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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 Appeals Supervisor, you will help support clinicians who conduct a comprehensive review of clinical denials and formulate appeals based on clinical documentation, evidence-based medical necessity criteria, physician documentation, and medical policies of the payor. Every day you will supervise the day-to-day clinical operations and functions within the department, ensuring productivity and quality metrics are met and regularly identify and communicate denial trends and patterns to leadership. To thrive in this role, you must have experience supervising in a clinical inpatient environment and the ability to use sound judgment in reviewing clinical documentation supporting patient care as well as conceptual knowledge of the denials landscape. Proficiency in basic computer skills is essential for excelling in this remote position.Here’s what you will experience working as a Clinical Appeals Supervisor:<ul> <li>Track and monitor the workflow of the clinical team daily to ensure internal and external compliance deadlines are met.</li> <li>Track clinicians’ productivity and quality by performing regular audits of appeals. Evaluate and report on overturned appeals to continuously refine clinical practices and ensure optimal outcomes.</li> <li>Assess the viability of cases for external review or escalation, as well as make final determinations on clinical appeals that require no further action.</li> <li>Act as a liaison for non-clinical staff and attorneys to collaborate on appeals processing.</li> <li>Leverage employee engagement data to identify targeted areas for additional support and engagement.</li> </ul>Required Skills:<ul><li>Active Registered Nurse license</li></ul>For this US-based position, the base pay range is $84,456.00 - $139,823.91 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

R1 RCM

Clinical Appeals Supervisor

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 Customer Partner Manager, you will help the Service Delivery department play a pivotal role in building and maintaining strong relationships with our clients, ensuring their satisfaction and success with our products and services. Every day you will serve as the primary point of contact for customers, addressing their needs, resolving issues, and collaborating with internal teams to deliver exceptional service.Here’s what you will experience working as a Customer Partner Manager:<ul> <li>Responsible for day-to-day leadership and management of full-scale end-to-end revenue cycle engagement.</li> <li>Assist in the management of key client counterparts including continued communication of revenue cycle performance.</li> <li>Support internal efforts to improve KLAS and NPS scores and related activities.</li> <li>Contribute to R1 strategy development as customer expert sharing best practices, optimizing performance, and leading the transformation.</li> <li>Proactively communicate metric performance and the detailed drivers/risks/barriers behind the data to help drive action plans creation.</li> <li>Act as a change agent to help establish common goals and create alliances across physician organizations to optimize success.</li> <li>Proactive identification of projects that will improve operational performance metrics.</li> <li>Work hand in hand with internal R1 service delivery and operational teams to align operational objectives, understand current performance levels, and identify and develop remediation plans for any risks identified.</li> <li>Partner with R1 functional leaders on decisions regarding daily operations within assigned physician(s).</li> </ul>Required Skills:<ul> <li>At least 5+ years of Operational experience with at least 3 years in Revenue Cycle and 2+ years of management experience.</li> <li>Proficient in PowerPoint and Excel with presentation.</li> <li>Strong interpersonal and communication skills in a client facing role.</li> <li>Excellent reporting and data analysis skills</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>

