LPN, Full Time, Sleep Medicine, Remote

Spectrum Health
Remote or Grand Rapids, MI
Under the direction of the RN / Mid-level Provider / Physician and in collaboration with other members of the health care team, contributes to the assessment, planning, implementation, and evaluation of patient care.
Essential Functions

* Collects and monitors assessment data and reports physiological, psychological, sociocultural and spiritual needs of patients and families in coordination with and as delineated by the RN/Mid-level Provider/Physician.
* Provides direct patient care under the direction of the RN/Mid-level Provider/Physician, consistent with policies and procedures, and unit based routines.
* Informs patients and families about treatments and medications being received, equipment being utilized, and other related activities as appropriate, in coordination with the RN/Mid-level Provider/Physician.
* Documents care provided via computer/written patient record in a manner consistent with guidelines.
* Greets and communicates with patients and families in a manner consistent with caring and respect. Communicates and collaborates with other members of the health care team in order to ensure continuity of care and coordination of service.
* Cleans patient's environment/work area/equipment and communicates any equipment malfunctions to appropriate department/unit personnel.
* Documents patient chargeable items according to standards.
* Participates in selected quality monitoring activities under the direction of the RN / Mid-level Provider / Physician. Demonstrates a high standard of moral and ethical behavior. Recognizes appropriate and ethical behaviors and identifies resources for resolution as needed. Advocates for privacy, confidentiality, and security of patient, staff and organization data.

Qualifications

* Required High School Diploma or equivalent
* Required Associate's Degree Graduate of an approved nursing program
* Successful completion of competency based orientation program Required
* Healthcare experience Preferred
* LIC-License Practical Nursing (LPN) - STATE_MI State of Michigan Upon Hire required
* LIC-Driver's License - STATE_MI State of Michigan NRS Home Care, VNA, and Hospice

Upon Hire required
* CRT-Basic Life Support (BLS) - AHA American Heart Association Medical Group, Pennock, Spectrum Health Grand Rapids, Gerber, Continuing Care (except Hospice), Ludington, Reed City, United, Zeeland 90 Days required Or
* CRT-Basic Life Support (BLS) - ARC American Red Cross Medical Group, Pennock, Spectrum Health Grand Rapids, Gerber, Continuing Care (except Hospice), Ludington, Reed City, United, Zeeland 90 Days required
* CRT-Adv Cardiovascular Life Support (ACLS) - AHA American Heart Association United Memorial Upon Hire preferred
* CRT-Brain Injury Specialist, Certified (CBIS) - ACBIS Academy of Certified Brain Injury Specialists Continuing Care 2 Yrs required
* CRT-Neonatal Resuscitation Program (NRP) - AHA American Heart Association Spectrum Health Grand Rapids Neonatal Services, modules 5-9 90 Days required

Primary Location

SITE - Hughes Professional Center - 4100 Lake Drive - Grand Rapids

Department Name

Sleep Medicine - Grand Rapids

Employment Type

Full time

Shift

Weekly Scheduled Hours

40

Hours of Work

8:00 a.m. to 5:00 p.m.

Days Worked

5

Weekend Frequency

N/A

Spectrum Health requires all team members to receive the COVID-19 vaccinations subject to certain exclusions based on the team member's job category. Spectrum Health is committed to granting reasonable accommodations in accordance with applicable laws.

Accommodation Notice: If you are a qualified individual with a disability, you may request a reasonable accommodation in Spectrum Health's application process. Contact us at 616-486-SHHR (7447).

Spectrum Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, sexual orientation, veteran status, or any other legally protected

category. See more here.

Patient Access Representative Associate, Primary Care Scheduling, Virtual Flex, Part Time, 6:30 a.m. to 12:30 p.m.

