Steward Health Care jobs - 241 jobs

Are you a current UMass Memorial Health caregiver? Apply now through Workday. Exemption Status: Non-Exempt Hiring Range: $20.94 - $33.59 Please note that the final offer may vary within this range based on a candidate's experience, skills, qualifications, and internal equity considerations. Schedule Details: Monday through Friday Scheduled Hours: 8:00am - 4:30pm Shift: 1 - Day Shift, 8 Hours (United States of America) Hours: 40 Cost Center: 99940 - 5478 Financial Clearance Union: SHARE (State Healthcare and Research Employees) This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process. Everyone Is a Caregiver At UMass Memorial Health, everyone is a caregiver - regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day. Responsible for assessing and verifying patient information for scheduled for medical services. This requires verification of patient's demographic, financial and insurance information. Collects co-pays, deductibles, coinsurances, and down payments. Provides estimates for services when appropriate. Receives and processes patient financial liability payments for current and past balances. The focus is to collect patient liabilities prior to service and to resolve any insurance and financial issues prior to services being rendered. Reschedules appointments when appropriate under the guidance of department leader. This position is the front line for customer service, pre-registration and access to care for scheduled services. I. Major Responsibilities: 1. Initiates contact with insurance companies to obtain eligibility, gather accurate patient billing information, and performs collections with outstanding accounts receivable. 2. Accurately estimates the patient financial liability (copayments, deductibles, coinsurances, deposits, etc. via obtaining accurate demographic and financial information). Answers patient inquiries regarding their liability and able to explain the variables involved. 3. Receives and processes patient payments. 4. Ensures pre-certification authorization and or referral is in placement prior to service being rendered. 5. Appropriately referring patients to Financial Counselors or Business Office dependent on need of patient. 6. Reschedules appointments when requested by patient or, under advisement of department leader, when due to financial circumstances appointment requires postponement. 7. Enters clear, concise notes concerning financial clearance status in system based on communications. 8. Demonstrate knowledge and understanding of all job-related policies and procedures and adheres to and consistently applies the Financial Clearance Policy in all patient cases. 9. Assesses gaps in patient coverage to determine patient financial exposure prior to rendering service. 10. Consistently demonstrates ability to respond to changing situations in a flexible manner in order to meet current needs, such as reprioritizing work as necessary. 11. Performs other duties as assigned, or directed, to ensure smooth operation of the department/unit. II. Position Qualifications: License/Certification/Education: Required: 1. Minimum High School Diploma, or G.E.D., business concentration preferred. Preferred: 1. Associate degree, or higher, preferred. Experience/Skills: Required: 1. Four plus (4+) years of experience within a business office setting, hospital revenue cycle preferred, Physician office or collection agency. 2. Prior experience in a healthcare environment required. Preferred: 1. Working knowledge of personal computers and business office applications preferred. 2. Familiarity with hospital computer systems is a plus. 3. Knowledge of third party collections and reimbursement preferred. Unless certification, licensure or registration is required, an equivalent combination of education and experience which provides proficiency in the areas of responsibility listed in this description may be substituted for the above requirements. Department-specific competencies and their measurements will be developed and maintained in the individual departments. The competencies will be maintained and attached to the departmental job description. Responsible managers will review competencies with position incumbents. III. Physical Demands and Environmental Conditions: On-the-job time is spent in the following physical activities: 1. Stand - 1/3 2. Walk - 1/3 3. Sit - 2/3 4. Talk or hear - 2/3 5. Uses hands to finger, handle or feel - 2/3 This job requires that weight be lifted, or force be exerted: 1. Up to 10 pounds - 1/3 All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. We're striving to make respect a part of everything we do at UMass Memorial Health - for our patients, our community and each other. Our six Standards of Respect are: Acknowledge, Listen, Communicate, Be Responsive, Be a Team Player and Be Kind. If you share these Standards of Respect, we hope you will join our team and help us make respect our standard for everyone, every day. As an equal opportunity and affirmative action employer, UMass Memorial Health recognizes the power of a diverse community and encourages applications from individuals with varied experiences, perspectives and backgrounds. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, protected veteran status or other status protected by law. If you are unable to submit an application because of incompatible assistive technology or a disability, please contact us at ***********************************. We will make every effort to respond to your request for disability assistance as soon as possible.

Research Data Associate (Bi-lingual), Infectious Diseases Schedule: 40 hours per week, Hybrid (3-5 days on-site per week) ABOUT BMC: At Boston Medical Center (BMC), our diverse staff works together for one goal - to provide exceptional and equitable care to improve the health of the people of Boston. Our bold vision to transform health care is powered by our respect for our patients and our commitment to ensure everyone who comes through our doors has a positive experience. You'll find a supportive work environment at BMC, with rich opportunities throughout your career for training, development, and growth and where you'll have the tools you need to take charge of your own practice environment. POSITION SUMMARY: The Research Data Associate (RDA) will support research studies and initiatives under the NIH-funded Massachusetts Community Engagement Alliance (MA-CEAL) Program. The RDA will coordinate administrative aspects of the study and will be responsible for coordinating their own travel arrangements to study sites. The RDA aids in analysis of qualitative data and supports the research team with the preparation of data and other reports. The RDA will interact with study subjects, research study coordinators, study investigators, community engagement specialists, work study students/interns and other research staff. The ideal candidate must be bilingual (Spanish/English). JOB RESPONSIBILITIES: Provides assistance in the development of reports, presentations, and data analysis. Assists in qualitative and quantitative data collection and provides feedback on study's progress. Recruits subjects to participate in the study by using approved methodologies. Schedules appointments of study participants; conducts reminder phone calls and/or sends mailouts. Conducts the enrollment of study participants, including explaining research procedures, and obtaining informed consent of subjects and/or their families. Attends off-site events for purposes of data collection, as needed. Events may be on evenings and/or weekends . Conducts qualitative interviews of study participants, employing best practices for qualitative data collection. Reviews the data collection forms for each enrollee for completion and quality; aids in data entry, ensuring timely and accurate entry. Works with translation service vendors to ensure timely and accurate translation of study materials and data, as needed. Conducts literature searches. Assists Investigators with manuscript and presentation preparation and research. ADMINISTRATIVE: Responsible for the administrative aspects of the research study, including: managing program records and handling communication needs of the program. Prepares and maintains Institutional Review Board (IRB) approvals and correspondence, including amendments and renewals as necessary. Performs office-related duties such as answering phones, picking up and delivering mail, ordering and distributing office supplies, handling faxes, scanning, filing, photocopying, collating materials, maintaining the update of policy manuals, etc. Obtains and distributes payment vouchers for participant reimbursements/participation and may provide assistance in the development of reports, presentations, and data analysis. (The above statements in this job description are intended to depict the general nature and level of work assigned to the employee(s) in this job. The above is not intended to represent an exhaustive list of accountable duties and responsibilities required). JOB REQUIREMENTS EDUCATION: Bachelor's degree is required. Major in a field related to the research is preferred. EXPERIENCE: Prior experience in human subjects' research preferred. Experience in qualitative and quantitative data collection preferred. KNOWLEDGE AND SKILLS: Excellent English communication skills (oral and written). Bilingual (Spanish and English). The ideal candidate must be fluent in Spanish Cultural sensitivity and comfort with a wide range of social, racial and ethnic populations Organizational ability to perform multiple tasks efficiently and to prioritize duties. Proficiency with Microsoft Office applications including Word, Excel, and Access, PowerPoint, Outlook, database systems, and web browsers Ability to perform basic data management tasks (data entry, data cleaning, retrieval). Ability to perform basic data analysis and reporting (in words, numbers and graphics). Must have a productive and professional location to work remotely. JOB BENEFITS: Competitive pay Tuition reimbursement and tuition remission programs Highly subsidized medical, dental, and vision insurance options Career Advancement/Professional Development: Access a wealth of ongoing training and development opportunities that will not only enhance your skills but also expand your knowledge base especially for individuals pursuing careers in medicine or biomedical research. Pioneering Research: Engage in groundbreaking research projects that are driving the forefront of biomedical science. ABOUT THE DEPARTMENT: As the primary teaching hospital for Boston University Chobanian & Avedisian School of Medicine and BU schools of public health and dentistry, intellectual rigor shapes our inquiries. Our research is led by a belief that skin color, zip code, and financial circumstances shouldn't dictate health. Boston Medical Center is an Equal Opportunity/Affirmative Action Employer. If you need accommodation for any part of the application process because of a medical condition or disability, please send an e-mail to ************************* or call ************ to let us know the nature of your request. Compensation Range: $43,000.00- $62,000.00 This range offers an estimate based on the minimum job qualifications. However, our approach to determining base pay is comprehensive, and a broad range of factors is considered when making an offer. This includes education, experience, skills, and certifications/licensures as they directly relate to position requirements; as well as business/organizational needs, internal equity, and market-competitiveness. In addition, BMCHS offers generous total compensation that includes, but is not limited to, benefits (medical, dental, vision, pharmacy), discretionary annual bonuses and merit increases, Flexible Spending Accounts, 403(b) savings matches, paid time off, career advancement opportunities, and resources to support employee and family well-being. NOTE: This range is based on Boston-area data, and is subject to modification based on geographic location. Equal Opportunity Employer/Disabled/Veterans According to the FTC, there has been a rise in employment offer scams. Our current job openings are listed on our website and applications are received only through our website. We do not ask or require downloads of any applications, or “apps” job offers are not extended over text messages or social media platforms. We do not ask individuals to purchase equipment for or prior to employment.

