Management Consultant jobs at Trinity Health - 2086 jobs

At Residential Home Health and Hospice (‘Residential'), we're looking to add to our extraordinary care team. Grounded by our belief that outstanding care is best delivered in a team-based environment, our Hospice Consultant will partner with our field staff and leaders to provide the best support to the patients that we serve. With our 20-year track record, Residential is a strong leader in the industry. We are consistently named a Top Workplace by our employees and genuinely care where you are in your career path. Our high value rewards package: Up to 22 paid holiday and personal days off in year one DailyPay: Access your money when you want it! Industry-leading 360 You™ benefits program Company paid emotional health and wellness support for you and your family Adoption assistance Access to Ramsey SmartDollar Certain benefits may vary based on your employment status. What you'll do in this role: Maintain relationships with all existing referral sources Actively prospect for new referral sources based on the Agency's scope of service Establish and maintain positive working relationships with current and potential referral and payer sources and field staff Work closely with Marketing, Agency Administrator, and Clinical Management to ensure that the demand for clinical care is aligned with our capacity and at no time compromises the Agency's ability to provide the best quality care for our patients We are looking for a compassionate Hospice Consultant: 2+ years of healthcare marketing experience required Understand all federal and state laws pertaining to the marketing of home care/hospice We are an equal opportunity employer and value diversity at our company. NOTICE: Successful completion of a drug screen prior to employment is part of our background process, which includes medical and recreational marijuana. By supplying your phone number, you agree to receive communication via phone or text. By submitting your application, you are confirming that you are legally authorized to work in the United States. JR# JR251333

At Residential Home Health and Hospice (‘Residential'), we're looking to add to our extraordinary care team. Grounded by our belief that outstanding care is best delivered in a team-based environment, our Hospice Consultant will partner with our field staff and leaders to provide the best support to the patients that we serve. With our 20-year track record, Residential is a strong leader in the industry. We are consistently named a Top Workplace by our employees and genuinely care where you are in your career path. Our high value rewards package: Up to 22 paid holiday and personal days off in year one DailyPay: Access your money when you want it! Industry-leading 360 You™ benefits program Company paid emotional health and wellness support for you and your family Adoption assistance Access to Ramsey SmartDollar Certain benefits may vary based on your employment status. What you'll do in this role: Maintain relationships with all existing referral sources Actively prospect for new referral sources based on the Agency's scope of service Establish and maintain positive working relationships with current and potential referral and payer sources and field staff Work closely with Marketing, Agency Administrator, and Clinical Management to ensure that the demand for clinical care is aligned with our capacity and at no time compromises the Agency's ability to provide the best quality care for our patients We are looking for a compassionate Hospice Consultant with: Associate degree preferred Minimum of one year of healthcare marketing experience Understand all federal and state laws pertaining to the marketing of home care/hospice We are an equal opportunity employer and value diversity at our company. NOTICE: Successful completion of a drug screen prior to employment is part of our background process, which includes medical and recreational marijuana. By supplying your phone number, you agree to receive communication via phone or text. By submitting your application, you are confirming that you are legally authorized to work in the United States. JR# JR252115

At Residential Home Health and Hospice (‘Residential'), we're looking to add to our extraordinary care team. Grounded by our belief that outstanding care is best delivered in a team-based environment, our Hospice Consultant will partner with our field staff and leaders to provide the best support to the patients that we serve. With our 20-year track record, Residential is a strong leader in the industry. We are consistently named a Top Workplace by our employees and genuinely care where you are in your career path. Our high value rewards package: Up to 22 paid holiday and personal days off in year one DailyPay: Access your money when you want it! Industry-leading 360 You™ benefits program Company paid emotional health and wellness support for you and your family Adoption assistance Access to Ramsey SmartDollar Certain benefits may vary based on your employment status. What you'll do in this role: Maintain relationships with all existing referral sources Actively prospect for new referral sources based on the Agency's scope of service Establish and maintain positive working relationships with current and potential referral and payer sources and field staff Work closely with Marketing, Agency Administrator, and Clinical Management to ensure that the demand for clinical care is aligned with our capacity and at no time compromises the Agency's ability to provide the best quality care for our patients We are looking for a compassionate Hospice Consultant with: Associate degree preferred Minimum of one year of healthcare marketing experience Understand all federal and state laws pertaining to the marketing of home care/hospice We are an equal opportunity employer and value diversity at our company. NOTICE: Successful completion of a drug screen prior to employment is part of our background process, which includes medical and recreational marijuana. By supplying your phone number, you agree to receive communication via phone or text. By submitting your application, you are confirming that you are legally authorized to work in the United States. JR# JR251664

A leading health services organization is seeking a Process Improvement Professional 2 to analyze business processes and improve operational efficiency. This remote role requires a Bachelor's degree and less than 5 years of technical experience. Candidates should be passionate about enhancing consumer experiences. Responsibilities include data analysis, case preparation, and compliance. A competitive salary range of $65,000 - $88,600 and comprehensive benefits package are offered, including potential bonus eligibility and flexible working arrangements. #J-18808-Ljbffr

Principal Network Mgmt Cons page is loaded## Principal Network Mgmt Conslocations: IL - Chicagotime type: Full timeposted on: Posted Yesterdayjob requisition id: R0047015At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.Join HCSC and be part of a purpose-driven company that will invest in your professional development.# # **Job Summary**### This position is responsible for provider recruitment and contracting of Physicians, Physician Groups both large and small (IPA's, PHO's, large independent hospital systems, Integrated & non-Integrated systems, Value Based Contracting, Etc). Develop and negotiate contracts. Develop and maintain relationships with assigned providers. Ensure strategic coverage for all LOBs and maintain required adequacy for each LOB. The person in this position it is expected to be a SME in the department for multiple assigned areas.### **Job Requirements:*** Bachelor's degree and 4 years provider contracting experience OR Master's degree and 3 years contracting experience OR 8 years business experience including 4 years provider contracting experience. Contracting experience involves negotiating reimbursements, financial arrangements and rates.* Extensive knowledge of provider and facility contracting, products, and claims/processing systems.* Negotiation skills.* Relationship building skills.* Knowledge of marketplace.* Meet deadlines and work well under pressure.* Verbal and written communication skills to interact with all levels of corporate personnel and providers.* PC proficiency to include Microsoft Office.* Analytical skills and business acumen to analyze financial data to determine financial impact of negotiations.* Ability and willingness to travel within assigned areas of responsibility, including overnight stays.**This is a Flex (Hybrid) role: 3 days in office; 2 days remote.**#LI-MW2 #LI-Hybrid### ### **Pay Transparency Statement:**At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting .The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.## HCSC Employment Statement:We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.# # **Base Pay Range**$90,900.00 - $164,200.00Exact compensation may vary based on skills, experience, and location.locations: IL - Chicagoposted on: Posted 13 Days AgoFor more than 80 years, HCSC has been dedicated to expanding access to high-quality, cost-effective health care and equipping our members with information and tools to make the best health care decisions for themselves and their families. As an industry leader, HCSC also has been helping to make the health care system work better for all Americans. To remain a leader, we offer compelling careers that encourage resourcefulness, strategic thought and empower you to make a difference in the lives of our members and their communities.Today, with the industry at an important crossroad, HCSC is reimagining health care and looking for original thinkers who aren't afraid to make innovative contributions. We are an Equal Opportunity Employment employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Learn more about HCSC, our commitment to our members and the opportunity you'll have to improve health care delivery in an open, collaborative environment. #J-18808-Ljbffr

