41 Medical Care jobs in Springfield
Registered Nurse, Wesson 2 Postpartum
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Job Description
At Baystate Health, RN means more. It stands for our deep respect for nursing professional practice that is essential to our mission. It also stands for Baystate's many opportunities for growth and learning in the region's only academic medical center and within our community hospitals, and it stands for our commitment to taking care of all those in the community who need us
**Our** **post-partum unit** **offers elbow-to-elbow support and comes fully equipped to help you do what YOU do best, provide for our patients!**
**SCHEDULE:**
+ **Full-time, day shift (7a-7p)**
+ Every other weekend and rotating holidays
+ Location: Baystate Medical Center Springfield
**Pay:**
+ Experienced RN (1+ years of RN Licensure) **$42.66-$65.00**
+ Competitive shift differentials and allowance plans
**THE ADVANTAGES OF WORKING WITH BAYSTATE!**
+ Excellent Compensation
+ High-quality, low-cost medical, dental and vision insurance
+ Pet, home, auto and personal insurance
+ Certification and continuing education reimbursement
+ Nursing forgivable loan program
+ 403b retirement company match & annual company contribution increase based on years of service
+ Life insurance
+ First time homebuyer program
+ Free money coach advice from a certified professional
+ Reimbursement for a variety of wellbeing activities, included but limited to: gym membership and equipment, personal trainer, massage and so much more!
+ Wellbeing programs that include but are not limited to mental, physical, and financial health
**QUALIFICATIONS:**
+ Successfully passed Board of Registration in Nursing Examination and is licensed in the Commonwealth of Massachusetts
+ Current American Heart Association Health Care Provider CPR certification required.
+ Experience: Minimum 1 year RN experience required.
+ Education: AND required; BSN preferred.
**We strive to be the place where we can help you build the career you deserve - apply today - YOU belong at Baystate!**
**Our compensation philosophy**
We offer competitive total compensation that includes pay, benefits, and other recognition programs for our employees. The base pay range shown above considers the wide range of factors that are considered in making compensation decisions including knowledge/skills; relevant experience and training; education/certifications/licensure; and other business and organizational factors. This base pay range does not include our comprehensive benefits package and any incentive payments that may be applicable to this role.
**You Belong At Baystate**
At Baystate Health we know that treating one another with dignity and equity is what elevates respect for our patients and staff. It makes us not just an organization, but also a community where you belong. It is how we advance the care and enhance the lives of all people.
DIVERSE TEAMS. DIVERSE PATIENTS. DIVERSE LOCATIONS.
**Education:**
Diploma in Nursing (Required)
**Certifications:**
Basic Life Support - American Heart AssociationAmerican Heart Association, Registered Nurse - State of MassachusettsState of Massachusetts
**Equal Employment Opportunity Employer**
Baystate Health is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, marital status, national origin, ancestry, age, genetic information, disability, or protected veteran status.
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Medical Director - Care Plus - Florida
Posted today
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The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Candidate must have valid Florida Medical license and must be able to start with 30-60 days of hire.
The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All work occurs with a context of regulatory compliance, and work is assisted by diverse resources which may include national clinical guidelines, CMS policies and determinations, clinical reference materials, internal teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and Medicare Advantage requirements, and will understand how to operationalize this knowledge in their daily work.
The Medical Director's work includes computer based review of moderately complex to complex clinical scenarios, review of all submitted clinical records, prioritization of daily work, communication of decisions to internal associates, and possible participation in care management. The clinical scenarios predominantly arise from inpatient or post-acute care environments. Has discussions with external physicians by phone to gather additional clinical information or discuss determinations regularly, and in some instances these may require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes, and outpatient services and equipment, within their scope.
The Medical Director may speak with contracted external physicians, physician groups, facilities, or community groups to support regional market priorities, which may include an understanding of Humana processes, as well as a focus on collaborative business relationships, value based care, population health, or disease or care management. Medical Directors support Humana values, and Humana's Bold Goal mission, throughout all activites.
