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At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.Position Summary<ul> <li>Network implementation manager.</li> <li>Configure custom, domestic, and direct-to-employer networks. </li> <li>Subject matter expert for network files, network IDs, and PPO codes.</li> <li>User Acceptance Testing for new implementations and issue resolution.</li> <li>Performs research for network issues and partners with EDI IT on resolution.</li> <li>Coordinates custom online provider directories.</li> </ul> Required Qualifications<ul> <li>2+ years healthcare industry experience.</li> <li>1+ year network operations or provider relations experience.</li> <li>Proficiency in Microsoft Office Suite (Word, Excel, Outlook, etc.).</li> </ul>Preferred Qualifications<ul> <li>1+ year of implementation management experience</li> <li>1+ year of vendor management experience</li> </ul> Education<ul><li> High School Diploma or GED</li></ul>Anticipated Weekly Hours40Time TypeFull timePay RangeThe typical pay range for this role is:$46,988.00 - $122,400.00This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.Great benefits for great peopleWe take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:<ul> <li>Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.</li> <li>No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.</li> <li>Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.</li> </ul>For more information, visit <a href="https://jobs.cvshealth.com/us/en/benefits" target="_blank">https://jobs.cvshealth.com/us/en/benefits</a>We anticipate the application window for this opening will close on: 05/23/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

CVSHealth

Senior Network Analyst

R1 RCM Inc. is a leading provider of technology-enabled revenue cycle management services which transform and solve challenges across health systems, hospitals and physician practices. Headquartered in Chicago, R1® is a publicly-traded organization with employees throughout the US and international locations. Our mission is to be the one trusted partner to manage revenue, so providers and patients can focus on what matters most. Our priority is to always do what is best for our clients, patients and each other. With our proven and scalable operating model, we complement a healthcare organization’s infrastructure, quickly driving sustainable improvements to net patient revenue and cash flows while reducing operating costs and enhancing the patient experience. As the Government Navigation Services (GNS) Business Development Director, you will focus on engaging and targeting new Tier 1 and Tier 2 target accounts (i.e., high-value prospects). On a day-to-day basis, in addition to prospecting and networking initiatives, the GNS Business Development Director will partner with the Business Development teams of in-house and outsourced lead generation professionals to build an active sales funnel (i.e., sales staged Qualified and above) with booking values equal to or greater than sales quota in estimated first-year revenue.To thrive in this role, you will utilize your expertise in Medicare reimbursement, specifically Medicare Bad Debt, Disproportionate Share (DSH), and Worksheet S-10 (Uncompensated Care) to navigate development discussions with prospective clients. Responsibilities:<ul> <li>Develop and execute a strategy that aligns with company objectives to rapidly build brand awareness and drive new revenue</li> <li>Navigate Government Reimbursement</li> <li>Meet or exceed annual goals as assigned</li> <li>Accurately forecast attainment on a monthly, quarterly, and annual basis</li> <li>Ensure sales activity is documented correctly through the CRM automation tool (Salesforce)</li> <li>Collaborate in a team selling environment to identify, pursue and capture new client relationships. </li> <li>Build trusting relationships with potential clients</li> </ul> Requirements:<ul> <li>10+ years of experience selling services surrounding Medicare reimbursement, combined with a strong/effective presence with hospital and health systems' various leadership teams and executives, including the C-suite, with a proven ability to develop relationships and gain buy-in</li> <li>Experience navigating Medicare reimbursement</li> <li>Expertise in Medicare Bad Debt, DSH, Worksheet S-10</li> <li>Ability to travel up to 50%</li> </ul>For this US-based position, the base pay range is $116,133.00 - $173,605.10 per year . Individual pay is determined by role, level, location, job-related skills, experience, and relevant education or training.The healthcare system is always evolving — and it’s up to us to use our shared expertise to find new solutions that can keep up. On our growing team you’ll find the opportunity to constantly learn, collaborate across groups and explore new paths for your career. Our associates are given the chance to contribute, think boldly and create meaningful work that makes a difference in the communities we serve around the world. We go beyond expectations in everything we do. Not only does that drive customer success and improve patient care, but that same enthusiasm is applied to giving back to the community and taking care of our team — including offering a <a href="http://go.r1rcm.com/benefits" target="_blank">competitive benefits package.</a>R1 RCM Inc. (“the Company”) is dedicated to the fundamentals of equal employment opportunity. The Company’s employment practices , including those regarding recruitment, hiring, assignment, promotion, compensation, benefits, training, discipline, and termination shall not be based on any person’s age, color, national origin, citizenship status, physical or mental disability, medical condition, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status or any other characteristic protected by federal, state or local law. Furthermore, the Company is dedicated to providing a workplace free from harassment based on any of the foregoing protected categories.If you have a disability and require a reasonable accommodation to complete any part of the job application process, please contact us at 312-496-7709 for assistance.CA PRIVACY NOTICE: California resident job applicants can learn more about their privacy rights <a href="https://f.hubspotusercontent20.net/hubfs/4941928/California%20Consent%20Notice.pdf" target="_blank">California Consent </a>To learn more, visit: <a href="https://R1RCM.com" target="_blank">R1RCM.com</a>Visit us on <a href="https://www.facebook.com/R1RCM" target="_blank">Facebook</a>

