Soleo Health is seeking a Clearance Specialist to support our Specialty Infusion Pharmacy and work Remotely (USA). Join us in Simplifying Complex Care! Acute home infusion experience required, and must be able to work 8:30a-5p Mountain Time. Soleo Health Perks:
Competitive Wages
401(k) with a Match
Referral Bonus
Paid Time Off
Great Company Culture
Annual Merit Based Increases
No Weekends or Holidays
Paid Parental Leave Options
Affordable Medical, Dental, & Vision Insurance Plans
Company Paid Disability & Basic Life Insurance
HSA & FSA (including dependent care) Options
Education Assistance Program
This Position:
The Clearance Specialist is responsible for processing new referrals including but not limited to verifying patient eligibility, test claim adjudication, coordination of benefits, and identifying patient estimated out of pocket costs. They will also be responsible for preparation, submission, and follow up of payer authorization requests. Responsibilities include:
Perform benefit verification of all patient insurance plans including documenting coverage of medications, administration supplies, and related infusion services
Responsible to document all information related to coinsurance, copay, deductibles, authorization requirements, etc
Calculate estimated patient financial responsibility based off benefit verification and payer contracts and/or company self-pay pricing
Initiate, follow-up, and secure prior authorization, pre-determination, or medical review including
Reviewing and obtaining clinical documents for submission purposes
Communicate with patients, referral sources, other departments, and any other external and internal customers regarding status of referral, coverage and/or other updates as needed
Refer or assist with enrollment any patients who express financial necessity to manufacturer copay assistance programs and/or foundations
Generate new patient start of care paperwork
Schedule:
Must be able to work Full time, 40 hours per week, from 8:30a-5pm Mountain Time
Weekend On-call once monthly
Must have experience with Acute Infusion for Prior authorization/Benefits Verification
Requirements
High school diploma or equivalent
At least 2 years of home infusion specialty pharmacy and/or medical intake/reimbursement experience preferred
Working knowledge of Medicare, Medicaid, and managed care reimbursement guidelines including ability to interpret payor contract fee schedules based on NDC and HCPCS units
Strong ability to multi-task and support numerous referrals/priorities while ensuring productivity expectations and quality are met
Ability to work in a fast-paced environment
Knowledge of HIPAA regulations
Basic level skill in Microsoft Excel & Word
Knowledge of CPR+ preferred
About Us: Soleo Health is an innovative national provider of complex specialty pharmacy and infusion services, administered in the home or at alternate sites of care. Our goal is to attract and retain the best and brightest as our employees are our greatest asset. Experience the Soleo Health Difference!
Soleo's Core Values:
Improve patients' lives every day
Be passionate in everything you do
Encourage unlimited ideas and creative thinking
Make decisions as if you own the company
Do the right thing
Have fun!
Soleo Health is committed to diversity, equity, and inclusion. We recognize that establishing and maintaining a diverse, equitable, and inclusive workplace is the foundation of business success and innovation. We are dedicated to hiring diverse talent and to ensuring that everyone is treated with respect and provided an equal opportunity to thrive. Our commitment to these values is evidenced by our diverse executive team, policies, and workplace culture.
Soleo Health is an Equal Opportunity Employer, celebrating diversity and committed to creating an inclusive environment for all employees. Soleo Health does not discriminate in employment on the basis of race, color, religion, sex, pregnancy, gender identity, national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an organization, parental status, military service or other non-merit factor.
Keywords: Prior Auth, Insurance, Referrals, Home Infusion Prior Authorization, Home Infusion Benefits verification, Insurance Verification Specialist, Specialty Infusion Benefits Verification, Now Hiring, Hiring Now, Hiring Immediately, Immediately Hiring
Salary Description
$23.00-$27.00 per hour
$23-27 hourly 2d ago
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Director, Healthcare Professional Marketing
Immatics 4.3
Texas jobs
J
oin Immatics and shape the future of cancer immunotherapy
; one patient at a time!
Immatics is committed to making a meaningful impact on the lives of patients with cancer. We are the global leader in precision targeting of PRAME, a target expressed in more than 50 cancers. Our cutting-edge science and robust clinical pipeline form the broadest PRAME franchise with the most PRAME indications and modalities, spanning TCR T-cell therapies and TCR bispecifics.
Why Join the Commercial Team?
Drive a Landmark Launch: Bring Immatics' first PRAME-targeted cell therapy, anzu-cel (IMA203), to market for patients with advanced melanoma, and shape commercial success from the ground up.
Build with Purpose: Help establish the US commercial organization focused on advancing the industry's leading PRAME franchise.
Make a Real Impact: Support a team dedicated to making a meaningful impact on the lives of patients with cancer through precision immunotherapies targeting PRAME.
The Director of Healthcare Professional (HCP) Marketing will lead market preparation for Immatics' first PRAME directed cell therapy, anzu-cel (IMA203), in melanoma. This individual contributor role is responsible for building physician awareness, activating key opinion leaders, enabling HLA testing understanding, and preparing the market for full approval in cutaneous melanoma. The Director plays a critical role in Immatics' strategy to win the launch before the launch by ensuring physicians understand the therapy, identify appropriate patients, and refer them at the right time.
FLSA Classification: Salary, Exempt
Schedule: 8:00 AM - 5:00 PM; Monday to Friday
Reports to: Vice President, Marketing
Location: Fully Remote
What You'll Do:
As a Director of Healthcare Professional Marketing, you will play a key role in supporting our marketing team:
Collaborate on end-to-end HCP core marketing strategy and own tactical execution for anzu-cel (IMA203)
Define and execute prelaunch HCP marketing strategy to support the successful launch of anzu-cel
Design and execute unbranded HLA testing awareness campaigns
Develop HCP marketing materials in partnership with PRC and creative agencies
Build KOLs relationship, lead ad boards, and ensure alignment
Translate clinical trial data and scientific insights into HCP education and promotional materials
Own congress strategy including booth design, messaging, and onsite presence
Plan and execute digital media and non-personal promotion programs to expand reach into the community setting
Partner with analytics and sales leadership to support account specific strategies and future field readiness
Lead launch planning activities including positioning, sequencing, and execution readiness
Define and track KPIs to guide optimization and investment decisions
Manage agency partners, timelines, and budgets with disciplined prioritization
Proactively identify risks, gaps, and opportunities and act with urgency
Present confidently to internal and external audiences including senior leadership, KOLs, and partners
Secondary Functions:
Educate internal stakeholders unfamiliar with commercialization on marketing strategy and impact
Support the development of a strong commercial and medical affairs culture
Contribute to building scalable marketing and PRC processes
Support commercialization thinking for future PRAME based programs as the pipeline advances
Support additional indications or programs as the portfolio evolves
Required Experience and Education:
Bachelor's degree required
Minimum of 10 years of oncology experience
At least 5 years of pharmaceutical or biotech marketing experience
Direct experience supporting multiple oncology product launches
Strong understanding of HCP marketing, commercialization, and launch fundamentals
Experience working within PRC and legal, medical, regulatory frameworks
Ability to translate clinical and scientific data into effective HCP communications
Ability to work cross functionally and influence without authority
Excellent written, verbal, presentation, and public speaking skills
Preferred Experience and Education:
MBA or advanced degree in marketing, oncology, life sciences, or related field
Experience in cell therapy or advanced oncology modalities
Melanoma experience
Experience supporting both full approval and accelerated approval launches
Experience in early commercial or first product launch environments
Experience with segmentation, targeting, and digital engagement strategies
Demonstrated ability to prioritize ruthlessly and operate effectively in ambiguity
Competencies
Initiative
Problem Solving
Strategic and creative thinking
Strong execution discipline
Medically literate with deep oncology understanding
High ownership and accountability mindset
Data informed decision making
Positive influence and strong collaboration skills
Patient first mindset
Comfort operating in ambiguity with limited resources
Low ego, team-oriented approach
Work Environment:
This is a remote, individual contributor role within a fast paced, startup-oriented biotech environment focused on launching Immatics' first commercial product. The role requires close cross functional collaboration and active participation in internal meetings, scientific conferences, advisory boards, and agency engagements. The Director will help educate the organization on commercialization and marketing while contributing to the long-term commercial foundation for a growing PRAME focused pipeline.
Travel required: Approximately 20% travel, primarily for scientific congresses, advisory boards, internal meetings, and agency collaboration.
Physical demands:
Communicating Verbally - expressing or exchanging ideas by means of the spoken word to impart oral information to others to convey detailed spoken instructions or other workers accurately, loudly or quickly.
Hearing - the ability to hear, understand, and distinguish speech and/or other sounds one-on-one, group or conference, telephone, and other sounds.
Keyboarding - entering data or text into a computer or other machine by means of a keyboard. Devices include a traditional keyboard, 10 key-pad, touch screens and others.
Lifting - raising or lowering an object (up to 25 lbs) from one level to another (includes upward pulling). Carrying is to transport an object - usually by holding it in the hands or arms but may occur on the shoulder.
Near Visual Acuity - clarity of vision at approximately 20 inches or less (working with small objects, reading small print, including the use of computers).
Pushing - Exerting force upon an object so that the object moves away from the object.
Pulling - Exerting force upon an object so that the object moves toward the force.
Sitting - remaining in a sitting position for at least 50% of the time.
Standing/Walking - remain on one's feet in an upright position at a workstation.
Stooping - occasional bending the body downward and forward by bending the spine at the waist - requiring full use of the lower extremities and back muscles.
Additional Eligibility Requirements:
Willingness to travel up to 20 percent as required.
Ability to comply with all company policies and procedures.
Ability to work flexible hours as needed to support business objectives and partner with colleagues in Germany which may require early morning meetings.
Work authorization/security clearance requirements:
Legal eligibility to work in the United States is required. Immatics participates in E-Verify and all new employees will be subject to the Department of Homeland Security requirements for employment
Affirmative Action/EEO statement:
Immatics is an equal opportunity employer. All employment decisions including the decision to hire, promote, discipline, or discharge, will be based on merit, competence, performance, and business needs.
What do we offer?
