Bilingual Quality Analyst - Remote
Jackson, MS jobs
Description & Requirements Maximus is seeking a detail-oriented and experienced Bilingual Quality Analyst. This role is responsible for conducting quality evaluations of staff performance, supporting calibration sessions, and ensuring alignment with client-defined quality standards. The ideal candidate will demonstrate strong analytical and communication skills, and a commitment to continuous improvement.
*Position is contingent upon contract award*
This position requires fluency in Spanish and English (both written and spoken). The Bilingual Quality Analyst will review customer interactions in Spanish and complete evaluation scoring and documentation in English. Candidates must be comfortable understanding spoken Spanish and writing detailed feedback in English.
This is a fully remote role.
Must have the ability to pass a federal background check.
Equipment will be provided but must meet the remote position requirement provided below.
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:
- Conduct internal audits for the quality assurance program to ensure that quality metric requirements of the project are being met.
- Collaborate in developing new procedures and update existing procedures when changes occur.
- Analyze reports on operational performance and provide solutions to identified issues.
- Analyze and develop routine and ad hoc reports on project performance, and research and suggest solutions to identified issues.
- Conduct monitoring activities and audits for quality assurance purposes and to support the effective functioning of the project.
- Analyze quality program data to identify trends and to develop and implement corrective action plans as appropriate.
- Assist with monitoring performance and meeting contractual requirements using system applications.
- Assist in the production and update of staff resource materials including knowledge management system, quick reference guide, matrices, charts, and workflows.
- Assist with staff training for the purpose of achieving and maintaining quality program goals.
- Analyze effectiveness of key initiatives and quality improvement efforts.
- Perform other duties as assigned by management.
- Conduct internal audits for the quality assurance program to ensure that quality metric requirements of the project are being met.
- Collaborate in developing new procedures and update existing procedures when changes occur.
- Analyze reports on operational performance and provide solutions to identified issues.
- Analyze and develop routine and ad hoc reports on project performance, and research and suggest solutions to identified issues.
- Conduct monitoring activities and audits for quality assurance purposes and to support the effective functioning of the project.
- Analyze quality program data to identify trends and to develop and implement corrective action plans as appropriate.
- Assist with monitoring performance and meeting contractual requirements using system applications.
- Assist in the production and update of staff resource materials including knowledge management system, quick reference guide, matrices, charts, and workflows.
- Assist with staff training for the purpose of achieving and maintaining quality program goals.
- Analyze effectiveness of key initiatives and quality improvement efforts.
- Perform other duties as assigned by management.
- Participate in calibration sessions to ensure consistency and alignment in quality evaluations across the team.
- Utilize AI tools and technologies to support quality assurance activities, data analysis, and reporting.
- Assist the center with taking calls as needed to support operations and maintain service levels.
Equipment will be provided but must meet the remote position requirement provided below.
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
Minimum Requirements
- Bachelor's degree in relevant field of study and 3+ years of relevant professional experience required, or equivalent combination of education and experience.
- Bachelor's degree in relevant field of study and 3+ years of relevant professional experience required, or equivalent combination of education and experience.
- Monitor agent interactions to ensure adherence to quality standards and provide timely, constructive feedback.
- Meet daily, weekly, and monthly monitoring goals by completing required evaluations, delivering timely feedback, and documenting results to support overall quality targets.
- Maintain strong organizational skills to effectively track monitors across different lines of business
- Collaborate in the development and revision of procedures in response to operational changes.
- Analyze operational and quality data to identify trends, gaps, and opportunities for improvement.
- Make recommendations based on data analysis to enhance performance and service delivery.
- Participate in and contribute to calibration sessions to ensure consistency in quality evaluations.
- Assist in training initiatives aimed at improving agent performance and overall quality scores.
- Support the creation and maintenance of staff resource materials, including guides, workflows, and reference documents.
- Utilize AI tools and technologies to enhance quality assurance processes, reporting, and decision-making.
- Take calls as needed to support center operations and maintain service levels.
- Participate in pilots and provide feedback from a quality assurance perspective to help inform improvements to quality metrics.
- Perform other duties as assigned by management.
- Must be bilingual in Spanish and English with strong written and verbal communication skills in both languages. Call monitoring will be in Spanish; evaluations and scoring will be completed in English.
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
$
55,000.00
Maximum Salary
$
66,000.00
Easy ApplyCustomer Service Representative (Pharr TX or Brownsville TX area) Remote
Hattiesburg, MS jobs
Description & Requirements Maximus is looking for customer service representatives in and around the Pharr Texas/Brownsville TX areas. 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 Brownsville or Pharr Texas area.
This position is fully remote; however, you must be able to go onsite to the Maximus Pharr Texas location to pick up equipment.
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 Pharr, TX 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.
#HotJobs1104LI #HotJobs1104FB #HotJobs1104X #HotJobs1104TH #TrendingJobs
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
Easy ApplyClient Relationship Manager
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 regularly reviewing weekly, monthly & quarterly - program activities with the client.
+ Attend all program and client meetings, takes detailed meeting notes during client interactions and internal strategy sessions, ensuring all key points and decisions are documented.
+ Monitors all program's activities and IT projects associated with the program
+ Includes setting due dates and responsible parties
+ Follows up on action items from meetings, ensuring that responsibilities are clear, and deadlines are met
+ Regular reporting out of all program's activities
+ Solicit feedback from the activity/task owners on sub-tasks
+ Maintain up-to-date activity timeline, articulate progresses and delays
+ Develops and manages activities timelines to ensure all deliverables are completed on schedule.
+ Obtain consensus for activities risks, decisions and closures
+ Coordinates cross-functional teams to ensure alignment and timely completion of tasks related to program activities.
+ Facilitates communication between internal teams and external clients to ensure all activities objectives are understood and met.
+ Escalate delayed activities to program's leadership
+ If activity owners are missing deadlines consistently and/or are unresponsive.
+ Managing contract amendments and project change requests for the client.
+ Coordinates customer interactions with internal & external partners to meet the evolving business needs of the client.
+ Responsible for sharing and presenting current and future program expectations during weekly meetings with client leadership in addition to Quarterly Business Review meetings with client's Access and Marketing teams.
+ Manages client access to internal applications including client-facing data reports and data streams with 3rd party vendors.
+ Oversee daily operations and ensure alignment with client expectations and internal standards
+ Supports audits and regulatory reviews as needed
+ Ensure financial billing accuracy
+ Contact healthcare professionals for clarifications and information as needed
**_Qualifications_**
+ Min 5 years related client services experience, preferred
+ Min 5 years' experience in managing complex program activities with high accountability, preferred
+ Bachelor's degree preferred
+ Ability to travel - less than 25%
+ Proven product knowledge in business area
+ Licensed pharmacy technician in Texas preferred
**_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 program activities.
+ Own and develop tracking tools to achieve specific program management goals and activities.
