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Clinical Reimbursement Specialist CRS
Laurel Health Care Company 4.7
Reimbursement analyst job in Westerville, OH
Are you a Registered Nurse (RN) who is passionate about MDS? When you join Ciena Healthcare as a Clinical Reimbursement Specialist, you will share your expertise with the MDS nurses in several facilities. In this role, you will audit and evaluate Medicare compliance and the RAI process in our Columbus, Ohio and surrounding facilities. If you love teaching and communicating with other nurses, this is a great role for you!
The successful applicant will have a comprehensive knowledge of Medicare, PDPM, RAI process, quality measures, as well as OBRA regulations.
Benefits:
Competitive pay.
Medical, dental, and vision insurance.
401K with matching funds.
Life Insurance.
Employee discounts.
Tuition Reimbursement.
Student Loan Reimbursement.
Responsibilities:
Ensure the RAI process is complete and assessments are complete.
Audit Completion of MDS, CAA's and care plans within regulated time frames.
Provide teaching as needed for MDS nurses in assessing resident through physical assessment, interview and chart review.
Assist MDS nurses in follow up on resident care needs with care givers, including physician, nursing, social services, therapy, dietary, and activity staff.
Reviews MDS nurse completion of information from hospital, consults and outside agencies and uses such information in the completion of the assessment and care planning.
Requirements:
Knowledge of the Resident Assessment Instrument (RAI) process, including the principles the Patient Driven Payment Model is required.
Knowledge of regulatory standards and compliance requirements.
Registered Nurse RN in the state.
50% travel with some overnight stays possible.
Ciena Healthcare:
We are a provider of skilled nursing, subacute, rehabilitative, and assisted living services dedicated to achieving the highest standards of care in five states including Michigan, Ohio, Virginia, North Carolina, and Indiana.
We serve our residents with compassion, concern, and excellence, believing that every one of them is a unique person who deserves our best each day that we care for them. If you have a passion for improving the lives of those around you and working with others who feel the same way.
IND123
$33k-41k yearly est. 2d ago
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Epic Cadence Analyst
Onpoint Search Consultants 4.2
Remote reimbursement analyst job
What you will find ...
100% REMOTE
exceptional benefits (pension plan options)
top ranked hospital in the U.S.
What you will do ...
design & build Epic Cadence
build Epic Security
break-fix & support Epic Cadence
implement Epic Security for scheduling
liaison with operational stakeholders
Wish list ...
5+ years Epic Cadence & Epic Security build
REQUIRED Epic Cadence Certification
REQUIRED Epic Security Certification
recent Epic Security work
Decision Tree a plus
$60k-90k yearly est. 5d ago
Sr Reimbursement Medicare Analyst, REMOTE, FT, 08A-4:30P
Baptist Health South Florida 4.5
Remote reimbursement analyst job
Reporting directly to the Director, AR Reimbursement and Statutory accounting, the Sr. Analyst, Reimbursement Medicare is responsible for providing accurate information for Medicare cost report preparation, cost report appeals, audit preparation and other duties related to the regulatory reimbursement services. The position maintains current knowledge of Medicare, Medicaid and other State and Federal regulations. The Sr. Analyst interacts with customers and ensures value is delivered and customer satisfaction is achieved. The Sr. Medicare ReimbursementAnalyst also assists in the AR closing processes and meeting future reimbursement service needs. Estimated salary range for this position is $65,835.36 - $85,585.97 / year depending on experience.
Degrees:
* Bachelors.
Additional Qualifications:
* Bachelor's degree in Accounting or Finance.
* MBA or Master of Accounting degree preferred.
* Strong analytical and quantitative thinker.
* Five years of accounting and or financial analysis experience in healthcare environment.
* Possess knowledge of Medicare Cost report and Medicare, Medicaid and other State and Federal regulations.
* Experience with Graduate Medical Education (GME) and Indirect Medical Education (IME) preferred
* Strong budget and analytical skills required, including knowledge of management information systems, proficient skills in Excel, Word, JDA, Epsi, Cerner, ProDiver, RCA and excellent communication skills.
Minimum Required Experience: 5 years
$65.8k-85.6k yearly 24d ago
Sr Reimbursement Medicare Analyst, REMOTE, FT, 08A-4:30P
Baptisthlth
Remote reimbursement analyst job
Sr Reimbursement Medicare Analyst, REMOTE, FT, 08A-4:30P-148580Baptist Health is the region's largest not-for-profit healthcare organization, with 12 hospitals, over 29,000 employees, 4,500 physicians and 200 outpatient centers, urgent care facilities and physician practices across Miami-Dade, Monroe, Broward and Palm Beach counties. With internationally renowned centers of excellence in cancer, cardiovascular care, orthopedics and sports medicine, and neurosciences, Baptist Health is supported by philanthropy and driven by its faith-based mission of medical excellence. For 25 years, we've been named one of Fortune's 100 Best Companies to Work For, and in the 2024-2025 U.S. News & World Report Best Hospital Rankings, Baptist Health was the most awarded healthcare system in South Florida, earning 45 high-performing honors.What truly sets us apart is our people. At Baptist Health, we create personal connections with our colleagues that go beyond the workplace, and we form meaningful relationships with patients and their families that extend beyond delivering care. Many of us have walked in our patients' shoes ourselves and that shared experience fuels out commitment to compassion and quality. Our culture is rooted in purpose, and every team member plays a part in making a positive impact - because when it comes to caring for people, we're all in. Description Reporting directly to the Director, AR Reimbursement and Statutory accounting, the Sr. Analyst, Reimbursement Medicare is responsible for providing accurate information for Medicare cost report preparation, cost report appeals, audit preparation and other duties related to the regulatory reimbursement services. The position maintains current knowledge of Medicare, Medicaid and other State and Federal regulations. The Sr. Analyst interacts with customers and ensures value is delivered and customer satisfaction is achieved. The Sr. Medicare ReimbursementAnalyst also assists in the AR closing processes and meeting future reimbursement service needs. Estimated salary range for this position is $65,835.36 - $85,585.97 / year depending on experience.Qualifications Degrees:
Bachelors.
Additional Qualifications:
Bachelor‘s degree in Accounting or Finance.
MBA or Master of Accounting degree preferred.
Strong analytical and quantitative thinker.
Five years+ of accounting and or financial analysis experience in healthcare environment.
Possess knowledge of Medicare Cost report and Medicare, Medicaid and other State and Federal regulations.
Experience with Graduate Medical Education (GME) and Indirect Medical Education (IME) preferred
Strong budget and analytical skills required, including knowledge of management information systems, proficient skills in Excel, Word, JDA, Epsi, Cerner, ProDiver, RCA and excellent communication skills.
Minimum Required Experience: 5 years Job CorporatePrimary Location Coral GablesOrganization CorporateSchedule Full-time Job Posting Mar 3, 2025, 5:00:00 AMUnposting Date OngoingEOE, including disability/vets
$65.8k-85.6k yearly Auto-Apply 26d ago
Reimbursement Analyst- Audit and Regulatory
Wvumedicine
Remote reimbursement analyst job
Welcome! We're excited you're considering an opportunity with us! To apply to this position and be considered, click the Apply button located above this message and complete the application in full. Below, you'll find other important information about this position. The primary focus of this position is to analyze and provide data from various sources in order to address cost report and other reimbursement filing audits, reviews, rate adjustments, etc. as required by regulatory agencies, law/legislation. Extensive knowledge of third-party reimbursement regulations is required in order to respond and provide accurate support and to inform management and other areas of the organization of the impact of changing reimbursement regulations, audits, reviews, etc. Excellent communication skills are imperative to coordinate information from various levels of the organization, with Medicare and Medicaid auditors, external vendors, etc. Must be able to use critical thinking and analysis skills, experience, and insight to promptly, accurately, and effectively address issues, questions, complete projects, meet deadlines, etc. without direct management or other leadership involvement. Must be able to operate independently in highly efficient and effective manner.
MINIMUM QUALIFICATIONS:
EDUCATION, CERTIFICATION, AND/OR LICENSURE:
1. Bachelor's Degree.
OR
2. HFMA Certified Hospital Cost Report Specialist (CHCRS).
EXPERIENCE:
1. Successful completion and submission of Medicare Cost reports for two or more (2+) years for Critical Access and/or Acute/IPPS facilities and successful navigation of at least two (2+) years of corresponding reviews, surveys, and audits (Interim rate reviews, S-10, Bad Debt, Charity Care, DSH, Wage Index, Occupational Mix, desk review, etc.)