At Immatics, we believe in investing in our team's health, safety and well-being. Here's what you can expect if you join Immatics
Comprehensive Benefits:
Competitive rates for Health, Dental, and Vision Insurance
4 weeks of Paid Time off, granted up front each year and prorated for first and last year of employment.
Sick Time Off - 56 hours
12 Paid Holidays
100% Employer-Paid Life Insurance up to at 1x annual salary
100% Employer Paid Short- and Long-Term Disability Coverage
401(k) with Immediate Eligibility & company match…
You are eligible for 401(k) plan participation as of your first paycheck.
The company will match 100% of your contributions up to 3% of your base salary for the first two years of employment, 4% for years 2-3 of employment, and up to 5% of your salary from the fourth year onward of continued employment.
Partially paid Parental Leave for eligible employees. (3 weeks)
Additional voluntary employee paid coverages including Accident, Hospital Indemnity, and Critical Illness Employee Paid Identity Theft Protection and Pet Insurance.
Professional Growth:
Opportunities to work with leading experts in the field of T-cell immunotherapy.
Company provided learning and development opportunities
Fast paced, high demand, collaborative and dynamic environment.
$67k-103k yearly est. Auto-Apply 6d ago
Locum to Perm - Associate Medical Director - Family Medicine Dallas, TX
Viemed Healthcare Staffing 3.8
Dallas, TX jobs
Job Title: Associate Medical Director - Family Medicine (Locum to Perm Transition) Parkland Community Health Plan (PCHP) seeks a highly qualified, Board-Certified Family Medicine Physician to serve as an Associate Medical Director. This role offers an initial 13-week locum assignment with the potential to transition into a permanent position, providing an excellent opportunity for career growth within a respected managed care organization. The role includes clinical oversight, strategic leadership, and collaboration with multidisciplinary teams to deliver high-quality, patient-centered care.
Key Responsibilities:
Provide clinical review and oversight for prior authorization, claims adjudication, and appeals, assessing medical necessity with a focus on optimal utilization management.
Conduct peer-to-peer reviews to support utilization management processes.
Offer clinical leadership in utilization, disease, and quality management activities, ensuring adherence to evidence-based standards and policies established by senior leadership.
Analyze provider performance data, review provider applications and credentials, and participate in the review of providers failing to meet performance standards.
Collaborate with Pharmacy and other clinical teams to oversee medication management, coordinate care for complex cases, and optimize pharmacy benefits.
Support the development, implementation, and monitoring of policies, procedures, and clinical guidelines to ensure compliant and effective clinical practices.
Participate in organizational initiatives aimed at quality improvement, health promotion, and member/provider education.
Represent PCHP on external clinical activities with state agencies, regulatory bodies, and professional organizations, ensuring compliance with relevant regulations.
Lead or participate in clinical committees, workgroups, and community engagement activities to foster continuous improvement.
Assist in clinical process reviews, workflow optimization, and implementing improvements to enhance operational efficiency.
Maintain current knowledge of healthcare regulations, reimbursement policies, and industry trends to ensure organizational compliance and innovation.
Supervise, mentor, and evaluate clinical staff, promoting a collaborative, educational environment.
Develop departmental budgets aligned with organizational goals and ensure resource allocation supports strategic initiatives.
Qualifications:
Board Certification: Family Medicine (must be current and maintained without lapses)
Valid medical license with no current restrictions or malpractice issues
Minimum of 5 years of clinical practice experience in Family Medicine
Demonstrated leadership experience in managed care or healthcare organizations
Working knowledge of Texas Medicaid regulations and managed care principles
Familiarity with clinical quality metrics, utilization management, and health policy
Strong interpersonal, communication, and organizational skills
Ability to work independently and handle a dynamic, fast-paced environment
Computer literacy with proficiency in electronic health records and clinical management systems
Commitment to patient-centered care, social determinants of health, and population health principles
Work Environment & Salary Benefits:
Initial fully remote engagement, transitioning to a hybrid in-office/remote model upon permanent employment
Opportunity for professional development through involvement in policy development, quality improvement initiatives, and community outreach
Supportive leadership committed to ongoing education and career growth
Competitive compensation package aligned with experience and certifications
Engaged, multidisciplinary team environment focused on innovative care delivery
Additional Requirements:
Must be available for a 13-week locum assignment with a strong likelihood of transitioning to permanent employment
Commitment to maintaining professional licensure, board certification, and current malpractice insurance
Demonstrated ability to collaborate across diverse teams and with external agencies
Join Parkland Community Health Plan as an Associate Medical Director and contribute to transforming healthcare delivery while advancing your career in a dynamic, mission-driven organization.
$155k-232k yearly est. 23d ago
Medical Administrative Clerk, Senior
Central Health 4.4
Austin, TX jobs
Responsible for being a support person and/or first point of contact for patients, staff, and guests presenting at the clinic, and performing all the administrative tasks associated with patient check in as well as administrative support in the event of clinic closure in a remote capacity.
Responsibilities
DUTIES AND RESPONSIBILITIES:
Primary Accountabilities:
Ability to perform all Medical Administrative Clerk essential duties as prescribed in the MAC job description.
Working with the Administrative Supervisor and Practice Administrator in the support of training medical administrative clerks, including but not limited to completing orientation checklists and MAC competencies.
Responsible for opening front office and all duties associated with this function.
Responsible for end of day processing and documentation, including preparation and completion of deposit(s).
Participate in investigating/researching complex patient issues, scheduling, and potential billing issues.
Act as a subject matter expert in insurance regarding eligibility and coverage.
Monitoring telephone activities with respect to volume and efficiencies, may serve as additional support when needed.
Monitoring patient registration workflow volumes and provide additional support to alleviate bottlenecks and maintain efficient front-end processing.
May serve as a back-up support for the administrative supervisor, as needed.
Accurately document and communicate and/or escalate patient concerns to site leadership
Works as primary or secondary contact for all vendors and contracted services at site including but not limited to housekeeping, laboratory, and security services.
Utilizes various software systems pertaining to front-end desk and administrative duties
Works as primary or secondary point of contact for IT services as SPOC; reconciliation of IT equipment and inventory
Works as primary or secondary contact for supply order management and site equipment management and facility management
Ability to analyze team member data/metrics and discuss professional development for team members with Administrative Supervisor.
Support, organize and execute events, meetings, team building activities in collaboration with the Administrative Supervisor and/or Practice Administrator.
Ability to work remotely supporting the healthcare team with administrative duties in the event of site closure, i.e., a weather event or similar issue that causes the site to close or relocate due to an emergency.
Performs all duties in an ethical manner consistent with the Code of Conduct the IMPACT Statement.
Perform other job‐related duties as assigned.
KNOWLEDGE/SKILLS/ABILITIES:
• Knowledge of
Healthcare office concepts, practices, policies, and procedures
Insurance verification procedures
Microsoft Office Applications (Word, Excel, Outlook)
HIPAA and Joint Commission guidelines and regulations
• Skilled in
Providing exceptional customer service
Verbal and written communications, including telephone and email etiquette and documentation
Working independently in a fast‐paced, multi‐task clinical environment, as well as part of a team
Effective problem-solving techniques
• Ability to
Understand data metrics in Epic EMR system such as work queues, in-basket, and claim work queues.
Work in a self‐directed, organized manner
Multitask while maintaining a strong attention to detail and accuracy
Present information in a consistent, organized, and accurate manner
Demonstrate flexibility and ingenuity in response to change
Develop and maintain effective working relationships across the organization at various levels, as well
as with external customers
Maintain confidentiality
Qualifications
MINIMUM EDUCATION: High School Diploma or Equivalent
MINIMUM EXPERIENCE: At least one year of experience in registration or front office duties in a dental, physician's office, hospital emergency department, and/or urgent care setting.
$24k-31k yearly est. Auto-Apply 16d ago
Patient Education Consultant
Tactile Systems Technology, Inc. 4.1
McKinney, TX jobs
At Tactile Medical, we specialize in developing at-home therapy devices to treat lymphedema, chronic venous insufficiency and respiratory illnesses. The Patient Education Consultant is responsible for conducting demonstrations and trainings with current and potential Tactile Medical patients on our products in their assigned area. This position will build strong rapport with the patient through introduction to our product, discussion of financial options and closing the sale to delivering the patient's training and ensuring the patient is able to use their product as prescribed. Demonstrations are completed in-person with patients at a pre-determined location while trainings may be delivered in-person or via telehealth. Both patient facing interactions require documentation standards which vary based on the patient's insurance as well as Tactile Medical's requirements.
Responsibilities
* Educate the patient and/or caregiver in all aspects of device use, including donning and doffing of garments, use of controller, following prescribed protocol and initiating a therapy session
* Contact patients within service levels expectations to schedule and complete trainings and demonstrations
* Responsible for direct sales to patients which includes providing a clear and thorough explanation of the patient's financial responsibility for the product, insurance coverage and finalizing the sale
* Provide clear verbal instruction while conducting the demonstration or training with patients and caregivers; modifying the interaction to their specific situation to ensure the training/demonstration approach meets the patient's individual needs (utilize adaptive technique when needed)
* Manage and respond appropriately to any patient feedback or objection, both positive and negative, regarding the product, their financial responsibility and required paperwork
* Ensure appropriate preparation for all trainings and demonstrations including finalizing and confirming appointment details with the patient, ensuring that you have all equipment, supplies, documentation, and accessories necessary to effectively complete the training or demonstration
* Review, complete and submit required paperwork with patient and answer questions
* Work collaboratively with territory partners to facilitate completing of orders, which may include but not limited to collection of a signature on a prescription or other documents required for insurance requirements
* Identify, escalate, and communicate problems, questions, or additional patient support needs to appropriate department for follow up
* Effectively use translation tools for patients where English is not their first language
* Meet or exceed established performance expectations
* Maintain compliance with all appropriate regulatory requirements including HIPAA
* Travel up to 80% within assigned territory
* Other duties as assigned
Qualifications
Education & Experience
Required:
* Bachelor's Degree or equivalent work experience
* 2+ years of experience in a patient facing, education/training and/or highly advanced customer service role
Preferred:
* Health related certification
* Medical device or healthcare industry experience
Knowledge & Skills
* Ability to lift 20 pounds on a regular basis
* Ability to work remotely and travel to patients in a home, clinic or virtual environment
* Able to provide clear written and verbal communication to patients, caregivers, field staff and internal teams
* Strong interpersonal communication skills including the ability to empathize with patients and caregivers
* Strong critical thinking and decision-making skills in healthcare related situations
* High degree of confidence and professionalism interacting with people of diverse cultures, ages, and abilities
* Excellent organization and time management skills - proactive and efficient in scheduling and managing multiple appointments
* Able to apply new information received via online learning modules, virtual or in-person interactions to enhance the patient experience
* Skilled in teaching others
* Ability to stay focused and organized to complete assigned tasks
* Technology savvy to efficiently complete paperwork, update records and communicate progress
* Ability to be self-directed and work independently to overachieve results
Below is the starting salary or hourly range for this position, although offers may differ based on the candidate's location, job-specific knowledge, skills and experience.