Manager, Customer Partner

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. The OBGYN Coding Associate II will be responsible for reviewing clinical documentation and diagnostic results as appropriate (i.e., to extract data and apply appropriate ICD-10-CM, HCPCS and CPT-4 codes for billing, review and correct billing edits, internal and external reporting, research, and regulatory compliance). Under the direction of the Coding Leadership Team, the successful candidate must be able to accurately code conditions and procedures as documented in the ICD-10-CM Official Guidelines for Coding and Reporting.Here's what you can expect as our OBGYN Coding Associate II:<ul> <li>Assigns codes for diagnoses, treatments and procedures according to the appropriate classification system for professional service encounters to determine the highest level of specificity ICD-10 codes, CPT codes, HCPCS codes, and modifiers.</li> <li>Reviews physician assigned diagnosis code after thorough review of the medical record and, if necessary, queries physician for additional clarity in a professional manner.</li> <li>Able to accurately abstract information from the medial records into the abstract system, according to established guidelines.</li> <li>Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and American Academy of Professional Coders (AAPC) adheres to official coding guidelines</li> <li>Enters and validates codes, charges and other edits flagged in Athena or EPIC for review.</li> <li>Review documentation (and returned accounts) to verify and correct place of service, billing and service providers, or other missing data elements (ie: NDC #, or number of units)</li> <li>Uses CCI edit software to check bundling issues, modifier appropriateness, and LCD’s/NCD’s for medical necessity.</li> <li>Communication with other departments to recommend coding guidance for charge corrections, appeals processes, and patient billing concerns.</li> <li>Meet and/or exceeds the established coding productivity standards</li> <li>Meet and/or exceeds the established quality standard of 95% accuracy while meeting and/or exceeding productivity standards</li> </ul> Required Qualifications:<ul> <li>High School Diploma or GED required CCS-P, CPC</li> <li>Two (2) years of OB-GYN experience</li> <li>Must be able to demonstrate proficiency in professional services (95% accuracy).</li> <li>Extensive knowledge of official coding conventions and rules established by the American Medical Association (AMA) (ie: Documentation Guidelines ’95 &amp; ’97)</li> <li>Extensive knowledge of government, and commercial payer guidelines.</li> <li>Must be able to use standard office equipment and information systems.</li> <li>Ability to interact with other employees through effective communication.</li> <li>Ability to prioritize and shift workloads to ensure departmental goals align with revenue cycle goals </li> </ul>For this US-based position, the base pay range is $17.58 - $27.14 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>

OBGYN Coding Associate II

<h2 id="jobDescriptionHeading"> Job Description </h2> Overview Join our team as a PRN, Mammography Tech in Tulsa, OK. Why Join Us? Thrive in a People-First Environment and Make Healthcare Better <ul> <li> Thrive: We empower our team with career growth opportunities and resources that support your wellness, education, and financial well-being. </li> <li> People-First: We prioritize your well-being with a supportive, inclusive culture where you are valued and cared for. </li> <li> Make Healthcare Better: We use advanced technology to support our team and enhance patient care. </li> </ul> Get to Know Your Team: <ul><li>Hillcrest Medical Center is a 656-bed hospital that includes The Alexander Burn Center, The Peggy V. Helmerich Women’s Health Center, Kaiser Rehabilitation Center, the latest technology for the treatment of cancer, and the Oklahoma Heart Institute.</li></ul> Responsibilities <ul> <li>Perform screening and diagnostic mammography procedures.</li> <li>Perform complex procedures at the discretion of the radiologist</li> <li>Perform quality assurance and quality control tests in accordance with MQSA regulations</li> <li>Operate digital, 3D tomosythesis mammography machines and bone density machines </li> <li>Troubleshoot mammography equipment and processors</li> </ul> Qualifications Job Requirements: <ul> <li>Associate's or Technical degree in Radiography from a program accredited by the American Registry of Radiologic Technologists (ARRT) </li> <li>Registered through the American Registry of Radiologic Technologists (ARRT) </li> <li>ARRT certification in Mammography must be obtained within one year of employment </li> <li>Basic Life Support Certification</li> </ul> Preferred Job Requirements: <ul><li>1 year of Mammography Tech experience </li></ul>

