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Location: 100% onsite position in Warrendale, PA
Hours: M-F 5:30 am- 2:00 pm est
The Pharmacy Inventory Operations Representative will audit and maintain accuracy in perpetual inventory system through physical inventory counting and ensuring all paperwork is accurate and filed properly.
The Representative will also be responsible for the research / resolution of inventory variances, including but not limited to dispensing, receiving, stocking, and coordinate / assist with assigned recalls, new product launches and discontinued items.
ESSENTIAL FUNCTIONS:
* Conduct daily counting of inventory correctly and accurately enter into the perpetual inventory system.
* Research discrepancies utilizing the perpetual inventory system and Safire Fulfillment system.
* Collaborate with the Inventory supervisor, lead or manager for resolution.
* Primary contact for resolving inventory issues: inventory discrepancies, damages, short-date product and recalls.
* Support the Fulfillment operation by locating inventory needed for orders, adding new medications to the Safire system, and troubleshooting setup issues with existing items.
* Work with Procurement, Materials Management, and Operations to research/resolve discrepancies in shipments/receipts/ site-to-site transfers.
* Make necessary adjustments with proper approvals to system and provide outcomes to Inventory supervisor, lead or manager.
* Monitor email communications and resolve any questions, issues, or requests as necessary
QUALIFICATIONS:
* 3+ years relative work experience preferred.
* Pharmacy Inventory and/or pharmacy technician experience preferred.
* Working Knowledge of Microsoft Office Suite; including Excel, Outlook, Word and PowerPoint.
* General Understanding and Working knowledge of office equipment
* Professional work experience in Inventory, Receiving or Warehouse in any industry will be considered.
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
About Evernorth Health Services
Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality.
We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people.
Join us in driving growth and improving lives.
Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protec...
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Type: Permanent Location: Warrendale, US-PA
Salary / Rate: Not Specified
Posted: 2025-11-01 08:31:10
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Are you an organized multitasker who loves keeping things running smoothly? Join our team as a General Clerk Representative and become the backbone of our administrative duties.
Accredo is currently seeking two General Clerk Representatives, Mailroom.
The General Clerk Representatives deliver straightforward administrative and/or other basic business services in General Administration.
Issues tend to be routine in nature.
Good knowledge and understanding of General Clerk duties and business/operating processes and procedures.
RESPONSIBILITIES:
* Retrieve, organize, and file patient medical records accurately and efficiently.
* Scan, index, and upload documents into electronic health record (EHR) systems.
* Execute automated reports and compile listings for internal use.
* Maintain and manage databases, conduct data retrieval, and respond to status inquiries.
* Examine documents for quality and accuracy; resolve minor discrepancies.
* Maintain inventory of records and supplies; receive, store, and issue materials.
* Determine appropriate methods for processing mail, files, and supplies.
* Ensure confidentiality and security of patient information in compliance with HIPAA.
* Respond to requests for medical records from patients, providers, and third parties.
* Assist with audits and quality assurance checks of medical records.
* Recommend process improvements and participate in small project initiatives.
* Provide coaching and guidance to junior team members.
* Act independently while adhering to defined procedures and standards.
QUALIFICATIONS:
* High School Diploma or GED required.
* 1+ years of relevant working experience.
* Experience with health care, medical insurance terminology and patient access preferred.
* Strong data entry skills and computer skills.
* Ability to adapt in a dynamic work environment and make decisions independently.
* Able to work onsite Monday through Friday in Warrendale, PA.
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
About Evernorth Health Services
Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality.
We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people.
Join us in driving growth and improving lives.
Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with reg...
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Type: Permanent Location: Warrendale, US-PA
Salary / Rate: Not Specified
Posted: 2025-11-01 08:31:09
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Job Summary:
The Risk Adjustment Quality & Review Analyst in IFP brings medical coding and HierarchicalCondition Category expertise to the role, evaluates complex medical conditions, determinescompliance of medical documentation, identifies trends, and suggests improvements in data andprocesses for Continuous Quality Improvement (CQI).
Key Job Functions:
• Conduct medical records reviews with accurate diagnosis code abstraction in accordance withOfficial Coding Guidelines and Conventions, Cigna IFP Coding Guidelines and Best Practices, HHSProtocols and any additional applicable rule set.
• Utilize HHS' Risk Adjustment Model to confirm accuracy of Hierarchical Condition Categories
(HCC) identified from abstracted ICD-10-CM diagnosis codes for the correct Benefit Year.
• Apply longitudinal thinking to identify all valid and appropriate data elements andopportunities for data capture, through the lens of HHS' Risk Adjustment.
• Perform various documentation and data audits with identification of gaps and/or inaccuracies inrisk adjustment data and identification of compliance risks in support of IFP Risk Adjustment (RA)programs, including the Risk Adjustment Data Validation (RADV) audit and the Supplement Diagnosis
submission program.
Inclusive of Quality Audits for vendor coding partners.
• Collaborate and coordinate with team members and matrix partners to facilitate various aspectsof coding and Risk Adjustment education with internal and external partners.
• Coordinate with stake holders to execute efficient and compliant RA programs, raising anyidentified risks or program gaps to management in a timely manner.
• Communicate effectively across all audiences (verbal & written).
• Develop and implement internal program processes ensuring CMS/HHS compliant programs, includingcontributing to Cigna IFP Coding Guideline updates and policy determinations, as needed.
Education & Experience:
The Quality Review & Audit Analyst will have a high school diploma and at least 2 years' experiencein one of the following Coding Certifications by either the American Health Information ManagementAssociation (AHIMA) or the American Academy of Professional Coders (AAPC):
* Certified Professional Coder (CPC)
* Certified Coding Specialist for Providers (CCS-P)
* Certified Coding Specialist for Hospitals (CCS-H)
* Registered Health Information Technician (RHIT)
* Registered Health Information Administrator (RHIA)
* Certified Risk Adjustment Coder (CRC) certification
Individuals who have a certification other than the CRC must become CRC certified within 6 monthsof hire.
Minimum Qualifications:
• Experience with medical documentation audits and medical chart reviews and proficiency withICD-10-CM coding guidelines and conventions
• Familiarity with CMS regulations for Risk Adjustment programs and policies related todocumentation and coding compliance, with both Inpatient and Outpatient documentation
• HCC coding exp...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2025-11-01 08:31:09
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As an OperationsSupervisor, you will be r esponsible for day-to-day operations of a team of associates in Pharmacy Operations monitoring productivity and performance standards while planning and directing workflow and project assignments.
This position is for an overnight schedule.
