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Southern Bone and Joint Specialists, P.A. Remote jobs - 213 jobs

  • Customer Service Representative (Jacksonville, FL area) Remote

    Maximus 4.3company rating

    Hattiesburg, MS jobs

    Description & Requirements Maximus is looking for customer service representatives in and around the Jacksonville, FL area. The role - provides customer service for basic and routine inquiries and problems via multiple possible channels (i.e. telephone, emails, web chats, or written letters). May support multiple Federal government agencies on critical programs. Must reside within a 75 radius of the Jacksonville, FL area. This position is fully remote; however, you must be able to go onsite to pick up equipment at the Maximus Jacksonville, FL location. This position will require a favorable Federal suitability clearance post-hire as mandated by the client. *Position is contingent upon contract award* Essential Duties and Responsibilities: - Provides customer service for basic and routine inquiries and problems via multiple possible channels (i.e. telephone, emails, web chats, or written letters). - Calls are basic and routine. - Uses computerized system for tracking, information gathering, and/or troubleshooting. - Provides feedback when needed, provide input on call trends, processes, procedures, and training. - May respond to customer inquiries by referring them to published materials, secondary sources, or more senior staff. - Experience in a call center environment highly preferred - Must Be a US Citizen - This position requires all work to be performed within the Continental US. Must currently live in and have permanent residence within the Continental US. - Must be able to successfully obtain a favorable Federal suitability clearance post-hire as mandated by the client. - Must be able to pick up equipment at the Maximus Jacksonville, FL Location. Minimum Requirements - High School diploma or equivalent with 6 months of customer service experience. - Must be able to speak and read English clearly, professionally and fluently. EEO Statement Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics. Pay Transparency For positions on this contract, Maximus will pay the prevailing wage rate for the location in which the employee is working, as determined by the Department of Labor. That wage rate will vary depending on locality. An applicant's salary history will not be used in determining compensation. Accommodations Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at **************************. Minimum Salary $ 16.00 Maximum Salary $ 16.00
    $22k-29k yearly est. Easy Apply 2d ago
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  • Product Adoption Expert

    Zoom 4.6company rating

    Jackson, MS jobs

    What you can expect We are seeking a Product Adoption Expert to drive deep product adoption and maximize business value across Zoom's diverse product portfolio. This role serves as the expert liaison between Product, Marketing, and Customer Success teams, ensuring best-in-class onboarding, workflows, and use cases are scaled across our customer base while being deployable for high-impact customer engagements. About the Team This role partners closely with Customer Success Managers, Onboarding Managers, and Product teams to accelerate adoption across Zoom's innovative solutions, including Zoom Phone, Contact Center, AI Companion. ResponsibilitiesDeployable Customer-Facing Engagements + Product Subject Matter Expertise: Serve as the adoption expert for assigned Zoom products (e.g., Zoom Phone, Contact Center, AI Companion, Rooms) + Strategic Customer Support: Join customer calls and workshops to map use cases and accelerate product-specific adoption + Cross-Team Collaboration: Partner with Customer Success Managers and Onboarding Managers during critical phases including launch, workflow integration, and renewals + Customer Education: Deliver impactful customer-facing sessions including office hours, deep dives, and workflow clinics Scalable & Programmatic Impact + Asset Development: Collaborate with Product, Product Marketing, General Managers, and Enablement teams to create scalable adoption resources: + Micro-learnings and step-by-step guides + Comprehensive playbooks and success plans + Educational webinars and customer campaigns + Workflow and use case catalogs + Program Management: Execute one-to-many initiatives including ongoing office hours, community forums, and customer champion sessions + Launch Support: Ensure new product launches include adoption-ready materials for immediate CSM and customer use + Product Feedback: Provide strategic feedback to Product teams based on adoption patterns, customer use cases, and implementation blockers Success Metrics & KPIs + Product Adoption Growth: Increase percentage of customers actively using key features and workflows + Time-to-Adoption: Accelerate adoption timelines for new product rollouts + Scalable Asset Reach: Maximize customer engagement through webinars, micro-learnings, and educational content + CSM Enablement Impact: Measure internal adoption of assets and reduction in repetitive support requests + Revenue Impact: Contribute to renewals and expansion opportunities tied to product adoption Products Supported + AI and CAIC + Events and Webinars + Zoom Phone + Revenue Accelerator + Contact Center + Zoom Chat & Productivity Suite (Clips, Whiteboard, Scheduler, Docs, Notetaker, Mail & Calendar) + Zoom Workplace & Microsoft Better Together + Zoom Ecosystem: APIs, RTMs, Webhooks, Integrations Salary Range or On Target Earnings: Minimum: $76,800.00 Maximum: $186,200.00 In addition to the base salary and/or OTE listed Zoom has a Total Direct Compensation philosophy that takes into consideration; base salary, bonus and equity value. Note: Starting pay will be based on a number of factors and commensurate with qualifications & experience. We also have a location based compensation structure; there may be a different range for candidates in this and other locations. Ways of WorkingOur structured hybrid approach is centered around our offices and remote work environments. The work style of each role, Hybrid, Remote, or In-Person is indicated in the job description/posting. BenefitsAs part of our award-winning workplace culture and commitment to delivering happiness, our benefits program offers a variety of perks, benefits, and options to help employees maintain their physical, mental, emotional, and financial health; support work-life balance; and contribute to their community in meaningful ways. Click Learn (********************************* for more information. About UsZoomies help people stay connected so they can get more done together. We set out to build the best collaboration platform for the enterprise, and today help people communicate better with products like Zoom Contact Center, Zoom Phone, Zoom Events, Zoom Apps, Zoom Rooms, and Zoom Webinars.We're problem-solvers, working at a fast pace to design solutions with our customers and users in mind. Find room to grow with opportunities to stretch your skills and advance your career in a collaborative, growth-focused environment. Our Commitment At Zoom, we believe great work happens when people feel supported and empowered. We're committed to fair hiring practices that ensure every candidate is evaluated based on skills, experience, and potential. If you require an accommodation during the hiring process, let us know-we're here to support you at every step. We welcome people of different backgrounds, experiences, abilities and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law. If you need assistance navigating the interview process due to a medical disability, please submit an Accommodations Request Form (https://form.asana.com/?k=OIuqpO5Tv9XQTWp1bNYd8w&d=1***********3361) and someone from our team will reach out soon. This form is solely for applicants who require an accommodation due to a qualifying medical disability. Non-accommodation-related requests, such as application follow-ups or technical issues, will not be addressed. Think of this opportunity as a marathon, not a sprint! We're building a strong team at Zoom, and we're looking for talented individuals to join us for the long haul. No need to rush your application - take your time to ensure it's a good fit for your career goals. We continuously review applications, so submit yours whenever you're ready to take the next step. #LI-Remote We believe that the unique contributions of all Zoomies is the driver of our success. To make sure that our products and culture continue to incorporate everyone's perspectives and experience we never discriminate on the basis of race, religion, national origin, gender identity or expression, sexual orientation, age, or marital, veteran, or disability status. Zoom is proud to be an equal opportunity workplace and is an affirmative action employer. All your information will be kept confidential according to EEO guidelines
    $76.8k-186.2k yearly 44d ago
  • Clinical Administrator (US Remote)

    Maximus 4.3company rating

    Tupelo, MS jobs

    Description & Requirements We're seeking a Clinical Administrator to support the Kansas Home and Community-Based Services Program (HCBS). About the program: Join our team and make a meaningful impact by supporting individuals in their homes and communities! Our Home and Community-Based Services (HCBS) program provides essential care and assistance to individuals with disabilities, seniors, and those in need of daily living support. We are dedicated to promoting independence, dignity, and quality of life by delivering personalized services that help individuals thrive in community settings. As a Clinical Administrator, you'll play a crucial role in: Scheduling assessments and accommodations for the population served Respond to phone and email inquiries with contractual turnaround times Provide high level customer support to internal and external customers Data Entry If you're passionate about making a difference in the lives of individuals in Kansas and thrive in a remote work environment, this opportunity is for you! • Why Maximus? Work/Life Balance Support - Flexibility tailored to your needs! • Competitive Compensation - Bonuses based on performance included! • Comprehensive Insurance Coverage - Choose from various plans, including Medical, Dental, Vision, Prescription, and partially funded HSA. Additionally, enjoy Life insurance benefits and discounts on Auto, Home, Renter's, and Pet insurance. • Future Planning - Prepare for retirement with our 401K Retirement Savings plan and Company Matching. • Paid Time Off Package - Enjoy PTO, Holidays, and extended sick leave, along with Short and Long Term Disability coverage. • Holistic Wellness Support - Access resources for physical, emotional, and financial wellness through our Employee Assistance Program (EAP). • Recognition Platform - Acknowledge and appreciate outstanding employee contributions. • Tuition Reimbursement - Invest in your ongoing education and development. • Employee Perks and Discounts - Additional benefits and discounts exclusively for employees. • Maximus Wellness Program and Resources - Access a range of wellness programs and resources tailored to your needs. • Professional Development Opportunities-Participate in training programs, workshops, and conferences. Essential Duties and Responsibilities: - Research and resolve discrepancies with provider documents. - Review information keyed into the system to verify the accuracy of data. - Monitor data/image quality of scanned documents. - Follow established policies and procedures for index and imaging without deviation. - Maintain confidentiality and security of relevant information. Minimum Requirements - High school diploma, GED, or equivalent required. - 0-2 years of relevant experience required. - Minimum of one (1) year of experience coordinating and scheduling assessments or appointments. Preferred Requirements - Clinical office experience Home Office Requirements - Maximus provides company-issued computer equipment - Reliable high-speed internet service *Minimum 20 Mpbs download speeds/50 Mpbs for shared internet connectivity *Minimum 5 Mpbs upload speeds - Private and secure workspace EEO Statement Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics. Pay Transparency Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Annual salary is just one component of Maximus's total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards. Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off. Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience. An applicant's salary history will not be used in determining compensation. Maximus will comply with regulatory minimum wage rates and exempt salary thresholds in all instances. Accommodations Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at **************************. Minimum Salary $ 18.00 Maximum Salary $ 20.00
    $46k-75k yearly est. Easy Apply 3d ago
  • Associate Project Manager - Knowledge Content Manager (Remote)

