HealthAxis Group, LLC

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👥 1001-5000💰 $300,000,000 Series C about 3 years ago🫂 Last layoff almost 3 years agoHuman Resources Services

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🔥 Part-Time, Temporary UM Concurrent Review Nurse

Posted 1 day ago

📍 United States

🧭 Part-Time

🔍 Healthcare

🔧 Requirements

Licensed RN or LPN required.
Minimum of two to three years varied clinical experience required.
Managed care experience preferred.
Ability to read and interpret documents and calculate figures and amounts.
Excellent oral and written communication skills including good grammar, voice and diction.
Proficient in MS Office with basic computer and keyboarding skills.
Excellent customer service skills (friendly, courteous and helpful).
InterQual experience helpful.

💡 Responsibilities

Performs prospective, concurrent, and retrospective inpatient and/or outpatient utilization reviews (UR) using evidence-based guidelines, policies and nationally recognized clinical criteria, and internal policies and procedures.
Evaluates severity of illness and intensity of service of member’s needs at time of inpatient admission utilizing approved criteria.
Triage and prioritize cases and other assigned duties to meet CMS turnaround time standards.
Prepare and escalate cases to MDs for review when appropriate.
Demonstrates effective communication methods and skills, using lines of authority appropriately.
Establishes a relationship with providers to determine/provide needed services to member.
Maintains accurate record of UR activities.
Regular attendance is required as employee works as part of a team & requires interaction with medical staff and clients.
Adheres to quality standards and confidentiality policies and procedures.
Ensures compliance with all state and federal regulations and guidelines in day-to-day activities.
Adapts to changes in policies, procedures, new techniques, and additional responsibilities.
Responsible for driving the HealthAxis culture through values and customer service standards.
Accountable for outstanding customer service to all external and internal contacts.
Develops and maintains positive relationships through effective and timely communication.
Takes initiative and action to respond, resolve and follow up regarding customer service issues with all customers in a timely manner.

Communication SkillsAnalytical SkillsProblem SolvingCustomer serviceExcellent communication skillsMS Office

Posted 1 day ago

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🔥 Senior AP and Payroll Specialist

Posted 2 days ago

📍 United States

🧭 Fulltime

🔍 Healthcare

🔧 Requirements

Bachelor’s degree in Accounting, Finance, or a related field preferred.
A minimum of 3-5 years of Accounts Payable and Payroll experience.
Strong understanding of payroll laws and tax regulations.
Experience working with AP automation tools and payroll systems; experience in multi-state payroll environment preferred.
Excellent attention to detail and strong analytical skills.
Ability to handle sensitive information with confidentiality and integrity.
Strong communication and interpersonal skills.
Proficient in Microsoft Excel and accounting software (Great Plains experience preferred).
Experience working with a PEO is a plus.

💡 Responsibilities

Maintain AP automation software and take ownership of end-to-end AP process to ensure efficient invoice processing workflows.
Review and verify invoices for appropriate coding, approvals, and compliance with company policy.
Prepare and process weekly vendor payments.
Reconcile credit card transactions and oversee account balances.
Prepare journal entries for credit cards and expense reports.
Maintains accounting ledgers by verifying and posting account transactions.
Compile list of invoices to be accrued at period end and create journal entries.
Reconcile AP related balance sheet accounts.
Audit and reconcile employee expense reports.
Maintain accurate and organized vendor files and documentation.
Reconcile vendor statements, identify discrepancies, and follow through with resolutions.
Monitor aging reports to ensure timely payment of vendor invoices.
Respond to vendor inquiries and maintain positive vendor relationships.
Prepare account analyses and reports as requested.
Assist in month-end closing activities, including accrual journal entries.
Manage 1099 records and ensure accurate year-end reporting and filings.
Apply knowledge of pay and deductions to ensure accurate payroll processing.
Coordinate with departments to ensure timely and accurate submission of electronic timecards.
Partner with the PEO to remain current on federal, state, and local payroll laws across all 50 states.
Maintain and audit payroll records, including wages, benefits, bonuses, garnishments and deductions.
Reconcile payroll tax reporting and ensure accuracy.
Investigate and resolve employee inquiries regarding paychecks and payroll reports.
Ensure timely escalation and resolution of payroll-related issues.
Open and close state payroll tax accounts as required.
Collaborate with the People team on onboarding, offboarding, and compensation changes.
Support accounting tasks related to payroll, including journal entries and account reconciliations.
Assist in processing off-cycle payroll exceptions in coordination with the PEO.
Recommend and implement process improvements in collaboration with the Controller.
Support year-end processes, including financial audits and 401(k) audits.