+ Create and participate in recurring business review presentations
+ Recommends new practices, processes, metrics, or models
+ 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
**TRAINING AND WORK SCHEDULES:** Your new hire training will take place 8:00am-5:00pm CT, 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 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 salary range:** $80,900.00 - $92,400.00
**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:** 1/19/2026 *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 (***************************************************************************************************************************
Care Advisor - Remote
Jackson, MS jobs
Sharecare is the leading digital health company that helps people - no matter where they are in their health journey - unify and manage all their health in one place. Our comprehensive and data-driven virtual health platform is designed to help people, providers, employers, health plans, government organizations, and communities optimize individual and population-wide well-being by driving positive behavior change. Driven by our philosophy that we are all together better, at Sharecare, we are committed to supporting each individual through the lens of their personal health and making high-quality care more accessible and affordable for everyone. To learn more, visit ***************** .
**Job Summary:**
CareLinx is looking for a Care Advisor to assist with CareLinx's Payer Operations line of business. CareLinx is a healthcare technology platform that connects families with non-medical, in-home caregivers, and Care Advisors provide support and guidance to families during the caregiver search, interview, and hire process. Once a caregiver match is made, the Care Advisor will follow closely to ensure satisfaction and assist if the member's needs change. This support includes searching for viable caregiver candidates, setting up interviews, helping with the completion of the hiring process, and caregiver retention. You will be a liaison, maintaining relationships with caregivers and providing ongoing support to ensure that members have an exceptional experience while working with their caregivers.
As a Care Advisor, you are the expert for members and families about all things CareLinx-related. You need to love interacting with people and be committed to providing stellar customer service and empathetic guidance for members during their in-home care journey. You should also be a team player and be willing to learn about CareLinx's health plan partners. If you think there's alignment with the description above, CareLinx may be the place for you.
**Location:** This role is remote, except for candidates located in the Mesa, AZ area. Those based near our Mesa office will be required to work on-site five days per week.
**Job Type:** Full-Time, Hourly
**Essential Job Functions:**
+ Assume responsibility for guiding members on the caregiver search journey through relationship building and exceptional communication in a call center environment.
+ Provide ongoing support after the caregiver hire to maintain the relationship with the family and caregiver and ensure overall satisfaction
+ Document accurate and complete notes of all family and caregiver interactions in CareLinx's EHR system
+ Work collaboratively and professionally with other team members and teams within CareLinx
+ Exhibit excellent verbal and written communication skills via phone, email, and text
**Specific Skills/ Attributes:**
+ Effective time management skills and high attention to detail
+ Excellent verbal and written communication skills
+ Superior organization and multitasking capabilities
+ Goal-driven, problem solver
+ Professional, confident, outgoing demeanor
+ Experience working with Microsoft Office Suite
+ Ability to maintain strict confidentiality, and exercise good judgment
+ Care Advisors are expected to meet performance goals set forth per CareLinx guidelines
+ Additional job duties may be assigned on an as-needed basis
**Qualifications:**
+ High school diploma or equivalent, required
+ Military experience is a plus but not required
+ Some college-level coursework, preferred
+ At least one year of experience in a productivity based customer service role, or call center environment or a minimum of 2 years experience in a customer service environment.
+ Previous healthcare experience preferred
Sharecare and its subsidiaries are Equal Opportunity Employers and E-Verify users. Qualified applicants will receive consideration for employment without regard to race, color, sex, national origin, sexual orientation, gender identity, religion, age, equal pay, disability, genetic information, protected veteran status, or other status protected under applicable law.
Sharecare is an Equal Opportunity Employer and doesn't discriminate on the basis of race, color, sex, national origin, sexual orientation, gender identity, religion, age, disability, genetic information, protected veteran status,or other non-merit factor.
Patient Access Optimization Analyst
Jackson, MS jobs
The Patient Access Optimization Analyst role is to configure and provide functional and technical support for access optimization initiatives. This position also assists with the analysis, solutioning, documentation, and implementation of Epic-build related functions.
+ This is a remote position
+ Working hours Central time zone - 8AM - 5PM
+ Two positions available
_The pay range for this position is $31.73/hour (entry level qualifications) - $54.90/hour (highly experienced). The specific rate will depend upon the successful candidate's specific qualifications and prior experience._
**ESSENTIAL FUNCTIONS OF THE ROLE**
+ Presentation - able to communicate information professionally and formally to stakeholders through meetings and written presentations.
+ Independence - proven ability to manage small to medium projects to ensure successful project implementation and engagement.
+ Excellent verbal and written communication skills, as well as presentation skills.
+ Strong analytical and advanced research skills.
+ Solid organizational skills, especially the ability to meet project deadlines with a focus on details.
+ Ability to successfully multi-task while working independently or within a group environment.
+ Ability to work in a deadline-driven environment, and handle multiple projects simultaneously.
+ Ability to interact effectively with people at all organizational levels.
+ Build and maintain strong relationships.
**KEY SUCCESS FACTORS**
+ Decision tree design, documentation, and maintenance experience strongly preferred.
+ Ability to think critically and analyze complex technical solutions.
+ Epic Cadence Certified strongly preferred.
+ ServiceNow experience preferred.
+ Epic Cadence Provider template management and build experience strongly preferred.
+ Ambulatory and/or Surgery scheduling experience required.
+ Experienced proficiency in Excel and SQL required.
+ Able to work through complex business problems and partner with clients using a consultative approach.
+ Exceptional data/modeling skills with ability to convert raw data into actionable business insights.
+ Able to apply knowledge of healthcare industry trends and their drivers.
+ Able to work in a dynamic setting and work well under pressure.
+ Intermediate to advanced knowledge of statistics (including modeling techniques) preferred.
+ Lean Six Sigma experience preferred.
+ 5 years of experience working in Epic strongly 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 - 5 Years of Experience
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.
Supervisor Customer Service Management
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_**
The Customer Service Operations Supervisor will oversee program staff performing customer service, enrollment and reimbursement activities, benefit investigations for pharmacy benefit coverage, prior authorization assistance, copay enrollment and other patient services.
+ Collaboratively oversees daily operations for an inbound and outbound patient access support team of 70+ team members
+ Ability to maintain development/training goals for team members in a 100% remote setting
+ Responsible for creating and maintaining Standard Operating Procedures and work instructions specific to the program.