2. Experience with hospital electronic health record systems (EPIC, Cerner, etc.), Cost Reporting applications, general ledger/accounting systems, and CMS/MAC cost reporting procedure, process, completion, submission, supporting schedules and documentation requirements, regulation, strategy, and audit.
3. Advanced computer and spreadsheet skills, primarily in Excel.
PREFERRED QUALIFICATIONS:
EXPERIENCE:
1. Three (3) experience in healthcare accounting (general ledger, trial balance, income statement, balance sheet, cash flow, etc.), finance, revenue cycle, data analysis, and/or reimbursement.
CORE DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned.
1. Supports all third-party cost reports (Medicare, WV Medicaid, PA Medicaid, Ohio Medicaid, Champus/Tricare, etc.) and any analysis, updates, changes, etc. to facilitate any necessary amendments as needed. Directly supports audits/reviews of these reports and any other associated audits (including but not limited to Wage Index, Occupational Mix, DSH, S-10, Bad Debt, Charity Care, NAHE, and DGME/IME). Coordinates within the department to address and support any applicable review/audit.
2. Coordinates compiling of all data required for completion of any audits from various departments systems and external sources. Provides updates on status and monetary impact of all filings/deadlines, settlements, amendments, audits, adjustments, etc. and regularly tracks, updates, and communicates with necessary parties regarding any and all reimbursement items.
3. Conducts research and provides documentation and explanations for all necessary workpapers, schedules, and forms and updates workpapers, schedules, applications and software (including but not limited to Absolute, and HFS systems/files) promptly and accurately. Performs all necessary reimbursement impact analysis, technical completion/submission review, analysis, and strategy and identifies strategy. methodology, and efficiencies to minimize losses and improve reimbursement as well as regulatory/audit risk and/or opportunity.
4. Analyzes data from all sources to ensure accuracy, consistency, and technical correctness in accordance with all regulatory and audit requirements/interpretations.
5. Assists with and prepares reimbursement budget models with accuracy using the most current, proposed and final regulations.
6. Assists with and prepares the Uniform Report for the WV Healthcare Authority annually as needed.
7. Analyzes current rate structure and develops current and future impact based on reviews/audits in addition to reconciling adjustment impact prior to acceptance. Responsible for distributing updated rates and estimated impact to internal departments.
8. Maintain and continually improve on technical skills needed to manipulate and analyze data.
9. Utilize and develop database report writing skills in Strata and other systems as needed. Analyze current report setup/processes for accuracy and efficiency.
11. Assists with completion, analysis, and submission of Medicaid DSH Survey and DSH audit annually. Conducts all necessary analysis and opportunity/risk assessment and develops reporting and technical efficiencies and strategies.
12. Analyzes data and compiles supporting documentation for Wage Index and Occupational Mix, transplant, Nursing and Allied Health, Bad Debt, Charity Care, S-10, desk review, IME/GME Overlap, time studies/time allocation, etc. and develop technical and reporting efficiencies and improvements. Directly responsible for answering questions during the review/audit of these and any other items, providing supporting documentation and rationale, data entry, template compliance, invoice research and compilation, etc.
13. Provides necessary data and support to the reimbursement team to calculate third party receivables and payables as needed.
14. Provide analytical interpretation and substantiation during the Hospital's annual financial audit and annual governmental audits as needed in addition to any other support that be required
15. Coordinates reimbursement projects with various consultants as dictated by the needs and requirements of the project and the department.
16. Participates in meeting the objectives of the work unit and goals of the department.
17. Promotes and contributes positively to the teamwork of the department by assisting co-workers, contributing ideas and problem-solving with co-workers.
19. Identifies and addresses problems, questions, concerns, analysis, etc. in a timely manner so that proper actions can be implemented to prevent losses, maximize reimbursement, and meet deadlines, to facilitate the growth and stability of the organization.
20. Provides any other support to the Finance and Reimbursement Department as needed and coordinates activity with department leadership
21. Must be able to operate independently in a highly efficient and effective manner and replicate prior year workpapers, support, documentation, etc. as required without direct oversight or other involvement from leadership or other staff.
22. Effectively communicate and collaborate in a team atmosphere to fulfill their responsibilities and meet deadlines utilizing excellent communication skills, prioritization, critical thinking, and data analysis skills
23. Support performance improvement and quality assurance initiatives.
24. Participate in educational opportunities as provided by the hospital to enhance skill related abilities.
PHYSICAL REQUIREMENTS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
1. Frequent walking, standing, stooping, kneeling, reaching, pushing, lifting, grasping and feeling are necessary body movements utilized in performing duties through the work shift.
2. Must be able to sit for extended periods of time.
3. Must be able to read and write legibly in English.
4. Visual acuity must be within normal range.
5. Must have hearing abilities in order to communicate effectively via telephone and in person.
6. Must have reading and comprehensive ability.
WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
1. Office type environment.
2. Ability to work remotely.
SKILLS AND ABILITIES:
1. Extensive experience in financial analysis and interpretation of federal and state regulations.
2. Specialized knowledge of hospital healthcare reimbursement, including but not limited to cost reporting, bad debt (including the reserve and posting process), S-10, Wage Index/Occupational Mix, DSH, 340b, and rate setting.
3. Strong communication skills are necessary to interact effectively with management, staff and external auditors.
4. Excellent analytical, critical thinking, and problem-solving abilities with the ability to manipulate and understand complex information and robust data sets and calculations.
5. Effective organizational and time management skills with the proven ability to meet deadlines with precision, intention, and efficiency.
6. Proficiency in Microsoft Office Suite (Excel, Access, Word, Outlook) and other fundamental computer skills.
7. Ability to work effectively and independently managing tasks in a fast-paced environment.
Additional Job Description:
Scheduled Weekly Hours:
40
Shift:
Day (United States of America)
Exempt/Non-Exempt:
United States of America (Exempt)
Company:
SYSTEM West Virginia University Health System
Cost Center:
540 SYSTEM Finance and Reimbursement
$56k-76k yearly est. Auto-Apply 5d ago
Senior Reimbursement Analyst
Bcbsla 4.1
Remote reimbursement analyst job
We take great strides to ensure our employees have the resources to live well, be healthy, continue learning, develop skills, grow professionally and serve our local communities. We invite you to apply for a career with Blue Cross.
Residency in or relocation to Louisiana is preferred for all positions.
POSITION PURPOSE
Independently researches, analyzes, develops and maintains new and existing, complex reimbursement programs. Designs system specifications that support claims payment and criteria for data bases that support analysis as well as training documentation describing programming, billing and payment guidelines for internal and external use. Designated staff may focus primarily on supporting the Medicare Advantage line of business.
NATURE AND SCOPE
This role does not manage people
This role reports to this job: MANAGER, PROVIDER REIMBURSEMENT
Necessary Contacts: In order to effectively fulfill this position the incumbent must be in contact with:
All levels of internal personnel, with primary contacts in Network Administration, IT, Medical Management, Benefits Administration, Actuarial, Legal, Executive, Marketing, and Underwriting. Providers, provider representatives, consultants, provider specialty organizations, AMA, vendor reps, and hospital administrators to exchange or review program information. Other data sources are market research consultants, AMA, St. Anthony, Relative Value Studies for Dentists, Dun and Bradstreet and HIAA, CMS, Blue Cross and Blue Shield Association, Blue Cross and Blue Shield Plans, CMS, DHS, sales and marketing regional offices.
QUALIFICATIONS
Education
Bachelor's degree in statistics, accounting, finance, math or related field is required
Prefer a Master's Degree or pursuit of a Master's degree in Business, Information System and Decision Sciences, Healthcare Administration or Public Health.
Four years of related experience can be used in lieu of a Bachelor's degree.
Work Experience
4 years of experience in the health industry accounting functions including billing, coding, Medicare or statistical analysis of financial information is required
Provider contract analysis and/or reimbursement program implementation experience is strongly is preferred
Skills and Abilities
Must have acquired sufficient knowledge to function autonomously and to know the appropriate contacts within departments to resolve specific issues for all lines of business.
