Customer Service Assistant 2 - 20068007
Dasstateoh
Columbus, OH
Customer Service Assistant 2 - 20068007 (25000974) Organization: Workers' CompensationAgency Contact Name and Information: ********************** Unposting Date: Dec 16, 2025, 11:59:00 PMWork Location: William Green Building 30 West Spring Street Columbus 43215-2256Primary Location: United States of America-OHIO-Franklin County-Columbus Compensation: $22.96Schedule: Full-time Work Hours: 8:00am - 5:00pmClassified Indicator: ClassifiedUnion: OCSEA Primary Job Skill: Customer ServiceTechnical Skills: Customer ServiceProfessional Skills: Attention to Detail, Customer Focus, Responsiveness Agency OverviewA Little About Us:With roughly 1,500 employees in seven offices across Ohio, BWC is the state agency that cares for Ohio workers by promoting a culture of safety at work and at home and ensuring quality medical and pharmacy care is provided to injured workers. For Ohio employers, we provide insurance policies to cover workplace injuries and safety and wellness services to prevent injuries. Our Culture:BWC is a dynamic organization that offers career opportunities across many different disciplines. BWC strives to maintain an inclusive workplace. We begin by being an equal opportunity employer. Employees can participate in and lead employee work groups, participate in on-line forums and learn about how different perspectives can improve leadership skills.Our Vision:To transform BWC into an agile organization driven by customer success.Our Mission:To deliver consistently excellent experiences for each BWC customer every day.Our Core Values:One Agency, Personal Connection, Innovative Leadership, Relentless Excellence.What our employees have to say:BWC conducts an internal engagement survey on an annual basis. Some comments from our employees include:BWC has been a great place to work as it has provided opportunities for growth that were lacking in my previous place of work.I have worked at several state agencies and BWC is the best place to work.Best place to work in the state and with a sense of family and support.I love the work culture, helpfulness, and acceptance I've been embraced with at BWC.I continue to be impressed with the career longevity of our employees, their level of dedication to service, pride in their work, and vast experience. It really speaks to our mission and why people join BWC and then retire from BWC.If you are interested in helping BWC grow, please click this link to read more, and then come back to this job posting to submit your application!Job DescriptionBWC's core hours of operation are Monday-Friday from 8:00am to 5:00pm, however, daily start/end times may vary based on operational need across BWC departments. Most positions perform work on-site at one of BWC's seven offices across the state. BWC offers flextime work schedules that allow an employee to start the day as early as 7:00am or as late as 8:30am. Flex-time schedules are based on operational need and require supervisor approval.What You'll Be Doing:Under general supervision contacts employers or employer representatives & attorneys by phone to make audit appointments & update auditors calendars with scheduled or rescheduled appointments Maintains audit inventory (i.e. updates Access database with audit information such as dates of appointment, rescheduling); updates audit plan which is in excel with various information; updates CS with employer's demographic information obtained during the audit scheduling process; receives & forwards email from auditors to appropriate personnel to update manual classifications or current claim. Take audit information received electronically or hard copy from employers, their representatives or other sources and transfer information into UDS.Performs general clerical tasks: opens, sorts, & scans mail; forwards mail/email to appropriate personnel &/or BWC department; maintains files related to employer audits (e.g. notification letters, questionnaires, responses from employers regarding audits); screens and handles telephone calls & forwards questions to appropriate personnel if needed. Occasionally photocopies information for auditors & supervisor; compiles information from various sources for use by supervisor Why Work for the State of OhioAt the State of Ohio, we take care of the team that cares for Ohioans. We provide a variety of quality, competitive benefits to eligible full-time and part-time employees*. For a list of all the State of Ohio Benefits, visit our Total Rewards website! Our benefits package includes: Medical Coverage Free Dental, Vision and Basic Life Insurance premiums after completion of eligibility period Paid time off, including vacation, personal, sick leave and 11 paid holidays per year Childbirth, Adoption, and Foster Care leave Education and Development Opportunities (Employee Development Funds, Public Service Loan Forgiveness, and more) Public Retirement Systems (such as OPERS, STRS, SERS, and HPRS) & Optional Deferred Compensation (Ohio Deferred Compensation) *Benefits eligibility is dependent on a number of factors. The Agency Contact listed above will be able to provide specific benefits information for this position.QualificationsTo Qualify, You Must Clearly Demonstrate:9 mos. trg. or 9 mos. exp. in office practices & procedures; 9 mos. trg. or 9 mos. exp. in public relations or customer service that included techniques for handling difficult people; 9 mos. trg. or 9 mos. exp. in typing, keyboarding, data entry or word processing; 9 mos. trg. or 9 mos. exp. in operation of personal computer. -Or equivalent of Minimum Qualifications for Employment noted above. Job Skills: Customer ServiceMAJOR WORKER CHARACTERISTICS: Knowledge of office practices & procedures; public relations; federal &/or state laws, rules, policies &/or procedures applicable to inquiries, complaints &/or transactions being processed;* typing/keyboarding. Skill in operation of office equipment (e.g., multi-line or single line telephone, photocopier, facsimile machine, teletype, cash register/cash counter, adding machine);* operation of personal computer or computer terminal. Ability to apply laws, rules, policies &/or procedures applicable to routine & non-routine inquiries, requests, complaints &/or transactions involving variety of variables within familiar context; handle routine & non-routine inquiries, requests, complaints &/or transactions received in writing &/or by telephone, teletype, e-mail, in-person contacts &/or by other means of communication with variety of internal & external customers, some of whom may be irate; collate & classify information about data, people or things; prepare &/or maintain accurate records & reports; work alone on most tasks. (*) Developed after employment.Supplemental InformationEEO & ADA Statement:The State of Ohio is an Equal Employment Opportunity Employer and prohibits discrimination and harassment of applicants or employees due to protected classes as defined in applicable federal law, state law, and any effective executive order.The Ohio Bureau of Workers' Compensation is committed to providing access and reasonable accommodation in its employment opportunities pursuant to the Americans with Disabilities Act and other applicable laws. To request reasonable accommodations related to disability, pregnancy, or religion, please contact the ADA mailbox *********************** OCSEA Selection Rights:This position shall be filled in accordance with the provisions of the OCSEA Collective Bargaining Agreement. BWC bargaining unit members have selection rights before non-bargaining unit members. All other applications will only be considered if an internal bargaining unit applicant is not selected for this position.Salary Information:Hourly wage is expected to be paid at step 1 of the pay range associated with the position for candidates who are new employees of the state. Current employees of the state will be placed in the appropriate step based on any applicable union contract and/or requirements of the Ohio Revised Code. Movement to the next step of the pay range (a roughly 4% increase) will occur after six months, assuming job performance is acceptable. Thereafter, an employee will advance one step in the pay range every year until the highest step of the pay range is reached. There may also be possible cost of living adjustments (COLA) and longevity supplements begin after five (5) years of state service.Educational Transcripts:For any educational achievements to be considered during the screening process, you must at least attach an unofficial transcript that details the coursework you have completed.All applicants must submit an Ohio Civil Service Application using the online Ohio Hiring Management System. Paper applications will not be accepted.Background Check:Prior to an offer of employment, the final applicant will be required to sign a background check authorization form and undergo a criminal background check. Criminal convictions do not necessarily preclude an applicant from consideration for a position.ADA StatementOhio is a Disability Inclusion State and strives to be a model employer of individuals with disabilities. The State of Ohio is committed to providing access and inclusion and reasonable accommodation in its services, activities, programs and employment opportunities in accordance with the Americans with Disabilities Act (ADA) and other applicable laws.Drug-Free WorkplaceThe State of Ohio is a drug-free workplace which prohibits the use of marijuana (recreational marijuana/non-medical cannabis). Please note, this position may be subject to additional restrictions pursuant to the State of Ohio Drug-Free Workplace Policy (HR-39), and as outlined in the posting.$23 hourly Auto-Apply 1d agoSenior SharePoint Administrator
