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Quality improvement coordinator work from home jobs - 75 jobs

  • Manager of Healthcare Performance and Quality Improvement

    Quest Diagnostics Incorporated 4.4company rating

    Remote job

    We Provide Solutions. Patients and Physicians rely on our diagnostic testing, information, and services to help them make better healthcare decisions. These are often serious decisions with far reaching consequences, and require sensitivity, tact, and a clear dedication to service. It's about providing clarity and hope. The Healthcare Performance and Quality Improvement Manager provides education on Medicare's Quality Payment Program and specifically the Medicare Access and CHIP Reauthorization Act (MACRA) / Merit-based Incentive Payment System (MIPS) track to internal and external audiences. By leveraging expertise on the value of MACRA/MIPS, the Manager supports the field sales organization to achieve lab revenue growth. This is a remote position with regular regional travel. Candidates living in NY/NJ are preferred. Responsibilities: * Provide leadership and assist clients with meeting the required measures for the regulatory programs * Organize and facilitate meetings/education sessions, including the creation of agendas and preparation of materials, and program collateral for internal and external audiences. * Provide on-site and remote support to assist eligible clinicians, as they transition to MACRA/MIPS Assist in the development and dissemination of MACRA/MIPS marketing and educational materials. * Identify areas where providers are not meeting the requirements for the program and make recommendations for changes in order to meet the measures * Review client reports to assess compliance with the specific measures for the regulatory programs * Train clients and internal staff on existing programs and any changes to regulatory programs * Educate clients on self-reporting requirements as well establishing contact with our 3rd party vendor partner as appropriate * Develop trusted relationships by demonstrating a deep understanding of MIPS requirements and client's business needs and expectations. Develop a consultative and advisory relationship with key customers * Keep abreast of industry news affecting client's performance & quality improvement efforts. * Ensure total compliance with all company policies and government regulations. Maintains required documentation. * Manage other projects/responsibilities as assigned by Manager. Qualifications: Required Work Experience: * Five years' experience in a professional environment. * Outside/field sales experience preferably in the healthcare industry. Preferred Work Experience: * Experience with health care quality improvement and working with quality metrics for the physician office care setting is highly preferred. * Prior medical billing/coding or medical assistant experience a plus * Software Experience: EHR, CRM, Microsoft Office Suite required. Experience with EMR is a strong plus. * Candidates living in NY/NJ are preferred Knowledge: * Broad understanding of the laboratory business and its services * In depth understanding of Meaningful Use, MACRA, MIPS, PCMH and other regulatory programs Skills: * Excellent interpersonal, customer service, listening and communication skills, including the ability to communicate complex issues clearly and concisely. * Ability to work in a team environment and collaborate with both internal and external customers. * Proven ability to use basic selling skills and techniques. * Demonstrated ability to manage a high volume of clients at any given time. * Excellent time management, project management, problem solving and organizational skills. * Positive and proactive approach to dynamic environments. * Willingness to perform other duties as assigned with a positive attitude. * Demonstrate integrity and a commitment to values of Quest Diagnostics 50837 Quest Diagnostics honors our service members and encourages veterans to apply. While we appreciate and value our staffing partners, we do not accept unsolicited resumes from agencies. Quest will not be responsible for paying agency fees for any individual as to whom an agency has sent an unsolicited resume. Equal Opportunity Employer: Race/Color/Sex/Sexual Orientation/Gender Identity/Religion/National Origin/Disability/Vets or any other legally protected status.
    $84k-111k yearly est. 16d ago
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  • Quality Improvement Spec - Infection Prevention (Remote)

    Health Services Advisory Group 4.1company rating

    Remote job

    Are you passionate about improving the quality of healthcare? Are you ready to leverage your talents to make healthcare better for everyone? Do you want the opportunity to give back to your community? Do you want to have fun at work ? Then join the growing team at Health Services Advisory Group (HSAG) that is transforming the delivery of healthcare in the United States! SummaryUnder the supervision of the Director, the Quality Improvement Specialist (QIS) supports the Centers for Medicare & Medicaid Services (CMS) Quality Innovation Network-Quality Improvement Organization (QIN-QIO) Program with a primary focus on infection prevention, patient safety, and Healthcare-Associated infection (HAI) reduction in hospital and other healthcare settings. The QIS provides hands-on technical assistance and quality improvement (QI) support to healthcare providers-primarily hospitals-by advancing evidence-based infection prevention practices aligned with CMS priorities. The QIS collaborates with clinical and quality leaders to assess infection prevention performance, conduct root cause analyses related to HAIs and safety events, and co-develop Quality Action Plans (QAPs) targeting infection prevention, antimicrobial stewardship, and regulatory compliance. This role is instrumental in supporting hospitals through surveillance improvement, implementation of CDC-recommended practices, and sustainable infection prevention strategies via onsite visits, virtual coaching, and educational outreach.Core Competencies and Responsibilities / Provider Engagement and Relationship Management Serve as the primary point of contact for assigned hospitals and healthcare providers to promote participation in infection prevention-focused quality improvement initiatives and secure Provider Service Agreements. Build and maintain collaborative relationships with infection preventionists, quality leaders, nursing leadership, and frontline staff to support sustained engagement in HAI reduction efforts. Communicate complex infection prevention, patient safety, and regulatory concepts clearly through meetings, presentations, teleconferences, and written materials. Refer specialized infection prevention inquiries appropriately and collaborate with supervisors and internal subject-matter experts as needed. QI and Technical Assistance Apply evidence-based QI methodologies to assess infection prevention programs, conduct root cause analyses of HAIs and safety events, and deliver technical assistance aligned with CMS infection prevention goals and metrics. Support hospitals in implementing and strengthening CDC-recommended infection prevention practices, including standard and transmission-based precautions, device-associated infection prevention, and environmental infection control. Develop customized Quality Action Plans (QAPs) focused on reducing HAIs (e.g., CLABSI, CAUTI, SSI, C. difficile), improving surveillance accuracy, and enhancing compliance with regulatory requirements. Collaborate with internal teams and external stakeholders to implement sustainable infection prevention and patient safety interventions. Deliver education, training, and resources related to infection prevention, HAI surveillance, outbreak response, and quality improvement strategies. Data and Reporting Analyze infection-related clinical and operational data to identify performance gaps, interpret trends, and guide hospitals in implementing targeted infection prevention and safety strategies. Provide tailored technical assistance related to HAI surveillance, data validation, and performance improvement using CMS- and CDC-aligned measures. Support accurate and timely documentation of infection prevention activities, site visits, provider communications, and outcomes using HSAG and CMS-approved systems. Professional Development and Compliance Maintain current knowledge of infection prevention science, QI methodologies, and patient safety best practices through ongoing professional development. Stay up to date on infection prevention guidelines, surveillance requirements, and regulatory updates from CMS, CDC (including NHSN guidance), The Joint Commission, and other relevant agencies. Project Execution and Team Collaboration Manage multiple infection prevention-related initiatives, deadlines, and deliverables with strong organization and accountability. Contribute to the development of infection prevention tools, educational materials, reports, and technical guidance in collaboration with multidisciplinary teams. Adapt strategies and technical assistance approaches in response to evolving CMS priorities, regulatory updates, and emerging infection prevention challenges (e.g., outbreaks, novel pathogens). Occasionally work extended hours to meet project or regulatory deadlines. Other Qualifications Working knowledge of Microsoft Office, SharePoint, or similar productivity and customer relationship management (CRM) systems is preferred. Strong written and verbal communication skills, including experience delivering infection prevention education, conducting training, and engaging with providers via phone and email. Demonstrated commitment to infection prevention, patient safety, improving healthcare quality, safety, and outcomes for Medicare beneficiaries. Detail-oriented with strong initiative, sound judgment, and the ability to manage multiple priorities independently. Education and Experience Requirements Bachelor's degree required; Master's degree preferred (e.g., Public Health, Nursing, Healthcare Quality, or related field). Minimum of five (5) years of experience in a healthcare setting. Infection prevention experience or certification (e.g., CIC) strongly preferred. $90,000 - $115,000 a year Work EnvironmentThe work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. DisclaimerThis is not necessarily an exhaustive list of all responsibilities, skills, duties, requirements, efforts or working conditions associated with the position. While this is intended to be an accurate reflection of the current position, management reserves the right to revise the position or to require that other or different tasks be performed when circumstances change (e.g., emergencies, changes in personnel, work load, rush jobs requiring non-regular work hours, or technological developments). HSAG is an EEO Employer of Veterans protected under Section 4212.If you have special needs and require assistance completing our employment application process, please feel free to contact us. EOE M/F/Veteran/DisabilityWe may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.
    $90k-115k yearly Auto-Apply 21d ago
  • Associate Director, Risk Based Quality Management, Oncology