The Prospect Management Analyst is a core member of the Trust's prospect management team, responsible for establishing protocols for best practices, devising and leading training for end users. Oversees data integrity and workflow practices between frontline and operational teams, gathering and translating business requirements for report modifications and analytical tools. Responsible for admin of global processes in the Prospect module of Blackbaud CRM, as well as oversight of established portfolio management procedures. Devises and conducts routine auditing and analysis on data in the Prospect Management domain, which underlies performance metrics for gift officer activity and efficacy and related analytics. Responsibilities The Prospect Management Analyst plays a key role in establishing and maintaining the core competencies of Trust staff related to CRM, our integrated enterprise data platform. Consistently meeting business, reporting, and analytics requirements of the Trust's fundraising management Designs and creates policy and procedure documents emanating from Trust Data Governance Business Rules for Prospect Management (plans) domains Maintains version control of documents and modifications as practices evolve As the key trainer and technical support for Trust administrative staff, the Prospect Management Analyst supports gift officers across all business units, as well as dissemination and communication of changes in business practices (as needed) to Trust admin staff Leads the records administration of prospect management metadata in CRM conducting bulk uploads and changes, diagnoses integrity and QC issues recommending solutions. Delegates and supervises administrative staff as necessary for fulfillment of prospect management records diagnostics, corrections, and entry projects Sets the agenda for bimonthly “CRM Q&A's” with admin staff, featuring Directors and Senior Directors from Data Steering Committee Participates with Records Management, Prospect Management and other Data Governance task teams as appropriate Education Requirements A Bachelor's degree and a min of 3 years in a fundraising or direct sales business environment are required. The knowledge of theories, principles and concepts and technical proficiency typically acquired through 2-3 years of experience using an enterprise‑level relational database is required. Experience Direct oversight of functions related to data admin, data integrity, and records management preferred Experience with Blackbaud CRM and Tableau Understanding of and experience with process management and/or process improvement concepts, and commensurate related skills including communication, coaching ability, persistence, critical thinking and ability to see the big picture Strong communication, writing, formatting and editing skills and proficiency in writing and/or editing training and support documentation that emphasizes orderly presentation of information and clear instructions. The ability to prioritize, manage multiple tasks, and work under pressure to meet deadlines. May require oversight of entry level and/or temporary data entry operators. May require oversight of learning pathways for administrative and frontline staff related to their proficiency in using CRM to manage their prospects and prospect portfolios. The ability to collaborate with immediate team members as well as Trust staff, donors and volunteers #J-18808-Ljbffr

Principal Marketing Strategy Consultant page is loaded## Principal Marketing Strategy Consultantlocations: Chicago Illinois HQ (300 E. Randolph Street): Richardson Texas HQ (1001 E. Lookout Drive)time type: Full timeposted on: Posted Yesterdayjob requisition id: R0047854At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.Join HCSC and be part of a purpose-driven company that will invest in your professional development.# # **Job Summary**### The Principal Marketing Strategy Consultant serves as the strategic operator and integrator for the DSVP of Marketing, driving alignment, coordination, and execution of the Marketing organization's highest priorities. This role partners closely with cross-functional marketing leaders and enterprise stakeholders to translate strategy into action, ensuring initiatives are clearly defined, aligned to business objectives, and delivered with rigor. Operating at the center of the Marketing organization, the Principal Consultant enables effective decision-making, accelerates execution, and ensures Marketing functions as a unified, high-performing team in support of enterprise goals. Required Job Qualifications: • Bachelor's degree / Master's Degree / MBA and 7 years of general industry experience or 3 years consulting experience at a top tier consulting firm • Strategy development/planning/implementation: Knowledge of corporate strategy and/or transformation core skill sets; experience formulating, planning, and/or implementing strategy and transformative efforts. • Analysis/synthesis/insight generation: Ability to conduct quantitative and qualitative analysis, provide insights and implications, inform decision making, and make recommendations/prioritize new opportunities to pursue. • Critical thinking/problem solving: Ability to proactively identify and resolve complex problems with some oversight. • Project management: Experience managing complex projects with some oversight. • Collaboration and interpersonal effectiveness: Ability to build strong connections with people and teams, drive results by working across the matrixed environment, and work directly with leadership with some oversight. • Communication skills: Ability to communicate effectively through verbal, written and visual channels. • Ability to work within a very fast-paced, quickly evolving organization and manage multiple, complex priorities. Preferred Job Qualifications: • Advanced degree such as MBA, MHA, MD, JD, or PhD • Experience in the healthcare industry, especially the health insurance sector • Experience with marketing #LI-CH1 #LI-Hybrid INJLFW### ### ### **Pay Transparency Statement:**At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting .The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.## HCSC Employment Statement:We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.# # **Base Pay Range**$112,200.00 - $202,600.00Exact compensation may vary based on skills, experience, and location.For more than 80 years, HCSC has been dedicated to expanding access to high-quality, cost-effective health care and equipping our members with information and tools to make the best health care decisions for themselves and their families. As an industry leader, HCSC also has been helping to make the health care system work better for all Americans. To remain a leader, we offer compelling careers that encourage resourcefulness, strategic thought and empower you to make a difference in the lives of our members and their communities.Today, with the industry at an important crossroad, HCSC is reimagining health care and looking for original thinkers who aren't afraid to make innovative contributions. We are an Equal Opportunity Employment employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Learn more about HCSC, our commitment to our members and the opportunity you'll have to improve health care delivery in an open, collaborative environment. #J-18808-Ljbffr

