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Full Time Healthcare Billing / Collections Specialist-logo
Mission HealthcareSan Diego, CA
Mission Healthcare, located in seven states, is the largest home health and hospice company in the western United States. We have a critical mission—to take care of our people. We provide a comprehensive array of services that meet the needs of patients and families across the healthcare continuum. We believe our people, partners, patients and their families deserve care delivered with C ompassion, A ccountability, R espect, E xcellence and S ervice ( CARES ), Mission Healthcare’s core values. By joining our team, you will have the opportunity to impact patient’s lives daily and grow your career in a culture of collaboration, compassion, and commitment. We are excited to continue to grow our mission family! Benefits offered: Medical, Dental & Vision Vacation, Sick & Holiday Paid Time Off Mileage Reimbursement Employee Assistance Program Flexible Spending & Health Savings Accounts Disability, Life and AD&D Insurance 401(K) Pay range (depending on experience): $ 23.00 to $28.00/hour Schedule/Shift: Full-Time, Monday-Friday Territory/Location: San Diego, CA Key Responsibilities: Oversee all collections activities for assigned payors, ensuring timely and accurate reimbursement. Collaborate cross-functionally with Mission Healthcare departments to identify and resolve issues impacting billing and collections performance. Stay current with industry regulations, payer guidelines, and reimbursement trends relevant to assigned payor mix. Maintain proactive and consistent communication with the Reimbursement Manager to align on priorities and escalate concerns. Respond to patient inquiries with professionalism and empathy, resolving billing-related questions and concerns effectively. Deliver courteous and solution-oriented customer service to both internal teams and external stakeholders. Achieve departmental performance targets, including productivity metrics and quality standards. Qualifications: One to three years' experience in Healthcare Billing. Industry standard knowledge of private insurance reimbursement standards in the Healthcare sector is necessary. Experience collecting for Home Health agencies. Experience using EMR/EHR and practice management software. Understanding Explanation of Benefits (EOBs). Strong verbal and written communication skills are a must. Demonstrated ability to work effectively in a team. See what Mission has to offer! Click Here! At Mission Healthcare, we believe in fostering an inclusive workplace where diversity is valued and every employee feels respected, accepted, and empowered. We are committed to building a diverse team and creating an environment that promotes equity and belonging. Equal Opportunity: We are proud to be an equal-opportunity employer. We do not discriminate based on race, color, religion, national origin, sex, sexual orientation, gender identity, age, disability, veteran status, or any other legally protected characteristics. All employment decisions are based on qualifications, merit, and business need. Accessibility Commitment: We strive to make our hiring process accessible to all. If you require accommodations at any stage of the employment process due to a disability, please do not hesitate to let us know how we can best meet your needs. Inclusion Efforts: We continually work to enhance our practices by actively combating discrimination and advancing fairness and inclusivity. We encourage applicants from historically underrepresented groups to apply and join us in our mission to diversify our team and foster an environment where diverse perspectives are embraced, and every employee is given the opportunity to thrive. Your Voice Matters: Mission Healthcare values your voice. We believe in maintaining a dialogue about diversity and inclusion within our teams and welcome your perspectives and innovative ideas. Together, we aim to build a workplace that reflects the communities we serve and a culture where everyone belongs.

Posted 2 weeks ago

Medical Director Opportunity – Southern Illinois Healthcare-logo
In Compass HealthCarbondale, IL
IN Compass Health is searching for qualified, BC/BE Hospitalists to join our team within the Southern Illinois Healthcare System located in and around Carbondale, Illinois! Home to Southern Illinois University, Carbondale is a diverse and vibrant community located just over an hour from St. Louis, MO. Home to numerous beautiful lakes, Carbondale is located on the edge of the Shawnee National Forest and filled with natural beauty. Because of the rich soil ofIN Compass Health is seeking an experienced, Board-Certified Medical Director to lead our dynamic team at Southern Illinois Healthcare, located in the vibrant community of Carbondale, Illinois. This role offers a unique opportunity for professional growth in a leadership capacity, overseeing clinical and administrative aspects of our hospitalist program. Position Highlights: Leadership Role: Guide and mentor a team of medical professionals; oversee clinical operations. Competitive Compensation: Attractive salary with performance incentives. Professional Development: CME allowance and opportunities for growth and advancement. Work/Life Balance: Optimal staffing model for a balanced lifestyle. Comprehensive Benefits: Full health and wellness package, retirement plan with profit sharing, and malpractice coverage with tail. About SIH System: As the region's largest private employer and provider of charity care, SIH offers a not-for-profit health system serving the southernmost counties of Illinois. The system includes four hospitals, a comprehensive cancer center, Level II Trauma Center, and more than 30 outpatient and specialty practices. Carbondale, home to Southern Illinois University, is a diverse and culturally rich community, offering a blend of educational, recreational, and cultural opportunities. The city's proximity to the Shawnee National Forest and beautiful local wineries adds to its appeal. Requirements: Board Certification in Internal Medicine or Family Medicine. Proven leadership experience in a healthcare setting. Excellent communication and team-building skills. For more details and to apply for this leadership opportunity, please contact us at 800-309-2632. southern Illinois, Carbondale is also home to some of the best wineries in the nation with beautiful views and scenic settings. IN Compass Health, Inc. develops and manages hospitalist programs for institutions and physician communities around the country. As one of the premier hospitalist providers in the nation, since our founding in 2001 we have delivered more than 200 programs in 14 states serving over 1,000 patients each day. Our executive leaders have been practicing hospitalists for more than 20 years and know the challenges physicians face today. IN Compass Health is an equal opportunity employer. All aspects of employment including the decision to hire, promote, discipline, or discharge, will be based on merit, competence, performance, and business needs. We do not discriminate on the basis of race, color, religion, marital status, age, national origin, ancestry, physical or mental disability, medical condition, pregnancy, genetic information, gender, sexual orientation, gender identity or expression, veteran status, or any other status protected under federal, state, or local law.

Posted 30+ days ago

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Webcor Builders, Inc.Los Angeles, CA
The Project Director has overall project responsibility and supervision of projects from preconstruction to close-out. Serve as company interface between Owner-Architect-Contractor-Webcor team. Accountable for profits/losses. Delivers projects on time and budget. Identifies and manages risk and opportunities. If opportunity presents itself, lead pursuits; develop strategy and management of the proposal to assure they align with the pursuit strategy. Support business development and broadening of customer base. Builds positive personal reputation inside and outside of Webcor. Creates project-specific work teams, and trains and mentors staff. Manages resources on assigned project using a corporate resource planning tool. Enforces safety on job site and implements, enforces, and effectively manages Webcor's safety policy and procedures. TECHNICAL SKILLS AND KNOWLEDGE REQUIRED Ability to run a significant portion of a mega job as a Senior Project Manager. Proven knowledge of all aspects of the project lifecycle, ideally seeing a project from project initiation through closeout. Broad knowledge of cost control, budgeting, and accurate and decisive cost reporting, billing, and forecasting. Extensive knowledge of Prime Contract and contract types: includes lump sum, GMP, hard bid, negotiated, design-build, etc. Advanced knowledge of estimating: full estimating services, preconstruction, and value engineering. Ability to identify and manage risk and a proven track record of protecting Webcor with professional written documentation, such as letters, team notifications, etc. Familiar with and understanding of insurance and rates. Ability to manage resources on assigned project and use of corporate resource planning tool, including staffing and destaffing projects with little impact to other projects or departments. Working knowledge of MEPS, interiors, exteriors, structure, "anything in the dirt" and other technical parts of a project. Ability to independently assemble GCs/GRs. Ability to lead a Precon effort independently including client management, resource management, etc. BEHAVIORAL COMPETENCIES REQUIRED Demonstrated ability to promote Webcor's core values internally and externally and exemplifies Webcor's commitment to diversity and inclusion in everything they do. Proven ability to identify, manage, develop, and mentor staff and teams and make difficult team decisions. Ability to engage in difficult internal facing conversations with empathy. Holds others and themselves accountable. Ensures psychological safety for everyone at project level/department. Possesses a strong self-awareness, empowering them to make changes and to build on their areas of strength as well as identify areas where they would like to make improvements. Able to ensure project goals and expectations are realistic, achievable, and revisited/revised at appropriate times during the life of the project. Relentless for success. Strategic communication skills. Ability to address an audience of various sizes and effectively communicate messages and ideas. Ability to write clear and concise thoughts in a professional manner. Strategic decision quality and use of sound judgement. Strategic customer focus and the ability to build trust. Able to build strong relationships with owners and architects and hold them accountable. Be accountable for mistakes while ensuring others are acknowledged for their effort. REQUIRED EDUCATION AND WORK EXPERIENCE Bachelor's degree or equivalent work experience required. Typically, 15 years of diversified construction experience. Typically, five years in field management on multiple projects as a Sr. Project Manager or Sr. Superintendent. Ability to run an entire project or a significant portion of a mega job as a SPM. Self-Perform experience preferred. The range of base pay is $195,000 - $245,000. Actual pay is based on individual skill level and experience. Webcor is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