Shift: Sunday - Wednesday; 7:00 PM - 5:30 AM EST
Here's a little more on how you'll make a difference :
* Promote a positive team environment and ensure best practices are shared
* Assist in development of programs and process improvements to enhance the level of internal and external customer service provided
* Oversee team and individual performance standards and service standards are met
* Develop, coach, and provide feedback to employees concerning quality, reliability, accountability and productivity
What you need to do the job:
* High School Diploma or equivalent is required; Bachelor's Degree preferred
* Work experience managing teams in a distribution/fulfillment, or pharmacy dispensing setting
* Demonstrated leadership skills and the ability to effectively develop and assist team members
* General PC knowledge; MS Office, Internet, email
* Excellent oral, written and phone communication skills
* Experience in training and coaching less experienced staff
* Advanced problem solving skills
* The ability to work collaboratively with other departments to resolve complex issues with innovative solutions
* Ability to adapt to a dynamic working environment, make independent decisions
* Demonstrated ability to handle difficult conversations in a professional manner
* Ability to be on feet for entire shift; walking, bending, and lifting.
* Valid Florida Pharmacy Technician License/Registration is a plus
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
About Evernorth Health Services
Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality.
We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people.
Join us in driving growth and improving lives.
Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.
If you require reasonable accommodation in completing the online application process, please email: SeeYourself...
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Type: Permanent Location: Orlando, US-FL
Salary / Rate: Not Specified
Posted: 2025-11-01 08:31:08
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As an Inventory Representative you are responsible for processing supplier delivery receipt information in perpetual inventory system.
Ensure all paperwork is received and filed properly.
Resolve delivery issues between receiving department, purchasing, and suppliers.
Assist with assigned recalls.
What you'll do:
* Maintain an accurate physical count of product in dispensing and overstock locations
* Reconcile variances to vendor invoices/packing slips; research and troubleshoot quantity discrepancies
* Organizes and maintains dispensing and overstock for efficient dispensing and material storage and handling
* Work with warehouse Associates to maintain accurate labeling of items and locations
* Organizes and maintains dispensing and overstock for efficient dispensing and material storage and handling
* Assist Operations Managers/Supervisors with all inventory reports
* Assist with wrapping coolers for delivery
* Assist with packing
* Assist with picking orders as a technician
* Performs related duties as required
What you need to do the job:
* High School Diploma or GED required
* 2+ years relevant experience
* Intermediate computer skills including Microsoft office: Word, Outlook, Excel & Access.
* Intermediate office equipment skills
* Ability to understand mathematical conversions
* Working knowledge of inventory control practices
* Must be detail-oriented and pay close attention to accuracy
* Ability to effectively establish rapport; present information and respond to questions related to inventory
* Excellent verbal and written communication skills
* Ability to quickly resolve problems and develop favorable solutions
* Ability to lift up to 50 lbs.
* Ability to be on feet for entire shift; walking, bending, and lifting.
* Florida Pharmacy Technician license preferred (not required)
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
About Evernorth Health Services
Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality.
We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people.
Join us in driving growth and improving lives.
Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable eq...
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Type: Permanent Location: Orlando, US-FL
Salary / Rate: Not Specified
Posted: 2025-11-01 08:31:07
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POSITION SUMMARY
Is service your passion? Do you enjoy problem solving and helping others achieve the best outcome?
We are looking for a dedicated onsite specialist to provide exemplary customer and client service of our Cigna products, benefits, and claim processes.
As the Dedicated Client Service Partner you can take your career to the next leveland have regular opportunities to present your big ideas.
Want to make a difference?
How you'll make a difference:
As the Dedicated Client Service Partneryou're an extension of the Cigna Account Management team.
You have a critical role applying your relationship management skills to develop a partnership with a key client as our onsite liaison, and bringing key insights and program delivery opportunities to the Account Management Team's strategy discussions to ensure we continue to provide solutions that exceed service expectations to access care.
Requires onsite presence at least 1 - 2 days per week at 1201 Wilson Blvd, Arlington, VA 22209.
Responsibilities:
* Deliver hands-on, dedicated, personalized support to the Client, their employees, and the HR Team
* Respond to, own and assist with escalated, complex issues and inquiries from the Client's benefits delivery team and/or the employees.
Including but not limited to complex claims, authorizations, denials, appeals, incentive issues, etc.
* You will provide education and guidance around plan offerings, benefit optimization, steerage, as well as tool and resource navigation.
This may include lunch and learn sessions, presentations, or general communication development in alignment with client's programs and services (mycigna.com, incentives, discount programs, health savings account, etc.) offered
* Manage new hire onboarding and open enrollment/health fair support
* Assist with client wellness activities
Qualifications:
* High School Diploma or GED required, advanced degree preferred
* 3+ years of experience in the Healthcare Industry, Pharmacy, or PBM highly preferred
* Client facing experience preferred
* Ability to manage multiple priorities and deadlines independently and pro-actively
* Ability to negotiate, manage expectations and creatively problem-solve effective client solutions
* Ability to pivot seamlessly from customer interaction to client level updates, communication, and coordination
* Excellent presentation skills
* Previous success in delivering Customer and Client communications highly preferred
* Candidate must meet travel requirements for this role
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
About The Cigna Group
Doing something meaningful starts with a simple decision, a commitment to changing lives.
At The Cigna Group, we're dedicated to improving the health and vitality o...
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Type: Permanent Location: Arlington, US-VA
Salary / Rate: Not Specified
Posted: 2025-11-01 08:31:05
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Schedule
Full-Time - M-F, 12:30 pm - 9 pm and Saturday rotation (9 am-6 pm)
Part-time: Monday - Friday 5 PM - 9 PM and Saturday rotation once per month, 2 PM - 6 PM EST
What our Shipping Clerks do:
* Pick and pack prescriptions and coordinate paperwork for shipment.
* Ensure medications are packed accurately according to order and other details
* Work closely with the records team for file maintenance and cataloging.
* Provide suggestions on how to improve our process continuously.
* Experience opportunities for cross-training and career growth.
Why become a full-time employee with Cigna?
* Benefits & health coverage effective day 1
* Holiday, PTO and OT pay
* Annual bonus potential based on performance
* Career growth opportunities available
* Social distancing precautions in place (daily temperature checks, masks required, 6 ft.
distancing, hand sanitizer stations, regular deep clean of facility, staffing limitations in breakrooms, etc.)
What you need:
* High School Diploma or GED is required
* Experience with picking/packing or in fulfillment environment is preferred but not required
* General computer skills
* Strong work ethic with focus on the details, process efficiency and sense of urgency
* Ability to walk around/be on your feet for duration of shift
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
For this position, we anticipate offering an hourly rate of 17.75 - 23 USD / hourly, depending on relevant factors, including experience and geographic location.
This role is also anticipated to be eligible to participate in an annual bonus plan.
We want you to be healthy, balanced, and feel secure.
That's why you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health.
Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs.
We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays.
For more details on our employee benefits programs, visit Life at Cigna Group .
About Evernorth Health Services
Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality.
We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people.
Join us in driving growth and improving lives.
Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity ...
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Type: Permanent Location: Newburyport, US-MA
Salary / Rate: Not Specified
Posted: 2025-11-01 08:31:04
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Summary:
Express Scripts' Business Product Operations (BPO) team serves as a liaison between business and technology to ensure capabilities support complex, large-scale implementations, new product/product enhancements and client commitments.