R1 RCM

Business Development Director-Government Reimbursement

At R1 RCM we are a leading provider of technology-driven solutions that transform the patient experience and financial performance of healthcare providers. We deliver proven ROI across the entire revenue cycle – front, middle and back office. This enables our customers to achieve an optimal revenue cycle – one that promotes patient satisfaction and improves financial performance.As our DRGV Auditor II, your primary role will be auditing inpatient cases for DRG validation and/or documentation improvement. This consists of reviewing accounts in proprietary software and client EMR systems to validate the accounts. Opportunity for growth includes a client facing Lead Auditor role and an internally facing Mentor role. Every day in this role you will:<ul> <li>Review inpatient medical records for validation of DRG assignment </li> <li>Provide detailed rationale and supporting evidence for recommendation and findings </li> <li>Utilize industry-recognized references to support their review findings, such as the ICD-10 Official Guidelines for Coding and Reporting, AHIMA Standards of Ethical Coding, AHIMA Practice Briefs related to compliant querying, and AHA Coding Clinics </li> </ul>To succeed in this role, you must have:<ul> <li>Current AHIMA credentials of one or more of the following are required: RHIA, RHIT, and/or CCS </li> <li>3+ years of ICD-10 auditing and DRG reimbursement experience, with recent acute inpatient auditing experience </li> </ul>For this US-based position, the base pay range is $51,700.00 - $95,429.25 per year . Individual pay is determined by role, level, location, job-related skills, experience, and relevant education or training.This job is eligible to participate in our annual bonus plan at a target of 5.00%The healthcare system is always evolving — and it’s up to us to use our shared expertise to find new solutions that can keep up. On our growing team you’ll find the opportunity to constantly learn, collaborate across groups and explore new paths for your career. Our associates are given the chance to contribute, think boldly and create meaningful work that makes a difference in the communities we serve around the world. We go beyond expectations in everything we do. Not only does that drive customer success and improve patient care, but that same enthusiasm is applied to giving back to the community and taking care of our team — including offering a <a href="http://go.r1rcm.com/benefits" target="_blank">competitive benefits package.</a>R1 RCM Inc. (“the Company”) is dedicated to the fundamentals of equal employment opportunity. The Company’s employment practices , including those regarding recruitment, hiring, assignment, promotion, compensation, benefits, training, discipline, and termination shall not be based on any person’s age, color, national origin, citizenship status, physical or mental disability, medical condition, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status or any other characteristic protected by federal, state or local law. Furthermore, the Company is dedicated to providing a workplace free from harassment based on any of the foregoing protected categories.If you have a disability and require a reasonable accommodation to complete any part of the job application process, please contact us at 312-496-7709 for assistance.CA PRIVACY NOTICE: California resident job applicants can learn more about their privacy rights <a href="https://f.hubspotusercontent20.net/hubfs/4941928/California%20Consent%20Notice.pdf" target="_blank">California Consent </a>To learn more, visit: <a href="https://R1RCM.com" target="_blank">R1RCM.com</a>Visit us on <a href="https://www.facebook.com/R1RCM" target="_blank">Facebook</a>

