Requirements Manager jobs at Varian Medical Systems - 176 jobs
Manager Ancillary Application Solutions
Akron Children's Hospital 4.8
Akron, OH jobs
Full Time
40 Hours/Week
Monday - Friday, 8:00am - 5:00pm
Onsite
The Manager, Ancillary Application Solutions is a leadership position responsible for the planning, implementation, optimization, and overall management of ancillary clinical applications within the organization. This includes management of hundreds of clinical software applications used in critical areas such as Radiology, Cardiology, Neurology, Pulmonary and Lab. The position demands a blend of technical expertise, healthcare domain knowledge and leadership skills. Building productive relationships with software vendors and monitoring vendor performance are key elements of this role.
This role ensures that software application solutions and supporting infrastructure align with the organization's strategic goals, enhance operational effectiveness, and deliver exceptional end-user experiences. The manager will build relationships with executive and clinical leaders and lead a team of application analysts to collaborate with stakeholders and leaders including physicians and nurses. The Manager, Ancillary Applications will serve as the primary point of contact for all matters concerning ancillary applications. This role does not include oversight of EMR applications but will work closely with EMR Management.
Responsibilities:
Strategic Leadership and Planning: Develop and execute a strategic vision for ancillary application solutions in partnership with executive leadership and key stakeholders. Assess current application landscape, identify gaps, and create actionable roadmaps for enhancements and transition to cloud.
Project Management: As needed, serve as Project Manager for the full project lifecycle of ancillary application initiatives, from requirements gathering and vendor selection to deployment and post-implementation review. Ensure projects are completed on time, within scope, and on budget.
Team Leadership and Development: Recruit, train, motivate, and evaluate a high-performing team of analysts. Foster a culture of continuous improvement, innovation, and professional growth.
Stakeholder Engagement: Serve as the primary liaison between IT, business operations, clinical teams, and external vendors. Facilitate transparent communication, manage expectations, and drive consensus on solution priorities.
Solution Design and Integration: Guide the selection, implementation and integration of ancillary applications to ensure seamless interoperability with core business and clinical platforms.
Operational Support and Optimization: Establish robust support processes for application maintenance, troubleshooting, and user training. Continually assess performance metrics and drive initiatives to maximize application efficiency and effectiveness.
Vendor Management: Oversee relationships with third-party software vendors and service providers. Negotiate contracts, monitor service levels, and ensure compliance with organizational goals and regulatory standards.
Risk Management and Compliance: Ensure all ancillary applications adhere to internal policies, industry regulations, and data security best practices. Proactively address potential risks and foster a secure operating environment.
Budgeting and Resource Allocation: Develop and manage annual budgets for ancillary applications, including staffing, licensing, and infrastructure costs. Optimize resource allocation to achieve maximum value
Other information:
Technical Expertise
Deep understanding of managing the full lifecycle of ancillary applications, systems integration, data security, and emerging trends in ancillary technologies.
General understanding of server environments, cloud hosting and networking to facilitate cross functional trouble shooting.
Familiarity with major clinical vendor software platforms
Understanding of clinical processes and workflow along with ability to translate technical concepts into solutions with clinical value.
Familiarity with project management tools and methodology.
Education and Experience
Education: Bachelor's degree required. Bachelor's degree in Nursing and licensed RN preferred.
Experience: Minimum 5 years implementing and supporting applications and technology solutions, with at least 3 years in a lead or managerial role. Experience with ancillary clinical applications is strongly preferred.
Full Time
FTE: 1.000000
$96k-118k yearly est. 6d ago
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Manager Ancillary Application Solutions
Akron Children's Hospital 4.8
Ravenna, OH jobs
Full Time
40 Hours/Week
Monday - Friday, 8:00am - 5:00pm
Onsite
The Manager, Ancillary Application Solutions is a leadership position responsible for the planning, implementation, optimization, and overall management of ancillary clinical applications within the organization. This includes management of hundreds of clinical software applications used in critical areas such as Radiology, Cardiology, Neurology, Pulmonary and Lab. The position demands a blend of technical expertise, healthcare domain knowledge and leadership skills. Building productive relationships with software vendors and monitoring vendor performance are key elements of this role.
This role ensures that software application solutions and supporting infrastructure align with the organization's strategic goals, enhance operational effectiveness, and deliver exceptional end-user experiences. The manager will build relationships with executive and clinical leaders and lead a team of application analysts to collaborate with stakeholders and leaders including physicians and nurses. The Manager, Ancillary Applications will serve as the primary point of contact for all matters concerning ancillary applications. This role does not include oversight of EMR applications but will work closely with EMR Management.
Responsibilities:
Strategic Leadership and Planning: Develop and execute a strategic vision for ancillary application solutions in partnership with executive leadership and key stakeholders. Assess current application landscape, identify gaps, and create actionable roadmaps for enhancements and transition to cloud.
Project Management: As needed, serve as Project Manager for the full project lifecycle of ancillary application initiatives, from requirements gathering and vendor selection to deployment and post-implementation review. Ensure projects are completed on time, within scope, and on budget.
Team Leadership and Development: Recruit, train, motivate, and evaluate a high-performing team of analysts. Foster a culture of continuous improvement, innovation, and professional growth.
Stakeholder Engagement: Serve as the primary liaison between IT, business operations, clinical teams, and external vendors. Facilitate transparent communication, manage expectations, and drive consensus on solution priorities.
Solution Design and Integration: Guide the selection, implementation and integration of ancillary applications to ensure seamless interoperability with core business and clinical platforms.
Operational Support and Optimization: Establish robust support processes for application maintenance, troubleshooting, and user training. Continually assess performance metrics and drive initiatives to maximize application efficiency and effectiveness.
Vendor Management: Oversee relationships with third-party software vendors and service providers. Negotiate contracts, monitor service levels, and ensure compliance with organizational goals and regulatory standards.
Risk Management and Compliance: Ensure all ancillary applications adhere to internal policies, industry regulations, and data security best practices. Proactively address potential risks and foster a secure operating environment.
Budgeting and Resource Allocation: Develop and manage annual budgets for ancillary applications, including staffing, licensing, and infrastructure costs. Optimize resource allocation to achieve maximum value
Other information:
Technical Expertise
Deep understanding of managing the full lifecycle of ancillary applications, systems integration, data security, and emerging trends in ancillary technologies.
General understanding of server environments, cloud hosting and networking to facilitate cross functional trouble shooting.
Familiarity with major clinical vendor software platforms
Understanding of clinical processes and workflow along with ability to translate technical concepts into solutions with clinical value.
Familiarity with project management tools and methodology.
Education and Experience
Education: Bachelor's degree required. Bachelor's degree in Nursing and licensed RN preferred.
Experience: Minimum 5 years implementing and supporting applications and technology solutions, with at least 3 years in a lead or managerial role. Experience with ancillary clinical applications is strongly preferred.
Full Time
FTE: 1.000000
$96k-118k yearly est. 6d ago
Manager, Coding
Ohio Health 3.3
Columbus, OH jobs
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 is responsible for managing all coding personnel, education and operations, department metrics, data abstracting, and related billing processes for inpatient and outpatient encounters to meet financial goals for the OhioHealth enterprise. Vendor management is a key function, ability to engage, hold accountable and partner with external resources to drive success. Responsible for coordination of data collection efforts with other primary users in clinical and non-clinical roles as necessary regarding Claims Processing, Quality Metrics and Data Integrity. Serves as subject matter expert and as an internal Revenue Cycle consultant for OhioHealth initiatives.
This position is responsible for the development of coding guidelines in accordance with the most recent published regulations from CMS, AHIMA, and Official Coding Guidelines. Accountable for collaboration with any new payment methodology impacting any area of the department and/or reimbursement. The Manager of Coding encompasses participation in implementation of new or upgraded coding software and hardware systems. Manager is also charged with the development and monitoring of standards of performance, including revisions as new technologies become available and potentially affect production.
MINIMUM QUALIFICATIONS
Equivalent Experience and Relevant Coding Certification by AHIMA or AAPC (must).
Minimum 7 years coding experience, at least 3 years in a large acute care network with multiple specialties.
Minimum 1-year progressive leadership experience.
PREFERRED QUALIFICATIONS
Bachelor's Degree - Field of Study: Health Information or related.
RHIA - Registered Health Information Administrator or RHIT - Registered Health Information Technician.
Minimum 3 years of hands-on coding experience.
Minimum 1 year leadership experience.
Responsibilities And Duties:
30%
Manage department operations aligning daily function with desired outcomes to meet KPIs.
Major goals include workflow efficiency, production to meet coding turnaround time targets, coding accuracy and education, processes, and system integration, DNFB and Pre-AR targets.
20%
Works with departments to ensure processes are in place to collaborate on initiatives and/or address issues.
Support plans requiring intervention as indicated through identified industry trends, changes, payer behavior or any relevant OhioHealth goal.
Serves as an internal consultant with new initiatives, reviews and provides recommendations.
15%
Coordinates billing/coding activities with Revenue Cycle representatives Patient Accounts, Patient Access and participates with problem-solving.
10%
Develops Coding Supervisors through delegation and direct operational support.
8%
Manages staffing scheduling within budget for coding operations.
Conducts staff evaluations and disciplinary actions as necessary at all campus locations.
Hires and/or fires any direct reporting positions.
7%
Works with Medical Record Services management team on department and enterprise-wide processes and operations as related to coding, abstracting, billing, and documentation.
Implements and/or updates new IS systems.
5%
Maintains current information on governmental regulation changes, especially ICD-10, CPT-4 and HCPCS coding, and APC and DRG updates affecting coding, staffing, and health system reimbursement.
5%
Administers physical, procedural, and technical safeguards for protection, control, and monitoring of information assets, including access management, staff education, responses to breaches, business continuity planning, auditing, and information security risk management.