Health Information Alliance (HIA) is seeking a Remote Oncology Data Specialist (ODS) PRN Join HIA's growing team of hard working, and dedicated people, who continually grow and improve our company, and services to our clients. Our team of professionals offer abstracting services to our clients with abstracting current cases, backlogs, and reports and many more lines of specialized services. This provides a solution to our clients through outsourcing. The Oncology Data Specialist (ODS) Performs data abstraction by capturing a complete patient history, diagnosis, staging and treatment information for all patients into the cancer registry. Must be currently working at ODS, and have 2 years experience with the following abstracting the following ODS registries; Breast, Colon, Lung, Prostate and Bladder. This is a Subcontractor Position (1099) Must be able to work a minimum of 20 Hours/Per Week on a consistent basis. 100% Remote position Reliable, high-speed internet connection is required Must be QUOPI, ACS, APBC Cert and Radiology Oncology Certified Responsibilities The Oncology Data Specialist (ODS) abstracts the following registries: Breast, Colon, Lung, Prostate, and Bladder. Deliver quality solutions to hospital partners across the country, approaching each hospital engagement as an opportunity to apply your expertise with precision. Reviews the medical records for each eligible patient by analyzing the patient history, physical exam, diagnostic tests, staging, medical and nursing care to complete the abstract in accordance with ACOS Cancer Program standards, and state requirements. Maintains abstracting productivity and quality rates of 98%, which is compatible with the organization and nationally established benchmark. Assists with timely monthly reporting to the State ODS, including any special studies and audits. Assists in the submission to Rapid Cancer Reporting System (RCRS). Monthly exports and submits all eligible cases for valid performance quality measures and adheres to RCRS terms and conditions. Reviews, monitors, and updates all the alerts and cases in RCRS to ensure compliance for each specific quality measure. Assist in the Annual NCDB submission.: Each year submits cases diagnosed on January 2003 or later meet the quality criteria for the annual Call for Data on initial submission. Assists in systematic methods of case finding. Enters and/or updates cases in the suspense database. Assists in maintaining a follow-up program for the life of all required abstracts by reviewing hospital documentation, and contacting physicians, state offices, and possibly patients for current follow-up information. Enters this data into a microcomputer for further analysis. Participates in ongoing studies for the American College of Surgeons and local studies. Demonstrates knowledge and skills to operate cancer registry software to perform the job. Identifies the needs of the patient population served and modifies and delivers care specific to those needs (i.e., age, culture, language, hearing and/or visually impaired, etc.) This process includes communicating with the patient, parent, and/or primary caregiver(s) at their level (developmental/age, educational, literacy, etc.). Collaborate with the staff at all campuses to mutually develop opportunities for improvement and action plans. Actively participates in HMH Health Cancer Registries team member meetings. Attend educational conferences to maintain their certification. Adheres to the standards identified in the Medical Center's Organizational Competencies. Qualifications Qualifications Must be currently active working as Oncology Data Specialist (ODS) Must be QUOPI, ACS, APBC Cert and Radiology Oncology Certified Must know Oncology and Epic Successful completion at minimum an Associate's degree or equivalent (60 college level credits including 2 semesters of Anatomy & Physiology) effective 1/1/2010 OR Certificate in Cancer Registry Management or Cancer Information Management form a NCRA-accredited program Minimum of 1 year in a related field; cancer, nursing, medical records, or health science. Education, Knowledge, Skills and Abilities Required Direct data abstraction experience in the Cancer Registry. Exposure to patient medical record systems (EMRs) and clinical databases. Proficiency with Epic, Oncology & MS Office (Microsoft Excel) A college degree from An accredited nursing program CAHIIM accredited program, Or Other accredited healthcare program Healthcare credential associated with their program of study Other healthcare information related abstraction and coding credentials desirable, Licenses and Certifications Required: Oncology Data Specialist (ODS) Certification Preferred Skills: Use of the tools and techniques of continuous quality improvement and computer skills for data display. Attention to detail and follow-up necessary. Strong interpersonal skills, and the ability to communicate effectively with patients, families, hospital staff, physicians and community resources required. Must be able to work independently. General Requirements: The ideal candidate must possess the following characteristics: Commitment and reliability; be able to dedicate consistent time to HIA Superb communication and responsiveness Computer literacy Must be comfortable with, but not limited to: Excel, web-browsers, email, electronic health records (non-specific) Must be familiar with various technologies such as, but not limited to: Epic, Oncology, security (e.g., Citrix), data collection/abstraction, encoders, web-based applications Self-maintenance of skillset Maintaining credentials Staying current with abstraction/coding rules, manuals, and guidelines Prior experience in position applying for Must have a minimum of 2 years of current experience in ODS Motivation; remote work can be team-based, but requires the ability to work independently Strong interpersonal skills and tactfulness to be able to effectively communicate with team members and client contacts May require Background and Drug Screening This position is for a Subcontractor (1099), who is willing to work 20 hours per week on a regular basis. This is a Remote - PRN Position (Subcontractor 1099) The specific statements shown in this description are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job

Competitive Compensation & Benefits Package! eligible for - Annual incentive bonus plan Medical, dental, and vision insurance with low deductible/low cost health plan Generous vacation and sick time accrual 12 paid holidays State Retirement (pension plan) 401(k) Plan with employer match Company paid life and disability insurance Wellness Programs Public Service Loan Forgiveness Qualifying Employer See attachment for additional details. Office Location: Remote Option; Available for any of Partners' NC locations Projected Hiring Range : Depending on Experience Closing Date: Open Until Filled Primary Purpose of Position: This position is responsible for ensuring that providers receive timely and accurate payment. Role and Responsibilities: 50%: Claims Adjudication Responsible for finalizing claims processed for payment and maintaining claims adjudication workflow, reconciliation and quality control measures to meet or exceed prompt payment guidelines. Responsible for reconciling provider claims payments through quality control measures, generally accepted accounting principles and agency's policies and procedures. Assess Title XIX and non-Title XIX claims adjustments for correction or recoupment and will coordinate the recoupment process to ensure payment is recovered for inappropriately paid claims. Provide back up for other Claims Analysts as needed. 40%: Customer Service Maintain provider satisfaction by being available during regular business hours to handle provider inquiries; interacting in a professional manner; providing information and assistance; and answering incoming calls. Assist providers in resolving problem claims and system training issues. Serve as a resource for internal staff to resolve eligibility issues, authorization, overpayments, recoupments or other provider issues related to claims payment. 10%: Compliance and Quality Assurance Review internal bulletins, forms, appropriate manuals and make applicable revisions Review fee schedules to ensure compliance with established procedures and processes. Attend and participate in workshops and training sessions to improve/enhance technical competence. Knowledge, Skills and Abilities: Working knowledge of the Medicaid Waiver requirements, HCPCS, revenue codes, ICD-10, CMS 1500/UB04 coding, compliance and software requirements used to adjudicate claims General knowledge of office procedures and methods Strong organizational skills Excellent oral and written communication skills with the ability to understand oral and written instructions Excellent computer skills including use of Microsoft Office products Ability to handle large volume of work and to manage a desk with multiple priorities Ability to work in a team atmosphere and in cooperation with others and be accountable for results Ability to read printed words and numbers rapidly and accurately Ability to enter routine and repetitive batches of data from a variety of source documents within structured time schedules Ability to manage and uphold integrity and confidentiality of sensitive data Education and Experience Required: High School graduate or equivalent and three (3) years of experience in claims reimbursement in a healthcare setting; or an equivalent combination of education and experience. Education and Experience Preferred: N/A Licensure/Certification Requirements: N/A

Are you an internal caregiver, student, or contingent worker/agency worker at UMass Memorial Health? CLICK HERE to apply through your Workday account. Exemption Status: Non-Exempt Schedule Details: Scheduled Hours: Shift: Hours: 0 Cost Center: This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process. Everyone Is a Caregiver At UMass Memorial Health, everyone is a caregiver - regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day. This position engages in a program of field training to observe and provide therapeutic interventions in a variety of placement settings. Observes, learns, and uses basic skills for behavioral health interventions consistent with the requirements of their academic institution. About Internships at Community Healthlink 1. CHL interns are those looking for their first field placement 2. Interns at CHL work in supportive roles, closely with supervisors. 3. They assist with comprehensive assessment activities, collaborate on treatment plans, provide brief therapeutic 1:1 interventions, milieu management, case management to support aftercare referrals and discharge planning, as well as crisis intervention and de-escalation. 4. Generally, these interns are placed within programs that have a therapeutic milieu, and interns are not completing directly billable activities. Hiring Range: $15.00 - $15.50 Please note that the final offer may vary within this range based on the candidate's experience, skills, qualifications and internal equity considerations. I. Major Responsibilities: 1. Provides clinical support as defined by the level of care and service needs of the population served. Specific treatment expectations are defined by licensing and accreditation standards for each level of care and internship expectations as agreed upon between the student, school, and program. 2. Assists with comprehensive assessments consistent with needs of the population served. 3. Collaborates on the development of treatment plans consistent with regulations as required by the funder/licensor. Participates in treatment planning conferences. 4. Provides case management through brief therapeutic 1:1 interventions to coordinate aftercare referrals and discharge planning consistent with regulations and the level of care. Consults and collaborates with collateral contacts and providers as appropriate for the level of care. 5. Coordinates and facilitates individual or group interventions to address the clinical needs of the needs of the population served. II. Position Qualifications: License/Certification/Education: Required: 1. Undergraduate student must be in a Bachelor's degree program in social work, counseling, public health, or related field. Or may be a practicum student in a Masters or Doctoral degree level program in Mental Health Counseling, Social Work, Marriage and Family Therapy, Clinical Psychology, or related program. 2. Some positions require a current valid US-issued driver's license and a registered, inspected, and insured automobile for work related purposes. 3. For MCI programs, a current valid US-issued driver's license and reliable transportation for work related purposes. Experience/Skills: Required: 1. Strong communication and organizational skills. 2. Detail oriented. 3. Willingness to learn. 4. Able to effectively work alone, and as part of a team. III. Physical Demands and Environmental Conditions: 1. Work is considered medium. May have to lift up to 10 lbs. frequently and up to 50 lbs. occasionally. 2. Work occurs in an indoor, patient-focused environment. ADDENDUM CCBHC-IA Intern Job Summary: Assists the CCBHC IA team in improving access to evidence-based services for behavioral health clients from diverse communities. Major Responsibilities: 1. Assists in tracking grant goals. 2. Gathers information from clients and data entry per grant requirements. 3. Contributes to infrastructure development to support sustainability. 4. Participates in training opportunities. 5. Participates on a CHL committee. 6. Identifies and carries out a special project. 7. Performs other related duties. License/Certification/Education: Required: 1. Undergraduate student must be in their 3rd or 4th year of completing a bachelor's degree in social work, counseling, public health, or related field. Experience/Skills: Required: 1. Interest in health equity and serving marginalized communities. 2. Strong communication and organizational skills. 3. Detail oriented. 4. Willingness to learn. 5. Able to effectively work alone, and as part of a team. 6. Available during business hours (9 a.m. to 5 p.m.)- number of hours per week are negotiable. 7. We will be working in a hybrid model with some time onsite and remote work from home. 8. Community Healthlink (CHL) recognizes the power of a diverse community and seeks applications from individuals with varied experiences, perspectives, and backgrounds. III. Physical Demands and Environmental Conditions: 1. Must be able to remain seated for extended periods of time. 2. Must be able to hear, understand, and distinguish speech and/or other sounds (e.g., machinery alarms, medicals codes or alarms). 3. Must be able to work on a computer 80% of the shift. 4. The characteristics above are representative of those encountered while performing the essential functions of the position. Reasonable accommodations may be made if necessary in order to perform the essential functions. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. We're striving to make respect a part of everything we do at UMass Memorial Health - for our patients, our community and each other. Our six Standards of Respect are: Acknowledge, Listen, Communicate, Be Responsive, Be a Team Player and Be Kind. If you share these Standards of Respect, we hope you will join our team and help us make respect our standard for everyone, every day. As an equal opportunity and affirmative action employer, UMass Memorial Health recognizes the power of a diverse community and encourages applications from individuals with varied experiences, perspectives and backgrounds. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, protected veteran status or other status protected by law. If you are unable to submit an application because of incompatible assistive technology or a disability, please contact us at ***********************************. We will make every effort to respond to your request for disability assistance as soon as possible.

