Job Description Summary: The Provider Enrollment department seeks staff that is committed to the values of compassion, collaboration, innovation, responsibility, diversity, integrity, quality and trust that are integral to our success.This position facilitates the enrollment program and system wide practitioner enrollment for Community Health Services (CHS) and serves as the primary enrollment liaison for clinics, payers, billing office, and practitioner related issues.This position is a work from home opportunity. Community Health Systems, Inc. is one of the nation's leading operators of general acute care hospitals. The organization's affiliates own, operate or lease 89 hospitals in 16 states with approximately 15,000 licensed beds. Affiliated hospitals are dedicated to providing quality healthcare for local residents and contribute to the economic development of their communities. Based on the unique needs of each community served, these hospitals offer a wide range of...

Vice President Sales West Region (Remote) We are currently seeking an experienced Vice President Sales West Region (Remote) to join our team. About us: SourceMark is a medical and surgical supply company that manufactures, markets, and distributes products. Our customers include hospitals and ambulatory surgery centers from the private, public, and federal sector. We strive to provide our customers with product lines to achieve better patient outcomes, greater value/significant savings, improved quality, and enhanced performance. Summary: The Vice President Sales, West (VP West) Region maintains the highest ethical professional standards, is strategic and thoughtful in their work, and proactively seeks opportunities to improve the performance of the Sales organization and the company. The VP Sales West is responsible for the overall productivity and effectiveness of the sales organization, and works closely with internal and external stakeholders, including executive leadership, to...

emids is a leading provider of digital transformation solutions to the healthcare industry, serving payers, providers, life sciences, and technology firms. Headquartered in Nashville, emids helps bridge critical gaps in providing accessible, affordable, and high-quality healthcare by providing digital transformation services, custom application development, data engineering, business intelligence solutions, and specialized consulting services to all parts of the healthcare ecosystem. With nearly 2,500 professionals globally, emids leverages strong domain expertise in healthcare-specific platforms, regulations, and standards to provide tailored, cutting-edge solutions and services to its clients. We are searching for our founding Onboarding Manager to design, plan, and implement a truly best-in-class new employee onboarding experience . You will take this function from 0 to 10 working closely with internal stakeholders to drive adoption and satisfaction. This person is responsible...

Job Description Summary Job Description Be part of something bigger! BD is one of the largest global medical technology companies in the world and is advancing the world of health by improving medical discovery, diagnostics and the delivery of care. We have over 65,000 employees and a presence in virtually every country around the world to address some of the most challenging global health issues. Associate Director, Master Data Systems and Finance Operations is responsible for global finance master data processes within ERPs, finance master data tool, financial consolidations and reporting systems. The Finance Operations and Systems (FOS) team collaborates cross-functionally, sharing responsibility for the implementation, maintenance, improvement, and access and governance of financial accounting and reporting systems with the goal of ensuring the integrity of financial activity for reporting. FOS is a Business Partner (BP) to the Global Finance Organization,...

Who is Interactions? Interactions, LLC is the worlds largest independent AI company. We operate at the intersection of customer experience and AI two of todays most innovative and dynamic industries. Since 2004, weve helped leading companies like MetLife, Citi , Shutterfly , and LifeLock have millions of successful conversations, resulting in saving operational cost and increasing productivity. Interactions 5-year vision is to accelerate a transition from todays frustrating and uninspired customer service experiences into amazing conversational engagements! Allowing customers to communicate in their own words and on their channel of choice, to accomplish tasks, all without having to go through an agent. In doing this via our conversational AI engine, our customers benefit from dramatically improved customer experience and increased customer engagement, while also saving significant and demonstrable operational expenses. Job Description As a member of one of our Technology teams,...

No industry is moving faster than health care. And no organization is better positioned to lead health care forward. We need attention to every detail with an eye for the points no one has considered. The rewards for performance are significant. You'll help improve the health of millions. And you'll do your life's best work.(sm) The Health System Performance Improvement (HSPI) practice exists to support health care provider organizations in their quest to achieve top performance clinically, operationally, and financially. Provider organizations face the challenges of addressing the complex medical and societal needs of patients, integrating care delivery across multiple settings, transitioning from fee-for-service to value based reimbursement, and maintaining sustainable financial margins. HSPI is uniquely positioned to support health care providers by evaluating existing strengths and challenges, designing solutions to advance performance, building these solutions in...

You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Imagine being able to get answers to your health plan questions from someone who speaks the same language as you do. Or, the opposite, not being able to get the answers. At UnitedHealth Group, we want our customers to get those answers by speaking to one of our Bilingual Representatives. If you're fluent in English and Mandarin, we can show you how to put all of your skills, your passions and your energy to work in a fast- growing environment. Who says house calls are a thing of the past? At UnitedHealth Group, we're always looking for new ways to run our service centers, improve our service levels and help people lead healthier lives. Here's an opportunity with one of our most exciting business areas: Optum - a growing part of our family of businesses that make UnitedHealth Group a Fortune 10 leader. Now's your chance to make a real impact by being an integral part of...