US Pay Range
$23.89-$31.35 USD
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$23.9-31.4 hourly Auto-Apply 15d ago
Technical Account Manager
Cardinal Health 4.4
Austin, TX jobs
Cardinal Health Sonexus Access and Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and remain on the therapy they need for a better quality of life. Our diverse expertise in pharma, payer and hub services allows us to deliver best-in-class solutions-driving brand and patient markers of success. We're continuously integrating advanced and emerging technologies to streamline patient onboarding, qualification and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas, Texas, empowering manufacturers to rethink the reach and impact of their products.
**Job Description**
As the leading provider of comprehensive pharmaceutical commercialization services, Sonexus Health empowers pharmaceutical manufacturers by integrating innovative distribution models with patient access, adherence programs and reimbursement services. Patients start therapy faster and stay compliant longer, while manufacturers own their provider relationships and gain actionable, real-time visibility into how, when and why their products are used.
**Position Summary**
Technical Account Management (TAM) is responsible for playing a key/critical role in realizing business value through the application of project management knowledge, skills, tools, and techniques to meet project objectives. The TAM will also use their rich healthcare domain expertise, along with project management and proactive consulting skills, to solve complex technical challenges for some of the largest pharmaceutical manufacturers in the country. To our clients, this individual will be an expert in combining our technology platform and solutions with their programs to provide maximum benefit to their business and patients.
**Role contribution and responsibilities:**
+ Demonstrates advanced knowledge of Cardinal Health and customer industry, including key competitors, terminology, technology, trends, challenges, reimbursement and government regulation; demonstrates working knowledge of how Cardinal Health technical offerings match with a customers' unique business needs
+ Demonstrates knowledge of the project management initiating, planning, executing, monitoring/controlling, and closing processes.
+ Monitors performance and recommends scope, schedule, cost or resource adjustments
+ Connects short-term demands to long-term implications, in alignment with the supporting business case.
+ Prioritizes multiple tasks while meeting deadlines
+ Communicates project status (health, forecast, issues, risks, etc.) to stakeholders in an open and honest fashion.
+ Effectively balances competing project constraints including but not limited to scope, quality, schedule, funding, budget, resources, and risk, to manage project success.
+ Connects project objectives to broader organizational goals.
+ Provides input to contracts, reviews contracts to ensure completeness of scope and appropriate accountability based on role and/or responsibility.
+ Negotiates with stakeholders to obtain the resources necessary for successful project execution.
+ Partners with stakeholders and technologist to implement/automate/operationalize models into day-to-day business decision making.
+ High level of client contact in an Account Management portfolio approach.
**What is expected of you and others at this level**
+ Applies advanced knowledge and understanding of concepts, principles, and technical capabilities to manage a wide variety of projects
+ Participates in the development of policies and procedures to achieve specific goals
+ Recommends new practices, processes, metrics, or models
+ Works on or may lead complex projects of large scope
+ Projects may have significant and long-term impact
+ Provides solutions which may set precedent
+ Independently determines method for completion of new projects
+ Receives guidance on overall project objectives
+ Acts as a mentor to less experienced colleagues
+ Identifies and qualifies opportunities within service portfolio (including but not limited to technology, program design, services expansion, etc....) with existing client and develops plans for introducing new solutions through collaborative relationships
**Accountabilities in this role**
+ Analyze and recommend technical solutions related to new product launches, product discontinuations, vendor integrations, and operational efficiencies among other potential services
+ Acts as single technical liaison for the client
+ Daily interactions with client to assess and advise client needs and requests
+ Analyze client program, needs and propose solutions and options that provide value to client
+ Recommend technical changes/updates/enhancements to current platform and vendor integration landscape to further align with client's strategy and industry advancements.
+ Manage client deliverables, timelines, and artifacts
+ Monitor team backlog and prioritize activities to deliver on time, on budget, on scope
+ Anticipate client needs and proactively make program recommendations to enhance service value
+ Perform necessary project administration, project status, and risk, issue management
_Qualifications_
+ Master's Degree preferred
+ 3-5 years' experience of client relationship management experience at the account management level preferred
+ Prior experience working in a Specialty Pharmaceutical HUB environment, preferred
+ 8+ years' experience in professional services, healthcare, or related field preferred serving in a technical capacity preferred
+ Proficiency in Microsoft Office products preferred
+ Strong oral and written communication skills, with executive facing presentation experience
+ Strong project management skills
+ Proven ability to learn an application of advanced knowledge and understanding of concepts, principles, and technical capabilities to manage a wide variety of projects
+ Travel requirement up to 10%
TRAINING AND WORK SCHEDULES:
+ Your new hire training will take place 8:00am-5:00pm CST, mandatory attendance is required.
+ This position is full-time (40 hours/week).
+ Employees are required to have flexibility to work any of our shift schedules during our normal business hours of Monday-Friday, 7:00am- 7:00pm CST.
REMOTE DETAILS:
+ You will work remotely, full-time. It will require a dedicated, quiet, private, distraction free environment with access to high-speed internet.
+ We will provide you with the computer, technology and equipment needed to successfully perform your job.
+ You will be responsible for providing high-speed internet.
+ Internet requirements include the following:
+ Maintain a secure, high-speed, broadband internet connection (DSL, Cable, or Fiber) at the remote location. Dial-up, satellite, WIFI, Cellular connections are NOT acceptable.
+ Download speed of 15Mbps (megabyte per second)
+ Upload speed of 5Mbps (megabyte per second)
+ Ping Rate Maximum of 30ms (milliseconds)
+ Hardwired to the router
+ Surge protector with Network Line Protection for CAH issued equipment
**Anticipated salary range:** $105,100-$150,100
**Bonus eligible:** Yes
**Benefits:** Cardinal Health offers a wide variety of benefits and programs to support health and well-being.
+ Medical, dental and vision coverage
+ Paid time off plan
+ Health savings account (HSA)
+ 401k savings plan
+ Access to wages before pay day with my FlexPay
+ Flexible spending accounts (FSAs)
+ Short- and long-term disability coverage
+ Work-Life resources
+ Paid parental leave
+ Healthy lifestyle programs
**Application window anticipated to close:** 03/15/2026 *if interested in opportunity, please submit application as soon as possible. The hourly range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity.
_Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply._
_Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal_ _Opportunity/Affirmative_ _Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law._
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Are you looking for a purpose-driven career? At Metrocare, we serve our neighbors with developmental or mental health challenges by helping them find lives that are meaningful and satisfying.
Metrocare is the largest provider of mental health services in North Texas, serving over 55,000 adults and children annually. For over 50 years, Metrocare has provided a broad array of services to people with mental health challenges and developmental disabilities. In addition to behavioral health care, Metrocare provides primary care centers for adults and children, services for veterans and their families, accessible pharmacies, housing, and supportive social services. Alongside clinical care, researchers and teachers from Metrocare's Altshuler Center for Education & Research are advancing mental health beyond Dallas County while providing critical workforce to the state.
Job Description:
GENERAL DESCRIPTION:
The mission of Metrocare Services is to serve our neighbors with developmental or mental health challenges by helping them find lives that are meaningful and satisfying. We are an agency committed to quality gender-responsive, trauma-informed care to individuals experiencing serious mental illness, development disabilities, and co-occurring disorders. Metrocare programs focus on the issues that matter most in the lives of the children, families, and adults we serve.
The Steven A. Cohen Military Family Clinic at Metrocare is part of the Cohen Veterans Network, a national nonprofit network of clinics designed to strengthen mental health outcomes and complement existing support for veterans and military families. We break down barriers to care for veterans, including those from the National Guard and Reserves, active duty, and their families by providing timely access to high-quality care regardless of discharge status or ability to pay. The Cohen Clinic at Metrocare staff is comprised of a diverse and multidisciplinary team of mental health providers, case managers, outreach staff, and administrative staff. We provide individually tailored, evidence-based treatments to adults, children, adolescents, couples, families, and groups. Sensitive to the specific issues faced by military families, we strongly believe in building trusting, confidential relationships with our clients, and we maintain strong ethical and legal commitments to privacy and confidentiality.
As part of the multidisciplinary treatment team, the Masters Clinician provides direct client care by conducting assessments to clarify diagnosis, creating targeted treatment plans, and providing evidence-based, culturally responsive therapeutic services to veterans, service members, or family members. Clinicians are provided with plentiful opportunities for high-quality clinical training and professional development. A strong candidate will be able to meet individual benchmarks while working collaboratively within our passionate, mission-driven team.
HOURS OF RESPONSIBILITY: 40 hours within clinic hours. Must include Weds for all-staff meetings. To accommodate the schedule of clients served, the schedule for this position may require both day and evening hours. Limited remote work may be possible)
ESSENTIAL DUTIES AND RESPONSIBILITIES:
The essential functions listed here are representative of those that must be met to successfully perform the job.
Provides initial and ongoing assessment and targeted treatment planning for veterans, service members, and their families, to include risk assessment and safety planning.
Provides individual, couples, family, and group psychotherapy to clients, with a focus on delivering evidence-based treatments and using measurement-based care.
Collaborates with the client, their support system, external providers, and the clinic treatment and care coordination teams to provide comprehensive care.