    Maximus 4.3company rating

    Hattiesburg, MS jobs

    Description & Requirements The Associate Project Manager - Knowledge Content Management will serve as a Subject Matter Expert on the knowledge/content management services to deliver, operate and maintain knowledge management capabilities for the contact center. This role is for an upcoming Federal contract (pending award). This position will develop and manage knowledge content used by agents. This role will make recommendations for processes and integration of tools that can improve automation, collaboration, or knowledge processes. This position will assist in determining which scripts (knowledge articles) need revisions and/or removal and ensure all resources provided to agents contain the correct information. This role also works with the client's content team to incorporate information that may currently not be housed in the database. This position requires a strong understanding of immigration law, which includes knowledge of the laws, policies, and practices that govern who can enter, stay, or become a citizen in the United States. Essential Duties and Responsibilities: - Support project management initiatives . - Schedule, plan, and coordinate project management activities. - Maintain project tracking tools and project documentation. - Communicate with project stakeholders. Job Specific Duties: - Build and maintain knowledge base in SharePoint or other Content Management Systems. - Build document management processes and procedures. - Assess knowledge base needs, inaccuracies, gaps; work quickly to resolve and make content current. - Work cross-functionally with internal teams for maximum efficiency and accuracy in documentationcontent. - Design and implement workflows to manage documentation process. - Create training material in support of the Knowledge management process. - Utilize SharePoint knowledge for site management, list creation, workflow creation/modification and document management within SharePoint. - Continuously improve knowledge-sharing processes based on feedback and agency needs. Minimum Requirements - Bachelor's degree in related field. - 3-5 years of project management experience required. - Equivalent combination of education and experience considered in lieu of degree. Job Specific Minimum Requirements: - 3+ years of Knowledge/Content Management or Information Governance experience - 1 - 3+ years of immigration law experience. - 3+ years of analytics, plain language and business writing skills. Preferred: - Experience working at a contact center and deep knowledge of contact center trends and best practices as it relates to knowledge/content management. - Experience developing content tailored to the needs of contact center agents and customers. - Experience working in a government or federal contracting environment. - Certifications such as Certified Knowledge Manager (CKM) or AIIM Certified Information Professional (CIP). EEO Statement Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics. Pay Transparency Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Annual salary is just one component of Maximus's total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards. Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off. Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience. An applicant's salary history will not be used in determining compensation. Maximus will comply with regulatory minimum wage rates and exempt salary thresholds in all instances. Accommodations Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at **************************. Minimum Salary $ 66,800.00 Maximum Salary $ 106,800.00
    $87k-179k yearly est. Easy Apply 6d ago
  • CX Value Realization Advisor

    Zoom 4.6company rating

    Jackson, MS jobs

    Zoom aims to be a true value partner for our customers. That means helping enterprise leaders connect CX strategy, operating models, and technology investments to real business outcomes. This role exists to do exactly that with Zoom's CX team. As a Value Advisor, you'll sit at the intersection of sales, product, and customer experience strategy . You will influence decisions, shape narratives, and help customers (and internal teams) see what's possible when CX is designed intentionally. This is a practical, hands‑on role. If you like thinking strategically and rolling up your sleeves to build decks, design workshops, and pressure‑test ideas with executives, you'll feel at home here. Be a trusted advisor + Partner with Value Realization, Sales, Product, and Leadership to bring a clear, holistic point of view on CX and Zoom's role as a value partner. + Help teams frame customer conversations around outcomes (efficiency, growth, experience), not features. Analyze what really matters + Break down customer strategies, revenue models, competitive pressures, and operating models to identify where CX can move the needle. + Understand how customers actually create value across their business, and identify where CX, service, or sales changes can unlock outsized impact. Shape and support pre‑sales engagements + Support pre‑sales efforts by deploying lightweight but credible value activities such as: + Experience and service design + Voice of Customer and Employee diagnostics + Opportunity and value framing + Business Case development + Translate insights into clear, executive‑ready narratives that support deal momentum. Turn strategy into action + Help inform Zoom's strategic vision and work along multiple teams to act as a feedback loop between customer, partner, product, marketing and beyond. + Create and use value frameworks to help customers convert strategic goals into concrete roadmaps and investment priorities. + Manage a repository of assets and accelerators to deploy across customers with scale. + Align business and technology stakeholders inside large, matrixed enterprise customers. Lead the room when it matters + Facilitate executive workshops and strategic planning sessions that create clarity, alignment, and forward motion. + Build and present points of view on the next generation of CX, including AI‑enabled service, sales, and experience orchestration. What success looks like + Sales teams bring you into complex opportunities early, and keep bringing you back. + Executives leave sessions with a clearer understanding of why CX matters and what to do next . + Your work helps turn abstract CX ambition into practical, fundable initiatives. + Ensure the tools, frameworks, and assets used by the Value Realization team are current, usable, and ready for real customer work. Experience & background + 5+ years of experience in a leading SaaS CX organization, management consultancy, or complex operations environment. + Proven exposure to customer service operations across service, sales, and marketing journeys. + Industry knowledge in one or more of the following sectors is preferred: Financial Services, Consumer Retail and Travel & Hospitality. CX and technology fluency + Working knowledge of service design, including how front and backstage intersect. + Strong working knowledge of CX technologies such as contact center platforms, CRM, CDP, ticketing, and related data flows. + Comfortable discussing how technology enables (or limits) operating model change. Clear thinking and strong communication + Excellent content creation skills especially slideware, visuals, and concise executive writing. + Able to simplify complex ideas without dumbing them down. Modern ways of working + Uses AI and automation tools to scale research, analysis, and content creation. + Thrives in a highly matrixed environment and can influence without formal authority. Practical realities + Willing and able to travel as needed to support customers and internal teams. Why this role is different This isn't a generic strategy role or a pure sales overlay. You'll help define how Zoom shows up as a CX value advisor , both internally and with customers. You'll build repeatable ways of working, shape points of view, and help grow a team that raises the bar on how CX value is articulated and delivered. Salary Range or On Target Earnings: Minimum: $97,600.00 Maximum: $225,700.00 In addition to the base salary and/or OTE listed Zoom has a Total Direct Compensation philosophy that takes into consideration; base salary, bonus and equity value. Note: Starting pay will be based on a number of factors and commensurate with qualifications & experience. We also have a location based compensation structure; there may be a different range for candidates in this and other locations At Zoom, we offer a window of at least 5 days for you to apply because we believe in giving you every opportunity. Below is the potential closing date, just in case you want to mark it on your calendar. We look forward to receiving your application! Anticipated Position Close Date: 02/03/26 Ways of WorkingOur structured hybrid approach is centered around our offices and remote work environments. The work style of each role, Hybrid, Remote, or In-Person is indicated in the job description/posting. BenefitsAs part of our award-winning workplace culture and commitment to delivering happiness, our benefits program offers a variety of perks, benefits, and options to help employees maintain their physical, mental, emotional, and financial health; support work-life balance; and contribute to their community in meaningful ways. Click Learn (********************************* for more information. About UsZoomies help people stay connected so they can get more done together. We set out to build the best collaboration platform for the enterprise, and today help people communicate better with products like Zoom Contact Center, Zoom Phone, Zoom Events, Zoom Apps, Zoom Rooms, and Zoom Webinars.We're problem-solvers, working at a fast pace to design solutions with our customers and users in mind. Find room to grow with opportunities to stretch your skills and advance your career in a collaborative, growth-focused environment. Our Commitment At Zoom, we believe great work happens when people feel supported and empowered. We're committed to fair hiring practices that ensure every candidate is evaluated based on skills, experience, and potential. If you require an accommodation during the hiring process, let us know-we're here to support you at every step. If you need assistance navigating the interview process due to a medical disability, please submit an Accommodations Request Form (https://form.asana.com/?k=OIuqpO5Tv9XQTWp1bNYd8w&d=1***********3361) and someone from our team will reach out soon. This form is solely for applicants who require an accommodation due to a qualifying medical disability. Non-accommodation-related requests, such as application follow-ups or technical issues, will not be addressed. #LI-Remote We believe that the unique contributions of all Zoomies is the driver of our success. To make sure that our products and culture continue to incorporate everyone's perspectives and experience we never discriminate on the basis of race, religion, national origin, gender identity or expression, sexual orientation, age, or marital, veteran, or disability status. Zoom is proud to be an equal opportunity workplace and is an affirmative action employer. All your information will be kept confidential according to EEO guidelines
    $46k-78k yearly est. 12d ago
  • Training Coordinator

