NewTravel Nurse RN - Home Health - $2,455 per week Healthcare SupportTravel Nurse RN - Home Health - $2,455 per weekPortland, ORYour travel team will include a designated credentialing expert to help you navigate every step of the on-boarding process, a payroll specialist who you can communicate with directly, and a skilled recruiter who takes the time to understand your needs and works hard to find the right position for you. Not only does HealthCare Support reimburse for relocation and travel costs on your first check, but we also offer license and certification reimbursements required for your assignments so that you can focus on building your career.
NewTravel Home Health Physical Therapist - $2,915 per week Healthcare SupportTravel Home Health Physical Therapist - $2,915 per weekPortland, ORYour travel team will include a designated credentialing expert to help you navigate every step of the on-boarding process, a payroll specialist who you can communicate with directly, and a skilled recruiter who takes the time to understand your needs and works hard to find the right position for you. Not only does HealthCare Support reimburse for relocation and travel costs on your first check, but we also offer license and certification reimbursements required for your assignments so that you can focus on building your career.
NewTravel NICU Registered Nurse - $2,531 per week Healthcare SupportTravel NICU Registered Nurse - $2,531 per weekPortland, ORYour travel team will include a designated credentialing expert to help you navigate every step of the on-boarding process, a payroll specialist who you can communicate with directly, and a skilled recruiter who takes the time to understand your needs and works hard to find the right position for you. Not only does HealthCare Support reimburse for relocation and travel costs on your first check, but we also offer license and certification reimbursements required for your assignments so that you can focus on building your career.
NewTravel Nurse RN - Dialysis - $2,100 per week Healthcare SupportTravel Nurse RN - Dialysis - $2,100 per weekPortland, ORYour travel team will include a designated credentialing expert to help you navigate every step of the on-boarding process, a payroll specialist who you can communicate with directly, and a skilled recruiter who takes the time to understand your needs and works hard to find the right position for you. Not only does HealthCare Support reimburse for relocation and travel costs on your first check, but we also offer license and certification reimbursements required for your assignments so that you can focus on building your career.
NewTravel Labor and Delivery Registered Nurse - $2,622 per week Healthcare SupportTravel Labor and Delivery Registered Nurse - $2,622 per weekOregon City, ORYour travel team will include a designated credentialing expert to help you navigate every step of the on-boarding process, a payroll specialist who you can communicate with directly, and a skilled recruiter who takes the time to understand your needs and works hard to find the right position for you. Not only does HealthCare Support reimburse for relocation and travel costs on your first check, but we also offer license and certification reimbursements required for your assignments so that you can focus on building your career.
Healthcare Banking Support Specialist U.S. BancorpHealthcare Banking Support SpecialistPortland, OR$32.21–$42.93 / hourThe Healthcare Banking Support Specialist is a support role working directly with loans, customer accounts, inquiries, and items directly related to client satisfaction with the U.S. Bank relationship while working in partnership with the Healthcare Relationship Managers, Business Development Officers, and Relationship Analysts. Works closely with Bankers, legal, credit, construction, post-underwriting, lending services, attorneys, title companies, insurance companies and more to ensure proper lien position and a minimal number of loan exceptions.
Healthcare Provider, Business Operations - Senior Manager PricewaterhouseCoopers LLPHealthcare Provider, Business Operations - Senior ManagerOR$124,000–$280,000 / yearAs a Senior Manager, you will play a significant leadership role within our Provider Business Operations team, helping healthcare providers execute large, tech-enabled transformation programs for healthcare providers. Shape solution design and transformation strategies across multiple healthcare administrative domains (e.g., finance, HR, supply chain), leveraging deep expertise and a strong understanding of provider operations, business case development, and process improvement.
Customer Service Associate Representative - Cigna Healthcare - Remote The Cigna GroupCustomer Service Associate Representative - Cigna Healthcare - RemoteORRemote$17.75–$19 / hourThese 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. 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.