**Use your skills to make an impact**
**Responsibilities**
The Medical Director provides medical interpretation and determinations whether services provided by other healthcare professionals are in agreement with national guidelines, CMS requirements, Humana policies, clinical standards, and (in some cases) contracts. The ideal candidate supports and collaborates with other team members, other departments, Humana colleagues and the Regional VP Health Services. After completion of mentored training, daily work is performed with minimal direction. Enjoys working in a structured environment with expectations for consistency in thinking and authorship. Exercises independence in meeting departmental expectations, and meets compliance timelines. **Candidates must be able to start with 30-60 days of hire.**
**Required Qualifications**
+ MD or DO degree
+ **Valid Florida Medical license**
+ 5+ years of direct clinical patient care experience post residency or fellowship, which preferably includes some experience in an inpatient environment and/or related to care of a Medicare type population (disabled or >65 years of age).
+ Current and ongoing Board Certification an approved ABMS Medical Specialty
+ A current and unrestricted license in at least one jurisdiction and willing to obtain additional license, if required.
+ No current sanction from Federal or State Governmental organizations, and able to pass credentialing requirements.
+ Excellent verbal and written communication skills .
+ Evidence of analytic and interpretation skills, with prior experience participating in teams focusing on quality management, utilization management, case management, discharge planning and/or home health or post acute services such as inpatient rehabilitation.
**Preferred Qualifications**
+ **Internal Medicine, Family Practice, Geriatrics, Hospitalist, Emergency Medicine clinical specialists with recent inpatient experience preferred**
+ Knowledge of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management.
+ Utilization management experience in a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance.
+ Experience with national guidelines such as MCG® or InterQual
+ Advanced degree such as an MBA, MHA, MPH
+ Exposure to Public Health, Population Health, analytics, and use of business metrics.
+ Experience working with Case managers or Care managers on complex case management, including familiarity with social determinants of health.
+ The curiosity to learn, the flexibility to adapt and the courage to innovate
**Additional Information**
Typically reports to a Regional Vice President of Health Services, Lead, or Corporate Medical Director, depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in an assigned market, member population, or condition type. May also engage in grievance and appeals reviews. May participate on project teams or organizational committees.
#physiciancareers
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
**Scheduled Weekly Hours**
40
**Pay Range**
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$223,800 - $313,100 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
**Description of Benefits**
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
Application Deadline: 08-31-2025
**About us**
About CarePlus Health Plans: CarePlus Health Plans is a recognized leader in healthcare delivery that has been offering Medicare Advantage health plans in Florida over 23 years. CarePlus strives to help people with Medicare, or both Medicare and Medicaid, achieve their best possible health and wellness through plans with benefits and services they care about. As a wholly owned subsidiary of Humana, CarePlus currently serves Medicare beneficiaries throughout 21 Florida counties.
About Humana: Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers, and our company. Through our Humana insurance services, and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
**Equal Opportunity Employer**
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our
Assistant Nurse Manager, Medical Intensive Care Unit
Posted 2 days ago
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**Baystate Health, western Massachusetts's premier healthcare provider, and home to Baystate Medical Center (BMC), a Magnet Hospital for Nursing Excellence is looking for an** **_Assistant Nurse Manager for our Medical Intensive Care Unit (MICU)._** **DEPARTMENT DESCRIPTION:** + 32 bed **modern** ICU equipped with advanced hemodynamic monitoring and state-of-the art continuous renal replacement technology + **Patient ratios of 1:1 or 2:1** + **_This unit is well-staffed with ancillary support, a specialized STAT RN, multiple nurse educators & coordinators - on each shift!_** + **We provide supportive, individualized, and tailored orientation** **_._** Our ICU delivers a multimodal orientation program utilizing latest evidence-based online education programs, interactive classroom lectures, and high-fidelity simulation **.