Title: Senior Medicare Coverage Analyst

Location: Lexington United States

Job Description:

Job Summary

Shape the Future of Clinical Research Administration at the University of Kentucky

Wildcat Wisdom, Kentucky Innovation - Supporting Discoveries, Transforming Outcomes!

Why Join Us?

The University of Kentucky's Clinical Research Support Office (CRSO) is seeking a dedicated and skilled Medicare Coverage Analyst Sr (Clinical Trials Coverage Analyst Sr). This vital role supports and enables groundbreaking clinical research across the University.

About the Role:

This position is eligible to be fully remote.

This position performs detailed reviews of complex study protocols, budgets, informed consent forms, contracts, FDA documents, and other relevant study documents to determine qualifying status according to Medicare Clinical Trial Policy, and conducts a comprehensive coverage analysis for all applicable study protocols across the enterprise. It determines what items of service are billable after reviewing Medicare Benefits Policy, relevant National Coverage Decisions (NCDs), Local Coverage Decisions (LCDs), Code of Federal Regulations, state law, professional practice guidelines, and, when necessary, consulting with the Medicare Administrative Contractor (MAC) for the region. This role is responsible for developing and delivering professional coverage analysis and financial calendars where the coverage analysis is not applicable, according to national patient care services billing standards. The position will provide guidance to study teams about proper coding and billing for procedures in the Epic system within the context of clinical research and based on the state and national standards. The role is responsible for following the UK established policies for patient care services, including documentation in the medical record and documenting coverage analysis justifications.

Under the direct supervision of the Director of Clinical Research Administration and Billing Integrity, the Research Coverage Analyst helps develop and refine processes to integrate the coverage analysis workflow with UKHC and UK related processes and teams. The role performs its work collaboratively with investigators, study teams, clinical research coordinators, and other research staff while serving as a resource on coverage analysis as an integral component to maintaining proper billing integrity and compliant standards. This role will also cross-train on clinical trial budget development and charge review process.

The University of Kentucky uses equivalencies in determining if a potential applicant meets the minimum education and experience. Related experience can be substituted for education. Click here for more information about equivalencies: http://www.uky.edu/hr/employment/working-uk/equivalencies

Why Clinical Research Professionals Choose University of Kentucky

• Top 10% of Academic Medical Centers Nationwide: Recognized as a leader in research excellence and innovation.
• Forbes' Best Large Employers: Ranked among the Top 100 Employers Nationwide in 2024 and named one of Kentucky's Best Employers on Forbes' America's Best-In-State Employers list.
• 1 of 34 Universities Nationwide: Holds the prestigious trifecta of research designations in cancer, aging, and translational science.
• Flexible Remote Work Options: Enjoy the convenience of fully remote or hybrid roles while supporting groundbreaking research.
• Professional Development Opportunities: Engage in interdisciplinary collaborations, virtual conferences, and training programs to advance your career.

Want to learn more about the Department?

The Clinical Research Support Office (CRSO) provides support to investigators and study teams conducting clinical research, including clinical trials. Services provided by the CRSO include maintaining a clinical trial management system (CTMS), conducting coverage analysis, developing study budgets, negotiating payment terms with sponsors, and regulatory services. More information can be found at: https://research.uky.edu/clinical-research-support-office.

Interested in what UK Benefits have to offer?

The University of Kentucky is proud to offer a benefits package that helps us recruit and retain the very best faculty and staff. In addition to your take-home pay, your benefits package is a major component of your total compensation at UK. These benefits include our 200 percent match on eligible retirement contributions; competitive health, dental, and vision coverage; tuition benefits for classes at UK, and much more. To learn more about these benefits, please visit: https://hr.uky.edu/employment/our-benefits.

Ready to Make a Difference in Clinical Research Administration?

Are you ready to take the next step in advancing clinical research and innovation? Join us in UK's Clinical Research Support Office as the next dedicated Medicare Coverage Analyst Sr (Clinical Trials Coverage Analyst Sr) and play a pivotal role in supporting groundbreaking projects that shape the future.

Driving Clinical Research Excellence - Apply Today!

Skills / Knowledge / Abilities

Clinical Trial Protocol knowledge, medical coding or billing, medical terminology, attention to detail, ability to work independently, collaboration, strong competency in Microsoft Office programs, detailed understanding of the Epic billing system, proficient in OnCore MCA and Calendar consoles

Does this position have supervisory responsibilities? No Preferred Education/Experience

It is preferred that the candidate have work experience in a clinical setting that includes research coverage analysis, clinical research budgeting, clinical research management, and/or medical coding or billing. Candidates with coding knowledge in specific disease areas including oncology, cardiology, neurology, etc. are preferred.

CA certification or training in OnCore, Epic or coding is also preferred.

We value the well-being of each of our employees and are dedicated to creating a healthy place for everyone to work, learn and live. In the interest of maintaining a safe and healthy environment for our students, employees, patients and visitors, the University of Kentucky is a Tobacco & Drug Free campus.

The University follows both the federal and state Constitutions as well as all applicable federal and state laws on nondiscrimination. The University provides equal opportunities for qualified persons in all aspects of institutional operations and does not discriminate on the basis of race, color, national origin, ethnic origin, religion, creed, age, physical or mental disability, veteran status, uniformed service, political belief, sex, sexual orientation, gender identity, gender expression, pregnancy, marital status, genetic information or social or economic status.

Any candidate offered a position may be required to pass pre-employment screenings as mandated by University of Kentucky Human Resources. These screenings may include a national background check and/or drug screen.

Title: EHR Applications Analyst 3

Location: US

Job type: Remote

Job Description:

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives.

The EHR Applications Analyst 3 is responsible for delivering world-class support services across all Beth Israel Lahey Health, Inc. (BILH) entities and its affiliates. The EHR Applications Analyst 3 is responsible for identifying, evaluating, analyzing, and recommending changes in support of assigned applications/systems including ongoing production maintenance and trouble-shooting. Supports the planning, design, development, build, and/or configuration of assigned applications/systems. Leads and/or coordinates conversions, application/system testing, and documentation of system procedures. Participates and provides input in training design and development and assists in training execution in relation to assigned projects. Provides go-live support and serves as the primary point of contact for ongoing maintenance/support and troubleshooting

Job Description:

Essential Duties & Responsibilities including but not limited to: 

Competencies:

Minimum Qualifications: 

• Two (2) years of experience implementing, designing, and/or managing a variety of EHR and clinical systems using multiple software programs and network applications.
• Experience working in a clinical setting.
•  Experience working with clinical information systems or system implementation teams for complex projects and/or application development.
• Experience in full implementation software development cycle.
• Experience managing small projects with defined duration and scope.

Skills, Knowledge & Abilities:    

• Ability to multi-task- Self-starter and motivator
• Excellent problem-solving and written and oral communication skills
• Candidate will have a proven track record of producing quality deliverables on time, taking ownership and accountability of assignments, and demonstrating a strong work ethic
• Willingness to address issues and take ownership, knowing when and how to escalate issues. Ability to understand and document business processes
• Creative approach to process redesign
• Proficient in Microsoft Office suite programs; specifically Excel and PowerPoint
• Knowledge of HL7 coding standards
• Knowledge of process redesig

As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment.

More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.

Equal Opportunity Employer/Veterans/Disabled

Title: Surgical Account Manager (Southern MD)

Location: Annapolis, Maryland, United States of America

District of Columbia, United States of America

Job Description:

At Medtronic you can begin a life-long career of exploration and innovation, while helping champion healthcare access and equity for all. You’ll lead with purpose, breaking down barriers to innovation in a more connected, compassionate world.

A Day in the Life

We are seeking a committed professional to join our team. While this is a remote position not located at a physical Medtronic site, the candidate hired will be required to reside within the territory and drive to multiple accounts throughout the region. A valid driver's license is essential for this role.

Careers that Change Lives

Bring your sales talents to a leader in medical technology and healthcare solutions.  Rooted in our long history of mission-driven innovation, our medical technologies open doors. We support your growth with the training, mentorship, and guidance you need to own your future success. Join us for a career in sales that changes lives.

A Day in the Life

The Surgical Account Manager will be responsible for driving surgeon demand across the full Surgical COT portfolio, including Stapling, Energy, Suture, Electrosurgery, Situate, and Access &Instrumentation. This role focuses on developing and executing strategic sales plans, identifying practice trends, and cultivating key customer relationships to drive market growth and adoption. The ideal candidate will work closely with clinical and administrative stakeholders to expand business opportunities, execute business reviews, and contribute to regional and national conversion efforts.

Job Responsibilities:

• Serve as the main point of contact across MDT account teams, including District Managers (DM), Sales Area Directors (SAD), Sales Operations Specialists (SOS), and teams specializing in GYN and Hernia portfolios.

• Lead the creation and execution of account-level contractual strategies.

• Optimize contracts and drive category expansion across Surgical.

• Own and execute quarterly Customer Business Reviews to evaluate performance and identify growth opportunities.

• Develop and maintain strong relationships with key economic and clinical stakeholders.

• Drive adoption and utilization of all Surgical Center of Technology (COT) products, including:

• Stapling

• Energy

• Wound Closure

• Electrosurgery

• Situate

• Access & Instrumentation (A&I)

• Cultivate and strengthen relationships with field distribution partners.

• Maximize partnership programs and leverage account intelligence to increase market share.

Key Performance Metrics:

• Achieve/exceed disposable quota (strategic & core).

• Achieve/exceed hardware quota.

• Expand contract categories.

• Improve opportunity management and forecasting accuracy.

Must Have: Minimum Requirements

• Bachelor’s degree

• Minimum of 2 years of sales experience

• Field-based role that requires 50% travel within the territory

Nice to Have

• Proven track record in sales within the medical device or healthcare industry, preferably in the surgical or related fields.

• Strong understanding of clinical environments and the ability to communicate complex product information to erse stakeholders.

• Experience in building and managing key customer relationships with decision-makers in both clinical and administrative roles.

• Ability to analyze business trends and use insights to develop actionable strategies.

• Excellent organizational and time-management skills.

• Strong communication and interpersonal skills.

• Ability to work independently and collaboratively within a team environment.

• Proficiency with CRM software (e.g., SF.com) and Microsoft Office Suite.

Physical Job Requirements

The physical demands described within the Responsibilities section of this job description are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable iniduals with disabilities to perform the essential functions. 

• While performing the duties of this job, the employee is regularly required to be independently mobile.

• The employee is also required to interact with a computer and communicate with peers and co-workers via a variety of media including telephone, email, instant message and in-person

Contact your manager or local HR to understand the Work Conditions and Physical requirements that may be specific to each role. (ADA-United States of America)

#surgicalsales

Physical Job Requirements

The above statements are intended to describe the general nature and level of work being performed by employees assigned to this position, but they are not an exhaustive list of all the required responsibilities and skills of this position. 

The physical demands described within the Responsibilities section of this job description are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable iniduals with disabilities to perform the essential functions. For Office Roles: While performing the duties of this job, the employee is regularly required to be independently mobile. The employee is also required to interact with a computer, and communicate with peers and co-workers. Contact your manager or local HR to understand the Work Conditions and Physical requirements that may be specific to each role.

Benefits & Compensation

Medtronic offers a competitive Salary and flexible Benefits Package

Salary ranges for U.S (excl. PR) locations (USD):$75,000 - $75,000

The base salary range is applicable across the United States, excluding Puerto Rico and specific locations in California. The offered rate complies with federal and local regulations and may vary based on factors such as experience, certification/education, market conditions, and location. Compensation and benefits information pertains solely to candidates hired within the United States (local market compensation and benefits will apply for others).

In addition to Base Salary, this position is eligible for a Sales Incentive Plan (SIP), which provides the opportunity to earn significant incentive compensation for achieving or exceeding your goals.

The following benefits and additional compensation are available to those regular employees who work 20+ hours per week: Health, Dental and vision insurance,Health Savings Account,Healthcare Flexible Spending Account,Life insurance, Long-term disability leave,Dependent daycare spending account,Tuition assistance/reimbursement, andSimple Steps (global well-being program).

The following benefits and additional compensation are available to all regular employees:Incentive plans, 401(k) plan plus employer contribution and match,Short-term disability,Paid time off,Paid holidays,Employee Stock Purchase Plan,Employee Assistance Program,Non-qualified Retirement Plan Supplement (subject to IRS earning minimums), andCapital Accumulation Plan (available to Vice Presidents and above, or subject to IRS earning minimums).

Regular employees are those who are not temporary, such as interns.  Temporary employees are eligible for paid sick time, as required under applicable state law, and the Employee Stock Purchase Plan. Please note some of the above benefits may not apply to workers in Puerto Rico.

Further details are available at the link below:

Medtronic benefits and compensation plans

About Medtronic

We lead global healthcare technology and boldly attack the most challenging health problems facing humanity by searching out and finding solutions.

Learn more about our business, mission, and our commitment to ersity here.

It is the policy of Medtronic to provide equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status, or any other characteristic protected by federal, state or local law. In addition, Medtronic will provide reasonable accommodations for qualified iniduals with disabilities.

If you are applying to perform work for Medtronic, Inc. (“Medtronic”) in any position which will involve performing at least two (2) hours of work on average each week within the unincorporated areas of Los Angeles County, you can find here a list of all material job duties of the specific job position which Medtronic reasonably believes that criminal history may have a direct, adverse and negative relationship potentially resulting in the withdrawal of a conditional offer of employment. Medtronic will consider for employment qualified job applicants with arrest or conviction records in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.

Title: Senior Applications Scientist

Location: Remote-AZ

time type

Full time

job requisition id

R-5013

Onto Innovation is a leader in process control, combining global scale with an expanded portfolio of leading-edge technologies that include: 3D metrology spanning the chip from nanometer-scale transistors to micron-level die-interconnects; macro defect inspection of wafers and packages; metal interconnect composition; factory analytics; and lithography for advanced semiconductor packaging. Our breadth of offerings across the entire semiconductor value chain helps our customers solve their most difficult yield, device performance, quality, and reliability issues. Onto Innovation strives to optimize customers’ critical path of progress by making them smarter, faster and more efficient.

Job Summary & Responsibilities

Primary Purpose of the Role:

The purpose of this position is to support customers in the application and optimization of Onto Innovation’s Optical Critical Dimension (OCD) metrology solutions. This includes deploying OCD tools in advanced semiconductor manufacturing environments, troubleshooting process integration challenges, and driving adoption of new measurement capabilities. The role involves both on-site and remote support, including training customers to maximize the performance and value of OCD systems. The Applications Engineer/Scientist will also collaborate with account teams to provide technical insights and help expand business opportunities.

Responsibilities:

1. Deliver technical presentations and perform system demonstrations, including OCD recipe development and sample measurements.

2. Provide on-site and remote applications support for OCD tools, including process integration and metrology optimization.

3. Assist customers in solving complex process control problems using OCD techniques such as scatterometry and modeling.

4. Collaborate with the Applications Lab to design and execute customer test plans and benchmarking studies.

5. Interface with customers and internal teams to define tool specifications and measurement strategies.

6. Support final acceptance of new OCD tool installations and conduct comprehensive customer training.

7. Analyze and report results from experiments, including interpretation of OCD data and model fitting.

8. Contribute to the development of new OCD capabilities or enhancements to existing systems based on customer feedback.

9. Apply strong problem-solving skills to address metrology challenges and improve measurement accuracy and robustness.

10. Build strong relationships with customers and provide feedback to sales teams on emerging business opportunities.

11. Gather and share market intelligence to strengthen Onto Innovation’s competitive positioning in OCD metrology.

12. Travel up to 30% domestically and internationally to support cross-regional customer engagements.

Qualifications

1. Master’s or Ph.D. degree in Physics, Electrical Engineering, Materials Science, or a related field is preferred; relevant industry experience may be considered instead of a degree.

2. Ideally, 3+ years of hands-on experience with Optical Critical Dimension (OCD) metrology tools or related semiconductor process control technologies.

3. Strong written and verbal communication skills are essential for effective collaboration and customer interaction.

4. Ability to work independently with minimal supervision and proactively solve technical challenges.

5. Comfortable operating in a fast-paced, dynamic environment and collaborating across cross-functional teams.

Onto Innovation Inc. offers competitive salaries and a generous benefits package, including health/dental/vision/life/disability, PTO, 401K plan with employer match, and an Employee Stock Purchase Program (ESPP) along with health & wellness initiatives. We provide a collaborative working environment along with resources, and state-of-the-art tools & equipment to promote success; and a welcoming, inclusive corporate culture where iniduals are recognized for their contributions.

Onto Innovation Inc. is an Equal Opportunity Employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, genetic information, age, disability, veteran status, or any other legally protected basis.

For positions requiring access to technical data, Onto Innovation Inc., Inc. may have to obtain export licensing approval from the U.S. Department of Commerce - Bureau of Industry and Security and/or the U.S. Department of State - Directorate of Defense Trade Controls. As such, applicants for this position – except US Citizens, US Permanent Residents, and protected iniduals as defined by 8 U.S.C. 1324b(a)(3) – may have to go through an export licensing review process.

Title: Employee Training Specialist - Hybrid

Location:

Remote

time type

Full time

Job Description:

Welcome! We’re excited you’re considering an opportunity with us! To apply to this position and be considered, click the Apply button located above this message and complete the application in full.  Below, you’ll find other important information about this position. 

This position will be responsible for development, design of training programs, special projects, quality assurance, and compliance training. Administer proficiency tests. Involvement with testing and installation of system upgrades. This position will be responsible for conducting training classes, course development with appropriate materials, and coordination and planning of new and refresher training courses.

MINIMUM QUALIFICATIONS:

EDUCATION, CERTIFICATION, AND/OR LICENSURE:

1. High School Diploma or equivalent.

EXPERIENCE:

1. Two (2) years’ experience in revenue cycle (patient financial services/patient access).  

PREFERRED QUALIFICATIONS:

EDUCATION, CERTIFICATION, AND/OR LICENSURE:

1. Bachelors in Business, Education, or Health Care related field.

EXPERIENCE:

1. One (1) year experience in Training/Organizational Development or employee training activities.

CORE DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position.  They are not intended to be constructed as an all-inclusive list of all responsibilities and duties.  Other duties may be assigned.

1. Provides education and training for revenue cycle operations applications throughout the healthcare organization.

2. Demonstrates thorough knowledge of hospital scheduling and patient access systems, patient accounting, and quality monitors.

3. Maintains comprehensive knowledge of 3rd party billing requirements and reimbursement principles.

4. Coordinates and provides appropriate training of new employees and re-training for current employees to assure appropriate to assure appropriate revenue cycle processing and patient experience including patient registration, schedule management, insurance eligibility, and Point of Service Collections

5. Generates schedules and educational tracking records for on-going employee education.

6. Provides education to all staff responsible for patient access and patient accounting processing activities throughout the organization.

7. Ability to coordinate and schedule on-the-job training with employees and management staff along with new and refresher programs.

8. Delivers training using lecture, demonstration, case studies, simulation, practical experience, and other interactive methods.

9. Coordinates education and training sessions with skill assessments with ongoing quality and productivity monitoring.

10. Follows a training plan in coordination with a plan for testing system applications with IT.

11. Administers competency assessment and skills checklist.

12. Collaborates with Revenue Cycle Trainer in determining the continuing education and professional growth needs of staff

13. Utilizes appropriate training materials for education and team building techniques.

14. Participates in development of employee performance capabilities and provides input into the performance management process.

15. Routinely Monitors Quality and Productivity.

16. Participates in revenue cycle management quality audit and reports back findings and recommendations.

17. Routinely informs appropriate management of problems and concerns relating to staff training and or quality of work.

18. Participated in design of training curriculum and methods to improvement effectiveness.

19. Maintains current knowledge of performance improvement processes as it applies to healthcare.

20. Attends courses in PI activities, system design, technical training, statistical analysis and other appropriate health related educational courses.

21. Participates in meeting the objectives of the work unit and goals of the department.

22. Promotes and contributes positively to the teamwork of the department by assisting co-workers, contributing ideas and problem-solving with co-workers as observed by supervisor.

23. Participates in performance improvement through planning and implementing change and maintaining and improving productivity through attendance and participation in staff meetings, committees, tasks forces, cross-functional groups, projects and discussion with hospital and medical staff as observed by supervisor.

PHYSICAL REQUIREMENTS:  The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable iniduals with disabilities to perform the essential functions.

1. Frequent walking, standing, stooping, kneeling, reaching, pushing, lifting, grasping and feeling are necessary body movements utilized in performing duties through the work shift.

2. Ability to stand for long periods of time.

3. Must be able to sit for extended periods of time.

4. Visual acuity must be within normal range.

WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable iniduals with disabilities to perform the essential functions.

1. Office type environment.

SKILLS AND ABILITIES:

1. Good oral and written communication skills.

2. Ability to problem solve and make appropriate decisions. 

3. Demonstrated ability to produce course outlines and handout materials.

4. Ability to use personal computers including knowledge of Microsoft Office products.

5. Knowledge of adult learning principles and educational theory.

6. Must have an excellent working knowledge in all areas of the patient access positions and a solid understanding of their role in the entire revenue cycle.

Additional Job Description:

Travel to the Charleston, Princeton, Summersville WVU Medicine locations as needed.

Scheduled Weekly Hours:

40

Shift:

Exempt/Non-Exempt:

United States of America (Non-Exempt)

Company:

SYSTEM West Virginia University Health System

Cost Center:

545 SYSTEM Patient Access

Title: Senior Manager Public Programs and Quality

Location: Chicago Office

Pay or shift range: $81,159 USD to $101,448.75 USD

Department: Professional Affairs

Professional Affairs

Full-Time

Requisition #: SENIO001832

Job Description:

Who We Are: It all starts with purpose.

We are a purpose-driven nonprofit with a dynamic staff culture.

With a meaningful purpose, motivated staff, and excellent benefits, working here will definitely have you smiling! The ADA’s headquarters is located just steps from Chicago’s Magnificent Mile and close to public transportation. With more than 400 colleagues, the ADA Staff are some of the most talented people in the Chicago, Washington D.C., and Maryland area.

Job Responsibilities:

The Senior Manager Public Programs and Quality role will help plan, implement, and evaluate tools, or activities, policies, and products that touch upon access to care or Medicaid dental benefits. This inidual would lead any subgroups of relative Councils dedicated to public programs or access to care and identify strategic actions to advance Medicaid dental benefits. These activities include but are not limited to ADA policy analysis, quantitative and qualitative data analysis, providing technical assistance to internal and external oral health stakeholders, and supporting community oral health advocacy. This position will lead the Dental Quality Alliance (DQA) Measure Development and Maintenance Committee (MDMC) to conceptualize, test and develop evidence-based quality measures. The position with oversee the DQA’s consultants, author and review scientific test reports.