This position is responsible for BPO technical capabilities with a primary focus on client specific technological needs which includes management, oversight, and implementation of enterprise-wide, large-scale cross-functional initiatives or as a primary stakeholder to those initiatives.
The BPO is responsible for business capabilities oversight and delivery, data governance and stewardship, pharmacy regulatory and telecommunication compliance, and supporting business stakeholders across the enterprise.This role is responsible for supporting the clinical and benefit tool optimization - aligning standards, supporting client needs and maintaining benefit tools (Benefit Explorer, Benefit Administrator, Benefit Testing Tool, etc.).
This position is also responsible for managing all aspects of a BPO team including collaboration with portfolio management on technology capacity and resource allocation, daily interface with Technology Product Owners (TPO) leveraging Agile methodology, appropriate escalation with business and technology, informed and collaborative relationships with business stakeholders and all levels of the technology organization.
The BPO serves as a trusted advisor to clients and internal business and is expected to have a deep working knowledge across a broad ecosystem of technology capabilities and interconnections between tools.
Responsibilities:
* Ensure all interactions with clients are clear, concise, and easily understandable.
* Identify, define, advocate, prioritize, communicate, and manage the execution of corporate-wide, business specific initiatives requiring technology enablement.
* Collaborate cross-functionally across business areas to ensure initiatives are prioritized, planned and delivered appropriately & timely, while aligning to enterprise goals and addressing obstacles.
* Directly and indirectly manage teams to achieve expected deliverables across multiple functions, domains and sub-domains.
* Manage all BPO team responsibilities including staff training and development.
Develop, coach, and grow the team - fostering a positive team environment while maintaining a high degree of accountability and service delivery.
+ Ensure initiative testing plans are effective and complete and support post deployment review.
+ Work closely with business leaders to ensure that business value justifications align to the Value Based Prioritization process.
* Mitigate escalations/concerns/issues, identify accountability and back up/alternate strategies to deliver timely solutions to the business.
* Represent the BPO organization in client meetings and large-scale strategic efforts, providing system knowledge, innovative thinking, and tho...
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Type: Permanent Location: St. Louis, US-MO
Salary / Rate: Not Specified
Posted: 2025-11-01 08:31:03
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This internship will work within the Internal Audit SOX/SOC Technology Team.
As an intern on the team, you will support internal audit in its compliance efforts to support testing over IT general computing controls, including Sarbanes-Oxley (SOX) and System and Organization Controls (SOC) reporting.
This internship offers hands-on experience in risk assessment, control testing, and process improvement within a dynamic and collaborative environment.
You'll work closely with experienced auditors and IT professionals to learn how technology risk is managed across enterprise systems and contribute to projects that enhance the effectiveness and efficiency of internal controls.
What you'll do:
Cigna's 10 - 12weeksummer internship program isdesigned tohelpfurther developyourskills andgive you experience working in a dynamicenvironment.This opportunity will give you the chance to be a part of the following offerings:
"Realwork":through an Intern Projectinwhich you may be able to:
* Assist in the documentation and testing of IT general controls for SOX and SOC compliance.
* Support internal audit fieldwork, including data gathering, control walkthroughs, and evidence collection.
* Help evaluate IT processes and identify potential control gaps or improvement opportunities.
* Participate in meetings with IT control owners and auditors to understand audit requirements and procedures.
* Contribute to the development of reports and presentations summarizing audit findings and recommendations.
* Collaborate with team members on automation initiatives and continuous monitoring efforts.
Community:Build relationships with ourbusinesspartners, team members and other interns.
Leader Speaker Series:You and your fellow interns will be exposed to a variety ofsessionsand presentations given by members of the Cigna community.
What you need to do the job:
* Ideal candidates will be progressing toward a bachelor's degree and have completed at least3years in desired majors includingbusiness, accounting, finance or other related fields.
* 3.0GPA or higher is preferred.
* Strongwritten and verbalcommunication skills.
* Ability to navigate and adapt quickly to digital systems and applications.
* Proficiency in problem solving and analytical thinking.
* Demonstrate effective time management skills.
* Self-starter and motivated individual.
* Ability to work independently, multitask and deal with changing priorities.
* Ability to assist with SOX/SOC IT controls testing and evidence gathering.
* Verbally communicate testing results and findings to manager.
* Comfortable working in both an office-based and virtual team-based collaborative environment.
Additional Information:
Location:Nashville, TN; Bloomfield, CT; St.
Louis, MO.This role can work from home; however, geographical preference is for the incumbent to be located in theNashville, Bloomfield orSt.
Louis area.The internship is ...
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Type: Permanent Location: Franklin, US-TN
Salary / Rate: Not Specified
Posted: 2025-11-01 08:31:01
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Job Description
EvernorthDirect Health is an industry leading business providing custom care delivery and wellness services across four key business lines: Wellness Centers, Health Coaching, Wellness Events and COVID 19 solutions.
Evernorth is built on the recognition that health makes progress possible.
Our health services are designed to redefine healthcare as we know it.
But we can't do it alone.
True change takes all of us, united in a shared vision.
Health is what drives us.
But it's just the start.
Together, we can solve the problems others don't, won't or can't.
Sound like you? Great! Here's more on how you'll make a difference :
* Provide Primary Care treatment in an Employer-based setting
* Episodic care (low acuity Urgent Care)
* Extended Episodic Acute Care which can include 4-5 visits for an illness or injury that is limited in its chronicity
* Chronic condition education and co-management with outside primary care if we are not the PCP
* Ability to oversee and perform CLIA waived tests, dispense Rx medications, and oversee a specimen collection lab
* Collaboration with onsite employees to provide biometric screening and health and wellness education
* Potential for Travel Medicine recommendation and immunizations or administration of allergen immunotherapy (with proper training)
* Direct one on one health coaching to employees along with referring patients into wellness programs
* Demonstrated ability to work well with and manage members of the health care team (MA, LPN)
* Excellent interpersonal skills including internal and external customers and group settings
* Ability to partner with local HR/Benefits team to improve employee health
This position is with Evernorth, a new business within the Cigna Corporation.
What we expect from you :
* Graduate of Certified NP program
* Active and unrestricted NP license required in respective state
* Minimum of3or more years of NP experience, working independentlyin an internal medicine or family practice setting
* Ability to practice independently in respective state
* DEA licensure and prescriptive authority
* Electronic Health Record experience
* BLS certification
Bonus points for :
* Chronic Disease Management experience
* Passionate about overall health and wellness and patient education
* High energy and strong customer-centric focus
*
*This position is Part time, 24 hours per week
*
*
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
About Evernorth Health Services
Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality.
We relentlessly innovate to make the prediction, prevention and treatment of illness and disease ...
....Read more...
Type: Permanent Location: Auburn Hills, US-MI
Salary / Rate: Not Specified
Posted: 2025-11-01 08:31:01
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Responsible for coordination and implementation of daily processes related to IFP Risk Adjustment (RA) programs, including the Risk Adjustment Data Validation (RADV) audit and the Supplement Diagnosis program.
