Credentialing Coordinator - Medical Staff Services

78613 Round Rock, Texas Ascension

Posted 12 days ago

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Job Description

Details
  • Department: Medical Staff Services
  • Schedule: Monday - Friday Full Time - 40 Hours
  • Hospital: Cedar Park Medical Center
  • Location: 1401 Medical Parkway Cedar Park, Texas
Benefits

Paid time off (PTO)
Various health insurance options & wellness plans
Retirement benefits including employer match plans
Long-term & short-term disability
Employee assistance programs (EAP)
Parental leave & adoption assistance
Tuition reimbursement
Ways to give back to your community


Benefit options and eligibility vary by position. Compensation varies based on factors including, but not limited to, experience, skills, education, performance, location and salary range at the time of the offer.

Responsibilities

Coordinate processing of applications, appointments, and administrative support services for medical staff and health professionals.

  • Handle the billing, collection, and deposit of medical staff dues.
  • Schedule, coordinate and attend all assigned department and committee meetings, conferences and special events in support of medical staff credentialing activities.
  • Communicate with both internal and external customers concerning the credentialing activities and operation of the department, including verification requests regarding hospital privileges, past residencies, and fellowships.
  • Ensure data integrity. Maintain adequate documentation for analysis, data retrieval, and troubleshooting of systems and databases.
  • Maintain current credential files on all employed/contracted physicians for physician groups.
  • Develop, update, and maintain matrix of physician participation/enrollment with contracted payers and distribute to management, physicians and office staff.
  • Notify contracted payers of any physician changes or other pertinent information.
Requirements

Education:

  • High School diploma equivalency OR 1 year of applicable cumulative job specific experience required.
    • Note: Required professional licensure/certification can be used in lieu of education or experience, if applicable.
Additional Preferences
  • Experience with Credentialing Required
  • Experience with MD - Staff Software Required
Why Join Our Team

Ascension Seton, based in Austin, Texas, has provided thousands of associates and caregivers a rewarding career in healthcare since 1902. Ascension Seton operates more than 100 clinical locations in Central Texas and four teaching hospitals, including Dell Seton Medical Center at The University of Texas and Dell Children's Medical Center. Join us and create a career path you will love.

Ascension is a leading non-profit, faith-based national health system made up of over 134,000 associates and 2,600 sites of care, including more than 140 hospitals and 40 senior living communities in 19 states.

Our Mission, Vision and Values encompass everything we do at Ascension. Every associate is empowered to give back, volunteer and make a positive impact in their community. Ascension careers are more than jobs; they are opportunities to enhance your life and the lives of the people around you.

Equal Employment Opportunity Employer

Ascension provides Equal Employment Opportunities (EEO) to all associates and applicants for employment without regard to race, color, religion, sex/gender, sexual orientation, gender identity or expression, pregnancy, childbirth, and related medical conditions, lactation, breastfeeding, national origin, citizenship, age, disability, genetic information, veteran status, marital status, all as defined by applicable law, and any other legally protected status or characteristic in accordance with applicable federal, state and local laws.

For further information, view the EEO Know Your Rights (English) poster or EEO Know Your Rights (Spanish) poster.

As a military friendly organization, Ascension promotes career flexibility and offers many benefits to help support the well-being of our military families, spouses, veterans and reservists. Our associates are empowered to apply their military experience and unique perspective to their civilian career with Ascension.

Pay Non-Discrimination Notice

Please note that Ascension will make an offer of employment only to individuals who have applied for a position using our official application. Be on alert for possible fraudulent offers of employment. Ascension will not solicit money or banking information from applicants.

This Ministry does not participate in E-Verify and therefore cannot employ STEM OPT candidates.

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Credentialing Coordinator - Medical Staff Services

