Case Manager-DSNP
Virginia Beach, VA jobs
City/State Virginia Beach, VA Work Shift First (Days) Sentara Health Plansis hiring an Integrated Nurse Case Manager/RNfor DSNP in Virginia Beach, VA! The position requires both in-person face-to-face assessments and remote telephonic assessments for Dual Special Needs Plan (DSNP) in their homes or facilities in Virginia Beach, VA!
Status: Full-time,permanent position (40 hours)
Standard working hours: 8am to 5pm EST, M-F
Location: Applicants must reside in Virginia Beach, VA!
Primary responsibilities include:
Responsible for case management services within the scope of licensure; develops, monitors, evaluates, and revises the member's care plan to meet the member's needs, with the goal of optimizing member health care across the care continuum
Performs telephonic or face-to-face clinical assessments for the identification, evaluation, coordination and management of member's needs, including physical and behavioral health, social services and long-term services
Identifies members for high-risk complications and coordinates care in conjunction with the member and health care team
Manages chronic illnesses, co-morbidities, and/or disabilities ensuring cost effective and efficient utilization of health benefits; conducts gap in care management for quality programs
Assists with the implementation of member care plans by facilitating authorizations/referrals within benefits structure or extra-contractual arrangements, as permissible
Interfaces with Medical Directors, Physician Advisors and/or Inter-Disciplinary Teams on care management treatment plans
Presents cases at case conferences for multidisciplinary focus. Ensures compliance with regulatory, accrediting and company policies and procedures
May assist in problem solving with provider, claims or service issues.
Education:
Bachelors Degree in Nursing preferred
Certification/Licensure
Registered Nurse (RN) License (Compact or Virginia) REQUIRED
Preferred qualifications:
3 years experience in Nursing REQUIRED
Case Management experience preferred
Discharge planning experience preferred
Managed Care or Health Plan experience preferred
Sentara Health Plans provides health plan coverage to close to one million members in Virginia. We offer a full suite of commercial products including employee-owned and employer-sponsored plans, as well as Individual & Family Health Plans, Employee Assistance Programs and plans serving Medicare and Medicaid enrollees.
Our quality provider network features a robust provider network, including specialists, primary care physicians and hospitals.
We offer programs to support members with chronic illnesses, customized wellness programs, and integrated clinical and behavioral health services-all to help our members improve their health.
Our success is supported by a family-friendly culture that encourages community involvement and creates unlimited opportunities for development and growth.
Be a part of an excellent healthcare organization that cares about our People, Quality, Patient Safety, Service, and Integrity. Join a team that has a mission to improve health every day and a vision to be the healthcare choice of the communities that we serve!
To apply, please go to ********************** and use the following as your Keyword Search: JR-90044
#Indeed
Talroo - Nursing
Care Coordination, Case Management, RN, Case Manager, Registered Nurse, BSN, ADN, Nursing, Virginia Beach, VA, Managed Care, MCO, Health Plan, DSNP, Dual Special Needs Plan
Benefits: Caring For Your Family and Your Career
• Medical, Dental, Vision plans
• Adoption, Fertility and Surrogacy Reimbursement up to $10,000
• Paid Time Off and Sick Leave
• Paid Parental & Family Caregiver Leave
• Emergency Backup Care
• Long-Term, Short-Term Disability, and Critical Illness plans
• Life Insurance
• 401k/403B with Employer Match
• Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education
• Student Debt Pay Down - $10,000
• Reimbursement for certifications and free access to complete CEUs and professional development
•Pet Insurance
•Legal Resources Plan
•Colleagues have the opportunity to earn an annual discretionary bonus ifestablished system and employee eligibility criteria is met.
Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.
In support of our mission “to improve health every day,” this is a tobacco-free environment.
For positions that are available as remote work, Sentara Health employs associates in the following states:
Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.
Registered Nurse Unit Coordinator - Vascular Intermediate Care Unit
Norfolk, VA jobs
City/State Norfolk, VA Work Shift Third (Nights) Sentara Norfolk General Hospital in Norfolk, Virginia is seeking a Registered Nurse Unit Coordinator for our Vascular Stepdown/Intermediate Care Unit (IMCU) - 9K Hours: Full Time (36 hr/week)
Demonstrates proficiency in nursing practice for assigned specialty area and provides clinical leadership for the delivery of nursing care in a department. Under the direction of the department manager leads safety and quality initiatives, focuses on and simplifies workflow, and contributes to the development of staff. Increase staff satisfaction and promotes excellent (Gold Standard) customer service.
What we are:
9 Kaufman is a 24-bed stepdown intermediate care unit that specializes in vascular surgery, telemetry and renal/pancreas transplant patients. 9 Kaufman is part of the Surgical Specialty Team at Sentara Norfolk General Hospital (SNGH). Staffing is comprised of RNs, LPNs, NCPs (nursing care partners) and UAs (unit ambassadors) and CSAs (clinical support associates).
What we do:
Some of 9 Kaufman's vascular surgeries include aortic aneurysm repair, carotid endarterectomy, femoral bypass surgeries and amputations. 9 Kaufman is an extension of the renal/pancreas transplant team to include the outpatient transplant center and all the nurses on 9 Kaufman are specially trained and can sit for the PCCN certification which we will help you obtain. All the beds on 9 Kaufman are monitored beds. 9 Kaufman cares for a variety of patients with telemetry needs, providing an environment conducive to extensive learning and skill development. You will be exposed to many types of patients on 9 Kaufman aiding in your ability to provide great care to anyone that chose Sentara Norfolk General Hospital to meet their healthcare needs.
Nurse to patient ratio on 9 Kaufman is 1:4.
Education
Bachelor of Science Nursing- BSN or MSN Required
Certification/Licensure
Registered nursing License (Required)
BLS required within 90 days of hire
Experience
18 months revelant RN experience required
Keyword: #ZipRecruiter, Talroo - Nursing, registered nurse, RN, vascular, intermediate care, stepdown, IMCU
.
Benefits: Caring For Your Family and Your Career
• Medical, Dental, Vision plans
• Adoption, Fertility and Surrogacy Reimbursement up to $10,000
• Paid Time Off and Sick Leave
• Paid Parental & Family Caregiver Leave
• Emergency Backup Care
• Long-Term, Short-Term Disability, and Critical Illness plans
• Life Insurance
• 401k/403B with Employer Match
• Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education
• Student Debt Pay Down - $10,000
• Reimbursement for certifications and free access to complete CEUs and professional development
• Pet Insurance
• Legal Resources Plan
• Colleagues may have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met
Here at Sentara, we are committed to consistently enhancing our training, advancement tracks, work-life benefits, and more. Our goal is to make you feel more excited to be here every day!
Sentara Norfolk General Hospital , located in Norfolk, VA, is a 525-bed tertiary care facility that is home to the only Level I Adult Trauma Center and burn trauma unit in Hampton Roads, and also serves as the primary teaching hospital for Eastern Virginia Medical School.
In addition to the high-quality heart program at Sentara Heart Hospital, our facility is home to Nightingale Regional Air Ambulance and several other dedicated facilities and specialized services. As a recognized accredited Comprehensive Stroke Center, and Magnet hospital for nursing excellence, our hospital specializes in heart and vascular, neurosciences, neurosurgery, urology, oncology, spine care, advanced imaging, behavioral health, maternity, and women's health, including a state-of-the-art neonatal intensive care unit.
Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.
In support of our mission “to improve health every day,” this is a tobacco-free environment.
For positions that are available as remote work, Sentara Health employs associates in the following states:
Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.
Manager, Information Technology - Epic Prelude and Cadence - Remote
Virginia Beach, VA jobs
City/State Virginia Beach, VA Work Shift First (Days) Sentara Health is hiring a Manager, Information Technology - Epic Prelude or Epic Cadence - Remote General Information Technology work involves managing or performing work across multiple areas of an organization's overall IT Platform/Infrastructure including analysis, development, and administration of:
• IT Systems Software, Hardware, and Databases
• Data & Voice Networks • Data Processing Operations
• End User Technology & Software Support Conducts cost/benefit analyses for proposed IT projects as input to the organization's IT roadmap.