Territory Manager of Healthcare Partnerships - Washington/Oregon Mom's MealsTerritory Manager of Healthcare Partnerships - Washington/OregonPortland, ORFull timeEffectively present Mom’s Meals products and services to a variety of audiences including managed care organizations as well as case managers, social workers, physicians, nurses and dietitians. Consistently utilize company programs and systems to maximize and prioritize each of the qualified Tier account engagements and create efficient weekly sales routes to meet scheduled meetings, drop-ins, and client educational opportunities.
Solutions Architect I or II, DOE - Healthcare Services Cambia Health Solutions IncSolutions Architect I or II, DOE - Healthcare ServicesOR$114,000–$143,000 / yearWhat You Bring to Cambia: Qualifications: The Solutions Architect I would have a Bachelor's degree in computer science, engineering, or a related/relevant field, plus seven years of IT experience, including a minimum of two years of technical leadership and architecture experience and at least three years of experience evaluating business requirements and designing end‑to‑end solutions in complex environments. The Solutions Architect II would have a Bachelor's degree in computer science, engineering, or a related/relevant field, with an advanced degree preferred, plus seven years of IT experience, including a minimum of two years of technical leadership and architecture experience and at least five years of experience evaluating business requirements and designing complex, enterprise‑scale solutions.
Senior HCM and Compensation Consultant, Healthcare Workday IncSenior HCM and Compensation Consultant, HealthcareBeaverton, OR$117,000–$175,400 / yearStrong influencing skills, including persuasive communication and the ability to drive consensus and effectively collaborate with stakeholders, Exceptional relationship management skills are crucial, with a focus on building and maintaining strong relationships with clients, partners, and colleagues to foster collaboration, loyalty, and a positive work environment. The Workday Healthcare Consulting team is an industry focused team that ensures successful deployments by architecting, configuring, and testing the Workday solution to meet the specific needs of our customers.
Commercial & Healthcare Regulatory Counsel Alto IncCommercial & Healthcare Regulatory CounselORRemote$135,000–$185,000 / yearPhysical requirements for this role include the ability to work at a computer terminal with monitor, keyboard and mouse for extended periods of time, stoop, bend, and reach for equipment and supplies, make frequent repetitive motions required to operate a computer that include the wrists, hands and fingers, and lift, carry, push, pull, and move light objects up to 20 pounds. Issue-spot and provide practical guidance on applicable laws and regulations, such as the Anti-Kickback Statute (AKS), Stark Law, False Claims Act, FDA/DEA requirements relevant to pharmacy and telehealth operations, state pharmacy/professional licensing, PBM contracting/network participation, and HIPAA/HITECH.
Lead Director, Healthcare Medicaid Risk Adjustment Analytics CVS Health CorpLead Director, Healthcare Medicaid Risk Adjustment AnalyticsOR$100,000–$231,540 / yearThe Lead Director should also demonstrate leadership in innovation and adoption of modern technologies, data platforms, machine learning, process automation, AI, and data science for optimized insights, workflows, reporting, and process controls. This senior-level role will provide strategic and operational leadership for all Medicaid risk adjustment analytics, reporting, and informatics functions to ensure complete, accurate, and compliant revenue capture.
Sr Total Rewards Strategist - Executive Compensation (Healthcare) Legacy HealthSr Total Rewards Strategist - Executive Compensation (Healthcare)PORTLAND, Oregon$57.75–$86.05 / hourFull timeThis professional works extensively with Legacy’s Chief People & Culture Officer (CPCO), as well as Legacy’s Chief Executive Officer (CEO), Vice President, People Services and Total Rewards, Director of Total Rewards, members of the Legacy Board of Directors, Management Compensation Committee, and Legacy’s external executive compensation consultants. They provide knowledge and counsel to other People & Culture leaders to position Legacy as an employer of choice for executives, and to develop strategies that integrate with talent management (recruitment, retention, succession planning) and diversity, equity and inclusion (DEI) priorities.
