NewSenior Healthcare Data Analyst (Reimbursement) Blue Cross and Blue Shield of LouisianaSenior Healthcare Data Analyst (Reimbursement)Baton Rouge, LouisianaACCOUNTABILITIES AND ESSENTIAL FUNCTIONS Serves as provider reimbursement technical advisor and/or committee participant to Information Technology staff, Benefits Administration staff, Provider Audit, Network Administration and/or Medicare Advantage staff, and entry level Reimbursement Analyst by developing and implementing project/program narratives and responding to concerns on new and existing reimbursement programs, billing guidelines, and system requirements to ensure accurate implementation and maintenance of provider reimbursement programs. Other data sources are market research consultants, AMA, St. Anthony, Relative Value Studies for Dentists, Dun and Bradstreet and HIAA, CMS, Blue Cross and Blue Shield Association, Blue Cross and Blue Shield Plans, CMS, DHS, sales and marketing regional offices.
NewHealthcare Consultant, Network Strategy & Analytics (remote) UnitedHealth Group IncHealthcare Consultant, Network Strategy & Analytics (remote)Baton Rouge, LARemote$72,800–$130,000 / yearThis role will partner closely with contracting, finance, actuarial, operations, provider relations, and clinical teams to evaluate pricing impacts, support provider negotiations, and drive data-informed business decisions. This role primarily supports and validates provider and payor network contracting and trend management activities through financial or pricing modeling, negotiation support, analysis, and reporting.
NewHealthcare Consultant, Network Strategy & Analytics (Remote) UnitedHealth Group Inc.Healthcare Consultant, Network Strategy & Analytics (Remote)Baton Rouge, LARemote$72,800–$130,000 / yearThis role will partner closely with contracting, finance, actuarial, operations, provider relations, and clinical teams to evaluate pricing impacts, support provider negotiations, and drive data-informed business decisions. This role primarily supports and validates provider and payor network contracting and trend management activities through financial or pricing modeling, negotiation support, analysis, and reporting.
Intern -- Administration -- PRN Ochsner Health SystemIntern -- Administration -- PRNBaton Rouge, LAIndividuals who reside in and will work from the following areas are not eligible for remote work position: Colorado, California, Hawaii, Illinois, Maine, Maryland, Massachusetts, Minnesota, New Jersey, New York, Vermont, Washington, and Washington D.C. Ochsner Health endeavors to make our site accessible to all users. Because the incumbent works within a healthcare setting, there may be occupational risk for exposure to hazardous medications or hazardous waste within the environment through receipt, transport, storage, preparation, dispensing, administration, cleaning and/or disposal of contaminated waste.
CW Healthcare Price and Transparency Data Analyst Intern Blue Cross and Blue Shield of LouisianaCW Healthcare Price and Transparency Data Analyst InternBaton Rouge, LouisianaPursuant with sec 1033 of the Violent Crime Control and Law Enforcement Act of 1994, individuals who have been convicted of a felony crime involving dishonesty or breach of trust are prohibited from working in the insurance industry unless they obtain written consent from their state insurance commissioner. As part of this process records may be verified and information checked with agencies including but not limited to the Social Security Administration, criminal courts, federal, state, and county repositories of criminal records, Department of Motor Vehicles and credit bureaus.
Pediatric LVN Home Healthcare: Low Acuity (Day Shifts) **SIGN ON BONUS AVAILABLE** Aveanna Healthcare Holdings IncPediatric LVN Home Healthcare: Low Acuity (Day Shifts) **SIGN ON BONUS AVAILABLE**Lutcher, LAJoining our Talent Network will allow you to stay connected with Aveanna, receive alerts with new job opportunities that match your interests, and receive relevant communications and updates from our organization. These posts can also be found directly on facebook at the following url: www.facebook.com/officialAveannaHealthcare (link opens in a new window).
In Home Healthcare LPN: High Acuity (days and weekend shifts) Aveanna Healthcare Holdings IncIn Home Healthcare LPN: High Acuity (days and weekend shifts)LAJoining our Talent Network will allow you to stay connected with Aveanna, receive alerts with new job opportunities that match your interests, and receive relevant communications and updates from our organization. These posts can also be found directly on facebook at the following url: www.facebook.com/officialAveannaHealthcare (link opens in a new window).
In Home Healthcare LPN: High Acuity (Day shifts) Aveanna Healthcare Holdings IncIn Home Healthcare LPN: High Acuity (Day shifts)Baton Rouge, LAJoining our Talent Network will allow you to stay connected with Aveanna, receive alerts with new job opportunities that match your interests, and receive relevant communications and updates from our organization. These posts can also be found directly on facebook at the following url: www.facebook.com/officialAveannaHealthcare (link opens in a new window).
Aveanna Healthcare Private Duty Nurse RN: Night Shifts Aveanna Healthcare Holdings IncAveanna Healthcare Private Duty Nurse RN: Night ShiftsPort Allen, LAIt's a dedicated team of caregivers and office staff providing compassionate and exceptionally proficient care to medically fragile children on a level above and beyond anything I have experienced in my 30 years of nursing!". Joining our Talent Network will allow you to stay connected with Aveanna, receive alerts with new job opportunities that match your interests, and receive relevant communications and updates from our organization.
Aveanna Healthcare Private Duty Nurse RN Aveanna Healthcare Holdings IncAveanna Healthcare Private Duty Nurse RNLAIt's a dedicated team of caregivers and office staff providing compassionate and exceptionally proficient care to medically fragile children on a level above and beyond anything I have experienced in my 30 years of nursing!". Joining our Talent Network will allow you to stay connected with Aveanna, receive alerts with new job opportunities that match your interests, and receive relevant communications and updates from our organization.
