Remote Finance Special Projects Lead
Humana Inc.
Remote job
A leading health services organization is seeking a Lead - Finance Special Projects to drive process improvements within the Finance function. This position requires collaboration with Finance leadership to optimize operations and promote technology adoption. Candidates should have a Bachelor's degree in Finance or related field and extensive experience in benchmarking and project management. This role involves creating project plans and tracking progress to ensure successful project delivery. Various benefits and a compensation range of $94,900 - $130,500 annual are offered. #J-18808-Ljbffr$94.9k-130.5k yearly 4d agoCustomer Service Associate
Liniumit
Columbus, OH
Our client a premier financial services firm is searching for a Customer Services Associate to join their growing team in Columbus, OH. Responsible for incoming and outgoing communications regarding BayMark Health Services and promoting the appropriate treatment and locations. Serves as the initial point of contact for prospective patients, families, and referral sources to gain information about our treatment programs. Gathers and exchanges information, records data using online forms and databases, and schedules services. Care Advocates are warm, compassionate, and engaging individuals with excellent listening and communication skills. Care Advocates also appreciate the difficulties people with substance use disorders (SUD) have in deciding to stop using drugs and seeking treatment for their addiction. Care Advocates are responsible for educating prospective patients, their family and support person(s) about treatment options and the importance of making this life saving decision. Care Advocates are also entrusted with the responsibility of motivating patients to choose treatment utilizing consultative sales techniques including listening, trust-building, and needs assessment, to guide them to schedule an appointment. Knowledge and Responsibilities Answer calls from prospective patients, family members, and support persons to identify and schedule the best treatment option for that patient. Listen carefully to understand the individual's life situation and drug use history. Use a broad range of consultative sales techniques to build rapport and trust with the caller. Effectively and articulately communicate the benefits of treatment and highlight potential outcomes specific to the individual. Educate the patient/family/support person on the grave and life threatening disease of addiction. Has the ability to accurately collect, document and assess information from callers and explain treatment options and services specific to their need. Possess interpersonal skills, professional attitude, and an appreciation for the challenges people suffering with OUD. Able to recognize signs of suicidality and immediately implement Contact Center protocols. Act as a SME (Subject Matter Expert) on all services offered. Serve as patient advocate, representing the patients' needs and concerns. Work collaboratively with other departments to ensure a positive patient experience. Confirm receipt of patient information, promptly connect patient to treatment centers as appropriate, and provides information to process appointments. Assure timely responses to inquiries regarding services; screening forms, assessments, referral services and associated data collection. Facilitate access to the appropriate treatment center; follows-up with patients to confirm appointments, provide additional information regarding services, and address unresolved inquiries. Ability to empathize, acknowledge and convey compassion in all call interactions. Maintain appropriate professional boundaries with callers at all times. Requirements Qualifications Passionate about fighting the opioid epidemic and excited to have the opportunity to play a direct role in getting patients into treatment. Minimum of two years' work experience in sales, preferably in a service-related industry, is required. Preference is given to candidates with previous experience in a Substance Use or Mental Health treatment setting. Required Education: Minimum Associates degree from an accredited college, Experience with Salesforce a plus. Attention to detail. Ability to multi-task to speak with callers, type responses, operate software systems, and toggle between multiple windows while providing appropriate responses. Must be proficient in Microsoft Office including Word, and Excel. Communication skills - able to communicate in a clear, articulate, and professional manner Interpersonal and Customer Relations skills - able to maintain a warm and professional manner with callers. Seeks to WOW the caller with a positive customer service experience and to provide the caller with the help they need. Planning/Organizational skills - able to prioritize work activities, use time efficiently and work through projects in a self-motivated manner. Adaptability - able to adapt to rapid changes in the work environment, manage competing demands and able to deal with frequent change, enhancements or unexpected events. Problem-solving skills - able to identify and resolve problems in a timely manner; gather and analyze information skillfully; able to apply independent judgment on a regular basis in making decisions. Time Management skills able to use time effectively in a semi-supervised fashion, pursuing other activities when regular duties have reduced in volume; able to complete projects in a timely manner$25k-33k yearly est. Auto-Apply 60d+ agoSocial Worker - LISW - Sign On Bonus
Senior Medical Officer (Physician) In Atlanta, Georgia
Columbus, OH
About Us: Come reimagine care with us! We're on a mission to change the way medical care is delivered around the country. By supplying home-based medical care to patients who need it most, WellBe is changing lives by providing care wherever our patients call home. WellBe's primary care services are delivered by a team of licensed clinicians in the comfort of the patient's home. By combining the strength of physicians, nurse practitioners, social workers, paramedics, and other healthcare professionals, WellBe delivers an extra level of support to the patients we serve in their communities. This high-risk population is typically underserved and challenged with access to care which we provide. To address these problems, we have elected to bring the care to the patient, instead of trying to bring the patient to the care. WellBe's clinician-led geriatric care teams provide concierge-level medical care and social support in the home as well as delivering and coordinating across the entire care continuum - from chronic care and urgent care in the home to hospital to skilled nursing facility to assisted living to palliative care, to end-of-life care. Joining WellBe means joining a growing, purpose-driven organization to deliver the highest quality care to our senior communities and to make an impact on lives every day. Why WellBe? WellBe's Culture is Welcoming Be part of something important: Be part of pioneering a new way of healthcare that is revolutionizing the industry. A patient-focused environment that ensures patients can live a fulfilling life whatever their health level is. Our focus is to give our patients more good days. Give yourself incredible opportunities: Growth and development opportunities across expanding markets in the company and celebrate success on a global scale. Training in the WellBe model and team-based care. Full in-person orientation, vision, mission, and values introduction, and instilling cultural ideals. Respect and trust for how you work and how you make a difference. Work as part of a collaborative team with a strong team culture. You own your role, contribute to the team, and feel the enormous impact on lives. Leadership that listens, trusts, empowers, and supports. Empowerment and ownership for solving problems that arise and doing the right thing in each interaction. Pioneering a new way of healthcare that is revolutionizing the industry. What we offer: Full-time permanent, work seeing patients in their home, traveling around to other home locations. Work during the daytime, flexible schedule, and on-call rotation. Rich and competitive total rewards package including health benefits, dental, vision, life insurance, dependent care reimbursement, STD/LTD, 401k match with immediate vesting, paid time off / floating holidays, commuter/transportation (mileage) reimbursement, and educational reimbursement. The opportunity to work with a progressive company, who is making a difference each day with every patient. About the Position: Our LCSWs are part of a team that provides compassionate care to the frailest elderly who have chronic and acute illnesses or injuries living in their homes. Our LCSW delivers primary, urgent and acute care and counseling to a wide variety of patients with social and behavioral problems. The LCSW will be accountable for caring for patients, connecting patients and their families to support services, maintaining accurate and current patient records and scheduling and administering initial, urgent, and follow-up appointments to patients as required. The successful candidate will work as a team with our physicians, advanced practice clinicians, and care team coordinator will assist in delivering quality care to every patient. We offer a positive, upbeat work environment where all medical personnel work together for the good of the patient. $10,000 Sign On Bonus WellBe LCSW - Social Worker - What to Expect: Practices the WellBe mission: To help our patients lead healthier, meaningful lives by delivering the most Complete Care. Performs psychosocial assessments and provides therapeutic services to patients and their families. Work closely with Behavioral Health Medical Director to manage complex patient cases and transitions of care A resource for the WellBe communities in managing complex Behavioral Health cases. Manages complex behavioral and psychosocial needs that result in improved clinical and financial outcomes Maintains constant communication with patients when addressing their concerns and goals and helping them keep positive attitudes Builds rapport with patients and their families and relay all concerns to WellBe provider/IDT Assists members to effectively utilize available resources to meet their personal health goals and help them develop their own capabilities. Monitors patient progress and adjusts patient treatment plan as needed Coordinates with other healthcare providers, agencies and community resources in order to create a thorough treatment plan addressing social, cultural, and financial needs Collaborates with the interdisciplinary team and participate in regularly scheduled team meetings Ensures compliance with regulatory agencies and WellBe clinical guidelines Following a thorough assessment completed by an Advanced Practice Clinician (APC), the WellBe social worker partners Partner with community team to refer patients to appropriate no or low-cost community services that support health and independence such as Meals On Wheels (MOW), local Area Agencies on Aging (AAA), Senior & Assistance Programs, and transportation resources. Involves the patients' families and primary caregiver(s) as needed to achieve the best care decisions and outcomes. Effectively collaborates with all those involved in the members' care, including health services contractors (i.e., Home Health, Hospice, Community Agencies), to meet the patients' care goals. Consults with and advises the Clinical Team regarding the relationship of social, emotional, and cultural factors to health and medical care, and to the availability of social services in the community. Complies with safety policies and procedures, identifying and immediately reporting any potential or actual unsafe acts or conditions to their supervisor/team. Takes necessary measures to ensure a safe environment for oneself, co-workers, contractors, participants, visitors and others. Consistently meets or exceeds WellBe targets for productivity, customer service, quality assessment, and performance targets. Understands the importance of community involvement and participates as appropriate in activities that link WellBe to its communities. Maintains current written progress notes and other documentation on the member Medical Record including signed and dated documentation for all service performed the day the service is provided. Participates in program and policy development of the WellBe Social Work program. Other tasks needed to accomplish team's objectives/goals Job Requirements Must Haves: Educational/ Experience Requirements: Master's Degree in Social Work 5+ years clinical social work experience with the geriatric population Two years social work experience, preferably in health care, and minimum one-year experience working with a frail/elderly population. License, Certification, Registration LCSW/LISW/LICSW Licensure required Required Skills and Abilities: Current unrestricted LCSW or LISW license in applicable state(s) required. Age specific competency in working with the elderly and knowledge of community services for the elderly and their families. Ability to make psychosocial assessments and develop and implement viable care plans Must be familiar with EHR medical documentation Strong computer skills, including Word, Excel, and Powerpoint Strong verbal, written, presentation, and interpersonal communication skills Bilingual in English/Spanish preferred. Ability to work effectively in a team environment. Knowledge of social work principles and practices, including case management and counseling techniques. Ability to empathize with clients Ability to provide after-hours services as needed Ability to leverage internal and external resources as part of a patient's treatment plan Experience writing assessments and reports to monitor client progress Valid driver's license, have access to a car and willingness to drive to patient homes/patient location as well as an active auto insurance policy Work Environment: Field, will be traveling locally to patient's homes Pay Range: $85,000 - $92,000 Sponsorship Statement WellBe does not offer employment-based visa sponsorship for this position. Applicants must be legally authorized to work in the United States without the need for employer sponsorship now or in the future. Pay Transparency Statement Compensation for this position will be disclosed in accordance with applicable state and local pay transparency laws. Safety-Sensitive Statement This position has been designated as safety-sensitive. As such, the employee must be able to perform job duties in a manner that ensures the safety of themselves, coworkers, patients, and the public. The role requires full cognitive and physical functioning at all times. Employees in safety-sensitive positions are subject to drug and alcohol testing, including substances that may impair judgment or motor function, in accordance with applicable federal and state laws and company policy. Due to the safety-sensitive nature of this role and in alignment with federal law and workplace safety standards, the use of marijuana-including medical or recreational use-is prohibited. WellBe Senior Medical will comply with applicable state laws regarding medical marijuana and reasonable accommodations, where such laws do not conflict with safety requirements or federal regulations. Drug Screening Requirement As a condition of employment, WellBe Senior Medical requires all candidates to successfully complete a pre-employment drug screening. Ongoing employment may also be contingent upon compliance with the company's Drug-Free Workplace Policy, which includes random, post-accident, and reasonable suspicion of drug testing. The company reserves the right to test for substances that may impair an employee's ability to safely and effectively perform their job duties. Background Check Statement Employment is contingent upon successful completion of a background check, as permitted by law. As a healthcare organization, WellBe conducts monthly FACIS (Fraud and Abuse Control Information System) checks on all employees. Continued employment is contingent upon satisfactory results of these checks, in accordance with applicable laws and regulations. Equal Employment Opportunity (EEO) Statement WellBe 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, protected veteran status, or any other legally protected status. Americans with Disabilities Act WellBe Senior Medical is committed to complying with the Americans with Disabilities Act (ADA) and applicable state and local laws. Reasonable accommodation may be made to enable qualified individuals with disabilities to perform the essential functions of the job. If you require an accommodation during the application, interview or employment process, please contact Human Resources at *********************** At-Will Employment Statement Employment with WellBe is at-will unless otherwise specified by contract. This does not constitute an employment contract. Disclaimer This job description is intended to describe the general nature and level of work performed. It is not intended to be an exhaustive list of all responsibilities, duties, and skills required. Management reserves the right to modify, add, or remove duties as necessary.$85k-92k yearly Auto-Apply 7d agoProgram Operations - Manager for Data Linkage