Must Have:

• Masters degree in public health, health policy administration, or a related field.
• 8 years of experience working in public health and/or community health and/or health care administration.
• Some experience in quality improvement/assurance in healthcare
• Knowledge of access to care issues and health disparities.
• Ability to perform policy and data analysis.
• Facilitation, presentation, collaboration, and prioritization skills
• Excellent analytical, planning and oral/written communication skills
• Effective public speaking and project management skills
• Proficiency in MS Office (365)
• Travel twice per year to conferences and meetings to present information on the ADA programs or DQA measurement development and implementation
• Position may require more than the standard number of hours of work within a workweek; Position may require before or after hours work; Position may require weekend work

Nice to Have:

• Experience working with governmental health agencies, community clinics or health centers, academic institutions or the private sector on projects on health disparities, improving access to care or quality measurement
• Previously engaged in multi-sector collaborations for population health improvement

Just a few of the benefits offered to employees:

• Promotes Work/Life Balance
• Hybrid Work Schedule (2-3 days from home)
• Health insurance/ dental reimbursement plan
• Ample Paid time off
• 401(k) 
• Pension
• Flexible Spending Account
• Life insurance
• Tuition reimbursement
• Paid Parental Leave
• Pet Insurance
• Student Loan Refinance
• 2 days off to work at a charity event of your choice

The ADA values a variety of backgrounds and experiences and is committed to providing equal employment opportunities to qualified job candidates. The ADA is an equal opportunity employer of protected veterans and iniduals with disabilities. All qualified applicants will receive consideration for employment in open positions without regard to race, ethnicity, gender, color, religion, sex, age, marital status, ancestry, citizenship, physical or mental disability, medical condition, veteran status or any other characteristic.

Title: Infant Feeding & Lactation Expert

Location: New York, NY (Hybrid Manhattan)

Job Description:

Who We Are

Good Inside is redefining parenting - not as something that should “just come naturally,” but as a skill to learn and practice. Founded by Dr. Becky Kennedy and Dr. Erica Belsky, we combine sturdy leadership with innovative technology to give parents personalized guidance, AI-powered support, and a global community.

Our mission: help parents raise resilient, confident kids in a changing world. We’ve already reached millions, and we’re just getting started.  We’re refining our product and expanding our reach to empower even more families.

We’re looking for bold, high-ownership problem-solvers who want to build something new, tackle big challenges, and be at the forefront of change.

The Opportunity

We’re looking for a leader who is clinically sharp and deeply human to expand how Good Inside supports expecting and new parents. In this role, you will work closely with our Founders as one of our first experts in the Baby category. You will help parents make feeding decisions that work for them - whether breastfeeding, formula, or both. You will go beyond “how-to” questions and support parents emotionally through the messy, identity-shifting experience of having a baby. Most importantly, you’ll help parents let go of the pressure to feed a certain way, and decouple parental identity with feeding decisions. 

The right fit is someone who lights up when helping parents, embraces an inclusive, non-judgmental approach, and feels energized by creating content that reaches families at scale. Much of your impact will come through video workshops and courses, where your warmth and expertise will help parents feel seen, understood, and never alone.

This is a part-time, remote role averaging 10–20 hours per week (minimum 10).

What You'll Own

• Serve as a trusted expert in infant feeding & lactation, supporting parents across all of Good Inside’s channels — membership, social, podcast, and beyond
• Build a best-in-class content library in your area of expertise, keeping it fresh by weaving in the latest research and parent feedback.
• Create engaging content for Gi Baby social channels and digital platforms.
• Host live events, workshops, and podcasts and represent Good Inside at select speaking engagements.
• Support member retention by creating regular touchpoints that help families feel consistently seen, understood, and supported.
• Explore longer-term opportunities, such as co-authored books, branded products, and other ways to grow together.

Who You Are

• Are an International Board Certified Lactation Consultant (IBCLC), with meaningful clinical experience. 
• Can take complicated information and make it usable, human, and emotionally accessible for parents.
• Feel natural and grounded on camera and in live settings.
• Don’t need to have a social following now — but are excited to grow one with our support.
• Can be located anywhere in the U.S. (with flexibility for monthly travel to New York). Based in or near New York is a plus.

What We Offer

• Compensation transparency.  This is an hourly position starting at $80/hour
• Hybrid work environment + Flexible schedule 
• A high-ownership, high-performance, high-collaboration culture

Equal Employment Opportunity

Good Inside is an equal opportunity employer and as such, we do not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, or any other characteristic protected by applicable laws.

We are dedicated to growing a erse team of highly talented people. As much as we believe in focusing on the parent behind the parenting and the child behind the behavior, we believe in focusing on the person behind the job. We’re dedicated to building a workplace where we give each other the strategies, support, and space we each need to thrive—believing in and bringing out the good inside of everyone..

If you require any accommodations during the recruitment process, whether it be alternate forms of material, accessible meeting rooms, etc., please let us know and we will work with you to meet your needs.

Title: Pro Fee Coder - Cardiology

Location: - USA

Job type:Remote

Job Description:

Here at Savista, we enable our clients to navigate the biggest challenges in healthcare: quality clinical care with positive patient experiences and optimal financial results. We partner with healthcare organizations to problem solve and deliver revenue cycle improvement services that enable their success, support their patients, and nurture their communities, all while living our values of Commitment, Authenticity, Respect and Excellence (CARE)

The Pro Fee Coder will review clinical documentation to assign and sequence diagnostic and procedural codes for specific patient types to meet the requirements of hospital data or physician data retrieval for billing and reimbursement. Coder I may validate APC calculations to accurately capture the diagnoses/procedures documented in the clinical record for hospitals. The Coder I performs documentation review and assessment for accurate abstracting of clinical data to meet regulatory and compliance requirements. Coder I may interact with client staff and providers.

DUTIES AND RESPONSIBILITIES:

• Select and sequence ICD-10, and/or CPT/HCPCS codes for designated patient types which may include but not limited to: Ancillary (Diagnostic)/ Recurring; Hospital, Clinic; Physician Pro Fee; Technical Fee or Evaluation and Management, any associated chart capturing with any patient type.
• Review and analyze facility records to ensure that APC assignments and/or Evaluation and Management codes accurately reflect the diagnoses/procedures documented in the clinical record.
• Abstract clinical data from the record after documentation review to ensure that it is adequate and appropriate to support diagnoses, procedures and discharge disposition is selected.
• Complete assigned work functions utilizing appropriate resources.  May act as a resource with client staff for data integrity, clarification and assistance in understanding and determining appropriate and compliant coding practices including provider queries.
• Maintain strict patient and provider confidentiality in compliance with all HIPPA Guidelines.
• Participate in client and Savista staff meetings, trainings, and conference calls as requested and/or required.
• Maintain current working knowledge of ICD-10 and/or CPT/HCPCS and coding guidelines, government regulations, protocols and third-party requirements regarding coding and/or billing.
• Participate in continuing education activities to enhance knowledge, skills, and maintain current credentials.

SKILLS AND QUALIFICATIONS:

• Candidates must successfully pass pre-employment skills assessment. Required:
• An active AHIMA (American Health Information Association) credential including but not limited to RHIA, RHIT, CCS, CCA, or an active AAPC (American Academy of Professional Coders) credentials COC (formerly CPC-H), CCS-P, or CPC or related specialty credential.
• Two years of recent and relevant hands-on coding experience
• Knowledge of medical terminology, anatomy and physiology, pharmacology, pathophysiology, as well as ICD-10 and CPT/HCPCS code sets
• Ability to consistently code at 95% threshold for quality while maintaining client-specific and/or Savista production and/or quality standards
• Proficient computer knowledge including MS Office including the ability to enter data, sort and filter excel files, (Outlook, Word, Excel)
• Must display excellent interpersonal and problem-solving skills with all levels of internal and external customers

PREFFERED SKILLS:

• Recent and relevant experience in an active production coding environment strongly preferred
• Associates degree in HIM or healthcare-related field, or combination of equivalent education and experience
• Experience using Rcx, Cerner, Optum (a plus)

Note: Savista is required by state specific laws to include the salary range for this role when hiring a resident in applicable locations. The salary range for this role is from $22.08 - $34.69 an hour. However, specific compensation for the role will vary within the above range based on many factors including but not limited to geographic location, candidate experience, applicable certifications, and skills.

SAVISTA is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race, color, age, veteran status, disability, national origin, sex, sexual orientation, religion, gender identity or any other federal, state or local protected class.

Title: Regional Director of Clinical Services - Behavioral Health Division

Job Description:

About Universal Health Services

One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (NYSE: UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 300 corporation, annual revenues were $15.8 billion in 2024. During the year, UHS was again recognized as one of the World's Most Admired Companies by Fortune; and listed in Forbes ranking of America's Largest Public Companies.

Headquartered in King of Prussia, PA, UHS has approximately 99,000 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. www.uhs.com

The Candidate that is chosen will support a large portfolio of facilities from our Behavioral Health Division nationwide.

This exciting position is critical to the clinical integrity and regulatory compliance of our facilities. As a corporate senior leader, you will support, train and consult your facilities' clinical and regulatory support teams and staff. We are seeking a clinical/nursing professional that is interested in sharing his/her expertise in a consultative manner to ensure the success of Behavioral Health Division. This is a hybrid opportunity that requires travel, as generally three weeks each month will be spent traveling to and supporting our facilities.

The successful Regional Director of Clinical Services will:

• Facilitate, coordinate and oversee Joint Commission/CARF accreditation processes, to ensure satisfactory completion, and to improve compliance.
• Assure that the facility is compliant with the regulations of all federal, state, local and other regulatory bodies with jurisdiction over its clinical activities.
• Assist in the development of Performance Improvement practices in facilities and maintenance of same including analysis of data and prioritization of efforts-HBIPS; Outcome Measures
• Set expectations, develops plans, and manages processes to measure, assess and improve the quality of clinical programs and/or regulatory/accreditation compliance by measurable results in assigned facilities.
• Seek methods to improve current facility practices/processes/clinical products by identifying problems and proposing solutions, as necessary to include program review and clinical systems review.
• Investigate, in collaboration with the hospital any quality concerns such as those received from state and federal agencies including the Corporate Compliance program. Prepare, in collaboration with appropriate disciplines, action plans and submits responses within designated time frame.
• Work collaboratively with corporate staff, physicians, risk management, and other corporate leaders to address performance improvement and safety issues.
• Ensure that JC Sentinel Event Alerts are addressed and changes implemented as necessary. Presents alert information in applicable committees.
• Act as a quality/clinical resource to the facilities, other Divisional staff, and the Corporate office.
• Coordinate efforts with Corporate Risk Management, Corporate Loss Control regarding implementation of Best Practices.
• Provide orientation and ongoing education/training for facility clinical and quality leadership as needed.
• Provide timely and thorough verbal and written feedback from site visits to facilities and appropriate Regional VPs/Group Directors and facility CEOs
• Maintain regular communication with clinical/leadership staff at assigned facilities regarding clinical and regulatory/accreditation issues.
• Provide oversight and coordination for assigned special projects

Total Benefits & Rewards for our Senior Leaders include:

• Paid Holidays
• Tuition savings to continue your nursing education with Chamberlain University
• In-house Psychiatric Nurse Residency Transition-to-Practice Orientation (20 CEUs)
• Career development opportunities across UHS and our 300+ locations!
• Diverse programming to expand your experience
• HealthStream online learning catalogue with plenty of free CEU courses
• Competitive Compensation & Generous Paid Time Off
• Excellent Medical, Dental, Vision and Prescription Drug Plans
• 401(K) with company match and discounted stock plan
• Pet Insurance
• SoFi Student Loan Refinancing Program
• More information is available on our Benefits Guest Website: uhsguest.com

If you would like to learn more before applying, please contact Scott Errickson, Divisional Director-Clinical Recruitment at (484) 584-2725, or via email at [email protected]

Qualifications

Requirements for this position include:

• Five to ten years of regulatory/accreditation experience in a free-standing mental health hospital setting, with a working knowledge of regulatory standards, team development, clinical services and quality tools (preferably healthcare) required.
• Licensed as a Registered Nurse, LCSW, LPC or related with Master's Degree in appropriate field of study.
• Knowledge of performance improvement principles including data analysis required.
• Knowledge of risk management principles required.
• Knowledge of psychiatric clinical programming required
• Experience with various treatment environments and regulations including inpatient, outpatient, and residential preferred
• Highly developed organizational, interpersonal, management and communication skills required.
• Strong skills in oral and written communication and proficiency in Microsoft Office is required.
• This position requires moderate national travel, typically Monday-Thursday three weeks/month.

EEO Statement

All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of iniduals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.

Title: AR II Specialist - Hybrid Position

Location: Dallas United States

Job Description:

Full time

job requisition id

JR1000029136

Hours of Work :

40

Days Of Week :

Monday through Friday

Work Shift :

Job Description :

Your Job:

We are seeking an experienced Accounts Receivable II (AR II) Specialist specializing in Professional Billing to join our team at our Central Business Office (CBO) location. The ideal candidate will possess a strong background in A/R follow up for family and multi-specialty claims, able to identify, address, and resolve no response claims, denied claims, and correspondence. As an AR II Specialist, you will play a crucial role in optimizing revenue flow by effectively managing outstanding accounts receivable and ensuring timely reimbursement.

Your Job Requirements:

• High School Diploma required
• College degree preferred
• Two to four years of experience in healthcare revenue cycle management.
• Proficiency in medical billing software EPIC and electronic health record (EHR) systems.
• Strong knowledge of healthcare billing processes, medical terminology, CPT, ICD-10 coding, and billing regulations.
• Excellent analytical skills with the ability to identify patterns, trends, and discrepancies in claims.
• Effective communication and interpersonal skills, with the ability to interact professionally with internal and external stakeholders.
• Detail-oriented with a focus on accuracy and thoroughness in claim analysis, documentation, and reporting.
• Ability to prioritize tasks, meet deadlines, and work efficiently in a fast-paced environment.
• Certification in medical coding (e.g., CPC) or revenue cycle management (e.g., CRCR) is a plus.
• Position requires 6 months probationary period to be successfully completed before being approved to work from home. WFH schedule based on business needs.

Your Job Responsibilities:

• Analyze and review outstanding claims, focusing on those with no response or denials. Identify and rectify errors, discrepancies, and missing information to resubmit claims promptly and accurately.
• Investigate and address claim denials promptly. Utilize knowledge of payer policies, medical coding guidelines, and billing regulations to appeal denials and secure rightful reimbursement.
• Manage all incoming correspondence related to accounts receivable, including explanation of benefits (EOBs), remittance advice (RA), and other payer communications. Take necessary actions based on correspondence received, such as claim corrections, appeals, or adjustments.
• Conduct thorough follow-up on aging accounts receivable, prioritizing those with no response or denied claims. Utilize various communication channels to contact payers, patients, and other relevant parties to resolve outstanding balances and secure payment.
• Stay up-to-date with changes in healthcare regulations, coding guidelines, and billing requirements. Ensure compliance with HIPAA, CMS, and other regulatory standards governing healthcare billing and reimbursement.
• Collaborate closely with internal departments, including providers, coders, and billing staff, to resolve complex billing issues and streamline revenue cycle processes. Communicate effectively with external stakeholders, such as payers and patients, to facilitate resolution of outstanding accounts receivable.
• Be accountable for your performance.
• Always look for ways to improve the patient experience
• Take initiative for your professional growth
• Be engaged and eager to build a winning team

Methodist Health System is a faith-based organization with a mission to improve and save lives through compassionate, quality healthcare. For nearly a century, Dallas-based Methodist Health System has been a trusted choice for health and wellness. Named one of the fastest-growing health systems in America by Modern Healthcare, Methodist has a network of 12 hospitals (through ownership and affiliation) with nationally recognized medical services, such as a Level I Trauma Center, multi-organ transplantation, Level III Neonatal Intensive Care, neurosurgery, robotic surgical programs, oncology, gastroenterology, and orthopedics, among others. Methodist has more than two dozen clinics located throughout the region, renowned teaching programs, innovative research, and a strong commitment to the community. Our reputation as an award-winning employer shows in the distinctions we’ve earned:

• TIME magazine Best Companies for Future Leaders, 2025
• Great Place to Work® Certified™, 2025
• Glassdoor Best Places to Work, 2025
• PressGaney HX Pinnacle of Excellence Award, 2024
• PressGaney HX Guardian of Excellence Award, 2024
• PressGaney HX Health System of the Year, 2024

Location: West Point United States

Job Description:

Piper Companies is seeking a Quality Assurance Specialist to join a cutting-edge company that produces medicines, vaccines and biologic therapies. This position is located in West Point, Pennsylvania. The Clinical Supplies Quality Specialist position revolves around detailed working of clinical packaging, labeling and distribution activities and associated regulatory submissions for Investigational New Drug applications and Clinical Trial Applications.

Responsibilities of the Quality Assurance Specialist include:

• Evaluation and disposition of clinical supplies with assurance of following government regulations. Along with coordination of preparation of procedures and processes and quality improvements
• Assist in coordinating significant quality events including fact finding and investigation support
• Collaborate across IPT functional and business areas to ensure continuous improvement
• Actively using and championing the use of Lean Six Sigma (LSS) and production system- both used in day-to-day operational tasks

Qualifications for the Quality Assurance Specialist include:

• Minimum 2 years' experience in Pharmaceutical or industry Good Manufacturing Practice, or related field such as, engineering, quality or operations
• Familiarity with batch disposition activities
• Strong written and verbal communication skills, problem-solving skills, and demonstrated ability to work independently as well as in a team environment
• Attention to detail, flexibility, and awareness of production and quality control problems
• Bachelor's degree in engineering, science or related field

Compensation for the Quality Assurance Specialist include:

• Pay Rate: $33-$43/hr.
• Hybrid work schedule
• Long-term contract (with strong possibility of extension)
• Comprehensive Benefits: Comprehensive Benefits: Medical, Dental, Vision, 401K, Sick Leave if required by law

Keywords: Quality Assurance Specialist, Quality Specialist, document review, rights and well-being of patients, data, clinical supplies, batch documentation, clinical packaging, labeling and distribution, regulatory, Investigation New Drug applications, Clinical Trial Applications, full-time, pharma, pharmaceutical manufacturing, drug manufacturing, process validation, sampling, testing

#LI-KG2 #LI-Hybrid

Title: Clinical Trial Project Manager

Location: Remote,  United States

Full time

job requisition id: RQ4037842

Job Description:

Site: Mass General Brigham Health Plan Holding Company, 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.

Job Summary

Mass General Brigham Health Plan is an exciting place to be within the healthcare industry. As a member of Mass General Brigham, we are on the forefront of transformation with one of the world's leading integrated healthcare systems. Together, we are providing our members with innovative solutions centered on their health needs to expand access to seamless and affordable care and coverage.

Our work centers on creating an exceptional member experience - a commitment that starts with our employees. Working with some of the most accomplished professionals in healthcare today, our employees have opportunities to learn and contribute expertise.

We are pleased to offer competitive salaries, and a benefits package with flexible work options, career growth opportunities, and much more.

The Clinical Trial and Utilization Program Specialist plays a critical role in supporting the Utilization Management (UM) and Medical Policy teams by developing, implementing, and maintaining policies and procedures that govern clinical trial oversight and utilization management. This position ensures compliance with regulatory standards, ethical guidelines, and organizational policies, while facilitating cross-functional collaboration to enhance operational efficiency and clinical integrity.

Essential Functions:

• Conduct daily reviews of inpatient and outpatient utilization cases using InterQual criteria and internal policies.
• Collaborate with physician reviewers as needed to ensure clinical appropriateness.
• Partner with Care Management and Appeals & Grievance teams to ensure seamless coordination and resolution of member cases.
• Serve as a liaison between medical directors, policy developers, and UM staff.
• Design, implement, and monitor workflows for clinical trial review and documentation.
• Track protocol statuses, regulatory submissions, and trend analyses.
• Contribute to the creation and revision of medical policies based on clinical evidence and regulatory updates. Support the Medical Policy Committee by preparing materials and facilitating discussions.
• Participate in planning and development of system upgrades and enhancements to support UM and clinical trial processes.
• Lead the development, implementation, and ongoing maintenance of policies and procedures related to clinical trials and utilization management.

Qualifications

Education

• Bachelor's Degree required

Experience

• At least 3-5 years of progressively more responsible experience in a research-related field required
• Prior Supervisory experience preferred
• At least 3 years of experience in a managed care setting is highly preferred
• Experience with clinical trial management is highly preferred
• Utilization Management experience highly preferred

Knowledge, Skills, and Abilities

• Expertise in clinical inpatient and outpatient utilization management reviews utilizing InterQual, company policies and procedures, and other resources as determined by review, including physician reviews as needed.

• Expertise in clinical inpatient and outpatient care.

• Proficiency in policy and procedure development.

• Deep understanding of clinical trial protocols and compliance.

• Excellent communication and interpersonal skills.

Additional Job Details (if applicable)

Working Conditions

• This is a remote role that can be done from most US states

Remote Type

Remote

Work Location

399 Revolution Drive

Scheduled Weekly Hours

40

Employee Type

Regular

Work Shift

Day (United States of America)

Pay Range

$62,004.80 - $90,750.40/Annual

Grade

7

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:

Mass General Brigham Health Plan Holding Company, 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 iniduals 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.

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.

Dosimetrist - Radiation Oncology

Location: Schaumburg United States

Regular Full-Time

Job Description:

Overview

Full-time

Hours: Monday- Friday, Hybrid; Four - 10hr shifts

Location: Brand New location in Schaumburg; May have to travel to Lisle at time based on volume/need

Benefits:

• Comprehensive medical, dental, and vision benefits that include healthcare navigation assistance and medical coverage at 100% (after deductible) when utilizing a Duly provider.
• Employer provided life and disability insurance.
• $5,250 Tuition Reimbursement per year.
• Immediate 401(k) match.
• 40 hours paid volunteer time off.
• A culture committed to community engagement and social impact.
• Up to 12 weeks parental leave at 100% pay and a financial benefit for adoption and surrogacy for non-physician team members once eligibility requirements are met.

Responsibilities

Under the direction of the Manager of Radiation Oncology and the clinical direction of the Radiation Oncology Medical Director, the dosimetrist is responsible for developing computer generated radiation dose distribution plans and calculating monitor units to deliver radiation as prescribed by the radiation oncologist. The Dosimetrist will conduct quality assurance reviews and quality checks on various equipment. Provides treatment and education consistent with patient's age and cultural needs. Responds to all patient inquiries, prioritizing responses and routing urgent situations to appropriate iniduals. Maintains accurate and appropriate documentation and follows patient privacy in accordance with HIPAA and Duly policies and procedures. Acts as a role model for all other care givers in coordination of patient care. Maintains a high level of initiative, dependability and motivation. Communicates effectively and exhibits sound judgement in patient safety and treats all iniduals with professionalism and respect.

Qualifications

• Bachelor's degree preferred, specifically in Radiation Therapy, Math, or Physics.
• Board certified preferred, and if not, must be board eligible. If not certified, certification as a Medical Dosimetrist by the MDCB is required within 1 year of becoming a Medical Dosimetrist at our facility.
• Certified radiation therapist with two or more years on the job training as a Medical Dosimetrist preferred but may consider new graduate under specific circumstances.
• Maintains CPR certification

The compensation for this role includes a base pay range of $99,848-149,772 with the actual pay determined by factors such as skills, experience, education, certifications, geographic location, and internal equity. Additional compensation may be available through shift differentials, bonuses, and other incentives. Base pay is only a portion of the total rewards package.

