Healthcare Specialist Salary in Boise, ID

Sales L&D Specialist (Future Opportunities)Remote for residents of Oregon, Washington, Idaho and UtahPrimary Job PurposeAre you looking for a career in Learning and Development but do not currently see an opening? This position is a great opportunity to learn they dynamics of our business while researching, designing, developing and conducting effective training for our Group Sales organization. Responsible for working with key stakeholders throughout the organization to conduct needs analysis to determine specific educational requirements and to identify and recommend forward thinking learning and development solutions. **Please note that this is not an open role, but a place to submit your interest in these roles if/when they come open.**General Functions and OutcomesDevelops effective training programs by identifying objectives, researching possibilities, designing and developing training plans, preparing group and individual activities and building program materials.Presents information and designs learning experiences using a variety of adult learning methods and technology; creates an environment conducive to accomplishing learning objectives; observes training dynamics and adjusts presentation techniques as necessary to establish optimal levels of learning application and retention.Works with learners in a variety of training environments to include in person, virtual, individual and group training that facilitates effective learning outcomes.Designs, develops and delivers training to support front line sellers in the efficient and effective use of their systems, tool and resources.Leverages knowledge of on line tools and technology (e.g.- Go To Webinar, Spark, LMS, Captivate, etc.) to develop, communicate and make available various trainings and coordinates to ensure the right learning tool/environment is selected.Maintains and uses proficient knowledge of training design/deployment methodology (e.g.- ADKAR), adult learning theory (e.g.- ADDIE) and evaluation theory (Kirkpatrick levels of evaluation, etc.) to ensure consistent delivery of high quality learning materials and experiences that drive performance.Works cross functionally with a variety of internal teams (e.g.- Operations, Product, Marketing, etc.) and external vendors to ensure complete and accurate training deliverables that promote the overall effectiveness of the Sales organizationCreates and/or coordinates class materials (e.g.- pre-work, awareness articles, etc.) and training resources (e.g.- content, presenters, etc.) to optimize learner engagement- particularly with virtual learningEngages in on going learning opportunities to stay current in the design, development, implementation, and evaluation of effective learning.Minimum RequirementsProven ability with speaking professionally before groups, instructing individuals at various skill levels, virtually, in person and in a classroom environment and communicating effectively, both orally and in writing, with a diverse employee population.Ability to consult with Sales and various business partners to identify learning and develop needs, develop materials to address those needs and design curriculum using appropriate adult learning methods.Demonstrated knowledge of eLearning software applications that support the evolution of learning and development from Power Point to on line and virtual learning solutions targeted for a Sales organization and delivering performance.Demonstrated competency in analyzing and reacting appropriately to problem situations, ability to think clearly under pressure and project a professional image at all times. Ability to work on several tasks simultaneously and demonstrate independence in appropriately prioritizing work load to meet the needs of the business.Demonstrated strong, effective and diplomatic interpersonal skills.Demonstrated knowledge of online education techniques and practices.Normally to be proficient in the competencies listed aboveThe trainer would have a Bachelor's Degree in Business, Education, Teaching or other discipline involving substantial experience and exposure to the concepts of education and training and 3+ years' experience in training adult learners, experience in developing on line learning modules or an equivalent combination of education and experience.At Cambia, we are dedicated to making the health care experience simpler, better, and more affordable for people and their families. This family of over a dozen companies works together to make the health care system more economically sustainable and efficient. Cambia's solutions empower over 80 million Americans nationwide, including more than 3.4 million people in the Pacific Northwest, who are enrolled in Cambia's regional health plans.Cambia is a total health solutions company that is deeply rooted in a 100-year legacy of transforming the industry and the way people experience health care. We had our beginnings in the logging communities of the Pacific Northwest as innovators in helping workers afford health care. That pioneering spirit has kept us at the forefront as we build new avenues to improve access to and quality of health care for the future. Cambia is committed to delivering a seamless, personalized health care experience for the next 100 years.This position includes 401(k), healthcare, paid time off, paid holidays, and more. For more information, please visit www.cambiahealth.com/careers/total-rewards.We are an Equal Opportunity and Affirmative Action employer dedicated to workforce diversity and a drug and tobacco-free workplace. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, age, sex, sexual orientation, gender identity, disability, protected veteran status or any other status protected by law. A background check is required.If you need accommodation for any part of the application process because of a medical condition or disability, please email [email protected]. Information about how Cambia Health Solutions collects, uses, and discloses information is available in our Privacy Policy. As a health care company, we are committed to the health of our communities and employees during the COVID-19 pandemic. Please review the policy on our Careers site.

