field_job_employment_type

job_industry

field_job_occupational_field_parents_all

job_organization_name

Remote, Nationwide – Seeking Credentialing SpecialistEverybody Has A Role To Play In Transforming HealthcareIf you want to be part of changing healthcare to better serve patients, you are in the right place. With Vituity you will join a team of individuals dedicated to our culture of caring and work to develop and implement innovative solutions, while tackling some of the healthcare industry’s most challenging situations from the inside.Join the Vituity Team. At Vituity, our core values matter. We embody a Culture of Caring by approaching every human interaction with compassion and heart. With a Servant Leadership philosophy, we focus on what we can accomplish when we put our patients and colleagues first. An Ownership Mentality means we all have mutual accountability to drive positive change for Vituity as a whole. Finally, our focus on Innovation enables all of us to re-imagine healthcare and bring about lasting change. Ultimately, we are unified around the common purpose of transforming healthcare to improve lives, and we believe everyone has a role to play in that. Help us shape the future of healthcare.Vituity Locations: Vituity has opportunities at 450 practice locations across the country, serving 8 million patients a year. With Vituity, if you ever need to move, you can take your job with you.The Opportunity<ul><li>Credentials and recredentials (on a biennial basis) all Physicians and Advanced Providers.</li><li>Coordinates and obtains essential credentialing information and documents.</li><li>Verifies all credentials under Vituity policies and procedures.</li><li>Reviews all credentialing information for completeness and for “red flag” items.</li><li>Identifies and escalates “red flag” items for action, as necessary, to department manager.</li><li>Maintains current credentials for all Physicians and Advanced Providers, including but not limited to: sends out reminder communication, updates the database under Vituity Policies and Procedures, and provides updated credentials to outside parties as needed (i.e. managed care organizations, medical staff offices).</li><li>Provides excellent customer service and credentials support by obtaining/compiling copies of credentials documents, generating profiles, and completion of paperwork to meet organization credentialing needs.</li><li>Assists with follow-up to ensure all needed paperwork and copies of credentials are obtained.</li><li>Inputs and updates the Salesforce Credentialing database with credentialing status.</li><li>Scans all provider/employee/contractor documents and paperwork into electronic files.</li><li>Updates and reorganizes electronic files as needed.</li><li>As needed, provides support with new client onboarding efforts including online application set-up, importing data into the Salesforce Credentialing database and other systems, requests malpractice insurance, runs databank and license checks, and tracks providers until all required credentialing, HR, and payroll items for hire are completed.</li></ul>Required Experience and Competencies<ul><li>1 - 2 years of related credentialing work experience in medical field required.</li><li>Associate degree in related field or combination of education and experience required.</li><li>Knowledge of the Vituity policies and procedures relating to credentialing and onboarding.</li><li>Ability to organize and prioritize work and manage multiple priorities.</li><li>Ability to express ideas and convey information effectively in verbal and written communications.</li><li>Ability to establish and maintain effective working relationships as required by the duties of the position.</li><li>Ability to use office equipment and automated system applications/software at an acceptable level of proficiency.</li><li>Ability to read, understand and communicate in English sufficient to perform the duties of the position.</li><li>Intermediate to advanced MS Excel, Word, PowerPoint, and Outlook skills.</li><li>Strong attention to detail, time management, and organization skills.</li><li>Ability to maintain compliance with all regulatory and accrediting institutions.</li></ul>The CommunityEven when you are working remotely, you are an important part of the Vituity Community. We offer plenty of opportunities to engage with other Vitans through a variety of virtual meet-and-greets, events and seminars.<ul><li>Monthly wellness events and programs such as yoga, HIIT classes, and more</li><li>Trainings to help support and advance your professional growth</li><li>Team building activities such as virtual scavenger hunts and holiday celebrations</li><li>Flexible work hours</li><li>Opportunities to attend Vituity community events including LGBTQ+ History, Día de los Muertos Celebration, Money Management/Money Relationship, and more.</li></ul>Benefits &amp; Beyond*Vituity cares about the whole you. With our comprehensive benefits package, we are mindful of what matters most, and support your needs of today and your plans for the future.<ul><li>Superior health plan options</li><li>Dental, Vision, HSA/FSA, Life and AD&amp;D coverage, and more</li><li>Top Tier 401(k) retirement savings plans that offers a $1.20 match for every dollar up to 6%</li><li>Outstanding Paid Time Off: Four weeks’ vacation, Paid holidays, Sabbatical</li><li>Student Loan Repayment Program</li><li>Professional and Career Development Program</li><li>EAP, travel assistance and identify theft included</li><li>Wellness program</li><li>Commuter Benefits Program</li><li>Purpose-driven culture focused on improving the lives of our patients, communities, and employees.</li></ul>Salary range for this role is $26 - $30 per hour. Please speak with a recruiter for more information.We are unified around the common purpose of transforming healthcare to improve lives and we believe everyone has a role to play in that. We know that when we work together across sites and specialties as an integrated healthcare team, we can exceed the expectations of our patients and the hospitals and clinics we work in. If you are looking to make a difference, from clinical to corporate, Vituity is the place to do it. Come grow with us.Vituity does not discriminate against any person on the basis of race, creed, color, religion, gender, sexual orientation, gender identity/expression, national origin, disability, age, genetic information (including family medical history), veteran status, marital status, pregnancy or related condition, or any other basis protected by law. Vituity is committed to complying with all applicable national, state and local laws pertaining to nondiscrimination and equal opportunity.*Benefits for part-time and per diem vary. Please speak to a recruiter for more information.Applicants only. No agencies please.