Hillcrest Medical Center

Mammography Technologist

Senior Project Manager (Construction) Position Overview: The Senior Project Manager is responsible for providing comprehensive oversight across all phases of construction projects, ensuring coordination of personnel, materials, and equipment, while maintaining strict adherence to project specifications and timelines. This role serves as a vital point of communication with clients, internal teams, and subcontractors, ensuring projects progress smoothly and efficiently. Key Responsibilities: <ul> <li> Manage all aspects of construction projects from start to finish, ensuring schedules, specifications, and client expectations are met </li> <li> Support Estimators and manage all phases of the contract process </li> <li> Compile quantities for billing, working closely with field superintendents and foremen to gather accurate measurements and quantities </li> <li> Oversee all project-related accounts receivable activities, including reviewing and reconciling monthly quantities, preparing pay applications, and monitoring payment status </li> <li> Lead cost control efforts, reviewing and approving project expenses and labor, conducting financial audits at project close-out, and implementing best practices for cost savings </li> <li> Submit material data sheets and schedules to clients in a timely manner </li> <li> Attend pre-bid and pre-work meetings as needed, and effectively interpret and communicate client blueprints, specifications, and contract documents </li> <li> Develop project phasing plans and secure necessary Traffic Control plans and permits </li> <li> Ensure all project locates and regulatory requirements are obtained and met </li> <li> Provide change order information to the estimating department for pricing and maintain clear communication with clients and internal teams regarding changes </li> <li> Work directly with client representatives to confirm billing quantities and coordinate all aspects of project execution with subcontractors and vendors </li> <li> Perform special tasks and projects as assigned by management </li> </ul> Qualifications &amp; Skills: <ul> <li> Ability to consistently meet all safety requirements on job sites, including proper use of PPE (hard hat, safety glasses, high-visibility vest, etc.) </li> <li> Strong team player, capable of collaborating with a diverse range of individuals </li> <li> Excellent communication and organizational skills </li> <li> Proficiency in managing multiple tasks and deadlines effectively </li> <li> Strong problem-solving abilities and attention to detail </li> </ul>

Ilocatum

Senior Project Manager

<h2 id="jobDescriptionHeading"> Job Description </h2> Overview Join our team as a night shift, full-time, Phebotomy Supervisor in Tulsa, OK. Why Join Us? Thrive in a People-First Environment and Make Healthcare Better <ul> <li> Thrive: We empower our team with career growth opportunities, tuition assistance, and resources that support your wellness, education, and financial well-being. </li> <li> People-First: We prioritize your well-being with paid time off, comprehensive health benefits, and a supportive, inclusive culture where you are valued and cared for. </li> <li> Make Healthcare Better: We use advanced technology to support our team and enhance patient care. </li> </ul> Get to Know Your Team: <ul><li>Hillcrest Hospital South is a full-service 180-bed hospital providing a wide range of inpatient and outpatient services using state-of-the-art technology in a friendly community setting. Consistent performance has helped the hospital be nationally recognized for patient safety. </li></ul> Responsibilities <ul> <li>The Phlebotomy Supervisor functions as a laboratory professional who assumes responsibility of leading the Phlebotomy laboratory department. </li> <li>With direct oversight of staff who perform specimen collection duties. </li> <li>This position also oversees training, competencies, scheduling, and operations within the phlebotomy department. </li> <li>At times this role might be expected to perform specimen collections based on the hospital/laboratory need; venipuncture, capillary draws, urine collection instruction and specimen culture collection instruction as assigned by their supervisor.</li> </ul> Qualifications Job Requirements: <ul> <li>High school diploma or GED equivalent</li> <li>Completion of an accredited phlebotomy/medical assistant program with clinical rotations or previous phlebotomy experience</li> <li>Certification from nationally recognized agency in Phlebotomy, Medical Laboratory Assistant, Medical Laboratory Science or Medical Laboratory Technology</li> <li>Clinical laboratory experience as a Phlebotomist, Medical Technologist, Clinical Laboratory Scientist, Medical Laboratory Scientist or Medical Laboratory Technician within a clinical laboratory</li> </ul> Preferred Job Requirements: <ul> <li>Associates degree in Medical Laboratory Technician with knowledge of phlebotomy practices</li> <li>Bachelor’s degree in Medical Technology/Clinical Laboratory Science</li> <li>Five (5) or more years as a phlebotomist or in a technical laboratory position</li> <li>BLS</li> </ul>