About Us: Boise State University is located along the banks of the Boise River and a short stroll from the state capitol. We are committed to an innovative, transformative, and equitable educational environment that supports student success, and advances Idaho and the world.Boise State is building an inclusive community of faculty and staff whose unique skills, cultural contributions, work history, and perspectives create a rich and rewarding academic experience for our students. Applications from individuals of all backgrounds and identities are welcomed.Learn more about Boise State and living in Idaho's Treasure Valley at https://www.boisestate.edu/about/ Job Summary/Basic Function: The Nurse Practitioner is a trained licensed professional who provides medical care to patients who present to the Boise State University Health Center, including specialized procedures and administrative tasks related to the clinical component of the job. Nurse Practitioners at the Health Center are expected to practice within the full scope of primary care medicine as is typical in a college health center environment. The Nurse Practitioner will, at any one time, maintain a patient panel that includes a mixture of acute and chronic stable medical problems, gender specific problems, as well as a panel of stable mental health patients. While areas of clinical interest or specialization may exist, the Nurse Practitioner is expected to maintain a core level of competence in all areas of primary care medicine and to seek continuing education in areas which support the ongoing maintenance of these generalist skills, or in areas that need development. The Nurse Practitioner will see all patients presented within the scope of practice of the Health Center and seek consultation with the physician(s) at the Health Center as needed. This position will be scheduled to work four, 10 hour shifts a week. Level Scope: Recognized master in professional discipline with significant impact and influence on campus policy and program development. Establishes critical strategic and operational goals; develops and implements new products, processes, standards or operational plans to achieve strategies. Regularly leads projects of critical importance to the campus; these projects carry substantial consequences of success or failure. Requires significant influence and communication with executive leadership. Problems faced are frequently complex and multidimensional, requiring broad based consideration of variables that impact multiple areas of the organization. Essential Functions: 95% of the time the Nurse Practitioner will provide quality medical care to patients at the Health Center, as demonstrated by satisfactory physician-conducted chart review, to include: Acute and chronic medical care within the scope of professional and community standards for a Nurse Practitioner (NP). Additional competence in college health-focused care, including reproductive health, mental health and substance abuse diagnoses. Practice in an integrated primary care practice which includes close collaborative relationships with mental/behavioral health providers and specialists, wellness educators, health coaches, sports medicine specialists, athletic trainers, and massage therapists, among others. Practice culturally competent care in a college population that includes international and gender diverse patients. Other duties as assigned. 5% of the time the Nurse Practitioner will participate in Medical Services outreach activities which may include service on university committees, health education campaigns and other related duties as required. Knowledge, Skills, Abilities: Leadership, self-confidence and analytical skills. Excellent communication abilities and interpersonal skills. Decision-making and problem solving skills and possess a basic knowledge of math and science. Good knowledge of: general primary care medicine at the level of Nurse Practitioner; human behavior and performance; principles and processes for providing customer and personal services. Experience: diagnosing and treating human injuries, diseases, and deformities; psychological research methods; assessing and treating behavioral and affective disorders. Microsoft computer platform operation. Electronic Medical Records. Basic clinical microscopy. Microsoft Office applications: creation of documents, spreadsheets, and presentations. Minimum Qualifications: Advanced Degree and 8 years of professional experience or equivalent relevant experience. Preferred Qualifications: Master of Nursing-Advanced Practice Nursing (Family or Adult Nurse Practitioner). 2 years of experience in the clinical preceptorship of nurse practitioner students. Idaho State Board of Nursing: Licensed as an Advanced Practice Nurse. Board Certification: Board Certified by a recognized accrediting organization. American Heart Association: Basic and Advanced Life Support certifications. Salary and Benefits: Salary is commensurate with experience. Boise State University is committed to offering a benefits package that provides health and financial protection plans as well as resources to promote health and well-being. Our program provides flexibility so you can choose the benefits that are right for you and your family. Learn more about our benefit options at https://www.boisestate.edu/hrs/benefits/. Required Application Materials: Please provide a resume, cover letter and three professional references.Advertised: April 9, 2024 Mountain Daylight Time Applications close: May 7, 2024 11:55 PM Mountain Daylight Time