    Maximus 4.3company rating

    Hattiesburg, MS jobs

    Description & Requirements Maximus is seeking adaptable and detail-oriented Training Coordinators to support virtual training delivery across a variety of contact center programs. In this role, Training Coordinators serve as key operational support for virtual training sessions, monitoring attendance, resolving technical issues, escalating classroom concerns, and assisting learners with system access and navigation challenges. Ideal candidates will be comfortable working in fast-paced virtual environments and using Microsoft Teams to ensure smooth and effective training experiences. *Position is contingent upon contract award* This is a fully remote role. Equipment will be provided but must meet the remote position requirement provided below. Must have the ability to pass a federal background check. Remote Position Requirements: - Hardwired internet (ethernet) connection - Internet download speed of 25mbps and 5mbps (10 preferred) upload or higher required (you can test this by going to ****************** - Private work area and adequate power source Essential Duties and Responsibilities: - Coordinate logistics for instruction events, including scheduling classes, reserving classrooms, and preparing workstations. - Determine resource readiness for courses, including materials, training room, technology, and collection and entry of training data. - Maintain records of training activities, participant progress, and program effectiveness. - Provide production floor support and answer questions. • Provide real-time support across multiple virtual training sessions, ensuring smooth delivery and learner engagement. • Troubleshoot technical issues related to audio, connectivity, and platform access. • Escalate classroom concerns and technical disruptions to appropriate teams for resolution. Minimum Requirements - High School diploma or equivalent with 1-3 years of experience. - Bachelor's degree preferred. - May have additional training or education in area of specialization. • Experience supporting virtual training sessions using Microsoft Teams preferred. EEO Statement Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics. Pay Transparency For positions on this contract, Maximus will pay the prevailing wage rate for the location in which the employee is working, as determined by the Department of Labor. That wage rate will vary depending on locality. An applicant's salary history will not be used in determining compensation. Accommodations Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at **************************. Minimum Salary $ 17.83 Maximum Salary $ 29.50
    $35k-50k yearly est. Easy Apply 5d ago
  • Technical Account Manager

    Cardinal Health 4.4company rating

    Jackson, MS jobs

    Cardinal Health Sonexus Access and Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and remain on the therapy they need for a better quality of life. Our diverse expertise in pharma, payer and hub services allows us to deliver best-in-class solutions-driving brand and patient markers of success. We're continuously integrating advanced and emerging technologies to streamline patient onboarding, qualification and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas, Texas, empowering manufacturers to rethink the reach and impact of their products. **Job Description** As the leading provider of comprehensive pharmaceutical commercialization services, Sonexus Health empowers pharmaceutical manufacturers by integrating innovative distribution models with patient access, adherence programs and reimbursement services. Patients start therapy faster and stay compliant longer, while manufacturers own their provider relationships and gain actionable, real-time visibility into how, when and why their products are used. **Position Summary** Technical Account Management (TAM) is responsible for playing a key/critical role in realizing business value through the application of project management knowledge, skills, tools, and techniques to meet project objectives. The TAM will also use their rich healthcare domain expertise, along with project management and proactive consulting skills, to solve complex technical challenges for some of the largest pharmaceutical manufacturers in the country. To our clients, this individual will be an expert in combining our technology platform and solutions with their programs to provide maximum benefit to their business and patients. **Role contribution and responsibilities:** + Demonstrates advanced knowledge of Cardinal Health and customer industry, including key competitors, terminology, technology, trends, challenges, reimbursement and government regulation; demonstrates working knowledge of how Cardinal Health technical offerings match with a customers' unique business needs + Demonstrates knowledge of the project management initiating, planning, executing, monitoring/controlling, and closing processes. + Monitors performance and recommends scope, schedule, cost or resource adjustments + Connects short-term demands to long-term implications, in alignment with the supporting business case. + Prioritizes multiple tasks while meeting deadlines + Communicates project status (health, forecast, issues, risks, etc.) to stakeholders in an open and honest fashion. + Effectively balances competing project constraints including but not limited to scope, quality, schedule, funding, budget, resources, and risk, to manage project success. + Connects project objectives to broader organizational goals. + Provides input to contracts, reviews contracts to ensure completeness of scope and appropriate accountability based on role and/or responsibility. + Negotiates with stakeholders to obtain the resources necessary for successful project execution. + Partners with stakeholders and technologist to implement/automate/operationalize models into day-to-day business decision making. + High level of client contact in an Account Management portfolio approach. **What is expected of you and others at this level** + Applies advanced knowledge and understanding of concepts, principles, and technical capabilities to manage a wide variety of projects + Participates in the development of policies and procedures to achieve specific goals + Recommends new practices, processes, metrics, or models + Works on or may lead complex projects of large scope + Projects may have significant and long-term impact + Provides solutions which may set precedent + Independently determines method for completion of new projects + Receives guidance on overall project objectives + Acts as a mentor to less experienced colleagues + Identifies and qualifies opportunities within service portfolio (including but not limited to technology, program design, services expansion, etc....) with existing client and develops plans for introducing new solutions through collaborative relationships **Accountabilities in this role** + Analyze and recommend technical solutions related to new product launches, product discontinuations, vendor integrations, and operational efficiencies among other potential services + Acts as single technical liaison for the client + Daily interactions with client to assess and advise client needs and requests + Analyze client program, needs and propose solutions and options that provide value to client + Recommend technical changes/updates/enhancements to current platform and vendor integration landscape to further align with client's strategy and industry advancements. + Manage client deliverables, timelines, and artifacts + Monitor team backlog and prioritize activities to deliver on time, on budget, on scope + Anticipate client needs and proactively make program recommendations to enhance service value + Perform necessary project administration, project status, and risk, issue management _Qualifications_ + Master's Degree preferred + 3-5 years' experience of client relationship management experience at the account management level preferred + Prior experience working in a Specialty Pharmaceutical HUB environment, preferred + 8+ years' experience in professional services, healthcare, or related field preferred serving in a technical capacity preferred + Proficiency in Microsoft Office products preferred + Strong oral and written communication skills, with executive facing presentation experience + Strong project management skills + Proven ability to learn an application of advanced knowledge and understanding of concepts, principles, and technical capabilities to manage a wide variety of projects + Travel requirement up to 10% TRAINING AND WORK SCHEDULES: + Your new hire training will take place 8:00am-5:00pm CST, mandatory attendance is required. + This position is full-time (40 hours/week). + Employees are required to have flexibility to work any of our shift schedules during our normal business hours of Monday-Friday, 7:00am- 7:00pm CST. REMOTE DETAILS: + You will work remotely, full-time. It will require a dedicated, quiet, private, distraction free environment with access to high-speed internet. + We will provide you with the computer, technology and equipment needed to successfully perform your job. + You will be responsible for providing high-speed internet. + Internet requirements include the following: + Maintain a secure, high-speed, broadband internet connection (DSL, Cable, or Fiber) at the remote location. Dial-up, satellite, WIFI, Cellular connections are NOT acceptable. + Download speed of 15Mbps (megabyte per second) + Upload speed of 5Mbps (megabyte per second) + Ping Rate Maximum of 30ms (milliseconds) + Hardwired to the router + Surge protector with Network Line Protection for CAH issued equipment **Anticipated salary range:** $105,100-$150,100 **Bonus eligible:** Yes **Benefits:** Cardinal Health offers a wide variety of benefits and programs to support health and well-being. + Medical, dental and vision coverage + Paid time off plan + Health savings account (HSA) + 401k savings plan + Access to wages before pay day with my FlexPay + Flexible spending accounts (FSAs) + Short- and long-term disability coverage + Work-Life resources + Paid parental leave + Healthy lifestyle programs **Application window anticipated to close:** 03/15/2026 *if interested in opportunity, please submit application as soon as possible. The hourly range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity. _Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply._ _Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal_ _Opportunity/Affirmative_ _Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law._ _To read and review this privacy notice click_ here (***************************************************************************************************************************
    $105.1k-150.1k yearly 15d ago
  • Utilization Review Coordinator (Hybrid Role)

