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CareBridge logo
CareBridgeNashville, TN
Medical Director-Dermatology Appeals Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. The Medical Director-Dermatology Appeals is responsible for the review of appeals for physical health medical services, to ensure the appropriate and most cost-effective medical care is received. May be responsible for developing and implementing programs to improve quality, cost, and outcomes. May provide clinical consultation and serve as clinical/strategic advisor to enhance clinical operations. May identify cost of care opportunities. May serve as a resource to staff including Medical Director Associates. May be responsible for an entire clinical program. How you will make an impact: Complete appeal reviews in your specialty daily to ensure timely and consistent responses to members and providers. Provide guidance for clinical operational aspects of a program. May conduct peer-to-peer clinical reviews with attending physicians or other providers to discuss review determinations Serve as a resource and consultant to other areas of the company. May be required to represent the company to external entities and/or serve on internal and/or external committees. May chair company committees. Interpret medical policies and clinical guidelines. May lead, develop, direct, and implement clinical and non-clinical activities that impact health care quality cost and outcomes. Identify and develop opportunities for innovation to increase effectiveness and quality. Work independently with oversight from immediate manager. May be responsible for an entire clinical program and/or independently perform clinical reviews. Minimum Qualifications Requires MD or DO and Board certification approved by one of the following certifying boards is required, where applicable to duties being performed: American Board of Medical Specialties (ABMS) or American Osteopathic Association (AOA). Board certification in Dermatology. Must possess an active unrestricted medical license to practice medicine or a health profession. Unless expressly allowed by state or federal law, or regulation, must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US military base, vessel or any embassy located in or outside of the US. Minimum of 10 years of clinical experience; or any combination of education and experience, which would provide an equivalent background. For Health Solutions and Carelon organizations (including behavioral health) only, minimum of 5 years of experience providing health care is required. Additional experience may be required by State contracts or regulations if the Medical Director is filling a role required by a State agency. For URAC accredited areas, the following professional competencies apply: Associates in this role are expected to have strong oral, written, and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills. If this job is assigned to any Government Business Division entity, the applicant and incumbent fall under a sensitive position work designation and may be subject to additional requirements beyond those associates outside Government Business Divisions. Requirements include but are not limited to more stringent and frequent background checks and/or government clearances, segregation of duties, principles, role specific training, monitoring of daily job functions, and sensitive data handling instructions. Associates in these jobs must follow the specific policies, procedures, guidelines, etc. as stated by the Government Business Division in which they are employed. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.com for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

Posted 30+ days ago

Quipt Home Medical logo
Quipt Home MedicalCharlotte, NC
Description Quipt Home Medical is a rapidly growing leader in the provision of clinical respiratory equipment and service in the durable medical equipment industry. We are looking for driven individuals to come grow with us. Let's start with what's important to you. The Benefits..... Medical Insurance- multiple plans to choose from Dental & Vision Insurance Short Term Disability & Long Term Disability Options Life Insurance Generous PTO plan Paid Holidays 401K 401K match Competitive Pay Position: Medical Equipment Delivery Technician General Description: Responsible for the delivery, set-up, patient education and pick up of medical equipment. Schedule: Mon-Fri plus on-call rotation Essential Job Functions: Be knowledgeable of and responsible for the current Quipt policies and procedures that apply to this position. Responsible for setting up medical equipment in the patient's home in a professional, safe and timely manner. Complete appropriate paperwork for the setup Teach the patient about the safe and proper use of the medical equipment. Instruct the patient on the safe and proper use of disposable supplies. Instruct the patient on appropriate cleaning and maintenance of the equipment Make routine deliveries, and pickup of medical equipment and supplies for existing patients. Perform minor equipment repairs and preventive maintenance on equipment in the patient's home. Help patient become and remain compliant with use of medical equipment. Responsible for keeping vehicle clean, organized and maintained. Comply with all federal, state and local regulations. Assist Quipt in meeting its growth and financial goals. MUST BE ABLE TO LIFT A MINIMUM OF 75#'S Other duties as assigned. Requirements Minimum Job Qualifications: High school or equivalent Must be a minimum of 21 years old to drive a company vehicle Driver's License (Required) Clean Motor Vehicle Report Must be able to pass background check Must regularly lift and/or move up to 75 pounds. Ability to perform in a fast paced environment Ability to work independently and complete assignments timely and accurately ON-CALL ROTATION IS REQUIRED Expected Behaviors: Provides Exceptional Customer Service Must be kind and empathetic with patients Provides patient services at highest quality. Team player who is able to multitask Independent worker capable of good, quick decision making skills. Good communication skills with patients, referral sources and co-workers Professional appearance and positive attitude are essential! All hires are contingent on a successful background check and Quipt is an equal opportunity employer.

Posted 3 weeks ago

W logo
Well Street Urgent CareAvon, OH
University Hospitals Urgent Care - Delivering Quality Care with Purpose Are you a passionate Medical Assistant, Advanced-EMT or Paramedic looking for a dynamic and rewarding career? Join University Hospitals Urgent Care, where you'll make a meaningful impact in a fast-paced clinical environment while enjoying work-life balance and professional growth opportunities. As a Medical Assistant, you will be a key part of our healthcare team, providing hands-on patient care and ensuring smooth clinic operations. This role is ideal for those who thrive in a high-energy, team-oriented setting and are committed to delivering exceptional care. Why You'll Love Working Here: LIFE-Work Balance & Flexible Schedule: Full-time (3-day/12-hour shifts, 8 AM - 8 PM) - No overnight shifts, so you can prioritize both your career and personal life! Competitive Pay & Benefits: Medical, Dental, Vision, Prescription, Pet Insurance & more Paid Time Off & Holidays: Recharge and take care of yourself 401K with Company Match: Plan for your future Professional Growth: Certification reimbursement, leadership opportunities & professional development Wellness Support: Employee Assistance Program (EAP) & Wellness Initiatives Key Responsibilities: Patient Preparation: Assist with preparing patients for examinations and treatments, ensuring they are comfortable and well-informed. Triage & Vital Signs: Perform triage and take vital signs accurately. Documenting Patient History: Obtain and document detailed patient history in our Electronic Medical Record (EMR) system in a timely manner. Lab Specimens: Collect routine laboratory specimens, including blood, urine, and oral swabs. Medication & Injections: Administer medications and non-intravenous injections, including intramuscular, subcutaneous, and intradermal injections. Clinical Procedures: Start IVs, place catheters, and perform splinting when necessary. Clinical & Laboratory Procedures: Perform basic clinical, aseptic, and laboratory procedures to support patient care. Occupational Medicine: Assist with our Occupational Medicine services, including drug screening, breath alcohol testing, audiograms, and pulmonary function testing, while adhering to company protocols. Compliance: Enforce and maintain healthcare regulatory requirements, including HIPAA and OSHA compliance. Administrative Duties: Perform office procedures and general administrative tasks; proficiently operate office medical equipment. Quality Assurance: Oversee compliance with quality assurance programs, CLIA waived laboratory requirements, and patient result trackers. Travel Requirement: Support staffing and operational needs by traveling to other Prisma Health Urgent Care locations as required. Required Qualifications: Certification: Must be certified or registered as a Paramedic, Advanced-EMT or Medical Assistant through an accredited organization (e.g., AMT for RMA/NHA or AAMA for CMA). Experience: 1+ year of healthcare experience preferred (urgent care or ER a plus); willing to train outstanding new graduates Skills: Proficiency in venipuncture, injections, and clinical procedures Technical Skills: Experience using Electronic Medical Records (EMR) software, EPIC preferred Flexibility: Ability to work 12-hour shifts, weekends, and holidays Team Player: A positive, proactive approach to patient care and collaboration At University Hospitals Urgent Care, we believe in kindness, excellence, empowerment, resilience, and proactive service. If you're looking for a career where your contributions truly matter, apply today and be part of something bigger! INDMA