GDIT
Remote job
Type of Requisition: Regular Clearance Level Must Currently Possess: None Clearance Level Must Be Able to Obtain: None Public Trust/Other Required: BI Full 6C (T4) Job Family: Program Delivery and Execution Job Qualifications: Skills: Collaboration, Data Management, Data Quality Management, Deliverables Management, Stakeholder Management Certifications: None Experience: 7 + years of related experience US Citizenship Required: No Job Description: Position Overview GDIT is seeking an experienced Data Linkage Operations Manager to lead planning, coordination, and delivery of program‑level services for a federal data access and linkage initiative. This role is accountable for how researchers and studies move through the program and ensuring these services are predictable, compliant, and user‑friendly. The Data Linkage Operations Manager reports to the Data Access Program Director and works closely with government sponsors and task leads for , data linkage, and PPRL to translate program goals into integrated operational plans and measurable outcomes. How a Program Operations Manager Will Make an Impact Own the opportunity to plan, implement, and operate the services that researchers and studies use to access linked and unlinked data, including intake, DUAs, Privacy Board processes, training, and technical assistance. Ensure that every step of the data access journey is transparent, timely, and aligned with federal requirements and program priorities. Lead implementation and execution for program operations, including study intake, DUAs, workflows, stakeholder engagement, communications, training/technical assistance, and program reporting. Direct day‑to‑day operations, including DUA processing activities, Privacy Board support, stakeholder communications, budgets, training, and technical assistance. Coordinate with enclave, data linkage, and PPRL leadership to align operational processes and timelines so that services support technical delivery and researcher needs. Translate policy, privacy, and governance requirements into practical processes, SOPs, templates, and tools that guide program operations and user interactions. Own dashboards and metrics for intake volumes, DUA and review cycle times, technical assistance and training activity, and user satisfaction, and drive continuous improvement using data‑driven process changes and automation. Manage relationships with program staff, stakeholders, funded studies, research users, and partner organizations, ensuring clear communication, expectation management, and timely issue resolution. Lead, support, and develop program operations staff, including subcontractor management, staffing plans, and rapid onboarding to meet evolving program demands. Plan and execute program‑operations‑related transition activities, including orderly transfer of program materials, SOPs, communications assets, tracking tools, and documentation. What You'll Need to Succeed Doctor's degree in a relevant field such as health services research, health policy, health informatics, biomedical sciences, bioinformatics, biostatistics, etc. 7+ years managing complex federal research, health data, or program operations initiatives with multiple stakeholders and concurrent workstreams. Demonstrated success leading multi‑disciplinary to deliver program objectives on time and within scope. Project and program management skills, including planning, risk management, budgeting, and stakeholder management. Experience with data access, privacy, or governance environments, DUAs, review boards, and federal oversight processes. Proven ability to design, implement, and refine operational processes, workflows, and templates that improve throughput, quality, and user experience. Excellent written and verbal communication skills in English, including status reports, dashboards, briefings, and guidance documents for senior government and technical audiences. Ability to obtain and maintain a Public Trust or higher and authorization to work in the United States. Travel at 10-25% to support on-site collaboration primarily in the DC Metro area. Preferred 11+ years managing complex federal research, health data, or program operations initiatives with multiple stakeholders and concurrent workstreams. Prior experience leading program operations for federal health/research programs, involving data access/sharing, RWD, data linkage, and PPRL. Industry certifications such as PMP, Agile, ITIL, or other credentials. Relevant technical certifications support federal data programs. Familiarity with data lifecycle management, DUAs, governance workflows, and metrics/reporting in federal research settings. GDIT IS YOUR PLACE At GDIT, the mission is our purpose, and our people are at the center of everything we do. ● Growth: AI-powered career tool that identifies career steps and learning opportunities. ● Support: An internal mobility team focused on helping you achieve your career goals. ● Rewards: Comprehensive benefits and wellness packages, 401K with company match, and competitive pay and paid time off. ● Flexibility: Full-flex work week to own your priorities at work and at home. ● Community: Award-winning culture of innovation and a military-friendly workplace. OWN YOUR OPPORTUNITY Explore a career in program management at GDIT and you'll find endless opportunities to grow alongside colleagues who share your passion for the mission and delivering results. The likely salary range for this position is $158,855 - $214,921. This is not, however, a guarantee of compensation or salary. Rather, salary will be set based on experience, geographic location and possibly contractual requirements and could fall outside of this range. Scheduled Weekly Hours: 40 Travel Required: 10-25% Telecommuting Options: Hybrid Work Location: USA DC Home Office (DCHOME) Additional Work Locations: Total Rewards at GDIT: Our benefits package for all US-based employees includes a variety of medical plan options, some with Health Savings Accounts, dental plan options, a vision plan, and a 401(k) plan offering the ability to contribute both pre and post-tax dollars up to the IRS annual limits and receive a company match. To encourage work/life balance, GDIT offers employees full flex work weeks where possible and a variety of paid time off plans, including vacation, sick and personal time, holidays, paid parental, military, bereavement and jury duty leave. To ensure our employees are able to protect their income, other offerings such as short and long-term disability benefits, life, accidental death and dismemberment, personal accident, critical illness and business travel and accident insurance are provided or available. We regularly review our Total Rewards package to ensure our offerings are competitive and reflect what our employees have told us they value most.We are GDIT. A global technology and professional services company that delivers consulting, technology and mission services to every major agency across the U.S. government, defense and intelligence community. Our 30,000 experts extract the power of technology to create immediate value and deliver solutions at the edge of innovation. We operate across 50 countries worldwide, offering leading capabilities in digital modernization, AI/ML, Cloud, Cyber and application development. Together with our clients, we strive to create a safer, smarter world by harnessing the power of deep expertise and advanced technology.Join our Talent Community to stay up to date on our career opportunities and events at gdit.com/tc. Equal Opportunity Employer / Individuals with Disabilities / Protected Veterans$158.9k-214.9k yearly Auto-Apply 7d agoSenior Training Specialist, Behavioral Health
Altarum
Remote job
Altarum's Community Health Practice Area is seeking a Senior Training Specialist with behavioral health (BH) expertise to support multiple substance use disorder (SUD) treatment and peer recovery support projects. In this role, you will lead the design and delivery of training and technical assistance (TA) for the behavioral health workforce. Responsibilities include developing curriculum focused on adult and provider learning, providing virtual and in-person trainings, development of learning resources and products, and providing individual TA to behavioral health professionals. You will work closely with Federal, State, and Philanthropic clients, management, contractors, consultants, and care providers. Using your expertise in behavioral health services, you will translate evidence and practice-based insights into actionable public health and health services solutions. During your career at Altarum, you will work on many projects, and your specific tasks and responsibilities will vary across projects, with the potential for career advancement. What You'll Do Lead the provision of training and TA to SUD treatment and recovery service providers related to the development and implementation of evidence-based practices both virtually and onsite as needed. Lead the development of training and TA deliverables such as toolkits, online learning courses, webinar presentations, and learning collaboratives. Provide input to inform decisions regarding training and TA processes, including determining scope of work, necessary resources, learning modality, and timeline. Collaborate closely with Altarum staff and external expert consultants across projects. Work directly with clients to ensure that tasks are executed successfully and meet high-quality standards. Provide consultative expertise and recommendations to clients and grantees, as requested. Manage project execution including team staffing, communication, budgets, and delivery of project deliverables. Contribute to Federal, State, and philanthropic proposal efforts, as needed. What You'll Bring Subject matter expertise Master's degree (social work, counselor, public health, social sciences, or related degree) with a minimum of 10 years of relevant work experience with SUD or peer recovery support services Knowledge and expertise in the behavioral health service environment, including care workflows, organizational and program development, and organizational collaboration and coalition building Experience designing adult learning curricula focused on evidence-based and innovative practices related to substance use treatment and recovery Technical Skillset Experience in developing TA protocols, materials, resources, and tools Experience in developing technological media learning strategies Experience participating in practice quality improvement processes using Plan, Do, Study, Act or other methods Experience in knowledge transfer through meeting, training, and workshop design Experience managing training or TA contracts including staffing, budget, and project deliverables Cultural fit Prior experience working in a consulting environment Desire to integrate research, technical, analytical, and consulting skills to serve the public good and improve human health Excellent critical and analytical thinking, willingness to step into new roles, strong communication and facilitation skills, team focused mentality, and a commitment to continuously learning and improving Ability to flexibly navigate a customer service environment Work Eligibility & Requirements Candidates must be currently eligible to work in the United States; sponsorship is not available. All work must be performed within the continental U.S. for the duration of employment, unless required by contract. Ability to work core hours aligned with Eastern Time, unless otherwise approved by your manager. Remote employees must maintain a dedicated, ergonomically appropriate workspace free from distractions, with reliable internet and a mobile device that supports efficient work. Where You'll Work Remote with occasional in-person collaboration days If you're near one of our offices (Arlington, VA; Silver Spring, MD; or Novi, MI), you'll join us in person one day every other month (6 times per year) for a fun, purpose-driven Collaboration Day. These days are filled with creative energy, meaningful connection, and team brainstorming! Non-local employees may be asked to join us on these days at an approved co-working space. Altarum is a nonprofit organization focused on improving the health of individuals with fewer financial resources and populations disenfranchised by the health care system. We work primarily on behalf of federal and state governments to design and implement solutions that achieve measurable results. We combine our expertise in public health and health care delivery with technology development and implementation, practice transformation, training and technical assistance, quality improvement, data analytics, and applied research and evaluation. Our innovative solutions and proven processes lead to better value and health for all. Altarum is an equal opportunity employer that provides employment and opportunities to all qualified employees and applicants without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, or any other characteristic protected by applicable law.$69k-94k yearly est. Auto-Apply 7d agoChildbirth Educator (RN) - system support
Ohiohealth
Columbus, OH
