Single Billing Office, Customer Service Specialist, FT, Days, - Remote
Prisma Health 4.6
Greenville, SC jobs
Inspire health. Serve with compassion. Be the difference.
Performs tasks of moderate to difficult complexity relating to both hospital and physician accounts. Handles a large volume of inbound calls. Responsible for also making outbound calls related to self-pay follow up on accounts. Assists patients with requests for information, complaints, and resolving issues. Responsible for data analysis and interpretation throughout all functions of revenue cycle, to determine reasons for denials, non-payment and overpayment, post/balance/correct electronic remittances, billing and follow-up of government payers and specialized accounts, analysis/correction of correct coding guidelines, preparation of accounts for appeal, review/analysis of insurance credit balances and analysis/movement of unapplied, unidentified, undistributed balances. Moderate to difficult levels of evaluation, analysis, decision making required in these roles.
Essential Functions
All team members are expected to be knowledgeable and compliant with Prisma Health's values: Inspire health. Serve with compassion. Be the difference.
Resolves billing concerns, addresses inquiries related to insurance concerns/matters, assist patients with MyChart while simultaneously establishing a rapport with our diverse field of patients. Reviews accounts to determine insurance coverage; obtains and corrects any missing or inaccurate information. Discusses patient responsibility, which includes educating patients on claim processing, deductible, coinsurance, and co-pays. Interacts with patients by making patients aware of payment options such as payment plans and financial assistance as well as how to apply for financial assistance if circumstance warrant. Ability to set up payment plans in MyChart based on patient's personal needs.
Greets patients in a professional and courteous manner. Communicates clearly and professionally in both oral and written communication. Be clear and concise in all communication to ensure patients understand the information that is being communicated to them by the Customer Service Specialist. Maintains a high level of poise and professionalism in dealing with patients. Knows when to escalate a patient service issue real time. Research customer requests or issues, determines if further action is needed, forwards to appropriate party for resolution, and exercises good judgement to determine urgency of patient's need.
Contacts payer and makes hard inquiries on account status if needed. Escalates problem accounts to the appropriate area(s). Documents billing activity on a patient's accounts according to departmental guidelines; ensures compliance with all applicable billing regulations and reports any suspected compliance issues to departmental leaders. Properly documents accounts clearly with indicators and activities so that tracking and trending can be prepared for any potential further analysis if needed.
Ensures all work is compliant with privacy, HIPAA, and regulatory requirements.
Participates in general or special assignments and attends all required training. Adheres to policies and procedures as required by Prisma Health and follows all compliant regulatory payer guidance.
Answers all incoming calls from Prisma Health patients
Performs other duties as assigned.
Supervisory/Management Responsibilities
This is a non-management job that will report to a supervisor, manager, director or executive.
Minimum Requirements
Education - High School diploma or equivalent OR post-high school diploma / highest degree earned
Experience - Two (2) years billing, bookkeeping, and/or accounting experience
In Lieu Of
NA
Required Certifications, Registrations, Licenses
NA
Knowledge, Skills and Abilities
Knowledgeable of the job functions required for a A/R Follow-up Representative, Cash Posting Representative, Claims Clearinghouse Representative, Correspondence Representative, Credit Processing Specialist, Denial/Appeals Specialist, Payment Research Specialist and a Quality Assurance Specialist.
Knowledgeable of the entire Revenue Cycle and Epic.
Work Shift
Day (United States of America)
Location
Patewood Outpt Ctr/Med Offices
Facility
7001 Corporate
Department
70019935 System Billing Office
Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.
$22k-28k yearly est. 6d ago
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Pharmacist-System Specialist, PRN
Prisma Health 4.6
Greenville, SC jobs
Inspire health. Serve with compassion. Be the difference.
Leads, oversees and ensures the successful delivery and management of projects/systems within scope, quality, schedule, and cost constraints that may be clearly defined or may require dynamic change management to deliver business value. Clinical subject matter expert, and often end user who participates in the selection, planning, and execution of products, services, or outcomes outside of the department scope or regular business duties. May also initiate projects under the direction of pharmacy administration to enhance existing operations. Works with pharmacy executives, directors, functional managers, and clinical pharmacists on a regular basis as well as non-pharmacy clinical, ancillary, informational services, and marketing teams. Collaborates with allocated project team members and evaluates productivity, communication, and teamwork. The job requires project and program management skills to oversee the deliverables for multiple special projects/systems simultaneously so that all projects/systems are integrated across the department. Helps identify project/system strengths, weaknesses, opportunities, and risks. This position allows remote work at the discretion of the reporting operational leader.
Essential Functions
All team members are expected to be knowledgeable and compliant with Prisma Health's values: Inspire health. Serve with compassion. Be the difference
Management of systems/special projects:
-Assess feasibility through research and stakeholder engagement
-Collect project/system requirements, objectives, and acceptance criteria from sponsors and stakeholders
-Ensure that objectives are in line with department and enterprise objectives
-Identify, prioritize, and schedule deliverables, milestones, and required activities/tasks
-Engage operational leadership to estimate resource requirements, activity durations, and costs
-Prepare and update documents such as charter (scope), work breakdown structure, project sign off, and lessons learned
-Follow established standards and procedures for reporting and documentation
-Work with operational leadership to recruit or assign team members to tasks
-Evaluate individual and team performances and provide feedback to operational leadership
-Monitor project/system activities, ensuring the accuracy, quality, and integrity of the information
-Perform risk assessments and implement mitigation plans
-Ensure that the project/system results meet agreed upon business objectives
-Facilitate project closure by archiving project documents and conducting project review sessions with stakeholders
-Work with operational leadership to smoothly transition deliverables to the functional team(s)
Enhancement of operational productivity and performance:
-Actively evaluate operational workflow and develop process improvement initiatives where needed
-Anticipate, mitigate, and solve workflow problems
-Incorporate feedback from patients, clinical staff, ancillary staff, and leaders to improve performance
-Standardize yet customize workflow initiatives for individual clinical sites
Promotion of a successful project and operational team:
-Facilitate effective collaboration and communication among operational, clinical, and ancillary staff
-Guide and educate project/system and operational key stakeholders
-Unite teammates through conflict resolution and prevention
-Recognize individual and team wins
-Encourage leadership and professional development opportunities for the team
Performs other duties as assigned.
Supervisory/Management Responsibilities
This is a non-management job that will report to a supervisor, manager, director or executive.
Minimum Requirements
Education - Bachelor's degree in Pharmacy as a graduate from an ACPE approved College of Pharmacy. PharmD preferred.
Experience - Two (2) years of experience with project management, system management, project coordination, and/or general business management. Pharmacy experience preferred.
In Lieu Of
In lieu of an active SC Pharmacist license, may be a graduate of an ACPE accredited US college of Pharmacy with a SC intern certificate pending initial licensure or have completed requirements for reciprocity pending board of pharmacy interview for licensure.
Required Certifications, Registrations, Licenses
Licensed to practice as a Pharmacist or eligible to become licensed within 4 months of hire date in the state the team member is working.
Knowledge, Skills and Abilities
Demonstrated sensitivity to working in a political environment and to interacting with leadership
Ability to problem solve.
Ability to work in dynamic interdisciplinary team situations; handle urgent, stressful conditions.
Ability to exhibit excellent interpersonal skills in dealing with subordinates, peers, supervisors and others outside the department.
Knowledge of medical and pharmacy terminology; strong mathematical & computer skills. Understand BOP/DHEC/DEA rules/regulations
Work Shift
Variable (United States of America)
Location
Greenville Memorial Med Campus
Facility
7001 Corporate
Department
70017296 Pharmacy System Support
Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.
Job Description
About the Role: We're looking for driven professionals to join our remote team as Full-Desk Recruiters. This commission-only position offers unparalleled earning potential and the chance to work with a team of top-performing recruiters.
What You'll Do:
Business Development: Build relationships and secure new clients seeking to hire Physicians, Advanced Practice Providers, or other Medical Professionals.
Account Management: Maintain and grow existing client accounts, promote their openings, and foster long-term partnerships.
Recruitment: Source, vet, and present top-quality candidates to clients while managing your pipeline in our unique CRM.
Earn Big Commissions: With a commission-only structure, your compensation is unmatched in the industry.
Why Join Us?
Work From Home: Enjoy the flexibility of a fully remote role.
Top-Performing Team: Collaborate with some of the best recruiters in the industry.
KPI-Driven Success: Achieve results with clear goals and expectations.
Proprietary CRM: Leverage our cutting-edge tools for maximum efficiency.
Earning Potential:
1st Year: $120,000+
Average Commission Per Placement: $10,000 (full desk)
Qualifications:
Minimum of 2 years of experience as a Full-Desk Recruiter.
Proven track record in business development.
Strong phone presence and cold-calling experience.
Active LinkedIn account.
Goal-oriented mindset with excellent negotiation skills.
Self-motivated, proactive, and independent work ethic.
About HealthPlus Staffing:
We're a national leader in healthcare staffing, partnering with top facilities across the country to connect them with exceptional talent.
If you're ready to take your recruiting career to the next level, submit your application today. We can't wait to work with you!
$120k yearly 1d ago
Risk Adjustment Coder Professional Billing II, FT, Days, - Remote
Prisma Health 4.6
Greenville, SC jobs
Inspire health. Serve with compassion. Be the difference.