Responsible for liaising with the Initial Validation Audit Entity to ensure compliant, efficient, and successful audit processes, including but not limited to file reconciliation and appeals processes.
Responsible for coordinating with Quality Mgmt to effectively and compliantly execute daily RA program operations, as identified.
Participates in coding reviews of medical documentation for RA programs, as needed.
Responsible for communication and reporting of daily productivity and risks associated with IFP RADV audits and other RA programs, as needed, and collaborates with internal educational team to develop necessary curriculum to ensure compliance and program excellence.
Contributes to Cigna IFP Coding Guideline updates and policy determinations, and liaises with Matrix Partners, as required, to develop and promote shared goals.
The Quality Review and Audit Senior Analyst position recognizes experience in Risk Adjustment Data Validation audits (RADV), Risk Adjustment operations, Risk Adjustment medical record and diagnosis coding excellence, implementation of Quality Improvement processes, and the ability to communicate experience and knowledge to peers, colleagues, and Matrix Partners.
Core Responsibilities:
* Oversight and coordination of daily operations for IFP Risk Adjustment Data Validation (RADV) audits,
* Support of Supplemental Diagnosis programs, as required
* Demonstrates comprehensive understanding and proficiency with the Complete Official Code Set, Coding Clinic, and CMS guidelines for IFP code abstraction and medical record compliance
* Demonstrates comprehensive understanding of RADV Protocols and Compliance Requirements for RA programs, including EDGE Server Business Rules, where applicable
* Demonstrates ability to coordinate with external partners to execute efficient and compliant programs
* Demonstrates ability to identify risks or program gaps and communicate effectively to management in a timely manner
* Demonstrates ability to report productivity, progress, and risks to leadership on a timely basis
* Develops and implements internal program processes, as required
* Coordinates with Quality Mgmt to determine priorities and demonstrates ability to prioritize projects to meet deadlines, as determined
* Demonstrates the ability to remain current on Federal regulations related to diagnosis coding and the HHS Risk Adjustment program, including audit protocols
* Demonstrates effective communication skills with peers and matrix partners to ensure Continuous Quality Improvement and ensure compliance with all CMS guidelines and regulations
* Engages in Continuous Quality Improvement (CQI) of IFP programs, as applicable
* Demonstrates ability to work with ...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2025-11-01 08:31:00
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The Pharmacy Production Clerk is responsible for ensuring that all medication meets quality control standards; medications are properly labeled, stored and stocked; visually inspect patient-bound medications for any defects, spills or quality concerns and report any concerns or issues promptly.
Overnight Shift: Sunday - Wednesday, 8:00PM - 6:30AM
What you'll do:
* Ensure each package receives the correct paperwork, envelopes, medications, packing and or shipping labels before sealing and sending packages to patients
* Consistently work on one order at a time at work station
* Ensure package details, such as address, print correctly
* Ensure all bags are correctly sealed and printers are accurately loaded with the correct paper
* Accurately package prescriptions requiring special handling according to specific process and policy requirements
* Work collaboratively with all co-workers to ensure that best practices are shared while maintaining productivity and quality standards
* Properly sort and wrap orders
* Keep work station clean at all times
* Other duties assigned as needed
What you need to do the job:
* High School Diploma or GED required
* Experience with packaging/shipping orders is preferred
* General computer skills required
* Good visual acuity and ability to stare/review small medications or bottles for long periods of time
* Ability to read, compare and differentiate data
* Ability to be on feet, walking and standing for long periods of time
* Ability to lift up to 10-15 lbs.
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
About Evernorth Health Services
Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality.
We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people.
Join us in driving growth and improving lives.
Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.
If you require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support.
Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response.
The Cigna Group has a tobacco-free polic...
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Type: Permanent Location: Orlando, US-FL
Salary / Rate: Not Specified
Posted: 2025-11-01 08:30:59
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LOCATION: Virginia, Maryland or Washington, DC
The Physician & Ancillary Contracting Manager serves as an integral member of the Provider Contracting Team and reports to the Provider Contracting Senior Manager or VP of Contracting.
This role assists in developing the strategic direction and management of the day to day contracting and network management activities for a local given territory.
DUTIES AND RESPONSIBILITIES
* Manages complex contracting and negotiations for fee for service and value-based reimbursements with hospitals and other providers (e.g., Hospital systems, Ancillaries, and large physician groups).
* May lead a team with direct reports.
* Point person for complex projects related to contracting strategy in the market.
* Builds relationships that nurture provider partnerships and seeks broader value-based business opportunities to support the local market strategy.
* Initiates and maintains effective channels of communication with matrix partners including but not limited to, Claims Operations, Medical Management.
Credentialing, Legal, Medical Economics, Compliance, Sales and Marketing and Service.
* Manages strategic positioning for provider contracting, develops networks and identifies opportunities for greater value-orientation and risk arrangements.
* Contributes to the development of alternative network initiatives.
Supports and provides direction to develop network analytics required for the network solution.
* Works to meet unit cost targets, while preserving an adequate network, to achieve and maintain Cigna's competitive position.
* Creates and manages initiatives that improve total medical cost and quality.
* Drives change with external provider partners by assessing clinical informatics and offering consultative expertise to assist with total medical cost initiatives.
* Prepares, analyzes, reviews, and projects financial impact of larger or complex provider contracts and alternate contract terms.
* Creates "HCP" agreements that meet internal operational standards and external provider expectations.
Ensures the accurate implementation, and administration through matrix partners.
* Leads in resolving elevated and complex provider service complaints.
Researches problems and negotiates with internal/external partners/customers to resolve highly complex and/or escalated issues.
* Manages key provider relationships and is accountable for critical interface with providers and business staff.
* Demonstrates knowledge of providers in an assigned geographic area through understanding the interrelationships as well as the competitive landscape.
* Responsible for accurate and timely contract loading and submissions and interface with matrix partners for network implementation and maintenance.
POSITION REQUIREMENTS
* Should possess a bachelor degree; preferably in the areas of Finance, Economics, Healthcare or Business related.
Significant in...
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Type: Permanent Location: Richmond, US-VA
Salary / Rate: Not Specified
Posted: 2025-11-01 08:30:57
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The Quality Review & Audit Senior Analyst exhibits expertise in evaluating complex medical documentation for diagnosis code accuracy and compliance in support of the HHS' Risk Adjustment (RA) program and Risk Adjustment Data Validation (RADV) audits.
The Senior Analyst is responsible for all aspects of auditing medical documentation for diagnostic code abstraction, and possesses HHS' Hierarchical Condition Category (HCC) expertise, evaluating data accuracy and record compliance, executing on audit requirements, and identifying and recommending process improvements within the RA program.
Core Responsibilities:
• Proficient in assigning accurate ICD-10 diagnosis codes in accordance with Official Coding Guidelines and Conventions, Cigna IFP Coding Guidelines, and HHS' RADV Protocols
•Audits accuracy of abstracted diagnostic codes from identified medical record cohorts, evaluating work of peers and coding vendor coders, to ensure compliance with quality standards, scoring as appropriate per monthly quality feedback reports or other scoring instrument, as defined per policy.
