health care provider

Bristol Myers Squibb

<div><b>Working with Us</b><br>
Challenging. Meaningful. Life-changing. Those aren't words that are usually associated with a job. But working at Bristol Myers Squibb is anything but usual. Here, uniquely interesting work happens every day, in every department. From optimizing a production line to the latest breakthroughs in cell therapy, this is work that transforms the lives of patients, and the careers of those who do it. You'll get the chance to grow and thrive through opportunities uncommon in scale and scope, alongside high-achieving teams. Take your career farther than you thought possible.<br>
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Bristol Myers Squibb recognizes the importance of balance and flexibility in our work environment. We offer a wide variety of competitive benefits, services and programs that provide our employees with the resources to pursue their goals, both at work and in their personal lives. Read more: careers.bms.com/working-with-us .<br>
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This territory includes: Seattle, WA; Bellingham, WA, Bothell, WA, Coeur D'Alene, ID, Everett, WA, Renton, WA, Spokane, WA, Wenatachee, WA<br>
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<b>Position Summary:</b><ul><li>
The TAS is a critical role in our unique customer model to execute the BMS aspiration to be the BioPharma that delivers the most impactful engagement with Health Care Providers (HCPs), driving adoption of new and existing medicines for appropriate patients.
</li><li>The primary role of the TAS is to drive demand for BMS medicines within their portfolio for the appropriate patients. To meet the HCPs expectations, the TAS engages them with a differentiated Customer Experience (Cx) through deeper scientific dialogue on and consistent with label, leveraging new ways of working and CE^3.</li><li>
The role builds and maintains strong professional credibility with regional thought leaders (RTLs) and community-based physicians/HCPs in private practice, medical groups practices, office staff, and other stakeholders in the patient care continuum as their primary point of contact.</li><li>
The TAS liaises with other BMS functions as needed to deliver an overall higher Customer Experience (Cx) - by meeting HCP needs in a timely and scientific manner. This role will prioritize the safe and appropriate use of BMS products while also focusing on overall business results and performance objectives while exemplifying BMS values.
</li><li>The TAS role is field-based. A TAS is anticipated to spend 100% of their time in the field with external customers.</li></ul><b>
Key Responsibilities:</b><br>
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Portfolio Promotion<ul><li>
Promotes approved indications of BMS products within a defined territory or region to meet or exceed assigned sales targets in a compliant manner.</li><li>
Creates demand for BMS medicines by articulating in a balanced manner the clinical and scientific rationale for use of products in appropriate patients.</li><li>
Engages with and continuously maintains/grows a high level of scientific expertise in all assigned products and therapeutic areas.</li><li>
Prepares and successfully implements comprehensive territory and account plans.</li><li>
Proactively uses available tools such as CE^3 (once implemented) to derive insights and to dynamically inform call plans. Provides feedback on experience using these tools to leadership to enable continuous improvement.</li></ul>
Fair &amp; Balanced Scientific Dialogue<ul><li>
Demonstrates scientific expertise and passion in using approved scientific resources and publications to present information to HCPs and ensures medical accuracy.
</li><li>Conducts in-office presentations (e.g., lunch and learns) and discusses product-related scientific information with HCPs that is consistent with label.</li><li>
Organizes external speaker programs, selecting speakers from list approved by Speakers Bureau and facilitating scheduling and logistics.</li><li>
Maintains a high level of working expertise on emerging data for approved indications.</li><li>
Engages real-time medical support through Medical on Call to reactively answer unsolicited questions and complex technical inquiries.
</li></ul>Cross-functional collaboration<ul><li>
Proactively collaborates with other field teams to ensure the best Customer Experience (Cx) for HCPs.
</li><li>Gathers and shares relevant insights and information internally with the appropriate stakeholders to enable BMS to better serve its customers.</li></ul>
Complies with all laws, regulations, and policies that govern the conduct of BMS.<br>
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<b>Required Qualifications &amp; Experience:</b><ul><li>
Advanced scientific degree and/or preferred 5+ years of pharmaceutical or biotechnology experience as healthcare sales / MSL / HCP / nurse.</li><li>
Ability to communicate scientific or clinical data accurately and convincingly to help physicians best serve their patients.</li><li>
Demonstrated experience building and maintaining strong credibility with key customers, office staff, and others in the customer influence network via a customer-centric mindset and desire to create positive and differentiated Customer Experience (Cx).</li><li>
Experience in Dermatology is preferred.</li><li>
Demonstrated strong capability in account management skill sets, superior selling competencies, and proven sales performance track record of meeting or exceeding goals.</li><li>
Demonstrated ability to work effectively cross-functionally with a positive team mindset and can-do attitude.
</li><li>Strong selling and promotional skills proven through a track record of performance.</li></ul><b>
Key Competencies Desired:</b><br>
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Customer/commercial mindset<ul><li>
Demonstrated ability to drive business results.</li><li>
Experience identifying, engaging, and cultivating credibility with customers across the patient care journey.</li><li>
Demonstrated account management skills and problem-solving mentality. Understands the patient journey and can customize engagement and deliver tailored messages.</li><li>
Demonstrated resourcefulness and ability to connect with customers.</li></ul>
Patient centricity<ul><li>
Understands the patient journey and experience.</li><li>
Has a patient-focused mindset.</li></ul>
Scientific Agility<ul><li>
Excellent communication and presentation skills to articulate scientific and clinical data in an easy-to-understand manner to help HCPs best serve their patients.</li><li>
Has a strong learning mindset and passion for science. Prioritizes staying current with the latest data.</li></ul>
Analytical Capability<ul><li>
Ability to analyze data, such as prescribing patterns, market trends, and HCP preferences. Data-driven insights help TAS strategize and target their efforts effectively.</li><li>
Ability to segment HCPs based on their preferences and other relevant factors. This helps them tailor their communication and product presentations to suit individual HCP needs.</li><li>
Understanding how to interpret and analyze data related to BMS products, customer preferences, clinical data.</li><li>
Ability to use CE^3 to generate insights and do dynamic call planning.</li></ul>