Req ID: 5283 Company: Terumo Medical Corporation Department: TMC Trade Compliance Global Terumo Medical Corporation (TMC) develops, manufactures, and markets a complete, solutions-based portfolio of high-quality medical devices used in a broad range of applications for numerous areas of the healthcare industry. TMC places a premium on providing customers with world-class products, training and education programs that drive clear economic value, better clinical outcomes and improved quality of life for patients. TMC is part of Tokyo-based Terumo Corporation; one of the world's leading medical device manufacturers with $6+ billion in sales, 30,000+ employees worldwide and operations in more than 160 nations. Terumo Medical Corporation is comprised of two strategic business divisions: Terumo Interventional Systems and Terumo Medical Products. **Job Summary** The Sr. Global Transportation Operations Manager at Terumo Medical Corporation plays a critical leadership role within the Global Trade Compliance organization, responsible for overseeing the strategy, execution, and continuous improvement of global transportation operations. This position ensures that the movement of goods across international borders is executed in compliance with trade regulations, while optimizing cost, service, and efficiency across all modes of transport. The incumbent will partner closely with internal stakeholders-including Supply Chain, Distribution, Procurement, Legal, and Finance-as well as external logistics service providers, carriers, and customs brokers to ensure seamless end-to-end transportation performance. The role requires strong expertise in global trade compliance regulations (e.g., import/export controls, customs requirements, sanctions), tariff management, and reporting, combined with operational excellence in transportation management. **Job Details/Responsibilities** - - Develop and implement global operational strategies that align with the company's goals and objectives - Manage tariff classification and duty reporting, driving global network optimization initiatives, monitoring carrier performance and trade compliance adherence - Manage and mitigate risks related to cross-border movements, and leveraging analytics to improve visibility, reduce costs, and support business growth. - Key contributor in establishing governance frameworks, standard operating procedures, and best practices to strengthen compliance, resilience, and scalability of transportation operations globally. - Collaborate Globally with other business units on process improvement, cost savings and other projects. - Monitor changes in customs and Trade regulations and assess their impact on automated processes ensuring compliance - Provide training and guidance to internal and external teams for systems and procedures **Knowledge, Skills and Abilities (KSA)** - Effective time management and prioritizing skills in fast paced environment - Excellent written and verbal communication skills - Experience in Oracle/SAP will be valued, or equivalent experience using other business software is required. - Ability to critique unique situations presented, making decisions that will enable the business process to flow with minimal delays, while complying with US regulatory compliance. - Analyzes existing procedures and makes recommendations for change as required. - Advanced proficiency in Microsoft Excel, PowerPoint, and other data analysis and reporting tools. **Qualifications/ Background Experiences** - Bachelor's degree in business or related field preferred, or equivalent experience - Minimum 5 years recent experience in a position directly related to import or export, with at least 8-10 years' experience global operations management with a track record of driving operational improvements and managing teams - Advanced analytical capabilities - Excellent leadership and people management skills, with the ability to motivate and inspire others. - Strong analytical and problem-solving skills, with the ability to identify and solve complex operational issues. - Excellent communication and interpersonal skills, with the ability to work effectively with cross-functional teams and stakeholders. It is Terumo's policy to provide equal employment opportunity to all its employees and applicants for employment regardless of their race, creed, color, national origin, age, ancestry, nationality, marital or domestic partnership or civil union status, sex, pregnancy, gender identity or expression, disability status, liability for military service, protected veteran status, sexual orientation, atypical cellular or blood trait, genetic information (including the refusal to submit to genetic testing), or any other category protected by law. As a Company, we value diversity of background and opinion, and prohibit discrimination or harassment on the basis of any legally protected class in the areas of hiring, recruitment, promotion, transfer, demotion, training, compensation, pay, fringe benefits, layoff, termination or any other terms and conditions of employment. Final compensation packages may be higher or lower than what is listed, and will ultimately depend on factors including relevant experience, internal equity, skillset, knowledge, geography, education, business needs and market demand. We provide competitive and comprehensive benefit options which include: annual bonus, paid vacation, paid holidays, health, dental and vision benefits, 401(k), with matching contributions, tax advantage savings accounts, legal plan, voluntary life and AD&D insurance, voluntary long-term disability, short term disability, critical illness and accident insurance, parental leave, personal leave, tuition reimbursement, travel assistance, and an employee assistance program. Rate of pay: $113,000 - $155,400/year **Nearest Major Market:** New Jersey

Terumo Medical Corporation (TMC) develops, manufactures, and markets a complete, solutions-based portfolio of high-quality medical devices used in a broad range of applications for numerous areas of the healthcare industry. TMC places a premium on providing customers with world-class products, training and education programs that drive clear economic value, better clinical outcomes and improved quality of life for patients. TMC is part of Tokyo-based Terumo Corporation; one of the world's leading medical device manufacturers with $6+ billion in sales, 30,000+ employees worldwide and operations in more than 160 nations. Terumo Medical Corporation is comprised of two strategic business divisions: Terumo Interventional Systems and Terumo Medical Products. Job Summary The Sr. Global Transportation Operations Manager at Terumo Medical Corporation plays a critical leadership role within the Global Trade Compliance organization, responsible for overseeing the strategy, execution, and continuous improvement of global transportation operations. This position ensures that the movement of goods across international borders is executed in compliance with trade regulations, while optimizing cost, service, and efficiency across all modes of transport. The incumbent will partner closely with internal stakeholders-including Supply Chain, Distribution, Procurement, Legal, and Finance-as well as external logistics service providers, carriers, and customs brokers to ensure seamless end-to-end transportation performance. The role requires strong expertise in global trade compliance regulations (e.g., import/export controls, customs requirements, sanctions), tariff management, and reporting, combined with operational excellence in transportation management. Job Details/Responsibilities • • Develop and implement global operational strategies that align with the company's goals and objectives • Manage tariff classification and duty reporting, driving global network optimization initiatives, monitoring carrier performance and trade compliance adherence • Manage and mitigate risks related to cross-border movements, and leveraging analytics to improve visibility, reduce costs, and support business growth. • Key contributor in establishing governance frameworks, standard operating procedures, and best practices to strengthen compliance, resilience, and scalability of transportation operations globally. • Collaborate Globally with other business units on process improvement, cost savings and other projects. • Monitor changes in customs and Trade regulations and assess their impact on automated processes ensuring compliance • Provide training and guidance to internal and external teams for systems and procedures Knowledge, Skills and Abilities (KSA) • Effective time management and prioritizing skills in fast paced environment • Excellent written and verbal communication skills • Experience in Oracle/SAP will be valued, or equivalent experience using other business software is required. • Ability to critique unique situations presented, making decisions that will enable the business process to flow with minimal delays, while complying with US regulatory compliance. • Analyzes existing procedures and makes recommendations for change as required. • Advanced proficiency in Microsoft Excel, PowerPoint, and other data analysis and reporting tools. Qualifications/ Background Experiences • Bachelor's degree in business or related field preferred, or equivalent experience • Minimum 5 years recent experience in a position directly related to import or export, with at least 8-10 years' experience global operations management with a track record of driving operational improvements and managing teams • Advanced analytical capabilities • Excellent leadership and people management skills, with the ability to motivate and inspire others. • Strong analytical and problem-solving skills, with the ability to identify and solve complex operational issues. • Excellent communication and interpersonal skills, with the ability to work effectively with cross-functional teams and stakeholders. It is Terumo's policy to provide equal employment opportunity to all its employees and applicants for employment regardless of their race, creed, color, national origin, age, ancestry, nationality, marital or domestic partnership or civil union status, sex, pregnancy, gender identity or expression, disability status, liability for military service, protected veteran status, sexual orientation, atypical cellular or blood trait, genetic information (including the refusal to submit to genetic testing), or any other category protected by law. As a Company, we value diversity of background and opinion, and prohibit discrimination or harassment on the basis of any legally protected class in the areas of hiring, recruitment, promotion, transfer, demotion, training, compensation, pay, fringe benefits, layoff, termination or any other terms and conditions of employment. Final compensation packages may be higher or lower than what is listed, and will ultimately depend on factors including relevant experience, internal equity, skillset, knowledge, geography, education, business needs and market demand. We provide competitive and comprehensive benefit options which include: annual bonus, paid vacation, paid holidays, health, dental and vision benefits, 401(k), with matching contributions, tax advantage savings accounts, legal plan, voluntary life and AD&D insurance, voluntary long-term disability, short term disability, critical illness and accident insurance, parental leave, personal leave, tuition reimbursement, travel assistance, and an employee assistance program. Rate of pay: $113,000 - $155,400/year