Nationwide Children's Hospital
Columbus, OH
We are seeking a highly skilled Senior SharePoint Administrator to join the team managing SharePoint Online and Microsoft 365 services (Teams, OneDrive, Power Platform). This senior technical role involves architecting solutions, configuring environments, and automating workflows with Power Automate, plus building advanced forms using Power Apps. Responsibilities include enforcing governance and security, mentoring colleagues, defining best practices, managing migrations with ShareGate, and leveraging PowerShell for automation, reporting, and scripting. The position requires troubleshooting enterprise issues, driving adoption, and collaborating with stakeholders to deliver scalable, secure, and innovative digital solutions that enhance collaboration and productivity. Summary: Analyses business needs, defines requirements, implements systems, and manages installed applications in a complex architecture. Provides technical and advice and guidance to team members. Job Description: Essential Functions: Carries out systems analysis and oversees the planning, design and implementation for large and complex systems ensuring business areas requirements are met. Schedules the work of systems analysts providing technical guidance and mentoring and ensures that project deadlines are met. Documents system design, testing, and maintenance procedures for future reference. Assures data integrity and system survivability by developing and maintaining Disaster Recovery plans for assigned systems. Collaborates with other professionals to determine functional and non-functional requirements for new software or applications. Evaluates the effectiveness of existing systems and applications and recommends modifications to improve system performance. Collaborates with project managers and other team members to ensure project goals are met. Oversees and coordinates system testing, user acceptance testing and end-user training. Education Requirement: Bachelor's degree or equivalent experience, required. Licensure Requirement: (not specified) Certifications: (not specified) Skills: Strong problem solving ability to understand highly complex systems and articulate details both verbally and visually. Quantitative and Qualitative requirements gathering, evaluate technical detail, and data validation. Exceptional interpersonal, communication, and presentation skills required to interact effectively with all levels of the organization and external contacts. In depth working knowledge of Application functionality and integration between desktop clients and servers, including applications, databases, storage, and web services. Basic understanding of hardware device and/or operating system capabilities. Excellent understanding of ITIL processes with regard to build, enhancement, and maintenance of Application systems. Advanced understanding of database systems, Oracle, SQL, Access Database structures, preferred. Advanced working knowledge of Microsoft desktop and server platforms, OR Epic including but not limited to design, installation, configuration, optimization, and administration, preferred. Experience: 7 years of combined experience providing information technology support, or equivalent education, required. Project Management Skills - Excellent project management skills required with a minimum of 4 years project management experience. Experience in a healthcare environment, required. Physical Requirements: OCCASIONALLY: Bend/twist, Squat/kneel, Standing, Walking FREQUENTLY: Lifting / Carrying: 0-10 lbs, Sitting CONTINUOUSLY: Audible speech, Color vision, Computer skills, Decision Making, Hand use: grasping, gripping, turning, Hearing acuity, Interpreting Data, Peripheral vision, Problem solving, Repetitive hand/arm use, Seeing - Far/near Additional Physical Requirements performed but not listed above: Position requires the ability to interact effectively with customers and information systems personnel across the organization. "The above list of duties is intended to describe the general nature and level of work performed by individuals assigned to this classification. It is not to be construed as an exhaustive list of duties performed by the individuals so classified, nor is it intended to limit or modify the right of any supervisor to assign, direct, and control the work of employees under their supervision. EOE M/F/Disability/Vet"$66k-78k yearly est. Auto-Apply 22d agoReporting/Data Analyst
360 It Professionals
Remote job
360 IT Professionals is a Software Development Company based in Fremont, California that offers complete technology services in Mobile development, Web development, Cloud computing and IT staffing. Merging Information Technology skills in all its services and operations, the company caters to its globally positioned clients by providing dynamic feasible IT solutions. 360 IT Professionals work along with its clients to deliver high-performance results, based exclusively on the one of a kind requirement. Our services are vast and we produce software and web products. We specialize in Mobile development, i.e. iPhone and Android apps. We use Objective C and Swift programming languages to create native applications for iPhone, whereas we use Android Code to develop native applications for Android devices. To create applications that work on cross-platforms, we use a number of frameworks such as Titanium, PhoneGap and JQuery mobile. Furthermore, we build web products and offer services such as web designing, layouts, responsive designing, graphic designing, web application development using frameworks based on model view controller architecture and content management system. Our services also extend to the domain of Cloud Computing, where we provide Salesforce CRM to effectively manage one's business and ease out all the operations by giving an easy platform. Apart from this, we also provide IT Staffing services that can help your organization to a great extent as you can hire highly skilled personnel's through us. We make sure that we deliver performance driven products that are optimally developed as per your organization's needs. Take a shot at us for your IT requirements and experience a radical change. Job Description Data Management & Reporting Responsibilities: • Build and act as “owner” of Access database, pulling together data from multiple Access Management sources (AOR, WIAM, WAM) • Perform database refresh on routine schedule • Design, build, and maintain management & PM/BA reporting • Perform AOR updates and ensure data consistency between AOR and WIAM as necessary • Perform ad-hoc analysis per WIAM management request Change Request Process Responsibilities: • Support Project Coordinator with intake process for change requests (CR) • Ensure CR decisions are captured and appropriate documentation stored Qualifications Skills/Experience: • Very strong MS Access, Excel, and SharePoint skills • Reporting skills: design, generate, and maintain reporting tied to relational databases • Detail-oriented with solid organizational skills; nothing “falls through the cracks” • Strong analytical and critical thinking skills • 3+ years relevant experience with Access/relational databases • IAM experience a plus, although not a necessity This is a remote position. Additional Information Thanks & Regards Shilpa Sood Technical recruiter , Contact 510-254-3300 Ext 183$82k-105k yearly est. 60d+ agoEPIC Payor Reimbursement Analyst - FT - Days - Remote Optional
Washington Hospital, Inc., Mary
Remote job
Start the day excited to make a difference…end the day knowing you did. Come join our team. EPIC Payor Reimbursement Analyst 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 22d agoFront Desk Associate
SJB Services, Inc./Empire Geo Services, Inc.