A Manager manages experienced professionals who exercise latitude and independence in assignments.
Responsibilities typically include:
• Ability to organize and manage projects into a program or portfolio for proper resource coordination and scope definition.
• Able to leverage relationships with leaders throughout the organization to resolve conflict and issues as they arise.
• Able to leverage experience to manage larger, more complex projects and programs.
• Policy and strategy implementation for short-term results (1 year or less).
• Problems faced are difficult to moderately complex.
• Influences others outside of their own job area regarding policies, practices, and procedures.
Education
5 years relevant experience with a degree (Required)
or
7 years relevant experience without a degree ( Required)
Experience in lieu of Bachelor's Degree
Certification/Licensure
Epic Prelude or Cadence certification required
Experience
7 years of relevant experience preferred
2 years of leadership experience required
Talroo-IT
.
We provide market-competitive compensation packages, inclusive of base pay, incentives, and benefits. The base pay rate for Full Time employment is:$116,729.60-$216,777.60. Additional compensation may be available for this role such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
Benefits: Caring For Your Family and Your Career
• Medical, Dental, Vision plans
• Adoption, Fertility and Surrogacy Reimbursement up to $10,000
• Paid Time Off and Sick Leave
• Paid Parental & Family Caregiver Leave
• Emergency Backup Care
• Long-Term, Short-Term Disability, and Critical Illness plans
• Life Insurance
• 401k/403B with Employer Match
• Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education
• Student Debt Pay Down - $10,000
• Reimbursement for certifications and free access to complete CEUs and professional development
• Pet Insurance
• Legal Resources Plan
• Colleagues may have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met
Sentara Independence provides quality outpatient services to the surrounding community. The facility includes an ambulance-accessible emergency room that is supported by board-certified physicians. Sentara Independence houses state-of-the-art medical equipment and highly-skilled physicians and staff. Sentara Independence is now an extension of the quality services at Sentara Virginia Beach General Hospital including advanced imaging and physical therapy.
Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.
In support of our mission “to improve health every day,” this is a tobacco-free environment.
For positions that are available as remote work, Sentara Health employs associates in the following states:
Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.
Data Entry Clerk - Remote Work From Home II
Jersey City, NJ jobs
About the job Data Entry Clerk - Remote Work The Customer Service / Data Entry Representative will provide a wide variety of administrative and staff support services for our claims coordination team. Please note that this is a remote position. We will provide you with the equipment as long as you have your own high-speed internet connection.
Essential Duties And Responsibilities
You will primarily be doing data entry of claims information into our claims management systems. Follow up on missing information in order to process the claim. Review invoices to ensure accuracy. Compile reports from systems with claims information. Required: High school diploma 6 months to 1 year of work experience Basic computer and typing skills
Are you 18 years of age or older or can you demonstrate legal capacity to enter a contract? Must be willing to submit to a background investigation any offer of employment is conditioned upon the successful completion of a background investigation
We offers competitive salaries and benefits, including: medical/dental/vision plans, life and accident insurance, 401(K), employee stock purchase plan, educational expense reimbursement, employee assistance program, flexible work hours (availability varies by office and job function) training programs, matching gift program, and more.
Product Documentation Specialist, (Remote)
Cherry Hill, NJ jobs
Description & Requirements We are seeking a detail-oriented Product Documentation Specialist to create, maintain, and improve internal documentation that supports our teams and operations across US Services. The ideal candidate has strong writing skills, works collaboratively with internal and external stakeholders, and contributes to process improvements through clear, accurate documentation.
NOTE: This position focuses on operational and process documentation, not technical or engineering documentation.
Why Maximus?
- Work/Life Balance Support - Flexibility tailored to your needs!
- • Competitive Compensation - Bonuses based on performance included!
- • Comprehensive Insurance Coverage - Choose from various plans, including Medical, Dental, Vision, Prescription, and partially funded HSA. Additionally, enjoy Life insurance benefits and discounts on Auto, Home, Renter's, and Pet insurance.
- • Future Planning - Prepare for retirement with our 401K Retirement Savings plan and Company Matching.
- •Unlimited Time Off Package - Enjoy UTO, Holidays, and extended sick leave, along with Short and Long Term Disability coverage.
- • Holistic Wellness Support - Access resources for physical, emotional, and financial wellness through our Employee Assistance Program (EAP).
- • Recognition Platform - Acknowledge and appreciate outstanding employee contributions.
- • Tuition Reimbursement - Invest in your ongoing education and development.
- • Employee Perks and Discounts - Additional benefits and discounts exclusively for employees.
- • Maximus Wellness Program and Resources - Access a range of wellness programs and resources tailored to your needs.
- • Professional Development Opportunities-Participate in training programs, workshops, and conferences.
- •Licensures and Certifications-Maximus assumes the expenses associated with renewing licenses and certifications for its employees.
Essential Duties and Responsibilities:
- Collaborate with internal departments on a regular basis to understand business requirements and needs, participate in working sessions and acquire feedback on documentation.
- Perform strategic and ad-hoc data work in support of Product Managers and Product Owners
- Analyze and manage moderately complex business process flows and updates to system process flows and requirements.
- Create and maintain technical documentation / product development & customer education materials
- Create and maintain internal documentation for the Connection Point team included but not limited to job aids and on-boarding materials.
- Work with Product Managers, Product Owners and Product Analysts to ensure accurate documentation is maintained.
- Oversee multiple forms of documentation audits on existing documentation in SharePoint and Confluence.
- Manage and maintain process improvements. This includes but is not limited to collaboration with PM's, PO's and PAs and in some cases other Connection Point departments.
- Create, update, and maintain internal and documentation, including process guides, work instructions, and training materials.
- Collaborate with internal and external stakeholders to gather requirements and ensure documentation accurately reflects processes and procedures.
- Review and improve existing documentation to enhance clarity, usability, and compliance with standards.
- Support process improvement initiatives by documenting changes, workflows, and system updates.
- Utilize document management systems and Microsoft Office tools to organize and distribute documentation effectively.
Minimum Requirements
- Bachelor's Degree or equivalent experience and 3+ Years.
- Preferred SAFe Agile Certification(s).
- Preferred Jira/Confluence experience.
- Preferred learning development / documentation experience.
- Preferred technical writing experience.
- Bachelor's degree in a related field, or an equivalent combination of education and experience.
- 3 years' relevant experience with documentation and supporting process improvement initiatives.
- Strong attention to detail and organizational skills.
- Excellent written communication skills with the ability to create clear, concise, and accurate documentation.
- Experience working collaboratively with internal stakeholders to gather information and develop documentation.
- Familiarity with document management tools and Microsoft Office (Word, Excel, PowerPoint, SharePoint).
- Ability to manage multiple documentation projects simultaneously and meet deadlines.
Preferred Requirements
- Previous experience in product documentation, writing, or business support role.
- Knowledge of process improvement methodologies
Home Office Requirements
- Maximus provides company-issued computer equipment and cell phone
- Reliable high-speed internet service
* Minimum 20 Mpbs download speeds/50 Mpbs for shared internet connectivity
* Minimum 5 Mpbs upload speeds
- Private and secure workspace
EEO Statement
Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Annual salary is just one component of Maximus's total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards. Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off. Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience. An applicant's salary history will not be used in determining compensation. Maximus will comply with regulatory minimum wage rates and exempt salary thresholds in all instances.
Accommodations
Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at **************************.
Minimum Salary
$
68,000.00
Maximum Salary
$
75,000.00
Easy ApplySr. Knowledge Analyst - Contact Center Content Specialist (Remote)
Cherry Hill, NJ jobs
Description & Requirements Maximus is looking for a dynamic Senior Knowledge Analyst to serve as the dedicated Contact Center Content Specialist (CCCS). In this pivotal role, you'll collaborate closely with government and internal teams to identify content gaps, drive improvements, and ensure that agents are equipped with clear, effective, and bilingual resources.
*Position is contingent upon contract award*
This is a fully remote role.
Must have the ability to pass a federal background check.
Remote Position Requirements:
- Hardwired internet (ethernet) connection
- Internet download speed of 25mbps and 5mbps (10 preferred) upload or higher required (you can test this by going to ******************
- Private work area and adequate power source
Essential Duties and Responsibilities:
- Build and maintain knowledge base in SharePoint.