+ Responsible for conducting weekly, monthly, and quarterly reviews of program metrics and reporting out results to senior leadership
+ Responsible for testing/solutioning/approving program changes including those related to Information Technology, platform upgrades and modifications to program business rules
+ Handles creation, editing, and approval of employee timecards in accordance with time-keeper manager responsibilities in addition to other standard HR responsibilities as a people leader
+ Conducts development-based biweekly/monthly/quarterly 1x1s with team members and holds responsibility for providing effective coaching and feedback on both performance improvement and goal setting
+ Collaborates with internal business partners to provide effective responses and resolutions to complex program related issues
+ Effectively manages time and independently prioritizes work responsibilities to meet key deadlines as assigned by manager
+ Maintains daily contact with client/3rd party partners by leveraging excellent verbal and written communication skills
**_Qualifications_**
+ Bachelor's degree or equivalent work experience preferred
+ 3-5 years of experience in related field preferred
+ Previous management experience preferred
+ Strong communication and presentation skills
+ Commitment to the continued development of oneself and team members
**_What is expected of you and others at this level_**
+ Coordinates and supervises the daily activities of operations
+ Administers and executes policies and procedures
+ Ensures employees operate within guidelines
+ Decisions have a direct impact on work unit operations and customers
+ Frequently interacts with subordinates, customers, and peer groups at various management levels
+ Interactions normally involve information exchange and basic problem resolution
+ Consistently demonstrate the Cardinal Health values (What we value):
+ Integrity - We hold ourselves to the highest ethical standard
+ Accountable - We bring passion, determination, and grit to deliver on our commitments
+ Inclusive - We embrace differences to drive the best outcomes
+ Mission Driven - We serve the greater goal of healthcare
+ Innovative - We develop new ways of thinking, operating, and serving customers
+ Regularly practice the Cardinal Heath behaviors (The way we act):
+ Invites curiosity
+ Builds partnerships
+ Inspires commitment
+ Develops self and others
**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:** $66,500 - $94,900
**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:** **02/09/2026** *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 (***************************************************************************************************************************
Managing Director/Program Manager - Justice and Compliance (REMOTE)
Tupelo, MS jobs
Description & Requirements We are currently seeking a remote Managing Director/Program Manager - Justice and Compliance for an upcoming federal contract (pending award). This Program will provide clerical, administrative, and professional services to support nationwide Justice, Accounting and Compliance agencies.
*Please Note: The selected candidate must be clearable for up to a Top-Secret security clearance.
Essential Duties and Responsibilities:
- Approve and oversee the implementation of new contracts or modifications to existing contracts, to supply necessary services as needed.
- Implement procedures relating to the investigative program, and provide operational and policy guidance.
- Plan, direct, provide guidance, control and evaluate for the efficient and cost effective operations of the carrying out of the Support Contract duties.
- Responsible for analysis, development, implementation, maintenance and periodic evaluation of group activities.
Minimum Requirements
- Bachelor's degree from an accredited college or university; Master's degree in a related field preferred.
- A minimum five years' experience in a management position
- Excellent organizational, interpersonal, written and verbal communication skills.
- Ability to perform comfortably in a fast-paced, deadline-oriented work environment.
- The ability to successfully execute many complex tasks simultaneously.
- Ability to work as a team member, as well as independently.
- Excellent people management.
- Demonstrated ability to manage large scale projects.
- Computer literate.
- Preferred qualifications include proven ability establishing and maintaining relationships with community groups, including stakeholder and advocacy organizations.
Job Specific Requirements:
-Master's Degree or equivalent experience as a Program Manager, with emphasis on oversight of multiple projects that emphasize analytical processes and legal assistance, training, and recruitment, in a Criminal Justice or Law Related Field.
- A minimum of 5 years of program management experience with similar programs within the Federal Government.
-10 years of supervisory experience. This role will oversee: Regional Directors, Agency Managers,
and Project Directors.
-10 years of experience in finance/accounting and proven record of strong financial controls and risk mitigation.
- Proven financial leadership including capital resources, forecasting, treasury, financial services, accounting, and payroll.
- Experience managing multiple contract types, especially where work is organized into task orders.
- Demonstrated ability to manage large scale projects.
- Ability to Implement the Contractor's quality control program and approve hiring of all supervisory level Contractor employees.
- Ability to manage the Contractor's training program.
- Excellent organizational, interpersonal, written and verbal communication skills.
- Ability to perform comfortably in a fast-paced, deadline-oriented work environment.
-The ability to successfully execute many complex tasks simultaneously.
- Able to work as a team member, as well as independently.
- Ability to travel approximately 25% nation-wide
- Must be clearable for up to a Top-Secret security clearance.
#maxcorp #LI-JH1 #HotJobs1202LI #HotJobs1202FB #HotJobs1202X #HotJobs1202TH #TrendingJobs #c0rejobs
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
$
212,500.00
Maximum Salary
$
287,500.00
Easy ApplySr. Knowledge Analyst - Contact Center Content Specialist (Remote)
Hattiesburg, 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
Easy ApplyServiceNow Application Analyst, ITOM, CMDB
Mississippi jobs
Join our dynamic and forward-thinking team at IDEXX as a ServiceNow Application Analyst focused on IT Operations Management (ITOM) and Configuration Management Database (CMDB).
Our team is currently working on projects to enhance our initial CMDB implementation by focusing on increasing the quality, comprehensiveness, and reliability of our CMDB. We believe the foundation of a resilient IT ecosystem begins with a mature and trusted CMDB, enabling streamlined security operations, proactive service delivery, and opportunities for further automation.
In this ServiceNow Application Analyst role, you will be responsible for maintaining, optimizing, and ensuring the ongoing health, accuracy, and reliability of our CMDB. You will partner closely with technical stakeholders, data owners, and process managers across IT, Security, and Service Management to uphold the integrity of our CMDB and drive operational excellence. Your responsibilities will center on vigilant monitoring, proactive problem-solving, and hands-on maintenance, ensuring that the CMDB remains up to date and accurate for our key stakeholders of the platform.
If you are passionate about empowering IT operations through a world-class CMDB and thrive in a collaborative, mission-driven environment, we welcome your application and look forward to advancing together.
In this role, you will….
Monitor and maintain the ongoing health, accuracy, and completeness of the CMDB, ensuring it meets organizational standards and stakeholder needs.
Perform day-to-day operational tasks, including data quality reviews, reconciliation, CI lifecycle management, and exception handling.
Identify, diagnose, and resolve issues impacting the CMDB, either independently or in collaboration with ServiceNow developers and other technical teams.