Vituity

Credentialing Specialist (Temporary - 6 months) - Remote - Nationwide

Remote, Nationwide – Seeking Supervisor, ProcurementEverybody Has A Role To Play In Transforming HealthcareAt Vituity you are part of a larger team that is driven by our purpose to improve lives. We are dedicated to transforming healthcare through our culture by working together to tackle healthcare’s most pressing challenges from the inside.Join the Vituity Team. At Vituity we’ve cultivated an environment where passion thrives, and success comes through shared purpose. We were founded in a culture that values team accomplishments more than individual achievements, an approach we call “culture of brilliance.” Together, we leverage our strengths and experiences to make a positive impact in our local communities. We foster this through shared goals and helping our colleagues succeed, and we also understand the importance of recognition, taking the time to show appreciation and gratitude for a job well done.Vituity Locations: Vituity has opportunities at 475 sites across the country, serving 9 million patients a year. With Vituity, if you ever need to move, you can take your job with you.The Opportunity<ul><li>Oversee staff and ensure vendor contracts (with or without a purchase order) for completeness; business associate agreement (BAA) when applicable, Certificate of Liability, W9, etc. Synchronize with additional parties as needed (i.e. Contracts Director, Finance Director, legal) to get the contract signed and approved.</li><li>Maintain organized filing system (electronic and/or paper) for all purchasing-related documentation and contracts.</li><li>Synchronize and facilitate maintenance and other applicable end of term or life tracking.</li><li>Verify purchasing requisitions for completeness including comparing items requested to standard list, clarifying unclear items, ensuring proper justification and approvals, recommending alternatives, etc.</li><li>Track inventory levels as needed including minimum order quantities. Initiate requisition when inventory reaches minimum quantity levels.</li><li>Process purchase orders to vendors; verifying terms and conditions are consistent to company standards. Edit purchase orders as needed.</li><li>Monitor shipments to ensure that goods or services are delivered on time, and in the event of problems trace shipment and follow up on undelivered or damaged goods.</li><li>Communicate to all applicable parties as necessary regarding specific orders or purchasing in general. Assist when purchasing issues or variances arise.</li><li>Work with property management to ensure security deposit/LOC and operating expense information is correct.</li><li>Work with accounting and property management to audit operating expense billing, both estimated prepayments and reconciliation to ensure accuracy.</li><li>Maintain hard copy and electronic Master Lease files.</li><li>Support Purchasing platform (Coupa) administrator for all back-end support and coding needs.</li><li>Support System Administrator for all other department-supported platforms including: Travel platform (Navan) and internal online stores.</li><li>Document process/procedures.</li><li>Support and assist full cycle of vendor management via vendor search and selection, analyzing business requirements, contract negotiation, and continuous vendor evaluation to ensure best practices compliance and alignment with business objective.</li><li>Understand and support the requirements of internal stakeholders procurement needs for a variety of products and services acquired from external suppliers and 3rd party vendors while determining the ideal number of vendors to meet the business needs without excess.</li><li>Responsible for searching for ways to reduce cost to the company, such as evaluate cost of purchasing from various vendors to arrive at best deal. Evaluate and negotiate price, payment terms, and contract arrangements with vendors as well as assist internal managers in developing negotiation strategy and objectives.</li><li>Act as a Liaison and communicate with vendors as a central point of contact for coordinating, reviewing, and finalizing contracts as required in coordination with management including conflict resolution.</li><li>Write and review product specifications, maintain a working technical knowledge of the goods or services to be purchased. Conduct research to ascertain the best products and suppliers in terms of value, delivery, and quality including control spend, risk management, and build a culture of long-term saving on procurement costs.</li><li>Manage various projects to include process improvement and technology projects to project completion.</li><li>Research and engage viable vendors using procurement standards and best practices.</li><li>Responsible for Travel management program and platform.</li><li>Directly supervise, coach, mentor, and develop employees.</li><li>Manage routines and other competencies.</li><li>Interview, hire, and train employees.</li><li>Plan, assign, and direct work duties and responsibilities for day-to-day tasks.</li><li>Establish performance standards and objectives, monitor activities, validate transactions, provide strategic direction, and monitor work product.</li><li>Appraise performance; reward and discipline employees addressing complaints and resolving problems.</li><li>Exercise the usual managerial authority with respect to staffing, performance management, salary recommendations, and employee development.</li><li>Provide feedback and counseling regarding performance and personnel issues as well as being responsible for monitoring employees’ time and attendance.</li><li>Meet with staff weekly to review work requirements and assignments.</li><li>Monitor and inspect completion of work.</li><li>Provide technical assistance to staff in work methods.</li></ul>Required Experience and Competencies<ul><li>In-depth knowledge and experience contracting for professional services, staff augmentation, and outsourced services required.</li><li>In-Direct experience negotiating and managing contracts which include Managed Services, Rates-based Services, and Build-Operate-Transfer Services contract scope and structure required.</li><li>Experience with developing and implementing successful cost-saving initiatives required.</li><li>2+ years of experience in procurement and P2P systems required.</li><li>2+ years of office management experience with knowledge of management responsibilities, systems, and procedures required.</li><li>Experience working in a mid-to-large global company required.</li><li>Experience in collecting and analyzing data required.</li><li>BA/BS Degree or a combination of education and work experience that demonstrates the attainment of the requisite knowledge, skills, and abilities required.</li><li>Supervisory experience preferred.</li><li>Experienced in sourcing, establishing, and managing procurement relationships, both direct and indirect, with both off-shore and out-sourced service providers preferred.</li><li>Experience with developing and implementing successful cost saving initiatives preferred.</li><li>Proficient in Microsoft Office Applications with particularly strong skills with manipulating, analyzing, and charting data in Excel. Ability to learn new systems and concepts quickly.</li><li>Ability to work cooperatively and build strong relationships with peers and senior leadership locally and globally; sharing ideas and developing effective business processes in support of the company mission.</li><li>Ability to collaborate and be comfortable dealing with ambiguity, influencing across multiple complex organizations, creating effective business partnerships.</li><li>Proficient in Microsoft Office Applications with particularly strong skills with manipulating, analyzing, and charting data in Excel. Ability to learn new systems and concepts quickly.</li><li>Demonstrated ability to lead teams in achieving or exceeding challenging targets.</li><li>Demonstrated ability to make critical decisions and prioritize based on Procurement and business/functional goals.</li><li>Demonstrated ability to lead multiple projects simultaneously and work under tight deadlines.</li><li>Demonstrated ability to select, manage, develop, and coach others.</li><li>Demonstrated influencing and communication skills to drive best practices.</li><li>Flexible and responsive to change.</li><li>Outstanding interpersonal skills to communicate effectively and confidently at all levels across the organization.</li><li>Excellent verbal and written skills, with the ability to collaborate and communicate across the office spectrum, from vendor to executive.</li></ul>The CommunityEven when you are working remotely, you are an important part of the Vituity Community. We offer plenty of opportunities to engage with other Vitans through a variety of virtual meet-and-greets, events and seminars.<ul><li>Monthly wellness events and programs such as yoga, HIIT classes, and more</li><li>Trainings to help support and advance your professional growth</li><li>Team building activities such as virtual scavenger hunts and holiday celebrations</li><li>Flexible work hours</li><li>Opportunities to attend Vituity community events including LGBTQ+ History, Día de los Muertos Celebration, Money Management/Money Relationship, and more</li></ul>Benefits &amp; Beyond*Vituity cares about the whole you. With our comprehensive compensation and benefits package, we are mindful of what matters most, and support your needs of today and your plans for the future.<ul><li>Superior health plan options</li><li>Dental, Vision, HSA/FSA, Life and AD&amp;D coverage, and more</li><li>Top Tier 401(k) retirement savings plans that offers a $1.20 match for every dollar up to 6%</li><li>Outstanding Paid Time Off: 3-4 weeks’ vacation, Paid holidays, Sabbatical</li><li>Student Loan Refinancing Discounts</li><li>Professional and Career Development Program</li><li>EAP, travel assistance, and identify theft included</li><li>Wellness program</li><li>Purpose-driven culture focused on improving the lives of our patients, communities, and employees</li></ul>We are excited to share the base salary range for this position is $74,380 - $92,975, exclusive of fringe benefits or potential bonuses. This position is also eligible to participate in our annual corporate Success Sharing bonus program, which is based on the company’s annual performance. If you are hired at Vituity, your final base salary compensation will be determined based on factors such as skills, education, and/or experience. We believe in the importance of pay equity and consider internal equity of our current team members as a part of any final offer. Please speak with a recruiter for more details.We are unified around the common purpose of transforming healthcare to improve lives and we believe everyone has a role to play in that. When we work together across sites and specialties as an integrated healthcare team, we exceed the expectations of our patients and the hospitals and clinics we work in. If you are looking to make a difference, from clinical to corporate, Vituity is the place to do it. Come grow with us.Vituity does not discriminate against any person on the basis of race, creed, color, religion, gender, sexual orientation, gender identity/expression, national origin, disability, age, genetic information (including family medical history), veteran status, marital status, pregnancy or related condition, or any other basis protected by law. Vituity is committed to complying with all applicable national, state and local laws pertaining to nondiscrimination and equal opportunity.*Benefits for part-time and per diem vary. Please speak to a recruiter for more information.Applicants only. No agencies please.