A transformative coaching company in San Francisco is seeking an experienced consultant to leverage behavioral science for enhancing client relationships and professional development strategies. Responsibilities include account planning, solution design, and collaborating with executives to optimize performance. Candidates should hold an M.A. or PhD in a related field with at least 7 years of business experience. This position offers a competitive salary range of $142,500 - $242,000 alongside comprehensive benefits, including flexible PTO and coaching opportunities. #J-18808-Ljbffr

Senior Manager Coding Audits & Education - 250003C0 - will work under the direction of the Director of Health Information Management, Coding and Audit to provide strategic and operational leadership for all organizational coding functions, including hospital technical coding (inpatient and outpatient), professional coding, coding quality audits, coding education, and coding denial management. This role ensures accurate, compliant, and timely coding to support optimal revenue cycle performance and high‑quality data reporting. The Senior Manager oversees a multidisciplinary coding team, drives performance improvement initiatives, and partners closely with clinical, revenue cycle, compliance, and financial leadership. The Senior Manager will be responsible for operational success and will assist the Director to define strategy and direction in accordance with national standards and CNH policies and procedures. Qualifications Minimum Education Bachelor's Degree in Business Administration, Health Administration, Health Information Management, Finance, or related field (Required) Master's Degree in Business Administration, Health Administration, Health Information Management, Finance, or related field (Preferred) Minimum Work Experience 7+ years of progressive coding experience, with at least 3 years in a supervisory or management role. Demonstrated expertise in hospital inpatient, outpatient, and professional coding. Experience managing coding QA programs, education functions, and denial reduction initiatives. Strong understanding of federal and payer regulations, documentation requirements, and revenue cycle workflows. Required Skills/Knowledge Strong understanding of coding processes, coding guidelines and their relation to the overall Revenue Cycle data flow/third party reimbursement. Ability to communicate professionally with physicians, third‑party payers and other organization members about coding principles and processes. Experience with 3M, Epic and/or Cerner Millennium. Excellent written and verbal communication skills. Demonstrated leadership and personnel management skills. Demonstrated change management skills. Maintains relationships with internal and external stakeholders. Commitment to compliance, accuracy, and high‑quality data reporting. Familiar with department budget and financial management, and personnel management. Familiarity with population health strategies, alternative payment models, and care coordination strategies (preferred). Required Licenses and Certifications Certified Coding Specialist (CCS) upon hire (Required) or Similar Medical Coding Certification(s) - CIC and/or CPC. Functional Accountabilities Strategic and Financial Planning - Contribute to the strategic plan for department services, including short‑term and long‑term objectives. Collect and analyze customer and stakeholder feedback, evaluate department effectiveness, and incorporate findings into plans. Work with Director, Vice President and other staff to develop ways to capture and report financial performance of the Department. Participate in financial planning and budget preparation. Work with Director to manage department budget to ensure financial stability of the department and develop recommendations to meet budget requirements. Work with financial personnel to monitor the financial performance of teams within the department to ensure compliance with budget; track, monitor, and evaluate budget for all line items. Leadership & Department Management - Provide operational oversight and day‑to‑day leadership of the entire department including technical coding (inpatient & outpatient), professional coding, coding edits, coding auditing, coding education, and coding denial management functions. Establish team structure, role definitions, and workload allocation to support high‑volume, high‑complexity services. Develop and implement department policies, workflows, and operational standards aligned with federal and state regulations, payer requirements, and organizational objectives. Oversee recruitment, onboarding, and performance management for coding analysts, coding auditors, coding educators, denial coding analysts. Coding Operations - Direct and maintain daily operations for inpatient, outpatient, surgical, and professional coding ensuring accuracy, timeliness, and compliance. Oversee accurate coding of unique and complex pediatric conditions, congenital anomalies, developmental diagnoses, and high‑acuity procedures. Ensure coding methodologies adhere to coding guidelines (including pediatric‑specific), payer rules, and Children's Hospital Association (CHA) best practices. Explore new methods to improve coding operations and work with various constituencies to gain acceptance and support implementation efforts. Communicate operational issues and progress toward goals to Director and others as appropriate. Audits and Coding - Develop and direct the organizational annual coding audit program, including internal audits, external audit response, and corrective action plans. Oversee routine retrospective and prospective professional and technical billing audits, specialized and focused audits, and other audits as directed by the Director. Oversee preparation of written reports of audit findings and recommendations to hospital leadership and staff as appropriate. Conduct risk assessments to define audit priorities by evaluating previous audit findings, management priorities, ICD and CPT code utilization patterns, national normative data, CMS and Medicaid initiatives, and healthcare industry best practices. Maintain knowledge of current government and third‑party payor coding and documentation requirements. Collaborate with Compliance and Internal Audit teams to address identified risks and support regulatory readiness. Analyze process improvement opportunities for auditing and coding teams to identify denial risks mid‑cycle. Triage and assist in management of requests that come from Revenue Cycle teams related to coding questions on coding guidelines and denials, escalating as needed, and conducting appropriate research. Coding Education and Staff Development - Provide direction related to all activities related to the training programs, including curriculum development, job aids, testing methodology, software and delivery, exam development/delivery, employee competency metrics, certifications and development needs. Research coding guidelines when conflicts arise within current policies and procedures. Research updated coding information as it becomes available annually and mid‑year; summarize and share changes impacting Revenue Integrity staff members. Develop and implement systems to monitor performance and quality of audits and educational materials. Develop and provide educational programs and coaching for auditors, denials analysts, and educators. Ensure staff maintain required certifications and stay current with industry changes. Coding Denial Management - Lead the coding denials management strategy, working closely with denials, CDI, and revenue integrity teams to reduce preventable coding‑related denials. Oversee analysis of denial trends, identify root causes, and implement corrective measures to protect revenue. Support accurate charge capture and documentation integrity initiatives. Cross‑Functional Collaboration - Partner with clinical documentation improvement (CDI), billing, compliance, finance, and IT to optimize workflows, documentation quality, and system functionality. Participate in system upgrades, EMR enhancements, and coding‑related software implementations. Serve as a subject‑matter expert to internal stakeholders on coding regulations, best practices, and emerging trends. Reporting and Performance Monitoring - Develop and maintain dashboards and KPIs related to coding productivity, accuracy, audit results, turnaround time, and denial performance. Provide executive‑level reporting incorporating case mix, acuity, and subspecialty complexities of a children's hospital. Monitor financial and operational impacts of coding initiatives and ensure alignment with organizational goals. Organizational Accountabilities Teamwork/Communication Performance Improvement/Problem‑solving Cost Management/Financial Responsibility Safety Primary Location Maryland - Silver Spring Work Locations Dorchester 12200 Plum Orchard Dr Silver Spring 20904 Job Details Position Status: R (Regular) - FT - Full‑Time Shift: Day Work Schedule: M‑F Full‑Time Salary Range 103,355.20 - 172,244.80 Children's National Hospital is an equal opportunity employer that evaluates qualified applicants without regard to race, color, national origin, religion, sex, age, marital status, disability, veteran status, sexual orientation, gender, identity, or other characteristics protected by law. The “Know Your Rights” poster is available here: and the pay transparency policy is available here: Know Your Rights Pay Transparency Nondiscrimination Poster. Please note that it is the policy of Children's National Hospital to ensure a “drug‑free” work environment: a workplace free from the illegal use, possession or distribution of controlled substances (as defined in the Controlled Substances Act), or the misuse of legal substances by all staff (management, employees and contractors). Though recreational and medical marijuana are now legal in the District of Columbia, Children's National and its affiliates maintain the right, in accordance with our policy, to enforce a drug‑free workplace, including prohibiting recreational or prescribed marijuana. #J-18808-Ljbffr