Conducts prospective review to abstract Hierarchical Condition Categories (HCC's) codes to report for the calendar year. Communicates (via Epic and in person) with providers on any outstanding HCC capture opportunities. Conducts retrospective reviews to ensure that documentation supports reporting the Hierarchical Condition Category code prior to payor submission.
Essential Functions
All team members are expected to be knowledgeable and compliant with Prisma Health's values: Inspire health. Serve with compassion. Be the difference.
Conducts prospective review of charts to identify HCC opportunity.
Conducts retrospective review of charts to confirm documentation supports reporting.
Utilizes payor specific software to assist in capturing HCCs.
Communicates with providers about HCC opportunities for improvement.
Identifies suspect conditions that would potentially support reporting an HCC.
Participates in education offerings
Participates in monthly meetings
Performs other duties as assigned.
Supervisory/Management Responsibilities
This is a non-management job that will report to a supervisor, manager, director or executive.
Minimum Requirements
Education - High School diploma or equivalent or post-high school diploma / highest degree earned. Associate degree preferred
Experience - Five (5) years professional fee coding experience
In Lieu Of
NA
Required Certifications, Registrations, Licenses
Certified Professional Coder (CPC), and
Certified Risk Adjustment Coder(CRC)
Knowledge, Skills and Abilities
Knowledge of office equipment (fax/copier)
Proficient computer skills including word processing, spreadsheets, database
Data entry skills
Mathematical skills
Work Shift
Day (United States of America)
Location
Independence Pointe
Facility
7002 Value-Based Care and Network Services
Department
70028459 HCC Coding Services
Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.
$28k-33k yearly est. 6d ago
Hybrid General Radiologist - RP South Carolina
Radiology Partners 4.3
Rock Hill, SC jobs
RP South Carolina a newly established radiology practice is adding a Hybrid General Radiologist to their existing team of radiologists and APP's. * Monday-Friday, 8am-5pm. * Equal share of weekends reading from home. * General radiology. Neuro and light IR a plus.
* 12 weeks PTO and full benefits.
* Malpractice insurance plus tail coverage.
* 1 year partnership track.
* Located in the suburbs of Charlotte, NC.
We offer a highly competitive salary, significant sign-on/retention bonus, Physician expense account for CME, cell phone etc., generous time off, a relocation package and a full complement of benefits that includes 401K.
LOCAL PRACTICE AND COMMUNITY OVERVIEW
RP South Carolina is a newly formed practice of 9 employed Radiologist and 3 APP's, covering a variety of subspecialty work and supporting 2 local, community hospitals in Rock Hill, SC.
Our employed radiologists have the ultimate in work/life balance. Rock Hill, SC is located 25 minutes from Downtown Charlotte, NC, where you have access to major sports, international airport, and all the big city amenities, while being in a growing suburban community.
Piedmont Medical Center, located in Rock Hill, SC, is a 288-bed full-service hospital. Piedmont is a premier healthcare system, committed to ensuring that all patients have access to the highest quality of care. Through innovative programs, collaborations and technological advances, Piedmont is continuously expanding the scope of its services to meet the needs of the growing community. Piedmont has received recognition for growth and leadership, along with numerous industry accolades and designations.
DESIRED PROFESSIONAL SKILLS AND EXPERIENCE
* Fellows and residents welcome to apply
* Candidates must be a Doctor of Medicine or Osteopathy, Board-certified and residency trained in the practice of Diagnostic Radiology
* Licensed or ability to obtain license in South Carolina
* Board eligible or certified by American Board of Radiology or the American Osteopathic Board of Radiology
COMPENSATION:
The salary range for this position is $500,000-700,000. Final determinations may vary based on several factors including but not limited to education, work experience, certifications, geographic location etc. This role is also eligible for an annual discretionary bonus. In addition to this range, Radiology Partners offers competitive total rewards packages, which include health & wellness coverage options, 401k benefits, and a broad range of other benefits such as family planning and telehealth (all benefits are subject to eligibility requirements).
For More information or to apply:
For immediate consideration, send your CV to Physician Recruiter, Shea Lipp at ************************** or call/text ************.
RADIOLOGY PARTNERS OVERVIEW
Radiology Partners, through its affiliated practices, is a leading radiology practice in the U.S., serving hospitals and other healthcare facilities across the nation. As a physician-led and physician-owned practice, we advance our bold mission by innovating across clinical value, technology, service, and economics, while elevating the role of radiology and radiologists in healthcare. Using a proven healthcare services model, Radiology Partners provides consistent, high-quality care to patients, while delivering enhanced value to the hospitals, clinics, imaging centers and referring physicians we serve.
Radiology Partners is an equal opportunity employer. RP is committed to being an inclusive, safe and welcoming environment where everyone has equal access and equitable resources to reach their full potential. We are united by our Mission to Transform Radiology and in turn have an important impact on the patients we serve and the healthcare system overall. We hold that diversity is a key source of strength from which we will build a practice culture that is inclusive for all. Our goal is to empower and engage the voice of every teammate to promote awareness, compassion and a healthy respect for differences.
Radiology Partners participates in E-verify.
Beware of Fraudulent Messages:
Radiology Partners will never request payment, banking, financial or personal information such as a driver's license in exchange for interviews or as part of the hiring process. Additionally, we will not send checks for deposit into your bank account at any stage of recruitment. All communication during the interview and hiring process should come from an email address ending in "@radpartners.com." If you suspect you are receiving a fraudulent job offer or solicitation from Radiology Partners or one of our local practices, please notify our Recruiting Team at **************************.
$138k-254k yearly est. Easy Apply 15d ago
GU Medical Oncologist / Director, Clinical Research
Start Center for Cancer Research 3.4
Myrtle Beach, SC jobs
Job Description
The START Center for Cancer Research (“START”) is the world's largest early phase site network, fully dedicated to oncology clinical research. Throughout our history, START has provided hope to cancer patients in global community practices by offering access to cutting edge trials throughout the US and Europe. Today, with over 1,300 studies completed, and with research facilities in the United States and in Spain, Portugal, and Ireland, START's mission is to accelerate the development of new anticancer drugs that will improve the quality of life and survival for patients with cancer and lead to its eventual cure. To date, over 43 therapies conducted at START locations have obtained FDA/EMA approval. Incredibly, while Academic Medical Centers (AMCs) conduct 80% of cancer trials, such trials reach only 20% of the patient population - leaving the majority of patients who are treated in community practices and hospitals without access to a clinical trial when their care journey calls for one. START serves the many - by bringing cancer trials to physicians and their patients in community hospitals and practices when hope is needed most.
The Director, Clinical Research / Genitourinary (GU) Clinical Investigator is a physician-scientist with demonstrated clinical research team leadership skills responsible for the overall preparation, conduct, and management of GU Oncology clinical trials including Phase 1 studies. This role will manage the development and execution of clinical trial protocols, contribute to data analysis, and maintain strong communication and alignment with industry sponsors while maintaining compliance with all regulatory requirements and institutional policies. The Genitourinary (GU) Physician Investigator (PI) is a physician-scientist with demonstrated clinical research team leadership skills responsible for the overall preparation, conduct, and management of GU Oncology clinical trials including Phase 1 studies. This role will manage the development and execution of clinical trial protocols, contribute to data analysis, and maintain strong communication and alignment with industry sponsors while maintaining compliance with all regulatory requirements and institutional policies.
This role is based on site in Myrtle Beach, South Carolina.
Essential Responsibilities
Strong leadership skills to oversee early and late phase GU clinical trials by providing overarching medical direction and comprehensive medical reviews of protocols in conformance with the investigational plan and good clinical practice
Work collaboratively across healthcare provider disciplines with urologic oncologists, radiation oncologists, nuclear medicine radiologists, pathologists and medical oncology physicians
Provide medical and scientific feasibility of all new sponsor inquiries driving growth through strategic partnerships
Lead and manage a matrix team responsible for the conduct of GU oncology trials
Ensure the safety and well-being of all trial site participants are protected
Ensure data collected at the study site is credible and accurate
Ensure the ethical rights, integrity, and confidentiality of all participants at the trial site are protected
Develop professional working relationships with Sponsors and Clinical Research Organizations involved in study conduct
Provide expert guidance and support to clinical operations research staff and sponsor client
Lead continuous quality improvement efforts for clinical research services, integrating best practices and fostering a culture of research excellence and multidisciplinary collaboration
Develop and implement strategies to enhance patient recruitment and retention in clinical trials
Strong collaborative skills working with START Co-Investigator physicians and across the START Network.
