Opportunities at WellMed, part of the Optum family of businesses. We believe all patients are entitled to the highest level of medical care. Here, you will join a team who shares your passion for helping people achieve better health. With opportunities for physicians, clinical staff and non-patient-facing roles, you can make a difference with us as you discover the meaning behind Caring. Connecting. Growing together. The Sr. Clinical Coding RN Nurse Consultant will drive consistent, efficient processes and share best practices in a collaborative effort with Providers and Market Team, designed to facilitate achievement of goals set for HCC Ratio, HCC Covered Ratio, and HCC Percent Covered. The Sr. Clinical Coding Nurse Consultant will drive Risk Adjustment improvement initiatives, develop recommendations for Risk Adjustment remediation plans and create tools and databases to capture relevant data for assigned markets to achieve corporate and market specific Risk Adjustment goals and initiatives. This position will work collaboratively with each regional / market team and their leadership in a matrix relationship. This position will provide direction and guidance to Medical Coding Analysts, as well as cross functional team members within their respective Markets pertaining to Risk Adjustment. Primary Responsibilities: Develop and implement market business plans to motivate providers to engage in improving Risk Adjustment metrics Provide analytical interpretation of Risk Adjustment reporting including, Executive Summaries, HCC Ratio, Disagree and Resolution rates, and FaxBack reporting to plan and provider groups Subject Matter Expert (SME) for all Risk Adjustment related activities within their assigned market(s) working within a matrix relationship which includes DataRAP operations and Regional / Market operations Assist in developing of training and analytical materials for Risk Adjustment Oversee DataRAP training and education delivery for Mega Groups via Provider education sessions and Physician Business Meetings / JOCs Lead Weekly, Monthly, Bi-monthly, Quarterly, and/or Annual Business Review meetings related to Risk Adjustment activities which summarize provider group performance and market performance as requested by or required by Market leadership Analyze and evaluate provider group structure and characteristics, provider group/provider office operations and personnel to identify the most effective approaches and strategies related to Risk Adjustment Analyze Provider and Group performance regarding Risk Adjustment and Focus on Care (FOC) to determine areas of focus or improvement opportunities Develop solution-based, user friendly initiatives to support practice success Oversee market specific chart retrieval and review of PCP, Hospital, and Specialist records Work with DataRAP Senior Leadership on identified special projects This is a Hybrid / Field Base position requiring travel in the Houston area You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: Bachelor's Degree in Nursing (Associate Degree or Nursing Diploma from accredited nursing school with 2+ years of additional experience may be substituted in lieu of a bachelor's degree) Current unrestricted Texas RN license or compact license CPC certification or proof that certification has been obtained within 9 months from the American Academy of Professional Coders 5+ years of associated business experience with health care industry 1+ years of ICD-9, ICD10 coding experience Professional experience persuading changes in behavior Solid knowledge of the Medicare market, products and competitors Knowledge base of clinical standards of care and preventative health measures Knowledge of CMS HCC Model and Guidelines along with ICD 10 Guidelines Ability and willingness to travel (locally and non-locally) as determined by business needs Preferred Qualifications: Undergraduate degree Experience in managed care working with network and provider relations Additional Medical chart review experience Medical / clinical background highly desirable MS Office Suite, moderate to advanced Excel and PowerPoint skills Demonstrated ability to interact with medical staff, peers, and internal company staff at all levels Proven a bility to solve process problems crossing multiple functional areas and business units Proven solid presentation skills and relationship building skills with clinical / non-clinical personnel Proven s olid problem-solving skills; the ability to analyze problems, draw relevant conclusions and devise and implement an appropriate plan of action Proven g ood business acumen, especially as it relates to Medicare At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission . Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
03/28/2024
Full time
Opportunities at WellMed, part of the Optum family of businesses. We believe all patients are entitled to the highest level of medical care. Here, you will join a team who shares your passion for helping people achieve better health. With opportunities for physicians, clinical staff and non-patient-facing roles, you can make a difference with us as you discover the meaning behind Caring. Connecting. Growing together. The Sr. Clinical Coding RN Nurse Consultant will drive consistent, efficient processes and share best practices in a collaborative effort with Providers and Market Team, designed to facilitate achievement of goals set for HCC Ratio, HCC Covered Ratio, and HCC Percent Covered. The Sr. Clinical Coding Nurse Consultant will drive Risk Adjustment improvement initiatives, develop recommendations for Risk Adjustment remediation plans and create tools and databases to capture relevant data for assigned markets to achieve corporate and market specific Risk Adjustment goals and initiatives. This position will work collaboratively with each regional / market team and their leadership in a matrix relationship. This position will provide direction and guidance to Medical Coding Analysts, as well as cross functional team members within their respective Markets pertaining to Risk Adjustment. Primary Responsibilities: Develop and implement market business plans to motivate providers to engage in improving Risk Adjustment metrics Provide analytical interpretation of Risk Adjustment reporting including, Executive Summaries, HCC Ratio, Disagree and Resolution rates, and FaxBack reporting to plan and provider groups Subject Matter Expert (SME) for all Risk Adjustment related activities within their assigned market(s) working within a matrix relationship which includes DataRAP operations and Regional / Market operations Assist in developing of training and analytical materials for Risk Adjustment Oversee DataRAP training and education delivery for Mega Groups via Provider education sessions and Physician Business Meetings / JOCs Lead Weekly, Monthly, Bi-monthly, Quarterly, and/or Annual Business Review meetings related to Risk Adjustment activities which summarize provider group performance and market performance as requested by or required by Market leadership Analyze and evaluate provider group structure and characteristics, provider group/provider office operations and personnel to identify the most effective approaches and strategies related to Risk Adjustment Analyze Provider and Group performance regarding Risk Adjustment and Focus on Care (FOC) to determine areas of focus or improvement opportunities Develop solution-based, user friendly initiatives to support practice success Oversee market specific chart retrieval and review of PCP, Hospital, and Specialist records Work with DataRAP Senior Leadership on identified special projects This is a Hybrid / Field Base position requiring travel in the Houston area You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: Bachelor's Degree in Nursing (Associate Degree or Nursing Diploma from accredited nursing school with 2+ years of additional experience may be substituted in lieu of a bachelor's degree) Current unrestricted Texas RN license or compact license CPC certification or proof that certification has been obtained within 9 months from the American Academy of Professional Coders 5+ years of associated business experience with health care industry 1+ years of ICD-9, ICD10 coding experience Professional experience persuading changes in behavior Solid knowledge of the Medicare market, products and competitors Knowledge base of clinical standards of care and preventative health measures Knowledge of CMS HCC Model and Guidelines along with ICD 10 Guidelines Ability and willingness to travel (locally and non-locally) as determined by business needs Preferred Qualifications: Undergraduate degree Experience in managed care working with network and provider relations Additional Medical chart review experience Medical / clinical background highly desirable MS Office Suite, moderate to advanced Excel and PowerPoint skills Demonstrated ability to interact with medical staff, peers, and internal company staff at all levels Proven a bility to solve process problems crossing multiple functional areas and business units Proven solid presentation skills and relationship building skills with clinical / non-clinical personnel Proven s olid problem-solving skills; the ability to analyze problems, draw relevant conclusions and devise and implement an appropriate plan of action Proven g ood business acumen, especially as it relates to Medicare At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission . Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
Opportunities at WellMed, part of the Optum family of businesses. We believe all patients are entitled to the highest level of medical care. Here, you will join a team who shares your passion for helping people achieve better health. With opportunities for physicians, clinical staff and non-patient-facing roles, you can make a difference with us as you discover the meaning behind Caring. Connecting. Growing together. The Sr. Clinical Coding RN Nurse Consultant will drive consistent, efficient processes and share best practices in a collaborative effort with Providers and Market Team, designed to facilitate achievement of goals set for HCC Ratio, HCC Covered Ratio, and HCC Percent Covered. The Sr. Clinical Coding Nurse Consultant will drive Risk Adjustment improvement initiatives, develop recommendations for Risk Adjustment remediation plans and create tools and databases to capture relevant data for assigned markets to achieve corporate and market specific Risk Adjustment goals and initiatives. This position will work collaboratively with each regional / market team and their leadership in a matrix relationship. This position will provide direction and guidance to Medical Coding Analysts, as well as cross functional team members within their respective Markets pertaining to Risk Adjustment. Primary Responsibilities: Develop and implement market business plans to motivate providers to engage in improving Risk Adjustment metrics Provide analytical interpretation of Risk Adjustment reporting including, Executive Summaries, HCC Ratio, Disagree and Resolution rates, and FaxBack reporting to plan and provider groups Subject Matter Expert (SME) for all Risk Adjustment related activities within their assigned market(s) working within a matrix relationship which includes DataRAP operations and Regional / Market operations Assist in developing of training and analytical materials for Risk Adjustment Oversee DataRAP training and education delivery for Mega Groups via Provider education sessions and Physician Business Meetings / JOCs Lead Weekly, Monthly, Bi-monthly, Quarterly, and/or Annual Business Review meetings related to Risk Adjustment activities which summarize provider group performance and market performance as requested by or required by Market leadership Analyze and evaluate provider group structure and characteristics, provider group/provider office operations and personnel to identify the most effective approaches and strategies related to Risk Adjustment Analyze Provider and Group performance regarding Risk Adjustment and Focus on Care (FOC) to determine areas of focus or improvement opportunities Develop solution-based, user friendly initiatives to support practice success Oversee market specific chart retrieval and review of PCP, Hospital, and Specialist records Work with DataRAP Senior Leadership on identified special projects This is a Hybrid / Field Base position requiring travel in the Houston area You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: Bachelor's Degree in Nursing (Associate Degree or Nursing Diploma from accredited nursing school with 2+ years of additional experience may be substituted in lieu of a bachelor's degree) Current unrestricted Texas RN license or compact license CPC certification or proof that certification has been obtained within 9 months from the American Academy of Professional Coders 5+ years of associated business experience with health care industry 1+ years of ICD-9, ICD10 coding experience Professional experience persuading changes in behavior Solid knowledge of the Medicare market, products and competitors Knowledge base of clinical standards of care and preventative health measures Knowledge of CMS HCC Model and Guidelines along with ICD 10 Guidelines Ability and willingness to travel (locally and non-locally) as determined by business needs Preferred Qualifications: Undergraduate degree Experience in managed care working with network and provider relations Additional Medical chart review experience Medical / clinical background highly desirable MS Office Suite, moderate to advanced Excel and PowerPoint skills Demonstrated ability to interact with medical staff, peers, and internal company staff at all levels Proven a bility to solve process problems crossing multiple functional areas and business units Proven solid presentation skills and relationship building skills with clinical / non-clinical personnel Proven s olid problem-solving skills; the ability to analyze problems, draw relevant conclusions and devise and implement an appropriate plan of action Proven g ood business acumen, especially as it relates to Medicare At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission . Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
03/28/2024
Full time
Opportunities at WellMed, part of the Optum family of businesses. We believe all patients are entitled to the highest level of medical care. Here, you will join a team who shares your passion for helping people achieve better health. With opportunities for physicians, clinical staff and non-patient-facing roles, you can make a difference with us as you discover the meaning behind Caring. Connecting. Growing together. The Sr. Clinical Coding RN Nurse Consultant will drive consistent, efficient processes and share best practices in a collaborative effort with Providers and Market Team, designed to facilitate achievement of goals set for HCC Ratio, HCC Covered Ratio, and HCC Percent Covered. The Sr. Clinical Coding Nurse Consultant will drive Risk Adjustment improvement initiatives, develop recommendations for Risk Adjustment remediation plans and create tools and databases to capture relevant data for assigned markets to achieve corporate and market specific Risk Adjustment goals and initiatives. This position will work collaboratively with each regional / market team and their leadership in a matrix relationship. This position will provide direction and guidance to Medical Coding Analysts, as well as cross functional team members within their respective Markets pertaining to Risk Adjustment. Primary Responsibilities: Develop and implement market business plans to motivate providers to engage in improving Risk Adjustment metrics Provide analytical interpretation of Risk Adjustment reporting including, Executive Summaries, HCC Ratio, Disagree and Resolution rates, and FaxBack reporting to plan and provider groups Subject Matter Expert (SME) for all Risk Adjustment related activities within their assigned market(s) working within a matrix relationship which includes DataRAP operations and Regional / Market operations Assist in developing of training and analytical materials for Risk Adjustment Oversee DataRAP training and education delivery for Mega Groups via Provider education sessions and Physician Business Meetings / JOCs Lead Weekly, Monthly, Bi-monthly, Quarterly, and/or Annual Business Review meetings related to Risk Adjustment activities which summarize provider group performance and market performance as requested by or required by Market leadership Analyze and evaluate provider group structure and characteristics, provider group/provider office operations and personnel to identify the most effective approaches and strategies related to Risk Adjustment Analyze Provider and Group performance regarding Risk Adjustment and Focus on Care (FOC) to determine areas of focus or improvement opportunities Develop solution-based, user friendly initiatives to support practice success Oversee market specific chart retrieval and review of PCP, Hospital, and Specialist records Work with DataRAP Senior Leadership on identified special projects This is a Hybrid / Field Base position requiring travel in the Houston area You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: Bachelor's Degree in Nursing (Associate Degree or Nursing Diploma from accredited nursing school with 2+ years of additional experience may be substituted in lieu of a bachelor's degree) Current unrestricted Texas RN license or compact license CPC certification or proof that certification has been obtained within 9 months from the American Academy of Professional Coders 5+ years of associated business experience with health care industry 1+ years of ICD-9, ICD10 coding experience Professional experience persuading changes in behavior Solid knowledge of the Medicare market, products and competitors Knowledge base of clinical standards of care and preventative health measures Knowledge of CMS HCC Model and Guidelines along with ICD 10 Guidelines Ability and willingness to travel (locally and non-locally) as determined by business needs Preferred Qualifications: Undergraduate degree Experience in managed care working with network and provider relations Additional Medical chart review experience Medical / clinical background highly desirable MS Office Suite, moderate to advanced Excel and PowerPoint skills Demonstrated ability to interact with medical staff, peers, and internal company staff at all levels Proven a bility to solve process problems crossing multiple functional areas and business units Proven solid presentation skills and relationship building skills with clinical / non-clinical personnel Proven s olid problem-solving skills; the ability to analyze problems, draw relevant conclusions and devise and implement an appropriate plan of action Proven g ood business acumen, especially as it relates to Medicare At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission . Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
Opportunities at WellMed, part of the Optum family of businesses. We believe all patients are entitled to the highest level of medical care. Here, you will join a team who shares your passion for helping people achieve better health. With opportunities for physicians, clinical staff and non-patient-facing roles, you can make a difference with us as you discover the meaning behind Caring. Connecting. Growing together. The Sr. Clinical Coding RN Nurse Consultant will drive consistent, efficient processes and share best practices in a collaborative effort with Providers and Market Team, designed to facilitate achievement of goals set for HCC Ratio, HCC Covered Ratio, and HCC Percent Covered. The Sr. Clinical Coding Nurse Consultant will drive Risk Adjustment improvement initiatives, develop recommendations for Risk Adjustment remediation plans and create tools and databases to capture relevant data for assigned markets to achieve corporate and market specific Risk Adjustment goals and initiatives. This position will work collaboratively with each regional / market team and their leadership in a matrix relationship. This position will provide direction and guidance to Medical Coding Analysts, as well as cross functional team members within their respective Markets pertaining to Risk Adjustment. Primary Responsibilities: Develop and implement market business plans to motivate providers to engage in improving Risk Adjustment metrics Provide analytical interpretation of Risk Adjustment reporting including, Executive Summaries, HCC Ratio, Disagree and Resolution rates, and FaxBack reporting to plan and provider groups Subject Matter Expert (SME) for all Risk Adjustment related activities within their assigned market(s) working within a matrix relationship which includes DataRAP operations and Regional / Market operations Assist in developing of training and analytical materials for Risk Adjustment Oversee DataRAP training and education delivery for Mega Groups via Provider education sessions and Physician Business Meetings / JOCs Lead Weekly, Monthly, Bi-monthly, Quarterly, and/or Annual Business Review meetings related to Risk Adjustment activities which summarize provider group performance and market performance as requested by or required by Market leadership Analyze and evaluate provider group structure and characteristics, provider group/provider office operations and personnel to identify the most effective approaches and strategies related to Risk Adjustment Analyze Provider and Group performance regarding Risk Adjustment and Focus on Care (FOC) to determine areas of focus or improvement opportunities Develop solution-based, user friendly initiatives to support practice success Oversee market specific chart retrieval and review of PCP, Hospital, and Specialist records Work with DataRAP Senior Leadership on identified special projects This is a Hybrid / Field Base position requiring travel in the Houston area You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: Bachelor's Degree in Nursing (Associate Degree or Nursing Diploma from accredited nursing school with 2+ years of additional experience may be substituted in lieu of a bachelor's degree) Current unrestricted Texas RN license or compact license CPC certification or proof that certification has been obtained within 9 months from the American Academy of Professional Coders 5+ years of associated business experience with health care industry 1+ years of ICD-9, ICD10 coding experience Professional experience persuading changes in behavior Solid knowledge of the Medicare market, products and competitors Knowledge base of clinical standards of care and preventative health measures Knowledge of CMS HCC Model and Guidelines along with ICD 10 Guidelines Ability and willingness to travel (locally and non-locally) as determined by business needs Preferred Qualifications: Undergraduate degree Experience in managed care working with network and provider relations Additional Medical chart review experience Medical / clinical background highly desirable MS Office Suite, moderate to advanced Excel and PowerPoint skills Demonstrated ability to interact with medical staff, peers, and internal company staff at all levels Proven a bility to solve process problems crossing multiple functional areas and business units Proven solid presentation skills and relationship building skills with clinical / non-clinical personnel Proven s olid problem-solving skills; the ability to analyze problems, draw relevant conclusions and devise and implement an appropriate plan of action Proven g ood business acumen, especially as it relates to Medicare At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission . Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
