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*Employment Type:* Part time *Shift:* Evening Shift *Description:* Shift Details: * Mid shift: 10:30 am - 7:00 pm EST. * Monday - Friday. * On-Call weekend rotation required. * In accordance with the Mission and Guiding Behaviors; the Supervisor Sterile Processing supports and assists the SPD Manager in providing 24-hour operations of the SPD service area. Meets or exceeds patient, physician, or other pertinent customer expectations. Assists in the selection, development and if required, corrective action of staff, in order to maintain competence and high-quality service or care. Develops, plans, implements, and evaluates educational programs to meet the needs of the Sterile Processing Department (SPD) and to aide in the professional development of staff. Assists the Surgical Services Manager with overall supervision and daily operations of the Sterile Processing Department. Evaluates workflow and makes staffing assignments. Assists the Manager in meeting productivity and labor expense targets. Oversees the training and competency of Sterile Processing Technicians. Recognizes and identifies the existence of problems or improvement opportunities and takes action to troubleshoot issues. Coordinates Quality Assurance programs and provides in-service and education opportunities for the department. *What you will do:* * Promotes a Culture of Safety by adhering to policy, procedures and plans that are in place to prevent workplace injury, violence or adverse outcome to associates and patients. * Relationship-based Care: Creates a caring and healing environment that keeps the patient and family at the center of care throughout their experience at Mount Carmel following the principles of our interdisciplinary care delivery system. * (For patient care providers) Provides nursing care, ensures an environment of patient safety, promotes evidence-based practice and quality initiatives, and exhibits professionalism in nursing practice within the model of the ANCC Magnet Recognition Program . * Maintains open and active communication with the medical staff, patient care staff and interdepartmental staff. * Coordinates daily work assignments, monitoring all processing areas. Maintains employee schedule ensuring adequate coverage for hours of operation and call coverage on weekends and Holidays. * Assists SPD Manager in evaluations of Sterile Processing staff. * Acts as liaison and facilitates communication between sterile processing and operating room personnel/nursing units. * Facilitates the processing of instrumentation and equipment, ensuring quality and customer satisfaction. Assist with collecting data for Quality Assurance. * Reviews operating room schedules, anticipating needs and/or conflicts with instrumentation, coordinating instrumentation for all procedures with operating room personnel. * Responsible for the daily review of all recording tapes and biological / chemical tests from all sterilizers and records results. Implements hospital policy and procedure for positive biological tests. * Monitors staff compliance with all required safety precautions. * Assumes responsibility of department in absence of Manager SPD * Coaches' staff and rounds with staff consistently. * Conducts staff meetings/huddles and provides educational opportunities for staff. * Ensures SPD policies and procedures are kept updated. * Ensures the competency of all SPD staff and other staff who may be involved in high level disinfection and/or sterilization in other areas. Maintains departmental education records in compliance with regulatory guidelines. * Oversees quality and infection control initiatives for SPD. * Provides a comprehensive and technical orientation, education and training program for the sterile processing staff. * Assists Manager with managing labor and supply components of the budget. * Assists Manager in organization functions of the department. * Assists Manager in conducting annual performance evaluations of SPD staff. * Assist the Manager with evaluation of the department's service delivery. Recommends and implements process improvements. * Responsible for all daily operations in the absence of the SPD Manager. * Develops educational calendar for all in-service training. Provides education and training to SPD staff. * Demonstrated leadership in directing and maintaining productive and positive behavior among staff. *Other Responsibilities:* * Position requires an individual who is self-motivated, able to complete assignments with minimal supervision. Attention to detail, quality of work, and ability to organize work are critical and vital factors. Independent problem solving, strongly recommended. * Must have a good working knowledge of Instruments, the operation/workings of the OR and be able to readily understand their issues and requests. Be able to speak the language of the OR. * Strong written and verbal communication skills. * Strong computer skills required including a working knowledge of MS Word, MS Powerpoint and MS Excel. * Self-starter, ability to work independently when required. Ability to set priorities, be flexible, multi-task and meet deadlines. * Detail oriented, excellent organizational and documentation skills. * Capable of communicating and coordinating with multiple departments. * A team player. * Assigned hours within your shift, starting time, or days of work are subject to change based on departmental and/or organizational needs. * Responsible for compliance with Organizational Integrity through raising questions and * promptly reporting actual or potential wrongdoing. * All other duties as assigned. *Minimum Qualifications:* * Education: Certification as a surgical technologist or sterile processing technician gained through an accredited certification program such as the CBSPD sterilization certification or CRCST (Certified Registered Central Service Technician), * Licensure: Certification as a surgical technologist or sterile processing technician. * Experience: Three (3) years of progressive work experience in a Sterile Processing or Operating Room setting along with a working knowledge of AAMI standards. * Effective Communication Skills *Position Highlights and Benefits:* * Competitive compensation and benefits packages including medical, dental, and vision with coverage starting on day one. * Retirement savings account with employer match starting on day one. * Generous paid time off programs. * Employee recognition programs. * Tuition/professional development reimbursement starting on day one. * Relocation assistance (geographic and position restrictions apply). * RN to BSN tuition 100% paid at Mount Carmel's College of Nursing. * Employee Referral Rewards program. * Mount Carmel offers DailyPay - if you're hired as an eligible colleague, you'll be able to see how much you've made every day and transfer your money any time before payday. You deserve to get paid every day! * Opportunity to join Diversity, Equity, and Inclusion Colleague Resource Groups. *Ministry/Facility Information:* Mount Carmel, a member of Trinity Health, has been a transforming healing presence in Central Ohio for over 135 years. Mount Carmel serves over 1.3 million patients each year at our five hospitals, free-standing emergency centers, outpatient facilities, surgery centers, urgent care centers, primary care and specialty care physician offices, community outreach sites and homes across the region. Mount Carmel College of Nursing offers one of Ohio's largest undergraduate, graduate, and doctor of nursing programs. If you're seeking a rewarding career where your purpose, passion, and desire to make a difference come alive, we invite you to consider joining our team. Here, care is provided by all of us For All of You! *Legal Info (auto-populated in posting):* We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. *Our Commitment * Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

A leading technology company in San Francisco is seeking a TechOps Analyst who will provide essential support for IT operations. The ideal candidate should have 4-6+ years of experience and a strong passion for technology and problem-solving. They will assist employees with technical issues, manage onboarding processes, and contribute to improving internal efficiencies. This role offers a hybrid work model, with benefits including medical and wellness offerings. #J-18808-Ljbffr