Asset Management Associate - Industrial, B&D Holdings Compensation: $105k to $135k base + Annual Bonus & Benefits B&D Holdings, a fast-growing national real estate investment and development firm, is expanding its team with an Asset Management Associate. As an Asset Management Associate, you will support the oversight, optimization, and performance of a diverse national industrial real estate portfolio. This role involves market research, financial analysis, property performance tracking, lease analysis, and collaboration with internal teams and external partners to drive value creation and achieve investment objectives. You'll work closely with senior leadership in an entrepreneurial environment where your contributions directly impact portfolio performance. This role manages a steady flow of analysis, making it ideal for professionals who thrive in a collaborative, dynamic, and transaction-focused setting. Key Responsibilities: Monitor property performance, analyze financial results, and prepare reports for stakeholders Maintain and track asset management dashboards and KPIs (occupancy, rent collections, lease expirations, mortgage components, CapEx, etc.) Conduct financial modeling, valuations, and scenario analyses Support leasing efforts, tenant relations, and critical lease date management Coordinate capital improvement projects with property management and construction teams Assist in due diligence, dispositions, refinancing, and strategic business plans Qualifications: Bachelor's degree in Real Estate, Finance, Economics, or related field 2+ years in asset management, real estate investment, underwriting, or a related analytical role Advanced Excel skills with the ability to translate data into actionable insights Proficiency in Argus, PowerPoint, and real estate databases (e.g., CoStar, LoopNet) Excellent communication, organization, and attention to detail Ability to handle high-volume of workflow This is an outstanding career opportunity for the right person interested in working for an owner/operator with an intense focus on optimizing a national portfolio. Salary commensurate with experience plus full benefit package including medical, dental, vision, 401K and paid time off. About B&D Holdings B&D Holdings is a privately held, vertically integrated real estate investment and development firm focused on industrial and IOS assets. We are entrepreneurial at our core, with a strong emphasis on quality, integrity, and value creation. Learn more: ******************* B&D Holdings is an equal opportunity employer and values diverse perspectives in building a collaborative, high-performing team.

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day The Case Management Coordinator utilizes critical thinking and judgment to collaborate and inform the case management process. The Case Management Coordinator facilitates appropriate healthcare outcomes for members by providing assistance with appointment scheduling, identifying and assisting with accessing benefits and education for members through the use of care management tools and resources.Evaluation of MembersThrough the use of care management tools and information/data review, conducts comprehensive evaluation of member's needs/eligibility and recommends an approach to case resolution and/or meeting needs by evaluating member's benefit plan and available internal and external programs/services.Identifies high risk factors and service needs that may impact member outcomes and care planning components with appropriate referral to clinical case management or crisis intervention as appropriate.Coordinates and implements assigned care plan activities and monitors care plan progress.Enhancement of Medical Appropriateness and Quality of CareUsing holistic approach consults with case managers, supervisors, Medical Directors and/or other health programs to overcome barriers to meeting goals and objectives; presents cases at case conferences to obtain multidisciplinary review in order to achieve optimal outcomes. Identifies and escalates quality of care issues through established channels.Utilizes negotiation skills to secure appropriate options and services necessary to meet the member's benefits and/or healthcare needs.Utilizes influencing/motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes to achieve optimum level of health.Provides coaching, information and support to empower the member to make ongoing independent medical and/or healthy lifestyle choices.Engages with colleagues in ongoing team meetings and offers peer mentoring/training.Helps member actively and knowledgably participate with their provider in healthcare decision-making.Monitoring, Evaluation and Documentation of CareUtilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures. Required QualificationsCandidate must reside in Oak Park, Cicero, Elmhurst, Orland Park or West Side of Chicago, ILMust be willing and able to travel 50-75% of the time (Reliable transportation required + Mileage is reimbursed per our company expense reimbursement policy) 2+ years experience in behavioral health, social services or appropriate related field equivalent to program focus2+ years of experience of electronic documentation experience and Microsoft Office applications Preferred QualificationsCase management and discharge planning experience Managed care experience EducationBachelor's Degree or non-licensed master level clinician required with either degree being in behavioral health or human services (psychology, social work, marriage and family therapy, counseling) (REQUIRED) Anticipated Weekly Hours40Time TypeFull time Pay RangeThe typical pay range for this role is:$21.10 - $44.99This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.Great benefits for great people We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.For more information, visit ***************************************** We anticipate the application window for this opening will close on: 01/03/2026Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

