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About Us: Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals.&nbsp; We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success. &nbsp;JOB SUMMARY:Coordinator, AppealsESSENTIAL DUTIES AND RESPONSIBILITIES:&nbsp; Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member’s performance objectives as outlined by the Team Member’s immediate Leadership Team Member.Location: ONSITE REQUIRED - 18 Campus Blvd # 210, Newtown Square, PA 19073Required Schedule: Monday - Friday, 8:00 AM - 5:00 PM ESTHourly Salary: $17.31Job Summary<ul><li>Perform denial research and follow-up work with insurance companies via phone to resolve appeals that have been submitted but remain without a determination</li><li>Compile multiple documents into appeal bundles and submit appeal bundles to payers in a timely manner</li><li>Determine and document appeal timeframes and payer process per facility within CorroHealth proprietary system</li><li>Transcribe information from clients’ EMRs and payer portals into required electronic format; check completed work for accuracy</li><li>Monitor and complete tasks within shared inboxes and internal request dashboards</li><li>Receive and document incoming emails, calls, tickets, or voicemails</li><li>Follow up with the client or internal staff via email or phone for additional information as requested</li><li>Export and upload documents within CorroHealth proprietary system</li><li>Cross-trained on various functions within the department to support other teams as needed</li><li>Other responsibilities as requested by management</li></ul>Minimum Qualifications: <ul><li>Must love communicating with others over the phone</li><li>Computer proficient. Must have intermediate skills with Outlook and Excel.</li><li>Must be able to schedule meetings, log onto Teams for meetings.</li><li>Must be able to open a new excel workbook, use formulas such as; adding and subtracting, copying and pasting.</li><li>Must be able to type a minimum of 25wpm</li><li>Detail oriented</li><li>Shows initiative and responsibility in taking the necessary steps towards problem resolution</li><li>Works independently, but is a team player</li><li>Able to work in a fast-paced environment</li><li>Possess good verbal and written communication skills</li><li>Required to keep all client and sensitive information confidential</li><li>Strict adherence to HIPAA/HITECH compliance</li></ul>Education/Experience Required:<ul><li>High School Diploma or equivalent required</li><li>Bachelor’s degree preferred</li><li>Understanding of denials processes for Medicare, Medicaid, and Commercial/Managed Care product lines</li><li>Prior experience of accessing hospital EMR’s and Payer Portals preferred</li><li>Proficient in MS Word and Excel. Needs to be able to open a new excel workbook, copy and paste, do basic formulas such as adding, subtracting and copying and pasting.</li><li>Must have basic skils in Outlook. Should be able to create a meeting invitation, accept a meeting invitation, receive and respond ot email and set up folders.</li><li>Must be able to type a minimum of 25 wpm with a 90% accuracy rate.</li></ul>What we offer:<ul><li>Hourly salary $17.31</li><li>Medical/Dental/Vision Insurance</li><li>Equipment provided</li><li>401k matching (up to 2%)</li><li>PTO: 80 hours accrued, annually</li><li>9 paid holidays</li><li>Tuition reimbursement</li><li>Professional growth and more!</li></ul>PHYSICAL DEMANDS: Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described. Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Member must be able to lift and move material weighing up to 20 lbs. Team Member may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines. A job description is only intended as a guideline and is only part of the Team Member’s function. The company has reviewed this job description to ensure that the essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.