Technological Agility<ul><li>
Understanding, adapting, and effectively using technology in various aspects of healthcare business and interacting with HCPs.
</li><li>Utilizing various digital communication channels such as emails, instant messaging apps, and video conferencing to stay in touch with healthcare professionals, colleagues, and clients. This enables TAS to respond promptly to inquiries, share updates, and maintain effective communication.</li><li>
Competency using CE^3 and other software or CRM tools to collect, enter, and manage quality data in a timely and compliant manner, track interactions, and plan future engagements with healthcare professionals .
</li><li>Ability to use the Medical on Call technology effectively.</li><li>
Being able to navigate and utilize the internet and online resources effectively.</li><li>
Keeping up to date with technological advancements and changes.
</li></ul>Teamwork/Enterprise mindset<ul><li>
Strong business acumen to understand and analyze business and market drivers and develop, execute, and adjust business plans.</li><li>
Demonstrates a strong sense of learning agility. Seeks out and learns from unfamiliar experiences and then applies those lessons to achieve better results in subsequent situations.</li><li>
Track record of balancing individual drive and collaborative attitude.</li><li>
Holds a high level of integrity and good judgment, in order to navigate the requirements of the role effectively and compliantly in accordance with BMS policies and procedures.</li></ul>
As this position requires the operation of a Company-provided vehicle, offers of employment are contingent upon the candidate meeting the requirements of Qualified Driver, as determined by the Company in its sole discretion, including but not limited to the following: 1) at least 21 years of age; 2) a driver's license in good standing issued by your state of residence; and, 3) a driving risk level deemed acceptable by the Company.<br>
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The starting compensation for this job is a range from $136,000-$164,800, plus incentive cash and stock opportunities (based on eligibility). The starting pay rate takes into account characteristics of the job, such as required skills and where the job is performed. Final, individual compensation will be decided based on demonstrated experience. Eligibility for specific benefits listed on our careers site may vary based on the job and location. For more on benefits, please visit our BMS Career Site. Benefit offerings are subject to the terms and conditions of the applicable plans then in effect and may include the following: Medical, pharmacy, dental and vision care. Wellbeing support such as the BMS Living Life Better program and employee assistance programs (EAP). Financial well-being resources and a 401(K). Financial protection benefits such as short- and long-term disability, life insurance, supplemental health insurance, business travel protection and survivor support. Work-life programs include paid national holidays and optional holidays, Global Shutdown days between Christmas and New Year's holiday, up to 120 hours of paid vacation, up to two (2) paid days to volunteer, sick time off, and summer hours flexibility. Parental, caregiver, bereavement, and military leave. Family care services such as adoption and surrogacy reimbursement, fertility/infertility benefits, support for traveling mothers, and child, elder and pet care resources. Other perks like tuition reimbursement and a recognition program.<br>
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#LI-Remote<br>
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If you come across a role that intrigues you but doesn't perfectly line up with your resume, we encourage you to apply anyway. You could be one step away from work that will transform your life and career.
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<b>Uniquely Interesting Work, Life-changing Careers</b><br>
With a single vision as inspiring as Transforming patients' lives through science&trade; , every BMS employee plays an integral role in work that goes far beyond ordinary. Each of us is empowered to apply our individual talents and unique perspectives in a supportive culture, promoting global participation in clinical trials, while our shared values of passion, innovation, urgency, accountability, inclusion and integrity bring out the highest potential of each of our colleagues.<br>
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<b>On-site Protocol</b><br>
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BMS has an occupancy structure that determines where an employee is required to conduct their work. This structure includes site-essential, site-by-design, field-based and remote-by-design jobs. The occupancy type that you are assigned is determined by the nature and responsibilities of your role:
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Site-essential roles require 100% of shifts onsite at your assigned facility. Site-by-design roles may be eligible for a hybrid work model with at least 50% onsite at your assigned facility. For these roles, onsite presence is considered an essential job function and is critical to collaboration, innovation, productivity, and a positive Company culture. For field-based and remote-by-design roles the ability to physically travel to visit customers, patients or business partners and to attend meetings on behalf of BMS as directed is an essential job function.
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BMS is dedicated to ensuring that people with disabilities can excel through a transparent recruitment process, reasonable workplace accommodations/adjustments and ongoing support in their roles. Applicants can request a reasonable workplace accommodation/adjustment prior to accepting a job offer. If you require reasonable accommodations/adjustments in completing this application, or in any part of the recruitment process, direct your inquiries to adastaffingsupport@bms.com . Visit careers.bms.com/ eeo -accessibility to access our complete Equal Employment Opportunity statement.
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BMS cares about your well-being and the well-being of our staff, customers, patients, and communities. As a result, the Company strongly recommends that all employees be fully vaccinated for Covid-19 and keep up to date with Covid-19 boosters.
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BMS will consider for employment qualified applicants with arrest and conviction records, pursuant to applicable laws in your area.<br>
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If you live in or expect to work from Los Angeles County if hired for this position, please visit this page for important additional information: https://careers.bms.com/california-residents/
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Any data processed in connection with role applications will be treated in accordance with applicable data privacy policies and regulations.</div><br /> <div id='job-id'>Job Id: pCDVbA1KO/kH0Ph4xjyXguJdsLc/kwdiY5UjPS1HxOzx798CcaZKSdcE6/Xogi3aOAHrbjyVuFKPX6P8FGI9nJ3e0f52Aup0YnF10duad989yUB9x3JYHlTWIxVN+Q6zRD4rOdH1ykqLVC+cXyVviBwW/vrZYzXFIAiUHxduAMWEHXfv6tT14GFtoM1h5Yat5UEhF2LPoLYiRJ47tsafSwsdjQIWZzPEeG6ah8442o2Nb1CkHbRXFXn/DkkFLSoY</div>