Partner with stakeholders across IT, Security, and Service Management to understand their requirements and help translate them into actionable CMDB use cases.
Work with data owners and process managers to enforce proper CI ownership, data stewardship, and process adherence.
Support ServiceNow discovery, integration, and automation processes to ensure accurate and timely CI data population.
Provide guidance and training to stakeholders on CMDB best practices, data consumption, and reporting.
Assist with audits, compliance reviews, and reporting related to CMDB data quality and configuration management processes.
Document processes, procedures, and knowledge articles to support operational continuity and CMDB maturity.
What You Will Need to Succeed…
3-5+ years of hands-on experience supporting and maintaining a ServiceNow CMDB in a large, complex IT environment.
Strong understanding of CMDB data models, CI lifecycle, discovery, reconciliation, and data quality management.
Experience with day-to-day CMDB operations, including troubleshooting, issue resolution, and stakeholder engagement.
Familiarity with ServiceNow ITOM modules (e.g., Discovery, Service Mapping) and integration points.
Excellent analytical and problem-solving skills, with keen attention to detail and data accuracy.
Ability to communicate technical concepts to both technical and non-technical audiences.
Experience partnering with IT, Security, and Service Management teams to deliver business value through CMDB insights and capabilities.
Basic scripting or workflow automation skills (JavaScript, Flow Designer, or similar), a plus but not required.
Location: 100% remote with the preference of EST or CST.
What you can expect from us:
Base annual salary target: $90000 to $100000 (yes, we do have flexibility if needed)
Opportunity for annual cash bonus
Health / Dental / Vision Benefits Day-One
5% matching 401k
Additional benefits including but not limited to financial support, pet insurance, mental health resources, volunteer paid days off, employee stock program, foundation donation matching, and much more!
Why IDEXX?
We're proud of the work we do, because our work matters. An innovation leader in every industry we serve, we follow our Purpose and Guiding Principles to help pet owners worldwide keep their companion animals healthy and happy, to ensure safe drinking water for billions, and to help farmers protect livestock and poultry from diseases. We have customers in over 175 countries and a global workforce of over 10,000 talented people.
So, what does that mean for you? We enrich the livelihoods of our employees with a positive and respectful work culture that embraces challenges and encourages learning and discovery. At IDEXX, you will be supported by competitive compensation, incentives, and benefits while enjoying purposeful work that drives improvement.
Let's pursue what matters together.
IDEXX values a diverse workforce and workplace and strongly encourages women, people of color, LGBTQ+ individuals, people with disabilities, members of ethnic minorities, foreign-born residents, and veterans to apply.
IDEXX is an equal opportunity employer. Applicants will not be discriminated against because of race, color, creed, sex, sexual orientation, gender identity or expression, age, religion, national origin, citizenship status, disability, ancestry, marital status, veteran status, medical condition, or any protected category prohibited by local, state, or federal laws.
#LI-REMOTE
Auto-ApplyBilling and Coding Associate
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
Auto-ApplyTraining Coordinator
Tupelo, 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
Easy ApplyClinical Review Coordinator (Remote)
Tupelo, MS jobs
Description & Requirements Maximus is hiring a Part-Time Clinical Review Coordinator (Remote) to support the OR MED program. The Clinical Review Coordinator will review assessments for quality and review medical records and other documentation as needed.
**This is a Part-Time fully remote position that requires Oregon licensure.
About the program: We partner with Oregon DHS to manage in-person eligibility reviews for people that may be experiencing mental illness along with possible physical needs for the Aging and People with Disabilities (APD) Program. Through the mental or emotional disorders (MED) Review process, we give DHS accurate review recommendations of an individual's primary need for services. Our assessment enables DHS to make informed program eligibility decisions based on a clear and accurate understanding of which programs may best address an individual's unique needs.
Why Join 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.
- •Licensures and Certifications-Maximus assumes the expenses associated with renewing licenses and certifications.
Essential Duties and Responsibilities:
- Review requests for services including admission, discharges and continued stays for adherence to clinical criteria, state and federal policy, and related requirements.
- Issue approvals, denials or recommendations based on contract requirements.
- Identify need for additional clinical documentation or consultation.
- Complete documentation of activities within contract systems.
- Communicate with providers, individuals and their designees, or state workers as required.
- Performs other related duties as assigned.
Minimum Requirements
- Current Registered Nurse (RN) license valid in the state of practice is required
- High School Degree or equivalent required
- Minimum 2 years of clinical experience required
- Active and unrestricted RN or LCSW license
Preferred Skills and Qualifications:
-Minimum of 1 (one) year of psychiatric 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
$
35.00
Maximum Salary
$
35.00
Easy ApplyCoder II - OP Physician Coding (Ortho Surgery)
Jackson, MS jobs
** **Upper Extremity:** **- Shoulders:** Total/Hemi Arthroplasty, Arthroscopy, Rotator cuff repair, Biceps tenodesis, Acromioplasty, Distal claviculectomy, Superior Labrum Anterior to Posterior tear (SLAP) repair
**- Elbows:** Cubital tunnel release, Bursectomy, Arthroplasty
**- Wrist:** Carpal tunnel release, Carpectomy, TFCC debridement/repair, 4-corner fusion, De Quervain (1st dorsal compartment)
**- Hands:** Trigger fingers, Ganglions, Mallet fingers, Carpometacarpal (CMC) arthroplasty, , Dupuytren's (Palmar fascial fibromatosis), Amputations
**Lower Extremity:**
**- Hips:** Dislocation reductions, Total/partial Arthroplasty, Femoral fracture treatments, Arthroscopy
**- Pelvis:** Fracture repairs
**- Femur:** ORIF neck fractures, Trochanteric repairs, shaft fracture repairs
**- Knees:** Dislocation repairs/reductions, Total/hemi arthroplasty, Meniscal repairs, Ligamentous reconstructions and repairs, Arthroscopy
**- Tibia/Fibula:** Plateau repairs, shaft Fracture repairs, Percutaneous repairs, Arthrodesis, Pilon/Plafond repairs, Malleolar repairs, Sprain
**WORK MODEL/SALARY**
Days: Monday - Friday
Hours: 8hrs a day, 80hrs a pay period
100% Remote
The pay range for this position is $26.66 (entry-level qualifications) - $40.00 (highly experienced) The specific rate will depend upon the successful candidate's specific qualifications and prior experience.
**JOB SUMMARY**
+ The Coder 2 is proficient in three or more types of outpatient, Profee, or low acuity inpatient coding.
+ The Coder 2 may code low acuity inpatients, one time ancillary/series, emergency department, observation, day surgery, and/or professional fee to include evaluation and management (E/M) coding or profee surgery.