** + The only major referral care center and the only Level 1 trauma center and pediatric trauma center in the area. + Baystate Medical Center's Intensive Care Unit was awarded the Beacon Award for excellence in critical care by the AACN 8 times since 2004, which is the first year the award was initiate **SCHEDULE:** + **Full-time** , **Second/Third Shift** + **(4) 10 hour shifts, or (5) 8 hour shifts** + Location: Baystate Medical Center Springfield **POSITION DESCRIPTION:** + **Clinical Practice and Quality Outcomes** -The Assistant Nurse Manager administers direct nursing care to patients and serves as a clinical resource and role model of clinical excellence for staff. Delivers on service promise as evidenced by metrics in all unit practices and programs. Provides leadership collaboratively with the Nurse Manager in proactively developing quality driven and cost-effective initiatives. + **Human Resource Leadership** : The Assistant Nurse Manger in collaboration with the Nurse Manager leads a positive work environment that facilitates the delivery of excellent patient and caregiver experiences. Staffs are highly engaged, as evidenced by relevant metrics. Individual and collective practices reflect the Core principles of Magnet. + **Management of the Patient Care Environment** : The Assistant Nurse Manager is a leader who is highly visible on the patient care unit and is responsible for the effective management of patient progress and outcomes of care. + **Financial Growth and Stewardshi** p: The Assistant Nurse Manager is accountable to manage within budget in collaboration with the Nurse Manager as evidenced by metrics. Stewards financial resources and promotes growth by developing business plans and budget for their unit in collaboration with the Nurse Manager per organizational goals and other relevant factors. **THE ADVANTAGES OF WORKING WITH BAYSTATE!** + Excellent Compensation + High-quality, low-cost medical, dental and vision insurance + Pet, home, auto and personal insurance + Certification and continuing education reimbursement + Nursing forgivable loan program + 403b retirement company match & annual company contribution increase based on years of service + Life insurance + First time homebuyer program + Free money coach advice from a certified professional + Reimbursement for a variety of wellbeing activities, included but limited to: gym membership and equipment, personal trainer, massage and so much more! + Wellbeing programs that include but are not limited to mental, physical, and financial health **QUALIFICATIONS:** + Bachelor's Degree Required + Registered Nurse - State of Massachusetts + Minimum of 3-5 years of nursing experience in a related setting **We strive to be the place where we can help you build the career you deserve - apply today - YOU belong at Baystate!** **You Belong At Baystate** At Baystate Health we know that treating one another with dignity and equity is what elevates respect for our patients and staff. It makes us not just an organization, but also a community where you belong. It is how we advance the care and enhance the lives of all people. DIVERSE TEAMS. DIVERSE PATIENTS. DIVERSE LOCATIONS. **Education:** Bachelor of Science: Nursing (Required) **Certifications:** Basic Life Support - American Heart AssociationAmerican Heart Association, Certified Registered Nurse - OtherOther, Registered Nurse - State of MassachusettsState of Massachusetts **Equal Employment Opportunity Employer** Baystate Health is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, marital status, national origin, ancestry, age, genetic information, disability, or protected veteran status.
Travel ICU Registered Nurse (Medical & Neuro Critical Care) - $2,175 per week
Posted today
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Job Description
Focus Staff is seeking a travel nurse RN ICU - Intensive Care Unit for a travel nursing job in Springfield, Massachusetts.
Job Description & Requirements- Specialty:ICU - Intensive Care Unit
- Discipline:RN
- Start Date:07/14/2025
- Duration:13 weeks
- 36 hours per week
- Shift:12 hours, nights
- Employment Type:Travel
Focus Staff is seeking aIntensive Care Unit Registered Nurse for a travel contract in Springfield, MA. The ideal candidate will have at least 1 year of experience in a ICU setting.
Contract Length: 13 Weeks
Start Date: 07/14/2025
Shift: 3x12 Nights
Benefits for Travel ICU RNs:
- Health insurance
- Vision insurance
- Dental insurance
- Life insurance
- Licensure reimbursement
- Travel reimbursement
- Relocation assistance
- 401(k)
- 401(k) matching
- Competitive pay
- Referral bonus
- Holiday bonus
Requirements:
- 1 Year of Experience, 2 Preferred
- Valid MA RN License
- BLS (Basic Life Support)
- ACLS
- Eligible to work in the United States
About Focus Staff:
Focus Staff is a traveler-first nurse and healthcare staffing agency! We prioritize the needs of our travelers, giving you complete control over your journey. Our mission is to help you create the life you love, explore the country and do what you do best, help others.
Interested in becoming a traveler with Focus Staff? Discover why travelers choose us, apply today!