Minimum Qualifications:
High School or GED (Required) CCS - Certified Coding Specialist - American Health Information Management Association, RHIS - Routine Health Information Systems - State of Ohio, RHIT - Registered Health Information Technician - American Health Information Management Association
Additional Job Description:
SPECIALIZED KNOWLEDGE
* Experience with large multi-facility coding operations and vendor management. Certification in coding by AHIMA or AAPC.
* Evidence of successful KPI management and driver.
* Strong background in ICD-10 and CPT classifications and corresponding reimbursement methodologies.
* Technical skills a plus.
Work Shift:
Day
Scheduled Weekly Hours :
40
Department
Hospital Coding
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
Remote Work Disclaimer:
Positions marked as remote are only eligible for work from Ohio.
$69k-109k yearly est. Auto-Apply 24d ago
Credentialing Manager
Allied Physicians Group 4.4
Remote
Allied Home Office
Located in:
Melville, New York 11747Are you a credentialing pro who loves owning your process from start to finish? Do you enjoy creating order, ensuring compliance, and working closely with providers and payers to keep things moving smoothly? If so, you might be the perfect fit for our Credentialing Manager role.
(Must reside in CT, CO, DE, FL, GA, NE, NJ, NY, NC, OH, PA, SC, TN, TX, or WV)
As our Credentialing Manager, you'll take the lead on all things credentialing-from initial enrollment to ongoing maintenance and delegated credentialing. This is a hands‑on role where you'll manage your own workflow, drive process improvements, and serve as the go‑to expert for both internal teams and external partners.
In this role, you will:
Manage end-to-end credentialing, recredentialing, and payer enrollment for physicians and advanced practice providers
Own all delegated credentialing functions, including initial credentialing, recredentialing, and ongoing compliance with delegated payer requirements
Ensure compliance with NCQA, CMS, state, and payer-specific delegated credentialing standards
Perform and oversee primary source verification (PSV) of licensure, education, training, experience, board certification, and other required credentials in accordance with NAMSS, NCQA, CMS, and payer standards
Maintain credentialing files and documentation in accordance with delegated agreements and audit requirements
Prepare complete credentialing and recredentialing files for review, approval, and documentation by appropriate leadership
Prepare for, support, and respond to delegated credentialing audits and payer reviews, including corrective action plans when needed
Track, manage and communicate credentialing timelines to support provider onboarding and avoid revenue delays
Monitor expirables (licenses, DEA, board certification, malpractice coverage, etc.) and ensure timely renewals
Serve as the primary point of contact with payers, hospitals, and delegated entities on credentialing and enrollment matters
Maintain accurate provider data in credentialing systems, CAQH, and payer portals
Develop, document, and continuously improve credentialing policies, procedures, and workflows
Identify process inefficiencies and implement improvements to reduce turnaround times and operational risk
Establish, track, and report credentialing performance metrics, including turnaround times, compliance indicators, and audit findings
Provide regular status updates and reporting to leadership on credentialing progress, risks, and compliance matters
Collaborate with revenue cycle, compliance, and operations teams to resolve credentialing-related issues impacting billing or participation status
What You Bring:
Bachelor's degree or equivalent healthcare experience
At least 5 years in healthcare credentialing
NAMSS certifications (CPCS, CPMSM, CPES) preferred
Experience managing delegated credentialing programs independently
Strong understanding of commercial, Medicare, and Medicaid credentialing requirements
Proficiency with credentialing software, CAQH, and MS Excel
Excellent communication, relationship‑building, and critical‑thinking skills
A high level of integrity and comfort interpreting regulations and guidelines
Experience in Pediatrics, Family Medicine, or Allergy is a bonus!
Work Environment:
Remote
Primarily computer‑based with extended periods of desk work
Compensation Offered:
Salary - Salary Plan, 90,000.00 USD Annual
The salary/rate provided complies with local regulations and reflects the potential base compensation for this role. Actual salary/rate may vary above or below based on the candidate's experience, qualifications, and location.
Perks & Benefits - Because You Deserve Them!
We know that taking care of others starts with taking care of you. When you work at least 30 hours per week, here's what you get:
🩺 Health Coverage That Works for You - Medical, dental, and vision plans to keep you and your family covered.
💰 Smart Ways to Save - Choose between a Flexible Spending Account (FSA) or a Health Savings Account (HSA) to plan for medical expenses.
📈 Invest in Your Future - Our 401K plan comes with up to a 4% employer match, helping you grow your savings.
🌴 Take a Break, You've Earned It - Paid Time Off to relax, recharge, or handle life's little surprises.
🛡 Peace of Mind - Life happens, and we've got you covered with Basic Life Insurance, Supplemental Life Insurance, and NYS Short-Term Disability (STD).
🔹 Extra Protection - Optional supplemental insurance products for added security.
💙 Wellness Matters - Access to wellness programs and coaching to keep you feeling your best.
🐾 Care for Your Fur Family - Access to pet insurance options to help with unexpected vet expenses.
🎉 Exclusive Discounts - Employee discount programs to save on things you love.
🚀 Be Part of Something Bigger - Join a growing organization that puts exceptional patient care at the heart of everything we do.
This organization participates in E-Verify. We are an Equal Opportunity Employer that does not discriminate on the basis of actual or perceived race, creed, color, religion, alienage or national origin, ancestry, citizenship status, age, disability or handicap, sex, marital status, domestic status, civil union status, pregnancy, employee's or dependent's reproductive decision making, veteran status, military status, sexual orientation (including actual or perceived heterosexuality, homosexuality, bisexuality and asexuality), gender identity or expression, predisposing genetic characteristic, genetic information, Acquired Immune Deficiency Syndrome or HIV status (AIDS/HIV status), arrest record, status as a victim of domestic violence, past convictions (in accordance with applicable law), or any other characteristic protected by applicable federal, state or local laws.
$69k-96k yearly est. Auto-Apply 2d ago
Manager SIU (must live in Ohio)
Caresource 4.9
Remote
The Manager, Program Integrity is responsible for managing Program Integrity requirements to include allegation intake, report analysis, triage, investigation, correction and reporting of fraud, waste and abuse
Essential Functions:
Responsible for deposition, testifying in court in support of CareSource and Attorney General legal actions
Manage all efforts of your investigative team focusing on thorough but timely investigations, highest impact prioritization, root cause identification, state and federal law enforcement collaboration, evidence development and investigative actions
Drive and encourage innovative approaches to increase department effectiveness and efficiency
Ensure quantitative and qualitative measures are used to meet performance objectives
Develops and maintains key business contacts for investigative and SIU management purposes
Ensure employees meet all state and federal contract requirements and follow department work processes
Lead the Investigative team through investigative resolution including corrective action plans, terminations, Fair Hearings, recoveries, negotiations, mediation, and litigation
Mentor employees on effective and through investigative case presentation
Mentor direct reports including, coaching, development, performance feedback, disciplinary issues, annual performance evaluations and bonus review
Lead and promote Employee Engagement
Drive fraud identification through information sharing efforts, OIG Work Plan, Fraud Task Force participation and seminars
Drive internal process and procedure changes by working with cross departmental teams to resolve identified internal system gaps that may present a FWA or financial risk to CareSource
Take a leadership role in state and federal regulatory audits
Proactively manage investigative team growth to meet new business requirements
Take a leadership role in state and federal program integrity operations and fraud organizations such as NHCAA, HFPP, and ACFE
Speak at national conferences on investigative efforts and fraud trends.
Develop and maintain an in-depth knowledge of the company's business and regulatory environments
Works closely with leadership to establish, communicate, and perpetuate the corporate vision, ensuring appropriate communication to all stakeholders
Recognize and proactively manage operational dependencies and risks
Maintains a framework of standards and best practice methodologies that are repeatable and evidence based
Participate in strategic planning and implement action plans
Perform any other jobs, as requested
Education and Experience:
Bachelor of Science/Arts Degree in Criminal Justice, Medical/Health Care Field or related industry or equivalent years of relevant work experience is required
Minimum of six to eight (6-8) years of investigative or health care experience is required
Extensive experience in health care, legal, auditing, claims and/or investigative services is required
Leadership/supervisory experience preferred
Competencies, Knowledge and Skills:
Demonstrated leadership qualities
Support the development of effective working relationships with business partners
Solid understanding of claims processing preferred
Knows and uphold the provisions of the Corporate Compliance Plan
Intermediate to advanced proficiency level of computer skills, including Microsoft Outlook, Word, Excel, Access, and Power Point
Advanced troubleshooting and problem-solving capabilities
Effective communication and interaction skills
Ability to formally present to a wide audience internally and at national conferences
Ability to lead a team and achieve performance metrics
Highest levels of ethics, integrity and professionalism
Significant knowledge of government program compliance requirements - Medicare, Medicaid, Affordable Care Act (ACA), etc. preferred
Significant knowledge of medical insurance and/or state regulatory requirements
Licensure and Certification:
Certified Fraud Examiner (CFE), Certifications through America's Health Insurance Plans (AHIP), Healthcare Anti-Fraud Association (HCAFA) and/or Managed Healthcare Professional (MHP), Accredited Health Care Fraud Investigator (AHFI), and/or Certified Professional Coder (CPC) are preferred
Working Conditions:
General office environment; may be required to sit or stand for extended periods of time
Compensation Range:
$83,000.00 - $132,800.00
CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee's total well-being and offer a substantial and comprehensive total rewards package.
Compensation Type (hourly/salary):
Salary
Organization Level Competencies
Fostering a Collaborative Workplace Culture
Cultivate Partnerships
Develop Self and Others
Drive Execution
Influence Others
Pursue Personal Excellence
Understand the Business
This is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.#LI-SD1
$83k-132.8k yearly Auto-Apply 10d ago
QE Manager - US
Photon Group 4.3
Remote
We need a QA Manager with strong articulation skills to lead QA Maturity Model assessments and a Gen AI PoC for quality engineering. The role involves driving QA improvements using objective metrics, managing stakeholders, and aligning QA with business goals.