Are you a current UMass Memorial Health caregiver? Apply now through Workday. Everyone Is a Caregiver At UMass Memorial Health, everyone is a caregiver - regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day. Hiring Range: $175.48/hr - $209.13/hr Please note that the final offer may vary within this range based on a candidate's experience, skills, qualifications, and internal equity considerations. UMass Memorial Medical Group is seeking additional Per Diem ED Radiologists to either work onsite or remotely read. We are seeking additional per diem radiologists for all shift types (7a-3p, 3p-11p, 11p-7a). About our Department: Our department is comprised of ~80 Radiologists, 20 residents, 9 fellows and 15 PhDs. In our ED group we have a team of 15. Our health system covers over one million lives and is a Level 1 Trauma Center with 95,000 ED visits per year. Our department has over $6M/year in research funding. Academic pursuits are encouraged and supported both in the realms of research and education. Our department has state of the art imaging equipment, AGFA PACS system, EPIC EMR, Tera-Recon image processing software, Powerscribe 360 and is running several AI algorithms. Radiologist Requirements: ED Radiologists work at the University campus with one resident and/or one Emergency Radiology fellow, and remotely cover several other hospitals. Additional opportunities for internal moonlighting within the department are available if desired. We offer three shift types to include 7am-3pm, 3pm-11pm and 11pm-7am. We can offer hybrid schedules to include remote reading days but an onsite presence is required. You must be comfortable interpreting the following modalities: CT, MRI, ultrasound, and Basic nuclear medicine. Fellowship training in Emergency Radiology is desired but not required. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. We're striving to make respect a part of everything we do at UMass Memorial Health - for our patients, our community and each other. Our six Standards of Respect are: Acknowledge, Listen, Communicate, Be Responsive, Be a Team Player and Be Kind. If you share these Standards of Respect, we hope you will join our team and help us make respect our standard for everyone, every day. As an equal opportunity and affirmative action employer, UMass Memorial Health recognizes the power of a diverse community and encourages applications from individuals with varied experiences, perspectives and backgrounds. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, protected veteran status or other status protected by law. If you are unable to submit an application because of incompatible assistive technology or a disability, please contact us at ***********************************. We will make every effort to respond to your request for disability assistance as soon as possible.

- not eligible for benefits Projected Hiring Range : Depending on Experience Closing Date : Open Until Filled Work Schedule: Mon-Fri, 9:30a-6p (PRN) Primary Purpose of Position: This position provides the initial screening, referral and or scheduling of members who call the toll-free PartnersACCESS Member Services number seeking health and behavioral health services and as appropriate, transfers the member to a clinician who will clinically triage/assess the member's acuity and will determine what type and intensity of service the member needs and/or is eligible to receive. Role and Responsibilities: Screening, scheduling and referral: Initial screening of Health/Mental Health (MH)/Substance Use (SU)/Traumatic Brain Injury (TBI)/Intellectual/Developmental Disability (I/DD) treatment needs, benefit information and referral of members calling to determine if they may potentially qualify for services Collect and enter demographic data into the electronic record, completion of appropriate forms, explanation of services, benefits and resources, verifies Medicaid and dispatch Provide follow up calls to referral sources and members to ensure that members have been successfully engaged in services Make referrals to clinical homes and crisis providers that meet the timeliness standards as defined by NC Medicaid Provide information about local community resources, independent practitioners, and related providers for referrals for basic benefit services This position demands a high level of accuracy and confidentiality. Information must be handled according to NC standards and rules, state and federal laws and LME/MCO and NCQA standards, procedures, policies and protocol Authorizations: Assists with authorizations/admissions to state hospitals, ADATC, Three Way Hospitals, Level III Detox, Facility Based Crisis and all referrals to crisis services Process other acute care authorizations as requested by supervisor or other Access to Care Licensed Clinician Automation: Screenings are completed using standard and specialized computer programs Inputs accurate information into the system and unlocks electronic service records with appropriate consents, enters all necessary data elements into data systems Provide technical assistance to First Responders, clinical home providers, and Mobile Crisis Management Cooperative Efforts: Establish and maintain effective working relationships within the unit, agency, and service system Consistently demonstrate professionalism, tact and diplomacy in handling irate callers and/or working with contract providers and other external parties Participate in Unit Staff meeting, Agency Staff meetings, (All staff meetings) and assigned committees Knowledge, Skills and Abilities: Sound knowledge of health/MH/SU/TBI/I/DD for the appropriate determination of eligibility for Medicaid and State supported services, appropriateness of referrals for treatment and assessment and the level of danger of the members calling for assistance Knowledge of the laws governing the treatment of health, mental illness, substance abuse and intellectual/developmental disabilities as well as the resources available in the community for treatment Knowledge of call center functions, member population, potential for crisis issues, confidentiality laws and program protocols/policies Excellent computer skills Ability to complete tasks independently, define problems, apply laws, policies and procedures to agency activities and must use sound judgment in conducting screening, triage and referral Ability to use sound judgment when conducting a screening and be able to determine when it is necessary and appropriate to transfer a member to a Licensed Access to Care Clinician Ability to communicate effectively orally and in writing, have good keyboarding skills and be able to multi-task (that is: converse while entering screening information into the electronic medical record and evaluating the member's need) Ability to take highly complicated criteria and apply it to cases in determining eligibility for services and appropriate scheduling referrals Ability to assist members in highly stressful situations which may be life threatening to the member or public while at the same time facilitating a connection to crisis services and/or a Licensed Access to Care Clinician Ability to provide technical assistance to both members and Providers Ability to maintain confidentiality when screening and referring calls/callers Education/Experience Required: Bachelor's Degree in related field or Licensed Practical Nurse (LPN) and at least two (2) years of healthcare or MH/SU/IDD experience. Education/Experience Preferred: Licensed practical nurses (LPNs) and at least four (4) years of healthcare and/or MH/SU/IDD experience. Licensure/Certification Requirements: N/A