Excellent analytical, oral and written communication, and report preparation skills with highest degree of accuracy are required. Must have the ability to effectively present information to Executive Management and all levels of employees.
Requires strong math/analytical skills including variance analysis, statistical formulas, algebraic formulas, percentages, multiplication and division, fractions and reasonableness tests.
Excellent attention to detail, research, and documentation skills are required.
Proficiency with commonly used database, spreadsheet and word processing software is required. Must have extensive knowledge to select the appropriate database format and structure for the type of information to be captured and reported. Familiarity with relational database software, mainframe capabilities, FOCUS and SQL programming is helpful and preferred. Must be able to create and maintain required databases as determined by supervisor.
A strong understanding of physician charge practices and billing methodologies is helpful.
Minimal travel is required. Travel may involve going to regional offices and/or conferences and exhibits.
Staff dedicated to supporting Medicare Advantage must have working knowledge of Medicare enrollment guidelines and reimbursement.
Licenses and Certifications
Pursuit of coding (CPC or CPHC) designation is preferred
ACCOUNTABILITIES AND ESSENTIAL FUNCTIONS
Serves as provider reimbursement technical advisor and/or committee participant to Information Technology staff, Benefits Administration staff, Provider Audit, Network Administration and/or Medicare Advantage staff, and entry level ReimbursementAnalyst by developing and implementing project/program narratives and responding to concerns on new and existing reimbursement programs, billing guidelines, and system requirements to ensure accurate implementation and maintenance of provider reimbursement programs.
Identifies claims and provider reimbursement related system problems, including claims coding and processing issues, coordinates research, audit, and recommendations with Provider Audit, and implements and monitors system changes to resolve any problems.
Researches, designs, implements, and maintains complex hospital or professional provider reimbursement programs for traditional and managed care programs and Medicare Advantage. Contact other plans, consultants, and local providers to assist in program specifications. Proactively monitors health care and health industry developments, including CMS/Medicare eligibility, EGWP and methodology changes. Analyzes and produces management reports to monitor effectives and identify and resolve deficiencies of reimbursement programs in comparison to industry benchmarks, competitors, and Medicare.
Leads in the development of complex financial pricing models and financial data analysis to support modifications to reimbursement programs and monitor effectiveness of pricing logic.
Provides statistical reports to Network Administration, Medical Management, Marketing and Medicare Advantage to support internal strategies and external customer needs, such as contract negotiations and marketing efforts.
Complies with Corporate Objectives on project implementation and schedule deadlines. Ensures proper workflow by assessing reimbursement processes and recommending improvement as well as coordinating projects and time frames with less senior reimbursement staff.
Accountable for complying with all laws and regulations associated with duties and responsibilities.
Additional Accountabilities and Essential Functions
The Physical Demands described here are representative of those that must be met by an employee to successfully perform the Accountabilities and Essential Functions of the job. Reasonable accommodations may be made to enable an individual with disabilities to perform the essential functions
Perform other job-related duties as assigned, within your scope of responsibilities.
Job duties are performed in a normal and clean office environment with normal noise levels.
Work is predominately done while standing or sitting.
The ability to comprehend, document, calculate, visualize, and analyze are required.
#LI_CB1
An Equal Opportunity Employer
All BCBSLA EMPLOYEES please apply through Workday Careers.
PLEASE USE A WEB BROWSER OTHER THAN INTERNET EXPLORER IF YOU ENCOUNTER ISSUES (CHROME, FIREFOX, SAFARI)
Additional Information
Please be sure to monitor your email frequently for communications you may receive during the recruiting process. Due to the high volume of applications we receive, only those most qualified will be contacted. To monitor the status of your application, please visit the "My Applications" section in the Candidate Home section of your Workday account.
If you are an individual with a disability and require a reasonable accommodation to complete an application, please contact ********************* for assistance.
In support of our mission to improve the health and lives of Louisianians, Blue Cross encourages the good health of its employees and visitors. We want to ensure that our employees have a work environment that will optimize personal health and well-being. Due to the acknowledged hazards from exposure to environmental tobacco smoke, and in order to promote good health, our company properties are smoke and tobacco free.
Blue Cross and Blue Shield of Louisiana performs background and pre-employment drug screening after an offer has been extended and prior to hire for all positions. As part of this process records may be verified and information checked with agencies including but not limited to the Social Security Administration, criminal courts, federal, state, and county repositories of criminal records, Department of Motor Vehicles and credit bureaus. Pursuant with sec 1033 of the Violent Crime Control and Law Enforcement Act of 1994, individuals who have been convicted of a felony crime involving dishonesty or breach of trust are prohibited from working in the insurance industry unless they obtain written consent from their state insurance commissioner.
Additionally, Blue Cross and Blue Shield of Louisiana is a Drug Free Workplace. A pre-employment drug screen will be required and any offer is contingent upon satisfactory drug testing results.
$63k-84k yearly est. Auto-Apply 57d ago
EPIC Payor Reimbursement Analyst - FT - Days - Remote Optional
Washington Hospital, Inc., Mary 4.6
Remote reimbursement analyst job
Start the day excited to make a difference…end the day knowing you did. Come join our team. EPIC Payor ReimbursementAnalyst must have strong proficiency and knowledge application of providing analytic expertise in the following areas: Epic HB/PB contract build and modeling functions, healthcare financial and payor software systems, payor financial impact/trend analysis reports and managed care contracting knowledge. This role will require extensive knowledge of internal financial systems, ability to manipulate/present a wide data range upon request and understanding of financial impacts of managed care contracting to organization budgets. This position must demonstrate a commitment of quality service to our patients, the community, and our internal/external customers.
* At this time, this position is open to candidates located in and authorized to work in the United States who reside in one of the following states:
VA, NC, SC, GA, FL, NE, TX, WI, LA, ME, WV, TN, LA, NH, IA and OH*
Essential Functions & Responsibilities
Epic HB Resolute Function:
* Understanding and analysis of contracts, components, component groups, selection extensions, pricing extensions, hospital billing rules and many more items within the resolute
* Interpretation and loading of multiple fee schedules used within HB contracting
Epic PB Resolute Function:
* Interpretation and loading multiple fee schedules used within PB contracting
Epic HB/PB Resolute Function:
* Optimization of previously built contracts and creation of "new" contracts within the epic Contract Maintenance
* Build contracts within Epic that reimburse by DRG, percentage of billed charges, grouper rates, case rates, global case rates, per diem and contain lesser of and stop bill language, for utilization in expected reimbursement calculations
* Analyze, build, test, deploy and maintain Payor Relations contracts/fee schedules and system related functions
* Monitor, analyze and test interface projects and upgrades to ensure contract pricing and language are appropriate
* Utilizes contract modeling/cost accounting software to analyze/model the impact of contract rate proposals between MWHC and Payors
* Maintain knowledge in technical workflow and identify/communicate trends
Payor Relations Function:
* Analyzes and produces payor financial impact analysis for all contract proposals for HB/PB
* Performs retrospective impact analysis against organization budget to ensure contractual financial results meet set financial targets
* Analyzes the reimbursement impact of changes in government regulations, regulatory code changes/deletions/revisions, key managed care contracts, and third-party billing policies or requirements and reports financial impact to Manager.
* Utilize Excel to do the data analysis; data comes from Epic
* Performance of other duties assigned
Qualifications and Certifications:
Required
* Minimum 3 years relevant experience
* Certified in applicable Epic application and/or certified within six months of hire
* Strong understanding of payor reimbursement coding (e.g., DRG, CPT, RC, HCPCS, OPPS, APC)
* Strong understanding of HB/PB workflows, analytics and technology
* Ability to prioritize multiple projects
* Strong verbal, written and presentation skills
* Ability to maintain professionalism and work within a team environment across multiple disciplines and teams
Preferred
* Certified in Healthcare Financial Professional (CHFP)
* Strong understanding of HB/PB revenue cycle functions and payor contracting
* Strong computer skills relevant to position; extensive experience using Excel, Access Database, knowledge of Lawson and Siemen's systems and DSS/Managed Care contract modeling software
As an EOE/AA employer, the organization will not discriminate in its employment practices due to an applicant's race, color, religion, sex, sexual orientation, gender identity, national origin, and veteran or disability status.