78630 Cedar Park, Texas Ascension Health

Posted 3 days ago

Job Viewed

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Job Description

**Details**
+ **Department:** Medical Staff Services
+ **Schedule:** Monday - Friday Full Time - 40 Hours
+ **Hospital:** Cedar Park Medical Center
+ **Location:** 1401 Medical Parkway Cedar Park, Texas
**Benefits**
Paid time off (PTO)
Various health insurance options & wellness plans
Retirement benefits including employer match plans
Long-term & short-term disability
Employee assistance programs (EAP)
Parental leave & adoption assistance
Tuition reimbursement
Ways to give back to your community
_Benefit options and eligibility vary by position. Compensation varies based on factors including, but not limited to, experience, skills, education, performance, location and salary range at the time of the offer._
**Responsibilities**
Coordinate processing of applications, appointments, and administrative support services for medical staff and health professionals.
+ Handle the billing, collection, and deposit of medical staff dues.
+ Schedule, coordinate and attend all assigned department and committee meetings, conferences and special events in support of medical staff credentialing activities.
+ Communicate with both internal and external customers concerning the credentialing activities and operation of the department, including verification requests regarding hospital privileges, past residencies, and fellowships.
+ Ensure data integrity. Maintain adequate documentation for analysis, data retrieval, and troubleshooting of systems and databases.
+ Maintain current credential files on all employed/contracted physicians for physician groups.
+ Develop, update, and maintain matrix of physician participation/enrollment with contracted payers and distribute to management, physicians and office staff.
+ Notify contracted payers of any physician changes or other pertinent information.
**Requirements**
Education:
+ High School diploma equivalency OR 1 year of applicable cumulative job specific experience required.
+ Note: Required professional licensure/certification can be used in lieu of education or experience, if applicable.
**Additional Preferences**
+ Experience with Credentialing Required
+ Experience with MD - Staff Software Required
**Why Join Our Team**
Ascension Seton, based in Austin, Texas, has provided thousands of associates and caregivers a rewarding career in healthcare since 1902. Ascension Seton operates more than 100 clinical locations in Central Texas and four teaching hospitals, including Dell Seton Medical Center at The University of Texas and Dell Children's Medical Center. Join us and create a career path you will love.
Ascension is a leading non-profit, faith-based national health system made up of over 134,000 associates and 2,600 sites of care, including more than 140 hospitals and 40 senior living communities in 19 states.
Our Mission, Vision and Values encompass everything we do at Ascension. Every associate is empowered to give back, volunteer and make a positive impact in their community. Ascension careers are more than jobs; they are opportunities to enhance your life and the lives of the people around you.
**Equal Employment Opportunity Employer**
Ascension provides Equal Employment Opportunities (EEO) to all associates and applicants for employment without regard to race, color, religion, sex/gender, sexual orientation, gender identity or expression, pregnancy, childbirth, and related medical conditions, lactation, breastfeeding, national origin, citizenship, age, disability, genetic information, veteran status, marital status, all as defined by applicable law, and any other legally protected status or characteristic in accordance with applicable federal, state and local laws.
For further information, view the EEO Know Your Rights (English) ( poster or EEO Know Your Rights (Spanish) ( poster.
As a military friendly organization, Ascension promotes career flexibility and offers many benefits to help support the well-being of our military families, spouses, veterans and reservists. Our associates are empowered to apply their military experience and unique perspective to their civilian career with Ascension.
Pay Non-Discrimination Notice ( note that Ascension will make an offer of employment only to individuals who have applied for a position using our official application. Be on alert for possible fraudulent offers of employment. Ascension will not solicit money or banking information from applicants.
**This Ministry does not participate in E-Verify and therefore cannot employ STEM OPT candidates.**
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Supervisor, Finance Operations - Medical Pricing Services

78703 Austin, Texas Cardinal Health

Posted 3 days ago

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Job Description

**_What Finance Operations contributes to Cardinal Health_**

Finance oversees the accounting, tax, financial plans and policies of the organization, establishes and maintains fiscal controls, prepares and interprets financial reports, oversees financial systems and safeguards the organization's assets.

Finance Operations is responsible for the oversight and overall performance of the following core financial processes. This includes pricing administration, rebates, cash application, chargebacks, billing, accounts payable and employee travel & expense.

**_What Customer/Supplier Pricing Services contributes to Cardinal Health_**

Customer/Supplier Pricing Services is responsible for customer and/or supplier contract administration, as well as administering and reviewing specialty pricing initiatives as deemed appropriate. Responsible for researching and problem-solving customer or supplier issues or disputes and acting as a liaison with internal and external key stakeholders. Develops and manages customer relationships within pricing and contract implementation process.

**_Responsibilities_**

+ Lead and support a team of 10+ direct reports with varying levels of experience

+ Set team priorities and delegate effectively across multiple competing demands

+ Create and maintain a strong team culture centered on ownership, accountability, and learning

+ Deliver clear and constructive coaching to individuals to support growth and performance

+ Serve as a point of contact for customer escalations and internal business stakeholders

+ Drive resolution of issues with cross-functional partners while protecting team focus

+ Review operational or transactional data to identify trends, surface gaps, and recommend improvements

+ Present data and strategy in a way that drives leadership decision making

+ Navigate change and ambiguity while keeping the team informed and supported

+ Represent team needs and performance to management with clarity and confidence

**_Qualifications_**

+ Bachelors degree preferred or equivalent working experience

+ 2-4 years experience with people leadership experience preferred

+ Demonstrated ability to lead through change, ambiguity, and shifting business priorities

+ Experience working with internal partners and external customers in cross-functional settings

+ Strong communication skills, including an ability to give and receive feedback, facilitate tough conversations, and influence outcomes

+ An analytical mindset capable of working with large datasets to uncover insights and tell a story

+ Strategic thinker with a proven track record of solving problems

+ Growth mindset with curiosity and an openness to learning new systems, processes, and business logic

+ High emotional intelligence, integrity, and a reputation for being a team builder

**Anticipated salary range:** $66,500 - $99,645

**Bonus eligible:** Yes

**Benefits:** Cardinal Health offers a wide variety of benefits and programs to support health and well-being.

+ Medical, dental and vision coverage

+ Paid time off plan

+ Health savings account (HSA)

+ 401k savings plan

+ Access to wages before pay day with myFlexPay

+ Flexible spending accounts (FSAs)

+ Short- and long-term disability coverage

+ Work-Life resources

+ Paid parental leave

+ Healthy lifestyle programs

**Application window anticipated to close:** 10/20/2025 *if interested in opportunity, please submit application as soon as possible.

The salary range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity.

_Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply._

_Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal_ _Opportunity/Affirmative_ _Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law._

_To read and review this privacy notice click_ here (
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Supervisor, Finance Operations - Medical Pricing Services

78703 Austin, Texas Cardinal Health

Posted 3 days ago

Job Viewed

Tap Again To Close

Job Description

**_What Finance Operations contributes to Cardinal Health_**
Finance oversees the accounting, tax, financial plans and policies of the organization, establishes and maintains fiscal controls, prepares and interprets financial reports, oversees financial systems and safeguards the organization's assets.
Finance Operations is responsible for the oversight and overall performance of the following core financial processes. This includes pricing administration, rebates, cash application, chargebacks, billing, accounts payable and employee travel & expense.
**_What Customer/Supplier Pricing Services contributes to Cardinal Health_**
Customer/Supplier Pricing Services is responsible for customer and/or supplier contract administration, as well as administering and reviewing specialty pricing initiatives as deemed appropriate. Responsible for researching and problem-solving customer or supplier issues or disputes and acting as a liaison with internal and external key stakeholders. Develops and manages customer relationships within pricing and contract implementation process.
**_Responsibilities_**
+ Lead and support a team of 10+ direct reports with varying levels of experience
+ Set team priorities and delegate effectively across multiple competing demands
+ Create and maintain a strong team culture centered on ownership, accountability, and learning
+ Deliver clear and constructive coaching to individuals to support growth and performance
+ Serve as a point of contact for customer escalations and internal business stakeholders
+ Drive resolution of issues with cross-functional partners while protecting team focus
+ Review operational or transactional data to identify trends, surface gaps, and recommend improvements
+ Present data and strategy in a way that drives leadership decision making
+ Navigate change and ambiguity while keeping the team informed and supported
+ Represent team needs and performance to management with clarity and confidence
**_Qualifications_**
+ Bachelors degree preferred or equivalent working experience
+ 2-4 years experience with people leadership experience preferred
+ Demonstrated ability to lead through change, ambiguity, and shifting business priorities
+ Experience working with internal partners and external customers in cross-functional settings
+ Strong communication skills, including an ability to give and receive feedback, facilitate tough conversations, and influence outcomes
+ An analytical mindset capable of working with large datasets to uncover insights and tell a story
+ Strategic thinker with a proven track record of solving problems
+ Growth mindset with curiosity and an openness to learning new systems, processes, and business logic
+ High emotional intelligence, integrity, and a reputation for being a team builder
**Anticipated salary range:** $66,500 - $99,645
**Bonus eligible:** Yes
**Benefits:** Cardinal Health offers a wide variety of benefits and programs to support health and well-being.
+ Medical, dental and vision coverage
+ Paid time off plan
+ Health savings account (HSA)
+ 401k savings plan
+ Access to wages before pay day with myFlexPay
+ Flexible spending accounts (FSAs)
+ Short- and long-term disability coverage
+ Work-Life resources
+ Paid parental leave
+ Healthy lifestyle programs
**Application window anticipated to close:** 10/20/2025 *if interested in opportunity, please submit application as soon as possible.
The salary range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity.
_Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply._
_Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal_ _Opportunity/Affirmative_ _Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law._
_To read and review this privacy notice click_ here (
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Medical Director, Clinical Services

78703 Austin, Texas Highmark Health

Posted 3 days ago

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Job Description

**Company :**
Highmark Inc.
**Job Description :**
**JOB SUMMARY**
This job, as part of a physician team, ensures that utilization management responsibilities are performed in accordance with the highest and most current clinical standards. The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical necessity and appropriateness of the requested treatment of service. Depending on the nature of the case, telephonic peer to peer discussions may be required. The incumbent ensures compliance to NCQA, URAC, CMS, DOH, and DOL regulations at all times. In addition to utilization review, the incumbent participates as the physician member of the multidisciplinary team for case and disease management. They will advise the multidisciplinary team on cases, particularly high-risk cases, through the team structure. Additionally, the incumbent may be assigned special projects to help support and improve the care of our members
**ESSENTIAL RESPONSIBILITIES**
+ Conduct electronic review of escalated cases against medical policy criteria, which may include telephonic peer to peer discussions, to determine medical necessity and appropriateness. Complete initial determination of cases, review of appeals and grievances, and other reviews as assigned. Compose clear and concise rationales for member and provider determination notifications all while adhering to required compliance standards (NCQA, URAC, CMS, DOH, and DOL regulations, etc.). Ensure that all aspects of the medical management process are consistent with community standards of care.
+ Participate as a member of the CMDM multidisciplinary team. Attend huddles and grand rounds. Advise multidisciplinary team on cases that require physician expertise.
+ Participate in protocol and guidelines development to ensure consistency in the review process.
+ Actively manage projects and/or participate on project teams that require a physician subject matter expert.
+ Other duties as assigned.
**EDUCATION**
**Required**
+ Medical Doctor (MD) or Doctor of Osteopathic Medicine (DO)
**Substitutions**
+ None
**Preferred**
+ Master's Degree in Business Administration/Management or Public Health
**EXPERIENCE**
**Required**
+ 5 years in Clinical, Direct Patient care (hospital, outpatient, or private practice)
**Preferred**
+ 1 year in Medical Management in a Health Insurance Plan; strong knowledge of managed care industry
**LICENSES AND CERTIFICATION**
**Required**
+ Medical Doctor or Doctor of Osteopathic Medicine (DO)
+ Awarded Board Certification at least once in specialty recognized by the American Board of Medical Specialties or the American Osteopathic Association Specialty Certifying Boards
+ Active medical state licensure required. Additional specific state licensure(s) may be required based on business need.
**Preferred**
+ None
**SKILLS**
+ Critical Thinking
+ Case Management
+ Customer Service
+ Oral & Written Communication Skills
+ Collaboration
+ Listening
+ Telephone Skills
+ General Computer Skills
+ Clinical Software
+ Managed Care
**Language (Other than English)**
None
**Travel Required**
0% - 25%
**PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS**
Position Type
Office-Based
Teaches / trains others regularly
Occasionally
Travel regularly from the office to various work sites or from site-to-site
Rarely
Works primarily out-of-the office selling products/services (sales employees)
Never
Physical work site required
No
Lifting: up to 10 pounds
Constantly
Lifting: 10 to 25 pounds
Rarely
Lifting: 25 to 50 pounds
Rarely
**_Disclaimer:_** _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job._
**_Compliance Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies._
_As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy._
_Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements._
**Pay Range Minimum:**
$170,000.00
**Pay Range Maximum:**
$352,500.00
_Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets._
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.
We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below.
For accommodation requests, please contact HR Services Online at
California Consumer Privacy Act Employees, Contractors, and Applicants Notice
Req ID: J
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PRN LVN Home Healthcare Provider