Competitive Compensation & Benefits Package! eligible for - Annual incentive bonus plan Medical, dental, and vision insurance with low deductible/low cost health plan Generous vacation and sick time accrual 12 paid holidays State Retirement (pension plan) 401(k) Plan with employer match Company paid life and disability insurance Wellness Programs Public Service Loan Forgiveness Qualifying Employer See attachment for additional details. Office Location: Hybrid option; Available for the Gastonia, NC location Closing Date: Open Until Filled Primary Purpose of Position: To provide executive-level paralegal and administrative services for the Office of Legal Affairs (OLA), including Chief Legal Officer/General Counsel (CLO/GC), Director of Legal Services, staff attorney(s), legal specialist(s) and waiver contract manager. Highly collaborative culture. Under licensed-attorney supervision where required, this position entails professional legal work in a variety of legal/operational areas or functions, including but not limited to legal research; and drafting, reviewing, proofing and communicating legal/regulatory matters regarding litigation, transactions/contracts, regulation, legislation, internal and external dispute resolution, grievances/complaints, and related legal projects. As detailed further below, key role will be managing Partners many complex policies and procedures (P&Ps), as well as program descriptions, plans and even assisting with board guidelines. In addition, position will require successful applicant to field, route and/or address (or to ensure attorney and/or OLA team addresses) legal issues and questions from various Partners' business units and staff. Examples of work include coordinating all aspects of the internal Policy and Procedure process (with assistance of waiver contract manager); preparation and occasional participation in board level and committee meetings; assist legal team with their projects, including, e.g., key OLA metrics and ensure monitoring, prompt routing, payment and reimbursement of legal bills and expenses. Works with extremely sensitive and confidential information and records. Perform other duties as needed consistent with an executive level paralegal. Work closely with Associate General Counsel, Director of Legal Services, Waiver Contract Manager, Legal Specialist, Program Integrity Director, and their teams, also located in OLA. Position reports directly to Director of Legal Services. NOTE: Representation of Partners in a court of law and other acts constituting the practice of law are the responsibilities of attorneys in or for OLA. Position will cooperate with, assist and take significant responsibility for preparation of work by attorneys, but have no authority to act as legal counsel for Partners or to practice law without a license. Role and Responsibilities (percentages are approximations): 50% Policies and Procedures (P&Ps): With assistance and guidance of waiver contract manager, will be directly responsible for Partners' almost 300 P&Ps, that must be regularly reviewed, vetted and approved by management, leadership and Board. This includes oversight of revision and creation of P&Ps by Partners' staff for accreditation, certification, contract and regulatory compliance. Also, can include Program Descriptions, Plans and perhaps assisting with board guidelines. Assist with and/or manage automation and process improvement of P&Ps. As detailed below, this role requires extensive organizational skills, knowledge and comfort with software, critical thinking, and strong writing and collaborative communications skills. 35% Traditional Paralegal Services: With assistance from attorneys, legal specialists, waiver contract manager, and program integrity investigators, provides moderate to complex legal support services. Examples include: performing legal research, both formal from traditional legal research databases (currently Lexis) and from non-traditional resources such as State and Federal legislative and regulatory websites. assisting with obtaining, reviewing, proofing, executing and interpreting contracts and transactions. assisting with drafting, review, proofing and issuing communications with staff, outside counsel and opposing counsel regarding contracts, litigation (subpoenas, hearing notices, pleadings, motions) and related legal projects; assisting with or fielding, routing and and/or addressing legal issues and questions from various Partners' business units and staff, and/or ensuring appropriate OLA staff does so; attending and or assisting attendees with key meetings, hearings and conferences, providing insights to and taking notes for OLA team and Partners. gather, organize and marshal on demand relevant documents, information and evidence to support OLA work and obligations. liaising with Program Integrity staff on legal matters arising to legal staff from or related to investigations of alleged fraud, waste and abuse; consulting OLA attorneys for supervision on matters and in any instance that might be construed as the practice of law. 10% Administrative Support: Provides comprehensive and often sophisticated/complex administrative support to OLA team. Examples include assisting OLA staff or directly to: maintain OLA legal files and records. create, maintain, analyze and report key OLA metrics using various OLA-specific resources and interdepartmental support. routing, payment and reimbursement of legal bills and expenses, including potential assistance with the OLA legal matters management and invoicing software and database (currently CounselLink). communicate with outside counsel regarding pending assigned cases and legal matters, billing guidelines and other needs. coordinate and support highly visible functions and events, including preparation for board, executive, management level and other meetings; provider forums, council and other meetings; legal trainings; and other events involving Team OLA. reserve and arrange meeting space, including IT needs. schedule and coordinate select conference calls, meetings, mediations, and hearings. handle staff expense reimbursements, travel reservations, supplies and miscellaneous OLA operational matters. 5% Other Duties as Assigned: In all roles and responsibilities, assures confidentiality of information of a sensitive nature within the department and organization. Adheres to court, regulatory, Partners' and other deadlines. Highly organized and digitally proficient, and able to multitask in fast-paced, detail-oriented -- but highly collaborative, team-oriented and cross-functional -- environment. Maintains a thorough understanding of legal procedures and documents. Able and authorized to exercise good judgment in a variety of situations when communicating directly with persons within and outside Partners, including leadership, healthcare professionals, attorneys, judges, regulators and others. Strong oral and written communication skills essential. Significant attention to accuracy. Excellent people skills. Knowledge, Skills and Abilities: Considerable knowledge of the principles and practices of NC administrative law specifically and general knowledge of the laws, rules, and regulations applicable to LME/MCOs. Ability to maintain effective working relationships with the public and other persons contacted in the course of work. Ability to anticipate and timely meet deadlines and projects. Considerable knowledge of office practices, techniques, and technology. Working knowledge of and the ability to understand legal documents, contractual language, legal processes and other complex or sophisticated topics and materials. Excellent communication skills, both orally and in writing. Detail oriented with excellent organizational skills, including ability to manage multiple schedules and tasks. Proficiency in Word, Excel, Outlook and PowerPoint, including the ability to design reports and presentations for internal and external recipients; excellent typing skills. Proficiency in law-related and P&P software and database resources, including or comparable to LexisNexis and CounselLink. Ability to manage and uphold integrity and confidentiality of sensitive data, internally and externally. Ability to analyze, understand, and complete tasks related to state and federal rules, regulations and laws. Ability to establish and maintain effective, positive working relationships with staff, other members of the organization and stakeholders. Ability to analyze, interpret and recommend policy, rules, and procedural guidelines. Ability to complete non-routine activities and tasks that might require deviation from established procedures; must be able to choose the appropriate course of action and recognize the existence of and differences among situations; sound judgment and critical thinking. Ability to plan and carry out the day-to-day work of the office based on priorities and knowledge of the departments; and Ability to recognize sensitive or unusual situations that should be referred to another more appropriate staff member or to the supervisors. Commitment to Partners' core culture values. Education and Experience Required: A minimum experience of two years in a law-related role with law firm or law department. Working knowledge of legal database software, e.g., LexisNexus or Westlaw. Extensive knowledge and proficiency of Microsoft Office products (Word, Excel, Outlook, PowerPoint, etc.). Comfort and experience with electronic modes of communication, filing, record keeping and office management. While not frequent, must have ability to travel between counties. Must reside in North Carolina or within 40 miles from its border. Education and Experience Preferred: Associate or higher degree in Legal Studies, Business, Office Administration, Healthcare, Human Services or other relevant field, including, paralegal/legal studies, Criminal Justice, Political Science, or legal assistant. Experience in healthcare, especially public behavioral health, managed Medicaid, and healthcare payor systems and law. Knowledge of and experience/proficiency with LexisAdvance, CounselLink, WestLaw and e-OAH. Substantial prior paralegal, legal assistant or related working experience or credentialing highly preferred, especially certification as paralegal or legal assistant, e.g., NCCP. Licensure/Certification Requirements: Paralegal, Legal Assistant, or similar recognized certification, e.g. NCCP (out of state certification acceptable). Law license not required. JDs welcomed to apply but should not expect promotion to attorney position with or without license.

The Director of Revenue Integrity serves in a senior leadership capacity and demonstrates client and unit-specific leadership to Revenue Integrity personnel by designing, directing, and executing key Conifer Revenue Integrity processes. This includes Charge Description Master ("CDM") and charge practice initiatives and processes; facilitating revenue management and revenue protection for large, national integrated health systems; regulatory review, reporting and implementation; and projects requiring expertise across multiple hospitals and business units. The Director provides clarity for short/long term objectives, initiative prioritization, and feedback to Managers for individual and professional development of Revenue Integrity resources. The Director leverages project management skills, analytical skills, and time management skills to ensure all requirements are accomplished within established timeframes. Interfaces with highest levels of Client Executive personnel. * Direct Revenue Integrity personnel in evaluating, reviewing, planning, implementing, and reporting various revenue management strategies to ensure CDM integrity. Maintain subject-matter expertise and capability on all clinical and diagnostic service lines related to Conifer revenue cycle operations, claims generation and compliance. * Influence client resources implementing CDM and/or charge practice corrective measures and monitoring tools to safeguard Conifer revenue cycle operations; provide oversight for Revenue Integrity personnel monitoring statistics/key performance indicators to achieve sustainability of changes and compliance with regulatory/non-regulatory directives. * Assume lead role and/or provide direction/oversight for special projects and special studies as required for new client integration, system conversions, new facilities/acquisitions, new departments, new service lines, changes in regulations, legal reviews, hospital mergers, etc. * Serve as primary advisor to and collaboratively with Client/Conifer Senior Executives to ensure requirements are met in the most efficient and cost-effective manner; provides direction to clients for implementation of multiple regulatory requirements. * Serve as mentor and coach for Revenue Integrity personnel and as a resource for manager-level associates. * Maintain a high-level understanding of accounting and general ledger practices as it relates to Revenue Cycle metrics; guide client personnel on establishing charges in appropriate revenue centers to positively affect revenue reporting FINANCIAL RESPONSIBILITY (Specify Revenue/Budget/Expense): Adherence to established/approved annual budget SUPERVISORY RESPONSIBILITIES This position carries out supervisory responsibilities in accordance with guidelines, policies and procedures and applicable laws. Supervisory responsibilities include interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems. Direct Reports (incl. titles) : Revenue Integrity Manager/Supervisor Indirect Reports (incl. titles) : Charge Review Specialist I-II, Revenue Integrity Analyst I-III, Charge Audit Specialist To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Ability to set direction for large analyst team consistent with Conifer senior leadership vision and approach for executing strategic revenue management solutions * Demonstrated critical-thinking skills with proven ability to make sound decisions * Strong interpersonal communication and presentation skills, effectively presenting information to executives, management, facility groups, and/or individuals * Ability to present ideas effectively in formal and informal situations; conveys thoughts clearly and concisely * Ability to manage multiple projects/initiatives simultaneously, including resourcing * Ability to solve complex issues/inquiries from all levels of personnel independently and in a timely manner * Ability to define problems, collect data, establish facts, draw valid conclusions, and make recommendations for improvement * Advanced ability to work well with people of vastly differing levels, styles, and preferences, respectful of all positions and all levels * Ability to effectively and professionally motivate team members and peers to meet goals * Advanced knowledge of external and internal drivers affecting the entire revenue cycle * Intermediate level skills in MS Office Applications (Excel, Word, Access, Power Point) Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings. EDUCATION / EXPERIENCE Include minimum education, technical training, and/or experience required to perform the job. * Bachelor's degree or higher; seven (7) or more years of related experience may be considered in lieu of degree * Minimum of five years healthcare-related experience required * Extensive experience as Revenue Integrity manager * Extensive knowledge of laws and regulations pertaining to healthcare industry required * Prior healthcare financial experience or related field experience in a hospital/integrated healthcare delivery system required * Consulting experience a plus CERTIFICATES, LICENSES, REGISTRATIONS * Applicable clinical or professional certifications and licenses such as LVN, RN, RT, MT, RPH, CPC-H, CCS highly desirable PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * While performing the duties of this job, the employee is regularly required to sit for long periods of time; use hands and fingers; reaching with hands and arms; talk and hear. * Must frequently lift and/or move up to 25 pounds * Specific vision abilities required by this job include close vision * Some travel required WORK ENVIRONMENT The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Normal corporate office environment TRAVEL * Approximately 10 - 25% Compensation and Benefit Information Compensation Pay: $104,624- $156,957 annually. Compensation depends on location, qualifications, and experience. * Position may be eligible for an Annual Incentive Plan bonus of 10%-25% depending on role level. * Management level positions may be eligible for sign-on and relocation bonuses. Benefits Conifer offers the following benefits, subject to employment status: * Medical, dental, vision, disability, life, and business travel insurance * Management time off (vacation & sick leave) - min of 12 days per year, accrued accrue at a rate of approximately 1.84 hours per 40 hours worked. * 401k with up to 6% employer match * 10 paid holidays per year * Health savings accounts, healthcare & dependent flexible spending accounts * Employee Assistance program, Employee discount program * Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance. * For Colorado employees, Conifer offers paid leave in accordance with Colorado's Healthy Families and Workplaces Act. Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship. Tenet participates in the E-Verify program. Follow the link below for additional information. E-Verify: ***************************** The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations. **********