Tribal Outreach Liaison, ideally hired from within an Idaho Tribal Nation or extensive experience working directly with tribal governments.Tribal healthcare experience preferred.The Liaison will be the primarily Magellan point of content for Idaho Tribes and be responsible for regular outreach, engagement, and problem solving with tribal communities, and shall also develop a tribal communities outreach and engagement plan.Responsibilities include building and maintaining an adequate provider network to meet the needs of the member population. Monitoring and reporting on network adequacy (geo access), recruitment of new providers (sending and negotiating provider agreements), establishing and maintaining strong relationships with providers, provider education and training, and provider issue resolution. Duties also include provider site visits, in-person & virtual provider meetings, and representing network on client meetings.Recruit new providers and document recruitment efforts.Negotiate reimbursement rates with providers in accordance with set rate parameters.Responsible for timely turnaround of agreements in accordance with the company and client standards.Act as liaison between Clinical, Quality, and Network and the provider community, sharing provider feedback to internal groups, identifying best practices and driving collaboration.Represent Magellan at client meetings, community events, conferences, and advocacy groups (in-person and virtually).Communicate extensively (by telephone, in-person, and email) with Providers for support, issue resolution, and collaboration.Provide orientation, education, training, and support to Magellan contracted providers on Magellan systems, policies, requirements, online tools, and resources.Report on network initiatives, network adequacy, network trends, and recruitment to Network Management and internal Magellan teams.Provide summary and problem specific feedback information, analysis and action recommendations to management and relevant functional units regarding provider problems, issues, and general concerns impacting working relationships.Collaborate with internal Magellan teams (Clinical, Quality, Network) to implement and drive regional and corporate initiatives.Other duties as assigned by management.Other Job RequirementsResponsibilities2+ years' experience in a Customer Care/Healthcare environment with experience in eligibility, authorization and claims problem resolution.2+ years' experience in network development with demonstrated focus on contracting and rate negotiation.Excellent organizational and rate negotiation skills required.Ability to handle multiple tasks simultaneously.Must be customer service oriented.Must be a team player.Must be able to maintain provider confidentiality at all times.Must demonstrate effective problem solving skills.Must have excellent verbal and writing skills.Must have working knowledge of Microsoft Office suite and data entry experience .General Job InformationTitleProvider Engagement Specialist- Tribal Outreach LiaisonGrade23Work Experience - RequiredCustomer Service, Healthcare, NetworkWork Experience - PreferredEducation - RequiredEducation - PreferredBachelor'sLicense and Certifications - RequiredLicense and Certifications - PreferredSalary RangeSalary Minimum:$53,125Salary Maximum:$84,995This information reflects the anticipated base salary range for this position based on current national data. Minimums and maximums may vary based on location. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law.This position may be eligible for short-term incentives as well as a comprehensive benefits package. Magellan offers a broad range of health, life, voluntary and other benefits and perks that enhance your physical, mental, emotional and financial wellbeing.Magellan Health, Inc. is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled.Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their position; and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures.

Provider Contract Management SpecialistRemote opportunity for residents of OR, WA, ID and UTPrimary Job PurposeThe Provider Contract Management Specialist (PCMS) is responsible for support to ensure accurate development and execution of healthcare provider contracts, support of mass mailings, contract template creation, configuration and maintenance, reporting, and maintenance of the contract database. This position conducts regulatory filings and responds to objections and supports information resourcing for internal and external audits. The PCMS performs research to resolve issues for the Provider Contract Executives, Provider Business Operations, and Provider Enrollment. Provides training to Provider Contract Executives (PCE) on contract management system use and process requirements and training for staff of other departments accessing contract information in the contract database (e.g. Care Management, Audit teams).The Provider Contract Management Specialist Senior (PCMSS) is more experienced and highly proficient in the use of the contract management system/database and related processes and has expert mastery of operational guidelines and standards. The PCMSS serves as a super-user and subject matter expert (SME). The position compiles contract change requests and facilitates process to determine implementation strategy for contract system updates and operational procedures. This position is responsible for contract management system configuration and maintenance related to contract documents. As a super-user and SME, this role mentors PCMS staff and conducts strategic trainings on using and/or accessing information in the contract management system for peers and cross-functional teams. PCMSS also performs system queries and reporting to identify performance, operational accuracy, potential contract development errors, and ensures ongoing maintenance is performed. PCMSS role collaborates and consults with Provider Operations and other stakeholders to define business requirements, rules and standards to be used for data governance and process improvement. PCMSS is responsible to develop and keep current policies, desk procedures, business processes, and business rules/standards.General Functions and OutcomesProvides support for internal and external audit, pulling reports or contracts as requested/needed or coaching others on self-sufficient access to needed information.Supports all Plans' mass mailings.Processes all Plans' Single Case Agreements.Triages and investigates claims/audit inquiries.Develops, maintains, and consults on contract policies, procedures, and desk references for the department.Prepares provider contract documents and templates, including technical "coding" and strategic system configuration in the contract management system and completes maintenance.Contracts are built with "technical coding" to drive ability for alternate choices for contract language and for enhanced reporting capabilities, automation, and data governance. Accuracy and attention to detail in sub-coding and configuration is required to drive correct "language and rates" in contractual documents to avoid contractual issues and payment errors.Peer review of documents, system configuration, and contract submissions to OIC is a critical function of this role to promote accuracy and