$70k-84k yearly est. Auto-Apply 56d ago
EPIC Payor Reimbursement Analyst - FT - Days - Remote Optional
Mary Washington Healthcare 4.8
Remote reimbursement analyst job
Start the day excited to make a difference…end the day knowing you did. Come join our team.
EPIC Payor ReimbursementAnalyst must have strong proficiency and knowledge application of providing analytic expertise in the following areas: Epic HB/PB contract build and modeling functions, healthcare financial and payor software systems, payor financial impact/trend analysis reports and managed care contracting knowledge. This role will require extensive knowledge of internal financial systems, ability to manipulate/present a wide data range upon request and understanding of financial impacts of managed care contracting to organization budgets. This position must demonstrate a commitment of quality service to our patients, the community, and our internal/external customers.
***At this time, this position is open to candidates located in and authorized to work in the United States who reside in one of the following states:
VA, NC, SC, GA, FL, NE, TX, WI, LA, ME, WV, TN, LA, NH, IA and OH***
Essential Functions & Responsibilities
Epic HB Resolute Function:
Understanding and analysis of contracts, components, component groups, selection extensions, pricing extensions, hospital billing rules and many more items within the resolute
Interpretation and loading of multiple fee schedules used within HB contracting
Epic PB Resolute Function:
Interpretation and loading multiple fee schedules used within PB contracting
Epic HB/PB Resolute Function:
Optimization of previously built contracts and creation of “new” contracts within the epic Contract Maintenance
Build contracts within Epic that reimburse by DRG, percentage of billed charges, grouper rates, case rates, global case rates, per diem and contain lesser of and stop bill language, for utilization in expected reimbursement calculations
Analyze, build, test, deploy and maintain Payor Relations contracts/fee schedules and system related functions
Monitor, analyze and test interface projects and upgrades to ensure contract pricing and language are appropriate
Utilizes contract modeling/cost accounting software to analyze/model the impact of contract rate proposals between MWHC and Payors
Maintain knowledge in technical workflow and identify/communicate trends
Payor Relations Function:
Analyzes and produces payor financial impact analysis for
all
contract proposals for HB/PB
Performs retrospective impact analysis against organization budget to ensure contractual financial results meet set financial targets
Analyzes the reimbursement impact of changes in government regulations, regulatory code changes/deletions/revisions, key managed care contracts, and third-party billing policies or requirements and reports financial impact to Manager.
Utilize Excel to do the data analysis; data comes from Epic
Performance of other duties assigned
Qualifications and Certifications:
Required
Minimum 3 years relevant experience
Certified in applicable Epic application and/or certified within six months of hire
Strong understanding of payor reimbursement coding (e.g., DRG, CPT, RC, HCPCS, OPPS, APC)
Strong understanding of HB/PB workflows, analytics and technology
Ability to prioritize multiple projects
Strong verbal, written and presentation skills
Ability to maintain professionalism and work within a team environment across multiple disciplines and teams
Preferred
Certified in Healthcare Financial Professional (CHFP)
Strong understanding of HB/PB revenue cycle functions and payor contracting
Strong computer skills relevant to position; extensive experience using Excel, Access Database, knowledge of Lawson and Siemen's systems and DSS/Managed Care contract modeling software
As an EOE/AA employer, the organization will not discriminate in its employment practices due to an applicant's race, color, religion, sex, sexual orientation, gender identity, national origin, and veteran or disability status.
$51k-66k yearly est. Auto-Apply 60d+ ago
Remote Cerner Oracle EMR EHR Business Analyst. Remote Part time or Full time
CapB Infotek
Remote reimbursement analyst job
For one of our ongoing project, we are looking for a Business analyst experienced on Cerner / Oracle EMR EHR. This is a 100% Remote role and can be done on a Part Time or Full time Basis. Only Local Wisconsin residents will be considered.
Job Description
Good understanding of Scheduling and Registration, HIM, Provider, Pharmacy, lab and · Nursing Workflows is needed.
B.A. shall have experience with the ability to understand and document business requirements for reporting in a HIPAA regulated environment.
Good business process mapping and process capture through Visio flow diagrams is also required.
Experience in change management systems.
Knowledge of vendor-based application release cycle and ticket management.
Ability to identify integration points.
Knowledge of reporting and dashboard maintenance.
Experience in process improvements and I.T. systems integration.
Ability to work with cross-functional teams.
Ability to work with business teams and good communication and presentation skills.
Experience in User Acceptance Testing (UAT), running regression tests on systems, and · identifying, designing, and optimizing new and existing test cases.
JIRA tool experience. (nice to have)
Experience with SQL, PL SQL and CCL code writing.
Existing knowledge of Discern Reporting Portal (Static and Interactive Reporting)
Existing Knowledge of Business Objects Reporting Solution.
$60k-83k yearly est. 60d+ ago
Medical Record Identity Analyst
Suny Upstate Medical University
Remote reimbursement analyst job
Under indirect supervision, performs medical record number merges, demographic changes and contact moves with EPIC and Chartmaxx. Facilitates the timely correction of documentation errors in EPIC. Coordinates the correction of documentation errors in EPIC including but not limited to provider notes, history and problem list encounters, flowsheets, allergies, etc; Researches and validates requests submitted for any changes in patient demographic or medical record information using all electronic systems available (internally and externally) as well as paper records/microfilmed records; Prepares and sends communication notices to large email group on all corrections completed on a daily basis, Adds, modifies, moves, or deletes documents in EPIC and Chartmaxx, Performs identity medical record merges, chart corrections, contact moves, etc. in EPIC and Chartmaxx.
Minimum Qualifications:
Associates degree in Health Information Management and two years of relevant medical records experience or equivalent combination of education and experience required. Excellent communication, analytical, computer and multi-tasking skills required.
Preferred Qualifications:
Previous experience with electronic medical record systems strongly preferred.
Work Days:
Mon - Fri, Days
Message to Applicants:
Remote opportunity available.
Recruitment Office: Human Resources
$64k-95k yearly est. 60d+ ago
Practice Analyst (Hybrid in Columbus, OH)
Radiology Partners 4.3
Reimbursement analyst job in Columbus, OH
The Practice Analyst is responsible for analyzing operational data, supporting process improvements, and assisting in the development and implementation of strategic initiatives within the practice. The individual will work closely with leadership on the team, helping them analyze operational data, supporting process improvements, and assisting in the development and implementation of strategic initiatives within the practice. This role will be a key contributor to our daily operations, Radiologist retention, client satisfaction and Practice objectives by providing workflow solutions and proactive recommendations to Practice leadership.
Candidates must be local to the Columbus, OH area.
Who We Are and WHat we DO
Radiology Partners, through its owned and affiliated practices, is a leading radiology practice in the U.S., serving hospitals and other healthcare facilities across the nation. As a physician-led and physician-owned practice, our mission is to transform radiology by innovating across clinical value, technology, service, and economics, while elevating the role of radiology and radiologists in healthcare. Using a proven healthcare services model, Radiology Partners provides consistent, high-quality care to patients, while delivering enhanced value to the hospitals, clinics, imaging centers and referring physicians we serve.
WHy Radiology Partners:
* Competitive Benefits package - Eligibility starts the month after hire, with tiered options to choose from.
* Compensation Reviews, Career Growth Opportunities
* Flexible Remote Schedules
* Generous PTO Plans and Paid Holidays
* Great Place to Work Certified
POSITION DUTIES AND RESPONSIBILITIES
* Analyze operational metrics, workflow efficiencies, and radiologist productivity to identify areas for improvement.
* Monitor and track turnaround times (TAT), case volumes, and quality assurance (QA) metrics.
* Collaborate with IT teams to optimize PACS/RIS and other radiology-related software systems.
* Prepare reports and presentations for leadership on key performance indicators and practice trends.
* Support scheduling optimization efforts, including staffing analysis and workload distribution.
* Assist with credentialing, compliance, and regulatory reporting requirements.
* Provide data-driven insights to enhance radiologist engagement and workflow efficiencies.
* Support provider payroll processes, ensuring accuracy in compensation and compliance with contract terms.
* Support practice leadership with strategic initiatives, special projects, and business development efforts.