    Sumitomopharma

    Remote job

    Sumitomo Pharma Co., Ltd., is a global pharmaceutical company based in Japan with operations in the U.S. (Sumitomo Pharma America, Inc.), focused on addressing patient needs in oncology, urology, women's health, rare diseases, cell & gene therapies and CNS. With several marketed products and a diverse pipeline of early- to late-stage investigational assets, we aim to accelerate discovery, research, and development to bring novel therapies to patients sooner. For more information on SMPA, visit our website ********************************** or follow us on LinkedIn. The Associate Director, RBQM, provides study-level leadership for risk-based quality management across Phase 1-4 oncology clinical trials. Reporting to the Executive Director, Data Management, this role drives data-driven quality oversight, ensuring clinical trial risks are proactively identified, monitored, and mitigated in alignment with regulatory expectations and Sumitomo Pharma America quality standards. Job Duties and Responsibilities Plays a key role in facilitating understanding of the SMPA RBQM Strategy within Clinical Project Teams by providing targeted training sessions and ensuring alignment across team members. Lead and facilitate cross-functional risk assessment meetings. Maintain comprehensive and traceable documentation of all risk assessment activities, mitigation decisions, and quality parameters, ensuring periodic review and updates as required. Own the development, maintenance, and ongoing updates of Risk Assessment Categorization Tools (RACT) and Quality Risk Management Plans (QRMP) for assigned studies. Ensure alignment of functional study plans with approved risk assessment and quality parameter documents Ensure alignment of study risks with Critical to Quality (CtQ) factors, protocol requirements, and data quality objectives. Partner closely with Data Management and Biostatistics to define, implement, and monitor KRIs and QTLs. Partner closely with Director Clinical Operations, Oncology, including RBQM central monitoring as part of the overall monitoring strategy. Lead the execution of centralized monitoring strategies, including ongoing data review, signal detection, and trend analysis. Provide expert guidance on targeted SDV and targeted SDR approaches based on evolving risk profiles. Interpret complex clinical and operational datasets to identify emerging risks and recommend mitigation strategies. Develop and deliver risk analytics, dashboards, and trend presentations to Clinical Project Teams and functional leadership. Act as the RBQM subject matter expert within Data Management, providing consultation and guidance to cross-functional stakeholders. Support inspection readiness by ensuring RBQM rationale, documentation, and decisions are inspection-ready and defensible. Contribute to the continuous improvement of RBQM processes, tools, and standards across Data Management. Maintain high proficiency in systems and technology as applicable to RBQM monitoring analytics and data access. Contribute to the SMPA technology strategy, including serving as business lead for specific technology. Ensure all risk assessment and quality management activities are conducted in accordance with related company SOPs, including documentation, approval, and filing requirements. Manage direct line reports, providing guidance, mentorship, and performance feedback to ensure their professional growth and the successful execution of their responsibilities. Education and Experience Bachelor's or advanced degree, preferably in life sciences, data analytics/ technology, or a related field. 8+ years of progressive experience in clinical development, data management, clinical quality, or RBQM. Demonstrated experience supporting or leading oncology clinical trials across Phase 1-4. Hands-on experience with TransCelerate RBQM frameworks, including RACT and QRMP ownership. Proven ability to lead risk assessments and influence cross-functional teams without direct authority. Experience implementing centralized monitoring, KRIs, QTLs, and risk-based SDV/SDR strategies. Experience operating effectively in a matrixed, global environment. Experience supporting regulatory inspections or audits related to RBQM. Familiarity with centralized monitoring platforms and data visualization tools. Experience contributing to functional or enterprise-level RBQM initiatives. The base salary range for this role is $155,200 to $194,000. Base salary is part of our total rewards package which also includes the opportunity for merit-based salary increases, short incentive plan participation, eligibility for our 401(k) plan, medical, dental, vision, life and disability insurances and leaves provided in line with your work state. Our robust time-off policy includes flexible paid time off, 11 paid holidays plus additional time off for a shut-down period during the last week of December, 80 hours of paid sick time upon hire and each year thereafter. Total compensation, including base salary to be offered, will depend on elements unique to each candidate, including candidate experience, skills, education and other factors permitted by law. Disclaimer: The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities from time to time, as needed. Confidential Data: All information (written, verbal, electronic, etc.) that an employee encounters is considered confidential. Compliance: Achieve and maintain Compliance with all applicable regulatory, legal and operational rules and procedures, by ensuring that all plans and activities for and on behalf of Sumitomo Pharma America (SMPA) and affiliates are carried out with the "best" industry practices and the highest ethical standards. It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability. Mental/Physical Requirements: Fast paced environment handling multiple demands. Must be able to exercise appropriate judgment as necessary. Requires a high level of initiative and independence. Excellent written and oral communication skills required. Requires ability to use a personal computer for extended periods of time. Sumitomo Pharma America (SMPA) is an Equal Employment Opportunity (EEO) employer Qualified applicants will receive consideration for employment without regard to race; color; creed; religion; national origin; age; ancestry; nationality; marital, domestic partnership or civil union status; sex, gender; affectional or sexual orientation; disability; veteran or military status or liability for military status; domestic violence victim status; atypical cellular or blood trait; genetic information (including the refusal to submit to genetic testing) or any other characteristic protected by law.
    $155.2k-194k yearly Auto-Apply 16d ago
  • Qual Improvement Coord

    Aurora Health Care 4.7company rating

    Remote job

    Department: 13577 Value Enablement Services - Value Based: Quality Status: Full time Benefits Eligible: Yes Hours Per Week: 40 Schedule Details/Additional Information: M-F 8-5, primarily remote with 15% travel onsite Pay Range $38.20 - $57.30 Major Responsibilities: Provides leadership and consultative services to assigned departments and customers within the organization in performance management and quality improvement activities. Identifies opportunities for improvement, makes recommendations for change, and leads the implementation of evidenced based and best practices to meet established goals. Applies effective leadership styles in diverse circumstances. Plans and leads moderately complex projects, ensuring on-time delivery with high quality and coordination of resources. Coordinates, facilitates, implements, and participates in quality improvement initiatives in assigned geographical areas. Applies AAH quality and high reliability improvement frameworks, methodologies, and tools, evidence-based practice, and data analysis to achieve optimal outcomes. Uses statistical techniques to analyze and display clinical data using measurement tools and system. Assists in the development and enhancement of tools for accurate data collection and quality improvement initiatives. Reviews and analyzes quality data for accuracy, patterns, and trends. Drives development of improved Electronic Health Record tools to support Quality improvement initiatives in collaboration with key functional departments and leadership. Conducts chart reviews, audits, surveys, and uses other data collection methodologies as indicated. Ensures all key stakeholders receive consistent communication across departments and sites. Communicates findings and analysis of record reviews, audits, surveys, and other data to process owners and stakeholders. Uses sophisticated analytical thought to guide problem solving and identify innovative solutions. Maintains awareness of and notifies leadership of actual or potential risk situations. Meets individually with providers and staff to assist with problem-solving, recommend and facilitate improvement strategies. Recognizes emerging conflicts and uses effective techniques to ameliorate or escalate to appropriate leadership for resolution. Promotes cross-departmental communication, collaboration, and performance improvement. Coordinates collaborative efforts. Manages multidisciplinary quality improvement teams and projects to support the accomplishment of quality improvement initiatives and accreditation goals. Researches and recommends best practice strategies to improve processes and quality outcomes and goals. Serves as a resource to leadership and clinicians for identifying and developing programs/services to enhance quality, safety, and efficiency of operational workflows. Participates in the development and maintenance of educational material. Provides training/educational programs and in-services to a wide range of audience, including but not limited to large group physician meetings, office staff meetings, and on-site practice meetings, which can include clinical and nonclinical members. Serves as a resource and mentor to colleagues with less experience. Coordinates and/or leads quality committee meetings using effective techniques and tools. Maintains knowledge of most current regulatory standards, serves as a resource for and demonstrates compliance with applicable regulatory agencies Licensure, Registration and/or Certification Required: None Required. Education Required: Bachelor's degree in Health Care Administration, Quality Management, or related field. Years of Experience: Typically requires 5 years in health care, clinical quality improvement, project management. Knowledge, Skills & Abilities Required: Knowledge of quality improvement methodologies, tools, and measures. Independent effective resolution of complex problems. Project Management methodology and tools. Statistical techniques to support analysis and interpretation of data. Ability to create reports, graphs, and other visual presentation materials, and effectively maintain statistical data. Analyze complex data, make inferences, and validate conclusions. Team and meeting facilitation techniques and tools. Evidence based, best practice resources. Ability to research and critique strength of evidence based and best practice recommendations. Conflict Management. Team Building. Ability to handle difficult situations and maintain professionalism. Efficient and effective physician practice operations. Adult learning theories and principles. Recognize diverse social styles and talent Strong written and oral communication skills. Experience with Microsoft Office Suite. Knowledge of health technology, health insurance guidelines and regulatory standards, as they relate to the physician practice setting. Physical Requirements and Working Conditions: Ability to sit for extended periods of time. Exposed to normal office environment. Operates all equipment necessary to perform the duties of 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. 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.
    $38.2-57.3 hourly Auto-Apply 3d ago
  • Quality Improvement Outreach Specialist

    Wellsense Health Plan

    Remote job

    It's an exciting time to join the WellSense Health Plan, a growing regional health insurance company with a 25-year history of providing health insurance that works for our members, no matter their circumstances. Job Summary: The Quality Improvement Outreach Specialist supports quality improvement initiatives through member-focused outreach and engagement focused on closing quality gaps in care and improving health outcomes. This role conducts proactive outreach to members for all lines of business to encourage completion of recommended preventive screenings and chronic care services. As a key member of the Quality team, this position plays a vital role in improving HEDIS, Stars and other quality measure performance and advancing overall member health through culturally competent education, coordination, and engagement. Our Investment in You: · Full-time remote work · Competitive salaries · Excellent benefits Key Functions/Responsibilities: · Perform outreach calls to members with quality gaps in care · Provide education, motivational support, and scheduling assistance to help close identified care gaps and improve quality outcomes · Follow up with members requiring support in taking steps to close care gaps · Document outreach activities, tracks progress and results and supports reporting for quality campaign and initiatives · Evaluate Health Related Social Needs that may impact the member's ability to access needed services · Collaborate with internal teams to ensure coordinated member support · Meet quality and timeliness standards to achieve individual and departmental performance goals · Maintain current knowledge of quality measures and best practices · Ensure compliance with all state and federal regulations for activities performed · Participate in quality improvement activities and cross-department meetings, supporting discussions and reporting as needed · Develop and maintain policies & standard operating procedures of processes to maintain compliance · Support programs and clinical best practices with the objective of improving health outcomes, preventing hospital readmissions, and promoting health and wellness activities · Other duties as assigned Qualifications: Education Required: · Associate degree in nursing or post high school nursing diploma Education Preferred: · Bachelor's or Master's Degree in healthcare or related field Experience Required: · 2 years of experience as a practicing nurse in a hospital/healthcare setting or performing direct member outreach Experience Preferred/Desirable: · 2+ years of experience in health insurance field · 2+ years of experience in quality improvement Required Licensure, Certification or Conditions of Employment: · Successful completion of pre-employment background check Competencies, Skills, and Attributes: Required : · Strong proficiency in use of office equipment including copier, fax machine, scanner, and telephones · Strong PC proficiency in word processing, spreadsheet, and database software Preferred: · Advanced PC proficiency Professional Competencies: Required: · Effective collaborative and proven process improvement skills · Strong oral and written communication skills; ability to interact within all levels of the organization · Demonstrated commitment to excellent customer service · Knowledge and understanding of current trends in healthcare · Aptitude for aligning process, projects, and people to meet business goals in cross-functional team settings · Health care payer business knowledge including processes and operational data and functions that support the business · Maintain confidentiality and privacy · Capable of investigative and analytical research to make decisions and recommendations based on available information · Independent and sound judgment with good critical thinking skills · Knowledge of managed care, utilization management, and quality management · Establish and maintain working relationships with health care providers, members, and coworkers · Practice interpersonal and active listening skills to achieve customer satisfaction and departmental communication standards · Ability to Interpret policies, programs, and guidelines · Establish and maintain working relationships in a collaborative team environment · Organizational skills with the ability to prioritize tasks and work with multiple priorities · Maintains current knowledge of State, Federal and other applicable regulatory/accrediting agency requirements as they apply to department functions Compensation Range $74,000 - $107,000 This range offers an estimate based on the minimum job qualifications. However, our approach to determining base pay is comprehensive, and a broad range of factors is considered when making an offer. This includes education, experience, skills, and certifications/licensure as they directly relate to position requirements; as well as business/organizational needs, internal equity, and market-competitiveness. In addition, WellSense offers generous total compensation that includes, but is not limited to, benefits (medical, dental, vision, pharmacy), merit increases, Flexible Spending Accounts, 403(b) savings matches, paid time off, career advancement opportunities, and resources to support employee and family wellbeing. Note: This range is based on Boston-area data, and is subject to modification based on geographic location. About WellSense WellSense Health Plan is a nonprofit health insurance company serving more than 740,000 members across Massachusetts and New Hampshire through Medicare, Individual and Family, and Medicaid plans. Founded in 1997, WellSense provides high-quality health plans and services that work for our members, no matter their circumstances. WellSense is committed to the diversity and inclusion of staff and their members. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability or protected veteran status. WellSense participates in the E-Verify program to electronically verify the employment eligibility of newly hired employees
    $74k-107k yearly 27d ago
  • Quality Improvement Specialist Senior