Supervisor, Procurement - Remote - Nationwide

Remote, Nationwide – Seeking Manager, Practice AdministratorsEverybody Has A Role To Play In Transforming HealthcareIf you want to be part of changing healthcare to better serve patients, you are in the right place. With Vituity you will join a team of individuals dedicated to our culture of caring and work to develop and implement innovative solutions, while tackling some of the healthcare industry’s most challenging situations from the inside.Join the Vituity Team. At Vituity, our core values matter. We embody a Culture of Caring by approaching every human interaction with compassion and heart. With a Servant Leadership philosophy, we focus on what we can accomplish when we put our patients and colleagues first. An Ownership Mentality means we all have mutual accountability to drive positive change for Vituity as a whole. Finally, our focus on Innovation enables all of us to re-imagine healthcare and bring about lasting change. Ultimately, we are unified around the common purpose of transforming healthcare to improve lives, and we believe everyone has a role to play in that. Help us shape the future of healthcare.Vituity Locations: Vituity has opportunities at 450 practice locations across the country, serving 8 million patients a year. With Vituity, if you ever need to move, you can take your job with you.The Opportunity<ul><li>Optimize Supervisor, Practice Administrator and Practice Administrator support for sites.</li><li>Lead team activities for Supervisor, Practice Administrators, and Practice Administrators.</li><li>Assist in monitoring and managing operational performance to achieve front-line driven approach (FDLA) goals in collaboration with leadership and Practice Administrators.</li><li>Advise, assist, mentor team members who support the front line.</li><li>Manage implementation of programs and services to improve site operations.</li><li>Assist with the development and monitoring of performance metrics and coordination of education for the Practice Administrator population.</li><li>Collaborate with other practice lines to share practice knowledge, achievements, and assist in new opportunities in cooperation with Division Leader.</li><li>Collect and disseminate system process and best practices in cooperation with Division Leader.</li><li>Research, develop, and pilot strategic programs and services that enhance operations in collaboration within the practice line working with directors, operations consultants, and division leaders.</li><li>Work with practice line director to optimize budget dollars spent.</li><li>Represent the Practice Administrator population as a strong and positive leader.</li><li>Systematically deploy practice knowledge to encourage standard practice within the division.</li><li>Support the front line by managing startups, acting as front-line manager through leadership of site practice administrator.</li><li>Interview, screen, onboard, and train new practice administrators.</li><li>Provide coaching, counseling, and mentorship to team.</li><li>Assist team members to achieve operational and financial performance at sites through managing and tracking initiatives.</li><li>Integrate Vituity resources and services to drive change, enhance, and innovate practices.</li><li>Collaborate with Division Leader to support Vice Presidents, Regional Directors, Supervisor, and Practice Administrators with presentations, data gathering, report creation, and analysis.</li><li>Manage initiatives for regional activities and team meetings.</li><li>Assign staff to sites in the most effective and cost prohibitive manner.</li><li>Work with programs and innovation to manage collaboratives by identifying sites ready for change, identifying resources to support, and presenting as requested.</li><li>Provide site support leadership, and management to improve operational performance, contract stability, patient satisfaction, financial viability, and knowledge dissemination within new practice lines.</li><li>Provide project management and project support on an ad hoc basis for organizational / department initiatives as needed.</li><li>Perform related duties as required.</li></ul>Required Experience and Competencies&nbsp;<ul><li>High school diploma or equivalent and 8+ years of related experience, or a combination of education and experience that demonstrates attainment of the required competencies.</li><li>5+ years of progressive operations or management experience required.</li><li>Experience in people management required.</li><li>Experience and knowledge in healthcare management, encompassing both hospital-based management and physician practice management required.</li><li>Bachelor’s degree in Healthcare Administration, Healthcare Management, Business Administration, or related field preferred.</li><li>7 years of progressive operations or management experience preferred.</li><li>Previous Vituity experience strongly preferred.</li><li>Strong knowledge and understanding of the physician’s clinical, management, and leadership roles in the healthcare environment in order to assist the physician group clients in developing a competitive advantage in their marketplace.</li><li>Demonstrates a positive mindset to lead their team.</li><li>Strong analytical and problem-solving skills.</li><li>Advanced Data analysis and interpretation skills.</li><li>Strong project management, negotiation, and facilitation skills.</li><li>Ability to motivate and develop the potential of others.</li><li>Ability to work collaboratively as a team member in a fast-paced environment.</li><li>Excellent oral and written communication skills.</li><li>Ability to present to all types of audiences.</li><li>Advanced knowledge of MS Office applications (PowerPoint, Excel, Access, Word).</li><li>Ability to meet demands of a large variety of clients.</li></ul>The CommunityEven when you are traveling or working remotely, you are an important part of the Vituity Community. We offer plenty of opportunities to engage with other Vitans through a variety of virtual meet-and-greets, events and seminars.<ul><li>Monthly wellness events and programs such as yoga, HIIT classes, and more.</li><li>Trainings to help support and advance your professional growth.</li><li>Team building activities such as virtual scavenger hunts and holiday celebrations.</li><li>Flexible work hours.</li><li>Opportunities to attend Vituity community events including LGBTQ+ History, Día de los Muertos Celebration, Money Management/Money Relationship, and more.</li></ul>Benefits &amp; Beyond*Vituity cares about the whole you. With our comprehensive compensation and benefits package, we are mindful of what matters most, and support your needs of today and your plans for the future.<ul><li>Superior health plan options</li><li>Dental, Vision, HSA/FSA, Life and AD&amp;D coverage, and more</li><li>Top Tier 401(k) retirement savings plans that offers a $1.20 match for every dollar up to 6%</li><li>Outstanding Paid Time Off: Four weeks’ vacation, Paid holidays, Sabbatical</li><li>Student Loan Repayment Program</li><li>Professional and Career Development Program</li><li>EAP, travel assistance and identify theft included</li><li>Wellness program</li><li>Commuter Benefits Program</li><li>Purpose-driven culture focused on improving the lives of our patients, communities, and employees.</li></ul>We are excited to share the base salary range for this position is $79,600 - $99,500, exclusive of fringe benefits or potential bonuses. This position is also eligible to participate in our annual corporate Success Sharing bonus program, which is based on the company’s annual performance. If you are hired at Vituity, your final base salary compensation will be determined based on factors such as skills, education, and/or experience. We believe in the importance of pay equity and consider internal equity of our current team members as a part of any final offer. Please speak with a recruiter for more details.We are unified around the common purpose of transforming healthcare to improve lives and we believe everyone has a role to play in that. We know that when we work together across sites and specialties as an integrated healthcare team, we can exceed the expectations of our patients and the hospitals and clinics we work in. If you are looking to make a difference, from clinical to corporate, Vituity is the place to do it. Come grow with us.Vituity does not discriminate against any person on the basis of race, creed, color, religion, gender, sexual orientation, gender identity/expression, national origin, disability, age, genetic information (including family medical history), veteran status, marital status, pregnancy or related condition, or any other basis protected by law. Vituity is committed to complying with all applicable national, state and local laws pertaining to nondiscrimination and equal opportunity.*Benefits for part-time and per diem vary. Please speak to a recruiter for more information.Applicants only. No agencies please.