* Assist in the management of clinical quality management programs, including OPPE / FPPE reporting and radiologist CME for ongoing certification and site accreditation
* Assist in the management of team meetings, inclusive of but not limited to, preparation of meeting agenda, meeting minutes, and follow up team newsletter
* Facilitate radiologist support for escalated studies and worklists
* Assist with licensing and credentialing efforts as required
REQUIRED QUALIFICATIONS
* 2+ years of experience in healthcare operations, data analysis, or practice management
DESIRED EDUCATION/EXPERIENCE
* Associate's degree in healthcare administration, business, data analytics, or a related field. Bachelor's degree preferred
* 1-2 years of experience in similar or relevant role, a radiology management, private practice background is preferred.
* 2+ years radiology experience preferred
KNOWLEDGE, SKILLS AND ABILITIES
* Strong analytical and problem-solving skills with the ability to interpret complex data sets.
* Proficiency in Microsoft Excel, PowerPoint, and data visualization tools.
* Experience with healthcare IT systems such as PACS, RIS, and Qgenda is a plus.
* Excellent written and verbal communication skills.
* Ability to work independently and collaboratively in a fast-paced environment.
* Ability to innovate in a fast-growing work environment and comfort dealing with ambiguity
* Highly organized, detail oriented, with capacity to track information and conversations across a variety of mechanisms (email, Teams, SharePoint, etc.)
* Creative problem-solving skills with an ability to overcome obstacles
* Quick learner who is not in need of step-by-step instructions
* Highly motivated self-starter who is an excellent team player
* Prior experience in healthcare and/or radiology is a plus
Radiology Partners is an equal opportunity employer. RP is committed to being an inclusive, safe and welcoming environment where everyone has equal access and equitable resources to reach their full potential. We are united by our Mission to Transform Radiology and in turn have an important impact on the patients we serve and the healthcare system overall. We hold that diversity is a key source of strength from which we will build a practice culture that is inclusive for all. Our goal is to empower and engage the voice of every teammate to promote awareness, compassion and a healthy respect for differences.
CCPA Notice: When you submit a job application or resume, you are providing the Practice with the following categories of personal information that the Practice will use for the purpose of evaluating your candidacy for employment: (1) Personal Identifiers; and (2) Education and Employment History.
Radiology Partners participates in E-verify.
Beware of Fraudulent Messages: Radiology Partners will never request payment, banking or other financial information in exchange for interviews or as part of the hiring process. Additionally, we will not send checks for deposit into your bank account at any stage of recruitment. All communication during the interview and hiring process should come from an email address ending in "@radpartners.com." If you suspect you are receiving a fraudulent job offer or solicitation from Radiology Partners or one of our local practices, please email ********************** to notify our team.
$50k-69k yearly est. 13d ago
EHR Analyst
The Emily Program 3.7
Remote reimbursement analyst job
Our vision is a world of peaceful relationships with food, weight, and body image, where everyone with an eating disorder can experience recovery. We believe that exceptional, individualized care leads to lasting recovery from eating disorders. That's why our teams are comprised of compassionate, dedicated professionals from a variety of backgrounds who collaborate to provide the very best evidence-based care for our clients at all levels of care.
Position Summary:
The EHR Analyst will be an integral member of the EHR team. They will provide ‘real time' support to the Revenue Cycle Management (RCM) team and business staff, help work through claim and remittance technical issues, offer superior service and responsiveness to internal customers and work with vendors and members of the EHR team to facilitate fixes/solutions/enhancements to the billing system. They will assist with system upgrades and test scripts.
Schedule:
Monday - Friday, typical business hours
Fully Remote
Compensation Disclosure:
Starting salary range between $65,000 - $80,000
Final Compensation offered will be within pay range based on qualifications/experience met for the position
How an EHR Billing Analyst Empowers Recovery:
Address billing discrepancies received from claim remittances.
Handle billing production problem/issues resolution for all end users.
Play a key/lead role in the overall billing support and optimization of the EHR system.
Serve as the point of contact for all EHR billing corrections for the billing team.
Responsible for maintaining a high level of customer satisfaction with end users.
Provide reliable tracking mechanics for changes to the EHR system.
Maintain accurate records of all billing changes made and results of inquiries via ticketing system.
Assist EHR team members with researching functionality for new enhancements.
Work with Training to update support and maintenance documentation.
Provide key knowledge on the development and implementation of standardized, streamlined billing content.
Participate in validation testing of new design/build and provide implementation support.
Assist in the implementation, design, build, test, and maintenance of systems to support clinical and/or financial processes.
Assist in EHR build requirements when needed.
Contribute to tasks and projects as assigned by management as necessary to help in the development of application test strategies and plans.
Effectively communicate the status of tasks/projects to management and ensure timely and quality delivery of all deliverables.
Qualifications:
Minimum two years' experience with my Avatar, Sigmund, AURA, SmartCare, or with another EHR system strongly preferred.
Willingness to learn and develop leadership skills.
Must possess excellent written and verbal communication skills.
Must be able to communicate effectively with billing staff and leadership.
Ability to understand and interpret billing concepts/requirements.
Knowledge of billing/CMS regulations/837i/837p loop and segments required.
Knowledge of claim remittance codes/posting codes/service codes.
Self-reliant individual with strong multitasking skills.
Must have excellent follow-through and attention to detail.
Ability to work under pressure and prioritize work appropriately in a changing environment.
Bachelor Degree in Health Information Management preferred.
Competencies:
Strong attention to detail and commitment to quality.
Solid Interpersonal skills with the demonstrated ability to develop and maintain productive relationships.
Demonstrate initiative and exercise good judgement (e.g, in starting tasks, asking questions, identifying, and discussing problems, ability to structure own work, stay on task).
Ability to prioritize and adapt to changing priorities.
Shows passion for our business, clients, and values.
What we offer:
Employee Benefits: We understand the importance of a well-rounded benefits package. That's why we're dedicated to providing a range of plans to meet your needs.
For full-time employees, we offer:
HSA and PPO insurance with HSA or FSA options (Blue Cross Blue Shield)
Dental insurance (Delta Dental)
Vision insurance (EyeMed)
Short-term and long-term disability insurance
Company-paid life insurance
401(k) plan available two months after start date
Company 401(k) matching for up to 50% of your contribution, up to 6% of your compensation
Paid time off is a crucial part of maintaining work and life balance. Our generous PTO plan accrues annually and begins with your first whole pay period. Eligible employees enjoy seven paid holidays and one floating holiday in addition to their regular PTO.
$65k-80k yearly Auto-Apply 5d ago
FP&A Analyst
Acreage Holdings, Inc. 4.1
Remote reimbursement analyst job
Why Canopy USA? HSCP Service Company LLC is a subsidiary of Canopy USA, LLC, a leading vertically integrated, multi-state operator in the United States cannabis industry. With the transition of Acreage Holdings to Canopy USA, LLC in December 2024, Canopy USA, LLC is now positioned to consolidate operations across its three business units - Wana, Jetty, and Acreage - realizing synergies, cost savings, and supporting growth in state-legal markets across the U.S. Through coverage of key market segments including flower via Superflux, vape and concentrates via Jetty, edibles and beverages via Wana, and retail through The Botanist, Canopy USA, LLC is well positioned to accelerate growth with an emphasis on the Midwestern and Northeastern U.S. markets. As newly formed Canopy USA, LLC, we are building a stronger, more agile organization that will unlock greater opportunities across the growing US cannabis market.
Who you'll work for: HSCP Service Company LLC
Our Culture:
Here at Canopy USA, LLC, we believe in people first. We value our people and encourage continuous opportunities to learn, develop, and grow. We pride ourselves in innovation and passion for the cannabis industry.
We are always looking for motivated people who share our vision to join our team. Think you have what it takes? Then come grow with us!
About the Role:
The FP&A team is focused on supporting the firm in achieving its business goals from a financial viewpoint. To that end, the Financial Analyst is responsible for creating financial models, analyzing business results, and delivering insights into the business. Working in partnership with the Director of FP&A, the Financial Analyst will focus on effective business planning, resource allocation, and business performance.
How you'll make a difference:
* Reporting and analytics involving financials and other key performance indicators critical to operational management of the businesses
* Participate and support FP&A projects and drive standardization and improvement of activities to generate efficiency both through logic building and automation
* Develop financial models and management reporting packages to support business planning and execution
* Participate in the annual budgeting and periodic forecasting processes.
