Security Program Manager
Securitas Security Services USA, Inc.
Columbus, OH
Securitas Security Services USA, Inc. is the global leader in protective services, delivering specialized guarding, advanced technology solutions, and comprehensive risk management to clients across a wide range of industries. Our mission is simple yet powerful: to help make your world a safer place . Backed by a legacy of trust, innovation, and global expertise, we provide tailored security solutions that combine cutting-edge technology with outstanding service. We are seeking a Security Program Manager to lead the design, implementation, and oversight of security programs that safeguard critical data center facilities, assets, personnel, and information. This role is responsible for ensuring the highest standards of physical security and compliance, while supporting operational efficiency and business continuity. The Security Program Manager will collaborate with internal teams, vendors, and external stakeholders to mitigate risks, manage large-scale security projects, and ensure adherence to regulatory, contractual, and corporate requirements. This hybrid position requires regular travel to client facilities in and around the Columbus, OH area. Benefits: We believe in investing in our people. When you join Securitas, you'll receive: ✔ Competitive Salary: $125,000 Annually ✔ Monthly Vehicle Allowance: $500.00 ✔ Comprehensive Benefits Package: Medical, dental, vision, and life insurance 10 accrued vacation days, 4 personal holidays, 6 sick days Bonus Eligible 401K with company matching ✔ Career Growth: Continuous training and leadership development programs. ✔ Dynamic Work Environment: Be a part of a highly engaged and results-driven team. Key Responsibilities: Develop, implement, and manage physical security programs across data center facilities, including access control, surveillance, perimeter protection, and incident response. Lead security-related projects such as system upgrades, access system rollouts, and security technology implementations. Conduct risk assessments, security audits, and compliance reviews to identify vulnerabilities and ensure adherence to internal and external standards (e.g., ISO, SOC, PCI, HIPAA). Oversee vendor performance for security services and technologies, ensuring service-level agreements (SLAs) are met. Partner with operations, IT, engineering, compliance, and real estate teams to integrate security into data center design, construction, and daily operations. Manage incident response for security-related events, conducting investigations and implementing corrective measures. Track and report security program metrics, incidents, and project milestones to leadership. Develop and maintain playbooks, standard operating procedures (SOPs), and training programs for data center security teams. Stay current on industry trends, emerging threats, and innovative security solutions to continuously enhance data center security posture. Manage budgets, contracts, and resources for security systems, staff, and services. Qualifications: Bachelor's degree in Security Management, Criminal Justice, Information Security, Business Administration, or related field. Minimum of 7 years of experience in security operations, program management, or facilities security, with a strong focus on critical infrastructure and data center environments Proven experience managing large-scale security projects and cross-functional initiatives. Strong knowledge of physical security systems (access control, CCTV, intrusion detection) and industry standards. Familiarity with compliance frameworks such as ISO 27001, SOC 2, PCI-DSS, or HIPAA. Excellent leadership, communication, and stakeholder management skills. Relevant certifications such as CPP, PSP, PMP, or CISM preferred. Skills & Competencies: Strong program and project management capabilities. Ability to balance security requirements with operational efficiency. Analytical, detail-oriented, and proactive in identifying risks. Crisis management and decision-making under pressure. Effective at building vendor and stakeholder relationships across multiple teams. If you are ready to embrace a challenging and rewarding opportunity, we invite you to apply and become an integral part of our team, contributing directly to our mission of safeguarding people, critical infrastructure, and communities around the world. Join us in making a meaningful impact and shaping a safer, more secure future. Company Website: **************************** Securitas is committed to diversity, equity, inclusion and belonging in the workplace. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other applicable legally protected characteristic.$125k yearly 1d agoNetwork Engineer
Zeektek
Columbus, OH
Hybrid: Must reside in Columbus or surrounding area Education: Bachelor's degree in Computer Science, Information Technology, or related field, or equivalent experience We are seeking an experienced Network Engineer to lead the design, implementation, and optimization of complex network infrastructures in a hybrid environment in support of our Community Connect environment. This role demands deep technical proficiency, proactive problem-solving, and the ability to collaborate across multidisciplinary teams - including project managers, clinical stakeholders, and IT leadership - to ensure robust, secure, and scalable network services across the medical center. Key Responsibilities: • Configure and manage Network Address Translation (NAT) configurations to support secure, scalable, and efficient traffic routing across enterprise systems. • Design, implement, and continuously refine firewall policies to align with evolving security frameworks, compliance mandates, and operational best practices. • Update VMware NSX firewall policies or equivalent virtual networking platforms, ensuring optimal segmentation, automation, and policy enforcement. • Update configuration of load-balancer VIPs, ensuring high availability, fault tolerance, and performance optimization for mission-critical applications. • Serve as a technical liaison and strategic advisor to cross-functional teams, translating business and clinical requirements into scalable network solutions. • Maintain comprehensive network documentation, including change logs, topology diagrams, and compliance records to support auditing, troubleshooting, and knowledge transfer. Qualifications: • Minimum 6+ years of progressive experience in enterprise networking, with a proven track record of leading complex infrastructure projects. • Understanding network protocols, firewall architecture, VLAN design, and load balancing technologies. • Understanding of VMware NSX, SDN, or similar virtualized networking platforms. • Experience supporting firewalls, firewall policy, load balancing solutions, and load balancer configuration. • Familiarity with healthcare IT environments, including regulatory and compliance considerations (e.g., HIPAA), is highly desirable. • Exceptional communication and stakeholder engagement skills, with the ability to influence and collaborate across technical and non-technical teams. • Demonstrated ability to prioritize and manage multiple initiatives in a fast-paced, mission-driven environment. Work Environment: Office located in Columbus, Ohio. Opportunity to contribute to a high-impact, large-scale healthcare infrastructure project.$65k-85k yearly est. 1d agoCloud Security Engineer - SRE
Intelliswift-An LTTS Company
Columbus, OH
Job Posting Title: Cloud Security Engineer - SRE We are seeking a skilled and motivated Cloud Security Engineer - SRE to join our dynamic team. The ideal candidate will possess a strong technical background in systems administration, cloud computing, and infrastructure as code, with a particular focus on solution engineering/site reliability. This role will involve collaborating with cross-functional teams to enhance our security posture and streamline processes through automation. Technical Skills • Programming and Scripting: Strong proficiency in languages like Python, Go, Bash, or Ruby. SREs often need to write automation scripts and build tooling. • Systems Administration: Deep understanding of operating systems (Linux/Unix), file systems, processes, and system configurations. • Infrastructure as Code (IaC): Experience with IaC tools like Terraform, Ansible, or Chef to manage infrastructure. • Cloud Computing: Knowledge of cloud platforms such as AWS, Azure, or Google Cloud Platform, including services like EC2, S3, Kubernetes, and serverless functions. • Containers and Orchestration: Expertise in containerization (Docker) and container orchestration (Kubernetes, OpenShift). • Networking: Understanding of networking concepts, including DNS, firewalls, load balancing, and VPNs. • Monitoring and Observability: Experience with monitoring and observability tools like Prometheus, Grafana, Datadog, or New Relic. Ability to set up and maintain monitoring dashboards, alerts, and logs. • Continuous Integration/Continuous Deployment (CI/CD): Familiarity with CI/CD tools like Jenkins, GitLab CI, GitHub Actions, or CircleCI. • A strong understanding of HashiCorp Vault and Terraform will make you stand out. 2. Problem-Solving and Troubleshooting • Incident Management: Ability to manage and respond to incidents, perform root cause analysis, and implement post-mortem reviews. • Automation: Focus on automating repetitive tasks to improve efficiency and reduce human error. • Performance Tuning: Skills in identifying and resolving performance bottlenecks in systems and applications. 3. Collaboration and Communication • Teamwork: Ability to work closely with cross-functional teams, including software engineers, product managers, and DevOps teams. • Documentation: Skill in creating clear and comprehensive documentation for systems, processes, and incident reports. • Communication: Effective communication skills for interacting with stakeholders and explaining technical concepts to non-technical audiences. 4. Reliability and Scalability • Service-Level Objectives (SLOs) and Service-Level Agreements (SLAs): Understanding of setting, monitoring, and maintaining SLOs and SLAs for system reliability. • Scalability: Knowledge of best practices for designing and scaling systems to handle increased loads and demands. • Redundancy and Resilience: Experience in designing systems with redundancy and fault tolerance to minimize downtime. 5. Security and Compliance • Security Best Practices: Understanding of security principles, such as access control, data encryption, and secure coding practices. • Compliance: Familiarity with compliance standards like GDPR, HIPAA, or PCI-DSS, depending on the industry. Minimum Job Qualifications: • Bachelor degree in business or equivalent work experience • 10 years of previous program leadership and/or relevant consulting experience • Knowledge of and demonstrated experience in program management framework, knowledge groups & life cycle • 5+ years' experience in driving large scale data center consolidation efforts • Minimum 5 years' experience with matrix management of cross-functional processes and teams • Proficient with Project Management tools$75k-104k yearly est. 3d agoOutpatient Therapist, Behavioral Health
Columbus Springs Dublin
Dublin, OH