Spectrum Health
Remote or Kentwood, MI
Assist and educate patients, providers, medical office staff, and/or Health system staff with accessing services, facilitating and resolving problems, understanding navigation questions. Consistently create an exceptional experience with each contact, via inbound and outbound calls, online chat, email, etc. Adheres to established procedure and quality guidelines in support of Patient Access Services Center performance indicators, as well as Corporate values and codes of excellence.
Essential Functions

* Analyzes, evaluates, resolves and responds to service inquires from members, providers, employer groups, colleagues, agents, Elite agents (customers), and others within departmental guidelines. Professional and pleasant interactions are ongoing expectations.
* Partnering with internal and external resources, promptly provides customers with information and education concerning benefit clarification, eligibility requirements, verification, authorization, billing and claim status.
* Promptly identifies and resolves or escalates customer concerns or complaints to achieve positive outcomes. Places outbound welcome calls to members to educate them on their benefits as needed. Assists walk-in members and agents if assigned by leadership.
* Adheres to established procedure and quality guidelines in support of Priority Health service promise, key drivers, performance indicators, as well as Corporate values and codes of excellence. Identifies potential trends or issues that impact health plan members and works with coworkers and leadership resources to suggest process improvements.
* Assists customers with administrative issues, such as submitting enrollment record changes, providing letter explaining coverage or benefits, and obtaining and relaying certain member information to other departments as needed.
* Facilitates claims resolution through follow-up on member calls and correspondence received to appropriate departments.
* Effectively tracks and/or documents all service interactions with customers within appropriate systems according to guidelines.
* Develops and maintains behaviors of productivity, availability to customers, and adherence to work schedule.

Qualifications

* Required High School Diploma or equivalent
* Preferred Associate's Degree
* 1 year of relevant experience in related field Required

Primary Location

SITE - Kentwood Medical Office Building - 4600 Breton Rd - Kentwood

Department Name

Patient Access Service Center - Primary Care

Employment Type

Part time

Shift

Day (United States of America)

Weekly Scheduled Hours

24

Hours of Work

6:30AM to 12:30 PM

Days Worked

Monday through Thursday

Weekend Frequency

Every third weekend

Spectrum Health requires all team members to receive the COVID-19 vaccinations subject to certain exclusions based on the team member's job category. Spectrum Health is committed to granting reasonable accommodations in accordance with applicable laws.

Accommodation Notice: If you are a qualified individual with a disability, you may request a reasonable accommodation in Spectrum Health's application process. Contact us at 616-486-SHHR (7447).

Spectrum Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, sexual orientation, veteran status, or any other legally protected

category. See more here.

Physician Assistant/Nurse Practitioner - Spectrum Health Virtual on Demand - Part Time

Spectrum Health
Remote or Grand Rapids, MI
* APP to see patients virtually with telemedicine
* Low acuity urgent care type visits, work injury triage, evisits, etc
* Ability & comfortable to evaluate and treat patients over video
* Comfortable to work independently
* 1:2 weekends
* Night shift - every 3 months work 6 weeks of third shift
* 1 winter and 1 summer holiday
* At least 1 year experience as an APP provider preferred

Under physician supervision, provides medical care to patients of varying type and acuity.

Essential Functions

* Functions in the role of advanced practitioner to coordinate comprehensive care delivery. Writes orders/prescriptions for standard formulary medications, laboratory, radiographic studies and consultations, coordinating the scheduling of admissions, diagnostic evaluations, follow-up exams, laboratory tests, referrals to home care, social services, and other community agencies, etc., in order to ensure continuity of care and coordination of services.
* Obtains histories and performs physical exams.
* Assesses the patients/significant other, health care team, school and other community educational needs and develops, implements, evaluates and revises teaching strategies/educational programs related to area of specialty.
* Acts as a patient advocate, crossing multidisciplinary lines to meet patient needs.
* Communicates, collaborates, networks with and acts as a consultant to other members of the health care team within and outside Spectrum Health. Acts as a consult in area of expertise.
* Performs and assists with designated procedures.
* Documents in the medical record and dictates information as appropriate.
* Provides input into the strategic planning, implementation and evaluation of service/program. Measures the outcomes of care and evaluate services across the continuum of inpatient to outpatient services. Makes recommendations to improve the quality of patient care provided and utilizes the scientific method of research clinical problems.

