31 Healthcare Professionals jobs in Helena
Sr. Healthcare Occupancy Planner

Posted 1 day ago
Job Viewed
Job Description
Job ID
229644
Posted
23-Jul-2025
Service line
Advisory Segment
Role type
Full-time
Areas of Interest
Consulting
Location(s)
Remote - US - Remote - US - United States of America
**About The Role:**
As a CBRE Sr. Healthcare Occupancy Planner, you will provide specialized clinical planning support for healthcare and related facilities, including physician practices, ambulatory care centers, and hospitals.
**What You'll Do:**
+ Analyze clinical workflows and assess space requirements to optimize facility layouts for improved patient care and operational efficiency
+ Collaborate with healthcare providers, executives, and clinical leaders to understand strategic goals and service line priorities
+ Lead planning sessions and customer interviews to define project scope, clinical program requirements, and operational objectives
+ Develop detailed space programs based on clinical volumes, staffing models, and operational needs
+ Calculate departmental and room-level square footage using industry benchmarks and utilization data
+ Build programming options that align with healthcare regulations (e.g., FGI Guidelines, NFPA, ADA) and local building codes
+ Integrate technology solutions into planning strategies to support modern care delivery models
+ Produce planning documents including space programs, workflow diagrams, test fits, and planning narratives
+ Create block and stacking plans to support efficient patient and staff flow and future adaptability
+ Conduct feasibility studies and develop project timelines to evaluate and guide planning decisions
+ Coordinate with multidisciplinary teams to deliver comprehensive, client-aligned planning solutions
+ Present findings and recommendations to executive leadership and maintain organized records of planning decisions
**What You'll Need:**
To perform this job successfully, an individual will need to perform each crucial duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.
+ Bachelor's Degree preferred with 2-5 years of relevant experience. In lieu of a degree, a combination of experience and education will be considered
+ Experience directly related to the delivery of strategic planning services for clinical settings
+ Familiarity with basic healthcare equipment and operations, system furniture design and modular furniture while demonstrating knowledge and adherence to building regulations and health & safety guidelines
+ Understanding of existing procedures and standards to tackle slightly sophisticated problems
+ Ability to review possible solutions using technical experience to apply appropriate judgment and precedents
+ In-depth knowledge of Microsoft Office products. Examples include Word, Excel, Outlook, etc.
+ Proficient with AutoCAD and CAFM software
+ Strong organizational skills with an inquisitive approach
+ Advanced math skills. Ability to calculate complicated figures such as percentages, fractions, and other financial-related calculations
**Why CBRE:**
When you join CBRE, you become part of the global leader in commercial real estate services and investment that helps businesses and people thrive. We are dynamic problem solvers and forward-thinking professionals who create significant impact. Our collaborative culture is built on our shared values - respect, integrity, service and excellence - and we value the diverse perspectives, backgrounds and skillsets of our people. At CBRE, you have the opportunity to realize your full potential.
**Our Values in Hiring:**
At CBRE, we are committed to fostering a culture where everyone feels they belong. We value diverse perspectives and experiences, and we welcome all applications.
**Disclaimers:**
Applicants must be currently authorized to work in the United States without the need for visa sponsorship now or in the future.
CBRE carefully considers multiple factors to determine compensation, including a candidate's education, training, and experience. The minimum salary for the Sr. Healthcare Occupancy Planner is $110,000 annually and the maximum salary for the position is $135,000 annually. The compensation that is offered to a successful candidate will depend on the candidate's skills, qualifications, and experience. Successful candidates will also be eligible for a discretionary bonus based on CBRE's applicable benefit program. This role will provide the following benefits: 401(K), Dental insurance, Health insurance, Life insurance, and Vision insurance.
**Equal Employment Opportunity:** CBRE has a long-standing commitment to providing equal employment opportunity to all qualified applicants regardless of race, color, religion, national origin, sex, sexual orientation, gender identity, pregnancy, age, citizenship, marital status, disability, veteran status, political belief, or any other basis protected by applicable law.
**Candidate Accommodations:** CBRE values the differences of all current and prospective employees and recognizes how every employee contributes to our company's success. CBRE provides reasonable accommodations in job application procedures for individuals with disabilities. If you require assistance due to a disability in the application or recruitment process, please submit a request via email at or via telephone at +1 (U.S.) and +1 (Canada).
CBRE, Inc. is an Equal Opportunity and Affirmative Action Employer (Women/Minorities/Persons with Disabilities/US Veterans)
Sr Analyst, Finance - Healthcare

Posted 1 day ago
Job Viewed
Job Description
Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones.
Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business.
Join Evolent for the mission. Stay for the culture.