78682 Round Rock, Texas St. David's Healthcare at Home

Posted today

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Job Description

Description

Are you passionate about providing exceptional patient care? Join our dedicated team as a PRN LVN Home Healthcare Provider. At St. David's Healthcare at Home, we empower our colleagues with extensive support and resources to thrive in their careers.

Why You'll Love Working Here:

  • Comprehensive medical coverage with low copays, including prescription, behavioral health, telemedicine, and AirMed medical transportation services.
  • Options for dental and vision benefits, life insurance, disability coverage, and supplemental health protection plans.
  • Access to free counseling services for emotional, physical, and financial wellbeing.
  • Generous retirement plan with a 100% match on contributions from 3% to 9% depending on your tenure.
  • Employee Stock Purchase Plan with a 10% discount on HCA Healthcare stock.
  • Support for family building through fertility benefits and adoption assistance.
  • Resources for childcare, eldercare, pet care, and home repair services.
  • Discounts on consumer products and services.
  • Educational assistance including tuition reimbursement, student loan support, and scholarships for dependents.
  • Acknowledgment programs to celebrate colleague achievements.
  • Flexible paid time off and family leave options.

What You Will Do:

  • Deliver quality nursing care to patients in their homes under the supervision of an RN or Director of Professional Services.
  • Assess and document patient needs based on care plans and physician orders.
  • Communicate significant findings and changes in patient conditions to the healthcare team.
  • Educate patients and caregivers on managing disease processes and treatment plans.
  • Collaborate with other healthcare professionals to ensure comprehensive care.

Qualifications:

  • Graduated from an accredited LPN/LVN program.
  • At least one year of experience in a clinical care setting.
  • Home healthcare experience is preferred.
  • Valid LPN/LVN license in good standing.
  • Current Basic Life Support (BCLS) certification.
  • Reliable transportation and proof of current auto insurance.
  • Valid driver's license.

As part of HCA Healthcare, a leader in the healthcare field, you'll have access to continuous learning and professional development opportunities. We are committed to delivering high-quality patient care and need dedicated professionals like you to join our mission. If you are ready to take the next step in your career, we encourage you to apply for the PRN LVN Home Healthcare Provider position.

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PRN LVN Home Healthcare Provider

78716 Austin, Texas St. David's Healthcare at Home

Posted today

Job Viewed

Tap Again To Close

Job Description

Description

Are you passionate about providing exceptional patient care? Join our dedicated team as a PRN LVN Home Healthcare Provider. At St. David's Healthcare at Home, we empower our colleagues with extensive support and resources to thrive in their careers.

Why You'll Love Working Here:

  • Comprehensive medical coverage with low copays, including prescription, behavioral health, telemedicine, and AirMed medical transportation services.
  • Options for dental and vision benefits, life insurance, disability coverage, and supplemental health protection plans.
  • Access to free counseling services for emotional, physical, and financial wellbeing.
  • Generous retirement plan with a 100% match on contributions from 3% to 9% depending on your tenure.
  • Employee Stock Purchase Plan with a 10% discount on HCA Healthcare stock.
  • Support for family building through fertility benefits and adoption assistance.
  • Resources for childcare, eldercare, pet care, and home repair services.
  • Discounts on consumer products and services.
  • Educational assistance including tuition reimbursement, student loan support, and scholarships for dependents.
  • Acknowledgment programs to celebrate colleague achievements.
  • Flexible paid time off and family leave options.

What You Will Do:

  • Deliver quality nursing care to patients in their homes under the supervision of an RN or Director of Professional Services.
  • Assess and document patient needs based on care plans and physician orders.
  • Communicate significant findings and changes in patient conditions to the healthcare team.
  • Educate patients and caregivers on managing disease processes and treatment plans.
  • Collaborate with other healthcare professionals to ensure comprehensive care.

Qualifications:

  • Graduated from an accredited LPN/LVN program.
  • At least one year of experience in a clinical care setting.
  • Home healthcare experience is preferred.
  • Valid LPN/LVN license in good standing.
  • Current Basic Life Support (BCLS) certification.
  • Reliable transportation and proof of current auto insurance.
  • Valid driver's license.

As part of HCA Healthcare, a leader in the healthcare field, you'll have access to continuous learning and professional development opportunities. We are committed to delivering high-quality patient care and need dedicated professionals like you to join our mission. If you are ready to take the next step in your career, we encourage you to apply for the PRN LVN Home Healthcare Provider position.