03/28/2024
Full time
Opportunities at WellMed, part of the Optum family of businesses. We believe all patients are entitled to the highest level of medical care. Here, you will join a team who shares your passion for helping people achieve better health. With opportunities for physicians, clinical staff and non-patient-facing roles, you can make a difference with us as you discover the meaning behind Caring. Connecting. Growing together. The Sr. Clinical Coding RN Nurse Consultant will drive consistent, efficient processes and share best practices in a collaborative effort with Providers and Market Team, designed to facilitate achievement of goals set for HCC Ratio, HCC Covered Ratio, and HCC Percent Covered. The Sr. Clinical Coding Nurse Consultant will drive Risk Adjustment improvement initiatives, develop recommendations for Risk Adjustment remediation plans and create tools and databases to capture relevant data for assigned markets to achieve corporate and market specific Risk Adjustment goals and initiatives. This position will work collaboratively with each regional / market team and their leadership in a matrix relationship. This position will provide direction and guidance to Medical Coding Analysts, as well as cross functional team members within their respective Markets pertaining to Risk Adjustment. Primary Responsibilities: Develop and implement market business plans to motivate providers to engage in improving Risk Adjustment metrics Provide analytical interpretation of Risk Adjustment reporting including, Executive Summaries, HCC Ratio, Disagree and Resolution rates, and FaxBack reporting to plan and provider groups Subject Matter Expert (SME) for all Risk Adjustment related activities within their assigned market(s) working within a matrix relationship which includes DataRAP operations and Regional / Market operations Assist in developing of training and analytical materials for Risk Adjustment Oversee DataRAP training and education delivery for Mega Groups via Provider education sessions and Physician Business Meetings / JOCs Lead Weekly, Monthly, Bi-monthly, Quarterly, and/or Annual Business Review meetings related to Risk Adjustment activities which summarize provider group performance and market performance as requested by or required by Market leadership Analyze and evaluate provider group structure and characteristics, provider group/provider office operations and personnel to identify the most effective approaches and strategies related to Risk Adjustment Analyze Provider and Group performance regarding Risk Adjustment and Focus on Care (FOC) to determine areas of focus or improvement opportunities Develop solution-based, user friendly initiatives to support practice success Oversee market specific chart retrieval and review of PCP, Hospital, and Specialist records Work with DataRAP Senior Leadership on identified special projects This is a Hybrid / Field Base position requiring travel in the Houston area You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: Bachelor's Degree in Nursing (Associate Degree or Nursing Diploma from accredited nursing school with 2+ years of additional experience may be substituted in lieu of a bachelor's degree) Current unrestricted Texas RN license or compact license CPC certification or proof that certification has been obtained within 9 months from the American Academy of Professional Coders 5+ years of associated business experience with health care industry 1+ years of ICD-9, ICD10 coding experience Professional experience persuading changes in behavior Solid knowledge of the Medicare market, products and competitors Knowledge base of clinical standards of care and preventative health measures Knowledge of CMS HCC Model and Guidelines along with ICD 10 Guidelines Ability and willingness to travel (locally and non-locally) as determined by business needs Preferred Qualifications: Undergraduate degree Experience in managed care working with network and provider relations Additional Medical chart review experience Medical / clinical background highly desirable MS Office Suite, moderate to advanced Excel and PowerPoint skills Demonstrated ability to interact with medical staff, peers, and internal company staff at all levels Proven a bility to solve process problems crossing multiple functional areas and business units Proven solid presentation skills and relationship building skills with clinical / non-clinical personnel Proven s olid problem-solving skills; the ability to analyze problems, draw relevant conclusions and devise and implement an appropriate plan of action Proven g ood business acumen, especially as it relates to Medicare At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission . Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
Opportunities at WellMed, part of the Optum family of businesses. We believe all patients are entitled to the highest level of medical care. Here, you will join a team who shares your passion for helping people achieve better health. With opportunities for physicians, clinical staff and non-patient-facing roles, you can make a difference with us as you discover the meaning behind Caring. Connecting. Growing together. The Sr. Clinical Coding RN Nurse Consultant will drive consistent, efficient processes and share best practices in a collaborative effort with Providers and Market Team, designed to facilitate achievement of goals set for HCC Ratio, HCC Covered Ratio, and HCC Percent Covered. The Sr. Clinical Coding Nurse Consultant will drive Risk Adjustment improvement initiatives, develop recommendations for Risk Adjustment remediation plans and create tools and databases to capture relevant data for assigned markets to achieve corporate and market specific Risk Adjustment goals and initiatives. This position will work collaboratively with each regional / market team and their leadership in a matrix relationship. This position will provide direction and guidance to Medical Coding Analysts, as well as cross functional team members within their respective Markets pertaining to Risk Adjustment. Primary Responsibilities: Develop and implement market business plans to motivate providers to engage in improving Risk Adjustment metrics Provide analytical interpretation of Risk Adjustment reporting including, Executive Summaries, HCC Ratio, Disagree and Resolution rates, and FaxBack reporting to plan and provider groups Subject Matter Expert (SME) for all Risk Adjustment related activities within their assigned market(s) working within a matrix relationship which includes DataRAP operations and Regional / Market operations Assist in developing of training and analytical materials for Risk Adjustment Oversee DataRAP training and education delivery for Mega Groups via Provider education sessions and Physician Business Meetings / JOCs Lead Weekly, Monthly, Bi-monthly, Quarterly, and/or Annual Business Review meetings related to Risk Adjustment activities which summarize provider group performance and market performance as requested by or required by Market leadership Analyze and evaluate provider group structure and characteristics, provider group/provider office operations and personnel to identify the most effective approaches and strategies related to Risk Adjustment Analyze Provider and Group performance regarding Risk Adjustment and Focus on Care (FOC) to determine areas of focus or improvement opportunities Develop solution-based, user friendly initiatives to support practice success Oversee market specific chart retrieval and review of PCP, Hospital, and Specialist records Work with DataRAP Senior Leadership on identified special projects This is a Hybrid / Field Base position requiring travel in the Houston area You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: Bachelor's Degree in Nursing (Associate Degree or Nursing Diploma from accredited nursing school with 2+ years of additional experience may be substituted in lieu of a bachelor's degree) Current unrestricted Texas RN license or compact license CPC certification or proof that certification has been obtained within 9 months from the American Academy of Professional Coders 5+ years of associated business experience with health care industry 1+ years of ICD-9, ICD10 coding experience Professional experience persuading changes in behavior Solid knowledge of the Medicare market, products and competitors Knowledge base of clinical standards of care and preventative health measures Knowledge of CMS HCC Model and Guidelines along with ICD 10 Guidelines Ability and willingness to travel (locally and non-locally) as determined by business needs Preferred Qualifications: Undergraduate degree Experience in managed care working with network and provider relations Additional Medical chart review experience Medical / clinical background highly desirable MS Office Suite, moderate to advanced Excel and PowerPoint skills Demonstrated ability to interact with medical staff, peers, and internal company staff at all levels Proven a bility to solve process problems crossing multiple functional areas and business units Proven solid presentation skills and relationship building skills with clinical / non-clinical personnel Proven s olid problem-solving skills; the ability to analyze problems, draw relevant conclusions and devise and implement an appropriate plan of action Proven g ood business acumen, especially as it relates to Medicare At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission . Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
03/28/2024
Full time
Opportunities at WellMed, part of the Optum family of businesses. We believe all patients are entitled to the highest level of medical care. Here, you will join a team who shares your passion for helping people achieve better health. With opportunities for physicians, clinical staff and non-patient-facing roles, you can make a difference with us as you discover the meaning behind Caring. Connecting. Growing together. The Sr. Clinical Coding RN Nurse Consultant will drive consistent, efficient processes and share best practices in a collaborative effort with Providers and Market Team, designed to facilitate achievement of goals set for HCC Ratio, HCC Covered Ratio, and HCC Percent Covered. The Sr. Clinical Coding Nurse Consultant will drive Risk Adjustment improvement initiatives, develop recommendations for Risk Adjustment remediation plans and create tools and databases to capture relevant data for assigned markets to achieve corporate and market specific Risk Adjustment goals and initiatives. This position will work collaboratively with each regional / market team and their leadership in a matrix relationship. This position will provide direction and guidance to Medical Coding Analysts, as well as cross functional team members within their respective Markets pertaining to Risk Adjustment. Primary Responsibilities: Develop and implement market business plans to motivate providers to engage in improving Risk Adjustment metrics Provide analytical interpretation of Risk Adjustment reporting including, Executive Summaries, HCC Ratio, Disagree and Resolution rates, and FaxBack reporting to plan and provider groups Subject Matter Expert (SME) for all Risk Adjustment related activities within their assigned market(s) working within a matrix relationship which includes DataRAP operations and Regional / Market operations Assist in developing of training and analytical materials for Risk Adjustment Oversee DataRAP training and education delivery for Mega Groups via Provider education sessions and Physician Business Meetings / JOCs Lead Weekly, Monthly, Bi-monthly, Quarterly, and/or Annual Business Review meetings related to Risk Adjustment activities which summarize provider group performance and market performance as requested by or required by Market leadership Analyze and evaluate provider group structure and characteristics, provider group/provider office operations and personnel to identify the most effective approaches and strategies related to Risk Adjustment Analyze Provider and Group performance regarding Risk Adjustment and Focus on Care (FOC) to determine areas of focus or improvement opportunities Develop solution-based, user friendly initiatives to support practice success Oversee market specific chart retrieval and review of PCP, Hospital, and Specialist records Work with DataRAP Senior Leadership on identified special projects This is a Hybrid / Field Base position requiring travel in the Houston area You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: Bachelor's Degree in Nursing (Associate Degree or Nursing Diploma from accredited nursing school with 2+ years of additional experience may be substituted in lieu of a bachelor's degree) Current unrestricted Texas RN license or compact license CPC certification or proof that certification has been obtained within 9 months from the American Academy of Professional Coders 5+ years of associated business experience with health care industry 1+ years of ICD-9, ICD10 coding experience Professional experience persuading changes in behavior Solid knowledge of the Medicare market, products and competitors Knowledge base of clinical standards of care and preventative health measures Knowledge of CMS HCC Model and Guidelines along with ICD 10 Guidelines Ability and willingness to travel (locally and non-locally) as determined by business needs Preferred Qualifications: Undergraduate degree Experience in managed care working with network and provider relations Additional Medical chart review experience Medical / clinical background highly desirable MS Office Suite, moderate to advanced Excel and PowerPoint skills Demonstrated ability to interact with medical staff, peers, and internal company staff at all levels Proven a bility to solve process problems crossing multiple functional areas and business units Proven solid presentation skills and relationship building skills with clinical / non-clinical personnel Proven s olid problem-solving skills; the ability to analyze problems, draw relevant conclusions and devise and implement an appropriate plan of action Proven g ood business acumen, especially as it relates to Medicare At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission . Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
Primary City/State: Sun City, Arizona Department Name: Lab-Boswell Work Shift: Night Job Category: Lab $5K SIGN ON BONUS (external candidates only) Find your Voice, Passion, & Purpose POSITION SUMMARY This position is responsible for a high level of technical knowledge and application of that knowledge to department testing, clinical relevance, and complex problem solving skills. This position serves as a department resource, and is responsible for assisting with department compliance with all pertinent laboratory accrediting agency and regulatory requirements (e.g., CLIA '88, JCAHO, CAP, OSHA). CORE FUNCTIONS 1. Performs all duties of MLS/MT duties as defined by the department, at a high level of competency. Responsible for operational leadership and workflow oversight to the section/shift. Integrates comprehensive technical knowledge and clinical relevance into daily activity for the department. Responsible for complex problem solving of technical, computer, interdepartmental and quality issues. Under the direction of the Supervisor and/or Technical Director, responsible for implementation of system technical initiatives in their area of responsibility. Provides onsite supervision (determines schedules, manage day to day work flow and give input into an assessment or disciplinary action) in the absence of section supervisor. 2. Focuses on quality by reviewing records and assuring performance of all quality control and assurance procedures. Ensures that quality control and instrumentation maintenance records are kept and documentation meets standards of accrediting and licensing agencies. Assists the Supervisor, Administrative and Technical Directors, and Technical Specialist, in the implementation of new QC/QA polices and continuous quality improvement programs in accordance with the Quality System. Active in department and LSA/SQL System quality assurance activities. Monitors and ensures compliance with accrediting agency and regulatory requirements for the laboratory. Actively participates in preparation for on-site accrediting process. 3. Monitors, recognizes opportunities for improvement, and participates in improving the financial performance of the department and the LSA/SQL System to decrease costs, increase productivity, and improve service. Monitors inventory and brings related issues forward for prompt resolution. Assists with cost analysis models. 4. Assists with basic personnel oversight including participation in selection, training, developing, and providing coaching under the direction of the Supervisor or appropriate Director. Assists in new employee orientation, training and competency. Provides input for competency and annual assessments for employees in appropriate time frames. Actively involved in implementing and ensuring staff completion of competency program requirements. Self-directed and motivated to seek out opportunities to contribute to projects to help the department. Coordinates and is active in at least two special projects per year within the department or LSA/SQL System, along with other miscellaneous department duties. 5. Serves as a resource communication liaison for on-site and System issues. Provides access to other System resources when appropriate. Works closely with on-site management to integrate the area into other activities on-site. Interacts with co-workers with an emphasis on teamwork and a focus on customer service. Demonstrates preceptor and coaching skills and promotes a constructive environment that encourages learning and development. Demonstrates appropriate verbal and written skills. MINIMUM QUALIFICATIONS • Bachelor's Degree in a chemical, physical, biological or clinical laboratory science or medical technology. • Two (2) years' experience in nonwaived testing in the designated specialty/sub-specialty area. PREFERRED QUALIFICATIONS • Bachelor's Degree in Medical Laboratory Science. • MLS or Specialty Certification. EOE/Female/Minority/Disability/Veterans Our organization supports a drug-free work environment. Privacy Policy
03/28/2024
Full time
Primary City/State: Sun City, Arizona Department Name: Lab-Boswell Work Shift: Night Job Category: Lab $5K SIGN ON BONUS (external candidates only) Find your Voice, Passion, & Purpose POSITION SUMMARY This position is responsible for a high level of technical knowledge and application of that knowledge to department testing, clinical relevance, and complex problem solving skills. This position serves as a department resource, and is responsible for assisting with department compliance with all pertinent laboratory accrediting agency and regulatory requirements (e.g., CLIA '88, JCAHO, CAP, OSHA). CORE FUNCTIONS 1. Performs all duties of MLS/MT duties as defined by the department, at a high level of competency. Responsible for operational leadership and workflow oversight to the section/shift. Integrates comprehensive technical knowledge and clinical relevance into daily activity for the department. Responsible for complex problem solving of technical, computer, interdepartmental and quality issues. Under the direction of the Supervisor and/or Technical Director, responsible for implementation of system technical initiatives in their area of responsibility. Provides onsite supervision (determines schedules, manage day to day work flow and give input into an assessment or disciplinary action) in the absence of section supervisor. 2. Focuses on quality by reviewing records and assuring performance of all quality control and assurance procedures. Ensures that quality control and instrumentation maintenance records are kept and documentation meets standards of accrediting and licensing agencies. Assists the Supervisor, Administrative and Technical Directors, and Technical Specialist, in the implementation of new QC/QA polices and continuous quality improvement programs in accordance with the Quality System. Active in department and LSA/SQL System quality assurance activities. Monitors and ensures compliance with accrediting agency and regulatory requirements for the laboratory. Actively participates in preparation for on-site accrediting process. 3. Monitors, recognizes opportunities for improvement, and participates in improving the financial performance of the department and the LSA/SQL System to decrease costs, increase productivity, and improve service. Monitors inventory and brings related issues forward for prompt resolution. Assists with cost analysis models. 4. Assists with basic personnel oversight including participation in selection, training, developing, and providing coaching under the direction of the Supervisor or appropriate Director. Assists in new employee orientation, training and competency. Provides input for competency and annual assessments for employees in appropriate time frames. Actively involved in implementing and ensuring staff completion of competency program requirements. Self-directed and motivated to seek out opportunities to contribute to projects to help the department. Coordinates and is active in at least two special projects per year within the department or LSA/SQL System, along with other miscellaneous department duties. 5. Serves as a resource communication liaison for on-site and System issues. Provides access to other System resources when appropriate. Works closely with on-site management to integrate the area into other activities on-site. Interacts with co-workers with an emphasis on teamwork and a focus on customer service. Demonstrates preceptor and coaching skills and promotes a constructive environment that encourages learning and development. Demonstrates appropriate verbal and written skills. MINIMUM QUALIFICATIONS • Bachelor's Degree in a chemical, physical, biological or clinical laboratory science or medical technology. • Two (2) years' experience in nonwaived testing in the designated specialty/sub-specialty area. PREFERRED QUALIFICATIONS • Bachelor's Degree in Medical Laboratory Science. • MLS or Specialty Certification. EOE/Female/Minority/Disability/Veterans Our organization supports a drug-free work environment. Privacy Policy