Project Manager Sr TriWest Healthcare AllianceProject Manager SrBaton Rouge, LARemoteFull timeTechnical Skills: Knowledge of the Managed Care concepts, proficient with statistical analysis, data management and analysis, project management techniques, benchmarking practices and techniques, quality improvement tools and techniques, presentations skills, and proficient with Excel, SQL, Word, PowerPoint, and Visio. Supports project implementation when required using project management tools to develop project plans/timelines, coordinate/manage project, monitor and report status, progress and areas of risk in relation to established project objectives, requirements and timelines.
Sr Project Manager - Strategic Planning TriWest Healthcare AllianceSr Project Manager - Strategic PlanningBaton Rouge, LARemoteFull timeProject leads/supports multiple complex cross functional projects and assigned teams; effectively models, implements and communicates best practice project management knowledge, skills, tools and processes ensuring accuracy, consistency and thoroughness in all phases. Technical Skills: Knowledge of modern Healthcare/Managed Care concepts, proficient with statistical analysis, data management and analysis, project management techniques, benchmarking practices and techniques, quality improvement tools and techniques.
Solutions Program Manager TriWest Healthcare AllianceSolutions Program ManagerBaton Rouge, LARemoteFull timeThe Solutions Program Manager is responsible for ensuring that our strategic, enterprise wide programs are well defined, planned, tracked and communicated in a consistent manner, responsible for building partnering relationships with C-Suite executives and other stakeholders; responsible for on time, within budget and quality implementation of enterprise wide programs; responsible for executing project management best practices. • As part of the Program Manager's Team, develop effective collaborative relationships with TriWest's C-Suite executive and other leaders in Operations, Health Care Services, Provider Network and IT to ensure that TriWest meets contractual requirements and fulfills organizational objectives.
Provider Program Manager - APM TriWest Healthcare AllianceProvider Program Manager - APMBaton Rouge, LARemoteFull timeDevelops effective collaborative relationships with TriWest's inter and intra-departmental stakeholders and other SMEs, C-Suite executives, and other leaders in Operations, Health Care Services, Provider Network, and IT to ensure that TriWest meets contractual requirements and fulfills organizational objectives. The Provider Program Manager ensures that strategic, enterprise-wide programs are well defined, planned, tracked, and communicated in a consistent manner; is responsible for collaborating with C-Suite executives and other stakeholders; and is responsible for deliverables that meet defined requirements and for utilizing project management best practices.
Office Manager Highflyer RecruitingOffice ManagerBaton Rouge, LAFull timeOffice ManagerLocation: Baton Rouge, LouisianaReports To: Practice Owner / Practice AdministratorPosition SummaryThe Medical Office Manager oversees the daily administrative operations of the practice to ensure efficient office operations, quality patient service, and compliance with applicable policies and procedures. This position supervises front office staff, oversees billing activities, coordinates payroll timekeeping, manages office supplies, and supports providers in maintaining an organized and productive workplace.
Practice Manager, Medical Oncology Mary Bird Perkins Cancer CenterPractice Manager, Medical OncologyBaton Rouge, LouisianaThe Practice Manager partners closely with physicians, advanced practice providers, nursing leadership, pharmacy, infusion services, laboratory, imaging, and other ancillary departments to achieve organizational goals and deliver an outstanding patient experience. This culture of innovation helps attract the best cancer minds in the country, from expert physicians and highly specialized scientists to forward-thinking leaders in supportive care and other disciplines.
Direct Contracting Manager TriWest Healthcare AllianceDirect Contracting ManagerBaton Rouge, LARemoteFull timeMedicaid, Medicare, TRICARE, VAPC3), and the insurance industry; skill in diplomacy and negotiation; skill in financial analysis to analyze contractual reimbursement; skill in project management; skill in presentation; proficient with Excel. Develops hospital, physician and ancillary service agreements, ensures adherence with government operational manuals, monitors network shortfalls, and resolves access issues throughout the assigned region.
Administrative Assistant St. James Place of Baton RougeAdministrative AssistantBaton Rouge, LouisianaIntervenes and facilitates response to needs of residents, families, and staff and addresses issues; communicates resident or staffing concerns to the Director of Healthcare Services. St. James Place encourages its team members to build strong connections, live with integrity, and lead by example all while delivering joyful service to our residents.
Sr Director, Clinical Operations - Full-Time Woman's HospitalSr Director, Clinical Operations - Full-TimeBaton Rouge, LA$135,000–$202,000 / yearReporting directly to the Chief Operating Officer (COO), this role ensures daily operational efficiency, fiscal responsibility, and strict regulatory compliance across key areas, including Imaging, Laboratory, Pharmacy, and Wellness Center (Therapy Services & Fitness/Spa). Regulatory Compliance & Safety: Laboratory Quality: Ensure the clinical laboratory operates in strict accordance with Clinical Laboratory Improvement Amendments (CLIA) regulations, maintaining successful accreditation, proper proficiency testing, and robust quality control logs.
NewManager, Data Engineering (Master Data Management) MDM TriWest Healthcare AllianceManager, Data Engineering (Master Data Management) MDMBaton Rouge, LARemoteFull timeTechnical Skills: In-depth knowledge of all application functionality, security, development, and system administration; knowledge of relevant technology, tools and middleware; proficient change agent; knowledge of the agile methodology and software maintenance and support. • Develops and maintains ongoing relationships with hardware, software, consultant, and employee resource vendors to insure that TriWest systems are adequately supported and external opportunities are understood and considered in the planning process.