The Sr. Manager, Contracts collaborates with internal business personnel with respect to implementing contract terms upon full execution of agreement to facilitate operations, monitor contract term expirations, potential renewals, and anniversary dates. Responsibilities: • Responsible for drafting amendments and contracts. • Answer all incoming telephone calls and inquiries for legal department relating to contracts. • Assists with drafting physician agreements and clinical services agreements. • Obtains fair market value analysis assessments and review for market area. • Report status of current contract statuses and processes to senior management with respect to physician and clinical agreements. • Creates language standards and rules for existing and new contracts. • Serves as a liaison between internal and external parties during contract development and negotiation stages. • Drafts termination letters and breach notices. • Resolves any existing contract conflicts. • Acts as a liaison between Legal and Outside Counsel for all physician contracting arrangements. • Oversees physician payment process relating to: (i) Physician and Mid-levels Professional Development Allowances through Concur Solutions to ensure compliance with contract terms and travel and reimbursement policy; (ii) Medical Directorships; (iii) Physician Employment Agreement; (iv) Physician Services Arrangements; (v) Production Compensation; (vi) Quality Incentive Payments; (vii) Base Salary adjustments; and (viii) any other required contractual Physician payment all in accordance with contract terms. • Manages Contract Disbursement Coordinator Staff (1) daily for follow up and issuance of physician payments. • Serves as the go-to person for all physician related payments as it relates to the Western Region. • Acts as a liaison between WMC Attorneys and Senior Management for the Western Region. • Responsible for maintaining contact with Finance for all contract required and related payments for contractual payment obligations and timeliness. • Logs in and process all contract requests into contract log. • Prepares contract word versions and drafting package for every contract to WMC attorney for review. • Assists with execution of contracts on a daily basis and maintains appropriate contact with all internal departments for status inquiries on contracts. • Processes all legal invoices for payment and track costs of payments. • Onboards new employees to Department, as needed. • Performs other duties as assigned. Qualifications/Requirements: Experience: 5 years in contract management or related experience required. Education: Bachelor's degree required. Master's degree preferred.

Senior Operations Consultant - Food & Beverage ERP 9-12 month contract Remote On-site meetings 4-5 times a year We are seeking an experienced Senior Operations Consultant to support food and beverage manufacturers and distributors through ERP‑enabled operational transformation. In this role, you will serve as a trusted advisor to senior leadership, designing efficient future‑state operations and ensuring ERP solutions effectively enable business goals. This position combines deep operational expertise, strong process design capability, and hands‑on ERP knowledge to help organizations optimize how they plan, produce, manage inventory, and deliver products. Key Responsibilities Client Advisory & Operational Leadership Partner with senior executives to evaluate current operations and define a realistic, value‑focused future state. Lead discussions across manufacturing, inventory management, quality, food safety, lot traceability, planning, and distribution. Translate real‑world operational challenges into ERP‑aligned process solutions that drive measurable improvements. ERP‑Enabled Process Design Develop a detailed understanding of client workflows and map requirements to ERP capabilities (e.g., Business Central or F&B‑focused ERP platforms). Align technology capabilities with actual operational practices-not theoretical models. Identify gaps between current processes and ERP best practices, recommending improvements that balance efficiency, compliance, and practicality. Implementation & Delivery Leadership Serve as a senior functional lead on ERP implementations, guiding configuration, testing, and deployment activities. Collaborate closely with technical teams to minimize unnecessary customizations while ensuring operational fit. Anticipate risks, dependencies, and operational impacts associated with solution‑design decisions. Executive Communication & Change Enablement Communicate complex operational and system concepts clearly and concisely for executive audiences. Help stakeholders understand trade‑offs, business impacts, and value‑realization opportunities. Support organizational change by aligning people, processes, and technology. A Typical Day May Include Assessing manufacturing, inventory, quality, and distribution processes. Translating operational needs into ERP system requirements and workflows. Facilitating workshops with cross‑functional and executive teams. Reviewing and validating solution designs with technical and implementation teams. Providing guidance on industry best practices and ERP adoption strategies. Communicating progress, risks, and decisions to key stakeholders. Required Qualifications Bachelor's degree in Business, Operations, Supply Chain, Information Systems, or a related field. Extensive experience in food and beverage operations (manufacturing or distribution). Proven contribution to ERP implementation initiatives. Strong understanding of core operational domains: Inventory & warehousing Manufacturing execution Lot traceability & food safety Planning & supply chain coordination Exceptional communication, facilitation, and executive‑level presentation skills. Strong analytical thinking, problem‑solving, and decision‑making capability. Highly organized, accountable, and able to own outcomes. Proficiency with Microsoft Office applications. Preferred Qualifications Experience with Microsoft Dynamics 365 Business Central. Experience with food and beverage ERP platforms (e.g., JustFood, industry‑specific ERP solutions). Deep industry experience within the food and beverage sector. Experience leading functional workstreams on ERP projects. Familiarity with project management tools such as MS Project or Smartsheet. What Makes a Great Fit A passion for solving complex operational challenges. A proactive, action‑oriented mindset committed to continuous improvement. High integrity and commitment to doing the right thing. Curiosity and creativity-willing to challenge assumptions and explore new approaches. Humility, respect, and a strong commitment to team success. Seniority Level Senior / Principal‑Level Consultant