* Analyze financial results and provide commentary as required
* Collaborate with other departments and cross-functional teams in measuring and analyzing projects and initiatives
* Articulate financial concepts to non-finance business partners in a clear and concise manner
* Perform other related duties as assigned
Skills to be Successful:
* Bachelor's degree in Finance, Accounting, or closely related field
* Three or more years of relevant experience
* Able to operate in a remote working environment
* Exceptional verbal and written communication skills
* 'Can-do' attitude - willing to contribute at all levels in a small but high performing team environment with strict deadlines and multiple demands
* Knowledge of the Cannabis industry or Retail experience is preferred
Computers and Technology
* Highly proficient in Microsoft Word, Excel, PowerPoint
* Experience with NetSuite, Microsoft Dynamics, Power BI, or Domo encouraged
Perks & Benefits:
* Full suite of medical, dental, and vision insurance
* Paid parental leave
* 401 (k)
* Paid Time Off
* Short Term and Long-Term Disability
* Employee Assistance Program
* Employee life insurance and supplemental life
* Spouse and child life and AD&D
* Pet insurance
* FSA and HSA available
* Based on eligibility.
Schedule:
* Monday-Friday
Subject to change as business needs.
Work Environment and Physical Demands:
The work environment characteristics and physical demands described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be requested to enable individuals with disabilities to perform the essential functions.
Manufacturing environment that requires extended time standing, walking, bending and reaching. Ability to carry up to 50lbs for up to a distance of 100ft may be required. Occasional extended and repetitive use of arms, hands and fingers to cut and manipulate small objects. Ability to work in a humid and pollinated environment.
E-Verify Participation Notice
This Employer participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S.
What is E-Verify? E-Verify is an internet-based system that compares information from and employee's Form I-9, Employment Eligibility Verification, to data from the U.S. Department of Homeland Security and Social Security Administration records to confirm employment eligibility.
Code of Conduct:
All employees are expected to represent the values and maintain the standards contained in the Code of Conduct.
HSCP Service Company LLC is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, sexual orientation, disability, or protected Veteran status. We appreciate your interest in HSCP Service Company LLC. If you need assistance with completing an online application due to a disability, please send a request to **************************. Please be sure to include "Accommodation Request" in the subject line.
$69k-100k yearly est. 35d ago
Analyst I - Federal TS/SCI CI Poly | Chantilly, VA
Optiv 4.8
Remote reimbursement analyst job
Optiv + ClearShark is looking for a proactive and self-motivated individual, responsible for executing routine tasks outlined in a statement of work with minimal oversight and ensuring adherence to project timelines and deliverables. To be successful in this role, the candidate will maintain and obtain certifications aligned with industry standards to enhance their expertise. They are expected to utilize problem-solving skills to find effective resolutions and to escalate complex issues promptly. Excellent communication skills are essential for this role, as these individuals will interact with clients regularly.
**How you'll make an impact**
+ Have an initial understanding of the most effective and efficient process to get things done with a focus on continuous improvement.
+ Begin to develop the ability to make sense of complex information to effectively solve problems, reaching out to mentors for guidance when necessary.
+ Spend 10% of the time focusing on training and fine-tuning skills.
+ Spend 90% of the time on engagements.
**What we're looking for**
+ Currently holds a Top Secret clearance - TS/SCI with a CI poly required.
+ Experience operating in classified environments.
+ Bachelor's degree in a related area or at least 4 years of related work experience.
+ Understanding of identity, SIEM, cybersecurity, and infrastructure concepts.
+ Strong experience in Splunk, Cribl and Splunk Enterprise Security.
+ Splunk Admin certification is highly desired, Splunk Power User certification required.
+ Understanding of governance and compliance, specifically with FAR, DFARs, CUI and CMMC.
+ Understanding of FedRAMP and IL constructs.
+ Strong interpersonal skills and ability to work collaboratively in a team.
+ Ability to clearly communicate complex messages to a variety of audiences.
+ Excellent problem-solving skills with a keen attention to detail.
+ Willingness to travel to meet client needs.
**What you can expect from Optiv**
+ A company committed to championing Diversity, Equality, and Inclusion through our Employee Resource Groups (************************************************ .
+ Work/life balance
+ Professional training resources
+ Creative problem-solving and the ability to tackle unique, complex projects
+ Volunteer Opportunities. "Optiv Chips In" encourages employees to volunteer and engage with their teams and communities.
+ The ability and technology necessary to productively work remotely/from home (where applicable)
**EEO Statement**
Optiv + ClearShark is an equal opportunity employer. All qualified applicants for employment will be considered without regard to race, color, religion, sex, gender identity or expression, sexual orientation, pregnancy, age 40 and over, marital status, genetic information, national origin, status as an individual with a disability, military or veteran status, or any other basis protected by federal, state, or local law.
Optiv + ClearShark respects your privacy. By providing your information through this page or applying for a job at Optiv + ClearShark, you acknowledge that Optiv + ClearShark will collect, use, and process your information, which may include personal information and sensitive personal information, in connection with Optiv + ClearShark's selection and recruitment activities. For additional details on how Optiv + ClearShark uses and protects your personal information in the application process, click here to view our Applicant Privacy Notice (************************************************** . If you sign up to receive notifications of job postings, you may unsubscribe at any time.
$60k-89k yearly est. 32d ago
Growth Analyst
Roo 3.8
Remote reimbursement analyst job
What We Do We're on a mission to empower animal healthcare professionals with opportunities to earn more and achieve greater flexibility in their careers and personal lives. Powered by groundbreaking technology, Roo has built the industry-leading veterinary staffing platform, connecting Veterinarians, Technicians, and Assistants with animal hospitals for relief work and hiring opportunities. Roo empowers the largest network of over 20,000 veterinary professionals to help more than 9,000 animal hospitals provide quality care to more pets.
Together, we've provided more than 3 million hours of healthcare, helping Veterinarians earn more than $200 million. About the Role
At Roo, the Growth team works alongside the VP of Data to define the objectives of our company initiatives and ensure we are able to measure their impact. The team has 4 major goals -
Prototyping new data-driven workflows designed to unlock growth.
Helping teams/initiatives/projects define and dashboard their North Star.
Helping teams/initiatives/projects run trusted experiments that attempt to improve a Roo Equation metric.
Helping teams identify interesting trends and perform deep dive analysis
We are data driven and focus on a first principles approach. The team is involved in the full lifecycle of major product initiatives: leveraging data to identify opportunities, co-leading initiatives, investigating and sizing them, facilitating measurement of the impact of our efforts and developing/maintaining dashboards to report on our progress.
This role reports to the Senior Manager, Growth and while the role will operate on a remote basis, you will be required to occasionally be onsite in our San Francisco coworking space for meetings and team events.
Your Responsibilities
Partner with the Product & Cross Functional Leads to set and monitor objectives and core metrics for all product initiatives.
Develop and maintain dashboards to help cross-functional teams and leadership monitor the progress of each independent workstream.
Partner with the Go To Market team to identify opportunities for and measure impact creation/improvement of “levers”.
Translate insights into a clear and effective execution direction for product teams.
Partner with the Product to investigate and size new opportunities.
Qualifications
You have years of experience running ad hoc investigations on datasets using SQL, that lead to actionable insights.
You have a deep understanding of typical marketplace metrics and ecosystem dynamics. Ideally, you've spent 3+ years in a product or analytics role at a fast-growing marketplace startup.
You feel comfortable expressing relationships with mathematical equations.
You are always looking for ways to simplify instead of further complicate.
You have exceptional written and verbal communication skills, able to in the right situation either deeply explain or make totally accessible complex topics.
Exceptional leadership and emotional intelligence with the ability to inspire and motivate cross functional stakeholders through influence over authority.
You'd move mountains (or wash dishes) to drive successful outcomes.
Passion for Roo's mission to transform the animal health industry through innovation in order to liberate and empower animal health professionals.
While we are a remote first company, if you are based in San Francisco this will be a hybrid role. Please see below for examples of compensation ranges based on state averages.
Note: We've recently been made aware of a job scam where scammers are posing as Roo employees and conducting fake text interviews. Please note that any communication ******************* is not legitimate. All official Roo communication will always come *************.