• Performs claims matching and auditing, as required, identifying missing or inaccurate data within RA claims and ensuring compliance with HHS' RA program protocols.
• Leads, trains, or mentors junior team members, as required, sharing expertise in RA programs.
• Contributes to execution of Risk Adjustment programs, and other IFP programs, as needed, to ensure accurate and compliant data submissions.
• Collaborates and coordinates with stakeholders to facilitate coding and risk adjustment education.
• Contributes expertise to creation and maintenance of Coding Guidelines and Best Practices, as needed.
•Participates in RADV execution for designated markets, including but not limited to, medical records reviews; subordinate, peer, or vendor coding audits; evaluation and reporting of progress, barriers, or errors; or other tasks as defined in HHS' RADV Protocols.
Minimum Qualifications:
• High School Diploma or equivalent; Bachelors or equivalent work experience preferred
• 5+ years' experience in medical record coding, with certification in good standing from either the American Academy of Professional Coders (AAPC) or the American Health Information Management Association (AHIMA), in one or more of the following:
▪ Certified Professional Coder (CPC)
▪ Certified Coding Specialist for Providers (CCS-P)
▪ Certified Coding Specialist for Hospitals (CCS-H)
▪ Registered Health Information Technician (RHIT)
▪ Registered Health Information Administrator (RHIA)
▪ Certified Risk Adjustment Coder (CRC)
• Willing to achieve CRC certification within 12 months of hire, if not previously certified
• Experience with Risk Adjustment coding and HCCs, demonstrating proficiency in ICD-10-CM medical diagnosis coding
• Familiarity with CMS regulations for Risk Adjustment programs helpful.
• Medical claims, billing, or inpatient coding experience helpful
• C...
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Type: Permanent Location: Bloomfield, US-CT
Salary / Rate: Not Specified
Posted: 2025-11-01 08:30:56
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CNC Machinists play a vital role within Bray Controls.
If you are an experienced CNC Machinist, it's time to take that experience to the next level with Bray and use your machining background to advance your career.
Bray compensates machinists for continuing their education in areas that will further their knowledge and expertise in performing the CNC Machinist role.
Bray takes great pride in producing products of the highest quality and value and cannot fulfill that promise without experienced and valued CNC Machinists.
What We Offer:
* Competitive Pay Plans
* Comprehensive Benefits: Enjoy industry-leading benefits effective the first of the month after you have worked 30 days, including:
* Medical, dental, vision, and life insurance
* Paid holidays and vacation
* 401(k) plan with matching contributions
Healthy Work Environment: We provide a smoke-free, drug-free workplace to ensure a safe and productive atmosphere for all employees.
Career Growth: We are committed to your professional development, offering numerous opportunities for advancement within the organization.
An Exceptional Company Culture: Bray is a Family-owned and operated business with over 30 Years of Engineered Excellence
Join Bray International and be part of a dynamic team dedicated to shaping the future of flow control solutions!
CNC Machinists will be responsible for:
* Operating CNC machines safely and accurately
* Making appropriate adjustments to CNC machines as needed
* Reading blueprints and using precision measuring equipment to confirm dimensions and accuracy
* Inspecting 1st article parts by using hand tools or CMM
* Paperwork and documentation to assure proper procedure specifications are met
* Inspecting samples for production specifications
* Working with little or no administrative support
* Maintaining a healthy and clean work environment
* Following company production procedures
* Adapting to change and new situations
* Expressing opinions openly while managing conflict and moving your team toward problem resolution
* We have 1st shift and 2nd shift open
Qualifications:
* At least 5-10 years' experience in setting up and operating CNC machines
* High School diploma or equivalent
* Ability to use basic computer programs
* Good communication skills with the ability to effectively communicate within a team environment.
* High energy, flexible, self-starter
* Attention to detail and precision in work
Please Note
* Immigration sponsorship not offered for this position
* Staffing and recruiting agencies are not invited to submit candidates for this job posting
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
This employer is required to notify all applicants of their rights pursuant to federal employment laws.
For further information, please review the Know Your Rights notice from the Depart...
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Type: Permanent Location: Houston, US-TX
Salary / Rate: Not Specified
Posted: 2025-11-01 08:30:55
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Mason Creek Transitional Care of Katy
Come join our team and start making a difference!
Certified Nursing Assistant (CNA)
Shift: Day, 12 hour shift
Hours: 7a7p
Licensure: Texas CNA License is required
The CNA will interact directly with patients, providing comfort and transportation, monitoring their vital signs and assisting with daily living needs.
We are searching for a dedicated, compassionate and energetic individual to be a vital link between our patients and the nurses and other facility staff.
Benefits:
* Health/Dental/Vision/Disability/Life Insurance
* 401 (k) Plan and Matching
* Employee Discounts on Cell Phone service, Hotels, Movie Tickets, etc.
* Vacation Time, Holiday Pay and Sick Time
* Take a look at these benefits (and more!) at www.ensignbenefits.com
Mason Creek Transitional Care is a modern, state-of-the-art care center, conveniently located at 21727 Provincial Boulevard, near Mason Road.
Our small town setting west of the Houston metroplex, serves Katy, and surrounding areas.
We feature 125 beds and beautiful spacious rooms in either private or semi-private settings.
We're always looking for exceptional professionals to join our team, so if you're looking to make a change to work at a truly remarkable place, we encourage you to apply!
Our Values: C.A.P.L.I.C.O.
Customer Second, Employee First
Accountability
Passion for Learning
Love one Another
Intelligent Risk Taking
Celebration
Ownership
Apply Today!
Mason Creek Transitional Care of Katy
21727 Provincial Boulevard
Katy, TX 77450
https://masoncreektransitional.com
For benefit details check us out here http://ensignbenefits.com/
Benefits eligibility for some benefits dependent on full time employment status.
Disclaimer: Pay rates are competitive and determined by various factors.
Please note that any rates labeled as "estimated" are provided by third-party job boards and may not accurately reflect the actual pay rates.
EOE disability veteran
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Type: Permanent Location: Katy, US-TX
Salary / Rate: Not Specified
Posted: 2025-11-01 08:30:53
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Grand Terrace
Come join our team and start making a difference!
Job Functions
Every effort has been made to identify the essential functions of this position.
However it in no way states or implies that these are the only duties you will be required to perform.
The omission of specific statements of duties does note exclude them from the position if the work is similar, related, or is an essential function of the position.
Duties and Responsibilities
* Plan, develop, organize, implement, evaluate and direct the facility's accounting functions under the supervision of the Administrator.
* Review the facility's accounting policies and procedures periodically, at least annually, and make recommendations to the Administrator.
* Interpret the facility's accounting policies and procedures to employees, residents, family members, visitors, government agencies, etc., as necessary.