Senior Therapeutic Area Specialist, Dermatology - Seattle, WA

Independent Living Systems, llc

<div><p>We are seeking a Provider Relations Account Executive (IDD) to join our team at Independent Living Systems (ILS). ILS, along with its affiliated health plans known as Florida Community Care and Florida Complete Care, is committed to promoting a higher quality of life and maximizing independence for all vulnerable populations.</p><p><b>
About the Role:</b></p><p>
The Provider Relations Account Executive (IDD) plays a critical role in fostering and maintaining strong partnerships with providers who deliver services to individuals with intellectual and developmental disabilities (IDD). This position is responsible for ensuring that provider networks are robust, compliant, and aligned with organizational goals to deliver high-quality care. The role involves strategic relationship management, contract negotiation, and ongoing communication to support provider satisfaction and performance. The Account Executive will collaborate closely with internal teams to address provider concerns, facilitate training, and implement process improvements. Ultimately, this role drives the success of the provider network, contributing to improved outcomes for individuals served and the overall growth of the health care services organization.</p><p><b>
Minimum Qualifications:</b></p><ul><li>
Bachelor&rsquo;s degree in Health Administration, Business, Social Work, or a related field.</li><li>
Minimum of 3 years of experience in provider relations, account management, or a similar role within the health care services industry.</li><li>
Knowledge of intellectual and developmental disabilities (IDD) services and related regulatory environments.</li><li>
Experience with Contract Management.</li><li>
Relevant experience may substitute for the educational requirement on a year-for-year basis.</li></ul><p><b>
Preferred Qualifications:</b></p><ul><li>
Master's degree in Health Administration, Business, Social Work, or a related field.</li><li>
Experience working specifically with IDD provider networks or in managed care environment.</li><li>
Familiarity with Medicaid and other public health care programs related to IDD services.</li><li>
Advanced degree or certification in health care management or a related discipline.</li><li>
Proficiency with provider network management software and data analytics tools.</li><li>
Demonstrated ability to lead projects and collaborate across multidisciplinary teams.</li></ul><p><b>
Responsibilities:</b></p><ul><li>
Develop and maintain strong, collaborative relationships with IDD service providers to ensure network adequacy and quality standards are met.</li><li>
Negotiate contracts and agreements with providers, ensuring compliance with regulatory requirements and organizational policies.</li><li>
Monitor provider performance metrics and work with providers to implement corrective action plans when necessary.</li><li>
Serve as the primary point of contact for providers, addressing inquiries, resolving issues, and facilitating communication between providers and internal departments.</li><li>
Collaborate with cross-functional teams including care management, compliance, and finance to support provider network initiatives and improve service delivery.</li></ul></div><p></p><br /> <div id='job-id'>Job Id: Qzk4vP4WrOacvuCpC+mpN+Mmsx1YumO5MPmcf+oTH0lYNcgFV1HdAiHaJE0xER+Eo75lBkltOwc5sGnSIzOMkfQoQ5NcDrdq9IFwtAJcptxnsekF0rV9o3ojTpYvNIFA/fIPoynpCjXeJ+tyblIlWcWbt/cYHdiEaxYf66T1dyrkquBSJ1udKX+HZ88WxFtvc1HjYOxyV1ld+cqFZsaPlB0M0sDcmjB9wzZF1Av+1zeFZVORlsX3iLZzz4Q1oX9vYBNy9RTf84c=</div>