Are you a current UMass Memorial Health caregiver? Apply now through Workday. Exemption Status: Non-Exempt Hiring Range: $19.74 - $30.80 Please note that the final offer may vary within this range based on a candidate's experience, skills, qualifications, and internal equity considerations. Schedule Details: Monday through Friday Scheduled Hours: 8-430 Shift: 1 - Day Shift, 8 Hours (United States of America) Hours: 40 Cost Center: 99940 - 5436 Med Specs Ancillary Pod Ar Union: SHARE (State Healthcare and Research Employees) This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process. Everyone Is a Caregiver At UMass Memorial Health, everyone is a caregiver - regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day. Responsible for follow-up of complex claims for payment. I. Major Responsibilities: 1. Calls insurance companies and utilizes payor web-sites while working detailed reports to secure outstanding payments. 2. Reviews rejections in assigned payors and plans to determine validity of rejection and takes appropriate action to resolve the invoice. 3. Calculates and posts adjustments based on third party reimbursement guidelines and contracts. 4. Makes appropriate payor and plan changes to secondary insurers or responsible parties. 5. Inputs missing data as required and corrects registration and other errors as indicated. Standard Staffing Level Responsibilities: 1. Complies with established departmental policies, procedures and objectives. 2. Attends variety of meetings, conferences, seminars as required or directed. 3. Demonstrates use of Quality Improvement in daily operations. 4. Complies with all health and safety regulations and requirements. 5. Respects diverse views and approaches, demonstrates Standards of Respect, and contributes to creating and maintaining an environment of professionalism, tolerance, civility and acceptance toward all employees, patients and visitors. 6. Maintains, regular, reliable, and predictable attendance. 7. Performs other similar and related duties as required or directed. All responsibilities are essential job functions. II. Position Qualifications: License/Certification/Education: Required: 1. High School Diploma Experience/Skills: Required: 1. Previous Revenue Cycle knowledge in one of the following areas including PFS, Customer Service, Cash Posting, Financial Assistance, Patient Access, HIM/Coding and/or 3rd party Reimbursement. 2. Ability to perform assigned tasks efficiently and in timely manner. 3. Ability to work collaboratively and effectively with people. 4. Exceptional communication and interpersonal skills. Preferred: 1. One or more years of experience in health care billing functions. Unless certification, licensure or registration is required, an equivalent combination of education and experience which provides proficiency in the areas of responsibility listed in this description may be substituted for the above requirements. Department-specific competencies and their measurements will be developed and maintained in the individual departments. The competencies will be maintained and attached to the departmental job description. Responsible managers will review competencies with position incumbents. III. Physical Demands and Environmental Conditions: Work is considered sedentary. Position requires work indoors in a normal office environment. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. We're striving to make respect a part of everything we do at UMass Memorial Health - for our patients, our community and each other. Our six Standards of Respect are: Acknowledge, Listen, Communicate, Be Responsive, Be a Team Player and Be Kind. If you share these Standards of Respect, we hope you will join our team and help us make respect our standard for everyone, every day. As an equal opportunity and affirmative action employer, UMass Memorial Health recognizes the power of a diverse community and encourages applications from individuals with varied experiences, perspectives and backgrounds. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, protected veteran status or other status protected by law. If you are unable to submit an application because of incompatible assistive technology or a disability, please contact us at ***********************************. We will make every effort to respond to your request for disability assistance as soon as possible.

* Performs compliance audits of Inpatient and Outpatient medical records in accordance with all coding guidelines. Writes and presents concise recommendation worksheets with appropriate findings and coding references to coders during education exits. Writes Executive Summaries and must communicate with different administrative levels within the hospital. Responsibilities Reviews records assigned to ensure all codes reported are accurate to ICD-10 CM/PCS and/or CPT coding conventions Reviews additional chart documentation to validate admission order, admission and discharge dates, point of origin, patient status, present on admission indicator, and coder queries to ensure accuracy Uses various software applications, groupers, 3M and other coding tools to analyze and ensure appropriate codes, sequencing and edits Runs preliminary and final statistical and coder specific reports Completes client rebuttals and makes appropriate changes in database Prepares for Exit Conference using Teams Conducts Exit Conference with Administration Conducts Exit Conference with Coding Staff Prepares summation of Exit Conference Meets with HIM Director following Exit Qualifications High School Diploma with RHIA, RHIT, or CCS credential Minimum 5 years inpatient and outpatient coding experience in an acute care facility. I-10-CM/PCS proficient Computer proficiency, able to research coding questions and utilize HIA's internal educational resources Experience using Electronic Health Record (EHR) High Speed Internet via Cable (no Satellite or wireless cell based) Independent, focused individual able to work remotely. Sound organizational, communication and critical thinking skills

Are you an internal caregiver, student, or contingent worker/agency worker at UMass Memorial Health? CLICK HERE to apply through your Workday account. Exemption Status: Non-Exempt Hiring Range: $30.76 - $55.36 Please note that the final offer may vary within this range based on a candidate's experience, skills, qualifications, and internal equity considerations. Schedule Details: Monday through Friday Scheduled Hours: Flexible Shift: 4 - Mixed Shift, 8 Hours (United States of America) Hours: 0 Cost Center: 25080 - 4263 Outpatient Mental Health Svcs This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process. Everyone Is a Caregiver At UMass Memorial Health, everyone is a caregiver - regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day. Provide quality treatment to patients within Behavioral Health Services. I. Major Responsibilities: 1. Provide individual & group therapy to patients with varied mental health/ co-occurring disorders. 2. Responsibilities include completing initial assessments, counseling, group therapy, case presentations to the treatment team, treatment planning, and aftercare planning. 3. Clinicians are also responsible for identifying the need for medication evaluations and making referrals to the on-site providers. 4. Complete all documentation and paperwork specific to the department and in compliance with hospital requirements, DMH, BSAS, The Joint Commission, and insurance providers. 5. Responsible for managing caseload which may include consultations, collateral contact, and following up with the patient on missed appointments. 6. Maintain independent professional licensure and maintain credentialing necessary for specific role. Standard Staffing Level Responsibilities: (STANDARD UMMH) 1. Complies with established departmental policies, procedures, and objectives. 2. Attends variety of meetings, conferences, seminars as required or directed. 3. Demonstrates use of Quality Improvement in daily operations. 4. Complies with all health and safety regulations and requirements. 5. respects diverse views and approaches, demonstrates Standards of Respect, and contributes to creating and maintaining an environment of professionalism, tolerance, civility and acceptance toward all employees, patients and visitors. 6. Maintains, regular, reliable, and predictable attendance. 7. Performs other similar and related duties as required or directed. All responsibilities are essential job functions. II. Position Qualifications: License/Certification/Education: Required: 1. Graduation and training from an accredited graduate (Masters) program. 2. Active unrestricted independent license by the Massachusetts Board of Registration: LICSW/LMHC/LMFT/Licensed Clinical Psychologist. Experience/Skills: Required: 1. 2+ years of experience working within the Human Services field. 2. Strong diagnostic skills and abilities. 3. Must have strong and effective communication, organization and time management skills. 4. Must be able to work as part of a robust multi-disciplinary clinical team. Preferred: 1. 2+ years of experience working within behavioral health and/ or addictions treatment. Unless certification, licensure or registration is required, an equivalent combination of education and experience which provides proficiency in the areas of responsibility listed in this description may be substituted for the above requirements. Department-specific competencies and their measurements will be developed and maintained in the individual departments. The competencies will be maintained and attached to the departmental job description. Responsible managers will review competencies with position incumbents. III. Physical Demands and Environmental Conditions: Work is considered sedentary. Position requires work indoors in a normal office environment. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. We're striving to make respect a part of everything we do at UMass Memorial Health - for our patients, our community and each other. Our six Standards of Respect are: Acknowledge, Listen, Communicate, Be Responsive, Be a Team Player and Be Kind. If you share these Standards of Respect, we hope you will join our team and help us make respect our standard for everyone, every day. As an equal opportunity and affirmative action employer, UMass Memorial Health recognizes the power of a diverse community and encourages applications from individuals with varied experiences, perspectives and backgrounds. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, protected veteran status or other status protected by law. If you are unable to submit an application because of incompatible assistive technology or a disability, please contact us at ***********************************. We will make every effort to respond to your request for disability assistance as soon as possible.