- Build document management processes and procedures.
- Assess knowledge base needs, inaccuracies, gaps; work quickly to resolve and make content current.
- Work cross-functionally with internal teams for maximum efficiency and accuracy in documentation content.
- Create hierarchy and ownership structure to sustain knowledge management.
- Empower contributions from key stakeholders to improve the knowledge base.
- Design and implement work flows to manage documentation process.
- Establish standard templates for all documentation for the teams to utilize in document creation.
- Collaborate with and support the Implementation Team to tune and evolve our Knowledge Base.
- Create, promote and apply best practices for writing, style and content in Microsoft style.
- Create training material in support of the Knowledge management process.
- Improve search results by honing and maintaining the knowledge base taxonomy, labels list and ensuring symptoms and subject terms are present in each article.
- Utilize SharePoint knowledge for site management, list creation, workflow creation/modification and document management within SharePoint.
• Coordinate with client content teams, and the Senior Training Manager to identify and address content gaps specific to contact center operations.
• Serve as a bilingual subject matter expert (English and Spanish) for contact center content development.
• Support the creation and refinement of training materials for contact center agents.
• Draft monthly action and improvement reports with recommendations on knowledge content, quality, customer satisfaction, and training materials.
• Represent the contact center perspective in content-related discussions and decisions.
• Work extensively with business partners and SMEs to perform knowledge needs analysis, develop and update training and knowledge resources that meet staff and stakeholder needs and organizational quality standards.
• Manage and develop knowledge articles, chat quick text scripts and email templates.
• Conduct audits of knowledge articles and procedures to ensure accuracy and relevance.
• Identify emerging contact center trends and coordinate content updates to address urgent needs.
• Collaborate with client content teams to create, update, and review contact center-specific content.
• Serve as a subject matter expert for assigned customer agencies.
• Salesforce and SharePoint experience preferred.
• Call center knowledge and experience preferred.
Minimum Requirements
- Bachelor's degree with 5+ years of experience.
- Advanced degree or professional designation preferred.
- Develops solutions to a variety of complex problems.
- Work requires considerable judgment and initiative.
- Exerts some influence on the overall objectives and long-range goals of the organization.
• Developing website content experience
• Self-motivated and able to work independently
EEO Statement
Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Annual salary is just one component of Maximus's total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards. Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off. Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience. An applicant's salary history will not be used in determining compensation. Maximus will comply with regulatory minimum wage rates and exempt salary thresholds in all instances.
Accommodations
Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at **************************.
Minimum Salary
$
65,000.00
Maximum Salary
$
85,200.00
Easy ApplyClient Executive, Large Group
Virginia jobs
City/State
Norfolk, VA
Work Shift
First (Days)
Sentara Health Plans is hiring a Client Executive, Large Group Sales- Remote in South Hampton Roads (Norfolk, VA Beach, Suffolk, Chesapeake, Portsmouth), Peninsula (Newport News., Yorktown and Hampton) or Northeast North Carolina (Moyock, Elizabeth City)!
Status: Full-time, permanent position (40 hours)
Standard working hours: 8am to 5pm EST, M-F
Location: Remote in South Hampton Roads (Norfolk, VA Beach, Suffolk, Chesapeake, Portsmouth), Peninsula (Newport News., Yorktown and Hampton) or Northeast North Carolina (Moyock, Elizabeth City); With travel to 2x a month in 1330 Sentara Park office, plus seasonal client and broker meetings/events
Job responsibilities:
The Client Executive is responsible for retaining profitable business in the Large Group segment (i.e., 151+ eligible employees), using a consultative, strategic sales approach to achieve business objectives on assigned book of business.
Manage complex and extended renewal negotiations for a range of funding arrangements related to an assigned book of business.
Lead the relationship management and strategic development of brokers and consultants representing mutual customers.
Communicate with and present to business strategies and employer level reporting to senior level executives, decision makers and key influencers.
Manage an internal team through day-to-day service and operations as well as annual workflow processes.
Coach and evaluate team performance.
Assist with enrollment meetings, support health fairs and participate in market events representing Sentara Health Plan in a positive and professional manner.
Support strategic profitable growth objectives to include EAP, Clinical and Employer Solutions.
Education:
Bachelor's degree and 2 years related experience required or HS grad and 8 years related experience.
Certification/Licensure:
Must obtain a Life and Health Insurance License within 90 days of hire.
Driver's License - Other/National
Experience:
Related experience includes sales or client services, health insurance industry experience required.
Group Insurance Large Group (151+ eligible employees) experience preferred
Sentara Health Plans provides health plan coverage to close to one million members in Virginia. We offer a full suite of commercial products including employee-owned and employer-sponsored plans, as well as Individual & Family Health Plans, Employee Assistance Programs and plans serving Medicare and Medicaid enrollees.
Our quality provider network features a robust provider network, including specialists, primary care physicians and hospitals.
We offer programs to support members with chronic illnesses, customized wellness programs, and integrated clinical and behavioral health services-all to help our members improve their health.
Our success is supported by a family-friendly culture that encourages community involvement and creates unlimited opportunities for development and growth.
Be a part of an excellent healthcare organization that cares about our People, Quality, Patient Safety, Service, and Integrity. Join a team that has a mission to improve health every day and a vision to be the healthcare choice of the communities that we serve!
To apply, please go to ********************** and use the following as your Keyword Search: JR-90615
#LI-PM1
#Indeed
Talroo - Health Plan
Keywords: Sales, Large Group, Commercial, Broker, Health Plan, Healthcare, MCO, Managed Care, L-HIL or L-LIFEHI, Remote, South Hampton Roads (Norfolk, VA Beach, Suffolk, Chesapeake, Portsmouth), Peninsula (Newport News., Yorktown and Hampton) or Northeast North Carolina (Moyock, Elizabeth City)
Benefits: Caring For Your Family and Your Career• Medical, Dental, Vision plans• Adoption, Fertility and Surrogacy Reimbursement up to $10,000• Paid Time Off and Sick Leave• Paid Parental & Family Caregiver Leave • Emergency Backup Care• Long-Term, Short-Term Disability, and Critical Illness plans• Life Insurance• 401k/403B with Employer Match• Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education• Student Debt Pay Down - $10,000• Reimbursement for certifications and free access to complete CEUs and professional development•Pet Insurance
•Legal Resources Plan
•Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met.
Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.
In support of our mission “to improve health every day,” this is a tobacco-free environment.
For positions that are available as remote work, Sentara Health employs associates in the following states:
Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.
Auto-ApplyClinical Documentation Educator, Coding Experience Required - Remote
Camden, NJ jobs
Short Description
Reporting to the Supervisor of the Clinical Documentation Team the Clinical Documentation Educator, through diverse assignments, supports and participates in educational activities to improve of the quality, completeness and accuracy of clinical documentation for Cooper University Physicians (CUP.)
Experience Required
Physician coding and compliance experience with significant emphasis on/strong background in procedural, surgical and/or Evaluation and Management services.
Training and presentation experience with physicians and other clinicians both individually and in groups.
Accomplished in the preparation of PowerPoint presentations and other supplemental training materials.
Previous work experience in the auditing and coding of professional clinical documentation; both handwritten and electronic medical records.
Education Requirements
High School Diploma required
Some college or bachelor's degree preferred; Associate degree in nursing or other relevant associate degree also considered.
License/Certification Requirements
CPC and/or CCS-P; CRC or intent to sit/pass exam within 1 year of hire.
Nursing certification and/or Compliance certification a plus
Valid Driver's License (will need to travel to CUH satellite locations as necessary)
Salary Min ($) USD $33.00 Salary Max ($) USD $53.00
Auto-ApplyQuality Improvement Coordinator (RN)- Part Time
Charlottesville, VA jobs
City/State Charlottesville, VA Work Shift First (Days) Sentara Martha Jefferson Hospital is hiring a Quality Improvement Coordinator (Registered Nurse) for a part time, day shift in Charlottesville, VA. Hours: 20 per week, primarily mornings with some variations depending on business needs. Various scheduling options available for qualified candidates.