Manager, Practice Operations - Remote - Nationwide

Remote, Nationwide – Seeking Billing SpecialistEverybody Has A Role To Play In Transforming HealthcareAs a Billing Specialist, you play a vital role in our mission to improve lives. As part of Billing Operations, you will be verifying insurance coverage of payers, identifying account classification, process billing exceptions, and more. At Vituity we know the impact you can have.Join the Vituity Team. At Vituity we’ve cultivated an environment where passion thrives, and success comes through shared purpose. We were founded in a culture that values team accomplishments more than individual achievements, an approach we call “culture of brilliance.” Together, we leverage our strengths and experiences to make a positive impact in our local communities. We foster this through shared goals and helping our colleagues succeed, and we also understand the importance of recognition, taking the time to show appreciation and gratitude for a job well done.Vituity Locations: Vituity has opportunities at 475 sites across the country, serving 9 million patients a year. With Vituity, if you ever need to move, you can take your job with you.The Opportunity<ul><li>Identifies the correct Financial Class and enters in billing system.</li><li>Posts extracts and correct validation errors in system.</li><li>Identify trends and communicates to leadership team.</li><li>Reviews incoming documentation to identify correct payer to accounts.</li><li>Researches eligibility to ensure correct insurance coverage of payer.</li><li>Ensures payer mapping (crosswalk) is set-up correctly.</li><li>Identifies contract matrix discrepancies and/or gaps and communicates accordingly.</li><li>Analyzes decision log errors related to the daily census.</li><li>Identifies trends with incoming data and communicates to leadership team.</li><li>Analyzes pre-submission errors to identify root cause and recommends a solution.</li><li>Processes denials related to eligibility to identify correct payer or payer request.</li><li>Processes electronic rejections, identifies root cause, and recommends/makes appropriate updates to accounts.</li><li>Processes returned mail, write-off accounts, and daily exception reports.</li><li>Processes Laserfiche folders (duplicate, pending review, etc.) to ensure documentation is processing timely.</li><li>Identifies Work in Process (WIP) and creates exception reports for management.</li><li>Processes activity codes for Account Classification or account suspended issues.</li><li>Retrieves missing documentation for payer accounts from various applications and/or site portal.</li><li>Prints, sorts, and files miscellaneous billing related documentation.</li><li>Completes daily log via manual entry into billing system.</li><li>Time tracking for manual sites.</li><li>Trains fellow team members as requested or needed.</li></ul>Required Experience and Competencies<ul><li>High school diploma or GED required.</li><li>One or more years of experience in billing operations required.</li><li>Prior experience working in the healthcare industry preferred.</li><li>Knowledge of payer Financial Classifications for billing.</li><li>Knowledge of account exception processes in billing operations.</li><li>Ability to read and interpret Explanation of Benefits (EOB) from various payers.</li><li>Ability to communicate trends to leadership team clearly.</li><li>Ability to problem solve challenges that may not be previously outlined in a payer manual.</li><li>Ability to communicate effectively in writing and verbally.</li><li>Ability to analyze, interpret, and create various billing related reports.</li><li>Knowledge of and ability to apply basic math concepts.</li><li>Ability to complete duties with attention to detail and high degree of accuracy.</li><li>Ability to prioritize workflow and work autonomously.</li><li>Basic understanding of Microsoft Office applications (Word, Excel, and Outlook).</li><li>Ability to comply with RCM billing policies and procedures.</li></ul>The CommunityEven when you are working remotely, you are an important part of the Vituity Community. We offer plenty of opportunities to engage with other Vitans through a variety of virtual meet-and-greets, events and seminars.<ul><li>Monthly wellness events and programs such as yoga, HIIT classes, and more.</li><li>Trainings to help support and advance your professional growth.</li><li>Team building activities such as virtual scavenger hunts and holiday celebrations.</li><li>Flexible work hours.</li><li>Opportunities to attend Vituity community events including LGBTQ+ History, Día de los Muertos Celebration, Money Management/Money Relationship, and more.</li></ul>Benefits &amp; Beyond*Vituity cares about the whole you. With our comprehensive compensation and benefits package, we are mindful of what matters most, and support your needs of today and your plans for the future.<ul><li>Superior health plan options</li><li>Dental, Vision, HSA/FSA, Life and AD&amp;D coverage, and more</li><li>Top Tier 401(k) retirement savings plans that offers a $1.20 match for every dollar up to 6%</li><li>Outstanding Paid Time Off: 3-4 weeks’ vacation, Paid holidays, Sabbatical</li><li>Student Loan Refinancing Discounts</li><li>Professional and Career Development Program</li><li>EAP, travel assistance, and identify theft included</li><li>Wellness program</li><li>Commuter Benefits Program</li><li>Purpose-driven culture focused on improving the lives of our patients, communities, and employees.</li></ul>We are excited to share the base salary range for this position is $17.12, exclusive of fringe benefits or potential bonuses. This position is also eligible to participate in our annual corporate Success Sharing bonus program, which is based on the company’s annual performance. If you are hired at Vituity, your final base salary compensation will be determined based on factors such as skills, education, and/or experience. We believe in the importance of pay equity and consider internal equity of our current team members as a part of any final offer. Please speak with a recruiter for more details.We are unified around the common purpose of transforming healthcare to improve lives and we believe everyone has a role to play in that. When we work together across sites and specialties as an integrated healthcare team, we exceed the expectations of our patients and the hospitals and clinics we work in. If you are looking to make a difference, from clinical to corporate, Vituity is the place to do it. Come grow with us.Vituity does not discriminate against any person on the basis of race, creed, color, religion, gender, sexual orientation, gender identity/expression, national origin, disability, age, genetic information (including family medical history), veteran status, marital status, pregnancy or related condition, or any other basis protected by law. Vituity is committed to complying with all applicable national, state and local laws pertaining to nondiscrimination and equal opportunity.*Benefits for part-time and per diem vary. Please speak to a recruiter for more information.Applicants only. No agencies please.

Billing Specialist - Remote - Nationwide

Remote, Nationwide – Seeking Office AssistantEverybody Has A Role To Play In Transforming HealthcareAt Vituity you are part of a larger team that is driven by our purpose to improve lives. We are dedicated to transforming healthcare through our culture by working together to tackle healthcare’s most pressing challenges from the inside.Join the Vituity Team. At Vituity we’ve cultivated an environment where passion thrives, and success comes through shared purpose. We were founded in a culture that values team accomplishments more than individual achievements, an approach we call “culture of brilliance.” Together, we leverage our strengths and experiences to make a positive impact in our local communities. We foster this through shared goals and helping our colleagues succeed, and we also understand the importance of recognition, taking the time to show appreciation and gratitude for a job well done.Vituity Locations: Vituity has opportunities at 475 sites across the country, serving 9 million patients a year. With Vituity, if you ever need to move, you can take your job with you.The Opportunity<ul><li>Verifies and ensures documents for accuracy (i.e., refund checks, compares account notes/documentation, letters, addresses, etc.).</li><li>Identifies any documents/files/accounts that may have an error/oversight/printing issues during processing.</li><li>Notes in patient accounts all action; mailing or faxing and if fax confirmation received.</li><li>Completes data entry and documentation in patient accounts and/or billing system(s).</li><li>Provides documentation for accounts when requested or required.</li><li>Processes, sorts, and routes incoming data.</li><li>Performs other office support tasks, including but not limited to: data entry, correspondence, filing, printing, and faxing.</li><li>Maintains a high level of customer service for our external and internal customers.</li></ul>Required Experience and Competencies<ul><li>High School Diploma or GED equivalent required.</li><li>One (1) year of on-the-job working experience required.</li><li>Must be able to type a minimum speed of 40 words per minute or 7,000 data entry keystrokes per hour required.</li><li>Experience in an office setting, preferably in an administrative or clerical role preferred.</li><li>Experience with billing insurance claims preferred.</li><li>Ability to perform detail-oriented tasks with attention to accuracy.</li><li>Skilled in effective and appropriate verbal and written communication, including spelling, grammar, and punctuation.</li><li>Ability to read and comprehend simple instructions, short correspondence, and memos.</li><li>Ability to write simple correspondence.</li><li>Ability to provide excellent customer service and demonstrate strong interpersonal skills.</li><li>Organizational skills, ability to prioritize, and comfortable working independently.</li><li>Skilled in basic computer programs and ability to operate general office equipment.</li><li>Knowledge of billing systems.</li><li>Ability to navigate multiple computer applications/systems.</li><li>Ability to use 10-key by touch.</li><li>Ability to establish and maintain effective working relationships and work in a team environment.</li><li>Ability to correctly add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals.</li><li>Ability to apply common sense understanding to carry out instructions furnished in written, verbal, or diagram form.</li><li>Ability to deal with problems involving several concrete variables in standardized situations.</li><li>Ability to prioritize workflow and meet performance and/or volume expectations.</li><li>Ability to take accountability and responsibility with all assigned daily tasks.</li><li>Ability to comply with Vituity - RCM policies and procedures.</li><li>Ability to identify and problem solve challenges that may not be outlined in a manual or know when to seek assistance.</li><li>Ability to perform tasks as directed by supervisor or manager.</li></ul>The CommunityEven when you are working remotely, you are an important part of the Vituity Community. We offer plenty of opportunities to engage with other Vitans through a variety of virtual meet-and-greets, events and seminars.<ul><li>Monthly wellness events and programs such as yoga, HIIT classes, and more</li><li>Trainings to help support and advance your professional growth</li><li>Team building activities such as virtual scavenger hunts and holiday celebrations</li><li>Flexible work hours</li><li>Opportunities to attend Vituity community events including LGBTQ+ History, Día de los Muertos Celebration, Money Management/Money Relationship, and more</li></ul>Benefits &amp; Beyond*Vituity cares about the whole you. With our comprehensive compensation and benefits package, we are mindful of what matters most, and support your needs of today and your plans for the future.<ul><li>Superior health plan options</li><li>Dental, Vision, HSA/FSA, Life and AD&amp;D coverage, and more</li><li>Top Tier 401(k) retirement savings plans that offers a $1.20 match for every dollar up to 6%</li><li>Outstanding Paid Time Off: 3-4 weeks’ vacation, Paid holidays, Sabbatical</li><li>Student Loan Refinancing Discounts</li><li>Professional and Career Development Program</li><li>EAP, travel assistance, and identify theft included</li><li>Wellness program</li><li>Purpose-driven culture focused on improving the lives of our patients, communities, and employees</li></ul>We are excited to share the base salary rate for this position is $16.50 per hour, exclusive of fringe benefits or potential bonuses. This position is also eligible to participate in our annual corporate Success Sharing bonus program, which is based on the company’s annual performance. If you are hired at Vituity, your final base salary compensation will be determined based on factors such as skills, education, and/or experience. We believe in the importance of pay equity and consider internal equity of our current team members as a part of any final offer. Please speak with a recruiter for more details.We are unified around the common purpose of transforming healthcare to improve lives and we believe everyone has a role to play in that. When we work together across sites and specialties as an integrated healthcare team, we exceed the expectations of our patients and the hospitals and clinics we work in. If you are looking to make a difference, from clinical to corporate, Vituity is the place to do it. Come grow with us.Vituity does not discriminate against any person on the basis of race, creed, color, religion, gender, sexual orientation, gender identity/expression, national origin, disability, age, genetic information (including family medical history), veteran status, marital status, pregnancy or related condition, or any other basis protected by law. Vituity is committed to complying with all applicable national, state and local laws pertaining to nondiscrimination and equal opportunity.*Benefits for part-time and per diem vary. Please speak to a recruiter for more information.Applicants only. No agencies please.