All-Star Status:
- Dallas 100 (Multiple Years in a Row)
- Inc. 5000
- Middle Market 50
- Certified by The Joint Commission
- Best of Staffing Talent Satisfaction 2022
- Best of Staffing Client Satisfaction 2022
- Fastest-Growing US Staffing Firms 2017
If you’re seeking a Travel ICU Nurse position in Springfield, MA and are looking to work with an agency that will listen to your needs and career goals, then Focus Staff is the right place to be. We are proud of our ability to build relationships with all our healthcare professionals, whether you’re seeking travel assignments, PR or permanent positions.
We Offer:
- Immediate Openings
- Weekly Pay through Direct Deposits
- Flexible Schedules
- Day and Night Shifts Available
- Competitive Compensation
- Guaranteed Hours (based on employer)
- Travel Assistance
- Dedicated/Responsive Recruiters
- Day One Medical, Dental, Vision and Life Insurance
- Generous Housing Stipend
- 24/7 Support
- Company Provided Housing Options
- Referral Bonus ($600)
- Loyalty Bonus ($1,200)
- Discounts/Coupons to Hotels
- Access to Jobs in all 50 States
- Painless Credentialing Process
- U.S.A.-based Company
- Equal Opportunity Employer
- Joint Commission Certified
- Licensure Reimbursement
- Pet-Friendly
- Access to Discounts, Rewards, and more
Other Information:
Job Title: Travel ICU Nurse
Employment Time: Contract/Travel
Date Posted: 06/30/2025 03:04:52 PM
Valid Through: 10/12/2025
Job City: Springfield
Job State: MA
Job Country: USA
Shift: 3x12 Nights
Job ID:
Hiring Organization: Focus Staff
Focus Staff is an EEO/AA (Equal Employment Opportunity and Affirmative Action) Employer.
Estimated pay package based on bill rate at time job was posted. Bill rates can change frequently and without notice. Exact pay package may vary based on several factors, including, but not limited to, guaranteed hours, travel distance, demand, experience, etc.
Traveling Registered Nurse, Travel, ICU, RN – ICU, Contract, Travel, Traveling Nursing, Assignment, Registered ICU, ICU Nurse, ICU RN, ICU Nurse, ICU Travel Nurse, Healthcare RN, ICU Nursing, Nurse RN, RN Nurse, Contract RN
Focus Staff Job ID #a0xVt0008grg1IAA. Pay package is based on 12 hour shifts and 36 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: Travel RN ICU - Intensive Care Unit Registered Nurse
About Focus StaffYour Journey, Our Focus. Travel Confidently, Care Boldly with Focus Staff.
At Focus Staff, we’re here to make your travel healthcare career rewarding, seamless, and stress-free.
Whether you’re a travel nurse, therapist, or allied health professional, we take care of the details so you can focus on what you do best — caring for others. Our mission is simple: to help healthcare heroes like you thrive, no matter where your journey takes you.
With thousands of job opportunities across all 50 states, our dedicated recruiters work closely with you to match you to the right assignment, based on what matters most toyou — pay, location, benefits, or career growth.
From day one, you’ll enjoy premium benefits like medical coverage that bridges between assignments, 401K matching, travel and licensing reimbursements, and personalized housing support. Plus, our team is here for you 24/7, with clinical support available whenever you need guidance or backup.
At Focus Staff, we believe in making every assignment a smooth, comfortable, and empowering experience.Let’s make your next adventure your best one yet.
Travel ICU Registered Nurse (Medical & Neuro Critical Care) - $2,332 per week
Posted today
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Job Description
Coast Medical Service is seeking a travel nurse RN SICU - Surgical Intensive Care for a travel nursing job in Springfield, Massachusetts.
Job Description & Requirements- Specialty:SICU - Surgical Intensive Care
- Discipline:RN
- Start Date:07/14/2025
- Duration:13 weeks
- 36 hours per week
- Shift:12 hours, nights
- Employment Type:Travel
Coast Medical Service is a nationwide travel nursing & allied healthcare staffing agency dedicated to providing an elite traveler experience for the experienced or first-time traveler. Coast is featured on Blue Pipes' 2023 Best Travel Agencies and named a 2022 Top Rated Healthcare Staffing Firm & 2023 First Half Top Rated Healthcare Staffing Firm by Great Recruiters. Please note that pay rate may differ for locally based candidates. Please apply here or contact a recruiter directly to learn more about this position & the facility, and/or explore others that may be of interest to you. We look forward to speaking with you!