Primary City/State: Phoenix, Arizona Department Name: Microbiology-BUMCP Work Shift: Night Job Category: Lab POSITION SUMMARY This position performs waived and non-waived tests as defined by CLIA '88 in an accurate and timely manner with supervision. Assists with department compliance with all pertinent laboratory accrediting agencies and regulatory requirements (e.g., CLIA '88, JCAHO, CAP, OSHA). Personnel report to department supervisor. CORE FUNCTIONS 1. Performs testing in an accurate and timely manner according to established policies and performance standards with a knowledge level determined for that testing. Responsible for startup, calibration and accuracy of procedures and instrumentation. Exercises independent judgment and can identify appropriate resources in performance of assigned duties utilizing knowledge and skills. Demonstrates comprehension of theory and clinical relevance of testing. Demonstrates problem resolution and decision making skills for routine operational and technical problems. Demonstrates knowledge of computer systems used in the department and can perform basic troubleshooting of computer problems. Demonstrates awareness and complies with accrediting agency and regulatory requirements related to area of responsibility. 2. Recognizes and ensures validity of abnormal patient and/or QC results for testing. Ensures accuracy of test results. Participates in detecting and documenting occurrences that deviate from defined procedures. Demonstrates appropriate resolution and follow through for problem solving identified during testing. Promotes and consistently meets department standards for productivity and quality. 3. Ensures the appropriate use of supplies and materials and assists with inventory management. Ensures efficient utilization of reagents and supplies. Recognizes and provides input towards opportunities for improvements in financial performance to decrease costs, improve productivity, and improve service. 4. Self-directed and motivated to contribute to projects identified by the supervisor, with the completion of a minimum of one project per year. Seeks out opportunities to identify projects relating to department needs. Active in training and competency of laboratory personnel. Performs well in supervisor's absence and provides guidance on issues relating to pre-analytical, waived and non-waived testing. Completes training module for newly hired/transferred personnel. 5. Communicates courteously, professionally, effectively and accurately with internal and external customers. Participates in the resolution of communication issues. Knows and utilizes appropriate resources for increased levels of problem solving. Demonstrates good verbal and written communication skills. Promotes positive communications that enhances teamwork. Attendance and participation at staff meetings. SUPERVISORY RESPONSIBILITIES None DIRECTLY REPORTING None MATRIX OR INDIRECT REPORTING Clinical Laboratory Assistants (CLAs), Phlebotomist TYPE OF SUPERVISORY RESPONSIBILITIES N/A SCOPE AND COMPLEXITY Primarily departmental responsibility, Involved in interdepartmental communication and activities. Internal Customer - Employees of the system. External Customer - Nurses, physicians, office personnel, and vendors. PHYSICAL DEMANDS/ENVIRONMENT FACTORS Able to stand, walk, bend, squat, reach, and stretch frequently. Use material handling equipment to push/and or pull up to 75 pounds and required to lift, push and/or pull up to 25 pounds. Requires manual dexterity. Must use standard precautions due to threat of exposure to blood and body fluids, chemical, electrical and biological hazards. Ability to distinguish colors and to take direction and assimilate instructions quickly. Requires use of personal computer, printers, copiers, telephone, fax and department specific equipment. MINIMUM QUALIFICATIONS Associate's Degree in medical laboratory science, OR Bachelor's Degree in chemical, physical or biological science, OR Have successfully completed military training of 50 or more weeks and served as a medical laboratory specialist. Military must be a high school graduate or equivalent. Basic Computer skills. Students may be hired at the job title equivalent to their future certification under the following conditions: Student is enrolled in a clinically recognized program (MLT), student's clinical rotation in the core area must be completed prior to working in that core area and student must complete the MLT program within one year of hire. PREFERRED QUALIFICATIONS MLT certification (ASCP, AMT, HEW, AAB) Additional related education and/or experience DATE APPROVED 11/05/2019 EOE/Female/Minority/Disability/Veterans Our organization supports a drug-free work environment. Privacy Policy
03/28/2024
Full time
Primary City/State: Phoenix, Arizona Department Name: Microbiology-BUMCP Work Shift: Night Job Category: Lab POSITION SUMMARY This position performs waived and non-waived tests as defined by CLIA '88 in an accurate and timely manner with supervision. Assists with department compliance with all pertinent laboratory accrediting agencies and regulatory requirements (e.g., CLIA '88, JCAHO, CAP, OSHA). Personnel report to department supervisor. CORE FUNCTIONS 1. Performs testing in an accurate and timely manner according to established policies and performance standards with a knowledge level determined for that testing. Responsible for startup, calibration and accuracy of procedures and instrumentation. Exercises independent judgment and can identify appropriate resources in performance of assigned duties utilizing knowledge and skills. Demonstrates comprehension of theory and clinical relevance of testing. Demonstrates problem resolution and decision making skills for routine operational and technical problems. Demonstrates knowledge of computer systems used in the department and can perform basic troubleshooting of computer problems. Demonstrates awareness and complies with accrediting agency and regulatory requirements related to area of responsibility. 2. Recognizes and ensures validity of abnormal patient and/or QC results for testing. Ensures accuracy of test results. Participates in detecting and documenting occurrences that deviate from defined procedures. Demonstrates appropriate resolution and follow through for problem solving identified during testing. Promotes and consistently meets department standards for productivity and quality. 3. Ensures the appropriate use of supplies and materials and assists with inventory management. Ensures efficient utilization of reagents and supplies. Recognizes and provides input towards opportunities for improvements in financial performance to decrease costs, improve productivity, and improve service. 4. Self-directed and motivated to contribute to projects identified by the supervisor, with the completion of a minimum of one project per year. Seeks out opportunities to identify projects relating to department needs. Active in training and competency of laboratory personnel. Performs well in supervisor's absence and provides guidance on issues relating to pre-analytical, waived and non-waived testing. Completes training module for newly hired/transferred personnel. 5. Communicates courteously, professionally, effectively and accurately with internal and external customers. Participates in the resolution of communication issues. Knows and utilizes appropriate resources for increased levels of problem solving. Demonstrates good verbal and written communication skills. Promotes positive communications that enhances teamwork. Attendance and participation at staff meetings. SUPERVISORY RESPONSIBILITIES None DIRECTLY REPORTING None MATRIX OR INDIRECT REPORTING Clinical Laboratory Assistants (CLAs), Phlebotomist TYPE OF SUPERVISORY RESPONSIBILITIES N/A SCOPE AND COMPLEXITY Primarily departmental responsibility, Involved in interdepartmental communication and activities. Internal Customer - Employees of the system. External Customer - Nurses, physicians, office personnel, and vendors. PHYSICAL DEMANDS/ENVIRONMENT FACTORS Able to stand, walk, bend, squat, reach, and stretch frequently. Use material handling equipment to push/and or pull up to 75 pounds and required to lift, push and/or pull up to 25 pounds. Requires manual dexterity. Must use standard precautions due to threat of exposure to blood and body fluids, chemical, electrical and biological hazards. Ability to distinguish colors and to take direction and assimilate instructions quickly. Requires use of personal computer, printers, copiers, telephone, fax and department specific equipment. MINIMUM QUALIFICATIONS Associate's Degree in medical laboratory science, OR Bachelor's Degree in chemical, physical or biological science, OR Have successfully completed military training of 50 or more weeks and served as a medical laboratory specialist. Military must be a high school graduate or equivalent. Basic Computer skills. Students may be hired at the job title equivalent to their future certification under the following conditions: Student is enrolled in a clinically recognized program (MLT), student's clinical rotation in the core area must be completed prior to working in that core area and student must complete the MLT program within one year of hire. PREFERRED QUALIFICATIONS MLT certification (ASCP, AMT, HEW, AAB) Additional related education and/or experience DATE APPROVED 11/05/2019 EOE/Female/Minority/Disability/Veterans Our organization supports a drug-free work environment. Privacy Policy
Northeast Georgia Health System, Inc
Oakwood, Georgia
Job Category: Supply Chain Work Shift/Schedule: 8 Hr Morning - Afternoon Northeast Georgia Health System is rooted in a foundation of improving the health of our communities. About the Role: Job Summary Responsible for a wide range of activities including planning, coordinating, executing, evaluating projects related to the Value Analysis Program. Provides project leadership for varying sized projects; building strong cross-functional relationships to ensure that all stakeholders are appropriately engaged. With a primary focus on continuous improvement, this role will demonstrate knowledge and proficiency in the use of methodologies and tools for project value analysis along with communication and presentation skills. Works closely with internal Supply Chain teams as well as external stakeholders to ensure goals of the project are met, including tracking the full life cycle of the project. This position is tasked with monitoring and tracking of any savings realized from the projects. Minimum Job Qualifications Licensure or other certifications: Preferred - Certified Project Management Professional and/or Lean Six Sigma Certification Educational Requirements: Bachelors Degree Minimum Experience: The minimum qualifications listed below (along with education/experience) are representative of the knowledge, skills and abilities needed to perform this job successfully. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential duties and responsibilities of this position. Bachelor's degree in business administration, purchasing or supply chain OR At least five (5) years work experience in value analysis OR hospital supply chain OR contract negotiation with emphasis on one or all of the following commodity groups: medical/surgical supplies and equipment, clinical and research lab supplies, computer systems and peripherals, furniture and fixtures. Other: Preferred Job Qualifications Preferred Licensure or other certifications: Preferred Educational Requirements: Preferred Experience: Other: Excel and PowerPoint skills. Job Specific and Unique Knowledge, Skills and Abilities Strong project management, and performance improvement skills Superior oral and written communication and presentation skills; ability to interact with individuals across all departments. Expert level knowledge/skill with Microsoft Suite Products and must be proficient in the use of project/program management principles, methodologies, and tools along with industry-leading processes improvement standards Ability to lead projects, provide expert consultative guidance and direction on change initiatives, effectively dedicate time across more than one project, and meet established deadlines. Requires flexibility, skilled at multitasking, attention to detail, strong leadership and must be able to work independently to problem solve in real time. Proven ability to prepare and interpret flowcharts, schedules, and step-by-step action plans. Demonstrated analytical, creative thinking, and problem-solving skills. Skilled with Pivot Tables, VLOOKUPs, and IF functions Essential Tasks and Responsibilities Provides project leadership for varying sized projects; building strong cross-functional relationships to ensure that all stakeholders are appropriately engaged. Demonstrates knowledge and proficiency in the use of Project Management principles, methodologies, and tools along with industry-leading standards for program, project, and process management Presents and communicates in a professional and effective manner including maintaining project schedules, work plans, status/updates reports, issue logs, communicating with Customers, developing and measuring Key Performance Indicators Runs reports to Analyze/interpret data related to assigned projects Leads product conversions and implementations from Value Analysis, Sourcing/Procurement, Supply Optimization and RFPs. Validate and track actual savings against projected savings Participates in and facilitates projects identified from our GPOs, Distribution Center, and other local level projects. Works independently and leads projects from inception to completion with minimal supervision Becomes proficient in the knowledge of the full continuum of NGHS Supply Chain and uses that knowledge in the execution of projects. Utilizes project management and process improvement tools and industry-leading standards to train and educate leaders/managers Manage post-implementation support to record and resolve customer reported issues. Will ensure that new products are introduced and launched effectively and efficiently, using a Health System approach to lead project teams in implementing best practices, systems and processes to improve operational effectiveness The role will partner closely with cross functional groups on the most important supply chain projects related to footprint changes, product improvements, and overall supply chain strategy Responsible for managing the end-to-end activities with Strategic Sourcing, Value Analysis, Supply Optimization, Distribution, Logistics & Procurement teams as needed Physical Demands Weight Lifted: Up to 50 lbs, Frequently 31-65% of time Weight Carried: Up to 20 lbs, Frequently 31-65% of time Vision: Heavy, Frequently 31-65% of time Kneeling/Stooping/Bending: Constantly 66-100% Standing/Walking: Constantly 66-100% Pushing/Pulling: Frequently 31-65% Intensity of Work: Constantly 66-100% Job Requires: Reading, Writing, Reasoning, Talking, Keyboarding, Driving Working at NGHS means being part of something special: a team invested in you as a person, an employee, and in helping you reach your goals. NGHS: Opportunities start here. Northeast Georgia Health System is an Equal Opportunity Employer and will not tolerate discrimination in employment on the basis of race, color, age, sex, sexual orientation, gender identity or expression, religion, disability, ethnicity, national origin, marital status, protected veteran status, genetic information, or any other legally protected classification or status.
03/28/2024
Full time
Job Category: Supply Chain Work Shift/Schedule: 8 Hr Morning - Afternoon Northeast Georgia Health System is rooted in a foundation of improving the health of our communities. About the Role: Job Summary Responsible for a wide range of activities including planning, coordinating, executing, evaluating projects related to the Value Analysis Program. Provides project leadership for varying sized projects; building strong cross-functional relationships to ensure that all stakeholders are appropriately engaged. With a primary focus on continuous improvement, this role will demonstrate knowledge and proficiency in the use of methodologies and tools for project value analysis along with communication and presentation skills. Works closely with internal Supply Chain teams as well as external stakeholders to ensure goals of the project are met, including tracking the full life cycle of the project. This position is tasked with monitoring and tracking of any savings realized from the projects. Minimum Job Qualifications Licensure or other certifications: Preferred - Certified Project Management Professional and/or Lean Six Sigma Certification Educational Requirements: Bachelors Degree Minimum Experience: The minimum qualifications listed below (along with education/experience) are representative of the knowledge, skills and abilities needed to perform this job successfully. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential duties and responsibilities of this position. Bachelor's degree in business administration, purchasing or supply chain OR At least five (5) years work experience in value analysis OR hospital supply chain OR contract negotiation with emphasis on one or all of the following commodity groups: medical/surgical supplies and equipment, clinical and research lab supplies, computer systems and peripherals, furniture and fixtures. Other: Preferred Job Qualifications Preferred Licensure or other certifications: Preferred Educational Requirements: Preferred Experience: Other: Excel and PowerPoint skills. Job Specific and Unique Knowledge, Skills and Abilities Strong project management, and performance improvement skills Superior oral and written communication and presentation skills; ability to interact with individuals across all departments. Expert level knowledge/skill with Microsoft Suite Products and must be proficient in the use of project/program management principles, methodologies, and tools along with industry-leading processes improvement standards Ability to lead projects, provide expert consultative guidance and direction on change initiatives, effectively dedicate time across more than one project, and meet established deadlines. Requires flexibility, skilled at multitasking, attention to detail, strong leadership and must be able to work independently to problem solve in real time. Proven ability to prepare and interpret flowcharts, schedules, and step-by-step action plans. Demonstrated analytical, creative thinking, and problem-solving skills. Skilled with Pivot Tables, VLOOKUPs, and IF functions Essential Tasks and Responsibilities Provides project leadership for varying sized projects; building strong cross-functional relationships to ensure that all stakeholders are appropriately engaged. Demonstrates knowledge and proficiency in the use of Project Management principles, methodologies, and tools along with industry-leading standards for program, project, and process management Presents and communicates in a professional and effective manner including maintaining project schedules, work plans, status/updates reports, issue logs, communicating with Customers, developing and measuring Key Performance Indicators Runs reports to Analyze/interpret data related to assigned projects Leads product conversions and implementations from Value Analysis, Sourcing/Procurement, Supply Optimization and RFPs. Validate and track actual savings against projected savings Participates in and facilitates projects identified from our GPOs, Distribution Center, and other local level projects. Works independently and leads projects from inception to completion with minimal supervision Becomes proficient in the knowledge of the full continuum of NGHS Supply Chain and uses that knowledge in the execution of projects. Utilizes project management and process improvement tools and industry-leading standards to train and educate leaders/managers Manage post-implementation support to record and resolve customer reported issues. Will ensure that new products are introduced and launched effectively and efficiently, using a Health System approach to lead project teams in implementing best practices, systems and processes to improve operational effectiveness The role will partner closely with cross functional groups on the most important supply chain projects related to footprint changes, product improvements, and overall supply chain strategy Responsible for managing the end-to-end activities with Strategic Sourcing, Value Analysis, Supply Optimization, Distribution, Logistics & Procurement teams as needed Physical Demands Weight Lifted: Up to 50 lbs, Frequently 31-65% of time Weight Carried: Up to 20 lbs, Frequently 31-65% of time Vision: Heavy, Frequently 31-65% of time Kneeling/Stooping/Bending: Constantly 66-100% Standing/Walking: Constantly 66-100% Pushing/Pulling: Frequently 31-65% Intensity of Work: Constantly 66-100% Job Requires: Reading, Writing, Reasoning, Talking, Keyboarding, Driving Working at NGHS means being part of something special: a team invested in you as a person, an employee, and in helping you reach your goals. NGHS: Opportunities start here. Northeast Georgia Health System is an Equal Opportunity Employer and will not tolerate discrimination in employment on the basis of race, color, age, sex, sexual orientation, gender identity or expression, religion, disability, ethnicity, national origin, marital status, protected veteran status, genetic information, or any other legally protected classification or status.