Required Education and Experience:
M.D. or equivalent
Board Certified in Medical Oncology or Urology
Qualified for relevant US State Medical Licensing
Clinical trials experience with a strong interest in drug development and publications
Ability to critically analyze clinical scientific data and literature
Understanding of Good Clinical Practice (GCP) principles, safety and adverse event reporting, FDA regulations, and biomedical research ethics
Passion for providing excellence of clinical care and for working in a collaborative / team-oriented environment
Strong leadership skills with entrepreneurial mindset encompassing an aggressive approach to growth and expansion
Preferred Education and Experience:
Previous experience with industry sponsored clinical trials
Excellent communication skills, with experience in publishing and presenting at scientific meetings
Translational research experience and familiarity with early and late-stage clinical trials
Best-in-Class Benefits and Perks
We value our employees' time and efforts. Our commitment to your success is enhanced by a competitive compensation, depending on experience, and an extensive benefits package including:
Comprehensive health coverage: Medical, dental, and vision insurance options provided
Robust retirement planning: 401(k) plan available with employer matching
Financial security: Company-paid life and disability insurance for added protection
Flexible financial options: Health savings and flexible spending accounts offered
Well-being and work-life balance: Paid time off, flexible schedule, and remote work choices provided
Plus, we work to maintain the best environment for our employees, where people can learn and grow with the company. We strive to provide a collaborative, creative environment where everyone feels encouraged to contribute to our processes, decisions, planning, and culture.
More about The START Center for Cancer Research
Deeply rooted in community oncology centers globally, The START Center for Cancer Research provides access to specialized preclinical and early-phase clinical trials of novel anti-cancer agents. START clinical trial sites have conducted more than a thousand early-phase clinical trials, including for 43 therapies that were approved by the FDA. START represents the world's largest roster of Principal Investigators (PIs) across its eight clinical trial sites. Committed to accelerating passage from trials to treatments, START delivers hope to patients, families, and physicians around the world. Learn more at STARTresearch.com.
Ready to be part of a team changing the future of cancer treatment?
Join us in our mission to conquer cancer, one clinical trial at a time. Your expertise and dedication can help us bring hope and healing to patients worldwide. Please submit your application online.
We are an equal opportunity employer that welcomes and encourages diversity in the workplace. We do not discriminate on the basis of race, color, religion, marital status, age, national origin, ancestry, physical or mental disability, medical condition, pregnancy, genetic information, gender, sexual orientation, gender identity or expression, veteran status, or any other status protected under federal, state, or local law.
$189k-292k yearly est. 6d ago
Access Supervisor, Inside Sales (Remote)
Insulet 4.7
South Carolina jobs
This position supervises the day-to-day operations of the Insulet Corporation Inside Sales Access teams. The position will be responsible for leading and coaching the team, resolving escalated customer contacts, managing existing and new processes, and identifying and implementing continuous improvement opportunities through data analysis and project management within the pharmacy systems.
The ideal candidate must demonstrate strong sales, customer service, computer skills, coordination, and planning abilities, and be able to work effectively in a key cross-functional role within Insulet Corporation and across external business partners.
Responsibilities
Provides supervision - ensuring call handling and documentation meet regulatory requirements within pharmacy guidelines.
Supervise day-to-day operations for the Inside Sales Access team, serving as the primary escalation point for any questions or issues and managing processes within the pharmacy process.
Define, manage, and implement enhancements to processes and systems to refine the Inside Sales structure.
Preparation of daily, weekly, monthly, and quarterly reports.
Manages daily call and task productivity, ensuring accountability to role expectations.
Provides coaching and feedback in accordance with department and company goals.
Manages Inside Sales Access quality program, conducting quality audits and calibration of quality scoring with the leadership team.
Handles the most complex Customer complaints, escalations, and/or inquiries.
Ensures adherence to Regulatory, Quality, Pharmacy, and accreditation standards.
Reviews financial targets and is responsible for working with Sr Inside Sales Leadership to assist with meeting or exceeding goals and ensuring operating and expense commitments are met within Service Level Agreements.
Participates in special projects and performs other duties as assigned.
Performs other duties as assigned.
Education and Experience
Minimum Requirements:
Bachelor's degree
5+ years of experience in an inside sales or contact center environment
Preferred Skills and Competencies:
Strong background in sales, the pharmacy channel, and call center operations that promote industry best practices and standards, including contact center metrics, workforce management, service quality management, and knowledge management.
Customer Service experience in a medical or health-related environment is preferred.
Knowledge of diabetes and experience supporting patients with diabetes is preferred.
Experience providing remote support, particularly in a regulated environment.
Physical Requirements:
Requires sitting and standing associated with a typical office environment.
Manual dexterity needed for using a calculator and computer keyboard.
Lightweight lifting may be required.
Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.
This position may require occasional travel.
If you're ready to be a part of a company that's changing the future of diabetes care, we want to hear from you. Join us at Insulet Corporation, where your talent will make a real difference in people's lives.
Remote/Flexible: (no days required to be onsite) This position is eligible for 100% remote working arrangements (may work from home/virtually 100%; may also work hybrid on-site/virtual as desired)
Additional Information:
Compensation & Benefits: For U.S.-based positions only, the annual base salary range for this role is $56,300.00 - $84,425.00 This position may also be eligible for incentive compensation. We offer a comprehensive benefits package, including: • Medical, dental, and vision insurance • 401(k) with company match • Paid time off (PTO) • And additional employee wellness programs Application Details: This job posting will remain open until the position is filled. To apply, please visit the Insulet Careers site and submit your application online. Actual pay depends on skills, experience, and education.
Insulet Corporation (NASDAQ: PODD), headquartered in Massachusetts, is an innovative medical device company dedicated to simplifying life for people with diabetes and other conditions through its Omnipod product platform. The Omnipod Insulin Management System provides a unique alternative to traditional insulin delivery methods. With its simple, wearable design, the tubeless disposable Pod provides up to three days of non-stop insulin delivery, without the need to see or handle a needle. Insulet's flagship innovation, the Omnipod 5 Automated Insulin Delivery System, integrates with a continuous glucose monitor to manage blood sugar with no multiple daily injections, zero fingersticks, and can be controlled by a compatible personal smartphone in the U.S. or by the Omnipod 5 Controller. Insulet also leverages the unique design of its Pod by tailoring its Omnipod technology platform for the delivery of non-insulin subcutaneous drugs across other therapeutic areas. For more information, please visit insulet.com and omnipod.com.
We are looking for highly motivated, performance-driven individuals to be a part of our expanding team. We do this by hiring amazing people guided by shared values who exceed customer expectations. Our continued success depends on it!
At Insulet Corporation all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
(Know Your Rights)
$56.3k-84.4k yearly Auto-Apply 8d ago
Care Advisor - Remote
Sharecare 4.4
Columbia, SC jobs
Sharecare is the leading digital health company that helps people - no matter where they are in their health journey - unify and manage all their health in one place. Our comprehensive and data-driven virtual health platform is designed to help people, providers, employers, health plans, government organizations, and communities optimize individual and population-wide well-being by driving positive behavior change. Driven by our philosophy that we are all together better, at Sharecare, we are committed to supporting each individual through the lens of their personal health and making high-quality care more accessible and affordable for everyone. To learn more, visit ***************** .
**Job Summary:**
CareLinx is looking for a Care Advisor to assist with CareLinx's Payer Operations line of business. CareLinx is a healthcare technology platform that connects families with non-medical, in-home caregivers, and Care Advisors provide support and guidance to families during the caregiver search, interview, and hire process. Once a caregiver match is made, the Care Advisor will follow closely to ensure satisfaction and assist if the member's needs change. This support includes searching for viable caregiver candidates, setting up interviews, helping with the completion of the hiring process, and caregiver retention. You will be a liaison, maintaining relationships with caregivers and providing ongoing support to ensure that members have an exceptional experience while working with their caregivers.
As a Care Advisor, you are the expert for members and families about all things CareLinx-related. You need to love interacting with people and be committed to providing stellar customer service and empathetic guidance for members during their in-home care journey. You should also be a team player and be willing to learn about CareLinx's health plan partners. If you think there's alignment with the description above, CareLinx may be the place for you.
**Location:** This role is remote, except for candidates located in the Mesa, AZ area. Those based near our Mesa office will be required to work on-site five days per week.
**Job Type:** Full-Time, Hourly
**Essential Job Functions:**
+ Assume responsibility for guiding members on the caregiver search journey through relationship building and exceptional communication in a call center environment.
+ Provide ongoing support after the caregiver hire to maintain the relationship with the family and caregiver and ensure overall satisfaction
+ Document accurate and complete notes of all family and caregiver interactions in CareLinx's EHR system
+ Work collaboratively and professionally with other team members and teams within CareLinx
+ Exhibit excellent verbal and written communication skills via phone, email, and text
**Specific Skills/ Attributes:**
+ Effective time management skills and high attention to detail
+ Excellent verbal and written communication skills
+ Superior organization and multitasking capabilities
+ Goal-driven, problem solver
+ Professional, confident, outgoing demeanor
+ Experience working with Microsoft Office Suite
+ Ability to maintain strict confidentiality, and exercise good judgment
+ Care Advisors are expected to meet performance goals set forth per CareLinx guidelines
+ Additional job duties may be assigned on an as-needed basis
**Qualifications:**
+ High school diploma or equivalent, required
+ Military experience is a plus but not required
+ Some college-level coursework, preferred
+ At least one year of experience in a productivity based customer service role, or call center environment or a minimum of 2 years experience in a customer service environment.
+ Previous healthcare experience preferred
Sharecare and its subsidiaries are Equal Opportunity Employers and E-Verify users. Qualified applicants will receive consideration for employment without regard to race, color, sex, national origin, sexual orientation, gender identity, religion, age, equal pay, disability, genetic information, protected veteran status, or other status protected under applicable law.