Responsibilities
Lead QA Maturity Model assessments, define gaps, and implement improvements.
Drive a Gen AI PoC, exploring AI-driven automation and predictive testing.
Manage QA projects with objective metrics, ensuring measurable progress.
Align QA strategy with business needs, ensuring scalability and efficiency.
Collaborate with cross-functional teams to standardize best QA practices.
Requirements
E-Commerce & Retail systems experience with deep domain understanding.
Strong QA assessment and maturity model expertise.
Hands-on experience with test automation, AI-driven testing, and CI/CD.
Proven ability to manage stakeholders, drive QA strategy, and articulate value.
Experience in accessibility, security, and performance testing is a plus
Compensation, Benefits and Duration
Minimum Compensation: USD 48,000
Maximum Compensation: USD 168,000
Compensation is based on actual experience and qualifications of the candidate. The above is a reasonable and a good faith estimate for the role.
Medical, vision, and dental benefits, 401k retirement plan, variable pay/incentives, paid time off, and paid holidays are available for full time employees.
This position is available for independent contractors
No applications will be considered if received more than 120 days after the date of this post
$69k-115k yearly est. Auto-Apply 60d+ ago
Google TAG Manager | Atlanta
Photon Group 4.3
Remote
Job Description 2: Google Tag Manager Specialist
We are seeking an experienced Google Tag Manager Specialist to ensure seamless tracking and data collection for our digital assets. This role involves managing and optimizing tag setups, troubleshooting issues, and collaborating with analytics teams to drive reliable data insights.
Key Responsibilities:
Configure, implement, and optimize tags, triggers, and variables in Google Tag Manager (GTM) to support tracking and analytics initiatives.
Develop custom tagging solutions using JavaScript, data layers, and advanced GTM functionalities.
Troubleshoot and resolve issues in tracking implementations, ensuring data accuracy across platforms.
Design and manage event tracking, e-commerce tracking, and consent management setups.
Collaborate with the analytics team to align tagging setups with Google Analytics (GA4) requirements.
Maintain and document GTM configurations and ensure compliance with industry best practices.
Required Qualifications:
3-4 years of professional experience with Google Tag Manager (GTM) in a digital or web analytics role.
Hands-on experience with web technologies, including JavaScript, HTML, and CSS.
Proven track record in integrating GTM with Google Analytics (GA4) and other analytics tools.
Experience with debugging and testing tools like Tag Assistant, Debugger, or browser console.
Bachelor's degree in Marketing, Computer Science, or a related field.
Preferred Skills:
1-2 years of experience with enhanced e-commerce tracking implementations.
Familiarity with privacy frameworks like GDPR and CCPA, including consent management.
Google Tag Manager Certification is a plus.
Basic knowledge of SEO/SEM tracking and attribution modeling.
Compensation, Benefits and Duration
Minimum Compensation: USD 14,000
Maximum Compensation: USD 49,000
Compensation is based on actual experience and qualifications of the candidate. The above is a reasonable and a good faith estimate for the role.
Medical, vision, and dental benefits, 401k retirement plan, variable pay/incentives, paid time off, and paid holidays are available for full time employees.
This position is not available for independent contractors
No applications will be considered if received more than 120 days after the date of this post
$69k-115k yearly est. Auto-Apply 60d+ ago
Manager
Alliant Health Group, Inc. 4.4
Remote
As Change ManagementManager, you will work in a team environment alongside some of the best in the business including those with extensive industry experience, years of consulting acumen, recognized certifications and a desire to serve clients. You will lead engagements and consulting teams as we interact with our clients to understand their overall business operations and address their most pressing business challenges. You will make a difference to truly affect their bottom line and allow them to be more successful.
Job Description
The Change ManagementManager oversees and directs the strategic planning and execution of change initiatives across the organization. This senior role ensures that change management efforts align with business goals, leads the development of comprehensive change strategies, and manages a team of change management professionals to drive successful organizational transformations.
Critical Skills:
Must possess extensive experience with change management principles and methodologies, demonstrating exceptional strategic thinking and problem-solving abilities. Advanced leadership skills are crucial for guiding senior change management professionals and managing complex projects. Superior communication and negotiation skills are necessary for engaging with executives and stakeholders, while proficiency in data analysis and performance measurement drives informed decision-making. The role demands high adaptability and resilience to navigate dynamic environments, along with strong business acumen and a deep understanding of organizational behavior to align change initiatives with overarching business goals.
Responsibilities:
Develop and implement organization-wide change management strategies to support strategic business objectives and ensure effective change adoption.
Lead the assessment of change impact and organizational readiness, providing strategic direction to address challenges.
Design and oversee the delivery of comprehensive communication and training programs to facilitate organizational transitions.
Provide executive coaching and support to senior leaders, enhancing their capability to lead and manage change effectively.
Monitor and analyze change management effectiveness, using insights to drive continuous improvement and achieve desired outcomes.
Manage and mentor a team of change management professionals, fostering their development and ensuring high performance.
Collaborate with senior executives, project managers, and business leaders to ensure change initiatives align with broader business strategies.
Develop and manage relationships with key stakeholders, ensuring their needs and concerns are addressed throughout the change process.
Oversee the integration of change management best practices and methodologies into organizational processes.
Represent the change management function at the executive level, advocating for resources and support to drive successful change initiatives.
Qualifications:
Education: Bachelor's degree in business, Finance, Economics, Communications or a related field. Master's degree or MBA is strongly preferred.
Experience: 10+ years of relevant experience in management consulting, corporate strategy, or a related field, with a proven track record of successful project delivery and client management.
Leadership Skills: Demonstrated leadership and team management skills, with the ability to inspire and develop high-performing teams.
Analytical Skills: Superior analytical and problem-solving skills, with the ability to synthesize complex information and develop actionable recommendations.
Communication Skills: Outstanding verbal and written communication skills, with the ability to effectively present information to senior clients and stakeholders.
Technical Proficiency: Proficiency in Microsoft Office Suite (Excel, PowerPoint, Word). Experience with data analysis tools (e.g., Tableau, SQL) is a plus.
Business Acumen: Deep understanding of mid-market business dynamics and challenges, with the ability to provide strategic insights and solutions.
Adaptability: Ability to manage multiple projects and priorities in a fast-paced, dynamic environment.
Business Development: Ability to identify opportunities to develop/ grow strategic client relationships while ensuring top-notch client deliverables.
Preferred Change Certifications: PROSCI, LaMarsh Global Change Management, CCMP, Conner, CAP (change acceleration process)
Preferred Technology proficiencies: Microsoft Suite, Canva, Adobe
#LI-CH1
$59k-92k yearly est. Auto-Apply 60d+ ago
Manager, Coding
Ohiohealth 4.3
Columbus, OH jobs
**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 is responsible for managing all coding personnel, education and operations, department metrics, data abstracting, and related billing processes for inpatient and outpatient encounters to meet financial goals for the OhioHealth enterprise. Vendor management is a key function, ability to engage, hold accountable and partner with external resources to drive success. Responsible for coordination of data collection efforts with other primary users in clinical and non-clinical roles as necessary regarding Claims Processing, Quality Metrics and Data Integrity. Serves as subject matter expert and as an internal Revenue Cycle consultant for OhioHealth initiatives.
This position is responsible for the development of coding guidelines in accordance with the most recent published regulations from CMS, AHIMA, and Official Coding Guidelines. Accountable for collaboration with any new payment methodology impacting any area of the department and/or reimbursement. The Manager of Coding encompasses participation in implementation of new or upgraded coding software and hardware systems. Manager is also charged with the development and monitoring of standards of performance, including revisions as new technologies become available and potentially affect production.
MINIMUM QUALIFICATIONS
Equivalent Experience and Relevant Coding Certification by AHIMA or AAPC (must).
Minimum 7 years coding experience, at least 3 years in a large acute care network with multiple specialties.
Minimum 1-year progressive leadership experience.
PREFERRED QUALIFICATIONS
Bachelor's Degree - Field of Study: Health Information or related.
RHIA - Registered Health Information Administrator or RHIT - Registered Health Information Technician.
Minimum 3 years of hands-on coding experience.
Minimum 1 year leadership experience.
**Responsibilities And Duties:**
30%
Manage department operations aligning daily function with desired outcomes to meet KPIs.
Major goals include workflow efficiency, production to meet coding turnaround time targets, coding accuracy and education, processes, and system integration, DNFB and Pre-AR targets.
20%
Works with departments to ensure processes are in place to collaborate on initiatives and/or address issues.
Support plans requiring intervention as indicated through identified industry trends, changes, payer behavior or any relevant OhioHealth goal.
Serves as an internal consultant with new initiatives, reviews and provides recommendations.
15%
Coordinates billing/coding activities with Revenue Cycle representatives Patient Accounts, Patient Access and participates with problem-solving.
10%
Develops Coding Supervisors through delegation and direct operational support.
8%
Manages staffing scheduling within budget for coding operations.
Conducts staff evaluations and disciplinary actions as necessary at all campus locations.
Hires and/or fires any direct reporting positions.
7%
Works with Medical Record Services management team on department and enterprise-wide processes and operations as related to coding, abstracting, billing, and documentation.
Implements and/or updates new IS systems.
5%
Maintains current information on governmental regulation changes, especially ICD-10, CPT-4 and HCPCS coding, and APC and DRG updates affecting coding, staffing, and health system reimbursement.
5%
Administers physical, procedural, and technical safeguards for protection, control, and monitoring of information assets, including access management, staff education, responses to breaches, business continuity planning, auditing, and information security risk management.
**Minimum Qualifications:**
High School or GED (Required) CCS - Certified Coding Specialist - American Health Information Management Association, RHIS - Routine Health Information Systems - State of Ohio, RHIT - Registered Health Information Technician - American Health Information Management Association
**Additional Job Description:**
**SPECIALIZED KNOWLEDGE**
+ Experience with large multi-facility coding operations and vendor management. Certification in coding by AHIMA or AAPC.