DRGV Auditor II

R1 is the leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry’s most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our Hospital Coding Auditor, you will review hospital charges against medical record and all applicable documentation to determine appropriate code assignments on services provided (CPT/HCPCS codes). The Auditor must have a comprehensive understanding of medical terminology, coding, contractual agreements, and various payment methodologies. This position requires good time management skills and the ability to work independently. Here’s what you will experience working as a Hospital Coding Auditor <ul> <li>Review hospital charges against medical record and all applicable documentation to determine appropriate code assignments on services provided (CPT/HCPCS codes) </li> <li>Understand billing and coding requirements for government and commercial payers. </li> <li>Abstract statistical data from the patient record and enter information following facility guidelines. </li> </ul><ul> <li>Follow all HIPAA regulations and uphold a higher standard around privacy requirements. </li> <li>Maintain at least a 95% accuracy rate. </li> <li>Maintain productivity standards, tracking logs and deadlines. </li> </ul>To be successful in this role, you must have:<ul><li>CPC, CCS, CPC-H (COC), CPMA, CIC, RHIA, RHIT and/or CCS-P certification </li></ul><ul> <li>Experience in billing, charge documentation, charge audit or charge capture activities, or other functions related to revenue cycle activities. </li> <li>Experience coding multi-specialties preferred that may include trauma, orthopedics, cardiology, interventional radiology, and neurology. </li> <li>Must possess a demonstrated knowledge of clinical processes; clinical coding (CPT, HCPCS, ICD-10, revenue codes, status indicators, and modifiers), charging processes and audits. </li> </ul><ul> <li>Knowledge of CMS guidelines, Ambulatory Payment Classification, and Outpatient Prospective Payment System, reimbursement structures and prebill edits including Outpatient Coding Edits/Correct Coding Initiative edits preferred. </li> <li>Experience with encoder technology and electronic medical record systems. </li> <li>Ability to work in a flexible environment, adapting to changing priorities.</li> <li>Excellent organizational skills and strong attention to detail</li> </ul>For this US-based position, the base pay range is $43,888.00 - $70,631.44 per year . Individual pay is determined by role, level, location, job-related skills, experience, and relevant education or training.This job is eligible to participate in our annual bonus plan at a target of 5.00%The healthcare system is always evolving — and it’s up to us to use our shared expertise to find new solutions that can keep up. On our growing team you’ll find the opportunity to constantly learn, collaborate across groups and explore new paths for your career. Our associates are given the chance to contribute, think boldly and create meaningful work that makes a difference in the communities we serve around the world. We go beyond expectations in everything we do. Not only does that drive customer success and improve patient care, but that same enthusiasm is applied to giving back to the community and taking care of our team — including offering a <a href="http://go.r1rcm.com/benefits" target="_blank">competitive benefits package.</a>R1 RCM Inc. (“the Company”) is dedicated to the fundamentals of equal employment opportunity. The Company’s employment practices , including those regarding recruitment, hiring, assignment, promotion, compensation, benefits, training, discipline, and termination shall not be based on any person’s age, color, national origin, citizenship status, physical or mental disability, medical condition, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status or any other characteristic protected by federal, state or local law. Furthermore, the Company is dedicated to providing a workplace free from harassment based on any of the foregoing protected categories.If you have a disability and require a reasonable accommodation to complete any part of the job application process, please contact us at 312-496-7709 for assistance.CA PRIVACY NOTICE: California resident job applicants can learn more about their privacy rights <a href="https://f.hubspotusercontent20.net/hubfs/4941928/California%20Consent%20Notice.pdf" target="_blank">California Consent </a>To learn more, visit: <a href="https://R1RCM.com" target="_blank">R1RCM.com</a>Visit us on <a href="https://www.facebook.com/R1RCM" target="_blank">Facebook</a>

Hospital Coding Auditor

R1 is the leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry’s most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our Operations Associate II, you will handle all in-depth research regarding patient’s self-pay, insurance and/or bad debt balances. Every day you will, effectively explains policies and procedures and refers each account for proper resolution and provides feedback to the department where the concern originated via the CU or Host system. To thrive in this role you must, can work independently, accomplish goals, excellent customer service and communication skills, creativity, patience and flexibility.Here’s what you will experience working as an Operations Associate II:<ul> <li>You have basic knowledge of EOB’s, CPT &amp; ICD-9&amp;10 codes, HCFAs, UB04s, HCPCS, DRGs and authorizations/referrals. </li> <li>You will review and Interpret Patient Statements, Balance and basic knowledge of Client Contractual Terms/Agreements (as needed)</li> <li>You will obtain Supporting Documentation Regarding Patient/Client Follow-up Efforts</li> <li>You can identify Contractual &amp; Administrative Adjustments </li> <li>You will assist &amp; Resolve Patient Inquiries/Requests a 24-48 Hour Period</li> <li>You will understand various insurance payors processes.</li> <li>You have a working knowledge of EPIC and HIPPA.</li> </ul>Required Skills:<ul> <li>High School diploma</li> <li>2 years of billing experience</li> </ul>For this US-based position, the base pay range is $15.45 - $24.29 per hour . Individual pay is determined by role, level, location, job-related skills, experience, and relevant education or training.The healthcare system is always evolving — and it’s up to us to use our shared expertise to find new solutions that can keep up. On our growing team you’ll find the opportunity to constantly learn, collaborate across groups and explore new paths for your career. Our associates are given the chance to contribute, think boldly and create meaningful work that makes a difference in the communities we serve around the world. We go beyond expectations in everything we do. Not only does that drive customer success and improve patient care, but that same enthusiasm is applied to giving back to the community and taking care of our team — including offering a <a href="http://go.r1rcm.com/benefits" target="_blank">competitive benefits package.</a>R1 RCM Inc. (“the Company”) is dedicated to the fundamentals of equal employment opportunity. The Company’s employment practices , including those regarding recruitment, hiring, assignment, promotion, compensation, benefits, training, discipline, and termination shall not be based on any person’s age, color, national origin, citizenship status, physical or mental disability, medical condition, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status or any other characteristic protected by federal, state or local law. Furthermore, the Company is dedicated to providing a workplace free from harassment based on any of the foregoing protected categories.If you have a disability and require a reasonable accommodation to complete any part of the job application process, please contact us at 312-496-7709 for assistance.CA PRIVACY NOTICE: California resident job applicants can learn more about their privacy rights <a href="https://f.hubspotusercontent20.net/hubfs/4941928/California%20Consent%20Notice.pdf" target="_blank">California Consent </a>To learn more, visit: <a href="https://R1RCM.com" target="_blank">R1RCM.com</a>Visit us on <a href="https://www.facebook.com/R1RCM" target="_blank">Facebook</a>