The Contract Specialist is responsible for the lifecycle management of low to moderate risk vendor goods and services agreements, maintains applicable contract records, correspondence, and files, and monitors contracts for expiration taking action to amend, extend, or close-out as appropriate. Position: Contracts Specialist Department: Supply Chair Corp Procurement Schedule: Full Time ESSENTIAL RESPONSIBILITIES / DUTIES: Handles routine or standard form contract agreements and related documentation in accordance with established contract policies and procedures; executes low to moderate risk contracts. Able to negotiate basic business terms in accordance with prescribed templates and guidelines. Reviews solicitations and prepares routine response for proposals, bids, and contract modifications. May prepare basic requests for proposal, information or quotation as directed. Prepares and administers routine correspondence, negotiation memoranda, and contract documentation to ensure timely and coordinated submittal. Prepares, organizes and maintains contract records and files to ensure business continuity and optimization of the contract lifecycle management and ERP systems. Documents contract performance and compliance where required, escalates non-conformance to leadership for follow up. Communicates contract policy and practice to internal business teams; ensures contract review, approval and execution in accordance with guidelines and policies. Assists internal or external business teams on issues and developments relative to assigned contracts. Coordinates with Supply Chain and Accounts Payable teams to rectify pricing discrepancies; ensures accurate and timely processing of vendor payments utilizing purchase orders. (The above statements in this job description are intended to depict the general nature and level of work assigned to the employee(s) in this job. The above is not intended to represent an exhaustive list of accountable duties and responsibilities required). JOB REQUIREMENTS EDUCATION: Bachelor's degree or equivalent education and experience preferred CERTIFICATES, LICENSES, REGISTRATIONS REQUIRED: Certification from National Contract Management Association (NCMA) or International Association for Contract and Commercial Management (IACCM) or similar credential preferred. EXPERIENCE: 1-3 years related business or contract experience KNOWLEDGE, SKILLS & ABILITIES (KSA): Strong written and verbal communication skills; detail oriented in all notes and documentation. Intermediate to advanced skill in use of Microsoft products including Word, Excel, PowerPoint, Forms, etc. Proficient using contract lifecycle management and ERP systems. Basic analytical skills necessary to make sound recommendations based on data. Able to develop accurate and precise summary information. Compensation Range: $50,500.00- $73,000.00 This range offers an estimate based on the minimum job qualifications. However, our approach to determining base pay is comprehensive, and a broad range of factors is considered when making an offer. This includes education, experience, skills, and certifications/licensures as they directly relate to position requirements; as well as business/organizational needs, internal equity, and market-competitiveness. In addition, BMCHS offers generous total compensation that includes, but is not limited to, benefits (medical, dental, vision, pharmacy), discretionary annual bonuses and merit increases, Flexible Spending Accounts, 403(b) savings matches, paid time off, career advancement opportunities, and resources to support employee and family well-being. NOTE: This range is based on Boston-area data, and is subject to modification based on geographic location. Equal Opportunity Employer/Disabled/Veterans According to the FTC, there has been a rise in employment offer scams. Our current job openings are listed on our website and applications are received only through our website. We do not ask or require downloads of any applications, or “apps” job offers are not extended over text messages or social media platforms. We do not ask individuals to purchase equipment for or prior to employment.

Competitive Compensation & Benefits Package! eligible for - Annual incentive bonus plan Medical, dental, and vision insurance with low deductible/low cost health plan Generous vacation and sick time accrual 12 paid holidays State Retirement (pension plan) 401(k) Plan with employer match Company paid life and disability insurance Wellness Programs Public Service Loan Forgiveness Qualifying Employer See attachment for additional details. Office Location: Remote option; Available for any of Partners' NC locations Closing Date: Open Until Filled Primary Purpose of Position: This position provides nonclinical administrative support to the PartnersACCESS call center. The Call Center Representative primary responsibility is to answer inbound calls and assist callers by connecting them to the appropriate party, sharing information, providing technical assistance, answering questions, handling and/or resolving complaints. Must maintain a high level of professionalism, patience and empathy working with callers who may be frustrated and may have complex medical, behavioral health, intellectual and other developmental conditions; and must still maintain the highest level of customer satisfaction by seeking first call resolution. Must live in North Carolina and preferably in Partners counties. Role and Responsibilities: Ability to learn complex information about two Medicaid health plans and their benefits. Work in a call center environment and interact with callers who are generally members and providers, to deliver information, answer frequently asked questions, and address complaints. Route calls to the appropriate resource. Including appropriately identifying and elevating those more complex or crisis calls. Understand Health/Mental Health (MH)/Substance Use (SU)/Traumatic Brain Injury (TBI)/Intellectual/Developmental Disability (I/DD) treatment needs, benefit information and referral of members calling to determine if they may potentially qualify for services. Review call notes, enrollments, registrations, or other identified documents for completeness and/or accuracy. Collect and enter demographic data into the electronic record, completion of appropriate forms, explanation of services, benefits and resources, verifies Medicaid and dispatch. Provide follow up calls. This position demands a high level of accuracy and confidentiality. Information must be handled according to NC standards and rules, state and federal laws and LME/MCO and NCQA standards, procedures, policies and protocol. Trained on the requirements, policies and procedures of the BH I/DD Tailored Plan operating in North Carolina and can respond to all areas within the Member Handbook and Provider Manual, including resolving claims payment inquires in one touch. Automation: Screenings are completed using standard and specialized computer programs. Inputs accurate information into the system and unlocks electronic service records with appropriate consents, enters all necessary data elements into data systems. Cooperative Efforts: Must be a team player and have a positive attitude. Establish and maintain effective working relationships within the unit, agency, and service system Consistently demonstrate professionalism, tact and diplomacy in handling volatile callers and/or working with contract providers and other external parties. Participate in Unit Staff meeting, Agency Staff meetings, (All staff meetings) and assigned committees. Interacts by phone with providers to provide information in response to inquiries, concerns, and questions. Interact with providers to provide information in response to inquiries about services and other resources. BH I/DD Tailored Plan eligibility and services. Knowledge, Skills and Abilities: Knowledge/Ability to Learn: Health, mental health, substance use, traumatic brain injury and intellectual/developmental disability service delivery and NC Medicaid Managed Care system as well as the resources available in the community. Call center functions, member population, potential for crisis issues, confidentiality laws and program protocols/policies. High level computer skills. Ability communicate effectively orally and in writing, have good keyboarding skills and be able to multi-task. Ability to provide technical assistance to both members and Providers. Ability to maintain confidentiality when screening and referring calls. Education/Experience Required: High School diploma and at least (1) year of healthcare and/or MH/SU/IDD/TBI experience. Education/Experience Preferred: Associate degree or higher and one (1) year of healthcare or MH/SU/IDD/TBI experience, or Associates Degree in Nursing (ADNs) and at least one (1) year of healthcare and/or MH/SU/IDD/TBI experience. Bilingual preferred (for one of the positions). Licensure/Certification Requirements: N/A

We are so glad you are interested in joining Sutter Health! Organization: SHSO-Population Health Services-Utah Aids patients in obtaining the correct level of care with the appropriate provider at the right time. Provides advance clinical telephone support to Sutter Health patients, other callers, in-basket and other remote support for physicians, and limited in-clinic support. Uses the nursing process, input from physicians, and Sutter Health's approved telephone nursing guidelines and protocols to maintain highly efficient operations, to provide quality care, and to ensure positive patient outcomes. Assesses patients' needs, appropriately dispositions cases, collaborates with the clinic and hospital-based providers to renew electronic prescriptions, identifies hospital and community resources, consultations and referrals, and preforms nursing follow-up activities. Clinical support includes assisting physician partners with message management and other communications within the electronic medical record (EMR) system, as well as limited patient care in an outpatient setting. Job Description: DISCLAIMER Applicants must be a resident of one of the following states to be eligible for consideration for this position: Utah, Idaho, Arizona, Arkansas, Louisiana, Tennessee, Missouri, Montana, or South Carolina. DISCLAIMER 2 This is a Work from Home position, therefore internet minimum speeds of 15 mbps download and 5 mbps upload are required. EDUCATION Graduate of an accredited school of nursing CERTIFICATION & LICENSURE RN-Registered Nurse of California (You can submit application without the CA RN license, but must acquire it prior to your start date if selected). RN-Registered Nurse in State of Residence PREFERRED EXPERIENCE AS TYPICALLY ACQUIRED IN: 2 years' experience of practical nursing in a hospital, clinic, urgent care, or emergency room/department 2 years' experience with several specialties and subspecialties. OB/GYN experience helpful SKILLS AND KNOWLEDGE Professional knowledge of clinical nursing protocols, regulations and institutional standards of care and risk management with an emphasis in the areas of disease processes, emergencies, health sciences and pharmacology. Advanced clinical knowledge of medical diagnoses, procedures, protocols, treatments, and terminology, including a working knowledge of state and federal regulations and guidelines. Solid analytical and project management skills, including the ability to analyze problems, situations, practices, and procedures, reach practical conclusions, recognize alternatives, provide solutions, and institute effective changes. Communication, interpersonal, and interviewing skills, including the ability to build rapport and explain medical lab results or sensitive information clearly and professionally to diverse audiences (patients). Proficient computer skills, including Microsoft Office Suite and experience working electronic medical/health records. Work independently, as well as part of a multidisciplinary team, while demonstrating exceptional attention to detail and organizational skills. Manage multiple priorities/projects simultaneously, sometimes with rapidly changing priorities, while maintaining event/project schedules. Recognize unsafe or emergency situations and respond appropriately and professionally. Ensure the privacy of each patient's protected health information (phi). Analyze possible solutions using precedents, existing departmental guidelines and policies, experience and good judgment to identify and solve standard problems. Build collaborative relationships with peers, physicians, nurses, administrators, and public to provide the highest quality of patient care. Pay Range: Starting wage is $37.19 hourly Job Shift: Varied Schedule: Full Time Shift Hours: 8/10 Blended Days of the Week: Variable Weekend Requirements: Rotating Weekends Benefits: Yes Unions: No Position Status: Non-Exempt Weekly Hours: 32 Employee Status: Regular Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans. Pay Range is $37.19 to $48.71 / hour The compensation range may vary based on the geographic location where the position is filled. Total compensation considers multiple factors, including, but not limited to a candidate's experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs. Base pay is only one component of Sutter Health's comprehensive total rewards program. Eligible positions also include a comprehensive benefits package.