Hillcrest Healthcare System

Phlebotomy Supervisor

<h2>About the team</h2>The Recruiting Experience and Enablement team at Zillow is a core strategic driver of the company's future success. This team is dedicated to finding the best talent while providing an exceptional experience for candidates, recruiters, and hiring managers. They aim to enable, empower, and mobilize a distributed recruiting team through AI, automation, a best-in-class recruitment technology stack, training, content management, change and communication activities, program design and management, and process improvements or barrier removal. Zillow leverages advanced technology and artificial intelligence (AI) to transform the real estate industry, making it more digital, integrated, and productive. The company uses AI to streamline recruitment processes, enhance candidate experiences, and improve the quality of candidates progressing through the hiring pipeline. LinkedIn AI and CodeSignal help automate follow-ups, increase candidate responses, and provide realistic remote coding environments. Additionally, Zillow is committed to ethical AI usage, ensuring that AI supports but does not replace human judgment in hiring and other processes. This integration of AI-driven solutions helps Zillow lead the digital transformation of the real estate industry, providing innovative tools and technologies that enhance the experiences of both real estate professionals and home shoppers.<h2>About the role</h2><ul> <li>Experienced People Leader: Proven track record of leading and developing successful teams in a global, virtual environment.</li> <li>Experienced Business Leader: Proven track record of leading end-to-end complex, enterprise-wide programs and initiatives.</li> <li>Strategic Thinker: Ability to use research, collaboration, and cognitive skills to identify root causes, think at multiple levels of detail and scope, and assess risks.</li> <li>Effective Communicator: Excellent verbal, nonverbal, and written communication skills across multiple channels and in multicultural contexts. Able to adjust communication style in alignment with different audiences, needs, and modalities.</li> <li>Analytical Skills: Ability to analyze complex qualitative and quantitative data to make business cases and informed decisions—strong problem-solving skills.</li> <li>Collaborative: Ability to work effectively with cross-functional teams and build trusting stakeholder relationships.</li> <li>Innovative: Ability to think creatively and develop creative solutions to complex challenges.</li> <li>Love of Learning and Teaching: This role requires ongoing learning and study to stay current and talent and appreciation for teaching people at all levels and through various modalities. </li> </ul>Key Qualities:<ul> <li>Able to toggle between strategy and execution – i.e., thinking big picture about opportunities but then rolling up your sleeves to partner with stakeholders to deliver.</li> <li>Able to identify and assess new problems/opportunities across an organization and drive continuous improvement and solutions.</li> <li>Able to build strong relationships and teams and lead through influence, embracing cross-functional collaboration to influence peers and executive leadership on complex business topics.</li> <li>Adaptable and able to thrive in ambiguous or changing environments with a desire to succeed in an entrepreneurial environment.</li> <li>Experience/comfort driving outcomes where the answers are not always well defined but always driving towards structure and solutions.</li> <li>Able to leverage multiple data points and perspectives to research, scope, and propose alternatives to accelerate our strategy and vision. Find signal through the noise and distill complex and detailed information into simplified content.</li> <li>Able to bring strong project management skills with the ability to set a plan and manage multiple priorities and cross-functional teams.</li> <li>Understand what is essential to drive high-value outcomes, and independently prioritizeyour efforts based on strategic value add / ROI.