Financial ManagementMicrosoft ExcelAccountingComplianceMicrosoft Office SuiteData entryFinancial analysisBookkeeping

Posted 2 days ago

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🔥 Product Business Analyst II

Posted 16 days ago

📍 United States

🧭 Full-Time

🔍 Health Insurance

🔧 Requirements

Bachelor's Degree in Business, Computer Science or equivalent experience required
Must have knowledge and experience in the health insurance industry, to include Medicare, Medicaid and Commercial benefits administration, policies, practices and procedures, and regulations
Minimum 5 years of experience as a Business Analyst
Advanced computer skills and proficient in MS Word, Outlook, Excel, PowerPoint, and Visio
The ability to identify, coordinate and schedule critical tasks
Prior success prioritizing and executing multiple tasks and projects simultaneously
Self-starter with excellent communication skills, both verbally and in writing
Strong focus on meeting business needs through detailed understanding of user requirements and effective and accurate implementation of technical specifications
Strong analytical, business, system, and process flow skills required; including a thorough understanding of how to interpret customer business needs and translate them into in the form of User Stories and User Acceptance Criteria
Must be able to multi-task and make effective decisions under pressure
Must be able to successfully work independently as well as part of a team, or multiple teams
Demonstrated prior strong analytical, systems thinking and problem-solving skills
Ability to take initiative and solve problems with a client focus approach
High level of professional judgment and ability to maintain confidentiality
Excellent interpersonal communication and project management skills
Must be able to effectively communicate, navigate and negotiate within all levels of the organizational hierarchy, with internal, client, and vendor entities alike
The ability to analyze and document complex business processes

💡 Responsibilities

Support Product Management and Scrum teams in the analysis and decomposition of requirements and issues identified by customers and other stakeholders in the form of User Stories and User Acceptance Criteria
Support those same teams by participating in Agile ceremonies, to include backlog grooming, sprint planning, daily Scrum or Kanban, product demonstrations, and sprint retrospectives
Maintain communications on all tickets within respective domain in an accurate, timely and appropriate manner
Support QA and UAT processes by serving as a subject matter expert and assist in the creation and facilitation of test plan criteria
Design, create and validate ad hoc reports based on client or stakeholder requirements using a prescribed set of reporting tools (Zendesk, Azure DevOps)
Support other Product Owners, Business Analysts and Scrum Team members in the generation of User Stories and User Acceptance Criteria
Other general support of Product Management goals and initiatives as requested
Actively participate in internal and external stakeholder meetings
Support product, process, and other business acumen training initiatives

SQLAgileBusiness AnalysisData AnalysisProduct ManagementQAUser Experience DesignAPI testingMicrosoft ExcelCustomer serviceRESTful APIsMS OfficeReportingData modeling

Posted 16 days ago

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🔥 AP and Payroll Clerk

Posted 22 days ago

📍 United States

🧭 Full-Time

🔍 Healthcare

🔧 Requirements

Associate degree or equivalent.
A minimum of 2-4 years of Accounts Payable and Payroll experience.
Strong understanding of payroll laws and tax regulations.
Experience working with AP automation tools and payroll systems.
Excellent attention to detail and strong analytical skills.
Ability to handle sensitive information with confidentiality and integrity.
Strong communication and interpersonal skills.
Proficient in Microsoft Excel and accounting software (Great Plains experience preferred).
Experience working with a PEO is a plus.

💡 Responsibilities

Maintain AP automation software and ensure efficient invoice processing workflows.
Review and verify invoices for appropriate coding, approvals, and compliance with company policy.
Prepare and process weekly vendor payments.
Reconcile credit card transactions and oversee account balances.
Journal entries for credit cards and expense reports
Audit and reconcile employee expense reports.
Maintain accurate and organized vendor files and documentation.
Reconcile vendor statements, identify discrepancies, and follow through with resolutions.
Monitor aging reports to ensure timely payment of vendor invoices.
Respond to vendor inquiries and maintain positive vendor relationships.
Prepare account analyses and reports as requested.
Assist in month-end closing activities, including accrual journal entries.
Manage 1099 records and ensure accurate year-end reporting and filings.
Apply knowledge of pay and deductions to ensure accurate payroll processing.
Coordinate with departments to ensure timely and accurate submission of electronic timecards.
Partner with the PEO to remain current on federal, state, and local payroll laws across all 50 states.
Reconcile payroll tax reporting and ensure accuracy.
Address and resolve employee inquiries regarding paychecks and payroll reports.
Ensure timely escalation and resolution of payroll-related issues.
Open and close state payroll tax accounts as required.
Collaborate with the People team on onboarding, offboarding, and compensation changes.
Support accounting tasks related to payroll, including journal entries and account reconciliations.
Assist in processing off-cycle payroll exceptions in coordination with the PEO.
Recommend and implement process improvements in collaboration with the Controller.
Support year-end processes, including financial audits and 401(k) audits.