**This is a mobile position which will work primarily out in the assigned communities.** Join a Mission That Moves With You: Mobile/Remote Care Management across NC Why You'll Love Working Here In 2026, the future of healthcare is in the community. As an I/DD Care Manager at Partners, you aren't just managing files-you are the architect of a better life for individuals with Intellectual and Developmental Disabilities. We offer a role that balances clinical excellence with geographic flexibility , supported by one of the most stable and competitive benefits packages in North Carolina. The Perks of Joining Our Team: Work Where You Live: Fully mobile/remote role serving the counties you live in, work in and call home. Financial Security: State Retirement Pension plan, 401(k) with employer match, company paid life and disability insurance, and an annual incentive bonus. Health & Wellness: Low-deductible medical/dental plans and generous vacation + sick time accruals. Student Loan Relief: We are a Public Service Loan Forgiveness (PSLF) Qualifying Employer -let your work pay off your education. Celebrate Life: 12 paid holidays and dedicated wellness programs. See attachment for additional details. Location: Available for Gaston, Cleveland, Rutherford NC locations; Mobile/Remote position Projected Hiring Range: Depending on Experience Closing Date: Open Until Filled Your Impact & Role As a Partners Care Manager, you will serve as the primary point of contact and navigator for members with I/DD and/or dually diagnosed members. You will lead "Team Based Care," ensuring our members receive holistic support that integrates physical health, behavioral health, and long-term supports and services. What a Typical Week Looks Like: Meet Members Where They Are: Meet members in their communities to assess their current and projected needs to build Person-Centered Care Plans/Individual Support Plans (ISP) to get them closer to achieving their vision for their lives. Integrative Leadership: Facilitate interdisciplinary team meetings to ensure doctors, specialists, providers and families are all moving in the same direction to meet the member's needs. Transition Expert: Guide members through life's big changes-moving from school to adulthood, returning home from care facilities, gaining optimal independence and finding the right combination of paid supports to maintain or increase overall health and wellness. Empowerment: Educate members and families on their rights and connect them to the array of services and our network of providers to secure their future. Who You Are A Mobile Professional: A North Carolina resident and you thrive on the road and value the autonomy of a community-based role. Travel is an essential part of how you connect with those you serve. A Systems Navigator: You understand (or are eager to master) Medicaid regulations, 1915i services, and the Tailored Plan landscape. A Person-Centered Planner: You believe there is no "one size fits all" solution in care management. You bring a voice to vulnerable individuals through your strengths of observation, connecting the dots, supporting their journey through your planning skills. Qualified Candidate to apply : You've earned your degree and put it to work! Congratulations! You are who we are looking for if one of these many different scenarios describe you… You have earned a Bachelor's degree in a human services field like psychology, social work, nursing or other relevant human services field: and you bring with you a minimum of 2 years full-time experience working with individuals with Intellectual and Developmental Disabilities and at least 2 years of your work experience was with people with significant Long-Term Services and Supports (LTSS) needs due to their disability in a setting where they receive care in the community OR You earned a Bachelor's degree outside the human services field and you have at least 4 years full-time experience working with individuals with Intellectual and Developmental Disabilities. and at least 2 years of your work experience was with people with significant Long-Term Services and Supports (LTSS) needs due to their disability in a setting where they receive care in the community OR You earned a Master's degree and have a minimum of 1 year full time experience working with individuals with Intellectual and Developmental Disabilities and at least 2 years of your work experience was with people with significant Long-Term Services and Supports (LTSS) needs due to their disability in a setting where they receive care in the community

Competitive Compensation & Benefits Package! eligible for - Annual incentive bonus plan Medical, dental, and vision insurance with low deductible/low cost health plan Generous vacation and sick time accrual 12 paid holidays State Retirement (pension plan) 401(k) Plan with employer match Company paid life and disability insurance Wellness Programs Public Service Loan Forgiveness Qualifying Employer See attachment for additional details. Office Location: Available for any of Partners locations; Remote Option Projected Hiring Range: Depending on Experience Closing Date: Open Until Filled Primary Purpose of Position: The Provider Engagement & Outreach Specialist serves as a liaison between Partners Health Management and healthcare/physical health providers to drive quality improvement, practice transformation, and provider engagement. This role supports physical health providers in implementing evidence-based workflows, optimizing care delivery models, and aligning with value-based care initiatives. The Specialist also leads outreach efforts to foster collaborative relationships, deliver educational resources, and support providers in meeting performance and compliance benchmarks. Roles and Responsibilities: Support medical providers in transforming care delivery through implementation of patient-centered medical home (PCMH), value-based care models, and quality improvement initiatives. Engage directly with providers and healthcare teams across North Carolina to build strong partnerships, understand their unique challenges, and provide tailored assistance Conduct on-site and virtual practice visits to assess workflows, identify improvement opportunities, and provide technical assistance and resources. Analyze and utilize performance data (e.g., HEDIS, Medicaid measures) to collaborate with providers to design targeted interventions that improve care quality and patient outcomes. Assist practices with change management strategies to enhance patient outcomes and operational efficiency Act as a liaison in supporting providers in adopting value-based care practices, that enhance clinical efficiency and patient outcomes Develop and disseminate outreach materials, toolkits, and communication strategies to strengthen provider relationships. Stay abreast of emerging best practices, payer requirements, and regulatory changes affecting provider performance and transformation. Deliver training and coaching on practice transformation topics, data use, and workflow redesign Track provider progress, document interactions, and report outcomes and barriers to leadership for continuous program improvement. Work directly with physicians, clinical teams, and administrative staff to improve care delivery, enhance patient outcomes, and increase performance. Collaborate with internal stakeholders to align resources and interventions Support practice transformation initiatives that drive sustained improvements in care quality and operational efficiency Work with providers to encourage preventive service utilization and effective chronic condition management among their patient populations Assist clinicians achieve measurable improvements in health outcomes and patient satisfaction by fostering patient engagement and adherence to recommended care plans Knowledge, Skills and Abilities: • Deep understanding of value-based care models, and healthcare quality programs. • Experience in healthcare practice transformation, care delivery redesign or clinical operations • Experience engaging and coaching clinical teams (physicians, nurses, and practice managers) • Familiarity with health equity initiatives and strategies to address social drivers of health. • Experience in Project Management and familiarity in process mapping and workflow analysis tools. • Knowledge of and ability to explain and apply the provisions of contractual practices adopted by Partners Health Management and required by NC Division of Health Benefits. • Demonstrate working knowledge of HEDIS quality measures and reporting requirements to support accurate provider education and engagement • Collaborate with providers and internal teams to close care gaps and ensure compliance with HEDIS and other quality initiatives. • Experience working with large multi-site practices. • Ability to analyze clinical and operational data to drive improvement initiatives. • Excellent facilitation and project management skills and familiarity in process mapping and workflow analysis tools. • Strong problem solving, decision-making and negotiating skills. • Exceptional interpersonal skills and strong written and verbal communication skills. • Excellent organizational skills. • Ability to multi-task and meet deadlines. • Considerable knowledge of the laws, regulations and policies that govern the program, which includes and is not limited to contractual requirements adopted by NC Division of Health Benefits and other governmental oversight agencies. • Strong problem solving, negotiation, arbitration, and conflict resolution skills. • Excellent computer skills and proficiency in Microsoft Office products (such as Word, Excel, Outlook, and PowerPoint. • Demonstrated ability to verify documents for accuracy and completeness; to understand and apply laws, rules and regulations to various situations; to apply regulations and policies for maintenance of consumer medical records, personnel records, and facility licensure requirements. • Ability to make prompt independent decisions based upon relevant facts. • Ability to establish rapport and maintain effective working relationships. • Ability to act with tact and diplomacy in all situations. • Ability to maintain strict confidentiality in all areas of work. • Experience with Electronic Health Records (HER) for clinical processes Education and Experience Required: Bachelor's degree and a minimum of four years of experience in managed care or a related field with a healthcare provider or insurer/payer. Relevant areas may include provider relations, network development or design, provider engagement services, contract management, or patient financial services. Experience in auditing, accounting, or finance is also applicable. A combination of relevant education and experience may be considered in lieu of a Bachelor's degree. Must be able to travel as required. 4 years of significant and relevant work experience in medical practice management in lieu of educational requirements may be accepted, particularly with significant administrative experience in a clinic setting. Must have the ability to travel as indicated. Other requirements: Must reside in North Carolina or within 40 miles of the NC border. Education and Experience Preferred: Bachelor's degree in Nursing, Public Health, Healthcare Administration, or a related field (Master's degree preferred). Deep understanding of value-based care models, healthcare quality programs, and population health initiatives. Demonstrated experience in practice transformation roles and practice support. Licensure/Certification Requirements: None