Actively participates in individual and group supervision.
Completes all required documentation within necessary timeframes.
Supports other clinic projects or programs (e.g., training, research, outreach).
May supervise graduate students/interns.
Maintains required productivity levels as outlined in clinic and network policies.
Maintains current knowledge of mental health diagnoses and treatments, as relevant to the clinic and our population.
Exhibit good judgment, professionalism, cultural humility, strong interpersonal skills, a collaborative style, high integrity, and a positive attitude.
Attends relevant meetings and attends/completes relevant training.
Conducts job responsibilities in accordance with the ethical standards of conduct, state contract, appropriate professional standards, and applicable state/federal laws.
Must remain calm and maintain self-control amid difficult circumstances and crises; respond in a professional manner in all situations.
Maintains high standards of privacy in accordance with HIPAA guidelines.
Performs other duties as assigned.
COMPETENCIES:
The competencies listed here are representative of those that must be met to successfully perform the essential functions of this job.
Conducts job responsibilities in accordance with the ethical standards of conduct, state contract, appropriate professional standards and applicable state/federal laws.
Analytical skills, professional acumen, business ethics, thorough understanding of continuous improvement processes, problem solving, respect for confidentiality, and excellent communication skills.
Ability to think analytically to provide appropriate and timely interventions.
Ability to establish positive and productive working relationships; generates trust; openly gives and receives honest, balanced feedback.
Exhibit awareness of and responsiveness to cultural considerations including but not limited to race and ethnicity, gender, sexual orientation, and religion/spirituality.
Ability to communicate clearly, effectively, and appropriately via oral and written means.
Work style is highly organized, detail-oriented, and reliable.
Presents a professional and positive demeanor to referrals/clients, staff, funders, and the public.
Represents the clinic, agency, and network professionally in all situations.
Ability to demonstrate interest, desire, and passion in connecting veterans, active duty, and their families to high-quality evidence-based mental health care.
Handle multiple tasks and special projects simultaneously, including meeting deadlines.
Able to implement and monitor processes within a team.
Appropriately balances the need for supervision with ability to work autonomously based on level of education and experience.
QUALIFICATIONS
EDUCATION, EXPERIENCE, LICENSES, AND CERTIFICATIONS:
Required: Master's degree in mental health field.
Required: Eligible for TRICARE certification
Preferred: Minimum of 1 year experience delivering treatment via multiple modalities (i.e., individual adult, individual child, couples, family, and group treatment)..
Preferred: Training and experience implementing evidence-based treatments.
Preferred Experience using measurement-based care.
Preferred: Experience working with a military or veteran population.
Preferred: Bilingual (Spanish, English) language skills.
DRIVING REQUIRED: Yes
MATHEMATICAL SKILLS:
Basic math skills required.
Ability to work with reports and numbers.
REASONING ABILITY:
Ability to apply common sense understanding to carry out simple one or two-step instructions.
Ability to deal with standardized situations with only occasional or no variables.
Ability to function in a fluid environment and respond appropriately to changing priorities.
Maintains knowledge of professional and ethical codes and use effectively in decision-making.
Exhibits ability to make independent decisions but seeks consultation or supervision as appropriate, based on education and experience.
Thinks analytically, including setting work priorities and creating and evaluating solutions to work-related problems.
Analyzes problems, identifies alternative solutions, projects consequences of proposed actions, and implements recommendations in support of goals.
Interprets and applies all applicable policies, procedures, rules and regulations.
COMPUTER SKILLS:
Use computer, printer, and software programs necessary to the position (i.e., Word, Excel, Outlook, and PowerPoint).
Ability to utilize Internet for resources.
Proficient with navigating and documenting within an electronic health record.
Proficient with virtual therapy platform(s).
Benefits Information and Perks:
Metrocare couldn't have a great employee-first culture without great benefits. That's why we offer a competitive salary, exceptional training, and an outstanding benefits package:
Medical/Dental/Vision
Paid Time Off
Paid Holidays
Employee Assistance Program
Retirement Plan, including employer matching
Health Savings Account, including employer matching
Professional Development allowance up to $2000 per year
Bilingual Stipend - 6% of the base salary
Many other benefits
Equal Employment Opportunity/Affirmative Action Employer
Tobacco-Free Facilities - Metrocare is committed to promoting the health, well-being, and safety of Metrocare team members, guests, and individuals and families we serve while on the facility campuses. Therefore, Metrocare facilities and grounds are tobacco-free.
No Recruitment Agencies Please
$55k-71k yearly est. Auto-Apply 60d+ ago
Access Services Insurance Verification Specialist - Days - Hybrid
Baylor Scott & White Health 4.5
Dallas, TX jobs
The Insurance Verification Specialist 1, under general supervision, provides patients, physicians and internal hospital personnel with insurance benefit information. This position ensures timely verification of insurance benefits and financial clearance which has a direct impact to the organization?s reimbursement from payers for patient accounts that are scheduled and unscheduled.
**ESSENTIAL FUNCTIONS OF THE ROLE**
Performs financial clearance of patient accounts by verifying insurance eligibility and benefits and ensuring all notifications and authorizations are completed within the required timeframe.
Completes appropriate payor forms related to notification and authorization.
Coordinates the submission of clinical documentation from physicians to payers for authorization needs.
Calculates accurate patient financial responsibility.
Communicates timely with Utilization Review, and collaborates effectively with physician and facility staff to ensure financial clearance of the patient?s account prior to scheduled or unscheduled service during the patient?s hosptial stay.
Interprets complex payer coverage information including, but not limited to, network participation status with provider, limited plan coverage and inactive benefits.
Documents systems according to the Insurance Verification guidelines to assure accurate and timely reimbursement.
**KEY SUCCESS FACTORS**
1 year of healthcare or customer service experience preferred.
Must have the ability to consistently meet performance standards of production, accuracy, completeness and quality.
Ability to understand and adhere to payer guidelines by plan and service type.
Requires good listening, interpersonal and communication skills, and professional, pleasant and respectful telephone etiquette.
Ability to maintain a professional demeanor in a highly stressful and emotional environment, behavioral health and/or suffering patients in addition to life or death situations.
Must be able to exhibit a high level of empathy with the ability to effectively communicate with patients and family members during traumatic events, while demonstrating exceptional customer service skills.
Demonstrates ability to manage multiple, changing priorities in an effective and organized manner.
Excellent data entry, numeric, typing and computer navigational skills.
Basic computer skills and Microsoft Office.
**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 - H.S. Diploma/GED Equivalent
- EXPERIENCE - Less than 1 Year 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.
$27k-31k yearly est. 5d ago
Pharmacy Technician
Communitycare Health Centers 4.0
Austin, TX jobs
In collaboration with patients, families (as defined by the patient) and staff across all disciplines and departments is responsible for providing assistance in dispensing prescription medications to patients. Responsibilities
* Provide assistance to the pharmacist in dispensing prescription medications: typing orders, billing orders, performing quality control functions and inventory management, including 340B program management, placement and receiving of medication orders from multiple sources, out-of-date medication management and processing, hazardous waste management, and maintenance of the medication take back kiosk.
* Prepare prescription medications for delivery to patients and perform prescription tracking using pharmacy systems, electronic medical records and collaboration with internal and external pharmacy teams to ensure timely medication delivery.
* Contact patients to ensure medication delivery and return medications to stock per established pharmacy procedures.
* Enter prescription and patient information into pharmacy database and determine patient eligibility for pharmacy benefits, including but not limited to interim coverage programs, copay assistance programs, charity care (MAP/Basic), ADAP Program, Ryan White, patient assistance programs, 340B eligibility including referral management, grants management and pharmacy pilot programs.
* Coordinate with Enterprise Pharmacy Benefits and Patient Assistance Program teams to ensure patient coverage and access to medications including facilitating charity program "prior authorization" management and follow-up communication with patients and providers.
* Provide excellent internal and external customer service in-person and electronically, answering questions verbally, in writing, in emails, via secure text messaging, and within the electronic medical record; provide patient and staff navigation of pharmacy services, including referral to other departments such as eligibility or medical, and provide coordination with external pharmacy partners, to ensure patient access to their medications.
* Register Management: Open and close registers, maintaining accurate transaction records.
* Multilingual Patient Support: Identify patient language preferences and connect them with appropriate translators for effective communication.
* Use translation services for prescription typing and clear patient communication. Essential Functions Ensure all tasks provided and associated with patient care, patient administrative processes and related duties comply with all regulatory and accreditation standards including The Joint Commission and organizational Standard Operating Procedures and Policies. Ensure all actions, job performance, personal conduct and communications represent the organization in a highly professional manner at all times and develop and maintain favorable internal relationships and partnerships with patients and coworkers.
* Complete all mandatory training and maintain appropriate credentials/licensure. Perform other duties as assigned, including but not limited to prescription fulfillment and patient communication tasks, per pharmacist direction. Any assigned remote work will be in compliance with Connected Work Program policies and procedures.
Qualifications
EDUCATION:
* High school diploma or equivalent required.
* Associates degree preferred.
EXPERIENCE:
* Demonstrated knowledge of medical/pharmaceutical terms and nomenclature required.
* Demonstrated familiarity with tools, technology, and systems typically found within most health care environments (i.e. personal computer skills, spreadsheets, word processing, patient records systems, EMR systems, etc.) required.
* 3 years experience working in a pharmacy environment preferred.
REQUIRED CERTIFICATIONS/LICENSURE:
* Current Pharmacy Technician registration with Texas State Board of Pharmacy required.
* Current Pharmacy Intern registration with Texas State Board of Pharmacy also accepted.
* Current Health Care Provider Cardiopulmonary Resuscitation (CPR) certification through American Heart Association or American Red Cross required. (Will be required to maintain a current CPR certification during employment)
$30k-37k yearly est. Auto-Apply 10d ago
Healthcare Data Analyst (On-site) - Galveston Patient Experience
UTMB Health 4.4
Galveston, TX jobs
Equal Employment Opportunity
UTMB Health strives to provide equal opportunity employment without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, genetic information, disability, veteran status, or any other basis protected by institutional policy or by federal, state or local laws unless such distinction is required by law. As a Federal Contractor, UTMB Health takes affirmative action to hire and advance protected veterans and individuals with disabilities.