Sharecare is an Equal Opportunity Employer and doesn't discriminate on the basis of race, color, sex, national origin, sexual orientation, gender identity, religion, age, disability, genetic information, protected veteran status,or other non-merit factor.
$71k-93k yearly est. 60d+ ago
Bilingual Quality Analyst - Remote
Maximus 4.3
Charleston, SC jobs
Description & Requirements Maximus is seeking a detail-oriented and experienced Bilingual Quality Analyst. This role is responsible for conducting quality evaluations of staff performance, supporting calibration sessions, and ensuring alignment with client-defined quality standards. The ideal candidate will demonstrate strong analytical and communication skills, and a commitment to continuous improvement.
*Position is contingent upon contract award*
This position requires fluency in Spanish and English (both written and spoken). The Bilingual Quality Analyst will review customer interactions in Spanish and complete evaluation scoring and documentation in English. Candidates must be comfortable understanding spoken Spanish and writing detailed feedback in English.
This is a fully remote role.
Must have the ability to pass a federal background check.
Equipment will be provided but must meet the remote position requirement provided below.
Remote Position Requirements:
- Hardwired internet (ethernet) connection
- Internet download speed of 25mbps and 5mbps (10 preferred) upload or higher required (you can test this by going to ******************
- Private work area and adequate power source
Essential Duties and Responsibilities:
- Conduct internal audits for the quality assurance program to ensure that quality metric requirements of the project are being met.
- Collaborate in developing new procedures and update existing procedures when changes occur.
- Analyze reports on operational performance and provide solutions to identified issues.
- Analyze and develop routine and ad hoc reports on project performance, and research and suggest solutions to identified issues.
- Conduct monitoring activities and audits for quality assurance purposes and to support the effective functioning of the project.
- Analyze quality program data to identify trends and to develop and implement corrective action plans as appropriate.
- Assist with monitoring performance and meeting contractual requirements using system applications.
- Assist in the production and update of staff resource materials including knowledge management system, quick reference guide, matrices, charts, and workflows.
- Assist with staff training for the purpose of achieving and maintaining quality program goals.
- Analyze effectiveness of key initiatives and quality improvement efforts.
- Perform other duties as assigned by management.
- Conduct internal audits for the quality assurance program to ensure that quality metric requirements of the project are being met.
- Collaborate in developing new procedures and update existing procedures when changes occur.
- Analyze reports on operational performance and provide solutions to identified issues.
- Analyze and develop routine and ad hoc reports on project performance, and research and suggest solutions to identified issues.
- Conduct monitoring activities and audits for quality assurance purposes and to support the effective functioning of the project.
- Analyze quality program data to identify trends and to develop and implement corrective action plans as appropriate.
- Assist with monitoring performance and meeting contractual requirements using system applications.
- Assist in the production and update of staff resource materials including knowledge management system, quick reference guide, matrices, charts, and workflows.
- Assist with staff training for the purpose of achieving and maintaining quality program goals.
- Analyze effectiveness of key initiatives and quality improvement efforts.
- Perform other duties as assigned by management.
- Participate in calibration sessions to ensure consistency and alignment in quality evaluations across the team.
- Utilize AI tools and technologies to support quality assurance activities, data analysis, and reporting.
- Assist the center with taking calls as needed to support operations and maintain service levels.
Equipment will be provided but must meet the remote position requirement provided below.
Remote Position Requirements:
- Hardwired internet (ethernet) connection
- Internet download speed of 25mbps and 5mbps (10 preferred) upload or higher required (you can test this by going to ******************
- Private work area and adequate power source
Minimum Requirements
- Bachelor's degree in relevant field of study and 3+ years of relevant professional experience required, or equivalent combination of education and experience.
- Bachelor's degree in relevant field of study and 3+ years of relevant professional experience required, or equivalent combination of education and experience.
- Monitor agent interactions to ensure adherence to quality standards and provide timely, constructive feedback.
- Meet daily, weekly, and monthly monitoring goals by completing required evaluations, delivering timely feedback, and documenting results to support overall quality targets.
- Maintain strong organizational skills to effectively track monitors across different lines of business
- Collaborate in the development and revision of procedures in response to operational changes.
- Analyze operational and quality data to identify trends, gaps, and opportunities for improvement.
- Make recommendations based on data analysis to enhance performance and service delivery.
- Participate in and contribute to calibration sessions to ensure consistency in quality evaluations.
- Assist in training initiatives aimed at improving agent performance and overall quality scores.
- Support the creation and maintenance of staff resource materials, including guides, workflows, and reference documents.
- Utilize AI tools and technologies to enhance quality assurance processes, reporting, and decision-making.
- Take calls as needed to support center operations and maintain service levels.
- Participate in pilots and provide feedback from a quality assurance perspective to help inform improvements to quality metrics.
- Perform other duties as assigned by management.
- Must be bilingual in Spanish and English with strong written and verbal communication skills in both languages. Call monitoring will be in Spanish; evaluations and scoring will be completed in English.
EEO Statement
Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Annual salary is just one component of Maximus's total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards. Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off. Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience. An applicant's salary history will not be used in determining compensation. Maximus will comply with regulatory minimum wage rates and exempt salary thresholds in all instances.
Accommodations
Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at **************************.
Minimum Salary
$
55,000.00
Maximum Salary
$
66,000.00
Description & Requirements The Project Manager-Strategic Workforce Analytics will lead the design, implementation, and continuous improvement of Resource Management (RM) processes and system, primarily leveraging Eightfold and integrated platforms with a goal of establishing Resource Management as a structured, enterprise-wide program. This role primarily supports Strategic Workforce Planning (SWP) but is matrixed to support Learning & Organizational Development (L&OD), HRIS, and Operations, driving a strategic, scalable approach to resource management and workforce analytics.
The position combines program management expertise, technical systems fluency, and analytical capabilities to deliver accurate resource planning, actionable insights, and enable proactive workforce decisions such as redeployment, reskilling, and capacity forecasting.
Essential Duties and Responsibilities:
- Manage system administration and configuration for Eightfold Resource Management, ensuring accurate user access and timely release updates within established guidelines.
- Coordinate integration activities across assigned platforms (e.g., Salesforce, Kantata, HRIS) in partnership with IT and vendors.
- Maintain resource management workflows and monitor data quality, applying compliance standards and established processes.
- Prepare and deliver workforce planning reports and dashboards to support decision-making for assigned business areas.
- Conduct routine audits and maintain compliance dashboards ensuring adherence to organizational policies.
- Onboard and provide guidance to Resource Managers and stakeholders on resource management processes and best practices.
- Facilitate regular workforce planning meetings focused on capacity and resource allocation within assigned business areas.
- Collaborate with Talent Acquisition, Learning & Development, Finance, and Operations teams to execute workforce planning activities aligned with business needs.
- Identify opportunities for process improvement and implement automation solutions within the scope of resource management operations.
- Support departmental initiatives that contribute to workforce planning objectives, ensuring alignment with organizational goals.
-Deliver recurring workforce planning dashboards, forecasts, and skills intelligence - partner with stakeholders on future talent strategies based on data (build, bot, buy, borrow).
-Partner closely with Solution Architects to get timely insights into future talent demands and capabilities.
-Support enterprise initiatives such as reskilling programs, AI accelerator communities, and future workforce readiness.
Minimum Requirements
- Bachelor's degree in relevant field of study and 5+ years of relevant professional experience required, or equivalent combination of education and experience.
-Project Management or consulting experience.
-Hands-on experience with Eightfold or other Talent Intelligence and/or Resource Management platform.
-Proficiency in data visualization tools and advanced analytics platforms
-Strong understanding of data workflows, integrations, and process automation
-Excellent facilitation, communication, and stakeholder engagement skills
-Data & Analytics experience (such as: SQL, Python, Power BI/Tableau, and forecasting models)
-Stakeholder Management & Change Leadership
-Proven ability to balance strategic thinking with operational execution.
Preferred Experience:
-Familiarity with data warehousing concepts and skills-based workforce planning, redeployment, and reskilling frameworks
-Background with enterprise transformation projects
-Workforce planning/resource management experience
-HR Technology Fluency: RM platforms, HRIS, CRM systems
-Experience with skills taxonomies and workforce analytics platforms (Eightfold, OneModel, SAP Analytics Cloud, Anaplan)
-PMP certification, Agile/Scrum methodologies is a plus
#LI-JH1 #maxcorp #HotJobs1223LI #HotJobs1223FB #HotJobs1223X #HotJobs1223TH #TrendingJobs #c0rejobs #HotJobs0113LI #HotJobs0113FB #HotJobs0113X #HotJobs0113TH
EEO Statement
Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Annual salary is just one component of Maximus's total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards. Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off. Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience. An applicant's salary history will not be used in determining compensation. Maximus will comply with regulatory minimum wage rates and exempt salary thresholds in all instances.
Accommodations
Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at **************************.
Minimum Salary
$
90,780.00
Maximum Salary
$
122,820.00
$49k-85k yearly est. Easy Apply 7d ago
Provider Contracting Network Rep
Humana 4.8
Columbia, SC jobs
**Become a part of our caring community and help us put health first** The Provider Contracting Professional 2 initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that provides health insurance.