+ For professional fee coding, team members in this job code will be proficient for inpatient and outpatient, for multi-specialties.
+ Coder 2 utilizes the International Classification of Disease (ICD-10-CM. ICD-10-PCS), Healthcare Common Procedure Coding System (HCPCS) including Current Procedural Terminology (CPT) and other coding references to ensure accurate coding.
+ Coding references will be used to ensure accurate coding and grouping of classification assignment (e.g., MS-DRG, APR-DRG, APC etc.)
+ The Coder 2 will abstract and enter required data.
**ESSENTIAL FUNCTIONS OF THE ROLE**
+ Examines and interprets documentation from medical records and completes accurate coding of diagnosis, procedures and professional fees.
+ Reviews diagnostic and procedure codes and charges in the applicable documentation system to generate appropriate coding and billing.
+ Communicates with providers for missing documentation elements and offers guidance and education when needed.
+ Reconciles billing issues by formulating the rationale for rejecting and correcting inaccurate charges.
+ Works collaboratively with revenue cycle departments to ensure coding and edits are processed timely and accurately.
+ Reviews and edits charges.
**KEY SUCCESS FACTORS**
+ Sound knowledge of applicable rules, regulations, policies, laws and guidelines that impact the coding area.
+ Sound knowledge of transaction code sets, HIPAA requirements and other issues impacting the coding and abstracting function.
+ Sound knowledge of anatomy, physiology, and medical terminology.
+ Demonstrated proficiency of the use of computer applications, group software and Correct Coding Initiatives (CCI) edits.
+ Sound knowledge of ICD-10 diagnosis and procedural coding and Current Procedural Terminology (CPT) procedural coding.
+ Ability to interpret health record documentation to identify procedures and services for accurate code assignment.
+ Flexibility and adaptability while also balancing requirements and regulatory and accreditation guidelines that are non-negotiables.
Must have one of the following Certifications:
+ Registered Health Information Administrator (RHIA)
+ Registered Health Information Technologist (RHIT)
+ Certified Coding Specialist (CCS)
+ Certified Coding Specialist Physician-based (CCS-P)
+ Certified Professional Coder (CPC)
+ Certified Outpatient Coder (COC)
+ Certified Inpatient Coder (CIC)
+ Certified Interventional Radiology Cardiovascular Coder (CIRCC)
**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
**MQUALIFICATIONS**
+ EDUCATION - H.S. Diploma/GED Equivalent
+ EXPERIENCE - 2 Years of Experience
+ CERTIFICATION/LICENSE/REGISTRATION - Must have ONE of the coding certifications as listed:
+ Cert Coding Specialist (CCS)
+ Cert Coding Specialist-Physician (CCS-P)
+ Cert Inpatient Coder (CIC)
+ Cert Interv Rad CV Coder (CIRCC) - Cert Outpatient Coder (COC)
+ Cert Professional Coder (CPC)
+ Reg Health Info Administrator (RHIA)
+ Reg Health Information Technician (RHIT).
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.
Coordinator II, Performance Monitoring
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.**
**What Performance Monitoring contributes to Cardinal Health:**
Performance Monitoring is responsible for establishing, maintaining and enhancing customer business through contract administration, customer orders, and problem resolution. Performance Monitoring is responsible for monitoring, analyzing and reviewing customer contact quality.
**Responsibilities:**
+ Conduct quality reviews of Adverse Events submitted by staff before submission to client safety unit.
+ Conduct case audits to ensure correct process steps have been followed for the "patient journey"
+ Monitor calls and provide effective written feedback
+ Maintain knowledge of the client's program and product/service offerings.
+ Interpret and transcribe inbound and outbound calls from patients and health care providers.
+ Identify adverse events when monitoring calls.
+ Ensure documentation is in order following client regulatory guidelines.
+ Identify trends and training needs from call monitoring and escalate appropriately.
+ Work effectively with dynamic, integrated task teams
+ Maintain a work pace appropriate to the workload
**Qualifications**
+ HS Diploma, GED or technical certification in related field or equivalent experience, preferred.
+ 2 years' call center or transcriptionist experience preferred. Certified Medical Transcriptionist (CMT) qualification would be an asset.
+ 2 years' quality review experience preferred.
+ Knowledge of medical terminology preferred.
+ Exceptional listening skills required.
+ Proficient in Microsoft Office (Excel, Word, PowerPoint, etc.)
+ Multi-tasking, time management and prioritization skills considered an asset.
+ Bilingual Spanish would be an asset.
**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 (8-hour shifts, 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- 8:00pm 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 hourly range:** $18.35 per hour - $26.40 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:** 1/2/2026. 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 (***************************************************************************************************************************
Senior Director, Solution Architect (Solution Competitive Estimation)
Jackson, MS jobs
Description & Requirements Maximus is seeking a Senior Director, Solution Architect. The candidate will be a Lead for solution architecture and estimation with a focus in the healthcare managed services domain (public health and clinical health). This role calls for a unique combination of technical skills and experience as the lead solution architect for managed services, software development, IT services, cloud and on-premise infrastructure, data services, and cybersecurity services using both top-down and bottoms-up estimation techniques. The candidate is expected to work across the opportunity lifecycle and own the top-down estimate as a component of price to win and competitive solutioning efforts including supporting Blackhat reviews. The candidate should have deep experience with US Federal proposal processes including competitive reviews, estimation, pricing, and compliance. The candidate must have a can-do attitude and be a go-getter when it comes to innovative approaches to solution estimation.
This is a remote position.
Essential Duties and Responsibilities:
- Responsible for technology solution bid competitive analysis as it relates to how industry competitors approach technical solution pricing, trends in awards (best value vs LPTA), supporting Black Hats at the bid level and market / sector competitive analysis and similar efforts.
- Responsible for RFPs and RFQs review, question / gap assessment, labor category evaluation, top-down estimate development including competitive estimation concepts and initial basis of estimate development.
- Own and drive competitive top-down estimates using techniques such as expert judgement, comparative/analogous estimation, parametric estimation, top-down estimation, wideband delphi, and three-point estimation.
- Coach and mentor teams regarding estimation best practices, cost optimizations, risks impact and quantification, service level agreement impacts, market or seasonal trends, pricing strategies / approaches, and efficiencies.
- Develop and provide presentations and demonstrations high level solution concepts and related estimation models to internal stakeholders
- Provide technical solution review support to include compliance and differentiation: cost competitiveness, technology stack selection, solution architecture, and implementation methodology.
- Ensure the bid services and solutions developed meet all requirements and standards including security, monitoring, performance, and SLAs.