Let's face it, a company whose mission is human transformation better have some fresh thinking about the employer/employee relationship. We do. We can't cram it all in here, but you'll start noticing it from the first interview. Even our candidate experience is different. And when you get an offer from us (and accept it), you get way more than a paycheck. You get a personal BetterUp Coach, a development plan, a trained and coached manager, the most amazing team you've ever met (yes, each with their own personal BetterUp Coach), and most importantly, work that matters. This makes for a remarkably focused and fulfilling work experience. Frankly, it's not for everyone. But for people with fire in their belly, it's a game-changing, career-defining, soul-lifting move. Join us and we promise you the most intense and fulfilling years of your career, doing life-changing work in a fun, inventive, soulful culture. If that sounds exciting-and the job description below feels like a fit-we really should start talking. What you'll do Deep Discovery: Apply your business acumen to account planning and discovery to support the sales process. Ultimately utilizing your expertise to help identify and clearly define with prospects and partners the most urgent problem in their organization that BetterUp can help solve. Solution Design: On the foundation of your deep business and human capital knowledge and expertise, you will develop a deep knowledge of our solution to present to prospective customers how BetterUp can help organizations achieve their business objectives, reach breakthrough performance, and create an environment where all employees can thrive. Presentation & Thought Leadership: Leverage your deep behavioral science knowledge to connect and share the science of BetterUp to the desired outcomes of the organization to drive efficacy and alignment. This could take the form of presentations, conversation and Q&A, workshops, webinars, and speaking engagements at industry events. Insights & Value: Partner with the customer success team to bring to life the impact that BetterUp is having on organizations. By analyzing and connecting qualitative and quantitative data for powerful stories of insight and impact, you will lead insight-driven conversations and inform overall strategy to continually add value to our partners. Your contributions will support retention and growth of key BetterUp partners. Cross-Functional Collaboration: Shape the product and direction of BetterUp as well as deliver for customers by effectively collaborating with key partners including R&D, Product, Labs, Sales Leadership, Customer Success & Implementation, and Coach Operations. C-Level Consulting: Perform unrivaled professional discovery, presentation, communication, and influencing skills to C-Level Executives, interfacing with and selling to the office of the CHRO and CFO specifically. Prioritization & Project Management: Manage multiple customer deliverables and stakeholders concurrently, prioritizing the most important and impactful work, delivering with top quality. Qualifications If you have some or all of the following, please apply: M.A. with a minimum of 7 years of consulting and/or business experience, ideally within an HR department or equivalent or minimum of 5 years experience with a PhD in behavioral science or a related field (e.g., business, organizational leadership). Domain expertise in behavioral science AND HR (especially Talent Development or Talent Management, L&D, & OD). Facilitation and presentation skills, experience presenting to large audiences and executives both virtually and in person. Experience with engaging stakeholders at the executive level. A Challenger mindset to influence executives to think differently about people development is a plus. Experience researching and understanding businesses including business strategy, identifying business challenges, and applying business acumen. Strengths in verbal and written communication, building and delivering presentations, and storytelling Expertise and comfort working with quantitative and qualitative data (basic statistics, examining patterns, developing recommendations based on data). Agility and comfort with ambiguity to adapt and adjust to the market, the state of the organization and quickly shifting priorities. Highly collaborative to foster cross-team learning and drive team results. Willingness to travel regularly, up to 40% time Benefits At BetterUp, we are committed to living out our mission every day and that starts with providing benefits that allow our employees to care for themselves, support their families, and give back to their community. Access to BetterUp coaching; one for you and one for a friend or family member A competitive compensation plan with opportunity for advancement Medical, dental, and vision insurance Flexible paid time off Per year: All federal/statutory holidays observed 4 BetterUp Inner Workdays 5 Volunteer Days to give back Learning and Development stipend Company wide Summer & Winter breaks Year-round charitable contribution of your choice on behalf of BetterUp 401(k) self contribution We are dedicated to building diverse teams that fuel an authentic workplace and sense of belonging for each and every employee. We know applying for a job can be intimidating, please don't hesitate to reach out - we encourage everyone interested in joining us to apply. BetterUp Inc. provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, disability, genetics, gender, sexual orientation, age, marital status, veteran status. In addition to federal law requirements, BetterUp Inc. complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training. At BetterUp, we compensate our employees fairly for their work. Base salary is determined by job-related experience, education/training, residence location, as well as market indicators. The range below is representative of base salary only and does not include equity, sales bonus plans (when applicable) and benefits. This range may be modified in the future. The base salary range for this role is $142,500 - $242,000. If you live in New York, the base salary range for this role is: NYC $161,300 - $242,000; Albany, Buffalo, Nassau, Newburgh, Rochester, Syracuse $151,850 - $227,750. Protecting your privacy and treating your personal information with care is very important to us, and central to the entire BetterUp family. By submitting your application, you acknowledge that your personal information will be processed in accordance with our Applicant Privacy Notice. If you have any questions about the privacy of your personal information or your rights with regards to your personal information, please reach out to ******************* #LI-Hybrid #J-18808-Ljbffr

The Manager of Revenue Integrity is responsible for overseeing the daily operations, performance, configuration, and development of assigned applications to ensure alignment with departmental goals and objectives. This role manages a team of Revenue Integrity Analysts who provide technical expertise to support charge capture processes, system functionality, and compliance requirements. The Manager also designs, implements, and tests controls to optimize revenue capture, enhance net revenue, and ensure regulatory compliance across people, processes, and technology. Responsibilities: Manages the planning of application development and deployment; educates and promotes adherence to the organization's software compliance standards within the team. Strategic focus: based on regulatory and industry updates, MHS strategic initiatives, end-user feedback, and other information, identifies and achieves opportunities to improve charge capture efficiency and accuracy, eliminate missed charges, eliminate billing rework, and improve MHS net revenue. Keeps current, timely reads, and analyzes Medicare, Medicaid, and other technical guidance to determine how they affect Memorial Healthcare System (MHS) capture. Develops, recommends, and implements plans to comply with regulatory updates as approved by the Director of Revenue Integrity and in collaboration with responsible MHS leaders. Develops annual CDM CPT/HCPCS updates and implements as approved by the Director of Revenue Integrity. Includes working with operational departments to identify applicable new or revised codes. Oversees the maintenance of CDM-driven CPT/HCPCS coding requirements. Develops annual CDM Fee Schedule updates and implements as approved by the Director of Revenue Integrity. Updates Price Transparency Standard Charges file in accordance with regulatory requirements. Manages and monitors staffing activities including hiring, orienting, evaluating, disciplinary actions, and continuing education initiatives. Periodically tests samples of departmental charges to evaluate whether staff members are performing correctly, and controls are operating as designed. Works with RCM and departmental staff to provide as-needed retraining as well as regular periodic updates for all charge capture staff. Monitors and provides training, support and troubleshooting to both application teams and end-users to facilitate proper usage and continuous learning. Manages applications projects including workflow analysis, end-user validation, acceptance, go‑live, and maintenance using standard project management methodology. Sets project deadlines and deliverables for specific modules and analysis. Manages the debugging and enhancements processes including the design and upgrades to existing systems in order to ensure up‑to‑date and reliable functionality. Utilizes subject matter expert skills to assist MHS leaders with analyses of billing, coding, and documentation requirements for payer coverage and payment of services affecting their service lines and initiatives. Designs and evaluates the tools and processes used to capture charges in each MHS department. Updates the design of tools to empower departmental staff to accurately post charges efficiently, without rework. Designs and implements controls to empower departmental leaders to ensure staff have captured charges accurately and timely. Ensures Epic charge-related work queues are timely and correctly cleared. Selects opportunities identified by team to implement and improve existing processes using information technology and ensures alignment with strategic initiatives of the organization. Education and Certification Requirements: Associates (Required) Epic Charge Router Certification (EPIC CHG ROUTER) - EPIC Certification (EPIC), Epic Resolute Billing Certification (EPIC BILLING) - EPIC Certification (EPIC) Required Work Experience: Minimum of five (5) years' Epic charge master (preferred) and/or billing experience. Able to build charge records (EAP) and controls (charge router, charge handler, and revenue guardian). Minimum of three (3) years' experience of supervising/managing a team. Other Information: Additional Education Info: Associate's degree required; Bachelor's preferred Certification Requirements: Epic Resolute Billing Certification Epic Charge Router Certification Candidate must have or be pursuing a coding credential (AHIMA or AAPC) which must be obtained within a year of taking the position.