Qualifications

* Basic Qualifications:

Education - Graduate of an accredited Physician Assistant educational program

Licenses -

Physician Asst (PHYS ASST)*

Basic Life Support (BLS)

Basic Life Support (BLS) Note used for BLS,CPR & BCLS) Specific to SHMG 90 Days

Advanced Cardiac Life Support (ACLS) As appropriate for patient population

Pediatric Advanced Life Support (PALS) Specific to SHMG: PALS is required by specialty or stress test is performed 120 Days

Advanced Cardiac Life Support (ACLS) Specific to SHMG ACLS if required by specialty or stress test performed 120 Days

Education - Nurse Practitioners who obtained their education and certification after 2000 must show evidence of completion of a master's, post-master's or doctorate from a Nurse Practitioner program that is accredited by the Commission on the Collegiate of Nursing Education or the National League for Nursing Accrediting Commission

Experience - 3 years of experience typically gained through skills/knowledge/abilities in current, relevant clinical experience Previous experience functioning in a collaborative role

Licenses -

Registered Nurse (RN)* All

Nurse Practitioner - Licensed (NP)* All

Basic Life Support (BLS) Note used for BLS,CPR & BCLS) All

Basic Life Support (BLS) Specific to SHMG 90 Days

Advanced Cardiac Life Support (ACLS) Specific to SHMG ACLS if required by specialty or stress test performed 120 Days

Completes credentialing and privileging process upon hire and undergoes reprivileging every 24 months or as determined by policy.

Primary Location

SITE - 515 Michigan St NE - Grand Rapids

Department Name

OnDemand

Employment Type

Part time

Shift

Rotating (United States of America)

Weekly Scheduled Hours

20

Hours of Work

12 hours

Days Worked

Variable

Weekend Frequency

Every other weekend

Spectrum Health requires all team members to receive the COVID-19 vaccinations subject to certain exclusions based on the team member's job category. Spectrum Health is committed to granting reasonable accommodations in accordance with applicable laws.

Accommodation Notice: If you are a qualified individual with a disability, you may request a reasonable accommodation in Spectrum Health's application process. Contact us at 616-486-SHHR (7447).

Spectrum Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, sexual orientation, veteran status, or any other legally protected

category. See more here.

Office Of The CIO Summer 2022 IS/IT Virtual 14 week Internship

Spectrum Health
Remote or Caledonia, MI
Performs support tasks for department, as directed, and maintains clear and appropriate documentation. Acts as a team member and assists the team in improving processes.
Essential Functions

* Maintains accountability for completing support tasks as directed.
* Maintains clear and appropriate documentation of actions taken.
* May analyzes department processes and other Spectrum Health systems encountered and makes recommendations improvements, as appropriate. Participates in quality monitoring activities/process improvement activities.
* Communicates, collaborates, and acts as a team player with others in order to ensure continuity and coordination of services.

Qualifications

* Required High School Diploma or equivalent Currently enrolled in a university pursuing an Associate's or Bachelor's degree in area of accountability. May also be a recent graduate from an Associate's or Bachelor's degree program.

Primary Location

SITE - 4700 60th St - Grand Rapids

Department Name

Intern Program

Employment Type

Part time

Shift

Weekly Scheduled Hours

20

Hours of Work

variable days

Days Worked

variable

Weekend Frequency

N/A

Spectrum Health requires all team members to receive the COVID-19 vaccinations subject to certain exclusions based on the team member's job category. Spectrum Health is committed to granting reasonable accommodations in accordance with applicable laws.

Accommodation Notice: If you are a qualified individual with a disability, you may request a reasonable accommodation in Spectrum Health's application process. Contact us at 616-486-SHHR (7447).

Spectrum Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, sexual orientation, veteran status, or any other legally protected

category. See more here.

Strategic Marketing Advisor (Flex-Virtual)

Spectrum Health
Remote or Grand Rapids, MI
The strategic marketing partner will serve as a marketing business consultant to Medicaid business leaders, business development teams and other leaders across Priority Health. This role will provide expertise on all aspects of market development with a sharp focus on providing an audience-driven, go-to market plan working alongside partners both within marketing and other departments/service lines to drive transformation, helping to guide marketing investments to be more strategic and results oriented. The strategic marketing partner takes a data-driven approach to decision-making, using market data, environmental/industry insights and consumer segmentation information to build upon a strong foundation of marketing and communications knowledge.

The strategic marketing partner also researches and identifies the latest and most successful marketing tools and trends across multiple industries, and then evaluates and shapes those for use at Spectrum Health. Thinking outside the box, moving beyond the status quo and a strong desire to continuously learn about modern marketing is essential. This professional is dedicated to the acquisition and engagement of target audiences, building relationships by identifying audience needs and wants with Spectrum Health high value services/value prop. This role is responsible for ensuring a strong connection between strategic growth initiatives and marketing activities across the organization.
Essential Functions

* Establish and manage acquisitional marketing plan for Medicaid/DSNP acquisition, including targeting, messaging and channels

* End-to-end accountability for delivering on growth

* Accountable for integrating business strategies for a cohesive go-to market plan based on division/service line objectives in alignment with the Priority Health brand.