CorroHealth

Coordinator, Appeals Management

About Us: Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals.&nbsp; We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success. &nbsp;JOB SUMMARY:Coordinator, HIH OperationsESSENTIAL DUTIES AND RESPONSIBILITIES:&nbsp; Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member’s performance objectives as outlined by the Team Member’s immediate Leadership Team Member.The HIH/EHR Operations Coordinator is responsible for managing relationships with Health Information Handlers (HIH) vendors, Electronic Health Record (EHR) vendors and providers, monitoring project performance, ensuring the accuracy and timeliness of data, and addressing escalations. This role involves managing inventory, reporting, invoicing and payments. The HIH/EHR Operations Coordinator will work closely with both internal teams and external vendors/providers to ensure smooth operations, compliance with service level agreements (SLAs), and successful execution of client projects. The role requires strong communication skills to meet client goals and optimize vendor performance.MUST HAVE: Intermediate-advanced Excel skillsKey Responsibilities:Escalation Management:<ul><li>Act as the primary point of contact for escalations related to vendor performance or project delivery.</li><li>Address and resolve issues quickly and efficiently to minimize impact on operations.</li></ul>Report Analysis &amp; Inventory Management:<ul><li>Run and analyze reports to monitor the performance and progress of projects.</li><li>Monitor, control, and manage inventory levels to ensure that client and customer goals are met.</li></ul>Vendor Liaison &amp; Coordination:<ul><li>Act as the liaison between internal departments and external vendors, ensuring seamless delivery of operations.</li><li>Coordinate vendor-to-vendor reassignment and ensure all parties are aligned with project expectations and timelines.</li><li>Provide administrative and operational support for vendor relationships, ensuring all vendors adhere to their contractual obligations and SLAs.</li><li>Monitor vendor performance, track project statuses, and ensure smooth integration of data from HIH and EHR suppliers into internal systems.</li><li>Facilitate the movement of records from vendor portals to intake for processing</li></ul>Provider Payments &amp; Relationship Support:<ul><li>Manage and confirm the successful delivery of inventory and invoices between Virtix and providers requesting payment for record delivery</li><li>Ensure timely payment and issue resolution for provider invoicing</li></ul>Vendor &amp; Provider Invoice Management:<ul><li>Review and reconcile vendor and provider invoices to ensure accuracy.</li><li>Send approved invoices to the finance department for timely payment processing.</li><li>Pay invoices by corporate card where applicable</li></ul>Supplier Compliance &amp; Monitoring:<ul><li>Ensure that suppliers deliver on their commitments, including meeting contractual SLAs, deadlines, and quality standards.</li><li>Monitor and report on vendor performance metrics, providing feedback and recommendations to optimize service delivery.</li></ul>Operational Team Support:<ul><li>Manage and provide support to operational teams when required, ensuring that they meet project goals and performance benchmarks.</li><li>Escalate high-utilization, non-managed vendors when issues arise and assist in managing relationships with underperforming vendors.</li></ul>Qualifications:<ul><li>Education: High School diploma required.</li><li>Experience:<ul><li>Minimum of 2 years of professional experience, preferably within the healthcare or risk adjustment field.</li><li>Experience working with vendors in a business environment, including overseeing contractual obligations and performance metrics are a plus.</li></ul></li><li>Technical Skills: Proficiency in project management tools, Excel, and reporting software. Knowledge of HCC coding, risk adjustment processes, and health information systems is a plus - Excel skills REQUIRED</li><li>Certifications: PMP (Project Management Professional) certification is preferred but not required.</li></ul>Skills &amp; Competencies:<ul><li>Project Management: Ability to manage multiple projects and vendors simultaneously, ensuring deadlines are met, and objectives are achieved.</li><li>Vendor Relationship Management: Strong interpersonal and communication skills to build and maintain relationships with vendors, internal teams, and clients.</li><li>Data Analysis &amp; Reporting: Ability to run, interpret, and act upon complex reports to monitor project progress and resolve any discrepancies.</li><li>Problem Solving &amp; Escalation Management: Proficiency in identifying issues and implementing solutions to ensure smooth project operations.</li><li>Attention to Detail: Strong attention to detail, particularly in managing site tables, file deliveries, status reconciliations, and invoice reviews.</li><li>Team Collaboration: Ability to work cross-functionally with different teams and departments to ensure the seamless delivery of services.</li></ul>PHYSICAL DEMANDS: Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described. Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Member must be able to lift and move material weighing up to 20 lbs. Team Member may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines. A job description is only intended as a guideline and is only part of the Team Member’s function. The company has reviewed this job description to ensure that the essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.

Coordinator, HIH Operations

Compensation Type: SalariedCompensation: $25.58Job SummaryThe Interpreter Education Program (IEP) Clinical Coordinator is responsible for clinical placements for IEP students. This individual oversees the Entrance Exam for Practicum (EEP), coordinates with faculty the assessment of exams, establishes and maintains community partners who will serve as practicum sites for IEP students, and collaborates with faculty to assign liaisons for each student. The IEP Clinical Coordinator maintains an up-to-date practicum manual; leads or assists with mentoring programs, alumni communication, and ODE k12 Licensure; and assists student with graduation requirements.Program Coordination<ul><li>Seeks and establishes placement in K-12 and community-based settings. Provides information and guidance to field liaisons and initiates Clinical Affiliate Agreements. Coordinates semesterly orientation meeting for sites/supervising interpreters and field liaisons. Reviews and updates, as needed, practicum request forms and circulates forms to students. Reviews applications, coordinates practicum placements, determines student eligibility and matches student with sites. Reviews, updates and distributes the IEP Practicum Handbook. Facilitates mandatory student meetings and organizes distribution of practicum documents. Collaborates with IEP faculty and serves as an advocate for students.</li><li>Assists in recruitment, hiring, and training of field liaisons. Assigns faculty and adjunct liaisons to students/placement sites. Responds to issues and concerns, answers routine questions, and provides general guidance in support of students.</li><li>Initiates and follows protocol for reporting student conduct concerns in practicums and participates in possible action steps, including development of student action plans or program dismissal. Provides ongoing support to field instructors. Responds to partner organizations’ concerns or questions.</li></ul>Student Support<ul><li>Provides customer service. Responds to telephone and email inquiries, meets with potential students, participates in program information sessions and provides general assistance.</li></ul>Administrative<ul><li>Provides administrative support for faculty and adjuncts. Keeps ongoing records of clinical placements. Maintains confidential or sensitive records and information.</li></ul>Culture of Respect <ul><li>Fosters and maintains a safe environment of respect and inclusion for faculty, staff, students, and members of the community.</li></ul>Minimum Education and Experience Required:<ul><li>High School Diploma or equivalency and two (2) years' experience interpreting, teaching, or coordinating service provision.</li></ul>Licenses and Certifications:<ul><li>State Motor Vehicle Operator's License or demonstrable ability to gain access to work site(s).</li></ul>Full Time/Part Time:Part timeUnion (If Applicable):Scheduled Hours:20Additional InformationIn order to ensure your application is complete, you must complete the following:<ul><li>Please ensure you have all the necessary documents available when starting the application process. For all faculty positions (Instructor, Annually Contracted Faculty, and Adjunct), you will need to upload an unofficial copy of your transcript when completing your aplication. </li><li>Prior to submitting your application, please review and update (if necessary) the information in your candidate profile as it will transfer to your application.</li></ul>If you are a current employee of Columbus State Community College, please log in to Workday to use the internal application process.Thank you for your interest in positions at Columbus State Community College. Once you have applied, the most updated information on the status of your application can be found by visiting your Candidate Home. Please view your submitted applications by logging in and reviewing your status.