reduce contract administrative and regulatory risks.Conducts system testing of documents and templates, including technical "coding" and system configuration prior to changes being promoted to the system's Production environment. Tests applications and system functionality.Ability to enforce business requirements and standards with PCEs.Works cross-functionally with Network Management staff to draft, coordinate, implement and revise new and renewing provider contracts in a timely manner. Tracks signed contracts to ensure government guidelines are followed. Answers or facilitates resolution of provider contract inquiries as needed.Works with the legal department, regulatory compliance teams, and Network Management contracting staff to file documents, as applicable, with the Insurance Commissioner/Department of Insurance for each state where the Health Plan contracts with providers.Maintains the relationship with the policy and compliance analyst at the Office of Insurance Commission (OIC).Implements contracting policies and procedures for the department.May research, collect, and analyze competitive information for use in contracting and assist with gathering information and responding to RFPs.Assists with coordination, communication, and interaction with stakeholders on the operations of contract language configuration, contracting system operational standards, , and reimbursement/language configuration for data governance. Assists in answering related questions for internal staff.Implements contracts in the contract management system and coordinates implementation of provider contracts/reimbursement with the Provider Operations, Provider Pricing, and Provider Enrollment staff, including annual fee updates.Provides training and assistance with the contract management system. Instructs others on system use and is the central point of contact for the department in the creation and maintenance of contract documents and templates in the contract management system. Participates in identifying, troubleshooting, and resolving problems.Develops training material and conducts Virtual training sessions.Responsible for the integrity and accuracy of the provider contract database, including ongoing audit of provider information. Effectively maintains contract repository for all contracts. Communicates with all Network Management staff and other divisions as updates are available.Minimum RequirementsProficient computer skills including use of Microsoft Office products or equivalent software and the ability to learn corporate software programs.Action-orientated approach with ability to effectively organize, prioritize, and meet deadlines.Familiarity with report preparation, including ability to organize and review statistical data and write relevant communications.Knowledge of the contract development process desired.Proficiency in grammar, punctuation, and Microsoft Word formatting.Demonstrated teamwork and collaboration with the peers, leadership, and cross-functional teams.Familiarity with the Regence health care provider community, contracting protocol and reimbursement methodologies desired.Excellent oral and written communication skills to effectively interface and communicate with a broad array of internal and external contacts, including state regulatory bodies.Ability to produce accurate work and focus on details.Proficient in identification of all contract types and payment methodologies and know-how to load into system, to develop contract documents and templates, and to maximize operational usage of the contract management system, including system reporting.Proficient in the use of contract filing software and applications in order to manage regulatory compliance needs related to contract document, template, and provider contract/network filings. Filings must be submitted accurately according to state regulatory guidelines and requirements. Normally to be proficient in the competencies listed above:The Provider Contract Management Specialist would have a/an Bachelor's Degree in healthcare, business or related field and 3 years' experience in the healthcare industry with a minimum of one year project-related experience, or equivalent combination of education and experience.The expected hiring range for a Provider Contract Management Specialist is $26.80 - $30.00/ hour depending on location, skills, experience, education, and training; relevant licensure / certifications; performance history; and work location. The bonus target for this position is 10%. The current full salary range for this role is $26.80 - $43.70. #LI-remoteBase pay is just part of the compensation package at Cambia that is supplemented with an exceptional 401(k) match, bonus opportunity and other benefits. In keeping with our Cause and vision, we offer comprehensive well-being programs and benefits, which we periodically update to stay current. Some highlights:medical, dental, and vision coverage for employees and their eligible family membersannual employer contribution to a health savings account ($1,200 or $2,500 depending on medical coverage, prorated based on hire date)paid time off varying by role and tenure in addition to 10 company holidaysup to a 6% company match on employee 401k contributions, with a potential discretionary contribution based on company performance (no vesting period)up to 12 weeks of paid parental time off (eligible day one of employment if within first 12 months following birth or adoption)one-time furniture and equipment allowance for employees working from homeup to $225 in Amazon gift cards for participating in various well-being activities. for a complete list see our External Total Rewards page.We are an Equal Opportunity and Affirmative Action employer dedicated to workforce diversity and a drug and tobacco-free workplace. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, age, sex, sexual orientation, gender identity, disability, protected veteran status or any other status protected by law. A background check is required.If you need accommodation for any part of the application process because of a medical condition or disability, please email [email protected]. Information about how Cambia Health Solutions collects, uses, and discloses information is available in our Privacy Policy. As a health care company, we are committed to the health of our communities and employees during the COVID-19 pandemic. Please review the policy on our Careers site.