Title: Nurse Practitioner

Location:

Iowa

Texas

Arizona

Job Description:

Position Title:

Nurse Practitioner 100% Virtual, CareBridge

Job Description:

CareBridge Health is a proud member of the Elevance Health family of companies, within our Carelon business. CareBridge Health exists to enable iniduals in home and community-based settings to maximize their health, independence, and quality of life through home-care and community based services.

Advance Practice Provider - Nurse Practitioner

• $5,000 Sign-on Bonus
• Seeking Nurse Practitioner candidates that have an active, unrestricted Nurse Practitioner license in either of the following states: Kansas, Arizona, Iowa and/or Texas AND must have an active RN Compact license.

Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions (when indicated), providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development.

Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.

Shift: Monday-Friday, 8:00am-5:00pm (CST) and rotating on-call

The Advanced Practice Provider, Nurse Practitioner is responsible for collaborating with company providers and their family members to develop complex plans of care in accordance with the patient's health status and overall goals and values. Provides clinical and non-clinical support to patients presenting with acute care needs virtually.

How you will make an impact:

• Provides urgent health care via telephone and tele video modalities to patients who receive home and community-based services through state Medicaid programs, dual eligible members and other membership as assigned by our MCO partners.
• Develops and implements clinical plans of care for adult patients facing chronic and complex conditions (e.g., co-morbid medical and mental health diagnoses, limited personal resources, chronic medical conditions.).
• Gathers history and physical exam and diagnostics as needed, and then develops and implements treatment plans given the patient's goals of care and current conditions.
• Identifies and closes gaps in care.
• Meets the patient's and family's physical and psychosocial needs with support and input from the company's inter-disciplinary team.
• Educates patients and families about medication usage, side effects, illness progression, diet and nutrition, medical adherence and crisis anticipation and prevention.
• Maintains contact with other clinical team members and other medical providers to coordinate optimal care and resources for the patient and his or her family in a timely basis and consistent with state regulations and company health standards and policy.
• Maintains patient medical records and medical documentation consistent with state regulations and company standards and policy.
• Participates in continuing education as required by state and certifying body.
• Prescribes medication as permitted by state prescribing authority.

Minimum Requirements:

• Requires an MS in Nursing.
• Requires an active national NP certification.
• Requires valid, current, active and unrestricted Family or Adult Nurse Practitioner (NP) license in either one of the following states: Kansas, Iowa, Arizona or Texas.
• Active, unrestricted RN Compact license is required.
• Requires 2 years + of experience in managing complex care cases.
• Experience working with Electronic Medical Records (EMR).

Preferred Skills, Capabilities and Experiences:

• Possession of DEA registration or eligibility preferred.
• Experience in managing complex care cases for developmental disabilities and chronically ill patients strongly preferred.

Job Level:

Non-Management Exempt

Workshift:

Job Family:

MED > Licensed/Certified - Other

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Who We Are

Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

How We Work

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact [email protected] for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

Pharmacist Clinical

Location: Tampa United States

locations

OH-MASON, 4361 IRWIN SIMPSON RD

IN-INDIANAPOLIS, 220 VIRGINIA AVE

FL-TAMPA, 5411 SKY CENTER DR

KS-OVERLAND PARK, 5901 COLLEGE BLVD STE 275

NC-WINSTON-SALEM, 5650 UNIVERSITY PKWY

time type

Full time

Job Description:

Position Title:

Pharmacist Clinical

Job Description:

Pharmacist Clinical

Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered if candidates reside within a commuting distance from an office.

Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.

The Pharmacist Clinical is responsible for managing the selection and utilization of pharmaceuticals and supports core clinical programs such as DUR, DIS and formulary management.

How you will make an impact:

• Researches and synthesizes detailed clinical data related to pharmaceuticals.

• Prepares and presents therapeutic class reviews and drug monograph information to the Pharmacy and Therapeutics Committee.

• May review and approve or deny coverage for pharmaceuticals (as permitted by state/federal law or state/federal program contracts) based on medical necessity criteria, and coordinates with internal stakeholders or health plan medical directors as needed.

• Serves as a clinical resource to other pharmacists on areas such as prospective, inpatient and retrospective DURs and provides dosage conversion and clinical support for therapeutic interventions.

• Prepares information for network physicians.

Minimum Requirements:

• Requires BA/BS in Pharmacy.

• Minimum of 2 years of managed care pharmacy (PBM) experience or residency in lieu of work experience; or any combination of education and experience, which would provide an equivalent background.

• Requires a registered pharmacist. Must possess an active unrestricted state license to practice pharmacy as a Registered Pharmacist (RPh).

Preferred Skills, Capabilities, and Experiences:

• PharmD strongly preferred.

• Experience with Pharmacy prior authorization, denials, and appeals strongly preferred.

• Registered Pharmacist (RPh) licensing for Indiana, Kansas, North Carolina, or South Carolina preferred.

• Experience managing multiple cases at various stages and deadlines, with accurate record-keeping strongly preferred.

• Previous experience in high-volume operations preferred.

Unless expressly allowed by state or federal law, or regulation, must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US military base, vessel or any embassy located in or outside of the US, unless they are command-sanctioned activities.

For URAC accredited areas, the following professional competencies apply: Associates in this role are expected to have strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.

Job Level:

Non-Management Exempt

Workshift:

Job Family:

MED > Licensed/Registered Pharmacist/Pharmacy Technician

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Who We Are

Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

How We Work

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact [email protected] for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

Title: Senior Director, Transactional Attorney

Location:  United States, Parsippany, New Jersey

• Hybrid
• Legal & Compliance
• 2376

Job Description:

Overview

About Pacira

Pacira BioSciences, Inc. is a leading provider of non-opioid pain management and regenerative health solutions dedicated to improving outcomes for health care practitioners and their patients. Our in-depth knowledge of non-opioid pain management, coupled with our passion for advancing patient care, drives our commitment to providing solutions that address unmet medical needs and improve clinical results.

Why work with us?

Rarely do you have an opportunity to do work that really matters. What drives us is our mission. What makes us successful are our people. At Pacira, you are part of an inclusive culture that fosters collaboration, growth, and innovative thinking - a place where you can make an impact and help change the standard of care in non-opioid pain management. Be part of our movement, let's pursue excellence together.

Summary:

The purpose of this position is to support the Chief Legal Officer and Senior Management in managing certain legal functions of the company including transactions, contracts, and M&A.

Responsibilities

Essential Duties & Responsibilities:

• Support our Oversee and take ownership of the daily contracting function including, drafting, reviewing, and negotiating contracts, with a heavy emphasis on Business Development and M&A. May also be given an opportunity to take on litigation, employment, regulatory, and other legal matters.
• Become a strategic partner with Regulatory, Finance, IT, Clinical, Manufacturing, Medical, and Commercial Groups to assist them with their various legal needs.
• Review, draft, and implement corporate policies and procedures.
• Advise Senior Management on legal issues and risk.
• Assist General Counsel on other legal projects on as-needed basis.

Supervisory Responsibilities:

This position may have supervisory responsibilities.

Interaction:

Will work closely with the Chief Legal Officer and customers, vendors, outside counsel and consultants. Business areas supported include: research and development, clinical trials (commercial products and potential pipeline products), medical affairs, market access, corporate communications, global supply chain and quality, manufacturing, commercial sales and marketing to healthcare providers, patients and payers (including U.S. Federal Government), business development, procurement, finance, compliance, and human resources.

Qualifications

Education and Experience:

Requirements:

• JD and a State Bar admission
• Minimum 10 years of major law firm or in-house experience. Three years of in-house experience with a major pharmaceutical and/or biotech company is preferred but not necessary.

Qualifications:

To perform this job successfully, an inidual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable iniduals with disabilities to perform the essential functions.

Knowledge, Skills, and Abilities:

• Exceptional English communication skills written and verbal, organizational abilities, decision making, and proven attention to detail.
• Strong Microsoft Office skills: Word; Excel; Outlook.
• Demonstrated ability to work effectively within a team environment.
• Demonstrated ability to multi-task and produce quality work product in a fast-paced, stimulating environment.
• Demonstrated excellent business judgment and the ability to form strong working relationships with internal clients while maintaining adherence to legal standards.
• Proven depth of knowledge of corporate legal issues, particular to the pharmaceutical and/or Biotech industry including contracts and compliance.

Physical Demands:

While performing the duties of this job, the employee is regularly required to sit, talk, move between spaces, reach with hands and arms. Close vision and the need to focus on computer screen, use of hands, fingers, and wrist to type on keyboard and manipulate mouse.

Work Environment:

Typical office setting, office' will be a cubicle, noise level is moderate with consistent printer, telephone ringing, and conversation. Hybrid work environment and employee is required to work in the Pacira office at least three days a week (no exception).

Benefits

• Medical, Prescription, Dental, Vision Coverage
• Flexible Spending Account & Health Savings Account with Company match
• Employee Assistance Program
• Mental Health Resources
• Disability Coverage
• Life insurance
• Critical Illness and Accident Insurance
• Legal and Identity Theft Protection
• Pet Insurance
• Fertility and Maternity Assistance
• 401(k) with company match
• Flexible Time Off (FTO) and 11 paid holidays
• Paid Parental Leave

Pay Transparency

The base pay range for this role is $203,000 per year to $265,000 per year The range is what we reasonably expect to pay for this role. The range considers a wide range of factors that are considered in making compensation decisions, including but not limited to: geographic markets, business or organizational needs, skill sets, experience, training, licensure, and certifications

EEO Statement

EEO Statement: Pacira is proud to be an Equal Opportunity Employer and does not discriminate against applicants because of race, color, religion, sex (including gender identity, sexual orientation, and pregnancy), national origin, age (40 or older), veteran status, disability or genetic information, or any other characteristic protected under applicable federal, state, or local law. At Pacira we are committed to intentionally cultivating a culture of inclusion where all feel welcomed and valued for their background, perspectives, and experiences. We hold one another accountable to promote trust and transparency in support of our communities and collective purpose.

Agency Disclaimer: Pacira Biosciences, Inc. (Hereafter, Pacira) does not accept unsolicited resumes from recruiters or employment agencies in response to the Pacira Careers page or a Pacira social media post. Pacira will not consider or agree to payment of any referral compensation or recruiter fee relating to unsolicited resumes. Pacira explicitly reserves the right to hire said candidate(s) without any financial obligation to the recruiter or agency. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Pacira.

Title: Sr Research Scientist

Location: Boston United States

Full time

Job Description:

About the Opportunity

Join a mission-driven team developing advanced cybersecurity platforms that protect hospitals and clinics from cyber threats. The Sr Research Scientist will contribute full-time to building Whole-Hospital Simulations that emulate realistic healthcare environments and Vulnerability Mitigation Platforms that safeguard medical devices and both clinical and non-clinical networks. The work will directly impact patient safety and digital resilience in vulnerable healthcare settings. Success in this role will help revolutionize the healthcare penetration testing marketplace by shifting the focus from compliance to how gracefully a hospital system can fail and recover under attack. The platforms will also shape the evolution of medical device security regulatory frameworks by moving evaluations from inidual device compliance to whole-hospital system security.

As part of the responsibilities of the Sr Research Scientist, out-of-the-area and overnight travel is often required to accompany the Principal Investigator and/or research staff on visits to each sub awardee site across the country, as well as to attend sponsor-mandated events. Travel is typically expected one to two times per month throughout the duration of the award, depending on the schedule of events. No travel is currently anticipated in December, though this is subject to change based on sponsor priorities. The energy and ability to travel is required. The laboratory is located in the Boston area, and this position is hybrid in person and work from home.

This position is 100% externally funded and will be reappointed on an annual basis based on the continued availability of funding.

Key Responsibilities & Accountabilities:

(40%) Research Project Leadership: Lead and direct research projects in healthcare and medical device cybersecurity. Define research objectives, contribute to requirements engineering, direct research tasks in alignment with tasks and milestones, design and lead evaluation studies, analyze results, and disseminate findings through publications and presentations.

(25%) Mentoring and Student Supervision: Mentor, supervise, and direct graduate students engaged in whole hospital simulation, vulnerability management platforms, penetration testing, vulnerability assessment, systems evaluation, and related technical areas. Provide direct feedback to support their technical growth, academic progress in publishing in top conferences, and professional development.

(20%) Technical report writing: Prepare project reports and technical documentation for whole hospital simulation and vulnerability management platforms. Patent applications. Locate and identify opportunities to secure additional funding and present project outcomes.

(10%) Collaboration and External Engagement: Lead evaluation of security of hospital-scale simulators and medical devices with healthcare providers, regulators, and industry partners. Represent the lab at conferences, workshops, and industry events.

(5%) Grant proposal writing and related proposal writing. Manage small-scale budgets and tasking milestone planning related to project expenditures, including procurement of test equipment, simulation resources, and laboratory supplies, in coordination with administrative staff.

This role involves close leadership with technical leads and organizational leadership on a single, high-impact cybersecurity platform for healthcare. While you'll receive support and guidance, you're expected to take leadership of your work and contribute independently.

• Lead feedback on technical work and project progress, ensuring adherence to research best practices, laboratory safety, and project timelines. Take ownership of research publication processes.

• Report to the PI and lead technical work in collaboration with the Project Manager, students, faculty, staff, and subaward recipients to achieve programmatic objectives and goals.

• Lead discussions and project planning with sub awardees and organizational leadership on a high-impact cybersecurity platform for healthcare.

• Take ownership of work and contribute independently, while receiving support and guidance as needed.

• Lead cross-functional teams and make technical decisions to ensure alignment with project goals.

As you grow in the role, you'll take the lead on key technical decisions.

We're looking for someone who thrives in a leadership role, focused, mission-driven environment and can balance autonomy with teamwork.

Core Qualifications:

PhD in computer science, electrical engineering, biomedical engineering, or a closely related field. Strong citation record in embedded systems security, medical device cybersecurity, healthcare technology security, or a closely related subfield. Strong written and verbal communication skills. Demonstrated ability to lead interdisciplinary research teams, healthcare partners, and industry collaborators. Demonstrated ability to mentor and direct students to ensure alignment to a mission-driven research program.

Experience with requirements engineering, penetration testing, or systems evaluation is highly desired. While programming skills are valuable, the Principal Research Scientist position is not intended for software development but will involve close collaboration with software development team members. A strong candidate will provide letters of reference from three faculty members who can address these qualifications and offer comparisons with peers.

Position Type

Research

Additional Information

Northeastern University considers factors such as candidate work experience, education and skills when extending an offer.

Northeastern has a comprehensive benefits package for benefit eligible employees. This includes medical, vision, dental, paid time off, tuition assistance, wellness & life, retirement- as well as commuting & transportation. 

All qualified applicants are encouraged to apply and will receive consideration for employment without regard to race, religion, color, national origin, age, sex, sexual orientation, disability status, or any other characteristic protected by applicable law.

Compensation Grade/Pay Type:

111S

Expected Hiring Range:

$86,490.00 - $122,163.75

With the pay range(s) shown above, the starting salary will depend on several factors, which may include your education, experience, location, knowledge and expertise, and skills as well as a pay comparison to similarly-situated employees already in the role. Salary ranges are reviewed regularly and are subject to change.

Title: VP, Market Development - West Region (Remote)

Location: United States

Job Description:

March of Dimes leads the fight for the health of all moms and babies. We are advocating for policies to protect them. We are working to radically improve the health care they receive. We are pioneering research to find solutions. We are empowering families with programs, knowledge and tools to have healthier pregnancies. By uniting communities, we are building a brighter future for us all.

We are dedicated to hiring a erse workforce that fosters opportunities for personal and professional development. We provide a collaborative and supportive environment built upon our fundamental core principles where each employee is valued. Join us in the fight for healthy moms and strong babies.

Join Us

At March of Dimes, we lead the charge to ensure every mom, baby, and family gets the best possible start. As we grow our impact across the country, we’re seeking a visionary and results-driven Vice President of Market Development to lead strategic fundraising initiatives across the West Region. This is a unique opportunity to make a lasting difference in maternal and infant health while shaping a high-performing development team. 

Your Impact

As the Vice President of Market Development, you will drive revenue growth, expand donor engagement, and lead a dynamic team behind historic campaigns, mission investment, and principle and planned giving. You’ll bring together corporate, community, and inidual partners to support our lifesaving mission while cultivating a culture of excellence, collaboration, and bold innovation.  This leader is managing nine market teams of development and mission staff.  Market teams included in the West region are: Phoenix, California, Hawaii, Minneapolis/Milwaukee, St. Louis, Omaha, Oklahoma/Arkansas, TX, Seattle/Portland.

Key Responsibilities

• Lead and Grow Revenue
  Personally accountable for growing a XM revenue portfolio annually.  Design and execute a comprehensive fundraising strategy focused on sustainable growth in total and unrestricted revenue. Inspire a high-performance culture that consistently meets or exceeds goals through all revenue portfolios.
• Build and Inspire Teams
  Recruit, develop, and mentor a strong team of fundraising professionals within 26 markets. Foster a culture that thrives on collaboration, accountability, and shared purpose.  Lead creatively in a virtual environment to create team synergy and dynamic motivation of others.  Held accountable for talent retention and engagement.  Responsible for onboarding and developing all market leaders.
• Lead by Example
  Personally manage relationships with top donors and partners. Be a face of March of Dimes in your community and in those you support in leadership —creating visibility, building trust, and driving mission impact. This include managing top donors, boards, and key relationships during vacancies.
• Ensure Operational Excellence
  Monitor performance, analyze data, and uphold donor data integrity. Ensure financial and compliance standards are consistently met. Accountable for region budget and all expense management.
• Collaborate Across Departments
  Actively build trusted relationships with business partners across departments to ensure a collaborative work culture for your region staff and to support reaching collective goals.  Serve as an extension of the national strategic vision when working with all staff regardless of department or role.

Who You Are

• A strategic thinker with a track record of exceeding fundraising goals and scaling donor engagement.
• A goal-driven development professional that thrives in a culture which sets the bar high and energizes others to join . 
• A people-first leader with experience developing high-performing teams and building strong internal culture.
• A relationship builder with the ability to recruit and activate executive-level volunteers and corporate supporters.
• A mission-driven professional with passion for health equity and a desire to make measurable change.

Qualifications

• Bachelor's degree or equivalent work experience.
• Minimum 10 years of relevant fundraising, development, or sales experience, with at least 5 years in a leadership/supervisory role.
• Demonstrated success in revenue generation, strategic planning, volunteer engagement, peer to peer fundraising, sponsorship recruitment, major gifts cultivation, as well as consistently meeting or exceeding goals.
• Growth mindset with a desire to innovate and manage change.
• Excellent communication and influencing skills across stakeholders and sectors.
• Large territory management experience, especially multi-state understanding cultural differences.
• Ability to travel within your region and nationally; access to reliable transportation; access to a regional airport.

Preferred Skills

• Familiarity with nonprofit health organizations in the maternal & infant health space, particularly March of Dimes or similar national organizations.
• Deep understanding of nonprofit standards, donor stewardship, and campaign operations.
• Virtual leadership experience.

Ready to lead with purpose?

March of Dimes provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics.

Equal Opportunity Employer

Title: Utilization Management Specialist-Remote within 50 miles of Cincinnati, OH

Location: Cincinnati United States

 Quality & Safety

Job Id: JR213813

Job Type: Full time

Job Description:

JOB RESPONSIBILITIES

• Utilization Management- Utilization Management: Independently working more complex prospective, retrospective and concurrent review and processing of authorization requests for inpatient admissions, outpatient procedures, homecare services and durable medical equipment. Generates required correspondence, including denial letters, based on medical necessity and administrative review process while maintaining productivity and turnaround time.

• Quality- Work with management team to ensure 100% correct letter and less than 2% error rate are met. Uses independent judgement to ensure templates are compliant with Federal, State and Regulatory requirements. Identify and refer appropriate members for care management and quality issues to Quality Improvement. Recommends process improvements and provides documentation for processes to the department.

• Discharge Planning- Document, identify and communicate with Health Partners, Care Managers and Discharge Planners to establish safe discharge planning needs and coordination of care in a timely and cost-effective manner. Interfaces with physician reviewers to optimize the written communication to members and referring providers.

• Compliance- Meet third-party payer standards and requirements. Maintains knowledge of changes as impacts regulatory/accrediting compliance for reimbursement. Assist Director in the reporting of information as set forth in the PI plan, i.e., appropriateness of admissions and continued stay reviews including when known, the over and underutilization of resources. Participate in interdepartmental meetings to promote knowledge, troubleshoot, problem shoot and resolve issues as relates to utilization management. Serves as an educational and communications resource to Administration, Department heads, physicians and other necessary groups regarding the utilization management activity and process. Keep the department manager informed of problems, as necessary.

• Leadership- Provide guidance to and assist with oversight of non-clinical staff, including training and education of Specialist I. Act as a primary point of contact for the Utilization Management team. Answers questions and provide guidance for difficult reviews and processes.

Responsible for required correspondence. Using professional education independently documents, identifies and communicates with Health Partners, Care Managers and Discharge Planners to establish safe discharge planning needs and coordination of care in a timely and cost-effective manner.

JOB QUALIFICATIONS

• Bachelor of Science in Nursing or Master's Degree in Social Work, Counseling, or related field

• 3+ years of work experience in a related job discipline.

• Current, unrestricted Registered Nurse (RN), Social Work or Clinical Counselor Licensure in state(s) of practice

Primary Location

Remote

Schedule

Full time

Shift

Day (United States of America)

Department

PS HealthVine UM

Employee Status

Regular

FTE

1

Weekly Hours

40

• Expected Starting Pay Range
• Annualized pay may vary based on FTE status

$67,537.60 - $86,112.00

Market Leading Benefits Including*:

• Medical coverage starting day one of employment. View employee benefits here.

• Competitive retirement plans

• Tuition reimbursement for continuing education

• Expansive employee discount programs through our many community partners

• Shift Differential, Weekend Differential, and Weekend Option Pay Programs for qualified positions

• Support through Employee Resource Groups such as African American Professionals Advisory Council, Asian Cultural and Professional Group, EQUAL - LGBTQA Resource Group, Juntos - Hispanic/Latin Resource Group, Veterans and Military Family Advocacy Network, and Young Professionals (YP) Resource Group

• Physical and mental health wellness programs

• Relocation assistance available for qualified positions

• Benefits may vary based on FTE Status and Position Type

Title: Hematology, Oncology Specialist 

Location: Remote United States

**Job ID;**2025-2369

 # of Openings;1

 Category; Commercial

 Type; Regular Full-Time

Job Description:

Role Overview & Key Functions:

The Hematology-Oncology Specialist maintains strong professional relationships in the patient care continuum and represents the integrity of Karyopharm Therapeutics by providing approved disease and product information and resources to key decision makers and stakeholders within the oncology community practice setting.