**What You'll Be Doing:**
**Sr Analyst, Client Finance**
Put your passion where it meets purpose! Evolent attracts some of the brightest minds in health care. Surround yourself with talented, driven colleagues who share a passion for better health outcomes and a more connected care journey. We are hiring for a Sr Analyst to join our Client Finance Team.
The candidate selected for this role will be part of a team who thrives on driving analysis and support for the toughest and most complex financial decisions related to our fastest growing segment of clients.
**Collaboration Opportunities:**
As a Senior Analyst in Client Finance, you will collaborate closely with the Director of Client Finance to analyze financial data, engage with clients and contracting teams, and support initiatives aimed at optimizing financial performance.
**What You'll Be Doing:**
+ Conduct in-depth financial analysis, including scenario modeling, to support key business decisions
+ Prepare and present financial findings for the Client Finance team and broader internal stakeholders
+ Derive and synthesize key insights for internal stakeholders in pursuit of better client financial support and management
+ Support cross-functional collaboration with other departments to gather data, build complex models, and support development of executive-level presentations
+ Directly collaborate with client supporting various aspects of financial performance
+ Lead or support special ad hoc client-specific projects as needed
+ Develop strong understanding of specific client dynamics to improve client financial analyses
**Qualifications - Required:**
+ Bachelor's degree in business, Finance, Accounting or another quantitative field
+ At least 1-2+ years of experience working in a Finance or medical economics-related field
+ Advanced Excel skills - extensive knowledge of key formulas and functions
+ Experience organizing complex data and financial insights succinctly in PowerPoint
+ Demonstrated strength in analytical thinking, with a proven ability to distill complex financial data into clear, actionable strategies. Skilled at effectively communicating financial insights to both technical and non-technical audiences.
+ Proven ability to work both independently and collaboratively when needed in a fast-paced, dynamic environment
+ Basic knowledge of GAAP, familiarity with U.S. Health System and financial elements **preferred**
+ Quick learner with good follow-through and experience with interpreting healthcare provider contracts **preferred**
**To comply with HIPAA security standards (45 C.F.R. sec. 164.308 (a) (3)), identity verification may be required as part of the application process. This is collected for compliance and security purposes and only reviewed if an applicant advances to the final interview state. Reasonable accommodations are available upon request.**
**Technical Requirements:**
We require that all employees have the following technical capability at their home: High speed internet over 10 Mbps and, specifically for all call center employees, the ability to plug in directly to the home internet router. These at-home technical requirements are subject to change with any scheduled re-opening of our office locations.
**Evolent is an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status.** **If you need reasonable accommodation to access the information provided on this website, please contact** ** ** **for further assistance.**
The expected base salary/wage range for this position is $80,000 to $85,000. This position is also eligible for a bonus component that would be dependent on pre-defined performance factors. As part of our total compensation package, Evolent is proud to offer comprehensive benefits (including health insurance benefits) to qualifying employees. All compensation determinations are based on the skills and experience required for the position and commensurate with experience of selected individuals, which may vary above and below the stated amounts.
Don't see the dream job you are looking for? Drop off your contact information and resume and we will reach out to you if we find the perfect fit!
Sr Analyst, Finance - Healthcare

Posted 2 days ago
Job Viewed
Job Description
Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones.
Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business.
Join Evolent for the mission. Stay for the culture.
**What You'll Be Doing:**
**Sr Analyst, Pricing, Client Finance**
We are hiring a Sr Analyst to join our Client Finance Team. The candidate selected for this role will be part of a team who thrives on driving analysis and support for the toughest and most complex financial decisions related to our fastest growing segment of clients.
**Collaboration Opportunities:**
The Sr Analyst, Pricing, Client Finance works closely with many departments across the organization, including Growth, Analytics, and Actuarial.
**What You'll Be Doing:**
+ Support strategic decision-making through financial modeling to ensure our financial interests are protected in our risk contracts
+ Build compelling PPT slides to help convince internal and external stakeholders of the best path forward
+ Support Sales teams in contract execution through analyzing contract language against gold standard
+ Develop standardized processes, templates, and collateral for key pricing activities
+ Contribute to establishing gold standard for pricing methodologies
+ Support ad hoc financial analyses for the Client Finance team
**Qualifications - Required:**
+ Bachelor's degree in business, Finance, Accounting or another quantitative field
+ At least 2 years of experience working in a Finance-related field
+ Extensive PowerPoint experience
+ Experience with a consultative approach to financial modeling
+ Experience working closely and collaboratively with Sales teams
+ Must be self-motivated with the ability to formulate and communicate your own solutions to tactical problems
+ Candidate who thrives with growth-driven changes
+ Strategic Communication and Negotiation Expertise, **preferred**
+ Familiarity with U.S. Health System and financial elements, not required, but **preferred**
+ Familiarity with risk and non-risk pricing/contracting, **strongly preferred**
+ Basic knowledge of GAAP also **preferred**
**To comply with HIPAA security standards (45 C.F.R. sec. 164.308 (a) (3)), identity verification may be required as part of the application process. This is collected for compliance and security purposes and only reviewed if an applicant advances to the final interview state. Reasonable accommodations are available upon request.**
**Technical Requirements:**
We require that all employees have the following technical capability at their home: High speed internet over 10 Mbps and, specifically for all call center employees, the ability to plug in directly to the home internet router. These at-home technical requirements are subject to change with any scheduled re-opening of our office locations.