Operations Associate II

Job Description R1 RCM Inc. is a leading provider of technology-enabled revenue cycle management services which transform and solve challenges across health systems, hospitals and physician practices. Headquartered in Chicago, R1® is a publicly-traded organization with employees throughout the US and international locations. Our mission is to be the one trusted partner to manage revenue, so providers and patients can focus on what matters most. Our priority is to always do what is best for our clients, patients and each other. With our proven and scalable operating model, we complement a healthcare organization’s infrastructure, quickly driving sustainable improvements to net patient revenue and cash flows while reducing operating costs and enhancing the patient experience. The Client Experience Director (CXD) will serve as one of the primary points of contact for all day-to-day activities within the Client Experience Team. The CXD will be responsible for establishing trusted relationships with their assigned clients, and when appropriate expand our partnerships through selling new solutions. This person will be responsible for providing support to the Client Experience Team to which they are assigned as well as collaborating across various departments within R1 to drive high client satisfaction and safeguard client retention. To thrive in this role, you must have a dynamic personality who approaches external relationships from the client’s perspective using effective and proactive communication, analytical skills, and daily leadership. The CXD will be tasked with various project leadership opportunities that require a high-level of cross-collaboration with multiple organization units. RESPONSIBILITIES <ul> <li>Client Relationship/Management: 30%</li> <li>Collaboration with other R1 functions: 30%</li> <li>Client Business Reviews and Meetings: 20%</li> <li>Introducing and selling new solutions to existing clients, including having a target sales quota: 15%</li> <li>Document the client experience in CRM: 5%</li> <li>Drive high Net Promoter Score (NPS) results across their client portfolio.</li> <li>Work collaboratively across functions to ensure operational excellence to nurture and ensure client satisfaction leads to growth and retention.</li> <li>Ensure mutual understanding of goals, objectives and action plans related to client’s revenue and book of business.</li> <li>Participate in the contracting and contract renewal process.</li> <li>Contribute to region and client-level strategic planning.</li> <li>Lead the creation and presentation of business reviews.</li> <li>Assist in the implementation of new solutions and onboarding of new clients.</li> <li>Follow best-practice account management and client experience methodologies.</li> </ul> REQUIRED QUALIFICATIONS <ul> <li>4+ years of account management, client experience management, and/or revenue cycle operations consulting experience working with Director-level partners is preferred.</li> <li>Healthcare revenue cycle and revenue integrity experience working with acute care provider organizations.</li> <li>Outstanding organization and prioritization skills</li> <li>Exceptional written and verbal communication skills</li> <li>Bachelor’s degree</li> <li>Proficiency with Microsoft Office, including basic to intermediate Excel functions, and CRM application use (preferred: Salesforce)</li> <li>Ability to travel up to 40%</li> </ul> For this US-based position, the base pay range is $109,118.00 - $187,269.24 per year . Individual pay is determined by role, level, location, job-related skills, experience, and relevant education or training.The healthcare system is always evolving — and it’s up to us to use our shared expertise to find new solutions that can keep up. On our growing team you’ll find the opportunity to constantly learn, collaborate across groups and explore new paths for your career. Our associates are given the chance to contribute, think boldly and create meaningful work that makes a difference in the communities we serve around the world. We go beyond expectations in everything we do. Not only does that drive customer success and improve patient care, but that same enthusiasm is applied to giving back to the community and taking care of our team — including offering a <a href="http://go.r1rcm.com/benefits" target="_blank">competitive benefits package.</a>R1 RCM Inc. (“the Company”) is dedicated to the fundamentals of equal employment opportunity. The Company’s employment practices , including those regarding recruitment, hiring, assignment, promotion, compensation, benefits, training, discipline, and termination shall not be based on any person’s age, color, national origin, citizenship status, physical or mental disability, medical condition, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status or any other characteristic protected by federal, state or local law. Furthermore, the Company is dedicated to providing a workplace free from harassment based on any of the foregoing protected categories.If you have a disability and require a reasonable accommodation to complete any part of the job application process, please contact us at 312-496-7709 for assistance.CA PRIVACY NOTICE: California resident job applicants can learn more about their privacy rights <a href="https://f.hubspotusercontent20.net/hubfs/4941928/California%20Consent%20Notice.pdf" target="_blank">California Consent </a>To learn more, visit: <a href="https://R1RCM.com" target="_blank">R1RCM.com</a>Visit us on <a href="https://www.facebook.com/R1RCM" target="_blank">Facebook</a>