Provider Relations Account Executive (IDD)

Cambia Health Solutions

<div><div>Provider Engagement Consultant</div><div></div><div>
Hybrid opportunity within Oregon, Washington, Idaho or Utah</div><div></div><div><br>
Build a career with purpose. Join our <div>Cause</div> to create a person-focused and economically sustainable health care system.</div><div></div><div><br>
Who We Are Looking For:</div><div></div><div><br>
Every day, Cambia&rsquo;s dedicated team of Provider Engagement Consultants are living our mission to make health care easier and lives better. As a member of the Provider Network team, our Provider Engagement Consultant provides strategic support and decision-making guidance to Network Management and business unit leaders, focusing on driving provider performance in Alternative Payment Models (APM) and cost, quality, and risk objectives for Medicare Advantage and commercial populations. This role serves as the primary point of contact for key provider relationships, working cross-functionally across Cambia to execute short and long-term objectives that require provider engagement and collaboration &ndash; all in service of creating a person-focused health care experience.</div><div></div><div>
Do you have experience in provider engagement and performance improvement initiatives? Are you passionate about translating complex organizational priorities into actionable strategies that improve patient outcomes? Are you passionate about working with healthcare providers to achieve measurable outcomes in cost, quality, and member experience? Then this role may be the perfect fit.</div><div></div><div><br>
What You Bring to Cambia:</div><div></div><div><br>
Qualifications:</div><div></div><ul><li><div><br>
Provider Engagement Consultant would have a bachelor&rsquo;s degree in Business Administration, Healthcare Administration or related field and 8 years relevant experience in a large healthcare delivery, health insurance or health care consulting organization with specific experience building provider partnerships and/or value-based agreements or equivalent combination of education and experience.</div></li></ul><div></div><div><br>
Skills and Attributes:</div><div></div><ul><li><div><br>
Deep knowledge of health insurance trends, integrated finance and delivery models, and evolving accountable care and payment structures, with experience in both provider and payor organizations</div></li><li><div>
Proven ability to solve complex problems across multiple stakeholders in highly matrixed organizations with executive presence and change management skills</div></li><li><div>
Strong understanding of market dynamics, strategic planning, financial management, data analysis, and decision-making to drive organizational improvements</div></li><li><div>
Demonstrated competency in supporting complex business strategies and driving measurable results across internal teams and external partners</div></li><li><div>
Excellent consulting, written/verbal communication, and facilitation skills at all organizational levels with proven ability to influence outcomes</div></li><li><div>
Proficiency in Microsoft Office tools with ability to analyze data, conduct research, and create effective presentations for decision-making</div></li><li><div>
Ability to see the big picture, think strategically about business problems, and maintain strong partnerships while clarifying key issues in complex situations</div></li></ul><div></div><div><br>
What You Will Do at Cambia:</div><div></div><ul><li><div><br>
Develops, coordinates, and drives strategic direction for assigned provider groups related to Medicare Advantage and commercial APM objectives</div></li><li><div>
Acts as primary point of contact for assigned key provider groups in partnership with market provider relations teams</div></li></ul><ul><li><div>
Executes engagement strategies such as Medicare Stars, risk adjustment, and clinical initiatives to improve provider performance</div></li><li><div>
Leads cross-functional teams within Cambia to achieve desired provider outcomes including performance on quality, utilization, and member experience targets</div></li><li><div>
Works with key leaders within provider organizations to engage and drive providers toward successful performance in APM arrangements</div></li><li><div>
Serves as subject matter expert on Medicare, value-based care models, and APM performance with provider partners</div></li><li><div>
Assists senior leadership with special projects related to advancing Cambia's value-based and innovative provider relationships</div></li><li><div>
Monitors and analyzes provider performance metrics to identify opportunities for improvement and strategic intervention</div></li></ul><div></div><div>
The expected hiring range for a Provider Engagement Consultant is $104,000-$110,500 depending on skills, experience, education, and training; relevant licensure / certifications; and performance history. The bonus target for this position is 15%. The current full salary range for this role is $104,000 - $169,900. #LI-hybrid</div><div></div><div>
About Cambia</div><div></div><div>
Working at Cambia means being part of a purpose-driven, award-winning culture built on trust and innovation anchored in our 100+ year history. Our caring and supportive colleagues are some of the best and brightest in the industry, innovating together toward sustainable, person-focused health care. Whether we're helping members, lending a hand to a colleague or volunteering in our communities, our compassion, empathy and team spirit always shine through.</div><div></div><div>
Why Join the Cambia Team?</div><div></div><div>
At Cambia, you can:</div><ul><li>
Work alongside diverse teams building cutting-edge solutions to transform health care.</li><li>
Earn a competitive salary and enjoy generous benefits while doing work that changes lives.</li><li>
Grow your career with a company committed to helping you succeed.</li><li>
Give back to your community by participating in Cambia-supported outreach programs.</li><li>
Connect with colleagues who share similar interests and backgrounds through our employee resource groups.</li></ul><div></div><div>
We believe a career at Cambia is more than just a paycheck &ndash; and your compensation should be too. Our compensation package includes competitive base pay as well as a market-leading 401(k) with a significant company match, bonus opportunities and more.</div><div></div><div>
In exchange for helping members live healthy lives, we offer benefits that empower you to do the same. Just a few highlights include:</div><div></div><ul><li>
Medical, dental and vision coverage for employees and their eligible family members, including mental health benefits.</li><li>
Annual employer contribution to a health savings account.</li><li>
Generous paid time off varying by role and tenure in addition to 10 company-paid holidays.</li><li>
Market-leading retirement plan including a company match on employee 401(k) contributions, with a potential discretionary contribution based on company performance (no vesting period).</li><li>
Up to 12 weeks of paid parental time off (eligibility requires 12 months of continuous service with Cambia immediately preceding leave).</li><li>
Award-winning wellness programs that reward you for participation.</li><li>
Employee Assistance Fund for those in need.</li><li>
Commute and parking benefits.</li></ul><div></div><div>
Learn more about our <div>benefits</div>.</div><div></div><div>
We are happy to offer work from home options for most of our roles. To take advantage of this flexible option, we require employees to have a wired internet connection that is not satellite or cellular and internet service with a minimum upload speed of 5Mb and a minimum download speed of 10 Mb.</div><div></div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div>
We are an Equal Opportunity employer dedicated to a drug and tobacco-free workplace. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, age, sex, sexual orientation, gender identity, disability, protected veteran status or any other status protected by law. A background check is required.</div><div></div><div>
If you need accommodation for any part of the application process because of a medical condition or disability, please email <div>CambiaCareers@cambiahealth.com</div>. Information about how Cambia Health Solutions collects, uses, and discloses information is available in our <div>Privacy Policy</div>.</div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div><br /> <div id='job-id'>Job Id: UwHv98Ug2AcX3F5XFDPPFPlMHgOV1JbN3UbIcbOfjPqp5egij06+z7TT7bPgrOssIm29fKEh1eOgNUh8nwAOAsWl9BJsWGjxV1wpOxiGZUZr2SmDDVfRdPF+/xQSiY6HocT2xaNvru5j9Ke17KDKDHjjG/5uCmSBBjCGXdzxR6cCND/Uww8kBe7j</div>