+ Evidence of successful KPI management and driver.
+ Strong background in ICD-10 and CPT classifications and corresponding reimbursement methodologies.
+ Technical skills a plus.
**Work Shift:**
Day
**Scheduled Weekly Hours :**
40
**Department**
Hospital Coding
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
**Remote Work Disclaimer:**
Positions marked as remote are only eligible for work from **Ohio** .
$55k-72k yearly est. 23d ago
APP MANAGER - INPATIENT ONCOLOGY
Brigham and Women's Hospital 4.6
Boston, MA jobs
Site: The Brigham and Women's Hospital, Inc. Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.
Why MGB Cancer Institute?
Mass General Brigham Cancer Institute harnesses the incredible expertise of two world-renowned academic medical centers - Massachusetts General Hospital and Brigham and Women's Hospital, and our system of community hospitals and healthcare centers. Our experts drive breakthroughs every day and raise the bar for patient outcomes, as we enhance our facilities to provide next-generation spaces for our patients and care teams.
Together, we are one against cancer.
************************************************************
How will APPs contribute to the mission of MGB CI?
APPs continue to advance the mission of MGBCI by standing together as one team against cancer. APPs care for patients at all phases of their cancer journey and in many settings. They remain critical partners in ensuring access to care and support at all levels of need. APPs care for patients in the ambulatory and inpatient settings. As core members of the multidisciplinary team for decades, the APP teams are key in supporting access, care delivery, and innovation associated with growth across our expanding programs and new spaces.
The APP role at MGBCI empowers advanced practice providers to work at the top of their license, with robust support for professional development at every career stage. APPs can practice in both inpatient and ambulatory settings-across our academic medical centers and community sites-and choose to focus broadly or subspecialize.
Key features include:
* Structured onboarding and mentorship for new and experienced APPs
* Mobility across inpatient, ambulatory, and community settings, as well as specialties
* Access to professional development through CME, tuition support, and regular educational events such as Oncology APP Education Series and Grand Rounds
* Clear advancement pathways within the APP career framework, including leadership roles that enable Oncology APPs to thrive on a clinical, academic, or leadership pathway throughout their career.
* A collaborative, interdisciplinary environment that values and recognizes APP contributions
Together, we leverage the strengths of our academic medical centers and foster a community of excellence, supporting APPs as they advance cancer care across our system.
Job Summary
Summary
Provides direct management to typically a small to medium-sized team of advanced practice providers or other allied health professionals while continuing to spend the majority of time providing direct patient care as a Physician Assistant.
Does this position require Patient Care? Yes
Essential Functions: Performs all essential functions of a Physician Assistant, providing direct patient care.
* Directly oversees and is accountable for the performance of a team of APPs and/or other direct reports.
* Hires, performs, manages, and completes performance appraisals for a team of APPs and/or other direct reports.
* Orients, trains, and schedules staff.
* Assists with quality assurance programs as needed to help implement quality improvement efforts.
* Ensures continuing education and teaching for APPs.
* Acts as liaison between the hospital, physician and nursing staffs, and other APPs.
* Ensures APPs are following proper billing compliance rules and methodology.
Qualifications
Under the supervision of the BWH Inpatient Oncology Director of Advanced Practice Providers the Inpatient Oncology APP Manager is accountable for the delivery of consistent high-quality, advanced patient care and supporting the development of the Inpatient Oncology APP staff. Drawing on a broad understanding of clinical and hospital practices and policies, the APP Manager will continually assess clinical issues including scope of practice guidelines and APP practice protocols.
Further, the APP Manager will work to encourage full integration of the APP staff in Inpatient Oncology, as well as with clinical and non-clinical staff throughout the hospital. Designed for those APPs who have both advanced clinical skills and demonstrated administrative experience to promote the service and help guide its strategic direction in concert with department leadership. The APP Manager position requires 5+ years of experience and demonstrated progressive leadership responsibility that will become part of the performance evaluation process; one must complete a formal interview process to receive an offer for this position. The APP Manager 1 has a solid line reporting structure to the APP Director and the Clinical Director.
Principal duties and responsibilities
Clinical (% FTE):
* Provides direct care, counseling, and teaching to a designated patient population in the ambulatory, inpatient, operative, and/or procedural setting
* Performs complete histories and physical examinations
* Orders, interprets, and evaluates appropriate laboratory and diagnostic tests
* Develops appropriate plans of care and follow-up based on the outcomes of diagnostic, laboratory, and physical examination findings
* Orders medications and writes prescriptions according to organizational and regulatory policies and procedures
* Consistently provides high-quality and timely documentation including admission and progress notes, procedure notes, and discharge summaries
* Performs bedside procedures as are appropriate to the patient population
* Practices evidenced-based medicine while maximizing available resources
* Discusses patient data with other physicians and professionals as appropriate in a multidisciplinary setting
* Demonstrates expert clinical judgment and skills
* Additional duties and responsibilities as required by the department/division
Non-Clinical Duties and Responsibilities (% FTE):
Management Responsibilities:
* Partners with APP Director to evaluate, modify, and implement Inpatient Oncology APP practice models aligned with departmental strategy
* Maintains organization, collegiality, and professionalism among the staff APPs
* In conjunction with APP Director, teaches, assists, and councils the staff APPs to ensure overall compliance with hospital, state, and federal regulations
* In partnership with the APP Director, screens, interviews and hires new staff applicants as needed
* Completes periodic performance evaluations of the staff APPs in conjunction with Supervising MD and APP Director, including 90 day review upon hire, FPPE/OPPE per the Joint Commission standards and annual merit reviews
* Oversees APP II, APP III, Lead APP project work
* Participates in departmental projects as requested including but not limited to quality and safety, education, clinical operations, and process improvement
Staffing:
* Works with the APP Director to maintain appropriate staffing of APPs within the service by assessing needs and delegating coverage with department leadership
* Works with the APP Director to organize and manage components of the hiring process, with input from the Clinical Director
* Ensures all components of credentialing and CME for staff APPs are up to date
* Works with APP Director to develop and implement orientation procedures and training of APPs
* Prepares annual salary review and documentation for each APP's merit raise determination in conjunction with supervising MD and department leadership
* Works with the department to ensure annual HealthStream training completion of all staff APPs
Scheduling:
* Manages/oversees schedules to ensure staffing is delegated appropriately and distributed/posted in the department/division
* Manages daily operations, weekly assignments, sick call coverage
* Assists APP Director with scheduling conflicts and organizes time off for the staff APP, including managing sick call coverage
Quality:
* Assists with quality assurance initiatives to systematically improve care and advance departmental/hospital goals
* Review safety reports
* Monitor dashboards for quality improvement and quality assurance measures
* Attends QA meetings as requested
Education & Training:
* Collaborates with BWH Hospital Medicine APP Fellowship and APP Services to oversee student program including onboarding, orientation, scheduling, and evaluations
* Provides mentorship and preceptorship to APP students selected from accredited APP programs
* Oversees APP shadowing program
Continuing Education, Research and Quality Assurance:
* Oversees continuing medical education lectures and skill-based learning for the APP group
* Works with APP Director to organize the orientation and training of new staff APPs, and ensures performance and competency goals are met in collaboration with the APP Director and Clinical Director
* Completes 100 hours of continuing medical education required during each two-year period of employment, attends internal and external education meetings, reads professional journals, and seeks out opportunities to maintain and enhance skills and clinical competence
* Ensures staff APPs complete their 100 hours of CME and achieve their individual continuing medical education requirements
Billing & Compliance:
* In conjunction with APP Director works with Billing Compliance and department leadership to ensure the APPs and Supervising MDs are educated and following proper billing compliance rules and methodology
Administrative Responsibilities:
* Attends all staff meetings
* Creates and implements departmental policies regarding APP practice in conjunction with the APP Director, CLinical Director, and department leadership
* Acts as liaison between the clinical and administrative staff
Professional Development:
* Maintains and updates clinical knowledge and skills based on current Medical Oncology APP practice
* In collaboration with APP Director, completes self-assessments/guided coaching to identify own developmental level of practice and appropriate learning experience to enhance development.
* Expands demonstrated leadership abilities, administrative, and management skills as appropriate.
* Attend and engage in Advanced Practice Oncology Leadership meetings and APP Management meetings and initiatives
* Liaises with APP Services and attends APP Leadership meetings
Education
Master's Degree Physician Assistant required
Can this role accept experience in lieu of a degree?
No
Licenses and Credentials
Physician Assistant [State License] - Generic - HR Only required
Experience
Experience as a licensed Physician Assistant 5-7 years required
Knowledge, Skills and Abilities
* Strong clinical knowledge as a Physician Assistant.
* Strong managerial presence and ability to provide & direct feedback and guidance to staff.
* Strong interpersonal communication skills.
* Ability to function effectively in a fast-paced environment.
* Results-oriented and exhibits a strong attention to detail.
Additional Job Details (if applicable)
Remote Type
Onsite
Work Location
75 Francis Street
Scheduled Weekly Hours
40
Employee Type
Regular
Work Shift
Day (United States of America)
Pay Range
$127,691.20 - $186,544.80/Annual
Grade
8
At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package.
EEO Statement:
2200 The Brigham and Women's Hospital, Inc. is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran's Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at **************.
Mass General Brigham Competency Framework
At Mass General Brigham, our competency framework defines what effective leadership "looks like" by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.
$127.7k-186.5k yearly Auto-Apply 22d ago
APP MANAGER - INPATIENT ONCOLOGY
Massachusetts Eye and Ear Infirmary 4.4
Boston, MA jobs
Site: The Brigham and Women's Hospital, Inc.
Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.
Why MGB Cancer Institute?
Mass General Brigham Cancer Institute harnesses the incredible expertise of two world-renowned academic medical centers - Massachusetts General Hospital and Brigham and Women's Hospital, and our system of community hospitals and healthcare centers. Our experts drive breakthroughs every day and raise the bar for patient outcomes, as we enhance our facilities to provide next-generation spaces for our patients and care teams.