We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help people uncover their own power to be healthy. We inspire hope. We learn, grow, and achieve more - in our careers and in our communities. Summary: This position ensures delivery of evidence-based practice by professional nursing personnel and other staff in designated areas of responsibility. He/She plans, organizes, directs and evaluates the unit's delivery of evidence-based patient care in a cost-effective manner, providing leadership and clinical management to members of the health care team. He/She participates in integration of the Nursing Philosophy along with the mission, vision, values, goals and objectives of OhioHealth in unit operations. Responsibilities And Duties: 1. 40% DEPARTMENT MAN Minimum Qualifications: Bachelor's Degree (Required), Master's DegreeLISW - Licensed Independent Social Worker - Social Work Certification and Licensure Board, LPCC - Licensed Professional Clinical Counselors - American Counseling Association, RN - Registered Nurse - Ohio Board of Nursing Additional Job Description: May require advance training in specialty areas. Specialized knowledge in nursing process and clinical skills. Demonstrated skills in interpersonal relationships, verbal and written communication and nursing practice standards. Skills in computer applications as appropriate to area(s) of responsibility. 2-3 years nursing experience in related or similar areas of responsibility. Previous leadership experience such as precepting, charge role, clinical lead role, mentoring, department committee leadership or facilitation of meetings. Work Shift: Day Scheduled Weekly Hours : 40 Department HVP Pickerington Join us! ... if your passion is to work in a caring environment ... if you believe that learning is a life-long process ... if you strive for excellence and want to be among the best in the healthcare industry Equal Employment Opportunity OhioHealth is an equal opportunity employer and fully supports and maintains compliance with all state, federal, and local regulations. OhioHealth does not discriminate against associates or applicants because of race, color, genetic information, religion, sex, sexual orientation, gender identity or expression, age, ancestry, national origin, veteran status, military status, pregnancy, disability, marital status, familial status, or other characteristics protected by law. Equal employment is extended to all person in all aspects of the associate-employer relationship including recruitment, hiring, training, promotion, transfer, compensation, discipline, reduction in staff, termination, assignment of benefits, and any other term or condition of employment

A leading medical technology company seeks a Medical Science Liaison to communicate the clinical benefits of their Oncology product portfolio. The role involves presenting data to healthcare providers and supporting educational initiatives. Candidates must have a Ph.D. and experience within the medical device or biotechnology industries. This position allows for working from home with up to 75% travel, and offers a competitive salary range between $128,700 to $201,400. #J-18808-Ljbffr

A leading oncology company is seeking a National Account Director to establish strategic relationships with national payers and Pharmacy Benefits Managers. This remote position offers the opportunity to shape market access strategies for innovative oncology medicines. Ideal candidates will have a Bachelor's degree, over 10 years of account management experience, and strong relationships within the UHC/Optum sphere. Responsibilities include negotiation for favorable formulary placements and collaboration with cross-functional teams. Travel of 30-50% is expected. #J-18808-Ljbffr

A top community hospital serving a culturally diverse area of New York City, is seeking a Radiologist, Breast Imaging, to join their team. The Mammography and Women's Imaging department handles a significant number of studies and biopsies annually, providing crucial services to the community. State-of-the-art equipment, including 3-D Hologic Dimension machines, CT scanners, MRI, ultrasound, and nuclear medicine, is available to support the diagnostic and screening needs. Job Responsibilities Collaborate with the Mammography and Women's Imaging department, performing approximately 11,000 Mammogram studies and around 1,100 biopsies each year. Utilize advanced equipment, including 3-D Hologic Dimension machines, Hologic stereotactic machine, CT scanners, PET/CT scanner, MRI, ultrasound, and diagnostic x-rays/fluoroscopy suites. Work alongside a team of full-time Mammographers, supported by Nurses, technologists, and Breast Imaging Supervisor. May involve faculty appointment at a top medical school. Full time or Part time Hybrid schedule Job Requirements Board-certified or eligible in Radiology. Must be licensed to practice in the State of New York. Job Perks Competitive salary, great benefits, and other attractive incentives Generous PTO All major insurances (health, life, disability) Work-life balance is valued Visa (J1/H1B) sponsorship is available. Supportive and experienced leadership. Collaborative, flexible, and academically focused environment. Unionized Position: Promotes a healthy work-life balance and robust employee support. Diverse and Inclusive Environment: The hospital staff speaks over 130 languages, fostering a culturally rich and inclusive workplace. Stability and Collaboration: Opportunity to work with a long-term, stable, and collaborative multidisciplinary team. View all jobs online at: ******************************* The likely salary for this position will be based on qualifications, experience, and education. If you are passionate about what you could accomplish in this role, we would love to hear from you!

About us At Cooper University Health Care , our commitment to providing extraordinary health care begins with our team. Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities, equipment, technologies and research protocols. We have a commitment to our employees to provide competitive rates and compensation programs. Cooper offers full and part-time employees a comprehensive benefits program, including health, dental, vision, life, disability, and retirement. We also provide attractive working conditions and opportunities for career growth through professional development. Discover why Cooper University Health Care is the employer of choice in South Jersey. Short Description * Responsible for designing a treatment plan and carrying out dose calculations based on the Radiation Oncologist's prescribed course of radiotherapy or brachytherapy. * Responsible for data recording and management related to patient radiotherapy and brachytherapy treatment. * Responsible for assisting the Radiation Therapists in the simulation and setup verification of treatment delivery. * Responsible for assisting the Medical Physicists in the quality management practices for ensuring appropriate patient treatment and appropriate use of computer hardware and software, and other equipment. * Experience with Eclipse Treatment Planning System with Mosaiq Record and Verify. * Hybrid Position with 60% remote Experience Required Minimum two years of dosimetry experience required. Education Requirements Graduate of a JRCERT (Joint Review Committee on Education in Radiologic Technology) accredited dosimetry program; OR Licensed Radiation Therapist/Radiological Technician with additional dosimetry training. Special Requirements ARRT (American Registry of Radiologic Technologist) Certified; OR Board eligible- hold an active registration with the ARRTor foreign equivalent. OR Have a Bachelors degree in a science related to Medical Dosimetry. You must also have completed both: * 36 months(or 35 hours per week full time equivalent of 5,460 hours) clinical medical dosimetry experience under the direction of a certified medical dosimetrist or a medical physicist AND * Completed 24 CE credits approved by the MDCB during 36 months(or 35 hours per week full time equivalent) clinical experience. The proof of completion must display the MDCB course reference number.