RESPONSIBILITIES:

• Develop business plans, market analysis, and strategy that link to strong business results and execute accordingly
• Position on-label benefits for appropriate patients to key customer stakeholders to achieve or exceed forecasted sales goals
• Resolve issues at account level to ensure access to therapy
• Coordinate with colleagues in cross-functional areas including Market Access, Clinical Education, and Medical Affairs to facilitate customer and patient access to Karyopharm product(s) and information
• Provide customer feedback to internal stakeholders, sharing best practices, unmet needs, and business opportunities
• Assist Marketing function in identifying and inviting appropriate healthcare professionals (HCPs) to promotional and educational events or programs
• Develop and maintain mastery of clinical and technical knowledge related to product(s) promoted, the oncology marketplace, and disease management
• Foster and develop relationships with Key Opinion Leaders (KOLs), decision makers, influencers, and key stakeholders within the oncology community
• Deliver clinical and technical value at medical meetings by staffing promotional booths, as requested
• Comply with all laws and regulations and adhere to company compliance guidelines, policy and procedures
• Acts with a sense of urgency on behalf of patients and customers

Candidate Profile & Requirements:

• Bachelor's degree, required
• 5+ years of pharmaceutical sales experience, with a documented history of success
• 2+ years' oncology or rare disease pharmaceutical sales experience, including product launch(es)
• Experience in Hematology and/or Multiple Myeloma preferred
• Existing relationships with oncology practices in territory, preferred
• Strong business acumen
• Must reside in close proximity to the geography or be willing to relocate to it
• Valid driver's license and the ability to travel as necessary

At Karyopharm, base pay is one part of a competitive total rewards package that includes comprehensive benefits (medical, dental, vision, 401(k), and more), equity and the potential to receive annual target bonuses. Actual pay is based on factors such as location, experience, skills, education, and internal equity. We maintain broad salary ranges to reflect market conditions and the specialized nature of our work. The anticipated base salary range for this position is $170 K - $210 K USD.

Our Value Proposition:

At Karyopharm, we live and demonstrate our ICARE values every day! If you want to do something that matters, this work matters. Patients drive our passion to pioneer novel cancer therapies. That's why we've built an environment centered around support, flexibility, and a shared mission.

Creating and delivering medicine for cancer can only be done through focus, dedication, and heart. We hire exceptional people and trust each other to work in whatever way lets us, be us - whether that's onsite, from home, or anywhere in between.

What do you get when you pair an extraordinary mission with a culture of flexibility and empowerment? We invite you to find out and join us on this incredible mission.

Check out our Culture Video!

What We Offer:

In addition to our exciting, supportive, and intellectually challenging global workspaces(s), team members enjoy a comprehensive and generous benefits package (active on day one) that makes them more productive and contributes directly to the development of their professional skills.

• A culture of employee engagement, ersity, and inclusion
• Competitive salary, bonus, and generous equity offerings (RSU's at time of offer and annual awards) - we are partners in prosperity!
• Peace of mind through best in class medical (deducible paid by KPTI), dental, vision, disability, and life insurance, parental leave, a matching 401k program (immediate vesting), ESPP and tuition reimbursement.
• Wellness Program with a monthly stipend.
• Generous PTO and Holidays - we encourage you to recharge and spend time with family and friends.
• Ample opportunities to learn and take on new responsibilities in a fast-paced, and patient focused company. (tuition reimbursement, management development & mentoring programs, and a variety of reward and recognition programs)
• Cell phone allowance

Title: Chart Auditor

Location: Fort Worth United States

Hybrid

Requisition Number: 41478

Job Category: Patient Care Support

Job Description:

Who We Are

JPS Health Network is a $950 million, tax-supported healthcare system in North Texas. Licensed for 582 beds, the network features over 25 locations across Tarrant County, with John Peter Smith Hospital a Level I Trauma Center, Tarrant County's only psychiatric emergency center, and the largest hospital-based family medical residency program in the nation. The health network employs more than 7,200 people.

Acclaim Multispecialty Group is the medical practice group featuring over 300 providers serving JPS Health Network. Specialties range from primary care to general surgery and trauma. The Acclaim Multispecialty Group formed around a common set of incentives and expectations supporting the operational, financial, and clinical performance

outcomes of the network. Our goal is to provide high quality, compassionate clinical care for every patient, every time.

Why JPS?

We're more than a hospital. We're 7,200 of the most dedicated people you could ever meet. Our goal is to make sure the people of our community get the care they need and deserve. As community stewards, we abide by three Rules of the Road:

1. Own it. Everyone who wears the JPS badge contributes to our journey to excellence.

2. Seek joy. Every day, every shift, we celebrate our patients, smile, and emphasize positivity.

3. Don't be a jerk. Everyone is treated with courtesy and respect. Smiling, laughter, compassion - key components of our everyday experience at JPS.

When working here, you're surrounded by passion, ersity, and dedication. We look forward to meeting you!

ACCLAIM ADMIN SERVICES

Compensation Type:

Salaried

Job Category:

Patient Care Support

Hours Worked:

M-F 8AM-5PM - Hybrid

Location:

Acclaim Magnolia

Shift Worked:

Day

Job Description:

Job Summary: The Chart Auditor will be responsible for performing clinical reviews to determine the accuracy of ICD-10 codes listed on forms from payors, performing interactive outreach for the Transition of Care program, pending outstanding patient orders, validating ED high utilization patient attribution, and reviewing gap in care reports to address outstanding patient health risks. This job involves accessing proprietary systems to audit medical records, accurately documenting findings, and providing forms to the clinic providers.

Essential Job Functions & Accountabilities:

• Reviews and interprets medical records and compares against forms for accuracy of presumed diagnoses.
• Documents decisions and rationale to justify review findings.
• Pend orders to address outstanding patient care gaps.
• Performs interactive outreach for patients discharged from Inpatient stays.
• Assists management with training any new Chart Auditor.
• Maintains current knowledge of clinical criteria guidelines to maintain a clinical license.
• Responsible for attending training and scheduled meetings to enhance skills and working knowledge of clinical policies, procedures, rules, and regulations.
• Actively cross-trains to perform reviews of multiple payor types and requirements and understand the documentation needs.
• Recommends, tests, and implements process improvements, new audit concepts, and technology improvements that will enhance production, quality, and client satisfaction.
• Reviews payor gap in care reports to validate patient medication adherence compliance.
• Validates and facilitates care management for high ED utilizing patients.
• Job description is not an all-inclusive list of duties and may be subject to change with or without notice. Staff are expected to perform other duties as assigned.

Qualifications:

Required Qualifications:

• Associate's Degree from an accredited school of professional nursing. OR Medical School graduate.
• If a Registered Nurse, current licensure by the Board of Nurse Examiners for the State of Texas or proof of reciprocity of licensure between the State of Texas and another state. Must be maintained throughout employment.

Preferred Qualifications:

• Bachelor's Degree in Nursing from an accredited school of professional nursing.
• 2 plus years of claims auditing or value-based care work.

Title: Global Regulatory Affairs CMC Lead

Job Description:

Job Title: Global Regulatory Affairs CMC lead

Location: Framingham, MA, Morristown, NJ

About the Job

Are you ready to shape the future of medicine? The race is on to speed up drug discovery and development to find answers for patients and their families. Your skills could be critical in helping our teams accelerate progress.

As GRA CMC Lead within our GRA CMC & GRA Device Organization, you'll drive global regulatory strategies for pharmaceutical and vaccine products, collaborate with cross-functional teams to navigate complex regulatory landscapes, optimize product development and manufacturing processes, and directly influence the success of drug approvals through strategic negotiations with health authorities worldwide.

Within Sanofi's Global Regulatory Affairs (GRA) CMC organization, the CMC Lead role offers the opportunity to drive regulatory strategy for pharmaceutical products and vaccines across their lifecycle. Working at the intersection of science and compliance, you'll develop CMC strategies, conduct risk assessments, and serve as the primary liaison with regulatory authorities including FDA and EMA. You'll collaborate across R&D, Manufacturing, and Quality teams while preparing high-quality regulatory submissions, managing compliance, and anticipating regulatory trends-all contributing directly to bringing innovative therapies to patients worldwide

About Sanofi

We're an R&D-driven, AI-powered biopharma company committed to improving people's lives and delivering compelling growth. Our deep understanding of the immune system - and innovative pipeline - enables us to invent medicines and vaccines that treat and protect millions of people around the world. Together, we chase the miracles of science to improve people's lives.

The Global Regulatory Affairs (GRA) CMC & Device Organization within Sanofi R&D serves as a critical strategic partner within Sanofi's regulatory framework, providing expert guidance on Chemistry, Manufacturing, and Controls (CMC) and medical device regulatory requirements across the product lifecycle. Our department bridges the gap between technical development, manufacturing operations, and global regulatory authorities to ensure compliance while optimizing product approval pathways. The team develops and implements global regulatory strategies for pharmaceutical products, biologics, vaccines, and combination products, working closely with cross-functional partners to navigate complex regulatory landscapes. With a commitment to Sanofi's "Take the Lead" values, particularly in "Leading Together" and "Being Bold," our mission is to secure timely approvals while maintaining the highest standards of quality and compliance, ultimately supporting Sanofi's goal of bringing innovative healthcare solutions to patients worldwide.

We are an innovative global healthcare company with one purpose: to chase the miracles of science to improve people's lives. We're also a company where you can flourish and grow your career, with countless opportunities to explore, make connections with people, and stretch the limits of what you thought was possible. Ready to get started?

Main Responsibilities:

Develop and implement global regulatory CMC strategies

• Create strategies for development and marketed products

• Focus on chemical entities, biological entities, and/or vaccine products

• Execute and adapt strategies as needed

Serve as the primary point of contact for regulatory authorities

• Act as direct liaison with agencies like US FDA and EMA

• Develop positive relationships with regulators

• Support strategic negotiations with worldwide Regulatory Health Authorities

Manage CMC documentation and submissions

• Write, prepare, review, and approve regulatory CMC dossiers

• Ensure dossiers meet quality standards

• Comply with regulatory requirements

• Maintain documentation accuracy and completeness

Lead cross-functional collaboration

• Work closely with R&D Functions

• Collaborate with Manufacturing & Supply Functions

• Coordinate with GRA Regulatory Operations

• Ensure effective implementation of regulatory strategies

• Facilitate resolution of CMC issues

Identify and manage regulatory risks

• Assess regulatory CMC opportunities and risks

• Develop risk mitigation strategies

• Communicate implications to project teams

• Articulate risk/benefit components to stakeholders

Contribute to regulatory science and policy activities

• Monitor local and international Health Authority regulations and guidelines

• Participate in the review process for new regulations

• Anticipate potential regulatory paradigm shifts

• Track and communicate current Health Authority thinking and trends

About You

• Experience: 4+ years of CMC regulatory experience with contributions to regulatory filings and implementation of regulatory strategies; experience responding to Health Authority questions.

• Regulatory Expertise: Experience preparing regulatory documentation and familiarity with standard submission processes

• Technical Knowledge: Understanding of pharmaceutical development, manufacturing processes, and regulatory requirements in major markets.

• Collaboration Skills: Ability to work effectively in a matrix environment, engaging cross-functionally with R&D, Manufacturing, and Quality teams.

• Education: Bachelor's degree in a scientific discipline (Chemistry, Biology, Pharmacy, or related field).

• Communication: Strong written and verbal communication skills, with fluency in English.

• Adaptability: Capability to manage multiple projects in a fast-paced, hybrid work environment (60% on-site), with openness to learning and growth.

Why Choose Us?

• Bring the miracles of science to life alongside a supportive, future-focused team.

• Discover endless opportunities to grow your talent and drive your career, whether it's through a promotion or lateral move, at home or internationally.

• Enjoy a thoughtful, well-crafted rewards package that recognizes your contribution and amplifies your impact.

• Take good care of yourself and your family, with a wide range of health and wellbeing benefits including high-quality healthcare, prevention and wellness programs and at least 14 weeks' gender-neutral parental leave.

• Play a crucial role in bringing innovative therapies to millions worldwide, working at the forefront of drug discovery and development with a patient-centric approach.

• Leverage advanced AI, data, and digital platforms to push the boundaries of pharmaceutical science and regulatory strategy.

• Engage with erse teams spanning scientific, clinical, and digital fields, fostering breakthroughs through cross-functional collaboration.

• Benefit from structured career paths offering both scientific and leadership advancement opportunities, including bold moves and short-term projects to expand your expertise.

• Join a workplace that prioritizes ersity, equity, and inclusion, with programs that celebrate every voice and perspective.

• Enjoy a supportive R&D environment that values work-life balance, offering flexible working options (60% on-site) and comprehensive well-being programs.

• Influence global regulatory strategies, interact with key health authorities, and stay at the forefront of evolving industry trends and regulations.

Sanofi Inc. and its U.S. affiliates are Equal Opportunity and Affirmative Action employers committed to a culturally erse workforce. All qualified applicants will receive consideration for employment without regard to race; color; creed; religion; national origin; age; ancestry; nationality; marital, domestic partnership or civil union status; sex, gender, gender identity or expression; affectional or sexual orientation; disability; veteran or military status or liability for military status; domestic violence victim status; atypical cellular or blood trait; genetic information (including the refusal to submit to genetic testing) or any other characteristic protected by law.

#GD-SA

#LI-SA

#LI-Onsite

#vhd

Pursue progress, discover extraordinary

Better is out there. Better medications, better outcomes, better science. But progress doesn't happen without people - people from different backgrounds, in different locations, doing different roles, all united by one thing: a desire to make miracles happen. So, let's be those people.

At Sanofi, we provide equal opportunities to all regardless of race, colour, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, ability or gender identity.

Watch our ALL IN video and check out our Diversity Equity and Inclusion actions at sanofi.com!

US and Puerto Rico Residents Only

Sanofi Inc. and its U.S. affiliates are Equal Opportunity and Affirmative Action employers committed to a culturally inclusive and erse workforce. All qualified applicants will receive consideration for employment without regard to race; color; creed; religion; national origin; age; ancestry; nationality; natural or protective hairstyles; marital, domestic partnership or civil union status; sex, gender, gender identity or expression; affectional or sexual orientation; disability; veteran or military status or liability for military status; domestic violence victim status; atypical cellular or blood trait; genetic information (including the refusal to submit to genetic testing) or any other characteristic protected by law.

North America Applicants Only

The salary range for this position is:

$122,250.00 - $176,583.33

All compensation will be determined commensurate with demonstrated experience. Employees may be eligible to participate in Company employee benefit programs. Additional benefits information can be found through the LINK.

Title: (VP) Senior Director Biologics Drug Discovery

Location

South San Francisco, CA

Employment Type

Full time

Department

Drug Discovery

Job Description:

The Opportunity

The heart of insitro's strategy is the combination of novel, cutting edge methods in machine learning, biology at scale and modality independent drug discovery that address key bottlenecks in the drug development pipeline. To accomplish that, we have put together an incredible team of highly talented drug discovery scientists who want to make a difference to these significant problems. In this key role, you will build and lead the Biologics Therapeutics capabilities at insitro within the Drug Discovery department.

You will be joining a well funded AI biotech that has established a pipeline of therapeutic candidates but yet is very much in formation, providing many opportunities for significant impact. You will work closely with a very talented team of Data and Machine Learning scientists, TA biologists and a growing CMC organization, learn a broad range of skills, and help shape insitro's culture, strategic direction, and outcomes. You will report to the Chief Scientific Officer and can be either onsite (3 days per week) in our South San Francisco office or hybrid (~1 week per month) in our office. Additional travel may be needed to relevant medical and translational science conferences and health authorities.

Join us, and help make a difference to patients!

Responsibilities

• Guide therapeutic biologics efforts in projects as project team leader and subject expert

• Build insitro's biologic therapeutic capabilities through extensive CRO and/or industry collaborations

• Work cross-functionally to drive biologics projects through different stage gates towards clinical development candidates

• Deeply engage cross-functionally to evaluate the suitability of new targets for prosecution by the biologics modality

• Lead a Protein Sciences and Structural Biology team that can enable discovery biology and both large and small molecular modalities

• Partner with Business Development and External R&D to evaluate new biotherapeutics technologies

About You

• PhD in biochemistry, chemistry or cell biology with 10+ years of industry experience in drug discovery, and with 5+ years of direct experience in biologics drug design

• Deep understanding of the biotherapeutic drug discovery process

• Demonstrated track record of leadership advancing biologics projects through different stages of drug discovery and early-stage process and clinical development

• Significant experience in enabling programs with protein reagents and structural biology

• Proven leadership capabilities in cross-functional teams as a project team leader

• First hand experience in using CROs and industry partner for biologics drug discovery

• Experience in or exposure to computational approaches across the biologics design and bioprocess value chain

• Track record of innovation and impact on projects through peer-reviewed publication and/or patent applications

• Excellent written and verbal communication skills across multi-functional teams

• Intellectual curiosity to push the boundaries of drug discovery

Compensation & Benefits at insitro

Our target starting salary for successful US-based applicants for this role is $247,000 - $316,000. To determine starting pay, we consider multiple job-related factors including a candidate's skills, education and experience, market demand, business needs, and internal parity. We may also adjust this range in the future based on market data.

This role is eligible for participation in our Annual Performance Bonus Plan (based on company targets by role level and annual company performance) and our Equity Incentive Plan, subject to the terms of those plans and associated policies.

In addition, insitro also provides our employees:

• 401(k) plan with employer matching for contributions

• Excellent medical, dental, and vision coverage as well as mental health and well-being support

• Open, flexible vacation policy

• Paid parental leave of at least 16 weeks to support parents who give birth, and 10 weeks for a new parent (inclusive of birth, adoption, fostering, etc)

• Quarterly budget for books and online courses for self-development

• Support to attend professional conferences that are meaningful to your career growth and role's responsibilities

• New hire stipend for home office setup

• Monthly cell phone & internet stipend

• Access to free onsite baristas and cafe with daily lunch and breakfast for employees who are either onsite or hybrid

• Access to free onsite fitness center for employees who are either onsite or hybrid

• Access to a free commuter bus and ferry network that provides transport to and from our South San Francisco HQ from locations all around the Bay Area

insitro is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.

We believe ersity, equity, and inclusion need to be at the foundation of our culture. We work hard to bring together erse teams–grounded in a wide range of expertise and life experiences–and work even harder to ensure those teams thrive in inclusive, growth-oriented environments supported by equitable company and team practices. All candidates can expect equitable treatment, respect, and fairness throughout the interview process.

#LI-Hybrid

About insitro

insitro is a drug discovery and development company using machine learning (ML) and data at scale to decode biology for transformative medicines. At the core of insitro’s approach is the convergence of in-house generated multi-modal cellular data and high-content phenotypic human cohort data. We rely on these data to develop ML-driven, predictive disease models that uncover underlying biologic state and elucidate critical drivers of disease. These powerful models rely on extensive biological and computational infrastructure and allow insitro to advance novel targets and patient biomarkers, design therapeutics and inform clinical strategy. insitro is advancing a wholly owned and partnered pipeline of insights and therapeutics in neuroscience and metabolism. Since launching in 2018, insitro has raised over $700 million from top tech, biotech and crossover investors, and from collaborations with pharmaceutical partners.

Accounts Receivable Specialist

Location: Newtown Square United States, Newtown Square, Pennsylvania, United States

New Billing/Collections

ID 78435

Job Description:

Could you be our next Accounts Receivable Specialist at Ellis Preserve in Newtown Square? This role 100% remote.  

• Make an Impact! Tracking insurance payments in EPIC and resolving payment issues is a really important role at our organization. Our Accounts Receivable Specialists don’t just track numbers; they work on process improvements, appeals, and account resolutions. If you’re good with numbers and attention to detail, and a results-driven problem solver, this may be the perfect role for you! 
• Develop and Grow your Career! Invest in furthering your education through seeking certifications or advanced degrees by taking advantage of our Tuition Reimbursement! This position is eligible for up to $6,000 per year based upon your Full or Part Time status. 
• Join the Team! Like our patients, the Main Line Health Family encompasses a wide range of backgrounds and abilities. Just as each of our patients requires a personalized care plan, each of our employees, physicians, and volunteers, bring distinctive talents to Main Line Health. Regardless of our unique design, we all share a purpose: providing superior service and care. 
• Position-Specific Benefits include: You are eligible for up to 120 hours of paid time off per year based on your Full or Part Time status. We also offer a number of employee discounts to various activities, services, and vendors... And employee parking is always free!
  Position: Accounts Receivable Specialist- 40 hours/week
  Shift: Day shift- Monday- Friday 
  Experience: 
  1. Two/Three years healthcare billing experience and/or accounts receivable experience utilizing automated patient accounting systems (Epic Resolute desirable) preferred. 
  2. Microsoft Office applications experience. Intermediate Excel proficiency required. 
  3. Knowledge of insurance contracts, billing regulations and medical terminology preferred. 
  4. Knowledge of HCPCS/CPT/ICD-10 and revenue codes preferred.
  Education: 
  HS Diploma or Equivalent 
  Licensures/Certifications: 
  Certified Revenue Cycle Specialist (CRCS)/American Association of Healthcare Administrative Management (AAHAM), or Certified Revenue Cycle Representative (CRCR)/Healthcare Financial Management Association desirable

Additional Information

• Requisition ID: 78435
• Employee Status: Regular
• Schedule: Full-time
• Shift: Day Job
• Pay Range: $20.73 - $32.11
• Job Grade: 206

Main Line Health (MLH) with over 10,000 employees, is suburban Philadelphia's most comprehensive health care resource, offering a full range of healthcare services. Learn more about us.

Main Line Health is committed to the health and wellness of our employees. We offer competitive salaries, comprehensive benefits,  generous paid time off, 403b savings plan, lucrative pension plan, tuition reimbursement, and more! Learn more about our benefits.

We are an EOE/Veterans/Disabled/LGBTQ employer. Main Line Health celebrates our differences and our similarities. Learn more about our Diversity and Inclusion culture.

Title: RN Clinical Appeals

Location: United States

Job type: Remote

Job Description:

Thank you for considering a career at Ensemble Health Partners!

Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country.

Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference!

O.N.E Purpose:

• Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations.

• Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation.

• Striving for Excellence: Execute at a high level by demonstrating our "Best in KLAS" Ensemble Difference Principles and consistently delivering outstanding results.

The Opportunity:

CAREER OPPORTUNITY OFFERING:

• Bonus Incentives
• Paid Certifications
• Tuition Reimbursement
• Comprehensive Benefits
• Career Advancement
• This position pays between $56,800.00 - $108,900.00 based on experience

This inidual will be responsible for reviewing denials and performing root cause analysis while partnering with the Denial Prevention Nurse Manager to improve process and reduce denials.