    Centene 4.5company rating

    Remote job

    You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. **** NOTE: This is a remote role with 25% for in person quarterly meetings at the Burr Ridge, Illinois office. This role will lead projects concerning quality improvement deliverables related to CMS Star/HEDIS performance for Medicare Advantage and Dual SNP populations. Preference will be given to applicants with (1) state clinical licensure, (2) Illinois residency (3) who have experience with project management and experience owning quality improvement deliverables within a health insurance setting. Additional Details: • Department: MED-Quality Improvement • Business Unit: Illinois Health Plan • Schedule: Monday through Friday, 8am-5 pm central **** Position Purpose: The Senior Quality Improvement Specialist is responsible for coordinating assigned regulatory, accreditation, clinical quality and/or service improvement programs. Functions as a leader for assigned health services initiatives handling multiple large-scale complex initiatives. Collaborates on national, regional and multi-plan initiatives. Develops programs in compliance with accreditation and regulatory requirements/ standards and monitors ongoing program performance to maintain compliance. Acts as a resource for training, policy and regulatory/accreditation interpretation. Leads and manages multiple complex initiatives that impact the quality or effectiveness of health care delivery and/or health care services provided to members. Ensures that clinical and service quality improvement programs and initiatives are compliant with applicable accreditation, state and federal requirements. Conducts an assessment of programs, initiatives and interventions to ensure goals and objectives were met and refine activities, as needed, to improve the effectiveness and improve outcomes. Conducts vendor oversight and management. Develops targeted activities to improve Star Ratings, HEDIS, CAHPS, HOS, provider satisfaction and other identified performance measures. Develops and implements project-related communication including, but not limited to, member/physician mailings, IVR scripts, emails, business plans, graphics, and maintains minutes and agendas. Participates in the development and maintenance of annual quality improvement program documents and evaluations, compliance audits, policies and procedures, and improvement activities. Develops internal reports to demonstrate progress on each initiative/project and presents to senior-level staff. Describes outreach initiatives, potential/experienced barriers and activities to resolve issues and improve outcomes. Leads and/or participates in multi-department/cross-functional committees and work groups which support key initiatives, prepares reports, data, agendas/minutes or other materials for committee presentation and management. Identifies areas of improvement within the company and works collaboratively with other departments to develop clinical and non-clinical performance improvement projects. Researches best practices, national and regional benchmarks, and industry standards. Develops collaborative relationships with contracted providers or provider groups to promote participation in quality improvement collaboratives to improve clinical care outcomes. May lead and/or participate in external activities, work groups or committees when applicable. Communicates programs, interventions and results to external entities in accordance with applicable program objectives, policies and procedures. Develops and/or maintains relationships with other external organizations to expand key partnerships. Assesses current industry trends and regulations for enterprise-wide adoption to assure quality and effectiveness of health care delivery and/or healthcare services provided to members. Performs all other duties as assigned. Performs other duties as assigned Complies with all policies and standards Education/Experience: Education: Bachelor's Degree or equivalent experience with clinical license or Master's Degree in related health field (i.e. MPH or MPA) Certification/License: Valid state clinical license preferred Certified Professional in Health Care Quality (CPHQ) preferred. Experience: Minimum three years experience in a clinical/health care environment with related degree program Three to five years managed care experience in a health care environment Experience in compliance, accreditation, service or quality improvement Complex project management experience Experience with Medicare and/or NCQA preferred: Pay Range: $70,100.00 - $126,200.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
    $70.1k-126.2k yearly Auto-Apply 4d ago
  • Quality and Utilization Management Specialist

    Premier 4.7company rating

    Remote job

    What you will be doing: The Quality and Utilization Management Specialist will be the owner of, and the primary individual responsible for interdepartmental coordination of monitoring and preparing submissions for initial and renewal of Utilization Review (UR) state licenses. This role will work closely with legal and other industry resources to conduct regulatory research for licensing and compliance and working collaboratively with internal/external stakeholders to communicate current and relevant information and requirements. This position will also support the Sr. Director, Quality and Utilization Management in developing, implementing, monitoring and updating quality improvement and utilization management initiatives as well as policies, procedures and processes. Provides support for URAC and NCQA accreditation program standards and surveys, as well as any other accreditation program as adopted by the company. This role will require to stay apprised of regulatory changes, guidance, and industry developments relating to compliance, quality, and utilization management. Key Responsibilities Documenting and tracking of all licensing requirements and application statuses. Work with internal departments and outside vendor(s), as applicable, for the timely completion and submission of licensing requirements. Coordinate with legal to monitor all state licensing requirements and implement changes as identified. Provide support in developing, implementing, monitoring and updating quality improvement and utilization management initiatives. Assist with implementing and maintaining RBUM policies, procedures and processes. Support quality improvement initiatives, including but not limited to: monitoring, auditing, and tracking of Utilization Management Program. Coordinate with other departments and assist as needed in performing/monitoring required UM internal audits. Collaborating with management to develop quality assurance plans, working with employees to implement the strategies, and reviewing documents for accuracy. Assists with URAC and NCQA accreditation program standards and surveys, as well as any other accreditation program as adopted by the company. Assist with client audits and routine compliance tasks. Other responsibilities as assigned by Stanson management Required Qualifications Work Experience: Years of Applicable Experience - 2 or more years Education: High School Diploma or GED (Required) Preferred Qualifications Skills: Demonstrated ability to assume responsibility for daily activities and projects without direct supervision, including working within time frames to meet deadlines. Demonstrated experience with written communications and document preparation. Demonstrated organizational skills with strong attention to detail and quality. Experience: Experience in organization, tracking, and trending of information Experience with Utilization Management Licenses (Nationwide) Experience with NCQA/URAC accreditation Experience with internal auditing Education: Associate's degree or equivalent experience in compliance Required Certifications/Licensing CHC, preferred Additional Job Requirements: Remain in a stationary position for prolonged periods of time Be adaptive and change priorities quickly; meet deadlines Attention to detail Operate computer programs and software Ability to communicate effectively with audiences in person and in electronic formats. Day-to-day contact with others (co-workers and/or the public) Making independent decisions Ability to work in a collaborative business environment in close quarters with peers and varying interruptions Working Conditions: Remote Travel Requirements: No travel required Physical Demands: Sedentary: Exerting up to 10 pounds of force occasionally, and/or a negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects, including the human body. Sedentary work involves remaining stationary most of the time. Jobs are sedentary if movement is required only occasionally, and all other sedentary criteria are met. Premier's compensation philosophy is to ensure that compensation is reasonable, equitable, and competitive in order to attract and retain talented and highly skilled employees. Premier's internal salary range for this role is $62,000 - $93,000. Final salary is dependent upon several market factors including, but not limited to, departmental budgets, internal equity, education, unique skills/experience, and geographic location. Premier utilizes a wide-range salary structure to allow base salary flexibility within our ranges. Employees also receive access to the following benefits: · Health, dental, vision, life and disability insurance · 401k retirement program · Paid time off · Participation in Premier's employee incentive plans · Tuition reimbursement and professional development opportunities Premier at a glance: Ranked #1 on Charlotte's Healthiest Employers list for 2019, 2020, 2022, and 2023 and 21st Healthiest Employer in America (2023) Named one of the World's Most Ethical Companies by Ethisphere Institute for the 16th year in a row Modern Healthcare Best in Business Awards: Consultant - Healthcare Management (2024) The only company to be recognized by KLAS twice for Overall Healthcare Management Consulting For a listing of all of our awards, please visit the Awards and Recognition section on our company website. Employees receive: Perks and discounts Access to on-site and online exercise classes Premier is looking for smart, agile individuals like you to help us transform the healthcare industry. Here you will find critical thinkers who have the freedom to make an impact. Colleagues who share your thirst to learn more and do things better. Teammates committed to improving the health of a nation. See why incredible challenges require incredible people. Premier is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to unlawful discrimination because of their age, race, color, religion, national origin, ancestry, citizenship status, sex, sexual orientation, gender identity, gender expression, marital status, familial status, pregnancy status, genetic information, status as a victim of domestic violence, covered military or protected veteran status (e.g., status as a Vietnam Era veteran, disabled veteran, special disabled veteran, Armed Forces Serviced Medal veteran, recently separated veteran, or other protected veteran) disability, or any other applicable federal, state or local protected class, trait or status or that of persons with whom an applicant associates. We also consider qualified applicants with criminal histories, consistent with applicable federal, state and local law. In addition, as a federal contractor, Premier complies with government regulations, including affirmative action responsibilities, where they apply. EEO / AA / Disabled / Protected Veteran Employer. Premier also provides reasonable accommodations to qualified individuals with a disability or those who have a sincerely held religious belief. If you need assistance in the application process, please reply to diversity_and_accommodations@premierinc.com or contact Premier Recruiting at ************. Information collected and processed as part of any job application you choose to submit to Premier is subject to Premier's Privacy Policy.
    $62k-93k yearly Auto-Apply 22d ago
  • Continuous Improvement Specialist