* Accountable for integrating business relationships with department/dyad leaders and projecting a sense of shared ownership for marketing efforts. Ability to bring a Point of View (POV) to service line discussions around current marketing trends and approaches and facilitate high-level workshops to develop marketing strategies and innovative tactics to create business value.

* Leads cross-functional project teams to produce work that achieves set metrics per campaign. Holds team members accountable for their project deliverables.

* Brings collected market and consumer data and insights to assist in the decision-making process related to marketing initiatives. Consumes research from various internal & external resources in order to achieve this.

* Responsible for reporting marketing results on a periodic basis to leadership throughout the system. Requires solid understanding of what constitutes return-on-investment for a given strategy. Responsible for tracking budgets & expenditures related to agreed-upon marketing tactics for assigned business lines.

* Develop and maintain collaborative, transparent relationships on behalf of the department, working with leaders and colleagues in and outside of the department to problem-solve and address barriers together.

* Make decisions and advance work independently. Challenge thinking and encourage creative problem solving. Enhance teamwork. Ensure deadlines are met with the ability to escalate overlaps and misalignments, as well as synergies and opportunities in all project work.

* Engage in continuous industry/technical study, including best practices, to maintain professional competence, knowledge and skills necessary as an influencer within the department, organization and among professional peers.

Qualifications

* Required Bachelor's Degree

* Preferred Master's Degree

* 10 years of relevant experience Required

* 15 years of relevant experience Preferred

Primary Location

SITE - Priority Health - 1241 E Beltline - Grand Rapids

Department Name

PH - Total Health Sales And Marketing

Employment Type

Full time

Shift

Weekly Scheduled Hours

40

Hours of Work

8 a.m. to 5 p.m.

Days Worked

Monday to Friday

Weekend Frequency

N/A

Spectrum Health requires all team members to receive the COVID-19 vaccinations subject to certain exclusions based on the team member's job category. Spectrum Health is committed to granting reasonable accommodations in accordance with applicable laws.

Accommodation Notice: If you are a qualified individual with a disability, you may request a reasonable accommodation in Spectrum Health's application process. Contact us at 616-486-SHHR (7447).

Spectrum Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, sexual orientation, veteran status, or any other legally protected

category. See more here.

Customer Service Representative Associate, Virtual Flex Work from Home, Transfer Center, Full Time, 11 a.m. to 11:30 p.m.

Spectrum Health
Remote or Kentwood, MI
Inbound call center to assist and educate members, employer groups, providers, colleagues, and/or agents of health plan benefits with accessing services, facilitating and resolving problems, understanding claims, billing and coding, along with other questions. Consistently create an exceptional experience with each contact, via inbound and outbound calls, face-to-face interactions, online chat, email, etc.
Essential Functions

* Analyzes, evaluates, resolves and responds to service inquires from members, providers, employer groups, colleagues, agents, Elite agents (customers), and others within departmental guidelines. Professional and pleasant interactions are ongoing expectations.
* Partnering with internal and external resources, promptly provides customers with information and education concerning benefit clarification, eligibility requirements, verification, authorization, billing and claim status.
* Promptly identifies and resolves or escalates customer concerns or complaints to achieve positive outcomes. Places outbound welcome calls to members to educate them on their benefits as needed. Assists walk-in members and agents if assigned by leadership.
* Adheres to established procedure and quality guidelines in support of Priority Health service promise, key drivers, performance indicators, as well as Corporate values and codes of excellence. Identifies potential trends or issues that impact health plan members and works with coworkers and leadership resources to suggest process improvements.
* Assists members with administrative issues, such as submitting enrollment record changes, providing letter explaining coverage or benefits, and obtaining and relaying certain member information to other departments as needed.
* Facilitates claims resolution through follow-up on member calls and correspondence received to appropriate departments.
* Effectively tracks and/or documents all service interactions with customers within appropriate systems according to guidelines.
* Develops and maintains behaviors of productivity, availability to customers, and adherence to work schedule.