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Business transformation, Healthcare Provider Operations -Senior

78716 Austin, Texas EY

Posted 4 days ago

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Job Description

Location: Anywhere in Country

At EY, we're all in to shape your future with confidence.

We'll help you succeed in a globally connected powerhouse of diverse teams and take your career wherever you want it to go. Join EY and help to build a better working world.

Business transformation, Healthcare Provider Operations_Senior

#Healthcare

About our business

At EY Consulting, we are building a better working world by transforming businesses through the power of people, technology, and innovation. Our clients are at the heart of what we do. We're focused on solving the key issues of our client buyers, building deeper relationships, and generating lasting value with significant impact.

Our firm sets the standard for consulting services, fostering an environment that encourages career ownership at every stage. As a part of our team, you'll be at the forefront of this dynamic service line, driving change and delivering solutions that revolutionize business operations. You'll help our clients in transformation and innovation efforts: driving growth, reducing costs, and managing risks proactively.

Healthcare Consulting

Today's healthcare environment in the post-COVID era is undergoing rapid change and transformation. As healthcare organizations seek to stabilize operations and plan for a financially sustainable future, they are challenged to integrate transformative technology (Artificial intelligence, automation, etc.), adjust to patient-focused operations, and maintain operational discipline to withstand increasing financial pressures. As a manager within our Health consulting practice, you'll work with clients across the healthcare industry, from hospitals and integrated delivery networks to commercial and governmental insurers. You'll use your industry knowledge and relationship skillsets to assist our clients in transforming operations to meet the evolving demands of today's healthcare market.

The opportunity

As a Senior Consultant on our Health team, you will play a key role in helping health systems and health insurance companies tackle their financial and operational challenges. You'll contribute to important projects and work closely within teams, using your skills to turn complex data into clear, actionable insights. The health industry is experiencing an unprecedented surge, and our clients depend on us to steer them through transformative changes and pressing challenges. In this pivotal role, you will elevate client outcomes, improve access to care, support quality of care, and streamline the cost of care. If your drive lies in the healthcare sector and you excel in client-facing situations, this position is tailored for you.

Your key responsibilities

You'll spend most of your time teaming with our provider team working with a broad spectrum of not-for-profit and for-profit healthcare clients, including hospitals, healthcare systems, physician practices and academic medical centers, to assess and redesign clinical processes.

As a Senior in our Health consulting group, you'll work with clients across the following areas:

  • Operational improvement

  • Benchmarking and financial quantification

  • Cost reduction/revenue enhancement

  • Workflow redesign

Skills and attributes for success

  • Effectively manage and motivate client engagement teams with diverse skills and backgrounds Foster an innovative and inclusive team -oriented work environment. Play an active role in counselling and mentoring junior consultants within the organization

  • Foster relationships with client personnel at appropriate levels. Consistently deliver quality client services. Drive high-quality work products within expected timeframes and on budget. Monitor progress, manage risk and ensure key stakeholders are kept informed about progress and expected outcomes

  • Cultivate and manage business development opportunities. Understand EY and its service lines and actively assess/present ways to serve clients. Develop and maintain long-term client relationships and networks

  • Demonstrate in-depth technical capabilities and professional knowledge

Required qualifications

  • A bachelor's or master's degree and approximately 3+ years of relevant work experience in healthcare, insurance, business analysis, consulting, or a related field.

  • Approximately 2 years of healthcare consulting experience, preferably with prior experience in a consulting firm

  • Assist in generating revenue within existing healthcare clients and in developing new prospects at the "C" level of large healthcare companies

  • Ability to manage a team of staff/senior consulting professionals

  • Ability to work collaboratively in a team environment (knows when to lead and when to follow)

  • Strong analytical and problem-solving skills, as well as excellent oral and written communication skills

  • A willingness to travel to meet client needs; travel is required as needed by the client.

  • Strong leadership skills and the ability to work collaboratively in a team environment, demonstrate inclusivity, and embrace diverse perspectives.

  • Excellent presentation skills and the ability to communicate complex concepts effectively to all audiences while leveraging relevant data to generate insights and innovative solutions.

  • Intellectual curiosity, the ability to take initiative and drive execution, and advanced analytical and problem-solving skills within a dynamic and evolving business landscape.

  • Exhibits an agile and growth-oriented mindset.

  • Possesses strong commercial awareness and has a desire to make a positive impact on global companies as well as domestic businesses, contributing to their long-term success.

Preferred qualifications

  • Knowledgeable in relevant industry areas such as Health plans, health systems and healthcare specific applications.

  • Exposure to operational improvement, benchmarking and financial quantification, cost reduction/revenue enhancement or workflow redesign within the health industry.

What we look for

We're interested in passionate leaders with strong vision and a desire to stay on top of trends in the healthcare industry. If you have a genuine passion for healthcare, this role is for you

What we offer you

At EY, we'll develop you with future-focused skills and equip you with world-class experiences. We'll empower you in a flexible environment, and fuel you and your extraordinary talents in a diverse and inclusive culture of globally connected teams. Learn more .

  • We offer a comprehensive compensation and benefits package where you'll be rewarded based on your performance and recognized for the value you bring to the business. The base salary range for this job in all geographic locations in the US is $96,300 to $76,500. The base salary range for New York City Metro Area, Washington State and California (excluding Sacramento) is 115,500 to 200,600. Individual salaries within those ranges are determined through a wide variety of factors including but not limited to education, experience, knowledge, skills and geography. In addition, our Total Rewards package includes medical and dental coverage, pension and 401(k) plans, and a wide range of paid time off options.