Together, we are one against cancer.
************************************************************
How will APPs contribute to the mission of MGB CI?
APPs continue to advance the mission of MGBCI by standing together as one team against cancer. APPs care for patients at all phases of their cancer journey and in many settings. They remain critical partners in ensuring access to care and support at all levels of need. APPs care for patients in the ambulatory and inpatient settings. As core members of the multidisciplinary team for decades, the APP teams are key in supporting access, care delivery, and innovation associated with growth across our expanding programs and new spaces.
The APP role at MGBCI empowers advanced practice providers to work at the top of their license, with robust support for professional development at every career stage. APPs can practice in both inpatient and ambulatory settings-across our academic medical centers and community sites-and choose to focus broadly or subspecialize.
Key features include:
• Structured onboarding and mentorship for new and experienced APPs
• Mobility across inpatient, ambulatory, and community settings, as well as specialties
• Access to professional development through CME, tuition support, and regular educational events such as Oncology APP Education Series and Grand Rounds
• Clear advancement pathways within the APP career framework, including leadership roles that enable Oncology APPs to thrive on a clinical, academic, or leadership pathway throughout their career.
• A collaborative, interdisciplinary environment that values and recognizes APP contributions
Together, we leverage the strengths of our academic medical centers and foster a community of excellence, supporting APPs as they advance cancer care across our system.
Job Summary
Summary
Provides direct management to typically a small to medium-sized team of advanced practice providers or other allied health professionals while continuing to spend the majority of time providing direct patient care as a Physician Assistant.
Does this position require Patient Care? Yes
Essential Functions: Performs all essential functions of a Physician Assistant, providing direct patient care.
-Directly oversees and is accountable for the performance of a team of APPs and/or other direct reports.
-Hires, performs, manages, and completes performance appraisals for a team of APPs and/or other direct reports.
-Orients, trains, and schedules staff.
-Assists with quality assurance programs as needed to help implement quality improvement efforts.
-Ensures continuing education and teaching for APPs.
-Acts as liaison between the hospital, physician and nursing staffs, and other APPs.
-Ensures APPs are following proper billing compliance rules and methodology.
Qualifications
Under the supervision of the BWH Inpatient Oncology Director of Advanced Practice Providers the Inpatient Oncology APP Manager is accountable for the delivery of consistent high-quality, advanced patient care and supporting the development of the Inpatient Oncology APP staff. Drawing on a broad understanding of clinical and hospital practices and policies, the APP Manager will continually assess clinical issues including scope of practice guidelines and APP practice protocols.
Further, the APP Manager will work to encourage full integration of the APP staff in Inpatient Oncology, as well as with clinical and non-clinical staff throughout the hospital. Designed for those APPs who have both advanced clinical skills and demonstrated administrative experience to promote the service and help guide its strategic direction in concert with department leadership. The APP Manager position requires 5+ years of experience and demonstrated progressive leadership responsibility that will become part of the performance evaluation process; one must complete a formal interview process to receive an offer for this position. The APP Manager 1 has a solid line reporting structure to the APP Director and the Clinical Director.
Principal duties and responsibilities
Clinical (% FTE):
Provides direct care, counseling, and teaching to a designated patient population in the ambulatory, inpatient, operative, and/or procedural setting
Performs complete histories and physical examinations
Orders, interprets, and evaluates appropriate laboratory and diagnostic tests
Develops appropriate plans of care and follow-up based on the outcomes of diagnostic, laboratory, and physical examination findings
Orders medications and writes prescriptions according to organizational and regulatory policies and procedures
Consistently provides high-quality and timely documentation including admission and progress notes, procedure notes, and discharge summaries
Performs bedside procedures as are appropriate to the patient population
Practices evidenced-based medicine while maximizing available resources
Discusses patient data with other physicians and professionals as appropriate in a multidisciplinary setting
Demonstrates expert clinical judgment and skills
Additional duties and responsibilities as required by the department/division
Non-Clinical Duties and Responsibilities (% FTE):
Management Responsibilities:
Partners with APP Director to evaluate, modify, and implement Inpatient Oncology APP practice models aligned with departmental strategy
Maintains organization, collegiality, and professionalism among the staff APPs
In conjunction with APP Director, teaches, assists, and councils the staff APPs to ensure overall compliance with hospital, state, and federal regulations
In partnership with the APP Director, screens, interviews and hires new staff applicants as needed
Completes periodic performance evaluations of the staff APPs in conjunction with Supervising MD and APP Director, including 90 day review upon hire, FPPE/OPPE per the Joint Commission standards and annual merit reviews
Oversees APP II, APP III, Lead APP project work
Participates in departmental projects as requested including but not limited to quality and safety, education, clinical operations, and process improvement
Staffing:
Works with the APP Director to maintain appropriate staffing of APPs within the service by assessing needs and delegating coverage with department leadership
Works with the APP Director to organize and manage components of the hiring process, with input from the Clinical Director
Ensures all components of credentialing and CME for staff APPs are up to date
Works with APP Director to develop and implement orientation procedures and training of APPs
Prepares annual salary review and documentation for each APP's merit raise determination in conjunction with supervising MD and department leadership
Works with the department to ensure annual HealthStream training completion of all staff APPs
Scheduling:
Manages/oversees schedules to ensure staffing is delegated appropriately and distributed/posted in the department/division
Manages daily operations, weekly assignments, sick call coverage
Assists APP Director with scheduling conflicts and organizes time off for the staff APP, including managing sick call coverage
Quality:
Assists with quality assurance initiatives to systematically improve care and advance departmental/hospital goals
Review safety reports
Monitor dashboards for quality improvement and quality assurance measures
Attends QA meetings as requested
Education & Training:
Collaborates with BWH Hospital Medicine APP Fellowship and APP Services to oversee student program including onboarding, orientation, scheduling, and evaluations
Provides mentorship and preceptorship to APP students selected from accredited APP programs
Oversees APP shadowing program
Continuing Education, Research and Quality Assurance:
Oversees continuing medical education lectures and skill-based learning for the APP group
Works with APP Director to organize the orientation and training of new staff APPs, and ensures performance and competency goals are met in collaboration with the APP Director and Clinical Director
Completes 100 hours of continuing medical education required during each two-year period of employment, attends internal and external education meetings, reads professional journals, and seeks out opportunities to maintain and enhance skills and clinical competence
Ensures staff APPs complete their 100 hours of CME and achieve their individual continuing medical education requirements
Billing & Compliance:
In conjunction with APP Director works with Billing Compliance and department leadership to ensure the APPs and Supervising MDs are educated and following proper billing compliance rules and methodology
Administrative Responsibilities:
Attends all staff meetings
Creates and implements departmental policies regarding APP practice in conjunction with the APP Director, CLinical Director, and department leadership
Acts as liaison between the clinical and administrative staff
Professional Development:
Maintains and updates clinical knowledge and skills based on current Medical Oncology APP practice
In collaboration with APP Director, completes self-assessments/guided coaching to identify own developmental level of practice and appropriate learning experience to enhance development.
Expands demonstrated leadership abilities, administrative, and management skills as appropriate.
Attend and engage in Advanced Practice Oncology Leadership meetings and APP Management meetings and initiatives
Liaises with APP Services and attends APP Leadership meetings
Education
Master's Degree Physician Assistant required
Can this role accept experience in lieu of a degree?
No
Licenses and Credentials
Physician Assistant [State License] - Generic - HR Only required
Experience
Experience as a licensed Physician Assistant 5-7 years required
Knowledge, Skills and Abilities
- Strong clinical knowledge as a Physician Assistant.
- Strong managerial presence and ability to provide & direct feedback and guidance to staff.
- Strong interpersonal communication skills.
- Ability to function effectively in a fast-paced environment.
- Results-oriented and exhibits a strong attention to detail.
Additional Job Details (if applicable)
Remote Type
Onsite
Work Location
75 Francis Street
Scheduled Weekly Hours
40
Employee Type
Regular
Work Shift
Day (United States of America)
Pay Range
$127,691.20 - $186,544.80/Annual
Grade
8
At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package.
EEO Statement:
2200 The Brigham and Women's Hospital, Inc. is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran's Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at **************.
Mass General Brigham Competency Framework
At Mass General Brigham, our competency framework defines what effective leadership “looks like” by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.
$127.7k-186.5k yearly Auto-Apply 24d ago
Manager Cardiopulmonary Rehab
Ohiohealth 4.3
Columbus, OH jobs
**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:**
The Manager of Cardiovascular Services is responsible for achieving the goals for his or her designated functions in a cost-effective manner while maintaining a focus on quality and patient experience. Ensures sound fiscal management of business areas and participates in strategic planning and business plan development. Responsible for daily operations of each department. This position is responsible for Cardiac, Pulmonary and Peripheral Arterial Disease (PAD SET) Rehabilitation at designated central Ohio locations. This position serves as a liaison with OhioHealth hospitals and outpatient centers for seamless care across the continuum for safety and clinical services.
Ensures program/services structure and operations meet accreditation and regulatory requirements (e.g., Joint Commission, American Association of Cardiovascular and Pulmonary Rehabilitation (AACVPR)).
**Responsibilities And Duties:**
1. 40%
Operations. Responsible for all aspects of operations, personnel, and clinical performance of Cardiovascular Disease Prevention and Lipids Clinic, Behavioral Health, Cardiac and Pulmonary Rehabilitation program, and CORE Community Outreach, Research and Education n . Ensures effective and efficient utilization of professional staff: Provides leadership, guidance in daily operations of all staff and consultants reporting to this position; assigns responsibility and delegates authority. Utilizes process improvement methodology to refine operations. Prepares, administers and controls service line operating and capital budgets for designated cost centers. Manages fiscal resources to achieve budgetary goals. Works in a collaborative manner with the Medical Director for Cardiac Rehab in Central Ohio, the Medical Director for Pulmonary Rehab, the Medical director of the McConnell Heart Health Center, McConnell physicians and OhioHealth Physicians Group, for decision making and development of programs. Works collaboratively with OhioHealth entities e. g. , central Ohio hospitals, Westerville Medical Center r to transition care safely and effectively for superior clinical outcomes. Accountable for efficient, high quality services of McConnell programs at all locations where they are offered e. g. , Doctors, Dublin, Grady, Westerville e . 2.
