licensure, Certifications, and Clearances: Act 34 Preferred Licensure: CCNA - Cisco Cert Networking Assoc NRS1 - Nokia Ntwrk Routing Spec I ACIS - Avaya Cert Integration Spec ACCA - Avaya Call Center Admin CXTECH - AVST Certified CX Tech SBCADMIN - Avaya SBC Admin ITIL - IT Infrastructure Library UPMC is an Equal Opportunity Employer/Disability/Veteran
$72k-92k yearly est. 12d ago
Physician - Remote Emergency Radiologist
Sanford Health 4.2
Marshfield, WI jobs
Come work at a place where innovation and teamwork come together to support the most exciting missions in the world!Job Title:Physician - Remote Emergency RadiologistCost Center:201641261 System Radiology-ProfScheduled Weekly Hours:40Time Type:Full time Job Description: Marshfield Medical Center is looking for a BC/BE Radiologist to join our ED section in Wisconsin. Fellowship training in Body, Neuro, ED or MSK is required. Must be comfortable with all emergent diagnostic imaging modalities including Neuro CTA/perfusion, trauma (including MRI), Ultrasound (including OB), pediatrics and occasional musculoskeletal MRI/CT. No CVIR, nuclear medicine or mammography. Choose to work remote as a Non-Associate on a casual contract or may have the option to work locally at one of our centers as an Associate physician with additional salary and benefits. If working onsite, you will need to be comfortable with and will be responsible to occasionally perform some local minor procedures. Service coverage includes a level 2 soon to be level 1 trauma center and stroke center as well as additional regional hospitals and urgent care centers. Coverage needed for afternoons and evenings. No midnight shifts required. Yearly work requirement is 182 shifts a year - typically 7 on/7 off schedule/26 weeks per year Compensation/Benefits: Competitive Salary Flexible shift based model Health, Dental, Life, and Occurrence Based Malpractice insurance Relocation support available if working onsite Marshfield Clinic Health System is a non-profit 501(c)(3) organization. This may qualify you for additional state and/or federal education loan forgiveness programs. MCHS strongly encourages our physicians to be involved in medical education and research to continue building our strong foundation of patient care, research, and education for years to come. Marshfield Clinic Research Institute: ********************************** Marshfield Clinic Division of Education: ****************************************** Marshfield, Wisconsin Nestled in the heart of Wisconsin, Marshfield is a safe, clean community with a population of about 20,000 people. The region boasts a solid economy and a low cost of living, which includes below national average costs for housing and transportation. Community pride is evident in the private and city funds invested in making Marshfield a great place to live. Located one mile outside of town, you will have access to 6,500 acres for hiking, biking, hunting, canoeing, cross-country skiing, berry picking, and wildlife or bird watching or simply enjoying the fresh air. With excellent schools and high school graduation rates high above the national average, Marshfield is committed to offering and preparing students for top-notch educational opportunities. Those of us that have chosen to call Marshfield home have come to enjoy the benefits of short commutes, safe and friendly neighborhoods, fresh air and water, bountiful nature, and so much more. Come and see for yourself. Fun Fact: Marshfield is known as the HEART of Wisconsin! Marshfield Clinic Health System physicians and staff are motivated by our mission to enrich lives. We serve more than 350,000 unique patients each year through accessible, high quality health care, research and education. With more than 1,600 providers in 170 medical specialties and subspecialties as well as over 13,000 employees in 65 clinical locations in 45 communities serving Wisconsin and Michigan's Upper Peninsula, Marshfield Clinic Health System is nationally recognized for innovative practices and quality care. The Marshfield Promise Motivated by our mission to enrich lives, we use common values to ensure those we serve feel supported in their healthcare journey and staff and providers are actively engaged with one another. Together through our actions, we promise to deliver compassionate, safe and expert care to everyone. The Marshfield Promise is centered around 5 core values; Patient-Centered, Trust, Teamwork, Excellence and Affordability. For more information, please contact: Lindsay Becker, Physician and Advanced Practice Clinician Recruiter Phone: ************ *********************************** Marshfield Clinic Health System is committed to enriching the lives of others through accessible, affordable and compassionate healthcare. Successful applicants will listen, serve and put the needs of patients and customers first. Exclusion From Federal Programs: Employee may not at any time have been or be excluded from participation in any federally funded program, including Medicare and Medicaid. This is a condition of employment. Employee must immediately notify his/her manager or the Health System's Compliance Officer if he/she is threatened with exclusion or becomes excluded from any federally funded program. Marshfield Clinic Health System is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected veteran status, age, or any other characteristic protected by law.
$282k-517k yearly est. Auto-Apply 60d+ ago
Senior Coding Quality Educator - *Remote - Most states eligible*
Providence Health & Services 4.2
Atka, AK jobs
