Practice Liaison II Job at CVS Health (Carolina)

ISC Specialist II – Small Business Liaison Officer

The Operations Strategic Capabilities Unit plays a fundamental role in enabling ...

Location

United States , Westminster

Salary:

67406.00 - 114590.00 USD / Year

Baesystems

Expiration Date

Until further notice

Requirements

Bachelor’s degree plus 2 or more years related experience
Possess a practical knowledge of supply chain management, small business, FAR/DFAR regulations and provides guidance to procurement professionals in support of subcontract actions by referencing the FAR, FAR Supplements, and ISC policies and other procedural requirements

Job Responsibility

Interpret regulations as they apply to financial processes and other processes, practices and procedures
Investigate and resolve compliance problems or complaints received from internal/external customers, government regulatory agencies, etc
Implement policies and procedures to ensure that these are in compliance with the appropriate statutes and regulations
May audit and evaluate current policies, procedures, and documentation for compliance with government laws and regulations
Provide focused support to Integrated Supply Chain (ISC)
Perform SBLO duties by conducting outreach, monitoring goals of small business program, creating and maintaining small business subcontracting plans, submitting semi-annual small business reports (ISRs and SSRs) to the Government, participating in and supporting DCMA/SBA audits of small business program, and other activities as required
Evaluate RFP requirements for Small Business utilization and participation requirements
Review and approve Large Business (LB) supplier subcontracting plans for compliance to regulations
monitor and approve LB suppliers' individual subcontracting performance reports to plan
Conduct Small Business utilization training sessions for supply chain personnel. Anticipate changes to Small Business regulations and assist with providing guidance to supply chain

What we offer

health, dental, and vision insurance
health savings accounts
a 401(k) savings plan
disability coverage
life and accident insurance
employee assistance program
legal plan
discounts on things like home, auto, and pet insurance
paid time off
paid holidays

Fulltime

Practice Manager II

This position has administrative responsibility for designated practices yet col...

Location

United States , Parker

Salary:

34.14 - 59.33 USD / Hour

American Nursing Care

Expiration Date

Until further notice

Requirements

3 years of experience in a healthcare related field with at least two years management experience
Entrepreneurial spirit and have the skills and to lead a small business
Have a track record of meeting and exceeding key performance metrics
HS/GED required
Bachelor’s degree or equivalent experience in healthcare administration, business, finance, or related field required

Job Responsibility

Develops plans to identify and reach short and long-term goals and assure development and compliance with operating and capital budgets and achievements of financial performance
Responsible for administration of business, financial and practice functions of the practice
Assists with the development and maintenance of physician and community relations to further our services within the community
Build collaborative relationships with physicians and other members of the management team to fulfill his/her accountabilities
Serves as the liaison with each service line and joint venture within the clinic
Build strong relationships with physicians and associates to achieve high levels of patient and customer satisfaction

What we offer

medical
prescription drug
dental
vision plans
life insurance
paid time off
tuition reimbursement
retirement plan benefits including 401(k)
403(b)
and other defined benefits offerings

Fulltime

Utilization Management Admissions Liaison RN II

The Utilization Management (UM) Admissions Liaison RN II is primarily responsibl...

Location

United States , Los Angeles

Salary:

88854.00 - 142166.00 USD / Year

L.A. Care Health Plan

Expiration Date

Until further notice

Requirements

Associate's Degree in Nursing
Minimum of 7 years of clinical experience in an acute hospital setting
Previous experience to have a strong understanding of Utilization Management/Case Management practices including, but not limited to, placement (with level of care) criteria (MCG, InterQual), concurrent review, and discharge planning
Must be computer literate, with expertise in Outlook, Word, Excel, PowerPoint
Provision of excellent customer service required due to frequent communication with providers and other members of the interdisciplinary team
Knowledge of personal computer, keyboarding, and appropriate software to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment
Excellent time management and priority-setting skills
Maintains strict member confidentiality and complies with all HIPAA requirements
Strong verbal and written communication skills
Registered Nurse (RN) - Active, current and unrestricted California License

Job Responsibility

Provides the primary clinical point of contact for inpatient acute care hospitals requesting Inpatient care/post-stabilization admission requests, Higher level of care transfers and other emergent transfers or needs
Establishes and maintains ongoing communication with internal stakeholders and external customers while securing the L.A. Care member's admission or inter-facility transfer
Applies clinical expertise and the nursing process to triage and prioritize admission acuity, servicing as an expert clinical resource for patient placement while utilizing medical knowledge and experience to facilitate consensus-building and development of satisfactory outcomes
Continually seeks new ways to improve processes and increase efficiencies
Completes all inpatient and discharge planning requests appropriately and timely including, but not limited to: Skilled nursing facility, outpatient needs (home health, physical therapy, infusion), and case management referrals
Performs prospective, concurrent, post-service, and retrospective claim medical review processes
Performs other duties as assigned

What we offer

Paid Time Off (PTO)
Tuition Reimbursement
Retirement Plans
Medical, Dental and Vision
Wellness Program
Volunteer Time Off (VTO)

Fulltime

Practice Administrator II

The Practice Administrator will manage the administrative and financial day-to-d...

