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🔥 Revenue Cycle Analyst IV

Posted about 17 hours ago

📍 United States

🧭 Full-Time

💸 111507.52 - 167219.2 USD per year

🔍 Healthcare Administration

🏢 Company: SH👥 501-1000 Civil Engineering Construction Sales Rental

🔧 Requirements

Knowledge of healthcare administration and reimbursement.
Working knowledge of financial analysis principles, methods, practices, and procedures.
Working knowledge of computerized accounting/financial systems and how it’s used in compiling, recording, maintaining accounting/financial transactions and information.
Ability to translate complex financial data and analysis into reports and presentations for appropriate audience.
Critical thinking and analytical skills.
Knowledge in executing Revenue Cycle standards, processes, policies, procedures and service level agreements
Knowledge of Current Procedural Terminology/Healthcare Procedure Coding Systems and revenue coding
Knowledge of Revenue Cycle applications, including Electronic Medical Records systems
Knowledge of principles, methods, and techniques related to compliant healthcare billing
Ability to construct complex queries and provide analysis from database computer applications

💡 Responsibilities

Supports system's Revenue Cycle strategic objectives, providing long-term financial planning, operational performance analysis, financial feasibility studies, and special purpose reports for senior leadership.
Identifies areas for revenue cycle analysis and completes feasibility studies in collaboration with affiliates.
Functions as an effective resource to advance the system's Revenue Cycle strategic objectives.

Project Management SQL Data Analysis Communication Skills Analytical Skills Microsoft Excel Microsoft Office Accounting Organizational skills Presentation skills Time Management Critical thinking Reporting Budgeting Financial analysis

Posted about 17 hours ago

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🔥 Freelance Senior Legal Advisor (US Law) - AI Tutor (QA)

Posted about 20 hours ago

📍 United States

🧭 Part-Time

🔍 Law, AI

🏢 Company: Mindrift

🔧 Requirements

Academic degree in law (J.D., LLM, FLLM) within the US context.
At least 5 years of professional experience in the relevant fields (Constitutional Law, Corporate and Commercial Law, Employment and Labor Law, Taxation and Financial Regulation, Intellectual Property Law, Criminal Law, International Law, Contract Law, Civil Law).
Advanced English proficiency (C1) or above.
Ready to learn new methods, able to switch between tasks and topics quickly and sometimes work with challenging, complex guidelines.

💡 Responsibilities

Create and refine content to ensure accuracy and relevance across a variety of topics in the Law, while also developing references and examples of tasks.
Conduct interviews and assess the qualification tests of expert candidates in the Law, ensuring their competency.
Provide support by addressing project-related questions from other experts in Discord chats, especially those related to project guidelines or the US Law expertise.
Review and evaluate tasks completed by other experts, ensuring they align with project guidelines. Provide constructive feedback, verify the Law-related information, and edit content as necessary to improve quality.

QA Content creation Analytical Skills Problem Solving Critical thinking Research Editing English communication

Posted about 20 hours ago

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🔥 RN Quality Improvement Analyst

Posted about 21 hours ago

📍 Maryland, Virginia, Delaware, Pennsylvania, Florida, Washington DC

🧭 Full-Time

💸 97000.0 - 150000.0 USD per year

🔍 Healthcare

🔧 Requirements

Completion of a Bachelor of Science in Nursing from an accredited school of nursing.
Current registered nurse (RN) licensure in the State of Maryland.
Requires a minimum of three years’ RN experience.
Prefer a minimum of two years related experience in related field, collecting and analyzing data, preparing reports, identifying and solving problems, facilitating discussion with team to recommend solutions, etc.

💡 Responsibilities

Lead and facilitates performance improvement (PI) teams with local site leadership using the Lean framework.
Documents site level quality improvement meetings, assuring goals and action items are on track and measured.
Uses quality improvement techniques (workflow diagrams, process maps, and fish bone diagrams) for analysis.
Provides sites with adequate data to measure success and determine the best metrics for monitoring.