The Quality Improvement team at Sentara Martha Jefferson has 4 members who are passionate about projects and initiatives that improve safety and patient satisfaction hospital wide. This is a rare opportunity to join and make a positive impact for our staff and patients. Ideal candidates will have supervisory or leadership background, have audit, data collection, and cause analysis experience. Example projects include: Code blue review, data and audit for restraint systems, and physician peer reviews. Each project is run individually with collaboration with the quality team.
The Quality Improvement Coordinator is responsible supporting and implementing initiatives aimed at enhancing the quality and safety of patient care within the healthcare organization. Collaborates with clinical and administrative teams to assess, monitor, and improve healthcare processes, ensuring compliance with regulatory standards, accreditation requirements, and best practices.
Education
* Bachelor of Nursing (BSN) required
* MLD or MSN Preferred
Certification/Licensure
* Registered Nurse License valid in the state of practice required
* Specialty nursing certification in area of practice preferred (CCRN, CMSRN)
Experience
* 2 years of acute care RN experience Required
* Previous leadership or supervisory experience highly preferred
* Plan and coordinate testing and inspection of products and processes experience preferred
* Implementation of corrective actions or continuous improvement initiatives experience preferred
* Experience in collection and analysis of data preferred
#Talroo-Nursing
Keywords, QIC, Quality, Part Time, Data Analysis, Registered nurse, RN, quality improvement, coordination
.
Benefits: Caring For Your Family and Your Career
* Medical, Dental, Vision plans
* Adoption, Fertility and Surrogacy Reimbursement up to $10,000
* Paid Time Off and Sick Leave
* Paid Parental & Family Caregiver Leave
* Emergency Backup Care
* Long-Term, Short-Term Disability, and Critical Illness plans
* Life Insurance
* 401k/403B with Employer Match
* Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education
* Student Debt Pay Down - $10,000
* Reimbursement for certifications and free access to complete CEUs and professional development
* Pet Insurance
* Legal Resources Plan
* Colleagues may have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met
Sentara Martha Jefferson Hospital, located in Charlottesville, VA, is a Magnet status, 176-bed facility featuring all patient-friendly private rooms. Since its founding more than 100 years ago, Sentara Martha Jefferson has constantly evolved to meet the diverse healthcare needs of the patients who trust us with their care.
Today, our vision is as clear as it was to our founders. We will continue to set the standard for clinical quality and personalized healthcare services. Our hospital offers specialized care in Cancer Care, Heart and Vascular, Neurology and Neurosurgery (including a Primary Stroke Center), Orthopedics, and Maternity.
Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.
In support of our mission "to improve health every day," this is a tobacco-free environment.
For positions that are available as remote work, Sentara Health employs associates in the following states:
Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.
Auto-ApplySupervisor, Rehabilitation
Virginia Beach, VA jobs
City/State Virginia Beach, VA Work Shift First (Days) Sentara Therapy Center Pediatrics Newtown is hiring a Team Supervisor We offer Competitive Salaries with Great Benefits! Manages staff and provides on-site supervision for daily operations, coordination of work, quality and service issues. Provides patient care staff assignments, coordinates quality improvement activities, resolution of customer service issues, resource utilization, and liaison activities in support of facility administrators. Serve as a resource to staff to ensure the quality of work and customer service. Assist with program and staff development, program implementation and policy/procedure development and compliance.
Education
* Bachelor's Level Degree
Certification/Licensure
* VA License as a Speech Language Pathologist, Occupational Therapist, or Physical Therapist
* BLS
Experience
* 3 Years Clinical Rehab Services Experience
* Supervisor - Previous Experience
Benefits: Caring For Your Family and Your Career
* Medical, Dental, Vision plans
* Adoption, Fertility and Surrogacy Reimbursement up to $10,000
* Paid Time Off and Sick Leave
* Paid Parental & Family Caregiver Leave
* Emergency Backup Care
* Long-Term, Short-Term Disability, and Critical Illness plans
* Life Insurance
* 401k/403B with Employer Match
* Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education
* Student Debt Pay Down - $10,000
* Reimbursement for certifications and free access to complete CEUs and professional development
* Pet Insurance
* Legal Resources Plan
* Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met.
Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.
In support of our mission "to improve health every day," this is a tobacco-free environment.
For positions that are available as remote work, Sentara Health employs associates in the following states:
Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.
Auto-ApplySentara Health System Wide Virtual Hiring Event for Imaging - All Modalities!
Norfolk, VA jobs
City/State
Norfolk, VA
Work Shift
Multiple shifts available
Join us virtually on Wednesday, December 10, 2025 between 11am and 3pm (EST) for a Virtual Hiring Event specifically for Imaging!
Opportunities currently available:
CT Technologist
Diagnostic Medical Sonographer
Interventional Technologist
Mammography Technologist
MRI Technologist
Nuclear Medicine Technologist
PET/CT Technologist
Radiology Technologist
Vascular Lab Sonographer
Locations included:
Sentara Albemarle Medical Center in Elizabeth City, NC
Sentara BelleHarbour in Suffolk, VA
Sentara Brock Cancer Center in Norfolk, VA
Sentara CarePlex Hospital in Hampton, VA
Sentara Greenbrier in Chesapeake, VA
Sentara Lake Ridge in Lake Ridge, VA
Sentara Leigh Hospital in Norfolk, VA
Sentara Martha Jefferson Hospital in Charlottesville, VA
Sentara Norfolk General Hospital in Norfolk, VA
Sentara Northern Virginia Medical Center in Woodbridge, VA
Sentara Obici Hospital in Suffolk, VA
Sentara Port Warwick in Newport News, VA
Sentara Princess Anne Hospital in Virginia Beach, VA
Sentara RMH Medical Center in Harrisonburg, VA
Sentara Virginia Beach General Hospital in Virginia Beach, VA
Sentara Williamsburg Regional Medical Center in Williamsburg, VA
We have Full Time, Part Time, and Flexi/PRN options. Many shifts available including perm weekends.
Sign on bonus and relocation assistance available for qualified applicants.
This is an exciting opportunity to speak directly with recruiters and hiring managers and discuss what your future goals may be and how Sentara can help get you there.
Please click on the following link for job requirements, additional details, and to register to virtually attend this event: Sentara Health System Wide Virtual Hiring Event for Imaging
.
Benefits: Caring For Your Family and Your Career
• Medical, Dental, Vision plans• Adoption, Fertility and Surrogacy Reimbursement up to $10,000• Paid Time Off and Sick Leave• Paid Parental & Family Caregiver Leave • Emergency Backup Care• Long-Term, Short-Term Disability, and Critical Illness plans• Life Insurance• 401k/403B with Employer Match• Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education• Student Debt Pay Down - $10,000• Reimbursement for certifications and free access to complete CEUs and professional development• Pet Insurance • Legal Resources Plan• Colleagues may have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met Here at Sentara, we are committed to consistently enhancing our training, advancement tracks, work-life benefits, and more. Our goal is to make you feel more excited to be here every day!
Sentara Norfolk General Hospital, located in Norfolk, VA, is a 525-bed tertiary care facility that is home to the only Level I Adult Trauma Center and burn trauma unit in Hampton Roads, and also serves as the primary teaching hospital for Eastern Virginia Medical School.
In addition to the high-quality heart program at Sentara Heart Hospital, our facility is home to Nightingale Regional Air Ambulance and several other dedicated facilities and specialized services. As a recognized accredited Comprehensive Stroke Center, and Magnet hospital for nursing excellence, our hospital specializes in heart and vascular, neurosciences, neurosurgery, urology, oncology, spine care, advanced imaging, behavioral health, maternity, and women's health, including a state-of-the-art neonatal intensive care unit.
Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.
In support of our mission “to improve health every day,” this is a tobacco-free environment.
For positions that are available as remote work, Sentara Health employs associates in the following states:
Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.
Auto-ApplyClient Specialist, Large Group
Virginia Beach, VA jobs
City/State Virginia Beach, VA Work Shift First (Days) Sentara Health Plans is hiring a Client Specialist, Large Group - Remote in South Hampton Roads (Norfolk, VA Beach, Suffolk, Chesapeake, Portsmouth), Peninsula (Newport News., Yorktown and Hampton) or Northeast North Carolina (Moyock, Elizabeth City)!