</li> </ul>This role has been categorized as a Remote position. “Remote” employees do not have a permanent corporate office workplace and, instead, work from a physical location of their choice, which must be identified to the Company. U.S. employees may live in any of the 50 United States, with limited exceptions.In California, Colorado, Connecticut, Hawaii, Illinois, Maryland, Minnesota, Nevada, New York, Washington state, and Washington DC the standard base pay range for this role is $167,900.00 - $268,100.00 Annually. This base pay range is specific to California, Colorado, Connecticut, Hawaii, Illinois, Maryland, Minnesota, Nevada, New York, Washington state, and Washington DC and may not be applicable to other locations.In addition to a competitive base salary this position is also eligible for equity awards based on factors such as experience, performance and location. Actual amounts will vary depending on experience, performance and location.<h2>Who you are</h2><ul> <li>10+ years of experience in recruiting/talent acquisition.</li> <li>7+ years of People Management Experience.</li> <li>5+ years of experience leading Recruiting and/or HR Programs teams.</li> <li>5+ years of experience working with People Product, People Operations, and/or People tech organizations to advance recruiting enablement.</li> <li>5+ years of experience with recruiting life cycle (planning, engagement, selection, onboarding).</li> <li>Experience monitoring usage and adoptions of recruiting systems, tools, and processes for improvements, replacement, and/or added features.</li> <li>Experience documenting workflows, processes, and procedures.</li> <li>Experience building and restructuring recruiting programs.</li> <li>Experience working with Centers of Excellence (COEs) as the point of contact and decision-maker for prioritization.</li> <li>Demonstrated understanding of the recruitment process and recruiting technology.</li> <li>Experience implementing recruiting programs on a global scale.</li> </ul><h2>Get to know us</h2>Zillow is reimagining real estate to make home a reality for more and more people.As the most-visited real estate website in the United States, Zillow® and its affiliates help movers find and win their home through digital solutions, first class partners, and easier buying, selling, financing and renting experiences. Millions of people visit Zillow Group sites every month to start their home search, and now they can rely on Zillow to help make it easier to move. The work we do helps people get home and no matter what job you're in, you will play a critical role in making home a reality for more and more people.Our efforts to streamline the real estate transaction are supported by a deep-rooted culture of innovation, our passion to redefine the employee experience, a fundamental commitment to Equity and Belonging, and <a href="https://www.zillow.com/careers/benefits/" target="_blank">world-class benefits</a>. These benefits include comprehensive medical, dental, vision, life, and disability coverages as well as parental leave, family benefits, retirement contributions, and paid time off. We’re also setting the standard for work experiences of the future, where our employees are supported in doing their best work and living a flexible, well-balanced life. But don’t just take our word for it. Read recent reviews on <a href="https://www.glassdoor.com/Overview/Working-at-Zillow-EI_IE40802.11,17.htm" target="_blank">Glassdoor</a> and recent recognition from multiple organizations, including: the 100 Best Companies to Work For, Glassdoor Employees’ Choice Award, Bloomberg Gender-Equality Index, Human Rights Campaign (HRC) Corporate Equity Index, and TIME <a href="http://time.com/100companies" target="_blank">100 Most Influential Companies</a> list.Zillow Group is an equal opportunity employer committed to fostering an inclusive, innovative environment with the best employees. We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity or Veteran status. If you have a disability or special need that requires accommodation, please contact your recruiter directly.Qualified applicants with arrest or conviction records will be considered for employment in accordance with applicable state and local law.Applicants who receive job offers from Zillow Group will be asked to sign a Proprietary Rights Agreement which includes confidentiality, intellectual property assignment, customer and employee non-solicitation, and non-competition provisions. If you are contacted for a role at Zillow Group and wish to review a copy of the Proprietary Rights Agreement prior to receiving an offer, you may request a copy from your Recruiter.