**We are more than a health system. We are a belief system.** We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help people uncover their own power to be healthy. We inspire hope. We learn, grow, and achieve more - in our careers and in our communities. ** Summary:** Participates in the development, implementation and evaluation of community education programs for childbirth preparation, sibling education and women's health. Coordinates the planning, implementation and evaluation of special programs as required. Furthers own professional growth and education. **Responsibilities And Duties:** 60% Teaches/conducts community and patient education programs related to women's and child health. Assesses the participants skills and selects appropriate teaching methods and appropriate media to meet the participants needs. Prepares and presents education sessions and practical instruction using a variety of media. Uses adult learning principles in program development and presentations Consults with the leaders of Women's Health Services or a designee to develop additional programs and attends meetings to discuss program content, evaluations, and/or revisions as needed. 20% Evaluates the effectiveness of the program via evaluation surveys and direct observation Submits program evaluations to be summarized and reviews summaries of programs for continuous improvement opportunities in modifications and/or additions to current program content and/or delivery. 15% Maintains records of attendance, evaluations and other metrics of program participants. Notifies appropriate referral agencies of participants attendance as required. i.e., , WIC for Breast feeding program attendance e Prepares and or makes room arrangements, coordinates supplementary speakers, and handles other routine administrative responsibilities related to conducting education programs. 5% Maintains knowledge of current nursing techniques and procedures, and current developments in training, continuing and in-service education by attending appropriate conferences and seminars, work experience, and reading of appropriate journals, books and other literature. **Minimum Qualifications:** Associate's Degree (Required) RN - Registered Nurse - Ohio Board of Nursing **Additional Job Description:** Current license as a Registered Nurse Work requires the ability to analyze and solve complex technical problems requiring the use of basic scientific, clinical or technical principles plus in depth Experienced-based knowledge. Work requires the communication skills necessary in order to serve as a spokesperson before professional or community groups and conduct formal classroom training programs. Work, which may include other duties, is performed according to existing procedures and instructions. Work requires the knowledge of theories, principles and concepts regarding the program content normally acquired thorough a nursing degree or related field and two to three years of previous Experience plus three to six months of time in the role. **Work Shift:** Variable **Scheduled Weekly Hours :** As Needed **Department** Dawson Supplemental Staff Join us! ... if your passion is to work in a caring environment ... if you believe that learning is a life-long process ... if you strive for excellence and want to be among the best in the healthcare industry Equal Employment Opportunity OhioHealth is an equal opportunity employer and fully supports and maintains compliance with all state, federal, and local regulations. OhioHealth does not discriminate against associates or applicants because of race, color, genetic information, religion, sex, sexual orientation, gender identity or expression, age, ancestry, national origin, veteran status, military status, pregnancy, disability, marital status, familial status, or other characteristics protected by law. Equal employment is extended to all person in all aspects of the associate-employer relationship including recruitment, hiring, training, promotion, transfer, compensation, discipline, reduction in staff, termination, assignment of benefits, and any other term or condition of employment$33k-58k yearly est. 60d+ agoResearch Assistant
Hopelab
Remote job
Do your best work here.Hopelab envisions a future where young people have equitable opportunities to live joyful and purposeful lives. As a researcher, investor, and convener, Hopelab is dedicated to fostering greater mental health and well-being outcomes for Brown, Black, and Queer young people. Position Overview: Research AssistantThe Research Assistant is an entry-level role that supports Hopelab's efforts in youth-centered research and translational science, focusing on understanding and improving the well-being of Black, Brown, and Queer young people. The ideal research assistant excels at research organization and is a compelling communicator of our work. Typical responsibilities include creating literature and landscape reviews, publicly sharing our research through written and verbal data presentations, facilitating recruitment of research participants, organizing and conducting focus groups and interviews, conducting descriptive qualitative and quantitative analyses, coordinating with external collaborators, supporting the development of IRB protocols, and supporting event planning for convenings with our partners. At its core, a successful Research Assistant does the following: Keeps us organized - creates and administers effective systems and procedures that support our diverse research activities Represents our work publicly - effectively and compellingly shares our results and their impact to public audiences Builds and maintains relationships - is a trusted point of contact for our research participants and external collaborators Enthusiastically takes on new challenges - learns quickly and adapts to rapidly evolving work demands The Research Assistant will report to one of Hopelab's Principal Researchers. They will primarily support the Research team, but also have opportunities to support other strategic functional areas where their skills align with the team's needs. Position Responsibilities Create and maintain overall research and project tracking documents, including timelines, meeting notes, deliverables, databases of key relationships, and other project resources Recruit, schedule, track, and engage research participants Coordinate the development and implementation of research activities, including project kick-offs, focus groups, individual interviews, and surveys. Participate in data synthesis processes that distill insights that are relevant and useful to the project goals and objectives Conduct, write up, and present landscape reviews, and academic literature reviews on key programs, technologies, organizations, individuals, and academic and popular literature relevant to Hopelab initiatives Present findings and perspectives related to our research through written and verbal professional communication outlets. Coordinate and assist with the development and scheduling of regular communications and presentations on research activities and findings for both internal project teams and external collaborators. Organize the assembly and storage of Institutional Review Board (IRB) documents and communicate with IRB officers on protocol submission requirements and documentation Support meetings, including set-up, note-taking, record-keeping, and follow-up items Support event planning for partnership convenings Manage internal evaluation activities related to our research and research partnerships Required Education, Experience, and Skills A combination of education, relevant work experience, and/or training resulting in demonstrated ability to successfully complete the job tasks Typically, a Bachelor's degree with academic studies in a relevant field (psychology, education, anthropology, sociology, public health, or health services research) is a plus Interest in learning about and applying health equity practices across research projects and protocols Experience with academic literature searches in the social and behavioral sciences, and with reference management tools, is a plus A confident user of common research project applications such as survey tools (e.g., Qualtrics), collaboration tools (e.g., Notion, Mural), and project management tools (e.g., Team Gantt) Strong project administration skills, including creation and upkeep of study protocols and instruments, and detailed tracking of project tasks, deliverables, and goals Strong research coordination skills, including coordinating planning processes and information sharing across multiple stakeholder teams Experience and enthusiasm for working in an interdisciplinary environment and learning about approaches from other fields Experience and comfort in communicating with diverse audiences, verbally and in writing Experience building relationships and partnerships and communicating sensitively with a wide range of stakeholder groups, including young people Experience coordinating essential communication with external collaborators TermThis is a two-year, full-time, term-limited employment opportunity. Applicants must be able to begin in June 2026. Compensation and BenefitsHopelab's compensation is tied to local job market data, so will differ by location. Here are some sample hourly rates for this role, commensurate with training and experience:- SF Bay Area/NYC: Starting hourly rate ($35.65 - $40.11). Full range ($35.65 - $44.56).- Los Angeles: Starting hourly rate ($33.87- $38.10). Full range ($33.87- $42.34).- DC/Seattle: Starting hourly rate ($32.09 - $36.10). Full range ($32.09 - $40.11).- Denver/Chicago/Sacramento: Starting hourly rate ($30.30 - $34.09). Full range ($30.30 - $37.88).- Miami/Portland Oregon: Starting hourly rate ($28.52 - $32.09). Full range ($28.52 - $35.65). Hopelab provides a generous benefits package that includes medical, dental, vision; internet stipends; wellness programs, including 8 therapy and 8 coaching sessions a year for you and dependents; paid time off; 401K contributions exceeding industry standards; all this, plus the opportunity to work with amazing colleagues to create a more equitable world for young people. In-Person and Travel ExpectationsSan Francisco Bay Area is the preferred location for this role. This role requires some in-person time to best support collaboration with our internal team. The office and travel expectations are approximately as follows:- Domestic travel 4-6 times per year for partnerships, conferences, and meetings with stakeholders.- Quarterly week-long retreats in SF Bay Area (in addition to travel listed above).- If located in the Bay Area, 1/week working from our office in downtown San Francisco.- All business travel is paid for by Hopelab. The ApplicationPlease apply with a resume and a brief cover letter describing how you're a match for this role. As the first line of your cover letter, please indicate if you did or did not use AI in the writing of your cover letter and why. Applications are due by 11:59 p.m. PT Tuesday, February 17, 2026.- Applicants must be currently authorized to work in the United States.- Applicants may only apply to the Research Assistant position OR the Communications & Policy Assistant position. Applicants who apply to both roles will not be considered.- To maintain an equitable hiring process, we do not offer informational conversations outside of the interview process. Please refrain from contacting Hopelab staff about this opportunity.- All applicants will receive a response about their application when we have something to communicate: we will not be able to respond to individual inquiries about your application. Commitment to Diversity, Equity, and InclusionHopelab is committed to attracting and retaining a diverse staff and encourages people from underrepresented groups to apply. Hopelab is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to age, race, ethnicity, religion, sexual orientation, gender identity, national origin, marital status, ancestry, disability status, protected veteran status, or any other characteristic protected by law. Employment offers will be contingent on a background check that is limited in scope and compliant with best practices for Fair Chance Hiring. All inquiries are held in strict confidence.$35.7-44.6 hourly Auto-Apply 4d agoVice President of Sales Growth & Business Development
PM Pediatrics
Remote job
It's fun to work in a company where people truly BELIEVE in what they're doing! We're committed to bringing passion and customer focus to the business. SummaryThe Vice President of Sales Growth and Business Development will lead growth strategies to expand the organization's urgent care and mental health footprint. This executive will focus on developing referral partnerships with large medical systems, school districts, building payer partnerships to position the organization as a primary provider of urgent care and mental health services, and driving strategic acquisitions as part of the expansion strategy. This role will report to the Chief Commercial Officer.Description Responsibilities: Provider & Health System Referral Growth Develop partnerships with large medical systems (hospitals, integrated delivery networks, specialty groups) to create referral pipelines into the organization's urgent care and mental health services. Build strong provider relationships (primary care, pediatrics, and specialty practices) to ensure continuous patient referrals. Establish integrated care pathways that connect urgent care and primary care with behavioral health services. School District Partnerships Develop partnerships with public and private school districts for urgent care and mental health referral programs. Engage with school leadership and county officials to explore right source of funding including grants or insurance programs Payer Partnerships Negotiate agreements with commercial payers, Medicaid, and Medicare Advantage plans to establish the organization as a preferred or primary provider of mental health services across markets. Support payer population health strategies by integrating behavioral health into their outpatient programs. Business Development Leadership Develop and execute a growth roadmap that combines partnerships, referrals, payer contracting, and acquisitions. Build and lead a business development team with clear metrics for referral volume, payer contracts, and acquisitions closed. Monitor market trends and competitive dynamics in behavioral health to anticipate opportunities and risks. Practice Acquisition & Expansion Strategy Identify, evaluate, and acquire small to mid-sized independent mental health practices as part of the national expansion plan. Lead all stages of the acquisition process including sourcing, due diligence and negotiation. Metrics for Success New Customer Growth: Directly responsible for new customer growth with proven ROI Referral Growth: % increase in referral volume from providers and large health systems Payer Partnerships: Number of new payer contracts executed positioning organization as a preferred behavioral health provider; % increase in covered lives. Revenue Impact: Contribution of partnerships, payer contracts, and acquisitions to top-line growth. Competencies & Attributes Strategic Growth Mindset: Skilled in balancing partnerships, payer deals, and acquisitions to scale services. Relationship Builder: Effective at influencing health system and payer executives. Execution-Oriented: Moves rapidly from strategy to measurable outcomes. Mission-Driven: Committed to expanding access to quality health services. Compensation & Benefits Competitive executive compensation (base + performance-based incentives). Comprehensive health, dental, and vision insurance. 401(k) with company match. Professional development and executive leadership growth opportunities. Qualifications Bachelor's degree required; MBA, MHA, or related advanced degree preferred. 10+ years of progressive experience in healthcare business development, partnerships, or M&A. Proven track record in health services (urgent care, behavioral health, and other similar services) including payer negotiations, system-level partnerships, and acquisitions. Strong executive network across payers, health systems, and provider groups. Excellent negotiation, communication, and executive relationship skills. Ability to travel nationally (30-40%). EEO Statement PM Pediatric Care is an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, gender identity or expression, national origin, disability status, protected veteran status or any other characteristic protected by law.$138k-214k yearly est. Auto-Apply 60d+ agoHuman Services Manager
Dasstateoh
Columbus, OH