Data Governance Platform Engineer / SDE III (Healthcare) Cambia Health Solutions IncData Governance Platform Engineer / SDE III (Healthcare)OR$104,000–$135,000 / yearPreferred Key Experience: Technically proficient data engineer with a strong background in Snowflake platform capabilities, excellent SQL skills, and hands-on experience with data governance frameworks, access and provisioning design, and modern data management practices. Our environment is built on Snowflake, and this role will be central to enabling capabilities such as automated tagging and classification, role-level access controls, data metric functions, Horizon catalog, and data lineage - all in service of making our members' health journeys easier.
NewHealth Plan Payment Solutions Vice President - Healthcare Payments JPMorgan Chase & CoHealth Plan Payment Solutions Vice President - Healthcare PaymentsORMorgan Payments, we connect consumers, providers, payers, and health tech companies across every healthcare payment transaction, creating a faster, simpler experience for all. JPMorganChase, one of the oldest financial institutions, offers innovative financial solutions to millions of consumers, small businesses and many of the world's most prominent corporate, institutional and government clients under the J.P.
Healthcare Construction and Renovation Technician KR WOLFEHealthcare Construction and Renovation TechnicianPortland, ORFull timeGuided by our commitment to quality, value, and customer service, we operate by our SPIRIT and QUEST core values—delivering exceptional service with integrity, teamwork, and care. The Healthcare Renovation Technician is responsible for the demolition and renovation of all types of healthcare spaces, as well as the installation of new equipment.
NewHealth Plan Payment Solutions Executive Director - Healthcare Payments JPMorgan Chase & CoHealth Plan Payment Solutions Executive Director - Healthcare PaymentsORAs a leader on the team, you leverage your advanced capabilities to craft complex solutions, partner with Sales to identify and capture market opportunities, and create new ways for teams to continuously deliver value to customers. Advises the Product Solutions teams on solutioning and adopting new and existing client-facing products and capabilities while crafting complex solutions and assessing risk to enhance the customer experience.
Strategic Account Executive - Healthcare UKGStrategic Account Executive - HealthcareSalem, OR$90,000–$95,000 / yearThis Account Executive will be in a role of focusing on both acute and non-acute care accounts between 1-500 employees; the role requires a hunter focus on existing accounts seeking to add on Payroll, HR, Talent, Benefits, and additional HCM products, as well as expanding their labor management solution with additional products such as absence management, scheduling, and the analytics solutions. This person will be tasked with creating and maintaining key stakeholder relationships, in the accounts, and maximize opportunities to attain and exceed annual sales goals for the territory and the UKG Healthcare sales team.
Security Guard Enhanced Part Time - Healthcare Facility Allied UniversalSecurity Guard Enhanced Part Time - Healthcare FacilityPortland, OregonAs a Security Guard Enhanced Part Time - Healthcare Facility in Portland, OR , this role is designed to provide reliable, consistent hours at an assigned site with the flexibility for you to earn more by picking-up additional shifts when it works for you. Earn More, Claim-A-Shift Program: In addition to your fixed shift, you may pick-up extra shifts through our scheduling platform, allowing you to increase earnings and gain experience across multiple sites.
Development Manager - Healthcare Technology MaximusDevelopment Manager - Healthcare TechnologyPortland, ORFull timeMaximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. - Drive all aspects of engineering recruiting including but not limited to; attracting great talent and retaining a highly skilled, proficient engineering team.
Senior Analytics Analyst - Healthcare Data SureScripts LLCSenior Analytics Analyst - Healthcare DataBeaverton, ORThe Senior Analytics Analyst - Healthcare Data independently leads analytics workstreams that produce actionable insights, enable product decisions, and strengthen commercial narratives across Surescripts solutions. • Own end-to-end analytics deliverables: scope the problem, define success metrics, develop analytic plans, execute analyses/models, and present results with confidence.