Minimum Qualifications:
Bachelor's degree in informatics, information technology, business, data science, or a related field, and three (3) years of directly-related work experience
Preferred Qualifications:
Master's degree in business administration or related field
Registered Nurse (RN)
Experience in analysis, quality reporting, or decision support in the healthcare industry
Job Summary:
Responsible for developing, preparing, interpreting, and monitoring moderate-to-complex health
process and outcomes data analyses, projections, data modeling, and reports used by the system
management in decision-making. Develops, implements, and monitors reporting and analysis solutions
from multiple databases to ensure efficient processing, up-to-date tools, improved patient experience,
and clinical and operational efficiencies. Serves as an expert resource to provide reporting and analysis
guidance and support. Responsible for weekly, monthly, quarterly, annual, and ad-hoc reports design and
distribution.
Job Duties:
Collaborate with various health system stakeholders to design and develop data models and
reporting solutions for quality, patient safety, patient satisfaction, and health system operations.
Develop and incorporate clinical service line and department patient experience, clinical, quality,
and operational reports, scorecards, and databases utilized to improve clinical and operational
processes.
Work collaboratively with other teams to provide analytical support for periodic quality
reporting to external parties (Press Ganey, CMS, Vizient, Leapfrog, etc.), including data validation,
discrepancy analysis, market referencing, and benchmark establishment.
Responsible for the collection, analysis, and reporting of data from multiple data sources to create
actionable reports and knowledge for peers and leadership. Abstract information for decision
support purposes, including service-line reporting and other duties as may be identified to assist
decision-making.
Provides technical support to other analysts, managers, clinicians, and executives in utilizing
health data. Monitor adherence to data standards, support clients with a broad range of technical
expertise, and provide technical and end-user documentation. Prepare and assist in the
presentation of the strategic process and outcomes metrics.
Assist in developing ETL (Extraction, Transformation, and Loading) processes to acquire and load
data from internal and external sources.
Extract, interpret, analyze, and prepare presentations of such information for senior management
(e.g., patient experience, service line, DRG, and physician profiling).
Assists with data for implementing patient experience and quality improvement processes and
initiatives. Research other qualified outside benchmark data for comparison to internal
benchmarks. Manage and design reports and benchmarking results clearly and concisely, and
process and interpret report data for decision-making effectively and efficiently. Serve as a liaison
Key Responsibilities:
Develop, prepare, interpret, and monitor moderate-to-complex health process and outcomes analyses.
Build projections, data models, and reports to support system-wide decision-making.
Serve as a subject matter expert, offering guidance and support in reporting and analysis.
Design and distribute PX reports on a weekly, monthly, quarterly, annual, and ad-hoc basis.
WORKING ENVIRONMENT/EQUIPMENT
Standard office. Option for remote based in select states.
Standard computing equipment
Patient Experience Data Analyst
UTMB is seeking a Patient Experience Data Analyst to join our Human Experience (HX) and Patient Experience (PX) team. In this role, you will collect, organize, and analyze data from sources such as Press Ganey, CAHPS, and operational databases to provide insights that improve patient care and organizational performance.
Why Join UTMB:
This position offers the opportunity to directly influence patient experience outcomes across the health system. You'll work in a collaborative environment where your expertise in data analysis helps shape strategies that enhance care quality and patient satisfaction.
Salary Range:
Actual salary commensurate with experience or range if discussed and approved by hiring authority.
$69k-93k yearly est. Auto-Apply 35d ago
District Manager
Biote 4.4
Houston, TX jobs
Description Biote Medical is the world leader in hormone optimization and we are adding to our team! We partner with providers to take a complete approach to healthier aging through patient-specific bioidentical hormone replacement therapy and the only nutraceutical line created specifically to support hormone health.This position will help support our Houston territory. We're looking for someone with a passion for changing healthcare who wants to be in a hands-on and engaged position working within a dynamic and collaborative sales team.You must be located in the Houston area to be considered.Position and Scope:We are looking for a driven candidate with the desire to recruit qualified physicians and practitioners into a partnership relationship with Biote; in order to provide cutting edge technology for bioidentical hormone replacement therapy (BHRT) and healthy aging options to their own patients and to the public at large. The ideal candidate is responsible for relationship development, practice development and sales of the Biote Method to practitioners. Sales activity includes prospecting, cold calling, practice development, tradeshows, sales events, and other methods for creating leads and closing sales for Biote within the approved price matrix. In addition, the Liaison provides technical, educational, and Provider Partner support. This is a field-based remote position.As a District Manager, your daily responsibilities will include:
Acquiring and retaining extensive knowledge of hormone replacement therapy through materials provided by Biote, as well as outside sources.
Effectively conducting physician, staff and patient training in the areas of Biote's business protocols; specifically, marketing, financial, therapy, forms, patient seminars, company online resources and other topics that may change from time to time.
Ability to read and understand medical and scientific studies.
Researching and evaluating physicians in assigned areas based on Biote's criteria for appropriateness and suitability.
Effectively presenting Biote's training and business program to physicians, Nurse Practitioners, Physician Assistants, office managers and office staff.
Recruiting suitable physicians and other practitioners through professional and effective prospecting, appointment setting and presentation skills.
Cultivating and maintaining mutually productive partnerships with practitioners to grow new and current practices and maintain patient retention levels of 60% or better.
Effectively conducting physician, staff and patient training in the areas of Biote's business protocols; specifically, marketing, financial, therapy, forms, patient seminars, company online resources and other topics that may change from time to time.
Securing all required contracts, paperwork and documentation as well as payments and fees as needed for attendees to participate in regular training and certification classes.
Conducting and facilitating patient educational seminars as needed for trained practitioners on a monthly basis.
Contributing to the development of the practice by assisting the Office Manager/Marketing position with email marketing, social media, referral cards and website information cards.
Prospecting for new leads and identifying quality sales prospects from active leads.
Attending marketing and sales events for prospects and current customers.
Working with customers for sales referrals with new prospects.
Updating all relevant sales activities in the Company's CRM system.
Closing sales accurately and effectively each month to meet or exceed targets.
Responding to all emails received from the customer and Biote employees and related vendors in a timely manner.
Performing other related duties as required or requested.
As a District Manager, your background should include:
Bachelor's degree
Strong teamwork, communication (written and oral), client management, and interpersonal skills.
Minimum of 3-5 years of sales experience in a business-to-business model, preferably medical device, diagnostics, and/or biotech.
Strong work ethic and time management skills
Ability to make effective and persuasive communications and technical presentations to physicians, management and/or large groups. Ability to thoroughly understand and communicate the attributes and qualities of Company products using professional selling and closing skills.
Proficient in Microsoft Office suite and customer relationship management software.
Ability to travel in order to do business, approximately 20% of the month.
Scheduled hours are 40 to 50 hours per week Monday through Friday but may be extended as required to execute the tasks assigned.
Valid driver's license issued by the state/province in which the individual resides and a good driving record is required.
Home office capability is required with reliable high-speed internet access
Company Perks:
Medical, Dental & Vision Insurance, Virtual Visits/Telemedicine
Company Paid Life and AD&D Insurance
15 days of Paid Time Off and Company Holidays
401k with a 3% employer contribution
Motus mileage program
Other excellent health and wellness benefits in line with our business
If you're interested in this awesome opportunity, please apply today!
$75k-135k yearly est. Auto-Apply 18h ago
Remote Call Center Supervisor
Work Force 3.8
Houston, TX jobs
Job Description
The Supervisor is responsible for day-to-day leadership with excellent communication skills, supervisory experience, and a drive to bring excellence to their operating environment. Strong candidates will be curious, efficient practitioners who are motivated to succeed in a fast-paced environment and comfortable working both with an agent team and with a Government client.
Remote position, but candidate must reside in the Hampton Roads area
Duties:
• * Participate in efforts to improve overall performance
• Supervise and manage overall contact center operations:
• Workforce Management and schedule management
• Quality assurance
• Performance management
• Reinforce training and coaching contact center agents
• Direct customer support, when needed
• Engage with client and respond to Government requests
• Other duties, as assigned
Requirements
• HS diploma (or equivalent) is required.
• 1-2 years of contact center experience
• 1-2 years of contact center supervisor experience
• Must be able to obtain and maintain government agency suitability requirements as a condition of employment
• A reliable, hard-wired internet connection is required
Additional Information
All your information will be kept confidential according to EEO guidelines.
$32k-43k yearly est. 5d ago
Laboratory Informatics Consultant-Remote supporting territory aligned to US South West
Varian Medical Systems, Inc. 4.4
Texas jobs
Join us in pioneering breakthroughs in healthcare. For everyone. Everywhere. Sustainably. Our inspiring and caring environment forms a global community that celebrates diversity and individuality. We encourage you to step beyond your comfort zone, offering resources and flexibility to foster your professional and personal growth, all while valuing your unique contributions.
Be the Catalyst for Digital Transformation in Healthcare
Imagine shaping the future of laboratory medicine-where data drives decisions, workflows are seamless, and patient care reaches new heights. At Siemens Healthineers, we're not just transforming technology; we're transforming lives. If you're passionate about innovation and want to make a measurable impact on healthcare systems across North America, this is your opportunity.
A Healthier Future Starts with You
We're looking for a Clinical Laboratory Informatics Consultant (IC) to join our team of trusted advisors driving laboratory digital transformation. In this role, you'll bridge operational workflows, digital solutions, and business outcomes-helping laboratories deliver maximum clinical and operational value for better patient care.