Outpatient Therapist, Partial Hospitalization Program Full-time Your experience matters Columbus Springs Dublin is part of Lifepoint Health , a diversified healthcare delivery network with facilities coast to coast. We are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. As an Outpatient Therapist joining our team, you're embracing a vital mission dedicated to making communities healthier . Join us on this meaningful journey where your skills, compassion and dedication will make a remarkable difference in the lives of those we serve. How you'll contribute An Outpatient Therapist who excels in this role: Conduct individual and group therapy sessions to educate and treat patients experiencing psychological, emotional, or substance use issues. Actively participate in treatment planning, discharge, transition, and after-care processes. Provide family therapy sessions as needed to support continuity of care and reduce barriers to treatment. Support with patient vitals and urine drug screening (UDS) as needed. Communicate proactively with patients, families, and referral sources in accordance with HIPAA and 42 CFR Part 2. Collaborate consistently with interdisciplinary teams including physicians, UR, and nursing staff. Why join us We believe that investing in our employees is the first step to providing excellent patient care. In addition to your base compensation, this position also offers: Comprehensive Benefits: Multiple levels of medical, dental and vision coverage for full-time and part-time employees. Financial Protection & PTO: Life, accident, critical illness, hospital indemnity insurance, short- and long-term disability, paid family leave and paid time off. Financial & Career Growth: Higher education and certification tuition assistance, loan assistance and 401(k) retirement package and company match. Employee Well-being: Mental, physical, and financial wellness programs (free gym memberships, virtual care appointments, mental health services and discount programs). Professional Development: Ongoing learning and career advancement opportunities. What we're looking for Applicants should have a Master's degree in social work, counseling, or equivalent and a current clinical or social work license in the state of OH. Additional requirements include: Prior experience with psychiatric and chemical dependency patients CPR and de-escalation certification required within 30 days of hire More about Columbus Springs Dublin Columbus Springs Dublin is a 72-bed behavioral health hospital that has been offering exceptional care to the Dublin community for over 10 years. We are proud to be Accredited by The Joint Commission. EEOC Statement "Columbus Springs Dublin is an Equal Opportunity Employer. Columbus Springs Dublin is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment." Lifepoint Health is a leader in community-based care and driven by a mission of Making Communities Healthier. Our diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum, such as acute rehabilitation units, outpatient centers and post-acute care facilities. We believe that success is achieved through talented people. We want to create places where employees want to work, with opportunities to pursue meaningful and satisfying careers that truly make a difference in communities across the country.$29k-42k yearly est. 1d agoPrincipal Consultant - Cloud Infrastructure
Neudesic, An IBM Company
Remote job
About Neudesic: Passion for technology drives us, but it's innovation that defines us . From design to development and support to management, Neudesic offers decades of experience, proven frameworks and a disciplined approach to quickly deliver reliable, quality solutions that help our customers go to market faster. What sets us apart from the rest, is an amazing collection of people who live and lead with our core values. We believe that everyone should be Passionate about what they do, Disciplined to the core, Innovative by nature, committed to a Team and conduct themselves with Integrity. If these attributes mean something to you - we'd like to hear from you. Role Profile Neudesic Principal Consultants on our Cloud Infrastructure Services team are thought-leaders for clients, with a successful history of providing unique, well thought out architecture, design, development, and deployment solutions to complex business challenges. They are market leaders contributing to internal and external communities, growth and support of local teams. In addition, they assist regional account teams thru executive level presentations, statements of work and proposals, and exemplary delivery of solutions. They are deeply experienced with large-scale cloud infrastructure solutions, and have extensive experience in a leadership role. The ideal Principal Consultant - CIS candidate has senior-advanced level knowledge and experience in designing, migrating, and implementing complex hosting solutions and migrations on Cloud platforms primarily on Azure. The position is customer facing and will work closely with market leadership on both technical sales pursuits as well as technical delivery oversight. This position will work with Product Owners, Applications Owners, Network and Security teams to design and deliver the best solutions for large scale infrastructure cloud solutions. Responsibilities: Design and deploy highly available, scalable and secure cloud infrastructure with a focus on Azure (AWS and GCP is a plus) using industry best practices leveraging the WAF and CAF frameworks. Implement infrastructure migration methodologies and techniques to migrate workloads into Azure. Design and develop automation to support continuous delivery and continuous integration process. Work closely with the Development and Operations teams to build and maintain CI/CD pipelines to support automated deployment of infrastructure. Understanding of Azure Database technologies (both IaaS and PaaS) and options to support the migration process. This will include and not limited to Azure database migration technologies and refactoring options. Analyze and resolve configuration issues in development, test, and production environments. Build effective monitoring, logging and auditing of production systems to ensure compliance with mandated compliance policies (e.g., HIPAA). Experience implementing secure (zero trust) infrastructure on Azure. Microsoft Partner Funding options management for the region. Work with solution offering teams that will be delivering and development of content for sales support. Manage and mentor group of consultants and advise on career path. Key Technology Requirements: Cloud Infrastructure: Virtual Machines, Azure Database and storage technologies (Storage Accounts, SQL Server, CosmosDB), Virtual Networks, Azure Site Recovery, Traffic Manager, Azure Automation, ARM Templates, Azure Load balancer, API Gateway and Azure AD. Cloud Management: Policy, RBAC roles, Cost Management, Monitor and Alerting, Site Recovery, Disaster Recovery On-premise infrastructure: Active Directory, DNS, VMWare, Hyper-V, firewalls, routing Identity and user management solutions provided by Azure or 3rd party. Azure DevOps, Visual Studio Team Server (VSTS), Jenkins, Github, Octopus Deploy Experience with Automation scripting including PowerShell and other configuration as code tools. Deployment automation languages and tools such as Terraform, JSON Template, Ansible Experience with Azure and 3rd party monitoring tools Experience with Windows and Linux-based operating system configuration, automation and management Azure WAF (Well Architected Framework) and CAF (Cloud Adoption Framework) knowledgebase Additional Skills & Competencies: Bachelor's Degree in Computer Science, or equivalent work experience. 10+ years of experience in cloud infrastructure and networking roles Must be a self-starter who requires minimal supervision. Hands-on experience with infrastructure deployment using Terraform. Strong background in Azure configuration, architecture, and deployment. Experience with AI solution deployment within cloud environments. Experienced in problem solving, and able to follow a methodical implementation process. Excellent interpersonal and organizational skills, ability to handle diverse situations, multiple projects and rapidly changing priorities. Prior experience in the utilities industry strongly preferred. Ability to communicate with clients at all levels. Ability to travel up to 25% Technology Plus: Microsoft Azure certified - specifically AZ300 and AZ301 Knowledge and/or experience of Microsoft Azure Synapse, Azure Data Factory and Azure Data Lakes Knowledge of Microsoft Partner Funding programs Experience with AWS and GCP Neudesic also offers a competitive benefits package that includes: Medical, Dental, Vision, Life and Disability insurance 401(k) Retirement Plan Paid Time Off & Paid Sick Leave Employee assistance program and other benefits Accommodations currently remain in effect for Neudesic employees to work remotely, provided that remote work is consistent with the work patterns and requirements of their team's management and client obligations. Subject to business needs, employees may be required to perform work or attend meetings on-site at a client or Neudesic location. Phishing Scam Notice Please be aware of phishing scams involving fraudulent career recruiting and fictitious job postings; visit our Phishing Scams page to learn more. Neudesic is an Equal Opportunity Employer All employment decisions shall be made without regard to age, race, creed, color, religion, sex, national origin, ancestry, disability status, veteran status, sexual orientation, gender identity or expression, genetic information, marital status, citizenship status or any other basis as protected by federal, state, or local law. Neudesic is an IBM subsidiary which has been acquired by IBM and will be integrated into the IBM organization. Neudesic will be the hiring entity. By proceeding with this application, you understand that Neudesic will share your personal information with other IBM companies involved in your recruitment process, wherever these are located. More Information on how IBM protects your personal information, including the safeguards in case of cross-border data transfer, are available here: ***************************************************$95k-126k yearly est. 5d agoLegal Counsel
Medium
Remote job
About Synapticure As a patient and caregiver-founded company, Synapticure provides instant access to expert neurologists, cutting-edge treatments and trials, and wraparound care coordination and behavioral health support in all 50 states through a virtual care platform. Partnering with providers, payers, ACOs, health systems, and life sciences organizations-including through CMS' new GUIDE dementia care model-Synapticure is dedicated to transforming the lives of millions of individuals and their families living with neurodegenerative diseases such as Alzheimer's, Parkinson's, and ALS. The Role Synapticure is seeking an experienced and highly capable Legal Counsel to serve as the company's in‑house attorney. In this critical role, you will function as a strategic business partner and trusted advisor to executive and clinical leadership-building and leading a right‑sized compliance program, managing legal risk, and ensuring regulatory alignment across our fast‑growing organization. The ideal candidate brings deep healthcare regulatory expertise, sound business judgment, and the ability to translate complex legal advice into actionable, practical guidance. You will oversee healthcare compliance, contracting, and general legal operations across the enterprise, supporting both the clinical delivery organization and the corporate entity. This is an exciting opportunity to shape the legal and compliance function at a mission‑driven, high‑growth healthcare company that is redefining access to specialized neurological care. Job Duties - What you'll be doing Healthcare Regulatory & Compliance Design, implement, and oversee a scalable healthcare compliance program, including policies, training, and internal monitoring frameworks Provide guidance on federal and state healthcare laws and regulations, including HIPAA, fraud and abuse (Stark and Anti‑Kickback Statute), corporate practice of medicine, and multi‑state telehealth requirements Advise on MSO/PC structures, payer contracting compliance, and corporate practice of medicine guardrails Provide counsel on complex billing, coding, and reimbursement issues, including Medicare and Medicaid participation Anticipate and communicate regulatory trends, advising leadership on both risk and strategic opportunity Oversee internal investigations, audits, and privacy/security initiatives in partnership with technology and clinical operations teams Contracting & Transactions Draft, review, and negotiate a wide range of contracts, including payer, health system, vendor, and technology agreements Support clinical and life sciences partnership agreements while maintaining appropriate corporate and compliance boundaries Develop and maintain contract templates, playbooks, and workflows to streamline review and approvals across the organization Corporate & Operational Legal Support Provide day‑to‑day legal counsel on corporate governance, employment, risk management, and marketing matters Collaborate with business and clinical leaders to translate legal and compliance advice into practical, operational solutions Serve as the primary point of contact for outside counsel, ensuring effective resource use and alignment with company strategy Educate and train internal teams on contracting best practices and healthcare regulatory requirements Support strategic initiatives, corporate development, and special projects as Synapticure continues to scale Requirements - What we look for in you Juris Doctor (J.D.) from an accredited law school and active licensure in at least one U.S. jurisdiction 5-10+ years of legal experience, ideally a blend of law firm and in‑house counsel roles within healthcare or health technology Demonstrated expertise in healthcare regulatory areas including HIPAA, fraud and abuse, corporate practice of medicine, telehealth, payer contracting, and MSO/PC structures Experience designing, managing, or scaling healthcare compliance programs tailored to growth‑stage or technology‑enabled healthcare companies Ability to assess and communicate risk clearly, balancing regulatory compliance with business objectives Strong interpersonal and communication skills, capable of translating complex legal issues into clear, actionable advice for diverse audiences Proven record of working cross‑functionally and collaborating with leadership, operations, and clinical teams Preferred Qualifications Experience in a telehealth or tech‑enabled healthcare environment Familiarity with value‑based care models and payer/provider partnerships Exposure to life sciences collaborations and related regulatory considerations Understanding of data privacy frameworks beyond HIPAA (e.g., CCPA, GDPR) Experience supporting corporate transactions, including fundraising or M&A activities Values Relentless focus on patients and caregivers. We are determined to provide an exceptional experience for every patient we serve, and we put our patients first in everything we do. Embody the spirit and humanity of those living with neurodegenerative disease. Inspired by our founders, families, and personal experiences, we recognize the seriousness of our patients' circumstances and meet that challenge with empathy, compassion, kindness, joy, and hope. Seek to understand, and stay curious. We listen first-to one another, our patients, and their caregivers-communicating authentically while recognizing there's always more to learn. Embrace the opportunity. We act with urgency and optimism, driven by the importance of our mission. Travel Expectations This is a fully remote position. Occasional travel to Synapticure's headquarters in Chicago, IL, or regional clinical team gatherings may be required. Salary & Benefits Competitive compensation based on experience Comprehensive medical, dental, and vision coverage 401(k) plan with employer matching Flexible scheduling and remote‑first work environment Life and disability insurance coverage Generous paid time off and sick leave Opportunities for professional development and advancement within a fast‑growing healthcare organization #J-18808-Ljbffr$117k-177k yearly est. 3d agoLead Care Manager (LCM)