Provider Contracting Professional 2
+ Actively communicates contract terms, payment structures, reimbursement rates to providers internal and external constituents
+ Negotiating and maintaining contracts with hospital partners to ensure our network meets regulatory and business requirements.
+ Managing relationships with key providers to support member access, minimize disruption, and maintain competitive advantage.
+ Ensuring contract terms are implemented accurately and that our organization is protected from risk, both financially and legally.
+ Supporting cross-functional teams with timely updates on contracting status, rate changes, and network developments.
+ Managing these contract relationships with large statewide hospital systems requires the team to work with internal and external constituents on all areas of contracting; network management; adequacy and gaps; provider education; conflict resolution; claim escalation and research; compliance initiatives and grievances; joint operating committees; and all other facets of the business while also working closely with our Humana counterparts on enterprise initiatives.
**Use your skills to make an impact**
**Required Qualifications**
+ 2 or more years of experience in negotiating managed care contracts with physician specialty, hospital and/or other provider contracts.
+ Proficiency in analyzing, understanding and communicating financial impact of contract terms, payment structures and reimbursement rates to providers.
+ Experience with public speaking and presentation skills
**Preferred Qualifications**
+ Bachelor's degree
+ Experience with ACO/Risk Contracting
+ Experience with Value Based Contracting
+ Excellent written and verbal communication skills
+ Ability to manage multiple priorities in a fast-paced environment
+ Proficiency in MS Office applications
**Additional Information**
+ Travel to Provider facing meetings as needed based on business needs
+ Hours- 8am to 5pm EST
As part of our hiring process, we will be using an exciting interviewing technology provided by HireVue, a third-party vendor. This technology provides our team of recruiters and hiring managers an enhanced method for decision-making.
If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview. If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes.
If participating in a SMS Text interview, you will be asked a series of questions to which you will be using your cell phone or computer to answer the questions provided. Expect this type of interview to last anywhere from 5-10 minutes. Your recorded interview(s) via text and/or pre-recorded voice will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.
**Work at Home Guidance**
To ensure Home or Hybrid Home/Office associates' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria:
+ At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested
+ Satellite, cellular and microwave connection can be used only if approved by leadership
+ Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
+ Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job.
+ Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information
Internal- If you have additional questions regarding this role posting, please send them to the Ask A Recruiter persona by visiting go/vivaengage and searching Ask A Recruiter! Please be sure to provide the requisition number so we may be able to research your request quicker.
\#LI-BB1
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
**Scheduled Weekly Hours**
40
**Pay Range**
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$65,000 - $88,600 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
**Description of Benefits**
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
Application Deadline: 01-14-2026
**About us**
About CarePlus Health Plans: CarePlus Health Plans is a recognized leader in healthcare delivery that has been offering Medicare Advantage health plans in Florida over 23 years. CarePlus strives to help people with Medicare, or both Medicare and Medicaid, achieve their best possible health and wellness through plans with benefits and services they care about. As a wholly owned subsidiary of Humana, CarePlus currently serves Medicare beneficiaries throughout 21 Florida counties.
About Humana: Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers, and our company. Through our Humana insurance services, and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
**Equal Opportunity Employer**
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ***************************************************************************
$65k-88.6k yearly 7d ago
Sr Coordinator, Individualized Care
Cardinal Health 4.4
Columbia, SC 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.
**_Responsibilities_**
+ Investigate and resolve patient/physician inquiries and concerns in a timely manner
+ Mediate effective resolution for complex payer/pharmacy issues toward a positive outcome to de-escalate
+ Proactive follow-up with various contacts to ensure patient access to therapy
+ Demonstrate superior customer support talents
+ Prioritize multiple, concurrent assignments and work with a sense of urgency
+ Must communicate clearly and effectively in both a written and verbal format
+ Must demonstrate a superior willingness to help external and internal customers
+ Working alongside teammates to best support the needs of the patient population or will transfer caller to appropriate team member (when applicable)
+ Maintain accurate and detailed notations for every interaction using the appropriate database for the inquiry
+ Must self-audit intake activities to ensure accuracy and efficiency for the program
+ Make outbound calls to patient and/or provider to discuss any missing information as applicable
+ Assess patient's financial ability to afford therapy and provide hand on guidance to appropriate financial assistance
+ Documentation must be clear and accurate and stored in the appropriate sections of the database
+ Must track any payer/plan issues and report any changes, updates, or trends to management
+ Handle escalations and ensure proper communication of the resolution within required timeframe agreed upon by the client
+ Ability to effectively mediate situations in which parties are in disagreement to facilitate a positive outcome
+ Concurrently handle multiple outstanding issues and ensure all items are resolved in a timely manner to the satisfaction of all parties
+ Support team with call overflow and intake when needed
+ Proactively following up with various partners including the insurance payers, specialty pharmacies, support organizations, and the patient/physician to facilitate coverage and delivery of product in a timely manner.
**_Qualifications_**
+ 3-6 years of experience, preferred
+ High School Diploma, GED or technical certification in related field or equivalent experience preferred
**_What is expected of you and others at this level_**
+ Effectively applies knowledge of job and company policies and procedures to complete a variety of assignments
+ In-depth knowledge in technical or specialty area
+ Applies advanced skills to resolve complex problems independently
+ May modify process to resolve situations
+ Works independently within established procedures; may receive general guidance on new assignments
+ May provide general guidance or technical assistance to less experienced team members
**TRAINING AND WORK SCHEDULES:** Your new hire training will take place 8:00am-5:00pm CT, mandatory attendance is required.
This position is full-time (40 hours/week). Employees are required to have flexibility to work any of our shift schedules during our normal business hours of Monday-Friday, 7:00am- 7:00pm CT.
**REMOTE DETAILS:** You will work remotely, full-time. It will require a dedicated, quiet, private, distraction free environment with access to high-speed internet. We will provide you with the computer, technology and equipment needed to successfully perform your job. You will be responsible for providing high-speed internet. Internet requirements include the following:
Maintain a secure, high-speed, broadband internet connection (DSL, Cable, or Fiber) at the remote location. **Dial-up, satellite, WIFI, Cellular connections are NOT acceptable** . Download speed of 15Mbps (megabyte per second)
+ Upload speed of 5Mbps (megabyte per second)
+ Ping Rate Maximum of 30ms (milliseconds)
+ Hardwired to the router
+ Surge protector with Network Line Protection for CAH issued equipment
**Anticipated hourly range:** $21.50 per hour - $30.70 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:** 3/6/2026 *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 (***************************************************************************************************************************
Description & Requirements Maximus is currently hiring a Billing Manager to join the finance team on our Veterans Evaluation Services (VES) Program. This is a remote opportunity. The Billing Manager is responsible for providing critical support, management, and execution of the department's processes. The department is responsible for the review and approval of mission-critical vendor invoices and costs supporting operations. This involves monitoring, management, and guidance of staff, collaboration with third-party account managers and direct support of the Program Finance Leadership. The Billing manager oversees processes that ensure accuracy of vendor invoices & resolves discrepancies of contractually governed billed items, in addition to other duties as assigned. Must provide key analytical support and reconciliation of pre, current, and post billed items or various metrics as requested. This position will be a key liaison between Operations and Finance and will be responsible for providing direct support to the Finance organization within the Federal VES Program.
Due to contract requirements, only US Citizen or a Green Card holder can be considered for this opportunity.
Essential Duties and Responsibilities:
- Oversee the development and implementation of innovative methodologies to improve service levels and overall operational efficiency.
- Manage the project's quality assurance and training programs.
- Monitor performance against key indicators established internally or by the clients
- Responsible for cash application of premium payments, invoice and statement generation, mailing and financial reporting.
- Responsible for daily and monthly financial reconciliation.
- Ensure appropriate financial and system controls are operating in compliance with standard audit procedures.
- Manage audits of operations.
- Develop and implement operational policies and procedures in collaboration with other key stakeholders.
- Establish and maintain effective relationships with clients and other external entities.
- Monitor SLAs and hold team accountable for reviewing and approving third-party invoices - including validation of services performed - to ensure timely payment.
- Work directly with third-party account managers to ensure records are reconciled; monitor troubleshooting and remediation as needed.
- Support IT team with system enhancements or modifications of workflow with an objective of streamlining processes.
- Candidates residing in the Eastern or Central Time Zones (EST/CST) highly preferred.
- Must be willing and able to work over 40 hours when required by the responsibilities of the role.
- Please note upon hire, Veteran Evaluation Services (VES), a Maximus Co. will provide all necessary computer equipment that is to be utilized to fulfil the duties of your role. New hires will not be exempt from using company provided equipment.
Home Office Requirements Using Maximus-Provided Equipment:
- Internet speed of 20mbps or higher required (you can test this by going to (******************
- Connectivity to the internet via either Wi-Fi or Category 5 or 6 ethernet patch cable to the home router
- Private work area and adequate power source
- Must currently and permanently reside in the Continental US
Minimum Requirements
- Bachelor's degree in related field.
- 5-7 years of relevant professional experience required.
- Equivalent combination of education and experience considered in lieu of degree.