Posted 30+ days ago

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Concentrix CatalystGreenville, SC
Job Title: Customer Service Rep (Healthcare) On-Site Job Description The Healthcare Customer Service Representative interfaces with customers via inbound/outbound calls and/or via the Internet. This position provides customer service support and resolution of routine problems and questions regarding client products and/or services. (We accept applications for this position on an ongoing basis. Military veterans are encouraged to apply.) Applicants need to have a minimum 2 years call center experience for this role. Experience in healthcare is a plus. A NEW CAREER POWERED BY YOU Are you looking for a career change with a forward-thinking global organization that nurtures a true people-first, inclusive culture and a genuine sense of belonging? Would you like to join a company that earns "World's Best Workplaces," "Happiest Employees," and "Best Companies for Career Growth" awards every year? Then a Healthcare Customer Service Representative position at Concentrix is just the right place for you! As a Healthcare Customer Service Representative, you'll join an organically diverse team from 70+ countries where ALL members contribute and support each other's success and well-being, proudly united as "game-changers." Together, we help the world's best-known brands improve their businesses through exceptional customer experiences and tech-powered innovation. And due to continued growth, we're looking for more talented people to join our purpose, people as passionate about providing outstanding customer experiences as we are. CAREER GROWTH AND PERSONAL DEVELOPMENT This is a great opportunity to reimagine an all-new career journey and develop "friends for life" at the same time. We'll give you all the training, technologies, and continuing support you'll need to succeed. Plus, at Concentrix, there's real career (and personal) growth potential. In fact, about 80% of our managers and leaders have been promoted from within! That's why we offer a range of FREE Learning and Leadership Development programs designed to set you on your way to the kind of career you've always envisioned. WHAT YOU WILL DO IN THIS ROLE As a Healthcare Customer Service Representative, you will: Assess all in-bound calls to accurately and efficiently address member's needs by maintaining a strong customer focus. Communicate with members in a warm, helpful and professional manner while simultaneously building credibility and rapport. Be patient and compassionate while working as a team player and using all your available resources to provide the best outcome to the member. Be efficient in navigating multiple systems. Participate in ongoing training and self-development. Maintain regular attendance and punctuality as scheduled and adhere to all company time and attendance policies. Participate in activities designed to improve customer satisfaction and business performance. Deliver exceptional customer experiences. YOUR QUALIFICATIONS Your skills, integrity, knowledge, and genuine compassion will deliver value and success with every customer interaction. Other qualifications for our Healthcare Customer Service Representative role, whether English-speaking or Bilingual: (English/Spanish), will include: Two years of call center experience required (healthcare experience preferred) Ability to work in a fast- paced environment with extreme attention to detail and ownership Advanced computer proficiency (including knowledge of windows-based applications) Excellent written and verbal communications and typing skills (30 WPM) required Demonstrate excellent communication skills and abilities to have critical conversations with individuals while maintaining a professional environment Must reside within a 50 mile radius of the site WHAT'S IN IT FOR YOU One of our company's Culture Beliefs says, "We champion our people." That's why we significantly invest in our game-changers, our infrastructure, and our capabilities to ensure long-term success for both our teams and our customers. And we'll invest in YOU to aid in your career path and in your personal development. In this role, you'll also be provided with: The base salary for this position is $17.00/hr (pay rate will not be below the applicable minimum wage), plus incentives that align with individual and company performance. Actual salaries will vary based on work location, qualifications, skills, education, experience, and competencies. Benefits available to eligible employees in this role include medical, dental, and vision insurance, comprehensive employee assistance program (EAP), 401(k) retirement plan, paid time off and holidays, and paid training days. We accept applications for this position on an ongoing basis. Paid training (3 weeks/ 2 weeks of OJT) Hours of operation: 8am-9pm; Monday-Friday Lucrative employee referral bonus opportunities Company networking and leadership opportunities with organized groups in the following topics: Professional Women, Black Professionals, LGBTQ+ Pride, Ability (Disabilities), and Health and Wellness DailyPay enrollment option to access pay "early," when you want it Mentorship programs that support your rewarding career journey REIMAGINE THE BEST VERSION OF YOU! If all this feels like the perfect next step in your career journey, we want to hear from you. Apply today and discover why over 440,000 game-changers around the globe call Concentrix their "employer of choice." Location: USA Greenville SC - 2006 Wade Hampton - Bldg III Language Requirements: Time Type: 2025-08-31 Physical & Mental Requirements: While performing the duties of this job, the employee is regularly required to operate a computer, keyboard, telephone, headset, and other office equipment. Work is generally sedentary in nature. If you are a California resident, by submitting your information, you acknowledge that you have read and have access to the Job Applicant Privacy Notice for California Residents Eligibility to Work: In accordance with federal law, only applicants who are legally authorized to work in the United States will be considered for this position. Must reside in the United States or have a valid U.S. address for residence. Where Job May be Performed: Currently, this position may be performed only in the states listed here. Concentrix is an Equal Opportunity/Affirmative Action Employer including Disabled/Vets. For more information regarding your EEO rights as an applicant, please visit the following websites: English Spanish To request a reasonable accommodation please click here. If you wish to review the Affirmative Action Plan, please click here.

Posted 30+ days ago

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RYAN COS. US INCChicago, IL
Job Description: Ryan Companies is looking for a creative, innovative, collaborative and forward-thinking Project Interior Designer - Healthcare who aims for the highest standards of excellence. The ideal candidate will be able to problem solve and design both as part of a collaborative team and independently. This individual will be responsible for creating extraordinary design solutions and inspiring design excellence. Candidates with at least 7 years of healthcare-specific experience are most likely to be successful in this role, however those with unique career experience or display clear potential for the role will be considered. Ryan Companies uses a unique integrated delivery process that involves architecture, engineering, construction, development, real estate management and capital markets. Ryan's integrated process requires an individual to be able to work in a proactive and positive manner in tandem with local teams and cross regionally within a national design practice. Some things you can expect to do: Works in tandem with Client, Architects, Design Project Manager, Designers, Development, Construction and Consultants to develop documentation for coordination and construction. Project Delivery: Leads team of interior designers through the project delivery process of small to mid-size projects. Coordinates a complete and thorough set of Interior design documents to meet project goals, milestones and schedule. Coordinates all phases of the interiors project scope from programming to construction administration, with specific attention to interior related building codes, interior detail documentation and constructability. Leads development and implementation of an overall design palate that supports the aesthetic, budget, and functional goals of the project. Advises client on appropriate interior finish and material selections. Collaborates with healthcare project team and clients during programming and planning efforts. Participates in and can lead design meetings, consultant meetings and project team meetings. Independently solves problems and applies basic principles of design. Provides guidance and resolves unusual or complex technical issues. Reviews interior design codes and coordinates implementation of requirements. Coordinates Ryan's QA/QC process and project specifications for interior scope of work. Identifies and communicates deviations in project scope and works with project team to resolve. Performs tasks with a high level of collaboration and sets an example for others to follow. Establishes and pursues annual goals, based on personal, professional and company growth in the industry. Contributes to Ryan culture through participation in office activities, initiatives and learning programs. Direct, supervise and mentor junior staff. Responsible for execution of Ryan's yearly review and goal setting process based on personal and professional, development goals. Actively participates in Ryan Companies' and Ryan A+E's 5-year vision/initiatives and 1-year business plans and goals. To be successful in this role: You must have at least 5 years of related experience. Advanced knowledge of interiors & design concepts, practices, and methods is required, along with a strong working knowledge of Revit, Adobe Creative Suite, Enscape, SketchUp, and Bluebeam. Proficiency with Microsoft Office Suite is expected. Job Requirements (Qualifications) Professional Interior Design degree or related field experience preferred. Relevant professional work experience in healthcare design, including the design of acute care, ambulatory care, and medical office buildings. Interior Design licensure preferred. Excellent organizational skills. Strong written and verbal communication skills. Strong ability to collaborate and lead a diverse team. Advanced knowledge of interiors and design concepts, practices and methods. EDAC or other healthcare accreditation preferred. Strong knowledge of Revit required. Proficiency in MS Office Suite, Adobe Suite, Enscape, Sketchup and Bluebeam preferred. Knowledge of building regulations, Facility Guidelines Institute (FGI), safety codes and ability to research and apply/incorporate into technical documents. LEED AP and/or WELL AP preferred. You will really stand out if you have: Bachelor's degree in interior design or related field. Interior Design licensure. Leadership in Energy and Environmental Design Accredited Professional (LEED AP) and/or WELL Accredited Professional (WELL AP) Certification(s). Eligibility: Positions require verification of employment eligibility to work in the U.S. Compensation: The base salary is $68,000 - 90,000 per year. The base rate may vary within the anticipated range based on factors such as the ultimate location of the position and the selected candidate's knowledge, skills and abilities. Benefits: Competitive Salary Medical, Dental and Vision Benefits Retirement and Savings Benefits Flexible Spending Accounts Life Insurance Educational Assistance Paid Time Off (PTO) Parenting Benefits Long-term Disability Ryan Foundation - charitable matching funds Paid Time for Volunteer Events Ryan Companies is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. Non-Solicitation Notice to Recruitment Agencies: Ryan Companies kindly requests that recruitment agencies and third-party recruiters do not submit unsolicited resumes or candidate information to any Ryan Companies employee or office. Ryan Companies will not be responsible for any fees or expenses associated with unsolicited submissions. If recruitment services are required, we will reach out directly to agencies on our approved vendor list. We appreciate your understanding and cooperation.

Posted 30+ days ago

Architectural Project Manager, Healthcare-logo
DLR GroupPhoenix, AZ
DLR Group is an integrated design firm with a promise to elevate the human experience through design. This fuels the work we do around the world and inspires our mission to improve the lives of our clients, our communities, and our planet. If this sparks your interest, you're in the right place. We have an opening for a Architectural Project Manager, Healthcare This role can be based in the following cities: Phoenix About Healthcare at DLR Group At the center of DLR Group's Healthcare practice is an individual - be it a patient, caregiver, instructor, or student. Our design extends beyond the building to consider the emotional, mental, and social well-being of its inhabitants. DLR Group designers are conscious that there are practical and aesthetic issues that must be mediated in healthcare facility planning and design. We leverage our experience and knowledge to deliver evidence-based solutions that support the unique needs of our clients, all the while rooting our practice in one core idea: empathy. Position Summary As a Project Manager at DLR Group, you will lead projects from pursuit through closeout in collaboration with our Client Leaders, Sector Leaders, and integrated design teams. You will be part of a dynamic, client-focused studio delivering healthcare projects that make a meaningful difference in people's lives and communities. In this role, you will oversee the execution of healthcare projects with direct accountability for work plans, staffing strategies, budgets, and team communication. You will support and guide design excellence while ensuring that projects are delivered efficiently and in alignment with DLR Group's integrated approach. This is a key leadership position requiring strong interpersonal, technical, and organizational skills to manage multiple internal and external stakeholders throughout the project lifecycle. You will help to shape the experience of our clients and design teams alike through thoughtful project execution, proactive problem solving, and mentorship of emerging professionals. What you will do: Be a passionate advocate for high-performance healthcare design and integrated project delivery. Lead project scope, schedule, fee, and execution strategies in collaboration with Client Leaders. Develop and manage detailed work plans and staffing forecasts that align with contractual obligations. Coordinate across architecture, interiors, engineering, and specialty consultants to ensure cohesive delivery. Ensure project documentation meets firm and industry standards and supports regulatory compliance. Support financial health of projects through timely billing, invoice tracking, and budget stewardship. Identify project risks and lead mitigation planning with internal and external teams. Actively contribute to quality control efforts, constructability reviews, and technical excellence. Mentor team members, support professional development, and cultivate a collaborative culture. Lead stakeholder and user engagement sessions to promote client alignment. Support DLR Group's commitment to sustainable, resilient, and human-centered design. Travel as required by project needs. Required Qualifications: Bachelor's degree in architecture. 6-10 years of experience as a Project Manager, including significant healthcare project work. Licensed Professional Architect in the State of Arizona. Proven experience delivering projects in the healthcare sector including: Acute care Ambulatory care Medical office buildings Ability to manage multiple concurrent projects and deadlines. Strong verbal and written communication skills. Proficiency in project management software and tools (e.g., Deltek Vision, MS Project). Must be eligible to work in the United States without need for visa or residency sponsorship. Preferred Qualifications: Experience with integrated project delivery (IPD) or design-build delivery models. Working knowledge of FGI Guidelines, IBC, and local healthcare codes and AHJs. Familiarity with Lean practices such as Target Value Design or Choosing By Advantages. ACHA Certification or active pursuit is a plus. Experience with rural hospitals, cancer centers, urgent care centers, or specialty clinics. DLR Group is an integrated design firm delivering architecture, engineering, interiors, planning, and building optimization for new builds, renovations, and adaptive reuse projects. We are 100% employee-owned: every employee is literally invested in our clients' success. At the core of our firm are interdisciplinary teams engaged in every step of project lifecycles. Our teams champion true collaboration, open information sharing, shared risk and reward, value-based decision making, and proficient use of technology to deliver exceptional design. We are pursuing the goals of the 2030 Challenge, the ME2040, and the SE2050, and are an initial signatory of the China Accord and the AIA 2030 Commitment. Through our values - commitment, creativity, environmental stewardship, fun, integrity, ownership, sharing, teamwork - we elevate the human experience through design, together. DLR Group follows a four-day in-office work model, with employees having the flexibility to work somewhere other than the office on Fridays. We are proud to be an Equal Opportunity/Affirmative Action/M/F/Veteran/Disabled employer.