Coding Auditor Senior will perform code audits and abstraction using the Official Coding Guidelines for ICD-10-CM, AHA Coding Clinic Guidance, and in accordance with all state regulations, federal regulations, internal policies, and internal procedures. The Coding Auditor Senior will be involved with activities of quality assurance auditing and risk adjustment code abstraction for the following programs, including but not limited to Commercial Risk Adjustment, Medicare Advantage Risk Adjustment, and HHS and Medicare RADV (Risk Adjustment Data Validation). This is an on-site position with a remote option. Responsibilities: * Perform Medical Record reviews and audits based on organizational priorities. These can include both prospective and concurrent Clinical Documentation Improvement (CDI) workflows as well as retrospective auditing. Review and audits may lead to the addition, deletion, adjustment, or confirmation of diagnoses for risk adjustment. * Perform code abstraction and/or coding quality audits of medical records to ensure ICD-10-CM codes are accurately assigned and supported by clinical documentation to ensure adherence with CMS (HCC) Risk Adjustment guidelines. * Perform coding quality audits within multiple EMRs, databases, and/or vendor platforms to support both employed and independent clinic risk adjustment strategies. * Identifies revenue, reimbursement, and provider educational opportunities while remaining compliant with state and federal regulations. * Prepare and/or perform auditing analysis and provide feedback on noncompliance issues detected through auditing. * Complies with all aspects of coding, abides by all ethical standards, and adheres to official coding guidelines. * Conduct provider education and training regarding risk adjustment to help to ensure accurate CMS payment and to improve quality of care. This includes training venues such as provider offices, hospitals, webinars, conference calls, email correspondence, etc. * Provides measurable, actionable solutions to providers that will result in improved accuracy for documentation and coding practices to ensure chronic conditions are recaptured annually * Ensures that rendered physician services for claim submission and any subsequent payments are as accurate as possible while complying with regulatory guidelines including CMS, DHS, and OIG * Assist coding leadership by making recommendations for process improvements to further enhance coding quality goals and outcomes * Provides measurable, actionable solutions to providers that will result in improved accuracy for documentation and coding practices to ensure chronic conditions are recaptured annually * Responsible for maintaining current knowledge of coding guidelines and relevant federal regulations through the use of current ICD-10-CM manual and other relevant material Requirements: * High School Diploma required or equivalent * Excellent written and verbal communication skills. * Ability to drive within assigned areas or overnight travel for internal or external meetings. * Capacity to attend remote provider meetings day/evening/weekends as needed within assigned regions as defined by manager/leadership. * At least three (3) years of hospital inpatient/outpatient or medical office coding experience, preferably three (3) years risk adjustment coding experience. * Prior experience teaching/training others on correct coding guidelines and have the ability to present to large groups of Physicians/Providers. * Coding certification required through AHIMA or AAPC (at least two of the below): * Certified Professional Coder (CPC) required * Certified Risk Adjustment Coder (CRC) preferred * Certified Coding Specialist for Providers (CCS-P) preferred * Registered Health Information Management Technician (RHIT) preferred * Certified Coding Specialist for Providers (CPMA) preferred * Certified Coding Specialist for Providers (CDEO) preferred Work Schedule: 5 Days - 8 Hours Work Type: Full Time

**Job Summary and Responsibilities** **Dignity Health Medical Group (DHMG)** is seeking a full-time **Internal Medicine Residency Program Director** for our Internal Medicine Residency Program at Creighton University East Valley Arizona (CUEVA).This is an exciting opportunity to contribute to the development of internal medicine physicians and shape the future of healthcare. Our residency program: + The residency is a fully accredited program in its third year, started in 2023 + 33 residents with potential for future expansion + Brand new academic ambulatory office is in Chandler, Arizona + Acute inpatient care based at Chandler Regional Medical Center in Chandler, AZ and Mercy Gilbert Medical Center in Gilbert, Arizona + 120 faculty and innovative curriculum across all IM disciplines, throughout the East Valley of Phoenix metro. + Residents have presented their work at national meetings and are the 2024 winner of the ACP Great Southwest Debate competition This physician leader will work with the residency based at Chandler Regional Medical Center (CRMC) and Mercy Gilbert Medical Center (MGMC) and its Dignity Health Medical Group-IM Chandler academic ambulatory office. CRMC is a 429 bed tertiary care center with 84 ICU beds, a level 1 trauma center including ECMO program. MGMC is a growing 198 bed community hospital. Both CRMC and MGMC were awarded a 2024 top hospital designation from the Leapfrog Group. MGMC was given a 5 star overall Medicare rating while CRMC received a 4 star Medicare rating. DHMG-IM Chandler is a 17 exam room, ultra-modern primary care facility that features a half-time social worker, 1:2 MA to physician/resident ratios, an onsite RN, and lab drawing station. **Duties & Responsibilities:** + Administer and maintain an educational environment conducive to educating residents in each of the ACGME core competency areas. Oversee curriculum development and evaluation, resident evaluation and remediation processes, residency recruitment, grant development, resident scholarly activities, and residency budget and policy development + Oversee and ensure the quality of didactic and clinical education + Monitor resident supervision at all participating sites + Prepare and submit all information required and requested by ACGME, including but not limited to annual program updates to WebADS, and ensure information submitted is accurate and complete. Collaborate with DIO and GMEC on accreditation related matters as needed + Regularly assess and promote resident well-being while fostering an environment in which diversity, equity and inclusion are at the forefront of residents' clinical and academic experiences + Work with residents and faculty to create systems such as schedules and programs that maximize learning while minimizing disruption of clinical workflow + Oversee and facilitate remediation processes as needed + Provide residents with documented semiannual evaluation of performance with feedback. Develop processes for program faculty evaluation and continued participation of program faculty based on evaluation + Exemplify mission-appropriate excellence **What we offer:** + Full-Time, Employed position + Competitive salary + Generous benefits package that includes an employer-funded pension plan as well as employer-matched 403b + Sign-on bonus + Relocation allowance for applicable physicians + CME benefits + Excellent malpractice insurance + Faculty appointment at Creighton University School of Medicine + Support and resources for scholarly activity and medical education skills in university academic environment + Ambulatory RN presence and support in the clinic in addition to dedicated Medical Assistant to physicians while seeing patients **Job Requirements** + Doctor of Medicine (MD or DO) + Active Board Certification in Internal Medicine by the ABIM + Record of involvement in education and scholarly activities, which includes mentoring residents, serving as a clinical supervisor in an inpatient or outpatient setting, developing curricula and/or participating in didactic activities + Served a minimum of three years in clinical practice of Internal Medicine + Must have active clinical practice in Internal Medicine + Have at least three years of documented educational and/or administration experience in an ACGME-accredited Internal Medicine program + Demonstrated commitment to resident education and mentorship + Knowledge of ACGME requirements and regulations + Ability to work effectively in a team environment + Must have or be eligible for Arizona State medical licensure + Strong leadership, communication, and interpersonal skills \#HEC **Where You'll Work** **COMMUNITY DESCRIPTION-** **Chandler Arizona** Chandler Regional Medical Center (CRMC) is a full-service acute care hospital with 100+ intensive care beds located just outside of downtown Phoenix. The hospital has approximately 78,000 emergency department annual visits and is the busiest Level 1 trauma center in the state of Arizona, with over 5000 trauma activations annually. It is also a primary stroke center, high volume neurosurgery center, and provides high acuity cardiovascular and cardiac surgery services. Chandler is a major center for technology and engineering jobs, home to companies like Intel, Microchip, and Northrop Grumman. The city boasts a thriving economy with a welcoming business environment and a stable economic future. The Chandler Unified School District is consistently ranked among the top in Arizona and offers a wide range of programs, including STEM and special education options. Residents have access to a variety of quality public and private schools, as well as charter schools. Chandler offers a higher quality of living for the cost compared to neighboring cities like Scottsdale, with affordable luxury housing in master-planned communities. The city offers a diverse cultural experience with numerous festivals, events, live music, and a variety of restaurants and shopping options, including many for Asian and Indian cuisine. Chandler has a strong focus on children and families, with community-focused initiatives and numerous family-friendly activities. The city is centrally located in the Phoenix metro area, providing easy access to major highways and the Sky Harbor International Airport for convenient commutes and travel. Chandler features a variety of parks, trails, sports fields, and aquatic centers for residents to enjoy. Residents can experience Arizona's beautiful desert landscapes and enjoy outdoor activities like horseback riding and golf. Chandler is a less than a 30 minute drive to all that Phoenix AZ has to offer including + 187 city parks, 41,000 acres of desert preserves, and 200 miles of trails + 3 major professional sports teams including the Arizona Diamondbacks (MLB), the Arizona Cardinals (NFL), the Phoenix Mercury (WNBA) and the Phoenix Suns (NBA) + Host to MLB Spring Training Cactus League and the annual Fiesta Bowl + Home of the "Phoenix Open" and 185 golf courses + Host to 10 Fortune 500 company headquarters + The "Best Mexican Food North of the Border" + The world class Musical Instrument Museum, the Phoenix Art Museum, The Heard Museum of Native American Art and the Phoenix Science Center **Dignity Health Medical Group:** Dignity Health, one of the largest healthcare systems in the nation, is a growing organization with well-resourced, modern facilities and diverse practice opportunities. With more than 39 acute care hospitals in three states and 9,000 physicians, Dignity Health touches the lives of thousands of people and provides nearly $2 billion in charity care to the communities it serves. Dignity Health Medical Group is the employed physician group serving the Arizona Service Area. Covering over 45 practice sites, complementing clinical services with translational and bench research, our integrated medical group employs in excess of 250 healthcare providers throughout the valley. Dignity Health Medical Group is continuously expanding in order to meet the needs of the growing patient population in Arizona. With a unified vision of becoming an organization where physicians, care teams and staff come to do their best work--and patients come for the best care--Dignity Health Medical Group is searching for exceptional talent that is patient focused and team-oriented, who can become a part of our mission-driven organization. **Creighton School of Medicine:** For more than a decade, Creighton has had an academic presence in Phoenix, sending medical students to Dignity Health for clinical rotations. That relationship expanded in 2009 when the University and St. Joseph's formally established a Creighton campus for third and fourth year students.Creighton University School of Medicine Phoenix now features a full four-year medical school campus in Phoenix which makes us the largest Catholic health professions educator in the nation. Creighton University East Valley Arizona is the GME Sponsoring Institution governed by Creighton University School of Medicine Phoenix with Dignity Health East Valley hospitals as the primary participating sites featuring 5 residency programs currently and some other programs in the different stages of development. **Pay Range** $120 - $160 /hour We are an equal opportunity/affirmative action employer.