    Hitachi U.S.A 4.4company rating

    Remote job

    Job ID: R0115911 Company Name: HITACHI ENERGY USA INC Profession (Job Category): Quality Management Job Schedule: Full time Remote: Yes Job Description: The Opportunity In this role, you will be the catalyst for sustainable and transformational change across US Transformer Services. While this position offers remote flexibility, you will play a hands-on role in advancing the maturity of our Continuous Improvement Framework to ensure the high reliability of critical infrastructure. Your work involves partnering with leadership to bridge the gap between high-level strategy and daily operations, ensuring that our service value chain is safe, efficient, and responsive to the evolving needs of the power grid. By identifying waste and optimizing how we maintain and service transformer assets, you directly contribute to the stability of the energy transition and the overall productivity of our service organization. How You'll Make an Impact Steer the development and implementation of short-, medium-, and long-term actions to improve operating efficiency and quality across the entire value chain. Partner with the Services leadership team to operationalize Strategy Deployment and create a connected daily management system. Act as a change agent to foster a culture focused on waste elimination using tools like Value Stream Mapping, 5S, and Kaizen. Facilitate the integration of Health, Safety, and Environment (HSE) and Quality Management systems into the Continuous Improvement Framework. Drive the optimization of key performance indicators (KPIs) focused on Safety, Quality, Delivery, Inventory, and Cost. Research and implement Root Cause Countermeasure (RCCM) processes to resolve gaps and keep projects on track to plan. Manage a portfolio of cost-out and productivity projects, ensuring sustainable results that impact the bottom line. Build team capability by training and coaching others on Continuous Improvement Framework methods to facilitate process transformation. Responsible to ensure compliance with applicable external and internal regulations, procedures, and guidelines. Your Background Candidate must already have work authorization that would permit them to work for Hitachi Energy in the United States. Bachelor's degree in engineering or a related field. 5+ years of experience implementing and managing a Continuous Improvement Framework across an organization. Lean Six Sigma Green Belt certification with proven experience in Lean system development. Solid investigation skills and proficiency with statistical tools such as Minitab and Office software. Excellent communication and influencing skills, with the ability to collaborate with both internal personnel and external customers. Ability to travel to various office locations, job sites, or vendor locations and work in a mix of office, warehouse, and field environments as needed. More About Us Working at Hitachi Energy offers you the chance to expand your technical and organizational skills through exposure to grid technology and collaboration with industry professionals. Opportunities to work on innovative technologies that shape the future of energy A collaborative environment with experienced professionals across the power industry Access to learning platforms and career development programs Competitive health and retirement benefits Paid leave and flexible work arrangements Equal Employment Opportunity (EEO)-Females/Minorities/Protected Veterans/Individuals with Disabilities Protected veterans and qualified individuals with a disability may request a reasonable accommodation if you are unable or limited in your ability to use or access the Hitachi Energy career site as a result of your disability. You may request reasonable accommodations by completing a general inquiry form on our website. Please include your contact information and specific details about your required accommodation to support you during the job application process.This is solely for job seekers with disabilities requiring accessibility assistance or an accommodation in the job application process. Messages left for other purposes will not receive a response.
    $36k-54k yearly est. Auto-Apply 43d ago
  • Quality Improvement Specialist 2 - Full Time - Remote

    University of Miami 4.3company rating

    Remote job

    Current Employees: If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff position, please review this tip sheet. The Quality Improvement Specialist 2 leads and directs multiple complex projects with high levels of functional and clinical integration across the UHealth enterprise. The incumbent is responsible for medium to large scale project lifecycles from request, assessment, planning, execution, monitoring and optimization. This role is expected to leverage Project/Performance Improvement (PI) principles (e.g., Lean Six Sigma, PDSA, and Industrial Engineering) and Project Management (PM) principles and tools that will have a direct impact in healthcare quality, patient safety, clinical transformation, value based care, and/or clinical variations in order to successfully design, communicate, and strategically implement healthcare quality programs and initiatives that deliver on key organizational objectives. * Leads collaborative efforts by fostering a culture of shared accountability in a high performing work group. * Assembles and leverages project teams, assigning individual responsibilities, identifying appropriate resources needed and developing a roadmap and schedule to ensure timely completion of projects. * Analyzes clinical quality data, identifies opportunities, and develops and implements action plan for quality improvement initiatives. * Delivers solutions that are systematic, scalable, incorporate business process management, incorporate advanced technology solutions, and often impact organizational culture and clinical transformation. Ensures adherence to quality and data governance standards. * Ensures recommended solutions meet the targeted business/clinical objectives, and a plan is in place to monitor sustainability of the recommendations. * Communicates from the top down and bottom up regarding the team responsibilities, target dates, project status, resource needs and provides general project communication as needed. * Fosters clear communication and synchronizes the activities of multiple projects and teams. Creates and maintains proper documentation of project related tasks and timelines. * Presents recommendations and strategies to decision makers that are systematic, scalable, incorporate business process management, incorporate technology solutions, and often impact organizational culture and clinical transformation. * Collaborates with and mentors employees in Quality Improvement Specialist 1 positions. Works closely with the Patient Safety & Quality leadership team. * Adheres to University and unit-level policies and procedures and safeguards University assets. This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary. CORE QUALIFICATIONS Education: Bachelor's degree in relevant field Experience: Minimum 5 years of relevant experience Knowledge, Skills and Behaviors: * Ability to maintain effective interpersonal relationships * Ability to communicate effectively in both oral and written form * Skill in collecting, organizing and analyzing data * Proficiency in computer software (i.e., Microsoft Office) The University of Miami offers competitive salaries and a comprehensive benefits package including medical, dental, tuition remission and more. UHealth-University of Miami Health System, South Florida's only university-based health system, provides leading-edge patient care powered by the ground breaking research and medical education at the Miller School of Medicine. As an academic medical center, we are proud to serve South Florida, Latin America and the Caribbean. Our physicians represent more than 100 specialties and sub-specialties, and have more than one million patient encounters each year. Our tradition of excellence has earned worldwide recognition for outstanding teaching, research and patient care. We're the challenge you've been looking for. The University of Miami is an Equal Opportunity Employer. Applicants and employees are protected from discrimination based on certain categories protected by Federal law. Job Status: Full time Employee Type: Staff
    $44k-58k yearly est. Auto-Apply 24d ago
  • Quality Management Specialist (Remote NC)