The RN Clinical Appeals performs all appeals for clinically related claim denials across Ensemble Health Partners, or in a role that primarily assists with analyzing and reviewing records to prevent future denials, provide clinical records to payers, and prepare for provider-to-provider (P2P) reviews. Job duties include, but are not limited to, contacting insurance plans to determine reasons claims were denied, analyzing the claims and determining if appeal is necessary, preparing the appeal materials which may include correcting and resubmitting claims, gathering additional information, including reviews of medical records, acting as a liaison between healthcare providers for any additional medical documentation or clarification, and submitting appeals in a timely manner. In addition, the Specialist will work closely with other departments, such as Case Management, HIM, Physician Advisory, Clinical Denials, Denial Prevention, Accounts Receivable, Bedded Inpatient Authorization and Virtual Utilization review, to ensure denial trends and outcomes are communicated in a timely manner. The Specialist will perform these duties while meeting the mission of Ensemble Health Partners, as well as meeting the regulatory compliance requirements.

Essential Job Functions:

• Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations.
• Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation.
• Striving for Excellence: Execute at a high level by demonstrating our "Best in KLAS" Ensemble Difference Principles and consistently delivering outstanding results.
• Contacting insurance plans to determine reasons claims were denied, analyzing the claims and determining if appeal is necessary, preparing the appeal materials which may include correcting and resubmitting claims, gathering additional information, including reviews of medical records, acting as a liaison between healthcare providers for any additional medical documentation or clarification, and submitting appeals in a timely manner. In addition, work closely with the Case Management Department and HIM Department to ensure denial trends and outcomes are communicated in a timely manner.

This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Associates may be required to perform other job related duties as required by their supervisor, subject to reasonable accommodation.

Employment Qualifications:

• Current unrestricted license to practice nursing (LPN, RN)
• CRCR or other approved professional certification required with 9 months of date of hire

Job Experience:

• 1 to 3 Years

Desired Education Level:

• Associates Degree or Equivalent Experience

Preferred Area of Study:

• Nursing

Other Preferred Knowledge, Skills and Abilities:

• 4 year/ Bachelors Degree
• Preferred Minimum Education - Specialty/Major: Registered Nurse (RN) or relevant discipline
• Minimum Years and Type of Experience: 2 years of denials, utilization review, or case management experience strongly preferred

Other Knowledge, Skills and Abilities Required:

• Proficient computer skills, including Microsoft Suite
• Experience in hospital operations, chart audit/review, and provider relations.

Join an award-winning company

Five-time winner of "Best in KLAS" 2020-2022, 2024-2025

Black Book Research's Top Revenue Cycle Management Outsourcing Solution 2021-2024

22 Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in Revenue Cycle 2019-2024

Leader in Everest Group's RCM Operations PEAK Matrix Assessment 2024

Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong performance 2020, 2022-2023

Energage Top Workplaces USA 2022-2024

Fortune Media Best Workplaces in Healthcare 2024

Monster Top Workplace for Remote Work 2024

Great Place to Work certified 2023-2024

• Innovation

• Work-Life Flexibility

• Leadership

• Purpose + Values

Bottom line, we believe in empowering people and giving them the tools and resources needed to thrive. A few of those include:

• Associate Benefits - We offer a comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs.

• Our Culture - Ensemble is a place where associates can do their best work and be their best selves. We put people first, last and always. Our culture is rooted in collaboration, growth, and innovation.

• Growth - We invest in your professional development. Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement.

• Recognition - We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company.

Ensemble Health Partners is an equal employment opportunity employer. It is our policy not to discriminate against any applicant or employee based on race, color, sex, sexual orientation, gender, gender identity, religion, national origin, age, disability, military or veteran status, genetic information or any other basis protected by applicable federal, state, or local laws. Ensemble Health Partners also prohibits harassment of applicants or employees based on any of these protected categories.

This posting addresses state specific requirements to provide pay transparency. Compensation decisions consider many job-related factors, including but not limited to geographic location; knowledge; skills; relevant experience; education; licensure; internal equity; time in position. A candidate entry rate of pay does not typically fall at the minimum or maximum of the role's range.

Title: Lung Screening Clinical Coordinator

Location: US-GA-Atlanta

Work Type: Hybrid, Full Time

Job ID: 154416

Hourly Minimum

USD $40.26/Hr.

Hourly Midpoint

USD $47.86/Hr.

Job Description:

Overview

Be inspired. Be rewarded. Belong. At Emory Healthcare.

At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership programs for all types of jobs, and a supportive environment that enables you to reach new heights in your careerand be what you want to be.

We provide:

• Comprehensive health benefits that start day 1
• Student Loan Repayment Assistance & Reimbursement Programs
• Family-focused benefits
• Wellness incentives
• Ongoing mentorship and leadership programs
• And more!

Our team is leading the way in shaping the future of health care. We unite to improve lives through innovation, compassion, and an unwavering commitment to achieving unparalleled excellence in patient care.

SHIFT: 8 AM-4:30 PM / 40 HOURS / FULL-TIME

LOCATION: NORTHLAKE - HYBRID POTENTIAL

JOIN OUR TEAM TODAY! Emory Healthcare (EHC), part of Emory University (EUV), is the most comprehensive academic health system in Georgia and the first and only in Georgia with a Magnet designated ambulatory practice. We are made up of 11 hospitals-4 Magnet designated, the Emory Clinic, and more than 425 provider locations. The Emory Healthcare Network, established in 2011, is the largest clinically integrated network in Georgia, with more than 3,450 physicians concentrating in 70 different subspecialties.

Description

Job Summary: The Lung Screening Coordinator serves in an enterprise-wide capacity to support patients through the lung cancer screening and incidental lung nodule care continuum. This role facilitates patient access, coordinates clinical workflows, and ensures timely follow-up and communication across multidisciplinary teams. The coordinator acts as a patient advocate, clinical liaison, and subject matter expert, promoting wellness through education, data management, and quality improvement initiatives. Primary duties and responsibilities Patient Engagement and Access: 1. Maintain weekday phone and web accessibility for patients, families, providers, and EHC team members. 2. Collaborate with Central Scheduling to ensure timely access to lung screening and follow-up imaging. 3. Provide clear, compassionate communication throughout the patient journey. Care Coordination: 1. Work cohesively with coordinator and navigator teams to manage patient care. 2. Report actionable imaging results to referring providers. 3. Facilitate seamless referrals to specialty clinics and support care transitions. 4. Collaborate with multidisciplinary teams to ensure timely and coordinated care. Clinical Liaison: 1. Serve as a liaison between referring providers, Radiology Core Service Line, and EHC Specialty Care Clinics. 2. Act as a subject matter expert in lung cancer screening and incidental lung nodule management. 3. Provide feedback from patients and families to inform service improvements. Community and Education: 1. Promote awareness of lung cancer screening services within the region and community. 2. Educate patients, families, and staff on screening benefits and risks through shared decision-making. 3. Participate in Georgia Lung Cancer Roundtable meetings and support tobacco cessation initiatives. Quality Improvement: 1. Evaluate care coordination practices and identify opportunities for improvement. 2. Align efforts with evidence-based practices to enhance patient experience and clinical outcomes. Data and Program Management: 1. Utilize Epic Dashboard and other tracking systems to manage findings and follow-up. 2. Submit data to ACR National Radiology Data Registries. 3. Collaborate with Radiology and EHC teams to maintain programmatic accreditation. Other Duties 1. Perform additional responsibilities as assigned to support program goals. Qualifications: Minimum Required Education - High School Degree Experience - Minimum of four years of experience in a healthcare setting with direct patient care. Licensure None Certification Certification or licensure in allied health (e.g., radiology, respiratory therapy, medical laboratory technology) or Nursing (LPN/RN). Knowledge, skills, and abilities (required): Clinical Knowledge: Understanding of anatomy as well as familiarity with healthcare operations. Healthcare Navigation: Ability to coordinate care across multiple specialties and settings, including radiology, pulmonology, oncology, and primary care. Communication Skills: Strong verbal and written communication skills to effectively engage with patients, families, and multidisciplinary teams. Patient Advocacy: Ability to support patients through shared decision-making, education, and follow-up, with a compassionate and culturally sensitive approach. Technology Proficiency: Proficient in Epic or similar EMR systems, including use of dashboards, registries, and documentation workflows. Data Management: Ability to track and manage clinical data, including imaging results, follow-up intervals, and registry submissions. Organizational Skills: Strong time management and prioritization skills to handle multiple tasks and patient cases efficiently. Problem-Solving: Ability to identify gaps in care and propose solutions aligned with evidence-based practices. Team Collaboration: Skilled in working within interdisciplinary teams and contributing to quality improvement initiatives. Preferred Qualifications Education None Experience Experience in patient education and community health outreach. Knowledge of imaging workflows and ambulatory healthcare operations. Familiarity with tobacco cessation strategies and quality improvement methodologies. Strong communication and interpersonal skills. Knowledge, skills, and ability requirements (preferred): None Work Conditions Travel: Travel and shift work may be necessary depending on assignment, and may be required. Work Type: Potential for some remote work dependent on the department. Physical Requirements: (Medium Max 25lbs): up to 25 lbs., 0-33% of the work day (occasionally) Lifting 25 lbs. max; Carrying of objects up to 25 lbs.; Occasional to frequent standing & walking, Occasional sitting, Close eye work (computers, typing, reading, writing), Physical demands may vary depending on assigned work area and work tasks. Primarily sedentary with occasional standing and walking. Frequent computer use (typing, reading, writing). Occasional lifting (10¿25 lbs.). Close visual work required. Environmental Factors: Factors affecting environmental conditions may vary depending on the assigned work area and tasks. Environmental exposures include but are not limited to: Blood-borne pathogen exposure, Bio-hazardous waste chemicals/gases/fumes/vapors, Communicable diseases, Electrical shock, Floor Surfaces, Hot/Cold Temperatures, Indoor/Outdoor conditions, Latex, Lighting, Patient care/handling injuries, Radiation, Shift work, Travel may be required. Use of personal protective equipment, including respirators, environmental conditions may vary depending on assigned work area and work tasks. Exposure may include blood-borne pathogens, biohazardous waste, communicable diseases, chemicals, radiation, and varying temperatures. Use of personal protective equipment may be required.

Additional Details

Emory is an equal opportunity employer, and qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or other characteristics protected by state or federal law.

Title: Senior Administrative Assistant; HR Coordinator

Location: New Haven United States

Full time

Administration & Operations

Job Description:

Working at Yale means contributing to a better tomorrow. Whether you are a current resident of our New Haven-based community- eligible for opportunities through the New Haven Hiring Initiative or a newcomer, interested in exploring all that Yale has to offer, your talents and contributions are welcome. Discover your opportunities at Yale!

Hourly Range

31.05

Overview

Under the direction of the Manager of Faculty and Administrative Affairs in the Emergency Medicine, OBGYN, Ophthalmology and Urology Integrated Business Office, this role is responsible for coordinating administrative activities related to faculty, staff, researchers and visitors (e.g., faculty affairs, appointments/promotions, faculty/staff recruitment, faculty credentialing, postdoctoral/postgraduate/visiting researchers, visa coordination, on and off-boarding, recruitment ads and coordination of the processes involved (Workday, Interfolio, Request for Position , Review/Promotion/Tenure , Yale Talent Network ). Assists with faculty/staff-related projects as needed. This position handles confidential/sensitive information which requires a high level of discretion.   

Required Skills and Abilities

1. Demonstrated experience in academic/faculty or staff affairs or Human resources.

2. Demonstrate expertise with Word/Excel/Outlook/Zoom.

3. Strong verbal and written communication skills with ability to respond in a professional and timely manner.

4. Superior customer service skills and attention to detail.

5. Strong ability to be a team player and work collaboratively with faculty/staff and exhibit professionalism with all organizational levels (in and outside of Yale University).

6. Ability to take initiative, follow-through and coordination of changing priorities.

Preferred Skills and Abilities

Proficiency in Workday, RFP, RPT, Interfolio. Proven experience/knowledge of Yale faculty and staff policies/procedures. Knowledge of Teams. Proven experience in a healthcare environment.

Principal Responsibilities

1. Oversees and coordinates administrative, program, and office activities. Establishes, selects, implements, and coordinates office procedures and systems.  Serves as principal source of information to students, staff, and faculty on policies, procedures, programs, and office activities.   2. Oversees, instructs, and coordinates activities of support staff.  Oversees the preparation of materials for grants, contracts and budgets. Monitors expenditures and reconciles financial statements.   3. Provides editorial support for a journal/publication.  Proofreads and edits material for grammatical and factual accuracy. Tracks copy through various editing and production stages. Communicates with authors, printers, and others concerned with published work.   4. Determines administrative, facility, and equipment needs for symposia, lectures, seminars, and conferences.  Assembles and arranges for necessary items.  Determines sources of data. Compiles, synthesizes and manipulates data. Summarizes findings and writes reports or portions of reports.   5. Greets visitors. Answers and screens telephone calls. Assesses nature of business. Responds to requests for information and provides assistance.  Screens and responds to mail.   6. Formats, keyboard, proofread, and edits correspondence, reports, manuscripts, grants, and other material. Assembles attachments and corresponding material. Reviews outgoing material for completeness, dates, and signatures.  Composes substantive correspondence and written material.   7. Coordinates travel arrangements.  Schedules and coordinates meetings and appointments.  Orders and maintains inventory of supplies.  Takes minutes or dictation.  Performs additional functions incidental to office activities. Required Education and Experience Six years of related work experience, four of them in the same job family at the next lower level, and high school level education; or four years of related work experience and an Associate's degree; or little or no work experience and a Bachelor's degree in a related field; or an equivalent combination of experience and education.

Job Category

Administrative Support

Bargaining Unit

L34

Compensation Grade

Labor Grade D

Compensation Grade Profile

Time Type

Full time

Duration Type

Staff

Work Model

Hybrid

Location

310 Cedar Street, New Haven, Connecticut

Background Check Requirements

All candidates for employment will be subject to pre-employment background screening for this position, which may include motor vehicle, DOT certification, drug testing and credit checks based on the position description and job requirements. All offers are contingent upon the successful completion of the background check. For additional information on the background check requirements and process visit "Learn about background checks" under the Applicant Support Resources section of Careers on the It's Your Yale website.

Health Requirements

Certain positions have associated health requirements based on specific job responsibilities. These may include vaccinations, tests, or examinations, as required by law, regulation, or university policy.

Posting Disclaimer

The hiring rate of a role is determined in accordance with the provisions outlined in the respective collective bargaining agreement.

The intent of this job description is to provide a representative summary of the essential functions that will be required of the position and should not be construed as a declaration of specific duties and responsibilities of the position. Employees will be assigned specific job-related duties through  their hiring department.

The University is committed to basing judgments concerning the admission, education, and employment of iniduals upon their qualifications and abilities and seeks to attract to its faculty, staff, and student body qualified persons from a broad range of backgrounds and perspectives. In accordance with this policy and as delineated by federal and Connecticut law, Yale does not discriminate in admissions, educational programs, or employment against any inidual on account of that inidual’s sex, sexual orientation, gender identity or expression, race, color, national or ethnic origin, religion, age, disability, status as a special disabled veteran, veteran of the Vietnam era or other covered veteran.

Clinical Pharmacy Account Director - Clinical Account Management

Location: CA-COSTA MESA, 3080 BRISTOL ST, STE 200, CA-WOODLAND HILLS, 21215 BURBANK BLVD, CA-WALNUT CREEK, 2121 N CALIFORNIA BLVD, 7TH FL, NV-LAS VEGAS, 3634 S MARYLAND PKWY, CO-DENVER, 700 BROADWAY, WA-SEATTLE, 705 5TH AVE S, STE 300, NV-LAS VEGAS, 9133 W RUSSELL RD

Full time

job requisition id JR170442

Job Description:

Clinical Pharmacy Account Director - Clinical Account Management

Location: This role requires associates to be in-office 3 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered. Ideally looking for talent in Pacific and Mountain time.

Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.

The Clinical Pharmacy Account Director is responsible for building client relationships. This role includes responding to client inquiries, ensuring timely delivery of reports, and leading discussions between business units and clients. The director also provides ongoing support, manages ad hoc requests, and partners with key stakeholders for effective collaboration. The ideal candidate will possess clinical account management experience, strategic thinking, and problem-solving skills, along with the ability to analyze data to identify trends and gaps. Comfortable analyzing client data and experience in supporting commercial as well as Medicare business are essential, as are strong communication and presentation skills.

How you will make an impact:

• Execute strategic sales and tactical plans by consulting with key decision makers and operational stakeholders.

• Provide ongoing support to decision makers and support sales team during RFP processes.

• Assist in the development of recommendations for savings and revenue opportunities.

• Assist in implementing new programs to meet their strategic goals.

Minimum Requirements:

Requires a BA/BS and a minimum of 5 years of related experience; or any combination of education and experience which would provide an equivalent background.

Preferred Skills, Capabilities, and Experience:

• A PharmD, and active Pharmacy license in any state is highly preferred.

• Proven clinical account management experience in pharmacy is strongly preferred.

• Exceptional strategic thinking, decision-making, problem-solving skills, and adaptability highly preferred.

• Experience interacting confidently with senior management and executive level stakeholders, as a subject matter expert and comfortable with influencing decision-making preferred.

• Excellent written, oral, presentation and interpersonal communication skills with the proven ability to negotiate expectations between multiple parties strongly preferred.

• Proficient of Microsoft Office products Excel, Teams, Outlook, PowerPoint, and Word strongly preferred.

For URAC accredited areas, the following professional competencies apply: Associates in this role are expected to have strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.

For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $146,076 to $250,416.

Locations: California, Colorado, NV, Washington State

In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the company. The company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.

• The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law.

Job Family:

SLS > Sales - General

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Who We Are

Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

How We Work

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact  for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

Title: Strategic Sourcing Manager- Remote

Location: Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming, United States

Full time

job requisition id: JR-87708

Job Description:

City/State

Norfolk, VA

Work Shift

First (Days)

Overview:

Sentara Health is currently hiring a Strategic Sourcing Manager - Remote!

Overview

The Strategic Sourcing Manager (SSM) helps to manage the medical/surgical product portfolio, drive cost reduction initiatives throughout Sentara Healthcare and act as a consultant to and supporting resource for the clinical and non-clinical areas of Sentara. The SSM drives organization-wide product change and serves as an internal advocate of Sentara product standardization/utilization initiatives. These inidual coordinates new product introduction, product trials and overall product change initiatives on behalf of end users.

The SSM will reflects the mission, vision, and values of Sentara and adhere to the organization's Code of Ethics and Compliance, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards.

Bachelor's required. Master's degree in Nursing, Sciences, Health Care Management or Business preferred.

3-5 years of sourcing or Healthcare management related experience required.

Education

• Bachelor’s Degree (Required)

Certification/Licensure

• No specific certification or licensure requirements

Experience

• Required to have 3 years of related experience.
• Preferred to have master’s degree in nursing, sciences, health care management or business
• Preferred to have 3-5 years of sourcing or Healthcare management related experience

Benefits: Caring For Your Family and Your Career

• Medical, Dental, Vision plans

• Adoption, Fertility and Surrogacy Reimbursement up to $10,000

• Paid Time Off and Sick Leave

• Paid Parental & Family Caregiver Leave

• Emergency Backup Care

• Long-Term, Short-Term Disability, and Critical Illness plans

• Life Insurance

• 401k/403B with Employer Match

• Tuition Assistance – $5,250/year and discounted educational opportunities through Guild Education

• Student Debt Pay Down – $10,000

• Reimbursement for certifications and free access to complete CEUs and professional development

•Pet Insurance 

Sentara Health is an equal opportunity employer and prides itself on the ersity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.

For positions that are available as remote work, Sentara Health employs associates in the following states:

Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.

Title: Neonatal Nurse Practitioner NNP PNP Per Diem BWH

Location: Boston United States

time type: Part time

job requisition id: RQ4038411

Job Description:

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.

NICU/ Neonatal/ Pediatric Nurse Practitioner/ Per Diem/ Rotating Shift

GENERAL SUMMARY/ OVERVIEW STATEMENT:

• The Nurse Practitioner provides care of the critically ill neonate in the neonatal ICU and SCN setting, including attendance at high-risk deliveries with the NICU team, admission of the ill neonate to both the level II and III setting, and medical management of the critically ill neonate in the NICU/SCN setting.
• The Nurse Practitioner shall work with a multidisciplinary team to review history and daily patient data, round with a multidisciplinary team to make management plans and carry forth these plans through the off hours.
• The Nurse Practitioner will perform emergency procedures including but not limited to endotracheal intubation, needle thoracentesis, thoracostomy, paracentesis, umbilical line placement, PICC line placement, peripheral arterial access, lumbar puncture, bladder catheterization.
• Minimum shift requirement of 4 open shifts per month based on unit needs.
• Based on unit needs, these shifts may be nights and or weekends.
• Per diem NP can generally expect 1 day shift per month.
• The Nurse Practitioner shall maintain appropriate licensure and maintenance of certification.
• Other duties as assigned.

Job Summary

Summary

The Nurse Practitioner is an advanced practice registered nurse who has acquired specialized knowledge and skills through completion of a nurse practitioner program. The practitioner has the credentials to function in an expanded nursing role and is responsible for the daily management of selected patients. The practitioner has responsibility for the assessment and management of patients, including diagnostic and therapeutic interventions, and the continuous implementation and evaluation of an appropriate plan of care. The Nurse Practitioner works with their collaborating physician in accordance with mutually developed practice guidelines, members of the care team, and is responsible to the Nursing Director or Executive Nursing Director for the area for issues specific to the discipline of nursing.

Satisfactory completion of an approved formal education program that has as its objective the preparation of professional nurses to practice as nurse practitioners.

APRN national certification required.

ANA or other appropriate nursing certification in the area of practice and authorization by the Massachusetts Board of Registration in Nursing to practice in the expanded role. DEA for prescription writing.

Working Conditions - Works in a variety of patient care environments where there may be exposure to communicable disease and hazardous materials. Does this position require Patient Care? Yes

Essential Functions

Patient Care Organization

1. Provides direct care, counseling, and teaching to a select patient population.

2. Performs physical examinations and provides preventive health measures appropriate to patient needs.

3. Orders, interprets, and evaluates appropriate lab and diagnostic tests to assess patients' clinical problems and health care needs.

4. Arranges for appropriate plan of care and follow-up based on outcome of diagnostic, lab, and physical assessment findings.

5. Performs laboratory tests appropriate for specific patient population.

6. Orders medications and writes prescriptions according to organizational and regulatory policies and procedures.

7. Records pertinent patient care findings in the medical record.

8. Sets priorities for appropriate and efficient management of patient care that reflects cost effective management of time, available human resources, supplies and equipment.

9. Maintains interdisciplinary approach to planning and communicating patient care information by discussing patient data with appropriate physicians and other health care professionals.

10. Incorporates the concepts of health maintenance, prevention, and promotion into daily practice through patient education and counseling.

11. Demonstrates awareness of community resources and assists staff, patients, and families to effectively utilize them.

• Quality of Care

1. Assists in the development, implementation and revision of nurse practitioner guidelines and monitoring requirements for prescription writing in collaboration with their designated physician and Nursing Director or Executive Nursing Director.