Posted 1 week ago

Mercy Health logo
Mercy HealthSpringfield, OH
Thank you for considering a career at Mercy Health! Scheduled Weekly Hours: 36 Work Shift: All Work Shifts (United States of America) We believe your best is yet to come. At Mercy Health, we celebrate the human side of health care, uniting individuals from all walks of life in giving good help to those in need. We'll ask a lot of you, but we'll give a lot back as well. Whether you're called to bedside care, patient support, community service or operations and administration, there's a place for you here. Because if there's one thing we know for certain, it's that good works start with great people. Now is the ideal time to explore a new employment opportunity with Mercy Health in Springfield. We currently have RN openings across a variety of departments, including: Labor and Delivery, Mom Baby Progressive Cardiac Care Critical Care/ Stepdown Med/Surg Ready to grow your career close to home? Join a team that believes in lifting each other up, caring with purpose and making every day meaningful. Apply today-we'll champion you every step of the way. Mercy Health is an equal opportunity employer. As a Mercy Health associate, you're part of a Misson that matters. We support your well-being - personally and professionally. Our benefits are built to grow with you and meet your unique needs, every step of the way. What we offer Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible) Medical, dental, vision, prescription coverage, HAS/FSA options, life insurance, mental health resources and discounts Paid time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders Tuition assistance, professional development and continuing education support Benefits may vary based on the market and employment status. Department: SS Human Resources- Talent Acquisition It is our policy to abide by all Federal and State laws, as well as, the requirements of 41 CFR 60-1.4(a), 60-300.5(a) and 60-741.5(a). Accordingly, all applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you'd like to view a copy of the affirmative action plan or policy statement for Mercy Health- Youngstown, Ohio or Bon Secours- Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affirmative Action and Equal Opportunity Employer, please email recruitment@mercy.com. If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at recruitment@mercy.com.

Posted 2 weeks ago

LCMC Health logo
LCMC HealthNew Orleans, LA
Your job is more than a job Why a Great Place to Work: You're more than your job. Everyone is. And that's what makes you great at your job-all the little extras you bring to work every day, the things that make you you. At LCMC Health we value those things about you, because we know that all those little extras add up to extraordinary. And we've built a culture that supports and celebrates the extraordinary. You'll see it when you come to work here, in the spirit of our places and the faces of our people. And every patient we heal, every family we comfort, every life we improve is the outcome of countless little extras adding up to an extraordinary result. Join LCMC Health, and you'll find that our everyday makes it easy to live your extraordinary. Essential Function: The Patient Access Associate greet patients and guests in a courteous manner while initiating the scheduling or check-in process. They will obtain and verify accurate identification and demographical data for the patient's permanent medical record, which assists in accurate reimbursement, while recognizing and maintaining the confidentiality of all patient information. The Patient Access Associate is responsible for many types of interactions such as point-of-service face-to-face, as well as telephone, web enabled, and/or through an interpretative service related to completing the patient registration and admission process. They will improve patient satisfaction through consistently representing LCMC professionally and cross-training to support multiple functions across all patient and payer types. The Patient Access Associate interacts with patients, doctors, nurses, pharmacists, and other clinic and hospital personnel. They will demonstrate actions consistent with LCMC's "Expectations" as duties are performed on a daily basis. Completes the scheduling function, registration, messaging, and/or admissions process: Greets patients, guests and family members. Schedules patients for services with appropriate provider at appropriate locations and desired time when possible, ensuring accuracy and timeliness. Analyzes current patient information to determine if an account already exists so as not to duplicate records Creates an account for all patients who call for services or who present for services, including walk-in, non-scheduled, and emergency services according to the registration policy. Registers patients by entering accurate demographic, financial class, insurance information; makes revisions to systems immediately as errors are recognized. Activates scheduled accounts that have been set-up for the patient according to the registration policy Resolves work queue errors in an accurate and timely fashion Ensures all required forms are completed and other paperwork/documents are gathered and accurate: Requests and documents patient demographic, insurance, guarantor, Medicare Secondary Payor, and Primary Care Physician/Referring Physician information and validates against current system Ensures patient/guarantor sign all applicable documentation, such as consents and financial assistance application Scans ID's, insurance cards, orders, authorization information, etc. to patient's account once the information is validated for accuracy Performs insurance verification tasks, including: running automated eligibility response at point-of-service to ensure active coverage and completing notification of admission with insurance company within established timeframe Completes messages for providers as needed using the In-Basket messaging system, ensures that all information contained in the message is accurate. Updates Electronic Medical Record with documentation to communicate any information related to the status of a patient account Performs financial analysis of each case and informs patient of financial responsibility: Identifies patient copayment and remind patient of collection process at time of visit. When applicable, will inform patient/guarantor of liability due, including prior balances and estimates for scheduled service Attempts to collect payment at point of service for both copayments and residual payments. Provides patient information on LCMC's financial assistance programs and/or refers patients to financial counselors as needed Maximizes point-of-service collection, meeting established registration collection goals Provide excellent customer service to all patients, guests and family members and internal and external team members/customers: Promotes a customer centered experience by performing all functions in a warm and courteous manner to patients, family members, providers, and all visitors of the organization. Answers incoming calls and warm transfers calls to appropriate areas of department/clinic/hospital. Provides directions to applicable areas of interest whether over of the phone or in-person. Schedules and reschedules appointment for patients as needed Balances cash drawer daily and prepares cash long at the end of the shift when applicable: Balances cash drawer daily and accounts for shortages/overages/account posting errors Makes debit/credit adjustments as necessary; forwards necessary backup documents to lead and/or general accounting for review Makes department copies and reports unreconciled monies/deposits supervisor Follows facility cash drawer policy as applicable Completes and meets all job related facility specific of LCMC requirements Job Qualifications: Req Specific Education: Minimum Required: High school diploma or equivalent Preferred: N/A Experience: Minimum Required: 1 year related experience in a customer service position such as hospital, clinic, medical office, business services/revenue cycle, front line registration, financial counseling, banking, retail, or hospitality or pursuing a degree in a healthcare-related field Preferred: Experience with EPIC or other Electronic Medical Record Medical Terminology 1 year of experience in a healthcare-related field License/Certification: Minimum Required: N/A Preferred: CHAM CHAA Certification as a Medical Assistant other medical specialty-based certification Special Skills/Training: Minimum Required: Excellent customer service, interpersonal, and conflict resolution skills Excellent oral and written communication skills Ability to work collaboratively with other departments and functional areas and effectively gather and disseminate information to a diverse range of people Basic prioritization, time management, and organizational skills Ability to handle several tasks and interruptions in a positive manner Excellent decision-making skills Sound judgment in handling/escalating difficult situations Good analytical skills with strong attention to detail Proficient with technology The above job summary is intended to describe the general nature and level of the work being performed by people assigned to this work. This is not an exhaustive list of all duties and responsibilities. LCMC Health reserves the right to amend and change responsibilities to meet organizational needs as necessary. WORK SHIFT: Nights (United States of America) LCMC Health is a community. Our people make health happen. While our NOLA roots run deep, our branches are the vessels that carry our mission of bringing the best possible care to every person and parish in Louisiana and beyond and put a little more heart and soul into healthcare along the way. Celebrating authenticity, originality, equity, inclusion and a little "come on in" attitude is the foundation of LCMC Health's culture of everyday extraordinary Your extras Deliver healthcare with heart. Give people a reason to smile. Put a little love in your work. Be honest and real, but with compassion. Bring some lagniappe into everything you do. Forget one-size-fits-all, think one-of-a-kind care. See opportunities, not problems - it's all about perspective. Cheerlead ideas, differences, and each other. Love what makes you, you - because we do You are welcome here. LCMC Health is an equal opportunity employer. All qualified applicants receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability status, protected veteran status, or any other characteristic protected by law. The above job summary is intended to describe the general nature and level of the work being performed by people assigned to this work. This is not an exhaustive list of all duties and responsibilities. LCMC Health reserves the right to amend and change responsibilities to meet organizational needs as necessary. Simple things make the difference. To get started, take your time to fully and accurately complete the application for employment. Incomplete applications get bogged down and are often eliminated due to missing information. To ensure quality care and service, we may use information on your application to verify your previous employment and background. To keep our career applications up-to-date, applications are inactive after 6 months and, therefore, require a new application for employment to be completed. To expedite the hiring process, proof of citizenship or immigration status will be required to verify your lawful right to work in the United States.