Office Assistant (Temporary for 3 months) - Remote - Nationwide

Remote, Nationwide – Seeking Provider Enrollment SpecialistEverybody Has A Role To Play In Transforming HealthcareAt Vituity you are part of a larger team that is driven by our purpose to improve lives. We are dedicated to transforming healthcare through our culture by working together to tackle healthcare’s most pressing challenges from the inside.Join the Vituity Team. At Vituity we’ve cultivated an environment where passion thrives, and success comes through shared purpose. We were founded in a culture that values team accomplishments more than individual achievements, an approach we call “culture of brilliance.” Together, we leverage our strengths and experiences to make a positive impact in our local communities. We foster this through shared goals and helping our colleagues succeed, and we also understand the importance of recognition, taking the time to show appreciation and gratitude for a job well done.Vituity Locations: Vituity has opportunities at 475 sites across the country, serving 9 million patients a year. With Vituity, if you ever need to move, you can take your job with you.The Opportunity<ul><li>Prepare, submit, and scan approximately 1,000 provider enrollment applications per year for Medicare, Medicaid, Blue Cross, Blue Shield, CAQH and other payer programs as needed and is responsible for all aspects of payer portal access for individual providers.</li><li>Submit all applications to supervisor/manager for audit, working towards an error rate of less than 10%. &nbsp;</li><li>Monitor submitted provider enrollment applications to ensure approvals are received and communicated to billing team prior to timely filing, working towards the team’s overall goal of not having pending applications over 6 months after the start date. &nbsp;</li><li>Approvals are received and communicated to billing team prior to timely filing, working towards the team’s overall goal of not having pending applications over 6 months after the start date. &nbsp;</li><li>Manage daily administrative duties with an emphasis on enhancing efficient workflows.</li><li>Prioritize requests, manage time, and workload to execute project plans within given deadlines. &nbsp;</li><li>Comfortable with working remotely full-time. Ability to work independently with little guidance and adapt. &nbsp;</li><li>Respond to internal and external inquiries on routine enrollment and contract matters, including follow-up with payers on applications as frequently as every 2 weeks.</li><li>Serve as liaison between billing company, providers, and payer representatives to resolve all provider enrollment issues with assistance from supervisor/manager.</li><li>Coordinate credentialing process with assistance of an on-site administrator as needed to complete credentialing for initial, updating, and add-on applications and maintenance processes.</li><li>Communicate with providers and other departments to update as needed, clarify carrier information requirements, and maintain a strict level of confidentiality for all matters pertaining to provider credentials.</li><li>Salesforce configuration changes including but not limited to record types, dashboards, reports, and custom settings. &nbsp;</li><li>Update records in Salesforce with billing numbers, contract information, submission dates of applications, and notation of any communications or problems that require attention.&nbsp;Record extensive documentation in databases for any ongoing or open tasks.</li><li>Ability to use Salesforce data loader for bulk import of data to individual enrollment contracts. &nbsp;</li><li>Ability to use DocuSign to send out PE documents, obtain required client signatures, and follow up with the carriers on documentation submitted. &nbsp;</li><li>Deactivate inactive providers from Medicare, Medicaid, and other payers to remain compliant with federal and state regulations.</li><li>Ensure data integrity and participate in trainings and development to mitigate compliance risk with state and federal regulations. &nbsp;</li><li>Work with multiple departments to review proforma for new contracts and assist to protect revenue.</li><li>Learn to research numerous payer issues and work to resolve with payers and billing company quickly and effectively with oversight from supervisor/manager with overall goal to lose less than $100K in revenue per year. &nbsp;</li><li>Contribute and assist with implementation of process improvement ideas by participating in payer trainings and webinars as needed.</li><li>Support research, review, and testing of educational materials for organization growth.</li></ul>Required Experience and Competencies<ul><li>HS Diploma in combination with relative work experience required.</li><li>2-4 years related healthcare experience required.</li><li>Bachelor’s degree is preferred.</li><li>3+ years of related healthcare experience preferred.</li><li>Knowledge of billing or reimbursement is desired</li><li>Provider Enrollment experience is desired</li><li>Ability to effectively interact with providers, payer representatives, internal departments, team members, and other stakeholders, both in written and verbal communication.</li><li>Ability to accomplish tasks thoroughly and accurately</li><li>Ability to effectively manage time and organize</li><li>Ability to learn billing processes, including timely filing and claims denial reasons</li><li>Proficient in Microsoft Office Suite (Word, Excel, Outlook, OneNote, OneDrive, PowerPoint, etc.)</li><li>Knowledge of additional technology-based assistance (Teams, SharePoint, etc.)</li><li>Knowledge of online Medicare/Medicaid enrollment systems, Identity &amp; Access system, Counsel for Affordable Quality Healthcare system, Medicare enrollment specialties, and National Provider Identifier taxonomies</li><li>Knowledge of Medicaid enrollment process (including revalidations, medical license expirations, deactivations, NPI taxonomy importance, how data flows to Medicaid managed cares, Medicaid billing manuals, state administrative codes, border state enrollment process, out of state enrollment process, etc.)</li><li>Knowledge of Salesforce (including Individual Enrollment Contracts, Group Enrollment Contracts, Contracts, Work History, Provider Status, and Clinical Activities objects), and utilizing dashboards and reporting to develop internal preference for ongoing workload management</li><li>Develop critical thinking skills and professional relationships</li></ul>The CommunityEven when you are working remotely, you are an important part of the Vituity Community. We offer plenty of opportunities to engage with other Vitans through a variety of virtual meet-and-greets, events and seminars.<ul><li>Monthly wellness events and programs such as yoga, HIIT classes, and more.</li><li>Trainings to help support and advance your professional growth.</li><li>Team building activities such as virtual scavenger hunts and holiday celebrations.</li><li>Flexible work hours.</li><li>Opportunities to attend Vituity community events including LGBTQ+ History, Día de los Muertos Celebration, Money Management/Money Relationship, and more.</li></ul>Benefits &amp; Beyond*Vituity cares about the whole you. With our comprehensive compensation and benefits package, we are mindful of what matters most, and support your needs of today and your plans for the future.<ul><li>Superior health plan options</li><li>Dental, Vision, HSA/FSA, Life and AD&amp;D coverage, and more</li><li>Top Tier 401(k) retirement savings plans that offers a $1.20 match for every dollar up to 6%</li><li>Outstanding Paid Time Off: 3-4 weeks’ vacation, Paid holidays, Sabbatical</li><li>Student Loan Refinancing Discounts</li><li>Professional and Career Development Program</li><li>EAP, travel assistance, and identify theft included</li><li>Wellness program</li><li>Purpose-driven culture focused on improving the lives of our patients, communities, and employees</li></ul>We are excited to share the base salary range for this position is $22.90 - $28.63, exclusive of fringe benefits or potential bonuses. This position is also eligible to participate in our annual corporate Success Sharing bonus program, which is based on the company’s annual performance. If you are hired at Vituity, your final base salary compensation will be determined based on factors such as skills, education, and/or experience. We believe in the importance of pay equity and consider internal equity of our current team members as a part of any final offer. Please speak with a recruiter for more details.We are unified around the common purpose of transforming healthcare to improve lives and we believe everyone has a role to play in that. When we work together across sites and specialties as an integrated healthcare team, we exceed the expectations of our patients and the hospitals and clinics we work in. If you are looking to make a difference, from clinical to corporate, Vituity is the place to do it. Come grow with us.Vituity does not discriminate against any person on the basis of race, creed, color, religion, gender, sexual orientation, gender identity/expression, national origin, disability, age, genetic information (including family medical history), veteran status, marital status, pregnancy or related condition, or any other basis protected by law. Vituity is committed to complying with all applicable national, state and local laws pertaining to nondiscrimination and equal opportunity.*Benefits for part-time and per diem vary. Please speak to a recruiter for more information.Applicants only. No agencies please.