We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help people uncover their own power to be healthy. We inspire hope. We learn, grow, and achieve more - in our careers and in our communities. Summary: At OhioHealth, we help registered nurses new to acute care transition to bedside care by building the knowledge, skills, professional presence, and experience needed to be an OhioHealth nurse. Our residents will experience the benefit of centralized recruitment during the application, interview and hiring process. Beginning upon hire, OhioHealth's Nurse Residency Program is customized to meet the needs of the transitioning nurse by incorporating central and track specific learning experiences. Our program is designed to extend beyond clinical orientation to support the nurse residents throughout their first year by facilitating interactions with experienced preceptors, subject matter experts and small peer groups. This position provides general nursing care to patients and families along the health illness continuum in diverse health care settings while collaborating with the health care team. He/She is accountable for the practice of nursing as defined by the Ohio Board of Nursing. Responsibilities And Duties: Assessment/Diagnosis - Performs initial, ongoing, and functional health status assessment as applicable to the population and or individual (30%). Outcomes Identification/Planning - Based on nursing diagnoses and collaborative problems, documents planned nursing interventions to achieve outcomes appropriate to patient needs (30%). Implementation/Evaluation - Evaluates and documents response to nursing interventions and achievement of outcomes at appropriately determined intervals; as part of a multidisciplinary team, revises plan of care based on evaluative data (20%). Leadership - Actively participates in process improvement activities to achieve targeted measures of clinical quality, customer satisfaction, and financial performance (10%). Operations (10%). As a High Reliability Organization (HRO), responsibilities require focus on safety, quality and efficiency in performing job duties. The job profile provides an overview of responsibilities and duties and is not intended to be an exhaustive list and is subject to change at any time. Minimum Qualifications: Associate's Degree (Required) BLS - Basic Life Support - American Heart Association, RN - Registered Nurse - Ohio Board of Nursing Additional Job Description: RN - Registered Nurse BLS - Basic Life Support CPR - Cardiopulmonary Resuscitation Field of Study: Nursing Years of Experience 0 Work Shift: Variable Scheduled Weekly Hours : 36 Department CC Med Surg Fellowship Join us! ... if your passion is to work in a caring environment ... if you believe that learning is a life-long process ... if you strive for excellence and want to be among the best in the healthcare industry Equal Employment Opportunity OhioHealth is an equal opportunity employer and fully supports and maintains compliance with all state, federal, and local regulations. OhioHealth does not discriminate against associates or applicants because of race, color, genetic information, religion, sex, sexual orientation, gender identity or expression, age, ancestry, national origin, veteran status, military status, pregnancy, disability, marital status, familial status, or other characteristics protected by law. Equal employment is extended to all person in all aspects of the associate-employer relationship including recruitment, hiring, training, promotion, transfer, compensation, discipline, reduction in staff, termination, assignment of benefits, and any other term or condition of employment