    Addiction and Mental Health Services 3.8company rating

    Southaven, MS jobs

    The Utilization Review Coordinator plays a critical role in ensuring that patients at our facility receive the appropriate level of care while managing treatment costs. This position involves coordinating, assessing, and authorizing treatment plans, collaborating with medical staff, and maintaining compliance with healthcare regulations. The Utilization Review Coordinator works closely with insurance companies, clinicians, and support staff to ensure that treatment plans are clinically appropriate and reimbursable, advocating for the best interests of the patients and the hospital. Key Responsibilities: Case Review and Assessment Conduct daily reviews of patient charts, treatment plans, and progress notes to determine if the level of care provided aligns with clinical guidelines and insurance requirements. Monitor patient progress, reassess treatment needs, and recommend adjustments in care levels as needed. Collaborate with clinical teams to understand patient needs, assess treatment efficacy, and make informed recommendations. Insurance Coordination Act as the primary point of contact with insurance providers for treatment authorization, concurrent review, and appeal processes. Submit required documentation to insurance companies in a timely manner, including clinical updates, to secure and maintain treatment authorization. Resolve reimbursement issues, advocating for patient treatment needs and securing necessary approvals. Documentation and Compliance Ensure all documentation is complete, accurate, and in line with state, federal, and hospital policies to facilitate compliance and quality audits. Maintain a working knowledge of current insurance guidelines, DSM-5 criteria, and ASAM (American Society of Addiction Medicine) criteria. Participate in internal and external audits, preparing records and reports as necessary. Collaboration and Communication Work closely with medical and support staff to ensure continuity of care and that utilization review processes are aligned with patient needs. Provide guidance to clinical staff regarding documentation best practices and criteria required for continued care authorizations. Participate in multidisciplinary team meetings to discuss patient care plans, discharge planning, and treatment adjustments. Quality Improvement Identify trends in denied claims or treatment authorizations, providing recommendations for process improvements. Assist in training hospital staff on utilization review processes, criteria for different levels of care, and effective documentation practices. Collaborate in developing policies to improve efficiency, patient care outcomes, and financial performance. Qualifications: Education: Bachelor's degree in Nursing, Social Work, or a related field required. Master's degree in a health-related field preferred. Experience: Minimum of 2 years in utilization review, case management, or related field, preferably within a behavioral health or chemical dependency setting. Licensure: Current RN, LCSW, or LPC license preferred. Skills and Competencies: In-depth understanding of mental health, substance abuse treatment and ASAM criteria. Strong analytical and critical thinking skills with the ability to make clinical judgments based on patient data. Excellent communication and interpersonal skills to facilitate interactions with insurers, staff, and patients. Proficiency with electronic medical records (EMR) and utilization review software. Knowledge of state, federal, and industry regulations related to chemical dependency and mental health care. Working Conditions: Full-time, primarily daytime hours, with occasional on-call duties or weekends as needed. Must be able to work in a high-paced environment and handle sensitive information with discretion. Physical demands may include sitting for extended periods, light lifting, and using a computer for most of the workday.
    $36k-46k yearly est. Auto-Apply 26d ago
  • Case Builder Auditor - Veterans Evaluation Services

    Maximus 4.3company rating

    Tupelo, MS jobs

    Description & Requirements Maximus is currently hiring for a Case Builder Auditor to join our Veterans Evaluation Services (VES) team. This is a remote opportunity. The Case Builder Auditor is responsible for reviewing Disability Benefits Questionnaires ("DBQs") built by Case Builders on the "Build Team" so that Veterans may be evaluated on behalf of the Department of Veterans Affairs (the "VA"). Auditors are responsible for providing guidance and instructions to Case Builders with questions on VA specific build criteria and also second reviews and audit cases built to ensure builds meet VA specific build criteria for VBA exams. An Auditor works closely with the of Auditors and Builders, as well as with the Case Builder Manager, to maintain a respectful, positive, and high sense of urgency work environment and to make sure the Case Building Department is producing the highest quality exams possible. Due to contract requirements, only US Citizens or Green Card holders can be considered for this opportunity. Essential Duties and Responsibilities: - Enter any missed build information into the software for the doctor to be able to utilize during and after the appointment. - Ensure providers have the necessary documentation and medical records to properly evaluate Veterans. - Research medical conditions and new information when necessary in order to assist builders with any case questions during the build process. - Identify and confirm that all relevant worksheets and diagnostics were added during the build process as requested by the VA. - Track Case Builder (CB) errors and monitor progress of assigned builders through weekly audit reports and master error log. - Communicate with CB supervisors when patterns of concern regarding quality and production are identified. - Communicate with other departments to share relevant information when necessary in order to best complete the case. - Thoroughly checks over and approves Case Builder's work when in audit, to make sure the build is sufficient. - Complete audits as assigned by Supervisor or Case Building Management. - Assists with clarification response (CR) updates when a CB on the build team is out of office. - Complete one-on-one conferencing with assigned Case Builders to review error trends and provide build feedback with the goal of improving assigned Case Builder quality. - Responds promptly and appropriately to messages from supervisors, co- workers, and other departments. Please note upon hire, Veterans Evaluation Services (VES), a Maximus Co. will provide all necessary computer equipment that is to be utilized to fulfill the duties of your role. New hires will not be exempt from using company provided equipment. Home Office Requirements using Maximus-Provided Equipment: - Internet speed of 20 mbps or higher required (you can test this by going to ****************** - Connectivity to the internet via either Wi-Fi or Category 5 or 6 ethernet patch cable to home router - Private work area and adequate power source - Must currently and permanently reside in the Continental US In accordance with SCA contract requirements, remote work must be conducted from the location specified at the time of hire. Travel is not permitted, and your are required to remain at your designated home location for all work activities. Minimum Requirements - High school graduate or GED required. - Minimum of 2 years of related experience. - Minimum of 1 year of Case Building experience, to include high productivity and low error percentage, during time as a Case Builder. - 2 or more years previous Case Building experience is strongly preferred. EEO Statement Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics. Pay Transparency For positions on this contract, Maximus will pay the prevailing wage rate for the location in which the employee is working, as determined by the Department of Labor. That wage rate will vary depending on locality. An applicant's salary history will not be used in determining compensation. Accommodations Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at **************************. Minimum Salary $ 26.45 Maximum Salary $ 35.35
    $28k-38k yearly est. Easy Apply 8d ago
  • Office Coordinator II - Clinic/Radiology Scheduling

    Baylor Scott & White Health 4.5company rating

    Jackson, MS jobs

    **About Us** Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are: + We serve faithfully by doing what's right with a joyful heart. + We never settle by constantly striving for better. + We are in it together by supporting one another and those we serve. + We make an impact by taking initiative and delivering exceptional experience. **Benefits** Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: + Immediate eligibility for health and welfare benefits + 401(k) savings plan with dollar-for-dollar match up to 5% + Tuition Reimbursement + PTO accrual beginning Day 1 _Note: Benefits may vary based upon position type and/or level._ **Job Summary** The Office Coordinator provides administrative and clerical help to a department or office. This includes entering data, performing word processing, coordinating logistics for office events and moves, and providing back-up help for reception or the mailroom. The coordinator may assist in developing policies, procedures, and targets. **Work Model** This office coordinator postiion is 100% remote. The pay range for this position is $19.18 (entry-level qualifications) - $28.79 (highly experienced). The specific rate will depend upon the successful candidate's specific qualifications and prior experience. **Essential Functions of the Role** + Is accountable for the Office operations of a department. + May coordinate workload distribution among Clerical Staff. + Conducts training programs to keep staff updated on current regulatory requirements and program accreditation. + May assist in developing policies, procedures and targets to maximize workflow and ensure accuracy of records, reports, and letters. + Answers and screens phone calls for the office or department. + Routes calls as appropriate within customer service guidelines. + Accurately records messages and delivers them to the appropriate party promptly. + Establishes and takes appropriate action as required. + Greets visitors, guests, and patients promptly and courteously. + Ascertains their needs and provides assistance per established policies and procedures. + If unable or unqualified to assist, promptly refers to the appropriate party or department. + Plans and schedules calendar(s) based on consultation, resolve calendaring conflicts, and arranges travel in compliance with Organization policies. + Accurately and rapidly prepares routine communications, reports, forms, and correspondence. + Coordinates production and dissemination of materials like presentations, course handouts, grant proposals, conference materials, complex reports, brochures, and displays. + Promptly opens, routes and distributes incoming and outgoing materials in a timely manner. + Creates and diligently maintains a variety of confidential files in accordance with established policies and procedures. **Key Success Factors** + Knowledge of office procedures. + Able to provide consistently excellent customer service with lenity, patience and confidence. + Able to maintain the confidentiality of delicate and confidential information obtained through the course of completing assignments. + Social skills to interact with a wide-range of constituencies. + Skilled in document management, including sorting and filing techniques, and records retention to maintain accurate records. + Able to communicate thoughts clearly; both verbally and in writing. + Must be able to read, write and follow instructions and flow chart protocols. + Able to stay calm and helpful under stress. Take appropriate steps to resolve issues. + Able to work carefully, with a high attention to detail. + General computer skills, including but not limited to: typing, information security, electronic medical documentation, hand held scanning and email. **Belonging Statement** We believe that all people should feel welcomed, valued and supported. **QUALIFICATIONS** + EDUCATION - H.S. Diploma/GED Equivalent + EXPERIENCE - 1 Year of Experience + Preferrably healthcare experience + EPIC knowledge a plus + Call center scheduling experience a plus As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.
    $19.2 hourly 5d ago
  • Director of Proposal Management (US State & Local Health and Human Services)