Human Services Manager (260000ML) Organization: Department of Children and YouthAgency Contact Name and Information: Ashley. Sydebotham@childrenandyouth. ohio. High Complex 246 North High Street Columbus 43215Primary Location: United States of America-OHIO-Franklin County-Columbus Compensation: $39. 22 per hour Schedule: Full-time Work Hours: 8:00 AM - 5:00 PMClassified Indicator: ClassifiedUnion: Exempt from Union Primary Job Skill: Human ServicesTechnical Skills: Human ServicesProfessional Skills: Attention to Detail Agency OverviewAbout us Our mission is to promote positive, lifelong outcomes for Ohio youth through early intervention, quality education, and family support programs. At DCY, we offer our employees a rewarding work experience in public service helping Ohioans achieve a sustainable lifestyle that includes generous benefit options and a flexible work life balance making our agency a great place to work! To learn more about DCY, please visit our website at Department of Children and Youth | Ohio. gov. Location Requirements DCY's core hours of operation are Mon-Fri from 8:00am to 5:00pm, however, daily start/end times may vary based on operational need across DCY divisions. Employees may begin as early as 7:00am & as late as 9:00am, based on supervisory approval. This position performs work on-site daily at DCY's office space. Job DescriptionUnder the general direction of the Bureau Chief of Maternal and Early Childhood Services and Supports provides strategic leadership and operational oversight for statewide maternal and infant health initiatives. This position manages maternal and infant health initiatives, directs quality improvement and data-to-action efforts, oversees grants and contracts, and supervises professional staff to ensure high-quality, evidence-based maternal and infant health services across the state. The role serves as a key subject-matter and programmatic leader for maternal and infant health systems improvement, including federally funded initiatives, clinical quality collaboratives, and mortality review and prevention efforts. Program Leadership & Clinical InitiativesManage and direct statewide Maternal and Infant Health Initiatives, including interdisciplinary monitoring and specialized consultation. Provide oversight for initiatives such as the Alliance for Innovation on Maternal Health (AIM), Pregnancy-Associated Mortality Review (PAMR), Maternal and Infant Vitality Initiative (MIVI), Safe Sleep and Cribs for Kids, and other data-to-action activities. Serve as project director for assigned federal maternal and infant health grants. Initiate and manage special maternal and infant health projects, including grant applications, outcome reporting, and analysis of site visit and monitoring findings. Grants, Contracts & Fiscal OversightDirect the fiscal, administrative, and programmatic management of grants and contracts supporting statewide maternal and infant health services. Oversee development of short- and long-term program goals, quality assurance activities, and compliance with funding requirements. Lead the review, scoring, and selection process for grant and contract applications. Develop Requests for Proposals (RFPs), negotiate administrative issues with subgrantees and contractors, and monitor deliverables. Manage program budgets and monitor multiple funding streams to ensure appropriate use of funds and adherence to timelines. Standards, Protocols & Quality ImprovementDirect the development and implementation of clinical protocols, standards, and best practices for funded services, including perinatal, child health, and outreach programs. Ensure alignment of funded services with current evidence-based health care practices and state and federal requirements. Monitor program performance and compliance with section work plans and reporting requirements. Staff Supervision & Workforce DevelopmentMentor, supervise, and evaluate professional, supervisory, and support staff. Assign and review work; interview and select candidates; evaluate performance; review attendance; and approve leave and training requests. Develop and update position descriptions and support staff professional development. Lead staff in annual strategy development, activity planning, and reporting. Data, Evaluation & Systems CoordinationUse programmatic and population-level data to assess service needs, identify gaps, and inform program targeting and improvement. Coordinate data analysis with the agencies data team and support data-driven decision-making. Prepare reports on program outcomes and service effectiveness. Collaboration & Policy DevelopmentParticipate in inter- and intra-departmental meetings, including those related to the Title V Maternal and Child Health Block Grant. Coordinate closely with other BMECSS sections, offices, and bureaus to enhance service integration and utilization. Assist the Bureau Chief with policy development, recommendations, and implementation related to maternal and infant health services. Provide input on staffing, budget adjustments, and strategic priorities affecting maternal and infant programs. Pay InformationUnless required by legislation or union contract, starting salary will be step 1 of the salary range associated with this position. New hires advance to the next step in the range after 6 months and annually thereafter. Based on collective bargaining and legislative activity, there may be cost of living increases awarded annually. Additional longevity supplements begin after 5 years. The current wage progression for this position is in the table below. Months of EmploymentAt Hire6 months18 months30 months42 months54 Months 66 Months 78 Months Pay RangeExempt/14Step 1Step 2Step 3Step 4Step 5Step 6 Step 7 Step 8 Hourly$39. 22$41. 46$43. 68$46. 05$48. 66$51. 36$53. 49$55. 99Annual$81,578$86,237$90,854$95,784$101,213$106,829$111,259$116,459Background Check InformationThe final candidate selected for the position will be required to undergo a criminal background check. Criminal convictions do not necessarily preclude an applicant from consideration for a position. An individual assessment of an applicant's prior criminal convictions will be made before excluding an applicant from consideration. Status of posted positions You can check the status of your application online be signing into your profile and clicking the “My Jobpage” tab to view completed submissions and submission details. If you have questions other than your applications status, please direct them to DCY. HumanResources@childrenandyouth. ohio. gov. 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 CoverageFree 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. Qualifications72 mos. exp. in researching, developing, or implementing policies related to social services, health services, public policy, or comparable field; 12 mos. exp. in delivery of human services in a governmental, community, or private human support services agency. -Or completion of undergraduate core program in social or behavioral science; 48 mos. exp. in researching, developing, or implementing policies related to social services, health services, public policy, or comparable field; 12 mos. exp. in delivery of human services in a governmental, community, or private human support services agency. -Or completion of graduate core program in social or behavioral science; 36 mos. exp. in researching, developing, or implementing policies related to social services, health services, public policy, or comparable field; 12 mos. exp. in delivery of human services in a governmental, community, or private human support services agency. -Or 12 mos. exp. as Human Services Developer, 69463. -Or equivalent of Minimum Class Qualifications For Employment noted above. Supplemental InformationAll answers to the supplemental questions must be supported by the work experience/education provided on your civil service application. Attachments will not be considered as part of your application. Selection devices such as a structured interview, proficiency instrument, and/or assessment may be required for this position. Applicants must demonstrate proficiency with a passing score of applicable selection device to be considered for this position. Regardless of a passing or failing score, all results will be maintained for 6 months. Applicant with a passing score will be retained and utilized for a 6-month period. Applicant with a failing score in the same position may not re-take the same selection device for a 6-month period. Travel required, as needed. Must provide own transportation or in order to operate a state vehicle, you must have a valid driver's license. 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.$81.6k-116.5k yearly Auto-Apply 1d agoDirector, Hypertension Control Program
Resolve To Save Lives
Remote job
Resolve to Save Lives (RTSL) is a global health organization that partners locally and globally to create and scale solutions to the world's deadliest health threats. Millions of people die from preventable health threats. We collaborate to close the gap between proven, life-saving solutions and the people who need them. Since 2017, we've worked with governments and other partners in more than 60 countries to save millions of lives. We work toward a future where people live longer, healthier lives, communities flourish, and economies thrive. This is an ambitious vision, and it inspires us and our partners to make progress every day. The Cardiovascular Health (CVH) unit at RTSL provides technical assistance in developing cardiovascular disease prevention programs to help countries improve their people's heart health. Working with our partners to improve the control of high blood pressure, reduce salt intake, and eliminate transfat from the global food supply, the CVH team has helped save countless lives from cardiovascular disease. Position Purpose The Director, Hypertension Control Program is a critical member of the CVH team, responsible for building and managing high-performance teams, providing strategic operational and technical oversight for scaling-up country programs and driving effective internal and external engagement to improve population-level blood pressure across more than 40 countries. The Director, Hypertension Control Program provides strategic leadership to ensure successful program expansion, strong partnerships with governments and global stakeholders, sound financial management, and sustained resource mobilization. The position reports to the Senior Vice President, Cardiovascular Health Initiative. Core Duties and Responsibilities The Director, Hypertension Control Program, will have responsibilities such as but not limited to the following: Leadership and Team Management Lead, mentor, and manage a multidisciplinary global team including staff, consultants, and partners, fostering a culture of collaboration, accountability, and professional growth Build and strengthen management systems, workflows, and team structures, including talent acquisition as needed, to support efficient program delivery at scale Provide coaching, performance management, and professional development support to ensure team success and retention Promote effective internal communication across teams, functions, and geographies Country Program Scale-Up and Partnership Management Provide strategic, technical and operational oversight for the implementation and scale-up of hypertension control programs across priority countries, ensuring alignment with the HEARTS technical package, organizational goals and country needs Strengthen relationships with government and other implementing partners, including donors, and multilateral organizations to support program expansion and sustainability Ensure the delivery of tailored, high-quality training of in-country and international partners on implementation of priority interventions Support country teams in navigating operational, political, and implementation challenges to achieve impact at scale Strategic and Technical Program Oversight Provide strategic, technical and operational oversight for country programs ensuring alignment with global hypertension strategies while adapting to local health system contexts Provide strategic input to the Senior Vice President on priorities and approaches to country engagement and program growth Support refinement and execution of the global hypertension strategy with a focus on scalability, sustainability, and country ownership Monitor program progress across countries, identifying risks, bottlenecks, and opportunities, and supporting timely course correction as needed Communication and Reporting Ensure clear, consistent, and timely communication with internal leadership, country teams, and external partners Promote learning across countries by facilitating cross-country exchange, documentation of best practices, and adaptive implementation Contribute to preparation of progress updates, donor reports, and executive briefings Represent the organization with external stakeholders, including at high-level meetings, convenings, and conferences Budget and Financial Management Lead planning, oversight, and management of program budgets to ensure responsible and effective use of resources Monitor expenditures, identify risks, and support corrective actions in collaboration with finance and operations teams Align programmatic priorities with available resources to maximize impact Fundraising and Resource Mobilization Support SVP in fundraising efforts Collaborate with development, communications and program teams to develop concept notes and funding proposals. Participate in donor meetings, briefings and reporting, as needed Qualifications Education: A degree in medicine, nursing, pharmacy or another relevant graduate degree; a master's degree in public health is an advantage Experience: At least 15 years of experience in public health program implementation and management Demonstrated experience managing teams, including remote and cross-cultural teams Strong track record of scaling country programs and managing complex multi-country initiatives Experience working on facilities-based health service delivery, with knowledge of drug protocols and drug supply, data collection and analysis, creating efficiencies, and enabling patient centered approaches to treatment access and adherence Proven experience in budget oversight and financial management Experience supporting or contributing to fundraising and donor engagement Experience working on hypertension / cardiovascular diseases is preferred, but not essential Experience working on systems to treat other chronic health conditions (such as HIV/AIDS, cancer, etc) or other non-acute conditions (such as tuberculosis) is a suitable alternative to experience related to hypertension / cardiovascular diseases Experience developing and maintaining effective institutional partnerships with governments, donors, and international organizations Experience working in low- and middle-income settings or with underserved communities, ideally within the public sector Skills & abilities: Strategic mindset with the ability to see the big picture and articulate a clear strategy and steps to achieve strategic goals Demonstrated leadership skills, including the ability to build an effective team, providing direct and actionable feedback, inspiring, motivating, coaching and engendering strong team morale Strong organizational and prioritization skills in complex, fast-paced environments Proven managerial skills, including organizing workflows, effective delegation and supervision, and supporting performance management of staff Clear, effective and efficient communication skills, both oral and written Exceptional organizational skills Ability to work under pressure and deliver against tight deadlines Well-developed interpersonal skills and commitment to fostering harmonious and effective internal team work and partnerships across cultures Other: Ability to travel up to 25% of the time Compensation and Benefits Resolve to Save Lives prides itself on cultivating a supportive, connected remote team doing work that matters. We do everything possible to ensure our employees are connected and set up for success. The salary range for applicants based in the US is $150,000 to $168,000 annually. The exact offer will be determined by various factors, such as the candidate's skills and experience relative to the requirements of the role. In addition to a competitive salary, Resolve to Save Lives provides a generous package of benefits, including: Health insurance for you and your dependents Contributions toward retirement Paid annual leave and sick leave, in addition to public holidays Two paid, week-long organization-wide breaks at mid-year and end-of-year Professional development and home office setup benefits Up-to-date computer equipment RTSL accepts and reviews applications on an ongoing basis. We are grateful for your interest in our work and for your application. Unfortunately, due to the volume of applications, we are unable to respond to every applicant. Someone from our talent team will contact you if your qualifications match the role. RTSL believes its programs are strengthened when they are developed and supported by individuals with diverse life experiences whose understanding of social and cultural issues can help make our work and workforce more inclusive. We encourage applications from and provide equal employment opportunities to all qualified applicants without regard to race, color, religion, gender, gender identity or expression, ancestry, sexual orientation, national origin, age, disability, marital status, organ donor status, or status as a veteran. Resolve to Save Lives complies with all applicable US EEO laws.$150k-168k yearly Auto-Apply 2d agoSr. Business Consultant - Baltimore, MD