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
$
85,000.00
Maximum Salary
$
105,000.00
$42k-60k yearly est. Easy Apply 8d ago
Head of Sales Strategy & Planning
Zoom 4.6
Columbia, SC jobs
What you can expect The Head of Sales Strategy & Planning is a senior leadership role focused on driving sales strategy, planning, and performance management throughout the organization. This position bridges executive strategy, revenue operations, and execution. As a strategic advisor to the Chief Revenue Officer and executive leadership, responsibilities include strategic planning, territory design, quota setting, compensation frameworks, process optimization, and governance. Collaboration with Sales, Marketing, Finance, and Product leaders is essential to create data-driven strategies, improve sales performance, and equip the sales team to achieve revenue goals. This role is critical for aligning sales operations with organizational objectives.
About the Team
The Sales Strategy & Planning team establishes the framework for the sales organization's operations, planning, and success metrics. Collaboration spans Sales, Marketing, Finance, Product, and Operations to develop territories, quotas, coverage models, and performance systems informed by data and business insights. This ensures sales teams remain focused, supported, and aligned for success, enabling the company to grow effectively while navigating evolving markets and opportunities.
What we're looking for
+ Demonstrate expertise leading sales strategy, sales/revenue operations, business operations, or consulting work within a B2B or SaaS environment.
+ Demonstrate extensive knowledge in sales planning and performance oversight, covering forecasting, analytics, compensation structures, territory organization, and market-entry strategies.
+ Demonstrate ability to connect operational execution to broader business strategy, clearly articulating the "why" behind decisions and trade-offs.
+ Demonstrate expertise in collaborating with senior leaders and influencing diverse teams using analytical insights and well-organized proposals.
+ Demonstrate extensive analytical, financial modeling, communication, and problem-solving skills, with experience using CRM and analytics tools to inform decisions.
+ Demonstrate expertise in building, leading, and developing teams within strategy, planning, analytics, or operations functions to achieve high performance.
+ Demonstrate experience building, leading, and developing high-performing teams across strategy, planning, analytics, or operations functions.
+ Support the scaling of a sales team during periods of rapid expansion or substantial organizational change.
+ Possess expertise in using planning or analytics tools like Salesforce, Tableau, or Anaplan alongside foundational CRM and reporting capabilities.
Salary Range or On Target Earnings:
Minimum:
$184,300.00
Maximum:
$403,200.00
In addition to the base salary and/or OTE listed Zoom has a Total Direct Compensation philosophy that takes into consideration; base salary, bonus and equity value.
Note: Starting pay will be based on a number of factors and commensurate with qualifications & experience.
We also have a location based compensation structure; there may be a different range for candidates in this and other locations
At Zoom, we offer a window of at least 5 days for you to apply because we believe in giving you every opportunity. Below is the potential closing date, just in case you want to mark it on your calendar. We look forward to receiving your application!
Anticipated Position Close Date:
01/22/26
Ways of WorkingOur structured hybrid approach is centered around our offices and remote work environments. The work style of each role, Hybrid, Remote, or In-Person is indicated in the job description/posting.
BenefitsAs part of our award-winning workplace culture and commitment to delivering happiness, our benefits program offers a variety of perks, benefits, and options to help employees maintain their physical, mental, emotional, and financial health; support work-life balance; and contribute to their community in meaningful ways. Click Learn (********************************* for more information.
About UsZoomies help people stay connected so they can get more done together. We set out to build the best collaboration platform for the enterprise, and today help people communicate better with products like Zoom Contact Center, Zoom Phone, Zoom Events, Zoom Apps, Zoom Rooms, and Zoom Webinars.We're problem-solvers, working at a fast pace to design solutions with our customers and users in mind. Find room to grow with opportunities to stretch your skills and advance your career in a collaborative, growth-focused environment.
Our Commitment
At Zoom, we believe great work happens when people feel supported and empowered. We're committed to fair hiring practices that ensure every candidate is evaluated based on skills, experience, and potential. If you require an accommodation during the hiring process, let us know-we're here to support you at every step.
If you need assistance navigating the interview process due to a medical disability, please submit an Accommodations Request Form (https://form.asana.com/?k=OIuqpO5Tv9XQTWp1bNYd8w&d=1***********3361) and someone from our team will reach out soon. This form is solely for applicants who require an accommodation due to a qualifying medical disability. Non-accommodation-related requests, such as application follow-ups or technical issues, will not be addressed.
#LI-Remote
We believe that the unique contributions of all Zoomies is the driver of our success. To make sure that our products and culture continue to incorporate everyone's perspectives and experience we never discriminate on the basis of race, religion, national origin, gender identity or expression, sexual orientation, age, or marital, veteran, or disability status. Zoom is proud to be an equal opportunity workplace and is an affirmative action employer. All your information will be kept confidential according to EEO guidelines
$107k-186k yearly est. 29d ago
Associate Consultant Activation
GE Healthcare 4.8
Greenville, SC jobs
The Associate Consultant will be a part of the Command Center team at GEHC. This role will be responsible for helping with product configuration, training and activation of software and consulting services at hospital sites. Accountable for the quality of own work. Subject to direct operations supervision/prescribed work instructions/systems checking. Executes within a well-defined operations framework. There is generally a step by step sequence of standard operational tasks which need to be followed to achieve an end result.
This is a remote position open across the continental US. The role will require weekly travel to customer sites Monday-Thursday.
**Job Description**
**Roles and Responsibilities**
+ Client facing individual responsible for the delivery of consultancy services at a client site(s).
+ Developing conceptual knowledge of professional discipline. May include support roles with specialized expertise or technical knowledge in broad area.
+ Applies general knowledge of business developed through education or past experience. Understands how work of own team contributes to the area.
+ Resolves issues using established procedures. Consults supervisor or more senior team members for issues outside of defined instructions/parameters.
+ Collaborates with others to solve issues. For customer facing roles, develops strong customer relationships and serves as the interface between customer and GE. Exchanges technical information, asks questions and checks for understanding.
**Required Qualifications**
+ Bachelor's Degree related to Health Sciences
+ Proficiency in Microsoft Office Suite especially Excel and Power Point
+ Excellent communication skills, teamwork
+ Strong interpersonal and teamwork skills
+ Strong written and oral communication skills
+ Demonstrated business acumen and analytical skills
+ Dependable: able to work independently and consistently meet or exceed performance expectations.
+ Adaptable: able to adjust work and communication style based on situational needs.
+ Demonstrate an aptitude for critical thinking to included evaluation of ideas and synthesizing information into insights
+ The ability to travel 80% (Monday-Thursday weekly)
**Desired Characteristics**
+ Strong oral and written communication skills. Ability to document, plan, market, and execute programs.
+ Working knowledge/experience in SQL
We will not sponsor individuals for employment visas, now or in the future, for this job opening.
For U.S. based positions only, the pay range for this position is $72,000.00-$108,000.00 Annual. It is not typical for an individual to be hired at or near the top of the pay range and compensation decisions are dependent on the facts and circumstances of each case. The specific compensation offered to a candidate may be influenced by a variety of factors including skills, qualifications, experience and location. In addition, this position may also be eligible to earn performance based incentive compensation, which may include cash bonus(es) and/or long term incentives (LTI). GE HealthCare offers a competitive benefits package, including not but limited to medical, dental, vision, paid time off, a 401(k) plan with employee and company contribution opportunities, life, disability, and accident insurance, and tuition reimbursement.
**Additional Information**
GE HealthCare offers a great work environment, professional development, challenging careers, and competitive compensation. GE HealthCare is an Equal Opportunity Employer (****************************************************************************************** . Employment decisions are made without regard to race, color, religion, national or ethnic origin, sex, sexual orientation, gender identity or expression, age, disability, protected veteran status or other characteristics protected by law.
GE HealthCare will only employ those who are legally authorized to work in the United States for this opening. Any offer of employment is conditioned upon the successful completion of a drug screen (as applicable).
While GE HealthCare does not currently require U.S. employees to be vaccinated against COVID-19, some GE HealthCare customers have vaccination mandates that may apply to certain GE HealthCare employees.
**Relocation Assistance Provided:** No
$72k-108k yearly 7d ago
Remote Epic Application Coordinator (Beaker)
Spartanburg Regional Medical Center 4.6
Spartanburg, SC jobs
Job Requirements This position is 100% remote. We will only consider remote applicants residing in the following US states - AL, AZ, CT, DE, FL, GA, IN, KS, KY, LA, MD, MI, NC, PA, RI, SC, VA, WV, and WI. Epic Beaker Analyst certification and/or previous Epic EMR build experience in another module will be weighted heavily.
Position Summary
Are you an experienced Epic professional ready to take on a key role in transforming healthcare IT systems? As a Remote Epic Application Coordinator (Beaker) at Spartanburg Regional Healthcare System, you will have the unique opportunity to design, build, test, and support EPIC applications, ensuring they meet the needs of our dynamic healthcare environment. They will be responsible for obtaining and maintaining in-depth knowledge of the software functionality and acquiring / utilizing knowledge of the operational workflows to be implemented with the EPIC system. The Epic Application Coordinator (Beaker) will gain in-depth knowledge of the software by attending application support training and completing application certification projects and tests.
Key abilities for this role include:
* Understanding of the organization and the user community in the Application Coordinator's assigned area (Beaker)
* Ability to lead meetings, prioritize, resolve conflicts, managing issues, and oversight and implementation of project plan activities
* Strong communication and follow-up skills
* Ability to probe for information about the underlying needs of the organization and user community, which directly influences how the system will be built
The Remote Epic Application Coordinator (Beaker) should understand the organization's current laboratory workflows and how it impacts other areas of the organization. This individual should excel in change management and communication to help end users accept and become accustomed to the application. Knowledge of Data Innovations Instrument Manager is helpful but not required.