*Job Description* CVS Health, a Fortune 4 company, has an exciting opportunity in the state of Tennessee for a Customer Service Representative working on our Specialty Pharmacy team! The CVS Health Specialty Pharmacy is building a team to support our specialty patients in need of life sustaining medications. Are we busy absolutely! Do you get a guarantee of 40 hours per week absolutely! Through your skills and knowledge, you will be able to help our patients on their path to better health. Typical calls include prescription refills, order status, and insurance coverage inquiries. Our pharmacy has a high-energy culture and we're passionate about providing excellent customer service with empathy, while resolving the patients questions on the first call. If you get satisfaction by knowing that you have helped someone, apply today. We have a comprehensive training program to ensure your success on the team. We offer Work from Home flexibility if you meet standards. Work from Home...

No industry is moving faster than health care. And no organization is better positioned to lead health care forward. We need attention to every detail with an eye for the points no one has considered. You'll help improve the health of millions. And you'll do your life's best work.(sm) The Manager, Supply Chain Solutions is responsible for leading care consultants and analyst team through the financial and operational opportunity assessment and due diligence processes for potential client partners, and overseeing implementation teams deployed to drive supply chain improvement initiatives. This position is responsible for leading analysts and consultant team members through both remote and onsite client work and serving as the coordination point across all functional teams including business operations, technology, innovation and transformation teams. The manager will partner with the project leader and client on an ongoing basis to ensure that agreed upon clinical, financial...

We are currently seeking a Data Engineer to join our team to work in several aspects of our Cloud Data ecosystem. This position will design, build, document and maintain data pipelines stretching from multiple on-premise databases to multi-tenant, cloud-based data stores, including operational data stores and data warehouses. In addition we are seeking someone that could design, build, document and maintain "predictive models" for a variety of applications. The ideal candidate will have experience as a programmer, sql, schema design and several techniques to create predictive models. Company values broad technical experience along with excellent communication skills, written and oral. Responsibilities Develop reliable and performant programs that migrate data collected in near-realtime from on-premise systems to a centralized cloud based data store. Develop reliable and performant programs that predict future behaviors, such as buyer behavior, based on past behavior. Accuracy of...

About the team: Our teams are self-managed and cross-functional. We are focused on delivering value to the company through technical solutions. Each team is composed of Developers, Quality Assurance Engineers, a Product Owner and a Scrum Master. What you will be doing: As a team member, you will be involved in defining solutions, estimating effort and collaborating with other team members to deliver. Participate in team activities (i.e. Sprint Planning, Story Grooming, Sprint Retros, etc) Design new applications using Angular and REST technologies Support existing MVC and WCF based applications Facilitate technical discussions and provide alternate approaches to arrive at the best solution for the team What you bring: 5+ Years Experience software development utilizing .NET Framework 4.5+, MS SQL Server 2012+ , C#, Visual Studio Team System, and Team Foundation Server, MVC 3+ Years AGILE SCRUM development 3+ Years experience developing Unit Tests using nUnit, MSTest or...

Job summary: You will be joining the software engineering team responsible for development and support of technology products for care management, medical coding, and imaging. Position Essential Functions: Creating and implementing enterprise-class software solutions including SaaS, APIs, tools, and reports System analysis, development and testing of software products Developing with third-party platforms (i.e. applications, APIs, etc.) for customization and integration with PopHealthCare's core products. Collaborate as an empowered member of an agile scrum team Contribute independently as an experienced engineer Qualifications Positive, self-motivated, driven and teachable attitude High standard of personal integrity and accountability Passion for software engineering with a team-oriented, customer-focused mindset Passion and aptitude for solving complex problems 3+ years of experience writing full-stack, enterprise-class software solutions with various Microsoft...

Software Engineer: Express Scripts is looking for an application developer to develop voice, text and chat solutions in the contact centers. This includes support of all the outbound multimedia applications, corresponding business transactions and production support. ESSENTIAL FUNCTIONS: Define multimedia requirements with the business. Build, configure and implement multimedia applications utilizing conversational AI. Devise and present solutions to larger audience to ensure buy in by both business and technical teams. Troubleshoot and resolve issues related to multimedia products as a result of alerts or customer complaints. This includes identification of root cause and prevention measures. Participate in implementation and support expansion of new conversational AI initiatives. Interface with QA and business users on need basis for any issues/challenges. Work closely with onsite and offshore team in delivering best in class solution in Contact center space....