Provider Enrollment Specialist - Remote - Nationwide

Remote, Nationwide – Seeking Outpatient Medicine Practice AdministratorEverybody Has A Role to Play in Transforming HealthcareAs a Practice Administrator, you play a vital role in our mission to improve lives. Provide direct, business operations support to our medical directors, site physician partners, advanced providers and scribe (when applicable) employees. At Vituity we know the impact you can have.Join the Vituity Team. At Vituity we’ve cultivated an environment where passion thrives, and success comes through shared purpose. We were founded in a culture that values team accomplishments more than individual achievements, an approach we call “culture of brilliance.” Together, we leverage our strengths and experiences to make a positive impact in our local communities. We foster this through shared goals and helping our colleagues succeed, and we also understand the importance of recognition, taking the time to show appreciation and gratitude for a job well done.Vituity Locations: Vituity has opportunities at 475 sites across the country, serving 9 million patients a year. With Vituity, if you ever need to move, you can take your job with you.The Opportunity<ul><li>Act as the operational administrator for the site Vituity leadership and as the interface for the practice to the hospital and community.</li><li>Act as the front-line liaison for the provider team with hospital C-Suite, nursing leadership, nursing staff, and Vituity support team.</li><li>Provide executive support to the site medical director and site management team to meet contract expectations.</li><li>Provide support for all site financials to include, but not limited to, contract stipends, expense reimbursements, and site payroll timecards.</li><li>Act as the super user for all Vituity software applications and as a point person for hospital software and hardware systems.</li><li>As appropriate to site practice, provide support to Vituity providers acting as a percipient witness in criminal or civil disputes including, but not limited to, receiving and routing subpoenas, scheduling depositions and trial testimony as applicable, development of a provider fee schedule, and including malpractice carrier as appropriate.</li><li>Provide office management to include, but not limited to, all aspects of meeting management, office systems, supplies, site events, and customer service.</li><li>As applicable to the practice line, facilitate all aspects of the daily patient census and attend daily multi-disciplinary rounds.</li><li>As applicable to the site practice, responsible for all aspects of the site clinical schedules to ensure adequate coverage with no disruption to patient care.</li><li>Collect, track, and analyze all site financial and operational data.</li><li>Project management as needed of the site operational programs to include, but not limited to, Operations Meetings, Patient Experience Program, Quality/Performance Improvement Program, Advanced Provider and/or Scribe Programs, and Student or Resident rotations.</li><li>Ensure all aspects of recruiting and on-boarding are completed for new providers and employees as well as locums and reservists and/or residents and students.</li><li>Ensure all licensed providers complete their recredentialing timely and appropriately for their licensing, certificates, and credentials required by Vituity and hospital Medical Staff Office.</li><li>Ensure all site partners and employees remain in compliance with Vituity and hospital programs and other mandated training or requests.</li><li>Act as the point person for all Vituity People Operations (Human Resources) relations to include, but not limited to, ensuring accurate site roster and compliance with employment law and Vituity policies.</li><li>Develop and maintain site orientation checklists and manuals.</li><li>Collaborate with Medical Director and Site Management Team in developing and maintaining site practice policies and procedures.</li><li>As applicable to practice line, responsible for all medical records and data submission to Revenue Cycle Management in a timely manner and responsible for appropriate charge capture in designated system, sending notices and follow up as appropriate.</li><li>Ensure billing and documentation compliance through completion of site WIP/TAD lists, answering provider routine questions, and schedule/hosting/participating in the monthly meeting with Revenue Cycle Management billing team.</li><li>Ensure completion of mandated forms and requests as appropriate to include, but not limited to, death certificates, physician office requests, State specific Workers Compensation and Motor Vehicle Department reporting compliance, and pharmacy requests.</li></ul>Required Experience and Competencies<ul><li>Two to three years of experience in an office or healthcare setting required.</li><li>Associate or Bachelor’s degree in Business Administration, Human Resources or related field strongly preferred.</li><li>Experience working in the healthcare field is preferred.</li><li>Knowledge of healthcare and medical terminology preferred.</li><li>Knowledge of general Human Resource principles preferred.</li><li>Knowledge of Federal, State, and County Agencies who regulate the Healthcare Industry preferred.</li><li>Intermediate to advanced MS Excel, Word, PowerPoint, and Outlook skills.</li><li>Strong consultation skills and the ability to seek out information.</li><li>Strong work ethic, organizational skills, and interpersonal skills.</li><li>Ability to prioritize and work in a stressful environment.</li><li>Ability to be self-directed, motivated, and sensitive to deadlines.</li><li>Ability to express ideas and convey information effectively in verbal and written communications.</li><li>Able to create a positive environment, clearly understand client / customer relationships, and promotes Vituity positive image.</li><li>Ability to understand and apply information management principles, data analysis interpretation and continuous quality improvement tools/methodologies.</li><li>Ability to maintain flexibility, cooperation and participate in cross-organizational performance improvement activities.</li><li>Ability to use office equipment and automated systems/applications/software at an acceptable level of proficiency.</li><li>Ability to establish and maintain effective working relationships as required by the duties of the position.</li><li>Ability to read, understand and communicate in English sufficient to perform the duties of the position.</li><li>Ability to evaluate and convey information in legible reports to Human Resource, Finance, and Executive groups.</li></ul>The CommunityEven when you are working remotely, you are an important part of the Vituity Community. We offer plenty of opportunities to engage with other Vitans through a variety of virtual meet-and-greets, events and seminars.<ul><li>Monthly wellness events and programs such as yoga, HIIT classes, and more</li><li>Trainings to help support and advance your professional growth</li><li>Team building activities such as virtual scavenger hunts and holiday celebrations</li><li>Flexible work hours</li><li>Opportunities to attend Vituity community events including LGBTQ+ History, Día de los Muertos Celebration, Money Management/Money Relationship, and more</li></ul>Benefits &amp; Beyond*Vituity cares about the whole you. With our comprehensive compensation and benefits package, we are mindful of what matters most, and support your needs of today and your plans for the future.<ul><li>Superior health plan options</li><li>Dental, Vision, HSA/FSA, Life and AD&amp;D coverage, and more</li><li>Top Tier 401(k) retirement savings plans that offers a $1.20 match for every dollar up to 6%</li><li>Outstanding Paid Time Off</li><li>Student Loan Refinancing Discounts</li><li>Professional and Career Development Program</li><li>EAP, travel assistance, and identify theft included</li><li>Wellness program</li><li>Commuter Benefits Program</li><li>Purpose-driven culture focused on improving the lives of our patients, communities, and employees.</li></ul>We are excited to share the base salary range for this position is $24.28 - $30.36, exclusive of fringe benefits or potential bonuses. This position is also eligible to participate in our annual corporate Success Sharing bonus program, which is based on the company’s annual performance. If you are hired at Vituity, your final base salary compensation will be determined based on factors such as skills, education, and/or experience. We believe in the importance of pay equity and consider internal equity of our current team members as a part of any final offer. Please speak with a recruiter for more details.We are unified around the common purpose of transforming healthcare to improve lives and we believe everyone has a role to play in that. When we work together across sites and specialties as an integrated healthcare team, we exceed the expectations of our patients and the hospitals and clinics we work in. If you are looking to make a difference, from clinical to corporate, Vituity is the place to do it. Come grow with us.Vituity does not discriminate against any person on the basis of race, creed, color, religion, gender, sexual orientation, gender identity/expression, national origin, disability, age, genetic information (including family medical history), veteran status, marital status, pregnancy or related condition, or any other basis protected by law. Vituity is committed to complying with all applicable national, state and local laws pertaining to nondiscrimination and equal opportunity.*Benefits for part-time and per diem vary. Please speak to a recruiter for more information.Applicants only. No agencies please.