* Assist department directors in the development and use of accounting policies and procedures, and establish a rapport in and between departments so that each can realize the importance of accurate reporting procedures.
* Develop and maintain written job descriptions and performance evaluations for accounting personnel in accordance with the Americans with Disabilities Act, OSHA, and other pertinent laws and regulations.
* Supervise and train personnel involved in accounting, payroll, accounts payable, accounts receivable, resident funds, etc.
* Monitor internal controls to assure compliance with established procedures.
* Represent the facility at and participate in top level meetings as required.
* Schedule and participate in departmental meetings.
* Serve as liaison to the Administrator, medical staff, and other professional and supervisory staff.
For benefit details check us out here http://ensignbenefits.com/
Benefits eligibility for some benefits dependent on full time employment status.
Disclaimer: Pay rates are competitive and determined by various factors.
Please note that any rates labeled as "estimated" are provided by third-party job boards and may not accurately reflect the actual pay rates.
EOE disability veteran
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Type: Permanent Location: McAllen, US-TX
Salary / Rate: Not Specified
Posted: 2025-11-01 08:30:52
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The Residential Supervisor works directly with people with Intellectual Disabilities in a variety of settings, including but not limited to their homes, the community, and through remote supports.
This position directly supervises all Direct Support Professionals (DSPs) within a specific location.
Duties include engaging people in meaningful activities related to their personal goals, supporting them to connect with people in places of interest in their communities, providing support with assistive technology, communication, skill building, discovery activities, maintaining health and safety, and/or personal care needs.
This position is fully responsible for the scheduling of team members, completion of all required documentation, medical oversight, and on-call responsibilities, which may require scheduling flexibility.
We Provide:
* Paid vacation days and holiday pay
* Employee referral bonus program
* Extensive paid training, as well as continual opportunities for further job-related education and career advancement (including our Career Ladders program)
* Tuition reimbursement
* Supportive leadership team who wants to help YOU succeed
* Medical, dental, vision, short- and long-term disability
* 403b retirement plan
Education/Experience:
* MINIMUM 2 years of experience in direct support/working with the IDD population.
* MINIMUM 2 years of experience supervising a team of more than 2 people.
* Must be at least 18 years old.
* High school diploma or equivalent required, Associate's or Bachelor's degree (in Human Services or related field) preferred.
* Valid Driver's License with at least 2 years of driving experience and a clean driving record.
Required Skills/Abilities:
* Professional verbal and written communication skills (i.e., discussions during team meetings, regularly reading and responding to emails)
* Proficient with interpersonal and relationship building skills, and able to maintain effective relationships with other team members, supervisor, and others in the organization.
* Excellent organizational skills and attention to detail
* Strong analytical and problem-solving skills
* Positive role-model for others and able to work on a team.
* Commitment to creating a respectful and collaborative environment.
* Flexible in changing environments
* Ability to prioritize tasks.
* Ability to function well in a high-paced and at times stressful environment.
* Experience in or willingness to learn a variety of software applications is required including documentation software and other case management software.
Supervisory Duties/Responsibilities:
* Partner with the Program Manager to hire, train, onboard, provide oversight and feedback to DSPs in the execution of their duties.
* Complete 90 day and annual performance reviews for DSP’s and foster a culture of accountability within the program.
* Ensure DSP’...
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Type: Permanent Location: Freeland, US-MD
Salary / Rate: Not Specified
Posted: 2025-11-01 08:30:50
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As a Direct Support Professional (Also known as Direct Support, DSP, Residential Assistant, Caregiver, Home Health Aide, CNA), you will work in a residential group home setting for adults with developmental disabilities.
A Direct Support Professional (Also known as Direct Support, DSP, Residential Assistant, Caregiver, Home Health Aide, CNA) is responsible for personal care, medication administration, behavioral support and transportation of 3-4 individuals living in a group home setting depending on the needs of the location.
*
*
*
*Locations: Freeland & Parkton (Northern Baltimore County) & Westminster
*
*
*
*
This job is inclusive of, but not excluded to the following duties:
* Personal Care as needed (to include assistance with toileting, feeding, transfers, etc.).
* Must be able to lift 50 lbs.
as needed.
* Must be able to stand, walk, sit, traverse, kneel, bend from the waist, etc., as needed.
* Applicant must be able to communicate verbally, visually and audibly.
Qualifications:
* Minimum High School Diploma/ G.E.D
* Acceptable criminal background
* Valid Driver's License with 2 yrs.
experience, and less than 3 moving violations (NO Major Violations, D.U.I's, Suspensions) in the previous 36 months
Benefits( For Full Time Employees)
* Medical, dental, & vision plans
* Paid vacation - Earned at .0615 per hour worked for eligible employees (equates to about 16 days per year for full-time employees)
* Holiday pay, with 11 holidays observed
* Flexible Spending Account (FSA)
* Health Reimbursement Account (HRA)
* Basic Life & AD&D insurance
* Employee Assistance Program (EAP)
* 403B Retirement
Direct Support Professional (DSP) Compensation
*:
* Starting hourly rate is determined by position hourly rate band. Our budgeted hourly bands are as follows
*:
* DSP Band 1 - $19.35 per hour
* DSP Band 2- $19.85 per hour
* DSP Band 3- $20.35 per hour
*The above hourly bands are a general guideline.
Multiple factors are taken into consideration to arrive at the final hourly rate to be offered to the selected candidate.
Factors include, but are not limited to, the scope and responsibilities of the role offered, the work location, and business considerations.
Penn-Mar is an Equal Opportunity Employer and is committed to diversity and inclusion.
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.
For further information, please review the Know Your Rights notice from the Department of Labor.
Operations
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Type: Permanent Location: Parkton, US-MD
Salary / Rate: Not Specified
Posted: 2025-11-01 08:30:49
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Job Profile:
Join our fun, high-energy team as a Senior Home Lending Advisor in Chase Home Lending and put your exceptional knowledge and understanding of home lending products to good use by serving as your customers' chief point of contact throughout the life of the loan while the Home Lending team supports you by sharing demonstrated knowledge in this area of specialization.
You will adhere to all regulatory requirements while marketing and promoting the financial products offered by Chase.
You will have a unique opportunity to grow your career while making a significant impact on our business.
As a Senior Home Lending Advisor in Chase Home Lending, you will join a motivated team dedicated to guiding clients to fulfilling the dream of homeownership.
Job responsibilities
* Coaches and mentors the branch team by providing training on products and services.
* Works together with bankers, meets with their customers and introduces new clients to bankers for additional products and services.
* Collaborates with your team to create an outstanding customer experience by utilizing centrally managed direct mail, media advertisements, cross-sell efforts, relocation programs, statement programs, Chase.com, electronic newsletters, outbound lead sourcing, and other marketing efforts.
* Develops a strong partnership with the assigned retail branches to promote mortgage loan originations (in footprint territories), and functions well within formal and dotted-line reporting relationships.
* Builds role as the internal and external mortgage expert and maintains good relationships with customers.