Director of Client Success

R1 is the leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems, and medical groups. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry’s most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our Clinical Coding Appeals Nurse, you will help review and interpret medical records to draft appeals of denied and underpaid claims. Every day you will review medical records to ensure appropriate coding of removed or revised diagnosis and procedure codes. Then you will draft appeal letters based on clinical judgment and knowledge and make coding change suggestions to our clients based on ICD-9/10 CM &amp; PCS, CPT, HCPCS, and NCCI guidance. To thrive in this role, you must have experience identifying different types of hospital documentation including, but not limited to, medical records, UB-04s, EOBs, itemized bills, hospital account notes, appeal letters, and denial/approval letters. Proficiency in basic computer skills is essential for excelling in this remote production-drive position.Here’s what you will experience working as a Clinical Coding Appeals Nurse:<ul> <li>Review and interpret medical records to appeal denied and underpaid claims.</li> <li>Apply clinical judgment and knowledge for DRG downgrades performed because of a Clinical Validation Review by an insurer or third-party auditor.</li> <li>Draft appeal letters that are well-written, logically structured, and persuasive, utilizing ICD-9/10 CM &amp; PCS, CPT, HCPCS, NCCI guidance.</li> <li>Ensure that all appeals are completed timely to ensure internal and external compliance deadlines are met.</li> </ul>Required Skills:<ul> <li>Active Registered Nurse license</li> <li>An active CCS, RHIA, RHIT, CCA, CPC-A, CPC-H, COC, CPMA, CIC, CDI, or CDIP certification OR 2+ years of CDI experience</li> </ul>For this US-based position, the base pay range is $69,556.00 - $114,234.05 per year . Individual pay is determined by role, level, location, job-related skills, experience, and relevant education or training.This job is eligible to participate in our annual bonus plan at a target of 10.00%The healthcare system is always evolving — and it’s up to us to use our shared expertise to find new solutions that can keep up. On our growing team you’ll find the opportunity to constantly learn, collaborate across groups and explore new paths for your career. Our associates are given the chance to contribute, think boldly and create meaningful work that makes a difference in the communities we serve around the world. We go beyond expectations in everything we do. Not only does that drive customer success and improve patient care, but that same enthusiasm is applied to giving back to the community and taking care of our team — including offering a <a href="http://go.r1rcm.com/benefits" target="_blank">competitive benefits package.</a>R1 RCM Inc. (“the Company”) is dedicated to the fundamentals of equal employment opportunity. The Company’s employment practices , including those regarding recruitment, hiring, assignment, promotion, compensation, benefits, training, discipline, and termination shall not be based on any person’s age, color, national origin, citizenship status, physical or mental disability, medical condition, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status or any other characteristic protected by federal, state or local law. Furthermore, the Company is dedicated to providing a workplace free from harassment based on any of the foregoing protected categories.If you have a disability and require a reasonable accommodation to complete any part of the job application process, please contact us at 312-496-7709 for assistance.CA PRIVACY NOTICE: California resident job applicants can learn more about their privacy rights <a href="https://f.hubspotusercontent20.net/hubfs/4941928/California%20Consent%20Notice.pdf" target="_blank">California Consent </a>To learn more, visit: <a href="https://R1RCM.com" target="_blank">R1RCM.com</a>Visit us on <a href="https://www.facebook.com/R1RCM" target="_blank">Facebook</a>#LI-AC01