Looking for a way to make an impact and help people?Join PacificSource and help our members access quality, affordable care!PacificSource is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status, such as race, religion, color, national origin, sex, sexual orientation, gender identity or age.Diversity and Inclusion: PacificSource values the diversity of the people we hire and serve. We are committed to creating a diverse environment and fostering a workplace in which individual differences are appreciated, respected and responded to in ways that fully develop and utilize each person's talents and strengths.Manage the daily operations, including oversight/supervision of the Care Management Team which may include the following: Health Services Representatives (HSR) Member Support Specialists (MSS) and Nurse Case Managers (NCM) and Behavioral Health Clinicians involved in care coordination and case management functions. Key participant in Health Services (HS) strategy, program development and implementation. Integrally involved in, and accountable for, the success of the PacificSource Care Management program development and performance internal measures as well as those established by regulatory entities.Essential Responsibilities:Work closely with the HS Director and other HS Managers to facilitate the development and implementation of new programs and processes to support ongoing success of department goals and initiatives, including but not limited to; ongoing activities related to physical and behavioral health integration and the development of a cohesive team approach to care management.Foster effective teamwork and performance. Manage change and encourage innovation. Build collaborative relationships, encourage involvement and initiative and develop goal orientation in others.Take a leadership role in initiation and implementation of departmental process/performance improvement activities Responsible for process improvement and working with other departments to improve interdepartmental processes. Utilize LEAN methodologies for continuous improvement. Utilize visual boards and frequent huddles to monitor key performance indicators and identify improvement opportunities.Serve as back-up for the Director of Care Management and Utilization Management Manager, as needed.Work collaboratively with the UM Director and Manager Team to develop, implement, and oversee the utilization management process to include; coordination of prior authorization needs for members engaged with care management, as well as the inpatient concurrent review process to ensure medical appropriateness, care coordination needs, and discharge planning for PacificSource patients who have been hospitalized.Develop and oversee the care management process to ensure care coordination and case management needs of PacificSource's are being met and their outcomes are being improved.Ensures consistent workflow and a comprehensive database of patients enrolled in care management and care coordination programs that allows for tracking of case loads, case management program success or failure, and patient and population outcomes.Ensure nurse case managers are providing timely notification of large cases to finance, underwriting, stop loss and other company leaders, as necessary.Serve as key driver and participant to ensure PacificSource care management programs are coordinated with the case management and care coordination functions of our provider and community partners.Responsible for oversight, management, development, implementation, and communication of HS case management and care coordination programs that coordinate and augment community partner programs.Oversee and monitor processes to ensure the protection of personal health information.Facilitate the provision of exceptional customer service to members, providers, employers, agents, and other external and internal customers. Ensure that the delivery of services meet acceptable standards and company and customer expectations.Monitor, evaluate, and report performance relating to volumes, quality, outcomes, accuracy, customer service, and other performance objectives.Serve as a liaison with all PacificSource departments to coordinate optimal provision of service and information.Serve as a resource and participate in development of policies, procedures, and operations.Collaborate and coordinate Health Services department staff between regional offices. At regional offices, represent Health Services by serving on management teams and support marketing and development initiatives towards achievement of PacificSource Health Plans goals specific to the region.Attend continuing education opportunities relevant to case management and care coordination to ensure that PacificSource care management programs maintain current best practices and