Heritage Health Network
Remote job
The Bilingual Lead Care Manager partners with Care Team Operations, Clinical Operations, Compliance, Community Health Workers, Behavioral Health staff, and external providers (medical, housing, and social services) to ensure seamless, culturally responsive, member-centered care coordination. The bilingual LCM additionally supports members with limited English proficiency by facilitating communication, translation, and cultural interpretation as needed. Responsibilities Serve as the primary point of contact for assigned members, building trust and maintaining active engagement through consistent outreach, relationship-based strategies, and a trauma-informed approach. Provide all communication in the member's preferred language. Conduct comprehensive assessments (physical, behavioral, functional, social) and develop person-centered care plans that reflect the member's goals, risks, preferences, cultural needs, and social determinants of health. Implement, monitor, and update care plans following transitions of care, significant changes in condition, or required reassessments; ensure timely and compliant submission of all care plans. Coordinate services across the continuum-including medical, behavioral health, housing, transportation, social services, and community programs-to reduce fragmentation and remove barriers to care. Conduct required in-person home or community visits based on member need and risk stratification and maintain a compliant monthly visit structure. Utilize motivational interviewing, coaching, and health education to promote behavioral change, self-management, and long-term member stability. Identify gaps in care, service delays, lapses in benefits, unmet needs, and environmental risks; collaborate with internal and external partners to resolve issues quickly and effectively. Maintain accurate, timely, audit-ready documentation of all interactions, assessments, and interventions using required HHN platforms, including eClinicalWorks (ECW), Google Suite, RingCentral, PowerBI dashboards, and payer portals. Meet or exceed HHN and payer productivity standards, including encounter metrics, outreach requirements, documentation timelines, and quality measures. Actively participate in multidisciplinary case reviews, team huddles, care conferences, and escalations with nurses, behavioral health staff, CHWs, care operations, and compliance. Coordinate and schedule appointments with primary care, specialists, behavioral health providers, and community partners; manage referrals, transportation, and follow-ups to ensure continuity of care. Support hospital discharge (TOC) planning through follow-up scheduling, care transitions, medication reconciliation support, and education on discharge instructions. Assist members in navigating plan eligibility, redeterminations, documentation, social service applications, housing resources, and crisis interventions. Maintain active and professional communication with members and care partners through HHN-approved channels, including RingCentral, secure messaging, SMS workflows, and phone. Participate in HHN's continuous quality improvement efforts, identifying workflow gaps, documenting barriers, sharing insights, and contributing to best-practice development. Uphold confidentiality and adhere to all HIPAA and payer regulatory requirements across all areas of care delivery. Open to seeing patients in their home or their location of preference. Provide real-time interpretation and translation support (verbal and written) for members and families with limited English proficiency. Help bridge cultural gaps that may impact communication, trust, adherence, or engagement. Skills Required Fluency in English and another language (Spanish preferred); ability to read, write, and speak at a professional level. Strong ability to build rapport and trust with diverse, high-need member populations. Proficiency in using eClinicalWorks (ECW), Google Suite (Docs, Sheets, Drive), RingCentral, and virtual communication tools. Ability to interpret and use PowerBI dashboards, reporting tools, and payer portals. Demonstrated skill in conducting holistic assessments and developing person-centered care plans. Experience with motivational interviewing, trauma-informed care, or health coaching. Strong organizational and time-management skills, with the ability to manage a complex caseload. Excellent written and verbal communication skills across in-person, telephonic, and digital channels. Ability to work independently, make sound decisions, and escalate appropriately. Knowledge of Medi-Cal, SDOH, community resources, and social service navigation. High attention to detail and commitment to accurate, audit-ready documentation. Ability to remain calm, patient, and professional while supporting members facing instability or crisis. Comfortable with field-based work, home visits, and interacting in diverse community environments. Cultural humility and demonstrated ability to work effectively across populations with varied lived experiences. Competencies Member Advocacy: Champions member needs with urgency and integrity. Operational Effectiveness: Executes workflows consistently and flags process gaps. Interpersonal Effectiveness: Builds rapport with diverse populations. Collaboration: Works effectively within an interdisciplinary care model. Decision Making: Uses judgment to escalate or intervene appropriately. Problem Solving: Identifies issues and creates practical, timely solutions. Adaptability: Thrives in a fast-growing, startup-style environment with evolving processes. Cultural Competence: Engages members with respect for their lived experiences. Documentation Excellence: Produces accurate, timely, audit-ready notes every time. Strong empathy, cultural competence, and commitment to providing individualized care. Ability to work effectively within a multidisciplinary team environment. Exceptional interpersonal and communication skills, with a focus on building trust and rapport with diverse populations. Bilingual Communication (interpretation + translation) Job Requirements Education: Bachelor's degree in Social Work, Psychology, Public Health, Human Services, or related field preferred; equivalent experience considered. Licensure: Not required; certification in care coordination or CHW training is a plus. Experience: 1-3 years of care management or case management experience, preferably with high-need Medi-Cal populations. Experience in community-based work, homelessness services, behavioral health, or SUD settings strongly preferred. Familiarity with Medi-Cal, ECM, and community resource navigation. Travel Requirements: Regular travel for in-person home or community visits (up to 45%). Physical Requirements: Ability to perform home visits, climb stairs, sit/stand for prolonged periods, and lift up to 20 lbs if needed.$36k-47k yearly est. 5d agoPharmacy Technician
Acro Service Corp
Remote job
Pharmacy Technician (Licensed) | Remote Work | Medication Processing & Patient Support We are seeking a Pharmacy Technician to support daily pharmacy operations in a remote setting. Responsibilities include processing prescriptions, verifying patient and insurance information, assisting with prior authorizations, and providing excellent customer support. The ideal candidate is detail-oriented, knowledgeable about pharmacy regulations, and able to work efficiently in a fast-paced, virtual environment. Key Responsibilities: Process and enter prescriptions accurately Perform insurance verification and resolve billing issues Support pharmacists with medication management tasks Communicate with patients and providers professionally Maintain HIPAA compliance and documentation accuracy Qualifications: Active Pharmacy Technician license (CPhT preferred) 1+ year of pharmacy experience (retail or mail-order) Strong communication and computer skills Ability to work independently in a remote setting$32k-40k yearly est. 4d agoSenior IT Security Advisor (Full Time, Remote Position)
Verasafe
Remote job
VeraSafe is an innovative and successful U.S. headquartered international privacy and cybersecurity compliance consulting firm and law firm. Check out our podcast! Apple Podcast: ************************ YouTube: ************************************************* Spotify: ********************** VeraSafe is proud to be certified as a Great Place to Work©, with 96% of our employees affirming that we are truly a great place to work. This means we foster trust, collaboration, and a positive work environment. We are committed to maintaining this standard of meaningful work, work-life balance, and a supportive community. Check out our great benefits, listed at the end of this job description. About the Role: VeraSafe's mission: Provide the world's best data protection advice, with a human touch. Right now, we are seeking an Senior IT Security Advisor to join our growing team and help us pursue this mission. We are inundated with business from clients who love the way we advise on privacy compliance (hence the need for you!). This is an excellent opportunity for anyone who wants to join a team working on the cutting edge of privacy, data protection, and cybersecurity, and is excited about assisting a wide range of clients with fractional CISO-type support, including IT security program design, implementation, and management. Key Responsibilities Practice Development: Oversee VeraSafe's cybersecurity consulting program through the management of team members, client relationships, and projects/deliverables Expand on VeraSafe's security consulting offerings, with an initial focus on Microsoft 365 hardening, configuration auditing, and risk assessment Further develop internal service delivery methodologies, documentation, templates, and quality control processes Collaborate with sales and marketing to position and refine service offerings Client Engagement and Delivery: Lead and deliver consulting projects, including fractional-CISO-type engagements with a strong focus on securing Microsoft 365 environments Conduct detailed cybersecurity risk assessments, including analysis of current security controls, vulnerabilities, and threat landscape Provide oversight and strategic direction for incident response, including breach containment, investigation, and post-incident review Lead and execute security assessments, architecture reviews, IT security policy drafting and implementation, and remediation planning Communicate findings and recommendations to clients clearly and professionally either through written reports and executive briefings or execution of hands-on implementation Build trusted relationships with client stakeholders, including CISOs, IT directors, and compliance teams Collaborate with project managers and privacy-focused project teams to determine and meet client requirements and specific project needs. Analyze practical situations and develop solutions to specialized needs Team Leadership: Train and mentor consultants and technical specialists