Primary City/State: Phoenix, Arizona Department Name: General Lab-Even-Ref Lab Work Shift: Evening Job Category: Lab POSITION SUMMARY This position is responsible for a high level of technical knowledge and application of that knowledge to department testing, clinical relevance, and complex problem solving skills. This position serves as a department resource, and is responsible for assisting with department compliance with all pertinent laboratory accrediting agency and regulatory requirements (e.g., CLIA '88, JCAHO, CAP, OSHA). CORE FUNCTIONS 1. Performs all duties of MLS/MT duties as defined by the department, at a high level of competency. Responsible for operational leadership and workflow oversight to the section/shift. Integrates comprehensive technical knowledge and clinical relevance into daily activity for the department. Responsible for complex problem solving of technical, computer, interdepartmental and quality issues. Under the direction of the Supervisor and/or Technical Director, responsible for implementation of system technical initiatives in their area of responsibility. Provides onsite supervision (determines schedules, manage day to day work flow and give input into an assessment or disciplinary action) in the absence of section supervisor. 2. Focuses on quality by reviewing records and assuring performance of all quality control and assurance procedures. Ensures that quality control and instrumentation maintenance records are kept and documentation meets standards of accrediting and licensing agencies. Assists the Supervisor, Administrative and Technical Directors, and Technical Specialist, in the implementation of new QC/QA polices and continuous quality improvement programs in accordance with the Quality System. Active in department and LSA/SQL System quality assurance activities. Monitors and ensures compliance with accrediting agency and regulatory requirements for the laboratory. Actively participates in preparation for on-site accrediting process. 3. Monitors, recognizes opportunities for improvement, and participates in improving the financial performance of the department and the LSA/SQL System to decrease costs, increase productivity, and improve service. Monitors inventory and brings related issues forward for prompt resolution. Assists with cost analysis models. 4. Assists with basic personnel oversight including participation in selection, training, developing, and providing coaching under the direction of the Supervisor or appropriate Director. Assists in new employee orientation, training and competency. Provides input for competency and annual assessments for employees in appropriate time frames. Actively involved in implementing and ensuring staff completion of competency program requirements. Self-directed and motivated to seek out opportunities to contribute to projects to help the department. Coordinates and is active in at least two special projects per year within the department or LSA/SQL System, along with other miscellaneous department duties. 5. Serves as a resource communication liaison for on-site and System issues. Provides access to other System resources when appropriate. Works closely with on-site management to integrate the area into other activities on-site. Interacts with co-workers with an emphasis on teamwork and a focus on customer service. Demonstrates preceptor and coaching skills and promotes a constructive environment that encourages learning and development. Demonstrates appropriate verbal and written skills. MINIMUM QUALIFICATIONS • Bachelor's Degree in a chemical, physical, biological or clinical laboratory science or medical technology. • Two (2) years' experience in nonwaived testing in the designated specialty/sub-specialty area. PREFERRED QUALIFICATIONS • Bachelor's Degree in Medical Laboratory Science. • MLS or Specialty Certification. EOE/Female/Minority/Disability/Veterans Our organization supports a drug-free work environment. Privacy Policy
03/28/2024
Full time
Primary City/State: Phoenix, Arizona Department Name: General Lab-Even-Ref Lab Work Shift: Evening Job Category: Lab POSITION SUMMARY This position is responsible for a high level of technical knowledge and application of that knowledge to department testing, clinical relevance, and complex problem solving skills. This position serves as a department resource, and is responsible for assisting with department compliance with all pertinent laboratory accrediting agency and regulatory requirements (e.g., CLIA '88, JCAHO, CAP, OSHA). CORE FUNCTIONS 1. Performs all duties of MLS/MT duties as defined by the department, at a high level of competency. Responsible for operational leadership and workflow oversight to the section/shift. Integrates comprehensive technical knowledge and clinical relevance into daily activity for the department. Responsible for complex problem solving of technical, computer, interdepartmental and quality issues. Under the direction of the Supervisor and/or Technical Director, responsible for implementation of system technical initiatives in their area of responsibility. Provides onsite supervision (determines schedules, manage day to day work flow and give input into an assessment or disciplinary action) in the absence of section supervisor. 2. Focuses on quality by reviewing records and assuring performance of all quality control and assurance procedures. Ensures that quality control and instrumentation maintenance records are kept and documentation meets standards of accrediting and licensing agencies. Assists the Supervisor, Administrative and Technical Directors, and Technical Specialist, in the implementation of new QC/QA polices and continuous quality improvement programs in accordance with the Quality System. Active in department and LSA/SQL System quality assurance activities. Monitors and ensures compliance with accrediting agency and regulatory requirements for the laboratory. Actively participates in preparation for on-site accrediting process. 3. Monitors, recognizes opportunities for improvement, and participates in improving the financial performance of the department and the LSA/SQL System to decrease costs, increase productivity, and improve service. Monitors inventory and brings related issues forward for prompt resolution. Assists with cost analysis models. 4. Assists with basic personnel oversight including participation in selection, training, developing, and providing coaching under the direction of the Supervisor or appropriate Director. Assists in new employee orientation, training and competency. Provides input for competency and annual assessments for employees in appropriate time frames. Actively involved in implementing and ensuring staff completion of competency program requirements. Self-directed and motivated to seek out opportunities to contribute to projects to help the department. Coordinates and is active in at least two special projects per year within the department or LSA/SQL System, along with other miscellaneous department duties. 5. Serves as a resource communication liaison for on-site and System issues. Provides access to other System resources when appropriate. Works closely with on-site management to integrate the area into other activities on-site. Interacts with co-workers with an emphasis on teamwork and a focus on customer service. Demonstrates preceptor and coaching skills and promotes a constructive environment that encourages learning and development. Demonstrates appropriate verbal and written skills. MINIMUM QUALIFICATIONS • Bachelor's Degree in a chemical, physical, biological or clinical laboratory science or medical technology. • Two (2) years' experience in nonwaived testing in the designated specialty/sub-specialty area. PREFERRED QUALIFICATIONS • Bachelor's Degree in Medical Laboratory Science. • MLS or Specialty Certification. EOE/Female/Minority/Disability/Veterans Our organization supports a drug-free work environment. Privacy Policy
Primary City/State: Phoenix, Arizona Department Name: General Lab-Even-Ref Lab Work Shift: Evening Job Category: Lab POSITION SUMMARY This position is responsible for a high level of technical knowledge and application of that knowledge to department testing, clinical relevance, and complex problem solving skills. This position serves as a department resource, and is responsible for assisting with department compliance with all pertinent laboratory accrediting agency and regulatory requirements (e.g., CLIA '88, JCAHO, CAP, OSHA). CORE FUNCTIONS 1. Performs all duties of MLS/MT duties as defined by the department, at a high level of competency. Responsible for operational leadership and workflow oversight to the section/shift. Integrates comprehensive technical knowledge and clinical relevance into daily activity for the department. Responsible for complex problem solving of technical, computer, interdepartmental and quality issues. Under the direction of the Supervisor and/or Technical Director, responsible for implementation of system technical initiatives in their area of responsibility. Provides onsite supervision (determines schedules, manage day to day work flow and give input into an assessment or disciplinary action) in the absence of section supervisor. 2. Focuses on quality by reviewing records and assuring performance of all quality control and assurance procedures. Ensures that quality control and instrumentation maintenance records are kept and documentation meets standards of accrediting and licensing agencies. Assists the Supervisor, Administrative and Technical Directors, and Technical Specialist, in the implementation of new QC/QA polices and continuous quality improvement programs in accordance with the Quality System. Active in department and LSA/SQL System quality assurance activities. Monitors and ensures compliance with accrediting agency and regulatory requirements for the laboratory. Actively participates in preparation for on-site accrediting process. 3. Monitors, recognizes opportunities for improvement, and participates in improving the financial performance of the department and the LSA/SQL System to decrease costs, increase productivity, and improve service. Monitors inventory and brings related issues forward for prompt resolution. Assists with cost analysis models. 4. Assists with basic personnel oversight including participation in selection, training, developing, and providing coaching under the direction of the Supervisor or appropriate Director. Assists in new employee orientation, training and competency. Provides input for competency and annual assessments for employees in appropriate time frames. Actively involved in implementing and ensuring staff completion of competency program requirements. Self-directed and motivated to seek out opportunities to contribute to projects to help the department. Coordinates and is active in at least two special projects per year within the department or LSA/SQL System, along with other miscellaneous department duties. 5. Serves as a resource communication liaison for on-site and System issues. Provides access to other System resources when appropriate. Works closely with on-site management to integrate the area into other activities on-site. Interacts with co-workers with an emphasis on teamwork and a focus on customer service. Demonstrates preceptor and coaching skills and promotes a constructive environment that encourages learning and development. Demonstrates appropriate verbal and written skills. MINIMUM QUALIFICATIONS • Bachelor's Degree in a chemical, physical, biological or clinical laboratory science or medical technology. • Two (2) years' experience in nonwaived testing in the designated specialty/sub-specialty area. PREFERRED QUALIFICATIONS • Bachelor's Degree in Medical Laboratory Science. • MLS or Specialty Certification. EOE/Female/Minority/Disability/Veterans Our organization supports a drug-free work environment. Privacy Policy
03/28/2024
Full time
Primary City/State: Phoenix, Arizona Department Name: General Lab-Even-Ref Lab Work Shift: Evening Job Category: Lab POSITION SUMMARY This position is responsible for a high level of technical knowledge and application of that knowledge to department testing, clinical relevance, and complex problem solving skills. This position serves as a department resource, and is responsible for assisting with department compliance with all pertinent laboratory accrediting agency and regulatory requirements (e.g., CLIA '88, JCAHO, CAP, OSHA). CORE FUNCTIONS 1. Performs all duties of MLS/MT duties as defined by the department, at a high level of competency. Responsible for operational leadership and workflow oversight to the section/shift. Integrates comprehensive technical knowledge and clinical relevance into daily activity for the department. Responsible for complex problem solving of technical, computer, interdepartmental and quality issues. Under the direction of the Supervisor and/or Technical Director, responsible for implementation of system technical initiatives in their area of responsibility. Provides onsite supervision (determines schedules, manage day to day work flow and give input into an assessment or disciplinary action) in the absence of section supervisor. 2. Focuses on quality by reviewing records and assuring performance of all quality control and assurance procedures. Ensures that quality control and instrumentation maintenance records are kept and documentation meets standards of accrediting and licensing agencies. Assists the Supervisor, Administrative and Technical Directors, and Technical Specialist, in the implementation of new QC/QA polices and continuous quality improvement programs in accordance with the Quality System. Active in department and LSA/SQL System quality assurance activities. Monitors and ensures compliance with accrediting agency and regulatory requirements for the laboratory. Actively participates in preparation for on-site accrediting process. 3. Monitors, recognizes opportunities for improvement, and participates in improving the financial performance of the department and the LSA/SQL System to decrease costs, increase productivity, and improve service. Monitors inventory and brings related issues forward for prompt resolution. Assists with cost analysis models. 4. Assists with basic personnel oversight including participation in selection, training, developing, and providing coaching under the direction of the Supervisor or appropriate Director. Assists in new employee orientation, training and competency. Provides input for competency and annual assessments for employees in appropriate time frames. Actively involved in implementing and ensuring staff completion of competency program requirements. Self-directed and motivated to seek out opportunities to contribute to projects to help the department. Coordinates and is active in at least two special projects per year within the department or LSA/SQL System, along with other miscellaneous department duties. 5. Serves as a resource communication liaison for on-site and System issues. Provides access to other System resources when appropriate. Works closely with on-site management to integrate the area into other activities on-site. Interacts with co-workers with an emphasis on teamwork and a focus on customer service. Demonstrates preceptor and coaching skills and promotes a constructive environment that encourages learning and development. Demonstrates appropriate verbal and written skills. MINIMUM QUALIFICATIONS • Bachelor's Degree in a chemical, physical, biological or clinical laboratory science or medical technology. • Two (2) years' experience in nonwaived testing in the designated specialty/sub-specialty area. PREFERRED QUALIFICATIONS • Bachelor's Degree in Medical Laboratory Science. • MLS or Specialty Certification. EOE/Female/Minority/Disability/Veterans Our organization supports a drug-free work environment. Privacy Policy
Primary City/State: Phoenix, Arizona Department Name: General Lab-Even-Ref Lab Work Shift: Evening Job Category: Lab POSITION SUMMARY This position is responsible for a high level of technical knowledge and application of that knowledge to department testing, clinical relevance, and complex problem solving skills. This position serves as a department resource, and is responsible for assisting with department compliance with all pertinent laboratory accrediting agency and regulatory requirements (e.g., CLIA '88, JCAHO, CAP, OSHA). CORE FUNCTIONS 1. Performs all duties of MLS/MT duties as defined by the department, at a high level of competency. Responsible for operational leadership and workflow oversight to the section/shift. Integrates comprehensive technical knowledge and clinical relevance into daily activity for the department. Responsible for complex problem solving of technical, computer, interdepartmental and quality issues. Under the direction of the Supervisor and/or Technical Director, responsible for implementation of system technical initiatives in their area of responsibility. Provides onsite supervision (determines schedules, manage day to day work flow and give input into an assessment or disciplinary action) in the absence of section supervisor. 2. Focuses on quality by reviewing records and assuring performance of all quality control and assurance procedures. Ensures that quality control and instrumentation maintenance records are kept and documentation meets standards of accrediting and licensing agencies. Assists the Supervisor, Administrative and Technical Directors, and Technical Specialist, in the implementation of new QC/QA polices and continuous quality improvement programs in accordance with the Quality System. Active in department and LSA/SQL System quality assurance activities. Monitors and ensures compliance with accrediting agency and regulatory requirements for the laboratory. Actively participates in preparation for on-site accrediting process. 3. Monitors, recognizes opportunities for improvement, and participates in improving the financial performance of the department and the LSA/SQL System to decrease costs, increase productivity, and improve service. Monitors inventory and brings related issues forward for prompt resolution. Assists with cost analysis models. 4. Assists with basic personnel oversight including participation in selection, training, developing, and providing coaching under the direction of the Supervisor or appropriate Director. Assists in new employee orientation, training and competency. Provides input for competency and annual assessments for employees in appropriate time frames. Actively involved in implementing and ensuring staff completion of competency program requirements. Self-directed and motivated to seek out opportunities to contribute to projects to help the department. Coordinates and is active in at least two special projects per year within the department or LSA/SQL System, along with other miscellaneous department duties. 5. Serves as a resource communication liaison for on-site and System issues. Provides access to other System resources when appropriate. Works closely with on-site management to integrate the area into other activities on-site. Interacts with co-workers with an emphasis on teamwork and a focus on customer service. Demonstrates preceptor and coaching skills and promotes a constructive environment that encourages learning and development. Demonstrates appropriate verbal and written skills. MINIMUM QUALIFICATIONS • Bachelor's Degree in a chemical, physical, biological or clinical laboratory science or medical technology. • Two (2) years' experience in nonwaived testing in the designated specialty/sub-specialty area. PREFERRED QUALIFICATIONS • Bachelor's Degree in Medical Laboratory Science. • MLS or Specialty Certification. EOE/Female/Minority/Disability/Veterans Our organization supports a drug-free work environment. Privacy Policy
03/28/2024
Full time
Primary City/State: Phoenix, Arizona Department Name: General Lab-Even-Ref Lab Work Shift: Evening Job Category: Lab POSITION SUMMARY This position is responsible for a high level of technical knowledge and application of that knowledge to department testing, clinical relevance, and complex problem solving skills. This position serves as a department resource, and is responsible for assisting with department compliance with all pertinent laboratory accrediting agency and regulatory requirements (e.g., CLIA '88, JCAHO, CAP, OSHA). CORE FUNCTIONS 1. Performs all duties of MLS/MT duties as defined by the department, at a high level of competency. Responsible for operational leadership and workflow oversight to the section/shift. Integrates comprehensive technical knowledge and clinical relevance into daily activity for the department. Responsible for complex problem solving of technical, computer, interdepartmental and quality issues. Under the direction of the Supervisor and/or Technical Director, responsible for implementation of system technical initiatives in their area of responsibility. Provides onsite supervision (determines schedules, manage day to day work flow and give input into an assessment or disciplinary action) in the absence of section supervisor. 2. Focuses on quality by reviewing records and assuring performance of all quality control and assurance procedures. Ensures that quality control and instrumentation maintenance records are kept and documentation meets standards of accrediting and licensing agencies. Assists the Supervisor, Administrative and Technical Directors, and Technical Specialist, in the implementation of new QC/QA polices and continuous quality improvement programs in accordance with the Quality System. Active in department and LSA/SQL System quality assurance activities. Monitors and ensures compliance with accrediting agency and regulatory requirements for the laboratory. Actively participates in preparation for on-site accrediting process. 3. Monitors, recognizes opportunities for improvement, and participates in improving the financial performance of the department and the LSA/SQL System to decrease costs, increase productivity, and improve service. Monitors inventory and brings related issues forward for prompt resolution. Assists with cost analysis models. 4. Assists with basic personnel oversight including participation in selection, training, developing, and providing coaching under the direction of the Supervisor or appropriate Director. Assists in new employee orientation, training and competency. Provides input for competency and annual assessments for employees in appropriate time frames. Actively involved in implementing and ensuring staff completion of competency program requirements. Self-directed and motivated to seek out opportunities to contribute to projects to help the department. Coordinates and is active in at least two special projects per year within the department or LSA/SQL System, along with other miscellaneous department duties. 5. Serves as a resource communication liaison for on-site and System issues. Provides access to other System resources when appropriate. Works closely with on-site management to integrate the area into other activities on-site. Interacts with co-workers with an emphasis on teamwork and a focus on customer service. Demonstrates preceptor and coaching skills and promotes a constructive environment that encourages learning and development. Demonstrates appropriate verbal and written skills. MINIMUM QUALIFICATIONS • Bachelor's Degree in a chemical, physical, biological or clinical laboratory science or medical technology. • Two (2) years' experience in nonwaived testing in the designated specialty/sub-specialty area. PREFERRED QUALIFICATIONS • Bachelor's Degree in Medical Laboratory Science. • MLS or Specialty Certification. EOE/Female/Minority/Disability/Veterans Our organization supports a drug-free work environment. Privacy Policy
Primary City/State: Mesa, Arizona Department Name: Lab-BBMC Work Shift: Varied Job Category: Lab Additional Job Description We have multiple unique medical lab science testing roles available at Banner Baywood Med ctr (6644 E Baywood Ave). These positions will work in a very high volume, fast paced environment. This department is an excellent opportunity for microbiologists who want to grow their skills and testing experience and variety of shifts available. For MLTS: We are proud to offer new base pay rates. New Grads: $21.50. Experienced (3-11+ yrs): $23.84 - $26.43 depending on experience. For MLS: We are proud to offer new base pay rates . New Grads: $27.50. Experienced (3-11+ yrs): $30.49 - $33.80 depending on experience. Find your Voice, Passion, & Purpose Hours: 10p - 630a, Saturday - Tuesday POSITION SUMMARY This position performs waived and non-waived tests as defined by CLIA '88 in an accurate and timely manner with supervision. Assists with department compliance with all pertinent laboratory accrediting agencies and regulatory requirements (e.g., CLIA '88, JCAHO, CAP, OSHA). Personnel report to department supervisor. CORE FUNCTIONS 1. Performs testing in an accurate and timely manner according to established policies and performance standards with a knowledge level determined for that testing. Responsible for startup, calibration and accuracy of procedures and instrumentation. Exercises independent judgment and can identify appropriate resources in performance of assigned duties utilizing knowledge and skills. Demonstrates comprehension of theory and clinical relevance of testing. Demonstrates problem resolution and decision making skills for routine operational and technical problems. Demonstrates knowledge of computer systems used in the department and can perform basic troubleshooting of computer problems. Demonstrates awareness and complies with accrediting agency and regulatory requirements related to area of responsibility. 2. Recognizes and ensures validity of abnormal patient and/or QC results for testing. Ensures accuracy of test results. Participates in detecting and documenting occurrences that deviate from defined procedures. Demonstrates appropriate resolution and follow through for problem solving identified during testing. Promotes and consistently meets department standards for productivity and quality. 3. Ensures the appropriate use of supplies and materials and assists with inventory management. Ensures efficient utilization of reagents and supplies. Recognizes and provides input towards opportunities for improvements in financial performance to decrease costs, improve productivity, and improve service. 4. Self-directed and motivated to contribute to projects identified by the supervisor, with the completion of a minimum of one project per year. Seeks out opportunities to identify projects relating to department needs. Active in training and competency of laboratory personnel. Performs well in supervisor's absence and provides guidance on issues relating to pre-analytical, waived and non-waived testing. Completes training module for newly hired/transferred personnel. 5. Communicates courteously, professionally, effectively and accurately with internal and external customers. Participates in the resolution of communication issues. Knows and utilizes appropriate resources for increased levels of problem solving. Demonstrates good verbal and written communication skills. Promotes positive communications that enhances teamwork. Attendance and participation at staff meetings. MATRIX OR INDIRECT REPORTING Clinical Laboratory Assistants (CLAs), Phlebotomist MINIMUM QUALIFICATIONS Associate's Degree in medical laboratory science, OR Bachelor's Degree in chemical, physical or biological science, OR Have successfully completed military training of 50 or more weeks and served as a medical laboratory specialist. Military must be a high school graduate or equivalent. Basic Computer skills. Students may be hired at the job title equivalent to their future certification under the following conditions: Student is enrolled in a clinically recognized program (MLT), student's clinical rotation in the core area must be completed prior to working in that core area and student must complete the MLT program within one year of hire. PREFERRED QUALIFICATIONS MLT certification (ASCP, AMT, HEW, AAB) Additional related education and/or experience EOE/Female/Minority/Disability/Veterans Our organization supports a drug-free work environment. Privacy Policy