Posted 2 weeks ago

Healthcare Partner ( HME Sales Representative)-logo
AdaptHealthBeaumont, TX
Description Position Summary: The Healthcare Partner is responsible for building and managing strategic relationships with healthcare providers, distributors, and industry partners to drive revenue growth, enhance customer satisfaction, and promote the company's products and services. This role combines sales expertise, market knowledge, and relationship-building skills to deliver innovative solutions that address the needs of healthcare providers, payers, and partners. Essential Functions and Job Responsibilities: Partnership Development and Management: Identify and cultivate relationships with healthcare providers, distributors, and industry partners. Establish mutually beneficial partnerships to expand the company's market reach. Regularly engage partners to align business objectives and growth strategies. Conduct daily outside sales visits to establish new business relationships and maintain existing ones with referral sources in the medical community. Meet in person with customers to identify needs, build relationships, and drive business growth. Travel to assigned territories to generate leads, provide accurate information on services, negotiate contracts, and deliver exceptional customer service. Sales Strategy Execution: Achieve or exceed assigned sales targets through effective partner engagement. Design and implement sales strategies tailored to each partner's needs. Conduct presentations, product demonstrations, and negotiations to close deals. Market Insights and Analysis: Research and monitor industry trends, competitive landscapes, and regulatory developments. Leverage insights to identify new opportunities and refine sales approaches. Provide feedback to internal teams to influence product development and marketing strategies. Collaboration and Communication: Serve as the primary point of contact for partners, ensuring timely responses and resolution of issues. Collaborate with internal teams, including marketing, operations, and customer success, to deliver a seamless partner experience. Represent the company at industry events, conferences, and partner meetings. Performance Measurement and Reporting: Track and report key performance indicators (KPIs) related to partner sales. Use CRM tools to maintain up-to-date records of partner interactions and pipeline activities. Analyze results and recommend improvements for future growth. Participates in obtaining prescribing provider orders/signatures for appropriate documentation and original prescriptions while on-site when the Intake team is unable to do so. Retain knowledge of and consistently adhere to procedures for the use of Personal Protective Equipment (PPE), infection control and hazardous materials handling. Completes assigned compliance training and other educational programs as required. Maintains compliant with AdaptHealth's Compliance Program. Perform other related duties as assigned. Competency, Skills, and Abilities: Results-driven with a strong sense of accountability. Strategic thinker with excellent problem-solving skills. Highly adaptable to fast-paced and dynamic work environments. Team-oriented with a collaborative mindset. Strong knowledge of healthcare markets, including providers, payers, and regulatory environments. Exceptional interpersonal and relationship-building skills. Excellent ability to communicate both verbally and in writing. Ability to communicate complex solutions effectively to diverse audiences. Ability to work independently and with a team. Ability to prioritize and manage multiple projects. Mental alertness and the ability to properly treat confidential information. Proficient computer skills and knowledge of Microsoft Office Requirements Education and Experience Requirements: Bachelor's Degree from an accredited college or equivalent experience in B2B or B2C Sales. Experience preferred in developing and maintaining client relationships, driving sales growth, and meeting or exceeding revenue targets. Valid and unrestricted driver's license in the state of residence Healthcare Partner: Three (3) years of work-related experience is required. Senior Healthcare Partner: Five (5) years of work-related experience is required. Principal Healthcare Partner: Eight (8) years of work-related experience is required. Physical Demands and Work Environment: Must be able to bend, stoop, stretch, stand, and sit for extended periods. Ability to perform repetitive motions of wrists, hands, and/or fingers due to extensive computer use. Work environment may be stressful at times, as overall office activities and work levels fluctuate. Subject to long periods of sitting and exposure to computer screen. May be exposed to hazardous materials, loud noise, extreme heat/cold, direct, or indirect contact with airborne, bloodborne, and/or other potentially infectious pathogen. May be exposed to angry or irate customers, patients, or referral sources. Ability to utilize a personal computer and other office equipment. Must be able to lift 30 pounds as needed. Physical and mental ability to perform essential functions of the position. Ability to travel throughout service area and use of personal vehicles.

Posted 3 weeks ago

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Dean Dorton Allen FordIndianapolis, IN
About Dean Dorton Dean Dorton's team makes up one of the largest advisory firms in the United States. We thrive when you thrive! We are here to help you succeed in every step of your development and career as you work with nationally recognized experts in a recognized best place to work. About the Role The Reimbursement Manager plays a key role in Dean Dorton's healthcare consulting practice by overseeing governmental reimbursement services, including Medicare and Medicaid cost reporting, audit coordination, compliance monitoring, and regulatory impact analysis. Reporting to the Associate Director of Reimbursements, this role is responsible for preparing and reviewing cost reports, monitoring CMS compliance, conducting pro forma and trend analyses, and supporting Federal and State attestation and reporting requirements. This individual will contribute to strategic growth by managing client engagements and supporting business development efforts. Essential Duties and Responsibilities Oversee governmental reimbursement functions, including Medicare and Medicaid cost report preparation and audit coordination. Monitor compliance with CMS regulations and prepare attestation and Federal/State reporting requirements. Analyze MAC correspondence and interim rate settings for accuracy and compliance. Conduct detailed financial analyses to monitor reimbursement trends and identify opportunities for improvement. Assist with provider-based attestations and related Federal/State submissions. Research and interpret changes in reimbursement policies and regulations. Lead the development of year-end audit documentation and support financial statement preparation. Review data trends in governmental reimbursements and develop reports and dashboards. Collaborate with vendors and internal stakeholders to prepare reimbursement analyses. Prepare policy recommendations and compliance strategies. Manage special projects, financial surveys, and impact studies. Participate in professional development and stay informed on industry trends. Contribute to business development and client relationship management. Experience & Qualifications Minimum of 6 years related experience in reimbursement consulting or healthcare finance CPA or MBA preferred Bachelor's degree in accounting, finance, data or business analytics or information systems Expertise in Medicare and Medicaid reimbursement regulations Experience with preparation and review of cost reports and compliance filings Essential Skills Strong data analysis skills to evaluate reimbursement trends, develop financial models, and support strategic decision-making. Aptitude for identifying issues in audit findings or cost report variances and developing creative solutions for clients. Demonstrated ability to lead, mentor, and train junior staff, especially in technical reimbursement areas. Skilled in building trust and credibility with clients through proactive communication, responsiveness, and expertise. Ability to monitor, interpret, and implement changes to Federal and State reimbursement regulations across multiple provider types (e.g., hospitals, SNFs, home health, hospice). The Fun Stuff Work isn't all work! We want to make your experience at Dean Dorton a great one. From your health and happiness to your long-term satisfaction, we focus on YOU! A few highlights are listed below: Flexible work schedules and environment Unlimited Paid Time Off (PTO) Paid family leave, medical leave, and maternity/paternity leave programs Retirement benefits, including a best-in-class employer match and automatic profit sharing. Telemedicine, mental health resources and wellness program reimbursement This job description is intended to describe the general nature and level of work being performed by team members assigned to this position. It is not intended to be an exhaustive list of all responsibilities, duties, and skills required. Additionally, responsibilities and duties may vary depending on business needs and individual circumstances. Dean Dorton is an equal opportunity employer.

Posted 30+ days ago

Healthcare Coordinator-logo
Pacific Dental ServicesFlorence, KY
Now is the time to join Florence Modern Dentistry. You will have opportunities to learn new skills from our team of experienced professionals. If you're ready to take your career to the next level and gain valuable experience, apply today! $16.00-$21.75 / Hourly The primary role of the Healthcare Coordinator (HC) is to partner with supported Dentists to help gain a financial commitment from the patient to start the best course of treatment with urgency. Key responsibilities include understanding and utilizing financial options to support case acceptance, educating patients on treatment choices, overcoming common patient objections, and proactively keeping Dentist's schedules productive. The Healthcare Coordinator should support each patient in a consultative and educational manner while consistently supporting a Perfect Patient Experience (PPE) and creating Patients for Life (PFL). Responsibilities Models company culture, values, standards, and best operational practices based on the We Believe Behavioral Framework Gain a financial commitment from the patient to start the dentistry that the Dentist is diagnosing for their patient Achieve proficiency in PDS system and tools, skills, and talents to assist patients in making the best possible decision for their unique wants and needs Executes the HC Handoff in partnership with each clinician on every exam patient Subject Matter Expert on all available financial options to give patients choices to start dentistry that fits in their budget Professionally overcome common patient objections to starting treatment Obtain necessary insurance pre-authorizations for patients who need this prior to completing treatment Ensure the office is exemplifying the Comprehensive Care Model within the offices as well as referrals outside the office Active participant in daily morning huddles, monthly team meetings and any other meetings as required Thorough understanding of business imperatives and how the role directly impacts metrics and results Demonstrates stewardship of the PDS Brand making decisions consistent with the PDS Brand framework Becomes knowledgeable on the Mouth Body Connection and supports clinical excellence through comprehensive patient care Maintains an appropriate professional appearance and demeanor in accordance with company policies; addresses others professionally and respectfully always Ensures Compliance with Company policies, as well as State, Federal and other regulatory bodies Other duties and responsibilities as assigned Qualifications High School Diploma or general education degree (GED) Travel might be required between offices Preferred Prior course work or on-the-job training in the fields or dentistry, insurance, or business Knowledge/Skills/Abilities Knowledge of office practices, technology applications and patient insurances. Results Oriented (Energetic self-starter; sets realistic goals; meets commitments; persistent, prioritizes daily to achieve results). Patient Advocate (flexible and adaptive; empathetic; passionate; ethical). Process Focused Operator (data driven decision-maker; detailed; organized and structured; comprehensive knowledge of all operational processes; computer proficient). Financial Acumen (understands profit drivers; utilizes metrics to manage; builds the financial understanding of team members staff and clinicians; understands local market drivers and competition). Influencer (active listener/observer of behavior; creates a win/win need for change) Self-motivated, reliable individual capable of working independently as well as part of a team. Ability to multi-task effectively without compromising the quality of the work. Excellent interpersonal, oral and written communication skills. Ability to handle and maintain extreme confidentially Patient records. Organized, detail-oriented individual able to work in a fast-paced environment. Benefits Medical, dental, and vision insurance Paid time off Tuition Reimbursement 401K Paid time to volunteer in your local community Compensation Information $16.00-$21.75 / Hourly PDS Health is an Equal Opportunity Employer. We celebrate diversity and are united in our mission to create healthier and happier team members.