Communication SkillsAnalytical SkillsMicrosoft ExcelAccountingAttention to detailOrganizational skillsComplianceMicrosoft Office SuiteMS OfficeFinancial analysisBookkeeping

Posted 22 days ago

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🔥 Enrollment Specialist

Posted 25 days ago

📍 United States

🧭 Full-Time

🔍 Healthcare

🔧 Requirements

High school diploma or general education degree (GED) required.
Minimum one-year related experience preferred.
Demonstrates good organizational, interpersonal, leadership and communication skills.
Knowledge of Medicare Advantage Guidelines per CMS Chapter 2, and knowledge of transactions between CMS and health plans.
Excellent oral and written communication skills including good grammar, voice, and diction.
Able to read and interpret documents.
Proficient in MS Office with basic computer and keyboarding skills (40wpm).
Detail oriented and highly organized.
Excellent customer service skills (friendly, courteous, and helpful).

💡 Responsibilities

Ensure the accuracy and timeliness of processing enrollments and disenrollment in compliance within Medicare and Medicaid regulations and HealthAxis’ policies and procedures.
Process daily applications and disenrollment received via the various sources in the membership systems for daily transmission to CMS.
Assist with daily reviews and processing of the Daily Transaction Reply Report (DTRR).
Assist with tracking and oversight of CMS OEC, Auto and Facilitated web-based files.
Research and responds to all internal and external customer inquiries.
Generate appropriate correspondence to outreach to members request, as necessary.
Performs root cause analysis to determine issues related to member inquiry and or system errors.
Accurately enter COB for timely and accurate claims adjudication
Assist mailroom with processing Return Mail.
Adhere to productivity, quality, and compliance expectations.
Identifies issue trends and opportunities for improvement.
Be a supportive and collaborative team member.

Analytical SkillsCustomer serviceAttention to detailOrganizational skillsWritten communicationComplianceInterpersonal skillsExcellent communication skillsMS OfficeData entryComputer skills

Posted 25 days ago

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🔥 Controller

Posted 26 days ago

📍 United States

🧭 Full-Time

🔍 Healthcare

🔧 Requirements

5 to 7 years’ experience prior direct and supervisory experience in the financial reporting/general ledger area
Direct experience tracking and managing cost and revenue financial inputs, especially in a highly-transactional environment
Strong verbal and written communication skills
Strong analytical and reporting skills
Strong attention to detail, ability to identify trends and create inferences
Strong research and problem-solving skills
Strong interpersonal, supervisory and customer service skill
Ability to multi-task, work under pressure and meet deadlines
Excellent written and oral skills
Excellent leadership skills
Proficient in General Ledger Reporting and Recording, experience with Great Plains a plus

💡 Responsibilities

Obtain and maintain a thorough understanding of the financial reporting inputs and general ledger structure
Track and report on financial variances to cost and revenue impacting the financials
Ensure an accurate and timely monthly, quarterly, and year-end close
Ensure the timely reporting of all monthly financial information and provide analytical summaries as needed
Perform cash management and cash forecasting activities
Support budget and forecasting activities
Proficient in purchase accounting, leasing and revenue recognition requirements
Able to review cost and revenue inputs such as vendor contracts, client rates, pay and benefits information and develop detailed analysis that drive forecasting activities
Work with the SVP of Finance and Compliance to ensure clean and timely year-end audits and tax return preparation by external firm
Advises staff regarding the handling of non-routine reporting transactions
Supervise the Accountants to ensure all financial reporting deadlines are met and the appropriate controls are in place within and with other departments
Supervise the Payroll and Benefits function to ensure timely and accurate employee support
Lead, manage and hold accountable staff to ensure high performance and continuous staff development and improvement

Financial ManagementAccountingComplianceReportingBudgetingFinancial analysisBudget management

Posted 26 days ago

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🔥 System Administrator I

Posted about 2 months ago

📍 United States

🧭 Full-Time

🔍 Healthcare

🔧 Requirements

Experience in Office 365 Administration
Experience in using EntraID (Previously Azure Active Directory)
Experience in supporting Active Directory infrastructure
Experience integrating with Azure cloud environments
Working knowledge working with Windows Server (2016,2019,2022,2025)
Working knowledge of Azure Infrastructure and azure services
Experience in deployment of new application, software upgrades and patches
1+ years’ experience with Windows Server 2008 / 2012 / 2016 design, implementation and administration