on your team Manage project timelines and delivery quality across multiple concurrent engagements Eventually help grow and manage a team of IT security advisors Thought Leadership and Cross-Functional Collaboration: Stay current on evolving security threats and technologies Represent our IT security practice internally and externally, including contributions to client alerts and conference talks Collaborate with VeraSafe's Professional Services leadership to ensure tight integration between our IT security and privacy advisory services Required Qualifications: At least six years of hands-on experience in IT security consulting, IT security engineering, or equivalent At least one relevant certification (e.g., CISA, CISSP, CISM, CRISC, CCSP, SC-100 Cybersecurity Architect) Deep technical expertise in Microsoft Defender XDR, CrowdStrike Falcon, SentinelOne, or other similar technologies Proficiency with IT security standards and frameworks (e.g., NIST CSF, ISO/IEC 27001, NIST 800-53, NIST 800-171, CIS Controls) Experience performing audit readiness assessments for frameworks and regulations such as HIPAA, ISO (e.g., 2700 series), NIST (e.g., CSF), GLBA, or others Technical background in scripting, automation, or security tooling (e.g., PowerShell, Sentinel, Defender for Endpoint) Experience developing and conducting tabletop exercises such as Business Continuity and Disaster Recovery scenarios Experience conducting enterprise-wide formal risk assessments Strong understanding of email security (DKIM, DMARC, SPF) Familiarity with security stacks to include SIEM/SOAR, IAM, EDR, CASB, etc. Strong understanding of cloud security posture assessments Strong understanding of enterprise security principles, zero trust architecture, and IT security risk management Experience leading teams and managing consulting engagements Willingness to learn new skills and receive direction and feedback from team members Willingness to pursue and maintain privacy certifications (e.g., CIPP/E, CIPM, CIPT) Preferred Qualifications: Experience working directly with clients, in a service-oriented environment Experience building or growing a consulting practice or service line Experience in regulated industries (e.g., healthcare, finance, pharma) Familiarity with contract provisions that address data protection and security responsibilities Experience migrating or overseeing the migration of systems from on-premises or hybrid to cloud-federated systems Experience with development and implementation of incident response plans Professional involvement in the privacy and/or data security space (attendance at privacy conferences; membership or publication in the IAPP, ISACA, etc.) Privacy certification (or similar) Key Competencies: Detail-oriented and highly organized with a strong work ethic Ability to thrive and perform in a fully remote and international environment Excellent written and verbal communication skills Highly skilled in time management to enable successful work with international teams in meeting deadlines Highly capable of independent work to fully deliver on all commitments Ability to work productively in a cross-functional, multi-disciplinary consulting team Experience building and maintaining relationships with colleagues and clients through polished, professional interactions and products regardless of the client's experience with VeraSafe's service line VeraSafe Values: In addition to technical knowledge, skills, and competencies for a specific position, VeraSafe seeks team members who are proficient in values critical to our organization. For managers, we are seeking individuals who demonstrate interest in and experience applying: Creativity and Innovation Feedback Mentorship People Development Business Acumen VeraSafe's Excellent Benefits Include: Work from almost anywhere with Wi-Fi Paid Time Off (PTO) Paid holidays Annual bonuses Membership in the International Association of Privacy Professionals (IAPP) and IAPP exam fee reimbursement (CIPP/E) Flexible working schedule in some roles Reimbursement for certain personal flight ticket Company laptop provided Optional IT Hardware Buyback Program Note: There is a 1-3 hour skills assessment associated with the recruitment for this position. We know this is a burden, but we think it's worth it, and we appreciate you taking the time to complete it. We've found it enables us to find the best team members, regardless of their experience, where they went to school, or where they were trained. We want smart, kind, creative colleagues, plain and simple, and this assessment is a crucial part of our ability to hire this way. Our HR Privacy Notice is available at the following link: **********************************************************$94k-126k yearly est. 2d agoContact Center Triage Consultant - Junior (Bilingual)
ASM Research
Remote job
Responsible for providing assistance, services, resources, referrals, and consultation on various Non-Medical Counseling (NMC)/Employee Assistance Programs (EAP) and work/life issues to military service members and their families. Demonstrates an ability to effectively handle and manage high-risk calls with professionalism and in accordance with established protocols. Maintain the highest degree of sensitivity, compassion, and respect for Service members and their families. Assesses the needs of the caller to ensure first-call resolution of all presented needs. Educates participants on specialty program offerings, promote services, and demonstrate knowledge of military culture. Conducts comprehensive professional assessments of users' needs for core NMC/EAP and work/life services, which can include but are not limited to, non-medical counseling, health and wellness, and other specialty and add-on services. Identifies high-risk cases and responds as indicated in accordance with established protocols. Deescalates callers, navigates resources, resolves complex concerns, and assesses and takes action in crisis situations. Ensures all calls are handled according to contractual service standards and document all cases in the Case Management System (CMS). Performs call follow-up and reporting as assigned. Demonstrates outstanding customer service. Demonstrates understanding of military culture and addresses Service members by their rank, thanks Service members and their families for their service, and has excellent empathic listening skills paired with appropriate clinical interventions. Works with team to complete all annual compliance requirements such as External Certification Authority (ECA) renewal as well as annual training such as Cyber Awareness and PII to ensure access to the CMS system is maintained. Minimum Qualifications Master's degree in social work and Family Therapy, Counseling, or other human services field State Licensure to practice independently (LCSW, LPC, LMFT) preferred 1-2 years of relevant post-graduate work experience in counseling, social work, and mental health services. Prior experience working with military and/or Veterans populations preferred. Military spouse or family member experience in a military community highly desirable Other Job Specific Skills Must be a U.S. Citizen Knowledgeable of mandated procedures for child and elder abuse situations Familiar with core services areas of child development, parenting, adoption, education, and service for older adults Exceptional written and verbal communication skills MS Office skills (Word, Excel, PowerPoint) and ability to type 50 wpm Excellent organization and time management skills Comply with all HIPAA regulations Current Tier 2 suitability public trust clearance is desirable, ability to obtain is required.$60k-87k yearly est. 6h agoCommercial & Regulatory Attorney (Healthcare Experience)
Paragon Legal
Remote job
A well known health benefits technology company is seeking a Commercial and Regulatory Healthcare Attorney to support their legal team during two upcoming leaves. This role offers a unique mix of regulatory counseling and commercial contracting work for a company operating at the intersection of health care, technology, and benefits administration. Day to day responsibilities will include providing regulatory counseling across the No Surprises Act, ACA, ERISA, and HIPAA. The attorney will also review, redline, and negotiate client agreements, vendor agreements, and administrative services agreements. You will partner closely with teams across legal, claim services, operations, and sales to support ongoing contract work and ensure regulatory compliance. Candidate must have prior experience within the plan or payer or third-party administrator space. The ideal candidate is highly communicative, collaborative and has strong attention to detail. This role start 1/6/26, 30-40 hours/week, fully remote, for an estimated 6 month duration. The hourly rate for this assignment is expected to be between $100 and $110. This range is an estimate; an employee's compensation will be based on the employee's qualifications, skillset, and relevant experience, specific client needs, project requirements, and other considerations permitted by law. Please see here for Paragon benefits. About Paragon Paragon is on a mission to make in-house legal practice a better experience for everyone. We provide legal departments at leading corporations with high quality, flexible legal talent to help them meet their changing workload demands. At the same time, we offer talented attorneys and other legal professionals a way to practice law outside the traditional career path, empowering them to achieve both their professional and personal goals. Our corporate clients include the nation's top, cutting-edge technology, healthcare, consumer products companies, and more. In the last several years we have taken our strong reputation in the Bay Area and expanded to clients and candidates across the country. At Paragon, we put people first, take pride in operating with integrity, and aspire for excellence in everything we do. Our unique attorney-led attorney development team will support you through and beyond your initial project. Our Commitments Equal Opportunity Employer: Paragon Legal Group LLC is an equal opportunity employer that is committed to diversity and inclusion in the workplace. All employment decisions are made without regard to race, color, gender, gender identity, gender expression, sexual orientation, religion (including religious dress and grooming practices), creed, sex (including pregnancy, childbirth, breastfeeding and related medical conditions), marital status, age, national origin, ancestry, physical or mental disability, medical condition (including cancer and genetic characteristics), genetic information, military and veteran status, or any other basis protected by the laws or regulations in the locations where we operate. This policy applies to all employment practices within our organization, including hiring, recruiting, promotion, termination, layoff, recall, leave of absence, compensation, benefits, and training. Paragon Legal makes hiring decisions based solely on qualifications, merit, and business needs at the time. San Francisco Fair Chance: Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment, qualified applicants with arrest and conviction records and do not conduct background screens prior to an offer of employment. Privacy: Paragon Legal CCPA Notice #J-18808-Ljbffr$102k-167k yearly est. 4d agoMedical Scribe
Talent Source
Remote job