Senior Coding Quality Educator _Remote - Most states eligible._ _Providence caregivers are not simply valued - they're invaluable. Join our team and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them._ Providence is calling a Senior Coding Quality Educator who will: + Assist with the day-to-day operations of the Coding Integrity, Knowledge Management team + Assist with research and developing coding guidance based on local, state and federal healthcare coding regulations and other payor guidelines as applicable + Obtain, interpret, analyze and communicate information regarding coding matters with all internal and external revenue cycle and coding teams + Collaborate with various departments e.g., Physician Network Operations, Revenue Cycle, Compliance, Practice Operations, and other key stakeholders on all coding matters We welcome 100% remote work for residents in the United States with the exception of the following States: + Colorado + Hawaii + Massachusetts + New York + Ohio + Pennsylvania Essential Functions: + Assist with the identification, development and delivery of new and ongoing coding changes and updates to all regional coding teams + Collaborate with various departments e.g., regional coding teams, revenue cycle, compliance, practice operations, and other key stakeholders on all coding matters + Respond timely (either orally or written) to coding inquiries from coders, educators, and other teams across Providence enterprise + Serve as a resource and subject matter expert for all coding matters + Provide coding support to regional coding teams as needed + Maintain relevant documentation and data as required + Review and update coding guidance annually or as necessary + Maintain document control + Develops action plans as necessary to resolve complex coding cases and to address the implementation of new service offerings or code changes + Facilitates education to support Medicare Risk requirements & organization goals + Review relevant patient details from the medical record based on coding and documentation guidelines + Participate in monthly progress meetings to discuss process improvements, updates in technology, along with any job related details + Communicate any coding updates published in third-party payer newsletters and bulletins and provider manuals to coding and reimbursement staff + Assists management in identifying and creating standardized workflows + Reviews EMR templates and identifies areas of improvement for provider documentation + Attends and presents at regional meetings as needed Required qualifications for this position include: + High School Diploma or GED Equivalency + National Certification from American Health Information Management Association upon hire or National Certification from American Health Information Management Association upon hire. + 6+ years of experience in professional fee inpatient, surgical, outpatient coding, E/M, auditing and related work + 5+ years of experience providing provider education and feedback to facilitate improvement in documentation and coding + Strong experience in Excel (e.g., pivot tables), database, e-mail, and Internet applications on a PC in a Windows environment Preferred qualifications for this position include: + Associate Degree in Health Information Technology or another related field of study + Bachelor's Degree in Health Information Technology or another related field of study + 5+ years of experience in coding for multispecialty practice + 2+ years of experience in professional fee billing methodologies + Experience with IDX, Allscripts, Advanced Web, Meditech + Experience with project management Salary Range by Location: AK: Anchorage: Min: $40.11, Max: $62.27 AK: Kodiak, Seward, Valdez: Min: $41.81, Max: $64.91 California: Humboldt: Min: $40.98, Max: $64.88 California: All Northern California - Except Humboldt: Min:$46.91, Max: $72.82 California: All Southern California - Except Bakersfield: Min: $41.81, Max: $64.91 California: Bakersfield: Min: $40.11, Max: $62.27 Idaho: Min: $35.69, Max: $55.41 Montana: Except Great Falls: Min: $32.29, Max: $50.13 Montana: Great Falls: Min: $30.59, Max: $47.49 New Mexico: Min: $32.29, Max: $50.13 Nevada: Min: $41.81, Max: $64.91 Oregon: Non-Portland Service Area: Min: $37.39, Max: $58.05 Oregon: Portland Service Area: Min: $40.11, Max: $62.27 Texas: Min: $30.59, Max: $47.49 Washington: Western - Except Tukwila: Min: $41.81, Max: $64.91 Washington: Southwest - Olympia, Centralia & Below: Min: $40.11, Max: $62.27 Washington: Tukwila: Min: $41.81, Max: $64.91 Washington: Eastern: Min: $35.69, Max: $55.41 Washington: South Eastern: Min: $37.39, Max: $58.05 Why Join Providence? Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities. Accepting a new position at another facility that is part of the Providence family of organizations may change your current benefits. Changes in benefits, including paid time-off, happen for various reasons. These reasons can include changes of Legal Employer, FTE, Union, location, time-off plan policies, availability of health and welfare benefit plan offerings, and other various reasons. About Providence At Providence, our strength lies in Our Promise of "Know me, care for me, ease my way." Working at our family of organizations means that regardless of your role, we'll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable. Posted are the minimum and the maximum wage rates on the wage range for this position. The successful candidate's placement on the wage range for this position will be determined based upon relevant job experience and other applicable factors. These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits. Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act. About the Team Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. We are focused on supporting our Mission by delivering a robust foundation of services and sharing of specialized expertise. Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement. Requsition ID: 400515 Company: Providence Jobs Job Category: Coding Job Function: Revenue Cycle Job Schedule: Full time Job Shift: Day Career Track: Business Professional Department: 4010 SS PE OPTIM Address: WA Spokane 101 W 8th Ave Work Location: Sacred Heart Medical Center-Spokane Workplace Type: Remote Pay Range: $See posting - $See posting The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
$40.1 hourly Auto-Apply 13d ago