Zillow

Director, Talent Acquisition Enablement

Location: Remote, US Hours: Shift-based schedule spanning 6am-2am CT, 7 days a week, including holidays and weekends 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 EMR Specialist, you will be responsible for assisting physicians by pulling patient records from EMR systems. Every day you will review customer records and upload them into a portal. To thrive in this role, prior experience with electronic health information systems, procedures and control techniques associated with confidentiality, integrity and functional knowledge of network defenses, and HIPPA laws and policies is preferred. Attention to detail and proficiency in basic computer skills is essential for excelling in this remote, production-driven position.Here’s what you will experience working as an EMR Specialist:<ul> <li>Maintain working EMR access for navigation and basic troubleshooting.</li> <li>Perform accurate and thorough data entry while maintaining productivity standards.</li> <li>Maintain communication with physician teams regarding cases, case completion, and portal workflow.</li> <li>Attach pertinent clinical information to portal cases and follow cases to completion within service level agreements.</li> </ul>For this US-based position, the base pay range is $16.88 - $25.51 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>#LI-AC01

EMR Specialist

Job Summary: As our FL Denials Mitigation Manager, you will be the go-to expert for identifying denial trends and collaborating with internal and external teams to resolve. You will be responsible for managing and leading meetings, analyzing denial data by category and impact, as well as identifying solutions and prevention. To thrive in this role, you must possess time management, critical thinking and analytical skills. Responsibilities:•<ul><li>Weekly initial denial data pulls and reviews to be completed, to identify areas of opportunity by impact. </li></ul><ul><li>Collaborate through regular scheduled meetings with both internal and external partners, to discuss root cause analysis and identify solutions in denials prevention. </li></ul><ul><li>Create and maintain action plans, capturing identified solutions and leading accountability efforts in denial prevention and reduction. </li></ul> <ul> <li>Present and communicate denial reduction efforts through monthly denials steering committee meetings with executive leadership. </li> <li>Review and provide client month end reports.</li> <li>Generate client ad-hoc reports upon request ​​</li> </ul> Required Qualifications: <ul><li> 5+ years of experience in denial management/revenue cycle management working with hospitals. Experience working in business intelligence tools; Power BI, Tableau, or related tools along Experience working with Microsoft Suite Applications, specifically Excel and PowerPoint required. </li></ul> For this US-based position, the base pay range is $75,504.00 - $134,521.77 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>

Denials Mitigation Manager

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 SummaryWe are seeking a highly analytical and detail-oriented Data Analyst to join our Special Investigation Unit within a leading health insurance organization. This role is ideal for a data professional with strong skills in SQL and Python who can transform complex healthcare data into actionable insights to support fraud, waste, and abuse (FWA) detection and Medicaid regulatory &amp; compliance reporting. This is an individual contributor role. Job responsibilities include:<ul> <li>Write robust, efficient code in SQL and Python to extract, manipulate, and analyze large healthcare datasets.</li> <li>Design, develop, and maintain complex data analyses to support investigations of potential fraud, waste, and abuse in Medicaid claims and provider activity.</li> <li>Prepare timely and accurate Medicaid regulatory &amp; compliance reports in accordance with prescribed guidelines and standards.</li> <li>Communicate messages based on data analyses, including preparing easy-to-understand visualizations and other related documents for diverse audiences </li> <li>Collaborate with SIU investigators, Program Integrity Manager, and Compliance to understand business processes and translate them into actionable data requirements.</li> <li>Develop and participate in presentation and consultation with business partners on data, capabilities and performance results</li> <li>Identify data quality issues, perform root cause analysis, and recommend improvements to enhance reporting accuracy and data integrity.</li> <li>Document data logic and methodology used in analyses and ensure reproducibility and transparency of results.</li> <li>Stay informed about changes in Medicaid policy, regulatory requirements, and FWA detection techniques to ensure ongoing compliance.</li> </ul>This is a work-from-home position in the US. supporting standard east coast business hours. Required Qualifications<ul> <li>3+ years of experience in data analytics or data science, preferably in healthcare, health insurance, or Medicaid programs</li> <li>Ability to distill complex data into meaningful insights and present findings to non-technical audiences.</li> <li>Solid understanding and experience interpreting medical claim data</li> <li>Advanced experience in SQL coding sourcing from a data warehouse</li> <li>3+ years of data interpretation and analysis experience</li> <li>3+ years of project leadership experience</li> <li>Strong business as well as systems knowledge</li> <li>Excellent problem-solving, critical thinking, and written communication skills</li> <li>Advanced experience in Excel </li> </ul> Preferred Qualifications<ul> <li>Experience in healthcare fraud, waste and abuse </li> <li>Proficiency in Python coding</li> <li>Knowledge of Medicaid healthcare claims adjudication (QNXT) &amp; regulatory reporting</li> <li>Experience with data visualization tools (e.g., Tableau, Power BI</li> <li>Familiarity with Big Query &amp; Jupyter Notebook</li> </ul> Education<ul><li>Bachelor’s degree or equivalent experience</li></ul>Anticipated Weekly Hours40Time TypeFull timePay RangeThe typical pay range for this role is:$54,300.00 - $145,860.00This 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: 06/30/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

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