Leadership Project Management SQL Data Analysis Communication Skills Analytical Skills Collaboration Problem Solving Critical thinking Quality Assurance Data visualization Process improvement

Posted about 21 hours ago

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🔥 Staff Software Engineer, Backend (Remote)

Posted about 23 hours ago

📍 United States

🧭 Full-Time

💸 216000.0 - 264000.0 USD per year

🔍 Healthcare

🏢 Company: Machinify👥 51-100💰 $10,000,000 Series A over 6 years agoArtificial Intelligence (AI)Business Intelligence Predictive Analytics SaaS Machine Learning Analytics

🔧 Requirements

10+ years of backend focused experience in the field of application programming
Strong working experience with Java or Scala
Experience reading and understanding complex enterprise-grade code, quickly contributing to it, and suggesting improvements.
Working experience writing SQL queries
Additional Python and C# or other backend languages are a plus
Strong CS foundation (data structures, asynchronous programming)
Excellences in test writing discipline
Critical thinking and problem solving skills working in a high growth environment
Comfortable navigating ambiguity
BS or MS in Computer Science (or equivalent experience)

💡 Responsibilities

Contribute to backend server-side development to ensure our application is extensible, scalable, and secure
Recognize and prioritize between Customer deliverables & Tech debt to develop a sustainable software suite of products.
Enjoy designing and architecting complex frameworks for applying ML techniques to large data volumes and simplifying labor-intensive processes
Deliver resilient enterprise software solutions

AWS Backend Development Docker Leadership Project Management SQL Design Patterns Git Java Kubernetes Machine Learning Software Architecture Spring Boot Algorithms Data Structures Java Spring REST API Communication Skills CI/CD Problem Solving RESTful APIs Microservices Critical thinking Scala Software Engineering

Posted about 23 hours ago

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🔥 Global Intelligence Analyst (Thurs-Sun, 2pm-12am CST) Remote

Posted 1 day ago

📍 United States

🧭 Full-Time

🔍 Software

🏢 Company: AlertMedia👥 251-500💰 $15,000,000 Series C almost 5 years agoSaaS Enterprise Software Mobile

🔧 Requirements

2+ years of professional business experience, particularly in roles demanding analytical and problem-solving skills
Strong judgement and decision-making skills based on given criteria; ability to evaluate a variety of situations, establish priorities, and provide accurate information with urgency
General knowledge of current events
Understanding of existing social media platforms and ability to learn and utilize a variety of tools and systems
Capable of working independently on tasks while also thriving and collaborating as part of a larger team

💡 Responsibilities

Utilize source tools to identify and monitor incidents and potential threats globally
Based on given criteria, identify events that could impact business continuity and the safety of our customers and their employees
Communicate critical information effectively and with urgency and provide updated information as necessary
Ensure that all information is delivered with the highest level of accuracy and speed
Work with AlertMedia's Global Intelligence team to continuously update sources to ensure the highest level of monitoring and knowledge

Data Analysis Communication Skills Analytical Skills Problem Solving Customer service Attention to detail Time Management Written communication Critical thinking Risk Management Research skills

Posted 1 day ago

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🔥 Director, GRC, Privacy, & Trust

Posted 1 day ago

📍 Canada, US

🧭 Full-Time

💸 242000.0 - 350000.0 USD per year

🔍 Software Development

🔧 Requirements

8+ years leading GRC and privacy programs, including experience with international audits, risk management frameworks, and privacy regulations
5+ years experience managing individual contributors as well as experience managing other managers.
Proven expertise in policy development, risk assessment, compliance monitoring, and privacy program management
Hands-on experience with various information security and privacy compliance frameworks such as SOC 2 Type II, ISO 27001, FedRAMP, CMMC, GDPR, and CPRA.
Experience with security and privacy automation tools for compliance monitoring and knowledge management
Experience leading company-wide compliance initiatives, securing buy-in for security and privacy policies, and leading cross functional programs.
Experience partnering on customer contracts, including security addendums and compliance terms, balancing customer expectations and business needs.
Exceptional written and verbal communication skills with ability to communicate effectively with executives, legal counsel, and stakeholders.
Experience managing third-party risk, vendor assessments, and external auditors

💡 Responsibilities

Lead and mentor the GRC and Privacy Engineering team, fostering career growth and high performance
Drive the organization's risk management strategy and oversee the implementation of risk assessment frameworks
Develop and maintain information security and privacy policies, ensuring regular reviews and updates
Establish strong partnerships across departments to align on security and compliance initiatives
Engaging with customers, in partnership with Sales and Legal, to represent security in RFPs, due diligence, and security assessments.
Oversee 1Password’s various information security and privacy certification processes ensuring compliance with relevant frameworks and regulations.
Monitor and report on compliance metrics and program effectiveness
Partner with legal and security teams to assess and mitigate business, technical, and regulatory risks
Oversee relationships with external auditors and consultants

Leadership Project Management People Management Salesforce Cross-functional Team Leadership Communication Skills Analytical Skills Problem Solving Agile methodologies Mentoring Compliance Critical thinking Risk Management Stakeholder management

Posted 1 day ago

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🔥 Benefits Program Manager

Posted 2 days ago

📍 United States

🧭 Full-Time

💸 113900.0 - 159900.0 USD per year

🏢 Company: Reddit👥 1001-5000💰 $410,000,000 Series F over 3 years ago🫂 Last layoff almost 2 years agoNews Content Social Network Social Media