Posted 3 weeks ago

Actuarial Consultant - Government Healthcare-logo
Marsh & McLennan Companies, Inc.Dallas, TX
We are seeking a talented individual to join our Government Human Service Consultant (GHSC) team at Mercer. Medicaid is a government-sponsored health insurance program in the United States designed to provide healthcare coverage to low-income individuals and families. As a consulting firm specializing in Medicaid, Mercer's GHSC team assists state governments in optimizing their Medicaid programs. Our team plays a vital role in managing and analyzing Medicaid claims data to enhance patient access to care, improve cost efficiency, and elevate the quality of services provided to these individuals. As a Government Healthcare Actuarial Consultant, you will have the opportunity to collaborate with experienced programmers, actuaries, and clinicians, contributing to meaningful projects that aim to positively impact the lives of individuals and families in need. Join us in making a difference! We will count on you to: Serve as actuary on large and complex capitation rate setting and other actuarial projects. In conjunction with the project leader, work with the client to define the scope of the project and serve as an expert on rate structure and methodology and ensure consistency with federal regulations and actuarial standards Develop the rate setting assumptions that are built into the data model and informs client and project team on impact of data assumptions and provide on-going review and guidance during the data analysis process Collaborate with client team and project team to finalize rates and educate client on the impact of their policies on the data and rates Draft project communications, including rate capitation letters and act as actuarial authority that signs and certifies rate capitation letters What you need to have: BA/BS degree Actuarial credentials (ASA or FSA, MAAA) strongly preferred. We may consider otherwise qualified candidates that are close to receiving actuarial credentials 3+ years minimum health actuarial experience, with Medicaid actuarial experience strongly preferred Excellent interpersonal skills; strong oral and written communication skills Ability to prioritize and handle multiple tasks in a demanding work environment Strong critical thinking and analytical problem-solving skills What makes you stand out? Medicaid actuarial experience (any state program) or actuarial consulting experience Experience related to health plan analysis or capitated rate development Why join our team: We help you be your best through professional development opportunities, interesting work and supportive leaders. We foster a vibrant and inclusive culture where you can work with talented colleagues to create new solutions and have impact for colleagues, clients and communities. Our scale enables us to provide a range of career opportunities, as well as benefits and rewards to enhance your well-being. Mercer, a business of Marsh McLennan (NYSE: MMC), is a global leader in helping clients realize their investment objectives, shape the future of work and enhance health and retirement outcomes for their people. Marsh McLennan is a global leader in risk, strategy and people, advising clients in 130 countries across four businesses: Marsh, Guy Carpenter, Mercer and Oliver Wyman. With annual revenue of $24 billion and more than 90,000 colleagues, Marsh McLennan helps build the confidence to thrive through the power of perspective. For more information, visit mercer.com, or follow on LinkedIn and X. Marsh McLennan is committed to embracing a diverse, inclusive and flexible work environment. We aim to attract and retain the best people and embrace diversity of age background, disability, ethnic origin, family duties, gender orientation or expression, marital status, nationality, parental status, personal or social status, political affiliation, race, religion and beliefs, sex/gender, sexual orientation or expression, skin color, veteran status (including protected veterans), or any other characteristic protected by applicable law. If you have a need that requires accommodation, please let us know by contacting reasonableaccommodations@mmc.com. Marsh McLennan is committed to hybrid work, which includes the flexibility of working remotely and the collaboration, connections and professional development benefits of working together in the office. All Marsh McLennan colleagues are expected to be in their local office or working onsite with clients at least three days per week. Office-based teams will identify at least one "anchor day" per week on which their full team will be together in person. The applicable base salary range for this role is $73,500 to $147,000. The base pay offered will be determined on factors such as experience, skills, training, location, certifications, education, and any applicable minimum wage requirements. Decisions will be determined on a case-by-case basis. In addition to the base salary, this position may be eligible for performance-based incentives. We are excited to offer a competitive total rewards package which includes health and welfare benefits, tuition assistance, 401K savings and other retirement programs as well as employee assistance programs.

Posted 2 weeks ago

National Healthcare Advisory Services Practice Leader-logo
EisnerAmperBoston, MA
Job Description At EisnerAmper, we look for individuals who welcome new ideas, encourage innovation, and are eager to make an impact. Whether you're starting out in your career or taking your next step as a seasoned professional, the EisnerAmper experience is one-of-a-kind. You can design a career you'll love from top to bottom - we give you the tools you need to succeed and the autonomy to reach your goals. We are seeking a Partner to lead the strategic growth, innovation, and client delivery of our national healthcare advisory platform. The ideal candidate will bring deep healthcare industry expertise, a proven ability to scale advisory practices, and a client-first mindset focused on driving measurable value and long-term relationships. What it Means to Work for EisnerAmper: You will get to be part of one of the largest and fastest growing accounting and advisory firms in the industry You will have the flexibility to manage your days in support of our commitment to work/life balance You will join a culture that has received multiple top "Places to Work" awards We believe that great work is accomplished when cultures, ideas and experiences come together to create new solutions We understand that embracing our differences is what unites us as a team and strengthens our foundation Showing up authentically is how we, both as professionals and a Firm, find inspiration to do our best work What Work You Will be Responsible For: Provide overall leadership and strategic direction for EisnerAmper's national Healthcare Advisory Services practice, driving the development and execution of advisory solutions focused on performance improvement, regulatory compliance, digital health, revenue cycle and enterprise transformation for healthcare organizations ensuring high-quality delivery that meets the evolving operational and strategic needs Serve as a trusted advisor to a diverse portfolio of healthcare clients-including hospitals, academic medical centers, physician groups, health systems, investors, private equity, and venture-backed entities-by building and sustaining long-term relationships through exceptional service, innovation, and deep industry insight While Provider is the main industry Sub-Sector, familiarity with Payor, Life Sciences and Health Tech is valued Lead and grow a high-performing multidisciplinary team of professionals serving healthcare clients across the U.S. Advance practice growth through strategic planning, business development, and expansion of service offerings in emerging areas Collaborate with cross-functional teams across EisnerAmper to deliver integrated solutions and maximize client value. Teaming with our Restructuring team in the marketplace and in delivery is a high priority Represent the firm in external forums including speaking engagements, publications, and thought leadership within the healthcare industry Monitor regulatory and market trends and adapt the practice's offerings to meet changing client needs. Basic Qualifications: Bachelor's degree in Accounting, Finance, Health Administration, or related field Minimum of 15 years of experience in healthcare advisory, consulting, or healthcare financial services Demonstrated experience leading complex engagements and advisory teams within a professional services environment Proven record of managing P&L, client delivery, and practice development at the partner level Preferred/Desired Qualifications: Master's degree in Business Administration, Health Administration, or related advanced degree Certifications such as Certified Public Accountant (CPA), Certified Information Systems Auditor (CISA), Project Management Professional (PMP) Deep understanding of healthcare regulatory frameworks, reimbursement models, and industry transformation trends EisnerAmper is proud to be a merit-based employer. We do not discriminate on the basis of veteran or disability status or any protected characteristics under federal, state, or local law. About our Healthcare Sector Services Group: The Health Care Consulting Group provides tailored services to a wide range of clients: hospitals and health systems, academic medical centers, physician and ancillary services practices, entrepreneurs and PE Firms, managed care entities and government agencies. EisnerAmper assists our health care clients in creating and maintaining a value-based network, implementing positive operational improvements and building sustainable plans to meet strategic, financial and growth goals. About EisnerAmper: EisnerAmper is one of the largest accounting, tax, and business advisory firms, with approximately 450 partners and 4,500 employees across the world. We combine responsiveness with a long-range perspective; to help clients meet the pressing issues they face today and position them for success tomorrow. Our clients are enterprises as diverse as sophisticated financial institutions and start-ups, global public firms, and middle-market companies, as well as high net worth individuals, family offices, not-for-profit organizations, and entrepreneurial ventures across a variety of industries. We are also engaged by the attorneys, financial professionals, bankers, and investors who serve these clients. Should you need any accommodations to complete this application please email: talentacquisition@eisneramper.com #LI-Remote For NYC and California, the expected salary range for this position is between $500,000.00 and $700,000.00. The range for the position in other geographies may vary based on market differences. The actual compensation will be determined based on experience and other factors permitted by law. Preferred Location: New York