30%
Associate management and development. Directs, motivates, and enables professional staff practices in all areas of responsibility, assuring consistently safe and high quality care, exemplary service, and fiscal effectiveness. Responsible for hiring, training and orientation of staff, coaching and performance management. Promotes teamwork through ensuring clarity of roles, focus on key and aligned operational goals, and multidisciplinary communication and problem solving. Fosters quality of Worklife through open communication and establishing positive relationships with associates, enforcing policies and procedures in a fair and equitable manner, ensuring a safe and clean working environment, providing training and otherwise developing associates according to their unique talents and skills, and other means as appropriate. Maintains familiarity with and follows Human Resources H r policies and procedures and consults with HR representatives as necessary. 2.
15%
: Strategic Planning & Development: Works with Director of Clinical Services, Business Development, OhioHealth Physicians Group, RMH leadership, and others to inform strategic planning related to designated functions. Identifies growth opportunities related to development of new clinical services and expansion of current services. Responsible for development and ongoing management of program infrastructure, processes, and relationships, to positively affect delivery of quality patient care and customer service. 3. 5%
: Enhancement of Clinical Practice. Works with McConnell Medical Director, McConnell physicians, mid-level providers, and other clinical professionals e. g. , pharmacist s to promote consistent, high quality clinical practice, leveraging national guidelines, up to date and rigorous clinical research findings, and McConnell-based clinical research and outcomes reporting. Fosters multidisciplinary collaboration among caregivers. Ensures integrity of data collection procedures for clinical outcomes reporting. 4.
10%
: Accreditation and Compliance: Assures compliance with relevant regulations and standards of care and quality for the McConnell Center and satellite operations JCAHO, OSHA, American Association of Cardiovascular and Pulmonary Rehabilitation, Ohio Department of Health, Centers for Medicare and Medicaid Services, et c . Participates in the McConnell Patient Safety Council and is a liaison to OhioHealth Ambulatory, JCAHO and Patient Safety Committees. Ensures implementation of approved standards, policies and procedures. Maintains accreditation requirements e. g. , Cardiac Rehabilitation, Pulmonary Rehabilitation n and appropriate licensure of staff in department.
**Minimum Qualifications:**
Bachelor's Degree (Required)
**Additional Job Description:**
Field of Study: Nursing Field of Study: related field. Years of Experience: 3
**Work Shift:**
Day
**Scheduled Weekly Hours :**
40
**Department**
RMH Mcconnell Heart Health Ctr
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
$55k-72k yearly est. 29d ago
Manager, Coding
Ohiohealth 4.3
Homeworth, OH jobs
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 is responsible for managing all coding personnel, education and operations, department metrics, data abstracting, and related billing processes for inpatient and outpatient encounters to meet financial goals for the OhioHealth enterprise. Vendor management is a key function, ability to engage, hold accountable and partner with external resources to drive success. Responsible for coordination of data collection efforts with other primary users in clinical and non-clinical roles as necessary regarding Claims Processing, Quality Metrics and Data Integrity. Serves as subject matter expert and as an internal Revenue Cycle consultant for OhioHealth initiatives.
This position is responsible for the development of coding guidelines in accordance with the most recent published regulations from CMS, AHIMA, and Official Coding Guidelines. Accountable for collaboration with any new payment methodology impacting any area of the department and/or reimbursement. The Manager of Coding encompasses participation in implementation of new or upgraded coding software and hardware systems. Manager is also charged with the development and monitoring of standards of performance, including revisions as new technologies become available and potentially affect production.
MINIMUM QUALIFICATIONS
Equivalent Experience and Relevant Coding Certification by AHIMA or AAPC (must).
Minimum 7 years coding experience, at least 3 years in a large acute care network with multiple specialties.
Minimum 1-year progressive leadership experience.
PREFERRED QUALIFICATIONS
Bachelor's Degree - Field of Study: Health Information or related.
RHIA - Registered Health Information Administrator or RHIT - Registered Health Information Technician.
Minimum 3 years of hands-on coding experience.
Minimum 1 year leadership experience.
Responsibilities And Duties:
30%
Manage department operations aligning daily function with desired outcomes to meet KPIs.
Major goals include workflow efficiency, production to meet coding turnaround time targets, coding accuracy and education, processes, and system integration, DNFB and Pre-AR targets.
20%
Works with departments to ensure processes are in place to collaborate on initiatives and/or address issues.
Support plans requiring intervention as indicated through identified industry trends, changes, payer behavior or any relevant OhioHealth goal.
Serves as an internal consultant with new initiatives, reviews and provides recommendations.
15%
Coordinates billing/coding activities with Revenue Cycle representatives Patient Accounts, Patient Access and participates with problem-solving.
10%
Develops Coding Supervisors through delegation and direct operational support.
8%
Manages staffing scheduling within budget for coding operations.
Conducts staff evaluations and disciplinary actions as necessary at all campus locations.
Hires and/or fires any direct reporting positions.
7%
Works with Medical Record Services management team on department and enterprise-wide processes and operations as related to coding, abstracting, billing, and documentation.
Implements and/or updates new IS systems.
5%
Maintains current information on governmental regulation changes, especially ICD-10, CPT-4 and HCPCS coding, and APC and DRG updates affecting coding, staffing, and health system reimbursement.
5%
Administers physical, procedural, and technical safeguards for protection, control, and monitoring of information assets, including access management, staff education, responses to breaches, business continuity planning, auditing, and information security risk management.
Minimum Qualifications:
High School or GED (Required) CCS - Certified Coding Specialist - American Health Information Management Association, RHIS - Routine Health Information Systems - State of Ohio, RHIT - Registered Health Information Technician - American Health Information Management Association
Additional Job Description:
SPECIALIZED KNOWLEDGE
Experience with large multi-facility coding operations and vendor management. Certification in coding by AHIMA or AAPC.
Evidence of successful KPI management and driver.
Strong background in ICD-10 and CPT classifications and corresponding reimbursement methodologies.
Technical skills a plus.
Work Shift:
Day
Scheduled Weekly Hours :
40
Department
Hospital Coding
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
Remote Work Disclaimer:
Positions marked as remote are only eligible for work from Ohio.
$54k-72k yearly est. Auto-Apply 24d ago
FP&A Manager
Whoop 4.0
Boston, MA jobs
At WHOOP, we're on a mission to unlock human performance and healthspan. WHOOP empowers members to perform at a higher level through a deeper understanding of their bodies and daily lives. WHOOP is seeking a Manager of Financial Planning & Analysis (FP&A) to lead key financial initiatives that drive insights and decision-making across Supply Chain, Manufacturing, and Hardware operations. As a strategic thought partner to senior leaders, you will be responsible for advancing WHOOP's forecasting processes, financial models, and reporting infrastructure. This high-impact role will elevate operational efficiency and enable better resource allocation through deep financial analysis and cross-functional collaboration.
* This role is based in the WHOOP office located in Boston, MA. The successful candidate must be prepared to relocate if necessary to work out of the Boston, MA office.*
RESPONSIBILITIES:
* Lead financial planning and analysis for WHOOP's Supply Chain, Operations, Manufacturing, and Hardware teams; become a subject matter expert and trusted advisor to leadership
* Own key financial inputs for WHOOP's gross margins, and lead cross-functional initiatives aimed at identifying and implementing efficiencies to optimize margin performance
* Manage financial modeling efforts related to inventory and production planning; support the S&OP process by partnering cross-functionally to improve operational efficiency and ensuring business alignment
* Partner with cross-functional teams to deepen the organization's understanding of key performance indicators (KPIs), financial levers, and cost drivers
* Collaborate across Finance (Accounting, Strategic Finance, Analytics) to align metrics and streamline reporting processes
* Develop and deliver monthly, quarterly, and annual reporting packages for executive leadership, the Board of Directors, and investors
QUALIFICATIONS:
* Bachelor's Degree in Finance, Business, Economics, or Supply Chain; MBA or advanced degree is a plus
* 5+ years of progressive experience in FP&A, inventory/demand planning, investment banking, venture capital, private equity, or; startup experience strongly preferred
* Proven track record in developing and managing complex financial models and leading cross-functional supply planning initiatives
* Expert-level proficiency in Microsoft Excel
* Working knowledge of SQL and/or other analytical languages or tools (e.g., Pigment, Python, or Tableau) is strongly preferred
* Exceptional analytical and strategic thinking skills, with a strong ability to translate data into actionable insights
* Confident and clear communicator with the ability to influence stakeholders at all levels through data-driven narratives
* Highly organized, detail-oriented, and comfortable navigating ambiguity in a fast-paced environment
* Strong commitment to embracing and leveraging AI tools in day-to-day tasks, ensuring AI-assisted work aligns with the same high-quality standards as personal contributions
The WHOOP compensation philosophy is designed to attract, motivate, and retain exceptional talent by offering competitive base salaries, meaningful equity, and consistent pay practices that reflect our mission and core values.
At WHOOP, we view total compensation as the combination of base salary, equity, and benefits, with equity serving as a key differentiator that aligns our employees with the long-term success of the company and allows every member of our corporate team to own part of WHOOP and share in the company's long-term growth and success.
The U.S. base salary range for this full-time position is $145,000 - $180,000. Salary ranges are determined by role, level, and location. Within each range, individual pay is based on factors such as job-related skills, experience, performance, and relevant education or training.
In addition to the base salary, the successful candidate will also receive benefits and a generous equity package.