implement innovative models of care.Maintain frequent and consistent department meetings and one-on-one meetings with individual contributors.Establish and monitor progress towards goals for care management programs, including case loads, outcomes, case timeliness, quality of interventions, training and physician outreach efforts.Encourage and support team members in their pursuit of case management and care coordination certifications.Responsible for hiring, staff development, coaching, performance reviews, corrective actions, and termination of employees. Provide feedback to direct reports, including regular one-on-ones and performance evaluations.Develop annual department budgets. Monitor spending versus the planned budgeted throughout the year and take corrective action where needed.Coordinate business activities by maintaining collaborative partnerships with key departments.Actively participate as a key team member in Manager/Supervisor meetings and HS Management meetings.Actively participate in various strategic and internal committees in order to disseminate information within the organization and represent company philosophy.Ensures ongoing monitoring and adherence to applicable state and federal regulatory and associated compliance requirements.Supporting Responsibilities:Meet department and company performance and attendance expectations.Follow the PacificSource privacy policy and HIPAA laws and regulations concerning confidentiality and security of protected health information.Perform other duties as assigned.SUCCESS PROFILEWork Experience: 5 years clinical experience required. A minimum of 3 years direct health plan experience in case management, utilization management, or disease management, or equivalent preferred. Prior supervisory or management experience required.Education, Certificates, Licenses: Registered Nurse or Licensed Clinical Social Worker or other licensed healthcare or behavioral health care clinician, Oregon licensure required. Certified Case Manager Certification (CCM) as accredited by CCMC (The Commission for Case Management) strongly desired at time of hire. CCM certification required within two years of hire.Knowledge: Thorough knowledge and understanding of medical and behavioral health procedures, diagnoses, and treatment modalities, procedure codes, including ICD-9 & 10, DSM-IV & V, CPT codes, health insurance and State of Oregon mandated benefits. Knowledge of community services, providers, vendors and facilities available to assist members. Strong knowledge of health insurance; including managed care products as well as state mandated benefits. Ability to develop, review and evaluate utilization and care management reports. Experience in adult education preferred. Proficient in the use and implementation of the following tools and concepts across all teams within scope and accountability: Training, Coaching, Strategy Deployment, Daily Operations, Visual Management, Operational Improvement & Team Building/Development.Competencies:Building TrustBuilding a Successful TeamAligning Performance for SuccessBuilding PartnershipsCustomer FocusContinuous ImprovementDecision MakingFacilitating ChangeLeveraging DiversityDriving for ResultsEnvironment: Work inside in a general office setting with ergonomically configured equipment, as needed. Travel is required approximately 20% of the time.Skills:Accountable leadership, Collaboration, Communication, Data-driven & Analytical, Delegation, Listening (active), Situational Leadership, Strategic ThinkingOur ValuesWe live and breathe our values. In fact, our culture is driven by these seven core values which guide us in how we do business:We are committed to doing the right thing.We are one team working toward a common goal.We are each responsible for customer service.We practice open communication at all levels of the company to foster individual, team and company growth.We actively participate in efforts to improve our many communities-internally and externally.We actively work to advance social justice, equity, diversity and inclusion in our workplace, the healthcare system and community.We encourage creativity, innovation, and the pursuit of excellence.Physical Requirements: Stoop and bend. Sit and/or stand for extended periods of time while performing core job functions. Repetitive motions to include typing, sorting and filing. Light lifting and carrying of files and business materials. Ability to read and comprehend both written and spoken English. Communicate clearly and effectively.Disclaimer: This job description indicates the general nature and level of work performed by employees within this position and is subject to change. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications required of employees assigned to this position. Employment remains AT-WILL at all times.