**Evolent is an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status.** **If you need reasonable accommodation to access the information provided on this website, please contact** ** ** **for further assistance.**
The expected base salary/wage range for this position is $80,000 to $85,000. This position is also eligible for a bonus component that would be dependent on pre-defined performance factors. As part of our total compensation package, Evolent is proud to offer comprehensive benefits (including health insurance benefits) to qualifying employees. All compensation determinations are based on the skills and experience required for the position and commensurate with experience of selected individuals, which may vary above and below the stated amounts.
Don't see the dream job you are looking for? Drop off your contact information and resume and we will reach out to you if we find the perfect fit!
Healthcare Encounter Senior Analyst
Posted 3 days ago
Job Viewed
Job Description
As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.
**Position Summary**
As a Healthcare Encounter Senior Analyst for claim reconciliation in the State Medicaid Encounters department, you will work exclusively with Pharmacy generated Medicaid encounters. You will be responsible for researching, analyzing and correcting previously submitted, rejected, Medicaid encounters. A self-starter with a natural curiosity and a high attention to detail would be well suited for this role, as many potential issues and creative solutions, to those issues, have not been identified yet. This research includes, but is not limited to, examining setups/configurations as well as comparing text files and their contents to identify trends or issues with the integrity of the data within those files. Many innovative solutions are driven from this research and curiosity. You will also be responsible for serving a select group of clients. You will be responsible for maintaining, and in some cases developing, a relationship with key parties on the client side. Part of developing/maintaining a great working relationship with each client will include providing recurring metric reports to keep the client up to date. For the most part, these metrics are produced from SAS and a proprietary version of AS400. Experience with either of these systems or prior exposure to the PBM or Medicaid industry would be advantageous. The ability to think critically and multitask is very valuable in this role. Additionally, you will be an integral part of recurring client meetings. You must be comfortable and adept with clearly communicating technical information (verbal and written) to non-technical people and leading conference calls, when needed.
As part of our CVS Health team, you will be empowered to make decisions and think outside of the box, as we truly value innovation. Our team has expanded rapidly and will provide room for growth in the future. This is an excellent opportunity to be part of a multi-functional team which treats each other like family.
**Required Qualifications**
- Must be willing to work Monday-Friday 8:00am-5:00pm AZ time.
- 1 or more years of professional work experience in a healthcare finance setting.
- 2 or more years of experience using Excel in a professional or academic setting.
**Preferred Qualifications**
- 2 or more years of professional work experience in a healthcare finance setting.
- 4 or more years of experience using Excel in a professional or academic setting.
- Experience with Medicaid.
**Education**
- Bachelor's degree, or high school diploma and equivalent work experience plus one additional year of experience is required for each year of college not attained.
**Anticipated Weekly Hours**
40
**Time Type**
Full time
**Pay Range**
The typical pay range for this role is:
$46,988.00 - $122,400.00
This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
**Great benefits for great people**
We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:
+ **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and an **employee stock purchase plan** .
+ **No-cost programs for all colleagues** including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
+ **Benefit solutions that address the different needs and preferences of our colleagues** including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
For more information, visit anticipate the application window for this opening will close on: 08/26/2025
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.
Senior Transaction Manager - Healthcare
Posted 3 days ago
Job Viewed
Job Description
Job ID
234462
Posted
13-Aug-2025
Service line
Advisory Segment
Role type
Full-time
Areas of Interest
Transaction Management
Location(s)
Remote - US - Remote - US - United States of America
**About the Role:**
As a CBRE Senior Transaction Manager, you will be responsible for managing real estate transaction activities for a defined portfolio of medium to generous-sized properties.
This position is part of the Brokerage job family. Brokers are responsible for the buying, selling, and leasing of industrial, office, retail, and other commercial properties on behalf of clients for occupation.
**What You'll Do:**
+ Prepare, recommend, and execute complex transaction strategies for acquiring and disposing of properties.
+ Develop real estate plans with an understanding of the client's strategic goals.
