Presbyterian Healthcare Services

  • Albuquerque, NM, USA
Nov 30, 2021
Presbyterian Healthcare Services Remote * (Albuquerque, NM, USA)
Overview: *This position is remote eligible to candidates located in the United States with the exclusion of the states: Washington, Ohio, Wyoming, and North Dakota.* Job Description Type of Opportunity: Full Time FTE: 1.000000 Exempt: Yes Work Schedule: Days Summary: Identify new opportunities for innovative analytics (i.e., descriptive, prescriptive and predictive) based on market developments & business demands as well as manage innovative analytical projects in concert with other Directors within the Analytics Organization (AO). Collaborate across the organization to perform exploration and experimentation to build prototypes and develop analytical solutions best practices Develop new analytical models to support real time and data driven business decision making. Responsible for mentoring and supporting fellow junior scientist as well as assisting senior leadership in evaluation, development and implementation of cutting edge reporting/research/analytics generating...
Nov 30, 2021
Presbyterian Healthcare Services Remote * (Albuquerque, NM, USA)
Overview: *This position is remote eligible to candidates located in the United States with the exclusion of the states: Washington, Ohio, Wyoming, and North Dakota.* Job Description Type of Opportunity: Full Time FTE: 1.000000 Exempt: Yes Work Schedule: Weekday Schedule Monday-Friday Summary: The Project Manager facilitates the work of the Executives and PMO Director/PMO Manager(s)/Project Manager(s) by providing specialized administrative and project support. The Project Manager has overall responsibility for the day to day management of assigned projects and is responsible for project management and facilitation of one or more medium to high complexity projects, enterprise-wide initiatives and continuous business improvement items. The Project Manager plans, executes and finalizes projects according to aggressive deadlines and budgets. Coordinates resources and efforts of team members, third party contractors, and consultants in order to deliver projects according to plan;...
Nov 30, 2021
Presbyterian Healthcare Services Remote * (Albuquerque, NM, USA)
Overview: *This position is remote eligible to candidates located in the United States with the exclusion of the states: Washington, Ohio, Wyoming, and North Dakota.* Job Description Type of Opportunity: Full Time FTE: 1.000000 Exempt: Yes Work Schedule: Days Summary: Provide reporting/analytics and statistical expertise for development of accurate solutions based on business needs. Analyze and synthesize related and seemingly unrelated data into an audience appropriate story to support the business initiatives, accreditation, and regulatory compliance. Act as a data steward and maintain the analytical foundation through business definitions and design of data marts to ensure integrity and reliability of analytics. Serve as a liaison with internal business units and external entities in support of reporting/analytics. Responsibilities: Responsibilities: Project Management and Execution: * Make prioritization decisions concerning individual or team tasks and assignments,...
Nov 30, 2021
Presbyterian Healthcare Services Remote * (Albuquerque, NM, USA)
Overview Job Description Type of Opportunity: Full Time FTE: 1.000000 Exempt: Yes Work Schedule: Weekday Schedule Monday-Friday This opportunity is open to remote applicants in the United States, with the exception of the following states: Washington, Wyoming, North Dakota, and Ohio. Must be able to work mountain time. Summary:The SIU Investigator supports the compliance related activities of the Program Integrity Department. Responsible for conducting proficient reviews into suspected fraud, waste, or abuse with respect to provider, pharmacy, employer, member, and broker interactions involving the full range of products at Presbyterian. This includes the identification, investigation, and correction of fraudulent, wasteful, and/or abusive billing and coding practices; coordination of recovery of overpayments related to fraudulent and/or abusive billing and coding practices; and providing education related to coding/representation of services and appropriate medical record...
Nov 27, 2021
Presbyterian Healthcare Services Remote * (Albuquerque, NM, USA)
Overview: Now hiring an Enterprise Wise Coder III!! Summary: Has the knowledge and ability and will be required to code all of the following: inpatient and/or outpatient hospital records, ED records, Home Health & Hospice records and/or professional fee services for PMG specialty providers or demonstrate coding expertise in a specific specialty deemed a critical business need by PHS Coding Leadership using the ICD-9/10 CM and CPT-4 classification system. Ensures adherence to Hospital and Departmental Policies and Procedures. Job Description Type of Opportunity: Full Time FTE: 1.000000 Exempt: No Work Schedule: Varied Days and Hours / Remote eligible Responsibilities: *Must demonstrate knowledge of coding multiple areas of service and/or specialties or extensive experience in a specific specialty deemed a critical business need by PHS Coding Leadership.. *Reviews patients entire current medical record, assigning appropriate codes including CPT, ICD and MS-DRG (as defined by...
Nov 27, 2021
Presbyterian Healthcare Services Remote * (Albuquerque, NM, USA)
Overview: Presbyterian Healthcare Services (PHS) Recruiters are here to support Presbyterian leaders in their efforts to hire right - fairly, legally and equitably - ensuring that selected candidates understand Presbyterian's culture and the job they are being hired to do. As a PHS Recruiter, you'll join a team of talented Talent Acquisition professionals - ensuring a positive candidate and hiring manager experience at Presbyterian. The Sourcing Recruiter identifies and engages passive candidates through various outreach methods to build applicant pipelines. This is a remote* position supporting PHS regional locations. *PHS Remote opportunities are available to qualified candidates throughout the United States, with the exception of four states: Ohio, North Dakota, Wyoming, and Washington. Responsibilities: Coordinates the process for hiring people in accordance with PHS employee policy and procedures and in compliance to the affirmative action plan. Develops a recruitment...