2. Evaluates outcomes of own patients' care and makes necessary revisions in care plans.

3. Seeks and provides consultative services as required.

4. Participates in departmental and organization quality improvement program.

5. Utilizes quality improvement data and research findings to enhance patient care.

• Coordination

1. Demonstrates appropriate collaborative and consultative relationships with other providers within the institution and community.

2. Serves on Nursing and Hospital Committees and assumes responsibility for disseminating and communicating information to staff.

• Budget

1. Participates in setting productivity metrics and in cost-effective management of personnel, time, supplies, and equipment in their area.

2. Collaborates with the Nursing Director/Practice Manager/Executive Nursing Director in the recommendation of appropriate staffing patterns for their clinical areas.

• Personnel Management

1. Participates in selection process of new employees in group or team practice as requested.

2. Provides input into evaluation of other staff as appropriate.

• Education

1. Acts as preceptor for nursing students and staff as requested.

2. Participates in orientation of new staff.

3. Participates in Departmental and organization continuing education programs.

4. Identifies own learning needs and updates clinical knowledge and skills through formal and informal education and review of current literature.

5. Educates lay and/or professional groups through lectures, papers, publications, and educational materials.

• Planning

1. Develops annual objectives and reviews with Nursing Director or Executive Nursing Director and collaborating M.D. at time of performance review and at appropriate intervals. Completes annual credentialing process through the Nursing Department credentialing program.

2. Assists in determining, evaluating, and/or implementing clinical area goals and objectives.

3. Maintains interdisciplinary approach for planning and communicating information for patient care and operation of practice.

4. Maintains current knowledge of legislation that may affect the health care delivery system.

5. Identifies and integrates patient population and/or disease state in programmatic goals and objectives.

• Research

1. Participates in nursing research at a level consistent with educational background and experience.

2. Maintains understanding of current research of others in related clinical areas through review of relevant publications.

3. Participates in grant writing as appropriate.

• Supervisory Responsibilities

1. May assume responsibility for providing direction to designated personnel.

Qualifications

QUALIFICATIONS

Education/Licensure:

• Master's in Nursing (or) DNP (or) PhD Degree in nursing required. Completion of a master's or post Masters' degree in Neonatal or Pediatric Nurse practitioner program accredited by the American Nurses Credentialing Center (ANCC) or National Certification Corporation (NCC). Can this role accept experience in lieu of a degree? No

• Current Neonatal or Pediatric Nurse Practitioner board certification by an accredited APRN certifying body required.

• Valid prescriptive authority from both MA DPH and Federal DEA required.

• Valid APRN License to practice in Massachusetts required.

Experience:

• 1. Minimum 3 years clinical nurse practitioner experience in a NICU setting required. (5 years' experience strongly preferred).
• 2. Minimum 3 years clinical nurse practitioner experience in the delivery room setting caring for the critically ill newborn patient population required. (5 years' experience strongly preferred).
• 3. Current Neonatal Resuscitation Program (NRP) certification required.

SKILLS/ ABILITIES/ COMPETENCIES REQUIRED:

• Must have the ability to work in a high stress, dynamic, busy clinical setting with changing organizational climate - Must have the ability to be self-directive and to demonstrate initiative in addressing the responsibilities of the position - Must have the ability to utilize appropriate problem-solving and conflict resolution skills - Must be energetic and quality driven and have a proven ability to be a productive member of a team dedicated to providing optimal patient care - Must be proficient with BWH computer systems as needed to independently perform daily tasks (EMR, Epic preferred) - Must maintain the highest degree of professional judgment under the supervision and guidance of a licensed physician

WORKING CONDITIONS:

Work setting specific to Neonatal Intensive Care Unit, Labor and Delivery Floor and OR. There may be loud noises, noxious odors, and temperature extremes. A large portion of the workday may be spent either standing or walking and the position may require heavy lifting of equipment and patients. The PA may be exposed to radiation, potentially infectious bodily fluids, and sharp instruments such as needles and scalpels. Knowledge of Universal Precautions and proper use of surgical sharp instruments may be required. The consequences of contamination from bodily fluids or from being stuck with a sharp instrument include the possibility of physical harm to the employee or others. BWH is a fast paced, dynamic environment with a very large and complex patient volume; exposure to stress in the workplace is expected.

SUPERVISORY RESPONSIBILITY:

The Nurse Practitioner does not have any supervisory responsibility.

Additional Job Details (if applicable)

Remote Type: Onsite

Work Location: 45 Francis Street

Scheduled Weekly Hours: 0

Employee Type: Per Diem

Work Shift: Rotating (United States of America)

Pay Range: $50.70 - $134.78/Hourly

Grade

MNA2221Z

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. 

EEO Statement:

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 iniduals 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. 

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.

Title: Director of Clinical Operations

Location: Albany United States

Job Description:

The Director, Clinical Operations is responsible for clinical operations for the College of Nursing and Health Sciences. Reporting to the Senior Director, Strategic Operations (CNHS), the Director, Clinical Operations is responsible for coordinating all clinical and practice experiences for CNHS students by assisting leadership in identifying clinical sites for students to successfully complete evidence-based learning opportunities.

The position represents CNHS to clinical and external agencies, student and community through clinical relationships, compliance and partnership development efforts. This inidual must have a strong organizational and communication skills and an in-depth understanding of the regulatory requirements related to nursing and other professional licensure and postsecondary distance education. The Director Clinical Operations will have experience with healthcare compliance, and establishing long-term relationships with healthcare facilities for the purpose of providing health care and nursing clinical practice

experiences. This position requires travel.

This is a full-time hybrid role with a minimum of two required days at Excelsior's home office of 7 Columbia Circle, Albany, NY, with the remainder of the days worked from home.

The roles and responsibilities fall into the following categories:

• Establishing and maintaining clinical and practice experience sites
• Partnership development
• Regulatory and Health Care compliance

Qualifications: To perform this job successfully, an inidual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable iniduals with disabilities to perform the essential functions.

• Candidate must be a highly motivated self-starter who can be a team player and desires to share

creative solutions and best practices.

• Requirements include problem-solving and critical thinking skills;
• Excellent organizational and multi-tasking skills.
• Exceptional interpersonal and communication skills.
• Inside sales and/or sales support skills helpful-- ideal candidate will have 3-5years of successful

demonstration of business development and/or sales competencies.

• Solid experience working in the healthcare field; proficient in working directly with or for providers is

preferred.

• Ability to make presentations to healthcare leaders and educators and be comfortable developing

relationships via phone and in person.

• Attention to detail and mental concentration are necessary for accurately performing tasks--ability to

tolerate frequent interruptions.

• Professional experience working in a regulatory/accreditation environment.
• Excellent oral, written, and presentation skills. Strong interpersonal and organizational skills.

The hiring salary range for this position is $80,000.00 - $90,000.00. The hiring salary range above represents the University's good faith estimate at the time of posting

Title: Surgical Coder-REMOTE

Location: Englewood United States

• Englewood, Colorado
• Revenue Cycle
• Regional Business Office (MTN)
• 35840

Job Description:

Overview

Employment Type: Full Time

REMOTE

Benefits: M/D/V, Life Ins., 401(k)

Englewood, Colorado

Pay Range: $24.63-$31.26

JOB SCOPE: Working under limited supervision, performs all medical record coding activities. Assigns appropriate diagnostic codes to patient charts and reports as assigned. Supports and adheres to The US Oncology Compliance Program, to include the Code of Ethics and Business Standards.

The US Oncology Network is a thriving organization that fosters forward-thinking, advancement opportunities, and an inspired work environment. We continuously look for top talent who will continue to propel our organization in the right direction and celebrate new successes! Come join our team in the fight against cancer!

About US Oncology

The US Oncology Network is one of the nation's largest networks of community-based oncology physicians dedicated to advancing cancer care in America. The US Oncology Network is supported by McKesson Corporation focused on empowering a vibrant and sustainable community patient care delivery system to advance the science, technology, and quality of care. For more information, visit www.usoncology.com. We extend an extremely competitive offering of benefits to employees, including Medical Health Care, Dental Care, Vision Plan, 401-K with a matching component, Life Insurance, Short-term and Long-term disability, and Wellness & Perks Programs.

Responsibilities

ESSENTIAL DUTIES AND RESPONSIBILITIES :

• Abstracts relevant clinical and demographic information from the medical record to assign current ICD and CPT codes in accordance with coding and reimbursement guidelines.
• Identifies principal and secondary diagnosis with minimal error based on national based standards.
• Codes with an accuracy of 97% based on QA internal reviews.
• Records all diagnostic procedures and assigns appropriate procedure codes.
• Requests diagnosis from physicians when information is not recorded.
• Determines and records required medical information.
• Updates coding procedures and guidelines.
• Works with medical assistants and other staff in coordinating medical information and patient charts.
• Maintains the confidentiality of medical information contained in each record.
• Assists in the development of medical records related reports.
• Formats reports according to established guidelines.

Qualifications

MINIMUM QUALIFICATIONS:

• High school diploma or equivalent required.
• CPC Required
• Completion of a course in medical record technology.
• Minimum five years medical coding experience, prior oncology experience preferred.

PHYSICAL DEMANDS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable iniduals with disabilities to perform the essential functions. While performing the duties of this job, the employee is required to be present at the employee site during regularly scheduled business hours and regularly required to sit or stand and talk or hear. Requires full range of body motion including handling and lifting patients, manual and finger dexterity, and eye-hand coordination. Requires standing and walking for extensive periods of time. Occasionally lifts and carries items weighing up to 40 lbs. Requires corrected vision and hearing to normal range.

WORK ENVIRONMENT: The work environment may include exposure to communicable diseases, toxic substances, ionizing radiation, medical preparations and other conditions common to an oncology/hematology clinic environment. Work will involve in-person interaction with co-workers and management and/or clients. Work may require minimal travel by automobile to office sites.

Title: Director of Client Operations

Location: Las Vegas United States

Requisition Number 35953J

Job Description:

Premise Health is Different on Purpose

Premise Health serves large organizations and their people with exceptional healthcare. The result? Better experiences, better health, and better value, all while helping organizations lower their healthcare costs.

Premise's mission is to help people get, stay, and be well. Come join us and see for yourself why amazing health starts with amazing healthcare. For more information, visit www.jobs.premisehealth.com.

This position oversees and directs the operations management of multiple employer worksites across all lines of health and fitness related services within a geographic area. Is a subject matter expert and provides expertise managing and mentoring Health Center Leadership staff.

This is a Full Time, Remote, Director of Client Operations role.

What You'll Do

• Serves as main client contact on strategic integration and expansion opportunities, maintaining strategic focus on client satisfaction and value added strategies and demonstrates the ability to proactively identify client needs related to healthcare trends.
• Identifies processes to improve overall performance of health centers and defines innovative measurements of performance standards to integrate corporate strategies.
• Demonstrates strong business acumen and knowledge of staffing, capacity, ROI, budget, margins, service and product offerings, to implement and drive strategic and relevant operational outcomes.
• Strategically identifies and solves complex problems effectively with an emphasis on developing proactive approaches utilizing internal (corporate and regional) support.
• Identifies and requests participation from corporate departments in strategic meetings as client needs dictate.
• Owns client/site meetings, committees, and task forces to support strategic initiatives and goals.
• Operational lead on implementations post-go-live.
• Coordinates and productively facilitates communication across virtual sites and effectively navigates through multilayer client relationships (vendors, consultants, etc).
• Demonstrates the ability to effectively manage complex multiple lines of service and clients.
• Provides effective leadership, coaching, and mentoring at the site level.
• Builds talent to proactively manage additional LOS.
• Participates in sales process.
• Escalation point for clients.
• Consults with Medical, Legal or Compliance departments regarding regulations, practices act, practice law, certification requirements etc.
• May be asked to complete ad hoc projects.
• Manages site level supervisors.
• Owns the client/site meetings, committees and task forces to support strategic initiative and goals; identifies and asks for participation of corporate departments in strategic meetings as client needs dictate.
• Coordinates and communicates across virtual sites and shares best demonstrated practices with peers.
• May be asked to complete ad hoc projects.
• Oversees the management of up to 15 health centers with multiple lines of service.
• Manages the relationship of up to 10 clients.
• Manages a portfolio of $2M - $10M in Gross Annual Revenue
• Manages (direct and indirect) up to 10 - 50 FTEs.

What You'll Bring

• Bachelor's degree in a related field preferred or equivalent experience.
• 7+ years' experience in a business environment or related industry, managing others
• Experience managing virtual teams
• Healthcare experience managing in a medical, pharmacy, fitness or other similar environment preferred.
• Experience in an Operations function desired
• Prior budget and P&L responsibility desired
• Demonstrated experience with medical information management systems
• Demonstrated process or efficiency management.
• Strong Excel, PowerPoint, Word and Outlook skills required
• Strong written, verbal and presentation skills required
• Excellent demonstrated follow up skills & attention to detail
• Ability to work both independently and as a team member
• Strong relationship building skills
• Ability to interact at all levels of the organization (both internal and external)
• Demonstrated strong leadership skills
• Demonstrated adaptability and ability to manage change
• Knowledge of Workers' Compensation, Medicare and/or clinical standards of practice preferred.

Work-life balance is at the foundation of how decisions are made and where Premise is headed. We can only help people get, stay, and be well if we do the same for ourselves. In addition to competitive pay, Premise offers full-time team members benefits including medical, dental, vision, life and disability insurance, a 401(k) program with company match, paid holidays and vacation time, a company-sponsored wellness program, EAP, access to virtual primary care and virtual behavioral health at no cost for team members and their dependents. 

Premise is an equal opportunity employer; we value inclusion and do not discriminate based on race, color, religion, creed, national origin or ancestry, ethnicity, sex (including pregnancy and related conditions), gender identity or expression, sexual orientation, age, physical or mental disability, genetic information, past, current or prospective service in the uniformed services, or any other characteristic protected under applicable federal, state, or local law.

Premise provides its reasonable and genuinely expected range of compensation for this job of $100,000.00 - $160,000.00 annually. A number of factors will influence the rate offered for this position, including your experience, qualifications, geographic location, and other factors. This position is eligible for a performance bonus that is based on client service expansion. In addition, this position is eligible for an Annual Performance Incentive that is a percentage of base salary and awarded based upon inidual annual evaluation and company financial performance.

For iniduals living in Washington or Colorado: Premise offers the following paid time off benefits. Employees will be included in the company's Open Time Off plan and will receive 10 paid holidays or an equivalent bank of hours aligned to schedule throughout the calendar year. Paid sick leave is satisfied by the paid time off accrual, detailed above.

Title: CDI Educator

Location:

Remote

locations

Somerville-MA

time type

Full time

Job Description:

Site: Mass General Brigham Incorporated

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.

Job Summary

Reporting to the CDI Senior Director, the MGB CDI Educator supports the long-term success of the MGB CDI program by delivering education and training in clinical documentation integrity. This role develops and promotes educational initiatives to drive clinical and operational excellence and collaborates with the CDI Medical Director to enhance provider education across MGB. This role ensures that all stakeholders understand the importance of accurate and complete clinical documentation and supports quality care, regulatory compliance and optimal coding and reimbursement.

Principle Duties and Responsibilities

• Develop and implement both formal and informal CDI educational initiatives for MGB.
• Identify CDI knowledge gaps and provide education and follow up remediation.
• Analyze data to identify areas where additional education may be beneficial for providers, CDI team members, or other clinicians.
• Act as a primary resource, providing timely and comprehensive responses to CDI inquiries in both verbal and written formats.
• Collaborate with the Director, CDI Operations and Senior Manager, Risk Adjustment to onboard CDI team members.
• Conduct inidual and large group educational sessions.
• Assist CDI Medical Director and Physician Advisors with all provider and clinician focused CDI education.
• Maintain professional competence and continuously monitor CDI industry initiatives and trends.
• Facilitate the ongoing review of CDI educational materials, documentation tip sheets, and other training program/resources for relevance and compliance.
• Use the Mass General Brigham values to govern decisions, actions and behaviors. These values guide how we get our work done: Patients, Affordability, Accountability & Service Commitment, Decisiveness, Innovation & Thoughtful Risk; and how we treat each other: Diversity & Inclusion, Integrity & Respect, Learning, Continuous Improvement & Personal Growth, Teamwork & Collaboration
• Other duties as assigned

Qualifications

• Registered Nurse (RN), Advanced Practice Clinician (NP/PA), or other clinically licensed professional
• 5 years of acute medical/surgical care experience required
• 5-7years of clinical documentation improvement experience required
• 3-5 years of educator experience with strong understanding of CDI and coding regulations preferred
• Certification in Clinical Documentation preferred

Skills, Abilities and Competencies

• In-depth knowledge of clinical disease processes and inpatient care delivery.
• Advanced understanding of MS-DRG/APR-DRG logic, SOI/ROM methodology, and CC/MCC assignment.
• Strong analytical, critical thinking, and clinical reasoning skills.
• High attention to detail and commitment to accuracy and compliance.
• Excellent written and verbal communication skills.
• Understands the fundamentals of chart review, CDI opportunity, and compliance. Demonstrates competency in teaching/learning process, organizational skills, and computer literacy.
• Ability to create professional educational presentations and training documents.
• Strong presentation skills with ability to lead meetings effectively
• Advanced proficiency in Microsoft Office

Additional Job Details (if applicable)

Remote Type

Remote

Work Location

399 Revolution Drive

Scheduled Weekly Hours

40

Employee Type

Regular

Work Shift

Day (United States of America)

Pay Range

$78,000.00 - $113,453.60/Annual

Grade

7

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:

Mass General Brigham Incorporated 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 iniduals 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 iniduals 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 (857)-282-7642.

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.

Title: Research Assistant II, Dept. of Newborn Medicine

Location: Boston, MA United States

Onsite

time type

Part time

job requisition id

RQ4037444

Job Description:

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.

Job Summary

Provides assistance on work related to epidemiological studies and other population-based research not related to clinical trials or laboratory. Assists with reporting and developing new research proposals-trains and orients staff.

Qualifications

Essential Functions:

Responsible for data collection, management, manipulation, analysis, and reporting.

Study cohort management.

Outreach communication with subjects, conducting mailings, follow-up on mailings, and obtaining necessary documents.

Assists with preparing progress reports with basic prescriptive statistics.

Gathers information to aid in the development of future research proposals.

Trains and orients new staff.

Education

Bachelor's Degree Science required

Experience

Relevant research and data management experience 1-2 years required

Knowledge, Skills and Abilities

• Good interpersonal and communication skills.
• Careful attention to detail.
• Excellent organizational skills and ability to prioritize a variety of tasks.
• Intermediate computer literacy including database tools.
• Knowledge of data management programs.
• Ability to follow directions and exhibit professionalism, and work more independently.

Additional Job Details (if applicable)

Remote Type

Onsite

Work Location

221 Longwood Avenue

Scheduled Weekly Hours

0

Employee Type

Per Diem

Work Shift

Day (United States of America)

Pay Range

$23.80 - $34.81/Hourly

Grade

6

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:

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 iniduals 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.

Title: ABA Supervisor - BCBA

Location: Burlington, MA 

Hybrid

Job Description:

At Cortica, our Board-Certified Behavior Analysts (BCBAs) use a strength-based, holistic approach to clinical programming for children with autism and other neurodevelopmental differences. Our valued BCBAs are leaders who make a difference and create a supportive environment where all clinicians in our transdisciplinary team can thrive, grow, and make a meaningful, long-term impact for families.

You'll provide groundbreaking, neuroersity-affirming care, while enjoying the flexibility and support you deserve.

Why Choose Cortica?

We're excited to support your continued professional development, growth, well-being, and ability to make a meaningful impact as part of a transdisciplinary team. That's why our compensation and benefits package has been designed to support you personally and professionally:

• Total Earning Potential (Salary + Bonus): $93,391 - $116,739
• Generous Time Off to Recharge and Maintain Work-Life Balance: Up to 22 days off in your first year, increasing to 26 days after 12 months.
• Flexible Hybrid Role: Up to 50% of this role can be done remotely, allowing you to balance your clinical work and administrative tasks on your terms. Telehealth is determined by the BCBA when its clinically effective for the client and BT
• CEU Stipend: $2,000 annually to support your continued professional development.
• License Reimbursement: We cover the cost of your BCBA license renewal.
• 401(k) Matching: Helping you plan for your future with matching contributions.
• Comprehensive Health Coverage: Including medical, dental, vision, life, disability insurance, plus pet insurance-because we care about your entire family, furry friends included!
• Set Scheduling: Predictable work hours help you balance your work and personal life.

Your Role and Impact

As a BCBA at Cortica, you'll play a pivotal role in overseeing neuroersity-affirming clinical programming for patients receiving ABA treatment. You'll lead a team of behavior technicians (BTs) empowering them to make a lasting difference in the lives of children with developmental differences.

What you'll love about this role:

• Achievable Targets: You'll average 26 billable hours per week, with reduced targets during shorter weeks to ensure a manageable workload.
• Uncapped Bonus Potential: You'll have an opportunity to earn more by increasing your billable hours, but it's entirely up to you-work at a pace that suits your lifestyle.
• Growth and Advancement Opportunities: You'll have the chance to advance through BCBA levels I, II, III, and IV, increasing your leadership impact along the way. At BCBA levels III and IV, productivity targets are reduced to 22, allowing you to focus on developing leadership skills, cultivating other talents, and exploring broader professional interests.
• Autonomy over Your Schedule: You'll have full control over when and where you supervise your cases, empowering you to design a schedule that works for you.
• Administrative Support: Focus on what you do best-clinical care-while our dedicated team handles scheduling, billing, and credentialing, leaving you with more time to focus on your work and patients.

Qualifications and Requirements

• Master's degree in human services or a related field.
• Current BCBA (Board-Certified Behavior Analyst) Certification required.

What Makes Cortica Different from Other ABA Companies?

At Cortica, we believe in going beyond traditional ABA practices to offer a more comprehensive, patient-centered approach that is different from other ABA companies:

• A Transdisciplinary Approach to Care: Unlike many ABA companies that focus solely on behavior therapy, Cortica offers a holistic, multidisciplinary model of care. Our team includes experts from a wide range of fields-occupational therapy, speech pathology, pediatrics, and more-allowing us to address the whole child and deliver more integrated, effective care.
• Focus on Collaboration: At Cortica, we don't just implement therapy-we collaborate with families, caregivers, and other clinicians to create inidualized care plans that empower everyone involved. This approach ensures that each child's unique needs are met, and that the entire team is aligned in their goals for success.
• Quality Over Quantity: We take pride in value-based care partnerships with health plans that prioritize quality over quantity. Our patients benefit from the time we dedicate to collaborative, integrated care, and our clinicians are supported with more time for thoughtful clinical decision-making. Unlike other providers, we are reimbursed based on outcomes, not just the number of sessions delivered.

By joining Cortica, you'll be part of a team that's redefining ABA therapy-combining compassion, innovation, and collaboration to deliver results that matter.

Ready to make a difference? Apply today to learn more.