Why You'll Love This Role
* Be at the forefront of digital healthcare innovation
* Work with leading laboratories to optimize workflows and improve patient outcomes
* Collaborate with cross-functional teams in a dynamic, global organization
* Enjoy remote flexibility with opportunities to travel and engage directly with customers
Your Impact
As a Clinical Laboratory Informatics Consultant, you will:
* Lead discovery sessions with lab leadership to identify workflow challenges and strategic goals
* Conduct digital maturity assessments and design transformation roadmaps
* Develop future-state workflows and support business cases for ROI and KPI tracking
* Partner with sales teams to articulate value propositions and deliver executive-level presentations
* Ensure successful implementation alignment and change management for digital solutions
What We're Looking For
* Bachelor's degree in Clinical Laboratory Science, Medical Technology, Biomedical Engineering, Healthcare Informatics, or related field
* 3+ years in laboratory operations or clinical informatics
* Strong knowledge of LIS/HIS integration, middleware, and digital health platforms
* Proven ability to analyze and redesign workflows for efficiency and quality
* Exceptional communication and presentation skills for technical and executive audiences
* Ability to travel up to 60% (company car provided)
Preferred:
* Experience with Siemens Atellica Informatics portfolio or similar platforms
* Familiarity with Lab Automation, multi-site workflow optimization, and regulatory compliance
* Certifications in Lean Six Sigma, PMP, Clinical Informatics, or Change Management
Why Siemens Healthineers?
We offer a culture of collaboration and innovation, competitive compensation, comprehensive benefits, and opportunities for professional growth. Join us and help shape the future of healthcare.
Ready to make an impact?
#LI-BH1
Who we are: We are a team of more than 72,000 highly dedicated Healthineers in more than 70 countries. As a leader in medical technology, we constantly push the boundaries to create better outcomes and experiences for patients, no matter where they live or what health issues they are facing. Our portfolio is crucial for clinical decision-making and treatment pathways.
How we work: When you join Siemens Healthineers, you become one in a global team of scientists, clinicians, developers, researchers, professionals, and skilled specialists, who believe in each individual's potential to contribute with diverse ideas. We are from different backgrounds, cultures, religions, political and/or sexual orientations, and work together, to fight the world's most threatening diseases and enable access to care, united by one purpose: to pioneer breakthroughs in healthcare. For everyone. Everywhere. Sustainably.
To find out more about Siemens Healthineers businesses, please visit our company page here.
The base pay range for this position is:
$98,140 - $134,937
Factors which may affect starting pay within this range may include geography/market, skills, education, experience, and other qualifications of the successful candidate.
If this is a commission eligible position the commission eligibility will be in accordance with the terms of the Company's plan. Commissions are based on individual performance and/or company performance.
The Company offers the following benefits for this position, subject to applicable eligibility requirements: medical insurance, dental insurance, vision insurance, 401(k) retirement plan. life insurance, long-term and short-term disability insurance, paid parking/public transportation, paid time off, paid sick and safe time.
Equal Employment Opportunity Statement: Siemens Healthineers is an Equal Opportunity and Affirmative Action Employer encouraging diversity in the workplace. All qualified applicants will receive consideration for employment without regard to their race, color, creed, religion, national origin, citizenship status, ancestry, sex, age, physical or mental disability unrelated to ability, marital status, family responsibilities, pregnancy, genetic information, sexual orientation, gender expression, gender identity, transgender, sex stereotyping, order of protection status, protected veteran or military status, or an unfavorable discharge from military service, and other categories protected by federal, state or local law.
EEO is the Law: Applicants and employees are protected under Federal law from discrimination. To learn more, click here.
Reasonable Accommodations: Siemens Healthineers is committed to equal employment opportunity. As part of this commitment, we will ensure that persons with disabilities are provided reasonable accommodations.
If you require a reasonable accommodation in completing a job application, interviewing, completing any pre-employment testing, or otherwise participating in the employee selection process, please fill out the accommodations form here. If you're unable to complete the form, you can reach out to our HR People Connect People Contact Center for support at *****************************************************. Please note HR People Connect People Contact Center will not have visibility of your application or interview status.
California Privacy Notice: California residents have the right to receive additional notices about their personal information. To learn more, click here.
Export Control: "A successful candidate must be able to work with controlled technology in accordance with US export control law." "It is Siemens Healthineers' policy to comply fully and completely with all United States export control laws and regulations, including those implemented by the Department of Commerce through the Export Administration Regulations (EAR), by the Department of State through the International Traffic in Arms Regulations (ITAR), and by the Treasury Department through the Office of Foreign Assets Control (OFAC) sanctions regulations."
Data Privacy: We care about your data privacy and take compliance with GDPR as well as other data protection legislation seriously. For this reason, we ask you not to send us your CV or resume by email. We ask instead that you create a profile in our talent community where you can upload your CV. Setting up a profile lets us know you are interested in career opportunities with us and makes it easy for us to send you an alert when relevant positions become open. Register here to get started.
Beware of Job Scams: Please beware of potentially fraudulent job postings or suspicious recruiting activity by persons that are currently posing as Siemens Healthineers recruiters/employees. These scammers may attempt to collect your confidential personal or financial information. If you are concerned that an offer of employment with Siemens Healthineers might be a scam or that the recruiter is not legitimate, please verify by searching for the posting on the Siemens Healthineers career site.
To all recruitment agencies: Siemens Healthineers does not accept agency resumes. Please do not forward resumes to our jobs alias, employees, or any other company location. Siemens Healthineers is not responsible for any fees related to unsolicited resumes.
$98.1k-134.9k yearly Auto-Apply 3d ago
Medical Dosimetrist
Intermountain Health 3.9
Austin, TX jobs
The Medical Dosimetrist is a member of the Radiation Oncology team who has knowledge of the overall characteristics and clinical relevance of radiation oncology treatment machines and equipment. They have the education and expertise necessary to generate radiation dose distributions and dose calculations in collaboration with the Medical Physicist and Radiation Oncologist.
**Medical Dosimetrist - Radiation Oncology**
**Location:** Greater Salt Lake City Area (South Market)
**Organization:** Intermountain Health
**Join Our Growing Radiation Oncology Team**
Intermountain Health is expanding its Radiation Oncology services to two new locations in 2026, and we're seeking a **Medical Dosimetrist** to join our dynamic team on-site, hybrid or fully remote. This is an exciting opportunity to work with advanced technology, collaborate with experienced professionals, and help deliver cutting-edge cancer care.
**Why You'll Love This Role**
+ **Innovative Practice:** Participate in advanced treatment techniques including frameless SRS with HyperArc, Lattice SFRT, tattoo-free SGRT setups, cooperative group clinical trials and extensive use of SBRT & hypofractionation.
+ **Collaborative Environment:** Work closely with 5 physicians, 4 physicists, and 3 dosimetrists across four sites in Park City, Provo, American Fork, and Saratoga Springs.
+ **Flexibility & Growth:** Choose an on-site, hybrid, or fully remote schedule while benefiting from well-established workflows that foster efficiency and the chance to help shape new clinical programs.
+ **Lifestyle & Location:** Enjoy Utah's incredible outdoor recreation with world-class skiing, hiking, and national parks
**Technology & Programs**
+ **Treatment Platforms:** Varian TrueBeam systems with RapidArc at all sites
+ **Imaging & Simulation:** VisionRT SGRT, Philips Big Bore CT simulators (3 locations)
+ **Software:** Eclipse v18 TPS with GPU acceleration, Aria R&V, Full Radformation suite (ClearCheck, ClearCalc, RadMonteCarlo, EZFluence, AutoContour)
**Your Role**
As a Medical Dosimetrist, you will:
+ Design and calculate accurate radiation treatment plans for a variety of techniques including IMRT, VMAT, SBRT, and SRS.
+ Collaborate with physicians and physicists to optimize treatment plans for safety and efficacy.
+ Ensure compliance with departmental protocols and regulatory standards.
+ Support implementation of new technologies and treatment techniques.
**Qualifications**
**Minimum:**
+ Graduate of a JRCERT-accredited Medical Dosimetry program or equivalent.
+ Certified Medical Dosimetrist (CMD) or eligible for certification.
**Preferred:**
+ Experience with Eclipse TPS and Aria R&V.
+ Familiarity with advanced techniques such as SRS and SBRT.
**Physical Requirements**
+ Ongoing need for employee to see and read information, labels, assess patient needs, operate monitors, identify equipment and supplies.
+ Frequent interactions with patient care providers, patients, and visitors that require employee to verbally communicate as well as hear and understand spoken information, alarms, needs, and issues quickly and accurately, particularly during emergency situations.
+ Manual dexterity of hands and fingers to manipulate complex and delicate equipment with precision and accuracy. This includes frequent computer use and typing for documenting patient care, accessing needed information, medication preparation, etc.
+ Expected to lift and utilize full range of movement to transfer patients. Will also bend to retrieve, lift, and carry supplies and equipment. Typically includes items of varying weights, up to and including heavy items.
+ Need to walk and assist with transporting/ambulating patients and obtaining and distributing supplies and equipment. This includes pushing/pulling gurneys and portable equipment, including heavy items. Often required to navigate crowded and busy rooms (full of equipment, power cords on the floor, etc.)
+ May be expected to stand in a stationary position for an extended period of time.
+ For roles requiring driving: Expected to drive a vehicle which requires sitting, seeing and reading signs, traffic signals, and other vehicles.
**Location:**
Intermountain Health American Fork Hospital, Intermountain Health Park City Hospital, Intermountain Health Utah Valley Hospital
**Work City:**
Park City
**Work State:**
Utah
**Scheduled Weekly Hours:**
40
The hourly range for this position is listed below. Actual hourly rate dependent upon experience.
$62.44 - $96.34
We care about your well-being - mind, body, and spirit - which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.
Learn more about our comprehensive benefits package here (***************************************************** .
Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.
At Intermountain Health, we use the artificial intelligence ("AI") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment. Thank you for considering a career with us and experiencing our AI-enhanced recruitment process.
All positions subject to close without notice.
$104k-183k yearly est. 6d ago
Patient Registration Coordinator (Irving)
Innovista Health Solutions 4.1
Irving, TX jobs
Requirements
High School Graduate or equivalent.
Basic computer skills.
Customer service skills and training.
1+ years of experience in the medical field.
Bilingual in English/Spanish highly preferred.
BENEFITS:
We are committed to creating a culture where everyone feels important, welcomed, and included. We demonstrate this commitment by offering a comprehensive benefits package that fosters opportunities for growth and advancement and supports the physical, mental, and financial wellbeing of our team members.