03/28/2024
Full time
Primary City/State: Mesa, Arizona Department Name: Lab-BBMC Work Shift: Varied Job Category: Lab Additional Job Description We have multiple unique medical lab science testing roles available at Banner Baywood Med ctr (6644 E Baywood Ave). These positions will work in a very high volume, fast paced environment. This department is an excellent opportunity for microbiologists who want to grow their skills and testing experience and variety of shifts available. For MLTS: We are proud to offer new base pay rates. New Grads: $21.50. Experienced (3-11+ yrs): $23.84 - $26.43 depending on experience. For MLS: We are proud to offer new base pay rates . New Grads: $27.50. Experienced (3-11+ yrs): $30.49 - $33.80 depending on experience. Find your Voice, Passion, & Purpose Hours: 10p - 630a, Saturday - Tuesday POSITION SUMMARY This position performs waived and non-waived tests as defined by CLIA '88 in an accurate and timely manner with supervision. Assists with department compliance with all pertinent laboratory accrediting agencies and regulatory requirements (e.g., CLIA '88, JCAHO, CAP, OSHA). Personnel report to department supervisor. CORE FUNCTIONS 1. Performs testing in an accurate and timely manner according to established policies and performance standards with a knowledge level determined for that testing. Responsible for startup, calibration and accuracy of procedures and instrumentation. Exercises independent judgment and can identify appropriate resources in performance of assigned duties utilizing knowledge and skills. Demonstrates comprehension of theory and clinical relevance of testing. Demonstrates problem resolution and decision making skills for routine operational and technical problems. Demonstrates knowledge of computer systems used in the department and can perform basic troubleshooting of computer problems. Demonstrates awareness and complies with accrediting agency and regulatory requirements related to area of responsibility. 2. Recognizes and ensures validity of abnormal patient and/or QC results for testing. Ensures accuracy of test results. Participates in detecting and documenting occurrences that deviate from defined procedures. Demonstrates appropriate resolution and follow through for problem solving identified during testing. Promotes and consistently meets department standards for productivity and quality. 3. Ensures the appropriate use of supplies and materials and assists with inventory management. Ensures efficient utilization of reagents and supplies. Recognizes and provides input towards opportunities for improvements in financial performance to decrease costs, improve productivity, and improve service. 4. Self-directed and motivated to contribute to projects identified by the supervisor, with the completion of a minimum of one project per year. Seeks out opportunities to identify projects relating to department needs. Active in training and competency of laboratory personnel. Performs well in supervisor's absence and provides guidance on issues relating to pre-analytical, waived and non-waived testing. Completes training module for newly hired/transferred personnel. 5. Communicates courteously, professionally, effectively and accurately with internal and external customers. Participates in the resolution of communication issues. Knows and utilizes appropriate resources for increased levels of problem solving. Demonstrates good verbal and written communication skills. Promotes positive communications that enhances teamwork. Attendance and participation at staff meetings. MATRIX OR INDIRECT REPORTING Clinical Laboratory Assistants (CLAs), Phlebotomist MINIMUM QUALIFICATIONS Associate's Degree in medical laboratory science, OR Bachelor's Degree in chemical, physical or biological science, OR Have successfully completed military training of 50 or more weeks and served as a medical laboratory specialist. Military must be a high school graduate or equivalent. Basic Computer skills. Students may be hired at the job title equivalent to their future certification under the following conditions: Student is enrolled in a clinically recognized program (MLT), student's clinical rotation in the core area must be completed prior to working in that core area and student must complete the MLT program within one year of hire. PREFERRED QUALIFICATIONS MLT certification (ASCP, AMT, HEW, AAB) Additional related education and/or experience EOE/Female/Minority/Disability/Veterans Our organization supports a drug-free work environment. Privacy Policy
Job Description Purpose: The Scientific Director, Medical Affairs provides specialist medical and scientific strategic and operational input into core medical affairs activities such as: health-care professional and provider interactions; generation of clinical and scientific data (enhancing therapeutic benefit and value); educational initiatives (medical education, scientific communications, and value proposition) and safeguarding patient safety (risk minimization activities and safety surveillance activities). Works closely with sales, marketing, and commercial teams to provide strategic medical input into core brand (product) strategies, and to support medical affairs, marketing activities (promotional material generation and product launches) and market access. Responsibilities: •Develops and executes on US-GAMA FAS TA annual strategy in collaboration with Global TA Head and Head of US GAMA. Proactively initiates medical affairs activities, generation and dissemination of data supporting the overall scientific strategy. •Responsible from Medical Affairs for the design, analysis, interpretation, and reporting of scientific content of protocols, Investigator Brochures, Clinical Study Reports and regulatory submissions and responses. •Has overall responsibility for oversight of the Medical Affairs-led clinical studies, monitoring overall study integrity and review, interpretation and communication of accumulating data pertaining to safety and efficacy of the molecule. As the Study Lead, is responsible for oversight of study enrollment and overall timelines for key deliverables. •Provides in-house clinical expertise for the assets and disease/condition, coordinating appropriate scientific activities with internal stakeholders as they relate to ongoing clinical projects. May participate in due diligence or other business development activity. As required by program needs, contributes partnering with Discovery colleagues on the design and implementation of translational strategies. •Acts as a clinical interface and actively solicits opinion through leader interactions related to clinical assets and disease/conditions; partners with Field Medical Affairs, Commercial and other functions in these activities as required, consistent with corporate policies, to ensure that broad cross-functional perspectives are incorporated into Clinical Development Plans and protocols as appropriate. •May assist in the development of scientifically accurate marketing materials, medical education programs, advisories, and symposia. Assists with the scientific review, development, approval, execution, and communication of medical affairs sponsored or supported clinical research activities. •May interact with and coordinates appropriate scientific and medical activities with internal stakeholders (i.e., commercial, clinical operations, discovery, statistics, regulatory, etc.) as they relate to on-going medical affairs projects. Serves as the scientific team interface for key regulatory discussions. •Provide scientific/medical education to investigators, clinical monitors, and Global Project Team members related to therapeutic area or disease/condition specific information. Keeps abreast of professional information and technology through conferences and/or medical literature and acts as a therapeutic area resource. •Ensures budgets, timelines, compliance requirements are factored into programs' scientific activities.
03/28/2024
Full time
Job Description Purpose: The Scientific Director, Medical Affairs provides specialist medical and scientific strategic and operational input into core medical affairs activities such as: health-care professional and provider interactions; generation of clinical and scientific data (enhancing therapeutic benefit and value); educational initiatives (medical education, scientific communications, and value proposition) and safeguarding patient safety (risk minimization activities and safety surveillance activities). Works closely with sales, marketing, and commercial teams to provide strategic medical input into core brand (product) strategies, and to support medical affairs, marketing activities (promotional material generation and product launches) and market access. Responsibilities: •Develops and executes on US-GAMA FAS TA annual strategy in collaboration with Global TA Head and Head of US GAMA. Proactively initiates medical affairs activities, generation and dissemination of data supporting the overall scientific strategy. •Responsible from Medical Affairs for the design, analysis, interpretation, and reporting of scientific content of protocols, Investigator Brochures, Clinical Study Reports and regulatory submissions and responses. •Has overall responsibility for oversight of the Medical Affairs-led clinical studies, monitoring overall study integrity and review, interpretation and communication of accumulating data pertaining to safety and efficacy of the molecule. As the Study Lead, is responsible for oversight of study enrollment and overall timelines for key deliverables. •Provides in-house clinical expertise for the assets and disease/condition, coordinating appropriate scientific activities with internal stakeholders as they relate to ongoing clinical projects. May participate in due diligence or other business development activity. As required by program needs, contributes partnering with Discovery colleagues on the design and implementation of translational strategies. •Acts as a clinical interface and actively solicits opinion through leader interactions related to clinical assets and disease/conditions; partners with Field Medical Affairs, Commercial and other functions in these activities as required, consistent with corporate policies, to ensure that broad cross-functional perspectives are incorporated into Clinical Development Plans and protocols as appropriate. •May assist in the development of scientifically accurate marketing materials, medical education programs, advisories, and symposia. Assists with the scientific review, development, approval, execution, and communication of medical affairs sponsored or supported clinical research activities. •May interact with and coordinates appropriate scientific and medical activities with internal stakeholders (i.e., commercial, clinical operations, discovery, statistics, regulatory, etc.) as they relate to on-going medical affairs projects. Serves as the scientific team interface for key regulatory discussions. •Provide scientific/medical education to investigators, clinical monitors, and Global Project Team members related to therapeutic area or disease/condition specific information. Keeps abreast of professional information and technology through conferences and/or medical literature and acts as a therapeutic area resource. •Ensures budgets, timelines, compliance requirements are factored into programs' scientific activities.
Job Description Provides specialist medical/scientific strategic and operational input into core medical affairs activities such as: health-care professional/provider interactions (Payers, Patients, Prescribers, and Providers); generation of clinical and scientific data (enhancing therapeutic benefit and value); educational initiatives (medical education, data, guidelines and value proposition); safeguarding patient safety (risk minimization activities / safety surveillance activities). Responsibilities: Provide scientific and technical support for assigned products; deliver scientific presentations; develops and maintains professional and credible relationships with, key opinion leaders; actively participate in relevant Brand Teams and helps develop medical affairs strategies for assigned products; develop innovative research concepts for clinical data generation; provide relevant scientific and technical training. In cooperation with affiliate medical departments, Marketing, RA, Clinical and other functional areas, provides leadership, oversight and support for assigned products/projects. Drives medical affairs activities and generation and dissemination of data supporting overall product scientific and business strategy. Keeps abreast of professional information and technology through conferences and/or medical literature and acts as a therapeutic area resource. Drive Medical Affairs strategies and be a key internal contact/subject matter expert. May develop of scientifically accurate marketing materials, medical education programs, advisories, and symposia. May assist with the scientific review, development, execution and communication of affiliate/area/global medical affairs sponsored or supported clinical research activities. May oversee the work of Assistant/Associate Scientific Directors May lead cross functional teams in development and execution of strategic initiatives requiring integration of multiple subprojects within the therapeutic area or Medical Affairs function. Provides guidance to cross-functional team members to aid in the development of promotional materials. Provides timely and accurate reviews of promotional strategies and tactics in accordance with established policies and practice standards, including regulatory guidelines to meet customer needs Significant Work Activities -Continuous sitting for prolonged periods (more than 2 consecutive hours in an 8 hour day),Keyboard use (greater or equal to 50% of the workday)
03/28/2024
Full time
Job Description Provides specialist medical/scientific strategic and operational input into core medical affairs activities such as: health-care professional/provider interactions (Payers, Patients, Prescribers, and Providers); generation of clinical and scientific data (enhancing therapeutic benefit and value); educational initiatives (medical education, data, guidelines and value proposition); safeguarding patient safety (risk minimization activities / safety surveillance activities). Responsibilities: Provide scientific and technical support for assigned products; deliver scientific presentations; develops and maintains professional and credible relationships with, key opinion leaders; actively participate in relevant Brand Teams and helps develop medical affairs strategies for assigned products; develop innovative research concepts for clinical data generation; provide relevant scientific and technical training. In cooperation with affiliate medical departments, Marketing, RA, Clinical and other functional areas, provides leadership, oversight and support for assigned products/projects. Drives medical affairs activities and generation and dissemination of data supporting overall product scientific and business strategy. Keeps abreast of professional information and technology through conferences and/or medical literature and acts as a therapeutic area resource. Drive Medical Affairs strategies and be a key internal contact/subject matter expert. May develop of scientifically accurate marketing materials, medical education programs, advisories, and symposia. May assist with the scientific review, development, execution and communication of affiliate/area/global medical affairs sponsored or supported clinical research activities. May oversee the work of Assistant/Associate Scientific Directors May lead cross functional teams in development and execution of strategic initiatives requiring integration of multiple subprojects within the therapeutic area or Medical Affairs function. Provides guidance to cross-functional team members to aid in the development of promotional materials. Provides timely and accurate reviews of promotional strategies and tactics in accordance with established policies and practice standards, including regulatory guidelines to meet customer needs Significant Work Activities -Continuous sitting for prolonged periods (more than 2 consecutive hours in an 8 hour day),Keyboard use (greater or equal to 50% of the workday)
Position Summary: The Business Systems Specialist position requires an individual to support finance departments in workflow design, system setup, troubleshooting, and reporting needs. The incumbent will support one or more departments in designing, maintaining, upgrading, and testing their respective applications. This individual demonstrates independent decision making as appropriate in evaluation of requests for system improvements, and works with the team to determine feasibility and advisability of system changes. This individual will apply proven communication, analytical problem solving, systems knowledge, and critical thinking skills to resolve systemic and operational issues. The Business Systems Specialist will work closely with other business and clinical team members to facilitate appropriate and timely troubleshooting, fixes, integration with the clinical system, and changes to a continually evolving system. Key Responsibilities/Essential Duties: Provide timely response to customer requests with appropriate tracking and monitoring of open requests. Deliver recurring reports on a timely basis as set forth in the schedule of reports. Create and maintain end user knowledgebase through delivery of documentation, training, and end user support. Provide support to senior analysts with installation of releases, application maintenance, system maintenance, and other as needed. All other duties, as assigned. Position Qualifications: Minimum Education: High School Diploma or equivalent Minimum Experience: Two years in a healthcare finance environment and two years experience working in or around information systems. Significant experience with large (2000+ records with more than 10 variables) databases required. Equipment/Tools: Computer proficiency with various software and database systems, calculator, multi-line phone, fax/copy machine. Specialized Knowledge and Skills: Working knowledge of pertinent finance systems and business application(s), particularly Siemens MS4 and/or Cerner preferred. Ability to perform "drill down" techniques to get to the root cause of barriers to efficient process. Excellent written, oral, listening and interpersonal skills. Proven analytical and creative problem-solving abilities. Ability to effectively prioritize and execute tasks in a high-pressure environment. Experience working in a team-oriented, collaborative environment. Run queries as needed Special projects as assigned. Benefits Include : Generous PTO - beginning at 4.5 weeks Ten paid holidays Comprehensive healthcare coverage Life and Disability Insurance Flexible Spending Account Retirement plans Employee Wellness Center c#
03/28/2024
Full time
Position Summary: The Business Systems Specialist position requires an individual to support finance departments in workflow design, system setup, troubleshooting, and reporting needs. The incumbent will support one or more departments in designing, maintaining, upgrading, and testing their respective applications. This individual demonstrates independent decision making as appropriate in evaluation of requests for system improvements, and works with the team to determine feasibility and advisability of system changes. This individual will apply proven communication, analytical problem solving, systems knowledge, and critical thinking skills to resolve systemic and operational issues. The Business Systems Specialist will work closely with other business and clinical team members to facilitate appropriate and timely troubleshooting, fixes, integration with the clinical system, and changes to a continually evolving system. Key Responsibilities/Essential Duties: Provide timely response to customer requests with appropriate tracking and monitoring of open requests. Deliver recurring reports on a timely basis as set forth in the schedule of reports. Create and maintain end user knowledgebase through delivery of documentation, training, and end user support. Provide support to senior analysts with installation of releases, application maintenance, system maintenance, and other as needed. All other duties, as assigned. Position Qualifications: Minimum Education: High School Diploma or equivalent Minimum Experience: Two years in a healthcare finance environment and two years experience working in or around information systems. Significant experience with large (2000+ records with more than 10 variables) databases required. Equipment/Tools: Computer proficiency with various software and database systems, calculator, multi-line phone, fax/copy machine. Specialized Knowledge and Skills: Working knowledge of pertinent finance systems and business application(s), particularly Siemens MS4 and/or Cerner preferred. Ability to perform "drill down" techniques to get to the root cause of barriers to efficient process. Excellent written, oral, listening and interpersonal skills. Proven analytical and creative problem-solving abilities. Ability to effectively prioritize and execute tasks in a high-pressure environment. Experience working in a team-oriented, collaborative environment. Run queries as needed Special projects as assigned. Benefits Include : Generous PTO - beginning at 4.5 weeks Ten paid holidays Comprehensive healthcare coverage Life and Disability Insurance Flexible Spending Account Retirement plans Employee Wellness Center c#
Title- Equipment Commissioning Specialist Duration- 12+ months Location- Warren, NJ Pay range- $50 to $53.00/hr This role supports the successful operation of facilities, laboratories, and business functions at multi use sites through interaction with internal team members and peer level customers as well as external service providers. The position focus is on providing technical expertise and decision making while ensuring end-to-end and timely completion of Facilities and Utilities commissioning and qualification and ongoing work activities of low to moderate complexity, individually and with support of others. The incumbent spends most of their time on individual work. The incumbent may recommend modifications to work processes or procedures to functional management that impact their immediate function or organizational unit. The incumbent in this role works with entry, junior, and experienced level professionals to accomplish daily tasks and short term projects according to established policies and procedures. Required Competencies Knowledge, Skills, and Abilities: Intermediate knowledge of cGMP pertaining pharmaceutical facilities, utilities, and equipment. Intermediate knowledge of pharmaceutical manufacturing and utilities that support cell therapy clinical manufacturing. REQUIRED: Intermediate knowledge of commissioning and qualification of clean manufacturing facilities, material pass-throughs, AHUs, compressed air, carbon dioxide, and process air systems. PREFERRED: Commissioning and qualification of liquid nitrogen supply systems, DI Water, autoclaves, isolators, filling and capping equipment, and airflow visualization studies. Understanding of scheduling and execution fundamentals. Strong written and verbal communication skills. Excellent interpersonal skills with experience dealing with a diverse workforce. Strong multi tasking ability in conjunction with proven organizational skills. Ability to organize assigned tasks in a fast-paced environment and concurrently monitor tasks and assignments with others that may impact timely completion. Ability to effectively manage multiple tasks and activities simultaneously. High proficiency in MS Office Suite - Word, Excel, PowerPoint and Outlook. Innate ability to learn new software, such as corporate intranet and enterprise business. Working knowledge of scheduling software and systems, and inventory management systems. Ability to create and analyze meaningful metrics. DUTIES AND RESPONSIBILITIES 1) Commissioning and Qualification: a. Administer change control activities and corrective and preventive actions. b. Review, approve, and execute test protocols, validation deliverables, and plans as needed. c. Author, review, and approve SOPs, work practices, and other procedural documents. d. Provide input and guidance for change strategy, risk assessment, testing and compliance gaps. e. Serve as an SME for change controls, investigations, CAPAs, and audits, as applicable. 2) Promotes and provides excellent customer service and support: a. Regularly reviews, prioritizes, and promptly responds to customer equipment qualification and support requests. b. Provides technical support and guidance on equipment commissioning and qualification. Interfaces with customers to ensure all expectations are met. c. Maintains a positive relationship with all the members of the Equipment Commissioning & Qualification department and site customers while promoting a positive team environment. 3) Communication and Management of Timelines: a. Ensures timely completion of equipment commissioning and qualification projects, individually and/or with support of contracted personnel. b. Develops an effective mechanism for communicating the current status of all manufacturing and laboratory equipment to affected stakeholders. c. Continually seeks opportunities to increase internal client satisfaction and deepen client relationships. 4) Regulatory Responsibilities: a. Ensures manufacturing and laboratory facilities and utilities are maintained in compliance with GMP and other client standards and regulations. b. Acts as equipment commissioning and qualification SME in internal and regulatory audits. 4. EDUCATION AND EXPERIENCE: BS in Engineering required. Must be able to read and understand construction and mechanical drawings and P&IDs. Minimum of 3 years of experience in FDA-regulated industry. Minimum of 3 years of experience developing and execution facility and utility qualification. Strong background and experience in laboratory and manufacturing operations. Knowledge of cGMP in the pharmaceutical industry. Thorough knowledge and hands-on experience in commissioning and qualification of manufacturing facilities: REQUIRED - manufacturing rooms, material path-throughs; Thorough knowledge and hands-on experience in commissioning and qualification of common utilities: REQUIRED - compressed air, carbon dioxide, process air, AHUs; PREFERRED - liquid nitrogen supply systems, DI Water. Thorough knowledge and hands-on experience with airflow visualization (smoke studies). Strong computer skills, knowledge of calibration management and environmental monitoring systems preferred. Strong problem-solving skills, strong verbal and written communication skills, and the ability to work independently. Experience interacting with external and/or internal auditors in a compliance audit environment with direct interaction including face to face interaction and response to audit questions is preferred. Strong interpersonal and communication skills, a team player willing to work in an environment where individual initiative, accountability to the team, and professional maturity are required. Dexian is a leading provider of staffing, IT, and workforce solutions with over 12,000 employees and 70 locations worldwide. As one of the largest IT staffing companies and the 2nd largest minority-owned staffing company in the U.S., Dexian was formed in 2023 through the merger of DISYS and Signature Consultants. Combining the best elements of its core companies, Dexian's platform connects talent, technology, and organizations to produce game-changing results that help everyone achieve their ambitions and goals. Dexian's brands include Dexian DISYS, Dexian Signature Consultants, Dexian Government Solutions, Dexian Talent Development and Dexian IT Solutions. Visit to learn more. Dexian is an Equal Opportunity Employer that recruits and hires qualified candidates without regard to race, religion, sex, sexual orientation, gender identity, age, national origin, ancestry, citizenship, disability, or veteran status.