Where You'll Work At the heart of CommonSpirit Health's ministry are the national office departments that provide the foundational support, resources, and expertise that empower local communities to focus on what they do best-caring for patients. Our teams bring together expertise in clinical excellence, operations, finance, human resources, legal, supply chain, technology, and mission integration. Guided by our faith-based values, the national office fosters consistency, alignment, and innovation across CommonSpirit. By centralizing expertise and leveraging economies of scale, we enable each location to operate efficiently while maintaining flexibility to address unique local community needs. From advancing digital solutions to driving health equity, these departments extend the healing presence of humankindness everywhere we serve. Job Summary and Responsibilities This is a remote position with preferred Central time zone. Do you enjoy special projects on the more technical side of payer analytics and managed care? The person in this role will need to be very proficent with SQL queries, VBA and Excel and will help solution for requests on the more technical side of our contract modeling system. The Senior Analyst, Payer Economics performs complex managed care payer financial analysis, strategic pricing and payer contract modeling activities for a defined payer portfolio. Provides analytical and pricing expertise for the evaluation, negotiation, implementation and maintenance of managed care contracts between CommonSpirit Health providers and payers. Recommends strategies for maximizing reimbursement and market share. Provides mentorship and guidance of Analyst contract modeling. Provides analysis findings and education to key stakeholders. This position will serve and support all stakeholders through ongoing educational and problem-solving support for managed care payer reimbursement models. This position requires daily contact with senior management, physicians, hospital staff, and managed care/payer strategy leaders. Lead payer contract modeling strategy and consolidation for large managed care payer negotiations. Act as a liaison between CommonSpirit Health and payer to update information and communicate changes related to reimbursement. Perform complex strategic pricing analysis to support the negotiation and implementation of appropriate reimbursement rates and associated language, between physicians/hospitals and payers/networks for managed care contracting initiatives. Develop and approve financial models and payer performance analysis. Monitor contract financial performance. Analyze and publish managed care performance statements and determine profitability. Review and accurately interpret contract terms, including payer policies and procedures impacting contract performance. Provide training and oversight of the modeling of proposed/existing payer contracts negotiated by payer strategy and operations, including expected and actual revenues/volumes, past performance, proposed contract language and regulatory changes. Prepare complex service line reimbursement analyses and financial performance analyses. Develop methods and models (involving multiple variables and assumptions) to identify the implications/ramifications/results of a wide variety of new/revised strategies, approaches, provision, parameters and rate structures aimed at establishing appropriate reimbursement levels. Identify, collect, and manipulate from a wide variety of financial and clinical internal databases and external sources. Identify and access appropriate data resources to support analyses and recommendations. Prepare and effectively present results to senior leadership, and other key stakeholders, for review and decision-making activities. Maintain knowledge of operations sufficient to identify causative factors, deviations, allowances that may affect reporting findings. Ability to translate operational knowledge to identify unusual circumstances, trends or activity and project the related impact on a timely, pre-emptive basis. #LI-CSH Job Requirements Required Education and Experience Bachelor's Degree in Business Administration, Accounting, Finance, Healthcare or related field. Equivalent education and experience in a related field may be considered in lieu of degree. Minimum of three (3) years of experience in financial healthcare reimbursement analysis is required, including an understanding of national standards for fee-for-service provider reimbursement methodologies. Minimum Required Skills and Abilities Working knowledge of financial healthcare reimbursement analysis including an understanding of national standards for fee-for-service and value-based provider reimbursement methodologies. Experience in contribution to profitability through detailed financial analysis and efficient delivery of data management strategies supporting contract analysis, trend management, budgeting, forecasting, strategic planning, and healthcare operations. Basic technical understanding and proficiency in MS Excel, MS Access, MS Visual Basic, PIC, SQL, or other related applications. Working knowledge of healthcare financial statements and accounting principles. Ability to use and create data reports from health information systems, databases or national payer websites (EPIC, PIC, SQL Databases, etc.) Proficiency in reading, interpreting and formulating computer and mathematical rules/formulas. Not ready to apply, or can't find a relevant opportunity? Join one of our Talent Communities to learn more about a career at CommonSpirit Health and experience #humankindness.

Where You'll Work Dignity Health Medical Foundation, established in 1993, is a California nonprofit public benefit corporation with care centers throughout California. Dignity Health Medical Foundation is an affiliate of Dignity Health - one of the largest health systems in the nation - with hospitals and care centers in California, Arizona and Nevada. Today, Dignity Health Medical Foundation works hand-in-hand with physicians and providers throughout California to provide comprehensive health care services to the many communities we serve. As Dignity Health Medical Foundation continues to grow and establish new premier care centers, we provide increasing support and investment in the latest technologies, finest physicians and state-of-the-art medical facilities. Our 130+ clinics across the state of California deliver high-quality, patient-centric care with an emphasis on humankindness. Through affiliations with Dignity Health hospitals, along with our joint ventures and partnerships, we offer a robust, state-of-the-art health care delivery system in the communities we serve .We strive to create purposeful work settings where staff can provide great care, while advancing in knowledge and experience through challenging work assignments and stimulating relationships. Our staff is well-trained and highly skilled, qualities that are vital to maintaining excellence in care and service. One Community. One Mission. One California Job Summary and Responsibilities As our Clinical Operations Project Manager, you will coordinate clinical and operational projects assigned by senior management. Every day you will retrieve and analyze data, presenting reports to management to support clinic operation objectives. You will collect and translate data from various sources into a standard format, analyze it, and provide written documentation and recommendations for improvement. You will also provide administrative project support, communicate issues and recommendations, monitor and evaluate project activity, and assign duties to clinic staff as appropriate. To be successful in this role, you will ensure clinical projects are completed on schedule and within budget, effectively coordinating projects from initiation through delivery. Coordinates and/or delegates clinical and operational projects as assigned by senior management (i.e. population database management and dissemination of related data.). Oversees staff and ensures that assigned projects are completed on time and within budget. Recommends and assists in the implementation of operational and clinical best practices throughout assigned locations as needed, in unison with project sponsors. Member of Care Management Committee. Meets regularly with Bay Area physicians and medical staff and reviews their population health management data and actions needed (e.g., scheduling patient appointments). Develops and generates monthly reports, by physician, as to the physicians patient data, including any alerts as designed by the Care Management Committee. ***This position is hybrid work from home and in-clinic in the Greater Sacramento, CA region. Job Requirements Minimum Qualifications: - 5+ years experience in a clinic or medical environment and/or 5+ years experience in a financial/ analysis position. - HS diploma or GED - Computer proficiency including Microsoft Excel, PowerPoint and Word and ability to use/learn company specialized software and hardware. - Comprehensive knowledge of industry services and products. - Excellent customer service, written, verbal and interpersonal communication and presentation skills. Preferred Qualifications: - 7+ years of experience in a clinic or medical environment and/or 7+ years experience in a financial/analysis position preferred - Bachelors degree in Finance, Epidemiology or related healthcare field preferred Not ready to apply, or can't find a relevant opportunity? Join one of our Talent Communities to learn more about a career at CommonSpirit Health and experience #humankindness.