HEALTH & WELLBEING
A choice health coverage, including HMO and PPO, plus Flexible Spending Account (FSA) and Health Savings Account (HSA) options
Dental and vision coverage
Company-paid benefits (short- and long-term disability, employee life, and accidental death and dismemberment)
Employee Assistance Program
Bereavement Leave (full time employees for the loss of an immediate family member)
Paid Military Leave Benefits
Discounts and perks on gym memberships, shopping, travel, recreation, and more
FINANCIAL GROWTH
A yearly discretionary bonus
401(k) with a company match
Credit Union Banking alternative
Wellness Rewards with Monetary Incentives
Rewarding employee referral bonuses
WORK/LIFE BALANCE
Flexible schedule and work from home options for numerous roles
Nine paid company holidays + Sick and Wellness Days + accrued PTO
Commuter benefits
Paid Parental Leave (up to 6 weeks, subject to applicable waiting period)
JOB SATISFACTION & ADVANCEMENT
Clear career advancement and growth pathways
Continuous education opportunities and financial reimbursement (mileage and certifications where approved)
Diversity, Equity & Inclusion Committee with various Business Resource Groups you can join
Company-wide socials and gatherings
"Dress for Your Day" policy
$31k-41k yearly est. 36d ago
Clearance Team Lead - Intake Trainer
Soleo Health 3.9
Frisco, TX jobs
Full-time Description
Soleo Health is seeking a Clearance Team Lead - Intake Trainer to support our Specialty Infusion Pharmacy and work Remotely (USA). Join us in Simplifying Complex Care!
Soleo Health Perks:
Competitive Wages
401(k) with a Match
Referral Bonus
Paid Time Off
Great Company Culture
Annual Merit Based Increases
No Weekends or Holidays
Paid Parental Leave Options
Affordable Medical, Dental, & Vision Insurance Plans
Company Paid Disability & Basic Life Insurance
HSA & FSA (including dependent care) Options
Education Assistance Program
The Position:
The Clearance Team Lead - Intake Trainer provides daily support and guidance to the Patient Access team, assists with escalations, participates in complex therapy benefit verification and prior authorization submissions, and performs duties of both the Clearance Specialist and Prior Authorization Coordinator. They work closely with the Patient Access Supervisor to ensure the team meets or exceeds productivity and quality expectations while delivering exceptional patient care. Responsibilities include:
Acts as a resource for colleagues: Provide guidance to the team on referral processing standards, Soleo contracts, fee schedules, therapy guidelines, and supported therapies
Monitor and assign referral workload: Oversee the clearance team's workload and direct the work of other staff members
Serve as a Subject Matter Expert: Works autonomously to handle more complex issues related to benefits and authorization within established procedures and practices
Handle escalations: Provide exceptional customer service to external and internal customers, resolving any customer requests in a timely and accurate manner
Assist in training new team members: Ensure new team members understand their roles and responsibilities and provide ongoing training to enhance their skills and knowledge
Support Patient Access team members: Provide necessary guidance, feedback and counseling and may contribute input for performance evaluations
Generate and update reports: Create, update and distribute patient access-related reports as needed
Perform duties of a Clearance Specialist and Prior Authorization Coordinator
Schedule:
Monday-Friday 8:30-5p
Must have experience with Specialty Infusion for Prior authorization/Benefits Verification
Prefer someone with training or lead experience
Requirements
At least 2 years of home infusion specialty pharmacy and/or medical intake/reimbursement experience preferred
Working knowledge of Medicare, Medicaid, and managed care reimbursement guidelines including ability to interpret payor contract fee schedules based on NDC and HCPCS units
Strong ability to multi-task and support numerous referrals/priorities while ensuring productivity expectations and quality are met
Ability to work in a fast-paced environment
Knowledge of HIPAA regulations
Basic level skill in Microsoft Excel & Word
Knowledge of CPR+ preferred
High school diploma or equivalent
About Us: Soleo Health is an innovative national provider of complex specialty pharmacy and infusion services, administered in the home or at alternate sites of care. Our goal is to attract and retain the best and brightest as our employees are our greatest asset. Experience the Soleo Health Difference!
Soleo's Core Values:
Improve patients' lives every day
Be passionate in everything you do
Encourage unlimited ideas and creative thinking
Make decisions as if you own the company
Do the right thing
Have fun!
Soleo Health is committed to diversity, equity, and inclusion. We recognize that establishing and maintaining a diverse, equitable, and inclusive workplace is the foundation of business success and innovation. We are dedicated to hiring diverse talent and to ensuring that everyone is treated with respect and provided an equal opportunity to thrive. Our commitment to these values is evidenced by our diverse executive team, policies, and workplace culture.
Soleo Health is an Equal Opportunity Employer, celebrating diversity and committed to creating an inclusive environment for all employees. Soleo Health does not discriminate in employment on the basis of race, color, religion, sex, pregnancy, gender identity, national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an organization, parental status, military service or other non-merit factor.
Salary Description $27-$31 per hour
Minimum Qualifications:
Bachelor degree in Nursing, Healthcare Administration or related clinical program field
Eight (8) years of experience directly related to quality/performance improvement functions within a healthcare setting:
LICENSES, REGISTRATIONS OR CERTIFICATIONS
Required:
Valid state of Texas Professional Nursing (RN) license or clinical program professional registration
Preferred:
Six Sigma Green Belt or Certified Professional in Healthcare Quality (CPHQ) certification
JOB DESCRIPTION
Scope\: The QAPI Manager, Clinical Services is a designated member of the clinical team and is responsible, under the guidance of the Department Administrator, for overseeing and continually evaluating the effectiveness of the operational components of the QAPI plan including metric development and selection, data capture, data analysis, opportunity identification, and ongoing operational survey readiness for all regulatory bodies. They are responsible for independently implementing initiatives aimed at improving quality outcomes.
Function\: This individual is tasked with developing and maintaining the QAPI program and an educational framework that ensures all clinical programs and other hospital department staff have knowledge of new and existing regulatory requirements related to quality and patient safety. They will serve as the key liaison during survey activities. They will also serves as advisor and subject matter expert in Joint Commission, CMS, Texas Department of Health and Services and other regulatory agency standards and policies. The manager oversees staff that aid in developing and implementing new programs aimed at improving or maintaining departmental effectiveness and efficiency, and reviews identified opportunities for improvement. This individual supervises designated support staff.
ESSENTIAL JOB FUNCTIONS
Quality:
Oversees all collaboration with medical staff and operational leadership to facilitate evidence-based quality and patient safety initiatives; engages associates at all levels in continuous pursuit of improvement opportunities.
Provides project management and facilitation, as well as, oversight and support for key functions and processes for the systematic, coordinated, and continuous improvement of patient care delivery.
Ensures quality and performance improvement initiatives are aligned with regulatory standards and healthcare best practices and reporting of quality outcomes and performance improvement initiatives.
Ensures the integration of aggregate data into performance improvement planning and problem resolution.
Monitors the use of statistical process tools and process improvement methodologies used to ensure continuous improvement in patient care and outcomes.
Evaluates the relationship of quality and performance improvement initiatives with patient outcomes to determine if desired results have been achieved or sustained.
Compares performance data and outcomes with authoritative external sources and benchmarks.
Organizes and leads relevant task forces or work groups, for reviewing evidenced based literature/benchmarks, and suggesting revisions/additions to the indicators for monitoring and evaluation of quality, regulatory and accreditation goals and objectives
Prioritizes and sets strategic direction for improvement efforts based on alignment with health system and transplant program goals, as well as, clinical performance with regard to patient safety and pro-active reduction of risk.
Directs communication with hospital clinical risk management to identify adverse events, communication of the events to the transplant program leadership and staff, and provide oversight during the root cause analysis and improvement remediation processes related to these events.
Regulatory Readiness:
Responsible for independently developing and implementing initiatives supporting compliance with accreditation, licensure and regulatory standards for the service line program. Establishes and implements programs to assess state of readiness for surveys, focusing upon continual preparation.
Monitors internal compliance with survey readiness program and presents findings and recommendations for improvement.
Key liaison during survey visits/activities and post-survey follow-up activities. Prepares and coordinates responses to regulatory agencies on corrective action plans, inquiries, and other requested information.
Guides and coordinates policy/practice review to ensure alignment with regulatory and accrediting standards, best practices, and evidence-based practice.
Continually reviews and monitors Joint Commission data and changes in interpretations; communicates new or modified regulatory standards as appropriate; makes recommendations to ensure compliance.
Serves as the subject matter expert and resource for Joint Commission accreditation standards and accreditation requirements specific to transplant programs.
Management and Consultative:
Serves as program management representative in system or facility performance improvement, regulatory readiness and/or quality teams. Builds mutual trust and encourages respect and cooperation among team members to support movement from current state of practice to desired state of practice, address and mutually resolve issues.
Supervises support staff performance and clarifies work expectations, and defines goalsetting; promotes and mentors cooperation among individuals and groups.
Develops and implements processes through orientation, training and education to ensure that the competence of staff members is assessed, maintained, improved and demonstrated throughout their employment.
Marginal or Periodic Functions:
• Performs related duties as assigned in alignment with business needs
KNOWLEDGE/SKILLS/ABILITIES
Sound working knowledge of concepts, practices, and procedures related to quality improvement functions specific to clinical program supporting.
Demonstrated knowledge and expertise in the application of advanced quality tools and methodologies.
Strong facilitation skills with proven ability to plan, implement, coach and assist others in performance improvement measures.
Strong technical ability in basic business software and power automation such as PowerBI, PowerApps, Excel, PowerPoint, Word. Technical skill in database software such as Access and statistical analysis software such as Minitab, STATA and SPSS.
Experience with Joint Commission, state licensure and CMS Conditions of Participation survey process and regulatory compliance.
Demonstrated capability in facilitating a collaborative approach to compliance with regulatory standards.
Ability to consult and negotiate in situations that are controversial and/or sensitive that result in mutual decisions. Ability to exercise discretion in what and how to communicate.
Ability to read and interpret complex statutes and regulations and apply knowledge to manage compliance risk exposure.