Cortica is an Equal Opportunity Employer. This posting is not intended to be an exhaustive list of duties. Please review the full job description here: Job Description.

Behavioral Health Center of Excellence (BHCOE) Accredited 2024 | Great Place to Work Certified 2025 | Glassdoor 4.3 Rating 2025 | Indeed 4.0 Rating 2025

Privacy Notice

Cortica is committed to protecting your personal information in compliance with applicable federal and state laws. Please review our Privacy Notice to understand how your data is collected, used, and protected.

Driving Requirement

This position requires the successful completion of a post-offer background check and a motor vehicle report review.

Title: Behavioral Health Liaison

Location: Auburn United States

 Social Impact Center

 17571

Job Description:

Overview

Our Commitment to Equity

The Y actively promotes a culture free from bias and injustice. We are dedicated to removing institutional and systemic barriers that result in oppression and racism. We will be accountable to marginalized communities for creating equitable and sustainable environments where social justice is woven into every facet of our programs, and by caring for our communities in a culturally versatile and respectful manner.

Job Summary

The Y is seeking a dedicated inidual for the position of Behavior Health Liaison. You will provide support for youth and young adults in the Arcadia Drop In and Shelter space in access to behavioral and whole person care needs. The Behavior Health Liaison works closely with the internal Behavioral Health Team members providing clinical support to youth within the program. The BHL also work to provide support to youth and families in school, home, and community environments. The BHL will work closely with the Arcadia Drop-In, Shelter, and Permanent Supportive Housing Programs to support in whole-person-care for youth and young adults, as well as offsite Transitional Living Program participants. This position will support clients in immediate and passive behavioral health crisis, and clients who are vulnerable.

This position is at the Social Impact Center Y, the social services branch of YMCA of Greater Seattle (YGS). The mission of the Social Impact Center Y is to accelerate young people's ability to build safe, successful, and happy lives. Every year, we serve 5,000 children, youth, young adults, and families across King County with programs that aim to strengthen young people's ability to develop to their fullest potential through four strategies: reducing risk factors; navigating systems towards successful life transition; ensuring stability, safety and wellness in times of crisis; and building competencies and social capital. The Social Impact Center Y's programs include housing, behavioral health, foster care licensing, violence prevention, education, and employment. Many of the young people we serve have had involvement in the foster care, criminal justice system, and/or homelessness systems.

Position Type/Expected Hours of Work

This is a full time position, working 40 hours per week IN-PERSON with minimal option for hybrid work. This position schedule would be Monday - Friday, 8am-4pm or a variation of these days and hours with potential for change in days / hours dependent on program needs.What you'll get from working at The Y

• Membership to the YMCA of Greater Seattle for you and your household
• Medical, Dental, Vision, and Life insurance
• Retirement with generous employer contributions
• Free access to mental health resources
• Rapidly accruing paid time off (PTO)
• Full-time employees qualify for a 50% discount, and part-time employees qualify for a 25% discount, on eligible Childcare Services.
• Some benefits only available to full-time staff

Hiring Range: $28 - $31/hour

Responsibilities

• Provides on-site direct services to youth and young adults, ages ranging from 12-24
• Provides Behavioral Health Coping Skills to youth and young adults in crisis
• Supports drop-in program and upstairs housing program by providing emergency services such as cooking dinner, laundry, and facility support during programming hours and turnover when needed and available
• Curates enriching activities in the Arcadia Drop-In space that contribute to overall whole-person-care
• Connects young adults to health services such as Medicaid, mental health counseling, and substance abuse counseling
• Works with the WA State Health Care Authority for authorization of Foundational Community Supports programming and enrollment. Completes tracking for programming as necessary.
• Tracks daily data as related to the HCHN (Healthcare & Housing Network) contract which includes but is not limited to the number of young adults who access the drop in and shelter programs. - position is data heavy with heavy technology use.
• Connects young adults to wellness activities such as obtaining a free gym membership with the YMCA, life skills classes, and outdoor activities and events
• Connects young adults to overall whole-person-care including but not limited to: physical health, vision, dental, therapy, SUD services, psychiatry services, and more
• Supports case management team by helping youth and young adults obtain their WA State ID, driver's license, social security card, birth certificate, food handlers permit, and public benefits
• Supports Arcadia drop-in program by de-escalating client crises as they occur onsite
• Support with community and street outreach as needed; assisting with Medicaid, benefits, etc. in community and encampments.
• Provides trauma-informed services to youth and young adults with respect for all components of the inidual
• Respond appropriately in a time of crisis onsite. Including but not limited to: physical danger, environmental issues, overdose, verbal argument, physical fight, etc.
• Reports all critical incidents in accordance with YMCA Incident Reporting Policy & Procedures.
• Adheres to YMCA program rules and procedures.
• Completes documentation in a timely manner and on a regular basis.
• Supporting clients in Medicaid applications and referrals • Coordination with county Response Teams - DCR, Mobile Crisis Teams, etc. for support with Arcadia program participants as needed.
• Consult with YSIC Behavioral Health Team around various client questions and concerns
• Other duties as assigned.
• Reasonable accommodations may be made to enable iniduals with disabilities to perform the essential functions.

Code of Conduct for Applicants

Qualifications

• Must be at least 21 years of age OR may be between 18 and 21 years of age if enrolled in a social service internship or practicum program with an accredited college or university and can provide sufficient documentation.
• Intermediate to high-level knowledge or understanding of behavioral health and substance use. Understanding of signs/symptoms of various behavioral health diagnoses, and how to appropriately navigate conversations with iniduals would be helpful to this position.
• Experience providing high-level trauma-informed care.
• High school diploma or high school equivalency course of study (GED/HSEC) with 2 years of directly relevant experience working with children, youth, and families required.
• Have the skills and ability to work successfully and meet the needs of young adults with developmental disabilities, physical disabilities, substance use disorders, etc.
• Proficiency with computers, basic Microsoft Office software and case management/client tracking software. 8. Experience tracking and summarizing data into reports. This position is very data heavy.
• Strong organizational and communication skills with attention to details, timelines and follow through.
• Flexibility in schedule.
• Current state approved first aid, CPR and HIV/AIDS training certification.
• TB test by the Mantoux method.

Within 30 days of employment or first available training * Within 120 days of employment.

Preferred Qualifications

• Ability to speak Spanish or any other language is highly desired.
• Bachelor's degree in psychology, social work, related field, or equivalent, OR Associates degree with one year of directly relevant experience working with children, youth, and families preferred. Other applicable education, training, and experience, which provide the knowledge, abilities, and skills necessary to perform effectively in the position will be considered.
• Prefer knowledge of, and previous experience with, erse populations (language, culture, race, physical activity, sexual orientation, etc.).

You'll be a great fit for the Seattle Y if you:

• Thrive on working in a collaborative environment.
• Are very adaptable.
• Have high ownership and strong work ethic.
• Are a great problem solver who can think on your feet.
• Truly enjoy being of service to people.
• Like being part of a team that cares about one another as people and enjoy working together.
• Want to know that the work you do contributes to building a better, stronger community for all.

Position Title: Investigator II

**Location:**IN-INDIANAPOLIS, 220 VIRGINIA AVE

OH-COLUMBUS, 8940 LYRA DR, STE 300

TN-NASHVILLE, 22 CENTURY BLVD, STE 310

Job Description:

Position Title:

Investigator II

Job Description:

Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical-expense spending.

Title: Investigator II

Locations: Indianapolis, IN, Columbus, OH, Nashville, TN

Hybrid: This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office.

Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.

The Investigator II is responsible for the identification, investigation and development of cases against perpetrators of healthcare fraud in order to recover corporate and client funds paid on fraudulent claims.

Primary duties may include, but are not limited to:

• Claim reviews for appropriate coding, data mining, entity review, law enforcement referral, and use of proprietary data and claim systems for review of facility, professional and pharmacy claims.

• Responsible for identifying and developing enterprise-wide specific healthcare investigations that may impact more than one company health plan, line of business and/or state.

• Effectively establish rapport and on-going working relationship with law enforcement.

• May interface internally with Senior level management and legal department throughout investigative process.

• May assist in training of internal and external entities.

• Assists in the development of policy and/or procedures to prevent loss of company assets.

Minimum Requirements:

• Requires a BA/BS and minimum of 3 years related experience; or any combination of education and experience, which would provide an equivalent background.

Preferred Skills, Capabilities and Experiences:

• Fraud certification from CFE, AHFI, AAPC or coding certificates preferred.

• Knowledge of Plan policies and procedures in all facets of benefit programs management with heavy emphasis in negotiation preferred.

• Health insurance, law enforcement experience preferred.

Job Level:

Non-Management Exempt

Workshift:

Job Family:

FRD > Investigation

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Who We Are

Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

How We Work

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact [email protected] for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

Title: Behavioral Therapist Behavior Analyst Per Diem

Location: Hamburg, NJ 07419

Job Description:

Responsive recruiter

Replies within 24 hours

Benefits:

• Company car

• Competitive salary

• Flexible schedule

• Opportunity for advancement

• Training & development

• Wellness resources

Benefits/Perks

• Careers Advancement Opportunities 

• Autonomous Scheduling

• Competitive Compensation

• Hybrid - Almost Exclusively Virtual

 Job Summary

We are seeking a Behavioral Therapist or Board Certified Behavior Analyst (BCBA) to work with our team on a freelance/Per Diem basis! In this role, you will provide Inidual and/or group counseling, behavioral interventions, diagnostic evaluations or consultations related to the

Responsibilities 

• Examples of Assessment/Plan Development Activities

  - Behavioral assessment
  - Development of behavior support plan
  - Dissemination of plan
  - Initial training and supervision of caregivers
  - Training, oversight, and coordination with staff performing monitoring activities
  - Periodic re-training and supervision of caregivers
  - Review of raw and/or aggregated data associated with plan
  - Periodic reassessment of behavioral support plan
  - Revision of plan when required

• Examples of Monitoring Activities

  - Monitoring the implementation of plan by caregivers
  - Incidental correction and re-training of caregivers
  - Review data collection practices for integrity

Qualifications

• Have demonstrated experience in positive behavior support and/or applied behavior analysis -AND-

• 1 year working with people with developmental disabilities -AND-

• Meet or be under the supervision of at least one of the following:

  o Board Certified Behavior Analyst – Doctoral (BCBA-D) -OR-
  o Board Certified Behavior Analyst (BCBA) -OR-
  o With 1 year of supervised experience working with iniduals with developmental disabilities involving
  behavioral assessment and the development of behavior support plans:
  • Master’s degree and the completion of requisite coursework from a BACB approved course sequence program -OR-

  • Clinician holding NADD Clinical certification -OR-

  • Master’s or Bachelor’s degree in applied behavioral analysis, psychology, special education, social work, public health counseling, or a similar degree AND under the supervision of a BCBA-D or BCBA.

• Basic Life Support (BLS) and CPR certified

• Excellent communication and interpersonal skills

• Highly organized

Flexible work from home options available.

Compensation: $40.00 - $45.00 per hour

History

The state of New Jersey, consistent with a growing trend throughout the United States of America, has fully transitioned from a “systems” approach of service delivery to a person-centered approach. The new approach  focuses on iniduals with intellectual and developmental disabilities as whole persons with specific goals, inspiring dreams and worthwhile aspirations. This shift coincided with the state’s transition from a contract model to a fee-for-service model where participants (persons receiving services paid for by Medicaid through the Division of Developmental Disabilities (DDD)) have full control over the support services they receive as well as how, when and from which independent community providers they receive those services. Simply put, it became more imperative than ever that community agencies provide quality services that consistently met, if not exceeded, expectations of participants and their loving families and dedicated caregivers. The new approach created an ecosystem where Aspire Supports, an agency built on excellence and focused on delivering structured, person-centered, therapeutic and trauma-focused services to all the iniduals it serves, became a preferred agency for iniduals and their families.

Aspire Support Coordination

At its infancy, Aspire Supports focused exclusively on delivering Support Coordination Services. In succinct terms, we connected searching families and eager participants with needed services. Before “fee-for-service,” this service was the task and responsibility of the State of New Jersey. The state employed Case Managers, whose responsibilities ranged from coordination and monitoring services to advocacy. With the fee-for-service model was introduced the role of Support Coordinators. As explained in further details below, our support coordinators performed four (4) general functions for optimal service delivery:

• inidual discovery: We managed all support coordination services not just for, but with the participant. Our service delivery model was designed to make coordination of services seamless and effortless for participants, all while keeping them involved consistent with their preferences. Our support coordination staff possessed over 25 years of collective experience in the field of developmental disabilities. They were keen at helping with identifying, securing and maintaining the services participants enjoyed: from obtaining competitive employment and educational opportunities in the community to day and residential services.
• plan development: Once we had gotten to know our participants, we made use of the Person Centered Planning Tool (PCPT) and the Inidualized Service Plan (ISP) to identify how best to deliver on their desired outcomes, goals, supports and services.
• coordination of services: With their needs identified, our tireless work shifted to ensuring that we secure the best agencies to deliver the services our participants want and need. Not once did we stop until they were completely satisfied with their service providers.
• monitoring: We kept a close watch on agencies delivering the services. We also kept a close watch on participants and their plans to ensure they were progressing towards their desired outcomes. If they did not believe they were receiving the very best services as outlined in their ISP, we acted immediately to ensure that they did. Every time. Without fail.

While providing this service (Support Coordination), it became more and more apparent that we could not effectively fulfill our mission of helping the people we serve live a full life and grow in their communities without exploring ways to directly support those in our communities who live with intellectual, developmental and mental health services. So mere months after starting out as a support coordination agency (hence the original name Aspire Support Coordination, LLC) we strategically moved to the provision of Community Based Supports, Community Inclusion, Transportation and Inidual Support service in counties where the need for those services were greatest.

Title: Behavioral Therapist Behavior Analyst Per Diem

Location: Somerset, NJ 

Hybrid

Job Description

Responsive recruiter

Replies within 24 hours

Benefits:

• Company car

• Competitive salary

• Flexible schedule

• Opportunity for advancement

• Training & development

• Wellness resources

Benefits/Perks

• Careers Advancement Opportunities 

• Autonomous Scheduling

• Competitive Compensation

• Hybrid - Almost Exclusively Virtual

 Job Summary

We are seeking a Behavioral Therapist or Board Certified Behavior Analyst (BCBA) to work with our team on a freelance/Per Diem basis! In this role, you will provide Inidual and/or group counseling, behavioral interventions, diagnostic evaluations or consultations related to the

Responsibilities 

• Examples of Assessment/Plan Development Activities

  - Behavioral assessment
  - Development of behavior support plan
  - Dissemination of plan
  - Initial training and supervision of caregivers
  - Training, oversight, and coordination with staff performing monitoring activities
  - Periodic re-training and supervision of caregivers
  - Review of raw and/or aggregated data associated with plan
  - Periodic reassessment of behavioral support plan
  - Revision of plan when required

• Examples of Monitoring Activities

  - Monitoring the implementation of plan by caregivers
  - Incidental correction and re-training of caregivers
  - Review data collection practices for integrity

Qualifications

• Have demonstrated experience in positive behavior support and/or applied behavior analysis -AND-

• 1 year working with people with developmental disabilities -AND-

• Meet or be under the supervision of at least one of the following:

  o Board Certified Behavior Analyst – Doctoral (BCBA-D) -OR-
  o Board Certified Behavior Analyst (BCBA) -OR-
  o With 1 year of supervised experience working with iniduals with developmental disabilities involving
  behavioral assessment and the development of behavior support plans:
  • Master’s degree and the completion of requisite coursework from a BACB approved course sequence program -OR-

  • Clinician holding NADD Clinical certification -OR-

  • Master’s or Bachelor’s degree in applied behavioral analysis, psychology, special education, social work, public health counseling, or a similar degree AND under the supervision of a BCBA-D or BCBA.

   

• Basic Life Support (BLS) and CPR certified

• Excellent communication and interpersonal skills

• Highly organized

Flexible work from home options available.

Compensation: $40.00 - $45.00 per hour

History

The state of New Jersey, consistent with a growing trend throughout the United States of America, has fully transitioned from a “systems” approach of service delivery to a person-centered approach. The new approach  focuses on iniduals with intellectual and developmental disabilities as whole persons with specific goals, inspiring dreams and worthwhile aspirations. This shift coincided with the state’s transition from a contract model to a fee-for-service model where participants (persons receiving services paid for by Medicaid through the Division of Developmental Disabilities (DDD)) have full control over the support services they receive as well as how, when and from which independent community providers they receive those services. Simply put, it became more imperative than ever that community agencies provide quality services that consistently met, if not exceeded, expectations of participants and their loving families and dedicated caregivers. The new approach created an ecosystem where Aspire Supports, an agency built on excellence and focused on delivering structured, person-centered, therapeutic and trauma-focused services to all the iniduals it serves, became a preferred agency for iniduals and their families.

Aspire Support Coordination

At its infancy, Aspire Supports focused exclusively on delivering Support Coordination Services. In succinct terms, we connected searching families and eager participants with needed services. Before “fee-for-service,” this service was the task and responsibility of the State of New Jersey. The state employed Case Managers, whose responsibilities ranged from coordination and monitoring services to advocacy. With the fee-for-service model was introduced the role of Support Coordinators. As explained in further details below, our support coordinators performed four (4) general functions for optimal service delivery:

• inidual discovery: We managed all support coordination services not just for, but with the participant. Our service delivery model was designed to make coordination of services seamless and effortless for participants, all while keeping them involved consistent with their preferences. Our support coordination staff possessed over 25 years of collective experience in the field of developmental disabilities. They were keen at helping with identifying, securing and maintaining the services participants enjoyed: from obtaining competitive employment and educational opportunities in the community to day and residential services.
• plan development: Once we had gotten to know our participants, we made use of the Person Centered Planning Tool (PCPT) and the Inidualized Service Plan (ISP) to identify how best to deliver on their desired outcomes, goals, supports and services.
• coordination of services: With their needs identified, our tireless work shifted to ensuring that we secure the best agencies to deliver the services our participants want and need. Not once did we stop until they were completely satisfied with their service providers.
• monitoring: We kept a close watch on agencies delivering the services. We also kept a close watch on participants and their plans to ensure they were progressing towards their desired outcomes. If they did not believe they were receiving the very best services as outlined in their ISP, we acted immediately to ensure that they did. Every time. Without fail.

While providing this service (Support Coordination), it became more and more apparent that we could not effectively fulfill our mission of helping the people we serve live a full life and grow in their communities without exploring ways to directly support those in our communities who live with intellectual, developmental and mental health services. So mere months after starting out as a support coordination agency (hence the original name Aspire Support Coordination, LLC) we strategically moved to the provision of Community Based Supports, Community Inclusion, Transportation and Inidual Support service in counties where the need for those services were greatest.

Title: Behavioral Therapist Behavior Analyst Per Diem

Location: Phillipsburg, NJ 08865

Job Description:

Responsive recruiter

Benefits:

• Company car

• Competitive salary

• Flexible schedule

• Opportunity for advancement

• Training & development

• Wellness resources

Benefits/Perks

• Careers Advancement Opportunities 

• Autonomous Scheduling

• Competitive Compensation

• Hybrid - Almost Exclusively Virtual

 Job Summary

We are seeking a Behavioral Therapist or Board Certified Behavior Analyst (BCBA) to work with our team on a freelance/Per Diem basis! In this role, you will provide Inidual and/or group counseling, behavioral interventions, diagnostic evaluations or consultations related to the

Responsibilities 

• Examples of Assessment/Plan Development Activities

  - Behavioral assessment
  - Development of behavior support plan
  - Dissemination of plan
  - Initial training and supervision of caregivers
  - Training, oversight, and coordination with staff performing monitoring activities
  - Periodic re-training and supervision of caregivers
  - Review of raw and/or aggregated data associated with plan
  - Periodic reassessment of behavioral support plan
  - Revision of plan when required

• Examples of Monitoring Activities

  - Monitoring the implementation of plan by caregivers
  - Incidental correction and re-training of caregivers
  - Review data collection practices for integrity

Qualifications

• Have demonstrated experience in positive behavior support and/or applied behavior analysis -AND-

• 1 year working with people with developmental disabilities -AND-

• Meet or be under the supervision of at least one of the following:

  o Board Certified Behavior Analyst – Doctoral (BCBA-D) -OR-
  o Board Certified Behavior Analyst (BCBA) -OR-
  o With 1 year of supervised experience working with iniduals with developmental disabilities involving
  behavioral assessment and the development of behavior support plans:
  • Master’s degree and the completion of requisite coursework from a BACB approved course sequence program -OR-

  • Clinician holding NADD Clinical certification -OR-

  • Master’s or Bachelor’s degree in applied behavioral analysis, psychology, special education, social work, public health counseling, or a similar degree AND under the supervision of a BCBA-D or BCBA.

   

• Basic Life Support (BLS) and CPR certified

• Excellent communication and interpersonal skills

• Highly organized

Flexible work from home options available.

History

The state of New Jersey, consistent with a growing trend throughout the United States of America, has fully transitioned from a “systems” approach of service delivery to a person-centered approach. The new approach  focuses on iniduals with intellectual and developmental disabilities as whole persons with specific goals, inspiring dreams and worthwhile aspirations. This shift coincided with the state’s transition from a contract model to a fee-for-service model where participants (persons receiving services paid for by Medicaid through the Division of Developmental Disabilities (DDD)) have full control over the support services they receive as well as how, when and from which independent community providers they receive those services. Simply put, it became more imperative than ever that community agencies provide quality services that consistently met, if not exceeded, expectations of participants and their loving families and dedicated caregivers. The new approach created an ecosystem where Aspire Supports, an agency built on excellence and focused on delivering structured, person-centered, therapeutic and trauma-focused services to all the iniduals it serves, became a preferred agency for iniduals and their families.

Aspire Support Coordination

At its infancy, Aspire Supports focused exclusively on delivering Support Coordination Services. In succinct terms, we connected searching families and eager participants with needed services. Before “fee-for-service,” this service was the task and responsibility of the State of New Jersey. The state employed Case Managers, whose responsibilities ranged from coordination and monitoring services to advocacy. With the fee-for-service model was introduced the role of Support Coordinators. As explained in further details below, our support coordinators performed four (4) general functions for optimal service delivery:

• inidual discovery: We managed all support coordination services not just for, but with the participant. Our service delivery model was designed to make coordination of services seamless and effortless for participants, all while keeping them involved consistent with their preferences. Our support coordination staff possessed over 25 years of collective experience in the field of developmental disabilities. They were keen at helping with identifying, securing and maintaining the services participants enjoyed: from obtaining competitive employment and educational opportunities in the community to day and residential services.
• plan development: Once we had gotten to know our participants, we made use of the Person Centered Planning Tool (PCPT) and the Inidualized Service Plan (ISP) to identify how best to deliver on their desired outcomes, goals, supports and services.
• coordination of services: With their needs identified, our tireless work shifted to ensuring that we secure the best agencies to deliver the services our participants want and need. Not once did we stop until they were completely satisfied with their service providers.
• monitoring: We kept a close watch on agencies delivering the services. We also kept a close watch on participants and their plans to ensure they were progressing towards their desired outcomes. If they did not believe they were receiving the very best services as outlined in their ISP, we acted immediately to ensure that they did. Every time. Without fail.