Corporate Paralegal - Alumus Healthcare AlumusCorporate Paralegal - Alumus HealthcarePortland, Oregon$50,000–$70,000 / yearThis role is ideal for a detail-oriented professional who is comfortable collaborating with cross-functional stakeholders to serve clinical, operational, business, corporate and executive teams, in fast-paced and heavily regulated healthcare sectors. Join a company that sees a better way for healthcare by being patient advocates, following evidenced-based clinical practices, caring for people holistically, improving continuity of care and providing nurturing surroundings that encourage and inspire.
Healthcare Loan Closer U.S. BancorpHealthcare Loan CloserPortland, OR$41.41–$50.61 / hourThe Healthcare Loan Closer is a lending support role working directly with loans, customer accounts, inquiries, and items directly related to client satisfaction with the U.S. Bank relationship while working under the direction of Healthcare Relationship Managers and the Healthcare Business Development Officer. In addition, certain positions may also be subject to the requirements of FINRA, NMLS registration, Reg Z, Reg G, OFAC, the NFA, the FCPA, the Bank Secrecy Act, the SAFE Act, and/or federal guidelines applicable to an agreement, such as those related to ethics, safety, or operational procedures.
Field Support Specialist TriWest Healthcare AllianceField Support SpecialistPortland, ORFull timeThe incumbent will also work closely with MTF staff to support TRICARE beneficiaries and provide non-clinical support for patient referrals and authorizations; outreach to network providers as necessary; and to facilitate the support of applicable TriWest departments for resolving network gaps, provider and contract concerns, customer service requests, and discharge coordination for patients from network and non-network facilities. • Performs on-site and virtual outreach activities for military installation community and beneficiary groups such as Family Readiness Groups, Retiree Associations, and Installation New-comers Orientation, and provides educational briefings on such matters as transferring TRICARE enrollment, PCM selection, and other interest areas for new people to the community.
EHR Support Coordinator Neighborhood Health Center OregonEHR Support CoordinatorTigard, ORWho We Are: Neighborhood Health Center is a non-profit organization local to Portland, OR serving underserved patients in the areas of primary care, internal medicine, dental services and more. Neighborhood Health Center Employment Offers are contingent on successful completion of reference checks, background checks, drug screening for illegal substances, Tuberculosis, and any position specific credentialing or licensure requirements.
Field Support Manager Maxim Healthcare Services IncField Support ManagerPortland, ORThis leadership role is ideal for professionals who thrive in a dynamic environment and are passionate about supporting caregivers, clients, and internal teams. We offer private duty nursing, skilled nursing, physical rehabilitation, companion care, respite care and behavioral care for individuals with chronic and acute illnesses and disabilities.
CS Tech Support Specialist I (***) Moda HealthCS Tech Support Specialist I (***)Milwaukie, OR$21.30–$23.96 / hourAnswer inquiries received through phone calls, emails, online chat, social media and outbound text from subscribers, members, Agents, Brokers, Providers/Facilities, Dentists, Pharmacies, Group Administrators and multiple internal departments. The CS Tech Support Specialist I position serves provides Customer Service and Technical Support to internal and external clients through multiple contact channels for Medical, Dental, Pharmacy, Individual Membership Account, MyModa, Benefit Tracker Administration and Maintenance.
Director of Business Strategy and Development for Pharmacy & Professional and Support Services Oregon Health & Science UniversityDirector of Business Strategy and Development for Pharmacy & Professional and Support ServicesPortland, OregonRequires strong leadership, creativity, high energy, strong knowledge base in service line management, organizational development, managed care strategies, strategic planning, financial analysis, research methodologies, and philanthropic activities. Individual must be results oriented, have excellent presentation and writing skills, excellent analytical and statistical skills, project management skills, problem-solving skills, strong team development skills, ability to function in complex organization, and excellent communication skills.
Supervisor, IT Support TriWest Healthcare AllianceSupervisor, IT SupportPortland, ORRemoteFull timeEstablishes regular meetings with other Service Desk staff to review aging of assigned service requests, share documentation and resolution of high severity issues, and drive solutions to minimize high severity issues. This role provides technical direction, manages customer relations, and performs related duties as assigned in order to document, assist and resolve tier 1 and 2 issues reported to the Service Desk.