Nov 13, 2021
Presbyterian Healthcare Services Remote * (Albuquerque, NM, USA)
Overview: *This position is remote eligible to candidates located in the United States with the exclusion of the states: Washington, Ohio, Wyoming, and North Dakota.* Job Description Type of Opportunity: Full Time FTE: 1.000000 Exempt: Yes Work Schedule: Weekday Schedule Monday-Friday Summary: Responsible for providing advanced configuration, testing/quality review and maintenance for production applications. Provides a variety of advanced technical tasks related to assigned area of responsibility, independently or with minimal supervision. Work directly with business units and other stakeholders to gather business requirements Responsibilities: Responsibilities: Under general direction, responsible for providing advanced configuration, testing/quality review, documentation and maintenance of applications. Provides a variety of advanced tasks related to assigned area of responsibility. Work directly with business units and other stakeholders to gather business requirements...
Nov 13, 2021
Presbyterian Healthcare Services Remote * (Albuquerque, NM, USA)
Overview: Job Description Type of Opportunity: Full Time FTE: 1.000000 Exempt: Yes Work Schedule: Days Summary: The Manager IT position purpose is to manage primarily one IT function. Responsible for development and management of their respective department budget. Acts as coach and mentor to direct reports; performs performance reviews Responsibilities: Responsibilities: Provides team leadership and administration to include performance reviews and departmental budgets. Monitors project work plan progress to ensure projected timelines, resources and budget guidelines are on schedule and within budget. Provides IT communications to the appropriate governance process. Creates, monitors, and provides required specifications to maintain service level agreements for production systems in order to meet IT standards and customer needs. Defines project leadership accountabilities involving clinical or financial management systems Qualifications: Other information: High School and...
Nov 13, 2021
Presbyterian Healthcare Services Remote * (Albuquerque, NM, USA)
Overview: *This position is remote eligible to candidates located in the United States with the exclusion of the states: Washington, Ohio, Wyoming, and North Dakota.* Job Description Type of Opportunity: Full Time FTE: 1.000000 Exempt: Yes Work Schedule: Days Summary: The Utilization Management Data & Reporting Specialist is responsible for the day-to-day management of data that supports Utilization Management operations. This includes leading reports development, performing testing, quality review, complex analysis and interpretation, and delivering verbal and written presentations of data and results to internal and external stakeholders. This role is also responsible for supporting departmental auditing and monitoring through the development of internal monitoring reports and tools, the testing and quality review of audit universes, and final delivery of regulatory reporting and audit universe deliverables. The Utilization Management Data & Reporting Specialist serves...
Nov 12, 2021
Presbyterian Healthcare Services Remote * (Albuquerque, NM, USA)
Overview: *This position is remote eligible to candidates located in the United States with the exclusion of the states: Washington, Ohio, Wyoming, and North Dakota.* Job Description Type of Opportunity: Full Time FTE: 1.000000 Exempt: Yes Work Schedule: Days Summary: Formulates and defines system scope and objectives based on user needs. Devises or modifies procedures to solve complex problems considering computer equipment capacity and limitations, operating time, and form of desired results. Prepares detailed specifications from which programs will be written. Analyzes and revises existing system logic difficulties and documentation as necessary. Competent to work at the highest technical level of all phases of applications systems analysis activities. Responsibilities: Responsibilities: Provides advanced support for definition/refinement of business requirements and for quality assurance/acceptance testing efforts Designs, develops, tests and debugs software components of...
Nov 12, 2021
Presbyterian Healthcare Services Remote * (Albuquerque, NM, USA)
Overview: *This position is remote eligible to candidates located in the United States with the exclusion of the states: Washington, Ohio, Wyoming, and North Dakota.* Job Description Type of Opportunity: Full Time FTE: 1.000000 Exempt: Yes Work Schedule: Days Summary: Support portfolio management of reporting/analytics solutions across the business units in the analytics organization. Identify business issues/problems, form hypotheses, plan and conduct interviews, whiteboard sessions & perform reporting/analysis to synthesize conclusions, transform them into recommendations and develop a solution. Lead and manage small cross functional team to implement, test and deploy the approved reporting/analytics solution in response to the business (clinical/operational/financial) needs. Identify reporting/analytics improvement opportunities and provide proactive, consultative strategic solutions. Responsible for mentoring junior analysts as well as coordinating various...
Nov 12, 2021
Presbyterian Healthcare Services Remote * (Albuquerque, NM, USA)
Overview: *This position is remote eligible to candidates located in the United States with the exclusion of the states: Washington, Ohio, Wyoming, and North Dakota.* Job Description Type of Opportunity: Full Time FTE: 1.000000 Exempt: Yes Work Schedule: Day Summary: The Senior Project Manager has overall responsibility for the day to day management of assigned programs/projects and is responsible for project management and facilitation of one or more high priority or medium to high complexity project(s), mission-critical enterprise-wide initiatives,and/or continuous business improvement items. Additionally, this role is responsible for developing and educating less experienced staff in project management operations and practices. Responsibilities: Responsibilities: The Senior Project Manager plans, executes and finalizes projects according to aggressive deadlines and budgets. Coordinates resources and efforts of team members, third party contractors, and consultants in order...