Posted 1 week ago

Quipt Home Medical logo
Quipt Home MedicalLenexa, KS
Description Quipt Home Medical is a rapidly growing leader in the provision of clinical respiratory equipment and service in the durable medical equipment industry. We are looking for driven individuals to come grow with us. Let's start with what's important to you. The Benefits..... Medical Insurance- multiple plans to choose from Dental & Vision Insurance Short Term Disability & Long Term Disability Options Life Insurance Generous PTO plan Paid Holidays 401K 401K match Competitive Pay Position: Medical Equipment Delivery Technician General Description: Responsible for the delivery, set-up, patient education and pick up of medical equipment. Schedule: Mon-Fri plus on-call rotation Essential Job Functions: Be knowledgeable of and responsible for the current Quipt policies and procedures that apply to this position. Responsible for setting up medical equipment in the patient's home in a professional, safe and timely manner. Complete appropriate paperwork for the setup Teach the patient about the safe and proper use of the medical equipment. Instruct the patient on the safe and proper use of disposable supplies. Instruct the patient on appropriate cleaning and maintenance of the equipment Make routine deliveries, and pickup of medical equipment and supplies for existing patients. Perform minor equipment repairs and preventive maintenance on equipment in the patient's home. Help patient become and remain compliant with use of medical equipment. Responsible for keeping vehicle clean, organized and maintained. Comply with all federal, state and local regulations. Assist Quipt in meeting its growth and financial goals. MUST BE ABLE TO LIFT A MINIMUM OF 75#'S Other duties as assigned. Requirements Minimum Job Qualifications: High school or equivalent Must be a minimum of 21 years old to drive a company vehicle Driver's License (Required) Clean Motor Vehicle Report Must be able to pass background check Must regularly lift and/or move up to 75 pounds. Ability to perform in a fast paced environment Ability to work independently and complete assignments timely and accurately ON-CALL ROTATION IS REQUIRED Expected Behaviors: Provides Exceptional Customer Service Must be kind and empathetic with patients Provides patient services at highest quality. Team player who is able to multitask Independent worker capable of good, quick decision making skills. Good communication skills with patients, referral sources and co-workers Professional appearance and positive attitude are essential! All hires are contingent on a successful background check and Quipt is an equal opportunity employer.

Posted 30+ days ago

CareBridge logo
CareBridgeWashington, DC

$250,236 - $411,102 / year

National Accounts Medical Director Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Alternate locations may be considered. The National Accounts Medical Director is responsible for serving as the Operational Medical Director for our care management models for our National Account clients. The medical director will be responsible for supporting the clinical vision and implementation to deliver an improvement in the health of the people we serve. The medical director supports product strategy/design through medical management that impact health care quality, cost, and outcomes, and improving access to the health improvement tools offered to clients/ members. The medical director provides clinical expertise in all aspects of utilization review and case management. Provides input on the clinical relevance to account reporting regarding use of medical services by members. Involved in identifying and managing medical utilization trends, emerging trends and market changes that impact the client and members. Responsible for proactively identifying and solutioning with account management, Sales RVP Medical Directors. How you will make an impact: Day to day clinical responsibilities means that the medical director is directly involved in Utilization Management and Case Management. Daily case reviews for both utilization and case management issues. (80/20 split) Consistent adoption and implementation of all medical policies used for operational reviews. Leading multidisciplinary rounds for case management /complex clinical management. Peer-to-peer outreach for both utilization reviews and also for case management consultation with treating providers. Clinical report reviews, trend management, benefit design consultation, and supporting overall clinical performance guarantee success. The medical director will be responsible for supporting all state specific requirements that apply for each state where there is our business. Minimum Requirements: Requires MD or DO and Board certification approved by one of the following certifying boards is required, where applicable to duties being performed, American Board of Medical Specialties (ABMS) or American Osteopathic Association (AOA). Must possess an active unrestricted medical license to practice medicine or a health profession. Unless expressly allowed by state or federal law, or regulation, must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US military base, vessel or any embassy located in or outside of the US. Minimum of 10 years of clinical experience; or any combination of education and experience, which would provide an equivalent background. For Health Solutions and Carelon organizations (including behavioral health) only, minimum of 5 years of experience providing health care is required. Additional experience may be required by State contracts or regulations if the Medical Director is filing a role required by a State agency. Preferred Qualifications: Indiana MD license or compact state multi-licensure is preferred but not exclusive. Board certification preferably in a Primary Health Specialty, Family or Internal medicine or Surgery (surgical specialty). Knowledge and experience with population or segment health management is a plus. Knowledge of the health insurance industry and the National Accounts segment is preferred. For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $ 250,236 to $411,102 Locations: Illinois, DC, Nevada. In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws. The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.com for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

Posted 30+ days ago

Oscar Health Insurance logo
Oscar Health InsuranceNew York, NY

$131,200 - $172,200 / year

Hi, we're Oscar. We're hiring an Associate, Medical Economics to join our Medical Economics team. Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves-one that behaves like a doctor in the family. About the role: The Associate, Medical Economics, is part of our Medical Cost Analytics team within the Medical Economics department. The Associate reports to the Senior Director, Medical Economics, and is part of a team that analyzes medical costs to understand trend drivers, project financial outcomes, monitor programs, and identify cost savings opportunities. You will partner with Medical Economics leadership, Data Science, Finance, Payment Integrity, and other analytic support responsibilities to ensure accurate projections are reflected in management reporting. You will report into the Senior Director, Medical Economics. Work Location: This position is based in our New York City office, requiring a hybrid work schedule with 3 days of in-office work per week. Thursdays are a required in-office day for team meetings and events, while your other two office days are flexible to suit your schedule. #LI-Hybrid Pay Transparency: The base pay for this role is: $131,200 - $172,200 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses. Responsibilities: Work under the guidance of the Senior Director, Medical Economics. Maintain sophisticated models to forecast the financial impact of proposed changes to clinical and payment policies. Conduct sensitivity analyses and stress testing on models to understand the range of potential outcomes under multiple utilization and cost scenarios. Develop knowledge of industry best practices and work to drive innovation. Perform in-depth analysis of integrated claims and operational data (medical, pharmacy, lab, auths) to identify cost and trend drivers. Provide proactive financial guidance on latest clinical trends and their potential impact on our financial performance. Accomplish retrospective studies to measure the actual financial and clinical outcomes of implemented policies, comparing results against initial projections. Build repeatable analytic processes that scale across programs. Create executive-ready visualizations tailored to different stakeholder audiences (clinical vs. financial). Promote and shape Oscar best practices concerning automation and documentation. Contribute to department initiatives around automation, AI use, and tooling improvements. Compliance with all applicable laws and regulations Other duties as assigned Requirements: College degree in a STEM field: e.g. Economics, Actuarial Science, Health Economics, Biostatistics, Health Informatics, Health Services Research. 4+ years of quantitative analysis experience using SQL. Demonstrable track record of building analytics that drive business decisions and actions. Bonus points: Associate or Fellow of the Society of Actuaries (SOA), or on the track to become one. Excellent communication, collaboration, and relationship-building skills. This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here. At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives. Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements. Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts. Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant's disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team (accommodations@hioscar.com) to make the need for an accommodation known. California Residents: For information about our collection, use, and disclosure of applicants' personal information as well as applicants' rights over their personal information, please see our Notice to Job Applicants.