A leading medical technology company seeks a Medical Science Liaison to communicate the clinical benefits of their Oncology product portfolio. The role involves presenting data to healthcare providers and supporting educational initiatives. Candidates must have a Ph.D. and experience within the medical device or biotechnology industries. This position allows for working from home with up to 75% travel, and offers a competitive salary range between $128,700 to $201,400. #J-18808-Ljbffr

Work Type:Full and Part time Available Minimum to Midpoint Pay Rate:$27.57 - $35.84 / hour Hiring Incentives:$5,000 Sign-on bonus; plus $7,500 Relocation Incentive (if relocating from greater than 50 miles away). One-half for Part-time roles. Make a Lasting Impact on Lives - Join Lee Health as a Registered Dietitian in the greater Fort Myers, Florida area! Are you passionate about helping the community thrive through nutrition? AtLee Health, we're looking for compassionate Registered Dietitiansto join our collaborative interdisciplinary care teams. In these rewarding roles, you'll provide specialized nutrition interventions tailored to the unique needs of our patients. Whether you're drawn to the challenge of clinical nutrition in specialized populations or the joy of coordinating nutrition care plans with patients and their families, this is your opportunity to make a real difference. Current opportunities may include: Pediatrics:Full and Part-time inpatient; outpatient areas in GI and Endocrinology Adult:Full-time Inpatient; Full-time Outpatient (Cape Coral and Fort Myers); Part-time Community Outreach (Cape Coral) Cancer Support(RDOncology experience preferred):Full-time Outpatient;Partially remote(2 days remote; 3 days onsite in Bonita and Fort Myers) What We Offer You: Competitive pay Up to $12,500 in hiring incentives Room for growth & career development A team of supportive, collaborative professionals Top-tier health coverage, including no-cost services at Employee Health Clinics Education reimbursement (after 90 days) Up to 5% retirement match Supplemental benefits including Pet Insurance, Legal Insurance, and more! "I chose Lee Health because of its strong commitment to its employees and its clear set of values. I believe a fulfilling career is built on continuous growth, and Lee Health supports this through opportunities for ongoing education and professional development. This focus on learning, combined with the organization's core values, creates a workplace I'm excited to be a part of."- Maria A., RD @ Lee Health Educational Requirements Degree/Diploma Obtained Program of Study Required/ Preferred and/or Bachelor's Dietetics / Human Nutrition and Foods Required Experience Requirements Minimum Years Required Area of Experience Required/ Preferred and/or 1 Year Clinical Nutrition Preferred State of Florida Licensure Requirements Licenses Required/ Preferred and/or Dietitian License Preferred Certifications/Registration Requirements Certificates/Registrations Required/ Preferred and/or RD (Registered Dietitian) Required Additional Requirements Florida Licensure (LD) through the Florida Department of Profession Regulations (DPR) Optional US:FL:Cape Coral

**Job Summary and Responsibilities** The Coder IV is a member of the Health Information Management Team responsible for ensuring the accuracy and completeness of clinical coding, validating the information in the databases for outcome management and specialty registries, across the entire integrated healthcare system. The purpose of this position is to apply the appropriate diagnostic and procedural codes to individual patient health information records for data retrieval, analysis and claims processing. This position is expected to perform duties in alignment with the mission and policies within the Dignity Health organization, TJC, CMS, and other regulatory agencies. **Principle Duties and Accountabilities:** + Assign codes for diagnoses, treatments, and procedures according to the appropriate classification system for inpatient admissions. + Can also code ancillary, emergency department, same-day surgery, and observation charts if needed. + Review provider documentation to determine the principal diagnosis, co-morbidities and complications, secondary conditions and surgical procedures following official coding guidelines. + Utilize technical coding principals and APC reimbursement expertise to assign appropriate ICD-IO-CM diagnoses, ICD-IO-PCS as appropriate, and CPT-4 for procedures. + Understanding of ICD10 Coding in relation to DRGs + Abstract additional data elements during the chart review process when coding, as needed + Utilize technical coding principals and MS-DRG reimbursement expertise to assign appropriate ICD-10- CM diagnoses and ICD- IO-PCS procedures. + Ensure accurate coding by clarifying diagnosis _and procedural information through an established query process if necessary. + Assign Present on Admission (POA) value for inpatient diagnoses. + Extract required information from source documentation and enter into encoder and abstracting system. + Identifies non-payment conditions; Hospital-Acquired Conditions (HAC), Patient Safety Indicators (PSI) following, report through established procedures. + Collaborate in the DRG Mismatch process with the Clinical Documentation Improvement team. + Review documentation to verify and when necessary, correct the patient disposition upon discharge. + Prioritize work to ensure the timeframe of medical record coding meets regulatory requirements. + Serve as a resource for coding related questions as appropriate. + Adhere to and maintain required levels of performance in both Coding accuracy and productivity. + Review and maintain a record of charts coded, held, and/or missing + Provide documentation feedback to Providers, as needed + Participate in Coding department meetings and educational events. + Meet performance and quality standards at the Coder III level. + Abide by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and adheres to official coding guidelines. + Other duties as assigned that have a direct impact on our ability to decrease the DNFB and support Revenue Cycle, including but not limited to charge validation, observation calculations, etc. **Job Requirements** **This is a remote position but selected candidate must reside in California.** **Minimum Qualifications:** + High School Diploma or equivalent. + Completion of an AHIMA or APPC accredited coding certification program that includes courses that are critical to coding success such as Anatomy and physiology, pathophysiology, pharmacology, Anatomy I Physiology, Medical Terminology, and ICD-10 and CPT coding courses, etc.. + Have and maintain current coding credential from AHIMA or AAPC (RHIA, RHIT, CCS, CCS-P, CPC, or CPC-H ). + Three years of relevant coding and abstracting experience or an equivalent combination of education and experience required in an acute care hospital setting. + A minimum of 3 years Inpatient medical coding experience (Hospital, Facility, etc). ***** + Must have ICD-10 coding experience. + Ability to use a PC in a Windows environment, including MS Word and EMR systems. + Ability to pass coding technical assessment. ***** One year of experience will be waived for those who have attended the Dignity Health Coding Apprenticeship Program. **Preferred Qualifications:** + Experience with various Encoder systems (i.e., OptumCAC, Cemer). + Intermediate level of Microsoft Excel. + Experience with coding and charge validation. **Where You'll Work** Dignity Health, one of the nation's largest health care systems, is a 22-state network of more than 9,000 physicians, 63,000 employees, and 400 care centers, including hospitals, urgent and occupational care, imaging and surgery centers, home health, and primary care clinics. Headquartered in San Francisco, Dignity Health is dedicated to providing compassionate, high-quality, and affordable patient-centered care with special attention to the poor and underserved. For more information, please visit our website at ********************** You can also follow us on Twitter and Facebook. One Community. One Mission. One California (********************************** QgPZ6ZWZM60TPV) **Pay Range** $47.74 - $57.00 /hour We are an equal opportunity/affirmative action employer.