Clinical Coding Appeals Nurse

At Mitratech, we are a team of technocrats focused on building world-class products that simplify operations in the Legal, Risk, Compliance, and HR functions. We are a close-knit, globally dispersed team that thrives in an ecosystem that supports individual excellence and takes pride in its diverse and inclusive work culture centered around great people practices, learning opportunities, and having fun! Our culture is the ideal blend of entrepreneurial spirit and enterprise investment, enabling the chance to move at a rapid pace with some of the most complex, leading-edge technologies available. For over 35 years, the experts at Mitratech have been focused on solving the complex needs. Today, we serve 20,000 client companies of all sizes globally, representing 30% of the Fortune 500 and over 500,000 users in over 160 countries. As we continue to grow, we’re always looking for resourceful, enthusiastic, and fresh perspectives. Join our global team and see what makes Mitratech a truly exceptional place to work! Job Overview: We are looking for an experienced and results-driven Lead DevOps Engineer with 10+ years of expertise in designing, implementing, and scaling cloud-native infrastructure for fast-growing SaaS platforms. Proven track record of building robust CI/CD pipelines, automating cloud operations, and leading high-performing DevOps teams to deliver secure, reliable, and efficient services. Skilled in AWS, Kubernetes, Terraform, and platform monitoring/alerting tools. Adept at cross-functional collaboration, mentoring engineers, and driving continuous improvement in deployment velocity and system uptime. Essential Duties &amp; Responsibilities: <ul> <li>Lead standup meetings with the DevOps team(s) to review current projects and upcoming work.</li> <li>Mentor and guide junior DevOps engineers, promoting a culture of knowledge sharing and continuous improvement.</li> <li>Collaborate with developers, QA, and security teams to support product delivery.</li> <li>Design, build, and manage scalable, secure, and highly available AWS cloud infrastructure.</li> <li>Participate in architectural discussions, sprint planning, and strategic decision-making for infrastructure enhancements..</li> <li>Document and diagram AWS infrastructure.</li> <li>Participate in the Agile process with cross-functional development teams and contribute operational and systems expertise to the software development lifecycle.</li> <li>Contribute to organization-wide processes and standards.</li> <li>Develop and maintain Infrastructure as Code (IaC) using CloudFormation, AWS CDK/SDK, and Terraform.</li> <li>Build and maintain CI/CD pipelines for automated testing, integration, and deployment using tools like Jenkins, GitLab CI, CircleCI, or AWS CodePipeline.</li> <li>Oversee container orchestration (Kubernetes, ECS) and infrastructure for microservices-based applications, ensuring seamless scaling and zero-downtime deployments.</li> <li>Configure monitoring, reporting, and alerting of production systems to ensure high availability and performance.</li> <li>Troubleshoot and resolve issues in development, test, and production environments.</li> <li>Act as an escalation point for production incidents and provide timely resolution through root cause analysis and postmortem reviews.</li> <li>Optimize system performance, reliability, and security, including patching and secure operations.</li> <li>Enforce security policies and best practices across environments, including IAM, secrets management (e.g., Vault, AWS Secrets Manager), vulnerability scanning, and compliance auditing.</li> <li>Evaluate and implement new tools and practices to improve system reliability, developer velocity, and operational efficiency.</li> <li>Maintain DevOps artifacts in git.</li> <li>Develop serverless architectures using AWS services like Lambda, API Gateway, DynamoDB, and Step Functions.</li> <li>Work with our AWS Technical Account Manager and solution architects to ensure we are getting the most out of our AWS resources.</li> <li>Monitor cloud spend and implement cost-saving measures while maintaining performance.</li> <li>Conduct AWS Well-Architected Framework reviews and implement best practices across operational excellence, security, reliability, performance, and cost optimization.</li> </ul> Requirements &amp; Skills: <ul> <li>10+ years of experience in DevOps, cloud architecture, and infrastructure management.</li> <li>Extensive experience with Amazon Web Services (AWS), including EC2, S3, VPC, Lambda, RDS, ECS, EKS, IAM, and more.</li> <li>Knowledge of VPC design, DNS, load balancing (ELB/ALB), and networking protocols in a cloud environment.</li> <li>Strong hands-on experience with IaC tools like CloudFormation, AWS CDK/SDK, and Terraform.</li> <li>Experience with CI/CD tools, pipeline automation and best practices.</li> <li>Familiarity with supporting Windows and Linux operating systems.</li> <li>Strong hands-on containerization experience (Kubernetes, Docker, ECS/EKS).</li> <li>Understanding of database systems (Transactional and/or NoSQL)</li> <li>Proficiency in scripting languages like Python, Shell, or Go, with a focus on automation and infrastructure-as-code principles. </li> <li>Exposure to security scanning and vulnerability tools.</li> <li>Experience with autoscaling and highly available architectures.</li> <li>Experience with configuration management tools like Ansible, Chef, or Puppet.</li> <li>Proficiency in monitoring and logging tools like AWS CloudWatch, Prometheus, Grafana, Splunk, DataDog or ELK stack.</li> <li>Experience with source code management tools (GitHub, Bitbucket).</li> <li>Experience with serverless architectures and event-driven design patterns.</li> <li>Familiarity with the AWS Well-Architected Framework.</li> <li>Experience with multi-region architectures.</li> <li>Experience with disaster recovery strategies and business continuity planning.</li> <li>Experience implementing AWS security best practices and compliance with relevant regulatory standards (e.g., GDPR, HIPAA, SOC2).</li> <li>Familiarity with AWS cost optimization strategies like Reserved Instances and Spot Instances.</li> </ul> Education: <ul> <li>Bachelor’s degree in Computer Science, Engineering, or a related field. A Master’s degree is a plus.</li> </ul> Mitratech is proud to be an EEOE, M/F/D/V, and we are committed to diversity both in practice and spirit at the corporate level. Mitratech participates in the Electronic Employment Verification Program. E-Verify is an Internet-based system that compares information from an employee’s I-9 to data from the U.S. Department of Homeland Security and Social Security Administration Records. To learn more, visit: <a href="http://everify.com/" target="_blank">everify.com</a> We are an equal-opportunity employer that values diversity at all levels. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, age, sexual orientation, gender identity, disability, or veteran status.