+ Gather resources to execute elaborate lease renewals, new site acquisitions, and disposition of surplus space through subleasing.
+ Act as landlord/seller agent and tenant/buyer agent for high-profile clients. Review business terms and conditions for a wide variety of commercial real estate products.
+ Coordinate the negotiation of sales through a field broker. Negotiate leases, amendments, and track expirations.
+ Secure new high-value properties to meet clients' requirements and timelines.
+ Work with internal and external teams to ensure integration between the service lines. Track all transaction activity and prepare commissions, forecasts, vouchers, and accounts.
+ Contribute to new products, processes, standards, and/or operational plans in support of achieving functional goals.
+ Apply advanced knowledge to seek and develop new, better methods for accomplishing both individual and department objectives.
+ Showcase expertise in own job discipline and in-depth knowledge of other job disciplines within the organization function.
+ Coach others to develop in-depth knowledge and expertise in most or all areas within the function.
+ Lead by example and model behaviors that are consistent with CBRE RISE values. Anticipates potential objections and persuades others, often at senior levels and of divergent interest, to adopt a different point of view.
+ Impact the achievement of customer, operational, project, or service objectives across multi-discipline teams. Work is guided by functional policies which impact the design of procedures and policies.
+ Contribute to new products, processes, standards, and/or operational plans in support of achieving functional goals.
+ Communicate difficult and complex ideas with the ability to influence.
**What You'll Need:**
+ Bachelor's Degree preferred with 8-10 years of real estate transactions or related experience. In lieu of a degree, a combination of experience and education will be considered.
+ Real Estate salesperson license required.
+ Healthcare transactions experience is preferred.
+ The innovative mentality to develop methods that go beyond existing solutions.
+ Ability to solve unique problems using standard and innovative solutions having a broad impact on the business.
+ In-depth knowledge of Microsoft Office products. Examples include Word, Excel, Outlook, etc.
+ Expert organizational skills with an advanced inquisitive mindset.
+ Highly sophisticated math skills. Ability to calculate somewhat complex figures such as percentages, fractions, and other financial-related calculations.
Applicants must be authorized to work in the United States without the need for visa sponsorship now or in the future.
**Why CBRE?**
When you join CBRE, you become part of the global leader in commercial real estate services and investment that helps businesses and people thrive. We are dynamic problem solvers and forward-thinking professionals who create significant impact. Our collaborative culture is built on our shared values - respect, integrity, service and excellence - and we value the diverse perspectives, backgrounds and skillsets of our people. At CBRE, you have the opportunity to chart your own course and realize your potential. We welcome all applicants.
**Applicant AI Use Disclosure**
We value human interaction to understand each candidate's unique experience, skills and aspirations. We do not use artificial intelligence (AI) tools to make hiring decisions, and we ask that candidates disclose any use of AI in the application and interview process.
CBRE carefully considers multiple factors to determine compensation, including a candidate's education, training, and experience. The minimum salary for the Senior Transaction Manager position is $103,500 annually or ($9.76 per hour) and the maximum salary for the Senior Transaction Manager position is 160,000 annually (or 76.93 per hour). The compensation that is offered to a successful candidate will depend on the candidate's skills, qualifications, and experience. Successful candidates will also be eligible for a discretionary bonus based on CBRE's applicable benefit program.
The application window is anticipated to close on 9/10/25 and may be extended as needed. Or to express interest in similar roles, visit CBRE.com/careers.
**Equal Employment Opportunity:** CBRE has a long-standing commitment to providing equal employment opportunity to all qualified applicants regardless of race, color, religion, national origin, sex, sexual orientation, gender identity, pregnancy, age, citizenship, marital status, disability, veteran status, political belief, or any other basis protected by applicable law.
**Candidate Accommodations:** CBRE values the differences of all current and prospective employees and recognizes how every employee contributes to our company's success. CBRE provides reasonable accommodations in job application procedures for individuals with disabilities. If you require assistance due to a disability in the application or recruitment process, please submit a request via email at or via telephone at +1 (U.S.) and +1 (Canada).
CBRE, Inc. is an Equal Opportunity and Affirmative Action Employer (Women/Minorities/Persons with Disabilities/US Veterans)
Midmarket VAST Account Executive, Healthcare
Posted 3 days ago
Job Viewed
Job Description
Zoom is looking for Midmarket VAST (Value Added Selling Team) Account Executives specializing in Healthcare to sell our Zoom Workplace Platform. Our Midmarket VAST team engages with existing customers to expand their account to the entire Zoom platform. Our Healthcare sales team focuses on working with growing organizations with within a defined geographic territory.