Columbus, OH
Job Title: Front Desk Associate Reports To: Assistant General Manager FLSA Status: Non-Exempt Summary: The Front Desk Associate is responsible for ensuring guests are checked in and out of the hotel while answering any questions or concerns guests or visitors may have. Essential Duties and Responsibilities: Processes guest check-in and check-out in a professional, hospitable, and friendly manner Enforces and executes all cash handling, check, and credit policies to accurately balance transactions, charges and payments, and guest billing Delivers all guest messages, mail, and packages in a timely manner Greets persons entering establishment immediately and directs or escorts them to specific destinations Operates front desk equipment including but not limited to: Switchboard and PMS. Operates all ADA Compliant devices including pool lift and TTY accessibility suitcase Maintains consistent communication especially with all departments Completes necessary shift paperwork and ensures accuracy on shift checklist, log book, courtesy call back log, bank/shift sign-over, adjustment log, vendor log, and all other forms, reports or checklists assigned Closes guest accounts at time of check out and assures satisfaction Research and attempt to resolve guest complaints or problems within the established guidelines Assists with cleaning up the lobby and monitoring the breakfast bar Performs an average score of at least 6 on two test calls per quarter if tested Produces 2 potential sales leads through internet research each week Completes coaching calls as required Stocks and maintains product inventories for Suite Shop/Market Performs all other duties as may be assigned Competencies: Customer Service - Manages difficult or emotional client and employee situations; Responds promptly to client and employee needs; Solicits client feedback to improve service; Responds to requests for service and assistance; Meet commitments. Safety - The employee is safety conscious about the work environment and equipment. The work area is free of debris to prevent trip and slip hazards. All safety guards and other safety devices are in its proper location, are functional, and utilized effectively on a consistent basis. Language Skills: Ability to read, analyze, and interpret documents. Ability to respond to common inquiries or complaints from customers, regulatory agencies, or members of the business community. Ability to interact clearly and effectively, in both written and oral communication, with supervisor, clients, staff, vendors, etc. Problem Solving - Identifies and resolves problems in a timely manner; Develops alternative solutions; Uses reason even when dealing with emotional topics. Professionalism - Approaches others in a tactful manner; Reacts well under pressure. Time Management - Prioritizes work activities; Uses time efficiently; Plans for additional resources; Sets goals and objectives; Develops realistic action plans. Qualifications: Education and/or Experience: High School Diploma (or GED or High School Equivalence Certificate) preferred. Computer and Equipment Skills: General computer knowledge including but not limited to: Excel, Word, Microsoft Outlook, Access database, Adobe, and Internet Explorer. Website training a plus. Must be able to operate a calculator, fax, and printer. Physical Demands: 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. This job requires the employee to regularly talk or hear and frequently to stand; walk; use hands to finger, handle, or feel; and reach with hands and arms. The employee is occasionally required to sit, stoop, kneel, crouch, or crawl. The employee must frequently lift and/or move up to 30 pounds. Specific vision abilities required by this job include close vision, far vision, color vision, peripheral vision, depth perception, ability to adjust focus, climbing stairs, grasping, and pushing/pulling,$22k-29k yearly est. Auto-Apply 58d agoProduct Manager
Cotiviti
Remote job
Overview The Product Manager (within Payment Accuracy Product Suite) will be responsible for product management and development supporting Cotiviti digital / UX. This role is dedicated to creating and optimizing user-centric products that enhance and expand the Cotiviti Payment Clarity service for our clients. This role will serve as a product subject matter expert working closely with stakeholders to drive product requirements, design, and successful delivery. Responsibilities Define the product strategy and roadmap. Deliver product market requirements documents with prioritized features and corresponding justifications. Work with external third parties to assess partnerships and licensing opportunities. Be an expert with respect to the competition. Develop the core positioning and messaging for the product. Perform product demos to customers. Collaborate with Marketing to develop sales tools. Propose an overall budget to ensure success. Briefly train the sales force at quarterly sales meetings. Act as a leader within the company. Hire, develop, coach, lead and retain top-tier talent, with a focus on building and improving a team and culture that is able to assist in employing best in class practices to support and drive high levels of internal and external customer satisfaction. Complete all responsibilities as outlined in the annual performance review and/or goal setting. Complete all special projects and other duties as assigned. Must be able to perform duties with or without reasonable accommodation. This is intended to describe the general nature and level of work being performed and is not to be construed as an exhaustive list of responsibilities, duties and skills required. This job description does not constitute an employment agreement and is subject to change as the needs of Cotiviti and requirements of the job change. Qualifications Bachelor's degree in business, Computer Science, or other field demonstrating technical expertise or equivalent work experience. Strong analytical and product management skills required, including a thorough understanding of how to interpret client business needs and translate them into application and operational requirements. Demonstrated success defining and launching web based services and products. Excellent verbal and written communication skills and the ability to interact professionally with a diverse group, executives, managers, and subject matter experts. Technical background, with experience in software development. Proven ability to influence cross-functional teams without formal authority. Proficiency in Microsoft Excel, Microsoft Access, Database interaction capabilities. Medicare Advantage or other healthcare experience preferred. Cognitive / Mental Requirements: Excellent communication and stakeholder management abilities. Able to translate regulatory/clinical requirements into technical solutions and explain technical concepts to non-technical audiences. Strong problem-solving mindset and a track record of driving initiatives from concept to implementation. Leadership and mentorship capabilities are essential - this role will guide teams and represent Cotiviti's interoperability expertise both internally and externally, so the candidate should be comfortable taking initiative, “leading without authority” when required, and mentoring others. Physical Requirements and Working Conditions: Remaining in a stationary position, often standing or sitting for prolonged periods. Repeating motions that may include the wrists, hands, and/or fingers. Must be able to provide a dedicated, secure work area. Must be able to provide high-speed internet access/connectivity and office setup and maintenance. Base compensation ranges from $100,000 to $125,000 per year. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs. Cotiviti offers team members a competitive benefits package to address a wide range of personal and family needs, including medical, dental, vision, disability, and life insurance coverage, 401(k) savings plans, paid family leave, 9 paid holidays per year, and 17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service with Cotiviti. For information about our benefits package, please refer to our Careers page. This role is based remotely and all interviews will be conducted virtually. Date of posting: 12/10/2025 Applications are assessed on a rolling basis. We anticipate that the application window will close on 03/09/2026, but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected. #LI-REMOTE #LI-RA1 #senior$100k-125k yearly Auto-Apply 19h agoRemote Administrative Assistant
Workoo Technologies
Remote job
Your role will serve as the Administrative Assistant to the Applications Unit for the Division of Housing Supervision. The candidate must be detail oriented, able to perform administrative tasks using computer software, including tracking on Microsoft Excel. The applicant must be reliable, have impeccable organizational skills, and an ability to multi-task. Key responsibilities: Respond to emails from Mitchell-Lama managing agents. Save documents received by email to the shared drive. Maintain application unit trackers on Excel. Answer and return calls regarding the Mitchell-Lama Application process. Answer inquiries from the public; work with staff and managing agents to ensure applications are processed in a timely manner. Ensure the digitized waiting lists are maintained accurately. Create and modify various documents and reports utilizing Adobe Acrobat and Microsoft Office (Word, Outlook, Excel, Powerpoint, Sharepoint, etc.). Provide clerical support to the Applications Unit. Maintain and update internal/external contact database. Assist, resolve and refer constituent complaints to the appropriate staff. Refer visitors to appropriate staff in a professional and pleasant manner. Additional duties will include maintaining clear and concise files, scheduling appointments, responding and routing telephone calls and emails. Minimum Qual Requirements Qualification Requirements 1. High school graduation or equivalent and three years of experience in community work or community centered activities in an area related to duties described above; or 2. Education and/or experience which is equivalent to "1" above. Preferred Skills Interest in affordable housing; experience in housing management is a plus Strong analytical, communication and writing skills Detailed oriented Ability to Multi-task with high volume workload A demonstrated proficiency in both MS Excel and Access database systems Problem solver with the ability to work well independently and as a team player Organized and methodical Proficient with Microsoft Office (i.e., Outlook, Excel, Word, etc.) Knowledgeable of databases (i.e., ACCESS, etc.) Additional Information As a current or prospective employee of the City of New York, you may be eligible for federal loan forgiveness programs and state repayment assistance programs. Allied Global Marketing is proud to be an equal opportunity workplace. We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity, veteran status, or any other status protected under federal, state or local law. We also consider qualified applicants regardless of criminal histories, consistent with legal requirements.$26k-37k yearly est. 60d+ agoProfessional Fee Coding & Compliance Auditor