Company DescriptionAs a leading healthcare education organization, Unitek Learning's family of schools helps thousands of students launch and accelerate their careers every year. As a rapidly growing and highly successful company, Unitek is also a great place to pursue a rewarding and challenging career. We offer a competitive salary, generous benefits, unlimited growth potential, and a collegiate work environment.We are looking for an NCLEX SS Instructor to join our team.Job DescriptionIn collaboration with the Corporate and Campus Leadership, the NCLEX Success Specialists lead the NCLEX Success team by working with NCLEX Success faculty Coaches, faculty, and students struggling with weekly examinations, CMS, Comp Predictor, NCLEX style testing, and remediation. In collaboration with the academic leadership, coordinate and enforce policies and procedures related to ATI CMS exams and NCLEX Success. ATI Champion and in collaboration with campus Nursing Administration, responsible for the ATI orientation of new faculty members as well as ensuring completion of assigned workshops. ATI Champion Certified within 30 days of the effective date. In collaboration with the campus Nursing Administration assists on-boarding by ensuring new faculty completes all training related to integration of ATI products. Half time teaching in classroomIn collaboration with the Corporate Licensure team, Program Directors, and faculty, tracks students from beginning to end of the program including participating in student orientation and constant messaging regarding NCLEX. Tracking will help to identify at-risk students that the NSS will then assist in test preparation. Participates in weekly NCLEX and student analysis meetings and presents up-to-date information on at-risk students. Attend another committee, analysis, and team meetings as needed. Analyzes and monitors Licensure Dashboard ATI data on CMS and Comp Predictor examinations and formulates plans and follows up, in collaboration with Faculty/Coaches and campus leadershipCollaborates with a campus in reconciling official NCLEX results to trackers and performs deep dive analysis of students that failed NCLEX. Collaborates with the campus Nursing Administration in the analysis of the NCSBN Mountain Measures report and developing plans for improvement. Plans In-services and Professional Development related to test taking, test writing, NCLEX preparation, success, etc. Maintains contact with pre and post-grad students through NCLEX testing to encourage and guide students including continued use of ATI products through successful testing status. Collaborates with campus Nursing Administration on NCLEX Tracking through students, instructors, and the state board of nursing website. Leads Licensure department initiatives in collaboration with the campus, ensuring that the student has a prescription for success and score card leading up to the licensure examinationPerforms miscellaneous job-related duties as assigned.Salary Starting at $83,000/yrQualificationsRegistered Nurse with current and unencumbered Registered Nurse licensure Master's Degree in Nursing required or Nursing Education Able to meet the faculty requirements set by California's Board of Registered Nursing. Experience which demonstrates: Current knowledge of nursing practice; ability to mentor and coach students; effective communication skills, both verbal and written; pre-licensure nursing teaching experience required utilizing a Learning Management System (LMS);Prior work with students preparing for ATI CMS and NCLEX-RN licensure examinations.Additional InformationWe Offer:Medical, Dental and Vision starting the 1st of the month following 30 days of employment2 Weeks' starting Vacation per year. Increasing based on years of service with company12 paid Holidays and 2 Floating Holiday401K with a Company MatchCompany Paid Life Insurance at 1x's your annual salaryLeadership development and training for career advancementTuition assistance and Forgiveness for you and your family up to 100% depending on programAll your information will be kept confidential according to EEO guidelines.

Overview The symplr Quality Assurance Specialist performs a critical role in auditing all phases of provider enrollment on behalf of medical providers with commercial and/or government payers. Duties & Responsibilities Audit data entry, CAQH, follow up logs/calls, enrollment applications, link letters and spreadsheets for accuracy and completeness based on internally documented standards and payer standards. Provide feedback to our enrollment team managers in a courteous and confidential manner. Maintain necessary logs, lists, records, and current documentation required for internal audits. Provide routine follow up and status confirmation of audits pending corrections. During auditing, identify and record trends to contribute to process improvement efforts in both quality and efficiency. Maintain relationships with payer representatives and clients as required. Respond to all external/internal inquiries in a timely manner. Participate in team meetings and process improvement initiatives to continuously improve work product quality and efficiency. Performs other duties as assigned. Skills Required Highly self-motivated, preferably with some expertise with payer enrollment process for all levels of licensure including but not limited to MD/DO, NP, PhD, PT, OT, LCSW, OD, DDS, DPM, etc. across all specialties including medical, dental, vision, behavioral health, and physical health. Success-driven and results-oriented, with the ability to implement and manage cross-functional projects Proficiency with credentialing systems and learns new systems/processes quickly Familiarity using payer websites including but not limited to CAQH, Pecos, NPI/NPPES, Availity, Navinet, CMS I&A Ability to interact effectively with a variety of people (such as physicians, medical staff offices and Health plans) Provides highest level of customer service for both internal and external customers Strong written and verbal communication skills, along with strong presentation and client interaction skills Ability to prioritize tasks and projects. Accurate discernment on when to act independently and when to ask for guidance and/or assistance Consistently demonstrates flexibility, a customer-focus, terrific organizational skills and a passion for details Qualifications Required: Every organization has a culture, whether they mean to or not, so why not be intentional about it?Together, if we shape our intentions, actions, and interactions around a common, purposeful culture, we are able to quickly achieve more, attract others who help realize our goals, and thrive in our professional relationships. Associate degree or an equivalent combination of education and/or experience in healthcare 3+ years of Payor Enrollment Experience. Preferred experience in managed care, provider credentialing, patient financial services or provider relations Prior data management/data integrity experience preferred MinUSD $22.00/Hr. MaxUSD $25.00/Hr.