* Exhibits consultative skills to provide recommendations based on financial analysis and expertise, product knowledge, and knowledge of the customer's financial needs, goals, and circumstances.
Required qualifications, capabilities, and skills
* Bachelor's degree or equivalent work experience in sales and/or real estate
* 3+ years of mortgage lending and proven sales experience in retail banking
* Knowledge of real estate market in local area
* Excellent written and oral communication skills
* Knowledge of FHA, VA, FNMA, and FHLMC guidelines
Preferred qualifications, capabilities, and skills
* FHA/VA sales experience
* Marketing, promoting, relationship building, and consulting skills
* Intermediate PC skills in a Windows environment
This position is subject to the Dodd Frank/Truth in Lending Act qualification requirements for Loan Originators.
As such, an employment offer for this position is contingent on JPMC's review of your criminal conviction history, credit report, information available through NMLS, and any other information relevant to a determination by JPMC that you demonstrate financial responsibility, good character, and general fitness for the position.
Note that any felony conviction within the last seven years will disqualify you from consideration for this position.
Your con...
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Type: Permanent Location: Lorain, US-OH
Salary / Rate: Not Specified
Posted: 2025-11-01 08:30:47
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Cottage Health seeks an HRIS Consultant responsible for data integrity and as a resource for users of HRIS systems.
Assists with the performance evaluation and annual salary review administration.
Reviews, approves, and audits creation and updates to employment records in HRIS.
QUALIFICATIONS:
All job qualifications listed indicate the minimum level necessary to perform this job proficiently.
Education:
* Preferred: Bachelor's Degree.
Certifications, Licenses, Registrations:
* Minimum: Familiarity with HRIS systems, productivity tools, and advanced Excel functions.
* Preferred: Knowledge of California Wage and Hour Laws.
Technical Requirements:
* Minimum: Intermediate Word, Excel, PowerPoint and Outlook skills; 45 wpm keyboarding / typing speed.
Years of Related Work Experience:
* Minimum: 2 Years of experience in Human Resources, with at least 1 of those years in an HRIS role.
Cottage Health is a leading acute care hospital system, located on the central coast of California, widely known for our superior patient care, innovation, medical research and education.
Our health system operates primarily in Santa Barbara, Ca, since 1888, and consists of three acute care hospitals, a Rehabilitation Hospital, multiple clinics and a multi-site Urgent Care system.
Our mission is to serve the central coast communities with excellence, integrity, and compassion.
Every day we touch thousands of lives in many different ways, resolute in our mission to put patients first.
We take pride in helping our patients get back to living their lives - in the places they love.
Cottage Health is an Equal Opportunity Employer.
Cottage Health applicants are considered solely based on their qualifications, without regard to race, color, ethnicity, religion, age, gender, transgender, gender expression and identity, national origin, ancestry, disability, sexual orientation, marital status, military status or any other classification protected by law.
This policy applies to all aspects of the relationship between Cottage Health and an applicant or employee.
Cottage Health is committed to upholding discrimination-free hiring practices.
We strive to cultivate an environment where exceptional people bring diverse perspectives and find belonging, support and connection to their work.
Any Cottage Health applicants who require assistance or reasonable accommodations during the application process may request the need for accommodation with the Recruiter.
If you're already a Cottage Health employee, please apply on this link only.
Full Time, 8 Hours, Day Shifts
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Type: Permanent Location: Goleta, US-CA
Salary / Rate: Not Specified
Posted: 2025-11-01 08:30:45
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JOB PURPOSE
Performs analysis and implements resolution of all accounts for hospital and professional services that have been overpaid by guarantors or have contractual adjustments that require reversal.
Identifies and reports trends and issues with undistributed, over-posted, and credit balances in the self-pay bucket.
Coordinates all external vendor activity relating to resolution of credit balances.
Coordinates processes and procedures relating to credit balance resolution to ensure that all accounts are processed in an efficient and expeditious manner while assuring the integrity of each patient account.
QUALIFICATIONS
All job qualifications listed indicate the minimum level necessary to perform this job proficiently.
LEVEL OF EDUCATION
Minimum:
Preferred: A.A.
or Bachelor's Degree.
CERTIFICATIONS, LICENSES, REGISTRATIONS
Minimum:
Preferred:
TECHNICAL REQUIREMENTS
Minimum: Medical billing experience (hospital or professional).
Intermediate MS Word, Excel and Outlook skills.
Effectively operate a 10 key.
Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals.
Preferred: Epic Experience.
YEARS OF RELATED WORK EXPERIENCE
Minimum: Three (3) years of patient accounting experience within the last five (5) years, preferably in an acute care setting.
Preferred: Five (5) years of patient accounting experience in a large metropolitan medical center, large free standing clinic, or chain of free standing clinics.
Demonstrates effective expertise in acute care billing and collections, third party payment functions and working knowledge of their requirements.
Experience and the ability to effectively use automated billing systems, associated reports, and logging systems.
Experience and the ability to effectively use various payor web based systems, various financial systems and clinical applications.
Current familiarity with insurance claim forms and processing requirements.
Cottage Health is a leading acute care hospital system, located on the central coast of California, widely known for our superior patient care, innovation, medical research and education.
Our health system operates primarily in Santa Barbara, Ca, since 1888, and consists of three acute care hospitals, a Rehabilitation Hospital, multiple clinics and a multi-site Urgent Care system.
Our mission is to serve the central coast communities with excellence, integrity, and compassion.
Every day we touch thousands of lives in many different ways, resolute in our mission to put patients first.
We take pride in helping our patients get back to living their lives - in the places they love.
Cottage Health is an Equal Opportunity Employer.
Cottage Health applicants are considered solely based on their qualifications, without regard to race, color, ethnicity, religion, age, gender, transgender, gender expression and identity, national origin, ancestry, disability, sexual orientation, marital status, military statu...
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Type: Permanent Location: Goleta, US-CA
Salary / Rate: Not Specified
Posted: 2025-11-01 08:30:45
-
Cottage Health seeks a Patient Access & Navigator Trainer for their CH Patient Access department responsible for providing coordinating and delivering training to the centralized scheduling center and patient access teams.
Functions as a consultant and resource for education, role development, orientation/onboarding of new hires, advanced training for established team members, and competency management.
Communicates with leadership to identify training needs and map out development plans for teams and individuals and maintaining a comprehensive training knowledge base.
QUALIFICATIONS:
All job qualifications listed indicate the minimum level necessary to perform this job proficiently.
Education:
* Minimum: Associate's Degree or equivalent education/experience (2 years of applicable experience for each year of education).
* Preferred: Bachelor's Degree.
Certifications, Licenses, Registrations:
* Minimum: Obtain EPIC credential (issued by Cottage Health) in Cadence, Radiant or Referral Management within 1 year from hire date.
* Preferred: Process Improvement Methodology certification, Certified Revenue Cycle Rep (HBI), and Certified Patient Access Rep.