Msccn
Remote job
ATTENTION MILITARY AFFILIATED JOB SEEKERS - Our organization works with partner companies to source qualified talent for their open roles. The following position is available to Veterans, Transitioning Military, National Guard and Reserve Members, Military Spouses, Wounded Warriors, and their Caregivers. If you have the required skill set, education requirements, and experience, please click the submit button and follow the next steps. All positions are onsite, unless otherwise stated. PURPOSE: This position will play a pivotal role in the modernization and redesign of the utilization management department within the Health Services division. The Sr. Business Consultant provides expertise in tailored, strategic, and critical work to help design, launch, and execute programs that support initiatives in the changing healthcare industry. Using a deep understanding of utilization management, the Senor Business Consultant acts as a liaison between the UM clinical teams, the technical support teams, and the claims operations teams. Ensures alignment of authorization to claims processing by use of a working knowledge of claims system configuration, including claims edits. The ideal candidate will have a deep understanding of proper plan design across all commercial and government programs plans and experience administering plans in a large payer organization. We are looking for an experienced professional to work remotely. The incumbent will be expected to come into a CareFirst location periodically for meetings, training and/or other business-related activities. ESSENTIAL FUNCTIONS: Provide subject matter expertise in utilization management workflows and technology platforms as well as project management, finance and budget, data and metrics, information technology, etc., that contributes to the effective accomplishment of initiatives, tasks and goals. Collaborate on the business strategy, thesis, programs and the identification of strategic opportunities. Drive the exploration of opportunities for automation and driving efficiencies for the UM teams. Proactively leads cross-functional teams and projects between divisions, and internal and/or external stakeholders to deliver value to the utilization department and Health Services division. Proactively identify ways, means, and platforms to build synergy and mutually reinforcing workstreams to accomplish tasks more effectively across different business functions of initiatives. Assist in developing, standing up and operationalizing technology platform optimization to track progress, programs, and impact for supported service area. Design and run dashboards to support clear communication across vertical components of business. Review and support task coordination while identifying potential process improvements. Develop and finalize budgets, policies, and other documentation for programs. Build trusted relationships within and across CareFirst to deepen subject-matter expertise, find opportunities to synchronize, and ensure close coordination with teams in their areas of responsibility. Identify opportunities for synergies to improve task execution across the organization. Work collaboratively with other support partners within current and upcoming programs. Communicate strategy, programs, and next steps to leadership and key stakeholders. QUALIFICATIONS: Education Level: Bachelor's Degree OR in lieu of a Bachelor's degree, an additional 4 years of relevant work experience is required in addition to the required work experience. Experience: 10 years experience in business development, operational technology support, general business operations and/or consulting experience. Preferred Qualifications: Deep understanding of utilization management in order to act as a liaison between the UM clinical teams, the technical support teams, and the claims operations teams. Working knowledge of claims system configuration, including claims edits, is needed to ensure alignment of authorization to claims processing. Deep understanding of proper plan design across all commercial and government programs plans and experience administering plans in a large payer organization is helpful. Overall technical knowledge and understanding of Guiding Care, Facets, and other key systems is helpful when exploring opportunities for automation and driving efficiencies for the UM teams. Ability to work across multiple business areas, collaborate with peers, clinical, clinical support, medical director, and other levels while ensuring alignment with department and organizational goals is crucial to be successful. This position must be able to work efficiently and independently to move critical initiatives forward in alignment with direction established through thought partnership with the Director of UM and the VP/CMO of Medical Management. Ability to use proper change management principles is important as this role will be involved in changes made to the clinical and clinical support operations and processes. Professional level communication skills and the ability to participate in and lead conversations and meetings will aid the overall success of the department. Knowledge, Skills and Abilities (KSAs): Understands business goals and priorities. Follows evolving market, industry and consumer trends. Effective communication of complex ideas both verbal and written. Exceptional project management, facilitation and organizational skills. Excellent relationship management skills. Strategic thinker, problem solver, and a collaborator who can drive engagement and discussions. Significant experience with MS Office (Excel, PowerPoint, Word). Strong analytic skills utilizing tools such as Power BI, Excel, etc. Must be able to meet established deadlines and handle multiple customer service demands from internal and external customers, within set expectations for service excellence. Must be able to effectively communicate and provide positive customer service to every internal and external customer, including customers who may be demanding or otherwise challenging. Salary Range: $120,000 - $214,500$120k-214.5k yearly 17d agoIntensive Home-Based Treatment (IHBT) Intern (Fall 2026)
Bellefaire JCB
Remote job
Bellefaire JCB is among the nation's largest, most experienced child service agencies providing a variety of behavioral health, substance abuse, education and prevention services. Through more than 25 programs, we help more than 30,000 youth and their families each year achieve resiliency, dignity and self-sufficiency. Check out “Bellefaire JCB: Join Our Team” on Vimeo! POSITION SUMMARY: The Intensive Home-Based Therapy (IHBT) Intern position is a paid, hourly role at Bellefaire JCB. The role is reserved for graduate students who have reached the internship portion of their Master's programs and have secured a formal trainee license, allowing them to perform clinical duties under the supervision of an authorized, licensed field supervisor. The IHBT Intern provides intensive therapeutic services to families who are experiencing difficulties in response to any number of internal and external stressors. The (IHBT) Intern works a member of a treatment team directed by an IHBT Program Supervisor/ Field Instructor. Services take place in the home and community. Work hours are flexible and must be kept below 20 per week. Some evenings apply. This position will be based out of our Summit County regional office and will support Summit County specifically. ESSENTIAL DUTIES: Assist in the assignment of cases to provide assessments, counseling/psychotherapy, and community support program services for clients, their families, and with significant others as needed, including: community organizations, schools, other health and social service professionals, the justice system, and other agencies involved with the client. Provide the following services, including, but not limited to: Family and individual counseling Substance abuse counseling Family education Family and individual skill trainings Advocacy Information and referral Transportation Alcohol and drug education Group work Crisis intervention Other services necessary to the enrichment of the intern environment Formulate goal-oriented treatment plans in accordance with the IHBT model, inclusive of step-oriented processes for preventing crises and the stabilizing the family unit. Submit and utilize a goal attainment scale or other approved system to allow for supervision and evaluation of the success of the treatment plan. Contribute to the development and maintenance of the clinical record through the timely completion of assigned documentation in accordance with applicable licensing and accreditation regulations and standards. Responsible for timely termination/evaluation letters. Provide advocacy and liaison work with schools, the justice system, social services, health services, and like agencies as needed. Provide culturally competent clinical services, including but not necessarily limited to: biopsychosocial assessments, treatment plans and reviews, individual counseling, group counseling, family therapy, aftercare planning, and termination reports. Adhere to Agency/ACS/ NASW codes of conduct and ethics. Adhere to Learning Contract as designed by Student and Field Instructor. Attend all scheduled staff meetings, supervision, and on-going training. All required trainings, certifications and licensure must be kept current in accordance with applicable licensing and accreditation regulations and standards. Contribute to the development and maintenance of the clinical record through the timely completion of assigned documentation in accordance with applicable licensing and accreditation regulations and standards. Respect the privacy of clients and hold in confidence all information obtained during the client's treatment. All client-related documents should be handled in accordance with Agency guidelines on confidential material. Maintain high standards of ethical and professional conduct and adhere to Agency policies and procedures. Other duties as assigned by management. QUALIFICATIONS: Education: Minimum current Master's student in Social Work, Counseling, or Marriage and Family Therapy required. Licensure: Valid Ohio Trainee license (Social Work Trainee, Counselor Trainee, Marriage and Family Therapy Trainee), or higher, required. Experience: At least one semester of clinical fieldwork and/ or substantive professional clinical experience required. Other: Must have and maintain a valid drivers license and driving record that meets the underwriting criteria of the Agency's insurance company. Bellefaire JCB is an equal opportunity employer, and hires its employees without consideration to race, religion, creed, color, national origin, age, gender, sexual orientation, marital status, veteran status or disability or any other status protected by federal, state or local law. Bellefaire JCB is a partner agency of the Wingspan Care Group, a non-profit administrative service organization providing a united, community-based network of services so member agencies can focus on mission-related goals and operate in a more cost-effective and efficient manner.$28k-36k yearly est. Auto-Apply 60d+ agoApelon Terminology Server Administrator
Chickasaw Nation Industries
Remote job
The Apelon Terminology Server Administrator works closely with a team supporting the Indian Health Service, Health Information Technology Systems and Support (HITSS) project. The Apelon Terminology Server Administrator works in the development and augmentation of current Apelon-based mechanisms to enable the routine import of medium to large scale edits to Apelon content for any designated terminology using and enhancing, as needed, Terminology Query Language (TQL) based scripts, for example, consistent with the Apelon DB (future state operating procedure). The work requires skills associated with understanding Apelon software and Apelon DB. Also, the Terminology Server Administrator will ensure the correct transfer of database content from the current locally developed database to the Apelon DB and back (current standard operating procedure). The Terminology Server Administrator will be able to understand the local software DB to the extent needed. The “data” being integrated is clinical terminology knowledgebase content, i.e. collections of clinical concepts and concept mappings. It is not patient data. The ideal candidate is familiar with healthcare terminology standards and has worked in healthcare-based environments supporting interoperability and the large-scale use of healthcare terminologies in national or large regional electronic healthcare records. The ideal candidate works very closely with the System Engineer and the Clinical Terminologist as part of a quality driven team in support of content integral to the delivery of patient care in the Indian Health Service. The ideal candidate works closely with the team for guidance in understanding system/clinical/customer needs and the translation of such to work requirements. The ideal candidate seeks input and accept feedback from all team members to enhance understanding of candidate's work impact and meet IHS needs. An understanding of required input, error impact and standardization of processes, as well as the impact of such on the delivery of high-quality work is essential. The ideal candidate is very comfortable deeply applying analytical skills, is creative and typically proactively problem solves. This position desires deep technical understanding and familiarity with healthcare data flow. The team engages with other stakeholders, particularly with the Distributed Terminology System federal lead, other HIT teams, and at times vendor experts. Effective communication is required. The ideal candidate demonstrates the ability to collaborate in, what is at times, a high-pressure environment, exhibiting grace under pressure with internal and external stakeholders including teammates and customers. The ideal candidate will join a team of experienced professionals providing valuable expertise and technical support to meaningful work. Chickasaw Nation Industries, Inc. serves as a holding company with multiple subsidiaries engaged in several lines of business (Technology, Infrastructure & Engineering, Health, Manufacturing, Public Safety, Consulting, and Transportation) for the federal government and commercial enterprises. A portion of our profits is used to support Chickasaw citizens. We are proud to support the economic development and long-term viability of the Chickasaw Nation and its people. CNI offers premium benefits eligible on the first day of hire to full time employees; (Medical - Dental - Vision), Company Life Insurance, Short-Term and Long-Term Disability Insurance, 401(K) Immediate Vesting, Professional Development Assistance, Legal Aid Assistance Program, Family Planning / Fertility Assistance, Personal Time Off, and Observance of Federal Holidays. As a federal contractor, CNI is a drug-free workplace and adheres to the Federal Controlled Substance Act. ESSENTIAL REQUIREMENTS Must