Overview The PES Account Specialist is responsible for provider enrollment into Federal, State, and commercial health plans, correspondence with provider's office, gathering of provider data needed for enrollment, completion of provider applications and follow-up with health plans until provider is fully enrolled. Also, responsible for advising the provider's office concerning best practices and procedures pertaining to enrollment. This is a remote opportunity. Duties & Responsibilities Communicate & advise the provider or designated contact person of the paperwork necessary to begin the enrollment process for new providers, explaining timeline expectations Research payer requirements to gather all details to appropriately enroll provider Maintain contact with designated contact person to obtain application signatures and collect all required documents to include with the completed applications Key all provider demographics & enrollment data into software system Scan all related enrollment documents and applications into software system Contact health plans to request provider enrollment application packages and/or required action for enrollment and continue follow-up with insurance plans by telephone or email until all provider numbers are issued Prepare & distribute Payor Affiliation Reports and Status Notes to designated contact person(s) for each provider every 2-3 weeks in order to communicate the progress of approved provider numbers Ability to interact positively in a team environment, demonstrating superior teamwork skills Interacts professionally with Symplr staff and occasional interaction with outside organizations Verbal and communication skills are required to resolve issues Other duties as assigned Skills Required Ability to interact positively in a team environment, demonstrating superior teamwork and leadership skills Superior attention to detail and organizational skills Excellent time management skills, resource organization and priority establishment skills, and ability to multi-task in a fast-paced environment Ability to effectively interface and communicate, both written and verbal, with all levels inside and outside the company Ability to manage assigned projects individually, without supervision, and make independent decisions Consistently demonstrates flexibility, a customer-focus, terrific organizational skills and a passion for details Consistently meets project deadlines and communicates any projected delays with manager/director in advance of deadlines to ensure client needs are met Proficiency with credentialing systems and learns new systems/processes quickly Qualifications: Every organization has a culture, whether they mean to or not, so why not be intentional about it?Together, if we shape our intentions, actions, and interactions around a common, purposeful culture, we are able to quickly achieve more, attract others who help realize our goals, and thrive in our professional relationships. Bachelor's degree desired 2+ years in directly applicable experience in Payor/Provider Enrollment or Credentialing required Experience with Microsoft Office Suite including Word, PowerPoint, and Excel Healthcare industry background is a plus MinUSD $20.00/Hr. MaxUSD $24.00/Hr.

Saint Alphonsus Medical Group (SAMG) - a physician led 600+ provider multispecialty group practice - is seeking an Endocrinologist (MD/DO) to work full-time in a new outpatient opportunity partnering with our established team of Diabetes care APPs and educators.This physician will build a new practice caring for a full spectrum of Endocrinology patients including patients with thyroid disorders, diabetes, osteoporosis, adrenal disorders and more.Enjoy the support of three experienced, diabetes-focused APPs, a team of certified diabetes care & education specialists, plus Endocrinology nursing and administrative support. Saint Alphonsus uses EPIC EMR. No inpatient work or after hours call.The schedule for this full-time opportunity is Monday - Friday, 8:00 am - 5:00 pm with 34 patient contact hours per week.Requirements for this opportunity include:Doctor of Medicine (MD) or Doctor of Osteopathy (DO) degreeSuccessful completion of an accredited ACGME/AOA Internal Medicine residency program & Endocrinology fellowship program.Board certified or obtain certification within 3 years employment.Previous experience in Endocrinology disease management or chronic care management preferred.A strong medical background and a desire to develop a practice to support a growing multi-specialty medical group. In providing this support, you will obtain Idaho and Oregon medical licensure to maintain and strengthen the Health Systems general internal program across all communities we serve, including telemedicine.Obtain Idaho and Oregon medical licensure and granting of privileges at SARMC- Boise, SAMC- Nampa, and other health system affiliated hospitals as needed.Valid controlled substance registration with Board of Pharmacy and DEA.Commitment to supporting a welcoming environment and patient focused clinic for patients, families, and referring providers.This is an exciting opportunity for the right Endocrinology physician to be part of Saint Alphonsus Medical Group.RECRUITMENT PACKAGESaint Alphonsus offers a competitive salary and benefits package including:Sign-on IncentivesStudent Loan RepaymentRelocationPTO & CME AllocationMalpractice Insurance (Incl. Tail)Health/Dental/VisionRetirement (403b) with match