About the Team
The Zoom sales team is a dynamic force driving the company's success. With a focus on delivering cutting- edge communication solutions for clients across all sectors, the team passionately engages with clients. Through strategic partnerships and a customer-centric approach, they play a pivotal role in expanding Zoom's global presence and ensuring businesses harness the full potential of virtual collaboration.
Responsibilities
+ Engaging with our existing customers to realize the value of their investments
+ Following up and closing on various sources of inbound leads to upsell and leverage business from established customer relationships
+ Sourcing, upselling and leveraging business from various leads
+ Creating, delivering, and managing client demos/ presentations, quotes/ proposals, and Quarterly Business Reviews (QBRs)
+ Engaging with C-Level and VP-Level Executives
+ Qualifying leads and identifying prospect needs, engaging technical resources as required
+ Managing quotes and proposals
What we're looking for
+ Have experience (2+ yrs) in a sales/sales support role selling SaaS and SaaS into the Healthcare IT vertical
+ Have experience Utilizing Customer Relationship Management (CRM) tool
Salary Range or On Target Earnings:
Minimum:
$105 800,00
Maximum:
$211 700,00
In addition to the base salary and/or OTE listed Zoom has a Total Direct Compensation philosophy that takes into consideration; base salary, bonus and equity value.
Note: Starting pay will be based on a number of factors and commensurate with qualifications & experience.
We also have a location based compensation structure; there may be a different range for candidates in this and other locations
At Zoom, we offer a window of at least 5 days for you to apply because we believe in giving you every opportunity. Below is the potential closing date, just in case you want to mark it on your calendar. We look forward to receiving your application!
Anticipated Position Close Date:
08/27/25
Ways of WorkingOur structured hybrid approach is centered around our offices and remote work environments. The work style of each role, Hybrid, Remote, or In-Person is indicated in the job description/posting.
BenefitsAs part of our award-winning workplace culture and commitment to delivering happiness, our benefits program offers a variety of perks, benefits, and options to help employees maintain their physical, mental, emotional, and financial health; support work-life balance; and contribute to their community in meaningful ways. Click Learn ( for more information.
About UsZoomies help people stay connected so they can get more done together. We set out to build the best collaboration platform for the enterprise, and today help people communicate better with products like Zoom Contact Center, Zoom Phone, Zoom Events, Zoom Apps, Zoom Rooms, and Zoom Webinars.We're problem-solvers, working at a fast pace to design solutions with our customers and users in mind. Find room to grow with opportunities to stretch your skills and advance your career in a collaborative, growth-focused environment.
Our Commitment
At Zoom, we believe great work happens when people feel supported and empowered. We're committed to fair hiring practices that ensure every candidate is evaluated based on skills, experience, and potential. If you require an accommodation during the hiring process, let us know-we're here to support you at every step.
If you need assistance navigating the interview process due to a medical disability, please submit an Accommodations Request Form ( and someone from our team will reach out soon. This form is solely for applicants who require an accommodation due to a qualifying medical disability. Non-accommodation-related requests, such as application follow-ups or technical issues, will not be addressed.
#LI-Remote
Healthcare Collector - Self-Pay (Remote)
Posted 3 days ago
Job Viewed
Job Description
**Department** : Collections
**Reports To** : Self Pay Team Lead
**Location:** Remote (Work-from-Home)
**Schedule:** 2 weeks Training Monday to Friday, 8am- 4:30pm EST.
Work Monday to Friday, 8am- 5:00pm EST and one day 11:30 am -8pm EST (can change)
**Experience:** 1 to 2 years (Experience in Healthcare Products and Patient Calling preferred)
**Travel:** None required
**Summary**
Assist our clients' customers with their outstanding balance accounts to secure payment while providing exceptional customer service and maintaining positive customer relationships.
**Essential Functions**
· Handle inbound calls as a representative of the hospital to arrange debt repayment based on the patient's financial situation and client repayment guidelines, using credit card, check, or obtained insurance. Record all updates and acquired information on accounts.
· Understand and utilize HIPAA and TCPA guidelines during each call.
· Ensure all required statements have been sent for accounts handled and request statements as necessary.
· Properly manage patient disputes by obtaining all pertinent information, noting the dispute on the account, and escalating to a supervisor as necessary.
· Assist in making outbound calls when required.
· Perform other activities and responsibilities as assigned.
·
**Competency**
· **Customer Service Skills** : Ability to manage difficult customer situations and respond promptly to customer needs.
· **Oral Communication Skills** : Speak clearly and effectively; ability to listen and seek clarification.
· **Problem-Solving Skills** : Identify and analyze information to develop solutions.
· **Detail-Oriented** : Attention to detail in all tasks.