03/28/2024
Full time
Title- Equipment Commissioning Specialist Duration- 12+ months Location- Warren, NJ Pay range- $50 to $53.00/hr This role supports the successful operation of facilities, laboratories, and business functions at multi use sites through interaction with internal team members and peer level customers as well as external service providers. The position focus is on providing technical expertise and decision making while ensuring end-to-end and timely completion of Facilities and Utilities commissioning and qualification and ongoing work activities of low to moderate complexity, individually and with support of others. The incumbent spends most of their time on individual work. The incumbent may recommend modifications to work processes or procedures to functional management that impact their immediate function or organizational unit. The incumbent in this role works with entry, junior, and experienced level professionals to accomplish daily tasks and short term projects according to established policies and procedures. Required Competencies Knowledge, Skills, and Abilities: Intermediate knowledge of cGMP pertaining pharmaceutical facilities, utilities, and equipment. Intermediate knowledge of pharmaceutical manufacturing and utilities that support cell therapy clinical manufacturing. REQUIRED: Intermediate knowledge of commissioning and qualification of clean manufacturing facilities, material pass-throughs, AHUs, compressed air, carbon dioxide, and process air systems. PREFERRED: Commissioning and qualification of liquid nitrogen supply systems, DI Water, autoclaves, isolators, filling and capping equipment, and airflow visualization studies. Understanding of scheduling and execution fundamentals. Strong written and verbal communication skills. Excellent interpersonal skills with experience dealing with a diverse workforce. Strong multi tasking ability in conjunction with proven organizational skills. Ability to organize assigned tasks in a fast-paced environment and concurrently monitor tasks and assignments with others that may impact timely completion. Ability to effectively manage multiple tasks and activities simultaneously. High proficiency in MS Office Suite - Word, Excel, PowerPoint and Outlook. Innate ability to learn new software, such as corporate intranet and enterprise business. Working knowledge of scheduling software and systems, and inventory management systems. Ability to create and analyze meaningful metrics. DUTIES AND RESPONSIBILITIES 1) Commissioning and Qualification: a. Administer change control activities and corrective and preventive actions. b. Review, approve, and execute test protocols, validation deliverables, and plans as needed. c. Author, review, and approve SOPs, work practices, and other procedural documents. d. Provide input and guidance for change strategy, risk assessment, testing and compliance gaps. e. Serve as an SME for change controls, investigations, CAPAs, and audits, as applicable. 2) Promotes and provides excellent customer service and support: a. Regularly reviews, prioritizes, and promptly responds to customer equipment qualification and support requests. b. Provides technical support and guidance on equipment commissioning and qualification. Interfaces with customers to ensure all expectations are met. c. Maintains a positive relationship with all the members of the Equipment Commissioning & Qualification department and site customers while promoting a positive team environment. 3) Communication and Management of Timelines: a. Ensures timely completion of equipment commissioning and qualification projects, individually and/or with support of contracted personnel. b. Develops an effective mechanism for communicating the current status of all manufacturing and laboratory equipment to affected stakeholders. c. Continually seeks opportunities to increase internal client satisfaction and deepen client relationships. 4) Regulatory Responsibilities: a. Ensures manufacturing and laboratory facilities and utilities are maintained in compliance with GMP and other client standards and regulations. b. Acts as equipment commissioning and qualification SME in internal and regulatory audits. 4. EDUCATION AND EXPERIENCE: BS in Engineering required. Must be able to read and understand construction and mechanical drawings and P&IDs. Minimum of 3 years of experience in FDA-regulated industry. Minimum of 3 years of experience developing and execution facility and utility qualification. Strong background and experience in laboratory and manufacturing operations. Knowledge of cGMP in the pharmaceutical industry. Thorough knowledge and hands-on experience in commissioning and qualification of manufacturing facilities: REQUIRED - manufacturing rooms, material path-throughs; Thorough knowledge and hands-on experience in commissioning and qualification of common utilities: REQUIRED - compressed air, carbon dioxide, process air, AHUs; PREFERRED - liquid nitrogen supply systems, DI Water. Thorough knowledge and hands-on experience with airflow visualization (smoke studies). Strong computer skills, knowledge of calibration management and environmental monitoring systems preferred. Strong problem-solving skills, strong verbal and written communication skills, and the ability to work independently. Experience interacting with external and/or internal auditors in a compliance audit environment with direct interaction including face to face interaction and response to audit questions is preferred. Strong interpersonal and communication skills, a team player willing to work in an environment where individual initiative, accountability to the team, and professional maturity are required. Dexian is a leading provider of staffing, IT, and workforce solutions with over 12,000 employees and 70 locations worldwide. As one of the largest IT staffing companies and the 2nd largest minority-owned staffing company in the U.S., Dexian was formed in 2023 through the merger of DISYS and Signature Consultants. Combining the best elements of its core companies, Dexian's platform connects talent, technology, and organizations to produce game-changing results that help everyone achieve their ambitions and goals. Dexian's brands include Dexian DISYS, Dexian Signature Consultants, Dexian Government Solutions, Dexian Talent Development and Dexian IT Solutions. Visit to learn more. Dexian is an Equal Opportunity Employer that recruits and hires qualified candidates without regard to race, religion, sex, sexual orientation, gender identity, age, national origin, ancestry, citizenship, disability, or veteran status.
University of Maryland Medical System
Towson, Maryland
Job Description General Summary The Clinical Data Analyst prepares data queries and reports to support organization-wide Performance Improvement processes and programs. Collects and accurately enters data into spreadsheets, databases, charts and generates reports and analysis output related to exceptions and trends as directed to support PI efforts within the organization. Maintains aggregate databases/spreadsheets for use in quality review and utilization management; supports data related regulatory/accrediting body preparedness activities as directed. Job Role Clinical Data Analyst • As Primary MIDAS System Administrator for the organization with focus on Ongoing Professional Practice Evaluations (OPPE) and will collaborate with department chiefs to measure OPPE standards. • AS PRIMARY REVIEWER, SUPPORTS CORE MEASURES IMPLEMENTATION AS DEFINED BY THE CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS) AND THE JOINT COMMISSION (TJC) TO SUPPORT OVERALL PI DATA SUBMISSION PROCESS: Supports the MHCC hospital performance evaluation guide requirements and the HSCRC quality initiative requirements that are consistent with Core Measures requirements from CMS/TJC. Supports data quality and integrity in the Core Measures review and submission process. Identifies appropriate cases for review based on Core Measures software specifications, requests medical records and conducts data review and abstracting of required data. Identifies potentially problematic data review and collection issues and seeks clarification as needed. Supports data quality and integrity in the Core Measures review and submission processes. • COLLABORATES WITH QUALITY MANAGEMENT DEPARTMENT LEADERSHIP AND STAFF: Supports departmental goals, resource allocation on Performance Improvement projects, and assists in the successful completion of targeted department efforts, i.e. organizational preparation for regulatory reviews, etc. Consistently demonstrates knowledge and understanding of SJMC's current Strategic Quality Plan and utilizes the requirements therein as a guide to support multiple Quality Management / Performance initiatives and regulatory requirements. Demonstrates knowledge/appropriate application of "Just Accountability" related to fairness, equitable care, with honest reporting of adverse events when supporting QM initiatives. Demonstrates knowledge of the "Six Quality/Patient Safety aims": Safe, Timely, Effective, Efficient, Equitable and Patient Centered as they relate to QM initiatives. • PROVIDES PLANNING, COORDINATION AND SUPPORT TO MEDICAL STAFF PERFORMANCE REVIEW COMMITTEES: Works with clinical department heads to understand the requirements of the performance improvement process for relevant departments. Conducts preliminary screening and review of cases and flags questionable charts for further review by nurse or physician. Manages cases for review by physicians through checking volumes, notifying physicians and providing technical support for case review via automated systems. Assures performance improvement initiatives are addressed, processed and followed-up at monthly meetings. Manages data and reports for presentation to PI committees. Provides additional data support related to available automated systems (EPIC etc.) to identify patient population or statistics related to PI activity. • REPORTING / COMPLIANCE / RESEARCH: Fully knowledgeable of publically reported metrics: Core Measures, HCAHPS, Readmissions, HAC's, HAI's. Collaborates with QM PI Specialists in the delivery of core measures data metrics and trends for PI Team, Task Force/Work Group or Departmental intervention. Abstracts quality data from medical records for internally/externally reported/defined quality and patient safety measures. Ensures compliance with data entry and timelines established by 3rd party vendors. Performs research as needed to support QM initiatives, i.e. relevant articles, studies, etc., from valid, peer reviewed sources. • WORKS WITH THE PI TEAM AND CLINICAL LEADERSHIP TO COLLECT, ANALYZE AND PRESENT DATA RELATED TO CMS/TJC CORE MEASURES AND MHCC/HSCRC DATA REQUIREMENTS: Creates accurate and timely queries and reports to address potential Performance Improvement processes and/or priorities. Streamlines data management and reporting and when possible, supports automation of new and existing PI processes to achieve greater efficiencies. Provides education and support to facilitate processes and data that will allow the user to independently access the information. Prepares data queries and reports to support the PI process. Uses Excel and other resources to aggregate, organize and present PI data.
03/28/2024
Full time
Job Description General Summary The Clinical Data Analyst prepares data queries and reports to support organization-wide Performance Improvement processes and programs. Collects and accurately enters data into spreadsheets, databases, charts and generates reports and analysis output related to exceptions and trends as directed to support PI efforts within the organization. Maintains aggregate databases/spreadsheets for use in quality review and utilization management; supports data related regulatory/accrediting body preparedness activities as directed. Job Role Clinical Data Analyst • As Primary MIDAS System Administrator for the organization with focus on Ongoing Professional Practice Evaluations (OPPE) and will collaborate with department chiefs to measure OPPE standards. • AS PRIMARY REVIEWER, SUPPORTS CORE MEASURES IMPLEMENTATION AS DEFINED BY THE CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS) AND THE JOINT COMMISSION (TJC) TO SUPPORT OVERALL PI DATA SUBMISSION PROCESS: Supports the MHCC hospital performance evaluation guide requirements and the HSCRC quality initiative requirements that are consistent with Core Measures requirements from CMS/TJC. Supports data quality and integrity in the Core Measures review and submission process. Identifies appropriate cases for review based on Core Measures software specifications, requests medical records and conducts data review and abstracting of required data. Identifies potentially problematic data review and collection issues and seeks clarification as needed. Supports data quality and integrity in the Core Measures review and submission processes. • COLLABORATES WITH QUALITY MANAGEMENT DEPARTMENT LEADERSHIP AND STAFF: Supports departmental goals, resource allocation on Performance Improvement projects, and assists in the successful completion of targeted department efforts, i.e. organizational preparation for regulatory reviews, etc. Consistently demonstrates knowledge and understanding of SJMC's current Strategic Quality Plan and utilizes the requirements therein as a guide to support multiple Quality Management / Performance initiatives and regulatory requirements. Demonstrates knowledge/appropriate application of "Just Accountability" related to fairness, equitable care, with honest reporting of adverse events when supporting QM initiatives. Demonstrates knowledge of the "Six Quality/Patient Safety aims": Safe, Timely, Effective, Efficient, Equitable and Patient Centered as they relate to QM initiatives. • PROVIDES PLANNING, COORDINATION AND SUPPORT TO MEDICAL STAFF PERFORMANCE REVIEW COMMITTEES: Works with clinical department heads to understand the requirements of the performance improvement process for relevant departments. Conducts preliminary screening and review of cases and flags questionable charts for further review by nurse or physician. Manages cases for review by physicians through checking volumes, notifying physicians and providing technical support for case review via automated systems. Assures performance improvement initiatives are addressed, processed and followed-up at monthly meetings. Manages data and reports for presentation to PI committees. Provides additional data support related to available automated systems (EPIC etc.) to identify patient population or statistics related to PI activity. • REPORTING / COMPLIANCE / RESEARCH: Fully knowledgeable of publically reported metrics: Core Measures, HCAHPS, Readmissions, HAC's, HAI's. Collaborates with QM PI Specialists in the delivery of core measures data metrics and trends for PI Team, Task Force/Work Group or Departmental intervention. Abstracts quality data from medical records for internally/externally reported/defined quality and patient safety measures. Ensures compliance with data entry and timelines established by 3rd party vendors. Performs research as needed to support QM initiatives, i.e. relevant articles, studies, etc., from valid, peer reviewed sources. • WORKS WITH THE PI TEAM AND CLINICAL LEADERSHIP TO COLLECT, ANALYZE AND PRESENT DATA RELATED TO CMS/TJC CORE MEASURES AND MHCC/HSCRC DATA REQUIREMENTS: Creates accurate and timely queries and reports to address potential Performance Improvement processes and/or priorities. Streamlines data management and reporting and when possible, supports automation of new and existing PI processes to achieve greater efficiencies. Provides education and support to facilitate processes and data that will allow the user to independently access the information. Prepares data queries and reports to support the PI process. Uses Excel and other resources to aggregate, organize and present PI data.