Exact compensation may vary based on skills, experience, and location.
California pay range$150,000-$190,000 USDNew York pay range$150,000-$190,000 USDWashington pay range$145,000-$170,000 USDColorado pay range$125,000-$165,000 USDTexas pay range$125,000-$165,000 USDNorth Carolina pay range$120,000-$155,000 USD Core Values Our Core Values are what shape us as an organization and we're looking for people who exhibit the same values in their professional life; Bias to Urgency, Drive Measurable Impact, Seek Understanding, Solve Customer Problems and Have Fun! What to expect from working at Roo! For permanent, full time employees, we offer:
Accelerated growth & learning potential.
Stipends for home office setup, continuing education, and monthly wellness.
Comprehensive health benefits to fit your needs with base medical plan covered at 100% with optional premium buy up plans.
401K
Unlimited Paid Time Off.
Paid Maternity/Paternity and reproductive care leave.
Gifts on your birthday & anniversary.
Opportunity for domestic travel, including for regional team building events.
Overall, you would be part of a mission-driven company that will significantly empower the lives of all veterinary professionals and the health of the overall animal industry that seeks massive innovation. We have diverse, passionate & driven team members from a variety of backgrounds, and Roo is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status. We are committed to creating an inclusive environment for all employees and candidates. We understand that your individual experience may not check every box but we still encourage you to apply even if you are not confident in every expectation listed. Ready to join the Roo-volution?!
$58k-90k yearly est. Auto-Apply 12d ago
Analyst I, Full Stack
Affirm 4.7
Remote reimbursement analyst job
Affirm is reinventing credit to make it more honest and friendly, giving consumers the flexibility to buy now and pay later without any hidden fees or compounding interest.
What You'll Do:
Perform advanced data analysis to derive critical insights and develop credit strategies;
Utilize data modeling techniques to manage the profitability and resilience of Affirm by assessing and managing risk through analysis and development of portfolio models by using statistics to quantify risk;
Collaborate with Data Science and Engineering teams to build our new underwriting models and risk management capabilities for Affirm's consumer finance platform;
Explore business data by using statistical and data modeling to develop robust lifetime valuation infrastructure and capabilities;
Collaborate with the Merchant Pricing team to value different merchants and use advanced data analytics to derive insights and optimize credit strategies;
Develop credit policies for new initiatives and products;
Develop effective risk management strategies and capabilities by analyzing business data sets and using Structured Query Language (SQL) to perform ongoing data testing and experimentation;
Monitor portfolio as well as macroeconomic trends impacting loan performance; and
Improve end-to-end product analytics workflows using quantitative techniques including linear and logistic regression, classification, clustering and other data modeling and mining methods to deeply understand and analyze data that will improve underwriting solutions.
May telecommute.
Position requires 5% of travel to various unanticipated worksites nationally.
What we look for:
Master's degree (or foreign equivalent) in Business Analytics, Financial Engineering or related field & one year of experience in the following:
Economic and accounting principles and practices, including: the financial markets, banking, and the analysis and reporting of financial data;
SQL, Python, R, Matlab, or AWS;
Looker or Tableau;
Risk modeling including both credit and market risk, assessing macroeconomic trends and financial performance, enabling evaluation of industry risk trends;
Using advanced machine learning techniques to develop quantitative models to predict probability of default with financials and macroeconomic indicators;
Data analytics, financial modeling, model validation, and risk analytics.
Base Pay Grade - K
Equity Grade - 4
Employees new to Affirm typically come in at the start of the pay range. Affirm focuses on providing a simple and transparent pay structure which is based on a variety of factors, including location, experience and job-related skills.
Base pay is part of a total compensation package that may include equity rewards, monthly stipends for health, wellness and tech spending, and benefits (including 100% subsidized medical coverage, dental and vision for you and your dependents.)
USA base pay range (CA, WA, NY, NJ, CT) per year: $140,000-$190,000
USA base pay range (all other U.S. states) per year: $128,398-$174,000
#LI-DNI
Affirm is proud to be a remote-first company! The majority of our roles are remote and you can work almost anywhere within the country of employment. Affirmers in proximal roles have the flexibility to work remotely, but will occasionally be required to work out of their assigned Affirm office. A limited number of roles remain office-based due to the nature of their job responsibilities.
We're extremely proud to offer competitive benefits that are anchored to our core value of people come first. Some key highlights of our benefits package include:
Health care coverage - Affirm covers all premiums for all levels of coverage for you and your dependents
Flexible Spending Wallets - generous stipends for spending on Technology, Food, various Lifestyle needs, and family forming expenses
Time off - competitive vacation and holiday schedules allowing you to take time off to rest and recharge
ESPP - An employee stock purchase plan enabling you to buy shares of Affirm at a discount
We believe It's On Us to provide an inclusive interview experience for all, including people with disabilities. We are happy to provide reasonable accommodations to candidates in need of individualized support during the hiring process.
[For U.S. positions that could be performed in Los Angeles or San Francisco] Pursuant to the San Francisco Fair Chance Ordinance and Los Angeles Fair Chance Initiative for Hiring Ordinance, Affirm will consider for employment qualified applicants with arrest and conviction records.
By clicking "Submit Application," you acknowledge that you have read Affirm's Global Candidate Privacy Notice and hereby freely and unambiguously give informed consent to the collection, processing, use, and storage of your personal information as described therein.
$58k-90k yearly est. Auto-Apply 13d ago
Entry Level Vibration Analyst
I-Care Group 4.8
Reimbursement analyst job in Columbus, OH
Responsible for maintaining a full time on site Condition Monitoring services ensuring quality and customer satisfaction. Candidate is responsible for scheduling work as necessary as well as reporting metrics, KPIs that accurately reflect the performance, progress, reports and findings as required by the client and I-care. The Manager is also accountable for developing and updating SOP's, internal audits, overall safety, including ensuring compliance with all I-care, client, OSHA, and all other applicable standards to the facility that they are servicing, be a technical resource to the client and I-care employees in troubleshooting PdM and lubrication-related issues and perform and oversee specific projects as assigned.
ESSENTIAL FUNCTIONS AND BASIC DUTIES
1. Leads condition monitoring program setup or for clients as required, including but not limited to:
a. Building and maintaining CM technology databases to applicable I-care and client-required standards.
2. Responsible for communication and education between the company and clients, including but not limited to:
a. Communicating the I-care deliverables to the client.
b. Conduct technology awareness sessions for clients as requested.
c. Submit documented case studies for customers to support machine life cycle improvement.
d. Must be able to interact comfortably, gain trust, and communicate effectively.
3. Responsible for necessary auditing, metrics and reporting, including but not limited to:
a. Ensuring all databases are in compliance with current applicable standards.
b. Managing all database changes.
c. Lead Management of Change (MOC) process adherence.
e. The accuracy and timeliness of all internal and external communications and reporting.
f. Nuisance alarm management.
4. Responsible for the overall safety awareness of the work environment.
a. Ensuring compliance with I-care, client, OSHA, and other applicable standards.
b. Actively participates in I-Care and client safety programs to foster continuous improvement.
c. Issue a “Stop Work” action if any situation, environment, or condition is an immediate concern of injury to himself or others. If it is not safe then do not perform the work until a safe method or condition exists, period.
5. Mentoring - A few of the activities in the area of Mentoring will include, but are not limited to:
a. Assist in training/mentoring of I-Care employees.
b. Able to convey obtained knowledge from seminar/training sessions.
6. Performs Condition Monitoring and Reporting of equipment. Condition Monitoring responsibilities include but are not limited to:
a. Collect technology data in accordance with I-Care and best practice industry standards.
b. Maintains technology databases with current information.
e. Reports results in a clear concise manner following all I-Care and/or client procedures for content.
7. Other Responsibility
a. Performs special projects as assigned. Work on call and/or overtime as needed and required.
b. Ensures that the work area and all I-Care and/or client-supplied equipment are clean, secure, and well maintained.
_______________________________________________________________________________________
GENERAL PERFORMANCE MEASUREMENTS
1. Technical - verifies accurate analysis and reporting of technology data, reports are accurate, and neat, and assignments are completed as scheduled.
2. All inquiries are courteously attended to. Good business relations exist with I-Care employees and clients. A professional image is projected at all times.