These ranges may be modified in the future to reflect evolving market conditions and organizational needs. While most offers will typically fall toward the starting point of the range, total compensation will depend on the candidate's specific qualifications, expertise, and alignment with the role's requirements.
$145k-180k yearly 60d+ ago
FP&A Manager
Whoop 4.0
Boston, MA jobs
At WHOOP, we're on a mission to unlock human performance and healthspan. WHOOP empowers members to perform at a higher level through a deeper understanding of their bodies and daily lives. WHOOP is seeking a Manager of Financial Planning & Analysis (FP&A) to lead key financial initiatives that drive insights and decision-making across Supply Chain, Manufacturing, and Hardware operations. As a strategic thought partner to senior leaders, you will be responsible for advancing WHOOP's forecasting processes, financial models, and reporting infrastructure. This high-impact role will elevate operational efficiency and enable better resource allocation through deep financial analysis and cross-functional collaboration.
*This role is based in the WHOOP office located in Boston, MA. The successful candidate must be prepared to relocate if necessary to work out of the Boston, MA office.*
RESPONSIBILITIES:
Lead financial planning and analysis for WHOOP's Supply Chain, Operations, Manufacturing, and Hardware teams; become a subject matter expert and trusted advisor to leadership
Own key financial inputs for WHOOP's gross margins, and lead cross-functional initiatives aimed at identifying and implementing efficiencies to optimize margin performance
Manage financial modeling efforts related to inventory and production planning; support the S&OP process by partnering cross-functionally to improve operational efficiency and ensuring business alignment
Partner with cross-functional teams to deepen the organization's understanding of key performance indicators (KPIs), financial levers, and cost drivers
Collaborate across Finance (Accounting, Strategic Finance, Analytics) to align metrics and streamline reporting processes
Develop and deliver monthly, quarterly, and annual reporting packages for executive leadership, the Board of Directors, and investors
QUALIFICATIONS:
Bachelor's Degree in Finance, Business, Economics, or Supply Chain; MBA or advanced degree is a plus
5+ years of progressive experience in FP&A, inventory/demand planning, investment banking, venture capital, private equity, or; startup experience strongly preferred
Proven track record in developing and managing complex financial models and leading cross-functional supply planning initiatives
Expert-level proficiency in Microsoft Excel
Working knowledge of SQL and/or other analytical languages or tools (e.g., Pigment, Python, or Tableau) is strongly preferred
Exceptional analytical and strategic thinking skills, with a strong ability to translate data into actionable insights
Confident and clear communicator with the ability to influence stakeholders at all levels through data-driven narratives
Highly organized, detail-oriented, and comfortable navigating ambiguity in a fast-paced environment
Strong commitment to embracing and leveraging AI tools in day-to-day tasks, ensuring AI-assisted work aligns with the same high-quality standards as personal contributions
The WHOOP compensation philosophy is designed to attract, motivate, and retain exceptional talent by offering competitive base salaries, meaningful equity, and consistent pay practices that reflect our mission and core values.
At WHOOP, we view total compensation as the combination of base salary, equity, and benefits, with equity serving as a key differentiator that aligns our employees with the long-term success of the company and allows every member of our corporate team to own part of WHOOP and share in the company's long-term growth and success.
The U.S. base salary range for this full-time position is $145,000 - $180,000. Salary ranges are determined by role, level, and location. Within each range, individual pay is based on factors such as job-related skills, experience, performance, and relevant education or training.
In addition to the base salary, the successful candidate will also receive benefits and a generous equity package.
These ranges may be modified in the future to reflect evolving market conditions and organizational needs. While most offers will typically fall toward the starting point of the range, total compensation will depend on the candidate's specific qualifications, expertise, and alignment with the role's requirements.
$145k-180k yearly Auto-Apply 60d+ ago
FP&A Manager
Whoop 4.0
Boston, MA jobs
Job DescriptionAt WHOOP, we're on a mission to unlock human performance and healthspan. WHOOP empowers members to perform at a higher level through a deeper understanding of their bodies and daily lives. WHOOP is seeking a Manager of Financial Planning & Analysis (FP&A) to lead key financial initiatives that drive insights and decision-making across Supply Chain, Manufacturing, and Hardware operations. As a strategic thought partner to senior leaders, you will be responsible for advancing WHOOP's forecasting processes, financial models, and reporting infrastructure. This high-impact role will elevate operational efficiency and enable better resource allocation through deep financial analysis and cross-functional collaboration.
*This role is based in the WHOOP office located in Boston, MA. The successful candidate must be prepared to relocate if necessary to work out of the Boston, MA office.*
RESPONSIBILITIES:
Lead financial planning and analysis for WHOOP's Supply Chain, Operations, Manufacturing, and Hardware teams; become a subject matter expert and trusted advisor to leadership
Own key financial inputs for WHOOP's gross margins, and lead cross-functional initiatives aimed at identifying and implementing efficiencies to optimize margin performance
Manage financial modeling efforts related to inventory and production planning; support the S&OP process by partnering cross-functionally to improve operational efficiency and ensuring business alignment
Partner with cross-functional teams to deepen the organization's understanding of key performance indicators (KPIs), financial levers, and cost drivers
Collaborate across Finance (Accounting, Strategic Finance, Analytics) to align metrics and streamline reporting processes
Develop and deliver monthly, quarterly, and annual reporting packages for executive leadership, the Board of Directors, and investors
QUALIFICATIONS:
Bachelor's Degree in Finance, Business, Economics, or Supply Chain; MBA or advanced degree is a plus
5+ years of progressive experience in FP&A, inventory/demand planning, investment banking, venture capital, private equity, or; startup experience strongly preferred
Proven track record in developing and managing complex financial models and leading cross-functional supply planning initiatives
Expert-level proficiency in Microsoft Excel
Working knowledge of SQL and/or other analytical languages or tools (e.g., Pigment, Python, or Tableau) is strongly preferred
Exceptional analytical and strategic thinking skills, with a strong ability to translate data into actionable insights
Confident and clear communicator with the ability to influence stakeholders at all levels through data-driven narratives
Highly organized, detail-oriented, and comfortable navigating ambiguity in a fast-paced environment
Strong commitment to embracing and leveraging AI tools in day-to-day tasks, ensuring AI-assisted work aligns with the same high-quality standards as personal contributions
The WHOOP compensation philosophy is designed to attract, motivate, and retain exceptional talent by offering competitive base salaries, meaningful equity, and consistent pay practices that reflect our mission and core values.
At WHOOP, we view total compensation as the combination of base salary, equity, and benefits, with equity serving as a key differentiator that aligns our employees with the long-term success of the company and allows every member of our corporate team to own part of WHOOP and share in the company's long-term growth and success.
The U.S. base salary range for this full-time position is $145,000 - $180,000. Salary ranges are determined by role, level, and location. Within each range, individual pay is based on factors such as job-related skills, experience, performance, and relevant education or training.
In addition to the base salary, the successful candidate will also receive benefits and a generous equity package.
These ranges may be modified in the future to reflect evolving market conditions and organizational needs. While most offers will typically fall toward the starting point of the range, total compensation will depend on the candidate's specific qualifications, expertise, and alignment with the role's requirements.
$145k-180k yearly 23d ago
Manager SIU (must live in Ohio)
Caresource Management Services 4.9
Ohio jobs
The Manager, Program Integrity is responsible for managing Program Integrity requirements to include allegation intake, report analysis, triage, investigation, correction and reporting of fraud, waste and abuse
Essential Functions:
Responsible for deposition, testifying in court in support of CareSource and Attorney General legal actions
Manage all efforts of your investigative team focusing on thorough but timely investigations, highest impact prioritization, root cause identification, state and federal law enforcement collaboration, evidence development and investigative actions
Drive and encourage innovative approaches to increase department effectiveness and efficiency
Ensure quantitative and qualitative measures are used to meet performance objectives
Develops and maintains key business contacts for investigative and SIU management purposes
Ensure employees meet all state and federal contract requirements and follow department work processes
Lead the Investigative team through investigative resolution including corrective action plans, terminations, Fair Hearings, recoveries, negotiations, mediation, and litigation
Mentor employees on effective and through investigative case presentation
Mentor direct reports including, coaching, development, performance feedback, disciplinary issues, annual performance evaluations and bonus review
Lead and promote Employee Engagement
Drive fraud identification through information sharing efforts, OIG Work Plan, Fraud Task Force participation and seminars
Drive internal process and procedure changes by working with cross departmental teams to resolve identified internal system gaps that may present a FWA or financial risk to CareSource
Take a leadership role in state and federal regulatory audits
Proactively manage investigative team growth to meet new business requirements
Take a leadership role in state and federal program integrity operations and fraud organizations such as NHCAA, HFPP, and ACFE
Speak at national conferences on investigative efforts and fraud trends.
Develop and maintain an in-depth knowledge of the company's business and regulatory environments
Works closely with leadership to establish, communicate, and perpetuate the corporate vision, ensuring appropriate communication to all stakeholders
Recognize and proactively manage operational dependencies and risks
Maintains a framework of standards and best practice methodologies that are repeatable and evidence based
Participate in strategic planning and implement action plans
Perform any other jobs, as requested
Education and Experience:
Bachelor of Science/Arts Degree in Criminal Justice, Medical/Health Care Field or related industry or equivalent years of relevant work experience is required
Minimum of six to eight (6-8) years of investigative or health care experience is required
Extensive experience in health care, legal, auditing, claims and/or investigative services is required
Leadership/supervisory experience preferred
Competencies, Knowledge and Skills:
Demonstrated leadership qualities
Support the development of effective working relationships with business partners
Solid understanding of claims processing preferred
Knows and uphold the provisions of the Corporate Compliance Plan
Intermediate to advanced proficiency level of computer skills, including Microsoft Outlook, Word, Excel, Access, and Power Point
Advanced troubleshooting and problem-solving capabilities
Effective communication and interaction skills
Ability to formally present to a wide audience internally and at national conferences
Ability to lead a team and achieve performance metrics
Highest levels of ethics, integrity and professionalism
Significant knowledge of government program compliance requirements - Medicare, Medicaid, Affordable Care Act (ACA), etc. preferred
Significant knowledge of medical insurance and/or state regulatory requirements
Licensure and Certification:
Certified Fraud Examiner (CFE), Certifications through America's Health Insurance Plans (AHIP), Healthcare Anti-Fraud Association (HCAFA) and/or Managed Healthcare Professional (MHP), Accredited Health Care Fraud Investigator (AHFI), and/or Certified Professional Coder (CPC) are preferred
Working Conditions:
General office environment; may be required to sit or stand for extended periods of time
Compensation Range:
$83,000.00 - $132,800.00
CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee's total well-being and offer a substantial and comprehensive total rewards package.