· **Medical Billing and collections: co-payments and self-pay, under insurance**
· **Revenue Cycle in healthcare**
· **Tech resourceful:** able to set up laptop, connect to VPN, and follow basic troubleshooting steps if needed
**Required Education and Experience**
1. High school diploma.
2. 1-year Collections/self-pay in healthcare: working with patients
3. 1-year HER Software Epic
**Preferred Education and Experience**
1. Associate's degree.
2. Two years of related experience.
3. Self-pay collections in healthcare
**Salary and Other Compensation:**
Applications will be accepted until August 25, 2025.
The hourly rate for this position is between $16.00 - 19.00 per hour + monthly Bonus, depending on experience and other qualifications of the successful candidate.
Bonus: This position is eligible for Cognizant's discretionary monthly bonus program, based on performance and subject to the terms of Cognizant's applicable plans.
Benefits: Cognizant offers the following benefits for this position, subject to applicable eligibility requirements:
· Medical/Dental/Vision/Life Insurance
· Paid holidays plus Paid Time Off
· 401(k) plan and contributions
· Long-term/Short-term Disability
· Paid Parental Leave
· Employee Stock Purchase Plan
Disclaimer: The hourly rate, other compensation, and benefits information is accurate as of the date of this posting. Cognizant reserves the right to modify this information at any time, subject to applicable law.
Cognizant is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by law.
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Healthcare Revenue Cycle / HIM Manager
Posted 8 days ago
Job Viewed
Job Description
As a Healthcare Revenue Cycle / HIM Manager, your responsibilities will include:
1. Supporting a remote team for daily operations of the healthcare revenue cycle / healthcare coding department.
2. Identifying and implementing strategies to accelerate the revenue cycle by reducing accounts receivable days, improving cash flow, and enhancing profitability.
3. Managing account reconciliation, pre-collection, and post-collection activities to ensure accuracy and timeliness.
4. Identifying and resolving issues that affect revenue cycle performance using analytical and problem-solving skills.
5. Collaborating with cross-functional teams, including billing, coding, and clinical operations, to ensure the effectiveness of the revenue cycle process.
6. Training and mentoring staff on revenue cycle processes and best practices.
7. Staying abreast with the latest trends and regulations in the healthcare industry to ensure compliance and operational efficiency.
8. Developing and implementing policies and procedures to enhance operational efficiency and improve revenue cycle performance.
9. Providing regular reports and updates to senior management about the status and performance of the revenue cycle.
10. This individual will manage routine client meetings to obtain updates on initiatives and address any issues.
Qualifications:
The ideal candidate for the Healthcare Revenue Cycle / HIM Manager will have the following qualifications:
1. A minimum of 7 years of experience in healthcare revenue cycle management, including account reconciliation, pre-collection, and post-collection.
3. Strong knowledge of healthcare financial management and medical billing processes.
4. Exceptional analytical and problem-solving skills with a strong attention to detail.
5. Proficient in using healthcare billing software and revenue cycle management tools, with a strong background in Oracle Health (Cerner) software.
6. Strong leadership skills with the ability to manage and motivate a team.
7. Excellent communication and interpersonal skills with the ability to interact effectively with all levels of the organization.
8. Strong knowledge of federal, state, and payer-specific regulations and policies.
9. Ability to work in a fast-paced environment and manage multiple priorities.
**Responsibilities**
Analyzes business needs to help ensure Oracle's solution meets the customer's objectives by combining industry best practices and product knowledge. Effectively applies Oracle's methodologies and policies while adhering to contractual obligations, thereby minimizing Oracle's risk and exposure. Exercises judgment and business acumen in selecting methods and techniques for effective project delivery on small to medium engagements. Provides direction and mentoring to project team. Effectively influences decisions at the management level of customer organizations. Ensures deliverables are acceptable and works closely with the customer to understand and manage project expectations. Supports business development efforts by pursuing new opportunities and extensions. Collaborates with the consulting sales team by providing domain credibility. Manages the scope of medium sized projects including the recovery of remedial projects.
Disclaimer:
**Certain US customer or client-facing roles may be required to comply with applicable requirements, such as immunization and occupational health mandates.**
**Range and benefit information provided in this posting are specific to the stated locations only**
US: Hiring Range in USD from: $87,000 to $178,100 per annum. May be eligible for bonus and equity.
Oracle maintains broad salary ranges for its roles in order to account for variations in knowledge, skills, experience, market conditions and locations, as well as reflect Oracle's differing products, industries and lines of business.
Candidates are typically placed into the range based on the preceding factors as well as internal peer equity.