COLUMBUS STATE COMMUNITY COLLEGE

Clinical Coordinator

Compensation Type: SalariedCompensation: $53,876.12Job SummaryThe Program Coordinator - Language Institute position provides support and implementation functions toward the continuous improvement and enrollment growth of Workforce Basic ESL, Basic ESL sequence course, and/or Basic ESL Elective &amp; online programs. The program coordinator will serve as a primary internal staff member responsible for coordinating internal stakeholders, and working with external stakeholders (inclusive of employer partnerships, community partners &amp; organizations) in implementation, and ensuring excellence, responsiveness, and agility in approach and service to achieve the desired agreed-upon outcomes.ESSENTIAL JOB FUNCTIONS Program Coordination<ul><li>Implements&nbsp;and provides ongoing support for day-to-day Workforce Basic ESL, Basic ESL sequence course, and/or Basic ESL Elective &amp; online programs.</li><li>Coordinates program functions and ensures the program is administered in accordance with policy and requirements.</li><li>Adjusts and customizes curriculum for all Language Institute programming.</li><li>Collaborates with instructors, clients, and applicable departmental staff to create and modify placement tests, course outlines, syllabi, and final exams.</li><li>Assists LI Supervisor and other team members to determine and communicate course schedule, purchase and duplicate materials, and support instructors.</li><li>Assists LI Supervisor in overseeing classroom, workplace, and online instruction.</li><li>Provides instructors with curriculum, textbooks, professional development, instructional materials, and other items.</li><li>Observes instructors and their delivery of curriculum and provides appropriate feedback to improve performance and the overall program.</li><li>Instructs a Basic ESL course at a minimum of twice a year.</li><li>Reviews and facilitates creation of high-level deliverables. Identifies and communicates the need for resources from outside the College (i.e. equipment, software, curriculum, contractual expertise).</li><li>Identifies improvements with the scope of work.</li><li>Leverages technology and data to improve the efficiency of project implementation.</li></ul>Building Partnerships<ul><li>Coordinates with LI Supervisor to build relationships and promote growth of the program with (a) other College departments and programs to provide support to and improve processes for students seeking to transition to College coursework and (b) social service agencies, businesses, and organizations for the purpose of recruiting potential students and (c) Workforce Innovation and Business Development teams to create strategic engagement plans for potential industry partners. </li><li>Serves as part of a work team on projects and initiatives for the benefit of the department, division, and the college. </li><li>Engages all partners to ensure industry needs are aligned and expectations are being met. </li><li>Assesses the needs of partners to promote various approaches to on-site and other methods of delivery of Basic ESL programs. </li><li>Assists with data collection, data analysis, and communication activities.</li></ul>Reporting and Program Management Support<ul><li>Assists internal partners, LI program coordinator(s), and leadership with projects in order to deliver them within scope, within budget, and with high levels of quality throughout the project lifecycle.</li><li>Completes program reports.</li><li>Identifies best practices from peer institutions, industry partners, and communities of interest that support the overall program scope and quality.</li><li>Prepares and presents status reports to all levels of management.</li><li>Confirms the accuracy of deliverables with stakeholders.</li><li>Coordinates reporting and creates documentation that follows program management lifecycles.</li><li>Assists the LI Supervisor in utilizing program quality metrics and measures expected outcomes (i.e., required completion dates, budget limits, and quality standards).</li><li>Identifies program issues that require resolution and creates an issue list. Escalates issues for resolution when appropriate.</li><li>Engages with internal stakeholders and communicates any barriers to ensuring classes are functioning to achieve the approved and expected outcomes. Develops options for decision makers.</li><li>Creates and monitors engaging, informative, and timely posts on Language Institute’s various social media platforms.</li></ul>Culture of Respect<ul><li>Fosters and maintains a safe environment of respect and inclusion for faculty, staff, students, and members of the community.</li></ul>Minimum Qualifications<ul><li>Bachelor's Degree in a related field.</li><li>Two (2) years in teaching Adult ESL, supporting and contributing to high-level projects from design through implementation.</li></ul>Additional Information<ul><li>State Motor Vehicle Operator's License or demonstrable ability to gain access to work site(s).</li></ul>CSCC has the right to revise this position description at any time. This position description does not represent in any way a contract of employment.Full Time/Part Time:Full timeUnion (If Applicable):Scheduled Hours:40Additional InformationIn order to ensure your application is complete, you must complete the following:<ul><li>Please ensure you have all the necessary documents available when starting the application process. For all faculty positions (Instructor, Annually Contracted Faculty, and Adjunct), you will need to upload an unofficial copy of your transcript when completing your aplication. </li><li>Prior to submitting your application, please review and update (if necessary) the information in your candidate profile as it will transfer to your application.</li></ul>If you are a current employee of Columbus State Community College, please log in to Workday to use the internal application process.Thank you for your interest in positions at Columbus State Community College. Once you have applied, the most updated information on the status of your application can be found by visiting your Candidate Home. Please view your submitted applications by logging in and reviewing your status.