Provider Engagement Consultant

Erie Family Health Center

<div><p>Join the Erie team! Motivated by the belief that healthcare is a human right, we provide high quality, affordable care to support healthier people, families, and communities. Erie delivers holistic care to help every member of the family stay healthy and active from infancy through adulthood. Since 1957, we have provided high-quality care to diverse patients most in need, regardless of their insurance status, immigration status, or ability to pay.</p><p>
</p><p>Erie Family Health Centers, a nationally recognized top workplace with 13 sites in Chicago and suburbs, is looking for a valuable addition to our Patient Access Operations team! The Clinical Staffing Analyst is responsible for creating Erie&rsquo;s provider schedules and ensuring provider hours worked have been met monthly. This role closely monitors provider capacity and time-off requests to ensure there is enough patient access to meet patient demand for over 366,000 visits annually. This role creates monthly provider hours reports for continuous improvement of workforce planning. The Clinical Staffing Analyst understands the inpatient and outpatient provider expectations, room capacity analysis, and is knowledgeable in workforce management.</p><p><br>
</p><p>At Erie, we are proud to provide competitive salaries, high-quality health care plans, generous time off benefits, retirement benefits, and more! Erie employees are eligible for Erie&rsquo;s Full Benefits Package that includes Medical, Dental, Vision, Life and Disability Insurance and Flexible Spending (FSA) for Health Care or Childcare. Retirement Programs: 401(k) program with Erie matching $0.50 for every $1.00 up to the first 5% of the employee&rsquo;s biweekly salary. Annual Paid Time Off: starting at 15 days of PTO, and 8 paid holidays. Competitive salary, annual merit increases, <b><i>a $1,000 sign-on bonus after 6 months in the role</i></b>, plus room for growth and career advancement.
</p><p></p><p><i>Compensation is based on each candidate&rsquo;s experience, skills and education within the range identified for the role. Candidates who meet the minimum requirements of the role will start at entry in the range. Any additional skills, experience and education will be reflected in the compensation offered</i><b><i>.</i></b></p><p>
</p><p><b>Main Duties &amp; Responsibilities</b></p><ul><li>
Creating and managing 175+ provider and resident schedules in the Epic EHR while ensuring monthly hours are met
</li><li>Monitoring provider capacity, time-off requests, and room availability to meet patient demand.
</li><li>Generating monthly reports to enhance workforce planning and improve operational efficiency.
</li><li>Collaborating with Site Management Teams (across 14 locations in Chicago, Evanston/Skokie, and Waukegan) and the Director of Patient Access Operations to identify trends and capacity solutions.
</li><li>Other duties as required.</li></ul><p><b>
Skills and Knowledge</b></p><p><b>
Required:</b></p><ul><li>
Three (3) years of administrative healthcare experience</li></ul><p>
</p><p><b>Preferred:</b></p><ul><li>
Two (2) years of administrative healthcare experience in staff schedules and capacity planning or similar work experience is preferred</li><li>
One (1) year experience with Epic system</li></ul><p>
</p><p><b>Education</b></p><ul><li>
High School Diploma</li></ul><p>
</p><p><b>The Erie Advantage Pledge</b></p><p>
WORKING TOGETHER FOR WHAT MATTERS MOST</p><p>
Erie makes a pledge that all current and future employees can feel confident that:</p><ul><li>
Our mission, vision, and values unite us.</li><li>
Our voices matter.</li><li>
We do things well.</li><li>
Our inclusive culture promotes balance and belonging.</li><li>
We find our career sweet spot at Erie</li></ul></div><br /> <div id='job-id'>Job Id: mGt4PFg2hblB36qhWGUfHm4k0ylMCkZ2oyUgXjHJ2XwwgXQR2XApRee/D2iW1dn2HEQ5v2zLsNyEAAst3QEoOjcEPPFvrm8m7Cxio7NUJJIpsjpgkCj7i2WSU3/50ZjlPzLI4qZD3OCsacWE+mQ5QDMjYzyS/3qXxzNW06dfXew23EqtqUepFzgAxLg8xezoUC0juMgJLT7mWhD0YYGB</div>