    Maximus 4.3company rating

    Tupelo, MS jobs

    Description & Requirements Maximus is thrilled to announce an opportunity for a Director of Proposal Management. The primary responsibility of this role is to manage a team including executives to plan and deliver responsive and compelling proposals to a wide range of State & Local Government clients throughout the U.S. Coach other Proposal Managers as needed or assigned. This position manages the full proposal development lifecycle including RFP analysis, proposal management plans, schedules, content reviews ensuring 100% compliant responses, conducting color reviews, and working with production through delivery, as well as post submission client requests. Requires the ability to lead a team of proposal managers and/or work with persons in various roles to create the bid strategy, messaging, value propositions, competitive blocks/traps, and other elements of response writing to produce a compelling, winning proposal. No direct reports. This is a fully remote role with approximately 10% travel. Mileage is reimbursed at the federal rate. Why Maximus? - • Competitive Compensation - Bonuses based on performance. - • Comprehensive Insurance Coverage - Choose from various plans, including Medical, Dental, Vision, Prescription, and partially funded HSA. Additionally, enjoy Life insurance benefits and discounts on Auto, Home, Renter's, and Pet insurance. - • Future Planning - Prepare for retirement with our 401K Retirement Savings plan and Company Matching. - • Paid Time Off Package - Enjoy Unlimited Time Off, Holidays, and sick leave, along with Short- and Long-Term Disability coverage. - • Holistic Wellness Support - Access resources for physical, emotional, and financial wellness through our Employee Assistance Program (EAP). - • Recognition Platform - Acknowledge and appreciate outstanding employee contributions. - • Tuition Reimbursement - Invest in your ongoing education and development. - • Employee Perks and Discounts - Additional benefits and discounts exclusively for employees. - • Maximus Wellness Program and Resources - Access a range of wellness programs and resources tailored to your needs. - • Professional Development Opportunities- Participate in training programs, workshops, and conferences. Essential Duties and Responsibilities: - Lead and manage the proposal development process from pre-RFP to post-submission activities. - Analyze and interpret request for proposals (RFPs), request for quotations (RFQs), and invitation for bids (IFBs) to determine requirements and strategy. - Develop proposal strategies that result in high-quality, compliant, and compelling proposals. - Conduct comprehensive research to gather relevant information and insights for proposal content. - Develop content for executive summaries and other key sections that highlight the company's strengths and capabilities. - Write, revise, and edit proposal drafts, ensuring clarity, accuracy, and compliance with client requirements. - Manage proposal timelines and ensure all deadlines are met. - Review and incorporate feedback from stakeholders to improve proposal quality. - Participate in client meetings and presentations to support proposal discussions. - Manages multiple large scale and complex projects from pre-release or release from start-up through implementation, and through submission completion including post submission client requests including post submission client requests - Conduct research and analyze government solicitations to determine requirements; client strategy and goals; research past similar projects for similarities and challenges; understand competitive challenges; and current Client specifications and requirements to develop a 100% compliant structure, including but not limited to internal development strategy to meet business goals, win strategy, and messaging. - Design, communicate, and implement an operational plan for completing the project; prepare and manage each project milestone kick-offs and debriefs; monitor progress and performance against the project plan. - Performs administrative tasks including but not limited to: managing SharePoint security; document management; client amended change management updates to plans; coordinating forms and authority matrix signature processes; tracking and reporting of progress. - Conducts regularly scheduled and ad hoc meetings with cross-departmental teams including executives to set priorities, address issues and minimize delays to meet project milestones. Anticipate roadblocks and potential risks of meeting strategy and/or milestone targets and work with various stakeholders to mitigate impacts, set and mutually agree on plans for additional tasks and resource assignments as required, integrate into operational plan and continue to monitor to completion. - Understands clients objectives, internal business goals, and assist in providing guidance and coaching to subject matter experts, proposal writers with Writing Lead collaboration, graphic artists, and other roles providing developmental support - Collaborate with cross-functional teams including sales, marketing, technical experts, executives, and other roles to gain consensus on strategies; discuss conceptual visuals to represent complicated technical processes and workflows; and gather necessary information to develop comprehensive proposals. - Provides technical and analytical guidance to the project team; analyzes stakeholder feedback and incorporates to improve proposal quality; verify and improve alignment with bid strategy, highlight the company's strengths and capabilities, and ensure all client specifications including addendums are met. - Provides coaching and mentoring of other Project Managers in how to better influence and motivate stakeholders, improve communication and management tactics, and strengthen skills and implementation of best practices. - Works with stakeholders including executives to better understand solutions and competition, analyze lessons learned and after-action analyses, to be in position to recommend stronger strategies, potential process or workflow changes; assist in planning and implement changes; and, in building and establishing strong collaborative relationships cross-departmental, and with external third-party surge support organizations. Minimum Requirements - Bachelor's degree in relevant field of study and 10+ years of relevant professional experience required. - 10+ years of experience as a Proposal Manager for State and Local Government solicitations - Proven experience leading cross-departmental teams with a focus on cost-efficient operations without compromising quality - Excellent written and verbal communication skills - Exceptional ability to manage multiple, highly detailed projects and tasks simultaneously - Advanced proficiency in Microsoft Office Suite, including SharePoint, Word, PowerPoint, and Excel - Experience managing the full proposal lifecycle, including RFP analysis, strategy development, compliance reviews, color team reviews, production, and delivery - Ability to collaborate effectively with executives, SMEs, proposal writers, and cross-functional partners - Strong understanding of competitive analysis, strategic messaging, value proposition development, and positioning - Familiarity with proposal development methodologies (e.g., Shipley, APMP best practices) - APMP certification (Foundation, Practitioner, or Professional) is a plus #LI-Remote EEO Statement Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics. Pay Transparency Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Annual salary is just one component of Maximus's total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards. Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off. Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience. An applicant's salary history will not be used in determining compensation. Maximus will comply with regulatory minimum wage rates and exempt salary thresholds in all instances. Accommodations Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at **************************. Minimum Salary $ 165,000.00 Maximum Salary $ 185,000.00
    $75k-155k yearly est. Easy Apply 5d ago
  • Project Implementation Manager - (Hybrid - Remote)

    Maximus 4.3company rating

    Hattiesburg, MS jobs

    Description & Requirements Maximus is currently seeking a dedicate and results-driven Project Implementation Manager to support our Kentucky Health Benefits Exchange (KY HBE) program. The Project Implementation Manager will be responsible to lead and manage project operations from start to finish. This role requires strong client communication skills, the ability to build and maintain relationships with clients, and the capability to manage complex projects effectively. This is a hybrid position that will require travel to Frankfort, KY throughout the implementation process. *This position is contingent upon contract award.* Why Maximus? Work/Life Balance Support - Flexibility tailored to your needs! • Competitive Compensation - Bonuses based on performance included! • Comprehensive Insurance Coverage - Choose from various plans, including Medical, Dental, Vision, Prescription, and partially funded HSA. Additionally, enjoy Life insurance benefits and discounts on Auto, Home, Renter's, and Pet insurance. • Future Planning - Prepare for retirement with our 401K Retirement Savings plan and Company Matching. • Unlimited Time Off Package - Enjoy UTO, Holidays, and extended sick leave, along with Short and Long Term Disability coverage. • Holistic Wellness Support - Access resources for physical, emotional, and financial wellness through our Employee Assistance Program (EAP). • Recognition Platform - Acknowledge and appreciate outstanding employee contributions. • Tuition Reimbursement - Invest in your ongoing education and development. • Employee Perks and Discounts - Additional benefits and discounts exclusively for employees. • Maximus Wellness Program and Resources - Access a range of wellness programs and resources tailored to your needs. • Professional Development Opportunities-Participate in training programs, workshops, and conferences. Essential Duties and Responsibilities: - Organize project teams, assign individual responsibilities, develop project schedules, and determine resource requirements. - Oversee all facets of project operations. - Deploy resources to address all operational needs. - Make informed decisions and ensure adherence to budgets. - Communicate updates and project status effectively and efficiently. - Recommend innovative methodologies, techniques, and criteria for projects. - Ensure adherence and compliance to internal and external quality standards. Minimum Requirements - Bachelor's degree in related field. - 5-7 years of project management experience required. - Equivalent combination of education and experience considered in lieu of degree. - Project Management Professional (PMP) or similar certification preferred. - Proficiency in Microsoft Office Suite required. - Must be willing and able to travel to Frankfort, KY throughout contract implementation. Home Office Requirements - Internet speed of 20mbps or higher required (you can test this by going to ******************* - Connectivity to the internet via either Wi-Fi or Category 5 or 6 ethernet patch cable to the home router. - Must currently and permanently reside in the Continental US. EEO Statement Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics. Pay Transparency Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Annual salary is just one component of Maximus's total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards. Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off. Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience. An applicant's salary history will not be used in determining compensation. Maximus will comply with regulatory minimum wage rates and exempt salary thresholds in all instances. Accommodations Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at **************************. Minimum Salary $ 87,850.00 Maximum Salary $ 125,000.00
    $71k-108k yearly est. Easy Apply 2d ago
  • Sr. Knowledge Analyst - Contact Center Content Specialist (Remote)