Technical Requirements:
* Minimum: Basic MS Word, Outlook, PowerPoint, and Excel skills, 35 wpm keyboard/typing speed, knowledge of an Electronic Health Record system.
* Preferred: Intermediate MS Office and Epic skills.
Years of Related Work Experience:
* Minimum: 2 years of progressively responsible Patient Access, Scheduling, or Call Center experience.
Preferred: 5 years of Patient Access, Scheduling, or Call Center experience, 3 years of management experience, an adult education experience.
Cottage Health is a leading acute care hospital system, located on the central coast of California, widely known for our superior patient care, innovation, medical research and education.
Our health system operates primarily in Santa Barbara, Ca, since 1888, and consists of three acute care hospitals, a Rehabilitation Hospital, multiple clinics and a multi-site Urgent Care system.
Our mission is to serve the central coast communities with excellence, integrity, and compassion.
Every day we touch thousands of lives in many different ways, resolute in our mission to put patients first.
We take pride in helping our patients get back to living their lives - in the places they love.
Cottage Health is an Equal Opportunity Employer.
Cottage Health applicants are considered solely based on their qualifications, without regard to race, color, ethnicity, religion, age, gender, transgender, gender expression and identity, national origin, ancestry, disability, sexual orientation, marital status, military status or any other classification protected by law.
This policy applies to all aspects of the relationship between Cottage Health and an applicant or employee.
Cottage Health is committed to upholding discrimination-free hiring practices.
We strive to cultivate an environment...
....Read more...
Type: Permanent Location: Santa Barbara, US-CA
Salary / Rate: Not Specified
Posted: 2025-11-01 08:30:44
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Cottage Health is currently seeking a Stroke Coordinator.
This position responsible for coordinating and implementing services and activities related to the Primary and Comprehensive Stroke Center at Santa Barbara Cottage Hospital and provides support for Santa Ynez Valley Cottage Hospital Stroke Ready Certification.
In this capacity will develop a sustainable framework for maintenance and accomplishment of external certification processes, lead initiatives for enhanced clinical and quality programs.
He/she functions as a liaison between the physicians, nursing staff, allied healthcare professionals, patients and their families.
The Stroke Coordinator will work closely with physicians and nursing to ensure evidenced based clinical care pathways are followed, as appropriate.
The Stroke Coordinator will serve as a clinical expert in Stroke care and lead the core Stroke team.
The Stroke Coordinator participates in program development as it relates to the primary and comprehensive stroke center.
This includes, but is not limited to, chair of monthly Interdisciplinary Stroke task teams, staff education, community education, and marketing.
Key accountabilities also include collaboration with the Physician Director, program planning, development and implementation of stroke center initiatives.
He/she will take a leadership role in development and implementation of outcomes evaluation as guided by Joint Commission accreditation standards.
The Stroke Coordinator will work closely with the Quality Data Coordinator.
QUALIFICATIONS
All job qualifications listed indicate the minimum level necessary to perform this job proficiently.
LEVEL OF EDUCATION
* Minimum: Associate's Degree in Nursing
* Preferred: BSN, MSN
CERTIFICATIONS, LICENSES, REGISTRATIONS
* Minimum: CA RN license
* American Heart Association (AHA) Basic Life Support (BLS)
* NIHSS Certification within 1 month of hire
* Preferred: SCRN, CNRN certifications
TECHNICAL REQUIREMENTS
* Minimum: Intermediate proficiency in computer applications e.g.
Excel, Word, Outlook, PPT
* Preferred: Knowledge of process improvement methods/PDSA
YEARS OF RELATED WORK EXPERIENCE
* Minimum: 3 years progressive clinical experience in neurological, neurosurgical, critical care or emergency nursing.
* Preferred: Prior Stroke Coordinator experience, program development, management skills and familiarity with regulatory and accrediting agency standards.
Cottage Health is a leading acute care hospital system, located on the central coast of California, widely known for our superior patient care, innovation, medical research and education.
Our health system operates primarily in Santa Barbara, Ca, since 1888, and consists of three acute care hospitals, a Rehabilitation Hospital, multiple clinics and a multi-site Urgent Care system.
Our mission is to serve the central coast communities with excellence, integrity, and compassion.
Every day we touch thousands of lives i...
....Read more...
Type: Permanent Location: Santa Barbara, US-CA
Salary / Rate: Not Specified
Posted: 2025-11-01 08:30:43
-
Sign On Bonus Eligible
Cottage Medical Group seeks an Advanced Practice Provider Urgent Care for their CCN Cottage Urgent Care-Santa Maria-North Broadway department responsible for providing direct patient care to assigned patients within an urgent care setting.
This is a professional level position working under limited direction yet in coordination with an APP lead.
Typical work scenarios require specialized knowledge, critical thinking, good judgment based upon the principles of biological, physiological, behavioral, and sociological sciences skills, as well as strong customer service skills.
Responsibilities include:
* Internal contacts include medical staff and management throughout the clinic and health system.
* External contacts include patients, physicians, outside medical staff, and community resource services.
QUALIFICATIONS:
All job qualifications listed indicate the minimum level necessary to perform this job proficiently.
Education:
* Minimum:
PHYSICIAN ASSISTANT: Graduate of an accredited Physician Assistant program, as defined by the California Physician Assistant Board.
Master's degree or certificate from a specialized medical training program associated with a medical school that includes classroom students and clinical experience.
NURSE PRACTITIONER: Master of Nursing Degree.
Graduate of an accredited Nurse Practitioner program approved by the California Board of Registered Nursing as defined in Section 1482, Nurse Practice Act, Business and Professional Code.
Certifications, Licenses, Registrations:
* Minimum:
PHYSICIAN ASSISTANT: Valid California license as a Physician Assistant by the Physician Assistant Board; National certification granted after passing the PA National Certifying Exam administered by the National Commission on Certification of Physician Assistants; Valid Drug Enforcement Agency license - DEA Schedule 2-5; American Heart Association (AHA) Basic Life Support (BLS) for Health Care Providers.
NURSE PRACTITIONER: Current State of California Registered Nurse license.
Current California Licensure and Certificate to practice as a Nurse Practitioner issued by the California State Board.
Board Certified as a Family Nurse Practitioner or Emergency Nurse Practitioner.
California Furnishing License - Controlled Substances II Valid Drug Enforcement Agency license - DEA Schedule 2-5 American Heart Association (AHA) Basic Life Support (BLS) for Health Care Providers.
Technical Requirements:
* Minimum: Knowledge of urgent care medical specialty.
Knowledge of medical terminology.
Knowledge of Epic.
Ability to maintain effective and organized systems to ensure timely patient flow.
Years of Related Work Experience:
* Minimum: One (1) year of experience as a Physician Assistant OR a Nurse Practitioner in urgent care, emergency department, primary care or related field.
* Preferred: Two (2) years of experience as a Physician Assistant OR a Nurse Practitioner in urgent care,...
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Type: Permanent Location: Santa Maria, US-CA
Salary / Rate: Not Specified
Posted: 2025-11-01 08:30:42