be able to obtain Public Trust Level 5 background clearance. System integration certification - desired certification from nationally recognized accrediting body. Experienced with terminology servers, system integration, database and application support and maintenance. Possesses knowledge to support current health information technology, recommend improvements and assists in upgrade/enhancements of current systems as needed. Expertise in system integration in which data pipeline traceability is essential. Strong Java programming is required; Experience with Git source code repository strongly preferred. Experience with a Java/Excel API is a plus. Expertise with terminology servers is desired, especially Apelon DTS. Experience with SQL databases, especially SQL Server, at both application- and DBA-levels. Expertise with application support, development and maintenance. Experience with end-to-end implementation and support. Possesses DB experience sufficiently enough to develop the required understanding of the relationship between the Apelon environment and the DB the current local software (ATOM) sits on. Experienced in information Modeling at both conceptual (e.g. UML Object modeling with class diagrams) and logical (entity-relationship, 3NF modeling) levels. Experienced in interaction modeling (e.g. using UML sequence diagrams); Understanding and deep experience with infrastructure such as Windows Authentication. Engineering mindset - to organize complexity and keep it under control. Strong experience with at least one standard clinical terminology is desired (SNOMED CT, ICD-10-CM, RxNorm, LOINC, etc.). Possesses excellent time management and organizational skills and has demonstrated ability to multi-task manage multiple projects and priorities and to meet specified deadlines. Excellent customer service and relationship-building skills. Excellent computer skills with proficiency using Microsoft Office, and very strong in MS Excel. Excellent verbal and written communications skills with ability to compose meaningful reports and to present information with clarity. Strong analytical, problem-solving, teamwork and communication skills. Ability to employ a collaborative, customer service approach and to work effectively with others in diverse and multi-functional roles. Understands need for and has the ability to maintain confidentiality of sensitive information. Ability to raise appropriately issues and concerns for resolution. Ability to work effectively, both independently and in a team environment for the successful achievement of goals. ESSENTIAL DUTIES AND RESPONSIBILITIES Essential duties and responsibilities include the following, other duties may be assigned. Maintains server security and integrity. Contributes the requisite technical expertise in the implementation of security standards and guidelines. Integrates Apelon DTS content into IHS test and production environments. Maintains traceability of work and issues. Manages system performance. Reports on infrastructure capabilities to team as needed. Assesses System integration - current and future. Supervises all alerts related to application and system procedures and provide services proactively. Installs and prepares tools required for proper functioning of application, including Apelon DTS, on regular basis, documenting and communicating as needed. Application administration, support and maintenance. Lead the installation, upgrade, and maintenance of Apelon DTS and other enterprise applications and servers as needed. This includes installing new software releases and system upgrades, evaluating, and installing patches, and conducting application migrations, refreshes, and restores. Develops expertise in Apelon software and Apelon DB. Develops and augments current Apelon-based mechanisms to enable the import of medium to large scale edits to Apelon content for any designated terminology, utilizing an effective combination of Apelon Terminology Query Language (TQL) and other Apelon plug-ins preserving the integrity of the Apelon DB (future state operating procedure). Bidirectionally Integrates Apelon DTS with locally developed Java terminology application (ATOM) (current standard operating procedure), maintaining traceability of requests through delivered results, with MS Excel reporting at various points for pipeline transparency Implement and maintain these integrations using a combination of: their native import/export/query tools and Java/JDBC. Document how and when these capabilities are used in the context of regular content update cycles. Routinely advise on feasibility of integration improvements and provide corresponding work estimates. Designs and implements tools to measure effectiveness of current and of new systems/processes or improvements to existing systems/processes. Organizes and implements projects and provide assistance to all processes under guidance of the System Engineer, the Clinical Terminologist and the Project Manager. Assess existing infrastructure and system to identify opportunities for upgrade and consolidation of subsystems integration into cohesive entities, based on work/team-driven requirements, to better meet organizational goals, increase quality and efficiency. Solicit feedback from team then proceed with plan, with subsequent evaluation for desired/untoward impacts. Provides data-driven recommendations regarding new health IT systems/processes and improvements to existing systems/processes, working closely with DTS team and in collaboration with other IHS based health information technology experts. As part of routine workflow, creates, implements test plans and results, soliciting and incorporating team feedback at each step. Designs and maintains content pipelines across application processes and systems. Administer and resolve applications issues, provide updates and perform root cause analysis. Provide production support in a 24 x 7 environment, maintain SLA, system availability, capacity management, and performance KPI. Performs root cause assessment and debug all issues on server domain, and availability of applications. Provides support and identify all issues and prepare appropriate documentation all issues and solutions. Identifies and provide resolutions ranging in complexity from medium to high. Maintains SQL Server including some Administrator duties. Maintains General Server admin (mostly Windows patching, backups). Works closely with team and vendor(s) to identify optimal system use. Gathers and analyzes HIT data to help federal customers with decisions of enterprise-wide impact. Understands and communicates regulatory and IT requirements affecting health business processes. Gathers and documents requirements for existing and new projects using agile tools and/or standard requirements documentation. Prepares analysis and findings using Microsoft products, such as PowerPoint, Visio, Excel and Word. Assists the project manager with the development and maintenance of backlog items used in agile development. Reviews and contributes to documentation, reports, and other documents for new and existing systems. Contributes to the development/modification of policies and procedures supporting new and existing systems. Contributes to the development and implementation of system training program and materials. Analyze problems for various projects to identify significant factors, gather pertinent data and recognize solutions. Understand and responds to a rapidly changing business environment and works closely with the project manager and project team on customized solutions. Performs miscellaneous administrative duties related to accomplishing tasks and any duties assigned by the project manager. Maintains good professional relationships with internal and external team. Supports internal CMMI-related commitments to support cyclical audits and maintains quality assurance standards for existing documentation through peer reviews, audits, and checklists. Demonstrates flexibility to support emerging program needs and priorities. EDUCATION/EXPERIENCE REQUIRED Bachelor of Science degree in Computer Science, Software Engineering, Information Science, Health Information Technology or other IT related field of study. Five (5) years of experience working in system integration and database design. PHYSICAL DEMANDS Work is primarily performed in an office environment. Regularly required to sit. Regularly required use hands to finger, handle, or feel, reach with hands and arms to handle objects and operate tools, computer, and/or controls. Required to speak and hear. Occasionally required to stand, walk and stoop, kneel, crouch, or crawl. Must frequently lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision, distance vision, depth perception, and ability to adjust focus. Exposed to general office noise with computers printers and light traffic. 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 of this job. EOE including Disability/Vet The estimated pay range for this role is $100K to $120K, with the final offer contingent on location, skillset, and experience. CNI offers a comprehensive benefits package that includes: Medical Dental Vision 401(k) Family Planning/Fertility Assistance STD/LTD/Basic Life/AD&D Legal-Aid Program Employee Assistance Program (EAP) Paid Time Off (PTO) - (11) Federal Holidays Training and Development Opportunities Your application submission will be considered for all potential employment opportunities with Chickasaw Nation Industries (CNI). #INDREMOTE$100k-120k yearly Auto-Apply 2d agoRisk Adjustment Revenue Manager (Remote)
Marshfield Clinic
Remote job
Come work at a place where innovation and teamwork come together to support the most exciting missions in the world! Job Title: Risk Adjustment Revenue Manager (Remote) Cost Center: 682891390 SHP-Strategic Finance Scheduled Weekly Hours: 40 Employee Type: Regular Work Shift: Mon-Fri; 8:00 am - 5:00 pm (United States of America) Job Description: The Risk Adjustment Revenue Manager is responsible for risk adjustment strategy and related revenue management for Security Health Plan's Medicare, Affordable Care Act and Medicaid business. This individual provides development and implementation of programs and initiatives to improve the accuracy of the coding, including education; retrospective and prospective review processes; and vendor contract management; accountability for preparation for and management of the Centers for Medicare and Medicaid Services (CMS) and the Department of Health Services (DHS) auditing processes; management of encounter data processes; and management of applicable state and federal guidance. The Risk Adjustment Revenue Manager works collaboratively with Security Health Plan executives and leadership as well as Marshfield Clinic Health System (MCHS) executives and leadership to lead risk adjustment strategy and process. JOB QUALIFICATIONS EDUCATION Minimum Required: Bachelor's Degree in Business Administration, Finance, Health Care Administration, Management or related field required. Preferred/Optional: Post graduate degree(s) desirable. EXPERIENCE Minimum Required: Five years of experience in risk adjustment or related area. Three years of experience in a management or leadership role and experience in the healthcare industry. Demonstrate a broad understanding of healthcare and health insurance. Demonstrate proficiency with verbal and written communication, strategic planning and business acumen. Preferred/Optional: Working knowledge of CMS and/or Medicaid risk adjustment methodologies. CERTIFICATIONS/LICENSES The following licensure(s), certification(s), registration(s), etc., are required for this position. Licenses with restrictions are subject to review to determine if restrictions are substantially related to the position. Minimum Required: Certifications in professional coding and risk adjustment coding from American Academy of Professional Coders. State of Wisconsin driver's license with an acceptable driving record. Preferred/Optional: None Marshfield Clinic Health System is committed to enriching the lives of others through accessible, affordable and compassionate healthcare. Successful applicants will listen, serve and put the needs of patients and customers first. Exclusion From Federal Programs: Employee may not at any time have been or be excluded from participation in any federally funded program, including Medicare and Medicaid. This is a condition of employment. Employee must immediately notify his/her manager or the Health System's Compliance Officer if he/she is threatened with exclusion or becomes excluded from any federally funded program. Marshfield Clinic Health System is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected veteran status, age, or any other characteristic protected by law.$81k-128k yearly est. Auto-Apply 12d agoSupervisor Regional - Integrated Care Mgmt - Sharp Community Medical Group (Corporate) - *Remote for San Diego County only - FT- Days
Sharp Healthplan
Remote job
Hours: Shift Start Time: 8 AM Shift End Time: 5 PM AWS Hours Requirement: 8/40 - 8 Hour Shift Additional Shift Information: Weekend Requirements: As Needed On-Call Required: No Hourly Pay Range (Minimum - Midpoint - Maximum): $72.290 - $93.280 - $104.470 The stated pay scale reflects the range that Sharp reasonably expects to pay for this position. The actual pay rate and pay grade for this position will be dependent on a variety of factors, including an applicant's years of experience, unique skills and abilities, education, alignment with similar internal candidates, marketplace factors, other requirements for the position, and employer business practices. What You Will Do Supervise the effective implementation of the Ambulatory Case Management (ACM) programs that includes the management of patients in the different areas of the care management spectrum. Responsible for operational planning consistent with existing policies and procedures. Responsible for supervision of ACM activities to include tracking, trending, and analyzing data, streamlining and improvement of programs, facilitation of provider education, supporting the Medical Directors, and collaborating on interdepartmental activities. Develop and implement new programs under the direction of the Manager of Integrated Care Management and Director of Health Services. Participates in the development of the annual ACM plans and implementation of corrective action plans related to health plan audits and requirements of National Committee on Quality Assurance (NCQA) and other governing regulatory bodies. Collaborates with the Quality, Compliance, and Training Department to effectively integrate and implement processes consistent with health plan, NCQA, DMHC, and CMS requirements. Participates in the development and implementation of new programs under the direction of the Manager of Integrated Care Management. Required Qualifications * Bachelor's Degree nursing or health care related field. * 3 Years experience in the acute patient care setting, including ICU or intermediate care units, Medical-Surgical Nursing, and/or Home Health. * 3 Years in medical management experience, preferably in managed care. * California Registered Nurse (RN) - CA Board of Registered Nursing -REQUIRED Preferred Qualifications * 2 Years leadership experience, preferably in a managed care setting. Other Qualification Requirements * Utilization, Case Management, or Quality Management certification preferred. Essential Functions * Ambulatory Case Management Operations Supervise Ambulatory Case Management staff and operational processes in accordance with NCQA, DMHC, CMS and health plan requirements. Oversee the ACM and UM processes of the assigned teams, ensuring staff access to needed information and tools. Ensure that tools utilized by ACM teams are up to date and in alignment with regulatory requirements and internal processes. Establish and maintain appropriate policies and procedures and training plans to include enforcement of standards for all ACM team activities. Coordinate with