Mitratech

Lead DevOps Engineer - AWS

<h3>Details </h3><ul> <li> Department: Post Surgical Cardiac Stepdown Unit</li> <li> Schedule: Full-time, Day Shift, 7am-7pm, 12hr shifts, 36hrs per week, WEEKEND OPTION</li> <li> Hospital: Ascension St. John Medical Center</li> <li> Location: Tulsa, OK</li> </ul>*Relocation assistance available!<h3>Benefits </h3>Paid time off (PTO) Various health insurance options &amp; wellness plans Retirement benefits including employer match plans Long-term &amp; short-term disability Employee assistance programs (EAP) Parental leave &amp; adoption assistance Tuition reimbursement Ways to give back to your communityBenefit options and eligibility vary by position. Compensation varies based on factors including, but not limited to, experience, skills, education, performance and salary range at the time of the offer.<h3>Responsibilities </h3>Provide direct nursing care in accordance with established policies, procedures and protocols of the healthcare organization.<ul> <li>Implement and monitor patient care plans.</li> <li>Monitor, record and communicate patient condition as appropriate.</li> <li>Serve as a primary coordinator of all disciplines for well-coordinated patient care. </li> <li>Note and carry out physician and nursing orders.</li> <li>Assess and coordinate patient's discharge planning needs with members of the healthcare team.</li> </ul><h3>Requirements </h3>Licensure / Certification / Registration:<ul> <li>BLS Provider obtained within 1 Month (30 days) of hire date or job transfer date required. American Heart Association or American Red Cross accepted.</li> <li>Registered Nurse credentialed from the Oklahoma Board of Nursing required.</li> </ul>Education:<ul><li>Diploma from an accredited school/college of nursing OR professional licensure at time of hire required.</li></ul><h3>Additional Preferences </h3>No additional preferences.<h3>Why Join Our Team </h3>Ascension St. John has been serving Northeast Oklahoma with compassionate, personalized care since 1926. Join more than 7,000 associates and find a rewarding healthcare career at one of our 6 hospitals and numerous other sites of care. When you join our care teams, you join a team dedicated to providing spiritually centered, holistic care which sustains and improves the health of the communities we serve.Ascension is a leading non-profit, faith-based national health system made up of over 134,000 associates and 2,600 sites of care, including more than 140 hospitals and 40 senior living communities in 19 states.Our Mission, Vision and Values encompass everything we do at Ascension. Every associate is empowered to give back, volunteer and make a positive impact in their community. Ascension careers are more than jobs; they are opportunities to enhance your life and the lives of the people around you.<h3>Equal Employment Opportunity Employer </h3>Ascension provides Equal Employment Opportunities (EEO) to all associates and applicants for employment without regard to race, color, religion, sex/gender, sexual orientation, gender identity or expression, pregnancy, childbirth, and related medical conditions, lactation, breastfeeding, national origin, citizenship, age, disability, genetic information, veteran status, marital status, all as defined by applicable law, and any other legally protected status or characteristic in accordance with applicable federal, state and local laws.For further information, view the <a href="https://www.eeoc.gov/sites/default/files/2022-10/22-088_EEOC_KnowYourRights_10_20.pdf" target="_blank">EEO Know Your Rights (English)</a> poster or <a href="https://www.eeoc.gov/sites/default/files/2022-10/22-088_EEOC_KnowYourRightsSp_10_20.pdf" target="_blank">EEO Know Your Rights (Spanish)</a> poster.As a military friendly organization, Ascension promotes career flexibility and offers many benefits to help support the well-being of our military families, spouses, veterans and reservists. Our associates are empowered to apply their military experience and unique perspective to their civilian career with Ascension.<a href="https://www.dol.gov/sites/dolgov/files/ofccp/pdf/pay-transp_%20English_formattedESQA508c.pdf" target="_blank">Pay Non-Discrimination Notice</a>Please note that Ascension will make an offer of employment only to individuals who have applied for a position using our official application. Be on alert for possible fraudulent offers of employment. Ascension will not solicit money or banking information from applicants.<h3>E-Verify Statement </h3>This employer participates in the Electronic Employment Verification Program. Please click the E-Verify link below for more information. <a href="https://e-verify.uscis.gov/web/media/resourcesContents/E-Verify_Participation_Poster_ES.pdf" target="_blank">E-Verify</a>