Program Coordinator - Language Institute

Salary Range:&nbsp;&nbsp;$46,800.00&nbsp;(Min.) -&nbsp;$52,597.00&nbsp;(Mid.) -&nbsp;$62,270.00&nbsp;(Max.)Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2 million members, we make sure our members get the right care at the right place at the right time. Mission: L.A. Care’s mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose. <h4>Job Summary</h4>The Quality and Population Health Coordinator I (QPHC) is responsible for outreaching to members to close care gaps. The QPHC also outreaches to providers for medical record pursuit and retrieval.&nbsp; This position supports the L.A. Care medical groups by assisting with scheduling member appointments. While this role is a combination of remote and in office work, this role is intended to support L.A. Care medical groups by being embedded in the provider offices and providing direct outreach to L.A. Care members. The QPHC is an important member of L.A. Care’s quality improvement team, helping to drive improvement in health outcomes, population health, and health equity, as well as member and provider experience.<h4>Duties</h4><h4>Make outbound calls to members to assist with scheduling and coordinating services (e.g. appointments, lab tests, health screenings, other diagnostic studies, transportation, etc.). (25%)</h4><h4>Educate members on missing gaps in care. Encourage them to close care gaps and pursue preventative health and health promotion activities such as health fairs. (25%) </h4><h4>Outreach to providers to request medical reports by fax, electronic medical records, or on-site visits if needed. (15%) </h4><h4>Review medical records, claims, and encounter data to identify key information to help close gaps in care. (15%)</h4><h4>Provide support as needed for care gap closure campaigns and other quality improvement programs. (15%)</h4>Perform other duties as assigned. (5%)<h4>Duties Continued</h4><h4>Education Required</h4>High School Diploma/or High School Equivalency Certificate<h4>Education Preferred</h4>Associate's Degree<h4>Experience</h4>Required:At least 3 months of experience following basic workflows, procedures, and standards related to patient or provider communication and outreach.Previous experience working in an office setting with basic office equipment such as telephones, fax machines, computers, etc.Preferred:Health Plan, provider practice, or health education experience. <h4>Skills</h4>Required:Demonstrates deep compassion and sensitivity towards patient needs and community well-being. Driven by strong motivation to positively impact people’s lives.Excellent verbal and written communication skills.Excellent interpersonal skills.Proficient with Microsoft Word, Excel, PowerPoint, and Outlook.Skills in utilizing various online platforms and search engines to efficiently gather accurate and relevant information. Highly organized with ability to maintain accurate notes and records.Demonstrates high efficiency in managing tasks and consistently delivering projects to successful and reliable completion. Ability to communicate effectively with patients and health care providers. Preferred:Some knowledge of HEDIS and other quality measures.Some knowledge of quality improvement processes.Bilingual in one of L.A. Care Health Plan’s threshold languages is highly desirable. English, Spanish, Chinese, Armenian, Arabic, Farsi, Khmer, Korean, Russian, Tagalog, Vietnamese&nbsp;&nbsp; <h4>Licenses/Certifications Required</h4>Active &amp; Current Driver's License, with a clean record and Auto Insurance Required<h4>Licenses/Certifications Preferred</h4><h4>Required Training</h4><h4>Physical Requirements</h4>Light<h4>Additional Information</h4>Required:Travel to offsite locations for work.Salary Range Disclaimer: The expected pay range is based on many factors such as geography, experience, education, and the market.&nbsp; The range is subject to change.This position is a limited duration position. The term of this position is a minimum one year and maximum of two years from the start date unless terminated earlier by either party. Limited duration positions are full-time positions and are eligible to receive full benefits. L.A. Care offers&nbsp;a wide range of benefits including<ul><li>Paid Time Off (PTO)</li><li>Tuition Reimbursement</li><li>Retirement Plans</li><li>Medical, Dental and Vision</li><li>Wellness Program</li><li>Volunteer Time Off (VTO)</li></ul> Nearest Major Market: Los Angeles Job Segment: EMR, Claims, Equity, Medical, Healthcare, Insurance, Finance