Clinical Staffing Analyst (Hybrid)

Universal Health Services Inc.

<ul><li>RENO, Nevada</li><li>
Other, Patient Services</li><li>
Day</li><li>
318012</li><li>
Prominence Health</li><li>
USD $19.50/Hr.</li><li>
USD $28.00/Hr.</li></ul>
<br><div><h2 class="jobSectionHeader"><b>Job Description
</b></h2><div><b>Responsibilities<br>
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<p>Prominence Health is a value-based care organization bridging the gap between affiliated health systems and independent providers, building trust and collaboration between the two. Prominence Health creates value for populations and providers to strengthen integrated partnership, advance market opportunities, and improve outcomes for our patients and members. Founded in 1993, Prominence Health started as a health maintenance organization (HMO) and was acquired by a subsidiary of Universal Health Services, Inc. (UHS) in 2014. Prominence Health serves members, physicians, and health systems across Medicare, Medicare Advantage, Accountable Care Organizations, and commercial payer partnerships. Prominence Health is committed to transforming healthcare delivery by improving health outcomes while controlling costs and enhancing the patient experience.</p><p></p><p><br>
Learn more at: https://prominence-health.com/</p><p></p><p><b><br>
Job Summary:</b></p><p>
The Provider Data Management Resolution Analyst acts as a liaison between providers and the organization in both the claims and credentialing areas. This role assists with escalated provider issues through providing research and follow up to involved parties. Position evaluates all presented applicant information for initial and re-credentialing, directing, and overseeing primary source verification, and ensuring clarification of any discrepancies discovered in the verification process. Position accurately summarizes and reports the results of each investigation to the Medical Director and Plan Credentialing Committee, with written follow-up regarding credentialing determinations, as required. Position also ensures processes demonstrate compliance with State, Federal and National regulatory requirements, and the accreditation standards of the National Committee for Quality Assurance (NCQA) and Medicare (CMS). Position supports all aspects of Provider Data management to ensure the providers data is accurately captured in the claims processing system.</p><p></p><div><b><br>
Job Duties/Responsibilities:</b></div><ul><li>
Manages and clearly responds to providers, their liaisons, leadership, doctors, and internal inquiries via provider web portals shared mailboxes, provider data management, credentialing and contracting shared mailboxes.</li><li>
Manages service ticket requests submitted to LaserFiche for resolution, following up to ensure timely closure.</li><li>
Responsible for monitoring and coordinating the completion of Health Plan practitioner and allied health professionals credentialing applications.</li><li>
Manages information and updates to appropriate issue tracking logs (SmartSheet) to ensure incoming complaints/requests are tracked, closed, and monitored for past due issues.</li><li>
Creates weekly Provider Compliant Report for Commercial and MA, as well as any new reports to satisfy regulatory compliance or departmental needs.</li><li>
Supports Provider Relations Representatives to resolve questions, and escalated calls.</li><li>
Maintains data integrity of all credentialing software programs through accurate and timely data entry</li><li>
Works collaboratively with Customer Services Resolution Specialist and Claims Resolution Specialist to resolve provider claims processing disputes.</li><li>
Promotes world class customer service for internal and external customers.</li><li>
Report escalated issues that need further evaluation to the Director, Operations.</li><li>
Analyzes trends, identifies problems, and issues and brings forth proposed resolutions including provider training.</li><li>
Reports provider issues to assigned Provider Relations Representative.</li><li>
Consistently demonstrates and maintains appropriate effective professional communications with internal department, providers and provides timely follow up as needed.</li><li>
Enters, updates, and maintains data from provider applications into claims processing databases, focusing on accuracy, and interpreting or adapting data to conform to defined data field uses, and in accordance with internal policies and procedures</li><li>