Oracle US offers a comprehensive benefits package which includes the following:
1. Medical, dental, and vision insurance, including expert medical opinion
2. Short term disability and long term disability
3. Life insurance and AD&D
4. Supplemental life insurance (Employee/Spouse/Child)
5. Health care and dependent care Flexible Spending Accounts
6. Pre-tax commuter and parking benefits
7. 401(k) Savings and Investment Plan with company match
8. Paid time off: Flexible Vacation is provided to all eligible employees assigned to a salaried (non-overtime eligible) position. Accrued Vacation is provided to all other employees eligible for vacation benefits. For employees working at least 35 hours per week, the vacation accrual rate is 13 days annually for the first three years of employment and 18 days annually for subsequent years of employment. Vacation accrual is prorated for employees working between 20 and 34 hours per week. Employees working fewer than 20 hours per week are not eligible for vacation.
9. 11 paid holidays
10. Paid sick leave: 72 hours of paid sick leave upon date of hire. Refreshes each calendar year. Unused balance will carry over each year up to a maximum cap of 112 hours.
11. Paid parental leave
12. Adoption assistance
13. Employee Stock Purchase Plan
14. Financial planning and group legal
15. Voluntary benefits including auto, homeowner and pet insurance
The role will generally accept applications for at least three calendar days from the posting date or as long as the job remains posted.
Career Level - IC4
**About Us**
As a world leader in cloud solutions, Oracle uses tomorrow's technology to tackle today's challenges. We've partnered with industry-leaders in almost every sector-and continue to thrive after 40+ years of change by operating with integrity.
We know that true innovation starts when everyone is empowered to contribute. That's why we're committed to growing an inclusive workforce that promotes opportunities for all.
Oracle careers open the door to global opportunities where work-life balance flourishes. We offer competitive benefits based on parity and consistency and support our people with flexible medical, life insurance, and retirement options. We also encourage employees to give back to their communities through our volunteer programs.
We're committed to including people with disabilities at all stages of the employment process. If you require accessibility assistance or accommodation for a disability at any point, let us know by emailing or by calling +1 in the United States.
Oracle is an Equal Employment Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability and protected veterans' status, or any other characteristic protected by law. Oracle will consider for employment qualified applicants with arrest and conviction records pursuant to applicable law.
Senior Analyst, Healthcare Analytics Consultant
Posted 24 days ago
Job Viewed
Job Description
Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones.
Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business.
Join Evolent for the mission. Stay for the culture.
**What You'll Be Doing:**
**Senior Analyst, Healthcare Analytics Consultant**
The Client Analytics team provides a unique opportunity to collaborate with key business, analytics, product, and operational leaders to deliver client-specific insights and drive data-informed decision-making. Our team serves as strategic advisors, analysts, and subject matter experts, leveraging data to uncover meaningful business insights. We value curiosity, creativity, and independence, working collaboratively to solve complex challenges and enhance the impact of our specialty programs and administrative platform.
**Role Overview**
The Senior Analyst role on Client Analytics will support both internal teams (EAS, Specialty Operations) and external partners, delivering analyses that drive Evolent's value proposition. This role requires a blend of technical expertise (SAS, SQL, Excel, BI tools) and consultative skills to transform complex data into actionable insights and compelling narratives for stakeholders.
**What You Will Be Doing:**
+ **Data Analytics & Insights** : Analyze healthcare claims and authorization data to identify cost drivers, utilization trends, and population health opportunities using SAS, SQL, Excel, and Power BI (or similar BI tools).
+ **Consultative Problem-Solving** : Work with stakeholders to understand business needs, proactively clarify requirements, and develop actionable recommendations.
+ **Scalable Solution Development** : Enhance and standardize analytical solutions for internal teams and external partners.
+ **Reporting & Compliance** : Support ad hoc and regulatory reporting needs efficiently, ensuring compliance with applicable guidelines.
+ **Communication & Storytelling** : Present findings in client-facing decks, data-driven narratives, and visualizations that convey insights effectively.
+ **Collaboration** : Partner with internal stateside and global teams to deliver high-quality analyses.
**Qualifications:**
**Required**
+ Bachelor's degree in a quantitative field (e.g., Data Science, Statistics, Mathematics, Economics, Public Health, or a related discipline).
+ 2+ years of analytics & reporting experience in healthcare, including medical economics, cost/utilization analysis, and membership trend reporting.
+ 2+ years of SQL and SAS programming experience working with large healthcare datasets.
+ Experience with BI tools (e.g., Power BI, Tableau, or similar) and advanced Excel skills.
+ Proficiency in creating impactful data visualizations and presenting insights clearly and concisely using PowerPoint.
+ Strong analytical skills with a proven ability to extract meaningful insights from both quantitative and qualitative data.