  • Join us in our team-led and leader-enabled hybrid model. Our expectation is for most people in external, client serving roles to work together in person 40-60% of the time over the course of an engagement, project or year.

  • Under our flexible vacation policy, you'll decide how much vacation time you need based on your own personal circumstances. You'll also be granted time off for designated EY Paid Holidays, Winter/Summer breaks, Personal/Family Care, and other leaves of absence when needed to support your physical, financial, and emotional well-being.

Are you ready to shape your future with confidence? Apply today.

EY accepts applications for this position on an on-going basis.

For those living in California, please click here for additional information.

EY focuses on high-ethical standards and integrity among its employees and expects all candidates to demonstrate these qualities.

EY | Building a better working world

EY is building a better working world by creating new value for clients, people, society and the planet, while building trust in capital markets.

Enabled by data, AI and advanced technology, EY teams help clients shape the future with confidence and develop answers for the most pressing issues of today and tomorrow.

EY teams work across a full spectrum of services in assurance, consulting, tax, strategy and transactions. Fueled by sector insights, a globally connected, multi-disciplinary network and diverse ecosystem partners, EY teams can provide services in more than 150 countries and territories.

EY provides equal employment opportunities to applicants and employees without regard to race, color, religion, age, sex, sexual orientation, gender identity/expression, pregnancy, genetic information, national origin, protected veteran status, disability status, or any other legally protected basis, including arrest and conviction records, in accordance with applicable law?

EY is committed to providing reasonable accommodation to qualified individuals with disabilities including veterans with disabilities. If you have a disability and either need assistance applying online or need to request an accommodation during any part of the application process, please call 1-800-EY-HELP3, select Option 2 for candidate related inquiries, then select Option 1 for candidate queries and finally select Option 2 for candidates with an inquiry which will route you to EY's Talent Shared Services Team (TSS) or email the TSS at .

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Business transformation, Healthcare Provider Operations -Senior