Coast Medical Services Job ID #32864070. Pay package is based on 12 hour shifts and 36.0 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: RN:Surgical Intensive Care Unit (SICU),19:00:00-07:30:00
Benefits- Holiday Pay
- Sick pay
- 401k retirement plan
- Pet insurance
- Health Care FSA
Lead Director, Clinical Business Support Specialist
Posted today
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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**
***We have a preference for qualified candidates in the New York metro area for this opportunity. If outside NYC/NJ, additional travel will be required***
The Lead Director, Clinical Business Support Specialist will reside on the Clinical Business Support team within Sales Enablement and will be responsible for the provision of multi-lateral clinical support to field and account teams, employers, and healthcare consultants.
This role will support clinical discussions, presentations, and activities to help our commercial plan sponsors advance towards the quintuple aim (reducing costs; improving population health; optimizing the patient & provider experiences; and driving awareness of equity and inclusion).
To achieve this, the Lead Director, Clinical Business Support Specialist will participate and demonstrate leadership in the following core activities: periodic plan performance reviews; high-cost claimant reviews; reviewing company's clinical model(s), programs, and point solutions; developing health promotion and health prevention strategies; RFI/RFP support, capabilities and finalist meetings; partnering with consultants, brokers and producers; answering clinically related accounts questions; and participating in industry related trade groups and activities.
This role will also be responsible for brining the voice of the customer back to the organization to ensure that their needs are being met through our product and services we offer. This will involve partnering with numerous stakeholders across Aetna, as well as with business partners with our PBM and consumer business.
Many of these client meetings will be held in person, so this role will require a moderate level of business travel.
**Required Qualifications**
5-10+ years experience with the above as well as large national commercial health plan experience.
Clinical training and background.
Licensed healthcare professional.
Ability to travel 25% - 50%.
**Preferred Qualifications**
RN or Advanced Practice Nurse (RNs, NPs, PA, PhD., Dr.PH, DrSC, etc.)
**Education**
BSN or relevant Bachelors. Masters preferred (MSN, MPH, MS, MHA, MMM, MBA, etc.) or equivalent experience.
**Pay Range**
The typical pay range for this role is:
$100,000.00 - $231,540.00
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. This position also includes an award target in the company's equity award program.
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: 09/30/2025
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.
Medical Assistant MA - Manchester Primary Care, CT
Posted today
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**Opportunities with ProHealth Physicians,** part of the Optum family of businesses. When you work at ProHealth Physicians, your contributions directly sustain the health and well-being of our community. Discover high levels of teamwork, robust medical resources and a deep commitment to exceptional care and service. Join a leading community-based medical group and discover the meaning behind **Caring. Connecting. Growing together.**
Are you ready to make a positive impact in health care? If so, you're the missing piece in our care team. As part of the Optum and UnitedHealth Group family, **ProHealth Physicians** offers new opportunities for growth. Here, you'll experience:
+ Exceptional teamwork
+ Robust medical resources
+ Passionate professionals with a focus on patient-centered care
**Position Details:**
+ **Location:** Manchester Primary Care, CT
+ **Department:** Family Practice
+ **Schedule:** Full time, 40 hours, Monday through Friday, hours between 7:30AM - 5:30PM
The Medical Assistant supports the Care team and its patients through patient care, clinical and administrative tasks including patient intake, receiving and responding to patient phone calls, and documenting patient interactions. The MA performs duties within the Connecticut scope of practice.