Posted 30+ days ago

C
CNA Financial Corp.Irvine, CA
You have a clear vision of where your career can go. And we have the leadership to help you get there. At CNA, we strive to create a culture in which people know they matter and are part of something important, ensuring the abilities of all employees are used to their fullest potential. Start the next chapter of your career as a Complex Claims Consultant in Healthcare for CNA Insurance. CNA is a market leader in insuring healthcare providers and facilities, including dentists, physicians, nurses, nurse practitioners, physical therapists, counselors, pharmacists, massage therapists and more than 100 other categories of medical service providers, along with the facilities and practices in which they work. This role will support the Healthcare business and interact with these key customers. You will be responsible for the overall investigation, management and resolution of Healthcare professional liability claims in multiple states. You will be recognized as a technical expert in the interpretation of complex or unusual policy coverages. Under general management direction, you will work within defined authority limits, to manage professional liability healthcare claims with moderate to high complexity and exposure in accordance with company protocols, quality and customer service standards. You will also partner with internal business partners such as Underwriting and Risk Control, to share claim insights that aid in good underwriting and risk management decisions. The individual will work with insureds, attorneys, other insurers and account representatives regarding the handling and/or disposition of complex litigated and non-litigated claims in multi-state jurisdictions. The individual will investigate and resolve claims, coordinate discovery and team with defense counsel on litigation strategy. They should be able to utilize claims policies and guidelines, review coverage, determine liability and damages, set financial reserves, secure information to negotiate and settle claims. This position enjoys a flexible, hybrid work schedule and is available in any location near a CNA office. JOB DESCRIPTION: Essential Duties & Responsibilities Performs a combination of duties in accordance with departmental guidelines: Manages an inventory of highly complex healthcare professional liability claims, with large exposures that require a high degree of specialized technical expertise and coordination, by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits. Ensures exceptional customer service by managing all aspects of the claim, interacting professionally and effectively, achieving quality and cycle time standards, providing timely updates and responding promptly to inquiries and requests for information. Verifies coverage and establishes timely and adequate reserves by reviewing and interpreting policy language, estimating potential claim valuation, working with counsel and following the company's claim handling protocols. Leads focused investigation to determine compensability, liability and covered damages by gathering pertinent information, such as contracts or other documents, taking recorded statements from customers, claimants, witnesses, and working with experts, or other parties, as necessary to verify the facts of the claim. Resolves claims by collaborating with internal and external business partners to develop, own and execute a claim resolution strategy, that includes management of timely and adequate reserves, collaborating with coverage experts where necessary, negotiating complex settlements, partnering with counsel to manage complex litigation and authorizing payments within scope of authority. Establishes and manages claim budgets by achieving timely claim resolution, selecting and actively overseeing appropriate resources, authorizing expense payments and delivering high quality service in an efficient manner. Realizes and addresses subrogation/salvage opportunities or potential fraud occurrences by evaluating the facts of the claim and making referrals to appropriate Claim, Recovery or SIU resources for further investigation. Achieves quality standards by appropriately managing each claim to ensure that all company protocols are followed, work is accurate and timely, all files are properly documented and claims are resolved and paid timely. Keeps leadership informed of significant risks and losses by completing loss summaries, identifying claims to include on oversight/watch lists, and preparing and presenting succinct summaries to senior management. Maintains subject matter expertise and ensures compliance with state/local regulatory requirements by following company guidelines, and staying current on commercial insurance laws, regulations or trends for line of business. Mentors, guides, develops and delivers training to less experienced Claim Professionals. May perform additional duties as assigned. Reporting Relationship Typically Director or above Skills, Knowledge & Abilities Thorough knowledge of the professional liability insurance industry, products, policy language, coverage, and claim practices. Understanding of dental malpractice claims and policies is strongly favored. Strong communication and presentation skills both verbal and written, including the ability to communicate business and technical information clearly. Demonstrated analytical and investigative mindset with critical thinking skills and ability to make sound business decisions, and to effectively evaluate and resolve ambiguous, complex and challenging business problems. Strong work ethic, with demonstrated time management and organizational skills. Ability to work in a fast-paced environment at high levels of productivity. Demonstrated ability to negotiate complex settlements. Experience interpreting complex insurance policies and coverage. Ability to manage multiple and shifting priorities in a fast-paced and challenging environment. Knowledge of Microsoft Office Suite and ability to learn business-related software. A commitment to collaboration and demonstrated ability to value diverse opinions and ideas. Education & Experience: Bachelor's Degree or equivalent experience. JD a plus. Typically a minimum six years of relevant experience, preferably in claim handling or medical malpractice litigation. Must have or be able to obtain and maintain an Insurance Adjuster License within 90 days of hire, where applicable. Professional designations are a plus (e.g. CPCU). #LI-KP1 #LI-Hybrid In Chicago/New York/California, the average base pay range for the Complex Claims Consultant role is $113,000 to $160,000. Salary determinations are based on various factors, including but not limited to, relevant work experience, skills, certifications and location. In certain jurisdictions, CNA is legally required to include a reasonable estimate of the compensation for this role. In District of Columbia, California, Colorado, Connecticut, Illinois, Maryland, Massachusetts, New York and Washington, the national base pay range for this job level is $72,000 to $141,000 annually. Salary determinations are based on various factors, including but not limited to, relevant work experience, skills, certifications and location. CNA offers a comprehensive and competitive benefits package to help our employees - and their family members - achieve their physical, financial, emotional and social wellbeing goals. For a detailed look at CNA's benefits, please visit cnabenefits.com. CNA is committed to providing reasonable accommodations to qualified individuals with disabilities in the recruitment process. To request an accommodation, please contact leaveadministration@cna.com.

Posted 30+ days ago

Healthcare Cook - PT-logo
Givens CommunitiesGivens Estates - Asheville, NC
Why join Givens? Givens Communities continues to be a positive force and advocate for older adults. We have a mission to expand the possibilities of aging by improving lives through communities, services, and outreach. Givens Communities promotes Inclusion and Belonging by aligning our words with actions so that everyone is welcomed and treated with dignity and respect. We continuously look for innovative approaches to achieve our sustainability goals and practices to protect our natural resources. Our collective mindset is to ensure the communities remain forward thinking and progressive as our residents seek a purpose driven life. Purpose. Passion. Possibilities. Join our team and benefit from: Referral Bonus Program Free short-term disability, life insurance, & access to our employee assistance program Paid time off (PTO) w/ immediate access to 5 PTO days before your 90 days! Educational assistance Professional development opportunities The Dining Services Team at Givens Estates Health Center is hiring 2 part time Cooks to join our Health Services Dining team. This position will primarily be working weekend shifts, with flexibility during the weekdays. What you'll do: Review menus and work orders to determine type and quantities of items to be prepared Plan cooking schedule to assure peak quality of food when served Prepare all diet modifications necessary Prepare meat and main dishes Operate all available equipment Assist in estimating food needs Keep dining room service areas clean and sanitized according to the Health Department Codes Perform any other duties and/or tasks that may be assigned on an as-needed basis by an authorized supervisor What you'll need: High School/GED equivalent, or plans to attend a Technical or Vocational program is essential Prefer six months experience in quantity food service Must be, as a minimum, thoroughly familiar with foods and preparation methods Must have knowledge in principles and requirement of sanitation and safety in handling food and equipment Must know proper methods and cooking temperatures for best utilization in yield of meats and other foods Compensation is $20.00 - $21.00 per hour, plus our comprehensive benefits package! Still curious about what Givens is all about? It's kind of a long story, but at our core, we're a senior housing organization with a lot of heart and committed to providing housing to seniors of all socioeconomic backgrounds across WNC. We already have four communities (two life plan communities and two affordable communities) with plans for many more in the coming years. #SJ

Posted 30+ days ago

Healthcare Reimbursement Advocate | Patient Financial Services-logo
Monument HealthRapid City, SD
Current Employees: If you are a current employee, please apply via the internal career site by logging into your Workday Account and clicking the "Career" icon on your homepage. Primary Location Rapid City, SD USA Department CS Patient Financial Services Scheduled Weekly Hours 40 Starting Pay Rate Range $16.40 - $20.50 (Determined by the knowledge, skills, and experience of the applicant.) Job Summary Responsible for the review, analysis, and complete resolution of outstanding self-pay account balances. Contacts patient account holders utilizing multiple methods including telephone, patient portal, direct patient contact, email or mail to negotiate and obtain payment of unresolved account balances. Interviews and counsels responsible parties regarding available payment opportunities according to the collection policies and procedures established by Monument Health, seeks payment in full or establishes payment arrangements within the guidelines of Monument Health collection policy. Conducts all communication in a manner that will result in a positive patient and family experience and ensure prompt reimbursement for all services provided. Conducts a variety of tasks involving patients and their families, third party payers and subject matter experts while attempting to identify any and all potential problems related to accelerating full resolution of unresolved account balances. Undertakes all necessary actions to identify and timely solve these problems. Provides patients and their families with all tools, instruction, and assistance necessary to assist all customers with navigating Monument Health system of care. When add on system is placed in Monument Health the position is expected to assist customers in the same manner as the main BAR. Monument Health offers competitive wages and benefits on qualifying positions. Some of those benefits can include: Supportive work culture Medical, Vision and Dental Coverage Retirement Plans, Health Savings Account, and Flexible Spending Account Instant pay is available for qualifying positions Paid Time Off Accrual Bank Opportunities for growth and advancement Tuition assistance/reimbursement Excellent pay differentials on qualifying positions (extra pay for working evening, nights or weekends) Flexible scheduling Job Description Essential Functions: Conducts all necessary review, analysis, and follow up on unresolved account balances from the complete Monument Health system utilizing a vast multitude of varying software packages and their functions, in accordance with established guidelines to ensure a positive patient and family experience. Demonstrates application of follow up processes necessary to ensure prompt, appropriate reimbursement and resolution of unresolved account balances due from responsible parties/patients. Conducts interviews and dialogue with patients, their families, and Monument Health subject matter experts in a professional manner utilizing public relation skills. Provides patient counseling to promote open communication, establish absolute comprehension and concern resolution, and initiate payment arrangements and/or financial assistance on outstanding account balances in accordance with established guidelines. Reviews and identifies accounts which are absent of acceptable payment terms and performs the necessary actions to cycle those accounts to an appropriate agency for escalated collection activities. Runs reports and performs necessary skip tracing activities to locate responsible parties in a cost efficient manner. Demonstrates ability to communicate effectively and efficiently utilizing verbal and written skills. Contacts and counsels patient and family support teams by telephone, in direct contact interviews, and by utilizing written correspondence to provide satisfactory resolution of unresolved account balances in accordance within established timeliness standards and public relations guidelines to ensure a positive patient experience. Demonstrates application of reimbursement and collection policies according to established guidelines. Displays proficient application of all federal, state, and local regulations relating to the extension of Healthcare services, revenue cycle billing and collections, and all allowable follow up procedures and processes. Displays a working knowledge of third party payer procedures such as eligibility and verification, claims submission, reimbursement, as well as an understanding of collection policies. Demonstrates this knowledge for third party payer groups including, but not limited to: Medicare, Medicaid, Champus, Blue Cross and all other third party contractual agreements entered into by Monument Health. Timely identifies additional or incorrect information causing errors on pending claims through direct communication with insurance companies. Researches and verifies the accuracy of transactions appearing on identified accounts, gathers and refers the necessary information to all subject matter experts to correct errors, expediting reimbursement and ensuring satisfactory account resolution and customer satisfaction. Collaborates and effectively communicates pertinent information in a professional manner to promote a positive work environment with all internal Monument Health caregivers including but not limited to: Patient Financial Services Claims Analysts, Health Information Management, Patient Financial Services Third Party Financial Advocates, and all other divisions and department subject matter experts and caregivers. Maintains work areas in a neat and clean condition in accordance with any established guidelines and department expectations. All other duties as assigned. Additional Requirements Required: Education- High School Diploma/GED Equivalent in General Studies Preferred: Experience- 1+ years of Billing/Collections Experience; 1+ years of Healthcare Experience Education- Bachelors degree in Related Field Physical Requirements: Sedentary work- Exerting up to 10 pounds of force occasionally and/or negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects, including the human body. Sedentary work involves sitting most of the time. Job Category Patient Services Job Family Patient Support Shift Employee Type Regular 15 Corporate Services Division Make a difference. Every day. Monument Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected Veteran status.