    Vaya Health 3.7company rating

    Remote job

    LOCATION: Remote - preference for incumbents that live in North Carolina or within 40 miles of the NC border. requires travel as needed . GENERAL STATEMENT OF JOB Under the supervision of the Customer Service Quality Manager, the Quality Management Specialist resolves member and provider grievances/complaints, processes incident reports, conducts Unlicensed Alternative Living Site Reviews, assists with Home and Community Based Service (HCBS) Assessments, assists with NC Treatment Outcomes and Program Performance System (NC TOPPS) Surveys, completes any needed health/safety site visits and completes provider investigations as requested for Quality Management. The position is responsible for resolving grievances and complaints received by Vaya Health by or on behalf of any member/recipient who is dissatisfied with a Vaya contracted provider, a Vaya employee, or any aspect of Vaya or it's service delivery system. This is accomplished by processing complaint and grievance reports, coordinating resources, and communicating with all relevant parties throughout the grievance/complaint resolution process in a manner that is timely, thorough, fair, impartial, consistent, and compliant with applicable laws, rules and regulations. The position is responsible for ensuring all regulatory and accrediting guidelines/requirements are upheld throughout the resolution process. The position is responsible for reviewing incidents submitted into the Incident Response Improvement System (IRIS), Back-up staffing reports, and QM-11 reports submitted by providers in Vaya's network. The position provides technical assistance and support to ensure all reporting requirements are met related to incidents and may include document preparation, records requests and meeting facilitation. In addition, the position monitors Provider sites within the Vaya Health provider network receiving reimbursement for service provision under Medicaid, the Innovations waiver, and state funding. The position monitors the remediation of areas of non-compliance to ensure adherence to all applicable rules, regulations, and best practice models and to ensure the health and safety of persons receiving services. This position will also provide back up oversight and suport to NC TOPPS and HCBS activities when the designated primary staff person is out on leave. The position will also complete any investigations or health/safety reviews as assigned. The individual must be knowledgeable about Vaya's internal processes as well as providers, services, and stakeholders throughout the public behavioral health and intellectual/ developmental disabilities (IDD) system. ESSENTIAL JOB FUNCTIONS Grievance, Complaint, Incident, Health & Safety Response and Reviews: This position will support Provider Quality Operations and Customer Service Quality. Support of these operations may be accomplished through various activities like those listed below, and although day to day work may include activities related to these items this is not a limited list. At the manager's and director's discretion activities may be divided among the incumbents which may lead to some incumbents completing some of these tasks more than others, but all incumbents must be cross trained and able to complete all items. Activities may include, but are not limited to: Member/Recipient/Provider Grievance/Complaint Resolution The incumbent is responsible for managing assigned complaints and grievances by ensuring the concern of the individual is properly acknowledged, documented, and addressed to work toward informal resolution by: Answering questions from members, recipients, stakeholders, or others about the complaint/grievance process Timely resolving complaints and grievances through the following activities: Phone interviews with the filer and person(s) who have a legitimate role in the issue to be resolved (i.e. staff, legal guardians, providers, care managers, etc.). to obtain additional information or clarification; Consultation with Vaya staff, licensed clinicians, and subject matter experts Provider record/information request and record review Maintain timely responses to inquiries regarding grievances and complaints Provide recommendations and direction to both service providers and members in an attempt to eliminate repeated grievances of a similar nature Provide feedback to providers regarding written responses to grievances and complaints Recognize grievances and complaints that include health and safety issues that need to be immediately addressed by accurately depicting the situation in a case staffing to the CMO Recognize health and safety issues may require investigation including; but not limited to, an on-site review to ensure any Vaya members in service locations are safe. Incident Report Review, Tracking and Technical Assistance The incumbent reviews incident reports from all Vaya provider agencies within the catchment area and incident reports from provider agencies that have Vaya enrollees who receive services outside Vaya's catchment area. IRIS is a mandated electronic system for provider and LME/MCO to document the occurrence of Level II and III incidents. Incident review and response includes the following: Ensure the incident report is complete and has accurate information, request any additional or missing information Evaluate the cause/prevention section and provide technical assistance to the provider when standards for future prevention are not met Evaluate the likeliness that the incident will be in the media and alert the CMO Tracking and trending of incidents; report any trends of concern to CIRC. In addition, this position is also responsible for completing the following incident report related activities: Track and trend back-up staffing reports and compile and prepare data for quarterly reporting as needed Track and trend QM-11 (level 1 incident) reports Health/Safety Reviews including any Site Review Monitoring activities for AFL Site Reviews Use a standardized tool (checklist) for initial AFL site reviews and annually thereafter Ensure the site has met HCBS standards and approval Medication review Review the site for Health and Safety concerns that are specific to the member/recipient Inform/educate the Provider about Vaya procedures for monitoring of existing and new AFL homes Completion and delivery of all written findings to the Provider, and follow up on all deficiencies Assess sites for health/safety when required from grievances/complaints as part of investigations Investigations: Assisting with On site investigations completed by any Quality Management Team Complete assigned investigations related to grievances/complaints or health/safety requests Complete Report of Findings Complete Plans of Correction for Out of Compliance noted in Report of Findings Communicate with Providers related to investigation and outcomes Communicate with grievant/complainant/stakeholders as required for investigations Additional Tasks: Provide Backup to HCBS Provider Self-Assessment Review and Approval Process including: Upon submission, process and ensure Provider Self-Assessments are complete, accurate and meet criteria for HCBS standards, provide information and technical assistance to providers in response to incorrect or missing information. Provide Back up to NC TOPPS Activities to comply with state requirements including: Respond to NC TOPPS email inquiries, answer questions from providers or provider staff about NC TOPPS requirements, provide technical assistance to providers or provider staff on NC TOPPS. KNOWLEDGE OF JOB Ability to develop practical, thorough, and creative solutions to complex problems Ability to conduct data analysis and recognize trends is essential Ability to effectively communicate trends within Vaya to address potentially serious issues is required Ability to actively listen to grievances and complaints while maintaining a positive outlook and attitude with members, co-workers, and stakeholders Ability to work remotely (from home) with little supervision and function as a self-starter Flexible worker who readily accepts assigned tasks, manages unfamiliar situations, and searches for every opportunity to help the team Excellent time management skills, including the ability to manage competing priorities and to complete tasks in a timely and accurate manner Highly productive and motivated individual who takes pride in a job well done, demonstrates initiative and is committed to self-accountability Strong attention to detail and extreme precision and accuracy Ability to work collaboratively with individuals at all levels and with varying backgrounds both within and outside of Vaya and build strong working relationships Strong organizational skills with the ability to multi-task Ability to manage constant transformation and adapt to changing mandates from regulatory authorities as well as Vaya executive leadership Ability to maintain the confidentiality of sensitive information in accordance with applicable laws, policies, rules and regulations Ability to problem-solve and provide practical, thorough, and creative solutions to work tasks Ability to learn, interpret independently, and apply a variety of complex policies and procedures Good working knowledge and proficiency in Adobe and Microsoft Office 365 products (Word, Excel, Outlook, PowerPoint, Teams, Visio, SharePoint, etc.) Familiarity with Navex software products (PolicyTech, EthicsPoint) a plus Thorough knowledge of how to use standard office equipment, including printers, scanners, and fax machines Knowledge of North Carolina's public behavioral health and I/DD system, including Vaya providers, services, and stakeholders, preferred Ability to work independently is essential Ability to research multiple Electronic Records Systems -Ability to understand claims data Ability to understand both physical and behavioral health diagnoses Ability to synthesize information gathered in the grievance process to write a succinct resolution letter Ability to interact with team while performing grievance resolution lead duties in a respectful manner Ability to use critical thinking skills, work independently with little or no direction, demonstrate initiative, and function as a self-starter Ability to develop practical, thorough, and creative solutions to complex problems EDUCATION & EXPERIENCE REQUIREMENTS High school diploma or GED required. Bachelor's degree in a Human Services field preferred. Must have A minimum of two years of experience in quality management, data collection and analysis is required, preferably within a behavioral health organization OR a minimum of two years of experience providing care and/or customer service in an acute care, physical health, physician and/or hospital setting. The Tailored Plan does not require NC Residency for this role; however, it is the preference of Vaya and the Quality Management department that incumbents of this role fall within the guidelines of NC Residency Requirement per the Tailored Plan and reside in North Carolina or resides within 40 miles of the North Carolina border. Preferred work experience: Meeting the requirements of being a Qualified Professional per 10A NCAC 27G .0104 preferred. Preferred licensure/certification: National Certified Investigator & Inspector Training and Certification is preferred. PHYSICAL REQUIREMENTS Close visual acuity to perform activities such as preparation and analysis of documents; viewing a computer terminal; and extensive reading. Physical activity in this position includes crouching, reaching, walking, talking, hearing and repetitive motion of hands, wrists and fingers. Sedentary work with lifting requirements up to 10 pounds, sitting for extended periods of time. Mental concentration is required in all aspects of work. RESIDENCY REQUIREMENT: Prefer incumbent reside in North Carolina or within 40 miles of the North Carolina border. SALARY: Depending on qualifications & experience of candidate. This position is non-exempt and is eligible for overtime compensation. DEADLINE FOR APPLICATION: Open until filled APPLY: Vaya Health accepts online applications in our Career Center, please visit ****************************************** Vaya Health is an equal opportunity employer.
    $45k-57k yearly est. Auto-Apply 50d ago
  • Coordinator, Utilization Management

    Corrohealth

    Remote job

    About Us: Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals. We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success. JOB SUMMARY: About this position: Title: Coordinator, Utilization Management Location: Remote within US ONLY (equipment provided, work must be done within the US only) Required Schedule: Full-time shifts from 8:00 AM to 5:00 PM EST (Sunday - Thursday or Tuesday - Saturday) some holiday coverage required. Hourly Salary: $19.00 - $20.00 ESSENTIAL DUTIES AND RESPONSIBILITIES: Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member's performance objectives as outlined by the Team Member's immediate Leadership Team Member. About this position: Title: Coordinator, Utilization Management Location: Remote within US ONLY (equipment provided, work must be done within the US only) Required Schedule: Full-time shifts from 8:00 AM to 5:00 PM EST (Sunday - Thursday or Tuesday - Saturday) we cannot guarantee preferred shift and some holiday coverage required. Hourly Salary: $19.00 - $20.00 Responsibilities: Manage the Authorization process end to end, from initial notification, entry and submission of required information, follow up all the way to determination and discharge. Maintain detailed documentation of the record in the EMR system, in the internal CorroHealth system and in the Health Payer portals. Verify correct eligibility and benefits for patients. Act as a liaison between the hospital staff and the Health Payer to facilitate information sharing and successful process completion within allocated timeframe. Review timely filing guidelines regarding the utilization management process. Track and follow up with payers on pending authorizations to ensure timely responses. Contact payer to elicit further information regarding status, decisions and remove hurdles in the processing. Identify and escalate issues that may result in delays or denials. Manage assigned workload of accounts through timely follow up and accurate record keeping. Maintain compliance with HIPAA and other healthcare regulations. Minimum Qualifications: High School Diploma or equivalent. Associate degree in healthcare administration or equivalent preferred. 2 years of experience in hospital related billing/follow-up/healthcare setting/authorization field. Knowledge of/experience working with managed care contracts Experience working with customer support/client issue resolution management. Strong understanding of medical terminology and insurance processes. Experience working in EMR systems, Epic preferred. Excellent communication and organization skills. Strong multi-tasking skills, working in a face paced environment. Proficiency with MS Office and web systems. What we offer: Hourly pay: $19.00 - $20.00 (firm) Remote within US ONLY Equipment provided Medical/Dental/Vision Insurance 401k matching (up to 2%) PTO: 80 hours accrued, annually 9 paid annual holidays Life Insurance Short/Long term disability options Tuition reimbursement Professional growth and more! PHYSICAL DEMANDS: Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described. Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Member must be able to lift and move material weighing up to 20 lbs. Team Member may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines. A is only intended as a guideline and is only part of the Team Member's function. The company has reviewed this job description to ensure that the essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.
    $19-20 hourly Auto-Apply 11d ago
  • Quality Improvement Specialist - Dental Offices

    Familia Dental & Vivid Smiles 3.9company rating

    Remote job

    Full-time Description About the Company Familia Dental believes everyone deserves access to quality, compassionate dental care, and that starts with having the right providers in the right places. Established in 2008 we have grown over the years because of our quality dentistry and our caring approach to all people. Our practice exemplifies the core values of quality, honesty, and care in everything that we do. Job Purpose The Quality Improvement Specialist will review treatment documentation to ensure compliance with care standards and recommend process improvements. Responsibilities: Develop and manage comprehensive chart review projects, to evaluate clinical documentation, treatment effectiveness, and compliance. Review x-rays, patient charts and other patient records to ensure treatment/service provided is within guidelines of the standard of care guidelines. Review preauthorization paperwork to ensure the intended treatment meets the dental plan criteria and relevant program criteria. Proactively communicate with providers to request and obtain additional information or clarification as needed. Prepare reports for leadership committees highlighting key findings, trends and potential areas of improvement. Continuously update professional knowledge by leveraging available resources to stay current on dental plans, coverage options, and industry best practices. Recommend and assist in implementing corrective action plans and lead initiatives to enhance clinical quality, and documentation standards. May lead projects related to safety and compliance, providing strategic suggestions for process improvements. Other duties as may arise. Requirements Qualifications/ Skill Sets Ability to communicate effectively (verbal and written) persons of diverse backgrounds and educational levels. Excellent organization and interpersonal skills required. Excellent problem-solving skills to allow for the correct diagnosis of a problem along with potential solutions for resolution. Skilled in working with others in a team environment. Must be proficient in MS Office applications (Word, Excel, PowerPoint, and Access). Education and Experience Licensed Dental Hygienist preferred Minimum 5 years of experience in a clinical role or other similar related experience. Knowledge of dental procedures, terminology, and codes. Physical Requirements Ability to remain in a stationary position, sitting and/or standing, for extended time [e.g. sitting at a desk, working at a computer]. Benefits offered Health, Dental and Vision Insurance 401(k) Retirement Plan Paid Holidays & Time Off Access to Financial Advisors Basic Life & AD&D Insurance Voluntary Life Insurance Voluntary Short-Term & Long-Term Disability On demand Pay > Receive a portion of your check before payday! Availability / Schedule: full time, Monday - Friday Remote work Salary Description $70,000K and up depending on experience
    $48k-76k yearly est. 60d+ ago
  • Grants and Initiative Coordinator