Opportunities at WellMed, part of the Optum family of businesses. We believe all patients are entitled to the highest level of medical care. Here, you will join a team who shares your passion for helping people achieve better health. With opportunities for physicians, clinical staff and non-patient-facing roles, you can make a difference with us as you discover the meaning behind Caring. Connecting. Growing together. The Sr. Clinical Coding Nurse Consultant will drive consistent, efficient processes and share best practices in a collaborative effort with Providers and Market Team, designed to facilitate achievement of goals set for HCC Ratio, HCC Covered Ratio, and HCC Percent Covered. The Sr. Clinical Coding Nurse Consultant will drive Risk Adjustment improvement initiatives, develop recommendations for Risk Adjustment remediation plans and create tools and databases to capture relevant data for assigned markets to achieve corporate and market specific Risk Adjustment goals and initiatives. This position will work collaboratively with each regional/market team and their leadership in a matrix relationship. This position will provide direction and guidance to Medical Coding Analysts, as well as cross functional team members within their respective Markets pertaining to Risk Adjustment. Primary Responsibilities: Develop and implement market business plans to motivate providers to engage in improving Risk Adjustment metrics Provide analytical interpretation of Risk Adjustment reporting including, Executive Summaries, HCC Ratio, Disagree and Resolution rates, and FaxBack reporting to plan and provider groups Subject Matter Expert (SME) for all Risk Adjustment related activities within their assigned market(s) working within a matrix relationship which includes DataRAP operations and Regional/Market operations Assist in developing of training and analytical materials for Risk Adjustment Oversee DataRAP training and education delivery for Mega Groups via Provider education sessions and Physician Business Meetings / JOCs Lead Weekly, Monthly, Bi-monthly, Quarterly, and/or Annual Business Review meetings related to Risk Adjustment activities which summarize provider group performance and market performance as requested by or required by Market leadership Analyze and evaluate provider group structure and characteristics, provider group/provider office operations and personnel to identify the most effective approaches and strategies related to Risk Adjustment Analyze Provider and Group performance regarding Risk Adjustment and Focus on Care (FOC) to determine areas of focus or improvement opportunities. Develop solution-based, user friendly initiatives to support practice success Oversee market specific chart retrieval and review of PCP, Hospital, and Specialist records Work with DataRAP Senior Leadership on identified special projects This is a Hybrid/office-based position located near Interstate Highway I-10 West, near West Frontage Road just past The Rim Shopping Center/Ferrari Dealership, 78257. 25% position travel as determined by the business You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: Bachelor's degree in Nursing (Associate's degree or Nursing Diploma from accredited nursing school with 2+ years of additional experience may be substituted in lieu of a bachelor's degree) and current RN license in good standing CPC certification or proof that certification has been obtained within 9 months from date of hire from the American Academy of Professional Coders 5+ years associated nursing experience within health care industry 1+ years of familiarization with ICD10 codes Professional experience persuading changes in behavior Solid knowledge of the Medicare market, products and competitors Knowledge base of clinical standards of care and preventative health measures Proven ability and willingness to travel (locally and non-locally) as determined by business needs Preferred Qualifications: Undergraduate degree Experience in managed care working with network and provider relations Additional Medical chart review experience Medical/clinical background Knowledge of CMS HCC Model and Guidelines along with ICD 10 Guidelines Demonstrated ability to interact with medical staff, peers, and internal company staff at all levels Proven ability to solve process problems crossing multiple functional areas and business units Proven solid presentation skills and relationship building skills with clinical/non-clinical personnel Proven solid problem-solving skills; the ability to analyze problems, draw relevant conclusions and devise and implement an appropriate plan of action Proven good business acumen, especially as it relates to Medicare Proven MS Office Suite, moderate to advanced EXCEL and PowerPoint skills Physical & Mental Requirements: Ability to push or pull heavy objects using pounds of force Ability to stand for extended periods of time Ability to properly drive and operate a company vehicle At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
03/27/2024
Full time
Opportunities at WellMed, part of the Optum family of businesses. We believe all patients are entitled to the highest level of medical care. Here, you will join a team who shares your passion for helping people achieve better health. With opportunities for physicians, clinical staff and non-patient-facing roles, you can make a difference with us as you discover the meaning behind Caring. Connecting. Growing together. The Sr. Clinical Coding Nurse Consultant will drive consistent, efficient processes and share best practices in a collaborative effort with Providers and Market Team, designed to facilitate achievement of goals set for HCC Ratio, HCC Covered Ratio, and HCC Percent Covered. The Sr. Clinical Coding Nurse Consultant will drive Risk Adjustment improvement initiatives, develop recommendations for Risk Adjustment remediation plans and create tools and databases to capture relevant data for assigned markets to achieve corporate and market specific Risk Adjustment goals and initiatives. This position will work collaboratively with each regional/market team and their leadership in a matrix relationship. This position will provide direction and guidance to Medical Coding Analysts, as well as cross functional team members within their respective Markets pertaining to Risk Adjustment. Primary Responsibilities: Develop and implement market business plans to motivate providers to engage in improving Risk Adjustment metrics Provide analytical interpretation of Risk Adjustment reporting including, Executive Summaries, HCC Ratio, Disagree and Resolution rates, and FaxBack reporting to plan and provider groups Subject Matter Expert (SME) for all Risk Adjustment related activities within their assigned market(s) working within a matrix relationship which includes DataRAP operations and Regional/Market operations Assist in developing of training and analytical materials for Risk Adjustment Oversee DataRAP training and education delivery for Mega Groups via Provider education sessions and Physician Business Meetings / JOCs Lead Weekly, Monthly, Bi-monthly, Quarterly, and/or Annual Business Review meetings related to Risk Adjustment activities which summarize provider group performance and market performance as requested by or required by Market leadership Analyze and evaluate provider group structure and characteristics, provider group/provider office operations and personnel to identify the most effective approaches and strategies related to Risk Adjustment Analyze Provider and Group performance regarding Risk Adjustment and Focus on Care (FOC) to determine areas of focus or improvement opportunities. Develop solution-based, user friendly initiatives to support practice success Oversee market specific chart retrieval and review of PCP, Hospital, and Specialist records Work with DataRAP Senior Leadership on identified special projects This is a Hybrid/office-based position located near Interstate Highway I-10 West, near West Frontage Road just past The Rim Shopping Center/Ferrari Dealership, 78257. 25% position travel as determined by the business You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: Bachelor's degree in Nursing (Associate's degree or Nursing Diploma from accredited nursing school with 2+ years of additional experience may be substituted in lieu of a bachelor's degree) and current RN license in good standing CPC certification or proof that certification has been obtained within 9 months from date of hire from the American Academy of Professional Coders 5+ years associated nursing experience within health care industry 1+ years of familiarization with ICD10 codes Professional experience persuading changes in behavior Solid knowledge of the Medicare market, products and competitors Knowledge base of clinical standards of care and preventative health measures Proven ability and willingness to travel (locally and non-locally) as determined by business needs Preferred Qualifications: Undergraduate degree Experience in managed care working with network and provider relations Additional Medical chart review experience Medical/clinical background Knowledge of CMS HCC Model and Guidelines along with ICD 10 Guidelines Demonstrated ability to interact with medical staff, peers, and internal company staff at all levels Proven ability to solve process problems crossing multiple functional areas and business units Proven solid presentation skills and relationship building skills with clinical/non-clinical personnel Proven solid problem-solving skills; the ability to analyze problems, draw relevant conclusions and devise and implement an appropriate plan of action Proven good business acumen, especially as it relates to Medicare Proven MS Office Suite, moderate to advanced EXCEL and PowerPoint skills Physical & Mental Requirements: Ability to push or pull heavy objects using pounds of force Ability to stand for extended periods of time Ability to properly drive and operate a company vehicle At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
Detroit Medical Center Shared Services
Detroit, Michigan
The Detroit Medical Center (DMC) is a nationally recognized health care system that serves patients and families throughout Michigan and beyond. A premier healthcare resource, our mission is to help people live happier, healthier lives. The hospitals of the Detroit Medical Center are the Children's Hospital of Michigan, Detroit Receiving Hospital, Harper University Hospital, Hutzel Women's Hospital, the DMC Heart Hospital, Huron Valley-Sinai Hospital, the Rehabilitation Institute of Michigan and Sinai-Grace Hospital. DMC's 150-year legacy of medical excellence and service provides patients and families world-class care in cardiovascular health, women's services, neurosciences, stroke treatment, orthopedics, pediatrics, rehabilitation, organ transplant and other general and specialty services. DMC is a key partner in Detroit's resurgence, which continues to draw national and international attention. A dedicated corporate citizen with strong community ties, DMC is one of the largest and most diverse employers in Southeast Michigan. Summary Description Tenet Healthcare is a leading healthcare services company with a vast network of providers that we leverage to improve service delivery and patient outcomes. Our mission is to provide quality, compassionate care in the communities we serve. To this end, we seek and develop talent that will reflect this commitment to our mission and values. Under the guidance of the Market Education Director, the Nursing Educator collaborates with facility/market nursing leadership and staff across departments to assess, plan, develop, implement, facilitate, evaluate and revise educational programming for all levels of nursing personnel and non-nursing personnel as indicated or requested. The educator acts as a key resource in the orientation and continuing education of nursing staff at Tenet Healthcare. The Nursing Educator implements a comprehensive education program for his/her assigned units while following and contributing to Tenet educational goals and vision. Educational programs typically include, but are not limited to orientation, continuing education and in-services. Other services may include, but are not limited to process, performance and service-delivery consultation and contributions to the organization through councils, committees and workgroups. MAJOR RESPONSIBILITIES Clinical Education Supports the educational needs for assigned units/clinics including classroom, clinical experiences and learning technologies. Implements Tenet comprehensive education programs to meet the orientation and ongoing competency needs and professional development needs of the nursing staff, with specific focus for his/her units/clinics, which supports the Tenet model of professional nursing practice. Ensures all program/ course revisions meet the Department of Nursing and regulatory expectations and standards. Adheres to national education practice standards and stays abreast of current research into nursing education practice. Programs are executed and revised based on adult learning principles, organizational and learning theory consistent with Tenet endorsed philosophy and direction. Provides consultation to enhance continuing education, professional development opportunities and mentorship opportunities. Delivers/coordinates other educational programs as directed (e.g., Grand Rounds, in-services, continuing education, job-specific and specialty curricula) to support competence and professional growth of Tenet nursing staff. Provides leadership to preceptors and serves as a role model through educational programs and ongoing coaching and mentoring. Serves as a facilitator to nurse residents and actively mentors and supports their growth in the profession and clinical practice. Participates in continuing education provider unit learning. Evaluates nursing education activities which qualify for continuing education credit. Participates in activities to keep abreast of the changes to market/facility policies/procedures of the provider unit, and the expectations of the educator role. Assists in development of clinical policies and procedures as requested. Provides guidance, resources and knowledge for professional growth of others. Mentors colleagues, other nurses, students and others as appropriate. Participates in quality performance improvement activities. Performs other duties as assigned/required. Peri-Operative Services Covers Services but not limited to: Anesthesia Endo Sterile Processing Radiology/IR/Neuro IR Pt Transporters Accountable for the Projects, such as but not limited to: Crash Cart Moderate Sedition Ortho Program Malignant Hyperthermia ALL DUTIES AND REQUIREMENTS MUST BE PERFORMED CONSISTENT WITH TENET HEALTHCARE PERFORMANCE STANDARDS Qualifications: Minimum Qualifications 1. Bachelor's Degree in Nursing or Nursing Education or related specialty 2. 2 year nursing experience in an acute care setting preferred 3. Current State Licenses & Certifications Skills Required Participates in projects and educational activities as assigned for the department Communicates effectively with colleagues across Tenet to advance goal achievement and strategic vision alignment Demonstrates skill in navigating and communicating in a complex environment. Fosters achievement of Nursing Education/Development goals and objectives Demonstrates responsibility for reporting to licensing, certification, accreditation, and other regulatory bodies for educational program compliance Interacts with staff in an ethical, consistent, fair, timely, appropriate, and decisive manner in accordance with organization-wide and Nursing Department policies Identifies factors that affect staff's ability to fulfill their job responsibilities, collaborates with management to effect appropriate change needed for employee's success Accepts Committee and market work group appointments and actively participates to affect change in patient care and the Tenet Healthcare System Cultivates positive relationships with academic programs to foster positive image and relationships with Tenet Healthcare. Demonstrates AIDET and respect for others at all times Job: Educators/Specialists/Advanced Practice Primary Location: Detroit, Michigan Facility: Detroit Medical Center Shared Services Job Type: Full-time Shift Type: Days Shift Begin: 7:00 AM Shift End: 3:30 PM Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
03/27/2024
Full time
The Detroit Medical Center (DMC) is a nationally recognized health care system that serves patients and families throughout Michigan and beyond. A premier healthcare resource, our mission is to help people live happier, healthier lives. The hospitals of the Detroit Medical Center are the Children's Hospital of Michigan, Detroit Receiving Hospital, Harper University Hospital, Hutzel Women's Hospital, the DMC Heart Hospital, Huron Valley-Sinai Hospital, the Rehabilitation Institute of Michigan and Sinai-Grace Hospital. DMC's 150-year legacy of medical excellence and service provides patients and families world-class care in cardiovascular health, women's services, neurosciences, stroke treatment, orthopedics, pediatrics, rehabilitation, organ transplant and other general and specialty services. DMC is a key partner in Detroit's resurgence, which continues to draw national and international attention. A dedicated corporate citizen with strong community ties, DMC is one of the largest and most diverse employers in Southeast Michigan. Summary Description Tenet Healthcare is a leading healthcare services company with a vast network of providers that we leverage to improve service delivery and patient outcomes. Our mission is to provide quality, compassionate care in the communities we serve. To this end, we seek and develop talent that will reflect this commitment to our mission and values. Under the guidance of the Market Education Director, the Nursing Educator collaborates with facility/market nursing leadership and staff across departments to assess, plan, develop, implement, facilitate, evaluate and revise educational programming for all levels of nursing personnel and non-nursing personnel as indicated or requested. The educator acts as a key resource in the orientation and continuing education of nursing staff at Tenet Healthcare. The Nursing Educator implements a comprehensive education program for his/her assigned units while following and contributing to Tenet educational goals and vision. Educational programs typically include, but are not limited to orientation, continuing education and in-services. Other services may include, but are not limited to process, performance and service-delivery consultation and contributions to the organization through councils, committees and workgroups. MAJOR RESPONSIBILITIES Clinical Education Supports the educational needs for assigned units/clinics including classroom, clinical experiences and learning technologies. Implements Tenet comprehensive education programs to meet the orientation and ongoing competency needs and professional development needs of the nursing staff, with specific focus for his/her units/clinics, which supports the Tenet model of professional nursing practice. Ensures all program/ course revisions meet the Department of Nursing and regulatory expectations and standards. Adheres to national education practice standards and stays abreast of current research into nursing education practice. Programs are executed and revised based on adult learning principles, organizational and learning theory consistent with Tenet endorsed philosophy and direction. Provides consultation to enhance continuing education, professional development opportunities and mentorship opportunities. Delivers/coordinates other educational programs as directed (e.g., Grand Rounds, in-services, continuing education, job-specific and specialty curricula) to support competence and professional growth of Tenet nursing staff. Provides leadership to preceptors and serves as a role model through educational programs and ongoing coaching and mentoring. Serves as a facilitator to nurse residents and actively mentors and supports their growth in the profession and clinical practice. Participates in continuing education provider unit learning. Evaluates nursing education activities which qualify for continuing education credit. Participates in activities to keep abreast of the changes to market/facility policies/procedures of the provider unit, and the expectations of the educator role. Assists in development of clinical policies and procedures as requested. Provides guidance, resources and knowledge for professional growth of others. Mentors colleagues, other nurses, students and others as appropriate. Participates in quality performance improvement activities. Performs other duties as assigned/required. Peri-Operative Services Covers Services but not limited to: Anesthesia Endo Sterile Processing Radiology/IR/Neuro IR Pt Transporters Accountable for the Projects, such as but not limited to: Crash Cart Moderate Sedition Ortho Program Malignant Hyperthermia ALL DUTIES AND REQUIREMENTS MUST BE PERFORMED CONSISTENT WITH TENET HEALTHCARE PERFORMANCE STANDARDS Qualifications: Minimum Qualifications 1. Bachelor's Degree in Nursing or Nursing Education or related specialty 2. 2 year nursing experience in an acute care setting preferred 3. Current State Licenses & Certifications Skills Required Participates in projects and educational activities as assigned for the department Communicates effectively with colleagues across Tenet to advance goal achievement and strategic vision alignment Demonstrates skill in navigating and communicating in a complex environment. Fosters achievement of Nursing Education/Development goals and objectives Demonstrates responsibility for reporting to licensing, certification, accreditation, and other regulatory bodies for educational program compliance Interacts with staff in an ethical, consistent, fair, timely, appropriate, and decisive manner in accordance with organization-wide and Nursing Department policies Identifies factors that affect staff's ability to fulfill their job responsibilities, collaborates with management to effect appropriate change needed for employee's success Accepts Committee and market work group appointments and actively participates to affect change in patient care and the Tenet Healthcare System Cultivates positive relationships with academic programs to foster positive image and relationships with Tenet Healthcare. Demonstrates AIDET and respect for others at all times Job: Educators/Specialists/Advanced Practice Primary Location: Detroit, Michigan Facility: Detroit Medical Center Shared Services Job Type: Full-time Shift Type: Days Shift Begin: 7:00 AM Shift End: 3:30 PM Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