78703 Austin, Texas EY

Posted 3 days ago

Job Viewed

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Job Description

Location: Anywhere in Country
At EY, we're all in to shape your future with confidence.
We'll help you succeed in a globally connected powerhouse of diverse teams and take your career wherever you want it to go. Join EY and help to build a better working world.
**Business transformation, Healthcare Provider Operations_Senior**
**#Healthcare**
**About our business**
At EY Consulting, we are building a better working world by transforming businesses through the power of people, technology, and innovation. Our clients are at the heart of what we do. We're focused on solving the key issues of our client buyers, building deeper relationships, and generating lasting value with significant impact.
Our firm sets the standard for consulting services, fostering an environment that encourages career ownership at every stage. As a part of our team, you'll be at the forefront of this dynamic service line, driving change and delivering solutions that revolutionize business operations. You'll help our clients in transformation and innovation efforts: driving growth, reducing costs, and managing risks proactively.
**Healthcare Consulting**
Today's healthcare environment in the post-COVID era is undergoing rapid change and transformation. As healthcare organizations seek to stabilize operations and plan for a financially sustainable future, they are challenged to integrate transformative technology (Artificial intelligence, automation, etc.), adjust to patient-focused operations, and maintain operational discipline to withstand increasing financial pressures. As a manager within our Health consulting practice, you'll work with clients across the healthcare industry, from hospitals and integrated delivery networks to commercial and governmental insurers. You'll use your industry knowledge and relationship skillsets to assist our clients in transforming operations to meet the evolving demands of today's healthcare market.
**The opportunity**
As a Senior Consultant on our Health team, you will play a key role in helping health systems and health insurance companies tackle their financial and operational challenges. You'll contribute to important projects and work closely within teams, using your skills to turn complex data into clear, actionable insights. The health industry is experiencing an unprecedented surge, and our clients depend on us to steer them through transformative changes and pressing challenges. In this pivotal role, you will elevate client outcomes, improve access to care, support quality of care, and streamline the cost of care. If your drive lies in the healthcare sector and you excel in client-facing situations, this position is tailored for you.
**Your key responsibilities**
You'll spend most of your time teaming with our provider team working with a broad spectrum of not-for-profit and for-profit healthcare clients, including hospitals, healthcare systems, physician practices and academic medical centers, to assess and redesign clinical processes.
As a Senior in our Health consulting group, you'll work with clients across the following areas:
+ Operational improvement
+ Benchmarking and financial quantification
+ Cost reduction/revenue enhancement
+ Workflow redesign
**Skills and attributes for success**
+ Effectively manage and motivate client engagement teams with diverse skills and backgrounds Foster an innovative and inclusive team -oriented work environment. Play an active role in counselling and mentoring junior consultants within the organization
+ Foster relationships with client personnel at appropriate levels. Consistently deliver quality client services. Drive high-quality work products within expected timeframes and on budget. Monitor progress, manage risk and ensure key stakeholders are kept informed about progress and expected outcomes
+ Cultivate and manage business development opportunities. Understand EY and its service lines and actively assess/present ways to serve clients. Develop and maintain long-term client relationships and networks
+ Demonstrate in-depth technical capabilities and professional knowledge
**Required qualifications**
+ A bachelor's or master's degree and approximately 3+ years of relevant work experience in healthcare, insurance, business analysis, consulting, or a related field.
+ Approximately 2 years of healthcare consulting experience, preferably with prior experience in a consulting firm
+ Assist in generating revenue within existing healthcare clients and in developing new prospects at the "C" level of large healthcare companies
+ Ability to manage a team of staff/senior consulting professionals
+ Ability to work collaboratively in a team environment (knows when to lead and when to follow)
+ Strong analytical and problem-solving skills, as well as excellent oral and written communication skills
+ A willingness to travel to meet client needs; travel is required as needed by the client.
+ Strong leadership skills and the ability to work collaboratively in a team environment, demonstrate inclusivity, and embrace diverse perspectives.
+ Excellent presentation skills and the ability to communicate complex concepts effectively to all audiences while leveraging relevant data to generate insights and innovative solutions.
+ Intellectual curiosity, the ability to take initiative and drive execution, and advanced analytical and problem-solving skills within a dynamic and evolving business landscape.
+ Exhibits an agile and growth-oriented mindset.
+ Possesses strong commercial awareness and has a desire to make a positive impact on global companies as well as domestic businesses, contributing to their long-term success.
**Preferred qualifications**
+ Knowledgeable in relevant industry areas such as Health plans, health systems and healthcare specific applications.
+ Exposure to operational improvement, benchmarking and financial quantification, cost reduction/revenue enhancement or workflow redesign within the health industry.
**What we look for**
We're interested in passionate leaders with strong vision and a desire to stay on top of trends in the healthcare industry. If you have a genuine passion for healthcare, this role is for you
**What we offer you**
At EY, we'll develop you with future-focused skills and equip you with world-class experiences. We'll empower you in a flexible environment, and fuel you and your extraordinary talents in a diverse and inclusive culture of globally connected teams. Learn more .
+ We offer a comprehensive compensation and benefits package where you'll be rewarded based on your performance and recognized for the value you bring to the business. The base salary range for this job in all geographic locations in the US is $96,300 to $76,500. The base salary range for New York City Metro Area, Washington State and California (excluding Sacramento) is 115,500 to 200,600. Individual salaries within those ranges are determined through a wide variety of factors including but not limited to education, experience, knowledge, skills and geography. In addition, our Total Rewards package includes medical and dental coverage, pension and 401(k) plans, and a wide range of paid time off options.
+ Join us in our team-led and leader-enabled hybrid model. Our expectation is for most people in external, client serving roles to work together in person 40-60% of the time over the course of an engagement, project or year.
+ Under our flexible vacation policy, you'll decide how much vacation time you need based on your own personal circumstances. You'll also be granted time off for designated EY Paid Holidays, Winter/Summer breaks, Personal/Family Care, and other leaves of absence when needed to support your physical, financial, and emotional well-being.
**Are you ready to shape your future with confidence? Apply today.**
EY accepts applications for this position on an on-going basis.
For those living in California, please click here for additional information.
EY focuses on high-ethical standards and integrity among its employees and expects all candidates to demonstrate these qualities.
**EY | Building a better working world**
EY is building a better working world by creating new value for clients, people, society and the planet, while building trust in capital markets.
Enabled by data, AI and advanced technology, EY teams help clients shape the future with confidence and develop answers for the most pressing issues of today and tomorrow.
EY teams work across a full spectrum of services in assurance, consulting, tax, strategy and transactions. Fueled by sector insights, a globally connected, multi-disciplinary network and diverse ecosystem partners, EY teams can provide services in more than 150 countries and territories.
EY provides equal employment opportunities to applicants and employees without regard to race, color, religion, age, sex, sexual orientation, gender identity/expression, pregnancy, genetic information, national origin, protected veteran status, disability status, or any other legally protected basis, including arrest and conviction records, in accordance with applicable law. 
EY is committed to providing reasonable accommodation to qualified individuals with disabilities including veterans with disabilities. If you have a disability and either need assistance applying online or need to request an accommodation during any part of the application process, please call 1-800-EY-HELP3, select Option 2 for candidate related inquiries, then select Option 1 for candidate queries and finally select Option 2 for candidates with an inquiry which will route you to EY's Talent Shared Services Team (TSS) or email the TSS at .
View Now