L.A. Care Health Plan

Quality and Population Health Coordinator I (ALD)

The hiring range for this role is: &nbsp;92,787.88 - 139,616.25This is the lowest to highest salary we, in good faith, believe we would pay for this role at the time of this posting.&nbsp; We may ultimately pay more or less than the hiring range andthis hiringrange may also be modified in the future. A candidate’s position within the hiring range may be based on several factors including, but not limited to, specific competencies, relevant education, qualifications, certifications, relevant experience, skills, seniority, performance, shift, travel requirements, and business or organizational needs.&nbsp;This job is also eligible for annual bonusincentivepay.We offer a comprehensive package of benefits including paid time off, 11 holidays, medical/dental/vision insurance, generous 401(k) matching, lifestyle spending account and many other benefits to eligible employees.Note: No amount of pay is considered to be wages or compensation until such amount is earned, vested, and determinable. The amount and availability of any bonus, commission, or any other form of compensation that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law.Job Description Summary: This role is responsible for leading and managing small to mid-size projects and portions of larger projects addressing critical strategic issues for the Blue System. The role is responsible for applying analytical rigor (e.g., data collection and analysis) and executing primary and secondary research, including BCBS Plan input. The position will be able to identify actionable insights and share with non-technical audiences, including senior leadership. The role requires attention to detail, collaboration and project management. He/she/they will communicate up, down and around to keep business partners engaged and motivated to act on strategic insights.Responsibilities include but are not limited to:<ul><li>Develop executive deliverables and present findings to inform and influence key decision makers. 30%</li><li>Conduct primary/secondary research, synthesize findings, and identify strategic recommendations. 25%</li><li>Project lead for mid-size projects and portions of larger projects 25%</li><li>Support strategic planning including BCBS Plan engagement. 15%</li><li>Provide coaching and oversight to junior staff 5%</li></ul>Required Education, Certifications and Experience:Education:<ul><li>Preferred Bachelor's Degree in related discipline; or equivalent work experience</li></ul>Experience:<ul><li>5+ Years related business experience Required</li></ul>Knowledge Skills and Abilities:<ul><li>Experienced analytical and creative problem-solving skills to lead hypothesis development and integration.</li><li>Competency to generate actionable insights from analytical work.</li><li>Effective written and verbal communication skills, including facilitation and presentation abilities.</li><li>Demonstrated ability to work independently.</li><li>Familiarity with health insurance industry and concepts.</li><li>Proficient relationship building and influence skills.</li><li>Mentoring skills: ability to mentor junior staff and aid in career development.</li></ul>Additional information:<ul><li>A minimum of 5 years related business experience</li><li>Experience with business/product strategy development and application of analytical methods</li><li>Strong project lead experience in preparing work plans leading small to mid-sized projects and portions of larger projects</li></ul>#LI_HYBRID

Blue Cross Blue Shield Association

Corporate Strategy Senior Consultant

The Value-Based Care Management Registered Nurse interacts in-person and telephonically with chronic kidney disease patients, families, and support networks to provide comprehensive assistance in all areas related to ongoing education, medical history, medications, development of support systems, lifestyle changes and behavior modifications, thereby reducing future medical costs with early identification and support for dialysis and transplant needs.Essential Duties and Responsibilities include the following. Other duties and tasks may be assigned.<ul><li>Responsible for the Value Base Care clinical operations activities across the continuum of care from assessing, implementing, coordinating, monitoring, and evaluating.</li><li>Provides health education and treatment decision support for patients.</li><li>Collaborates with the patient, patient support, and interdisciplinary team including the dialysis clinic, hospital, and physician practices in assessing the patient's needs.</li><li>Conducts onsite in-person patient visits and outbound calls to assess patient's current health status, identifying gaps or barriers in treatment plans.</li><li>Coordinates with and provides consultation with physicians and other health care professionals to support the quality and the level of care provided for patients affected by Chronic Kidney Disease/ End Stage Kidney Disease.</li><li>Assists with early identification and support for dialysis and transplant needs by working closely with the Nephrologist and Value Base Care Team.</li><li>Provides patient education to assist with self-management.</li><li>Knowledge of and comply with federal, state, local laws, and regulations, including health care professionals practice act requirements.</li><li>Performs duties at all times within limitations established by and in accordance with company policy and procedures, applicable state and federal laws and regulations.</li><li>Participates in team concepts and promote a team effort; performs duties in accordance with company policies and procedures.</li></ul>