    Maximus 4.3company rating

    Tupelo, MS jobs

    Description & Requirements Maximus is looking for a dynamic Senior Knowledge Analyst to serve as the dedicated Contact Center Content Specialist (CCCS). In this pivotal role, you'll collaborate closely with government and internal teams to identify content gaps, drive improvements, and ensure that agents are equipped with clear, effective, and bilingual resources. *Position is contingent upon contract award* This is a fully remote role. Must have the ability to pass a federal background check. Remote Position Requirements: - Hardwired internet (ethernet) connection - Internet download speed of 25mbps and 5mbps (10 preferred) upload or higher required (you can test this by going to ****************** - Private work area and adequate power source Essential Duties and Responsibilities: - Build and maintain knowledge base in SharePoint. - Build document management processes and procedures. - Assess knowledge base needs, inaccuracies, gaps; work quickly to resolve and make content current. - Work cross-functionally with internal teams for maximum efficiency and accuracy in documentation content. - Create hierarchy and ownership structure to sustain knowledge management. - Empower contributions from key stakeholders to improve the knowledge base. - Design and implement work flows to manage documentation process. - Establish standard templates for all documentation for the teams to utilize in document creation. - Collaborate with and support the Implementation Team to tune and evolve our Knowledge Base. - Create, promote and apply best practices for writing, style and content in Microsoft style. - Create training material in support of the Knowledge management process. - Improve search results by honing and maintaining the knowledge base taxonomy, labels list and ensuring symptoms and subject terms are present in each article. - Utilize SharePoint knowledge for site management, list creation, workflow creation/modification and document management within SharePoint. • Coordinate with client content teams, and the Senior Training Manager to identify and address content gaps specific to contact center operations. • Serve as a bilingual subject matter expert (English and Spanish) for contact center content development. • Support the creation and refinement of training materials for contact center agents. • Draft monthly action and improvement reports with recommendations on knowledge content, quality, customer satisfaction, and training materials. • Represent the contact center perspective in content-related discussions and decisions. • Work extensively with business partners and SMEs to perform knowledge needs analysis, develop and update training and knowledge resources that meet staff and stakeholder needs and organizational quality standards. • Manage and develop knowledge articles, chat quick text scripts and email templates. • Conduct audits of knowledge articles and procedures to ensure accuracy and relevance. • Identify emerging contact center trends and coordinate content updates to address urgent needs. • Collaborate with client content teams to create, update, and review contact center-specific content. • Serve as a subject matter expert for assigned customer agencies. • Salesforce and SharePoint experience preferred. • Call center knowledge and experience preferred. Minimum Requirements - Bachelor's degree with 5+ years of experience. - Advanced degree or professional designation preferred. - Develops solutions to a variety of complex problems. - Work requires considerable judgment and initiative. - Exerts some influence on the overall objectives and long-range goals of the organization. • Developing website content experience • Self-motivated and able to work independently EEO Statement Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics. Pay Transparency Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Annual salary is just one component of Maximus's total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards. Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off. Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience. An applicant's salary history will not be used in determining compensation. Maximus will comply with regulatory minimum wage rates and exempt salary thresholds in all instances. Accommodations Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at **************************. Minimum Salary $ 65,000.00 Maximum Salary $ 85,200.00
    $47k-56k yearly est. Easy Apply 7d ago
  • Coordinator, Individualized Care

    Cardinal Health 4.4company rating

    Jackson, MS jobs

    Cardinal Health Sonexus Access and Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and remain on the therapy they need for a better quality of life. Our diverse expertise in pharma, payer and hub services allows us to deliver best-in-class solutions-driving brand and patient markers of success. We're continuously integrating advanced and emerging technologies to streamline patient onboarding, qualification and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas, Texas, empowering manufacturers to rethink the reach and impact of their products. **Together, we can get life-changing therapies to patients who need them-faster.** **_Responsibilities_** + Responsible for handling inbound and outbound calls, with ability to determine needs and provide one call resolution + Responsible for reporting adverse events within the required timeframe + Create and complete accurate referrals and applications and keep updated on policy or procedural changes + Investigate and resolve patient/physician inquiries and concerns in a timely manner + Enter detailed information into company proprietary software while conversing via telephone + Place outbound phone calls for patient follow ups or confirmations + Demonstrate superior customer support talents + Interact with the patient referral sources to process new applicants + Steward patient accounts from initial contact through final approval/denial + Prioritize multiple, concurrent assignments and work with a sense of urgency + Maintaining quality and providing an empathetic and supportive experience to the patient by controlling the patient conversation, educating the caller as they provide effective and efficient strategies and processes **_Qualifications_** + High School diploma or equivalent, preferred + Previous customer service experience, preferred + Knowledge of practices and procedures commonly used in a call center or customer service environment, preferred + Knowledge of Medicare, Medicaid and Commercially insured payer common practices and policies, preferred + Ability to use well-known and company proprietary software for maximum efficiencies, preferred + Maintain a high level of productivity, preferred + Ability to multitask while conversing, preferred **_What is expected of you and others at this level_** + Applies acquired job skills and company policies and procedures to complete standard tasks + Works on routine assignments that require basic problem resolution + Refers to policies and past practices for guidance + Receives general direction on standard work; receives detailed instruction on new assignments + Refers to policies and past practices for guidance + Receives general direction on standard work; receives detailed instruction on new assignments + Consults with supervisor or senior peers on complex and unusual problems **TRAINING AND WORK SCHEDULES:** Your new hire training will take place 8:00am-5:00pm CST, mandatory attendance is required. This position is full-time (40 hours/week). Employees are required to have ability to work the scheduled shift of Monday-Friday, 10:00am- 7:00pm CT. **REMOTE DETAILS:** You will work remotely, full-time. It will require a dedicated, quiet, private, distraction free environment with access to high-speed internet. We will provide you with the computer, technology and equipment needed to successfully perform your job. You will be responsible for providing high-speed internet. Internet requirements include the following: + Maintain a secure, high-speed, broadband internet connection (DSL, Cable, or Fiber) at the remote location. Dial-up, satellite, WIFI, Cellular connections are NOT acceptable. + Download speed of 15Mbps (megabyte per second) + Upload speed of 5Mbps (megabyte per second) + Ping Rate Maximum of 30ms (milliseconds) + Hardwired to the router + Surge protector with Network Line Protection for CAH issued equipment **Anticipated hourly range:** $18.10 per hour - $25.80 per hour **Bonus eligible:** No **Benefits:** Cardinal Health offers a wide variety of benefits and programs to support health and well-being. + Medical, dental and vision coverage + Paid time off plan + Health savings account (HSA) + 401k savings plan + Access to wages before pay day with my FlexPay + Flexible spending accounts (FSAs) + Short- and long-term disability coverage + Work-Life resources + Paid parental leave + Healthy lifestyle programs **Application window anticipated to close:** 3/22/2026 *if interested in opportunity, please submit application as soon as possible. The hourly range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity. _Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply._ _Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal_ _Opportunity/Affirmative_ _Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law._ _To read and review this privacy notice click_ here (***************************************************************************************************************************
    $18.1-25.8 hourly 6d ago
  • Billing and Coding Associate

    Derick Dermatology Pllc 3.7company rating

    Mississippi jobs

    *This position is remote full-time. Candidates must live in Mississippi.* Derick Dermatology (DD) is an internationally recognized and award-winning medical practice. Founded in 2006, our world class providers offer medical, surgical, and cosmetic dermatology care in state-of-the art facilities. Join the DD Family to protect, improve, and save the lives of patients in our communities. We pride ourselves on providing the highest quality care and an outstanding patient experience. Core Values At DD, our core values underpin our culture and guide our actions: Servant's Heart : Find joy in serving others, ensuring our patients receive the best possible care. Own It : Take full accountability for the care provided and actively contribute to the betterment of our practice. Showtime : Bring enthusiasm, professionalism, and energy to every patient encounter and interaction with colleagues. DD Family : Foster a supportive and collaborative atmosphere, working as a cohesive team to achieve our common goal of exceptional patient care. Perks Weekly Pay Paid Training Opportunities for Advancement Employee Assistance Program (EAP) Employee Discount on Cosmetic Services and Products Position Purpose The Billing and Coding Associate is responsible for entering payments within an EMR system and generating invoices to be sent to the patient. This position is responsible for accurately coding medical claims and sending electronically to insurance payers each day. Handles in-bound and out-bound calls, insurance verification, assisting patients with insurance questions, and working both patient and insurance aged receivables. Role and Responsibilities Collects, posts, and manages patient account payments. Prepares and reviews patient statements. Imports and balances EFT's. Identifies and corrects rejected claims. Reviews delinquent accounts and contacts for collection purposes. Verifies patients' insurance coverage. Answer questions regarding billing and insurance policies. Process payments from insurance companies. Follows up to see if a claim is accepted or denied. Reviews and appeals unpaid and denied claims accordingly. Evaluates medical record documentation to ensure proper CPT and ICD-10 codes are billed appropriately. Obtains precertification, if required, for specific procedures. Investigates insurance fraud and reports if found. Qualifications and Education Requirements Official High School Transcripts, Diploma or Equivalency Certificate Ability to navigate between different tabs and systems on the computer while attending phone calls. CPB or other Medical Billing Certification desired, but not required. CPC or Medical Coding Certification desired, but not required. Preferred Skills Strong Attention to Detail Ability to Multitask General Understanding of Insurance Terminology Ability to Communicate Clearly with Patients and Staff Additional Notes - This position is remote, and the candidate must live in Mississippi . - Derick Dermatology will provide you with appropriate equipment for your work from home environment, such as: Secure laptop, monitor, headset, and webcam. Equipment issued varies based off job function. - Must have a dedicated workspace within your home - Must pass a Wi-Fi speed test
    $30k-41k yearly est. Auto-Apply 23d ago
  • Clinical Program Manager REMOTE