Demonstrated ability to manage by influence in a consultative role that does not have direct authority.
Strong professional, organizational, and interpersonal skills required for effective and creative leadership in working with all levels of the organization.
Ability to lead and motivate individuals and groups toward the accomplishment of organizational goals.
Possesses good analytical and problem solving skills. Demonstrates a high level of organizational skills to establish and manage priorities and maintain follow-up.
Salary
Commensurate with experience $92,080 - 119,700.
Equal Employment Opportunity
UTMB Health strives to provide equal opportunity employment without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, genetic information, disability, veteran status, or any other basis protected by institutional policy or by federal, state or local laws unless such distinction is required by law. As a Federal Contractor, UTMB Health takes affirmative action to hire and advance protected veterans and individuals with disabilities.
$92.1k-119.7k yearly Auto-Apply 60d+ ago
Medical Invoicing Specialist
Principle Health Systems 3.7
Houston, TX jobs
Job Title: Invoicing Specialist Job Type: Full-Time, Hybrid Schedule Reports To: A/R Manager
Pay: $19.00 - $20.00 per hour. Benefits: Full-time employees are eligible for competitive benefits, including health/vision/dental, 3 weeks PTO, 9 paid holidays, and a matching 401k plan.
Schedule: Monday - Friday, 8:00 AM to 5:00 PM. Ability to WFH Mondays and Fridays after 90-day probationary period.
Job Summary:
Principle Health Systems is on the hunt for a detail-savvy, invoice-wrangling guru to join our team as an invoicing specialist.
Your mission (should you choose to accept it):
Tame the data monster: Navigate through mountains of data like a pro, organizing, analyzing, and mastering data sets.
Invoice with Flair: Ensure every invoice is accurate, timed to perfection, and compliant, because precision + speed = 💰 efficiency!
Champion the AR Cycle: You'll play a vital role in making sure payments flow smoothly, keeping cash flow fabulous for everyone.
Detail Detective: You catch tiny inconsistencies before anyone else sees them (your eagle eye keeps us on point).
A “BIG picture” visionary: You're someone who steps back to see how invoicing fits into the greater business narrative: anticipating trends, suggesting smarter workflows, and always thinking about the “why” beyond line items.
Why you will love it here:
We are a mission-driven company where we put people over profits. Patients are 100% our purpose!
Love spreadsheets? You'll get a front row seat to organized chaos (your everyday playground).
Your work fuels our business! Each clean invoice helps the company thrive, so your impact will be felt everywhere.
Every day is a new challenge, every entry a new clue. You're the Sherlock Holmes of Skilled Nursing Facility (AKA: SNF) invoicing.
You will work alongside a small team that appreciates your expertise and celebrates your victories.
Who you basically are:
A detail-obsessed spreadsheet nerd (in the best way).
A finance-savvy individual with SNF or healthcare invoicing experience.
A cross-checking marvel who knows how to catch, reflect, and correct.
A master of efficiency (your organizational skills are next level).
Feeling called to transform SNF billing into a smooth, well-oiled machine? If organizing data and crafting precision perfect invoices lights you up, we can't wait to meet you!
Key Responsibilities:
Census retrieval and some interpretation.
Ad hoc reporting from LIMS (Laboratory Information Management System) to retrieve raw data and build reports.
Prepare and upload CSV and Standard Driver sheets into LIMS and RCM software.
Prepare and submit invoices for diagnostic services to skilled nursing facilities (SNF) and other contracted clients according to contract terms.
Collaborate with internal team members and SNF administrators, admissions teams, and finance staff to resolve billing discrepancies.
Assist in month-end closing activities, including invoice reconciliation and AR reporting.
Identify and implement process improvements for invoicing efficiency and accuracy.
Manage shared email inbox.
Other duties as assigned by management.
Qualifications:
Proficiency in Microsoft Excel (intermediate to advanced) and Outlook.
Excellent attention to detail and problem-solving skills.
Ability to meet deadlines, demonstrate urgency, prioritize tasks, and work both independently and collaboratively.
Strong verbal and written communication skills.
Preferred Qualifications:
Knowledge of HIPAA and healthcare compliance standards.
Experience working with multi-facility organizations or third-party billing companies.
2+ years billing/invoicing experience, preferably in a Skilled Nursing Facility, long-term care, or healthcare setting.
1+ years working in a LIS or LIMS. (Laboratory Information System)
Familiarity with applicable Skilled nursing facility (SNF) billing systems (e.g., PointClickCare, MatrixCare, Netsmart, or similar).
Bachelor's degree.
We are an Equal Opportunity Employer and are committed to providing reasonable accommodations to individuals with disabilities. If you require accommodations during the application or interview process, please contact ***********************.
Monday-Friday 8:00am-5:00pm; 1 Sunday a month for month-end support
Ability to work from home after 90 days on Monday & Friday
Works within the company's corporate office
Senior Coding Quality Educator _Remote - Most states eligible._ _Providence caregivers are not simply valued - they're invaluable. Join our team and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them._
Providence is calling a Senior Coding Quality Educator who will:
+ Assist with the day-to-day operations of the Coding Integrity, Knowledge Management team
+ Assist with research and developing coding guidance based on local, state and federal healthcare coding regulations and other payor guidelines as applicable
+ Obtain, interpret, analyze and communicate information regarding coding matters with all internal and external revenue cycle and coding teams
+ Collaborate with various departments e.g., Physician Network Operations, Revenue Cycle, Compliance, Practice Operations, and other key stakeholders on all coding matters
We welcome 100% remote work for residents in the United States with the exception of the following States:
+ Colorado
+ Hawaii
+ Massachusetts
+ New York
+ Ohio
+ Pennsylvania
Essential Functions:
+ Assist with the identification, development and delivery of new and ongoing coding changes and updates to all regional coding teams
+ Collaborate with various departments e.g., regional coding teams, revenue cycle, compliance, practice operations, and other key stakeholders on all coding matters
+ Respond timely (either orally or written) to coding inquiries from coders, educators, and other teams across Providence enterprise
+ Serve as a resource and subject matter expert for all coding matters
+ Provide coding support to regional coding teams as needed
+ Maintain relevant documentation and data as required
+ Review and update coding guidance annually or as necessary
+ Maintain document control
+ Develops action plans as necessary to resolve complex coding cases and to address the implementation of new service offerings or code changes
+ Facilitates education to support Medicare Risk requirements & organization goals
+ Review relevant patient details from the medical record based on coding and documentation guidelines
+ Participate in monthly progress meetings to discuss process improvements, updates in technology, along with any job related details
+ Communicate any coding updates published in third-party payer newsletters and bulletins and provider manuals to coding and reimbursement staff
+ Assists management in identifying and creating standardized workflows
+ Reviews EMR templates and identifies areas of improvement for provider documentation
+ Attends and presents at regional meetings as needed
Required qualifications for this position include:
+ High School Diploma or GED Equivalency
+ National Certification from American Health Information Management Association upon hire or National Certification from American Health Information Management Association upon hire.
+ 6+ years of experience in professional fee inpatient, surgical, outpatient coding, E/M, auditing and related work
+ 5+ years of experience providing provider education and feedback to facilitate improvement in documentation and coding
+ Strong experience in Excel (e.g., pivot tables), database, e-mail, and Internet applications on a PC in a Windows environment
Preferred qualifications for this position include:
+ Associate Degree in Health Information Technology or another related field of study
+ Bachelor's Degree in Health Information Technology or another related field of study
+ 5+ years of experience in coding for multispecialty practice
+ 2+ years of experience in professional fee billing methodologies
+ Experience with IDX, Allscripts, Advanced Web, Meditech
+ Experience with project management
Salary Range by Location:
AK: Anchorage: Min: $40.11, Max: $62.27
AK: Kodiak, Seward, Valdez: Min: $41.81, Max: $64.91
California: Humboldt: Min: $40.98, Max: $64.88
California: All Northern California - Except Humboldt: Min:$46.91, Max: $72.82
California: All Southern California - Except Bakersfield: Min: $41.81, Max: $64.91
California: Bakersfield: Min: $40.11, Max: $62.27
Idaho: Min: $35.69, Max: $55.41
Montana: Except Great Falls: Min: $32.29, Max: $50.13
Montana: Great Falls: Min: $30.59, Max: $47.49
New Mexico: Min: $32.29, Max: $50.13
Nevada: Min: $41.81, Max: $64.91
Oregon: Non-Portland Service Area: Min: $37.39, Max: $58.05
Oregon: Portland Service Area: Min: $40.11, Max: $62.27
Texas: Min: $30.59, Max: $47.49
Washington: Western - Except Tukwila: Min: $41.81, Max: $64.91
Washington: Southwest - Olympia, Centralia & Below: Min: $40.11, Max: $62.27
Washington: Tukwila: Min: $41.81, Max: $64.91
Washington: Eastern: Min: $35.69, Max: $55.41
Washington: South Eastern: Min: $37.39, Max: $58.05
Why Join Providence?
Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.
Accepting a new position at another facility that is part of the Providence family of organizations may change your current benefits. Changes in benefits, including paid time-off, happen for various reasons. These reasons can include changes of Legal Employer, FTE, Union, location, time-off plan policies, availability of health and welfare benefit plan offerings, and other various reasons.
About Providence
At Providence, our strength lies in Our Promise of "Know me, care for me, ease my way." Working at our family of organizations means that regardless of your role, we'll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.
Posted are the minimum and the maximum wage rates on the wage range for this position. The successful candidate's placement on the wage range for this position will be determined based upon relevant job experience and other applicable factors. These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits.
Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.
About the Team
Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. We are focused on supporting our Mission by delivering a robust foundation of services and sharing of specialized expertise.
Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.
Requsition ID: 411100
Company: Providence Jobs
Job Category: Coding
Job Function: Revenue Cycle
Job Schedule: Full time
Job Shift: Day
Career Track: Business Professional
Department: 4010 SS PE OPTIM
Address: TX Lubbock 3615 19th St
Work Location: Covenant Medical Center
Workplace Type: On-site
Pay Range: $See posting - $See posting
The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.