Ascension

RN Registered Nurse Post Surgical Cardiac Stepdown

We're searching for a Senior Financial Analyst with strong financial modeling and executive communication skills. You will manage forecasting and analysis for a wide range of our customers, including supporting cross functional sales teams to manage customer relationships and negotiate deals. You will dive deep into the details of customer performance to understand underlying drivers to results, and will be able to translate these findings into decks and communications to help executive leadership understand the health of the business. We work <a href="https://www.marqeta.com/blog/2022/05/10/flexible-first" target="_blank">Flexible First</a>. This role can be performed remotely anywhere within the United States or from our headquarters in Oakland, CA. We’d love for you to join us! The Impact You’ll Have <ul> <li>Conduct in-depth financial analysis and provide executive leadership with relevant insights on performance of customers within your scope.</li> <li>Build models to forecast the performance of your customers, from topline drivers through to gross profit, including deal modeling negotiations on existing and new customer programs.</li> <li>Communicate monthly results of customer performance to sales teams to ensure they are best prepared to manage customer relationships, including building and presenting decks and providing and assisting with support files.</li> <li>Assist cross functional teams on building customer-facing review presentations that help customers best understand the value of their relationship with Marqeta.</li> <li>Stay abreast with the latest trends in the payments industry, and how regulatory or industry changes or trends may impact Marqeta’s business and customers.</li> <li>Continuously refine and optimize processes to ensure the efficiency and accuracy in financial reporting and analysis, including leveraging SQL to deepen your reach into complex data. </li> </ul> Who You Are <ul> <li>Bachelor’s degree in Finance, Accounting, or a related field.</li> <li>5+ years of experience in financial analysis, with a deep focus on customer forecasting and deal modeling.</li> <li>A solid grasp of financial principles and their application in a dynamic business environment, including GAAP accounting practices. </li> <li>Experience in SQL and especially Snowflake is very helpful.</li> <li>Proven ability to to manage multiple cross-functional stakeholders, particularly in supporting sales teams in deal negotiations and understanding customer performance.</li> <li>Exceptional communication skills, with proven expertise in crafting and presenting financial decks to a diverse audience, including senior leadership.</li> <li>Strong analytical mindset, coupled with an emphasis on accuracy and attention to detail.</li> <li>Ability to thrive in a fast-paced setting, readily adapting to evolving business requirements.</li> <li>Prior experience with the financial intricacies of the issuing space and payment networks is a substantial advantage.</li> </ul> <h2>Typical Process</h2> <ul> <li>Application Submission</li> <li>Recruiter video call</li> <li>Hiring manager video call</li> <li>Virtual “Onsite” consisting of 4-5, 45 min calls</li> <li>Offer!</li> </ul> <h2>Compensation and Benefits</h2> Marqeta is a Flex First company which allows you to choose your best working environment, whether that be from home or at a company office. To support Flex First, we calibrate pay to a competitive value according to working location. Compensation is aligned according to three tiers within the United States: <ul> <li> National: A baseline tier that applies to most of the geographic territory of the United States.</li> <li> Premium: Slightly elevated from the National tier, and oriented toward a narrower set of higher cost-of-living areas, such as Los Angeles CA and Seattle WA</li> <li> Premium Plus: A tier for the most expensive working areas, like the San Francisco Bay area and New York City.</li> </ul> Visit <a href="https://www.marqeta.com/company/salaryzones" target="_blank">this page</a> or consult with a Recruiter to determine which tier would be applicable to you. When determining salaries, we consider several factors including, but not limited to, skills, prior experience, and work location. The new-hire base salary range for this position is: <ul> <li>National: $97,300 - $121,600</li> <li>Premium: $105,300 - $131,600</li> <li>Premium Plus: $114,400 - $143,000</li> </ul> We also believe in recognizing the contributions of our people. That's why we award annual bonuses to eligible employees, rewarding both individual performance and the success of the entire company. Along with monetary compensation, Marqeta offers <ul> <li>Multiple health insurance options</li> <li>Flexible time off – take what you need</li> <li>Retirement savings program with company contribution and after tax contributions</li> <li>Equity in a publicly-traded company and an Employee Stock Purchase Program</li> <li>Family-forming benefits, fertility support, and up to 20 weeks of Parental Leave</li> <li>Free therapy sessions, financial and professional coaching, and legal advice</li> <li>Monthly stipend to support our remote work model</li> <li>Annual “development dollars” to support our people growth and development</li> <li>Through Flex First, the freedom to live and work wherever you and your family thrive</li> </ul> <h4>About Marqeta</h4> Marqeta is on a mission to change the way money moves. We’re one of the earliest enablers of embedded finance, a market opportunity sized up in the trillions. Our card issuing platform provides unprecedented flexibility and control for companies to issue cards, authorize transactions, and manage payment operations in real time. Marqeta is powering the most well known brands in the new economy (Block, Cash App, Affirm, Instacart, Doordash, Uber, Walmart, etc). You don’t need to be a Payments expert to join the Marqeta Team, let us help you with that. This is the opportunity of a lifetime to work with innovators around the world and unlock equitable financial access for all. <h4>Marqeta’s Values</h4> – Solve for the Customer: With a deep understanding of our customers' business and empathy for their needs, we deliver products and services that drive their success. Earning and keeping their trust guides everything we do. – Do What's Right: Knowing businesses and livelihoods depend on us, we pursue solutions that disrupt responsibly and deliver high-quality results that our customers count on. We own our work from start to finish. – Simplify and Innovate: We approach challenges with curiosity and take smart risks. Innovation comes from finding better, simpler ways to achieve extraordinary outcomes. – Win as a Team: We succeed together by embracing diverse perspectives and pushing each other to raise the bar. We lead with humility and set aside hierarchy to work as a team. – Make it Count: We drive forward with focus and agility. With a sense of urgency and purpose, we get the job done, and done right. Equal Employment Opportunity, Accommodations and Privacy Marqeta is proud to be an equal opportunity employer that gives consideration to all qualified applicants regardless of race, ancestry, national origin, color, Indigenous, citizenship, religion/creed, sex, sexual orientation, gender identity, gender expression marital status, family status, disability, veteran status, criminal histories consistent with legal requirements, or any other characteristic protected by applicable law. Our dedication to diversity and inclusion extends beyond the categories above. Review Marqeta’s<a href="https://investors.marqeta.com/esg" target="_blank"> ESG Report</a> to see that dedication in action. Fostering an environment where everyone feels valued and respected creates a stronger and more innovative team at Marqeta. We celebrate the unique contributions of each individual and empower all members of our organization. Join us in building a company where diversity thrives and everyone can be their authentic selves. If you require reasonable accommodation for the application process and beyond (including due to a disability), please submit<a href="https://forms.gle/Nx79JaH22WR94nBh7" target="_blank"> this form</a> and we will be more than happy to assist you. Marqeta will make reasonable accommodations for candidates when needed in accordance with applicable law. The<a href="https://www.marqeta.com/company/applicant" target="_blank"> Applicant and Candidate Privacy Notice</a> applies to the personal data that you directly provide to us or that we collect during the application and candidate recruitment process.

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