    Baylor Scott & White Health 4.5company rating

    Jackson, MS jobs

    **Healthy Weight Coach** **REMOTE - Monday through Friday, no weekends** **Preferred Experience** - Chronic disease (weight loss, diabetes) - Strong behavioral change interest and/or experience - Digital/virtual health coaching experience **Preferred Training** - Licensed RD - Experience with MNT for obesity, diabetes, HTN, Lipid disorders - NBC-HWC - Mastery of the coaching process, foundational theories/principles of behavior change - Requires completing an approved training program (minimum 400 hours), documented coaching sessions, and passing a board exam - Only coaching credential recognized by the National Board of Medical Examiners * **No Credentialing required*** **About Us** Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are: + We serve faithfully by doing what's right with a joyful heart. + We never settle by constantly striving for better. + We are in it together by supporting one another and those we serve. + We make an impact by taking initiative and delivering exceptional experience. **Benefits** Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: + Immediate eligibility for health and welfare benefits + 401(k) savings plan with dollar-for-dollar match up to 5% + Tuition Reimbursement + PTO accrual beginning Day 1 _Note: Benefits may vary based upon position type and/or level._ **Job Summary** As a licensed clinician, the Clinical Program Manager guides clinical programs and performance initiatives. They ensure alignment at a regional or system level. **Essential Functions of the Role** + Partners with internal and external stakeholders to meet contractual and/or regulatory obligations. + Proactively identifies, plans, implements, evaluates and monitors quality improvement and performance improvement initiatives. + Contributes to or runs system and regional initiatives. Gathers data, conducts research, maintains records, and tracks issues. Evaluates the impact of interventions, coordinates activities, and executes plans to resolve issues. + Researches and maintains knowledge of current evidence-based practices. Works with multidisciplinary teams to build a replicable model for clinical programs and guidelines. Develops program tools and resources like guidelines, training materials, and enhancement requirements. + Acts as a credible change agent and Subject Matter Expert (SME) in program management, process improvement, and clinical and contract performance. + Acts as a liaison across the care continuum to multidisciplinary teams and internal/external stakeholders. **Key Success Factors** + Project and/or Program Management experience + Process improvement and/or quality improvement experience + Able to quickly establish professional and cooperative relationships with multidisciplinary team members + Able to work in a fast paced, deadline motivated environment while stabilizing multiple demands + Able to quickly establish professional and cooperative relationships with multidisciplinary team members + Excellent verbal and written communication skills + Excellent critical thinking skills with ability to solve problems and exercise sound judgement + Able to mentor, guide and train team members + Skill in the use of computers and related software + PMP certification preferred **Belonging Statement** We believe that all people should feel welcomed, valued and supported. **QUALIFICATIONS** + EDUCATION - Grad of an Accredited Program + EXPERIENCE - 5 Years of Experience + CERTIFICATION/LICENSE/REGISTRATION - Lic Clinical Social Worker (LCSW), Licensed Dietitian (LICDIET), Lic Masters Social Worker (LMSW), Lic Master Social Wrk AdvPrac (LMSW-AP), License Pract/Vocational Nurse (LVN), Occupational Therapist (OT), Physical Therapist (PT), Respiratory Care Practitioner (RCP), Registered Dietitians (RD), Registered Nurse (RN), Reg Respiratory Therapist (RRT), Speech Language Pathologist (SLP): Must have ONE of the following: + -LCSW + -LMSW + -LMSW-AP + -LVN + -OT + -PT + -RN + -Both RRT (from the National Board Respiratory Care) AND RCP (from the Texas Medical Board) + -SLP + -LICDIET + -RD. As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.
    $42k-64k yearly est. 16d ago
  • IS EPIC Application Analyst 3 - Willow/WAM (Hybrid)

    Baylor Scott & White Health 4.5company rating

    Jackson, MS jobs

    **The EPIC Application Analyst III has the primary responsibility to configure and provide advanced functional and technical help for the specific application or set of applications to a variety of business and clinical users. In addition, you are accountable to join with end users to know about the workflow and its interdependencies and make corrective system adjustments or enhancements. This role is the central point of communication for an assigned set of users and coordinates all activities on behalf of the IS organization. This role also works with leaders to spearhead the process and project planning for the application module Epic Willow/WAM.** **ESSENTIAL FUNCTIONS OF THE ROLE** + **Is the functional and technical Subject Matter Expert on the associated application and workflows.** **·** **Provides good knowledge of the technology (application) and enterprise processes (integrated workflows) and unite closely with all associated teams to drive holistic patient perspective.** **·** **Assists with the study recommendations for corrective actions and resolution of problems within the software application.** **·** **Provides in-depth study and documentation of workflows, data collections, end-user report details and other technical issues associated with the application, with vendor and internal stakeholder consideration.** **·** **Creates and execute test scripts for new system builds.** **·** **Trains and mentor Application Analysts.** **·** **Runs business partners and technical team to define, document, and review business system requirements to continuously improve organizational efficiency.** **·** **Assists IS managers and work with various teams to help them better know organizational policies, procedures and business operations, and to translate those needs into specialized application specifications.** **·** **Solves problems by studying business issues /requirements, studying both data and workflows and synthesizing key messages.** **KEY SUCCESS FACTORS** + **Extensive Epic application knowledge to build, test, help and train.** + **Ability to work well in team environments.** + **Proficient with word processing, spreadsheet, and email software applications.** + **Demonstrates customer-oriented service excellence principals.** + **Self-motivated leader who can identify and resolve issues, and advance personal knowledge.** + **Ability to execute complex tasks through organization and details driven approach.** + **Ability and experience knowledge end user workflow and owning the technical components of that workflow.** + **Demonstrates excellent relational communication skills, among facility customers and team members.** + **A quick learner of software and information technology, and motivated to learn new applications.** + **Experience in Hospital Business or Clinic environment preferred.** **BENEFITS** **Our competitive benefits package includes the following** + **Immediate eligibility for health and welfare benefits** + **401(k) savings plan with dollar-for-dollar match up to 5%** + **Tuition Reimbursement** + **PTO accrual beginning Day 1** **Note: Benefits may vary based upon position type and/or level** **QUALIFICATIONS** + EDUCATION - Bachelor's or 4 years of work experience above the minimum qualification + EXPERIENCE - 3 Years of Experience + CERTIFICATION/LICENSE/REGISTRATION - Epic Accreditation (EPICACRD) Epic Certification (EPICCERT) **CERTIFICATION/LICENSE/REGISTRATION** + **Epic Certification (EPICCERT) - Willow** + **Epic Certification (EPICCERT) - Willow Ambulatory** + **Epic Certification (EPICCERT) - Specialty Pharmacy** **Hybrid expectation-** if local to DFW area- on-site 1x a week, in state of TX, on-site once a month, out of state candidate would need to come on-site 2x a year As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.
    $55k-81k yearly est. 6d ago
  • Financial Counselor