Askphc
Remote job
Title: Professional Fee Coding Auditor Reports to: Senior Manager, Professional Coding & Compliance Review Services Exempt Status: Exempt Supervises: N/A The Professional Fee Coding Auditor will help support management, senior auditor/educators and other associate consultants with client engagements, communicate with clients for both private and public entities in the healthcare industry. These entities may be hospitals and health systems, physician groups, law firms, ambulatory surgical centers, ancillary clinics, dialysis centers/companies, publicly traded companies, etc. This position will work closely with several team members and staff of affiliated companies of Pinnacle Healthcare Consulting for the financial health and growth of overall business. The position will offer an opportunity for personal and professional growth to motivate the candidate. This position requires education and training, strong organizational skills, ability to prioritize and handle multiple projects to meet ongoing deadlines. A commitment to stay on the cutting edge of health care regulations, along with best practices in compliance and audit/chart review is also required. General Roles: Project Coordination and Administrative Support Review and inventory medical record documentation. Populate coding/billing review/audit tools for all payment systems. Review/edit formal business documents. Review for accuracy and validate formulas for spreadsheet deliverables and internal documents. Assist manager and senior auditor/educators with other duties as requested. Compliance, Coding, Billing Review/Audit Support Regulatory research support and advisory services, such as: Professional billing and coding for basic and complex situations. Ability to understand and vocalize personal limitations in all work assigned. Ability to identify coding to support medical necessity and compliant documentation. Investigate and assist in responding to requests for assistance to advise of compliance concerns. Education and Training Work with Administrative assistant to schedule coder/provider training sessions. Prepare training materials and PowerPoint presentations. Review for accuracy and validate audit reports for client deliverables. Answer client rebuttals. Update client deliverables post education sessions. Conduct general education sessions for clients and internal staff. Responsibilities: Perform and assist with health care related projects involving compliance, audit, litigation support, independent review, and corporate integrity agreements. Analysis of health care data, including, but not limited to, enterprise financial statements, patient medical records, physician performance, industry structure and trends, economic factors impacting industry, impact of health care regulations, etc. Prepare working papers to support results of procedures. Conduct interviews with client management to gain an understanding of client business conditions, risks, and controls (including preparation of interview notes). Thorough and accurate documentation of all work. Assist in coordinating and communicating the results of consulting and internal audit projects via written reports and oral presentations to clients. Provides input to the project team during all phases of the project. Participate in the drafting of reports and presenting draft to the senior consultant, senior audit/educators and/or manager for review and approval. Review of all work for analytical validity, accuracy of assumptions and data and professional appearance. Demonstrate teamwork and accountability with project team members. Stay abreast of current regulatory, business, and economic developments relevant to Company and client business; and use current technology and tools to enhance the effectiveness of services provided. Ensures PERCS' high expectations for quality in all assigned projects and deliverables under their control. Ability to travel as needed for client project work and business meetings. Assist Senior Audit/educators with training of staff and clients. Perform related projects/work as assigned. Education and Certifications: College degree or commensurate experience. Certification in at least one area of healthcare business is required. Experience in health care administrative duties and coding review and reimbursement calculations. Experience in consulting preferred. Ability to prioritize and manage concurrent projects, demonstrate initiative, communicate, and perform work utilizing electronic communication and work independently with moderate supervision. Excellent communication, interpersonal, and teaming skills. Computer proficiency including MS Excel, Word, and PowerPoint. Experience: Minimum three (3) years of health care industry experience in a healthcare consulting company and/or provider organization required. Three (3) or more years of experience delivering risk management, internal controls, and/or audit services or position in a healthcare organization. Knowledge: requirements. Knowledge of healthcare technology solutions, such as Electronic Medical Record, Enterprise Resource Management, or Patient Financial Services systems. Knowledge of healthcare regulatory requirements. Skills: Ability to write business marketing materials or other professional deliverables. Exceptional communication, interpersonal, and teaming skills. Excellent written and verbal communication including report presentation. Competent use of Microsoft Office (365), including Word, PowerPoint, Excel, Teams and One Drive. Abilities: Successfully participate in multiple and rapidly changing projects effectively. Handle confidential information with discretion and adapt to competing demands. Think strategically, solve problems, and propose solutions. Work under tight deadlines and manage multiple priorities. Achieve high performance goals and meet deadlines in a fast-paced environment. Other Requirements: Job performance evaluations will require compliance with these regulations and Pinnacle Compliance Program. Other duties as necessary to support the operation and growth of PERCS and Pinnacle Healthcare Consulting. Equipment Operated: Standard office equipment including computers, fax machines, copiers, printers, telephones, postal machines, etc. Expert level MS Word, Excel, Power Point, Adobe/Nitro publishing. Knowledge of MS Visio and Access database. Work Environment: Services will be rendered through the Company's Home Office, though Employee will be located remotely and travel on temporary trips to such other place or places as may be required from time to time to perform his/her duties. Job may require evening and weekend work to meet client demands, company promotional event support and team logistic needs. Physical Requirements: Must possess the physical and mental abilities to perform the tasks normally associated with a professional office environment such as sitting for 90 percent of the day; manual dexterity to operate office machines including computer and calculator; stooping, bending to handle files and supplies; and mobility to complete errands or deliveries, lifting up to 20 lbs. Stress can be triggered by multiple staff demands and deadlines. Pinnacle Healthcare Consulting is an Equal Opportunity Employer. Applicants will not be discriminated against because of race, color, creed, sex, sexual orientation, gender identity or expression, age, religion, national origin, citizenship status, disability, ancestry, marital status, veteran status, medical condition, or any protected category prohibited by local, state, or federal laws.$53k-78k yearly est. Auto-Apply 5d agoApplication Analyst - Oracle HCM
Fmolhs Career Portal
Remote job
The Oracle HCM Application Analyst 4 oversees the direction, design, development, testing, implementation, and ongoing administration of business information systems and related applications. Serves as the primary liaison between the organizational business areas and information services to ensure the effective integration of technology with all business functions to maximize organizational performance. Develops and maintains positive relationships between Business Services and its customers. 5 years experience in Information Services or business related area Bachelor's Degree OR 5 years experience in Information Services or business related area Physical Requirements: Frequent use of hands and fingers Good visual acuity Job Skills: Basic PC support/networking skills Basic programming skills Extensive knowledge of Microsoft Excel and Access, database design, query reporting, and Oracle Fusion Cloud Interpersonal Skills: Good analytical and reporting skills good problem solving and critical thinking skills good time management/prioritization skills Works well in a team atmosphere 1. Job Duties Assists in evaluating business systems and user needs. Helps formulate systems to parallel overall business strategies. Maintains an understanding of the needs and changing priorities of the organization and focuses on technical business solutions to address customer issues and informational needs. Oversees the operation, maintenance, and procedures of the organization's business systems. Ensures that consistent practices are used throughout the company to maintain the integrity of information systems. Determines needs and designs processes, programs, or systems to enable the organizations to achieve their goals in conjunction with continual process improvement. Utilizes organizational project management methodology, processes, and systems to ensure effective and efficient project development and completion. Evaluates requests for programming and provides timetables for completion Assists in developing, recommending, and implementing the annual capital equipment, personnel, and operating budget for the department. Provides confidential and professional guidance to FMOLHS organizations by analyzing and interpreting information toward ensuring prudent and efficient hospital management. Develops and implements data driven performance improvement methodologies. Maintains accurate records for use in evaluating organizational performance. Identifies ways of improving current services and consults with management on issues and problems. Ensures security, integrity, and privacy of FMOLHS data in conjunction with FMOLHS policies and procedures.$68k-94k yearly est. Auto-Apply 60d+ agoData Architect (Remote)