Qualifications

* Required High School Diploma or equivalent
* Preferred Associate's Degree
* 1 year of relevant experience in related field Required

Primary Location

SITE - Kentwood Medical Office Building - 4600 Breton Rd - Kentwood

Department Name

Transfer Center

Employment Type

Full time

Shift

Evening (United States of America)

Weekly Scheduled Hours

36

Hours of Work

11 a.m. to 11:30 p.m.

Days Worked

Variable, Monday to Friday

Weekend Frequency

Every other weekend

Spectrum Health requires all team members to receive the COVID-19 vaccinations subject to certain exclusions based on the team member's job category. Spectrum Health is committed to granting reasonable accommodations in accordance with applicable laws.

Accommodation Notice: If you are a qualified individual with a disability, you may request a reasonable accommodation in Spectrum Health's application process. Contact us at 616-486-SHHR (7447).

Spectrum Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, sexual orientation, veteran status, or any other legally protected

category. See more here.

Patient Access Representative Associate, Virtual Flex Work From Home, Contact Center, Full Time

Spectrum Health
Remote or Kentwood, MI
Assist and educate patients, providers, medical office staff, and/or Health system staff with accessing services, facilitating and resolving problems, understanding navigation questions. Consistently create an exceptional experience with each contact, via inbound and outbound calls, online chat, email, etc. Adheres to established procedure and quality guidelines in support of Patient Access Services Center performance indicators, as well as Corporate values and codes of excellence.
Essential Functions

* Analyzes, evaluates, resolves and responds to service inquires from members, providers, employer groups, colleagues, agents, Elite agents (customers), and others within departmental guidelines. Professional and pleasant interactions are ongoing expectations.
* Partnering with internal and external resources, promptly provides customers with information and education concerning benefit clarification, eligibility requirements, verification, authorization, billing and claim status.
* Promptly identifies and resolves or escalates customer concerns or complaints to achieve positive outcomes. Places outbound welcome calls to members to educate them on their benefits as needed. Assists walk-in members and agents if assigned by leadership.
* Adheres to established procedure and quality guidelines in support of Priority Health service promise, key drivers, performance indicators, as well as Corporate values and codes of excellence. Identifies potential trends or issues that impact health plan members and works with coworkers and leadership resources to suggest process improvements.
* Assists customers with administrative issues, such as submitting enrollment record changes, providing letter explaining coverage or benefits, and obtaining and relaying certain member information to other departments as needed.
* Facilitates claims resolution through follow-up on member calls and correspondence received to appropriate departments.
* Effectively tracks and/or documents all service interactions with customers within appropriate systems according to guidelines.
* Develops and maintains behaviors of productivity, availability to customers, and adherence to work schedule.

Qualifications

* Required High School Diploma or equivalent
* Preferred Associate's Degree
* 1 year of relevant experience in related field Required

Primary Location

SITE - Kentwood Medical Office Building - 4600 Breton Rd - Kentwood

Department Name

COVID-19 Contact Center

Employment Type

Full time

Shift

Day (United States of America)

Weekly Scheduled Hours

40

Hours of Work

variable, 8 a.m. to 6 p.m.

Days Worked

variable, Monday to Friday

Weekend Frequency

Every other weekend

Spectrum Health requires all team members to receive the COVID-19 vaccinations subject to certain exclusions based on the team member's job category. Spectrum Health is committed to granting reasonable accommodations in accordance with applicable laws.

Accommodation Notice: If you are a qualified individual with a disability, you may request a reasonable accommodation in Spectrum Health's application process. Contact us at 616-486-SHHR (7447).

Spectrum Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, sexual orientation, veteran status, or any other legally protected

category. See more here.

Strategic Marketing Advisor (Flex-Virtual)

Spectrum Health
Remote or Southfield, MI
The strategic marketing partner will serve as a marketing business consultant to Medicaid business leaders, business development teams and other leaders across Priority Health. This role will provide expertise on all aspects of market development with a sharp focus on providing an audience-driven, go-to market plan working alongside partners both within marketing and other departments/service lines to drive transformation, helping to guide marketing investments to be more strategic and results oriented. The strategic marketing partner takes a data-driven approach to decision-making, using market data, environmental/industry insights and consumer segmentation information to build upon a strong foundation of marketing and communications knowledge.