Posted 30+ days ago

American Family Care, Inc. logo
American Family Care, Inc.Midlothian, VA
Benefits/Perks Paid time off Health insurance Dental insurance Retirement benefits Employee referral incentives Great small business work environment Flexible scheduling Additional perks! Job Summary Provides general medical care under the direction of a licensed provider to patients in an outpatient clinic setting. This position works directly with a franchised business location. The specific job duties and benefits can vary between franchises. Responsibilities Obtain patient vitals, medical history, and reason for visit, and prepare the patient for a physical exam Explain prescribed procedures and treatments to patients Ensure all ordered tests are performed accurately and in a timely manner Administer prescribed medications and treatments in accordance with the approved procedure Draw blood and preparation labs for reference lab processing and/or in-house processing Perform laboratory tests, lab-quality controls, and equipment maintenance according to written instructions Respond to all lab messages and call back requests Perform all drug screening procedures in accordance with established rules and regulations Ensure patient immunizations are well documented and administered in accordance with the approved procedure Conduct physician referrals as well as service pre-certifications on an as-needed basis Prepare exam rooms; sterilize instruments, equipment, and supplies for procedures Maintain complete and accurate documentation Other duties and responsibilities as assigned Qualifications Associates degree (A.A.) or equivalent from a two-year college or technical school; or six months to one-year related experience and/or training; or equivalent combination of education and experience. AMT registered and AAMA Certified Medical Assistants are preferred. Company Overview American Family Care (AFC) is one of the largest primary and urgent care companies in the U.S. providing services seven days a week on a walk-in basis. Our state-of-the-art centers focus on the episodic treatment of acute illnesses and injuries, workers' compensation, and occupational medicine. Each location is equipped with an onsite lab and in-house x-ray capability. AFC is the parent company of AFC Franchising, LLC (AFCF). PS: It's All About You! American Family Care has pioneered the concept of convenient, patient-centric healthcare. Today, with more than 250 clinics and 800 in-network physicians caring for over 6 million patients a year, AFC is the nation's leading provider of urgent care, accessible primary care, and occupational medicine. Ranked by Inc. magazine as one of the fastest-growing companies in the U.S., AFC's stated mission is to provide the best healthcare possible, in a kind and caring environment, while respecting the rights of all patients, in an economical manner, at times and locations convenient to the patient. If you are looking for an opportunity where you can make a difference in the lives of others, join us on our mission. We invite you to grow with us and experience for yourself the satisfying and fulfilling work that the healthcare industry provides. Please note that a position may be for a company-owned or franchise location. Each franchise-owned and operated location recruits, hires, trains, and manages their own employees, sets their own employment policies and procedures, and provides compensation and benefits determined by that franchise owner. Company-owned locations provide a comprehensive benefits package including medical, dental, vision, disability, life insurance, matching 401(k), and more. We are an Equal Opportunity Employer.

Posted 30+ days ago

E logo
Eye Care PartnersMiddletown, OH
An Ophthalmic Technician is a valuable asset to an Ophthalmologist as they assist in providing excellent patient care to the patients during their visit. This employee is able to handle a wide range of duties while using equipment to perform the initial testing needed to prepare a patient for an exam with an Ophthalmologist. Essential Duties and Responsibilities Provide exceptional customer service during every patient encounter (in person or via phone) Display a professional attitude, greet patients promptly with a smile, and thank them when they leave Practice urgency at all times with patient's time, as well as doctor's time and schedule Comply with all company policies and procedures including HIPAA Verify patient information by interviewing patient Recording medical history, current medications and confirming purpose of visit Records all data in the patient's Electronic Medical Record (EMR) Checks condition of patient's eyes by observing pupils, muscles, visual acuity, and extraocular movements Required skills include: dilation, refraction, pressures, and performing a variety of diagnostic tests including visual fields, OCT, GDX, IOL master, auto refractor and topography Demonstrates working knowledge of eye anatomy, diseases, symptoms and ocular medications General office duties and cleaning to be assigned by manager Other Skills and Abilities Reliable transportation that would allow employee to go to multiple work locations with minimal notice Ability to work weekends when applicable Desire to gain industry knowledge and training Demonstrates initiative in accomplishing practice goals Ability to grow, adapt, and accept change Consistently creating a positive work environment by being team-oriented and patient-focused Commitment to work over 40 hours to meet the needs of the business Ability to interact with all levels of employees in a courteous, professional manner at all times Physical Demands While performing the duties of this job, the employee is regularly required to use hands to finger, handle, or feel The employee is frequently required to stand, walk, and sit The employee must frequently lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds Specific vision abilities required by this job include close vision, color vision, peripheral vision, depth perception, and ability to adjust focus Education and/or Experience High school diploma or general education degree (GED), one-year related experience and/or training; or equivalent combination of education and experience Certified Ophthalmic Assistant (COA) or Certified Ophthalmic Technician (COT) is preferred If you need assistance with this application, please contact (636) 227-2600. Please do not contact the office directly - only resumes submitted through this website will be considered. EyeCare Partners is an equal opportunity/affirmative action employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.

Posted 30+ days ago

Heritage Valley Health System logo
Heritage Valley Health SystemRobinson, PA

$1,000+ / undefined

Hiring Bonus! We're so looking forward to working with you that we're offering up to a $1,000 hiring bonus for full time Medical Assistants. Office Location: Park Manor Medical Associates 2201 Park Manor Blvd Robinson Twp, PA 15205 Work Hours: Monday - Friday daylight, no weekends, no major holidays Collects vital signs and patient history, collects specimens and performs basic laboratory tests, administers injections and medications as directed by provider in addition to other clinical tasks. Administrative duties include ordering supplies, updating/maintaining medical records, obtaining referrals/authorizations and scheduling appointments. Required High School graduate or equivalent. CPR Certification. Successful completion of applicable clearances as outlined in Human Resources policy HR-106 within 90 days of commencing employment. Computer experience. Preferred Medical Assistant diploma or degree program. Minimum of one year medical assisting experience. Proficient in venipuncture.

Posted 30+ days ago

Concord Hospital, Inc logo
Concord Hospital, IncLaconia, NH
Summary Performs a variety of routine and specialized medical laboratory diagnostic tests, procedures, experiments and analyses on blood and body fluid specimens for the purpose of providing laboratory data for diagnosis, treatment and prevention of disease. Job specific criteria will vary depending on the clinical area of assignment. Reports directly to technical section supervisor(s). Education Bachelor's Degree in Medical Laboratory Science or other related science degrees accepted in conjunction with a combination of experience and training. Certification, Registration & Licensure MLS (ASCP) or equivalent preferred. Must posses appropriate experience or certification to qualify as general testing personnel in accordance with CLIA '88 regulations [CLIA 42CFR493.1489(b)(2)(B)(5)(i)]. Experience Varies with designated laboratory section. Experience in acute care hospital lab preferred. Working experience and enhanced knowledge-base in laboratory area of expertise. Demonstrates evidence of recognizing the value of working successfully amongst team. Must be knowledgeable of laboratory regulations and proficient in aspects of continuous quality improvement. A current comprehensive understanding of the concepts of laboratory medicine and how this knowledge can best be applied in direct collaboration with the patient care team, in arriving at a correct diagnosis at the correct time on the correct patient. High level of experience with Laboratory Information Systems. Responsibilities Performs, interprets, documents, and reports clinical laboratory diagnostic assays. Performs quality control procedures. Checks, calibrates and maintains equipment in working order, performing preventive maintenance at prescribed intervals. Insures adequate reagent supplies according to Laboratory and Section policies. Maintains a clean and orderly laboratory environment. Performs technical, procedural and administrative problem solving. Acts as technical resource to the Laboratory and all hospital employees, providing instruction on basic theory, technical skills and applications of test procedures. Assists the Section Supervisor in the evaluation of new procedures, installation of new instrumentation, and training on new or modified instrumentation or equipment. Writes technical procedures utilizing the CLSI format. Performs supervisory responsibilities in designated laboratory section in the absence of the section supervisor, as assigned. Trains and orients Medical Laboratory Scientists and Medical Laboratory Technicians, including students. Performs special projects and other related duties as required or assigned. Volunteers for additional tasks. Demonstrates compliance with corporate, departmental and job-specific requirements. Concord Hospital is an Equal Employment Opportunity employer. It is our policy to provide equal opportunity to all employees and applicants and to prohibit any discrimination because of race, color, religion, sex, sexual orientation, gender, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. Know Your Rights: Workplace Discrimination is Illegal Applicants to and employees of this company are protected under federal law from discrimination on several bases. Follow the link above to find out more. If you are an individual with a disability and require a reasonable accommodation to complete any part of the application process, you may contact Human Resources at 603-230-7269. Physical and Work Requirements The physical demands and characteristics of the work environment described here are representative of those that will be encountered by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The Dictionary of Occupational Titles Material Handling Classification is LIGHT. The employee must regularly lift, carry or push/pull less than 10 pounds, frequently lift, carry or push/pull up to 10 pounds, and occasionally lift, carry or push/pull up to 20 pounds. While performing the duties of this Job, the employee is regularly required to do fine motor and hear. The employee is frequently required to bend, do repetitive motion, reach, sit, smell, speak, squat, stand, and walk. The employee is occasionally required to kneel. Specific vision abilities required by this job include color vision, depth perception, far vision, near vision, and peripheral vision. While performing the duties of this Job, the employee is regularly exposed to bloodborne pathogens and bodily fluids. The employee is frequently exposed to electrical hazards - shock, moving mechanical parts, toxic or caustic chemicals. The employee is occasionally exposed to airborne contaminants and airborne pathogens. The noise level in the work environment is usually moderate.