**Primary Responsibilities:**
+ Provide patient care, clinical summary and direction on next steps or follow up
+ Perform phlebotomy for patients as needed
+ Act as a member of the care team, including preparing patients to be seen by collecting and recording clinical information as per protocol
+ Manage patients according to approved protocols and consistent with appointment and scheduling guidelines
+ Carry out standing orders consistent with practice policies and procedures
+ Document all patient interactions and other clinical activities accurately and in a timely manner in the electronic health record (EHR)
+ Schedule tests, treatments and follow up visits on behalf of patients; assist patients with identifying suitable outside resources for disease management and other services; refer patients when appropriate
+ Answer and document patient phone calls; take complete messages and route to providers as needed using the EHR
+ Monitor task pools in order to respond to tasks in a timely manner, follow up on overdue orders/worklists and monitor status of critical referrals
+ In coordination with Regional Nurse Managers, maintain oversight of temperature monitoring
+ Assist care team to assure smooth office operation and delivery of excellent service through teamwork
+ Provide attention to patients in a manner that builds confidence, trust and loyalty
+ Demonstrate respect for patients and ProHealth staff by presenting a friendly, courteous manner at all times and maintaining patient confidentiality
+ Maintain open lines of communications with care team and Regional Management team
+ Maintain knowledge of current coding, OSHA and CLIA regulations and company policies
+ Adhere to all patient safety initiatives
Join ProHealth Physicians and play a pivotal role in shaping the future of health care in Connecticut. Caring. Connecting. Growing together. ProHealth Physicians is Connecticut's leading community-based medical group. Formed in 1997, we have primary care offices in every county. Our 300+ doctors and advance practice clinicians care for children and adults of all ages. We also have in-house imaging and clinical lab services. Traditional medicine treats people when they're sick. Instead, we focus on preventing diseases. Our goal is to give our patients - and their communities - the tools they need to be and stay well. This is how we help people live healthier lives.
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
**Required Qualification:**
+ Graduate of Accredited Medical Assistant program OR Completed relevant medical assisting training by any branch of the armed forces of the United States OR 2+ years of aide or tech level work experience in healthcare
**Preferred Qualifications:**
+ Graduate from an accredited MA program
+ Completed relevant medical assisting training by any branch of the armed forced of the United States
+ Certified / Registered Medical Assistant from AAMA, NHA, NCCT, or AMT
+ CPR/BLS Certification
+ 1+ years of MA experience
+ Experience working with Epic
+ Experience working in a primary care office
+ Intermediate level of computer proficiency
The hourly range for this role is $6.00 to 24.42 per hour based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far- reaching choice of benefits and incentives.
_At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._
_UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._
_UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._
Business Transformation, Healthcare Provider Operations Consulting_Manager
Posted today
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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 Consulting_Manager**
**#Healthconsulting**
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 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 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**
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 Manager in our Health consulting group focused on Provider Operations, 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
**To qualify for the role you must have**
+ A bachelor's degree and approximately 5 years of related work experience; or a master's degree and approximately 4 years of related work experience
+ Approximately 4 years of healthcare consulting experience, preferably with prior experience as a manager (or above), in a consulting firm or in a 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
+ 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 neede by the client.
**Ideally you'll also have**
+ A degree with an emphasis in Finance, Accounting, and/or Business; CPA, MBA, MHA and/or MPH
**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 $127,100 to $33,000. The base salary range for New York City Metro Area, Washington State and California (excluding Sacramento) is 152,500 to 264,800 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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Manager, Healthcare Provider Contracting - CT market
Posted today
Job Viewed
Job Description
The **Manager, Healthcare Provider Contracting** serves as an integral member of the Provider Contracting Team and reports to the AVP, Provider Contracting. This role assists in developing the strategic direction and management of the day to day contracting and network management activities for a local given territory.
**DUTIES AND RESPONSIBILITIES**
+ Manages complex contracting and negotiations for fee for service and value-based reimbursements with hospitals and other providers (e.g., Hospital systems, Ancillaries, and large physician groups).
+ Builds relationships that nurture provider partnerships and seeks broader value-based business opportunities to support the local market strategy.
+ Initiates and maintains effective channels of communication with matrix partners including but not limited to, Claims Operations, Medical Management. Credentialing, Legal, Medical Economics, Compliance, Sales and Marketing and Service.
+ Contributes to the development of alternative network initiatives. Supports and provides direction to develop network analytics required for the network solution.
+ Works to meet unit cost targets, while preserving an adequate network, to achieve and maintain Cigna's competitive position.
+ Creates and manages initiatives that improve total medical cost and quality.
+ Drives change with external provider partners by assessing clinical informatics and offering consultative expertise to assist with total medical cost initiatives.
+ Prepares, analyzes, reviews, and projects financial impact of larger or complex provider contracts and alternate contract terms.
+ Creates healthcare provider agreements that meet internal operational standards and external provider expectations. Ensures the accurate implementation, and administration through matrix partners.