U.S. Renal Care

RN, Market Management, Value-Based Care Kansas City

<dt><h4>Description</h4></dt>Pay Grade: KClick HERE for VideoWho We Are.&nbsp;We protect lives.The Georgia Department of Public Health (DPH) is the lead agency entrusted by the people of Georgia to proudly protect lives and promote healthy lifestyles in diverse communities statewide. We are committed to preventing disease, injury, and disability; promoting health and well-being; and preparing the State of Georgia for responding to disasters. What We Offer.&nbsp;As a member of the DPH team, you will join a passionate group of individuals who are dedicated to making an impact. &nbsp;No matter your role, you will individually contribute to protecting the lives of all Georgians while receiving a wide range of benefits, so you can:<ul><li>Make a Professional Impact – Build your career where it matters and protect lives in the community where you live, work, and play.</li><li>Enjoy Workplace Flexibility&nbsp;– Experience flexibility in how you work so you can be your best self for you and Georgia Residents.</li><li>Work with&nbsp;a Dynamic and Diverse Team&nbsp;– Collaborative and inclusive way of working where employees share ideas and leverage collective strengths.&nbsp;</li><li>Achieve Career Longevity – Countless opportunities for continuous learning/development that support a long-term career.</li><li>Take Part in a Hands-on Working Culture – Unique culture of active engagement and problem-solving, no matter your role.</li><li>Feel Pride in Where you Work – Be part of making an impact in public health alongside dedicated people just like you.</li></ul><dt><h4>Job Responsibilities</h4></dt>Under general supervision from the Regional Training and Support Manager, provide training and support for external vital records stakeholders, including county vital records offices, hospitals and health systems, coroners and medical examiner, and funeral homes. Provide training on the use of electronic registration systems and educate stakeholders on the legal requirements for fulfilling their vital records-related duties.Job Duties and Responsibilities (overall tasks and expectations of the position):<ul><li>Provides input and supports the development of standard policies, procedures, and guidelines for local registrars and data providers.</li><li>Conducts and coordinates need assessments to identify, develop and implement training solutions that support regional constituents’ needs.</li><li>Delivers regular instructor led and virtual training and support to local offices and data partners to ensure clarity of expectations, policies, and procedures to ensure data security, quality and completeness.</li><li>Reviews local registrar offices and data providers procedures and practices to ensure consistency while identifying best practices and implementing improvements to increase data security and quality.</li><li>Collaborates on the development and interpretation of policies and enforcement strategies to support Vital Records’ local registrar and data partners.</li><li>Articulates updated and changes to policies and procedures to region.</li><li>Develops and implements action plans and monitors progress to ensure objectives are met promptly.</li><li>Works with the Office of Inspector General to audit and investigate county offices for potential security and fraudulent risk.</li><li>Represents Vital Records local registrar and data provider needs with both internal DPH teams and external groups from public agencies and private sector to coordinate efforts and share best practices to enhance Georgia Vital Records record establishment and issuance.</li><li>Performs other assignments as required.</li></ul><dt><h4>Minimum Qualifications</h4></dt>High school diploma/GED and completion of 90 quarter hours (60 semester hours) at an accredited college or university AND one year of experience facilitating training sessions, both in-person and online &nbsp;OR completion of a public speaking or communication course to effectively deliver trainings and create materials OR any other combination of education and professional experience that provides the requisite knowledge, skills and abilities to successfully perform the job.Preferred Qualifications (based on the needs of the position):<ul><li>Excellent judgment and creative problem-solving skills, specifically related to new process design, change management and conflict resolution skills.&nbsp;</li><li>Experience with a learning management system (LMS), computer and/or web-based training delivery.&nbsp;</li><li>Previous experience of remote training team experience preferred.</li></ul><dt><h4>Additional Information</h4></dt>The DPH Commissioner and leaders encourage all employees to engage in regular wellness activities and to make lifestyle choices that promote health and well-being.&nbsp;The use of physical activity breaks during the workday is authorized to support this philosophy and assist employees in meeting their wellness goals.&nbsp;A maximum of 30 minutes of physical activity can be allocated per workday, typically in the form of two 15-minute breaks or one 30-minute break.Employment InformationCurrent State employees are subject to State Personnel Board rules regarding salary.DPH accepts educational credentials recognized by the Council for Higher Education Accreditation (CHEA) and/or the US Department of Education (DOE) as valid. DPH will contact educational institutions to verify degrees, diplomas, licensures, and other relevant credentials.The candidate selected for this position may be subject to pre-employment drug screening [JR1]and a criminal background check.Relocation assistance will not be provided.As an employee of DPH, in the event of an identified emergency you may be required, as a term and condition of employment, to assist in meeting the emergency responsibilities of the department.&nbsp;ADA StatementDPH is committed to providing access and reasonable accommodation in its services, programs, activities, and employment for individuals with disabilities. &nbsp;If you require accommodations under the Americans with Disabilities Act (ADA), email a request by the closing date of this announcement to: <a href="mailto:DPH-HR@dph.ga.gov" target="_blank">DPH-HR@dph.ga.gov</a>.DPH is an Equal Opportunity Employer_______________________________________________________________________________________________________________________Due to the volume of applications received, we are unable to provide information on application status by phone or e-mail. All qualified applicants will be considered but may not necessarily receive an interview. &nbsp;DPH will contact selected applicants to proceed with the next steps in the selection process. Applicants who are not selected will not receive notification.This position is subject to close at any time once a satisfactory applicant pool has been identified.