- Review technology solutions to meet applicable requirements and federal standards, leveraging best practices that balance efficiency, effectiveness, and compliance.
- Communicate client opportunity specific architecture guidelines and technical details to technical and non-technical audiences.
- Innovate and articulate competitive cutting-edge cloud solutions approaches
- Stay abreast of leading solution architectures including relevant industry partners (e.g. AWS, MSFT, Google, ServiceNow, Salesforce)
- Participate in opportunity relevant innovation activities by reviewing and generating ideas and collaborating with a diverse, distributed team.
Job-Specific Essential Duties and Responsibilities:
Competitive Analysis, Estimate Development & Review:
- Responsible for technology solution bid competitive analysis - how industry competitors approach technical solution pricing, trends in awards (best value vs LPTA), supporting Black Hats at the bid level, market / sector competitive analysis and similar efforts.
- Responsible for RFPs and RFQs review, question / gap assessment, labor category evaluation, top-down estimate development including competitive estimation concepts and initial basis of estimate development.
- Own and drive competitive top-down estimates using techniques such as Expert Judgement, Comparative/Analogous Estimation, Parametric Estimation, Top-down Estimation, Wideband Delphi, and Three-point Estimation.
- Coach and mentor teams regarding estimation best practices, cost optimizations, risks impact and quantification, service level agreement impacts, market or seasonal trends, pricing strategies / approaches, and efficiencies.
- Develop and provide presentations and demonstrations high level solution concepts and related estimation models to internal stakeholders.
Bid Solution Development & Review:
- Provide technical solution review support to include compliance and differentiation: cost competitiveness, technology stack selection, solution architecture, and implementation methodology.
- Ensure the bid services and solutions developed meet all requirements and standards including security, monitoring, performance, and SLAs.
- Review technology solutions to meet applicable requirements and federal standards, leveraging best practices that balance efficiency, effectiveness, and compliance.
- Communicate client opportunity specific architecture guidelines and technical details to technical and non-technical audiences.
Innovation & Excellence:
- Innovate and articulate competitive cutting-edge cloud solutions approaches
- Stay abreast of leading solution architectures including relevant industry partners (e.g. AWS, MSFT, Google, ServiceNow, Salesforce)
- Participate in opportunity relevant innovation activities by reviewing and generating ideas and collaborating with a diverse, distributed team.
Minimum Requirements
- Bachelor's degree in relevant field of study
-12+ years of relevant professional experience required.
Job-Specific Minimum Requirements:
- Additional years of relevant experience will be considered in lieu of degree. Master's degree is preferred.
- At least 12 years of technical experience in Federal IT including estimation and successful bid development is required.
- Per contract requirements, US Citizenship is required.
- At least 5 years of recent experience directly guiding and mentoring solution development SMEs and providing management of program technical tasks.
- At least 5 years of experience as a solution architect in building complex, resilient and highly scalable application and platform solutions.
- Deep understanding of current federal solution space and federal government initiatives with demonstrated capture, proposal, estimation, and/or bid experience.
- Demonstrated experience leading competitive top-down estimates, BOE development, and driving estimation using techniques such as: Expert Judgement, Comparative/Analogous Estimation, Parametric Estimation, Top-down Estimation, Wideband Delphi, and Three-point Estimation for Managed Services, IT Services, and Software Development opportunities.
- Demonstrated experience with competitive analysis - competitive patterns and pricing approaches, trends in awards (best value vs LPTA).
- Experience supporting Black Hats at the bid level, market / sector analysis and similar capabilities.
- Demonstrated ability to effectively inspire and influence teams and partners in delivering technology enabled business solutions that meet business needs.
- Broad knowledge of software engineering: languages, frameworks, techniques, industry trends, etc.
- Solution awareness through hands on experience with Azure, AWS, Google Cloud or one of the other major Cloud providers.
- Knowledge of Platform as a Service (PaaS) and Infrastructure as a Service (IaaS), Software as a Service (SaaS)
- Proven experience communicating with non-technical business personnel and ability to interact and work in a team environment.
- Ability to independently work as a contributing member in a high-paced and focused team.
- Strong written and verbal communication skills, including presentation skills to senior management both internal and external including SMEs.
- Ability to articulate and explain high-level architectures and design ideas to larger audiences and stakeholders.
- Ability to thrive in a flexible and fast-paced environment across multiple time zones and locations.
Preferred Skills and Qualifications:
- Experience with parametric estimation tools such as Galorath SEER.
- Industry cost estimation certification such as ICEAA.
- Professional experience should include both project management and solution architecture tasks to include designing, implementing and improving federal business solutions.
- Technical professional experience building scalable enterprise applications with high availability and reliability.
- Strong technology affinity and experience, as well as attention to detail and the ability to estimate, design, execute against strategic goals.
#techjobs #LI-PN1 #HotJobs1202LI #HotJobs1202FB #HotJobs1202X #HotJobs1202TH #TrendingJobs #c0rejobs #HotJobs1209LI #HotJobs1209FB #HotJobs1209X #HotJobs1209TH
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
$
190,000.00
Maximum Salary
$
215,000.00
Easy ApplyProject Manager - Strategic Workforce Analytics (Remote)
Jackson, MS jobs
Description & Requirements The Project Manager-Strategic Workforce Analytics will lead the design, implementation, and continuous improvement of Resource Management (RM) processes and system, primarily leveraging Eightfold and integrated platforms with a goal of establishing Resource Management as a structured, enterprise-wide program. This role primarily supports Strategic Workforce Planning (SWP) but is matrixed to support Learning & Organizational Development (L&OD), HRIS, and Operations, driving a strategic, scalable approach to resource management and workforce analytics.
The position combines program management expertise, technical systems fluency, and analytical capabilities to deliver accurate resource planning, actionable insights, and enable proactive workforce decisions such as redeployment, reskilling, and capacity forecasting.
Essential Duties and Responsibilities:
- Manage system administration and configuration for Eightfold Resource Management, ensuring accurate user access and timely release updates within established guidelines.
- Coordinate integration activities across assigned platforms (e.g., Salesforce, Kantata, HRIS) in partnership with IT and vendors.
- Maintain resource management workflows and monitor data quality, applying compliance standards and established processes.
- Prepare and deliver workforce planning reports and dashboards to support decision-making for assigned business areas.
- Conduct routine audits and maintain compliance dashboards ensuring adherence to organizational policies.
- Onboard and provide guidance to Resource Managers and stakeholders on resource management processes and best practices.
- Facilitate regular workforce planning meetings focused on capacity and resource allocation within assigned business areas.