+ Assists in resolving elevated and complex provider service complaints. Researches problems and negotiates with internal/external partners/customers to resolve highly complex and/or escalated issues.
+ Manages key provider relationships and is accountable for critical interface with providers and business staff.
+ Demonstrates knowledge of providers in an assigned geographic area through understanding the interrelationships as well as the competitive landscape.
+ Responsible for accurate and timely contract loading and submissions and interface with matrix partners for network implementation and maintenance.
+ May provide guidance or expertise to less experienced specialists.
**POSITION REQUIREMENTS**
+ **Should possess a bachelor's degree; preferably in the areas of Finance, Economics, Healthcare or Business related. Significant industry experience will be considered in lieu of a bachelor's degree.** MBA or MHA preferred.
+ **3+ years Managed Care contracting and negotiating experience involving complex delivery systems and organizations required.**
+ Experience in developing and managing key provider relationships
+ Knowledge of complex reimbursement methodologies, including incentive based models strongly preferred.
+ Demonstrated experience in seeking out, building and nurturing strong external relationships with provider partners.
+ Intimate understanding and experience with hospital, managed care, and provider business models.
+ Team player with proven ability to develop strong working relationships within a fast-paced, matrix organization.
+ The ability to influence both sales and provider audiences through strong written and verbal communication skills. Experience with formal presentations.
+ Customer centric and interpersonal skills are required.
+ Demonstrates an ability to maneuver effectively in a changing environment.
+ Superior problem solving, decision-making, negotiating skills, contract language and financial acumen.
+ Knowledge and use of Microsoft Office tools.
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
**About Cigna Healthcare**
Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives.
_Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws._
_If you require reasonable accommodation in completing the online application process, please email:_ _for support. Do not email_ _for an update on your application or to provide your resume as you will not receive a response._
_The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State._
_Qualified applicants with criminal histories will be considered for employment in a manner_ _consistent with all federal, state and local ordinances._
Manager, Healthcare Provider Contracting - CT market
Posted today
Job Viewed
Job Description
The **Manager, Healthcare Provider Contracting** serves as an integral member of the Provider Contracting Team and reports to the AVP, Provider Contracting. This role assists in developing the strategic direction and management of the day to day contracting and network management activities for a local given territory.
**DUTIES AND RESPONSIBILITIES**
+ Manages complex contracting and negotiations for fee for service and value-based reimbursements with hospitals and other providers (e.g., Hospital systems, Ancillaries, and large physician groups).
+ Builds relationships that nurture provider partnerships and seeks broader value-based business opportunities to support the local market strategy.
+ Initiates and maintains effective channels of communication with matrix partners including but not limited to, Claims Operations, Medical Management. Credentialing, Legal, Medical Economics, Compliance, Sales and Marketing and Service.
+ Contributes to the development of alternative network initiatives. Supports and provides direction to develop network analytics required for the network solution.
+ Works to meet unit cost targets, while preserving an adequate network, to achieve and maintain Cigna's competitive position.
+ Creates and manages initiatives that improve total medical cost and quality.
+ Drives change with external provider partners by assessing clinical informatics and offering consultative expertise to assist with total medical cost initiatives.
+ Prepares, analyzes, reviews, and projects financial impact of larger or complex provider contracts and alternate contract terms.
+ Creates healthcare provider agreements that meet internal operational standards and external provider expectations. Ensures the accurate implementation, and administration through matrix partners.
+ Assists in resolving elevated and complex provider service complaints. Researches problems and negotiates with internal/external partners/customers to resolve highly complex and/or escalated issues.
+ Manages key provider relationships and is accountable for critical interface with providers and business staff.
+ Demonstrates knowledge of providers in an assigned geographic area through understanding the interrelationships as well as the competitive landscape.
+ Responsible for accurate and timely contract loading and submissions and interface with matrix partners for network implementation and maintenance.
+ May provide guidance or expertise to less experienced specialists.
**POSITION REQUIREMENTS**
+ **Should possess a bachelor's degree; preferably in the areas of Finance, Economics, Healthcare or Business related. Significant industry experience will be considered in lieu of a bachelor's degree.** MBA or MHA preferred.
+ **3+ years Managed Care contracting and negotiating experience involving complex delivery systems and organizations required.**
+ Experience in developing and managing key provider relationships
+ Knowledge of complex reimbursement methodologies, including incentive based models strongly preferred.