Minimum Requirements
Education
* Requires an Associate Degree or higher education, or related applicable experience.
Experience
* 5+ years of Healthcare IT experience
License/Registration/Certifications
* Must complete required training for product implementation, and pass certification within 45 days of completion of training
Preferred Requirements
Preferred Education
* Bachelor's Degree in Computer Science or related field
Preferred Experience
* 7+ years of Healthcare IT experience.
Core Job Responsibilities
* Maintain regular communication with vendor implementation representatives. Work with implementation representatives and the organization's business community and end users to ensure the system meets the organization's business needs.
* Assume application expertise by obtaining and maintaining EPIC certification (Beaker) for the assigned application(s) within the required timeframe.
* Achieve an in-depth knowledge of assigned application(s) and its relationship to other applications.
* Participate in project plan development and monitoring project milestones
* Participate in design and validation sessions and ensure appropriate documentation, follow-up and issue escalation occurs.
* Perform in-depth analysis of workflows, data collection, report details, and other technical issues associated with Epic software. Provide application expertise to facilitate discussions and decisions.
* Work with department representatives to analyze needs and translate these into system design.
* Participate in development, execution and sign off of system testing.
* Develop and maintain detailed documentation on system configurations and technical components.
* Troubleshoot problems identified by team members and end users.
* Escalate issues and risks to project leadership.
* Collaborate with the training team(s) in the design and development of training programs.
* Provide application expertise to the project team and advisory groups.
* Participate in the planning and execution of application go-live and post-live activities.
* Follow established guidelines for system change control.
* Identify potential system enhancement needs.
* Introduce best practice options for future-state workflows and processes.
* Collect information regarding potential system enhancement needs
* Analyze new functionality in releases to determine how and if it should be used.
* Coordinate ongoing software updates and changes.
* Review and test new software releases.
Make an Impact in Healthcare IT!
At Spartanburg Regional, you will be part of a forward-thinking team committed to improving healthcare systems through innovative technology. If you are a certified Epic expert with a passion for enhancing operational efficiency and user satisfaction, apply now to join our mission-driven team. Help shape the future of healthcare, one epic application at a time.
$88k-112k yearly est. 41d ago
Health Information Management Inpatient Coder, FT, Days, - Remote
Prisma Health-Midlands 4.6
Columbia, SC jobs
Inspire health. Serve with compassion. Be the difference.
Codes medical information into the Prisma billing/abstracting systems using established professional and regulatory coding guidelines. Ensures that each diagnosis present on admission (POA) indicator is assigned appropriately. Codes for multiple facilities. Adheres to Prisma Health Coding and Compliance policies and procedures for assignment of complete, accurate, timely and consistent codes.
Essential Functions
All team members are expected to be knowledgeable and compliant with Prisma Health's values: Inspire health. Serve with compassion. Be the difference.
Codes medical information into the Prisma billing/abstracting systems using established professional and regulatory coding guidelines. Performs Inpatient coding including major traumas and Neonatal Intensive Care Unit (NICU) records by assigning International Classification of Diseases (ICD) and International Classification of Diseases-Procedure Coding System (ICD-PCS) codes as well as the Diagnosis Related Groups (DRG) assignment. Abstracts and assigns and verifies codes for Major Complications and Comorbidities/Complications and Comorbidities (MCC/CCs), Hospital-Acquired Condition/Patient Safety Indicator (HAC/PSI) and Quality Indicators capture as appropriate through documentation validation.
Ensures that each diagnosis present on admission (POA) indicator is assigned appropriately. Codes for multiple facilities. Incumbent(s) operate under the general supervision of HIM Coding leadership.
Applies ICD and ICD-PCS codes to inpatient records, including major traumas, and Neonatal Intensive Care Unit (NICU) records based on review of clinical documentation. Verifies assignment of DRGs, MCC/CCs, Hospital Acquired Conditions (HACs) and Patient Safety Indicators (PSIs) that most appropriately reflect documentation of the occurrence of events, severity of illness, and resources utilized during the inpatient encounter and in compliance with department policies and procedures. Selects the optimal principal diagnoses with appropriate POA indicator assignment and sequencing of risk adjustment diagnoses following established guidelines.
Reviews work queues to identify charts that need to be coded and prioritizes as per department-specific guidelines and within designated timelines. Follows up on On-hold accounts daily for final coding.
Identifies and requests physician queries following established guidelines when existing documentation is unclear or ambiguous following American Health Information Management (AHIMA) guidelines and established organization policies. Ensures all open queries initiated by Clinical Documentation Specialists have been addressed prior to final coding.
Adheres to Prisma Health Coding and Compliance policies and procedures for assignment of complete, accurate, timely and consistent codes. Adheres to department standards for productivity and accuracy. Identifies and trends coding issues escalating identified concerns
Consults, provides professional expertise to and collaborates with clinical documentation specialists on coding and documentation practices and standards.
Performs other duties as assigned.
Supervisory/Management Responsibilities
This is a non-management job that will report to a supervisor, manager, director or executive.
Minimum Requirements
Education - Certification Program or Associate degree or Coding Certificate through American Health Information Management (AHIMA) or other approved coding certification program.
Experience - Three (3) years coding experience in an acute care or ambulatory setting. Inpatient coding experience. EPIC health information system experiences preferred.
In Lieu Of
In lieu of education and experience requirements noted above, successful completion of the IP Coder Associate program or coder associate may be considered.
Required Certifications, Registrations, Licenses
Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), Certified Inpatient Coder (CIC) or other approved coding credential.
Knowledge, Skills and Abilities
Participates in on site, remote and/or external training workshops and training. Attends and participates in CDI-Coding Task Force and other collaborative training and education with CDI, PFS and Quality.
Demonstrates proficiency in utilizing official coding books as well as the electronic medical record, computer assisted coding/encoding software, and clinical documentation information systems to facilitate coding assignment.
Knowledge of electronic medical records and 3M or Encoder System.
Knowledge of medical terminology and basic anatomy and physiology, pathophysiology, and pharmacology with the ability to apply this knowledge to the coding process.
Knowledge of MS DRG prospective payment system and severity systems.
Ability to concentrate for extended periods of time.
Ability to work and make decisions independently.
Work Shift
Day (United States of America)
Location
5 Medical Park Rd Richland
Facility
7001 Corporate
Department
70017512 HIM-Coding
Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.
$30k-40k yearly est. Auto-Apply 60d+ ago
Specialist-Lab Billing On site
Spartanburg Regional Medical Center 4.6
Spartanburg, SC jobs
Job Requirements Assists with laboratory billing-related activities to ensure billing for laboratory services complies with regulatory standards. The Lab Denials and Coding Management-Specialist works with all areas of lab billing/denials functions to assure accounts are managed accurately and timely. Responsibilities vary based on department need. This position will be 50% remote based on business need. Productivity will be monitored and set by leadership after completion of probationary period. The Denial Management Specialist is responsible for denials and claim edits for the department as defined by their supervisor/manager.
Minimum Requirements
Education
* High School graduate
Experience
* Four years of experience in Medical Billing and Coding
License/Registration/Certifications
* N/A
Preferred Requirements
Preferred Education
* N/A
Preferred Experience
* Five years of experience in Medical Billing and Coding
* Verifiable experience with Dex Z Laboratory Guidelines
Preferred License/Registration/Certifications
* National Coding Certification AAPC
Core Job Responsibilities
* Manage assigned WQ's based on business need.
* Research and resolve all outstanding denials within work-que and complete all necessary follow up within a timely and accurate manner.
* Identify denial trends and provide education of steps to prevent future avoidable denials.
* Compile and respond to all reimbursement inquiries.
* Investigate and resubmit all unpaid balances for correct processing.
* Maintain accurate, systematic accounts receivable process.
* Meet required productivity standards based on assigned day to day tasks.
* Understand process on in house vs reference lab charges.
* Productivity will be set based on WQ assignment and projects.
* The use of TEAMS is required for communication with team members and Supervisor.
* Proficiency in use of Microsoft Office applications.
* Must have good knowledge of CPT, HCPCS, and ICD-9/10 codes.
* Must have a good working knowledge with insurance explanation of benefits and comprehensive understanding of remittance and remark codes.
* Understanding of 3rd party specimen for processing and billing.
* Be familiar with multiple payer requirements for claims processing and claim re-processing.
* Understanding of standard denials relating to specific Insurance Diagnosis and Procedure coding.
* Manage assigned Work Queues in Epic as instructed.
* Knowledge of precertification and prior authorization on an as needed basis.
* Other duties as assigned.
$61k-89k yearly est. 25d ago
Medical Staff Coordinator (Remote Position, Must reside in South Carolina)
Lexington Medical Center 4.7
West Columbia, SC jobs
Medical Staff Full Time Day Shift 8-4:30pm Lexington Health is a comprehensive network of care that includes six community medical and urgent care centers, nearly 80 physician practices, more than 9,000 health care professionals and Lexington Medical Center, a 607-bed teaching hospital in West Columbia, South Carolina. It was selected by Modern Healthcare as one of the Best Places to Work in Healthcare and was first in the state to achieve Magnet with Distinction status for excellence in nursing care. Consistently ranked as best in the Columbia Metro area by U.S. News & World Report, Lexington Health delivers more than 4,000 babies each year, performs more than 34,000 surgeries annually and is the region's third largest employer.