💡 Responsibilities

Establish and configure Hyper-V Hosts, Virtual Machines, and non-network infrastructure
Maintains reliable system performance through active monitoring and review of error logs and user-reported server issues
Makes recommendations regarding network/systems upgrades and repairs
Works with team members to oversee server-side deployments and projects
Conducts regular tests to ensure that the system meets expectations for speed, security, and reliability
Makes recommendations regarding systems upgrades and repairs
Participates in On-Call rotation
Performs after-hours work as needed

AzureNetworkingTroubleshootingScripting

Posted about 2 months ago

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🔥 Utilization Review Nurse

Posted 2 months ago

📍 United States

🧭 Full-Time

🔍 Healthcare

🔧 Requirements

Licensed RN or LPN required.
Minimum of two to three years varied clinical experience required.
Managed care experience preferred.
An equivalent combination of education, training, and experience.
Ability to read and interpret documents and calculate figures and amounts.
Excellent oral and written communication skills including good grammar, voice and diction.
Proficient in MS Office with basic computer and keyboarding skills.
Excellent customer service skills (friendly, courteous and helpful).
InterQual experience helpful.

💡 Responsibilities

Performs prospective, concurrent, and retrospective inpatient and/or outpatient utilization reviews (UR) using evidence-based guidelines, policies and nationally recognized clinical criteria, and internal policies and procedures.
Evaluates severity of illness and intensity of service of member’s needs at time of inpatient admission utilizing approved criteria.
Triage and prioritize cases and other assigned duties to meet CMS turnaround time standards.
Prepare and escalate cases to MDs for review when appropriate.
Demonstrates effective communication methods and skills, using lines of authority appropriately.
Establishes a relationship with providers to determine/provide needed services to member.
Maintains accurate record of UR activities.
Regular attendance is required as employee works as part of a team & requires interaction with medical staff and clients.
Adheres to quality standards and confidentiality policies and procedures.
Ensures compliance with all state and federal regulations and guidelines in day-to-day activities.
Adapts to changes in policies, procedures, new techniques, and additional responsibilities.
Responsible for driving the HealthAxis culture through values and customer service standards.
Accountable for outstanding customer service to all external and internal contacts.
Develops and maintains positive relationships through effective and timely communication.
Takes initiative and action to respond, resolve and follow up regarding customer service issues with all customers in a timely manner.

Communication SkillsAnalytical SkillsCollaborationCustomer serviceMicrosoft OfficeAttention to detailTime ManagementWritten communicationDocumentationComplianceInterpersonal skillsAdaptabilityRelationship buildingProblem-solving skillsMS OfficeCritical thinkingTeamworkVerbal communicationReportingActive listeningCustomer support

Posted 2 months ago

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🔥 Utilization Management Auditor

Posted 2 months ago

📍 United States

🧭 Full-Time

🔍 Healthcare

🔧 Requirements

Minimum of 3-5 years of experience in healthcare operations, Utilization Management, or auditing roles within health plans or managed care organizations.
In-depth knowledge of UM processes, including intake, authorization creation, and determination, as well as familiarity with cross-departmental functions like claims, A&G, and call center operations.
Experience with healthcare regulations and standards (e.g., CMS, state-specific guidelines, NCQA) and their impact on utilization management.
Strong analytical and critical thinking skills, with the ability to identify patterns, discrepancies, and opportunities for improvement.
Strong communication skills, both verbal and written, to present audit findings clearly and persuasively to stakeholders at all levels.
Proficiency in using audit management tools, electronic health records (EHR) systems, and MS Office Suite (Excel, Word, PowerPoint).

💡 Responsibilities

Audit Utilization Management (UM) Processes
Audit Cross-Departmental Processes
Reporting and Documentation
Compliance and Quality Assurance
Collaboration and Stakeholder Engagement
Continuous Improvement and Training

SQLData AnalysisCommunication SkillsAnalytical SkillsCollaborationMicrosoft ExcelProblem SolvingCustomer serviceAttention to detailOrganizational skillsWritten communicationDocumentationComplianceMicrosoft Office SuiteInterpersonal skillsProblem-solving skillsCritical thinkingTeamworkVerbal communicationReportingTrainingActive listeningCross-functional collaborationQuality AssuranceProcess improvement

Posted 2 months ago

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