The strategic marketing partner also researches and identifies the latest and most successful marketing tools and trends across multiple industries, and then evaluates and shapes those for use at Spectrum Health. Thinking outside the box, moving beyond the status quo and a strong desire to continuously learn about modern marketing is essential. This professional is dedicated to the acquisition and engagement of target audiences, building relationships by identifying audience needs and wants with Spectrum Health high value services/value prop. This role is responsible for ensuring a strong connection between strategic growth initiatives and marketing activities across the organization.
Essential Functions

* Establish and manage acquisitional marketing plan for Medicaid/DSNP acquisition, including targeting, messaging and channels

* End-to-end accountability for delivering on growth

* Accountable for integrating business strategies for a cohesive go-to market plan based on division/service line objectives in alignment with the Priority Health brand.

* Accountable for integrating business relationships with department/dyad leaders and projecting a sense of shared ownership for marketing efforts. Ability to bring a Point of View (POV) to service line discussions around current marketing trends and approaches and facilitate high-level workshops to develop marketing strategies and innovative tactics to create business value.

* Leads cross-functional project teams to produce work that achieves set metrics per campaign. Holds team members accountable for their project deliverables.

* Brings collected market and consumer data and insights to assist in the decision-making process related to marketing initiatives. Consumes research from various internal & external resources in order to achieve this.

* Responsible for reporting marketing results on a periodic basis to leadership throughout the system. Requires solid understanding of what constitutes return-on-investment for a given strategy. Responsible for tracking budgets & expenditures related to agreed-upon marketing tactics for assigned business lines.

* Develop and maintain collaborative, transparent relationships on behalf of the department, working with leaders and colleagues in and outside of the department to problem-solve and address barriers together.

* Make decisions and advance work independently. Challenge thinking and encourage creative problem solving. Enhance teamwork. Ensure deadlines are met with the ability to escalate overlaps and misalignments, as well as synergies and opportunities in all project work.

* Engage in continuous industry/technical study, including best practices, to maintain professional competence, knowledge and skills necessary as an influencer within the department, organization and among professional peers.

Qualifications

* Required Bachelor's Degree

* Preferred Master's Degree

* 10 years of relevant experience Required

* 15 years of relevant experience Preferred

Primary Location

SITE - Priority Health - 1241 E Beltline - Grand Rapids

Department Name

PH - Total Health Sales And Marketing

Employment Type

Full time

Shift

Weekly Scheduled Hours

40

Hours of Work

8 a.m. to 5 p.m.

Days Worked

Monday to Friday

Weekend Frequency

N/A

Spectrum Health requires all team members to receive the COVID-19 vaccinations subject to certain exclusions based on the team member's job category. Spectrum Health is committed to granting reasonable accommodations in accordance with applicable laws.

Accommodation Notice: If you are a qualified individual with a disability, you may request a reasonable accommodation in Spectrum Health's application process. Contact us at 616-486-SHHR (7447).

Spectrum Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, sexual orientation, veteran status, or any other legally protected

category. See more here.

Remote Pharmacy Specialist Medicaid Operations Priority Health

Spectrum Health
Remote or Grand Rapids, MI
Assists in developing and maintaining of the pharmacy operations systems. Direct interaction with Pharmacy Benefit Manager and other pharmacy vendors to ensure all systems and pharmacy benefits are administered accurately. Assist external and internal customers with pharmacy benefit and administration questions and issue resolution. Ensures governmental compliance by monitoring and auditing various vendors and processes.
Essential Functions

* Monitors extract exchanges with vendors and escalates concerns.

* Implements, audits and validates drug formulary changes and processes submissions to regulatory bodies. Coordinates member communication with Marketing.

* Reporting and analyzing utilization management data to ensure accuracy and compliance

* Participates and reports on behalf of the company in a variety of audits from governing bodies. Oversees vendors and internal processes to ensure compliance.

* Works collaboratively with operations and clinical teams to identify opportunities for improvement and develop/implement strategies for improvement.

* Communicates effectively with internal and external customers, avoiding jargon to ensure understanding

* Participates in projects to represent Pharmacy Operations

Qualifications

* Bachelor's Degree or equivalent preferred

* 2 years of relevant experience related experience required

Primary Location

SITE - Priority Health - 1231 E Beltline - Grand Rapids

Department Name

PH - Pharmacy Operations

Employment Type

Full time

Shift

Day (United States of America)

Weekly Scheduled Hours

40

Hours of Work

8 a.m. to 5 p.m.