Location

United States , Brookline

Salary:

93537.60 - 149656.00 USD / Year

Boston Children's Hospital

Expiration Date

Until further notice

Requirements

Bachelor’s degree in business, healthcare administration, or related field required
Master’s degree preferred
Bachelor’s degree with 6 years of experience or Master’s degree with 4 years of experience
Ability to effectively manage the employees within assigned departments and to influence and negotiate with peer level managers on issues and programs that impact assigned departments
Knowledge and skills necessary to solve complex problems in the areas of clinical/research operations, business planning, financial management, marketing, personnel, and information systems management

Job Responsibility

Manage daily operational efficiency, throughput, and coverage for assigned clinical areas by organizing work and work methods to ensure efficient use of staff time and equipment
Collaborate with Human Resources, Department Administrator, and physician/nurse leaders, and manage human resources effectively through efficient staffing, coaching and development of staff, and setting and maintaining high work standards. Delegate authority, responsibility, and work appropriately among subordinates or subordinate work units
Prepare and monitor the department/program budgets together with division manager and physician leaders. Monitor operational and financial targets and variations in line with budget expectations
Collaborate with Hospital Compliance, physician and nurse leaders, to manage compliance with government regulations and third-party payor requirements
Act as an administrative liaison between the clinical program and hospital departments which may include IT, Facilities, Marketing, outside vendors, and contractors. Serve as the principal liaison to any other hospital on joint matters and shared programs. Serve on hospital task forces and committees, as appropriate
Interact routinely with the corresponding Program Chiefs, Hospital Department Administrators, Nursing leadership, respective physicians/referring physicians, and their offices across Genetics, Metabolism, and Dermatology, as well as other specialties that may share clinic space
Participate and/or provide administrative support to Chiefs and nurse leaders in the development and ongoing improvement of disease-specific clinical outcome metrics. Direct and develop staff to look at service delivery workflows and processes and identify opportunities for improvement of these outcome metrics
Collaborate with Hospital personnel and Departmental faculty to plan and implement the strategic vision for the clinical components of the department’s mission

What we offer

flexible schedules
affordable health, vision and dental insurance
child care and student loan subsidies
generous levels of time off
403(b) Retirement Savings plan
Pension
Tuition and certain License and Certification Reimbursement
cell phone plan discounts
discounted rates on T-passes

Fulltime

Practice Manager II

Manages an ambulatory practice with 12 to 19 rooms, may be across more than one ...

Location

United States of America , Rochester

Salary:

26.73 - 37.40 USD / Hour

University of Rochester

Expiration Date

Until further notice

Requirements

Associate's degree preferably with coursework in business administration or health care administration and 3 years administrative experience with one of those years healthcare management required
Bachelor's degree preferred
Or equivalent combination of education and experience
Electronic Medical Record (EMR) skills (with training) with proficiency in all aspects, including template building and billing knowledge preferred
Advanced knowledge of medical practices, terminology, and reimbursement policies preferred
Microsoft Outlook email skills preferred
Electronic filing skills preferred
Typing skills preferred
Intermediate proficiency with Microsoft Word and Excel preferred

Job Responsibility

Manages an ambulatory practice with 12 to 19 rooms, may be across more than one location
Promotes operational efficiency, high quality, outstanding patient experience, and strong financial performance
Directs and influences staff using the ICARE framework
Responsible for performance management of a team of non-clinical staff
Implement procedures for enhancing levels of service and quality and enforce medical office policies and procedures
Develop and monitor guidelines for prioritizing and assigning work activities
Establishes and maintains efficient and responsive patient flow system
Schedules and facilitates regular office meetings with providers and office staff
Ensures proper registration and insurance pre-verification management processes are followed
Prepares and distributes weekly schedule for staff

Fulltime

Patient Self-Pay Resolution Center Representative II

The Patient Financial Representative performs the functions of Patient Account M...