    Kennebec Valley Community Action Program 3.4company rating

    Remote job

    Kennebec Valley Community Action Program is looking for a Grants and Initiatives Coordinator. This is a full time role with a flexible schedule of up to 40 hours per week with remote work option available. The Grants and Initiatives Coordinator supports the planning, coordination, and implementation of key organizational initiatives, including the Parent Ambassador Program, Educare's Lab School Learning Hub, and the Nature Based Education efforts. This position also assists with event coordination, gift processing, database management, grant support, and cross-departmental collaboration to advance the programs mission and strategic goals. This role requires a highly organized, detail-oriented individual with strong communication, project coordination, and financial administration skills. Essential Duties and Responsibilities: Program and Initiative Coordination Support the development, implementation, and tracking of goals, metrics, and outcomes for organizational initiatives, including: Parent Ambassador Program - Assist with communication systems between Ambassadors and staff, support event and workshop facilitation, and help track progress toward program outcomes. Lab School & Learning Hub - Coordinate financial operations including budgeting, invoicing, and payment tracking. Collaborate with finance and accounting teams to ensure timely and accurate processing. Support reporting and compliance with project goals and budgets, and assist with implementing strategies that enhance operational efficiency. Natural Playground Initiative - Assist in coordination with partners, stakeholders, designers, and vendors to ensure timely project execution. Communicate with the Educare Director regarding project timelines, budgets, and deliverables. Support community engagement activities connected to the playground project. Event Planning and Coordination Assist in the planning, organization, and execution of events across organizational initiatives, including community engagement events, fundraising activities, and educational workshops. Manage event logistics such as venue booking, catering, invitations, marketing materials, and volunteer coordination. Track event budgets, outcomes, and feedback to improve future planning and execution Gift Processing and Database Management Accurately process and record gifts received for Educare and other Child & Family Services departments, ensuring timely preparation and delivery of acknowledgment receipts. Maintain and routinely update donor and constituent records to ensure accuracy, integrity, and confidentiality. Generate donor lists and reports to support communication strategies, campaigns, and fundraising activities. Grants and Administrative Support Assist with grant research and writing. Support data collection, contract development, monitoring, and reporting to funders to ensure compliance and alignment with grant and project requirements. Support leadership with the preparation of documentation, reports, and communications related to organizational initiatives. Collaborate with interdisciplinary teams to advance the program's mission and maintain alignment with strategic goals. Provide general support for additional projects and initiatives as assigned. Requirements 3+ years of experience in project coordination, financial management, event planning, or a similar role. Strong project management and organizational skills, with the ability to manage multiple priorities simultaneously. Experience with budget management and financial reporting. Excellent communication skills, both verbal and written. Ability to work independently and as part of a team. Proficiency in project management tools. Passion for early childhood education, family engagement, and community initiatives. Experience in nonprofit or educational settings. Familiarity with grant writing and reporting. Education Requirements Bachelor's degree in education, nonprofit management, business administration, or a related field. Salary Description 24.46
    $44k-55k yearly est. 4d ago
  • Procurement and Contracts Coordinator

    Insight Global

    Remote job

    We are seeking a highly organized and detail-oriented Procurement and Contracts Coordinator to support our Contracts and Procurement team. This role is critical in managing contract workflows, ensuring timely approvals, and maintaining accurate records in our systems. The ideal candidate will have experience in technology procurement, strong knowledge of contract management, and the ability to thrive in a fast-paced environment. As a Procurement and Contracts Coordinator, you will manage and maintain contract workflows in Tropic to ensure timely progress and approvals. This includes addressing backlog by entering and updating contract details, monitoring contract status, and proactively following up with stakeholders to expedite approvals. You will review contracts for accuracy and compliance with company standards, collaborate with internal teams to align procurement processes with organizational goals, and perform various administrative tasks related to procurement and contract management as needed. This will be a fully remote position that will start as a 3 month contract with rolling extensions. This role will pay between $30-40/ hour based on years of experience. We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to ********************.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: **************************************************** Skills and Requirements - 3-5 years of experience in procurement and contract administration. - Background in the Software Technology industry. - Strong understanding of technology procurement and contract best practices. - Proficiency in Google Suite and Microsoft Office Suite. - Familiarity with Ironclad, Jira, and ServiceNow (SNOW). - Excellent organizational skills and ability to work under tight deadlines. - Experience with Tropic contract management platform.
    $30-40 hourly 3d ago
  • Regional Coordinator, HSPRS

    Equal Opportunity Employer: IRC

    Remote job

    The International Rescue Committee (IRC) responds to the world's worst humanitarian crises, helping to restore health, safety, education, economic wellbeing, and power to people devastated by conflict and disaster. Founded in 1933 at the call of Albert Einstein, the IRC is one of the world's largest international humanitarian non-governmental organizations (INGO), at work in more than 40 countries and 29 U.S. cities helping people to survive, reclaim control of their future and strengthen their communities. A force for humanity, IRC employees deliver lasting impact by restoring safety, dignity and hope to millions. If you're a solutions-driven, passionate change-maker, come join us in positively impacting the lives of millions of people world-wide for a better future. The IRC's Home Study and Post-Release Services (HSPRS) for unaccompanied children in the U.S. is growing from six current IRC offices to more than 17 offices throughout the US. This is a national, multi- million-dollar project with ambitious delivery goals in a short time frame. The goals of the Home-Study Post Release Services Program (HS/PRS) are to: - Assess the safety and suitability of a sponsor before an unaccompanied child is released from custody into a sponsor's care (Home Study) - Provide case management support via remote and / or conducting in-home visits to ensure the continued safety and stability of children in sponsor's homes and linking children to resources in the community (Post Release Services). SCOPE OF WORK: The Home Study and Post Release Services Regional Coordinator provides trauma-informed and supportive oversight to the IRC offices with HSPRS programs. Specifically, the Regional Coordinator ensures case management onboarding and orientation have been completed; provides weekly supervision. (The Regional Coordinator supports local HSPRS supervisors ensuring onboarding and orientation has been completed successfully with all new staff.) Monitors service provision and case notes to ensure quality and adherence to best practices; ensures that appropriate staff are notified of cases of concern within a timely manner; writes monthly reports; monitors data; and ensures all staff are updated on changing policies, procedures and regulations that may impact their work, and convenes regular staff meetings. The Regional Coordinator ensures that services delivered by staff are of quality and are delivered in the best interest of the child, and that the number of children and families receiving services meets contractual requirements. MAJOR RESPONSIBILITIES: This position will provide regional oversight, coordination, implementation, and consultation for the local IRC region and works in collaboration with the HSPRS Casework Supervisor in the supervision of home study recommendations and post release service provision and ensure that HSPRS program policies and procedures are being adhered to. Supervise HQ Casework Supervisors Meet with office Casework supervisors frequently to ensure strong communication and partnership to support HSPRS Caseworkers. Monitor case management service provision including reviewing documentation for accuracy and timeliness. Act as a point of escalation for staff with complex cases, notifications of concern, and client crisis. This includes liaising with child welfare and law enforcement agencies, as needed. Ensure all case managers have been appropriately onboarded and oriented to their position and provide regular professional development training in case work and client facing skills to staff. Support staff onboarding, on-going development, and training for HSPRS staff. Coordinate and complete initial or follow up training and shadowing needed for new or existing staff in collaboration with each office supervisor. Provide recommendations for hiring promotions, terminations, and work assignments of case management staff. In collaboration with the Quality Assurance and Training teams, support local offices in conducting supportive quality assurance check points in preparation for QA`s random spot checks and internal monitoring process. Support with training refreshers and liaise between regional offices and the HSPTS training team to develop identified training opportunities. Facilitate regional UC provider meetings with external stakeholders including regular case management meetings. Job Requirements Education and/or Experience: master's degree and three years of relevant experience; or a bachelor's degree and five years of relevant experience, and demonstrated leadership abilities, is required. Experience in family reunification, home assessment, or foster care/child welfare is preferred. Language Skills: Bilingual ability in English and Spanish is preferred. Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to write reports and business correspondence. Ability to successfully pass a criminal background check. Ability to travel independently throughout relevant region. Ability to work independently and during non-traditional hours such as evenings and weekends. Experience providing Home Study and Post-Release Services case management. Proven ability to manage complex client situations centering client safety and child protection principles. Experience analyzing data and writing reports. Demonstrated success working and communicating effectively in a multi-cultural environment. Proven ability to contribute both independently and as a key team member. Self-starter with excellent problem-solving skills combined with the ability to prioritize duties and manage time effectively. Proficient in Microsoft Office applications (Word, Excel, Outlook), Microsoft Teams, Zoom, and other platforms. Excellent verbal and written communication skills Must be cleared and approved by Office of Refugee Resettlement and background check including FBI fingerprints and Child Abuse and Neglect checks required upon hire (initiated by IRC after acceptance of the position). Compensation:( Pay Range: $77,343 - $80,120.04 ) Posted pay ranges apply to US-based candidates. Ranges are based on various factors including the labor market, job type, internal equity, and budget. Exact offers are calibrated by work location, individual candidate experience and skills relative to the defined job requirements. PROFESSIONAL STANDARDS All International Rescue Committee workers must adhere to the core values and principles outlined in IRC Way - Standards for Professional Conduct. Our Standards are Integrity, Service, Equality and Accountability. In accordance with these values, the IRC operates and enforces policies on Safeguarding, Conflicts of Interest, Fiscal Integrity, and Reporting Wrongdoing and Protection from Retaliation. IRC is committed to take all necessary preventive measures and create an environment where people feel safe, and to take all necessary actions and corrective measures when harm occurs. IRC builds teams of professionals who promote critical reflection, power sharing, debate, and objectivity to deliver the best possible services to our clients. Cookies: *********************************************** Compensation: Posted pay ranges apply to US-based candidates. Ranges are based on various factors including the labor market, job type, internal equity, and budget. Exact offers are calibrated by work location, individual candidate experience and skills relative to the defined job requirements. US Benefits: We offer a comprehensive and highly competitive set of benefits. In the US, these include: 10 sick days, 10 US holidays, 20-25 paid time off days depending on role and tenure, medical insurance starting at $163 per month, dental starting at $6.50 per month, and vision starting at $5 per month, FSA for healthcare and commuter costs, a 403b retirement savings plans with immediately vested matching, disability & life insurance, and an Employee Assistance Program which is available to our staff and their families to support counseling and care in times of crisis and mental health struggles. Equal Opportunity Employer: IRC is an Equal Opportunity Employer. IRC considers all applicants on the basis of merit without regard to race, sex, color, national origin, religion, sexual orientation, age, marital status, veteran status, disability or any other characteristic protected by applicable law. #li-1
    $77.3k-80.1k yearly Auto-Apply 40d ago
  • Contract Staff Coordinator (Wyandotte & Leavenworth Counties)