- Collaborate with Talent Acquisition, Learning & Development, Finance, and Operations teams to execute workforce planning activities aligned with business needs.
- Identify opportunities for process improvement and implement automation solutions within the scope of resource management operations.
- Support departmental initiatives that contribute to workforce planning objectives, ensuring alignment with organizational goals.
-Deliver recurring workforce planning dashboards, forecasts, and skills intelligence - partner with stakeholders on future talent strategies based on data (build, bot, buy, borrow).
-Partner closely with Solution Architects to get timely insights into future talent demands and capabilities.
-Support enterprise initiatives such as reskilling programs, AI accelerator communities, and future workforce readiness.
Minimum Requirements
- Bachelor's degree in relevant field of study and 5+ years of relevant professional experience required, or equivalent combination of education and experience.
-Project Management or consulting experience.
-Hands-on experience with Eightfold or other Talent Intelligence and/or Resource Management platform.
-Proficiency in data visualization tools and advanced analytics platforms
-Strong understanding of data workflows, integrations, and process automation
-Excellent facilitation, communication, and stakeholder engagement skills
-Data & Analytics experience (such as: SQL, Python, Power BI/Tableau, and forecasting models)
-Stakeholder Management & Change Leadership
-Proven ability to balance strategic thinking with operational execution.
Preferred Experience:
-Familiarity with data warehousing concepts and skills-based workforce planning, redeployment, and reskilling frameworks
-Background with enterprise transformation projects
-Workforce planning/resource management experience
-HR Technology Fluency: RM platforms, HRIS, CRM systems
-Experience with skills taxonomies and workforce analytics platforms (Eightfold, OneModel, SAP Analytics Cloud, Anaplan)
-PMP certification, Agile/Scrum methodologies is a plus
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
$
90,780.00
Maximum Salary
$
122,820.00
Easy ApplyDirector, Information Security and Risk (Identity & Access Management)
Jackson, MS jobs
**_What Information Security and Risk contributes to Cardinal Health_** Information Security and Risk develops, implements, and enforces security controls to protect the organization's technology assets from intentional or inadvertent modification, disclosure or destruction. This job family develops system back-up and disaster recovery plans. Information Technology also conducts incident response, threat management, vulnerability scanning, virus management and intrusion detection and completes risk assessments.
The _Director, Information Security and Risk (Identity & Access Management)_ is responsible for leading the organization's Identity & Access Management (IAM) strategy, governance, and operations to ensure secure, efficient, and compliant access to technology resources. This role requires a leader with proven ability to execute large-scale enterprise IAM programs that directly impact how employees, contractors, and customers interact with Cardinal Health technology. Success in this role demands a balance between delivering a frictionless, user-friendly experience and maintaining the highest standards of security. The Director must also excel at building partnerships across the organization and collaborating on program delivery, while driving operational excellence and anticipating business risks associated with IAM changes.
**Location** - Ideally targeting individuals local to Central Ohio, but open to candidates located nationwide (fully remote). If living within commutable distance of our corporate HQ in Dublin, OH - the expectation would be to come in-office two or three days a month for team meetings.
**Responsibilities**
+ Act as a visionary in designing and executing multi-year IAM strategy that aligns with business goals and customer needs
+ Develop and oversee enterprise IAM policies, standards, and procedures, ensuring consistent enforcement across the organization.
+ Lead IAM initiatives including identity lifecycle management (provisioning, de-provisioning, role-based access, entitlement reviews).
+ Direct privileged access management (PAM) programs to safeguard critical systems and sensitive data.
+ Ensure compliance with internal policies and external regulatory requirements (e.g., SOX, HIPAA, GDPR, PCI-DSS) through strong access controls.
+ Execute enterprise IAM programs with significant business impact, ensuring seamless access for employees, contractors, and customers.
+ Balance user experience with security by designing IAM solutions that are simple, intuitive, and resilient.
+ Drive operational excellence by establishing repeatable processes, KPIs, and service delivery models for IAM functions.
+ Build strong partnerships across IT, Security, HR, and business units to align IAM delivery with organizational priorities.
+ Establish metrics and reporting mechanisms to monitor IAM effectiveness, operational performance, and program maturity for executive leadership.
+ Lead training and awareness programs related to IAM policies, secure access practices, and identity governance.
**Qualifications**
+ Bachelor's degree in Information Technology, Computer Science, Cybersecurity, or a related field preferred.
+ Ideally targeting individuals with 12+ years of IT/security experience with at least 5 years in IAM leadership roles preferred.
+ Proven track record of executing enterprise IAM programs with measurable business impact.
+ Prior people leadership experience and demonstrated ability to manage operational IAM teams, highly preferred.
+ Expertise with IAM tools and platforms (e.g., Okta, SailPoint, CyberArk, Azure AD).
+ Strong understanding of relevant Regulatory and Compliance requirements (HIPAA, SOX, HITRUST CSF, etc.).
+ Strong understanding of authentication protocols (SAML, OAuth, OpenID Connect, Kerberos) and cloud IAM (AWS IAM, Azure RBAC, GCP IAM).
+ Certifications such as CISSP, CIAM, or CISM preferred.
+ Strong analytical, relationship management, and communication skills (both written and verbal).
+ Ability to collaborate across functions and influence stakeholders to achieve IAM program success.
**What is expected of you and others at this level**
+ Provides leadership to managers and experienced professional staff; may also manage front line supervisors
+ Manages an organizational budget
+ Develops and implements policies and procedures to achieve organizational goals
+ Assists in the development of functional strategy
+ Decisions have an extended impact on work processes, outcomes, and customers
+ Interacts with internal and/or external leaders, including senior management
+ Persuades others into agreement in sensitive situations while maintaining positive relationships
_\#LI-LP_
_\#LI-Remote_
**Anticipated salary range:** $135,400 - $228,910
**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:** 12/25/2025 *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 (***************************************************************************************************************************
Financial Counselor
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.
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FMLA Rights - English
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Know your Rights
Auto-ApplyVice President-Federal Communications and Marketing (Hybrid Remote - McLean, VA / DC Area)
Hattiesburg, MS jobs
Description & Requirements Maximus is seeking a dynamic and experienced Vice President-Federal Communications and Marketing to join our innovative team. The ideal candidate will bridge the gap between technology, business process services and marketing in the Federal Government sector. In this role, you will be responsible for Team Leadership and Change Management in a large organization. The VP-Federal Communications and Marketing will collaborate with cross-functional teams to drive Federal solutions and offerings. If you are a strategic thinker with a passion for technology services and marketing, and if you thrive in a dynamic and collaborative environment, we invite you to apply to the position at Maximus.