Practice Administrator - Outpatient Medicine - Remote - Nationwide

Remote, Nationwide – Seeking Payer Relations ManagerEverybody Has A Role To Play In Transforming HealthcareAt Vituity you are part of a larger team that is driven by our purpose to improve lives. We are dedicated to transforming healthcare through our culture by working together to tackle healthcare’s most pressing challenges from the inside.Join the Vituity Team. At Vituity we’ve cultivated an environment where passion thrives, and success comes through shared purpose. We were founded in a culture that values team accomplishments more than individual achievements, an approach we call “culture of brilliance.” Together, we leverage our strengths and experiences to make a positive impact in our local communities. We foster this through shared goals and helping our colleagues succeed, and we also understand the importance of recognition, taking the time to show appreciation and gratitude for a job well done.Vituity Locations: Vituity has opportunities at 475 sites across the country, serving 9 million patients a year. With Vituity, if you ever need to move, you can take your job with you.The Opportunity<ul><li>Monitors and manages all assigned payer projects including oversight, coordination, and management of payer issues across multiple regions and specialties.</li><li>Gathers, reviews, and verifies all pertinent information to provide a summary on payer issues for each assigned payer.</li><li>Recommends to Director of Payer Contracts the optimal resolution to each assigned payer.</li><li>Resolves all payer-related issues with payers in a timely and efficient manner.</li><li>Develops and maintains positive relationships with assigned payers, ensuring they are informed about challenges and opportunities on issue resolutions.</li><li>Serves as primary point of contact with payers to address and resolve issues related to enrollment, billing, and collection challenges.</li><li>Initiates and maintains effective channels of communication with payers and internal departments, addressing any concerns or issues that arise.</li><li>Facilitates regular meetings with payers to review performance, address concerns, and discuss opportunities for improvement.</li><li>Collaborates with internal departments to analyze root causes of payer-related issues and implement corrective actions.</li><li>Provides regular updates on payers and payer policies to internal stakeholders including escalation of unresolved or recurring issues.</li><li>Communicates with internal stakeholders through presentations, training documents, and reports.</li><li>Works with Director of Payer Contracts to formulate strategies on assigned payers aimed at improving financial performance and ensuring smooth operations.</li><li>Prioritizes decision making of payer-related issues based on the overall impact to Vituity.</li><li>Identifies potential payer issues by actively monitoring payer KPIs and provides feedback to improve performance financial and/or operational performance related to payer issues.</li><li>Consistently demonstrates capacity to manage and resolve urgent issues that arise.</li><li>Supports other department projects or duties, as assigned.</li></ul>Required Experience and Competencies<ul><li>College degree required.</li><li>Minimum five years of experience in provider relations, payer relations, and claims processing required.</li><li>7-10 years’ experience in healthcare with a thorough understanding of payer policies and procedures, billing and collections, claim adjudication and processing, and credentialing and provider enrollment process required.</li><li>Masters' degree in healthcare administration or equivalent preferred.</li><li>Minimum five years of management and/or project management experience in healthcare preferred.</li><li>Past experience and demonstrated ability to resolve complex issues preferred.</li><li>Experience in establishing and maintaining strong payer relationship to obtain requested information timely.</li><li>Experience in researching and analyzing payer-related information including but not limited to claims data and payer policies.</li><li>Ability to effectively interact with all stakeholders both in written and verbal communication.</li><li>Ability to effectively manage time and organize projects to accomplish goals thoroughly and accurately.</li><li>Ability to think critically to identify underlying causes as well as solving problems with optimal solution.</li><li>Expert knowledge of payer policies, coding and reimbursement rules, laws and regulations.</li><li>Expert knowledge of healthcare billing and collection processes to provide appropriate guidance on addressing payer issues.</li><li>Proficient in Microsoft Office Suite (PowerPoint, Word, Excel, Outlook, OneNote, OneDrive, SharePoint, Teams).</li></ul>The CommunityEven when you are working remotely, you are an important part of the Vituity Community. We offer plenty of opportunities to engage with other Vitans through a variety of virtual meet-and-greets, events and seminars.<ul><li>Monthly wellness events and programs such as yoga, HIIT classes, and more</li><li>Trainings to help support and advance your professional growth</li><li>Team building activities such as virtual scavenger hunts and holiday celebrations</li><li>Flexible work hours</li><li>Opportunities to attend Vituity community events including LGBTQ+ History, Día de los Muertos Celebration, Money Management/Money Relationship, and more</li></ul>Benefits &amp; Beyond*Vituity cares about the whole you. With our comprehensive compensation and benefits package, we are mindful of what matters most, and support your needs of today and your plans for the future.<ul><li>Superior health plan options</li><li>Dental, Vision, HSA/FSA, Life and AD&amp;D coverage, and more</li><li>Top Tier 401(k) retirement savings plans that offers a $1.20 match for every dollar up to 6%</li><li>Outstanding Paid Time Off: 3-4 weeks’ vacation, Paid holidays, Sabbatical</li><li>Student Loan Refinancing Discounts</li><li>Professional and Career Development Program</li><li>EAP, travel assistance, and identify theft included</li><li>Wellness program</li><li>Purpose-driven culture focused on improving the lives of our patients, communities, and employees</li></ul>We are excited to share the base salary range for this position is $85,170 - $106,465 exclusive of fringe benefits or potential bonuses. This position is also eligible to participate in our annual corporate Success Sharing bonus program, which is based on the company’s annual performance. If you are hired at Vituity, your final base salary compensation will be determined based on factors such as skills, education, and/or experience. We believe in the importance of pay equity and consider internal equity of our current team members as a part of any final offer. Please speak with a recruiter for more details.We are unified around the common purpose of transforming healthcare to improve lives and we believe everyone has a role to play in that. When we work together across sites and specialties as an integrated healthcare team, we exceed the expectations of our patients and the hospitals and clinics we work in. If you are looking to make a difference, from clinical to corporate, Vituity is the place to do it. Come grow with us.Vituity does not discriminate against any person on the basis of race, creed, color, religion, gender, sexual orientation, gender identity/expression, national origin, disability, age, genetic information (including family medical history), veteran status, marital status, pregnancy or related condition, or any other basis protected by law. Vituity is committed to complying with all applicable national, state and local laws pertaining to nondiscrimination and equal opportunity.*Benefits for part-time and per diem vary. Please speak to a recruiter for more information.Applicants only. No agencies please.