Posted 30+ days ago

S
Syska Hennessy Group, Inc.Hamilton, NJ
Watch your work come to life in landmark projects around the world when you partner with Syska Hennessy Group. As a global leader in consulting, engineering, and commissioning services, we specialize in highly technical buildings and the systems that bring them to life. Our Information and Communication Technology Group (ICT), in our Hamilton, NJ office is seeking a Senior Technology Systems Consultant with systems design experience with a focus on one or more of the following trades: Telecom/IT/Audio Visual / Security. This role will support the engineering of systems for a variety of projects while working closely with clients, client reps, architects, and MEP engineers in creating designs for all kind of spaces including Critical Facilities, Corporate Interiors, Sports & Entertainment, Healthcare Facilities, Airports, and educational facilities throughout the country. We are looking for someone with ICT experience for Healthcare. Our dynamic work environment provides the optimal setting to take your engineering career to the next level. From our supportive culture, diverse workforce, and competitive compensation to our flexible work schedule Monday to Thursday in the office for 9 hours and Friday for 4 hours remotely at home and fun social events, it is everything you will need for an exciting, challenging, and rewarding career. Job Responsibilities As a Senior Technology systems consultant you will support the design efforts on a wide range of projects. You will work closely with senior and supervising consultants performing calculations and laying out highly technical spaces. Individuals in this position must demonstrate the ability to progress from basic design work assignments to more complicated and involved projects working in conjunction with a technical team. Responsible for providing trade specific system design layout (utilizing CAD/BIM); calculations (utilizing appropriate software); and other related design services including coordination with the designs of other trades (architectural and engineering / internal and external) under the guidance of more senior technical staff. Additional Responsibilities: Creates basic designs with little supervision of the senior staff and creates medium to complex designs under direction of senior team member. Develop specifications, system narratives and system layouts for a variety of projects and project sizes Conducts field inspections to determine existing conditions and to coordinate new work then assists Senior Engineer in preparation of due diligence, feasibility, gap analysis and other technical reports and drawings Begins to establish system application, design and operational parameters sequences under the direction of the senior team members. Has a basic understanding of network connectivity, LAN, WAN fundamentals Has a basic understanding of WiFi infrastructure, WAPs, controllers Participates in / Ensure / Oversee QA/QC process for your work and the work of others Assists senior team members in the on-going determination of project scheduling requirements, manpower requirements, and project budgets Performs construction administration and field investigation tasks for assigned projects including conducting field inspections and subsequent detailed inspection reports Assists the senior team member in processing RFI's, Change Orders, Bulletins, and Addenda Masters drawing organization format and company standards Cross trained on multidisciplinary designs and support design production of drawings, calculations, researches, reports, analysis and specification Represents Syska Hennessy Group and work in close contact with and effectively interact with the internal design team as well as external clients and consultants (including owners, builders, developers, program managers, architects, vendors, etc.) Coordinates with other disciplines and work in close contact with the entire design team Other duties as assigned by Management Job Requirements Bachelor's Degree from an accredited university in Engineering, Science or Technical discipline or equivalent relevant work experience 7-10 years of audiovisual, telecom, IT, or security design experience Healthcare. Proficiency in written and verbal communication and organizational skills Knowledge of active network systems and structured cabling design Has general working knowledge of Wi-Fi network and telephony design concepts, generating heat maps, etc. Proficiency in AutoCAD/Revit preferred Certification such as P.E., ICT certification (PSP, CPP, CTS, CTS-D, RCDD, CCNA, CCNP, CISSP, PMP, etc.) required Benefits As an employee with Syska Hennessy Group, you will be part of a global firm with an amazing history! We are committed to being the best, to advancing engineering design practice, and to supporting our clients with integrity. To make all of that happen, we rely on the talent, drive, enthusiasm, and the total job satisfaction of the great people who work here. As a member of our highly collaborative team, we provide you with a flexible benefits package that reflects our respect for your workplace contributions, professional goals, and personal priorities. The personal benefits program at Syska Hennessy Group includes: Medical, Dental, Vision insurance 401(k) retirement plan with employer matching Individual and Dependent Life Insurance Short- and Long-Term Disability Health Wellness Programs, including flu shots, biometric screenings, and gym discounts Tuition Reimbursement Training and professional development courses Professional development incentive bonuses Opportunities for community outreach through internal networks A Generous Personal Time Off Program (PTO) Transit/parking program Monthly business phone stipend Half day Friday working from home At Syska, we promote an environment that is committed to embedding diversity and equality into the core of our business and culture. We empower our employees so they can take ownership for their work and development and strive to continually improve themselves and our firm. Syska is a place where you can build an exceptional career and have a lasting impact on the world. The salary range listed below is for this particular job posting. Actual pay range for candidates will be commensurate with candidate's experience, skillsets and competencies and may differ based on the cost of labor in their particular location. Syska Hennessy Group | Integrating the best minds and technology to help clients create exceptional environments. The salary range listed below is for this particular job posting. Actual pay range for candidates will be commensurate with candidate's experience, skillsets and competencies and may differ based on the cost of labor in their particular location. Syska wide Pay Range $83,583-$164,554 USD

Posted 30+ days ago

Government Healthcare Actuarial Lead-logo
Clark InsuranceBoston, MA
Company: Mercer Description: We are seeking a talented individual to join our Government Human Services Consulting team at Mercer. T Mercer's Government Human Services Consulting (GHSC) practice is dedicated to helping publicly funded health and human services clients transform their healthcare programs, impacting the lives of millions in our most vulnerable communities. We believe that each project is an opportunity to build trust between our team and our clients, and we back each project with industry leading experience and multi-disciplinary specialists. We will count on you to: Lead a team that of actuaries, actuarial and data analysts, clinicians and health policy consultants supporting multiple large, complex capitation rate-setting and other actuarial projects In conjunction with other project leaders, work with the client to define and manage the scope of the project, serve as an expert on rate structures and methodologies, and ensure consistency with federal regulations and actuarial standards Oversee the development of rate-setting assumptions that are built into actuarial models and inform client and project teams on the impact of data and assumptions, and provide on-going review and guidance throughout the rate setting process Work directly with clients on emerging and/or unique challenges facing their programs, and leverage the skills and expertise of Mercer actuaries, clinicians, and health policy consultants to design innovative and comprehensive solutions Oversee the drafting of project communications, including rate certification letters and presentations, and act as an actuarial authority that signs rate certification letters and other statements of actuarial opinion Work with project leaders to identify growth and development opportunities for experienced actuaries, junior actuaries, and actuarial students on project teams. Provide guidance, oversight and mentoring for actuarial staff as needed What you need to have: BA/BS degree 10+ years minimum health actuarial experience, with 5+ years of Medicaid actuarial experience Actuarial credentials (ASA, FSA, MAAA) Experience leading large multi-disciplinary teams and large, complex projects What makes you stand out? Medicaid actuarial experience spanning multiple states, programs, health insurers, or Federal agencies and actuarial consulting experience Ability to handle client and project management in a demanding work environment with tight deadlines Experience related to health plan analysis or capitated rate development Why join our team: We help you be your best through professional development opportunities, interesting work, and supportive leaders. We foster a vibrant and inclusive culture where you can work with talented colleagues to create new solutions and have impact for colleagues, clients, and communities. Our scale enables us to provide a range of career opportunities, as well as benefits and rewards to enhance your well-being. Mercer, a business of Marsh McLennan (NYSE: MMC), is a global leader in helping clients realize their investment objectives, shape the future of work and enhance health and retirement outcomes for their people. Marsh McLennan is a global leader in risk, strategy and people, advising clients in 130 countries across four businesses: Marsh, Guy Carpenter, Mercer and Oliver Wyman. With annual revenue of $24 billion and more than 90,000 colleagues, Marsh McLennan helps build the confidence to thrive through the power of perspective. For more information, visit mercer.com, or follow on LinkedIn and X. Marsh McLennan is committed to embracing a diverse, inclusive and flexible work environment. We aim to attract and retain the best people and embrace diversity of age background, disability, ethnic origin, family duties, gender orientation or expression, marital status, nationality, parental status, personal or social status, political affiliation, race, religion and beliefs, sex/gender, sexual orientation or expression, skin color, veteran status (including protected veterans), or any other characteristic protected by applicable law. If you have a need that requires accommodation, please let us know by contacting reasonableaccommodations@mmc.com. Marsh McLennan is committed to hybrid work, which includes the flexibility of working remotely and the collaboration, connections and professional development benefits of working together in the office. All Marsh McLennan colleagues are expected to be in their local office or working onsite with clients at least three days per week. Office-based teams will identify at least one "anchor day" per week on which their full team will be together in person. The applicable base salary range for this role is $150,500 to $301,000. The base pay offered will be determined on factors such as experience, skills, training, location, certifications, education, and any applicable minimum wage requirements. Decisions will be determined on a case-by-case basis. In addition to the base salary, this position may be eligible for performance-based incentives. We are excited to offer a competitive total rewards package which includes health and welfare benefits, tuition assistance, 401K savings and other retirement programs as well as employee assistance programs.

Posted 4 weeks ago

Senior Software Engineer - Healthcare-logo
LiveRampSan Francisco, CA
LiveRamp is the data collaboration platform of choice for the world's most innovative companies. A groundbreaking leader in consumer privacy, data ethics, and foundational identity, LiveRamp is setting the new standard for building a connected customer view with unmatched clarity and context while protecting precious brand and consumer trust. LiveRamp offers complete flexibility to collaborate wherever data lives to support the widest range of data collaboration use cases-within organizations, between brands, and across its premier global network of top-quality partners. Hundreds of global innovators, from iconic consumer brands and tech giants to banks, retailers, and healthcare leaders turn to LiveRamp to build enduring brand and business value by deepening customer engagement and loyalty, activating new partnerships, and maximizing the value of their first-party data while staying on the forefront of rapidly evolving compliance and privacy requirements. Your team will: Work with cutting-edge privacy enhancing technologies for safeguarding healthcare data Be responsible for quality and reliability of our systems Be responsible for POC's, including engagement with Product and Customers to determine viability for further scale. Enhance security and privacy controls to maintain HIPAA compliance About you: Minimum 6+ years software engineering experience Have a startup personality and enjoy working as part of a cross-functional team: smart, ethical, friendly, hard-working, and productive. Experience using Java/ Python Have 3+ years of experience writing and deploying object-oriented production code. Have 2+ years of experience using cloud-based platforms such as GCP, AWS, Azure or similar technologies. Have 3+ years of experience with Kubernetes, building services, networking Strong ability to break down complex problems into their essential components, design and implement elegant solutions. Have a passion for building large-scale distributed systems and are comfortable writing maintainable and high-performance code. Comfortable evaluating and adapting to the latest tools and technologies. You love mentoring junior engineers and deploying software that conforms to best practices. Excellent communication and presentation skills. Bachelor of Science in Computer Science or related degrees. Bonus Points: Have worked at a startup or have helped build brand new products Experience with Spark, SQL, Data Lakes like Snowflake, BigQuery, SingleStore Exposure to analytics, machine learning, or data mining The approximate annual base compensation range is $163,000 to $195,500. The actual offer, reflecting the total compensation package and benefits, will be determined by a number of factors including the applicant's experience, knowledge, skills, and abilities, geography, as well as internal equity among our team. Benefits: People: Work with talented, collaborative, and friendly people who love what they do. Fun: We host in-person and virtual events such as game nights, happy hours, camping trips, and sports leagues. Work/Life Harmony: Flexible paid time off, paid holidays, options for working from home, and paid parental leave. Comprehensive Benefits Package: LiveRamp offers a comprehensive benefits package designed to help you be your best self in your personal and professional lives. Our benefits package offers medical, dental, vision, life and disability, an employee assistance program, voluntary benefits as well as perks programs for your healthy lifestyle, career growth and more. Savings: Our 401K matching plan-1:1 match up to 6% of salary-helps you plan ahead. Also Employee Stock Purchase Plan - 15% discount off purchase price of LiveRamp stock (U.S. LiveRampers) RampRemote: A comprehensive office equipment and ergonomics program-we provide you with equipment and tools to be your most productive self, no matter where you're located More about us: LiveRamp's mission is to connect data in ways that matter, and doing so starts with our people. We know that inspired teams enlist people from a blend of backgrounds and experiences. And we know that individuals do their best when they not only bring their full selves to work but feel like they truly belong. Connecting LiveRampers to new ideas and one another is one of our guiding principles-one that informs how we hire, train, and grow our global team across nine countries and four continents. Click here to learn more about Diversity, Inclusion, & Belonging (DIB) at LiveRamp. LiveRamp is an affirmative action and equal opportunity employer (AA/EOE/W/M/Vet/Disabled) and does not discriminate in recruiting, hiring, training, promotion or other employment of associates or the awarding of subcontracts because of a person's race, color, sex, age, religion, national origin, protected veteran, disability, sexual orientation, gender identity, genetics or other protected status. Qualified applicants with arrest and conviction records will be considered for the position in accordance with the San Francisco Fair Chance Ordinance. California residents: Please see our California Personnel Privacy Policy for more information regarding how we collect, use, and disclose the personal information you provide during the job application process. To all recruitment agencies: LiveRamp does not accept agency resumes. Please do not forward resumes to our jobs alias, LiveRamp employees or any other company location. LiveRamp is not responsible for any fees related to unsolicited resumes.