the Health Services Quality and Compliance department to ensure timely and relevant implementation of training and verify adherence with quality and compliance parameters. Implement and maintain the reporting systems for operational and utilization outcome indicators as it relates to the daily ACM operations. Implement and maintain regular reporting systems for operation and ambulatory care management outcome indicators. Participate in groups in developing and implementing strategic plan to implement organization vision and/or service-culture initiatives. Establish specific quality goals, connecting the vision to the necessary actions and long-term strategies. Recognize physician needs and concerns and act on opportunities for improvement in conjunction with leadership. Collaborate with physicians to address operational issues. Promotes positive outcomes in a managed healthcare setting in support of program initiatives. Lead team members to facilitate and coordinate quality healthcare services and delivery of goods and services to meet a member's specific healthcare needs in a timely, efficient, and cost effective manner utilizing strong communication, problem solving, and critical thinking skills. Direct and collaborate with peers and assists in the case management process as necessary. Assists leadership in promoting team performance goals and in monitoring team progress toward accomplishment of departmental goals and initiatives. Assists in the ongoing education of providers, physicians and their office staff. Implements action plan to improve referral processing under ACM management direction. Enforce policies and procedures for all Case Management activities. Maintains ongoing analysis of program performance and monitors trends and opportunities for enhancement or expansion of the ACM processes and operations Document ACM processes according to SCMG policies and procedures. Collaborate with other disciplines/departments to resolve identified issues with demonstrated improvement in operational flow. Facilitate ACM staff and provider collaboration. Operationalize and establish efficient ambulatory case management and referral management work flows to ensure timely patient care. Bring to attention of the ACM Manager, areas of non-compliance and provide input on actions for improvement. Establish and maintain operational documents such as policies and procedures, desktop procedures as well as all other tools that ACM staff utilize to complete case management activities. Collaborate with vendors to provide in services as appropriate to provide staff with available services. * Human Resource Management All 90 day and annual performance reviews are completed per Sharp guidelines. Provides feedback toward employee performance. Facilitates staff's progress toward agreed upon annual performance goals. Assure employee files are current and complete, including annual TB testing, Safety Testing, Compliance Training, and annual HIPAA test, etc. Manage and assist staff to resolve identified attendance, performance, learning and behavior issues through feedback, counseling, corrective action and goal-setting. Hire staffing for the department per department plan. Orient/mentor staff into new role resulting in achieved competencies. Ensure accuracy with new employee onboarding as it relates to granting systems access, e.g., EPIC, OnBase, health plan websites, EHR, etc. Increases retention rate (or reduces turnover) of select group of staff. Leads initiative that results in improved teamwork and/or building more effective relationships. Decreases occurrences of unsafe work practices and/or worker's injuries. Arranges team coverage for ACM teams in the event of staff absence by demonstrating willingness, flexibility, and competence to assign coverage and/or serve as 'float' as needed with thorough understanding of program differences. Supports ergonomic improvement initiatives, teaching, and assists with enforcing compliance with measures designed to reduce employee injury. Provides training and assistance to staff. Mentors others in developing new skills and assuming new responsibilities. Staffing schedules are coordinated to assure adequate department coverage. Special projects as assigned by Manager, and/or Director. * Leadership Lead groups in developing and implementing strategic plan to implement organization vision and/or service culture initiatives. Establish specific quality goals, connecting the vision to the necessary actions and long-term strategies. Recognize physician needs and concerns and initiate opportunities for improvement. Recognize patient needs and concerns and initiate opportunities for improvement. Collaborate with other disciplines/departments to resolve daily operational issues when supervising unit. Facilitate staff in prioritizing and problem solving daily operational issues. Demonstrate resolution of operational issues with targeted outcomes as negotiated with manager. Utilize team-building skills to provide direction, goal setting, and attainment of goals. Conduct team meetings to include documentation of agendas and minutes on a consistent schedule. * Quality and Productivity Performance Monitor and manage staff deviations from team quality and productivity goals. Conduct and report quarterly performance audits and results. Establish and maintain staff meetings quarterly to review progress towards meeting quality and productivity goals. * System Configuration and Testing Plan and develop of operating systems to manage specific SCMG operational and business objectives through the set-up of ACM queues and workflows. Participate in the development and implementation of software functionality, upgrades, and system integration. Coordinate testing efforts of new and current software functionalities and applications. Oversight the process of identifying, reporting, trouble-shooting, and resolving system problems. Analyze the impact of software changes on accuracy and productivity. Oversee the ACM ambulatory CM and UM process workflows from an application perspective and staff adherence. * Professional Development Maintains competence in all standards of ambulatory case management, referral management and care coordination. Keeps current knowledge and understanding of applicable accreditation and regulatory statutes related to health care, managed care, case management practice. Serves as a resource and mentor to Health Services teams. Attends and actively participates in department/team process/quality improvement activities. * Program Improvement Maintains ongoing analysis of program performance and monitors trends and opportunities for enhancement or expansion of the program. Provides expertise/consultation in developing services/programs, marketing strategies, and business planning. Consults/liaisons with other programs and agencies, and consultants as appropriate Collaborates with other disciplines/departments to resolve identified issues. Knowledge, Skills, and Abilities * Effective interpersonal skills: strong verbal, written and presentation skills. * Ability to work well with staff for various educational and professional skills backgrounds to achieve common goals. * Accepts accountability for performance and decisions. * Thorough computer knowledge, including on-line database and personal computer skills. * Knowledge of wide variety of local and national resources for use in Care Management process. * Strong organizational skills with ability to work well under pressure with conflicting priorities. * Ability to read, speak and hear English clearly. * Occasional travel between Sharp HealthCare facilities and provider offices; must provide own transportation. * Demonstrated leadership skills. Sharp HealthCare is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability or any other protected class$53k-86k yearly est. Auto-Apply 22d agoIT Project Manager
State of Wisconsin
Remote job
This position provides leadership and direction to the application development staff and works closely with DOC Divisions and Departmental shared systems including Offender Management, Reentry, Health Services, Supply Chain, Financial Services and/or HR/Payroll areas. The position also plans and manages the delivery of effective business system solutions along with associated application technology for the DOC, which includes systems and project planning, estimating, execution, implementation, and ongoing support. This position works closely with the functional business groups within DOC to ensure effectiveness of system solutions deployed and reviews detailed systems specifications to ensure the development and support of new systems and enhancement of existing systems is consistent with agency development and support methodologies, standards, and policies. Additionally, the position will also be responsible for the delivery and overall performance of the business systems solution and managing the processes associated with the state's Vendor Management Solution (VMS) contract by ensuring contracted personnel used within BTM are budgeted for and tracked. Salary Information The starting pay is between $83657 and $127192 per year, plus excellent benefits. Pay will be set in accordance with the Compensation Plan and Wisconsin Administrative Code in effect at the time of hire. The pay schedule/range is 07-32. A 12-month probationary period is required. In addition to meaningful and rewarding work, we offer a competitive benefits package featuring: * Substantial leave time including at least 3.5 weeks of vacation to start, 9 paid holidays, and ample accrued sick time that rolls over each year. * Insurance: Excellent and affordable health, dental, vision, and life insurance. * An exceptional pension plan including a lifetime retirement payment. * An optional tax-advantaged 457 retirement savings plan. * The Well Wisconsin Program helps participants set health and well-being goals, track progress, stay motivated, and earn incentives. * Our Employee Assistance Program offers employees and their immediate family a variety of tools, resources, and professional consultation services to support their health, goals, and overall well-being. * DOC is a qualifying employer for the Public Service Loan Forgiveness program. * Please click here for a summary of State of Wisconsin employment benefits or click here to explore employment benefits on the website. To help you understand what your benefit package would be worth, please see the Total Rewards Calculator here. Job Details Applicants must be legally entitled to work in the United States (i.e., a citizen or national of the U.S., a lawful permanent resident, an alien authorized to work in the U.S. without DOC sponsorship) at the time of application. The Department of Corrections will conduct criminal background checks on applicants prior to selection to determine whether the circumstances of any conviction may be related to the job being filled. Upon hire, all new DOC employees are subject to fingerprinting. The Department of Corrections may conduct pre-employment drug screens. Any applicant who is offered employment in a position which requires a pre-employment drug screen must pass the screen as a contingency to employment. NOTE: This position is eligible to work remotely 100% of the time. For this position, working outside of Wisconsin will not be allowed. You must currently live in or be willing to relocate to Wisconsin. Qualifications Minimally qualified applicants will have experience: * Performing project management related duties such as documenting and reporting on the progress of a project, allocating team resources, and maintaining working relationships with clients, managers, and project team. * Coordinating and managing project and resource tasks using a tracking tool. * Supporting project enhancements, bug fixes, and determining the appropriate project management methodology to use, based on project size, scope, and deliverables. In addition to the above, well qualified applicants will have experience: * Managing projects using an agile methodology, utilizing Jira for project and bug tracking. * Vetting, selection, promotion, and enforcement of technology standards. How To Apply To apply, click on "Apply for Job" to start the application process. Follow the steps outlined in the application process and submit your application. Permanent classified employees who are eligible for consideration as a transfer or voluntary demotion must complete the application process in order to be considered. Applicants should attach a letter of qualifications and resume detailing their training and experience relating to the qualifications mentioned above. It is not necessary to include references at this time. Your letter of qualifications and resume will be evaluated and is considered the assessment for this position. Your letter of qualifications and resume should be limited to a maximum of two pages each. Your submission will be evaluated by one or more job experts. The most eligible candidates will be invited to participate in the next step of the selection process. The Department of Corrections has created extra guidance to assist you in developing your resume and letter of qualification, if interested please click here. Questions can be directed to Phia Vang, Human Resources Specialist at ***********************. The State of Wisconsin is an Equal Opportunity and Affirmative Action employer seeking a diverse and talented workforce. We provide reasonable accommodations to applicants and employees with disabilities. The State of Wisconsin offers a special program for qualified veterans with a 30% or greater service-connected disability. If you are a qualified veteran, please visit the Veterans Employment page for application instructions to be considered for the Veterans Non-Competitive Appointment program. Deadline to Apply Online application and materials must be submitted by 11:59 pm on 2/2/26, in order to be considered. For general wisc.jobs user information and technical assistance, please see the wisc.jobs Commonly Asked Questions page. Some users report better performance when using the Chrome browser.$83.7k-127.2k yearly 6d agoCertified Medical Assistant (Remote NC)
Vaya Health
Remote job