- not eligible for benefits Projected Hiring Range: Depending on Experience Primary Purpose of Position: This position provides the initial screening, referral and or scheduling of members who call the toll-free PartnersACCESS Member Services number seeking health and behavioral health services and as appropriate, transfers the member to a clinician who will clinically triage/assess the member's acuity and will determine what type and intensity of service the member needs and/or is eligible to receive. Role and Responsibilities: Screening, scheduling and referral: Initial screening of Health/Mental Health (MH)/Substance Use (SU)/Traumatic Brain Injury (TBI)/Intellectual/Developmental Disability (I/DD) treatment needs, benefit information and referral of members calling to determine if they may potentially qualify for services Collect and enter demographic data into the electronic record, completion of appropriate forms, explanation of services, benefits and resources, verifies Medicaid and dispatch Provide follow up calls to referral sources and members to ensure that members have been successfully engaged in services Make referrals to clinical homes and crisis providers that meet the timeliness standards as defined by NC Medicaid Provide information about local community resources, independent practitioners, and related providers for referrals for basic benefit services This position demands a high level of accuracy and confidentiality. Information must be handled according to NC standards and rules, state and federal laws and LME/MCO and NCQA standards, procedures, policies and protocol Authorizations: Assists with authorizations/admissions to state hospitals, ADATC, Three Way Hospitals, Level III Detox, Facility Based Crisis and all referrals to crisis services Process other acute care authorizations as requested by supervisor or other Access to Care Licensed Clinician Automation: Screenings are completed using standard and specialized computer programs Inputs accurate information into the system and unlocks electronic service records with appropriate consents, enters all necessary data elements into data systems Provide technical assistance to First Responders, clinical home providers, and Mobile Crisis Management Cooperative Efforts: Establish and maintain effective working relationships within the unit, agency, and service system Consistently demonstrate professionalism, tact and diplomacy in handling irate callers and/or working with contract providers and other external parties Participate in Unit Staff meeting, Agency Staff meetings, (All staff meetings) and assigned committees Knowledge, Skills and Abilities: Sound knowledge of health/MH/SU/TBI/I/DD for the appropriate determination of eligibility for Medicaid and State supported services, appropriateness of referrals for treatment and assessment and the level of danger of the members calling for assistance Knowledge of the laws governing the treatment of health, mental illness, substance abuse and intellectual/developmental disabilities as well as the resources available in the community for treatment Knowledge of call center functions, member population, potential for crisis issues, confidentiality laws and program protocols/policies Excellent computer skills Ability to complete tasks independently, define problems, apply laws, policies and procedures to agency activities and must use sound judgment in conducting screening, triage and referral Ability to use sound judgment when conducting a screening and be able to determine when it is necessary and appropriate to transfer a member to a Licensed Access to Care Clinician Ability to communicate effectively orally and in writing, have good keyboarding skills and be able to multi-task (that is: converse while entering screening information into the electronic medical record and evaluating the member's need) Ability to take highly complicated criteria and apply it to cases in determining eligibility for services and appropriate scheduling referrals Ability to assist members in highly stressful situations which may be life threatening to the member or public while at the same time facilitating a connection to crisis services and/or a Licensed Access to Care Clinician Ability to provide technical assistance to both members and Providers Ability to maintain confidentiality when screening and referring calls/callers Education/Experience Required: Bachelor's Degree in related field or Licensed Practical Nurse (LPN) and at least two (2) years of healthcare or MH/SU/IDD experience. Education/Experience Preferred: Licensed practical nurses (LPNs) and at least four (4) years of healthcare and/or MH/SU/IDD experience. Licensure/Certification Requirements: N/A

Competitive Compensation & Benefits Package! eligible for - Annual incentive bonus plan Medical, dental, and vision insurance with low deductible/low cost health plan Generous vacation and sick time accrual 12 paid holidays State Retirement (pension plan) 401(k) Plan with employer match Company paid life and disability insurance Wellness Programs Public Service Loan Forgiveness Qualifying Employer See attachment for additional details. Office Location: Hybrid option; Available for the Gastonia, NC location Closing Date: Open Until Filled Primary Purpose of Position: To provide executive-level paralegal and administrative services for the Office of Legal Affairs (OLA), including Chief Legal Officer/General Counsel (CLO/GC), Director of Legal Services, staff attorney(s), legal specialist(s) and waiver contract manager. Highly collaborative culture. Under licensed-attorney supervision where required, this position entails professional legal work in a variety of legal/operational areas or functions, including but not limited to legal research; and drafting, reviewing, proofing and communicating legal/regulatory matters regarding litigation, transactions/contracts, regulation, legislation, internal and external dispute resolution, grievances/complaints, and related legal projects. As detailed further below, key role will be managing Partners many complex policies and procedures (P&Ps), as well as program descriptions, plans and even assisting with board guidelines. In addition, position will require successful applicant to field, route and/or address (or to ensure attorney and/or OLA team addresses) legal issues and questions from various Partners' business units and staff. Examples of work include coordinating all aspects of the internal Policy and Procedure process (with assistance of waiver contract manager); preparation and occasional participation in board level and committee meetings; assist legal team with their projects, including, e.g., key OLA metrics and ensure monitoring, prompt routing, payment and reimbursement of legal bills and expenses. Works with extremely sensitive and confidential information and records. Perform other duties as needed consistent with an executive level paralegal. Work closely with Associate General Counsel, Director of Legal Services, Waiver Contract Manager, Legal Specialist, Program Integrity Director, and their teams, also located in OLA. Position reports directly to Director of Legal Services. NOTE: Representation of Partners in a court of law and other acts constituting the practice of law are the responsibilities of attorneys in or for OLA. Position will cooperate with, assist and take significant responsibility for preparation of work by attorneys, but have no authority to act as legal counsel for Partners or to practice law without a license. Role and Responsibilities (percentages are approximations): 50% Policies and Procedures (P&Ps): With assistance and guidance of waiver contract manager, will be directly responsible for Partners' almost 300 P&Ps, that must be regularly reviewed, vetted and approved by management, leadership and Board. This includes oversight of revision and creation of P&Ps by Partners' staff for accreditation, certification, contract and regulatory compliance. Also, can include Program Descriptions, Plans and perhaps assisting with board guidelines. Assist with and/or manage automation and process improvement of P&Ps. As detailed below, this role requires extensive organizational skills, knowledge and comfort with software, critical thinking, and strong writing and collaborative communications skills. 35% Traditional Paralegal Services: With assistance from attorneys, legal specialists, waiver contract manager, and program integrity investigators, provides moderate to complex legal support services. Examples include: performing legal research, both formal from traditional legal research databases (currently Lexis) and from non-traditional resources such as State and Federal legislative and regulatory websites. assisting with obtaining, reviewing, proofing, executing and interpreting contracts and transactions. assisting with drafting, review, proofing and issuing communications with staff, outside counsel and opposing counsel regarding contracts, litigation (subpoenas, hearing notices, pleadings, motions) and related legal projects; assisting with or fielding, routing and and/or addressing legal issues and questions from various Partners' business units and staff, and/or ensuring appropriate OLA staff does so; attending and or assisting attendees with key meetings, hearings and conferences, providing insights to and taking notes for OLA team and Partners. gather, organize and marshal on demand relevant documents, information and evidence to support OLA work and obligations. liaising with Program Integrity staff on legal matters arising to legal staff from or related to investigations of alleged fraud, waste and abuse; consulting OLA attorneys for supervision on matters and in any instance that might be construed as the practice of law. 10% Administrative Support: Provides comprehensive and often sophisticated/complex administrative support to OLA team. Examples include assisting OLA staff or directly to: maintain OLA legal files and records. create, maintain, analyze and report key OLA metrics using various OLA-specific resources and interdepartmental support. routing, payment and reimbursement of legal bills and expenses, including potential assistance with the OLA legal matters management and invoicing software and database (currently CounselLink). communicate with outside counsel regarding pending assigned cases and legal matters, billing guidelines and other needs. coordinate and support highly visible functions and events, including preparation for board, executive, management level and other meetings; provider forums, council and other meetings; legal trainings; and other events involving Team OLA. reserve and arrange meeting space, including IT needs. schedule and coordinate select conference calls, meetings, mediations, and hearings. handle staff expense reimbursements, travel reservations, supplies and miscellaneous OLA operational matters. 5% Other Duties as Assigned: In all roles and responsibilities, assures confidentiality of information of a sensitive nature within the department and organization. Adheres to court, regulatory, Partners' and other deadlines. Highly organized and digitally proficient, and able to multitask in fast-paced, detail-oriented -- but highly collaborative, team-oriented and cross-functional -- environment. Maintains a thorough understanding of legal procedures and documents. Able and authorized to exercise good judgment in a variety of situations when communicating directly with persons within and outside Partners, including leadership, healthcare professionals, attorneys, judges, regulators and others. Strong oral and written communication skills essential. Significant attention to accuracy. Excellent people skills. Knowledge, Skills and Abilities: Considerable knowledge of the principles and practices of NC administrative law specifically and general knowledge of the laws, rules, and regulations applicable to LME/MCOs. Ability to maintain effective working relationships with the public and other persons contacted in the course of work. Ability to anticipate and timely meet deadlines and projects. Considerable knowledge of office practices, techniques, and technology. Working knowledge of and the ability to understand legal documents, contractual language, legal processes and other complex or sophisticated topics and materials. Excellent communication skills, both orally and in writing. Detail oriented with excellent organizational skills, including ability to manage multiple schedules and tasks. Proficiency in Word, Excel, Outlook and PowerPoint, including the ability to design reports and presentations for internal and external recipients; excellent typing skills. Proficiency in law-related and P&P software and database resources, including or comparable to LexisNexis and CounselLink. Ability to manage and uphold integrity and confidentiality of sensitive data, internally and externally. Ability to analyze, understand, and complete tasks related to state and federal rules, regulations and laws. Ability to establish and maintain effective, positive working relationships with staff, other members of the organization and stakeholders. Ability to analyze, interpret and recommend policy, rules, and procedural guidelines. Ability to complete non-routine activities and tasks that might require deviation from established procedures; must be able to choose the appropriate course of action and recognize the existence of and differences among situations; sound judgment and critical thinking. Ability to plan and carry out the day-to-day work of the office based on priorities and knowledge of the departments; and Ability to recognize sensitive or unusual situations that should be referred to another more appropriate staff member or to the supervisors. Commitment to Partners' core culture values. Education and Experience Required: A minimum experience of two years in a law-related role with law firm or law department. Working knowledge of legal database software, e.g., LexisNexus or Westlaw. Extensive knowledge and proficiency of Microsoft Office products (Word, Excel, Outlook, PowerPoint, etc.). Comfort and experience with electronic modes of communication, filing, record keeping and office management. While not frequent, must have ability to travel between counties. Must reside in North Carolina or within 40 miles from its border. Education and Experience Preferred: Associate or higher degree in Legal Studies, Business, Office Administration, Healthcare, Human Services or other relevant field, including, paralegal/legal studies, Criminal Justice, Political Science, or legal assistant. Experience in healthcare, especially public behavioral health, managed Medicaid, and healthcare payor systems and law. Knowledge of and experience/proficiency with LexisAdvance, CounselLink, WestLaw and e-OAH. Substantial prior paralegal, legal assistant or related working experience or credentialing highly preferred, especially certification as paralegal or legal assistant, e.g., NCCP. Licensure/Certification Requirements: Paralegal, Legal Assistant, or similar recognized certification, e.g. NCCP (out of state certification acceptable). Law license not required. JDs welcomed to apply but should not expect promotion to attorney position with or without license.