Posted 30+ days ago

Online Adjunct Professor - Healthcare Services-logo
Bryant & Stratton CollegeOrchard Park, NY
Position Status: Exempt Reports To: Program Manager/Faculty Administrator Location: Remote (Orchard Park, NY) Bryant & Stratton College Online adjunct instructors will support the college mission and vision by facilitating an active virtual learning classroom through alternative delivery methodologies. Instructors will maintain contemporary knowledge and skills in their discipline to support their expected classroom responsibilities. Instructors will participate in departmental, campus-wide, and college-wide activities to support the needs of the student population and the Online Education team. Job Responsibilities: Classroom Preparation & Performance Prepare course(s) assigned in Blackboard with required elements by the designated deadline. Throughout each session, provide approximately 12-14 hours per week of instruction over the course of five days each week, per course. This includes facilitating discussion, grading student work, checking email, engaging in personalized retention efforts and outreach to support student success, and answering student inquiries. Respond to all outreach (email, text, calls, etc.) from students, supervisors, colleagues, etc. within 48-hours. This includes responding to inquires in the "Ask Your Instructor" forum in each section. Facilitate discussion with substantive, high-quality posts, higher-order questioning, and supplemental resources, ensuring minimum participation in discussion of at least three days each week (including Weeks 1 & 7.5). Respond to 100% of students' initial posts within the designated weekly timeframe. Substantive responses must include personalized comments and ask a higher-level thinking question whenever possible. Close the loop after asking questions and receiving responses from students A requirement is to post in discussion early in the week (with some posts and replies made by Wednesday) and then show an engaging presence again in the middle and end of the week. A week-opening post should include supplemental material and/or EQ(s) from the supplemental syllabus. Demonstrate the ability to apply the Seven Principles for Good Practice in Undergraduate Education, which will be evaluated through informal and formal observations annually. These observations are completed using tools such as midsession checks, yearly formal evaluations, etc. The seven principles are: Encourage contact between students and faculty, Develop reciprocity and cooperation among students, Encourage active learning, Give prompt feedback, Emphasize time on task, Communicate high expectations, and Respect diverse talents and ways of learning. Ensure the grade book is updated each week no later than Thursday at 11:59 pm, ET for Weeks 1-6, and 9 am ET Thursday after the last day of class for Weeks 7 and 7.5. Review student work, adhere to grading rubrics, and provide detailed, individualized feedback. If grading is completed early in the week, review the grade book again before the grading deadline to ensure all submissions have been graded and zeroes have been reverted (if applicable). Ensure zeroes are entered weekly for students who do not submit assignment(s) by the due date. Late work needs to be graded when completing the next round of grading in the class to ensure students have an accurate picture of their standing in the class. It is not to be left until the end of the course. Ensure that zeroes are reverted each week for work that was submitted late. Meet final grades deadline for each course each session, which is Thursday after the last day of class at 9:00 am ET. Meet with FAs and/or PMs as requested, for coaching, performance improvement, and/or professional development Utilize provided retention tools weekly from Weeks 2-7 to monitor at-risk students, communicate with students and their advisors (observers), and document outreach attempts. Utilize active learning strategies, authentic assessment, and APA guidelines in the classroom. Encourage student usage of electronic portfolio assignments to support the teaching and learning outcomes of the college. Follow the college's plagiarism policy to promote academic integrity in all courses, no matter what level or subject matter. Understand the college's rigor standards, active learning strategies, best practices in Online teaching, and Bloom's Taxonomy standards and be able to apply them to the classroom. Comply with all student ADA accommodations provided by the ADA Coordinator Encourage student participation in student survey/faculty evaluation within each course and routinely download and review survey responses after each session. Administrative Requirements Outside of Teaching Maintain current knowledge of teaching disciplines/fields of study and best practices in distance education through professional development opportunities and provide documentation to B&SC as required Participate in all required live and asynchronous faculty meetings to stay eligible for scheduling in the upcoming sessions (course assignments are based on student enrollment and are never guaranteed). This is required even if someone is not actively teaching each session. Missing 2 consecutive faculty meetings without approval from the Program Manager may result in alleviation of adjunct status. Participate in campus-wide initiatives in support of retention and persistence to graduation goals Complete all required workshops/seminars as necessitated by management In addition to the criteria identified here, adjunct faculty are required to adhere to and uphold all established policies and procedures as described in operating documentation (Official Catalog & Faculty Guide). For Online Education, adjunct faculty's maximum teaching limitation is14-contact hours per term; each course is 3-contact hours. All course assignments are based on a variety of factors including adherence to all administrative requirements (i.e.: quality discussion participation, personalized feedback, faculty meeting attendance, on-time final grades completion, course preparation, etc.), projected student enrollment, scheduling needs of the program, iFit scores, and other criteria. Course assignments are not guaranteed for each session. All instructors will possess and exhibit the qualities of professionalism, integrity, self-esteem, self-motivation, and a strong desire to guide students to improve their career prospects. All instructors are expected to possess the credential and experiential requirements described in Bryant & Stratton College Policy No. 035. All instructors are expected to maintain a contemporary skillset in support of active learning and authentic assessment evaluation methodology. Upon hire, the College has designated a probationary period of 12-months for an Associate to be trained and assimilated into the College and to ensure all job responsibilities are met. All instructors are required to possess the technology required to facilitate online courses. The minimum requirements can be found here: https://www.bryantstratton.edu/admissions/online/technology-requirements Serve as a brand ambassador for B&SC - promote the college inside and outside of the work environment (through means such as mentoring, participating in college projects, committees, and initiatives, referring adjuncts and students to the college, supporting building-based campuses in any capacity, acting as a SME for new or revised course builds, and keeping curriculum contemporary by submitting course support tickets for errors, updates, or ideas) Collaborate with full-time faculty as part of an active community in discipline to help identify potential areas of improvement and raise classroom performance All course assignments are based on a variety of factors including adherence to all administrative requirements (ie., faculty meeting attendance, final grades, and course preparation), projected student enrollments and scheduling needs of the program. Knowledge, Skills, and Abilities: All instructors will possess and exhibit the qualities of professionalism, integrity, self-esteem, self-motivation, and a strong desire to guide students to improve their career prospects. All instructors are expected to possess the credential and experiential requirements as described in Bryant & Stratton College Policies. All instructors are expected to maintain a contemporary skill set in support of active learning and authentic assessment evaluation methodology. Upon hire, the College has designated a probationary period of twelve months for an Associate to be trained and assimilated into the College and to ensure all job responsibilities are met. Please sign this job description with an original signature, scan, and submit with your new hire documentation. Qualifications: Master's Degree; Preferred earned PhD Degree. Three (3) years' experience in education at the college level within the last ten (10) years; instruction in educational theory Expertise in the areas in which they teach Demonstrated leadership skills, integrity, and ethical practice with emphasis on problem solving, conflict management/ resolution, adaptability, creativity, and sensitivity to diversity Willingness to self-assess, take feedback, and incorporate results into practice Ability to recognize and proactively address areas of opportunity and challenge Documented management experience in an educational setting Proven administrative, evaluative, analytical, strategic thinking and organizational skills Excellent oral and written communication skills Proficiency with Microsoft Office Suite and Internet applications Proficiency with other technologies currently used in Nursing profession Proven ability to function as a member of a team within established college, state, federal, and accrediting/approval agency regulations, policies and procedures Physical Demands and Work Environment: Position requires standing or sitting in a stationary position as well as the occasional need to lift, carry, push, and/or move objects up to 10 pounds. Position also requires the use of computer technology/equipment. Position requires the ability to hear conversations and receive information in person and over the telephone. Position requires the ability to convey detailed and important instructions or ideas accurately, loudly, or quickly. Application Process: Please complete an application, and upload a cover letter, resume, unofficial transcripts, copies of license, and teaching philosophy for consideration. Salary Range: $1700 - $2000 per course The salary range for this position reflects a comprehensive evaluation of multiple factors that influence compensation determinations, encompassing considerations such as degree level, professional licenses, certifications, and various organizational requirements. It's important to note that the disclosed range estimate may not account for potential geographical variations linked to the location where the position is filled or the number of students per class. At Bryant & Stratton College, it is uncommon for individuals to be brought on board at or close to the upper limit of the compensation range assigned to their respective roles. Compensation decisions are always contingent on the unique circumstances and specific details of each individual case. Online Part-Time Healthcare Services Instructor Bryant & Stratton College, a Healthcare Training leader, seeks experienced healthcare professionals to provide online classroom instruction for our Healthcare Services classes. The classes focus on healthcare terminology, electronic health records, anatomy & physiology, and human disease/drug pharmacology. Candidates must be effective communicators, that are comfortable with using various teaching methods and technology. Skills: The knowledge, skills, and abilities to teach Health Administration in an online asynchronous environment. The ability to identify and support all learning styles with various teaching methodologies. Critical thinking skills to identify and resolve issues that impact the students successful complete of a course. Strong time management and performance management skills. Strong communication skills - written and oral. Minimum Requirements: Qualified candidate will possess a Master's degree in field, including physiology, exercise physiology, nursing, Doctor of Chiropractic (D.C.), or Doctor in Medicine (M.D.) Master's degree in biology, anatomy, or zoology may also apply as they are credentialed for the Anatomy & Physiology course To be considered for a Part-Time Faculty position, applicants are required to submit the following items with the application: Resume/CV PhD (if applicable), Masters, and Bachelor's unofficial transcripts At least 3 professional references (be sure to include phone numbers and email addresses) During the application process, please be sure to upload all of these documents under the documents section. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability or protected veteran status, or any other legally protected basis, in accordance with applicable law. Bryant & Stratton College is an Equal Opportunity Employer.