Communicates clearly with providers, their liaisons, leadership, and doctors, as needed to provide timely responses upon request on day-to-day credentialing and claims issues as they arise.</li><li>
Monitor expiring licensure, board, and professional certifications and other expirable documents with practitioners within the prescribed timeframe.</li><li>
Communicate with provider, practice manager or contract signatory to receive active current licensure for providers unable to verify via credentialing platform.</li><li>
Initiate provider terminations for credentialing non-compliance.</li><li>
Actively participate in team meetings and process improvement initiatives to continuously improve work efficiency.</li><li>
Coordinates timely collection and integration of selected performance monitoring activities and follows up as needed (i.e., office visit requests, member complaint reports, quality improvement activity reports, etc.).</li><li>
Process all provider and group terminations within departmental turnaround guidelines</li><li>
Support LaserFiche application and workflow and provide insight to process improvement and efficiencies.</li><li>
Support network management with day-to-day operations, identify areas for improvement related to internal and external provider operations.</li><li>
Performs special projects as assigned by the management.</li></ul><p></p><p><b><br>
Benefit Highlights:</b></p><ul><li>
Loan Forgiveness Program</li><li>
Challenging and rewarding work environment</li><li>
Competitive Compensation &amp; Generous Paid Time Off</li><li>
Excellent Medical, Dental, Vision and Prescription Drug Plans</li><li>
401(K) with company match and discounted stock plan</li><li>
SoFi Student Loan Refinancing Program</li><li>
Career development opportunities within UHS and its 300+ Subsidiaries! &middot; More information is available on our Benefits Guest Website: benefits.uhsguest.com</li></ul><p></p><p><b><br>
About Universal Health Services:</b></p><p>
One of the nation&rsquo;s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. During the year, UHS was again recognized as one of the World&rsquo;s Most Admired Companies by Fortune; and listed in Forbes ranking of America&rsquo;s Largest Public Companies. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. www.uhs.com</p><br>
<br>
<b>Qualifications<br>
</b><br>
<br>
<p><b>Qualifications and Requirements:</b></p><ul><li>
High school diploma: Associates degree or equivalent work experience preferred</li><li>
Minimum of 6 months experience in working with provider data and credentialing functions</li><li>
3 years customer service with ability to handle challenging customer situations in a professional manner.</li><li>
Knowledge of QNXT claims processing system</li><li>
Knowledge of Provider and Credentialing terminology</li><li>
Ability to interpret health plan benefits and provider contracts.
</li><li>Excellent computer skills which must include proficiency in Microsoft Office Suite with emphasis on Excel and Power Point.</li><li>
Excellent English communication skills with an ability to communicate complex program criteria into easily understood summaries both orally and written</li><li>
Proficient critical-thinking and analytical problem-solving skills</li><li>
Identify, recommend, and implement processes that improve quality, increases productivity, reduces waste, costs, and rework resulting in business improvement and customer satisfaction.
</li><li>Ability to interpret and apply established policies and procedures.</li><li>
Must be a team player and ability to work independently with little supervision</li></ul><p></p><p><b><br>
EEO Statement</b></p><p>
All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.</p><p></p><p><br>
We believe that diversity and inclusion among our teammates is critical to our success.</p><p>
Avoid and Report Recruitment Scams</p><p>
At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS</p><p>
and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc.</p><p></p><p><br>
If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.</p></div><h2 class="jobSectionHeader"><b>
Pay Transparency:</b></h2><div>
To encourage pay transparency, promote pay equity, and proactively address regulations, UHS and all our subsidiaries will comply with all applicable state or local laws or regulations which require employers to provide wage or salary range information to job applicants and employees. Salary offers may be based on key factors such as education and related experience.</div></div><br /> <div id='job-id'>Job Id: gHbvFmj4+AErntkzP3tQPFUivBpsy8JrfMc0gJv3NnfwUu8I9a+QXht26t6Jrbsx0eHK8TDA8ff+SdDU5mC9rAj4RZ/DY2XNeD56YU0gsw==</div>