    Ensemble Health Partners 4.0company rating

    Olive Branch, MS jobs

    Thank you for considering a career at Ensemble Health Partners! Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country. Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference! O.N.E Purpose: Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations. Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation. Striving for Excellence: Execute at a high level by demonstrating our “Best in KLAS” Ensemble Difference Principles and consistently delivering outstanding results. The Opportunity: CAREER OPPORTUNITY OFFERING: Bonus Incentives Paid Certifications Tuition Reimbursement Comprehensive Benefits Career Advancement This position pays between $18.15- $19.40/hr based on experience The Opportunity: ***This position is an onsite role, and candidates must be able to work on-site at Methodist - Olive Branch Hospital in Olive Branch, MS**** The Financial Counselor (FC) role is responsible for the review of benefits and collection of bedded patient (inpatient, observation or bedded outpatient) liability inclusive of previous balances throughout Ensemble Health Partners. Additionally, this position includes conducts essential reporting and auditing, and has a comprehensive understanding of the client's financial assistance (FA) policy to offer the FA application, explain its contents, and answer any questions. The FC is responsible for performing these functions while meeting the mission of Ensemble Health Partners and all regulatory compliance requirements. The FC will work within the policies and processes as they are being performed across the entire organization. Job Responsibilities: Responsible for obtaining patient insurance and financial information to determine estimates and collect on estimated patient liabilities (including copays, deductibles, co-insurance, and past due/outstanding balances after financial assistance has been applied) and meeting assigned daily point of service (POS) collection goals. Carry out notifications to recently discharged (within 7 days) bedded patients that did not pay estimated liabilities including attempts within account notations. Partner in daily cashiering responsibilities as assigned by client, including but not limited to daily cash reconciliation and daily deposit functions. Responsible for flat-rate contracts, bundled services, and all applicable self-pay options. Facilitate internal and external communication with key stakeholders on case statuses and escalations. Collaborate with Case Management and/or Utilization Management regarding regulatory form completion, including but not limited to Hospital Inpatient Notices of Non-Coverage (HINNs), Lifetime Reserve Day (LTR) declinations, etc. Responsible for running, monitoring, and working on the missed collection opportunities report for potential process improvements and follow-up, making at least three documented attempts each day to visit or contact patients when listed in an inpatient status. Maintain Client and/or Ensemble-specific work queues as applicable to the FC role, including unbilled edits. Completes various follow-up reports as assigned including but not limited to accounts requiring next-day verification and denial root cause analysis. Manage communications with patients that are unable to make payments while in-house. Ensure completion of all required registration-related consents/forms at or after patient admission. Develop and submit CFO escalations of uncollected estimated liabilities in compliance with existing financial clearance policies. Assists eligibility specialists in the verification of insurance information such as: Medicaid and charity processing, complete payor searches for secondary coverages, query coverage for self-pay patients and provide coordination of benefits education. Work daily queues to complete, update, and clear any unbilled accounts as needed and assigned. Experience We Love: 1 - 3 years of customer service experience Required Qualifications: High School Diploma/GED Required CRCR Required within 9 months of hire Other Preferred Knowledge, Skills and Abilities Have a basic understanding of the following based on prior work: Medicare & Medicaid benefits Labor & Delivery benefits Understanding and explaining EOBs Grants and research Black Lung qualification COBRA benefits Healthcare Sharing Ministry coverages Billing and back-end processes Defense Enrollment Eligibility Reporting Systems (DEERS) process Join an award-winning company Five-time winner of “Best in KLAS” 2020-2022, 2024-2025 Black Book Research's Top Revenue Cycle Management Outsourcing Solution 2021-2024 22 Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in Revenue Cycle 2019-2024 Leader in Everest Group's RCM Operations PEAK Matrix Assessment 2024 Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong performance 2020, 2022-2023 Energage Top Workplaces USA 2022-2024 Fortune Media Best Workplaces in Healthcare 2024 Monster Top Workplace for Remote Work 2024 Great Place to Work certified 2023-2024 Innovation Work-Life Flexibility Leadership Purpose + Values Bottom line, we believe in empowering people and giving them the tools and resources needed to thrive. A few of those include: Associate Benefits - We offer a comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs. Our Culture - Ensemble is a place where associates can do their best work and be their best selves. We put people first, last and always. Our culture is rooted in collaboration, growth, and innovation. Growth - We invest in your professional development. Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement. Recognition - We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company. Ensemble Health Partners is an equal employment opportunity employer. It is our policy not to discriminate against any applicant or employee based on race, color, sex, sexual orientation, gender, gender identity, religion, national origin, age, disability, military or veteran status, genetic information or any other basis protected by applicable federal, state, or local laws. Ensemble Health Partners also prohibits harassment of applicants or employees based on any of these protected categories. Ensemble Health Partners provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law. If you require accommodation in the application process, please contact *****************. This posting addresses state specific requirements to provide pay transparency. Compensation decisions consider many job-related factors, including but not limited to geographic location; knowledge; skills; relevant experience; education; licensure; internal equity; time in position. A candidate entry rate of pay does not typically fall at the minimum or maximum of the role's range. EEOC - Know Your Rights FMLA Rights - English La FMLA Español E-Verify Participating Employer (English and Spanish) Know your Rights
    $18.2-19.4 hourly Auto-Apply 60d+ ago
  • Data Entry Specialist - Coding

    Hattiesburg Clinic 4.2company rating

    Hattiesburg, MS jobs

    The Data Entry Specialist performs various routine clerical tasks, dealing with insurance review and keying charges. EDUCATION & EXPERIENCE: High school diploma or equivalent, required QUALIFICATIONS: Ability to maintain strict confidentiality and handle sensitive information with discretion Highly organized and detail oriented; particularly in regard to time management Ability to prioritize key objectives while performing daily tasks as well as the ability to manage multiple duties simultaneously Excellent written and verbal communication skills Excellent interpersonal, negotiation and conflict resolution skills Computer proficiency and technical aptitude with the ability to effectively utilize applicable electronic systems and programs WORK SCHEDULE: Monday - Friday, 8:00AM - 5:00PM (Employee will have the option to work remotely after one full year in the office)
    $28k-32k yearly est. 14d ago
  • Director, Payer Relations (Revenue Cycle Management)

    Cardinal Health 4.4company rating

    Jackson, MS jobs

    **_What Payer Relations & Revenue Cycle Management (RCM) contributes to Cardinal Health_** Revenue Cycle Management enables Cardinal Health's patient-facing HME/DME businesses to deliver financially sustainable care by ensuring accurate payer compliance, clean claims submission, denial prevention, and timely cash collection. Within RCM, Payer Relations / Payer Governance leads enterprise-wide payer engagement and issue resolution to reduce reimbursement disruption caused by payer policy variability, complex authorization and documentation requirements, and inconsistent claim adjudication outcomes. This function owns high-impact payer escalations, denial trend remediation, and payer rule governance to ensure payer requirements and contractual terms are accurately operationalized in systems and workflows-protecting revenue, reducing avoidable denials, and improving cash performance across Medicare, Medicaid, Managed Medicaid, Medicare Advantage, and Commercial payers. The _Director, Payer Relations (RCM)_ establishes a centralized leader responsible for leading enterprise-wide payer escalation, denial prevention, and payer rule governance efforts to address systemic payer dysfunction impacting reimbursement, denial trends, and cash performance. This role provides strategic and operational oversight of the Payer Advisors, Senior Analysts (Global Denials / Denials Prevention Task Force), and Payer Rules Advisors, and serves as the senior point of accountability for resolving high-dollar payer issues, preventing repeat denials, and ensuring payer requirements are fully operationalized across the revenue cycle. This Director also serves as the senior escalation authority for complex payer issues and is accountable for ensuring payer contract terms and requirements are accurately executed within systems, workflows, and operational processes to minimize reimbursement risk. **Location** - Fully remote, open to candidates nationwide (with preference towards individuals willing and able to travel up to 25%) **Responsibilities** + Provide strategic and operational leadership across the Payer Advisors, Senior Analysts (Global Denials), and Payer Rules Advisors, ensuring alignment between payer escalations, denial prevention efforts, and payer rule execution across ADSG (Advanced Diabetes Supply Group), US MED, and Edgepark. + Own the enterprise payer escalation and denial prevention strategy, including prioritization of high-risk payer issues, standardized escalation frameworks, and executive-level engagement with health plan Provider Relations and payer leadership. + Build and maintain strong, executive-level relationships with health plan Provider Relations leadership and key payer stakeholders to proactively resolve systemic issues and reduce downstream reimbursement risk. + Serve as the final escalation point for complex, unresolved payer issues originating from claims, billing, contracting, or AR teams, mediating disputes and driving resolution in alignment with contractual, regulatory, and compliance requirements. + Oversee the stand-up and execution of the Denials Prevention Task Force, ensuring enhanced ATB and enterprise analytics are leveraged to identify upstream risk, quantify financial exposure, and drive systemic remediation. + Lead fact-based payer engagement, negotiation, and settlement efforts by leveraging enterprise data and analytics to resolve reimbursement delays and recover material dollars at risk. + Partner closely with AR Directors to ensure all receivables impacted by payer escalations, disputes, and settlements are accurately identified, flagged, tracked, and actively managed within AR. + Collaborate with Market Access, Legal, Compliance, Finance, and Operations teams to ensure payer contract terms, conditions, and requirements are accurately operationalized within billing systems, workflows, and payer configurations to prevent avoidable denials. + Provide strategic input and analytical support to payer contract negotiations by identifying historical denial patterns, operational risks, and reimbursement impacts to ensure negotiated terms are executable and aligned with financial objectives. + Establish governance, reporting, and key performance indicators (KPIs) across payer issues, denial prevention, and payer rule execution to ensure transparency, accountability, and sustained improvement. + Serve as the executive liaison across Revenue Cycle, IT/Data, Finance, and external payers to ensure payer outcomes are translated into operational and financial results. + Bring direct, hands-on experience leading escalations with health plan leadership and navigating regulatory and legal escalation pathways, including engagement with CMS and other oversight agencies, to resolve systemic payer issues and enforce payer field accountability. **Qualifications** + Ideally targeting individuals who bring 10+ years of experience in payer relations, managed care, revenue cycle, healthcare finance, or regulatory affairs (with demonstrated success resolving high-dollar payer issues), strongly preferred. + Prior leadership experience overseeing payer relations, revenue cycle, or policy governance teams, strongly preferred. + Direct experience leading escalations with health plan Provider Relations leadership and engaging regulatory bodies (e.g., CMS) to resolve reimbursement and compliance disputes, strongly preferred. + Strong working knowledge of payer contracts, CMS regulations, and escalation mechanisms. + Proven ability to lead cross-functional teams and influence executive stakeholders in a complex, multi-entity environment. + Highly analytical, with experience leveraging data to support payer negotiations, denial prevention, and performance improvement. _\#LI-LP_ _\#LI-Remote_ **Anticipated Salary Range** $105,600 - $178,750 USD **Bonus Eligible** - Yes **Benefits:** Cardinal Health offers a wide variety of benefits and programs to support health and well-being. + Medical, dental and vision coverage + Paid time off plan + Health savings account (HSA) + 401k savings plan + Access to wages before pay day with my FlexPay + Flexible spending accounts (FSAs) + Short- and long-term disability coverage + Work-Life resources + Paid parental leave + Healthy lifestyle programs **Application window anticipated to close** : 02/15/2026 * if interested in opportunity, please submit application as soon as possible. The salary range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity. _Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply._ _Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal_ _Opportunity/Affirmative_ _Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law._ _To read and review this privacy notice click_ here (***************************************************************************************************************************
    $105.6k-178.8k yearly 2d ago

Learn more about Southern Bone and Joint Specialists, P.A. jobs