We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help people uncover their own power to be healthy. We inspire hope. We learn, grow, and achieve more - in our careers and in our communities. Summary: This position ensures delivery of evidence-based practice by professional nursing personnel and other staff in designated areas of responsibility. He/She plans, organizes, directs and evaluates the unit's delivery of evidence-based patient care in a cost-effective manner, providing leadership and clinical management to members of the health care team. He/She participates in integration of the Nursing Philosophy along with the mission, vision, values, goals and objectives of OhioHealth in unit operations. Responsibilities And Duties: 50% Patient Care: 1. Assists the Manager in accountability for ongoing delivery of patient care in area(s) of responsibility; assures application of the nursing process by Registered Nurses in the clinical setting (assessment, planning, implementation and evaluation); assures documentation of patient care in the medical record. Addresses concerns and resolves problems. Uses data from various sources to initiate continuous quality improvement within the department/unit. Coordinates nursing care in collaboration with other healthcare disciplines and assists in integrating services across the continuum of health care. Ensures nursing practice in a safe environment. Participates in process improvement activities and root cause analysis investigations. Assists the Manager with fiscal responsibility at the unit level. 2. Assists Manager with planning, assessing, implementing and evaluating patient care as appropriate to department/unit. 3. Assists Manager with planning, reviewing and coordinating staffing time schedules and allocating staff as appropriate for volume and patient care needs. Assists Manager in daily staffing plans. 4. Assists Manager to coordinate nursing care with other health care disciplines across the continuum of health care. 25% Operations and Personnel Management: 1. Maintains daily unit operations including the status of staffing, patient visits and/or admissions, discharges and transfers, serving as a resource to department/unit staff to guide patient care delivery. 2. Participates in recruitment, selection, retention and evaluation of personnel. Participates in staff performance via written performance appraisals and disciplinary procedures. Ensures appropriate orientation, training, competence, continuing education, and professional growth and development of personnel. Maintains staff records. 3. Assists manager in planning and contributing to fiscal management of unit by utilizing human and material resources and supplies in an efficient, cost effective manner. Assists Manager in development and implementation of services. 15% Professional Development and Leadership: 1. Practices as colleague with medical staff, other members of the interdisciplinary team, and other disciplines to initiate and support collaborative and cooperative clinical management practices. Actively participates in interdepartmental relationship building. 2. Contributes to development of self and staff through orientation and continuing education. Participates in identification of learning needs of staff. 3. Participates in collection, analysis and use of data for quality and process improvement activities at the unit level. 4. Provides leadership and clinical management through clinical practice, supervision, delegation, and teaching as delegated by Manager and/or Director. 5. Facilitates staff attendance at meetings and educational programs; supports staff with shared decision making activities. Ensures registered nurse participation in decision making at the unit level. Participates on Shared Governance Councils as a voting member. 6. Actively participates in hospital committees and decision making. 7. Continues professional self-development and education. Maintains professional competencies by attending educational and leadership programs, participation and leadership in professional organizations. Seeks appropriate professional certification. 8. Recognizes and assists manager in assessing impact and plan strategies to address diversity, cultural competency, ethics and the changing needs of society. Ensures delivery of culturally competent care and healthy, safe working environment. 9. Serves as patient safety coach. 10% Research and Evidence-Based Practice: Supports evidence-based practice by participation and encouraging staff involvement in nursing evaluative research activities at the department level. The major duties/ responsibilities and essential functions listed above are not intended to be all-inclusive of the duties, responsibilities and essential functions to be performed by associates in this job. Associate is expected to all perform other duties as requested by supervisor. Minimum Qualifications: Bachelor's Degree (Required) BLS - Basic Life Support - American Heart Association, RN - Registered Nurse - Ohio Board of Nursing Additional Job Description: May require advance training in specialty areas. Specialized knowledge in nursing process and clinical skills. Demonstrated skills in interpersonal relationships, verbal and written communication and nursing practice standards. Skills in computer applications as appropriate to area(s) of responsibility. 2-3 years nursing experience in related or similar areas of responsibility. Previous leadership experience such as precepting, charge role, clinical lead role, mentoring, department committee leadership or facilitation of meetings. Work Shift: Day Scheduled Weekly Hours : 40 Department Surgery Administration Join us! ... if your passion is to work in a caring environment ... if you believe that learning is a life-long process ... if you strive for excellence and want to be among the best in the healthcare industry Equal Employment Opportunity OhioHealth is an equal opportunity employer and fully supports and maintains compliance with all state, federal, and local regulations. OhioHealth does not discriminate against associates or applicants because of race, color, genetic information, religion, sex, sexual orientation, gender identity or expression, age, ancestry, national origin, veteran status, military status, pregnancy, disability, marital status, familial status, or other characteristics protected by law. Equal employment is extended to all person in all aspects of the associate-employer relationship including recruitment, hiring, training, promotion, transfer, compensation, discipline, reduction in staff, termination, assignment of benefits, and any other term or condition of employment

We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help people uncover their own power to be healthy. We inspire hope. We learn, grow, and achieve more - in our careers and in our communities. Summary: Every other weekend. Provides general nursing care to patients and families throughout the continuum of care in diverse, acute health care settings. (Department has scheduled staff to operate 24/7/365). The RN accountable for the practice of nursing as defined by the Ohio Board of Nursing. The RN delegates nursing tasks to licensed practical nurses (LPNs) and unlicensed assistive personnel (UAPs) using the criteria written in the Ohio Nurse Practice Act. According to department policies and nursing care standards, provides professional nursing care services to patients. Responsible for assessing, planning, implementing, and evaluating nursing care provided to assigned patients. Responsibilities And Duties: Assessment/Diagnosis - Performs initial, ongoing, and functional health status assessment as applicable to the population and or individual (30%). Outcomes Identification/Planning - Based on nursing diagnoses and collaborative problems, documents planned nursing interventions to achieve outcomes appropriate to patient needs (30%). Implementation/Evaluation - Evaluates and documents response to nursing interventions and achievement of outcomes at appropriately determined intervals; as part of a multidisciplinary team, revises plan of care based on evaluative data (20%). Leadership - Actively participates in process improvement activities to achieve targeted measures of clinical quality, customer satisfaction, and financial performance (10%). Operations (10%). As a High Reliability Organization (HRO), responsibilities require focus on safety, quality and efficiency in performing job duties. The job profile provides an overview of responsibilities and duties and is not intended to be an exhaustive list and is subject to change at any time. Minimum Qualifications: BLS - Basic Life Support - American Heart Association, RN - Registered Nurse - Ohio Board of Nursing Additional Job Description: MINIMUM QUALIFICATIONS Current Registered Nurse license from the State of Ohio BLS certification BSN required at 5 years of employment Work Shift: Day Scheduled Weekly Hours : 36 Department Med Surg Unit 1 Join us! ... if your passion is to work in a caring environment ... if you believe that learning is a life-long process ... if you strive for excellence and want to be among the best in the healthcare industry Equal Employment Opportunity OhioHealth is an equal opportunity employer and fully supports and maintains compliance with all state, federal, and local regulations. OhioHealth does not discriminate against associates or applicants because of race, color, genetic information, religion, sex, sexual orientation, gender identity or expression, age, ancestry, national origin, veteran status, military status, pregnancy, disability, marital status, familial status, or other characteristics protected by law. Equal employment is extended to all person in all aspects of the associate-employer relationship including recruitment, hiring, training, promotion, transfer, compensation, discipline, reduction in staff, termination, assignment of benefits, and any other term or condition of employment