Provider Data Management Resolution Analyst

PhyNet Incorporated

<h4 class="jobSectionHeader"><b>Applicants, submit resume to: </b><b>[email protected]</b></h4>
<br><div><div><div><div><div><p>Family Medicine in beautiful East Texas. Physician provider to deliver quality medical care with a focus on the patient's total care and wellness. Examine, diagnose, treat and/or refer patients to specialists, prescribe pharmaceuticals, other medications, and treatment regimens as appropriate to assessed medical conditions.<br>
PhyNet Health Network offers the following services varying per clinic location:</p>
<ul>
<li>Primary Care Physician</li>
<li>Pediatrics / Geriatrics</li>
<li>Chronic Care Management</li>
<li>Occupational Medicine</li>
<li>Preventative Care</li>
<li>Women's Health</li>
<li>Ancillary Services</li>
</ul>
<p>In 2003, PhyNet Inc., a Texas healthcare organization, was established as a physician&rsquo;s network of primary care, pediatric care, internal medicine, and occupational clinics. Operating in eight cities in the East Texas market.</p>
<p>
At PhyNet, we treat people differently! Our passion is total patient care and wellness. PhyNet accepts Medicare and most insurance and has a sister company providing medical billing (Triad Physicians Resources) and a home health company (OneSource Home Health).</p>
<p><b>
Job type:</b> Full-time<br>
<b>Job location:</b> East Texas (9 area clinics / inquire for the specific city)<br>
<b>Required education:</b> Doctorate</p></div></div></div></div></div><br /> <div id='job-id'>Job Id: sornEw6imD6w9ZUyvuL9/aY+M7CkXKbh8WvUpxJvNhwy67G5rc5VfD64nrMpfmsWjByKJNUZeDUdwrydix0wriX2Lc/HAeA=</div>

MD / Physician

Avel eCare

<div><p><b>General Hours of Work: </b>Monday- Friday (9:00 AM- 6:00 PM EST)</p>
<p><b>
Exempt/Nonexempt: </b>Exempt (salaried)
</p><p><b>Department/Unit:</b> Specialty Clinic
</p><p><b>Hours/FTE:</b> 20-25 hours per week</p>
<p><b>
Reports To: </b>Avel eCare Medical Director</p><br>
<p><b>
Summary:</b>
</p><p>Avel eCare Specialty Clinic is seeking an experienced Cardiologist Specialist to provide virtual consultations and follow-up care to our diverse patient population via a state-of-the-art telemedicine platform. Join our remote team and enjoy a flexible work schedule, competitive compensation, and the unique opportunity to impact healthcare delivery for underserved communities.
</p><p>Work from anywhere with the ability to adjust your schedule to suit your lifestyle, all while contributing to a leading-edge virtual health service.
</p><p><b>ESSENTIAL FUNCTIONS:</b>
</p><ul><li>Provide on-demand consultations via phone or video to partner clinics.</li>
<li>Conduct scheduled specialty consults and follow-up appointments.</li>
<li>Collaborate with onsite clinical staff to coordinate care for patients.</li>
<li>Review patient results and make tailored recommendations.</li>
<li>Offer provider-to-provider support through phone consults.</li>
</ul>
<p><b>EDUCATION And/or EXPERIENCE</b>
</p><ul><li>MD or DO degree required.</li>
<li>Minimum 3 years of experience in Cardiology.</li>
<li>Telemedicine experience preferred but not required.</li>
</ul>
<p><b>CERTIFICATION, LICENSURE, and/or REGISTRATION</b></p>
<ul>
<li>Active DEA certification and Board Certification in Cardiology.</li>
<li>Ohio medical license required.</li>
</ul>
<p><b>About Avel eCare</b>
</p><p>Avel eCare is a nationally recognized leader in telemedicine, operating one of the most extensive virtual healthcare networks in the world. Based in Sioux Falls, South Dakota, Avel partners with over 650 healthcare systems, rural hospitals, clinics, and facilities to deliver innovative telehealth solutions. Our services span Behavioral Health, Critical Care, Emergency, Hospitalist, Pharmacy, Specialty Care, Senior Care, and School Health, impacting nearly two million patients annually. For three decades, Avel has been at the forefront of healthcare innovation, developing telehealth solutions that reduce costs, save time, and remove barriers to quality care. Join our mission-driven team and help reshape the future of healthcare.
</p><p><b>Mission</b>
</p><p>&quot;Every person and every community deserves access to high-quality care.&quot; At Avel eCare, we collaborate with local clinicians through telemedicine to ensure high-quality care is available when and where it&rsquo;s needed most.
</p><p><b>Vision</b>
</p><p>&quot;Healthcare without boundaries.&quot; Avel eCare is a catalyst for change in healthcare, fostering a future defined by service, quality, collaboration, and innovation.</p></div><p></p><br /> <div id='job-id'>Job Id: XLU1VTeiL4JKYKY/DVZeQ6iaUlYB25Hk6bI04l7bjgeykIrulc1DKH+HmKy5NPuO+RHXzUqODo6yyuRC</div>

Cardiologist: Remote

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