Regional Consultant

<h3>Job Description:</h3>The Senior Associate on the 5500-QDRO Team is responsible for working with clients to complete government Form 5500 filings for DB, DC, and Health &amp; Welfare plans for a book of business containing clients with small to large plans. The Senior Associate works on plans of varying complexity and is responsible for keeping current with ERISA, DOL, and IRS regulations. Other responsibilities include managing client relationships with service providers – such as auditors, trustees, record keepers, and insurance agents; acting as a technical resource for clients, colleagues, and various internal business partners; peer-reviewing the work of Associates on the team; and serving as a mentor for others.The Senior Associate may also provide support for our QDRO (Qualified Domestic Relations Order) processing activities.<h3>The Expertise and Skills You Have </h3><ul><li>Specific experience with Form 5500 and related filings required</li><li>Experience with Form 5500 filing software (FT William, Relius, EFast, etc.)</li><li>7+ years working with DB, DC, or Health &amp; Welfare plans</li><li>Bachelor’s Degree or equivalent work experience</li><li>Outstanding client consulting skills</li><li>Excellent coaching skills</li><li>A deep understanding of form 5500 and related filing work.</li><li>You are technically inclined with application experience and proficiency (e.g.- Excel, Word, PowerPoint, database tools, ad-hoc query development, etc.).</li><li>Strong project management skills, the ability to balance/prioritize multiple projects, and an understanding of risk and time management.</li><li>Ability to work within budgeted timeframes to maintain client profitability without sacrificing quality.</li><li>Impressive oral and written communication skills.</li><li>Focus on quality, details, and meeting client expectations.</li><li>Strong customer service approach.</li><li>Organized, self-motivated, and focused on meeting deadlines</li></ul>Note: Fidelity will not provide immigration sponsorship for this position.<h3>The Value You Deliver</h3><ul><li>Act as a subject matter expert for questions regarding 5500 services to our internal business partners and colleagues. Keep current with ERISA, DOL, and IRS regulations regarding 5500 reporting.</li><li>Work with Fidelity colleagues, clients, and third parties to onboard new clients.</li><li>Accurately, efficiently, and timely prepare Form 5500 filings and provide related consulting for DB, DC, H&amp;W and Puerto Rico benefit plans.</li><li>Work with minimal direction and effectively prioritize workload based upon urgency, product/client importance, client/business partner expectations, and team goals.</li><li>Develop strong relationships with clients – including their service providers (auditors, recordkeepers, and insurance agents), and internal business partners – including Managing Directors, Operations Delivery Leaders, Consultants, COE colleagues, and Account Managers.</li><li>Peer-review the work of junior colleagues on the team and provide mentorship.</li><li>Work on special projects.</li><li>Expand overall knowledge of the Workplace Consulting Group.</li><li>Review/Qualify Domestic Relations Orders and prepare communications for involved parties.</li></ul><h3>The Team</h3>This role will reside within Workplace Consulting’s Center of Excellence (COE) organization. You will be responsible for a caseload of Form 5500 filings and QDRO work. Quality, attention to detail, and strict adherence to deadlines will be reflected in the work you deliver. You will support the COE’s interests in collaborating with the cross product/functional subject matter experts, and other lines of business. You will work to solve problems and be empowered to make decisions based on trends, issues, and business drivers.The base salary range for this position is $76,000-$144,000 per year. Placement in the range will vary based on job responsibilities and scope, geographic location, candidate’s relevant experience, and other factors.Base salary is only part of the total compensation package. Depending on the position and eligibility requirements, the offer package may also include bonus or other variable compensation. We offer a wide range of <a href="https://jobs.fidelity.com/benefits/" target="_blank">benefits</a> to meet your evolving needs and help you live your best life at work and at home. These benefits include comprehensive health care coverage and emotional well-being support, market-leading retirement, generous paid time off and parental leave, charitable giving employee match program, and educational assistance including student loan repayment, tuition reimbursement, and learning resources to develop your career. Note, the application window closes when the position is filled or unposted.Please be advised that Fidelity’s business is governed by the provisions of the Securities Exchange Act of 1934, the Investment Advisers Act of 1940, the Investment Company Act of 1940, ERISA, numerous state laws governing securities, investment and retirement-related financial activities and the rules and regulations of numerous self-regulatory organizations, including FINRA, among others. Those laws and regulations may restrict Fidelity from hiring and/or associating with individuals with certain Criminal Histories.Fidelity’s hybrid working model blends the best of both onsite and offsite work experiences. Working onsite is important for our business strategy and our culture. We also value the benefits that working offsite offers associates. Most hybrid roles require associates to work onsite every other week (all business days, M-F) in a Fidelity office.<h3>Certifications:</h3><h3>Category:</h3>Consulting

Fidelity Investments

Senior Associate, Compliance (Form 5500 Filings)