LOCATION: Remote - must live in North Carolina or within 40 miles of the NC border. Must also live in/near Vaya's catchment area. Must have ability to travel to Vaya's office if needed . GENERAL STATEMENT OF JOB The Medical Assistant provides clerical and sub-professional health services support for Care Management in the Population Health Division. Monitoring, collecting and entering various forms of data along with a variety of nursing functions in maintaining patient data and reports, providing information to individuals and families, and interacting with the medical team of Vaya Health. Coordinate with providers, stakeholders and the public, providing information and assistance. Administrative support services to teams within the Care Management Department. ESSENTIAL JOB FUNCTIONS Administrative Support: Receive documents from provider practices and upload into care management platform; in addition, be able to take required data elements and enter them into specific fields in the care management platform. Support Nursing assignments according to workflow. Collaboration: Provides information, as directed to them by professional personnel, to health services recipients. Assist with the creation and implementation of trainings. Coordinate with other departments as needed. Assist nurses with Vaya nursing duties. Data Management: Assists CM Manager with data collection, assist with collection of medical records, reviews Preparing data for multifunctional process use. Other duties as assigned. KNOWLEDGE OF JOB Proficient knowledge in the Healthcare field and Medical terminology Knowledge of community based programs and services pertaining to physical health, mental health, substance use, and intellectual and/or developmental disability Ability to communicate with members and their families in a professional manner Skilled in the use of personal computers, related software applications, hardware and peripheral equipment Ability to maintain accurate records and files Ability to communicate ideas effectively in both oral and written formats, and follow oral and written instructions Ability to maintain the confidentiality of members Ability to establish effective working relationships with associates, members, their families, social workers, medical practices, and the general public. Ability to maintain clerical records and to compile reports from these records Ability to use sound judgment and empathy in role Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. EDUCATION & EXPERIENCE REQUIREMENTS High school diploma or GED is required. Associate degree in Health or Human services preferred. Six (6) months experience in a Healthcare field required. LICENSURE/CERTIFICATION REQUIREMENTS: Certified Medical Assistant (AAMA) PHYSICAL REQUIREMENTS Close visual acuity to perform activities such as preparation and analysis of documents; viewing a computer terminal; and extensive reading. Physical activity in this position includes crouching, reaching, walking, talking, hearing and repetitive motion of hands, wrists and fingers. Sedentary work with lifting requirements up to 10 pounds, sitting for extended periods of time. Mental concentration is required in all aspects of work. RESIDENCY REQUIREMENTS: The person in this position IS required to reside in North Carolina or within 40 miles of the NC border. SALARY: Depending on qualifications & experience of candidate. This position is a non-exempt and is eligible for overtime compensation. DEADLINE FOR APPLICATION: Open until filled APPLY: Vaya Health accepts online applications in our Career Center, please visit ****************************************** Vaya Health is an equal opportunity employer.$31k-36k yearly est. Auto-Apply 13d agoProject Manager (Remote)
Govcio
Remote job
GovCIO is currently hiring for a Project Manager to support the Health Services Portfolio Veterans Health Services Finance product line within the Department of Veterans Affairs (VA) Office of Information and Technology (OIT). The Project Manager will be a hands-on leader who will support a VA Product Manager with day-to-day oversight providing strategy, process, and implementation advisory services to the Product Team. The Project Manager will be responsible for client interactions and ensuring production of quality work products. The environment is dynamic, and client needs are often evolving; flexibility and forward-thinking views are important for success. This role is a fully remote position within the United States with core hours of operation from Monday to Friday 8 AM to 5 PM ET. Responsibilities Creates integrated project plans for contract deliverables and new products in development projects. Manages oversight to a project team comprised of multidisciplinary staff. Reviews, manages and controls status of projects; manages schedules and prepares status reports. Assesses project issues and develops resolutions to meet productivity, quality, and client-satisfaction goals and objectives. Develops mechanisms for monitoring project progress and for intervention and problem solving with team members and line managers. Manages the direction of a project through the design, implementation, and testing in accordance with project objectives. Defines requirements and plans project lifecycle deployment. Supervises professional and technical support personnel performing in their regular disciplines. Schedules tasks and coordinates with various team members to accomplish the results. Advises on software development lifecycle for maturity of agile lifecycle management principles utilizing statistical analysis of processes. Collaborates with peers, OIT VA PMs, VHA PMs, and product teams for maturity of IT processes and impact assessments. Provides technical insight and solutions for continuous improvement of Agile, configuration management and release traceability considerations across the products. Contributes to the transparency and completion of each project within assigned products. Prepares and presents briefings, facilitation of government customer program increment planning and oversight of product meetings with a deep knowledge and understanding of the product status for patch remediation inclusive of ingest, development, testing, partner integration and CPAC IOC validation through release management with application coordinators. Ensures adherence to quality standards and reviews project deliverables. Including, the use of and advisement on Agile Lifecycle Management tools, guidelines, and principles. Conducts project meetings and is responsible for project tracking, analysis and reporting. Supports and advises the VHA Finance product line initiatives and engages OI&T staff to ensure product pilot programs are successfully implemented from the start with security, Section 508, and DevSecOps methodologies to enable successful nation-wide rollouts. Identifies and advises on project/schedule risks and issues impacting the progress and outcome of the sub-Product Line. Supports the monthly reporting requirements for the ACOE monthly metrics. Qualifications Required Skills and Experience Bachelor's degree in engineering, Computer Science, Systems, Business or related scientific/technical discipline with 15+ years' experience. 10 years of additional relevant experience may be substituted for education Strong communication skills (oral and written) to relay concise messaging and reporting to all levels of management Great interpersonal skills and ability to work independently with minimal guidance/supervision Strong analytical and investigation skills crafting solutions to challenging problems or issues Strong experience in developing presentations and slides for communicating technical and non-technical subjects to both small and large audiences Experience taking vague requirements and requests and delivering robust products, recommendations, and/or solutions Well-versed in DevSecOps and agile IT development and project management methodologies Solid experience with Microsoft and other collaborative tools including Teams, SharePoint, Jira, etc. Ability to extrapolate and communicate a client's main challenges and pain points and the ability to craft strong solutions and make recommendations Preferred Skills and Experience Preferred experience with VistA and mainframe applications Clearance Required: Ability to obtain and maintain a Suitability/Public Trust clearance Company Overview GovCIO is a team of transformers--people who are passionate about transforming government IT. Every day, we make a positive impact by delivering innovative IT services and solutions that improve how government agencies operate and serve our citizens. But we can't do it alone. We need great people to help us do great things - for our customers, our culture, and our ability to attract other great people. We are changing the face of government IT and building a workforce that fuels this mission. Are you ready to be a transformer? What You Can Expect Interview & Hiring Process If you are selected to move forward through the process, here's what you can expect: During the Interview Process Virtual video interview conducted via video with the hiring manager and/or team Camera must be on A valid photo ID must be presented during each interview During the Hiring Process Enhanced Biometrics ID verification screening Background check, to include: Criminal history (past 7 years) Verification of your highest level of education Verification of your employment history (past 7 years), based on information provided in your application Employee Perks At GovCIO, we consistently hear that meaningful work and a collaborative team environment are two of the top reasons our employees enjoy working here. In addition, our employees have access to a range of perks and benefits to support their personal and professional well-being, beyond the standard company offered health benefits, including: Employee Assistance Program (EAP) Corporate Discounts Learning & Development platform, to include certification preparation content Training, Education and Certification Assistance* Referral Bonus Program Internal Mobility Program Pet Insurance Flexible Work Environment *Available to full-time employees Our employees' unique talents and contributions are the driving force behind our success in supporting our customers, which ultimately fuels the success of our company. Join us and be a part of a culture that invests in its people and prioritizes continuous enhancement of the employee experience. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender, gender identity or expression, sexual orientation, national origin, disability, or status as a protected veteran. EOE, including disability/vets. Posted Pay Range The posted pay range, if referenced, reflects the range expected for this position at the commencement of employment, however, base pay offered may vary depending on multiple individualized factors, including market location, job-related knowledge, skills, education, experience, and internal equity. The total compensation package for this position may also include other compensation elements, to be discussed during the hiring process. If hired, employee will be in an “at-will position” and the GovCIO reserves the right to modify base salary (as well as any other discretionary payment or compensation program) at any time, including for reasons related to individual performance, GovCIO or individual department/team performance, and market factors. Posted Salary Range USD $128,000.00 - USD $135,000.00 /Yr.$128k-135k yearly Auto-Apply 20d agoBehavioral Health Coordinator
Optima Medical
Remote job
Job Description Optima Medical is an Arizona-based medical group consisting of 30 locations and over 130+ medical providers, who care for more than 200,000 patients statewide. Our mission is to improve the quality of life throughout Arizona by helping communities "Live Better, Live Longer" through personalized healthcare, with a focus on preventing the nation's top leading causes of death. We go beyond primary care with a full spectrum of services including cardiovascular health services, behavioral health, allergy testing and immunotherapy, in-house lab testing, imaging, chronic disease management, and other specialty health services. We aspire to aid the growth of our company by welcoming the most qualified and deserving candidates aboard. Optima is currently seeking a Behavioral Health Coordinator to join our team! This individual will support a defined group of patients by coordinating behavioral health services and assisting them in achieving both short- and long-term mental and emotional wellness goals. The Behavioral Health Coordinator will work closely with providers, behavioral health clinicians, and care teams to ensure patients receive timely, appropriate, and continuous support. A working knowledge of behavioral health practices, care coordination, and patient engagement is strongly preferred for this role. Responsibilities: Assist in monitoring compliance of medication prescribed by the physician or psychiatric provider. Facilitate partnerships between patients, personal providers, and family when appropriate. Provide psychoeducation, coping skills, and therapeutic worksheets through a structured care plan. Utilize standardized assessment tools to track progress between provider appointments. Provide information to patient on community services and resources Review care plans/charts and coordinate with care provider to ensure they are being followed. Requirements: Bachelor's Degree in Sociology or Psychology Proven experience as a Behavioral Health Specialist/Clinical Social Worker in a clinic setting Must be able to work as part of a multi-disciplinary team Knowledge of health and patient care regulations Excellent communication skills Strong ethics Team spirit with a positive attitude Willingness to continue gaining knowledge and clinical experience Why Join Our Team? Leadership and mentoring Resources to further career Fun work environment (lunches, events, holiday parties) Benefits (medical/vision/dental/401k/paid holidays) Supportive and positive work environment This role is fully remote after training has commenced$38k-58k yearly est. 2d agoReferrals Specialist
Hawai'i Island Community Health Center
Remote job
Starting at $19.50 hourly Join Our Team as a Referrals Specialist! Are you passionate about providing excellent patient care and making a difference in your community? Hawaii Island Community Health Center is looking for a dedicated Referrals Specialist to join our team! Position Summary: As a Referrals Specialist, you will play a crucial role in managing external patient referrals and follow-up in collaboration with the provider and other members of the patient care team. Under the general direction of the Health Services Manager and Referrals Supervisor, you will maintain electronic patient files, respond to and fulfill requests for medical records, and assist in the collection of data. Additionally, you will coordinate travel for patients to and from appointments. Schedule: Monday-Friday (most weekends off) Work hours are between 6:00 AM and 6:00 PM, with shifts totaling either 8 hours or 10 hours per day. Opportunity to work from home on occasions, following work from home guidelines. Benefits Include: Retirement plan Medical, Vision, and Dental Insurance Pet insurance Paid time off Employee Assistance Program Other ancillary benefits Education and Experience: High School graduate or GED certificate One year of related clinical office experience and/or training; OR any equivalent combination of experience, training, and/or education Desirable experience includes: Familiarity with QUEST and other insurance programs Familiarity with Hawaiʻi Health Care Networks Knowledge of ICD-10 and CPT coding Key Responsibilities: Prioritize patient referrals to manage patient flow for maximum efficiency and optimum care provision Utilize medical records appropriately to document care within the scope of job duties Coordinate referrals, preauthorization, and follow-up with appropriate external resources Develop and maintain tracking systems for referrals to outside resources Actively participate in quality improvement and risk management programs Participate as an active team member on the patient care team Engage in continuing education activities Demonstrate competency in managed care preauthorization for travel Document appropriately in the patient medical record Facilitate quality specialty medical, diagnostic, and therapeutic services via appropriate referral and tracking for follow-up Maintain positive interpersonal relations with physicians, patients, patient families, visitors, and co-workers in a professional and confidential manner Embrace the philosophy of continuous quality improvement Maintain a safe, clean, and confidential working environment consistent with OSHA, HIPAA, and HHC standards Communicate accurate and pertinent information with patient care providers and other members of the care delivery team to facilitate effective and efficient patient referrals and tracking Apply age-specific/cultural considerations to the referral process Manage changes in work demand during the workday Ensure patient/family satisfaction with referral services Keep supervisor informed of problems or issues; monitor supplies needed; perform other duties as assigned Why Join Us? At Hawaii Island Community Health Center, we are committed to providing high-quality healthcare services to our community. Join our team and be part of a supportive and dynamic environment where you can grow professionally and make a meaningful impact. Apply Today! If you are ready to take on this rewarding role, please submit your application and resume. We look forward to welcoming you to our team!$19.5 hourly Auto-Apply 60d+ ago
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