Revolution Medicines is a clinical-stage precision oncology company focused on developing novel targeted therapies to inhibit frontier targets in RAS-addicted cancers. The company's R&D pipeline comprises RAS(ON) Inhibitors designed to suppress diverse oncogenic variants of RAS proteins, and RAS Companion Inhibitors for use in combination treatment strategies. As a new member of the Revolution Medicines team, you will join other outstanding Revolutionaries in a tireless commitment to patients with cancers harboring mutations in the RAS signaling pathway. The Opportunity: Reporting directly to the Senior Director, Payer Account Team & Access Marketing, the National Account Director (NAD) is responsible for establishing and maintaining strategic relationships to secure optimal market access for our innovative oncology medicines with national payers, Pharmacy Benefits Managers (PBMs), and payer-driven clinical pathways. This person will lead engagement with the NAD will develop and execute account plans and strategies that drive rapid formulary placement, reimbursement, and support patient access while representing the company's interests with key decision-makers. In addition to securing positive policy decisions, the NAD will help to coordinate cross-functional workstreams to ensure products are included when appropriate in payer-driven clinical pathways, this is a field-based remote position, and the candidate can live anywhere in the United States. Key Responsibilities: Translates national, brand-level payer strategy to key accounts across National Payers/PBMs, Regional Payers/PBMs/IDNs, VA/DoD, and state Medicaid plans, and work with Market Access leadership to refine value story and messaging as needed. Leads and oversees account activities such as driving rapid payer coverage and payer clinical pathways inclusion post launch in close collaboration with Medical Affairs. Leads cross-functional team across Commercial Field to pro-actively identify and resolve payer policy and pathway issues. Negotiates with customers to enable favorable formulary positioning and net revenue profitability. Creates medium to long term strategic payer/PBM/pathway engagement plan spanning multiple product and indication launches, and focuses on engaging beyond traditional rebates with tactics such as facilitating executive exchanges. Champions voice of customer to internal stakeholders and Commercial leadership. Required Skills, Experience and Education: Bachelor's degree. Strong existing relationships with the UHC/Optum/Emisar organization and 10+ years in account management. Deep understanding of pharmacy benefit management, economic flows, and oral oncolytic trends within Medicare Part D, Commercial, Medicaid FFS and Managed Medicaid plans. Strong communication skills to educate and influence other Commercial stakeholders, including the executive leadership team, Access Marketing, and Strategic Pricing. Ability to clearly and efficiently communicate the value proposition of novel oncology therapies to customers. Excellent negotiation skills and pride in P&L and enterprise stewardship. Prior experience with pipeline products and product launches. Ability to partner effectively with Medical Affairs, Sales, and FRM teams. ~30-50% travel required to customer meetings, industry conferences, and RevMed's home office in Redwood City, CA. Preferred Skills: Advanced degree (MBA, Master's, PharmD, PhD). Existing relationships with key regional plans that are OptumRx clients. Comprehensive understanding of federal accounts and VA/DoD processes and procedures. Experience in GI oncology, PDAC and/or NSCLC, including oral targeted therapies. Successful coordination of leadership exchanges and strategic partnerships beyond traditional contracting and rebate agreements. Desire to continuously learn, develop, and stay abreast of the evolving healthcare landscape. Passion for establishing high-functioning, collaborative relationships with new and rapidly growing teams. Prior experience or demonstrated development interest in payer marketing. Prior people leadership experience and ability to build team as company grows. #J-18808-Ljbffr

Where You'll Work At the heart of CommonSpirit Health's ministry are the national office departments that provide the foundational support, resources, and expertise that empower local communities to focus on what they do best-caring for patients. Our teams bring together expertise in clinical excellence, operations, finance, human resources, legal, supply chain, technology, and mission integration. Guided by our faith-based values, the national office fosters consistency, alignment, and innovation across CommonSpirit. By centralizing expertise and leveraging economies of scale, we enable each location to operate efficiently while maintaining flexibility to address unique local community needs. From advancing digital solutions to driving health equity, these departments extend the healing presence of humankindness everywhere we serve. Job Summary and Responsibilities This is a remote position The Utilization Management Physician Advisor II (PA) conducts clinical case reviews referred by case management staff and/or other health care professionals to meet regulatory requirements and in accordance with the system's objectives for assuring quality patient care and effective and efficient utilization of health care services. This individual meets with case management and health care team members to discuss selected cases and make recommendations for care as well as interacting with medical staff members and medical directors of third-party payers to discuss the needs of patients and alternative levels of care. The PA performs denials management and prevention in accordance with the organization's goals and expectations. This individual reviews cases for clinical validation, performs peer-to-peer discussions and participates in appeal letter writing. The PA further acts as a resource for the medical staff regarding federal and state utilization and quality regulations. The PA helps facilitate training for physicians. The PA must demonstrate interpersonal and communication skills and must be clear, concise and consistent in the message to all constituents. Key Responsibilities Conducts medical record review in appropriate cases for medical necessity of inpatient admission, need for continued hospital stay, adequacy of discharge planning and quality care management. Understands the intricacies of ICD-9-CM, ICD-10-CM/PCS, MS-DRG, APR-DRG, and the Medicare Inpatient Prospective Payment System (IPPS) to make medical determinations on severity of illness, acuity, risk of mortality, and communicate with treating physicians in cooperation with the utilization team and health information personnel. Conducts peer-to-peer reviews with payer medical directors to discuss and advocate for the medical necessity of denied treatments, services, or hospitalizations. Presents clinical rationale, addresses concerns raised by the payer, and provides additional context to overturn denials before escalation to formal appeal. Reviews and analyzes denied claims to determine validity and identify opportunities for overturning inappropriate denials. Leads the appeals process by providing clinical expertise, crafting compelling appeal letters, and ensuring the submission of necessary documentation. Assists in communications of internal physician advisor services in the hospital newsletters and other communication vehicles to further educate the medical staff Provides feedback and education to the Care Management and Clinical Documentation Departments through written and verbal communication as well as appropriate tracking and trending for process improvement efforts. Attends and participates in facility committee meetings, such as Joint Operating Committee (JOC), as requested by Utilization Management or Care Management. Job Requirements MD or DO required Minimum 3 years of experience as a Physician Advisor managing denials required Minimum 5 years of experience in Clinical Practice required Experience performing Peer to Peer Reviews required Experience submitting written and verbal appeals required Unrestricted license in field of practice in one or more states required. #LI-CSH Not ready to apply, or can't find a relevant opportunity? Join one of our Talent Communities to learn more about a career at CommonSpirit Health and experience #humankindness.