<h3>Job Description:</h3>This job requires you to live in the Denver, CO area, as you will be working on local client campuses 4-5 days a week.The RoleThe Workplace Financial Consultant (WFC), part of Fidelity's Workplace Education Planning &amp; Advice (WEPA) organization, works directly with plan sponsor contacts, client HR representatives, and internal Fidelity partners to drive greater participant engagement and plan sponsor advocacy in our local workplace communities. You will serve as a key liaison between the client and internal business partners to create a client needs-based strategy and ensure Fidelity's overall ongoing success within a defined book of business. In addition, the WFC provides financial advice to participants through face-to-face meetings including one on ones, workshops, help desk sessions, benefits fairs, and lunch and learns. The WFC strives to ensure participants are prepared to make better decisions regarding their personal finances while ensuring industry leading customer satisfaction results are achieved.Specific responsibilities include:<ul><li>Provide 1:1 financial planning and investment advice appointments to plan participants both virtually and in-person</li><li>Apply the Fidelity Relationship Model during participant interactions</li><li>Educate participants on introductory topics in a 1: many format via onsite workshops and Ask Fidelity sessions </li><li>Conduct ongoing engagement planning with plan sponsors</li><li>Network with participants hosting lunch and learns, help desk sessions, and by attending benefits fairs</li><li>Manage relationships with our local branch business partners, strengthening the Personal Workplace Advantage/Partnership</li></ul>The Expertise and Skills You Bring <ul><li>3 years of financial services experience required; BA required</li><li>Series 7 and 66 required (or S63/S65)</li><li>1-2 years of customer facing experience preferred</li><li>Life &amp; Annuity Certification optional</li><li>Demonstrated familiarity with Financial Planning Concepts</li><li>Demonstrated planning experience preferred</li><li>Demonstrated ability to independently problem solve/prepare for new challenges</li><li>Willingness to engage in complex conversations with a clear call to action</li><li>Ability to achieve mastery of fundamental planning and advice topics across Corporate &amp; Tax-Exempt Market (TEM) clients</li><li>Willingness to travel (up to 75%)</li></ul>The TeamThe Workplace Education, Planning and Advice (WEPA) organization exists to help employees in our local workplace communities.<ul><li>Employers who have chosen Fidelity to administer their 401k, 403b, Equity Compensation and assorted benefits plans often require help driving engagement in these valuable programs.</li><li>Our mission is to serve as a trusted partner for plan sponsors and participants, providing education, financial planning and advice, both virtually and on-site, nation-wide.</li><li>Our value is delivered to over one million plan-participants every year, inspiring them to reach their financial goals and bringing the broader Fidelity Advantage to life.</li></ul>Joining WEPA means that you will:<ul><li>UNITE as one team to intentionally connect, inspire and build strong relationships internally and with our plan sponsors</li><li>GROW in your skills to deliver more, world-class planning and education experiences for our participants</li><li>WIN on behalf of our clients, our participants and Fidelity</li></ul>Company OverviewFidelity Investments is a privately held company with a mission to strengthen the financial well-being of our clients. We help people invest and plan for their future. We assist companies and non-profit organizations in delivering benefits to their employees. And we provide institutions and independent advisors with investment and technology solutions to help invest their own clients’ money.Join UsAt Fidelity, you’ll find endless opportunities to build a meaningful career that positively impacts peoples’ lives, including yours. You can take advantage of flexible benefits that support you through every stage of your career, empowering you to thrive at work and at home. Honored with a Glassdoor Employees’ Choice Award, we have been recognized by our employees as a Best Place to Work in 2023. And you don’t need a finance background to succeed at Fidelity—we offer a range of opportunities for learning so you can build the career you’ve always imagined.We invite you to Find Your Fidelity at fidelitycareers.comThe base salary range for this position is $90,000 - $150,000 per year. Placement in the range will vary based on job responsibilities and scope, geographic location, candidate’s relevant experience, and other factors.Base salary is only part of the total compensation package. Depending on the position and eligibility requirements, the offer package may also include bonus or other variable compensation. We offer a wide range of <a href="https://jobs.fidelity.com/benefits/" target="_blank">benefits</a> to meet your evolving needs and help you live your best life at work and at home. These benefits include comprehensive health care coverage and emotional well-being support, market-leading retirement, generous paid time off and parental leave, charitable giving employee match program, and educational assistance including student loan repayment, tuition reimbursement, and learning resources to develop your career. Note, the application window closes when the position is filled or unposted.Fidelity’s hybrid working model blends the best of both onsite and offsite work experiences. Working onsite is important for our business strategy and our culture. We also value the benefits that working offsite offers associates. Most hybrid roles require associates to work onsite every other week (all business days, M-F) in a Fidelity office.Please be advised that Fidelity’s business is governed by the provisions of the Securities Exchange Act of 1934, the Investment Advisers Act of 1940, the Investment Company Act of 1940, ERISA, numerous state laws governing securities, investment and retirement-related financial activities and the rules and regulations of numerous self-regulatory organizations, including FINRA, among others. Those laws and regulations may restrict Fidelity from hiring and/or associating with individuals with certain Criminal Histories.<h3>Certifications:</h3>Series 07 - FINRA, Series 66 - FINRA<h3>Category:</h3>Sales

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