Francisco Partners
Remote job
First San Francisco Partners is a business advisory and enterprise information management (EIM) consultancy dedicated to helping companies leverage their data to improve strategic decision-making, reduce risk, create operational efficiencies and fuel unprecedented business success. Our services span data governance, data quality strategies, data management architecture, master data management strategy and implementation, analytics and big data. Job Responsibilities and Duties We have an immediate opening for a Data Architect to who will have a hands-on role with responsibility to develop data architecture and modeling strategies, design, implement and support data architecture deliverables for multiple data integration, data management, data warehousing, business intelligence and analytics projects. They will also be able to deliver solid, extensible, highly-available data models and data environments that supports the current and future business and technical requirements. Develops and maintains architectures for the high-level data environments of the enterprise, at the reference, conceptual, and logical levels, ensuring that these align to overall business strategy Ensures that database and data storage technologies support the data management needs of the enterprise Develops, communicates, supports, and monitors compliance with Data Modeling standards Evaluates proposals for development projects to ensure they adhere to all data architecture standards Develops and maintains standard patterns for data layers, data stores, and utility data management processes (e.g. data movement, data integration) for application across the enterprise Assists development projects, either directly or indirectly by liaising with a solution architect, to ensure that good data architecture is implemented in these projects. Evaluates currently implemented systems to determine their viability in terms of data architecture Participates in the oversight of setting data standards, for reference data, data formats, and similar needs. Identifies standard metadata for describing data assets. Develops standards for the semantic needs of data, including different kinds of models (e.g. subject areas models, data classification schemes, standards for ontologies). Ensures all documentation for data architecture is of high quality and properly curated Skills and Qualifications: Excellent communication skills, presentation and interpersonal skills are required. Ability to communicate clearly with both business and technical resources. A demonstrated track record of making a difference and adding value Strong organizational skills. Able to multi-task Ability to think creatively, highly-driven and self-motivated Ability to work and adjust to changing deadlines Ability to quickly adapt to changes, enhancements and new technologies Able to perform in a fast paced, dynamic and innovative work environment and meet aggressive deadlines Creative problem-solving skills. Must be able to develop relationships across the organization, working cross functionally to get results Ability to present complex information in a simplified fashion to facilitate understanding Can effectively manipulate and analyze large amounts of data The ability to understand data relationships, write and execute SQL queries Proficient with MS Office products Proficiency with SQL Bachelor's degree in Bachelor's Degree in Business Administration, Computer Science, CIS or related field 3-5 years of experience with data projects Addition qualifications: Experience with data and enterprise modeling tools, such as Erwin. Experience with ETL/Data Quality tools such as Informatica IDQ and Trillium Technical expertise with analytical tools including SQL, SAS, SPSS, R, and Tableau preferable. 3+ years or more years of experience in design, development, modification and testing of Hadoop solutions. Experience in Oozie, Hive, Pig, Impala, Sqoop, Flume, Hbase & Solr a plus. Minimum 7-10 yrs. of experience in Oracle databases 5 or more years of experience in developing complex SQL queries using tools such as Oracle, MySQL. Understanding of Pentaho or other ETL tool. Experience with RedHat Enterprise Linux preferred. Experience with designing, developing, and administering SQL Server databases 3+ years of experience with developing databases in an Agile framework with constantly changing technical requirements 3+ years of experience with designing, developing, and administrating a data warehouse preferred. 3+ years of experience with designing, developing, and administrating Microsoft Access databases 3+ years of experience with t-SQL and writing stored procedures, functions, and triggers. 1+ years of experience with migrating a Microsoft Access database to a Microsoft SQL Server 1+ years of experience with connecting a Microsoft Access front end to a Microsoft SQL Server back end Experience with NoSQL, including Mongo DB, Neo4j, Cassandra, or others. Experience with at least one scripting language, including Python, Perl, or others$130k-174k yearly est. 60d+ agoHome Lending - Business Analysis IV
Jpmorgan Chase
Columbus, OH
Are you looking for an exciting opportunity to join a dynamic team? This is a unique opportunity just for you. As a Home Lending - Business Analysis in our Home Lending Sales Team, you will support our Home Lending Advisors by working all purchase and refinance leads. Your passion for customer service and your promote to grow and develop will allow you to excel on our team. You will also support Corporate Relocation customers, clients, and account managers by facilitating customer relocation benefits application, client invoicing, and client payment processes **Job Responsibilities** + Create and/or disposition Specialty Sales' mortgage leads, leveraging multiple shared mailboxes and systems, while adhering to all service level agreements (SLAs) and distributing to the Sales team equitably. + Manage Leads/Supplier Payments managemen **t** - Onboard new Relocation suppliers into the system of record and initiate payments to each supplier for services rendered. + Handle Direct Bill Invoicing and Payments managemen **t -** Validate mortgage originations expenses that are considered reimbursable by the Relocation Clients, create and send client invoices, and track and collect payments for those invoices. + Ensure quality **-** Ensure data integrity and quality (input/output) for all managed records in our systems of record. + Govern Information **-** Create, manage, and recertify (annually at minimum) internal operating procedures, shared email templates, team job aids, and mortgage lead distribution lists + Prioritize internal and external client and customer relationships by maintaining real time communications and follow up for all questions and concerns. **Required qualifications, capabilities and skills** + You must exhibits ability to work effectively in a team environment by prioritizing support and service, partnerships, and business needs, first. + Your willingness to take on new tasks and responsibilities as business needs and capacity fluctuates. + Ability to work in a fast-paced environment and adaptable to change. (market fluctuations and competing priorities) + Proficient in Microsoft Office (Outlook, Excel, Word) with the ability to work with multiple applications at the same time. + Strong problem-solving, communication and listening skills, and pays attention to detail. + Supports a winning team culture by demonstrating helpfulness, empathy, and a positive attitude. + Uses time effectively by understanding what will help or hinder progress and directing efforts toward value-added activities. + Strong adherence to compliance regulations. + High School Diploma or GED required. **Preferred qualifications, capabilities and skills** + Familiarity with Mortgage Originations or Servicing systems and processes. + Prior experience with Billing, Accounts Payable, & Accounts Receivable. + Microsoft Access Database familiarity. **Work Schedule** + Candidates must be willing and able to work schedules that support our Sales Teams' operating hours; including Monday through Friday, 8am - 5pm local time, as well as certain holidays and weekends (on rotation) Chase is a leading financial services firm, helping nearly half of America's households and small businesses achieve their financial goals through a broad range of financial products. Our mission is to create engaged, lifelong relationships and put our customers at the heart of everything we do. We also help small businesses, nonprofits and cities grow, delivering solutions to solve all their financial needs. We offer a competitive total rewards package including base salary determined based on the role, experience, skill set and location. Those in eligible roles may receive commission-based pay and/or discretionary incentive compensation, paid in the form of cash and/or forfeitable equity, awarded in recognition of individual achievements and contributions. We also offer a range of benefits and programs to meet employee needs, based on eligibility. These benefits include comprehensive health care coverage, on-site health and wellness centers, a retirement savings plan, backup childcare, tuition reimbursement, mental health support, financial coaching and more. Additional details about total compensation and benefits will be provided during the hiring process. We recognize that our people are our strength and the diverse talents they bring to our global workforce are directly linked to our success. We are an equal opportunity employer and place a high value on diversity and inclusion at our company. We do not discriminate on the basis of any protected attribute, including race, religion, color, national origin, gender, sexual orientation, gender identity, gender expression, age, marital or veteran status, pregnancy or disability, or any other basis protected under applicable law. We also make reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as mental health or physical disability needs. Visit our FAQs for more information about requesting an accommodation. Equal Opportunity Employer/Disability/Veterans$97k-117k yearly est. 21d agoOstomy Client Specialist