🔧 Requirements

8 or more years experience working in benefits and managing healthcare programs
Experience in implementing and administering benefits programs for countries outside of the US a plus
Strong analytical and project management skills, with an ability to design and communicate clear processes
You are passionate about employee engagement and building an inclusive culture
Ability to interact effectively with all senior leadership levels
Comfortable navigating ambiguity, uncertainty and change

💡 Responsibilities

Deep understanding of the US healthcare marketplace, employer sponsored insurance programs, Retirement and related health and welfare compliance filings.
Lead retirement committee meetings, coordinate internal retirement plan audits with actuaries, plan administrators, auditors, and accountants and assist with preparing plan documents and schedules.
Lead open enrollment and execute plan design changes by coordinating with the HRIS and Integrations teams, vendors, and third-party administrators, testing system changes, and communicating changes to the employees.
Partner with internal stakeholders, brokers and carriers to build efficient processes, enrollment systems and a great employee experience
Build out benefit resources and a communication strategy to enhance the value of benefit programs and increase employee understanding and engagement.
Excellent customer service skills with a consistent focus on employee education, advocacy, and program promotion. Ability to communicate both in person and through written correspondence (e.g., Benefit Ticketing System, Slack, Wiki, email, AI)
Collaborate, support and mentor junior benefits team members.
Keep up to date with emerging trends in the industry specifically with peer companies

Leadership Project Management People Management Project Coordination HR Management Communication Skills Analytical Skills Microsoft Excel Customer service Microsoft Office Mentoring Organizational skills Time Management Written communication Compliance Adaptability Problem-solving skills Critical thinking Teamwork Active listening Budgeting Cross-functional collaboration Stakeholder management Strategic thinking Process improvement Financial analysis

Posted 2 days ago

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🔥 Customer Service Representative

Posted 2 days ago

📍 United States

🧭 Full-Time

💸 35360.0 - 71008.0 USD per year

🔍 Healthcare

🔧 Requirements

Familiarity with Microsoft Office products such as Outlook, Word, Teams, Excel
Ability to maneuver through multiple system applications to gather information while on a call
Excellent customer service and critical thinking is a must
Must secure high speed internet access ( 100 mbps or higher ) with consistent, stable connection.
Work location must be set up with a direct connection to the router (NOT Wi-Fi).
Private workspace that is secure, quiet, and uninterrupted, and that allows appropriate maintenance of confidentiality as required by HIPAA and CVS Health guidelines.

💡 Responsibilities

Answer questions and resolves issues based on phone calls/letters from providers.
Triage resulting rework to appropriate staff.
Provide excellent customer services for high volume inbound provider calls for the Claims Inquiry/Claims Research Medicaid team.
Extensive claims research on multiple platforms to assist providers with payment questions.
Educate provider with related information to answer the unasked questions, e.g., additional plan details, benefit plan details, provider self-service tools, etc.
Use customer service threshold framework to make financial decisions to resolve provider issues.
Explain provider's rights and responsibilities in accordance with contract.
Process claim referrals, new claim handoffs, nurse reviews, provider complaints, grievance and appeals via target system.
Assists providers with credentialing/re-credentialing and contracting questions and issues.
Assist in compiling claim data for audits.
Determines medical necessity, applicable coverage provisions and verifies member plan eligibility relating to incoming correspondence and internal referrals.

Communication Skills Analytical Skills Microsoft Excel Problem Solving Customer service Microsoft Office RESTful APIs Excellent communication skills Critical thinking Troubleshooting Active listening Data entry Customer support

Posted 2 days ago

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🔥 Fixed Operations Consultant (Chicago, IL/Milwaukee, WI)

Posted 3 days ago

📍 Illinois, Wisconsin

💸 69800.0 - 87100.0 USD per year

🔍 Automotive

🏢 Company: DealerTireLLC-Careers

🔧 Requirements

Bachelor’s degree required, preferably in Business, Sales, Marketing, Management or related field, or equivalent work experience in lieu of degree
Minimum 5 years of experience in dealership or automotive service operations
Project management experience preferred
Excellent communication and facilitation skills, and attention to detail
Ability to work in a faced paced environment
Proficiency at intermediate level with all Microsoft Office products required
Meet the requirements of Dealer Tire’s Motor Vehicle Record Policy and Company Vehicle Fleet Policy