3. Work is performed safely and the employee actively participates in continuous improvement of the safety programs. Work areas and equipment are kept neat, clean, and well organized.
QUALIFICATIONS
EDUCATION/CERTIFICATION: High school graduate or equivalent, College Graduate preferred in technology or engineering field. ASNT-TC1A or ASNT-CP189 Professional Certification Level 2, or ISO Category 3, or industry equivalent.
REQUIRED KNOWLEDGE: Mechanical CM Analyst: machinery fundamentals including pumps, motors, gearboxes, blowers, compressors, switchgear, etc. Knowledge of mechanical fundamentals, such as fits and tolerances. Detailed knowledge of data acquisition techniques utilizing Vibration
Analyzers, Ultrasound. Working knowledge of other condition-monitoring technologies.
Electrical CM Analyst: knowledge of electrical fundamentals including: switchgear, fuses, disconnects, cable, torquing of fasteners, transformers, etc. Knowledge of data acquisition techniques utilizing Infrared Cameras, Ultrasound, Motor Testing Equipment. Working knowledge of other condition-monitoring technologies.
EXPERIENCE REQUIRED:3 or more years of direct related experience.
SKILLS/ABILITIES: Good communication skills, both oral and written.
Proficient computer skills, including but not limited to Windows, Word, and Excel.
Solid analytical and problem-solving abilities.
Able to work well independently.
$65k-83k yearly est. 60d+ ago
Analyst (Product / Systems)
EAi Technologies 3.5
Remote reimbursement analyst job
Discover the feelings of Camaraderie and Family while being analytically and technically challenged to grow! Responsibilities: Collaborate directly with clients' end-users and our internal teams to design and develop dynamic Enterprise Web and Mobile applications in Cyber Security, Supply Chain/Logistics, or Finance for a variety of clients like Verizon, Capital One, and Cardinal Health in small teams. Work in a fast-paced, hands-on capacity in a client-interactive role, rapidly absorbing and analyzing requirements, creating use cases and business applications requirements seeing first-hand the impact of your work on a daily basis.
Desired Skills/Traits:
Understanding/familiarity with software/technology,
Proficiency or ability to quickly learn new concepts and technologies.
High Energy / Attitude.
Creative Problem Solving.
We take care of our EAI Family:
FREE catered lunch DAILY. Stipend provided during COVID work from home.
Paid Training (CodeAcademy, Coursera, NoFluffJustStuff, Google DevFest, pre-paid courses, mentoring).
FREE snacks/drinks - Multiple varieties of soft drinks, juices, coffee, tea, Gatorade, beer, wine & regular social gatherings.
EAI has NEVER HAD LAYOFFS from its beginnings in 2001. We have carried our folks through multiple tough economic cycles (2002, 2009/10, current pandemic) and will continue to do so!
We are growing and looking for individuals who want to be part of a fun, passionate, and highly accomplished team with Hackathons and regular events like Poker and Movie Night to keep the spirits alive. Combine that with daily catered lunch from such restaurants as Cava, Chipotle, La Plaka, Jason's Deli, and Shake Shack and you can see that we strive to foster a family-friendly culture that emphasizes teamwork, camaraderie, and openness.
Come experience why so many employees have been with EAI for 5 to 10+ years and continue to make it their home as the EAI Family expands.
$68k-86k yearly est. Auto-Apply 60d+ ago
Analyst IV, CPQ
Next Gen 3.6
Remote reimbursement analyst job
Plan, design, develop, and launch efficient business and operations systems in support of core organizational functions and business processes. Gather and analyze data in support of business cases, proposed projects, and systems requirements. Perform work with a high degree of latitude and handles more complex client accounts and/or configuration issues.
Partner with decision makers, systems owners, and end users to define business, financial, and operations requirements and systems goals, identify and resolve systems issues, drive new projects and initiatives, and support existing business dependency.
Develop standards, procedures, and design documents related to system architecture.
Lead internal teams and IT to gather business requirements needed for system modifications, enhancements, and implementations.
Analyze results of user testing to define interface requirements and develop specifications or prototypes.
Develop, design, and edit interface templates or interface code, following established software development and methodologies.
Serve as the subject matter expert (SME) to identify, create, and facilitate process design changes through the review and analysis of system effectiveness and efficiency; ensure data is reliable and develop strategies for improving and leveraging these systems.
Troubleshoot technical issues and lead technical investigations to identify and discover system errors, application modification, and/or functionality related issues.
Determine priority of escalated issues effectively and manage conflicting/competing priorities.
Perform in-depth tests, utilizing end-user reviews, for modified and new systems and other post-implementation support.
Lead and participate in Sprints for development cycle, define deliverables, determine improvement priorities, and provide feedback to ensure on-time delivery of project tasks and milestones.
Education Required:
Bachelor's degree in Computer Science or related discipline.
Or, any combination of education and experience which would provide the required qualifications for the position.
Experience Required:
5+ years' experience in using and implementing enterprise application solutions.
5+ years' experience in enterprise application configuration and development.
Salesforce platform experience.
Oracle CPQ (Big Machines) or similar type of application.
Agile environment.
Experience designing and supporting large-scale technically complex solutions.
Knowledge, Skills & Abilities:
Knowledge of: Salesforce configuration and portals including but not limited to developing custom objects, work-flow business rules, and validation rules; Sarbanes Oxley (SOX) processes and Stock Keeping Unit (SKU) creation and modification processes; relational databases used at enterprise scale; Microsoft Office Suite.
Skill in: Effective relationship management, communication, and presentation; dealing effectively with customers, vendors, peers, and senior management; work in a fast-paced environment; staying organized, prioritizing workload, multi-tasking, and meeting deadlines.
Ability to: Provide orientation and training to end users; mentor and provide guidance to junior staff; work independently as a self-starter in a fast-paced environment; adapt to growing and changing environment delivering accuracy while managing multiple deliverables within a projected timeline.
The company has reviewed this to ensure that essential functions and basic duties have been included. It is intended to provide guidelines for job expectations and the employee's ability to perform the position described. 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. This document does not represent a contract of employment, and the company reserves the right to change this job description and/or assign tasks for the employee to perform, as the company may deem appropriate.
NextGen Healthcare is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.
$42k-69k yearly est. Auto-Apply 33d ago
Conflicts Analyst
Cozen O'Connor Corporation 4.8
Remote reimbursement analyst job
Cozen O'Connor's has an opportunity for a REMOTE Conflicts Analyst in the firm's Case Management Department. The ideal candidate will have law firm and conflicts experience in processing new client/matters and electronic new matter intake forms.
3-5 years in a same or similar role within a law firm is required, with preference for those with experience supporting multiple offices and or practice areas
Conflicts of interest database experience a plus
Proficient in all Microsoft applications, including but not limited to Word, Excel, Outlook, and the Document Management System (DMS)
Able to learn, operate and navigate pertinent Firm applications, systems and databases, as necessary
Excellent and consistent attention to detail and accuracy
Excellent analytical and problem-solving abilities
Demonstrated ability to think outside the box
Multitasking, time management; excellent organization skills and ability to meet rapid deadlines
Flexibility to work additional hours as needed
Bachelor's degree or equivalent work experience required
Strong verbal and written communication skills and able to effectively communicate and provide explanations to all levels of attorneys and staff in the Firm
Ability to effectively handle multi-task assignments within the parameters of the job functions, and to perform in an environment of shifting turnaround deadlines
Strong ability to take ownership and responsibility for projects or special assignments
Solid initiative and independent judgment skills
Reliable, dependable and able to work independently or as part of a team
The salary range for this role is $60,000 - $80,000 and represents the Firm's good faith and reasonable estimate of the range of possible compensation at the time of posting. Actual compensation will be dependent upon a number of factors, including but not limited to, the candidate's relevant experience, qualifications and location.
Conducting daily conflicts research, running timely and accurate conflicts searches, analyzing conflicts reports identifying potential conflicts, and maintaining data in a conflicts database
Processing electronically all new matter and client opening requests
Research using S&P Cap IQ, Hoovers, LexisNexis/Corporate Affiliations, A.M. Best and other various public databases
Responsible for data integrity
Interaction with attorneys and staff pertaining to the Conflicts Group and its processes