180 Medical
Remote job
About Convatec Pioneering trusted medical solutions to improve the lives we touch: Convatec is a global medical products and technologies company, focused on solutions for the management of chronic conditions, with leading positions in Advanced Wound Care, Ostomy Care, Continence Care, and Infusion Care. With more than 10,000 colleagues, we provide our products and services in around 90 countries, united by a promise to be forever caring. Our solutions provide a range of benefits, from infection prevention and protection of at-risk skin, to improved patient outcomes and reduced care costs. Convatec's revenues in 2024 were over $2 billion. The company is a constituent of the FTSE 100 Index (LSE:CTEC). To learn more please visit **************************** Position Overview: To provide client service support to the Account Management teams. Collect medical documentation and information to setup new clients of 180 Medical. Key Responsibilities: Contact clients to set up medical supply orders Handle incoming phone calls from clients regarding orders & customer service issues Request Medicare documentation on Medicare clients Contacts HH agencies to coordinate sending supplies Make entries as appropriate in Medtrack an internal Microsoft Access database Place orders in Medtrack Change orders in Medtrack Support Team Supervisor on miscellaneous projects Obtain verbal authorization for supplies from facilities Suspense auditor to obtain Plan of Cares and chart notes when needed Verifying insurance for existing customer insurance changes Performs follow up phone calls to clients after initial shipment Verifies that client files are complete and all necessary documentation is in place All other duties as assigned. Qualifications/Education: Must have a high school diploma, college degree preferred, not required. Six months to one year related experience and/or training; or equivalent combination of education and experience. Typing: 35-40 wpm with 40 (adjusted) highly recommended Possess medical administrative skills Good communication skills with professionals in clinics and hospitals Sales experience preferred Ability to reason, problem solve, and think outside the box Multi-task a variety of issues Good organization skills and can prioritize tasks Proficient in Microsoft Office programs Good attention to detail Reliable/dependable Flexible and adaptable to changes in environment and industry Team Player; work well with others Dimensions: Physical Demands Regularly required to sit, stand, walk, and occasionally bend and move about the facility. Infrequent light physical effort required. Occasional lifting up to 10 lbs. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Working Conditions Work performed in an office environment, Special Factors This role can be performed remotely. Beware of scams online or from individuals claiming to represent Convatec A formal recruitment process is required for all our opportunities prior to any offer of employment. This will include an interview confirmed by an official Convatec email address. If you receive a suspicious approach over social media, text message, email or phone call about recruitment at Convatec, do not disclose any personal information or pay any fees whatsoever. If you're unsure, please contact us at ********************. Equal opportunities Convatec provides equal employment opportunities for all current employees and applicants for employment. This policy means that no one will be discriminated against because of race, religion, creed, color, national origin, nationality, citizenship, ancestry, sex, age, marital status, physical or mental disability, affectional or sexual orientation, gender identity, military or veteran status, genetic predisposing characteristics or any other basis prohibited by law. Notice to Agency and Search Firm Representatives Convatec is not accepting unsolicited resumes from agencies and/or search firms for this job posting. Resumes submitted to any Convatec employee by a third party agency and/or search firm without a valid written and signed search agreement, will become the sole property of Convatec. No fee will be paid if a candidate is hired for this position as a result of an unsolicited agency or search firm referral. Thank you. Already a Convatec employee? If you are an active employee at Convatec, please do not apply here. Go to the Career Worklet on your Workday home page and View "Convatec Internal Career Site - Find Jobs". Thank you!$42k-85k yearly est. Auto-Apply 27d agoData Analyst Intern
Revnet
Remote job
We are seeking a highly motivated and proactive Intern to join the team. This is a paid internship and is a completely remote position. This role requires the individual to have the aptitude to learn and to participate in the evaluation and analysis of operational metric data. To be successful the candidate must be driven and well-organized, with strong attention to detail. It is essential for this individual to be self-motivated and tenacious, thrive in a collaborative, fast-paced environment, and complete tasks on agreed schedules. Job Description Primary Responsibilities: Work with the team and departmental managers to create a prioritized list of reporting needs within Infrastructure Elicit and analyze needs and translate / document information into reporting requirements Import and build small databases for data mining Acquire data from primary and / or secondary data sources and maintain databases Use statistical methods to interpret data, analyze results, and provide ongoing reporting Use data to create models that depict trends in portfolio financials and operational effectiveness Run database queries in order to support data validation within reports Filter and “clean” data to locate and correct code problems Identify and recommend new ways to meet the Infrastructure reporting Facilitate meetings to review data findings and metrics Develop and update documentation to support new / changes to procedures Develop, generate, maintain and monitor reports and files Consolidate and create monthly decks providing operational metrics and key messages Works under significant supervision of a Manager Qualifications 1 year of Data Analyst experience with a Bachelor's degree or equivalent transferable experience through coursework, internships or work experience. Strong business and technology aptitude with a willingness to learn and understand business and software solutions. Excellent verbal and written communications; ability to communicate and present requirements and issues clearly and concisely Proficient with elaborate / complex MS Excel spreadsheets (e.g. formulas, pivot tables, graphs, etc.) or Access Database Ability to build strong partnerships and to work collaboratively with all business and IT areas. Highly motivated with strong organizational, analytical, and problem solving skills. Strong communication and documentation skills. Ability to effectively prioritize and execute tasks in a high-pressure environment. Financial knowledge and aptitude Ability to effectively use Microsoft Office products to drive data analytics and reporting. Additional Information Pay Type: Hourly Hiring Rate $27.50 Travel Required No Telecommute % 0 Fully Remote Duration: 2 months with option to convert to full time role. All your information will be kept confidential according to EEO guidelines.$27.5 hourly 10h agoRemote Website Developer
Nexarideexpress
Remote job
We are seeking a skilled Website Developer to design, develop, and maintain our company website. The ideal candidate should have a strong understanding of web development principles and experience with various programming languages and web development tools. The Website Developer will work closely with our marketing and design teams to create a user-friendly and visually appealing website that aligns with our brand and business goals. This is a fully remote role, ideal for someone who thrives in a structured but flexible work environment, communicates clearly, and loves creating smooth. What You'll Do Design, develop, and maintain our company website using programming languages such as HTML, CSS, and JavaScript Collaborate with the marketing and design teams to ensure the website meets the company's branding and design standards Implement SEO strategies to improve website visibility and search engine rankings Monitor website performance and troubleshoot any issues that may arise Regularly update website content and graphics to ensure accuracy and relevance Test website functionality and make necessary updates and improvements Stay up-to-date with emerging web development trends and technologies to continuously improve the website Should have some experience creating pages that access a database for dynamic content pages You're a Great Fit If You Have the Following: Bachelor's degree in Computer Science, Web Development, or a related field Located in USA Proven experience as a Website Developer or similar role Strong knowledge of programming languages such as HTML, CSS, and JavaScript Experience with content management systems (CMS) and website builders Knowledge of SEO principles and best practices Experience with website analytics tools Excellent attention to detail and problem-solving skills Ability to work independently and in a team environment Strong communication and time-management skills. Preferred Experience minimum of 5 years Experienced in a remote work environment Salary & Benefits Competitive salary based on experience Annual performance-based bonus 401(k) with employer contribution Health, dental, and vision insurance Life and disability insurance 15 days of PTO + 8 paid holidays Flexible working hours Fully remote team culture About Nexa Ride Express: Nexa ride express is a fast-growing Logistic company that provides reliable and efficient Logistic services to individuals and businesses. We are committed to using innovative technology to improve our services and enhance the experience of our customers. As we continue to expand our business, we are looking for a talented Website Developer to join our team. Equal Opportunity Employer Nexa Ride Express is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. Individuals with criminal records are also encouraged to apply. Job Type:: Full-time Pay: $40 - $47 hourly Schedule: Flexible 8-hour shift | Monday to Friday Location: Remote #LI-Remote Job Type: Full-time Pay: $40.01 - $47.00 per hour Expected hours: 40 45 per week Benefits: 401k Health insurance Paid Training Maternity Leave And Many more Shift: Evening shift Morning shift Work Location: Remote Package Details 401k Health insurance Paid Training Maternity Leave And many more$40-47 hourly 60d+ agoEPIC Payor Reimbursement Analyst - FT - Days - Remote Optional