💡 Responsibilities

Collaborate with Account Management and other Operational roles on diagnosis, analysis, and action plans to improve dealership performance.
Create implementation plans, present findings and work with dealership management to gain support, change behavior and drive results.
Quickly build relationships at all levels of the dealership in order to implement change.
Develop and improve operational solutions to support the team in collaboration with Regional Operational Managers and the extended team.
Communicate analyses and strategic plans based on diagnosis and findings – deliver to the Account Management and other Operational roles the dealership actions, challenges and opportunities.
Participate in regional meetings.
Leverage Carline Specialists and other centralized resources, as needed.
Effectively implement Dealer Tire solutions that match the needs of the dealership and maximize their opportunity.
Manage all activity tracking and account information in Salesforce.
Communicate to management as needed on dealership activity challenges.
Submit timely update reports, itineraries, and expense reports to management as required.
Complete service lane assessments at the dealership.
Complete all activities required to effectively analyze and diagnose dealership gaps and drivers (e.g., inventory diagnostics, inspection process, and selling strategies, etc.).
Understand and interpret dealer data in order to identify opportunities and determine action.
Develop product screen recommendation and determine implementation strategy to meet business objectives.
Work with dealership to establish retail pricing strategies to meet business objectives.
Understand Dealer compensation plans and effect on offering and selling of tires and MC products.
Create & execute customized coaching solutions to improve dealership personnel performance across all areas.
Assist personnel with tools (DRSG) and capability to present tire and maintenance options to customers and sell conclusively on the drive - utilizing and explaining program value added items.
Assess competitive market and conduct mystery shops to provide an understanding of the competitive landscape – leverage gaps to improve performance.
Demonstrate the value of a successful inspection process (including Op Codes, RO) and assist dealers in achieving success.
Perform the role of service advisor in support of increasing service lane sales - partner with advisors to help develop their sales skills.
Other Duties as Assigned

Leadership Project Management Salesforce Operations Management Communication Skills Microsoft Excel Customer service Agile methodologies Coaching MS Office Critical thinking Account Management Negotiation skills

Posted 3 days ago

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🔥 Vice President, Patient Support and Insurance

Posted 3 days ago

📍 United States of America

💸 200000.0 - 300000.0 USD per year

🔍 Healthcare

🏢 Company: dkc_external

🔧 Requirements

10+ years of progressive leadership experience in healthcare, healthtech, or a related field
Clearly demonstrated history of successfully leading and developing leaders
Experience developing, gaining input for, and executing strategic visions
Track record of successfully leading business growth, strategic execution, and operational excellence
Proven ability to identify and drive business growth opportunities

💡 Responsibilities

Own and drive day-to-day business operations for 300+ patient educators and leaders, focused on helping individuals with Chronic Kidney Disease and End Stage Kidney Disease navigate insurance, employment, and financial decisions
Partner with DaVita leadership to optimize patient support efforts
Manage and lead a high-performing team, driving engagement, enablement, talent development, and succession planning
Coach, motivate and develop teammates through formal and informal feedback and development opportunities in alignment with DaVita's Mission and Core Values
Relentlessly fostering a special place to work and grow a career for all teammates
Develop and carry out a multi-year vision and strategy to drive continued patient support improvement
Mobilize geographically dispersed teammates around the most complex insurance topics facing our patients, aligning the Insurance Management Team with evolving healthcare industry trends and insurance policy changes
Oversee problem-solving efforts, leveraging data-driven insights to inform decision-making
Serve as a thought leader, identifying opportunities for innovation and operational transformation
Collaborate with cross-functional leaders to ensure the Insurance Management Team and Revenue Operations are positioned as a strategic business enabler and thought partner
Identify, deliver, and optimize innovative patient engagement and teammate enablement technologies as part of multi-year technology transformation roadmap
Partner with senior executives to define organizational priorities
Collaborate with leaders across revenue operations, integrated care, payer partnerships, public policy, and corporate strategy teams to advance patient support
Serve as a trusted advisor to executive leadership, providing insights and recommendations
Develop and deliver presentations on patient insurance education performance, trends, strategic initiatives, and recommendations to enhance performance
Translate complex operational and financial data into actionable insights for key stakeholders
Oversee talent acquisition, retention, and professional development, ensuring a strong leadership pipeline
Influence and manage internal and external stakeholders, aligning business goals across multiple teams

Leadership Project Management Business Intelligence Data Analysis People Management Cross-functional Team Leadership Operations Management Strategy Business Operations Financial Management Strategic Management Communication Skills Analytical Skills Collaboration Microsoft Excel Problem Solving Customer service Mentoring Organizational skills Presentation skills Time Management Written communication Coaching Excellent communication skills Adaptability MS Office Critical thinking Negotiation skills Verbal communication Active listening Recruitment Budgeting Relationship management Data visualization Team management Stakeholder management Change Management

Posted 3 days ago

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