Compensation Type (hourly/salary):
Salary
Organization Level Competencies
Fostering a Collaborative Workplace Culture
Cultivate Partnerships
Develop Self and Others
Drive Execution
Influence Others
Pursue Personal Excellence
Understand the Business
This is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.#LI-SD1
$83k-132.8k yearly Auto-Apply 9d ago
Individual Giving Manager
Hildebrand 3.7
Cambridge, MA jobs
The Individual Giving Manager will join one of the largest providers of services for families experiencing homelessness in the Metro Boston Area. Founded in 1988, Hildebrand's mission is to transition families out of homelessness to safe, affordable, permanent housing while working to disrupt the systems that lead to poverty and homelessness. Hildebrand operates 157 units of emergency shelter and owns 27 units of affordable throughout Boston and Cambridge. Hildebrand delivers an array of services that include case management, housing search, and stabilization services to ensure families remain stably housed. Hildebrand is a rapidly growing organization with a staff of approximately 60 employees.
Position Overview:
Hildebrand seeks a donor-focused, results oriented and data-driven Manager of Individual Giving to lead its comprehensive fundraising campaign focused on individual donors giving under $10,000 annually. The Manager of Individual of Giving will develop and manage a portfolio of donors and prospects, and multi-channel and multi-media solicitation campaigns. This manager will be responsible for stewardship efforts and donor outreach, and collaborate with the CEO and Manager of Institutional Giving to create meaningful donor engagement experiences. Additionally, this Manager will use Hildebrand's donor-platform to track, analyze, and cultivate donor relationships.
What You Will Do:
Appeals & Individual Fundraising
Grow and manage a portfolio of individuals donors who contribute gifts under $10,000 annually;
Execute annual giving appeals (via electronic and print strategies such as social media campaigns, emails, newsletters, and face-to-face pitches, etc.) with a goal of acquiring new donors, retaining existing donors;
Manage a production schedule of direct and digital marketing activities for fundraising campaigns;
Write compelling fundraising content and oversee campaign execution with support from CEO, Program and Operations teams;
Work with the CEO and Director of Institutional Giving to strategize and deploy strategy to meet Hildebrand's fundraising goals;
Work closely with the CEO to draft and implement the segmentation plan to reach Appeal, include Appeal projections compared to budget and previous year's performance;
Determine ask string formulas and upgrade strategies for appeals;
Work with the CEO and Manager of Institutional Giving to plan fundraising events, including event logistics, theme, etc.;
Extend invitations to individual donors and prospects;
Solicit individual donations before, during, and after event;
Represent Hildebrand at external events in the community; and
Coordinate with Finance and Operations teams to execute fundraising initiatives.
Donor Cultivation and Stewardship
Conduct personal outreach, with an emphasis on face-to-face meetings, to all prospects, new and existing donors to welcome and thank them for their gifts;
Collaborate with Manager of Institutional Giving to coordinate staff and volunteer personalized outreach by staff and volunteers to lapsed donors to make the case for renewed support;
Lead in outreach during key periods of the annual giving cycle;
Develop and implement appeal for new recurring donors; and
Collaborate with the CEO to develop Hildebrand's Planned Giving Program.
Reporting & Data Management
Utilize Hildebrand's Donor platform to manage all aspects of its giving Appeals, including but not limited to segmentation, appeal tracking, and solicitation amounts for its various appeals;
Create and run weekly campaign reports for all Appeals, covering social media, email, direct mail, and any other source of appeal revenue with a goal toward optimizing results; and
Annually, analyze overall performance for each Appeal and audience group reviewing key performance metrics, including response rate, average gift, cost of fundraising, return on investment and lifetime value, provide goals and results to Hildebrand's executive team.
What You Will Need:
Education
Bachelor's Degree from a duly accredited U.S. educational institution.
Experience
At least 3 years of experience in successfully executing non-profit giving programs or fundraising campaigns;
Skills & Competencies
Proven track record of engaging acquiring and retaining donors with an emphasis on listening to donors, issue-spotting challenges and developing solutions;
Commitment to Hildebrand's mission;
Familiarity with the National and Greater New England philanthropic landscape;
Excellent attention to detail;
Strong oral and written communication skills;
Strong in-person presentation skills;
Excellent project management skills with an emphasis on the ability to lead collaborate and build consensus among different teams;
Must be proficient in Donor platforms such as Donor Perfect, Raiser's Edge, Salesforce, etc., and MS Excel and Google Sheets;
Must be proficient in MS Office Suite and Google Workspace;
Ability to handle confidential donor information with discretion, integrity and sensitivity; and
Ability to commute via public transportation or otherwise travel to various locations (e.g., Hildebrand's sites, events, etc.).
$93k-129k yearly est. Auto-Apply 60d+ ago
Work Week Manager
MCSA 4.2
Piketon, OH jobs
Job DescriptionSalary:
Under minimal supervision responsible for ensuring efficient coordination of work and utilization of maintenance resources between planning, maintenance supervisors, operations, and warehouse personnel for the DUF6 Project in accordance with all applicable codes, rules, regulations, laws, and organizational procedures. The specific work assignment may include duties or activities to support the organization in one or more of the following functional areas, in addition to other duties as assigned:
Functional:
Oversees day-to-day scheduled and emergent maintenance activities to ensure they are coordinated to optimize maintenance utility and minimize maintenance supervisors time spent on work preparation
Directs the planning, organizing, and scheduling of the daily performance of contract requirements for the maintenance subcontractor activities
Manages the tracking, advising, and communicating of weekly performance, accomplishments, milestones, and essential information to appropriate management/clients on scheduled/recurring basis
Guides the prerequisites to performing work as scheduled are planning for in advance, including parts/material, lockout/tagout (LOTO), support groups, etc.
Facilitates to ensure maintenance functions are safely coordinated so that maximum availability and throughput are achieved
Oversees the monitoring of plant performance through review of plant metrics, and makes recommendations for enhancement of plant performance
Leads schedule review meetings and participates in plant meetings to communicate maintenance coordination needs, and helps resolve work delays
Interfaces closely with Operations Manager to ensure coordination of maintenance and operations activities
Directs work coordination for activities that remain within the two-week window
Manages the tracking and monitoring of activities in the current work week, and acts promptly to address work delays
Conducts routine work week reviews and publishes final report
Minimum Requirements:
Bachelors Degree in Business Management or Engineering or equivalent
10+ years of related experience, or an equivalent combination of education and experience is required
4+ years of nuclear experience
$68k-105k yearly est. 6d ago
Milieu Manager
Newvista Behavioral Health 4.3
Canton, OH jobs
Job Address:
1223 Market Avenue North Canton, OH 44714
Sunrise Vista Health and Wellness, an affiliate of CommuniCare Health Services, is a behavioral health hospital offering treatment programs that have been developed to have a profoundly positive impact on the broad range of unique behavioral needs of our adult and aging population.
Sunrise Vista is currently seeking an experienced healthcare professional to work in our therapeutic hospital setting as Milieu Manager.
Estimated Pay Range: $60k-70k/annually
PURPOSE/BELIEF STATEMENT:
The position of Milieu Manager is Responsible for supporting the therapeutic milieu under the direction of the RN and LPN, as well as Administration and Leadership, by ensuring that the schedule/program is consistently delivered, patients are supervised, that safety is maintained, and patients and guests are treated with respect and dignity. This role enhances all the responsibilities of the Mental Health Technician and serves as a charge MHT.
JOB DUTIES & RESPONSIBILITIES
Acting in full capacity of MHT and fulfilling the primary and immediate daily needs of the patient unit.
Perform morning MHT group.
Will support and help ensure patients attend all other therapeutic groups throughout the schedule and be present if needed.
Assist in connecting patients to the Patient advocate as needed.
Cover lunch and breaks for staff performing 15 minute rounding.
Ensure patient safety through verify and/or completing Patient ID Wristbands, as well as photos.
Facilitate Patient visitation, virtual or otherwise.
May involve light administrative support such as printing, and filing.
Will help to mentor and on-board new staff members, by participating in and supporting orientation.
Will serve as the chair/co-chair of the employee engagement committee and work to bring all committee plans together.
QUALIFICATIONS & EXPERIENCE REQUIREMENTS
Must be at least 21 years of age.
High school Diploma or degree from an accredited college or university in social work, recreational therapy, or appropriate therapeutic field preferred.
Must hold current STNA License, or obtain with-in 90-days of hire in the position.
Combination of education and relevant work experience may be required.
Previous experience in a psychiatric health care facility, with direct experience working with chemical dependency, dual diagnosis, psychiatric and geriatric patients is required.
Valid driver's license and a favorable Motor Vehicle Report (MVR), along with proof of insurance when using personal or hospital owned vehicle.
CPR certification and Crisis Prevention Training (CPI) within 30 days of employment and prior to any patient contact.
Completion of additional age specific training within 30 days of employment as required.
May be required to work flexible hours and overtime.
Benefits
As a Sunrise Vista employee you will enjoy competitive wages and PTO plans. We offer full time employees a menu of benefit options from life and disability plans to medical, dental, and vision coverage from quality benefit carriers. We also offer 401(k) with employer match and Flexible Spending Accounts.