Mary Washington Healthcare
Remote job
Start the day excited to make a difference…end the day knowing you did. Come join our team. EPIC Payor Reimbursement Analyst 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+ agoMainframe Modernization Consultant
Ensono
Remote job
Worker Type: EmployeeAt Ensono, our Purpose is to be a relentless ally, disrupting the status quo and unleashing our clients to Do Great Things! We enable our clients to achieve key business outcomes that reshape how our world runs. As an expert technology adviser and managed service provider with cross-platform certifications, Ensono empowers our clients to keep up with continuous change and embrace innovation. We can Do Great Things because we have great Associates. The Ensono Core Values unify our diverse talents and are woven into how we do business. These five traits are the key to achieving our purpose. HONESTY, RELIABILITY, COLLABORATION, CURIOSITY, PASSION Position Summary Ensono's Senior Technology Consultants are seasoned technologists focused on pushing forward technical innovation and transformation within the solution sets we provide. They work closely with our clients to understand their business drivers and objectives. Through collaboration with internal technologists, Senior Technology Consultants create solutions that drive value for our clients. They also provide client and industry feedback to Ensono's internal teams, which allows Ensono to adjust our product and technology roadmaps. And finally, they are the lead architects delivering complex projects and programs for our clients. The Senior Technology Consultant works alongside and supports Sales, Consulting and Client Success organizations to service our clients. They work with the clients' business and technical teams to create reference architecture frameworks and templates. They lead the effort to execute multi-year transformation initiatives. To that end, Senior Technology Consultant must be effective in fostering executive level relationships with an emphasis on client satisfaction. Throughout the engagement process, from discovery to solution implementation, a Senior Technology Consultant must work with and at times lead multi-disciplinary teams. Ultimately, he/she remains the owner of the overall technical solution. Key Areas of Focus for this Role Collaborate with counterparts in the Sales, Consulting and Delivery organizations to create Pursuit, Solution, Sales, and Delivery strategies for Enterprise clients Conduct discovery, assessment, and solution development workshops (often in collaboration with resources from consulting, operations, and product teams) to craft winning solutions Develop and document solutions that meet client's (technical and business) requirements and allow them to adapt to changing industry needs with a focus on transformation and re-platform efforts Conduct solution development sessions and present technical solutions and business cases to a wide variety of audience Gain executive buy in for complex solutions by engaging in executive and senior-level technology discussions Work with finance and pricing teams to create simple pricing to complex multi-year financial models Gain clients' confidence as a trusted advisor by offering consultation and recommendations drawn from insights, technology know-how and past experiences Align and partner with Product Management to help drive appropriate product enhancements and changes to technology roadmap Aid in driving stability and innovation within the client's current and future state and create solutions based on client requirements and available product offerings What the Ideal Candidate Brings to this Role Required Qualifications Bachelor's degree in engineering or computer sciences Proven experience in managing projects through the entire project lifecycle. This includes managing multi-phase/multi-dimensional/multi-resource projects to conclusion while maintaining high client satisfaction Knowledge of the hosting technology landscape including compute, storage, backup, network, security, DR, DevOps, and IT governance Good understanding of the sales process for large and complex opportunities including ITO Resourceful and confident in Crisis and Expectation management and confident under pressure Has experience in technical documentation to capture solution components in a timely manner while ensuring acceptable level of detail, data integrity, and accountability Ability to share knowledge and expertise among various organizations within the company and to facilitate teamwork among those organizations to better serve our clients Ability to work in a team environment and demonstrate strong problem-solving skills Proficient with common office applications such as MS Outlook, MS Excel, PowerPoint, and MS Visio Excellent organizational, interpersonal, and communication skills (oral, written and presentation) Access database familiarity (create/export tables and queries; import text files into tables) Moderate SQL expertise Basic JCL concepts COBOL programming concepts Other Qualifications Independent, Self-directed, Results oriented Advanced presentation & communication skills Strong empathy, self-awareness, and interpersonal skills Able to challenge status quo Understanding of (and experience with) public cloud platforms (AWS, Azure) and hybrid solutions Why Ensono? Ensono is a place we unleash Associates to Do Great Things - for our clients and for your career. This could mean achieving a professional goal, collaborating with your team on an innovative idea, learning a new skill, reaching a wellness milestone, or engaging in your community through volunteer programs. Whatever it means to you, we want Ensono to be the place where you can do great things. We value flexibility and work-life balance. Positions that are not required to be onsite to support a client may offer the ability to work remotely or hybrid at an Ensono office location. Unlimited Paid Day Off (PDO) Plan Two robust health plan options through Blue Cross Blue Shield 401(k) with a generous company match Eligibility for dental, vision, short and long-term disability, life and AD&D coverage, and flexible spending accounts Depending on location, ability to take advantage of fitness centers Wellness program Flexible work schedule Ensono is an Equal Opportunity/Affirmative Action employer. We are committed to providing equal employment to our Associates and building a diverse and inclusive workforce. All qualified applicants will be considered without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability, or other legally protected basis, in accordance with applicable law. Pay transparency nondiscrimination statement/posting OFCCP's pay transparency policy can be found on OFCCP's website. If you need accommodation at any point during the application or interview process, please let your recruiter know or email ******************************. Primary Location City/State: Homebased - Downers Grove, IL - Finley, Illinois Additional Locations (if applicable): Ensono is an Equal Employment Opportunity Employer. Ensono provides equal employment opportunities to all qualified applicants without regard to race, color, religion, national origin, ancestry, citizenship status, sex, marital status, pregnancy, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status, military status, or any other status protected by applicable law.$68k-94k yearly est. Auto-Apply 60d+ agoAdministrative Assistant / Entry Level (Remote)
Jobcertify
Remote job
Your role will serve as the Administrative Assistant to the Applications Unit for the Division of Housing Supervision. The candidate must be detail oriented, able to perform administrative tasks using computer software, including tracking on Microsoft Excel. The applicant must be reliable, have impeccable organizational skills, and an ability to multi-task. Key responsibilities: Respond to emails from Mitchell-Lama managing agents. Save documents received by email to the shared drive. Maintain application unit trackers on Excel. Answer and return calls regarding the Mitchell-Lama Application process. Answer inquiries from the public; work with staff and managing agents to ensure applications are processed in a timely manner. Ensure the digitized waiting lists are maintained accurately. Create and modify various documents and reports utilizing Adobe Acrobat and Microsoft Office (Word, Outlook, Excel, Powerpoint, Sharepoint, etc.). Provide clerical support to the Applications Unit. Maintain and update internal/external contact database. Assist, resolve and refer constituent complaints to the appropriate staff. Refer visitors to appropriate staff in a professional and pleasant manner. Additional duties will include maintaining clear and concise files, scheduling appointments, responding and routing telephone calls and emails. Minimum Qual Requirements Qualification Requirements 1. High school graduation or equivalent and three years of experience in community work or community centered activities in an area related to duties described above; or 2. Education and/or experience which is equivalent to "1" above. Preferred Skills Interest in affordable housing; experience in housing management is a plus Strong analytical, communication and writing skills Detailed oriented Ability to Multi-task with high volume workload A demonstrated proficiency in both MS Excel and Access database systems Problem solver with the ability to work well independently and as a team player Organized and methodical Proficient with Microsoft Office (i.e., Outlook, Excel, Word, etc.) Knowledgeable of databases (i.e., ACCESS, etc.) Additional Information As a current or prospective employee of the City of New York, you may be eligible for federal loan forgiveness programs and state repayment assistance programs.$28k-38k yearly est. 60d+ agoApplication Analyst - Oracle HCM