We are seeking a detail-oriented and dedicated Medical Scribe to join our remote healthcare support team. In this role, you will be responsible for accurately documenting patient encounters, medical histories, and physician notes in real time. Your work will help physicians focus on patient care by ensuring high-quality documentation and efficient record-keeping. If you have excellent listening skills, a passion for healthcare, and thrive in a fast-paced environment, we would love to hear from you! Key Responsibilities: Real-Time Documentation: Accurately transcribe physician-patient encounters, medical histories, and treatment plans into electronic health records (EHR). Chart Preparation: Assist in preparing patient charts before consultations, ensuring all relevant medical information is available. Medical Terminology Usage: Apply knowledge of medical terminology and abbreviations to ensure clear and precise documentation. Patient Records Management: Update, organize, and maintain patient records with accuracy and confidentiality. Collaboration: Work closely with physicians and other healthcare staff to ensure proper documentation of care provided. Follow-Up Support: Assist in entering orders for labs, imaging, and prescriptions under physician direction. Data Accuracy: Ensure completeness, accuracy, and compliance of medical records with healthcare standards and regulations. Efficiency Support: Help streamline physician workflow by handling clerical and documentation tasks. Confidentiality: Maintain strict HIPAA compliance and protect patient privacy at all times. Continuous Learning: Stay updated on medical practices, terminology, and system updates to improve efficiency. Skills & Qualifications: Experience: At least 1 year of experience as a medical scribe, medical transcriptionist, or similar role (preferred but not required). Education: Background in healthcare, life sciences, nursing, or pre-med studies is an advantage. Technical Proficiency: Familiarity with EHR systems (e.g., Epic, Cerner) and strong computer/typing skills. Medical Knowledge: Understanding of medical terminology, anatomy, and clinical procedures. Listening & Attention to Detail: Excellent active listening skills with the ability to document accurately in real time. Communication Skills: Strong written and verbal communication abilities. Time Management: Ability to handle fast-paced environments and manage multiple tasks efficiently. Confidentiality: Strong commitment to maintaining patient confidentiality and adhering to HIPAA regulations. Adaptability: Comfortable working with different specialties and adjusting to physician preferences. Self-Motivation: Independent, reliable, and proactive in a remote work setting. Benefits: Remote Work Flexibility: Work from home with flexible hours, supporting physicians across different time zones. Competitive Compensation: Fair hourly pay or salary, with opportunities for performance-based bonuses. Career Growth: Gain valuable clinical exposure for those pursuing careers in medicine or healthcare. Training & Development: Comprehensive training provided in medical documentation and EHR systems. Supportive Team: Be part of a collaborative healthcare support team that values accuracy and professionalism.$26k-34k yearly est. 60d+ agoFederal Health Care Program Subject Matter Expert (SME)
Dynanet Corporation
Remote job
Full-time Description Job Title: Federal Health Care Program Subject Matter Expert (SME) Job Type: Full-time Dynanet started with a focus on IT infrastructure and operations, helping organizations enhance their networks and overcome the limitations of 1990s technology. From strengthening communication channels to introducing innovative ways to collaborate and share information, Dynanet played a crucial role in shaping the early stages of digital transformation. The company's efforts helped organizations build the very fabric of connectivity that now powers our modern world. Over the last three decades, Dynanet has grown into a trusted partner for organizations looking to innovate boldly and transform seamlessly. While technology continues to evolve and unlock new opportunities, for nearly 30 years, Dynanet remains committed to delivering cutting-edge solutions that drive lasting change for its customers. Through agility, foresight, and an unwavering dedication to excellence, Dynanet continues to empower organizations to thrive in a rapidly changing digital landscape. Our story is more than just a story of technology - it's a story of vision, growth, and transformation that has shaped the past and continues to pave the way for the future. About the Role: The Federal Health Care Program Subject Matter Expert will serve as a government healthcare business advisor and liaison to the Government and contracted staff in all phases of the project. This role requires analyzing processes, proposing functional business solutions, and defining application requirements for Medicare, Medicaid, and other Federal Healthcare Programs. The SME will focus on achieving efficiencies through automation, modeling, best practices, and procedures while applying relationships, tasks, and resources for each process into the development lifecycle. Requirements Roles & Responsibilities: Serve as government healthcare business advisor and liaison to Government and contracted staff Support all phases of project with healthcare domain expertise Analyze existing processes and identify opportunities for improvement Propose functional business solutions aligned with federal healthcare program requirements Define detailed application requirements for Medicare, Medicaid, and other Federal Healthcare Programs Focus on achieving efficiencies through automation, modeling, and best practices Identify and apply relationships, tasks, and resources for each process Integrate healthcare business solutions into the development lifecycle Provide authoritative guidance on Medicare and Medicaid business knowledge Interpret and apply knowledge of HHS Code of Federal Regulations Reference and apply the Medicare Program Integrity Manual (PIM) Apply knowledge base to entities affiliated with federal healthcare programs Collaborate with technical and business teams to ensure compliance Communicate complex healthcare regulations and requirements clearly Required Professional Skills: Working knowledge of federal healthcare regulations and workflows Extensive experience in evaluation, assessment, and administration of Federal Healthcare Programs Specific expertise in Medicare and Medicaid programs Comprehensive knowledge of the HHS Code of Federal Regulations Thorough understanding of the Medicare Program Integrity Manual (PIM) Ability to serve as an authority in Medicare and Medicaid business knowledge Capability to apply knowledge to entities affiliated with federal healthcare programs Exceptional oral communication skills Exceptional written communication skills Strong analytical and problem-solving abilities Experience defining functional requirements for technical systems Preferred Professional Skills: Experience with CMS systems and projects Knowledge of healthcare interoperability standards Familiarity with API gateway implementations in healthcare Experience with healthcare data standards and compliance Understanding of healthcare privacy and security requirements (HIPAA) Background in healthcare IT modernization initiatives Dynanet Team Requirements and Expectations: Possess Strong written and verbal communication skills. Highly organized with an ability to prioritize, balance, and effectively advance multiple competing priorities in a high-volume, fast-paced environment. Ability to interact in a professional and collaborative manner with fellow Dynanet Teammates and the clients, and business partners that we work with. Ability and desire to challenge and educate yourself to support and advance IT services delivery in the Federal agencies we serve. Excellent judgment and creative problem-solving skills. Respond to team member and client requests via email, MS teams, or other communication means during core business hours. Active listening skills to understand clients' needs, and collaboration skills to work with other developers and designers. Education/Experience Requirements: Comprehensive knowledge of the HHS Code of Federal Regulations required Thorough understanding of the Medicare Program Integrity Manual (PIM) required Proven experience working with Medicare and Medicaid programs Demonstrated experience in federal healthcare program evaluation and administration Employee Benefits Overview: Industry Competitive Compensation Medical and Dental Insurance Paid Time Off/Holidays 401(k) Retirement Plans with Matching Remote Work* Paid Training Employee Referral Program Employee Development Program$97k-146k yearly est. 60d+ agoClient Access Specialist
Neighborhood Service Organization
Remote job
Job Title: Client Access Specialist Department: Centralized Patient Access Reports To: Client Access Manager FLSA Status: non-Exempt Client Access Specialists will provide exceptional customer service and knowledge of NSO's programs, services, and policies to assist callers with inquiries, requests, appointments, complaints, verifications, and problems. They must meet or exceed key performance metrics while handling a high volume of inbound calls in a fast-paced environment. Successful candidates must possess strong communication skills, time management, and organizational skills. This position promotes the mission, vision, values and strategic plan of Neighborhood Service Organization and helps to achieve the strategic goals and objectives of the unit in an administrative capacity for specified NSO clinics. Requirements and Duties Answer high volume of phone calls, route, and respond appropriately Schedule appointments for consumers Confirm upcoming appointment times and reschedule if necessary Monitor clinician calendars and schedule appointments Perform insurance verification and confirm consumer demographic and contact information Register new consumers in the electronic medical records system Monitor for referrals and conduct follow up activities Perform other clerical duties such as filing, photocopying, transcribing and faxing Manage patient demographic and personal information. Issue medical files to persons and agencies compliant to all NSO policies, state and federal laws, including HIPAA regulations. Compile, verify, type, file medical records, correspondence, and reports Update records upon receipt of new information Assist with departmental / unit audits and investigations. Distribute medical charts to the appropriate departments / units within NSO. Maintain quality and accurate records by following NSO procedures. Ensure consumer charts, paperwork and reports are completed in an accurate and timely manner. Ensure all medical records are protected and kept confidential Other duties as assigned. Work Environment Works in an office environment and uses a computer, telephone and other office equipment as needed, to perform duties. The noise level in the work environment is typical of that of an office with occasional contact with consumers/patients. Bends, stoops and reaches in order to file, search for and retrieve records and documents. Manual dexterity and regular fine-finger and hand/wrist motions are required for operating a keyboard, writing and filing. Must be able to lift up to 15lbs on occasion Seeing/vision, talking/speaking and listening/hearing are continuously required. Frequently required to sit & stand during working hours Frequently required to sit, walk or drive. Occasionally required to travel between work locations. Requirements Qualifications: Education : High School Diploma or equivalent Minimum Required Experience 1-year minimum experience in a call center, administrative assistant, receptionist or related role Additional Requirements Proficiency in MS Office (Word, Excel, PowerPoint & Outlook) Proficiency in electronic medical records systems Ability to learn additional software Proficiency in general office equipment (PC, printer/fax/copier, telephony system) Proficiency in data entry, filing Valid Michigan Driver's license/access to private transportation. Required Skills/Abilities: Excellent verbal and written communication skills. Proficient in Microsoft Office Suite or related software. Experience working remotely and proficient with software/tools related to remote work. Experience working with data in all forms including electronic formats and databases. Ability to interact with staff, students, parents, and visitors at school while remaining professional, polite, and courteous. E.E.O.C. Statement The above elements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities and duties of personnel so classified, or a contractual commitment, and NSO retains the right to amend or revise this job description at any time. NSO is an Equal Opportunity Employer and is committed to excellence through diversity and considers candidates without regard to sex (including pregnancy related conditions) genetic information, race, color, weight, height, religion, nation ,origin, citizenship, age, disability, martial or veteran status, misdemeanor arrest record, sexual orientation, transgender status or gender identity or any other legally protected status$30k-36k yearly est. Auto-Apply 2d agoBilling and Collections Regional Manager - Remote
Blue Cloud Pediatric Surgery Centers
Remote job