Posted 30+ days ago

Intermountain Healthcare logo
Intermountain HealthcareHeber, UT

$20 - $28 / hour

Job Description: A Medical assistant has accountability for providing care to patients in an ambulatory clinic setting. This will involve caring for patients with acute and chronic needs. A Medical Assistant will be responsible for communicating clearly with patients seeking care through different modalities including telephone and in-person interactions. Shift Details: 40 hours/week, Full Time. Clinic hours are Monday-Friday 7:30am-4:00pm. Schedule can be either 4 days/10 hour shifts (7:00am-6:00pm) or 5 days/8 hour shifts (7:30am-4:00pm). Unit/Location: Intermountain Heart Institute Clinics @ Park City & Heber Additional Details: Please review Minimum Qualifications listed below before applying. Must be willing to rotate and work in all 7 clinics that this team covers. Prior experience with EKG's is preferred. The candidate selected for this position will be primarily located at our Park City and Heber locations. However, due to clinic coverage needs and provider schedules, there may be rare occasions that traveling to work in our Salt Lake area clinics will be required. Are you interested in advancing your career while helping people live the healthiest lives possible? As a Medical Assistant at Intermountain Health, you will play a vital role in supporting our clinical team, ensuring our patients receive the best care. At Intermountain, you will be part of a team that values career advancement, innovation and collaboration, where your skills are valued, and your contributions make a lasting impact. What does it mean to be a caregiver with Intermountain? Check out this video and learn more and discover the "Power of We." As a Medical Assistant at Intermountain Health, you will play a vital role in supporting our clinical team, ensuring our patients receive the best care by: Providing Patient Care: Under the direction of the Clinician, providing care to patients by assisting the provider to gather information that is relative to the patient's visit and condition. Effective Communication: Communicating clearly with patients seeking care through different modalities including telephone and in-person interactions. Team Collaboration: Working with cross functional teams to collaborate on patient care. Attention to detail and follow-through are key components in helping to provide the care that is needed. Minimum Qualifications This position requires one of the following: Proof of completion of a Medical Assistant program OR at least one year of Medical Assistant work experience OR current active and in good standing RN/LPN license to practice nursing in the state where applying Current Basic Life Support Certification (BLS) for healthcare providers. Must be obtained prior to start date Demonstrated basic computer skills involving word processing and data entry. Professional manner and strong interpersonal and communication skills. Ability to work collaboratively with patients and fellow caregivers to deliver the highest level of customer/patient satisfaction. Ability to protect privacy, confidentiality, and Protected Health Information (PHI) of patients, members, and caregivers. Preferred Qualifications Experience in an outpatient clinic or other healthcare setting. Computer literacy in using electronic medical records (EMR) systems and other relevant software. Current national MA certification from one of the following national MA certifications or registrations: Registered Medical Assistant (RMA) of AMT, National Certified Medical Assistant (NCMA), Certified Clinical Medical Assistant (CCMA) or Certified Medical Assistant (CMA) of the AAMA Physical Requirements Ongoing need for employee to see and read information, labels, assess patient needs, operate monitors, identify equipment and supplies. Frequent interactions with patient care providers, patients, and visitors that require employee to verbally communicate as well as hear and understand spoken information, alarms, needs, and issues quickly and accurately, particularly during emergency situations. Manual dexterity of hands and fingers to manipulate complex and delicate equipment with precision and accuracy. This includes frequent computer use and typing for documenting patient care, accessing needed information, medication preparation, etc. Expected to lift and utilize full range of movement to transfer patients. Will also bend to retrieve, lift, and carry supplies and equipment. Typically includes items of varying weights, up to and including heavy items. Need to walk and assist with transporting/ambulating patients and obtaining and distributing supplies and equipment. This includes pushing/pulling gurneys and portable equipment, including heavy items. Often required to navigate crowded and busy rooms (full of equipment, power cords on the floor, etc.) May be expected to stand in a stationary position for an extended period of time. For roles requiring driving: Expected to drive a vehicle which requires sitting, seeing and reading signs, traffic signals, and other vehicles. Physical Requirements: Location: Heber Valley Specialty Clinic, Intermountain Health Intermountain Medical Center, Park City Clinic Work City: Park City Work State: Utah Scheduled Weekly Hours: 40 The hourly range for this position is listed below. Actual hourly rate dependent upon experience. $19.87 - $28.31 We care about your well-being - mind, body, and spirit - which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged. Learn more about our comprehensive benefits package here. Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. At Intermountain Health, we use the artificial intelligence ("AI") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment. Thank you for considering a career with us and experiencing our AI-enhanced recruitment process. All positions subject to close without notice.

Posted 2 weeks ago

Sea Mar Community Health Centers logo
Sea Mar Community Health CentersOlympia, WA

$23+ / hour

Sea Mar Community Health Centers, a Federally Qualified Health Center (FQHC) founded in 1978, is a community-based organization committed to providing quality, comprehensive health, human, housing, educational and cultural services to diverse communities, specializing in service to Latinos in Washington State. Sea Mar proudly serves all persons without regard to race, ethnicity, immigration status, gender, or sexual orientation, and regardless of ability to pay for services. Sea Mar's network of services includes more than 90 medical, dental, and behavioral health clinics and a wide variety of nutritional, social, and educational services. We are recruiting for the following position: Sea Mar is a mandatory COVID-19 and flu vaccine organization Medical Assistant Certified - Posting #26737 Hourly Rate: $23.39 Position Summary: Full-Time Medical Assistant position available for our Medical Clinic in Olympia, WA. Ideal candidates will have proven excellent customer services skills, demonstrate an enthusiastic & professional demeanor, and excel at multi-tasking. Medical Assistants are an integral part of the care team, ensuring patient flow and providing quality patient care in a safe and timely manner. Responsibilities: Follow protocol in rooming and exiting patients Complete all provider referrals for each patient Administer injections and distribute oral medications under physicians' order; perform venipuncture Assist the medical provider with charting office visits; ensuring communication and documentation for comprehensive patient care coordination This is not a full comprehensive list of Duties/Responsibilities. Other duties may be assigned. Education and/or Requirements: Must have a Washington State MA-Certificate or possess an MA-Interim License and pass the exam within the 90-day probationary period Must obtain Basic Life Support (BLS) CPR within 90 days of hire date and is required to maintain current BLS CPR throughout employment. EPIC experience preferred but not required. Bilingual in English/Spanish is preferred but not required. What We Offer: Sea Mar offers talented and motivated people the opportunity to work in a dynamic and growing community health organization. Working at Sea Mar Community Health Centers is more than just a job, it's a fulfilling career with opportunity for advancement. The fringe benefits surpass most companies. For example, Full-time employees working 30 hours more, receive an excellent benefit package of: Medical Dental Vision Prescription coverage Life Insurance Long Term Disability EAP (Employee Assistance Program) Paid-time-off starting at 24 days per year + 10 paid Holidays. We also offer 401(k)/Retirement options and an exciting opportunity to work in a culturally diverse environment. How to Apply: To apply for this position, complete the online application and click SUBMIT or APPLY NOW. If you have any questions regarding the position, email Elizabeth Markham-Harris, MA Supervisor, at [email protected]. Sea Mar is an Equal Opportunity Employer Posted on 8/8/2024 External candidates considered after 8/13/2024 This position is represented by Office and Professional Employees International Union (OPEIU). Please visit our website to learn more about us at www.seamar.org. You may also apply through our Career page at https://www.seamar.org/jobs-general.html .