While providing this service (Support Coordination), it became more and more apparent that we could not effectively fulfill our mission of helping the people we serve live a full life and grow in their communities without exploring ways to directly support those in our communities who live with intellectual, developmental and mental health services. So mere months after starting out as a support coordination agency (hence the original name Aspire Support Coordination, LLC) we strategically moved to the provision of Community Based Supports, Community Inclusion, Transportation and Inidual Support service in counties where the need for those services were greatest.

Title: Manager, Customer Resolution Workers Compensation

Location: Sydney Australia

Job Description:

Manager, Customer Resolution

Summary: Leading, coaching & developing a team of complaint, conflict & dispute resolution specialists, ensuring customers receive a timely and effective response to their workers compensation claims complaints

Sydney CBD

• Permanent Opportunity with icare in Sydney CBD
• Offering Competitive Salary Offering
• Hybrid working environment |Location: Kent Street

About the Role

The role is responsible for leading, coaching and developing a team of complaint, conflict and dispute resolution specialists, ensuring customers receive a timely and effective response to their workers compensation claims complaints (complaints), achieving high rates of satisfaction, tracking and analysing complaints and improving performance. The Customer Resolution Manager will also handle escalated workers compensation claims complaints and disputes which will involve direct contact/communication with customers and other stakeholders.

Benefits

• A corporate wellbeing program with subsidised gym membership, free flu vaccinations and health check programs
• 17.5% annual leave loading
• icare day - access to an extra day's leave
• Comprehensive learning and development support aligned to icare's Core Capabilities.
• Our People Awards - On-the-spot Recognition, Quarterly Values Awards & Our People Annual Awards
• Access to our Employee Assistance Program

Duties

• Provide high quality specialist services to achieve positive customer outcomes.
• Manage the end-to-end complaint resolution process including:
• Ensuring that all timeframes, targets and regulatory and statutory obligations are met.
• Driving and ensuring positive, courteous and professional service when interacting with customers and internal and external stakeholders.
• Driving and ensuring that probing questions are asked to gain an understanding of any errors that may have occurred and to resolve conflicting information.
• Engaging with, consulting and managing communications with our service providers/Scheme Agents and other impacted internal and external stakeholders.
• Gathering data from internal and external systems.
• Ensuring complaints are documented clearly and concisely in the relevant systems and are factually based.
• Ensuring that all regulatory and statutory obligations are met,
• Analysing complaints to determine validity, risk, cause and the appropriate course of action.
• Providing feedback to management regarding underperformance and opportunities to continuously improve the complaints management process.
• Leading and facilitating education on emerging, significant or systemic trends on complaints and disputes.
• Prepare and deliver appropriate responses to escalated complaints received directly from customers or through internal and external stakeholders.
• Ensure senior managers are briefed where appropriate.
• Escalate to senior managers in a timely manner any issues of concern.
• Ensure that there is adequate staffing to meet the current and projected workload.
• Coach, mentor and develop staff, including overseeing new employee recruitment, on boarding, and retention of high performing specialists.
• Empower employees to take responsibility for their jobs and goals through goal setting, feedback and performance development planning.
• Provide effective performance feedback through regular formal quality assurance activities and one on ones.

Skills & Experience

• Admission as a legal practitioner to the Supreme Court of NSW with an unrestricted practicing certificate.
• Significant experience with conflict, complaint and/or dispute resolution and understanding of policies and applicable laws.
• Comprehensive understanding of workers insurance legislation combined with a solid working understanding the operations of the NSW workers insurance scheme.
• Strong organisational/time management skills and able to work effectively in a fast-paced environment.
• Extensive experience in alternative dispute resolution/litigation on insurance related matters.
• Comprehensive understanding of workers compensation legislation combined with a solid working understanding of New South Wales workers compensation scheme.
• Previous private practice or government practice experience.
• Pre-Employment Checks
• Demonstrated problem solving and analysis skills, combined with effective judgment and communication skills.
• Excellent communication (written and verbal) and interpersonal skills with the ability to negotiate and influence a range of senior stakeholders.
• Successful track record working within a cross-functional team, and across multiple stakeholders and geographies, to deliver outcomes.
• Shows resilience, drive and commitment with the ability to work effectively in a constantly changing and pressured team environment.
• Passionate about providing quality service and outcomes to our customers with a focus on empathy.

Culture

We know our strength comes from the ersity of our people and would encourage people with different experiences and backgrounds to apply. We are committed to our people's development so the people of NSW can thrive.

About the Company

We care for the people of NSW, building confidence and trust so our communities can thrive. We make the complex simple, so our schemes deliver better outcomes for people and communities. Whether a person is severely injured in the workplace or on our roads, icare supports their long-term care needs to improve quality of life, including helping people return to work.

• For more information about icare visit our website
• icare operates a direct sourcing model so no agency introductions will be accepted
• We are a Circle Back Initiative Employer - we commit to respond to every applicant
• A talent pool may be created through this recruitment process.

Please note that you must be an Australian citizen, permanent resident of Australia, New Zealand citizen with a current New Zealand passport or have unrestricted working rights to apply for this role.

Title: Senior Policy Officer

Location: Sydney Australia

**Work type:**Full-Time

Total remuneration package:$129464 - $142665

Job Description:

Role Title:

Senior Project officer, Youth Health and Wellbeing Team, Health and Social Policy Branch

• Temporary role, up to June 2028
• 35 hour working week, in a hybrid working environment
• Clerk grade 9/10

The Ministry of Health is dedicated to delivering high-quality services and improving the health outcomes of the people in New South Wales. We value collaboration, innovation and excellence, as we strive to create an environment where employees can thrive and make a real difference.

About this role

You'll be joining the largest public health system in Australia and contribute to a world-class health system in NSW.

Health and Social Policy works to improve the health and wellbeing of people - now, across their life and for future generations. We develop equity focused policies and programs for the NSW Health system, including where it connects with social care.

Crown Clerk 9/10, starting salary from $129,464 - $142,665 plus Super and annual leave loading, with a 35-hour work week

What you'll be doing

Senior Policy Officer (REQ 606982) Statewide Out-of-Home Care Health Pathway Program Manager, Youth Health and Wellbeing Team.

This role will work closely with the Ministry of Health, local health districts and Department of Communities and Justice to improve the health outcomes of children and young people in out-of-home care. The aim of the Program is to ensure that children and young people in out-of-home care have their health and development needs identified and responded to as early as possible. The role will provide policy advice and operational support on the implementation, monitoring and evaluation of the Program to NSW Health's objectives within the health and social policy portfolio.

About you

We are seeking motivated and committed iniduals with:

• Demonstrated relevant, professional experience in the area of health and social policy and/or relevant tertiary qualifications.

• Substantial experience in project management and developing, analysing and evaluating policy.

• Excellent analytical skills including proven experience in analysing and interpreting complex information, preparing and presenting analysis and reports and dealing with challenges creatively.

• Demonstrated ability to work with erse stakeholders to deliver on complex policy and program/project areas.

What we offer

The Ministry of Health offers its employees a range of benefits and opportunities to help you succeed in your role, with opportunities for career progression, learning, development and work-life balance. You will have access to support networks, employee assistance programs, and flexible work arrangements. To learn more about the Ministry and what benefits we offer, access our Employee Benefits Handbook.

Working at The Ministry of Health

The position is located in St Leonards, in a modern, purpose-built building within an activity-based working environment. Close to public transport, cafés and local amenities.

Our commitment to Diversity and Inclusion

Ministry of Health is an equal opportunity employer. We actively promote the employment of women, people with a disability, Aboriginal and Torres Strait Islander peoples, LGBTIQ+ community and people from culturally and linguistically erse backgrounds.

Join our team and be a part of shaping the future of Health in New South Wales.

If you identify as Aboriginal or Torres Strait Islander and would like assistance with your application or to obtain more information on how to apply please visit The Stepping Up Initiative.

To be eligible for employment in these roles you must be an Australian citizen, or a permanent resident, or a New Zealand citizen, or hold a valid visa with permission to work in Australia.

Additional information

• This recruitment may be used to create a Talent Pool for similar future roles (ongoing or temporary) that may arise over the next 18 months.
• For more information on applying visit the Ministry of Health Career portal
• Please note the selection process will include a range of comparative assessment techniques to assist in determining your suitability for the role.
• This is a temporary role and there may be opportunities for ongoing employment at grade.

Title: Proactive application

Location: Remote Remote BE

Type: Full-time

Workplace: Fully remote

Job Description:

Join Curewiki

At Curewiki, we are constantly seeking passionate iniduals who are eager to make a difference in the realm of health information. While we may not have a specific opening that fits your profile right now, we believe that talent can come from unexpected places. We encourage you to submit a proactive application so that we can consider you for future opportunities.

About Curewiki

Curewiki is committed to enhancing patient-centered health information accessibility and transparency. Our mission is driven by a passion for providing reliable resources that allow iniduals to make informed decisions about their health.

What We Offer

• A vibrant, innovative workplace where your ideas can thrive.

• A remote-first philosophy to support your work/life integration.

• Opportunities to contribute directly to meaningful projects that improve the lives of patients.

• A feedback and performance driven culture in which results matter.

Why proactive?

We value proactive iniduals who are eager to take initiative and contribute to our mission. By submitting your application, you are expressing your enthusiasm and commitment to becoming part of our future success!

Requirements

To be successful as a prospective candidate at Curewiki, you should possess:

• A passion for health information, patient advocacy, or related fields.

• Relevant skills and experience based on the role you are interested in.

• Strong communication abilities in ENG to articulate ideas effectively.

• The ability to work collaboratively in a remote or hybrid environment.

• A proactive mindset that seeks solutions and innovative approaches.

We welcome your unique perspective and talents to help us on our mission to improve health information access!

Title: Senior Employee & Industrial Relations Adviser

Location: Sydney Australia

**Organisation / Entity:**NSW Education Standards Authority

Job category:

Human Resources and Recruitment | Industrial Relations

Job location:

Sydney Region / Sydney City

**Job reference number:**0000B2P3

**Work type:**Full-Time

Total remuneration package:$129,464 - $142,665 plus employer's contribution to superannuation and annual leave loading.

**Contact:**Deanna Mohr

Job Description:

Guiding the future of NSW education

Position details

• Clerk Grade 9/10
• Temporary, full-time role of up to 12 months with possibility of extension
• Close to Wynyard station & hybrid work arrangements available

About the Opportunity

This is an exciting opportunity to join the NSW Education Standards Authority's (NESA) People and Culture team in a key advisory role within our growing Employee and Industrial Relations function.

This role offers the chance to join a proactive People & Culture team to influence best practice ER/IR outcomes across NESA, collaborate with stakeholders at all levels, and further develop your expertise within a values-driven and collaborative team environment.

As the Senior Employee & Industrial Relations Adviser, you'll play a pivotal role in delivering consistent, high-quality employee and industrial relations advice and services to leaders and teams across the organisation. You'll work closely with the Employee & Industrial Relations Lead and the broader People & Culture team to provide trusted guidance, support complex case management, and contribute to strategic initiatives that shape our workplace culture.

On a day-to-day basis, you will:

• Provide expert advice on the interpretation of awards, legislation and industrial instruments to support effective and compliant decision making.
• Assist in the management and resolution of employee relations matters to ensure fair, consistent, and timely outcomes.
• Prepare and review documentation relating to ER/IR issues, including reports and analysis to support evidence-based recommendations.
• Provide specialised coaching and guidance to leaders and employees on policies, procedures, and legislative requirements.
• Conduct research on industrial relations issues, legislative updates, and trends to inform best practice.
• Support the development and delivery of ER/IR initiatives and projects, including bargaining, progress reporting and stakeholder communication.
• Represent NESA in disputes and related matters in conjunction with the Employee & Industrial Relations Lead.

We invite you to download the role description for additional information on the position.

About You

You're an experienced ER/IR professional with a sound understanding of industrial frameworks and employment legislation. You bring a solutions-focused mindset and the ability to influence and guide stakeholders in an evolving and complex environment.

This role will suit someone who has:

• proven experience providing employee and industrial relations advice within the public sector or a similarly complex organisation.
• strong knowledge of employment legislation, industrial instruments, government policies, and ER/IR best practice.
• the ability to manage multiple priorities while maintaining attention to detail and quality of outcomes.
• highly developed communication and relationship management skills, with the confidence to engage with unions, other agencies, and senior stakeholders.
• a collaborative, professional, and proactive approach to achieving positive organisational and workforce outcomes.

About us

At NESA, we're dedicated to carrying out meaningful work that drives improvements and elevates student achievement across NSW, now and into the future.

We accomplish this by supporting all school sectors with high-quality syllabuses, assessment (including managing the HSC and NAPLAN), teaching standards (e.g., accrediting teachers) and school environments (including setting and monitoring school standards).

NESA is a unique organisation in NSW (of around 740FTE staff) with significant state-wide impact, visit our website to learn more about the important work we do.

At NESA you'll benefit from:

• An organisation where your contribution has a big impact
• An enviable CBD location (all modes of transport nearby, and excellent coffee and eateries) with refurbished offices
• Flexible working arrangements and generous leave entitlements
• Access to discounted health and fitness memberships via Fitness Passport, an employee assistance program and annual flu vaccinations
• Salary packaging options
• Working in a purpose driven and ethical organisation with committed colleagues

Title: Data Scientist (Healthcare Data)

Location: New York City (Hybrid)

Job Description:

About Particle

Particle Health is revolutionizing healthcare data analytics and interoperability. Our mission is to unlock the power of medical records in an intelligent platform that focuses health back on the patient. 

Through our modern data platform, we enable healthcare innovators—ranging from value-based care providers and payers to digital health companies and health systems—to access standardized, real-time patient data. By bridging fragmented data silos, Particle empowers organizations to tackle critical use cases such as care coordination, risk stratification, patient identity management, and regulatory compliance with ease and precision.

Our solutions of Snapshot, Signal, Navigator, and Workbench address the complex challenges of healthcare data analytics and interoperability, helping our customers transform data into actionable insights, improve patient outcomes, and streamline workflows.

About the Role

At Particle Health, data is at the core of everything we do. As a Data Scientist, you’ll play a key role in helping us analyze healthcare data and generate insights that enable our customers to deliver better patient outcomes.

You’ll work with erse datasets — including EHR, prescription, and provider data — to build models, surface trends, and help turn complex healthcare data into actionable intelligence. This is a great opportunity for someone who’s excited to apply analytical and technical skills to real-world healthcare problems and grow within a mission-driven team.

You’ll collaborate closely with data engineers, product managers, and software engineers to design analytical products, improve data quality, and explore ways to make our data more valuable to both internal teams and customers.

Location & Work Schedule

This is a hybrid role based in New York City. The team works in-office two days per week (Tuesdays and Thursdays), so applicants should be within commuting distance and comfortable with in-person collaboration.

What You’ll Do

Data Science & Analytics (Primary Focus)

• Build and validate analytical and machine learning models to address key healthcare data challenges (e.g., treatment adherence, gaps in care, risk scoring).
   
• Explore, clean, and analyze large-scale healthcare datasets to identify patterns and generate actionable insights.
   
• Work with Product and Engineering to translate findings into scalable, production-ready solutions.
   
• Contribute to projects involving AI and NLP, helping extract and summarize meaningful information from clinical text.
   
• Ensure statistical rigor, accuracy, and reproducibility in all analyses.

Data Quality & Insights

• Identify and address data quality gaps to improve completeness and reliability.
   
• Partner with the Data Engineering team to enhance the usability and consistency of our datasets.
   
• Develop dashboards and metrics that help internal teams and customers better understand our data.

Collaboration & Impact

• Work cross-functionally with Product, Engineering, and Data teams to align on goals and deliver data-driven insights.
   
• Communicate findings clearly to both technical and non-technical audiences.
   
• Continuously learn, experiment, and contribute ideas to improve how we use data to drive outcomes.

What We’re Looking For

• 3+ years in data science, analytics, or a related role
• Proficiency in Python and SQL skills
• Experience working with or strong interest in healthcare data (EHR, FHIR, HL7, claims)
• Experience developing analytical models or applying statistical methods to solve business problems
• Exposure to modern AI methods, such as generative models, large language models (LLMs), or applied AI systems, and understanding how to integrate them into analytical workflows
• Experience with data visualization / BI tools (e.g., Looker, Tableau, or Dash)
• Exposure to machine learning concepts and model evaluation
• Curiosity, problem-solving mindset, strong communication, proactive learner

Nice to Have

• Experience with distributed data frameworks (e.g., Spark)
• Familiarity with healthcare standards such as FHIR, HL7v2, or CCDA
• Experience in a SaaS or cloud-based data environment
• Background in a quantitative field (statistics, computer science, etc.)

Why Particle Health

• Purposeful Work: Contribute to projects that directly improve healthcare access, empower providers, and enhance patient outcomes.
• Collaborative Culture: Thrive in a mission-driven, curiosity-fueled environment where ownership and bold ideas are celebrated.
• Flexibility & Balance: Enjoy unlimited PTO and a hybrid work environment, giving you the opportunity to collaborate in person and enjoy the benefits of remote work. We also provide lunch on Tuesdays and Thursdays when our team is in the office! 
• Bonus Program: Get rewarded for great work—our twice-a-year bonus program reflects both your contributions and our overall success. 
• Comprehensive Benefits:
  • ~95% employer-paid health benefits for you and your family.
  • Employer-funded 401(k) match to help you build a secure future.
  • Mental health benefits to support your well-being.
• Invest in Your Future: Receive employee equity, ensuring you share in the company’s success.
• Family Support: Access 14 weeks of fully paid parental leave, so you can focus on what matters most.
• Collaborate with a talented team of engineers, data scientists, and healthcare experts
• Opportunity to work with cutting-edge technologies in the healthcare space
• Growth opportunities as we scale our platform and expand our capabilities

At Particle Health, your contributions don’t just impact the company—they shape the future of healthcare. Join us, and let’s make a difference together!

Compensation Range: For this role, we’re targeting a salary range of $130,000–$160,000 annually, depending on experience and qualifications. If your background aligns more closely with a higher or lower level than the scope outlined here, compensation may vary accordingly.

#LI-Hybrid

At Particle Health, we believe ersity is a strength that drives and fuels our mission to transform healthcare. We are proud to be an equal opportunity employer and are committed to creating an inclusive, supportive environment where everyone can thrive. We welcome and celebrate iniduals of all backgrounds, perspectives, and experiences, regardless of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability. Our commitment to ersity reflects our core values—integrity, curiosity, boldness, ownership, and persistence—and our belief that our differences make us stronger as a team and a company.

Job Title: Scientist II, Mass Spectrometry

Location: Redmond, WA

Job Description:

Reports to: Principal Scientist, Mass Spectrometry

About Us:

At Just-Evotec, we believe that curiosity is the spark that drives innovation and success. As a forward-thinking team, we thrive on challenging the status quo, learning from each other, and pushing the boundaries of what’s possible. We're on a mission to create a place where curiosity isn't just encouraged, it’s celebrated.

Are you someone who asks questions, seeks answers, and isn't afraid to go deeper? #BeCureious with us and see where your curiosity can take you!

The Role:

We’re looking for a passionate and curious Scientist II to join our team. If you’re excited by new challenges, solving complex problems, and learning every step of the way, you might just be the perfect fit. In this role, you’ll have the opportunity to drive impactful projects, collaborate with bright minds, and explore uncharted territories.

As an Scientist II at Just-Evotec, you'll have the freedom to ask the hard questions, think outside the box, and find creative solutions that push us forward. It’s a role where your curiosity will fuel both your personal growth and the success of the team.

What You’ll Do:

• Dive deep into characterization of biotherapeutics using mass spectrometry, always looking for ways to improve and innovate.
• Collaborate with cross-functional teams to explore new possibilities and solutions.
• Regularly share your findings, ideas, and solutions in both team settings and presentations.
• Keep up with the latest trends and developments in Mass Spectrometry.
• Ensure that curiosity-driven questions and exploration lead to measurable, impactful results.

Who You Are:

• Preferably a scientist with prior experience analyzing protein biotherapeutics using mass spectrometry.
• A scientist with a deep knowledge of protein LC-MS and with the ability to troubleshoot and maintain mass spectrometers.
• A curious problem-solver with a passion for learning and growing in a dynamic environment.
• Someone who is not satisfied with “just good enough” and is always looking to improve, adapt, and innovate.
• A natural collaborator who loves sharing ideas and learning from others.
• Comfortable with ambiguity and thrives in environments where curiosity and experimentation are encouraged.
• Excellent communicator, both verbally and in writing, able to share complex ideas in a simple, relatable way.
• A self-starter who takes initiative, owns your projects, and actively seeks out new challenges.

 Why Join Us:

• Growth Opportunities: We’re a company that believes in continuous learning and development. Whether it’s professional courses, mentorship, or new projects, we’ll help you grow.
• Flexible Work Environment: We offer flexible work options to help you balance your professional and personal life, with hybrid work schedules in many of our various locations.
• Inclusive Culture: We’re committed to building a erse and inclusive environment where everyone’s voice is valued, and curiosity is encouraged.
• Innovative Projects: You’ll have the chance to work on groundbreaking initiatives and cutting-edge technology in an atmosphere where your curiosity is the key to success.
• A Place for Big Ideas: We don’t just talk about thinking outside the box—we throw the box away. If you’ve got ideas, we want to hear them.

Are You Still Curious?

If you’ve read this far, then chances are you’ve got a curious mind, just like us. So, what are you waiting for? Take the leap and apply today. We can’t wait to see where your curiosity leads you and how it will shape the future of Just-Evotec.

Let your curiosity guide your career. #BeCurious and explore the endless possibilities at Just-Evotec!

The base pay range for this position at commencement of employment is expected to be $105,000 to $120,000; Base salary offered may vary depending on inidual’s skills, experience and competitive market value.

Additional total rewards include discretionary annual bonus, comprehensive benefits to include Medical, Dental and Vision, short-term and long-term disability, company paid basic life insurance, 401k company match, flexible work, generous paid time off and paid holiday, wellness and transportation benefits.

Evotec (US) Inc. is an Equal Opportunity Employer.  All qualified applicants will receive consideration for employment without regard to race, gender, age, disability, genetic information, gender expression, gender identity, national origin, religion, sexual orientation, or veteran status.

Title: Systems Engineer, Cameras/Imaging

Location: Sunnyvale, CA

Department: Engineering

Hybrid

Full Time

Job Description:

Our mission at DigitalFish is to help our customers derive transformative value across their organizations by building next-generation technologies that define the future of digital-media creation and consumption for millions of users.

We have partnered with leading digital media companies, and are at the center of their efforts to build a new generation of platforms and experiences. Current and past customers include Apple, Google, Meta, Disney, DreamWorks, Activision, Technicolor, ESPN, LEGO, NASA and many others. 

THE ROLE