NOW HIRING BILLINGS AND COLLECTIONS REGIONAL MANAGER - REMOTE, FULL TIME OUR VISION & VALUES At Blue Cloud, it's our vision to be the leader in safety and quality for pediatric dental patients treated in a surgery center environment. Our core values drive the decisions of our talented team every day and serve as a guiding direction toward that vision. 1. We cheerfully work hard 2. We are individually empathetic 3. We keep our commitments The CBO Regional Manager, Billing and Collections Operations is a revenue cycle management (RCM) leadership position responsible for the day-to-day management of the billing and accounts receivable (A/R) processes for a defined Blue Clue region of facilities. This role focuses on maximizing revenue and payment capture by ensuring accurate, timely claim submission, aggressive payer follow-up for payor and patient payment issues, and effective denial management to identify and mitigate denial root causes. The Regional Manager will lead and grow a comprehensive billing and collections team, implement best practices, and work closely with the other region-based teams, vendors, facility operators and internal stake holders to optimize RCM performance. YOU WILL Essential Functions (Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions). * Strategic Leadership: Manage billing and collection strategies, policies, and procedures to achieve best-in-class RCM performance (e.g., cash to net revenue, DNFB, A/R days, clean claim rate, denial rate, etc.). * Operational Oversight: Manage the day-to-day operations of a region-based billing and collections team, ensuring daily operations are efficient, compliant, and meeting performance targets. * Insurance & Payer Relations: Work closely with internal payer relations and insurance payer representatives to ensure proper contracted rates are captured and billed appropriately by responsible RCM teams. * Compliance & Auditing: Ensure Blue Cloud is capturing revenue and billing in adherence to federal, state, and payer-specific regulations and lead internal audits to maintain compliance. Adheres to and reinforces coding, billing, collections and payment posting internal controls and auditing protocols to optimize net revenue capture and reimbursement in a compliant manner. * Performance, Reporting, & Analytics: Manage and provide recurring quantified detail for key revenue cycle performance and staff productivity metrics, key performance indicators, and productivity standards and create data visualization and reporting to highlight opportunities, variance and risk and optimize team performance. * Process Improvement: Identify areas for improvement and implement solutions for revenue cycle operations functions and payment variance workflows, reporting, and data visualization, and implement best practices to improve efficiency and performance and scale to support continued platform and volume growth. * Team Development: Recruit, train, mentor, and manage a multi-disciplinary, multi-specialty team to perform and oversee billing and collections processes for all Blue Cloud facilities. Provide continuing education and professional development to maximize retention and career progression of team members and leaders. * Growth Partnership: Aid executive leadership and development teams with revenue modeling, sensitivity analysis, and forecasting to optimize growth strategy, pro forma accuracy, and ROI for all de novo and M&A activity YOU HAVE Education: Bachelor's degree in Business Administration, Healthcare Administration, Finance, or a related field (Master's preferred). Experience: Minimum of 5 years of experience in healthcare billing and collections, with at least 2 years in a supervisory or management role, preferably within a surgical or ASC environment. Dental/Oral Surgery experience is a significant plus. Certifications: HFMA's Certified Revenue Cycle Representative (CRCR), Certified Professional Biller (CPB), or Certified Professional Coder (CPC) preferred. Skills: * Strong knowledge of ASC coding, billing and reimbursement methodologies. * Demonstrated expertise in dental and multi-specialty is preferred. * Demonstrated utilization and optimization of workflows, functionality and reporting in EMR and PAS solutions (e.g., Epic, Cerner, Allscripts, HST Pathways, SIS Complete). * Experience using Open Dental is a plus. Additionally, experience utilizing and optimizing clearinghouse solutions (e.g., Availity) is preferred. * Proficiency in Microsoft Excel, Power BI, and data analysis tools and demonstrated ability to develop executive-facing work products that outline performance, risk, and opportunities to optimize revenue and payment capture. * Excellent problem-solving, leadership, and communication skills. * Ability to manage multiple priorities in a fast-paced environment. Compliance & Company Policies * Must maintain strict confidentiality in accordance with HIPAA and company policies. * Ensure all revenue cycle activities align with federal and state compliance regulations BENEFITS * Work with a passionate, dedicated, and talented team in a growing organization committed to doing good * Health insurance, Flexible Spending and Health Savings Accounts, disability coverage and additional voluntary plans * 401k plan, including company match * Paid Time Off * No on call, no holidays, no weekends This is a remote position with opportunity available in Arizona, Texas, Delaware, Idaho, West Virginia, Kansas, Maryland, Michigan, Nevada, North Carolina, Penn, Tennessee, Missouri Other Duties Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the associate for this job. Duties, responsibilities and activities may change at any time with or without notice. Physical Demands The physical demands described here are representative of those that must be met by an associate to successfully perform the essential functions of this job. While performing the duties of this job, the associate is regularly required to talk and hear. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus. This position requires intermittent physical activity, including standing, walking, bending, kneeling, stooping and crouching as well as lifting. Blue Cloud is an equal opportunity employer. Consistent with applicable law, all qualified applicants will receive consideration for employment without regard to age, ancestry, citizenship, color, family or medical care leave, gender identity or expression, genetic information, immigration status, marital status, medical condition, national origin, physical or mental disability, political affiliation, protected veteran or military status, race, ethnicity, religion, sex (including pregnancy), sexual orientation, or any other characteristic protected by applicable local laws, regulations and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application process, read more about requesting accommodations. Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.$55k-91k yearly est. 7d agoTriage Nurse (Remote, Contact Center)
Hummingbird Healthcare
Remote job
Hi. We're Hummingbird. We're elevating patient access so patients can get healthcare how, when, and where they need it. We partner with healthcare systems to transform how patients access care, enabling their providers to focus on what matters most - caring for patients. By managing patient access as a technology-enabled service, we help health systems stabilize costs and improve patient experience while creating good jobs that attract and retain talent in the industry. Our team of experts is obsessed with the connection between the people, processes, and technology that make healthcare organizations hum. Join us and help build the healthcare experience we want for our communities, our families, and ourselves. Summary Help patients get the right level of care with calm, clinically sound guidance over the phone. As a Triage Nurse at Hummingbird, you'll be the first clinical voice many patients hear when they're unsure what to do next. You'll provide telephone triage in a remote, centralized contact center - assessing symptoms, determining urgency, and guiding patients to safe next steps using client-specific protocols and Epic's Nurse Triage module. Most of your day will be on the phone managing back-to-back calls, using your nursing judgment and clear guidelines to advise patients, route them appropriately, and support follow-up care. You'll work with a supportive team of nurses and non-clinical colleagues and receive training, coaching, and feedback to grow your skills, handle increasingly complex scenarios, and continuously improve how we deliver care. Responsibilities Note: This posting is for our ongoing Triage Nurse Talent Pool. We interview continuously and anticipate frequent openings, with start dates typically 2-6 months after your application. What You'll Do In this role, you'll combine clinical judgment, technology, and communication skills to guide patients safely and efficiently: Provide telephone triage with Epic's Nurse Triage module, asking focused questions to assess symptoms, rule out red flags, and recommend the right level of care. Verify and update patient information, protect privacy under HIPAA, and coordinate with clinic teams to schedule or adjust appointments and escalate urgent or complex cases. Document calls in real time in the EHR while using Epic and contact center tools to navigate charts, follow protocols, and meet quality and performance expectations. Handle emotionally charged situations with empathy and professionalism, ensuring patients feel heard, informed, and confident about next steps. Take part in ongoing training and continuous improvement, sharing trends and feedback to strengthen workflows, quality, and team culture. The Details Location: Remote (U.S.-based) Schedule: Full-time or part-time, Monday-Friday; shifts vary based on patient access center hours Compensation: Expected range is $30.43 - $35.00 per hour. New hires usually start between $31.00 and $33.00, depending on experience and internal equity. Benefits: Comprehensive medical, dental, and vision coverage; paid time off; 401(k); parental leave; career development support; and more Training: Paid, structured onboarding that includes Epic workflows, client-specific protocols, and ongoing education and coaching. Expectations for Focus & Presence To support patients and each other, this role requires your full attention during scheduled work hours. Our Outside Employment Policy doesn't allow overlapping work or “job stacking,” so any outside work must happen fully outside your Hummingbird schedule. We're a camera-ready team, and you'll need to be on-camera during training and when needed during the workday after training ends. We value connection, teamwork, and being present, which is what keeps our patients safe and our team supported. If that's what you're looking for, you'll feel at home here. If you're hoping to hold another job during the same hours, this job won't be the best match. About our Talent Pool Hummingbird is growing fast, and we interview year-round for our Triage Nurse Talent Pool. While we're not hiring for this specific role right now, we typically add new specialists monthly, so start dates are often 2-6 months after applying. Joining the talent pool means you'll be among the first considered when opportunities open. We receive a lot of applications, so hearing back may take a little time, but we'll keep you updated, usually within a couple of weeks. You may also be invited to complete an assessment or have a brief conversation with a recruiter as part of early screening. Growth at Hummingbird This role is a key part of our clinical support model. You'll build depth in telephone triage, Epic workflows, and patient communication: skills that are valuable across many care settings. As you gain experience, you may have opportunities to: Take on more complex triage protocols and specialty areas. Support quality review, coaching, or training for other nurses. Contribute to workflow and protocol improvements with clinical and operations teams. At Hummingbird, we believe good jobs should lead somewhere. Your experience as a Triage Nurse can open doors to future opportunities in clinical leadership, operations, or specialist roles as our services continue to grow. Why You'll Love Working Here We're on a mission to make healthcare more human. For our Triage Nurses, that means combining evidence-based practice with empathy, clarity, and calm - especially when patients are worried or unwell. You'll receive structured training, clear protocols, and support from leaders who understand remote triage, building confidence and autonomy as you handle a wide range of patient scenarios over the phone. Our nurses often say how meaningful it is to guide patients to the right care quickly, still using their clinical expertise every day in a setting that emphasizes safety, communication, and connection - without the pace of a bedside shift. Required & Desired Skills What You'll Bring Current, unrestricted RN license in North Carolina; willingness to obtain additional licensure if needed. 