NewCustomer Support Representative - Pharmacy Technician Consonus PharmacyCustomer Support Representative - Pharmacy TechnicianPortland, OregonFull timeConsonus Pharmacy is a closed-door long-term care pharmacy specializing in the needs of nursing facilities, assisted living residents, and their caregivers. We’re committed to making our workforce an even greater reflection of the people and communities we serve, and we are honored our employees have chosen to work at Marquis and Consonus.
Advanced Medical Support Assistant (Astoria-Hillsboro-West Linn, OR Community Outpatient Clinics) U.S. Department of Veterans AffairsAdvanced Medical Support Assistant (Astoria-Hillsboro-West Linn, OR Community Outpatient Clinics)West Linn, OR$56,716–$73,731 / yearSpecialized Experience: one year of specialized experience (equivalent to the GS5 grade level) in an advanced or complex clinical setting utilizing numerous advanced patient care systems, scheduling appointments across multiple clinics and coordination of services among a diverse team of medical providers and clinics to include outside agencies, advanced knowledge of medical terminology, advanced knowledge of the technical health care processes, policy and procedures as it relates to coordination of care. Advanced knowledge of policies and procedures associated with interdisciplinary coordinated care delivery and/or care in the community operational activities that affect patient flow, and patient support care administrative functions to include, but not limited to appointment cycles, outside patient referrals, follow-up care, overbooking, provider availability, etc.
Manager, Customer Technical Support Steris PlcManager, Customer Technical SupportORRemote$85,000–$105,000 / yearAdditional responsibilities include training and coaching team members to ensure proficiency, monitoring team member performance, documenting processes, procedures and work instructions, communicating with other key business leaders about risks, challenges and opportunities, and ensuring the support team has all resources needed to perform their responsibilities effectively and efficiently. The Manager of Customer Technical Support and implementations oversees a team of 20-30 Technical Support Specialists (Tier 1 through 3) who support Customers using the STERIS Sterile Processing Workflow software.
NewMedical Scheduler/Access Coordinator Neurotherapeutic Pediatric Therapies, Inc.Medical Scheduler/Access CoordinatorWilsonville, Oregon$21.26–$25.84At Neuro Therapeutic Pediatric Therapies, we are passionate about helping children and families thrive through compassionate, collaborative, and high-quality pediatric therapy services. We work to positively impact kids, families, and our community by providing comprehensive therapy services in an innovative and collaborative environment, with an unwavering commitment to the removal of financial barriers for all.
NewMedical Billing Assistant - Entry Level VitalsearchgroupMedical Billing Assistant - Entry LevelPortland, OregonThe Medical Billing Assistant will help prepare and review insurance claims, assist with basic billing and coding tasks, update patient and insurance information, and support the administrative workflows that help keep clinical operations running smoothly. This person should be comfortable learning billing and coding processes, communicating with patients professionally, and maintaining accuracy when working with claims, records, and confidential information.
Patient Care Coordinator Tryfacta, IncPatient Care CoordinatorPortland, ORPrevious experience as a Patient Care Coordinator, Care Coordinator, Patient Access Representative, Unit Coordinator, Medical Office Assistant, or similar healthcare support role preferred. To be considered for this position, you should have: [Skills, Education, or Experience] High School Diploma or equivalent required; Associate's or Bachelor's degree in Healthcare Administration or a related field preferred.
NewSupervisor, Medical Customer Service Moda HealthSupervisor, Medical Customer ServiceMilwaukie, OR$65,682.16–$82,107.97 / yearWorks with internal departments and external entities (providers’ offices, federal and state health insurance marketplaces, other carriers, and others) to obtain answers to caller questions as needed, and coordinate resolution of more complex caller issues. Organizes staff, sets goals, ensures resources are available as needed, coaches and monitors representatives to develop their skills and knowledge in dealing with members, policyholders, brokers, providers, Sales & Account Services, and others.