Fmolhs
Remote job
The Oracle HCM Application Analyst 4 oversees the direction, design, development, testing, implementation, and ongoing administration of business information systems and related applications. Serves as the primary liaison between the organizational business areas and information services to ensure the effective integration of technology with all business functions to maximize organizational performance. Develops and maintains positive relationships between Business Services and its customers. 5 years experience in Information Services or business related area Bachelor's Degree OR 5 years experience in Information Services or business related area Physical Requirements: Frequent use of hands and fingers Good visual acuity Job Skills: Basic PC support/networking skills Basic programming skills Extensive knowledge of Microsoft Excel and Access, database design, query reporting, and Oracle Fusion Cloud Interpersonal Skills: Good analytical and reporting skills good problem solving and critical thinking skills good time management/prioritization skills Works well in a team atmosphere 1. Job Duties Assists in evaluating business systems and user needs. Helps formulate systems to parallel overall business strategies. Maintains an understanding of the needs and changing priorities of the organization and focuses on technical business solutions to address customer issues and informational needs. Oversees the operation, maintenance, and procedures of the organization's business systems. Ensures that consistent practices are used throughout the company to maintain the integrity of information systems. Determines needs and designs processes, programs, or systems to enable the organizations to achieve their goals in conjunction with continual process improvement. Utilizes organizational project management methodology, processes, and systems to ensure effective and efficient project development and completion. Evaluates requests for programming and provides timetables for completion Assists in developing, recommending, and implementing the annual capital equipment, personnel, and operating budget for the department. Provides confidential and professional guidance to FMOLHS organizations by analyzing and interpreting information toward ensuring prudent and efficient hospital management. Develops and implements data driven performance improvement methodologies. Maintains accurate records for use in evaluating organizational performance. Identifies ways of improving current services and consults with management on issues and problems. Ensures security, integrity, and privacy of FMOLHS data in conjunction with FMOLHS policies and procedures.$68k-94k yearly est. Auto-Apply 60d+ agoOstomy Client Specialist
Convatec
Remote job
Pioneering trusted medical solutions to improve the lives we touch: Convatec is a global medical products and technologies company, focused on solutions for the management of chronic conditions, with leading positions in Advanced Wound Care, Ostomy Care, Continence Care, and Infusion Care. With more than 10,000 colleagues, we provide our products and services in around 90 countries, united by a promise to be forever caring. Our solutions provide a range of benefits, from infection prevention and protection of at-risk skin, to improved patient outcomes and reduced care costs. Convatec's revenues in 2024 were over $2 billion. The company is a constituent of the FTSE 100 Index (LSE:CTEC). To learn more please visit **************************** Position Overview: To provide client service support to the Account Management teams. Collect medical documentation and information to setup new clients of 180 Medical. Key Responsibilities: Contact clients to set up medical supply orders Handle incoming phone calls from clients regarding orders & customer service issues Request Medicare documentation on Medicare clients Contacts HH agencies to coordinate sending supplies Make entries as appropriate in Medtrack an internal Microsoft Access database Place orders in Medtrack Change orders in Medtrack Support Team Supervisor on miscellaneous projects Obtain verbal authorization for supplies from facilities Suspense auditor to obtain Plan of Cares and chart notes when needed Verifying insurance for existing customer insurance changes Performs follow up phone calls to clients after initial shipment Verifies that client files are complete and all necessary documentation is in place All other duties as assigned. Qualifications/Education: Must have a high school diploma, college degree preferred, not required. Six months to one year related experience and/or training; or equivalent combination of education and experience. Typing: 35-40 wpm with 40 (adjusted) highly recommended Possess medical administrative skills Good communication skills with professionals in clinics and hospitals Sales experience preferred Ability to reason, problem solve, and think outside the box Multi-task a variety of issues Good organization skills and can prioritize tasks Proficient in Microsoft Office programs Good attention to detail Reliable/dependable Flexible and adaptable to changes in environment and industry Team Player; work well with others Dimensions: Physical Demands Regularly required to sit, stand, walk, and occasionally bend and move about the facility. Infrequent light physical effort required. Occasional lifting up to 10 lbs. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Working Conditions Work performed in an office environment, Special Factors This role can be performed remotely. Beware of scams online or from individuals claiming to represent Convatec A formal recruitment process is required for all our opportunities prior to any offer of employment. This will include an interview confirmed by an official Convatec email address. If you receive a suspicious approach over social media, text message, email or phone call about recruitment at Convatec, do not disclose any personal information or pay any fees whatsoever. If you're unsure, please contact us at ********************. Equal opportunities Convatec provides equal employment opportunities for all current employees and applicants for employment. This policy means that no one will be discriminated against because of race, religion, creed, color, national origin, nationality, citizenship, ancestry, sex, age, marital status, physical or mental disability, affectional or sexual orientation, gender identity, military or veteran status, genetic predisposing characteristics or any other basis prohibited by law. Notice to Agency and Search Firm Representatives Convatec is not accepting unsolicited resumes from agencies and/or search firms for this job posting. Resumes submitted to any Convatec employee by a third party agency and/or search firm without a valid written and signed search agreement, will become the sole property of Convatec. No fee will be paid if a candidate is hired for this position as a result of an unsolicited agency or search firm referral. Thank you. Already a Convatec employee? If you are an active employee at Convatec, please do not apply here. Go to the Career Worklet on your Workday home page and View "Convatec Internal Career Site - Find Jobs". Thank you!$35k-51k yearly est. Auto-Apply 30d agoData Analyst Intern
Revnet
Remote job
We are seeking a highly motivated and proactive Intern to join the team. This is a paid internship and is a completely remote position. This role requires the individual to have the aptitude to learn and to participate in the evaluation and analysis of operational metric data. To be successful the candidate must be driven and well-organized, with strong attention to detail. It is essential for this individual to be self-motivated and tenacious, thrive in a collaborative, fast-paced environment, and complete tasks on agreed schedules. Job Description Primary Responsibilities: Work with the team and departmental managers to create a prioritized list of reporting needs within Infrastructure Elicit and analyze needs and translate / document information into reporting requirements Import and build small databases for data mining Acquire data from primary and / or secondary data sources and maintain databases Use statistical methods to interpret data, analyze results, and provide ongoing reporting Use data to create models that depict trends in portfolio financials and operational effectiveness Run database queries in order to support data validation within reports Filter and “clean” data to locate and correct code problems Identify and recommend new ways to meet the Infrastructure reporting Facilitate meetings to review data findings and metrics Develop and update documentation to support new / changes to procedures Develop, generate, maintain and monitor reports and files Consolidate and create monthly decks providing operational metrics and key messages Works under significant supervision of a Manager Qualifications 1 year of Data Analyst experience with a Bachelor's degree or equivalent transferable experience through coursework, internships or work experience. Strong business and technology aptitude with a willingness to learn and understand business and software solutions. Excellent verbal and written communications; ability to communicate and present requirements and issues clearly and concisely Proficient with elaborate / complex MS Excel spreadsheets (e.g. formulas, pivot tables, graphs, etc.) or Access Database Ability to build strong partnerships and to work collaboratively with all business and IT areas. Highly motivated with strong organizational, analytical, and problem solving skills. Strong communication and documentation skills. Ability to effectively prioritize and execute tasks in a high-pressure environment. Financial knowledge and aptitude Ability to effectively use Microsoft Office products to drive data analytics and reporting. Additional Information Pay Type: Hourly Hiring Rate $27.50 Travel Required No Telecommute % 0 Fully Remote Duration: 2 months with option to convert to full time role. All your information will be kept confidential according to EEO guidelines.$27.5 hourly 60d+ ago
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