Days Worked

Monday to Friday

Weekend Frequency

N/A

Spectrum Health requires all team members to receive the COVID-19 vaccinations subject to certain exclusions based on the team member's job category. Spectrum Health is committed to granting reasonable accommodations in accordance with applicable laws.

Accommodation Notice: If you are a qualified individual with a disability, you may request a reasonable accommodation in Spectrum Health's application process. Contact us at 616-486-SHHR (7447).

Spectrum Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, sexual orientation, veteran status, or any other legally protected

category. See more here.

Software Developer, Internship

Spectrum Health
Remote or Grand Rapids, MI
This is a full-time virtual 14 week summer internship.
Essential Functions

This is an opportunity to work closely with our high performing, empowered, agile development teams, UI/UX designers, clinical business stakeholders, and the marketing team to deliver patient and consumer centric solutions. Our teams utilize the SAFe Agile Framework to identify and prioritize work. A mentor will be paired with you to provide support and knowledge sharing throughout the internship. Since the team is fully remote, the position will be a remote worker as well. Virtually, we connect with daily standup meetings, leverage pair programming, and incorporate other development techniques to deliver on commitments.

* The team utilizes an array of technologies to deliver value such as:
* C# (.NET Core), Python, JavaScript, TypeScript, HTML, CSS

* JavaScript based frameworks such as React

* Databases: AWS Kendra, SQL Server, AWS Aurora, MySQL, Oracle,

* Cloud based development and engineering (AWS, Azure)

* CI/CD pipelines

* Content Management Systems

* Git / Source Code Management systems (Bitbucket)

* Jira

* Design, develop, and test new features by leveraging best-practice software development processes, architectures and technologies

* Work in an Agile environment, in alignment with the SAFe Framework, or have familiarity with Agile-based work environments (Scrum, Kanban, XP, etc.)

* Strong analytical and problem-solving skills

* Commitment to quality in delivering solutions and testing as necessary

* Maintain clear and appropriate documentation

* May analyzes department processes and other Spectrum Health systems encountered and make recommendations and improvements, as appropriate

* Participates in quality monitoring activities/process improvement activities.

* Communicates, collaborates, and acts as a team player to contribute to self-managing teams

* Be a self-starter and possess a strong sense of self-motivation and curiosity

* Portfolio: We invite you to please share any personal or academic project(s) you're proud of!

Qualifications

* Required High School Diploma or equivalent

* Currently enrolled in a university pursuing an Associate's or Bachelor's degree in area of accountability. May also be a recent graduate from an Associate's or Bachelor's degree program.

Primary Location

SITE - 25 Ottawa Ave SW - Grand Rapids

Department Name

Intern Program

Employment Type

Full time

Shift

Weekly Scheduled Hours

40

Hours of Work

8AM - 5PM

Days Worked

Mon - Fri

Weekend Frequency

N/A

Spectrum Health requires all team members to receive the COVID-19 vaccinations subject to certain exclusions based on the team member's job category. Spectrum Health is committed to granting reasonable accommodations in accordance with applicable laws.

Accommodation Notice: If you are a qualified individual with a disability, you may request a reasonable accommodation in Spectrum Health's application process. Contact us at 616-486-SHHR (7447).

Spectrum Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, sexual orientation, veteran status, or any other legally protected

category. See more here.

Associate Coder, Remote, Full Time

Spectrum Health
Remote or Grand Rapids, MI

Senior Underwriter (Virtual)

Spectrum Health
Remote or Grand Rapids, MI

Strategic Marketing Advisor (Flex-Virtual)

Spectrum Health
Remote or Grand Rapids, MI

Registered Nurse (RN), Phone Triage Contact Center, Full Time, Virtual - Michigan Only, 8 a.m. to 4:30 p.m.

Spectrum Health
Remote or Kentwood, MI

Registered Nurse (RN), Phone Triage Contact Center, Full Time, Virtual - Michigan Only, 11 p.m. to 7:30 a.m.

Spectrum Health
Remote or Kentwood, MI

Patient Services Representative, Virtual Flex, Full Time, Day Shift, Neurosciences

Spectrum Health
Remote or Grand Rapids, MI

Jobs From Similar Companies

Jobs from similar companies you might want to view.