Chief of Staff to the Chief Operating Officer TriWest Healthcare AllianceChief of Staff to the Chief Operating OfficerPortland, ORRemoteFull timeTechnical Skills: Proficient in current trends in health care management with emphasis in customer service, network management, utilization and financial trends; collaboration skills to work with TriWest management team across multiple locations; networking skills with all levels, including subcontractors. • Works on multiple high level projects including logistical coordination, data analysis, contract management and written communications in support of various business initiatives of high visibility, applying project management tools and methodologies and leadership skills to meet or exceed deadlines.
Medical Equipment Driver & Customer Service Rotech Healthcare Inc.Medical Equipment Driver & Customer ServiceBeaverton, OregonWith hundreds of locations across 45 states, our team delivers high-quality products, exceptional service, and compassionate support that helps patients live more comfortably, independently, and actively. Manages all aspects of intake: answering the phone and receiving faxes, collecting patient and referral source information, data input into IMBS, printing tickets, assembling charts and processing paperwork.
Quality Audit Specialist - Internal Applicants Only Moda HealthQuality Audit Specialist - Internal Applicants OnlyMilwaukie, OR$21.30–$23.96 / hourTo ensure high-quality interactions, the Specialist reviews a variety of communications, including call recordings, voicemails, emails, and chat transcripts, generated by Customer Service Representatives, Technical Support Specialists, third-party vendors, department leaders, and trainees. Conduct comprehensive audits across various customer service channels, including online chat, inbound/outbound phone calls, internal/external emails, and post-contact surveys.
Quality Audit Specialist - Internal Applicants Only Moda Partners IncQuality Audit Specialist - Internal Applicants OnlyMilwaukie, OR$21.30–$23.96 / hourTo ensure high-quality interactions, the Specialist reviews a variety of communications, including call recordings, voicemails, emails, and chat transcripts, generated by Customer Service Representatives, Technical Support Specialists, third-party vendors, department leaders, and trainees. Primary Functions: Conduct comprehensive audits across various customer service channels, including online chat, inbound/outbound phone calls, internal/external emails, and post-contact surveys.
Director, Specialty Pharmacy Sales and Service ArdonDirector, Specialty Pharmacy Sales and ServicePortland, OR$138,271.55–$186,670.03 / yearActively participates and provides support as needed to fellow leadership and quality program staff to ensure activities related to the company’s quality management program and quality improvement activities maintain priority focus and are effectively executed. Expertise in leading high-performing sales development teams, implementing best-in-class prospecting methodologies, and utilizing customer relationship management platforms and technology powered sales tools to enhance lead generation and cultivate partnerships.
Business Office Manager Sapphire at FernhillBusiness Office ManagerPortland, OregonThe Business Office Manager oversees accounts receivable, resident financial services, payroll processes, admissions documentation, human resources administration, and office operations to support the delivery of exceptional resident care and service. The Business Office Manager is responsible for overseeing the day-to-day business operations of the community, ensuring efficient administrative, financial, human resources, and customer service functions.
NewManager Medical Customer Service Moda HealthManager Medical Customer ServiceMilwaukie, OR$78,911.43–$98,639.28 / yearThis role develops and maintains customer service policies, procedures, and guidelines for multiple lines of business in Oregon, Alaska, Idaho, and Texas: • Commercial medical groups, including ASO and fully insured groups. Works cooperatively companywide with Claims, Membership Accounting, Marketing, Operations, Healthcare Services, Compliance, and Sales and Service Management.
NewBusiness Office Manager Sapphire HealthBusiness Office ManagerPortland, ORThe Business Office Manager oversees accounts receivable, resident financial services, payroll processes, admissions documentation, human resources administration, and office operations to support the delivery of exceptional resident care and service. The Business Office Manager is responsible for overseeing the day-to-day business operations of the community, ensuring efficient administrative, financial, human resources, and customer service functions.