This is a hybrid position with the need to go into the office a minimum of 3 days per week and occasionally attend meetings and/or events in the Tyson Corners, VA/ Washington, DC area. This position requires some travel. The selected candidate must live in this geographical area.
Key Areas of Responsibility
- Identify, plan, develop, and oversee differentiated and impactful marketing strategies/materials.
- Developing new programs for customer engagement including integrated marketing programs from concept to execution
- Drive Maximus Federal solutions and offerings.
- Manage digital and social media strategies across the federal market
- Build, manage, and coach a high-performing marketing team.
- Direct and support market research collection, analysis, interpretation of market data for short- and long- term market forecasts and reports.
- Work closely with the growth leaders to align sales and marketing strategies
- Maintain brand standards and ensure compliance across all marketing and communications channels.
- Build long-term relationships with employees, clients, government officials, and stakeholders.
- Serve as a collaborative and senior leader on the Maximus Communication & Marketing Team, helping to align strategy and outcomes across the company.
- Drive the implementation of marketing campaigns that meet business objectives and drive customer engagement.
- Develop relationships with associations, academia and industry partners to drive thought leadership and brand elevation.
This role will develop and oversee the Maximus Federal segment marketing strategy. Responsibilities include building brand visibility in the Federal marketplace, driving customer and partner engagement to support growth goals. This position will be responsible for developing annual marketing plans building strategy, managing the cross functional team and budget and, leveraging partner relationships, driving go-to-market solutions.
Qualifications:
-15+ years of experience in a Federal Marketing and Industry Analysis position including 7+ years managing a team.
-Previous experience at a corporation focused on the Federal sector.
-Bachelor's degree in Marketing, Business, or a related field; technical background and digital marketing are a plus. Additional experience in lieu of degree will be considered.
-MA degree in Marketing, Communication, or similar relevant field, preferred.
-Outstanding communication, presentation, and leadership skills.
-In-depth knowledge of the Federal sector.
-Critical thinker with problem-solving skills.
-Strong interpersonal and communication skills.
Key Competencies include the following: Marketing and Communication Strategies, Team Leadership, Technical Expertise, Cross-Functional Collaboration, Content Development, Sales Enablement, Product and Solutions Positioning and Change Management
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
$
216,155.00
Maximum Salary
$
292,455.00
Easy ApplySr. Consultant, Change Management
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**
Are you ready to lead change at the forefront of healthcare innovation in patient access and support?
Sonexus is undergoing a major transformation-scaling rapidly, reimagining how we deliver patient services, integrating emerging technologies & AI, and collaborating across the specialty pharma ecosystem. We're looking for a Senior Change & Transformation Consultant who's not just experienced but energized by the opportunity to shape the future of patient care and a rapidly growing business division of Cardinal Health.
This is a high-impact role reporting to the Director of Business Transformation and Change Management. This consultant will be responsible for driving adoption, inspiring stakeholders, and embedding lasting change across complex, regulated environments. Too often, patients forego or can't complete prescribed therapy because of complicated qualification processes, unmanageable costs, or uncertainty about their medications. Cardinal Health Sonexus Access and Patient Support combines best-in-class program and pharmacy operations with smart digital tools to streamline patient onboarding and increase adherence to prescribed care. If you thrive in fast-paced settings and want to make a real difference in the lives of patients, this is your moment.
**Responsibilities**
· Design and execute enterprise-level change strategies that support transformation across patient services, pharmacy operations, and digital/AI innovation.
· Conduct impact assessments, stakeholder analyses, and readiness evaluations to guide successful implementation.
· Build strong partnerships across Patient Access, Case Management, Specialty Hubs, Pharmacy Operations, IT, and executive leadership.
· Develop and facilitate dynamic workshops to elevate organizational change capability and leadership transformation IQ to scale a rapidly growing business.
· Design communication strategies, plans, and craft visually appealing and compelling communications (infographics, Veeva Engage posts, slides, manager huddle scripts) tailored to diverse audiences-from frontline teams to senior leaders.
· Champion AI initiatives includes building use cases, managing barriers to change and adoption, and managing the complex people-side of change for adopting AI (must have prior experience).
· Monitor adoption metrics, create surveys, feedback loops, and performance indicators to ensure long-term success.
· Identify risks and lead proactive mitigation strategies to keep business and AI transformation momentum strong. Leverage data and insights to refine approaches.
· Contribute to the evolution of our new Transformation and Change office.
**Qualifications**
· Bachelor's degree in Business, Organizational Development, Healthcare Administration, or related field, preferred
· Strong consulting, communication, analysis, data gathering and organizational skills.
· Microsoft Office 365 (Teams, Copilot) Proficiency preferred
· Ability to work in a fast-paced, collaborative environment and deliver quality results within aggressive timeframes.
· Willingness to travel up to 25%.
· Must be willing to work Central Time Zone business hours. Prefer candidates located in Columbus, OH or Dallas, TX area.
· 6+ years of experience in change management with AI, digital business transformation experience, preferred
· Prosci certification required; CCMP certification preferred with advanced certifications in digital/AI transformation, coaching, training facilitation, lean six sigma, organizational development (ODCP), etc.
· Deep understanding and application of Change Management methodology end-to-end from strategy and planning to change impact analysis, communications plans and messaging, stakeholder analysis and engagement, readiness assessments, training and facilitation, change reporting and metrics, and reinforcement and sustainability.
· Must be comfortable and proficient delivering change and transformation workshops and courses.
· Proven success managing change for AI-driven solutions, preferred within patient services or pharmacy operations.
· Solid understanding of the specialty pharma ecosystem, with highly preferred experience in Payors, PBMs, Specialty Hubs, Patient Services, Patient Assistance Programs, Medicaid, and Pharmacy Operations.
· Exceptional communication, executive presence, facilitation, and stakeholder management skills.
· Experience with CRM platforms like Salesforce, patient support technologies, or specialty pharmacy systems is a plus.
· Can identify the differences between change and transformation, and provide work/project examples, including knowledge of transformation methodologies, models, AI strategy/transformation models, frameworks, building roadmaps. Framework examples include SAP BTM2, USAII, and CXO Transform.
· Knowledge of product, agile methodologies a plus.
**Why Join Us?**
· Be a catalyst for change in a mission-driven organization transforming patient care.
· Work alongside passionate professionals in a collaborative, forward-thinking environment.
· Lead initiatives that integrate cutting-edge technologies like AI to improve outcomes and efficiency.
· Make a lasting impact on how specialty pharma supports patients across the care continuum.
**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 highspeed 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 issue
**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:** 1/13/2026 *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 (***************************************************************************************************************************