Posted 30+ days ago

Truman Medical Centers logo
Truman Medical CentersKansas City, MO
If you are a current University Health or University Health Physicians employee and wish to be considered, you must apply via the internal career site. Please log into myWORKDAY to search for positions and apply. Clinical Lead Pharmacist (Internal Medicine) - Pharmacy- UH Truman Medical Center (5 days per week; 7:00a-3:30p; Mon-Fri) 101 Truman Medical Center Job Location University Health Truman Medical Center Kansas City, Missouri Department Pharmacy Inpatient UHTMC Position Type Full time Work Schedule 7:00AM - 3:30PM Hours Per Week 40 Job Description Clinical Lead Pharmacist- Internal Medicine Lead. Teach. Innovate. Make a measurable impact on patient care and pharmacy practice. Position Summary: As a Clinical Lead Pharmacist, you'll serve as both a hands-on clinical practitioner and a departmental leader-supporting patient care, advancing pharmacy practice, and mentoring pharmacy staff. In addition to fulfilling the responsibilities of a Clinical Pharmacist, you'll provide expert pharmaceutical care through clinical services, staff development, education, research, and direct patient engagement. This role represents a unique opportunity to shape outcomes not only within the pharmacy department but across the broader healthcare team. Key Responsibilities: Deliver comprehensive pharmaceutical care through direct patient interaction and interdisciplinary collaboration Serve as a clinical resource and mentor for pharmacy staff and learners Contribute to teaching and precepting of pharmacy students and residents Participate in general pharmacy staffing and operational support as needed Lead or support quality improvement initiatives, protocol development, and research efforts Collaborate across departments to promote safe, effective, and evidence-based medication use Maintain active involvement in continuing education and specialty board certification Minimum Requirements: Doctor of Pharmacy (PharmD) from an accredited program Current Missouri pharmacist license, in good standing with Medication Therapy Services (MTS) designation Completion of an ASHP-accredited PGY-1 Pharmacy Practice Residency or equivalent experience in the relevant practice area ACLS (Advanced Cardiac Life Support) certification-current or obtained upon hire Attain and maintain Board Certification (BPS) in designated area of practice within 2 years of hire Why You'll Thrive Here: Lead and shape clinical pharmacy practice in a progressive health system Influence medication use policy and patient outcomes through research and innovation Work with a multidisciplinary team committed to learning, quality, and care excellence

Posted 30+ days ago

G logo
Getinge GroupRastatt, DE
With a passion for life Werden Sie Teil unserer vielfältigen Teams aus leidenschaftlich engagierten Menschen und einer Karriere, die es Ihnen ermöglicht, sich sowohl persönlich als auch beruflich weiterzuentwickeln. Wir bei Getinge haben es uns zur Aufgabe gemacht, lebensrettende Technologien für mehr Menschen zugänglich zu machen. Um für unsere Kunden etwas zu bewegen und um mehr Leben zu retten, benötigen wir Team Players, Forward Thinkers und Game Changers. Sind Sie auf der Suche nach einer inspirierenden Karriere? Dann haben Sie diese gerade gefunden. Wir bieten Ihnen innerhalb der Maquet Cardiopulmonary GmbH im Bereich Research & Development am Standort Rastatt eine Position als Testingenieur (m/w/d) Medical Devices Ihre Aufgaben: Eigenverantwortliche Planung und Koordination der Testaktivitäten für komplexe elektromechanische Medizingeräte Erarbeitung von Testkonzepten und -strategien für den Test sicherheitsrelevanter Komponenten und Systeme Entwicklung von Integrations- und Systemtests auf Basis von Spezifikationen und Normen Entwicklung und Validierung spezifischer Testmethoden Aufbau und Entwicklung der Infrastruktur für automatisierte Testumgebungen, Testsysteme und Prüfmuster Durchführung der Tests sowie Analyse der Testergebnisse und Feststellung der Freigabetauglichkeit Ermittlung, Formulierung und Überprüfung von testbaren Akzeptanzkriterien Abstimmung zu zulassungsrelevanten Tests und deren Dokumentation Ihr Profil: Abgeschlossenes Ingenieurstudium der Elektrotechnik oder vergleichbare Qualifikation Erfahrung im Bereich Systemverifizierung von Medizinprodukten Erfahrung in der Durchführung und Dokumentation von Geräteprüfungen Sicherer Umgang mit statistischen Methoden und Werkzeugen (Minitab) von Vorteil Kenntnisse der einschlägigen Normen im Bereich der Medizintechnik (MPG, IEC 60601-1) sowie CE-/FDA-Zulassungsregularien von Vorteil Kenntnisse im Bereich Requirement-Engineering Teamfähigkeit und ein hohes Maß an Zuverlässigkeit und Engagement Analytische Fähigkeiten sowie eine eigenständige und strukturierte Arbeitsweise Freude an der Zusammenarbeit mit internationalen Kolleginnen und Kollegen Sehr gute Deutsch- und Englischkenntnisse (in Wort und Schrift) Wir bieten Ihnen: Hochwertige Produkte im lebensrettenden Umfeld Vergütung nach Metalltarif, 30 Urlaubstage pro Jahr und weitere attraktive Konditionen Flexible, familienfreundliche Arbeitszeiten und mobiles Arbeiten JobRad und Corporate Benefits (Mitarbeiterrabatte) Karrierechancen in einem namhaften Unternehmen Individuelle Einarbeitung und Weiterbildungsmöglichkeiten Moderne Arbeitsplatzausstattung Über uns Werden Sie Teil unserer vielfältigen Teams aus leidenschaftlich engagierten Menschen und einer Karriere, die es Ihnen ermöglicht, sich sowohl persönlich als auch beruflich weiterzuentwickeln. Wir bei Getinge haben es uns zur Aufgabe gemacht, lebensrettende Technologien für mehr Menschen zugänglich zu machen. Um für unsere Kunden etwas zu bewegen und um mehr Leben zu retten, benötigen wir Team Players, Forward Thinkers und Game Changers. Interessiert Sie diese Herausforderung? Dann freuen wir uns auf Ihre Bewerbung. Gerne stehen wir Ihnen zur Beantwortung Ihrer Fragen zur Verfügung. Ihr Ansprechpartner: Herr Aaron Brunsch, Telefonnummer: +49 7471 9973 - 706 Hinweis zur Bewerbung Bitte füllen Sie unser Online-Bewerbungsformular aus und fügen Sie Ihre vollständigen Bewerbungsdokumente bei, die aus Anschreiben, Lebenslauf, Arbeits- und (Hoch-) Schulzeugnissen sowie ggf. weiteren Bescheinigungen bestehen. Bitte geben Sie auch Ihre aktuelle Kündigungsfrist sowie Ihre Gehaltsvorstellung an. Chancengleichheit liegt uns sehr am Herzen, daher setzen wir alles daran, die notwendigen Vorkehrungen zu treffen, um einen inklusiven und unterstützenden Auswahlprozess zu gewährleisten.