Payer Relations Manager - Remote - Nationwide

Association’s Mission: California Primary Care Association's (CPCA's) mission is to lead and position community clinics, health centers and networks through advocacy, education, and services as key players in the health care delivery system to improve the health status of their communities. Purpose of Position: The Assistant Director of Managed Care provides strategic and technical support to health centers on managed care and Medicare, focusing on financial sustainability and effective participation in managed care and Medicare arrangements. This role leads initiatives, analyzes trends, and develops policy positions and educational resources to guide health centers through managed care contracting, billing, value-based payment models, and regulatory requirements. Collaboration with internal teams, external partners, and policymakers is key, as is expertise in managed care operations, health policy, and the Medi-Cal and Medicare systems. Primary Responsibilities: &nbsp;<ul><li>General Managed Care Expertise<ul><li>Lead the development and execution of managed care and Medicare strategies to support health centers in maximizing contracts and transitioning to value-based payment.</li><li>Serve as a subject matter expert on managed care policies, contracts, billing, clinic networks, Medicare, and performance improvement strategies</li><li>Conduct research, analyze data, and prepare reports to support advocacy, training, and grant deliverables.</li><li>Support grant development and management, including proposal writing and compliance with funder requirements.</li></ul></li><li>Education, Training, and Resource Development<ul><li>Develop and deliver technical assistance and training (e.g., webinars, workshops, toolkits, articles) on managed care and Medicare.</li><li>Lead or support Peer Networks, Workgroups, and Task Forces, including content development and facilitation.</li><li>Ensure all resources and training align with CPCA’s strategic plan, grant requirements, and policy agenda.</li></ul></li><li>Relationship Building and Partnership<ul><li>Build relationships with member health centers to assess needs and provide tailored support.</li><li>Cultivate partnerships with managed care plans, agencies, and stakeholder groups; represent CPCA in advisory committees.</li><li>Build and maintain relationships with funders across private, public, and philanthropic sectors.</li></ul></li><li>Advocacy<ul><li>Advocate for health centers by engaging with policymakers and responding to policy proposals.</li><li>Collaborate with internal staff and external partners to analyze and respond to legislation, regulations, and policy guidance (e.g., All-Plan Letters).</li></ul></li></ul> Skills and Abilities Required: &nbsp;<ul><li>Strong knowledge of managed care contracting, billing, Medicare, provider networks, performance improvement strategies, and value-based care models.</li><li>Advanced problem-solving, critical thinking, time management, and organizational skills with attention to detail.</li><li>Proven ability to work independently, prioritize effectively, and meet deadlines in a fast-paced, collaborative environment. </li><li>Excellent verbal and written communication, including proofreading.</li><li>Maintains confidentiality and handles sensitive matters professionally.</li><li>Strong interpersonal skills; collaborates effectively with staff, leadership, members, vendors, and partners.</li><li>Proficient in Microsoft Office, virtual communication tools, and web-based platforms.</li></ul> Additional Responsibilities: &nbsp;<ul><li>Represent CPCA and member health centers with professionalism in various local, state, and national forums.</li><li>Attend and participate in required Association meetings and events.</li><li>Travel for state, regional, and national meetings, training, and site visits by air and ground transportation.</li><li>Report regularly to supervisor.</li><li>Other duties as assigned.</li></ul> Education and Experience: CPCA evaluates candidates on all position-relevant skills and experience. If you’re excited about this role, but your experience does not align perfectly with every requirement, we encourage you to apply anyway. &nbsp;<ul><li>Required:<ul><li>Bachelor’s degree in business administration, public health, healthcare administration, or related field required. Relevant experience may be considered in lieu of degree requirement.</li><li>Minimum of 5 years of experience in managed care contracting, Medicare, or related areas within healthcare organizations or with health plans.</li></ul></li><li>Preferred:<ul><li>Master’s degree. </li><li>Experience with community health centers and their financing, member-driven associations, or non-profit organizations.</li></ul></li></ul> Physical Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.&nbsp; Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. &nbsp;<ul><li>Hearing and speaking to exchange information</li><li>Operating a computer and other office productivity equipment</li><li>Seeing to read a variety of materials</li><li>Bending at the waist, kneeling, or crouching</li><li>Sitting or standing for extended periods of time</li><li>Lifting objects up to 30 pounds</li><li>Close vision and ability to adjust focus</li></ul> Work Environment: &nbsp;<ul><li>Noise level is generally moderate, but at times can be noisy</li><li>Meetings conducted in a Zoom or office setting</li><li>Indoor varying temperature</li><li>Employee must have available transportation and be able to commute into office</li></ul> Compensation:&nbsp;$95,482 - $101,099 Association Expectation: Due to network security and hybrid work this position requires the employee to have a cell phone with a data plan and home internet service, both are reimbursed at a set rate each month. All hires are required to maintain residence in California. This is a hybrid position with employees coming into the office in downtown Sacramento. Total Rewards: CPCA offers a comprehensive total rewards package that includes hybrid work schedule, employer paid medical, dental, vision, life, and AD&amp;D insurance for employees. A retirement savings plan with an employer contribution of 5%. A time off package that includes vacation, sick, float-time, and a generous holiday schedule. Employees also have access to an employer sponsored EAP, and various voluntary insurance plans, one that includes pet insurance. Equal Opportunity Employment: CPCA’s workforce strives to represent California’s population, while also meeting the highest standards and qualifications of our industry.&nbsp;Powered by JazzHR PI277276864

Assistant Director of Managed - Hybrid Sacramento, CA

<h2>Vituity Recruitment Services</h2>Remote, Nationwide – Seeking a Senior UnderwriterThis is an exciting opportunity for a strategic thinker and compliance champion to shape the future of Medical Professional Liability (MPL) underwriting at a company committed to innovation and excellence in healthcare risk. We are seeking a seasoned Senior Underwriter with deep expertise in MPL, particularly in Patient Compensation Fund (PCF) states and other nuanced regulatory environments, to play a key role in ensuring underwriting decisions are aligned with state-specific compliance requirements. This role will focus on complex and emerging risk scenarios, with a strategic emphasis on establishing and maintaining best practices for compliance. We need a forward-thinking professional who combines strong analytical skills, underwriting judgment, and regulatory insight to support the profitable growth of our client, a dynamic organization with a fluid environment.The OpportunityUnderwriting &amp; Risk Assessment<ul><li>Analyze, evaluate, and underwrite new and renewal MPL risks for client.</li><li>Assess complex opportunities and apply sound underwriting judgment in line with company guidelines.</li></ul>Compliance Leadership<ul><li>Serve as a subject matter expert on state-specific MPL regulations, including PCF programs (e.g., Indiana, Louisiana, Pennsylvania, Wisconsin).</li><li>Establish and document underwriting best practices to ensure compliance with PCF and other jurisdictional requirements.</li><li>Monitor regulatory changes and develop responsive strategies and workflows.</li></ul>Strategic Process Development<ul><li>Develop and implement underwriting protocols and checklists tailored to unique insurance scenarios and high-risk states.</li><li>Collaborate with Legal, Claims, and Actuarial teams to address emerging issues.</li></ul>Internal Training &amp; Guidance<ul><li>Mentor underwriting specialists and provide technical guidance on underwriting complex risks.</li><li>Deliver training sessions on compliance, documentation, and unique underwriting nuances.</li></ul>Operational Excellence<ul><li>Maintain complete and accurate underwriting files with thorough documentation of underwriting rationale and regulatory considerations.</li><li>Support internal audits and participate in corrective action plans related to compliance findings.</li></ul>Required Experience and Competencies<ul><li>Bachelor’s degree; advanced degree or professional designation (e.g., RPLU, CPCU) preferred.</li><li>5+ years of experience in Medical Professional Liability underwriting or compliance.</li><li>Deep understanding of PCF programs and regulatory frameworks in states such as Indiana, Kansas, Louisiana, New Mexico, Pennsylvania, and Wisconsin.</li><li>Strong knowledge of healthcare industry risk exposures, policy forms, and rating methodologies.</li><li>Proficiency in underwriting systems and tools; experience with policy administration platforms is a plus.</li><li>Exceptional analytical, organizational, and communication skills.</li><li>Ability to lead initiatives, manage complex workflows, and work independently or collaboratively across departments and within a hybrid or virtual work environment.</li><li>Strong customer and interpersonal relationship skills.</li><li>Strong oral and written communications skills.</li><li>Ability to stay organized and flexible in a work environment with multiple assignments and changing priorities.</li><li>Proficiency with standard office equipment and remote working tools (i.e., digital camera, phone systems, etc.).</li><li>Expertise in Windows personal computer environment and computer software skills (including internet browsers, Microsoft Excel, Word, PowerPoint, Internet, Outlook, Adobe Acrobat, etc.).</li><li>Aptitude for learning new software and systems with appropriate training.</li><li>Ability to comply with the terms of our policies in protecting confidential and organizational information.</li></ul>We are excited to share the base salary range for this position is&nbsp;$98,700 - $120,000 annually, exclusive of fringe benefits or potential bonuses.&nbsp;If you are hired, your final base salary compensation will be determined based on factors such as skills, education, and/or experience. We believe in the importance of pay equity and consider internal equity of our current team members as a part of any final offer.&nbsp;This is a primarily remote role with some in-person attendance required at our Walnut Creek, CA office. Travel expenses will be covered by the company for out-of-area employees.

64 Jobs in Davis, CA, USA