    Kansas Farm Bureau 3.7company rating

    Remote job

    Full-time Description Supports and develops county Farm Bureau membership and programming by building relationships, developing programs, planning events and managing county communications to promote agriculture in the local community. Provides administrative assistance for the assigned county associations, their meetings and activities. Full-time remote position with benefits, working 40 hours split between the assigned county Farm Bureau associations of Wyandotte and Leavenworth counties. Candidate must be a resident of Kansas and reside within 30 miles of Wyandotte or Leavenworth county. Administration Assists the Board with clerical/administrative support through duties such as: creating board meeting agendas, taking minutes, and distributing board materials. Enters and maintains the County's accounting system, including but not limited to, check writing, making bank deposits, reconciling the bank account(s), and distributing monthly financial reports to the Board. Manages county correspondence and works with KFB design services to create, produce and distribute printed communication pieces. Manages county association social media accounts, with the assistance of KFB Communications. Membership Processes membership and creates membership reports for the Board. Coordinates activities to elevate the value of membership in the community. Responds to members inquiries, questions and concerns. Develops and maintains positive relationships with Farm Bureau Financial Services agencies within the counties served. Programming and Event Planning Develops community partnerships by cultivating relationships with educators, elected officials, business owners, and others in the community. Organizes events with local, state and federal elected officials to facilitate open communication and strong advocacy networks between the boards of directors and their representatives, as directed by each board of directors. Develops, presents, and manages programs that promote and teach agriculture lessons in the county. This may include programs for schools, 4-H and FFA programs, and community outreach, as directed by each board of directors. Designs, and coordinates events or other opportunities to educate consumers about the food system and connects them to local producers, as directed by each board of directors. Develops and coordinates service projects in the community, as directed by each board of directors. Works with vendors on contracts, venues and food. Informs local media outlets, develops those relationships, and encourages their presence at all Farm Bureau events. Monitors, evaluates, and records outreach activities and program impact. Recruits and manages volunteers for events and presentations. Tracks and maintains program, event and activity budgets. Completes other duties, as assigned. Requirements Requires a bachelor's degree or equivalent. Requires proficient writing skills. Must be able to communicate clearly and effectively. Self-starter, organizer and possesses excellent leadership, interpersonal relationship, communication, and time-management skills. Maintains a high level of professionalism and developmental growth. Exercise a high level of character, morality, and good judgement. Dependable and able to adapt to various situations. Must have and maintain reliable transportation. Travel reimbursement will be provided at the federal mileage rate. Must be a Kansas resident and reside within 30 miles of Wyandotte or Leavenworth county. Relationships Works under the supervision and direction of the Director of Grassroots Vitality. Works directly with the assigned county associations' boards of directors and the Field Services Manager. Builds relationships within the Counties' members, Farm Bureau Financial Services staff, and the communities. Works with Kansas Farm Bureau staff to utilize KFB resources and continually update and develop programing. Physical Demands Requires ability to: Sit and/or stand at a desk. Operate a computer. Listen and speak to others, both in person and over the phone. Carry out public speaking obligations. Set up displays, which may require lifting up to 25 pounds. Work in an office environment or outdoors, on occasion. Work outside of normal office hours (8:00 a.m. to 5:00 p.m.) and standard workdays (Monday through Friday). Night and weekend work will be required, at times. Maintain a valid driver's license. Salary Description $42,000 - $44,000
    $42k-44k yearly 7d ago
  • Industrial Contracts Coordinator

    Stanford University 4.5company rating

    Remote job

    **Dean of Research, Redwood City, California, United States** Compliance Legal Post Date Oct 21, 2025 Requisition # 107593 **SCHOOL/UNIT DESCRIPTION:** The Industrial Contracts Office (ICO) is a unit within the Office of Technology Licensing, Stanford's technology transfer office. OTL evaluates, markets and licenses technology created by the university. ICO is responsible for reviewing, negotiating, and signing a variety of research-related agreements on behalf of Stanford with industry and some non-profit collaborators, including sponsored research, material transfer, and equipment loan agreements. ICO Contract Officers have authority to sign research-related agreements on behalf of Stanford University and ensure that all agreements comply with Stanford policy, sound business practice, and legal requirements. ICO works closely with the OTL Licensing Team to ensure that Stanford's intellectual property are protected and developed to serve the public interest. **Our VPDoR Diversity Journey:** + We create a hub of innovation through the power of diversity of disciplines and people. + We provide equitable access and opportunity to all members of the community in order to do their best work, regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other characteristic protected by law. + We listen to and value all colleagues who bring diverse perspectives to the advancement and development of a respectful community. + We promote a culture of belonging, equity, and safety. + We embed these values in excellence of education, research, and operation. **POSITION SUMMARY:** The Office of Technology Licensing's Industrial Contracts Office is seeking a dynamic Industrial Contracts Coordinator to drive successful partnerships and innovative solutions for our faculty within Stanford's vibrant landscape. In this pivotal role, you will ensure the completion, accuracy, and compliance of proposals, while formally soliciting grants and contracts from non-government sponsors. Your expertise will be key in managing requisitions and overseeing the requisition receipt process. Additionally, you will provide regular status updates, interpret policy provisions, resolve project issues, and educate units on institutional processes. If you have a passion for project management and a knack for managing the contracting lifecycle, join us and be a catalyst for innovation at Stanford. This is a 100% FTE, benefits-eligible remote position. For consideration, please submit your resume. All final candidates must complete a background check. **CORE DUTIES:** + Review proposals for completion, accuracy, and compliance with internal policy and external regulations. + Conduct formal solicitation of grants and contracts by government and non- government sponsors. + Accept standard grant awards on behalf of the university. + Administer requisition receipt process; review requisitions for accuracy and completion. + Prepare and negotiate select agreements for management approval. + Check contracts and grants for special provisions. + Collect, obtain, and ensure completion of required sub recipient documentation. + Provide regular status updates to managers and project administrators. + Assist department administrators, principal investigators, and staff; interpret and explain grant provisions and terms. + Assist in the resolution of problems arising in the course of the project; consult with department administrators, principal investigators, staff, and sponsors. + Partner with others to serve as a resource to educate units regarding institutional processes. _* - Other duties may also be assigned_ **MINIMUM REQUIREMENTS:** **Education & Experience:** Bachelor's degree and one year of relevant experience, or combination of education and relevant experience. **Knowledge, Skills and Abilities:** + Basic knowledge of grant and contract programs and processes. + Excellent communication and interpersonal skills. + Strong attention to detail. + Excellent judgment to know when to escalate unusual cases to more experienced colleagues + Proven ability to manage a high volume workload and a multitude of constantly changing priorities in a fast-paced environment + Demonstrated ability to take initiative, prioritize workload, follow up with key stakeholders, meet deadlines and work both independently and as an effective member of a team **PHYSICAL REQUIREMENTS*:** + Frequently sitting, grasping lightly, use fine manipulation and a computer (keyboard, mouse, monitor). + Occasionally use a telephone, rarely stand/walk, twist, bend, stoop, squat, write by hand, sort, and file paperwork or parts. + Rarely lift, carry push, and pull objects that weigh up to 10 pounds. _* - Consistent with its obligations under the law, the University will provide reasonable accommodation to any employee with a disability who requires accommodation to perform the essential functions of the job._ **WORKING CONDITIONS:** + May have occasional extended or weekend work hours during peak business cycles. **WORK STANDARDS:** + Interpersonal Skills: Demonstrates the ability to work well with Stanford colleagues and clients and with external organizations. + Promote Culture of Safety: Demonstrates commitment to personal responsibility and value for safety; communicates safety concerns; uses and promotes safe behaviors based on training and lessons learned. + Subject to and expected to comply with all applicable University policies and procedures, including but not limited to the personnel policies and other policies found in the University's Administrative Guide,******************************* This role is open to candidates anywhere in the United States. Stanford University hasfive Regional Pay Structures. The compensation for this position will be based on the location of the successful candidate. The expected pay range for this position is $81,281-$92,099 for remote positions working in the Stanford Work Location Region. The expected pay range for this position is $61,398 - $77,493 for remote positions outside of the Stanford Work Location Region. Stanford University provides pay ranges representing its good faith estimate of what the university reasonably expects to pay for a position. The pay offered to a selected candidate will be determined based on a wide range of factors that are unique to each candidate including but not limited to geographic location, knowledge, skills and abilities, relevant education, depth and breadth of experience, performance; as well as other business and organization needs such as (but not limited to) the scope and responsibilities of the position, the minimum qualifications, departmental budget availability, and market and internal equity across the unit, department and reporting relationships. At Stanford University, base pay represents only one aspect of the comprehensive rewards package. The Cardinal at Work website (***************************************************** provides detailed information on Stanford's extensive range of benefits and rewards offered to employees. Specifics about the rewards package for this position may be discussed during the hiring process. **Why Stanford is for You** Imagine a world without search engines or social platforms. Consider lives saved through first-ever organ transplants and research to cure illnesses. Stanford University has revolutionized the way we live and enrich the world. Supporting this mission is our diverse and dedicated 17,000 staff. We seek talent driven to impact the future of our legacy. Ourcultureandunique perksempower you with: + **Freedom to grow.** We offer career development programs, tuition reimbursement, or audit a course. Join a TedTalk, film screening, or listen to a renowned author or global leader speak. + **A caring culture.** We provide superb retirement plans, generous time-off, and family care resources. + **A healthier you.** Climb our rock wall, or choose from hundreds of health or fitness classes at our world-class exercise facilities. We also provide excellent health care benefits. + **Discovery and fun.** Stroll through historic sculptures, trails, and museums. + **Enviable resources.** Enjoy free commuter programs, ridesharing incentives, discounts and more! The job duties listed are typical examples of work performed by positions in this job classification and are not designed to contain or be interpreted as a comprehensive inventory of all duties, tasks, and responsibilities. Specific duties and responsibilities may vary depending on department or program needs without changing the general nature and scope of the job or level of responsibility. Employees may also perform other duties as assigned. Consistent with its obligations under the law, the University will provide reasonable accommodations to applicants and employees with disabilities. Applicants requiring a reasonable accommodation for any part of the application or hiring process should contact Stanford University Human Resources by submitting acontact form. Stanford is an equal employment opportunity and affirmative action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other characteristic protected by law. Additional Information + **Schedule: Full-time** + **Job Code: 4571** + **Employee Status: Regular** + **Grade: F** + **Requisition ID: 107593** + **Work Arrangement : Remote Eligible**
    $81.3k-92.1k yearly 60d+ ago
  • Contracting Coordinator