Status: Full-time, permanent position (40 hours)
Standard working hours: 8am to 5pm EST, M-F
Location: Remote in South Hampton Roads (Norfolk, VA Beach, Suffolk, Chesapeake, Portsmouth), Peninsula (Newport News., Yorktown and Hampton) or Northeast North Carolina (Moyock, Elizabeth City); With travel to 2x a month in 1330 Sentara Park office, plus seasonal client and broker meetings/events
Job responsibilities:
* Support (Sr.) Client Executive in producing and retaining profitable business in the Large Group segment.
* Interact with consultants, brokers, and benefit administrators and Sentara Health Plan's business units to achieve these objectives.
* Conduct group educational meetings with members and prospective members as requested.
* Demonstrate knowledge about health insurance products, basic underwriting principles, reporting and other value-added provisions related to the Large Employer segment.
* Responsible for maintaining the accuracy of prospect and/or customer data, quoting and proposals, plan documents and contracts.
* Also monitors compliance adherence.
* Research and resolve escalated claims issues and benefit interpretation questions.
Education:
* Bachelor's degree OR HS grad and 4 years related experience REQUIRED
Certification/Licensure:
* Must obtain a Life and Health Insurance License within 90 days of hire.
* Driver's License - Other/National
Experience:
* Related years of experience includes Business Acumen, Customer Relation or related field.
* Group Insurance Large Group (151+ eligible employees) experience preferred
Sentara Health Plans provides health plan coverage to close to one million members in Virginia. We offer a full suite of commercial products including employee-owned and employer-sponsored plans, as well as Individual & Family Health Plans, Employee Assistance Programs and plans serving Medicare and Medicaid enrollees.
Our quality provider network features a robust provider network, including specialists, primary care physicians and hospitals.
We offer programs to support members with chronic illnesses, customized wellness programs, and integrated clinical and behavioral health services-all to help our members improve their health.
Our success is supported by a family-friendly culture that encourages community involvement and creates unlimited opportunities for development and growth.
Be a part of an excellent healthcare organization that cares about our People, Quality, Patient Safety, Service, and Integrity. Join a team that has a mission to improve health every day and a vision to be the healthcare choice of the communities that we serve!
To apply, please go to ********************** and use the following as your Keyword Search: JR-90620
#LI-PM1
#Indeed
Talroo - Health Plan
Keywords: Sales, Large Group, Commercial, Broker, Health Plan, Healthcare, MCO, Managed Care, L-HIL or L-LIFEHI, Remote, South Hampton Roads (Norfolk, VA Beach, Suffolk, Chesapeake, Portsmouth), Peninsula (Newport News., Yorktown and Hampton) or Northeast North Carolina (Moyock, Elizabeth City), Specialist
Benefits: Caring For Your Family and Your Career
* Medical, Dental, Vision plans
* Adoption, Fertility and Surrogacy Reimbursement up to $10,000
* Paid Time Off and Sick Leave
* Paid Parental & Family Caregiver Leave
* Emergency Backup Care
* Long-Term, Short-Term Disability, and Critical Illness plans
* Life Insurance
* 401k/403B with Employer Match
* Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education
* Student Debt Pay Down - $10,000
* Reimbursement for certifications and free access to complete CEUs and professional development
* Pet Insurance
* Legal Resources Plan
* Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met.
Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.
In support of our mission "to improve health every day," this is a tobacco-free environment.
For positions that are available as remote work, Sentara Health employs associates in the following states:
Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.
Auto-ApplySenior Director, Laboratory Services-Norfolk General
Norfolk, VA jobs
City/State Norfolk, VA Work Shift First (Days) Assumes responsibility and accountability for the success of integrated hospital laboratory operations and shared functions, including Anatomic Pathology, Clinical Pathology, Transfusion Medicine, Point of Care Testing, Regulatory Compliance, quality, and safety across specific geographic regions in Sentara Healthcare.
Education/Experience
* Bachelors Level degree in Science or related field (Required)
* 5 years of Laboratory Leadership (Required)
Responsibilities
* Leads, directs, manages high-performance regional teams, and fulfills system lab services strategic goals and objectives within assigned territory.
* Contributes to the success of hospitals by integrating performance improvement initiatives with regulatory requirements, while supporting goals and objectives for facilities spanning multiple divisions.
* Leads, directs, manages high-performance regional teams, and fulfills system lab services strategic goals and objectives within assigned territory.
.
Benefits: Caring For Your Family and Your Career
* Medical, Dental, Vision plans
* Adoption, Fertility and Surrogacy Reimbursement up to $10,000
* Paid Time Off and Sick Leave
* Paid Parental & Family Caregiver Leave
* Emergency Backup Care
* Long-Term, Short-Term Disability, and Critical Illness plans
* Life Insurance
* 401k/403B with Employer Match
* Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education
* Student Debt Pay Down - $10,000
* Reimbursement for certifications and free access to complete CEUs and professional development
* Pet Insurance
* Legal Resources Plan
* Colleagues may have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met
Here at Sentara, we are committed to consistently enhancing our training, advancement tracks, work-life benefits, and more. Our goal is to make you feel more excited to be here every day!
Sentara Norfolk General Hospital, located in Norfolk, VA, is a 525-bed tertiary care facility that is home to the only Level I Adult Trauma Center and burn trauma unit in Hampton Roads, and also serves as the primary teaching hospital for Eastern Virginia Medical School.
In addition to the high-quality heart program at Sentara Heart Hospital, our facility is home to Nightingale Regional Air Ambulance and several other dedicated facilities and specialized services. As a recognized accredited Comprehensive Stroke Center, and Magnet hospital for nursing excellence, our hospital specializes in heart and vascular, neurosciences, neurosurgery, urology, oncology, spine care, advanced imaging, behavioral health, maternity, and women's health, including a state-of-the-art neonatal intensive care unit.
Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.
In support of our mission "to improve health every day," this is a tobacco-free environment.
For positions that are available as remote work, Sentara Health employs associates in the following states:
Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.
Auto-ApplyCulinary Remote Call Center PRN
Trenton, NJ jobs
Provides telephonic nutrition services to patients utilizing standardized guidelines. This position interacts with clinical caregivers, patients, and patient's family members to explain the meal process and modify meal selections according to provider orders.
Please note that a video interview through Microsoft Teams will be required as well as potential onsite interviews and meetings.
**Work Schedule**
+ **PRN, on call or as needed**
+ **Remote Position, must be a Utah Resident**
+ **Shift Assignments:** coverage for time off requests & leave requests in the morning, afternoon & evening
+ **Hours of Operation:** Sunday-Saturday 0630 - 1930
+ **Required:** Rotating holidays and weekends
+ **Benefits Eligible: No**
**Essential Functions**
+ Takes patient meal selections and modifies them using system standards to meet provider orders.
+ Checks trays for accuracy during meal assembly.
+ Communicates clearly to both clinical and culinary caregivers.
+ Collects and inputs nutrition screening information
+ May complete calorie count and nutrition analysis as dictated by facility
+ Utilizes a computer to run reports and take orders.
+ Follows standardized practices relating to Nutrition Services (e.g. dining experience, meal delivery and maintaining required stock levels)
+ Performs accurate credit transactions according to system standards and independently resolves basic customer service issues.
**Skills**
+ Nutrition
+ Diet Management
+ Computer Literacy
+ Interpersonal Communication
+ Active Listening
+ Coordinating tasks with others
+ Patient Interactions
+ Attention to detail
**Qualifications**
+ Virtual Screening through Microsoft Teams before application submitted to Hiring Manager
+ **Residential Home address and work from home address must be within the state of Utah**
+ **Immediate access to dedicated, hardwire internet:** 15MBPS per second for download speed, 3MBPS per second for upload speed (no sharing of services)
+ Experience in Food Service, Nutrition Services, or healthcare call center (preferred)
+ Demonstrated ability to work with modified diets (preferred)
+ Demonstrated ability to provide exceptional customer service (preferred)
**Physical Requirements:**
+ Ongoing need for employee to see and read information, labels, monitors, identify equipment and supplies, and be able to assess customer needs.