Location

United States of America , Rochester

Salary:

19.08 - 25.77 USD / Hour

University of Rochester

Expiration Date

Until further notice

Requirements

High school graduate with 4 years of experience in healthcare, billing, or collections experience
Bachelor's degree with at least 1 year of related experience
Equivalent combination of education and experience
Proven and effective diplomatic communicator demonstrated by the ability to consistently present and express oral and written information in an organized, understandable, complete, and concise manner
Ability to remain professional and focused under multiple pressures and demands
Strong organizational skills, reasoning, and problem solving skills
Ability to multi-task in order to efficiently resolve customer concerns, by actively listening to the customer, navigating multiple programs and applications at the same time, typing call documentation, and speaking to the customer simultaneously
Ability to prioritize tasks and work in fast paced environment
Ability to work effectively as a member of a team
Actively participate in and contribute to the daily operations of the Patient Services Department by identifying improvements to processes, services, and the patient experience

Job Responsibility

Responds to patients' inquiries via telephone, MyChart, mail, email, and fax, concerning, but not limited to, billing issues, claim payments, contract benefits, and medical billing in accordance with HIPAA, Third Party Billing rules and regulations, and the Fair Credit Debt Collection Practices Act
Acts as a liaison among the customers, business partners, and plans in a professional, self-directed manner to ensure and promote customer satisfaction and retention
Provides timely responses to customer inquiries by telephone, email or website chatbox in an in- or outbound service center, consistent with service and quality standards
Troubleshoots and resolves customer complaints
Researches, interprets and responds to inquiries from internal and external customers concerning unresolved patient billing issues, outstanding balances as a result of statements sent within the billing systems (EPIC, Flowcast, and HBOC) utilizing reference materials and available resources
Resolves customer inquiries in an accurate, organized, efficient, timely, and expert manner
Consistently adheres to all Patient Service policies, procedures, and performance measures including inquiry documentation procedures
Maintains performance and quality standards based on established call center metrics including turn-around times
Initiates insurance billing either electronically or via the use of the Electronic Work file transfer process within the billing systems for accounts classified as Self-Pay in error
Identifies and verifies coverage under the government health insurance programs

Fulltime

Patient Self-Pay Resolution Center Representative II

The Patient Financial Representative acts with compassion and empathy, exercises...

Location

United States of America , Rochester

Salary:

19.08 - 25.77 USD / Hour

University of Rochester

Expiration Date

Until further notice

Requirements

High school graduate with 4 years of experience in healthcare, billing, or collections experience
Bachelor's degree with at least 1 year of related experience
Equivalent combination of education and experience

Job Responsibility

Provides timely responses to customer inquiries by telephone, email or website chatbox in an in- or outbound service center, consistent with service and quality standards
Troubleshoots and resolves customer complaints
Performs the functions of Patient Account Management for individuals receiving care from the University of Rochester Medical Center (URMC), Highland Hospital (HH), and University of Rochester Medical Facility Group (URMFG)
Responds to patients' inquiries via telephone, MyChart, mail, email, and fax, concerning, but not limited to, billing issues, claim payments, contract benefits, and medical billing in accordance with HIPAA, Third Party Billing rules and regulations, and the Fair Credit Debt Collection Practices Act
Acts as a liaison among the customers, business partners, and plans in a professional, self-directed manner to ensure and promote customer satisfaction and retention
Researches, interprets and responds to inquiries from internal and external customers concerning unresolved patient billing issues, outstanding balances as a result of statements sent within the billing systems (EPIC, Flowcast, and HBOC) utilizing reference materials and available resources
Resolves customer inquiries in an accurate, organized, efficient, timely, and expert manner
Consistently adheres to all Patient Service policies, procedures, and performance measures including inquiry documentation procedures
Maintains performance and quality standards based on established call center metrics including turn-around times
Initiates insurance billing either electronically or via the use of the Electronic Work file transfer process within the billing systems for accounts classified as Self-Pay in error

Fulltime

Financial Analyst II

Under general guidance and with latitude for exercise of independent judgment to...

Location

United States of America , Rochester

Salary:

60431.00 - 84603.00 USD / Year

University of Rochester

Expiration Date

Until further notice

Requirements

Bachelor's degree in finance functional area and 2 years related experience required
Or equivalent combination of education and experience

Job Responsibility

Prepare and manage the life cycle of clinical trial budgets and trial specific contract terms
Plans, implements, coordinates, administers and evaluates all aspects of the budget and trial specific contact terms for protocols of the Cancer Center
Provide professional direction of the planning, implementation, coordination, operation and evaluation of funded Investigator-Initiated and Industry-Initiated research protocols
Serves as the primary contact person with the investigator, University, and sponsor
Assists study coordinators with study related charges and requisitions
Supervises the financial administrators and post award management for all Cancer Center protocols
Maintain a working knowledge of academic research budget practices and procedures
Serves as liaison between Office of Research and Project Administration (ORPA), Office of Research Accounting and Costing Standards (ORACS), Principal Investigator (PI), Industry representatives, and collaborating academic Institutions
Execute the required aspects of the budget management of the research project
Post award management activities, including: amendments, contract end dates, review charge reports, categorize services in relation to qualified clinical trials

Fulltime

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Practice Liaison II

Job Description

Job Responsibility

Requirements

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