    All Care To You

    Remote job

    About Us All Care To You is a Management Service Organization providing our clients with healthcare administrative support. We provide services to Independent Physician Associations, TPAs, and Fiscal Intermediary clients. ACTY is a modern growing company which encourages diverse perspectives. We celebrate curiosity, initiative, drive and a passion for making a difference. We support a culture focused on teamwork, support, and inclusion. Our company is fully remote and offers a flexible work environment as well as schedules. ACTY offers 100% employer paid medical, vision, dental, and life coverage for our employees. We also offer paid holiday, sick time, and vacation time as well as a 401k plan. Additional employee paid coverage options available. Job purpose Contract Coordinator is responsible for supporting aspects of provider contracting from initial outreach of a provider to final execution of the contract and beyond. This position is ideal for someone who is a strong communicator and team player with exceptional organizational skills. Duties and responsibilities Provides administrative support to Contracting team Works closely with Contract Specialist/Manager to complete the contracting process for the clients in both current contracted regions and network expansions Call potential providers, preparing and sending contracts and credentialing applications, follow up on outstanding documents and update configuration database Work with other internal departments to ensure contract terms are loaded correctly Ability to keep high level of confidence and discretion when dealing with sensitive matters relating to providers, and members. Always maintains strictest confidentiality Supports contracting department by drafting contracts, and letters Creates, maintains and updates contract summaries with current, accurate contract and demographic information Manages all outgoing and incoming contracts as well as related mailings and correspondence Assists in patient specific agreements and working directly with provider offices under a timeframe. Organization and data entry of pertinent provider contract information into system. Other duties as needed. Qualifications 1-2 years Healthcare Administration experience required 1-2 years Healthcare Contracting experience preferred 1-3 years Customer Service experience EZCap experience preferred Must be able to work 8 - 5 PM Pacific Standard Time. Proficiency using Outlook, Microsoft Teams, Zoom, Microsoft Office (including Word and Excel) and Adobe Detail oriented and highly organized Strong ability to multi-task, project management, and work in a fast-paced environment Strong ability in problem-solving Ability to self-manage, strong time management skills Ability to work in an extremely confidential environment Strong written and verbal communication skills
    $41k-61k yearly est. 60d+ ago
  • Region Coordinator CBUSA

    Buildertrend Solutions 4.1company rating

    Remote job

    Compensation: $50,000-$65,000 Location: Remote - Must be located in Dallas Fort Worth, Houston, College Station, Waco, Austin or San Antonio The job: The Region Coordinator CBUSA is responsible for the operational support of CBUSA region leadership with vendor and builder engagement, reporting, customer service & accounting, and program administration. CBUSA is the leading group purchasing organization in the residential construction market. CBUSA was purchased by Buildertrend in 2021, which allowed for even greater support for our members. As the nation's largest group purchasing organization in the residential construction industry, we're able to bring home builders together, create more supplier programs both locally and nationally, increase earned rebates and negotiate better pricing. What you will do: Support Region leadership efforts to grow the network through recruitment, quarterly review of member engagement data and market metrics. Execute and maintain up to date membership documentation and manage new member contract documentation. Coordinate monthly market meetings including builder attendance and sponsor engagement. Drive builder and vendor participation in quarterly reporting, the discrepancy process, and national contract reporting. Serve as customer service support contact for builder/vendor members having reporting questions and maintain builder/vendor-related customer service and accounting needs. Manage the discrepancy process to ensure members receive maximum credit for earned rebates and support vendor payment reconciliations. Survey and collect data from active members and provide support for builders and local vendors in National Contracts and the Committed Purchase Program. Who you are and what you need: High School Diploma or Equivalent Required. Bachelor's Degree preferred. 5+ years of experience with company operations preferred. Previous experience in homebuilding industry is preferred. Competent in Microsoft Office applications (Excel, Word, Outlook, Power BI) and internet applications. Travel required as needed, depending on business requirements. We are giving you: Exceptional health packages, including medical, dental, and vision coverage, plus life insurance and short- and long-term disability benefits. A 401(k) plan with Buildertrend matching contributions to help you plan for the future. Generous paid time off, 11 paid holidays, and 6 personal days to make sure you have time to recharge. Parental leave and paid sabbaticals to support you during life's big moments. Volunteer time off - because giving back matters. Wellness program and onsite fitness center to keep you feeling your best. Opportunities for hybrid or remote work to give you the flexibility you need. Technology reimbursement to help cover costs for the tech you need to do your job from home. Free daily lunches when you're at our HQ office, plus monthly events to connect with your team. Who we are: CBUSA is the nation's largest group purchasing organization for home builders. We help custom and independent builders become more efficient and profitable. Our parent company Buildertrend is a cutting-edge, cloud-based project management software. With nearly 1 million users across the globe, we empower the construction industry with a better way to build. Our software helps construction professionals build more projects while reducing delays, eliminating communication errors, and increasing customer satisfaction. Buildertrend is changing the way the world builds by Using technology to bring all parties together, and CBUSA is a big part of this change. Working at Buildertrend: At Buildertrend, we fully recognize that we all work so we can live better lives-we appreciate and respect that this is a job and not your whole life. What makes Buildertrend so special is a commitment to ensuring you can have the best job, work with the best people, and live your best life outside of work. Our goal is to create a culture where everyone can make an impact on our customers, communities, and each other. In short: We want you to be who you are, love what you do, and build your best life. #LI-REMOTE
    $50k-65k yearly Auto-Apply 15d ago
  • Grants Coordinator

    Vail Valley Fondation 3.4company rating

    Remote job

    The Grants Coordinator reports to the Senior Manager of Grants. The primary goals of this role include supporting grant revenue, reporting, and prospecting. Specific Responsibilities Qualifications & Experience Benefits & Compensation * This position will provide support to the Senior Manager of Grant Development on all grant and foundation fundraising needs, supporting grant revenue. * Acquire and maintain sound knowledge and understanding of all VVF programs, to better understand all projects and programs for which grants will be sought and recommend grants to seek. * Conduct the full range of activities required to identify, prepare, and submit, grant proposals across diverse grant funding sources. * Compile, write, and edit all grant applications exhibiting strong writing skills and a high-level command of grammar and spelling. * Develop individual grant proposals in accordance with each grant-making organization's preferences and guidelines. * Provide regular written updates/reports to current and past funders. * Prepare grant award summaries for internal tracking and coding purposes. * Independently submit approximately $400,000 in applications to new funders annually. * Work closely with program staff to gather data for proposals and reports. * Use company systems and manage the process of supplying progress reports when required, assuring that all grant obligations are fulfilled. * Maintain grant calendar, track grant reports and application deadlines and research new grant opportunities. * Other ad hoc duties as assigned. * Bachelor's degree in a relevant field, preferred. Or a combination of relevant experience in grant development, nonprofit operations, or related areas. * Ability to compile, write, and edit grant applications with a high level of command over grammar and spelling. * Strong writing and editing skills; proficiency in grammar and spelling. * Capacity to work independently as part of a strong team. * Strong leadership, initiative, and interpersonal skills. * Excellent management and organizational skills, ability to work on multiple projects and deadlines simultaneously with flexibility and the capacity to generate innovative solutions and strategies. * Excellent oral and written communication skills. * Collaborative mindset and ability to build positive relationships with stakeholders. * Eagerness to provide support to the greater Vail Valley Foundation staff as available and necessary. * Experience with or capacity to learn Microsoft Office Suite, Blackbaud, Formstack, and other systems, preferred. The ideal candidate aligns with the VVF's mission of service and brings an entrepreneurial, energetic, and creative approach to their work. An appreciation for the mountain lifestyle and community of the Vail Valley is valued. This role is primarily based in the Vail Valley; however, remote work may be considered based on role requirements and organizational needs. This is an hourly, full time year-round position eligible for all VVF employment benefits. The hourly pay range is $24.00 - $26.50 based on experience. Our employees are a critical part of who we are and employee wellness is an important priority for our organization. As a result, we offer an array of employee benefits, including but not limited to: * Affordable HDHP employee and family health insurance plan * Dental plan * Vision plan * Flexible Spending Account * Health Savings Account with company match * 401k retirement plans with company match * Basic life insurance * Short and long term disability plans * Paid time off * Volunteer paid time off * Employee Assistance Program * Added Perks! * Free employee ski pass * Tickets to shows at the Vilar and The Amp * Discounts at The Amp and Vilar concessions * Tuition reimbursement Please send a cover letter, resume and references. APPLY NOW BACK TO ALL EMPLOYMENT OPPORTUNITIES Accepting resumes through March 1, 2025.
    $24-26.5 hourly 21d ago

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