+ Frequent interactions with customers that require employee to communicate as well as understand spoken information, alarms, needs, and issues quickly and accurately.
+ Manual dexterity of hands and fingers to manipulate complex and delicate equipment with precision and accuracy. This includes frequent computer, phone, and cable set-up and use.
+ Expected to lift and utilize full range of movement to transport, pull, and push equipment. Will also work on hands and knees and bend to set-up, troubleshoot, lift, and carry supplies and equipment. Typically includes items of varying weights, up to and including heavy items.
+ Remain standing for long periods of time to perform work.
+ Tolerate extremes in temperature such as performing work at a grill or in a refrigerator and tolerate exposure to cleaning chemicals.
**Location:**
Vine Street Office Building
**Work City:**
Murray
**Work State:**
Utah
**Scheduled Weekly Hours:**
0
The hourly range for this position is listed below. Actual hourly rate dependent upon experience.
$18.22 - $23.68
We care about your well-being - mind, body, and spirit - which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.
Learn more about our comprehensive benefits package here (***************************************************** .
Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.
At Intermountain Health, we use the artificial intelligence ("AI") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment. Thank you for considering a career with us and experiencing our AI-enhanced recruitment process.
All positions subject to close without notice.
Vice President-Federal Communications and Marketing (Hybrid Remote - McLean, VA / DC Area)
Tysons Corner, VA jobs
Description & Requirements Maximus is seeking a dynamic and experienced Vice President-Federal Communications and Marketing to join our innovative team. The ideal candidate will bridge the gap between technology, business process services and marketing in the Federal Government sector. In this role, you will be responsible for Team Leadership and Change Management in a large organization. The VP-Federal Communications and Marketing will collaborate with cross-functional teams to drive Federal solutions and offerings. If you are a strategic thinker with a passion for technology services and marketing, and if you thrive in a dynamic and collaborative environment, we invite you to apply to the position at Maximus.
This is a hybrid position with the need to go into the office a minimum of 3 days per week and occasionally attend meetings and/or events in the Tyson Corners, VA/ Washington, DC area. This position requires some travel. The selected candidate must live in this geographical area.
Key Areas of Responsibility
- Identify, plan, develop, and oversee differentiated and impactful marketing strategies/materials.
- Developing new programs for customer engagement including integrated marketing programs from concept to execution
- Drive Maximus Federal solutions and offerings.
- Manage digital and social media strategies across the federal market
- Build, manage, and coach a high-performing marketing team.
- Direct and support market research collection, analysis, interpretation of market data for short- and long- term market forecasts and reports.
- Work closely with the growth leaders to align sales and marketing strategies
- Maintain brand standards and ensure compliance across all marketing and communications channels.
- Build long-term relationships with employees, clients, government officials, and stakeholders.
- Serve as a collaborative and senior leader on the Maximus Communication & Marketing Team, helping to align strategy and outcomes across the company.
- Drive the implementation of marketing campaigns that meet business objectives and drive customer engagement.
- Develop relationships with associations, academia and industry partners to drive thought leadership and brand elevation.
This role will develop and oversee the Maximus Federal segment marketing strategy. Responsibilities include building brand visibility in the Federal marketplace, driving customer and partner engagement to support growth goals. This position will be responsible for developing annual marketing plans building strategy, managing the cross functional team and budget and, leveraging partner relationships, driving go-to-market solutions.
Qualifications:
-15+ years of experience in a Federal Marketing and Industry Analysis position including 7+ years managing a team.
-Previous experience at a corporation focused on the Federal sector.
-Bachelor's degree in Marketing, Business, or a related field; technical background and digital marketing are a plus. Additional experience in lieu of degree will be considered.
-MA degree in Marketing, Communication, or similar relevant field, preferred.
-Outstanding communication, presentation, and leadership skills.
-In-depth knowledge of the Federal sector.
-Critical thinker with problem-solving skills.
-Strong interpersonal and communication skills.
Key Competencies include the following: Marketing and Communication Strategies, Team Leadership, Technical Expertise, Cross-Functional Collaboration, Content Development, Sales Enablement, Product and Solutions Positioning and Change Management
EEO Statement
Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Annual salary is just one component of Maximus's total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards. Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off. Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience. An applicant's salary history will not be used in determining compensation. Maximus will comply with regulatory minimum wage rates and exempt salary thresholds in all instances.
Accommodations
Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at **************************.
Minimum Salary
$
216,155.00
Maximum Salary
$
292,455.00
Easy ApplyRegistered Nurse Unit Coordinator- Intensive Care Unit
Norfolk, VA jobs
City/State Norfolk, VA Work Shift First (Days) Sentara Leigh Hospital is hiring a Registered Nurse Unit Coordinator for our Intensive Care Unit Full Time (36 hours per week) Demonstrates proficiency in nursing practice for assigned specialty area and provides clinical leadership for the delivery of nursing care in a department. Under the direction of the department manager leads safety and quality initiatives, focuses on and simplifies workflow, and contributes to the development of staff. Increase staff satisfaction and promotes excellent (Gold Standard) customer service.
Department/Position Overview:
Sentara Leigh Hospital Intensive Care Unit, AACN Gold Beacon Award recipient, is comprised of 20 licensed critical care beds and has an average daily census of 18 patients. Staffing ratios vary and can be 1:1 to 1:3 with 1:2 being the usual assignment.
The ICU RN's are required to have a wide array of knowledge, skill and ability to competently and safely provide critical care to our patients. Frequent ongoing education, new skill acquisition and skill validation are provided and supported by an experienced ICU CNS for new and experienced ICU nurses. Newly hired RN's will have between 2-14 weeks of orientation depending on prior experience. Our preceptors are purposely selected for their teaching ability and formally trained to meet the training needs of new staff. Specific attention is provided for new graduate ICU RN's as they participate in our Vizient AACN Nurse Residency Program and AACN's essentials of Critical Care Orientation online education. Experienced RN's are encouraged and supported with educational and financial assistance to achieve critical care certification.
ICU staff are supported by an interdisciplinary care team which in part includes unit based respiratory, physical, speech and occupational therapists. Interpreter, nutrition, palliative, chaplaincy and ethical services are readily available as well. Our ICU has onsite and eICU pulmonary critical care intensivists and their team of physician extenders 24/7. Physician lead, nurse driven interdisciplinary rounds are held daily for continuity of care and to address nursing's concerns or questions. These rounds are made educational and even fun at times by our very engaged intensivist MD's.
Our ICU team welcomes you to come check us out!
Education
Bachelor of Science Nursing- BSN (Required) or MSN (Preferred)
Certification/Licensure
Registered nursing License (Required)
BLS required within 90 days of hire
Experience
Minimum of 18 months relevant nursing experience
Be a part of an excellent healthcare organization that cares about our People, Quality, Patient Safety, Service, and Integrity. Join a team that has a mission to improve health every day and a vision to be the healthcare choice of the communities that we serve!
Keywords: #Indeed, Talroo - Nursing, intensive care unit, ICU, critical care,
.
Benefits: Caring For Your Family and Your Career
• Medical, Dental, Vision plans
• Adoption, Fertility and Surrogacy Reimbursement up to $10,000
• Paid Time Off and Sick Leave
• Paid Parental & Family Caregiver Leave
• Emergency Backup Care
• Long-Term, Short-Term Disability, and Critical Illness plans
• Life Insurance
• 401k/403B with Employer Match
• Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education
• Student Debt Pay Down - $10,000
• Reimbursement for certifications and free access to complete CEUs and professional development
• Pet Insurance
• Legal Resources Plan
• Colleagues may have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met
Sentara Leigh Hospital , located in Norfolk, VA, is a 274-bed acute care facility that opened in 1903 and relocated to its present site in 1977. Our hospital completed a renovation in 2016, including two new patient towers, a beautiful atrium, and a multi-story parking garage. Sentara Leigh Hospital includes a dedicated Orthopedic Hospital providing patients access to a full continuum of orthopedic care, from the preoperative phase and surgery to rehabilitation and home care services. Along with being a recognized accredited Primary Stroke Center, and Magnet hospital for nursing excellence, we also specialize in orthopedic and spine care, heart, vascular, maternity care, and general surgery. We are also home to the region's only 24-hour hyperbaric oxygen program that helps speed up the healing of carbon monoxide poisoning, wounds that won't heal, infections in which tissues are starved for oxygen, airborne chemical exposures, and scuba diving accidents.
Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.
In support of our mission “to improve health every day,” this is a tobacco-free environment.
For positions that are available as remote work, Sentara Health employs associates in the following states:
Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.
Manager, Supply Chain Business Applications
Norfolk, VA jobs
City/State
Norfolk, VA
Work Shift
First (Days)
Full-Time, Days, 8am-5pm, Remote
The Manager, Supply Chain Business Applications will organize, manage, and control Supply Chain departmental functions and resources related to the management of the Supply Chain Business Application Systems including but not limited to Enterprise Resource Planning (ERP), Electronic Data Exchange (EDI) Global Healthcare Exchange tools (GHX), Contract Lifecycle Manage (CLM), Group Purchasing Organization (GPO). Manage team to provide all maintenance, updates, integration, and overall support of supply chain systems. Maintain an understanding of other integration dependencies inbound/outbound systems such as EPIC/Optime/Cupid, Wavemark, Vizient, GHX solutions. Understands Healthcare terminology and data elements such as UNSPEC, GUDID, CDM, HCPCS and how they are used by SCM applications as well as other integrated systems. Establish strategy and identify day-to-day priorities and direct staff task assignments. Provide supervision to staff, which includes scheduling work, monitoring performance to ensure compliance with guidelines, policies, and procedures. Provide feedback on performance, writing and conduct performance reviews. Recruits, hires, and sets performance expectations of direct reports. Create a foundation that supports and develops team members allowing for growth and success. Responsible for working with all key business and operational stakeholders. Participating in, leading, and collaborating with others on Supply Chain strategic efforts ensuring compliant, effective, and streamlined Supply Chain processes. Optimize use of ERP and other supply chain automation tools to eliminate unnecessary work including maximizing electronic (EDI) transactions, data cleansing tools, contract pricing integrations. Develop workflow and review of data to maintain data integrity including item adds/updates, contract documentation including pricing in the item file, item file maintenance ensuring timely removal of inactive, duplication, obsolete and discontinued items, use of data cleansing tools according to leading practices. Establishes mechanisms for data collection, reporting and validation of data requests. Maintains department performance metrics and reports. Analyzes data to support system and process optimization recommendations. Supports cross-functional testing of all system changes, including upgrades, new processes, and automation initiatives. Conducts root cause analysis of system and process related issues
Education
Bachelors Level Degree in Finance, Supply Chain Business, Informations Systems, Science or related
Experience
5+ years of experience in Healthcare purchasing and Supply Chain Information System
Expert in all Microsoft Applications
Experience Preferred:
EPIC, Workday ERP, EDI, GHX, CLM, GPO, Supply Chain Business Applications, Data Integrity
Keywords: Data integrity, inventory, supplies, materials, supply management, Supervisor, leadership, supervisory, healthcare, Talroo-Allied Health.
Benefits: Caring For Your Family and Your Career• Medical, Dental, Vision plans• Adoption, Fertility and Surrogacy Reimbursement up to $10,000• Paid Time Off and Sick Leave• Paid Parental & Family Caregiver Leave • Emergency Backup Care• Long-Term, Short-Term Disability, and Critical Illness plans• Life Insurance• 401k/403B with Employer Match• Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education• Student Debt Pay Down - $10,000• Reimbursement for certifications and free access to complete CEUs and professional development•Pet Insurance
•Legal Resources Plan
•Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met.
Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.
In support of our mission “to improve health every day,” this is a tobacco-free environment.
For positions that are available as remote work, Sentara Health employs associates in the following states:
Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.
Auto-ApplySenior EPIC Scheduling Optimization Specialist
Virginia Beach, VA jobs
City/State Virginia Beach, VA Work Shift First (Days) Sentara health is looking for a Senior EPIC Scheduling Optimization Specialist to join our team ! The Senior EPIC Scheduling Optimization Specialist is responsible for the strategic design, optimization, and maintenance of Epic scheduling templates, guided scheduling decision trees, visit types, modifiers, and slot configurations across the Ambulatory Service Division. This role plays a critical part in improving scheduling workflows, enhancing patient access, and maximizing provider capacity utilization. The specialist collaborates closely with operational and clinical leaders to drive improvements aligned with enterprise-wide access and capacity targets.
This position functions as a subject matter expert and project lead, managing complex scheduling-related initiatives and contributing to system-wide transformation efforts. The ideal candidate demonstrates a deep understanding of Epic Cadence, advanced data analysis skills, and the ability to translate operational needs into sustainable solutions.
Key Responsibilities
* Design, build, maintain, and modify Epic scheduling templates, visit types, modifiers, and decision trees based on best practices and operational standards.
* Provide day-to-day support and troubleshooting for Epic scheduling configuration requests across ambulatory departments.
* Serve as a key liaison to service line and department leaders to address scheduling needs, align build strategies, and resolve configuration issues.
* Ensure timely and accurate fulfillment of template and decision tree requests while educating end users on usage and best practices.
* Partner with operations to evaluate and optimize template utilization, appointment lag, and access performance through data-informed recommendations.
* Analyze provider and location-specific scheduling data to identify variances, uncover root causes, and recommend corrective actions.
* Lead and manage scheduling-related projects, including new provider onboarding (template design, decision tree alignment, automated workflows) and provider offboarding (template and system deactivation).
* Conduct one-on-one and group training sessions on template and decision tree maintenance; develop supporting documentation such as tip sheets and quick reference guides.
* Collaborate with Information Services (IS) and Epic technical teams to test and implement system enhancements and configuration changes.
* Leverage Epic reporting tools, Power BI, Excel, and Tableau to produce actionable insights and monitor outcomes of scheduling optimization efforts.
* Collaborates with ASD onboarding to ensure consistent application of Sentara's scheduling standards and operational checklists.
* Champion continuous improvement efforts to enhance scheduling build quality, standardization, and request turnaround times.
Education
BLD - Bachelor's Level Degree required
Certification/Licensure
Epic Cadence Certification (must be obtained within 1 year of hire)
Experience
Required Experience and Skills:
* Proven experience with Epic scheduling build and configuration, including templates, visit types, modifiers, and decision trees.
* Strong understanding of ambulatory operations and scheduling best practices.
* Ability to provide day-to-day support and troubleshooting for Epic scheduling requests.
* Demonstrated ability to collaborate with clinical and operational leaders to align scheduling strategies and resolve issues.
* Skilled in analyzing scheduling data to identify trends, variances, and areas for improvement.
* Experience conducting training sessions and developing user documentation (e.g., tip sheets, guides).
* Proficient in Microsoft Excel and Epic reporting tools.
* Ability to lead projects such as new provider onboarding and offboarding (including workflow automation and system configuration).
Preferred Experience and Skills:
* Experience working with Power BI and Tableau to generate insights and measure scheduling outcomes.
* Familiarity with Sentara's operational checklists and standards or similar healthcare system standards.
* Experience collaborating with Information Services (IS) and Epic teams for testing and implementing system enhancements.
* Background in supporting continuous improvement initiatives, especially related to standardization and turnaround time optimization.
* Exposure to provider-specific scheduling analytics and appointment lag assessments.
Keywords: Cadence, Epic , Decsion tree
Benefits: Caring For Your Family and Your Career
* Medical, Dental, Vision plans
* Adoption, Fertility and Surrogacy Reimbursement up to $10,000
* Paid Time Off and Sick Leave
* Paid Parental & Family Caregiver Leave
* Emergency Backup Care
* Long-Term, Short-Term Disability, and Critical Illness plans
* Life Insurance
* 401k/403B with Employer Match
* Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education
* Student Debt Pay Down - $10,000
* Reimbursement for certifications and free access to complete CEUs and professional development
* Pet Insurance
* Legal Resources Plan
* Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met.
Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.
In support of our mission "to improve health every day," this is a tobacco-free environment.
For positions that are available as remote work, Sentara Health employs associates in the following states:
Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.