Remote, Work from home, United States eviCore is hiring a Sr. Data Analyst to support data ingestion projects within the Enterprise Data Office. You will lead member eligibility and provider network data requirement sessions and create logical data designs for developers. Requirements: Bachelor's degree in Computer Science, Information Technology; or equivalent experience. 5 7+ years experience with systems analysis, data analysis and requirements gathering in Healthcare industry experience is required. Must have a thorough understanding of how to interpret customer data and business needs and translate them into technical designs for loading and extracting data considering all downstream impacts for member, provider look up, eligibility rules, program specifications, case build, to letter generation and authorization exports. Possess a solid knowledge of a query language, and understand software design principles. Solid understanding of data modeling design, data quality...

About Conduent: Through our dedicated associates, Conduent delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments - creating exceptional outcomes for our clients and the millions of people who count on them. You have an opportunity to personally thrive, make a difference and be part of a culture where individuality is noticed and valued every day. Job Description: IMPORTANT: ONLY applicants that possess the required experience and qualifications indicated within the job description to be considered fo this opportunity ALL applicants must complete the questionnaire to be considered for this opportunity ALL applicants must include the salary expectation to be considered for this opportunity ALL applicants must be reside in the USA This position is NOT eligible for relocation expenses reimbursements Job summary: The Product Owner is responsible for helping to shape and execute the strategy of the client/product by...

Job Description Utilization management is the analysis of the necessity, appropriateness, and efficiency of medical services and procedures in the hospital setting. Utilization review is the assessment for medical necessity, both for admission to the hospital as well as continued stay. This function ensures that services are not only appropriate, but ensures that an authorization for services is obtained from payer, if required, and that documentation supports the care delivered in such a way that minimizes the risk of denials after discharge. Community Health Systems, Inc. is one of the nation's leading operators of general acute care hospitals. The organization's affiliates own, operate or lease 89 hospitals in 16 states with approximately 15,000 licensed beds. Affiliated hospitals are dedicated to providing quality healthcare for local residents and contribute to the economic development of their communities. Based on the unique needs of each community served, these hospitals...

Community Health Systems, Inc. is one of the nation's leading operators of general acute care hospitals. The organization's affiliates own, operate or lease 89 hospitals in 16 states with approximately 15,000 licensed beds. Affiliated hospitals are dedicated to providing quality healthcare for local residents and contribute to the economic development of their communities. Based on the unique needs of each community served, these hospitals offer a wide range of diagnostic, medical and surgical services in inpatient and outpatient settings.CHSPSC, LLC seeks a Utilization Review Clinical Specialist for its headquarters' Case Management team.Summary:Utilization management is the analysis of the necessity, appropriateness, and efficiency of medical services and procedures in the hospital setting. Utilization review is the assessment for medical necessity, both for admission to the hospital as well as continued stay. This function ensures that services are not only appropriate, but...

Community Health Systems, Inc. is one of the nation's leading operators of general acute care hospitals. The organization's affiliates own, operate or lease 89 hospitals in 16 states with approximately 15,000 licensed beds. Affiliated hospitals are dedicated to providing quality healthcare for local residents and contribute to the economic development of their communities. Based on the unique needs of each community served, these hospitals offer a wide range of diagnostic, medical and surgical services in inpatient and outpatient settings.CHSPSC, LLC seeks a Utilization Review Clinical Specialist for its headquarters' Case Management team.Summary:Utilization management is the analysis of the necessity, appropriateness, and efficiency of medical services and procedures in the hospital setting. Utilization review is the assessment for medical necessity, both for admission to the hospital as well as continued stay. This function ensures that services are not only appropriate, but...

Certified Italian Teacher (remote) Preply is an online platform, where tutors and students are connected for learning languages. Preply is looking for dedicated, enthusiastic, and passionate online Italian teachers to coach, tutor, and help students achieve their language learning goals. With Preply, you can have a flexible (self-picked) schedule, self- chosen lesson price, training materials, guidance, and opportunity to teach students from all over the world and make a difference in their lives. If you are searching for a job opportunity that allows you to teach from anywhere, at any time, search no more, all this is provided by Preply platform. No need to waste time commuting, no more adjusting to other schedules and being managed by others. How to apply on the Preply Platform: It‚ is easy to apply. By clicking on Apply you will be redirected to the Preply tutors registration page to create your profile. There are 4 simple steps to create your profile: 1. Write a description...

Remote, Work from home, United States.This role is part of the Enterprise Data Office and will report to the Director of Analytics Engineering. It is a customer focused role requiring cross coordination between multiple teams. The candidate selected for the role is expected to understand the needs of business and helps define solutions to enterprise-wide business problems through the successful implementation of technology in the support of eviCore's objectives. This role interacts with business executives, vendors and technical staff members to efficiently deliver IT solution.DutiesProvides expert content/professional leadership on complex Data Management Strategy & Governance assignments/projects. Contributes to data governance and applies seasoned knowledge to ensure data quality. Contributes to data oversight, data usage, system analysis and data retention to assure data quality standards. Collaborates with other departments to ensure data consistency and quality throughout...