1+ years outpatient telephone triage experience or 3+ years clinical nursing experience (ideally primary care, emergency, home health, or med-surg). Strong clinical assessment skills and sound judgment, with the ability to follow standardized guidelines and know when to pause and escalate. Excellent communication skills - you translate complex medical information into clear, patient-friendly language and maintain a calm, steady presence when patients are anxious or unsure. Comfort in a remote contact center setting with back-to-back calls, defined performance metrics, and real-time use of multiple systems (EHR and contact center tools) while documenting and typing ~50 WPM. A strong commitment to patient privacy and strict adherence to HIPAA and all relevant policies. Nice to Have Previous telephone triage or contact center experience Experience using Epic Compact nursing license or eligibility for compact licensure, depending on state and client requirements What Helps You Shine Please note that we use both your resume and your written and oral communication throughout the hiring process to understand your fit for this role. Thoughtful, clear responses help us see your attention to detail, your professionalism, and your ability to communicate with care - skills that are essential for success on our team. Please Note: The seniority level of this position may be adjusted during the recruitment process based on candidate skills and experience. The Hummingbird Approach We value a team that brings diverse perspectives and experiences to the work we do. While there are many ways to do this, people who are successful at Hummingbird: Lead with Respect by valuing kindness and working to actively foster an environment of inclusion and respect. Embrace Growth and seek out learning and growth for themselves and support those around them in their growth journey. They bring curiosity and an openness to innovation to all their interactions. Bring a Win Together mentality by approaching conflict directly, listening carefully, and seeking to understand. They problem-solve with the goal of finding successes, not trade-offs, for all involved. Equal Opportunity Statement Hummingbird Healthcare is an equal opportunity employer committed to diversity and inclusion. We do not discriminate based on race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity, or any other protected characteristic. We value the talents of individuals from all backgrounds and actively seek a diverse workforce. Our mission is to provide a fair and inclusive recruitment process for everyone, and reasonable accommodations are available to any applicant who may need them. Please reach out to talent@hummingbird.healthcare to request accommodations and we'd be happy to chat.$30.4-35 hourly Auto-Apply 12d agoMedical Records Document Processor (on site)
EXL Talent Acquisition Team
Remote job
Why Choose EXL Health? At EXL Health, we're more than just a company-we're a team committed to innovation and excellence in healthcare. From your first day, you'll collaborate with talented professionals, sharpen your skills, and contribute to solutions that shape the future of healthcare. Here's what makes this role and our culture exciting: Dynamic and supportive environment: Work in a fast-paced, high-energy setting where your contributions matter. Endless learning opportunities: Gain firsthand experience in medical records management, workflow optimization, and team collaboration. Growth potential: EXL Health values your development with mentoring programs and pathways for advancement. Purpose-driven work: Join a mission that helps improve healthcare processes while safeguarding patient confidentiality. What We're Looking For: Experience and Education: High school diploma (or equivalent) required. Previous experience in healthcare, medical records, or document processing is a plus. Skills: Strong organizational abilities, attention to detail, and problem-solving mindset. Proficiency in Microsoft Excel and Outlook is essential. Work Ethic: Comfortable managing multiple tasks in a high-volume environment, working independently or as part of a team. Physical Requirements: Ability to stand for extended periods and lift up to 50 lbs. What You'll Gain: At EXL Health, we invest in our people with benefits and opportunities that make a difference: Professional Growth: Learn from industry leaders and grow your expertise in healthcare operations. Collaboration: Be part of a close-knit, supportive team that values your contributions. Work-Life Balance: Enjoy a consistent weekday schedule, leaving your evenings and weekends open. Recognition: Your efforts won't go unnoticed-we celebrate achievements and foster a culture of appreciation. EXL Health offers an exciting, fast paced and innovative environment, which brings together a group of sharp and entrepreneurial professionals who are eager to influence business decisions. From your very first day, you get an opportunity to work closely with highly experienced, world class Healthcare consultants. You can expect to learn many aspects of businesses that our clients engage in. You will also learn effective teamwork and time-management skills - key aspects for personal and professional growth. We provide guidance/ coaching to every employee through our mentoring program where in every junior level employee is assigned a senior level professional as advisors. Sky is the limit for our team members. The unique experiences gathered at EXL Health sets the stage for further growth and development in our company and beyond. Base Pay Range - $35,000 - $40,000 annually For more information on benefits and what we offer please visit us at ************************************************** What You'll Do: Your day-to-day will be engaging and varied! Open, review, and sort incoming mail by client and audit program. Prepare, process, and review medical records-both physical and electronic-for scanning and distribution. Collaborate with internal teams and providers via email to resolve issues. Handle return mail, audit letters, and outgoing correspondence. Operate office equipment, troubleshoot workflow issues, and meet productivity and quality standards. Maintain trackers and ensure HIPAA compliance.$35k-40k yearly Auto-Apply 3d agoClinical Intern - Pharmacy
Navitus
Remote job
Company Navitus About Us Navitus - Putting People First in Pharmacy - Navitus was founded as an alternative to traditional pharmacy benefit manager (PBM) models. We are committed to removing cost from the drug supply chain to make medications more affordable for the people who need them. At Navitus, our team members work in an environment that celebrates diversity, fosters creativity and encourages growth. We welcome new ideas and share a passion for excellent service to our customers and each other._____________________________________________________________________________________________________________________________________________________________________________________________________________. Current associates must use SSO login option at ************************************ to be considered for internal opportunities. Pay Range USD $17.78 - USD $20.91 /Hr. STAR Bonus % (At Risk Maximum) 0.00 - Ineligible Work Schedule Description (e.g. M-F 8am to 5pm) M-Th between 8:30am to 7pm and F 8:30am-5pm Remote Work Notification ATTENTION: Navitus is unable to offer remote work to residents of Alaska, Hawaii, Maine, Mississippi, New Hampshire, New Mexico, North Dakota, Rhode Island, South Carolina, South Dakota, West Virginia, and Wyoming. Overview Navitus Health Solutions is seeking a Clinical Intern to join our team! The Clinical Intern will be a key contributor to the success of our Clinical Engagement Center focused on improving member's health and wellness via tele-pharmacy and wellness coaching. Under the supervision of a clinician, this individual is responsible for the delivery of the Medication Therapy Management (MTM) services for commercial and Medicare members. In addition, the Clinical Intern will assist in the development and execution of additional clinical outreach programs to exceed client expectations. The MTM program will include telephonic and/or video chat outreach with members to complete an analysis of a member's medication regimen for prescription, OTC, herbal and supplement medications. The assessment will include the development of a personalized Medication Action Plan in partnership with the member as required by CMS. Is this you? Find out more below! Responsibilities How do I make an impact on my team? Conduct medication therapy management (MTM) and expanded clinical programs in accordance with the Centers for Medicare & Medicaid Services (CMS). Develop appropriate clinical algorithms, pathways and call scripts to support pharmacy staff in delivering MTM services. Review and update all algorithms and call scripts with updated clinical guidelines. Develop documentation standards for clinical outreach. Collaborate with other CEC staff to develop and maintain a high quality and consistent MTM product. Assist CEC leadership to develop programs to support STAR ratings outreach. Provide clinical outreach to members, prescribers, and pharmacy providers in order to enhance care coordination. Develop a full understanding of Navitus' Clients' member experience and how the engagement center contributes to improved health and wellness. Adhere to compliance and HIPAA regulations. Participate in, adhere to and support compliance and diversity, equity, and inclusion program objectives. Other duties as assigned Qualifications What our team expects from you? Education: In DPH-2 or DPH-3 year. CPhT Preferred. Experience: Must be 18 years or older. Experience working in Microsoft Office suite, particularly Word, Excel, and PowerPoint preferred. The intern role is considered a learning opportunity and as such, no specific experience is required. Preference may be given to candidates with work experience or education paths determined desirable by the department each intern supports. Participate in, adhere to, and support compliance program objectives. The ability to consistently interact cooperatively and respectfully with other employees. Participate in, adhere to, and support compliance program objectives The ability to consistently interact cooperatively and respectfully with other employees What can you expect from Navitus? Top of the industry benefits for Health, Dental, and Vision insurance 20 days paid time off 4 weeks paid parental leave 9 paid holidays 401K company match of up to 5% - No vesting requirement Adoption Assistance Program Flexible Spending Account Educational Assistance Plan and Professional Membership assistance Referral Bonus Program - up to $750! #LI-Remote Location : Address Remote Location : Country US$17.8-20.9 hourly Auto-Apply 1d agoETL Architect
Quartz
Remote job
Come Find Your Spark at Quartz! The ETL Architect will be responsible for the architecture, design, and implementation of data integration solutions and pipelines for the organization. This position will partner with multiple areas in the Enterprise Data Management team and the business to successfully translate business requirements into efficient and effective ETL implementations. This role will perform functional analysis, determining the appropriate data acquisition and ingestion methods, and design processes to populate various data platform layers. The ETL Architect will work with implementation stakeholders throughout the business to evaluate the state of data and constructs solutions that deliver data to enable analytics reporting capabilities in a reliable manner. Skills this position will utilize on a regular basis: Informatica PowerCenter Expert knowledge of SQL development Python Benefits: Opportunity to work with leading technology in the ever-changing, fast paced healthcare industry. Opportunity to work across the organization interacting with business stakeholders. Starting salary range based upon skills and experience: $107,500 - $134,400 - plus robust benefits package. Responsibilities Architects, designs, enhances, and supports delivery of ETL solutions. Architects and designs data acquisition, ingestion, transformation, and load solutions. Identifies, develops, and documents ETL solution requirements to meet business needs. Facilitates group discussions and joins solution design sessions with technical subject matter experts. Develops, implements, and maintains standards and ETL design procedures. Contributes to the design of the data models, data flows, transformation specifications, and processing schedules. Coordinates ETL solution delivery and supports data analysis and information delivery staff in the design, development, and maintenance of data implementations. Consults and provides direction on ETL architecture and the implementation of ETL solutions. Queries, analyzes, and interprets complex data stored in the systems of record, enterprise data warehouse, and data marts. Ensures work includes necessary audit, HIPAA compliance, and security controls. Data Management Collaborates with infrastructure and platform administrators to establish and maintain scalable and reliable data processing environment for the organization. Identifies and triages data quality and performance issues from the ETL perspective and see them through to resolution. Tests and validates components of the ETL solutions to ensure successful end-to-end delivery. Participates in support rotation. Qualifications Bachelor's degree with 8+ years of experience translating business requirements into business intelligence solutions, data visualization, and analytics solution design and development experience in a data warehouse