Posted 30+ days ago

Government Healthcare Actuarial Lead-logo
Clark InsuranceIndianapolis, IN
Company: Mercer Description: We are seeking a talented individual to join our Government Human Services Consulting team at Mercer. T Mercer's Government Human Services Consulting (GHSC) practice is dedicated to helping publicly funded health and human services clients transform their healthcare programs, impacting the lives of millions in our most vulnerable communities. We believe that each project is an opportunity to build trust between our team and our clients, and we back each project with industry leading experience and multi-disciplinary specialists. We will count on you to: Lead a team that of actuaries, actuarial and data analysts, clinicians and health policy consultants supporting multiple large, complex capitation rate-setting and other actuarial projects In conjunction with other project leaders, work with the client to define and manage the scope of the project, serve as an expert on rate structures and methodologies, and ensure consistency with federal regulations and actuarial standards Oversee the development of rate-setting assumptions that are built into actuarial models and inform client and project teams on the impact of data and assumptions, and provide on-going review and guidance throughout the rate setting process Work directly with clients on emerging and/or unique challenges facing their programs, and leverage the skills and expertise of Mercer actuaries, clinicians, and health policy consultants to design innovative and comprehensive solutions Oversee the drafting of project communications, including rate certification letters and presentations, and act as an actuarial authority that signs rate certification letters and other statements of actuarial opinion Work with project leaders to identify growth and development opportunities for experienced actuaries, junior actuaries, and actuarial students on project teams. Provide guidance, oversight and mentoring for actuarial staff as needed What you need to have: BA/BS degree 10+ years minimum health actuarial experience, with 5+ years of Medicaid actuarial experience Actuarial credentials (ASA, FSA, MAAA) Experience leading large multi-disciplinary teams and large, complex projects What makes you stand out? Medicaid actuarial experience spanning multiple states, programs, health insurers, or Federal agencies and actuarial consulting experience Ability to handle client and project management in a demanding work environment with tight deadlines Experience related to health plan analysis or capitated rate development Why join our team: We help you be your best through professional development opportunities, interesting work, and supportive leaders. We foster a vibrant and inclusive culture where you can work with talented colleagues to create new solutions and have impact for colleagues, clients, and communities. Our scale enables us to provide a range of career opportunities, as well as benefits and rewards to enhance your well-being. Mercer, a business of Marsh McLennan (NYSE: MMC), is a global leader in helping clients realize their investment objectives, shape the future of work and enhance health and retirement outcomes for their people. Marsh McLennan is a global leader in risk, strategy and people, advising clients in 130 countries across four businesses: Marsh, Guy Carpenter, Mercer and Oliver Wyman. With annual revenue of $24 billion and more than 90,000 colleagues, Marsh McLennan helps build the confidence to thrive through the power of perspective. For more information, visit mercer.com, or follow on LinkedIn and X. Marsh McLennan is committed to embracing a diverse, inclusive and flexible work environment. We aim to attract and retain the best people and embrace diversity of age background, disability, ethnic origin, family duties, gender orientation or expression, marital status, nationality, parental status, personal or social status, political affiliation, race, religion and beliefs, sex/gender, sexual orientation or expression, skin color, veteran status (including protected veterans), or any other characteristic protected by applicable law. If you have a need that requires accommodation, please let us know by contacting reasonableaccommodations@mmc.com. Marsh McLennan is committed to hybrid work, which includes the flexibility of working remotely and the collaboration, connections and professional development benefits of working together in the office. All Marsh McLennan colleagues are expected to be in their local office or working onsite with clients at least three days per week. Office-based teams will identify at least one "anchor day" per week on which their full team will be together in person. The applicable base salary range for this role is $150,500 to $301,000. The base pay offered will be determined on factors such as experience, skills, training, location, certifications, education, and any applicable minimum wage requirements. Decisions will be determined on a case-by-case basis. In addition to the base salary, this position may be eligible for performance-based incentives. We are excited to offer a competitive total rewards package which includes health and welfare benefits, tuition assistance, 401K savings and other retirement programs as well as employee assistance programs.

Posted 4 weeks ago

Healthcare Planner - Junior-logo
GenslerLos Angeles, CA
Our approach to healthcare is holistic. It is research-driven and designed to create engaging experiences for everyone from patients and families to staff and providers. Gensler seeks innovation for the individual, the community, and the region from a diverse global platform. We call our approach Radically Human. Gensler applies this approach to our work and in building our teams. We seek partners that share our view and are motivated to drive positive change in human health and wellness. Your Role As a Healthcare Planner, your job is to combine creativity and technical knowledge with business skills and understanding to produce functionally beautiful spaces for clients. It's your job to collaborate with a team of architects and designers to deliver unparalleled architectural projects. With you as part of the design team, architecture has never been so engaging. You will leverage your technical acumen and Revit skills to drive client projects from concept through build in a collaborative team. What You Will Do Assist in creating, reviewing, and coordinating the architectural floor plans, interior elevations, reflected ceiling plans and equipment plans of clinical spaces Follow the planning and design information through the production and implementation documentation process to ensure continuity of the design intent Actively support firmwide sustainability and resilience goals, guiding clients and project teams toward multi-benefit sustainable and resilient design solutions Participate in the conceptual design of healthcare projects (medical centers, medical office buildings, hospitals, outpatient clinics, surgery centers, community health centers, etc.) Translate client operational model into architectural design/medical plan May serve as the point of contact for client questions Apply governing regulatory codes and hospital licensing standards, and validates that those requirements are met Collaborate with end users to create solutions in real-time Coordinate or prepares drawings and designs in accordance with Gensler standards, best practice, and quality expectations Participate in and may lead team meetings to discuss project issues, technical issues and coordination with other disciplines Maintain detailed documentation of client meetings May be responsible for preparing meeting minutes and other appropriate documents for consultant coordination meetings Understand fundamental accounting principles and the project accounting process Collaborate in and may be responsible for delivering a project on defined budget requirements Understand research methodology and integrates research into practice Leverage cross functional teams and the Gensler Research institute to develop informed and purposeful user-centric design solutions to unlock strategies which will drive innovation in the healthcare industry Your Qualifications Bachelor's degree in Architecture from an accredited school 2+ years of related experience as a Medical Planner, healthcare design and planning background Highly proficient with Revit Knowledge of 3D modeling software (including Rhino and Grasshopper) preferred LEED AP and Registered Architect (or in process) preferred Experience with developing thought leadership publications and participating in speaking engagement preferred Experience leading user group meetings and working with hospital senior leadership Advanced knowledge of current healthcare planning and programming concepts including patient safety, evidence-based design principles, and general industry benchmarks. Understanding of the medical equipment planning process and experience working with medical equipment planners Strong knowledge of architectural building systems, building codes and accessibility guidelines Flexibility to focus on concurrent projects in various stages of development A quick learner with an ability to thrive in a fast-paced work environment Collaborative and team-conscious Must have the ability to maintain existing client relationships and build new client relationships through successful project delivery This position is in-person and requires weekly out-of-state travel for an internationally recognized healthcare institution. The base salary will be estimated between $70,000-$85,000 plus bonuses and benefits and contingent on relevant experience. To learn more about our compensation philosophy and full benefits offerings, please visit Great People, Great Rewards | Gensler Life at Gensler As a people-first organization, we are as committed to enjoying life as we are to delivering best-in-class design. From curated art exhibits to internal design competitions to "Well-being Week," our offices reflect our people's diverse interests. We encourage every person at Gensler to lead a healthy and balanced life. Our comprehensive benefits include medical, dental, vision, disability, wellness programs, flex spending, paid holidays, and paid time off. We also offer a 401k, profit sharing, employee stock ownership, and twice-annual bonus opportunities. Our annual base salary range has been established based on local markets. As part of the firm's commitment to licensure and professional development, Gensler offers reimbursement for certain professional licenses and associated renewals and exam fees. In addition, we reimburse tuition for certain eligible programs or classes. We view our professional development programs as strategic investments in our future.

Posted 30+ days ago

Mission Healthcare logo

Full Time Healthcare Billing / Collections Specialist

Mission HealthcareSan Diego, CA

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Job Description

Mission Healthcare, located in seven states, is the largest home health and hospice company in the western United States. We have a critical mission—to take care of our people. We provide a comprehensive array of services that meet the needs of patients and families across the healthcare continuum. We believe our people, partners, patients and their families deserve care delivered with Compassion, Accountability, Respect, Excellence and Service (CARES), Mission Healthcare’s core values. By joining our team, you will have the opportunity to impact patient’s lives daily and grow your career in a culture of collaboration, compassion, and commitment. We are excited to continue to grow our mission family!

Benefits offered:   
Medical, Dental & Vision 
Vacation, Sick & Holiday Paid Time Off 
Mileage Reimbursement 
Employee Assistance Program 
Flexible Spending & Health Savings Accounts 
Disability, Life and AD&D Insurance 
401(K)

Pay range (depending on experience): $23.00 to $28.00/hour

Schedule/Shift: Full-Time, Monday-Friday

Territory/Location: San Diego, CA

Key Responsibilities:

  • Oversee all collections activities for assigned payors, ensuring timely and accurate reimbursement.
  • Collaborate cross-functionally with Mission Healthcare departments to identify and resolve issues impacting billing and collections performance.
  • Stay current with industry regulations, payer guidelines, and reimbursement trends relevant to assigned payor mix.
  • Maintain proactive and consistent communication with the Reimbursement Manager to align on priorities and escalate concerns.
  • Respond to patient inquiries with professionalism and empathy, resolving billing-related questions and concerns effectively.
  • Deliver courteous and solution-oriented customer service to both internal teams and external stakeholders.
  • Achieve departmental performance targets, including productivity metrics and quality standards.

Qualifications:

  • One to three years' experience in Healthcare Billing.
  • Industry standard knowledge of private insurance reimbursement standards in the Healthcare sector is necessary. 
  • Experience collecting for Home Health agencies.
  • Experience using EMR/EHR and practice management software. 
  • Understanding Explanation of Benefits (EOBs).
  • Strong verbal and written communication skills are a must.  
  • Demonstrated ability to work effectively in a team.  
See what Mission has to offer! Click Here!


At Mission Healthcare, we believe in fostering an inclusive workplace where diversity is valued and every employee feels respected, accepted, and empowered. We are committed to building a diverse team and creating an environment that promotes equity and belonging.

Equal Opportunity:
We are proud to be an equal-opportunity employer. We do not discriminate based on race, color, religion, national origin, sex, sexual orientation, gender identity, age, disability, veteran status, or any other legally protected characteristics. All employment decisions are based on qualifications, merit, and business need.

Accessibility Commitment:
We strive to make our hiring process accessible to all. If you require accommodations at any stage of the employment process due to a disability, please do not hesitate to let us know how we can best meet your needs.

Inclusion Efforts:
We continually work to enhance our practices by actively combating discrimination and advancing fairness and inclusivity. We encourage applicants from historically underrepresented groups to apply and join us in our mission to diversify our team and foster an environment where diverse perspectives are embraced, and every employee is given the opportunity to thrive.

Your Voice Matters:
Mission Healthcare values your voice. We believe in maintaining a dialogue about diversity and inclusion within our teams and welcome your perspectives and innovative ideas. Together, we aim to build a workplace that reflects the communities we serve and a culture where everyone belongs.


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