At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers. Join HCSC and be part of a purpose-driven company that will invest in your professional development. **Job Summary** The Medicare Senior Business Consultant is responsible for providing internal consulting services, business analysis and provides direction to ensure alignment and integration across functional areas in support of organizational goals. This position ensures consistency and efficiency requiring leadership of major, complex, and strategic cross-divisional and enterprise-wide projects from inception to completion. This includes oversight coordination, and ability to implement projects according to dynamic and critical timelines. This also includes oversight of project teams, resources, and budget, and interacting with all levels of management including senior management. This position supports the prioritization of Medicare activities and tracks progress to goals. **Required Job Qualifications:** + Bachelor's degree and 5 years of experience OR 9 years of experience in business analysis, process improvement, project management, business operations or relevant health care industry experience. + 3 years of experience leading with large and complex multi-million dollar projects. + Experience communicating with senior management from multiple divisions. + Experience developing and delivering presentations. + Problem resolution experience and skills. + Knowledge of strategic planning techniques and industry trends + Experience interpreting business and financial information + Negotiations skills. + Verbal and written communications skills including establishing working relationships across departments, preparing presentations to senior management, and establishing team environment. + Organizational skills. + Experience managing multiple complex projects successfully. + Detail oriented. + PC proficiency to include Microsoft Office products **Preferred Required Job Qualifications:** + Health insurance or healthcare industry experience strongly with an emphasis on Medicare Operations is strongly preferred. + Proven analytical thinking and the ability to move from strategy to action. + Prior internal or external consulting experience preferred. + Understanding of Software Development Life Cycle (SDLC) in the project management process preferred. + **Schedule:** This is a Flex (Hybrid) role: 3 days in office; 2 days remote. + **Location:** Richardson, TX or Chicago, IL. + Sponsorship: Sponsorship is not available. \#LI-Hybrid \#LI-JR2 **Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!** **Pay Transparency Statement:** At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting ************************************* . The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan. **HCSC Employment Statement:** We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics. **Base Pay Range** $61,500.00 - $136,100.00 Exact compensation may vary based on skills, experience, and location. **Join our talent community and receive the latest HCSC news, content, and be first in line for new job opportunities.** **Join our Talent Community. (******************************************** PA8v\_eHgqFiDb2AuRTqQ)** For more than 80 years, HCSC has been dedicated to expanding access to high-quality, cost-effective health care and equipping our members with information and tools to make the best health care decisions for themselves and their families. As an industry leader, HCSC also has been helping to make the health care system work better for all Americans. To remain a leader, we offer compelling careers that encourage resourcefulness, strategic thought and empower you to make a difference in the lives of our members and their communities. Today, with the industry at an important crossroad, HCSC is reimagining health care and looking for original thinkers who aren't afraid to make innovative contributions. We are an Equal Opportunity Employment employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Learn more about HCSC, our commitment to our members and the opportunity you'll have to improve health care delivery in an open, collaborative environment. HCSC is committed to diversity in the workplace and to providing equal opportunity to employees and applicants. If you are an individual with a disability or a disabled veteran and need an accommodation or assistance in either using the Careers website or completing the application process, you can call us at ************** to request reasonable accommodations. Please note that only **requests for accommodations in the application process** will be returned. All applications, including resumes, must be submitted through HCSC's Career website on-line application process. If you have general questions regarding the status of an existing application, navigate to "candidate home" to view your job submissions. Blue Cross and Blue Shield of Illinois, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of New Mexico, Blue Cross and Blue Shield of Oklahoma, and Blue Cross and Blue Shield of Texas, Divisions of Health Care Service Corporation, a Mutual Legal Reserve Company, and Independent Licensee of the Blue Cross and Blue Shield Association © Copyright 2025 Health Care Service Corporation. All Rights Reserved.

Skyland Trail, a nonprofit mental health residential treatment program for adults and adolescents in Atlanta, is seeking a Utilization Management Coordinator Scope: Proactively monitors appropriate utilization of services and optimizes reimbursement. Duties: Perform utilization reviews (concurrent reviews) and documentation, as needed Document all review and authorization information into Profiler within 24hrs of review Work independently in gathering information for reviews from the client record and by attending treatment team meetings for each recovery track Obtain insurance precertification for all clients returning to treatment upon hospitalization Contact MCOs for all level of care increase requests within an hour upon the request Prepare and submit appeals to MCOs. Schedule peer review and appeals with appropriate clinical staff Notify appropriate clinical staff of all results from concurrent/peer reviews and appeals Communicate all discharge clinical information to MCOs Provides immediate communication to families once continued authorization for treatment has been denied. Review the Non-Covered Services Agreement with families and obtain a completed form with signature for continued treatment Review and update the error report and collaborate with the finance department Able to manage a caseload of 30 plus clients Communicate effectively with families Attend treatment team daily Proficiency in written and verbal communication Other duties as assigned Competencies: Crisis Management Skills Knowledge of CPR and First Aid Procedures Negotiation Skills Joint Commission/HIPAA Standards Managed care (verification, negotiating rates, and pre-certification) Knowledge of emergency procedures for fire, disaster and unplanned incidents. Medical Records documentation requirements Medical records confidentiality and disclosure laws. Clinical skills Computer skills Proficiencies: Candidate must demonstrate interpersonal management with a high level of written and verbal communication skills. Candidate will interface regularly with medical and behavioral health staff, clients, families and various managed care companies. Time management skills are a must. Qualifications Qualifications: Required degree: at least Masters Degree in counseling, social work, or other human service field. Salary & Benefits Competitive salary commensurate with experience. Benefits include: 9 paid organization-wide holidays 1 paid personal holiday Accrued PTO Medical, dental, and vision insurance plans Employer match toward 403(b) retirement savings account for eligible employees Employee assistance program for free or reduced financial counseling, mental health counseling, and other confidential professional assistance As a 501(c) (3) nonprofit organization, Skyland Trail is a Public Service Loan Forgiveness (PSLF) qualified employer. Full-time employees may qualify for the federal student loan forgiveness program Workplace Culture: Skyland Trail is a nonprofit mission-focused organization with five campuses in Atlanta and about 150 employees. Employees work collaboratively in small teams. Cross-departmental committees and working groups help ensure quality and performance improvement. Each and every employee plays an important role in our clients healing and recovery. Skyland Trail respects and values individuals and their diverse histories, abilities, identities, and perspectives. We work to ensure all aspects of our organization reflect our commitment to diversity, inclusion, and cultural equity Commitment to Community Health: Skyland Trail values the health of our staff and clients and has taken steps to ensure a healthy campus and community. Please note that Skyland Trail is a 100% nicotine-free campus. There is no smoking, vaping, or tobacco use permitted anywhere on campus, indoors or outdoors. Skyland Trail also recommends employees to be fully vaccinated for Covid-19 and to receive a CDC-approved influenza vaccination annually.