Lexington Health also includes an accredited Cancer Center of Excellence, the state's first HeartCARE Center, the largest skilled nursing facility in the Carolinas, and an Alzheimer's care center. Its postgraduate medical education programs include family medicine and transitional year residencies, as well as an informatics fellowship.
Job Summary
The position will be responsible for receiving, processing, and validating new and renewed medical staff applications to ensure regulatory and bylaw compliance. Responsibilities include provider data management, review of incoming provider applications, copying, filing, scanning, verification of credentials, correspondence, audit preparation and special projects as assigned. Also will assist with on-line provider and group set up confirmations, enrollments and attestations.
Minimum Qualifications
MD staff credentialing experience preferred
Minimum Education: Associate's Degree
* Minimum Years of Experience: 1 Year of work experience related to credentialing or other provider related regulatory process management/oversite
* Substitutable Education & Experience: Associate's Degree with 1 year of work experience can be substituted for a High School Diploma or Equivalent with 4 years of experience related to credentialing or other provider related regulatory process management/oversite
* Required Certifications/Licensure: None
* Required Training: General knowledge of health care provider credentialing process for initial and reappointment applicants; Proficient in database, spreadsheet and word processing applications; Ability to perform multiple tasks in a pressured environment (handle stressful situations; critical timelines); Ability to adapt and apply skills across varied department environments; General knowledge of medical ethics and medical terminology and confidentiality.
Essential Functions
* Maintains a comprehensive credentialing database, ensuring data integrity of provider information.
* Maintains provider charts according to specific chart structure, including imaging, filing, faxing and copying of confidential applications, correspondence and other provider data.
* Utilizes information, optimizing efficiency and performs necessary queries to prepare reports, document generation, provider packets, summaries and timelines as appropriate.
* Assists with internal credentialing monitoring to ensure compliance with regulatory bodies
* (DNV, AHA, STS, NCDR, CMS, federal and state) as well as Professional Staff Policies and procedures and bylaws.
* Participates in audits - both on and off site through chart review, process review and demonstration of on-going compliance and timeliness.
* Assists with the processing, distribution and management of all credentialing and accreditation documents.
* Assists with the administration and coordination of updated provider licensing, ensuring receipt within regulation parameters and requirements.
* Identifies issues that require additional investigation and evaluation, validates discrepancies and ensures appropriate follow-up.
Duties & Responsibilities
* Monitors and communicates training requirements as a part of orientation to the credentialing and privileging program as well as other required training throughout provider participation.
* Responds to inquiries from other healthcare organizations and interfaces with internal and external customers on day to day credentialing and privileging issues as they arise.
* Responds to inquiries from other healthcare organizations and interfaces with internal and external customers on day-to-day credentialing and privileging issues as they arise.
* Utilizes the MD-Staff credentialing database, optimizing efficiency, and performs all necessary queries, report(s), and document generation; submits and retrieves National Practitioner Database reports in accordance with Health Care Quality Improvement Act.
* Processes requests for privileges, ensuring compliance with criteria outlined in clinical privilege descriptions.
* Develops harmonious relationships with various providers and departments.
* Maintains and ensures strict confidentiality of files and databases.
* Performs all other duties as assigned.
We are committed to offering quality, cost-effective benefits choices for our employees and their families:
* Day ONE medical, dental and life insurance benefits
* Health care and dependent care flexible spending accounts (FSAs)
* Employees are eligible for enrollment into the 403(b) match plan day one. LHI matches dollar for dollar up to 6%.
* Employer paid life insurance - equal to 1x salary
* Employee may elect supplemental life insurance with low cost premiums up to 3x salary
* Adoption assistance
* LHI provides its full-time employees employer paid short-term disability and long-term disability coverage after 90 days of eligible employment
* Tuition reimbursement
* Student loan forgiveness
Equal Opportunity Employer
It is the policy of LMC to provide equal opportunity of employment for all individuals, and to remain compliant with applicable state and federal laws and regulations. LMC strives to provide a discrimination-free environment, and to recruit, select, on-board, and employ all employees without regard to race, color, religion, sex, age, disability, national origin, veteran status, or pregnancy, childbirth, or related medical conditions, including but not limited to, lactation. LMC endeavors to upgrade and promote employees from within the hospital where possible and consistent with the employee's desires and abilities and the hospital's needs.
$43k-55k yearly est. 3d ago
Pharmacy Technician
Start Center for Cancer Research 3.4
Myrtle Beach, SC jobs
Job Description
The START Center for Cancer Research (“START”) is the world's largest early phase site network, fully dedicated to oncology clinical research. Throughout our history, START has provided hope to cancer patients in global community practices by offering access to cutting edge trials throughout the US and Europe. Today, with over 1,300 studies completed, and with research facilities in the United States and in Spain, Portugal, and Ireland, START's mission is to accelerate the development of new anticancer drugs that will improve the quality of life and survival for patients with cancer and lead to its eventual cure. To date, over 43 therapies conducted at START locations have obtained FDA/EMA approval. Incredibly, while Academic Medical Centers (AMCs) conduct 80% of cancer trials, such trials reach only 20% of the patient population - leaving the majority of patients who are treated in community practices and hospitals without access to a clinical trial when their care journey calls for one. START serves the many - by bringing cancer trials to physicians and their patients in community hospitals and practices when hope is needed most.
START represents the world's largest roster of Principal Investigators (PIs) across its eight clinical trial sites. Committed to accelerating passage from trials to treatments, START delivers hope to patients, families, and physicians around the world. As an example, in San Antonio, where START was founded, START treated the first patient ever with Keytruda - the most effective cancer drug in medical history.
The role will assure safe, efficient, and cost-effective preparation of chemotherapy, biologic therapy, and supportive care medications for administration to patients following all applicable regulations. Also, this role will work collaboratively with Site Leaders and Pharmacists to maintain adequate and cost-effective inventory of drugs and supplies.
Essential Responsibilities
Mix and label chemotherapy, biologic therapy and supportive care medications.
Perform proper procedures and documentation in inventory management systems during the fulfillment of the medication order.
Prepare parenteral dosage forms utilizing aseptic techniques in accordance with departmental policies, standards set forth in current USP, state & federal regulations and GCP guidelines for investigational medications.
Prepare and deliver medication ensuring proper storage location requirements are met based on the stability needs of the product.
Perform routine weekly inventory and quality assurance tasks, including checking extemporaneously manufactured medications, commercially available medications, I.V. solutions and equipment for expiration dates, recalls, or signs of deterioration.
Receive medication and supplies in accordance with inventory control and purchasing policies. Help to maintain all medication inventory levels within the predetermined stocking level, calling attention to needs for revision, or perpetual supply problems.
Interact with study monitors by providing drug accountability reports and temperature storage logs. Facilitate monitor verification of inventory, training and other GCP documentation.
Maintain and generate reports through the applicable computer programs.
Education & Experience
High School Diploma/GED.
At least 2 years of experience preparing chemotherapy and biologic therapies.
Current State registration as a pharmacy technician (CPhT).
Physical & Travel Requirements:
80% of time spent standing and/or walking.
Ability to lift up to a 25-pound weight load. Some lifting and bending, pushing and/or pulling loads.
Best-in-Class Benefits and Perks
We value our employees' time and efforts. Our commitment to your success is enhanced by a competitive compensation, depending on experience, and an extensive benefits package including:
Comprehensive health coverage: Medical, dental, and vision insurance provided
Robust retirement planning: 401(k) plan available with employer matching
Financial security: Life and disability insurance for added protection
Flexible financial options: Health savings and flexible spending accounts offered
Well-being and work-life balance: Paid time off, flexible schedule, and remote work choices provided
Plus, we work to maintain the best environment for our employees, where people can learn and grow with the company. We strive to provide a collaborative, creative environment where everyone feels encouraged to contribute to our processes, decisions, planning, and culture.
More about The START Center for Cancer Research
Deeply rooted in community oncology centers globally, The START Center for Cancer Research provides access to specialized preclinical and early-phase clinical trials of novel anti-cancer agents. START clinical trial sites have conducted more than a thousand early-phase clinical trials, including for 43 therapies that were approved by the FDA. START represents the world's largest roster of Principal Investigators (PIs) across its eight clinical trial sites. Committed to accelerating passage from trials to treatments, START delivers hope to patients, families, and physicians around the world. Learn more at STARTresearch.com.
Ready to be part of a team changing the future of cancer treatment?
Join us in our mission to conquer cancer, one clinical trial at a time. Your expertise and dedication can help us bring hope and healing to patients worldwide. Please submit your application online.
We are an equal opportunity employer that welcomes and encourages diversity in the workplace. We do not discriminate on the basis of race, color, religion, marital status, age, national origin, ancestry, physical or mental disability, medical condition, pregnancy, genetic information, gender, sexual orientation, gender identity or expression, veteran status, or any other status protected under federal, state, or local law.