Posted 30+ days ago

CareBridge logo
CareBridgeWashington, DC

$250,236 - $428,976 / year

Behavioral Health Medical Director-Psychiatrist Appeals Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations could be considered. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Work schedule: Monday - Friday. Half day Saturday rotation, once a month. The Behavioral Health Medical Director-Psychiatrist Appeals is responsible for the administration of behavioral health medical services, to ensure the appropriate and most cost-effective medical care is received. May be responsible for developing and implementing programs to improve quality, cost, and outcomes. May provide clinical consultation and serve as clinical/strategic advisor to enhance clinical operations. May identify cost of care opportunities. How you will make an impact: Supports clinicians to ensure timely and consistent responses to members and providers. Provides guidance for clinical operational aspects of a program. Conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers to discuss review determinations. Serves as a resource and consultant to other areas of the company. May be required to represent the company to external entities and/or serve on internal and/or external committees. May chair company committees. Interprets medical policies and clinical guidelines. May develop and propose new medical policies based on changes in healthcare. Leads, develops, directs, and implements clinical and non-clinical activities that impact health care quality cost and outcomes. Identifies and develops opportunities for innovation to increase effectiveness and quality. Provides oversight, direction, and guidance to Medical Director Associates. Works independently with oversight from immediate manager. May be responsible for an entire clinical program and/or independently performs clinical reviews. Typically has program management responsibilities including clinical policy development, improvement of quality, cost, and outcomes, program development/implementation, and overseeing clinical/non-clinical activities. Minimum Qualifications: Requires MD or DO and Board certification approved by one of the following certifying boards is required, where applicable to duties being performed, American Board of Medical Specialties (ABMS) or American Osteopathic Association (AOA). Must possess an active unrestricted medical license to practice medicine or a health profession. Unless expressly allowed by state or federal law, or regulation, must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US military base, vessel or any embassy located in or outside of the US. Minimum of 10 years of clinical experience; or any combination of education and experience, which would provide an equivalent background. For Health Solutions and Carelon organizations (including Behavioral Health) only, minimum of 5 years of experience providing health care is required. Additional experience may be required by State contracts or regulations if the Medical Director is filing a role required by a State agency. Preferred Skills, Capabilities and Experiences: Child and Adolescent experience strongly preferred. Utilization Management experience. Applied Behavior Analysis (ABA) experience. For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $250,236 to $428,976. Locations: California; Colorado; District of Columbia (Washington, DC), Illinois, New Jersey; Maryland, Minnesota, Nevada; New York. In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws. The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.com for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

Posted 30+ days ago

Essentia Health logo
Essentia HealthBrainerd, MN
Building Location: St Josephs Medical Center Department: 4201050 HEMATOLOGY - ONCOLOGY - BMC Job Description: Education Qualifications: Licensure/Certification Qualifications: Exciting Opportunity for Hematologist/Medical Oncologist in Brainerd, MN Join Our Team of Compassionate Oncology Experts We are seeking two dedicated Hematologist/Medical Oncologists who excel in relationship-based care to support cancer patients in a warm and welcoming setting. You will join our esteemed team of one Hematologist/Medical Oncologists within a physician-led, integrated health system group practice. Why Join Us? Comprehensive Hematology/Oncology Team: Supportive Services: Access to a genetic counselor, nutrition support, social work, nurse navigation, research nurse, physical rehabilitation, and lymphedema specialists. Specialty Services: On-site Radiation Oncology, Surgery, Interventional Radiology & Cardiology, and Palliative Care. Collaborative Environment: Participate in Multidisciplinary Tumor Board Conferences and telemedicine/community cancer center initiatives. Professional Development: Quarterly meetings with Essentia Health Hem/Onc providers and mentorship opportunities with colleagues in Duluth and Fargo. Leadership: Dyad-led organization with physician and administrative leadership. Practice Specifics: Consultative Call Only: Hospitalists handle admissions and nighttime coverage. Approximately 10 days of call per month. Patient Load: Average of 12-15 follow-up visits and 1-2 new patients per day. Outreach Opportunities: Potential for outreach after establishing your practice. Special Programs: Nurse Practitioner-run High Risk Breast Program & Survivorship Clinic, Low Dose CT Lung Cancer Screening program. Infusion Center: 24-chair on-site Ambulatory Infusion Center with an average volume of 40 patient visits per day, administering chemotherapy, immunotherapy, supportive medications, and more. Research Opportunities: Access to current, relevant clinical trials through the NCI Community Oncology Research Program (NCORP). Professional Affiliation: Strong ties with a tertiary referral center. Awards & Recognition: Accreditations: Community Cancer Program and National Accreditation Program for Breast Centers by the American College of Surgeons. Excellence: Accredited Breast Center of Excellence, 2020 Chartis Center for Rural Health Top 100 rural and community hospitals award, CMS Care Compare 4-star rating (2021). Quality & Safety: National Organization of State Offices of Rural Health Overall Excellence in Quality and Patient Satisfaction, Level III Trauma Center, Minnesota Department of Health Primary Stroke Center Certification. Special Designations: Joint Commission Hip and Knee Replacement Program- Gold Seal of Approval, Baby-Friendly Designation, HIMSS EMRAM Level 7 for both Inpatient and Ambulatory facilities. Requirements: Board Certified/Board Eligible in Hematology Board Certified/Board Eligible in Medical Oncology COMPENSATION $700,000. Hired candidates may be eligible to receive additional compensation in the form of bonuses, quality incentives or production-based compensation. Location: Brainerd, MN Nature Lover's Paradise: Located in the heart of Minnesota's Lakes Area, Brainerd offers nationally recognized golf courses, rugged mountain bike trails, race tracks, the longest paved trail in Minnesota, and an abundance of lakes for boating, fishing, or relaxing. Convenient Access: Approximately 2 hours from the Twin Cities, Fargo, and Duluth. Community: Brainerd Lakes Area population of 65,000 with a regional service area of 115,000. For more information about our vibrant community, visit: Welcome to the Brainerd Lakes Area- Get Lost in the Adventure Apply Today! Join us in providing exceptional care and making a difference in the lives of our patients. We look forward to welcoming you to our dedicated team in Brainerd, MN. Essentia Health is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, sexual identity, national origin, disability, or protected Veteran Status. For additional information please contact: Liz Huesman, Senior Physician Recruiter 701-261-6824 Elizabeth.Huesman@EssentiaHealth.org FTE: 1 Possible Remote/Hybrid Option: Shift Rotation: Day Rotation (United States of America) Shift Start Time: 8 Shift End Time: 5 Weekends: Holidays: Yes Call Obligation: No Union: Union Posting Deadline: Compensation Range: $1.00 - $1,000,000.00 Employee Benefits at Essentia Health*: Health Coverage: Medical, dental, vision, life and disability insurance, plus supplemental health benefit options to ensure employees' well-being. Retirement Savings Plans: 401(k) with employer contributions to support long-term financial security. Professional Development: Opportunities for career growth through training, tuition reimbursement, and educational programs. Work-Life Balance: Flexible scheduling, time off, holidays, and personal leave to help employees manage their professional and personal lives. Employee Wellness Programs: Initiatives focused on physical, mental, and emotional health, including fitness memberships, counseling services, and wellness activities. Eligibility for Essentia Health's benefit programs vary. Please refer to the benefit summary provided to you, or contact our HR Service Center at (218) 576-0000 for more information.