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Providence Health & Services Remote Jobs

Updated December 30, 2025

Providence Health & Services Remote jobs

Senior Coding Quality Educator - Remote - Most states eligible

Senior Account Executive Remote

Physician / Radiology / South Dakota / Permanent / Physician - Remote Radiology - Virtual Care Center

Virtual Safety Companion - St. Elizabeth Youngstown Hospital

Professional Physician Services Coding Denial Analyst (1.0)

Hospital Outpatient Coding Educator (1.0)

Associate Counsel - South Division (Remote)

Hospital Inpatient Coder VI Specialist (1.0)

Clinical Program Coordinator RN Remote

Data System Engineer III

Psychotherapist PRN (Remote)

Certified Tumor Registrar (PRN-D)

Data Science Product Manager Remote

Coding Policy Analyst Remote

Physician Coding AR Specialist - Medical Specialties

Senior Actuarial Analyst Remote

Manager Underwriting

Network Convergence Engineer -Intermediate

Physician - Remote Emergency Radiologist

Senior Coding Quality Educator - Remote - Most states eligible

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Providence Health & Services Remote jobs

Senior Coding Quality Educator - *Remote - Most states eligible*

Senior Account Executive *Remote*

Physician / Radiology / South Dakota / Permanent / Physician - Remote Radiology - Virtual Care Center

Virtual Safety Companion - St. Elizabeth Youngstown Hospital

Professional Physician Services Coding Denial Analyst (1.0)

Hospital Outpatient Coding Educator (1.0)

Associate Counsel - South Division (Remote)

Hospital Inpatient Coder VI Specialist (1.0)

Clinical Program Coordinator RN *Remote*

Data System Engineer III

Psychotherapist PRN (Remote)

Certified Tumor Registrar (PRN-D)

Data Science Product Manager *Remote*

Coding Policy Analyst *Remote*

Physician Coding AR Specialist - Medical Specialties

Senior Actuarial Analyst *Remote*

Manager Underwriting

Network Convergence Engineer -Intermediate

Physician - Remote Emergency Radiologist

Senior Coding Quality Educator - *Remote - Most states eligible*

Learn more about Providence Health & Services jobs

Remote jobs at other companies

Working at related companies

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Senior Coding Quality Educator - Remote - Most states eligible

Senior Account Executive Remote

Clinical Program Coordinator RN Remote

Data Science Product Manager Remote

Coding Policy Analyst Remote

Senior Actuarial Analyst Remote

Senior Coding Quality Educator - Remote - Most states eligible