and OLTP (Online Transaction Processing) environments, semantic layer modeling experience, and SQL programming experience. OR associate degree with 11+ years of experience translating business requirements into business intelligence solutions, data visualization, and analytics solution design and development experience in a data warehouse and OLTP environments, semantic layer modeling experience, and SQL programming experience. OR high school equivalence with 14+ years of experience translating business requirements into business intelligence solutions, data visualization, and analytics solution design and development experience in a data warehouse and OLTP environments, semantic layer modeling experience, and SQL programming experience. Expert understanding of ETL concepts and commercially available enterprise data integration platforms (Informatica PowerCenter, Python) Expert knowledge of SQL development Expert knowledge of data warehousing concepts, design principles, associated data management and delivery requirements, and best practices Expert problem solving and analytical skills Ability to understand and communicate data management and integration concepts within IT and to the business and effectively interact with all internal and external parties including vendors and contractors Ability to manage multiple projects simultaneously Ability to work independently, under pressure, and be adaptable to change Inquisitive and seek answers to questions without being asked Hardware and equipment will be provided by the company, but candidates must have access to high-speed, non-satellite Internet to successfully work from home. We offer an excellent benefit and compensation package, opportunity for career advancement and a professional culture built on the foundations of Respect, Responsibility, Resourcefulness and Relationships. To support a safe work environment, all employment offers are contingent upon successful completion of a pre-employment criminal background check. Quartz values and embraces diversity and is proud to be an Equal Employment Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex, gender identity or expression, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified person with disability. We can recommend jobs specifically for you! Click here to get started.$107.5k-134.4k yearly Auto-Apply 47d agoManager, Revenue Cycle
Forge Health
Remote job
About Us: Forge Health is a mission-driven outpatient mental health and substance use provider dedicated to providing the highest quality, affordable, and effective care to individuals, families, and communities in need. As the first and only behavioral healthcare provider with a proven, national payer-validated ability to drive clinical outcomes that span all areas of health, Forge Health is leading the charge in driving innovation, improving care delivery, and shaping the future of behavioral health care. At Forge, clinical care is paramount - it's the heartbeat of our operations and the driving force in everything we do. The skill and compassion of our staff are the crucial components to extraordinary experiences and outcomes for those we serve. With our current clinical footprint in the greater Northeast, we have offices in New York, New Jersey, Pennsylvania, New Hampshire - and we're growing! Come join us! Who we're looking for: Reporting to the Vice President of Revenue Cycle, the Manager, Revenue Cycle will lead the day-to-day operations associated with patient eligibility, charge entry, accounts receivable management and patient invoice management. This role will be responsible for driving achievement of effective billing performance, through management of workload inventories, quality of billing submissions to insurance companies/ patients and active management of payments that may be delayed due to denial of charges at the insurance company or other related impacts to accurate revenue collection. The manager works collaboratively with internal partners to ensure timely and accurate billing and works actively with insurance company partners to resolve outstanding billing issues. The revenue cycle leader will manage a team of ~11 and will continually monitor and influence the execution of the team through use of performance data, quality monitoring and general business data. As an experienced, collaborative, and hands-on key member of the team, you will serve as a strong, trusted business partner and revenue cycle expert working directly with clinical and business leaders around the company. You will leverage department data to help provide performance insights to Forge Health leaders. This input will help inform business decisions, relationship management with key stakeholders as well as investments in process and tool improvements. This position is a remote opportunity. Compensation range: $70-90k. This salary range reflects total compensation, which includes base compensation, but does not include benefits and other company perks. Exact compensation may vary based on skills, experience, and location. What you'll be doing: Operational Leadership Execute on strategy and lead the end-to-end revenue cycle function across coding, billing, and collections, ensuring operational efficiency and compliance with payer and regulatory standards. Manage and develop direct reports, fostering a culture of accountability, transparency, and continuous improvement. Partner with the VP of Revenue Cycle Management to define short and long-term RCM strategies aligned to company objectives. Operational Excellence Oversee daily RCM operations for a high-volume telehealth practice with extensive payer contracts and multi-state presence. Ensure accurate charge capture and coding practices that support compliant reimbursement and appropriate provider documentation. Own key workflows and process maps for claim submission, follow-up, denials, and appeals; identify and resolve friction points quickly. Collaborate with IT team to improve automation, EDI connectivity, and billing system integrations. Actively manage billing work inventories relates to mental health and substance use disorder services with commercial health plans, state Medicaid and managed-care organizations, and Medicare. Proactively identify situations which require intervention (i.e. denials, underpayments, and other issues). Plan, prepare, and conduct corrective course of action(s) in partnership with key stakeholders. Make corrections to staff execution and/ or business process challenges that lead to revenue collection delays Ensuring that patient insurance eligibility is actively managed to ensure smooth billing experience for patients and effective submission to the applicable insurance companies. Effectively utilize available data to identify key performance theme and trends. Active coaching and development of RCM team as it relates to their direct performance of defined objectives as well as their professional development. Fostering a team environment that promotes performance, belonging and engagement. Ensure that the RCM team executes the defined processes in accordance with applicable regulations, policies and procedures. System, Analytics & Performance Management Enhance, track, and report on KPIs to identify areas for improvement and drive performance. Partner with IT to develop automated dashboards and monthly reporting packages. Drive data-driven performance reviews with sub-teams to identify trends, root causes, and opportunities for process improvement. Leverage deep understanding of revenue cycle systems to recommend and implement technology-driven process improvements. Collaborate with IT and product teams to optimize system functionality and drive adoption of new tools and enhancements. Serve as a key resource for system training, ensuring team members are proficient in all relevant platforms and tools. Identify and ensure revenue cycle management training needs at all levels of the organization, and foster change to achieve performance improvement initiatives. Prepare impactful reports, analytics, summaries, and visualizations to communicate findings. Evaluate and pilot new software solutions to enhance scalability, compliance, and overall revenue cycle performance. Cross-Functional Collaboration Serve as the operational liaison between RCM, Clinical Staff and Patient Support to ensure documentation and billing alignment. Partner with Contracting/Credentialing rep to ensure accurate payer setup, EDI enrollment, and fee schedule system updates. Collaborate with Finance on cash forecasting, revenue recognition, and variance analysis. Compliance & Continuous Improvement Maintain compliance with payer and state telehealth billing requirements. Lead initiatives to improve claim accuracy, reduce denials, and accelerate cash collections. Proactively identify automation and system enhancement opportunities to improve efficiency and scalability. How we define success: Bachelor's degree in healthcare administration, business, finance, or a related field (Master's degree preferred). At least seven (7) years of experience in revenue cycle management in healthcare in positions of increasing responsibility Experience working with commercial health insurance companies, Medicaid programs, and Medicare programs. Experience in revenue cycle management in behavioral health preferred. Strong analytical and problem-solving skills, with the ability to interpret complex financial data and trends to develop effective revenue cycle strategies. Demonstrate comprehension of payor contracts, with special attention to complexities and details. Excellent leadership abilities, with a track record of building and motivating high-performing revenue cycle teams within addiction treatment facilities. Solid understanding of healthcare regulations, including HIPAA and confidentiality requirements specific to substance abuse treatment. Proficiency in revenue cycle management software and systems, with the ability to leverage technology for process automation and efficiency. Professional certifications in revenue cycle management or addiction treatment billing are highly preferred. Why Forge? The opportunity: Our team refuses to compromise on integrity, and we look for talented, driven hard workers who hold the same passion for the pursuit of high quality, evidence-based mental health and substance use care that we do. Our collective passion is driven and embodied by our core values: Fulfilling: Our work creates lives that are complete and self-actualized, enabling stronger families and communities - and a therapeutic community rewarded by success Optimistic: Our passionate positivity and empathy overcome setbacks and get you to your goals, scientifically and humanely Reciprocal: Without mutual trust and commitment, there can be no progress Grateful: We profoundly recognize and appreciate the trust of our patients and the commitment of our clinicians Evidence-Based: We are committed to measurable outcomes, which provide confidence to our patients and creates a standard of care for ourselves and others The package: At Forge, our people are our greatest asset. We're collaborative, empathetic, and passionate. We learn from our mistakes, we carve out time to breathe, and we are celebrated for our wins. In short, we know that we can't do what we do without you! So, we designed a comprehensive, competitive benefits package that reflects our appreciation of our people: Competitive salary aligned with your experience Comprehensive paid time off package Annual time off to volunteer Parental leave Annual continuing education allocations Competitive medical, dental, and vision package Annual subscription to a leading meditation app An environment that fosters professional development including financing for advanced licensure and certifications Internal supervision opportunities Dedicated, motivated team and chance to be part of a highly ambitious medical startup Modern, elegant, and high-end work environment We are committed to equal employment opportunity. We give equal consideration to all applicants when filling positions without regard to race, color, religion, gender, sexual orientation, gender identity, national origin, age, actual or perceived disability, genetic information, marital status, and/or any other status not related to an applicant's ability to perform the job duties. All employment practices will be carried out in accordance with federal, state and local laws. We will also fully comply with regulations and requirements set out by the Americans with Disabilities Act (ADA) and the ADA amendments Act (ADAAA). We will not discriminate against applicants or other individuals with real or perceived disabilities. When needed, we will provide reasonable accommodation to otherwise qualified candidates so that they are able to perform the essential functions of the position.$70k-90k yearly Auto-Apply 25d ago
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