Posted 30+ days ago

Gundersen Health System logo
Gundersen Health SystemLa Crosse, WI

$29+ / hour

Love + medicine is who we are, it's what we do, it's why people want to work here. If you're looking for a job to love, apply today. Scheduled Weekly Hours: 32 Emplify Health by Gundersen is seeking Medical Laboratory Scientists, Medical Technologists, Clinical Laboratory Scientists, or Medical Laboratory Technicians to join our Core Laboratory team. ASCP certification is not required! What You'll Do: You will perform routine laboratory testing on a variety of specimens and demonstrate competency within the full scope of laboratory procedures, chemical, microscopic, bacteriologic, molecular, and transfusion medicine. You will analyze information, monitor quality performance, and take action to ensure the efficient delivery of accurate and timely laboratory test results and services. You will also be responsible for the development and implementation of laboratory procedures, as well as the maintenance of quality control in the laboratory. What's Available: Part-time, 64 hours biweekly (0.8 FTE), will orientate fulltime Primarily night shifts (10p-6:30a) with every 4th weekend rotation on nights. Periodic evening shifts (2p-10:30p) based on staffing needs Starting pay of $29.05 per hour and up, based on your years of experience, along with generous evening, night, and weekend shift differentials 8 & 80: paid time and one-half the regular rate for all hours worked over eight in any workday and eighty hours in the fourteen-day period What You'll Need: Associate's or Bachelor's degree in Medical Laboratory Technology, Medical Laboratory Science, or a related field Proficiency in laboratory techniques, including blood sampling, specimen collection, processing, and analysis Knowledge of medical terminology and laboratory procedures Strong attention to detail and ability to work with precision Excellent problem-solving skills and ability to troubleshoot technical issues ASCP Medical Technologist (MT) or Medical Laboratory Technician (MLT) Certification is preferred but not required What You'll Get: Unlimited potential at one of the leading health systems in the midwestern United States A highly adaptable and mission-driven organization with a work environment that supports you personally and professionally and a work culture where you are valued and appreciated Competitive Compensation: Enjoy an attractive hourly rate, based on your years of experience, as well as generous shift differentials, ensuring your skills and dedication are valued and rewarded A comprehensive and generous benefits package (Medical, Dental, Life Ins, HSA/FSA) ensuring your comfort and well-being as a valuable team member Substantial retirement contribution including 401k match & annual discretionary base contribution Paid Time Off (PTO) combines vacation, sick, and personal days into one balance to allow you the flexibility to use your time off as you need Support for your career growth through Professional Development Opportunities, our Tuition Investment Program, and the Career Development Center Other benefits include a Wellness program with incentives, employer-paid life insurance and AD&D, optional short-term and long-term disability coverage, an employee assistance program, identity theft protection, pet insurance, Inspire & Celebrate colleague recognition and rewards program, a discount program, and more! Relocation available Join our passionate core lab team and make a difference in the daily lives of our patients. If you are motivated, skilled, and dedicated to delivering exceptional laboratory services, we would love to hear from you. About Us: Emplify Health by Gundersen is the leading provider of primary and specialized care in western Wisconsin, southeast Minnesota, and northeast Iowa, serving more than 500,000 residents throughout 19 counties annually. Our physician-led, not-for-profit healthcare system includes a 325-bed teaching hospital and Level II Trauma Center; community clinics; affiliate hospitals, clinics, and nursing homes; behavioral health services; vision centers; pharmacies; and air and ground ambulance services. Together, we inspire your best life by relentlessly caring, learning, and innovating. If you need assistance with any portion of the application or have questions about the position, please contact HR-Recruitment@gundersenhealth.org or call 608-775-0267. We inspire your best life by relentlessly caring, learning and innovating. This is our purpose. Together with our values - belonging, respect, excellence, accountability, teamwork and humility - our pillars set our foundation and our future. Equal Opportunity Employer

Posted 5 days ago

CareBridge logo
CareBridgeMason, OH

$178,200 - $291,600 / year

Medical Cost AI Intelligence Director (IT Strategy & Planning Director) Location: This role requires associates to be in-office 3 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Alternate locations may be considered if candidate resides within a commutable distance from an office. The Medical Cost AI Intelligence Director is responsible for strategy, planning and execution of technology solutions to proactively manage medical costs through the use of AI & analytics focused capabilities to drive affordable healthcare across the industry. The role will also be responsible for comprehensively looking at the provider and payer landscape to identify and drive innovative approaches for understanding medical cost trends, provider behavior, provider billing behavior, and healthcare industry operations to streamline medical costs for health plan members. How you will make an impact: Develop and execute overall technology, inclusive of AI & analytics, strategies at the enterprise level driving alignment across various business unites to ensure enterprise financial goals & priorities are enables by technology delivery. Partners with senior planning leaders and executive leadership to create sound multi year plans with clear planning assumptions and accurate financial insights for the technology function. Monitors and conducts research of related technology and business trends, using data and qualitative performance measures, to advise senior management relative to IT strategy. Synthesizes annual and multi-year plans to demonstrate tie-back to corporate and senior leadership-level strategies and goals. Conduct external research and engage partners across multiple departments within the broader enterprise to frame up potential strategic initiatives for investment or execution support. Use forecast models and scenario analysis to analyze performance and develop action plans to address emerging market and technological opportunities. Researches new ventures and prospective service expansion opportunities. Create executive reports that decipher complex technical issues. Minimum Requirements: Requires an BA/BS degree in Information Technology, Computer Science or related field of study and a minimum of 10 years experience in Data Collection and Analysis, IT Consulting, IT Performance Management, Strategy or Financial Planning, Business Intelligence and Analytics, or Business Process Design; or any combination of education and experience, which would provide an equivalent background. Preferred Skills, Capabilities, and Experiences: Healthcare experience within the provider systems, healthcare insurers , or services companies that support providers systems or healthcare insurers strongly preferred. Experience implementing analytics solutions including use of advance AI/ML techniques strongly preferred. For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $178,200 to $291,600. Locations: California, District of Columbia (Washington DC), Illinois, New York In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the company. The company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws. The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.com for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

Posted 30+ days ago

CareBridge logo

Medical Director-Dermatology Appeals

CareBridgeNashville, TN

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Job Description

Medical Director-Dermatology Appeals

Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.

The Medical Director-Dermatology Appeals is responsible for the review of appeals for physical health medical services, to ensure the appropriate and most cost-effective medical care is received. May be responsible for developing and implementing programs to improve quality, cost, and outcomes. May provide clinical consultation and serve as clinical/strategic advisor to enhance clinical operations. May identify cost of care opportunities. May serve as a resource to staff including Medical Director Associates. May be responsible for an entire clinical program.

How you will make an impact:

  • Complete appeal reviews in your specialty daily to ensure timely and consistent responses to members and providers.
  • Provide guidance for clinical operational aspects of a program.
  • May conduct peer-to-peer clinical reviews with attending physicians or other providers to discuss review determinations
  • Serve as a resource and consultant to other areas of the company.
  • May be required to represent the company to external entities and/or serve on internal and/or external committees.
  • May chair company committees.
  • Interpret medical policies and clinical guidelines.
  • May lead, develop, direct, and implement clinical and non-clinical activities that impact health care quality cost and outcomes.
  • Identify and develop opportunities for innovation to increase effectiveness and quality.
  • Work independently with oversight from immediate manager.
  • May be responsible for an entire clinical program and/or independently perform clinical reviews.

Minimum Qualifications

  • Requires MD or DO and Board certification approved by one of the following certifying boards is required, where applicable to duties being performed: American Board of Medical Specialties (ABMS) or American Osteopathic Association (AOA).
  • Board certification in Dermatology.
  • Must possess an active unrestricted medical license to practice medicine or a health profession. Unless expressly allowed by state or federal law, or regulation, must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US military base, vessel or any embassy located in or outside of the US.
  • Minimum of 10 years of clinical experience; or any combination of education and experience, which would provide an equivalent background.
  • For Health Solutions and Carelon organizations (including behavioral health) only, minimum of 5 years of experience providing health care is required.
  • Additional experience may be required by State contracts or regulations if the Medical Director is filling a role required by a State agency.
  • For URAC accredited areas, the following professional competencies apply: Associates in this role are expected to have strong oral, written, and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills. If this job is assigned to any Government Business Division entity, the applicant and incumbent fall under a sensitive position work designation and may be subject to additional requirements beyond those associates outside Government Business Divisions. Requirements include but are not limited to more stringent and frequent background checks and/or government clearances, segregation of duties, principles, role specific training, monitoring of daily job functions, and sensitive data handling instructions. Associates in these jobs must follow the specific policies, procedures, guidelines, etc. as stated by the Government Business Division in which they are employed.

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

Who We Are

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

How We Work

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

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

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

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

Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.com for assistance.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

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