Director, Provider Experience TriWest Healthcare AllianceDirector, Provider ExperiencePortland, ORRemoteFull timeThe Director ensures the delivery of exceptional service to providers and government stakeholders by directing cross-functional programs that enhance provider satisfaction, strengthen network engagement, and uphold contractual and regulatory compliance. Coaching / Training / Mentoring: Actively develops the skills and capabilities of direct reports and extended team members through constructive feedback, mentoring relationships, and structured development opportunities aligned with business outcomes.
Project Manager TriWest Healthcare AllianceProject ManagerPortland, ORRemoteFull timeTechnical Skills: Project management skills, including data analysis, facilitation and proficiency in the use of project management tools; ability to effectively interact and maintain effective working relationships with all levels of TriWest staff and with external shareholder organizations; ability to consistently meet meeting materials deadlines. Provides project management support for division and special company-wide projects and initiatives, supports TriWest's senior leadership with annual and day-to-day strategic and operational planning and projects, research activities, data analysis, drafts or edits plans and white papers related to specific initiatives.
Contact Representative (PRC) US Department of Health and Human ServicesContact Representative (PRC)OR$45,409–$72,644 / yearGS-08: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the GS-07 grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: applying and interpreting complex federal, state, Tribal, and private-sector regulations to make eligibility and funding determinations for programs such as Purchased/Referred Care, Medicare, Medicaid, Veterans Affairs healthcare, and Affordable Care Act plans; independently analyzing medical, financial, and eligibility documentation to resolve complex or controversial benefit issues; coordinating with agencies, providers, and patients to ensure fiscal accountability and continuity of care; issuing medical authorizations or denial determinations based on regulatory, clinical, and fiscal requirements; maintaining fund control records, monitoring expenditures, and applying appropriate accounting codes; identifying and resolving program or funding discrepancies; and compiling and analyzing reports related to program operations, funding, and utilization. MINIMUM QUALIFICATIONS: GS-06: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the GS-05 grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: identifying and verifying patient eligibility for Medicare, Medicaid, SSA benefits, private insurance, Tribal programs, and other assistance resources; interviewing patients to obtain required documentation; assisting individuals and families with benefit applications; reviewing records to determine the status of claims and applications; responding to inquiries regarding patient eligibility requirements, benefits, and program guidelines; and maintaining accurate patient records through data entry, discrepancy resolution, and follow-up on pending claims and missing documentation.
Contact Representative (Benefits Coordinator) US Department of Health and Human ServicesContact Representative (Benefits Coordinator)OR$45,409–$72,644 / yearGS-08: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the next lower grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: interpreting and applying federal, state, Tribal, and third-party program regulations to determine eligibility and ensure compliance for programs such as Purchase Referred Care, Medicare, Medicaid, Affordable Care Act, Veterans Affairs Healthcare, and other alternate resources; conducting in-depth patient interviews to assess eligibility, verify coverage, and complete applications; registering eligible patients in various assistance programs; resolving claim denials and eligibility issues through coordination with patients, healthcare providers, and outside agencies; reviewing Medicaid eligibility information and supporting billing requirements; and utilizing effective oral and written communication to explain program requirements, provide referrals, and resolve complex patient service issues. MINIMUM QUALIFICATIONS: GS-06: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the GS-05 grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: determining patient eligibility for alternate resources programs; interpreting and applying Medicare, Medicaid, VA, and other third-party payer policies and procedures; conducting patient interviews to identify available healthcare coverage and funding sources; assisting patients with enrollment and claims processes; researching and resolving eligibility, denial, and reimbursement issues; maintaining effective working relationships with patients and resource agencies; and safeguarding confidential patient information in accordance with Privacy Act and HIPAA requirements.
Manager, Clinical Technology Services Oregon Health & Science UniversityManager, Clinical Technology ServicesPortland, OregonDepartment Overview: Manages the development, implementation, and administration of a comprehensive medical equipment management program designed to maintain an environment in which safe, effective and efficient health care services can be provided by Oregon Health & Sciences University and its affiliated facilities. Partner with CTS and other OHSU stake holders including clinical committees and finance to assist with the development of annual capital replacement list, utilizing equipment age, maintenance history, and end-of-support data.