+ Self-motivated problem-solver with the ability to manage multiple projects simultaneously and adapt to shifting priorities.
+ Effective collaborator who thrives in cross-functional environments, working seamlessly with diverse teams and stakeholders.
+ Familiarity with healthcare claims, reimbursement methodologies, and cost/utilization KPIs, including prior authorization data and key performance indicators (e.g., PMPM, trend drivers).
**Preferred**
+ Master's degree in a quantitative or analytical field (e.g. Statistics, Public Health, Epidemiology, or Computer Science).
+ Experience presenting actionable business insights to internal and external stakeholders.
+ Experience with value-based care, utilization management, or regulatory reporting (e.g., HEDIS, NCQA, Milliman).
**To comply with HIPAA security standards (45 C.F.R. sec. 164.308 (a) (3)), identity verification may be required as part of the application process. This is collected for compliance and security purposes and only reviewed if an applicant advances to the final interview state. Reasonable accommodations are available upon request.**
**Technical Requirements:**
We require that all employees have the following technical capability at their home: High speed internet over 10 Mbps and, specifically for all call center employees, the ability to plug in directly to the home internet router. These at-home technical requirements are subject to change with any scheduled re-opening of our office locations.
**Evolent is an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status.** **If you need reasonable accommodation to access the information provided on this website, please contact** ** ** **for further assistance.**
The expected base salary/wage range for this position is $80,000-95,000. This position is also eligible for a bonus component that would be dependent on pre-defined performance factors. As part of our total compensation package, Evolent is proud to offer comprehensive benefits (including health insurance benefits) to qualifying employees. All compensation determinations are based on the skills and experience required for the position and commensurate with experience of selected individuals, which may vary above and below the stated amounts.
Don't see the dream job you are looking for? Drop off your contact information and resume and we will reach out to you if we find the perfect fit!
Claims Processor (with Facets) - Healthcare Remote
Posted 2 days ago
Job Viewed
Job Description
**Location:** Remote (Work-from-Home)
**Schedule:** Monday to Friday 8am - 4:30pm ET
**Experience:** A minimum of 2 years of claim processing is required.
**Travel:** None required
**About the role:**
As Claims Processor (with Facets), you will be responsible for timely and accurate adjudication of professional and hospital claims utilizing payer specific policies and procedures. Provide support to claims and client for issues related to claims adjudication and adjustments. You will be a valued member of the Cognizant team and work collaboratively with stakeholders and other teams.
**In this role, you will:**
- Be Responsible for reviewing the data in the claim processing system and comparing with corresponding UB or HCFA paper or EDI information.
- Responsible for reviewing medical records when necessary to determine if service rendered was medically appropriate and criteria have been met.
- Responsible for reviewing claim and line-item edits and warning messages for determination of whether to pay claim/line item(s).
- Ensuring all designated tasks are handled within the appropriate timeframe in order to meet internal and external SLAs.
- Assigning special projects or other duties as determined by management.
**What you need to have to be considered:**
+ A minimum of 2 years claim processing is required.
+ Knowledge of physician practice and hospital coding, and medical terminology, CPT, HCPCS, ICD-10
+ Experience making payments with UB/institutional (CMS-1450) and/or professional (CMS 1500) claims
+ Knowledge of Medicare/ Medicaid payment and coverage guidelines and regulations.
+ 1 year of Facets experience.
+ Experience in the analysis and processing of claims for payments, utilization review/quality assurance procedures.
+ Must be able to work with minimal supervision.
+ Good skills at problem resolution specifically related to healthcare claim adjudication.
+ Possess ability to work at a computer for extended periods.
+ Can work closely with other departments
**Required Education and Experience**
+ High School degree or GED or equivalent experience.
The working arrangements for this role are accurate as of the date of posting. This may change based on the project you're engaged in, as well as business and client requirements. Rest assured; we will always be clear about role expectations.
**Salary and Other Compensation:**
Applications will be accepted until September 5th, 2025.
The hourly rate for this position is between **$15.25 - $17.75** per hour depending on experience and other qualifications of the successful candidate.
**Benefits:** Cognizant offers the following benefits for this position, subject to applicable eligibility requirements:
· Medical/Dental/Vision/Life Insurance
· Paid holidays plus Paid Time Off
· 401(k) plan and contributions
· Long-term/Short-term Disability
· Paid Parental Leave
· Employee Stock Purchase Plan
Disclaimer: The hourly rate, other compensation, and benefits information is accurate as of the date of this posting. Cognizant reserves the right to modify this information at any time, subject to applicable law.
Cognizant will only consider applicants for this position who are legally authorized to work in the United States without requiring company sponsorship now or at any time in the future.
#Cog2025
Cognizant is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by law.