Business Transformation - Sr Manager - Healthcare Provider - Acute Care

78703 Austin, Texas EY

Posted 3 days ago

Job Viewed

Tap Again To Close

Job Description

Location: Anywhere in Country
At EY, we're all in to shape your future with confidence.
We'll help you succeed in a globally connected powerhouse of diverse teams and take your career wherever you want it to go. Join EY and help to build a better working world.
**Business Transformation - Sr Manager - Healthcare Provider - Acute Care**
Today's healthcare environment is undergoing rapid change and transformation. The market is being impacted by changing regulations, new payment structures, increasing reliance on technology, and a move towards population health. As a senior manager within our Health consulting practice, you'll work with clients across the healthcare industry, from hospitals and integrated delivery networks to commercial and governmental insurers. You'll use your industry knowledge and relationship skillsets to assist our clients in delivering services efficiently and effectively.
**The opportunity**
As part of EY's Health consulting practice, you will work with these clients across the country in solving complex problems in today's rapidly changing healthcare environment.  We currently are seeking a highly motivated Senior Manager, with a focus on provider operations, to manage client engagement teams, work with a wide variety of clients to deliver professional services and manage business development activities on strategic and global priority accounts.
**Your key responsibilities**
As a Senior Manager in our Health consulting group focused on Clinical Operations, you'll spend most of your time teaming with our provider team working with a broad spectrum of not-for-profit and for-profit healthcare clients, including hospitals, healthcare systems, physician practices and academic medical centers, to assess and redesign clinical processes across the following areas:
+ Operational improvement
+ Benchmarking and financial quantification
+ Cost reduction/revenue enhancement
+ Workflow redesign
Our current hiring priorities are focused on engagements related to acute care. Candidates with experience leading work in the following areas are strongly preferred:
+ Acute care labor/ productivity
+ ED throughput
+ OR optimization
+ Length of stay and patient throughput
+ Care management redesign
+ Acute care organization design/ span of control
**Skills and attributes for success**
+ Effectively manage and motivate client engagement teams with diverse skills and backgrounds
+ Foster an innovative and inclusive team -oriented work environment. Play an active role in counselling and mentoring junior consultants within the organization
+ Foster relationships with client personnel at appropriate levels. Consistently deliver quality client services. Drive high-quality work products within expected timeframes and on budget. Monitor progress, manage risk and ensure key stakeholders are kept informed about progress and expected outcomes
+ Cultivate and manage business development opportunities. Understand EY and its service lines and actively assess/present ways to serve clients. Develop and maintain long-term client relationships and networks
+ Demonstrate in-depth technical capabilities and professional knowledge
**To qualify for the role, you must have**
+ A bachelor's degree and approximately 10 years of related work experience; or a graduate degree and approximately 7 years of related work experience.
+ Approximately 7 years of healthcare consulting experience in provider operations; acute care experience is preferred.
+ Prior experience as a senior manager (or above), in a consulting firm or in a senior management role within industry
+ Ability to read and interpret hospital financial statements and contract terms, utilize complex financial models, experience with operational process mapping and experience with healthcare cost reduction planning and implementation
+ Experience with healthcare organization M&A, physician alignment, or financial margin improvement initiatives
+ Experience in selling and delivering projects that cover the full life cycle of assessment, design and implementation support; demonstrated record of driving revenue within existing healthcare clients and in developing new prospects at the "C" level of large healthcare companies
+ Ability to manage a team of staff/senior/manager consulting professionals
+ Ability to work collaboratively in a team environment
+ Strong analytical and problem-solving skills, as well as excellent oral and written communication skills
+ A willingness to travel to meet client needs; travel is estimated at 80%.
**Ideally, you'll also have**
+ A degree with an emphasis in Finance, Accounting, and/or Business; CPA, MBA, MHA and/or MPH
+ Clinical background is preferred but not required.
**What we look for**
We're interested in passionate leaders with strong vision and a desire to stay on top of trends in the healthcare industry. If you have a genuine passion for healthcare, this role is for you.
**What we offer you**
At EY, we'll develop you with future-focused skills and equip you with world-class experiences. We'll empower you in a flexible environment, and fuel you and your extraordinary talents in a diverse and inclusive culture of globally connected teams. Learn more .
+ We offer a comprehensive compensation and benefits package where you'll be rewarded based on your performance and recognized for the value you bring to the business. The base salary range for this job in all geographic locations in the US is $150,400 to $43,600. The base salary range for New York City Metro Area, Washington State and California (excluding Sacramento) is 180,500 to 390,500. Individual salaries within those ranges are determined through a wide variety of factors including but not limited to education, experience, knowledge, skills and geography. In addition, our Total Rewards package includes medical and dental coverage, pension and 401(k) plans, and a wide range of paid time off options.
+ Join us in our team-led and leader-enabled hybrid model. Our expectation is for most people in external, client serving roles to work together in person 40-60% of the time over the course of an engagement, project or year.
+ Under our flexible vacation policy, you'll decide how much vacation time you need based on your own personal circumstances. You'll also be granted time off for designated EY Paid Holidays, Winter/Summer breaks, Personal/Family Care, and other leaves of absence when needed to support your physical, financial, and emotional well-being.
**Are you ready to shape your future with confidence? Apply today.**
EY accepts applications for this position on an on-going basis.
For those living in California, please click here for additional information.
EY focuses on high-ethical standards and integrity among its employees and expects all candidates to demonstrate these qualities.
**EY | Building a better working world**
EY is building a better working world by creating new value for clients, people, society and the planet, while building trust in capital markets.
Enabled by data, AI and advanced technology, EY teams help clients shape the future with confidence and develop answers for the most pressing issues of today and tomorrow.
EY teams work across a full spectrum of services in assurance, consulting, tax, strategy and transactions. Fueled by sector insights, a globally connected, multi-disciplinary network and diverse ecosystem partners, EY teams can provide services in more than 150 countries and territories.
EY provides equal employment opportunities to applicants and employees without regard to race, color, religion, age, sex, sexual orientation, gender identity/expression, pregnancy, genetic information, national origin, protected veteran status, disability status, or any other legally protected basis, including arrest and conviction records, in accordance with applicable law. 
EY is committed to providing reasonable accommodation to qualified individuals with disabilities including veterans with disabilities. If you have a disability and either need assistance applying online or need to request an accommodation during any part of the application process, please call 1-800-EY-HELP3, select Option 2 for candidate related inquiries, then select Option 1 for candidate queries and finally select Option 2 for candidates with an inquiry which will route you to EY's Talent Shared Services Team (TSS) or email the TSS at .
View Now
 

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