Auto-ApplyCoordinator II, Performance Monitoring
Trenton, NJ jobs
Cardinal Health Sonexus Access and Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and remain on the therapy they need for a better quality of life. Our diverse expertise in pharma, payer and hub services allows us to deliver best-in-class solutions-driving brand and patient markers of success. We're continuously integrating advanced and emerging technologies to streamline patient onboarding, qualification and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas, Texas, empowering manufacturers to rethink the reach and impact of their products.
**Together, we can get life-changing therapies to patients who need them-faster.**
**What Performance Monitoring contributes to Cardinal Health:**
Performance Monitoring is responsible for establishing, maintaining and enhancing customer business through contract administration, customer orders, and problem resolution. Performance Monitoring is responsible for monitoring, analyzing and reviewing customer contact quality.
**Responsibilities:**
+ Conduct quality reviews of Adverse Events submitted by staff before submission to client safety unit.
+ Conduct case audits to ensure correct process steps have been followed for the "patient journey"
+ Monitor calls and provide effective written feedback
+ Maintain knowledge of the client's program and product/service offerings.
+ Interpret and transcribe inbound and outbound calls from patients and health care providers.
+ Identify adverse events when monitoring calls.
+ Ensure documentation is in order following client regulatory guidelines.
+ Identify trends and training needs from call monitoring and escalate appropriately.
+ Work effectively with dynamic, integrated task teams
+ Maintain a work pace appropriate to the workload
**Qualifications**
+ HS Diploma, GED or technical certification in related field or equivalent experience, preferred.
+ 2 years' call center or transcriptionist experience preferred. Certified Medical Transcriptionist (CMT) qualification would be an asset.
+ 2 years' quality review experience preferred.
+ Knowledge of medical terminology preferred.
+ Exceptional listening skills required.
+ Proficient in Microsoft Office (Excel, Word, PowerPoint, etc.)
+ Multi-tasking, time management and prioritization skills considered an asset.
+ Bilingual Spanish would be an asset.
**What is expected of you and others at this level**
+ Applies acquired job skills and company policies and procedures to complete standard tasks
+ Works on routine assignments that require basic problem resolution
+ Refers to policies and past practices for guidance
+ Receives general direction on standard work; receives detailed instruction on new assignments
+ Refers to policies and past practices for guidance
+ Receives general direction on standard work; receives detailed instruction on new assignments
+ Consults with supervisor or senior peers on complex and unusual problems
**Training and Work Schedules** : Your new hire training will take place 8:00am-5:00pm CST, mandatory attendance is required.
This position is full-time (8-hour shifts, 40 hours/week). Employees are required to have flexibility to work any of our shift schedules during our normal business hours of Monday-Friday, 7:00am- 8:00pm CST.
**Remote Details:** You will work remotely, full-time. It will require a dedicated, quiet, private, distraction free environment with access to high-speed internet. We will provide you with the computer, technology and equipment needed to successfully perform your job. You will be responsible for providing high-speed internet. Internet requirements include the following:
+ Maintain a secure, high-speed, broadband internet connection (DSL, Cable, or Fiber) at the remote location. Dial-up, satellite, WIFI, Cellular connections are NOT acceptable.
+ Download speed of 15Mbps (megabyte per second)
+ Upload speed of 5Mbps (megabyte per second)
+ Ping Rate Maximum of 30ms (milliseconds)
+ Hardwired to the router
+ Surge protector with Network Line Protection for CAH issued equipment
**Anticipated hourly range:** $18.35 per hour - $26.40 per hour
**Bonus eligible:** No
**Benefits:** Cardinal Health offers a wide variety of benefits and programs to support health and well-being.
+ Medical, dental and vision coverage
+ Paid time off plan
+ Health savings account (HSA)
+ 401k savings plan
+ Access to wages before pay day with my FlexPay
+ Flexible spending accounts (FSAs)
+ Short- and long-term disability coverage
+ Work-Life resources
+ Paid parental leave
+ Healthy lifestyle programs
**Application window anticipated to close:** 1/2/2026. If interested in opportunity, please submit application as soon as possible.
The hourly range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity.
_Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply._
_Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal_ _Opportunity/Affirmative_ _Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law._
_To read and review this privacy notice click_ here (***************************************************************************************************************************
Revenue Cycle Net Revenue Manager
Virginia jobs
Inova Health is looking for a dedicated Net Revenue Manager Lead to join their Revenue Cycle - Financial team. This remote role will be full-time day shift from Monday - Friday, 9:00 a.m. - 5:30 p.m.
We are seeking a Revenue Cycle Net Revenue Manager with a strong background in finance and analytics to drive revenue cycle performance and net revenue optimization. The ideal candidate brings advanced Excel skills, proven experience in financial modeling and reporting, and the ability to translate complex data into actionable insights that support strategy, process improvement, and payer contract success.
Inova is consistently ranked a national healthcare leader in safety, quality and patient experience. We are also proud to be consistently recognized as a top employer in both the D.C. metro area and the nation.
Featured Benefits:
Committed to Team Member Health: offering medical, dental and vision coverage, and a robust team member wellness program.
Retirement: Inova matches the first 5% of eligible contributions - starting on your first day.
Tuition and Student Loan Assistance: offering up to $5,250 per year in education assistance and up to $10,000 for student loans.
Mental Health Support: offering all Inova team members, their spouses/partners, and their children 25 mental health coaching or therapy sessions, per person, per year, at no cost.
Work/Life Balance: offering paid time off, paid parental leave, and flexible work schedules
Revenue Cycle Net Revenue Manager Job Responsibilities:
Creates and enforces work standards, quality measures, and process improvements that are consistent with the organization's goals and objectives. Ensures regulatory compliance with Medicare and state authorities, Generally Accepted Accounting Principles and any external governing authority.
Assures claims are reviewed, corrections are identified/made or resolutions are initiated while ensuring all follow-up claims/actions are submitted via the appropriate medium and with all required attachments.
Maintains knowledge of government regulations, payer requirements, UB-04 standards, information system functionality (i.e. Hospital, clearinghouse, payer), hospital policies/procedures and departmental SRGs.
Evaluates the impact of new or upgrades to existing systems/tools while performing testing of system changes, providing technical/operational support during implementation and evaluating the success of new systems/tools.
Ensures timely/accurate billing, collection, posting, servicing, and/or auditing of the $1.5 billion receivable stream.
Ensures follow-up is completed utilizing TRAC work lists, QMS, or other systems/reports according to department policy/procedure, SRG, or industry best practice standards.
Demonstrates a working knowledge of CareMedic systems, DSS electronic billing systems, Syntellect IVR systems, HealthQuest 2000, QMS, and Premis electronic billing systems.
Provides feedback and training to supervisors and staff. Provides resolution for pended (WIP backlog) claims within allowable timeframes (as defined for appropriate deficiency) and/or ensures billed claims receive timely and appropriate follow up based on established protocol or SRG.
Oversees assigned department or functional area to ensure it is performing effectively, which may include but not limited to, hiring and training team members, creating and implementing business strategies, managing performance of team members, and delegating tasks.
Minimum Qualifications:
Experience: Four years of experience in Revenue Cycle, Clinic Operations, Credentialing, Denials Management and/or HB/PB Operation roles; Two years in leadership roles
Education: Bachelors Degree or lesser educational degree with four additional years of experience
Preferred Qualifications:
Bachelor's degree in Accounting, Finance, or related field preferred; advanced degree or certification a plus.
Strong proficiency in Microsoft Excel (advanced formulas, pivot tables, financial modeling, dashboards).
Proven experience in financial analytics, reporting, budgeting/forecasting, and revenue cycle performance metrics (Net Revenue, AR, Denials, Cash).
Demonstrated ability to support managed care contract strategy, including payer trend analysis, financial modeling, and negotiation support.
Skilled in process improvement, workflow streamlining, and ensuring accuracy, timeliness, and completeness of financial data.
Strong communication and presentation skills with experience translating complex data into actionable insights for leadership.
Remote Eligibility: This position is eligible for remote work for candidates residing in the following states - VA, MD, DC, DE, FL, GA, NC, OH, PA, SC, TN, TX, WV
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