Primary City/State: Tucson, Arizona Department Name: Alvernon Lab-Tucson-Ref Lab Work Shift: Night Job Category: Lab POSITION SUMMARY This position performs waived and non-waived tests as defined by CLIA '88 in an accurate and timely manner with supervision. Assists with department compliance with all pertinent laboratory accrediting agencies and regulatory requirements (e.g., CLIA '88, JCAHO, CAP, OSHA). Personnel report to department supervisor. CORE FUNCTIONS 1. Performs testing in an accurate and timely manner according to established policies and performance standards with a knowledge level determined for that testing. Responsible for startup, calibration and accuracy of procedures and instrumentation. Exercises independent judgment and can identify appropriate resources in performance of assigned duties utilizing knowledge and skills. Demonstrates comprehension of theory and clinical relevance of testing. Demonstrates problem resolution and decision making skills for routine operational and technical problems. Demonstrates knowledge of computer systems used in the department and can perform basic troubleshooting of computer problems. Demonstrates awareness and complies with accrediting agency and regulatory requirements related to area of responsibility. 2. Recognizes and ensures validity of abnormal patient and/or QC results for testing. Ensures accuracy of test results. Participates in detecting and documenting occurrences that deviate from defined procedures. Demonstrates appropriate resolution and follow through for problem solving identified during testing. Promotes and consistently meets department standards for productivity and quality. 3. Ensures the appropriate use of supplies and materials and assists with inventory management. Ensures efficient utilization of reagents and supplies. Recognizes and provides input towards opportunities for improvements in financial performance to decrease costs, improve productivity, and improve service. 4. Self-directed and motivated to contribute to projects identified by the supervisor, with the completion of a minimum of one project per year. Seeks out opportunities to identify projects relating to department needs. Active in training and competency of laboratory personnel. Performs well in supervisor's absence and provides guidance on issues relating to pre-analytical, waived and non-waived testing. Completes training module for newly hired/transferred personnel. 5. Communicates courteously, professionally, effectively and accurately with internal and external customers. Participates in the resolution of communication issues. Knows and utilizes appropriate resources for increased levels of problem solving. Demonstrates good verbal and written communication skills. Promotes positive communications that enhances teamwork. Attendance and participation at staff meetings. MINIMUM QUALIFICATIONS Associate's Degree in medical laboratory science, OR Bachelor's Degree in chemical, physical or biological science, OR Have successfully completed military training of 50 or more weeks and served as a medical laboratory specialist. Military must be a high school graduate or equivalent. Basic Computer skills. Students may be hired at the job title equivalent to their future certification under the following conditions: Student is enrolled in a clinically recognized program (MLT), student's clinical rotation in the core area must be completed prior to working in that core area and student must complete the MLT program within one year of hire. PREFERRED QUALIFICATIONS MLT certification (ASCP, AMT, HEW, AAB) Additional related education and/or experience EOE/Female/Minority/Disability/Veterans Our organization supports a drug-free work environment. Privacy Policy
03/27/2024
Full time
Primary City/State: Tucson, Arizona Department Name: Alvernon Lab-Tucson-Ref Lab Work Shift: Night Job Category: Lab POSITION SUMMARY This position performs waived and non-waived tests as defined by CLIA '88 in an accurate and timely manner with supervision. Assists with department compliance with all pertinent laboratory accrediting agencies and regulatory requirements (e.g., CLIA '88, JCAHO, CAP, OSHA). Personnel report to department supervisor. CORE FUNCTIONS 1. Performs testing in an accurate and timely manner according to established policies and performance standards with a knowledge level determined for that testing. Responsible for startup, calibration and accuracy of procedures and instrumentation. Exercises independent judgment and can identify appropriate resources in performance of assigned duties utilizing knowledge and skills. Demonstrates comprehension of theory and clinical relevance of testing. Demonstrates problem resolution and decision making skills for routine operational and technical problems. Demonstrates knowledge of computer systems used in the department and can perform basic troubleshooting of computer problems. Demonstrates awareness and complies with accrediting agency and regulatory requirements related to area of responsibility. 2. Recognizes and ensures validity of abnormal patient and/or QC results for testing. Ensures accuracy of test results. Participates in detecting and documenting occurrences that deviate from defined procedures. Demonstrates appropriate resolution and follow through for problem solving identified during testing. Promotes and consistently meets department standards for productivity and quality. 3. Ensures the appropriate use of supplies and materials and assists with inventory management. Ensures efficient utilization of reagents and supplies. Recognizes and provides input towards opportunities for improvements in financial performance to decrease costs, improve productivity, and improve service. 4. Self-directed and motivated to contribute to projects identified by the supervisor, with the completion of a minimum of one project per year. Seeks out opportunities to identify projects relating to department needs. Active in training and competency of laboratory personnel. Performs well in supervisor's absence and provides guidance on issues relating to pre-analytical, waived and non-waived testing. Completes training module for newly hired/transferred personnel. 5. Communicates courteously, professionally, effectively and accurately with internal and external customers. Participates in the resolution of communication issues. Knows and utilizes appropriate resources for increased levels of problem solving. Demonstrates good verbal and written communication skills. Promotes positive communications that enhances teamwork. Attendance and participation at staff meetings. MINIMUM QUALIFICATIONS Associate's Degree in medical laboratory science, OR Bachelor's Degree in chemical, physical or biological science, OR Have successfully completed military training of 50 or more weeks and served as a medical laboratory specialist. Military must be a high school graduate or equivalent. Basic Computer skills. Students may be hired at the job title equivalent to their future certification under the following conditions: Student is enrolled in a clinically recognized program (MLT), student's clinical rotation in the core area must be completed prior to working in that core area and student must complete the MLT program within one year of hire. PREFERRED QUALIFICATIONS MLT certification (ASCP, AMT, HEW, AAB) Additional related education and/or experience EOE/Female/Minority/Disability/Veterans Our organization supports a drug-free work environment. Privacy Policy
DESCRIPTION Retiree Benefits Manager (WMS2/ERB) The deadline for application submissions has been extended to 4/03/24 This position is the division's subject matter expert on retiree benefits, Medicare, and their interaction with the work of the Public Employees Benefits Board and School Employees Benefits Board. This individual is a liaison between retiree organizations and HCA; developing positive working relationships with these organizations to ensure the agency is aware of the needs and concerns of the retiree community when communicating benefit information. The ideal candidate will bring strong familiarity with Medicare and retiree populations to a position that works with executive-level staff in a self-directed and autonomous manner to provide retirees with healthcare benefit support. All HCA employees will apply an equity lens to their work, which may include but is not limited to all analyses of core business and processes . About the division: This position fits into the agency strategies for implementing the Governor's health care initiatives and the Employees and Retirees Benefits (ERB) Division's strategic priorities to promote healthier outcomes and lifestyles for Public Employees Benefits Board (PEBB) and School Employees Benefits Board (SEBB) Program enrollees. This position is particularly focused on retirees, including both those enrolled and not enrolled in Medicare. This work supports the Governor's statewide policy objectives of "Healthy People" linking directly to the measurements tied to Healthy Babies, Youth, and Adults; Access/Pay for Quality; and providing high-quality employee benefits to attract and retain the state's workforce. About the position: The Retiree Benefits Manager leads and co-leads value-based purchasing activity for HCA on behalf of public and school employees' benefits. These activities impact approximately 725,000 PEBB and SEBB Program members, including 117,000 retirees. This position is the senior manager responsible for vendor management for fully insured medical benefits. This position is a resource to lower-level staff, new contract managers, senior management, and staff in other divisions, agencies, and political subdivisions that acquire their employee benefits through the PEBB and SEBB Programs. The incumbent performs account management for multiple contracts. This position is a subject matter expert (SME) and specialist in ERB retiree medical, dental, and vision coverage, with advanced expertise in Medicare as it relates to this population. The incumbent researches and implements new products, develops policies and procedures for the contractors, implements systems, analyzes, and solves problems, both in vendor operations and those that cross multiple vendors and other HCA divisions and within the ERB Division. This includes cross-portfolio and division(s) coordination of plans to ensure the unique needs of retirees are considered and met to the extent possible. This position is eligible to telework yet is required to report on-site for monthly meetings or to meet other business need. The default assigned work location of all Health Care Authority (HCA) positions - both on-site and telework eligible positions - is within the State of Washington. Frequency of onsite work will vary based on business and operational needs. HCA may choose, but is not required, to support out-of-state telework on a case-by-case basis. DUTIES Some of what you will do: Serves as the subject matter expert for the ERB Division on retiree benefits, including Medicare plans and benefits. Maintains current, expert-level knowledge of ERB retiree benefits and Medicare offerings, applicable laws and regulations, and related current state and national issues and trends. Takes a leadership role in developing and coordinating the division's vision and strategies for all retiree offerings, including Medicare offerings. Coordinates benefits and strategy across the entire ERB portfolio. Serves as a resource and advocate for retirees during Open Enrollment and throughout the year as issues arise. Maintains oversight of HCA's communications with the retiree population. Provides increased visibility for issues associated with retiree plans and benefits, including Medicare offerings, both within and outside HCA. Provides subject matter expertise to the agency on federal rules pertaining to Medicare as they relate to the PEBB and SEBB Programs and their members, and particularly for retirees. Collaborates on SEBB and PEBB Programs' benefit offerings including researching, drafting, and providing comparative analysis of the policy and product options, specifically related to retirees and Medicare. Prepares and/or assists in the preparation of policy and product documents for internal discussion, presentation to the SEB and/or PEB Board, and communication with stakeholders. Makes presentations on policy and product options to HCA management, SEB and/or PEB Board, and stakeholders. Communicates and coordinates with key stakeholders, including advocacy groups, consumer groups, health plans, legislators or legislative staff, other states, and national resources, on activities related to retiree benefits and Medicare. Serves as ERB subject matter expert in evaluating the impact of legislative proposals on retiree benefits and Medicare and recommends a course of action. Identifies policy needs, issues, and objectives. Proposes solutions, options, and courses of action to achieve policy objectives. Regularly monitors contractor performance and addresses discrepancies with contract expectations. Troubleshoots issues, captures, analyzes, and collaborates with contractors to resolve complex and unique issues. Leads negotiation with assigned vendors on contract amendments and extensions. Plans procurements for new contracts as needed; participates in selection of bidders, and negotiations of new contract terms. QUALIFICATIONS Required qualifications: Qualifying candidates will meet all the following criteria: Bachelor's degree in business administration, public administration, public health, health administration, clinical or health care, or another related field Three years' experience working with health plan design and/or procurement, provider network development and/or management, third-party administrators, broker services, or benefits operations, and/or administration, and Two years' experience managing contracts within the state or other public system. Preferred qualifications: Master's degree in business administration, public administration, public health, health administration, or a related field. Five years' experience in health plan operations. Three years' experience managing contracts within the state or other public system. Experience with: Retiree benefits, including Medicare and non-Medicare retiree benefits. Medicare coverage and requirements. Project management. Development and management of health care procurement and health care policy, including managing external consulting resources. Stakeholder identification and management. State and federal laws and regulations related to health care purchasing, policy, Medicare, Medicaid, and state and federal health care. Tax and legal consequences associated with ERISA, USSERA, HIPAA, Cafeteria plans, WA State Title 41 and 48, federal tax code as it relates to both employer-based benefits and brokering benefits to other employers. Knowledge of: Current public and school employees' benefits. Current health care systems, clinical systems, and customer service metrics. Impacts to the PEBB and SEBB Programs when new regulations are introduced. Skills: Communicate clearly and concisely, both orally and in writing, with all levels of management and a wide spectrum of professionals. Design, develop, coordinate, and implement statewide policy and strategy in relation to health care purchasing, contracting, and program design. Manage intra-agency, inter-agency, and external stakeholder communication strategies. Manage multiple projects concurrently; think strategically, coordinate, and implement the work of intra- and inter-agency project teams. Negotiate and facilitate interagency program development, implementation, and administration decisions. Effectively manage employer benefit contracts. Troubleshoot and make decisions independently. Collaborate with staff and manage consultants. How to apply: Only candidates who reflect the minimum qualifications on their NEOGOV profile will be considered. Failure to follow the application instructions below may lead to disqualification. To apply for this position, you will need to complete your profile which includes three professional references and attach: A cover letter that specifically addresses how you meet the qualifications for this position Current resume To take advantage of veteran preference, please do the following: Attach a copy of your DD214 (Member 4 long-form copy), NGB 22, or USDVA signed verification of service letter. Please black out any PII (personally identifiable information) data such as social security numbers. Include your name as it appears on your application in careers.wa.gov. SUPPLEMENTAL INFORMATION About HCA: The Washington State Health Care Authority (HCA) is committed to whole-person care, integrating physical health and behavioral health services for better results and healthier residents. . click apply for full job details
03/27/2024
Full time
DESCRIPTION Retiree Benefits Manager (WMS2/ERB) The deadline for application submissions has been extended to 4/03/24 This position is the division's subject matter expert on retiree benefits, Medicare, and their interaction with the work of the Public Employees Benefits Board and School Employees Benefits Board. This individual is a liaison between retiree organizations and HCA; developing positive working relationships with these organizations to ensure the agency is aware of the needs and concerns of the retiree community when communicating benefit information. The ideal candidate will bring strong familiarity with Medicare and retiree populations to a position that works with executive-level staff in a self-directed and autonomous manner to provide retirees with healthcare benefit support. All HCA employees will apply an equity lens to their work, which may include but is not limited to all analyses of core business and processes . About the division: This position fits into the agency strategies for implementing the Governor's health care initiatives and the Employees and Retirees Benefits (ERB) Division's strategic priorities to promote healthier outcomes and lifestyles for Public Employees Benefits Board (PEBB) and School Employees Benefits Board (SEBB) Program enrollees. This position is particularly focused on retirees, including both those enrolled and not enrolled in Medicare. This work supports the Governor's statewide policy objectives of "Healthy People" linking directly to the measurements tied to Healthy Babies, Youth, and Adults; Access/Pay for Quality; and providing high-quality employee benefits to attract and retain the state's workforce. About the position: The Retiree Benefits Manager leads and co-leads value-based purchasing activity for HCA on behalf of public and school employees' benefits. These activities impact approximately 725,000 PEBB and SEBB Program members, including 117,000 retirees. This position is the senior manager responsible for vendor management for fully insured medical benefits. This position is a resource to lower-level staff, new contract managers, senior management, and staff in other divisions, agencies, and political subdivisions that acquire their employee benefits through the PEBB and SEBB Programs. The incumbent performs account management for multiple contracts. This position is a subject matter expert (SME) and specialist in ERB retiree medical, dental, and vision coverage, with advanced expertise in Medicare as it relates to this population. The incumbent researches and implements new products, develops policies and procedures for the contractors, implements systems, analyzes, and solves problems, both in vendor operations and those that cross multiple vendors and other HCA divisions and within the ERB Division. This includes cross-portfolio and division(s) coordination of plans to ensure the unique needs of retirees are considered and met to the extent possible. This position is eligible to telework yet is required to report on-site for monthly meetings or to meet other business need. The default assigned work location of all Health Care Authority (HCA) positions - both on-site and telework eligible positions - is within the State of Washington. Frequency of onsite work will vary based on business and operational needs. HCA may choose, but is not required, to support out-of-state telework on a case-by-case basis. DUTIES Some of what you will do: Serves as the subject matter expert for the ERB Division on retiree benefits, including Medicare plans and benefits. Maintains current, expert-level knowledge of ERB retiree benefits and Medicare offerings, applicable laws and regulations, and related current state and national issues and trends. Takes a leadership role in developing and coordinating the division's vision and strategies for all retiree offerings, including Medicare offerings. Coordinates benefits and strategy across the entire ERB portfolio. Serves as a resource and advocate for retirees during Open Enrollment and throughout the year as issues arise. Maintains oversight of HCA's communications with the retiree population. Provides increased visibility for issues associated with retiree plans and benefits, including Medicare offerings, both within and outside HCA. Provides subject matter expertise to the agency on federal rules pertaining to Medicare as they relate to the PEBB and SEBB Programs and their members, and particularly for retirees. Collaborates on SEBB and PEBB Programs' benefit offerings including researching, drafting, and providing comparative analysis of the policy and product options, specifically related to retirees and Medicare. Prepares and/or assists in the preparation of policy and product documents for internal discussion, presentation to the SEB and/or PEB Board, and communication with stakeholders. Makes presentations on policy and product options to HCA management, SEB and/or PEB Board, and stakeholders. Communicates and coordinates with key stakeholders, including advocacy groups, consumer groups, health plans, legislators or legislative staff, other states, and national resources, on activities related to retiree benefits and Medicare. Serves as ERB subject matter expert in evaluating the impact of legislative proposals on retiree benefits and Medicare and recommends a course of action. Identifies policy needs, issues, and objectives. Proposes solutions, options, and courses of action to achieve policy objectives. Regularly monitors contractor performance and addresses discrepancies with contract expectations. Troubleshoots issues, captures, analyzes, and collaborates with contractors to resolve complex and unique issues. Leads negotiation with assigned vendors on contract amendments and extensions. Plans procurements for new contracts as needed; participates in selection of bidders, and negotiations of new contract terms. QUALIFICATIONS Required qualifications: Qualifying candidates will meet all the following criteria: Bachelor's degree in business administration, public administration, public health, health administration, clinical or health care, or another related field Three years' experience working with health plan design and/or procurement, provider network development and/or management, third-party administrators, broker services, or benefits operations, and/or administration, and Two years' experience managing contracts within the state or other public system. Preferred qualifications: Master's degree in business administration, public administration, public health, health administration, or a related field. Five years' experience in health plan operations. Three years' experience managing contracts within the state or other public system. Experience with: Retiree benefits, including Medicare and non-Medicare retiree benefits. Medicare coverage and requirements. Project management. Development and management of health care procurement and health care policy, including managing external consulting resources. Stakeholder identification and management. State and federal laws and regulations related to health care purchasing, policy, Medicare, Medicaid, and state and federal health care. Tax and legal consequences associated with ERISA, USSERA, HIPAA, Cafeteria plans, WA State Title 41 and 48, federal tax code as it relates to both employer-based benefits and brokering benefits to other employers. Knowledge of: Current public and school employees' benefits. Current health care systems, clinical systems, and customer service metrics. Impacts to the PEBB and SEBB Programs when new regulations are introduced. Skills: Communicate clearly and concisely, both orally and in writing, with all levels of management and a wide spectrum of professionals. Design, develop, coordinate, and implement statewide policy and strategy in relation to health care purchasing, contracting, and program design. Manage intra-agency, inter-agency, and external stakeholder communication strategies. Manage multiple projects concurrently; think strategically, coordinate, and implement the work of intra- and inter-agency project teams. Negotiate and facilitate interagency program development, implementation, and administration decisions. Effectively manage employer benefit contracts. Troubleshoot and make decisions independently. Collaborate with staff and manage consultants. How to apply: Only candidates who reflect the minimum qualifications on their NEOGOV profile will be considered. Failure to follow the application instructions below may lead to disqualification. To apply for this position, you will need to complete your profile which includes three professional references and attach: A cover letter that specifically addresses how you meet the qualifications for this position Current resume To take advantage of veteran preference, please do the following: Attach a copy of your DD214 (Member 4 long-form copy), NGB 22, or USDVA signed verification of service letter. Please black out any PII (personally identifiable information) data such as social security numbers. Include your name as it appears on your application in careers.wa.gov. SUPPLEMENTAL INFORMATION About HCA: The Washington State Health Care Authority (HCA) is committed to whole-person care, integrating physical health and behavioral health services for better results and healthier residents. . click apply for full job details