+ Demonstrated experience in seeking out, building and nurturing strong external relationships with provider partners.
+ Intimate understanding and experience with hospital, managed care, and provider business models.
+ Team player with proven ability to develop strong working relationships within a fast-paced, matrix organization.
+ The ability to influence both sales and provider audiences through strong written and verbal communication skills. Experience with formal presentations.
+ Customer centric and interpersonal skills are required.
+ Demonstrates an ability to maneuver effectively in a changing environment.
+ Superior problem solving, decision-making, negotiating skills, contract language and financial acumen.
+ Knowledge and use of Microsoft Office tools.
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
**About Cigna Healthcare**
Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives.
_Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws._
_If you require reasonable accommodation in completing the online application process, please email:_ _for support. Do not email_ _for an update on your application or to provide your resume as you will not receive a response._
_The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State._
_Qualified applicants with criminal histories will be considered for employment in a manner_ _consistent with all federal, state and local ordinances._
Manager, Healthcare Provider Contracting - CT market
Posted 8 days ago
Job Viewed
Job Description
The Manager, Healthcare Provider Contracting serves as an integral member of the Provider Contracting Team and reports to the AVP, Provider Contracting. This role assists in developing the strategic direction and management of the day to day contracting and network management activities for a local given territory.
DUTIES AND RESPONSIBILITIES
- Manages complex contracting and negotiations for fee for service and value-based reimbursements with hospitals and other providers (e.g., Hospital systems, Ancillaries, and large physician groups).
- Builds relationships that nurture provider partnerships and seeks broader value-based business opportunities to support the local market strategy.
- Initiates and maintains effective channels of communication with matrix partners including but not limited to, Claims Operations, Medical Management. Credentialing, Legal, Medical Economics, Compliance, Sales and Marketing and Service.
- Contributes to the development of alternative network initiatives. Supports and provides direction to develop network analytics required for the network solution.
- Works to meet unit cost targets, while preserving an adequate network, to achieve and maintain Cigna's competitive position.
- Creates and manages initiatives that improve total medical cost and quality.
- Drives change with external provider partners by assessing clinical informatics and offering consultative expertise to assist with total medical cost initiatives.
- Prepares, analyzes, reviews, and projects financial impact of larger or complex provider contracts and alternate contract terms.
- Creates healthcare provider agreements that meet internal operational standards and external provider expectations. Ensures the accurate implementation, and administration through matrix partners.
- Assists in resolving elevated and complex provider service complaints. Researches problems and negotiates with internal/external partners/customers to resolve highly complex and/or escalated issues.
- Manages key provider relationships and is accountable for critical interface with providers and business staff.
- Demonstrates knowledge of providers in an assigned geographic area through understanding the interrelationships as well as the competitive landscape.
- Responsible for accurate and timely contract loading and submissions and interface with matrix partners for network implementation and maintenance.
- May provide guidance or expertise to less experienced specialists.
POSITION REQUIREMENTS
- Should possess a bachelor's degree; preferably in the areas of Finance, Economics, Healthcare or Business related. Significant industry experience will be considered in lieu of a bachelor's degree. MBA or MHA preferred.
- 3+ years Managed Care contracting and negotiating experience involving complex delivery systems and organizations required.
- Experience in developing and managing key provider relationships
- Knowledge of complex reimbursement methodologies, including incentive based models strongly preferred.
- Demonstrated experience in seeking out, building and nurturing strong external relationships with provider partners.
- Intimate understanding and experience with hospital, managed care, and provider business models.
- Team player with proven ability to develop strong working relationships within a fast-paced, matrix organization.
- The ability to influence both sales and provider audiences through strong written and verbal communication skills. Experience with formal presentations.
- Customer centric and interpersonal skills are required.
- Demonstrates an ability to maneuver effectively in a changing environment.
- Superior problem solving, decision-making, negotiating skills, contract language and financial acumen.
- Knowledge and use of Microsoft Office tools.
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
About Cigna Healthcare
Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives.
Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.
If you require reasonable accommodation in completing the online application process, please email: for support. Do not email for an update on your application or to provide your resume as you will not receive a response.
The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.
Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.