12 patient services specialist jobs found

Aledade The Quality Reporting Specialist plays a critical role ensuring practice and ACO success in our Medicare Advantage and commercial contracts with a focus on HEDIS quality measures. The Specialist must be service-oriented, well-versed in HEDIS quality measures, and familiar with approaches for reviewing ambulatory care charts both electronic (EHRs) and paper to identify and submit documentation to address quality measure gap closure. This role requires strong attention to detail, great communication skills (both oral and written), and a passion for quality measure performance. We are flexible with respect to geographic location, and the ideal candidate will be comfortable working remotely/work from home within the U.S. Primary Duties: Apply knowledge of HEDIS quality measures for addressing incentivized, contract measures across multiple Medicare Advantage and commercial health plans to ensure practice and ACO receive credit for services received by patient...

Aledade The Director of Program Management and Implementation is an operations leader responsible for driving seamless implementation, optimization, and ongoing management of Aledade's programs across all markets. This role oversees program implementation, customer support, business process optimization, and project management for enterprise initiatives. The Director will lead teams responsible for program implementation, regional support, and operational infrastructure initiatives. They will partner closely with PN Stakeholders, Product, Business Intelligence, Customer Success, Finance, People, and Clinical Leadership to ensure scalable workflows and transparent operational performance. This leader will serve as the operational business owner for the development of unified, automated, and AI-enabled reporting and workflow processes; and connecting operations, contract, financial, and performance business operations workflows. They will drive operational performance...

City of Chesapeake Family Service Specialist I - Foster Care - Familiar with Virginia foster care policy, Vemats, Harmony, and foster care case management. The purpose of the position is to provide a pool of foster parents and/or provide support and assistance to agency clients for the area of responsibility. The position is responsible for recruiting, applicant/client assessment, planning, counseling, education/training, monitoring, and reporting. The position works within a general outline of work to be performed; develops work methods and sequences under general supervision. TYPICAL TASKS: Conducts interviews or investigations and makes client/family assessments; formulates and implements plan; screens interstate referrals; sends out and reviews home study information. Provides individual and group counseling for client and family. Prepares purchase orders for client services, and negotiates provider rates; confirms provider availability and service authorization;...

Lifenet Health Position Title: Clinical Referral Specialist Description AT LIFENET HEALTH, YOU ARE THE ADVANTAGE Every day, YOU help us to save lives, restore health, and bring hope to patients and families around the world. At LifeNet Health, we cultivate growth, innovation, and collaboration, where your contributions drive solutions that benefit humanity. Together, we are united by a mission greater than ourselves, a purpose rooted in healing. ABOUT THIS JOB Location: Richmond, VA Department: Clinical Services Schedule: Full-Time, 12-hour shifts (13 shifts per month); 2 weekends per month and some holidays Clinical Status: Clinical Plus HOW YOULL MAKE AN IMPACT As a Clinical Referral Specialist youll play a vital role in advancing our mission. In this position, youll be responsible for ensuring timely on-site response, assessment, and evaluation of potential organ donors. Interacts with hospital staff to set-up optimal family approach processes. Assess with...

City of Chesapeake Chesapeake Department of Human Services is seeking a Family Services Supervisor (In-Home/Prevention Unit) with the ability to engage and synergize a team of Family Services professionals to fulfill our mission of helping people triumph over poverty, abuse, and neglect to shape strong futures for themselves, their families, and communities . We are looking for a visionary leader that values excellent customer service and strengthening families at every contact while protecting the vulnerable citizens from abuse, neglect, and exploitation and promoting the dignity and worth of each individual citizen in Chesapeake. The person selected for this position should have prior knowledge and/or experience in CPS and/or Prevention. As a Family Services Supervisor in the In-Home unit, you will monitor caseloads, supervise, train, and lead employees in making the best decision regarding safety, well-being, and permanency of all children in the City of Chesapeake.Duties...

City of Chesapeake Are you a born leader? Do you have a passion for helping the citizens of the City of Chesapeake overcome poverty, abuse, and neglect? Chesapeake Department of Human Services is seeking a Family Services Supervisor with the ability to engage and synergize a team of Family Services professionals to fulfill our mission of helping people triumph over poverty, abuse, and neglect to shape strong futures for themselves, their families, and communities . We are looking for a visionary leader that values excellent customer service and strengthening families at every contact while protecting the vulnerable citizens from abuse, neglect, and exploitation and promoting the dignity and worth of each individual citizen in Chesapeake. The person selected for this position should have prior knowledge and/or experience in CPS and/or Prevention. As a Family Services Supervisor, you will monitor caseloads, supervise, train, and lead employees in making the best decision...

The Nature Conservancy What We Can Achieve Together: The Finance and Information Specialist - Trade Lands provides highly specialized finance/accounting-related services to the Trade Lands department within the Finance business unit. The Finance and Information Specialist-Trade Lands provides specialized services in financial management and reporting; accounting; real estate transactions and administration, management and reporting; or similar financial activities for a department or business unit. They have a high level of expertise in their area(s) of specialization. The position administers and maintains finance/accounting activities in accordance with TNC policies and procedures and best practices in financial management. The Finance and Information Specialist provides assistance to staff in their specialty area. They respond to moderately complex employee/management questions and problems based on advanced knowledge of the subject area. This position requires tasks...

Aledade The Quality Improvement Project Specialist plays a key role in supporting quality initiatives by identifying, advancing, and communicating key objectives while utilizing QI best practices and project management tools to track progress and ensure successful execution across internal and external workstreams. Reporting directly to the VP of Clinical Quality, this role requires expertise in value-based care with a particular focus on quality initiatives. The ideal candidate will act as a right hand to the VP, managing multiple deliverables and collaborating closely with both internal teams and external partners. Strong communication and stakeholder engagement skills are essential, as this position offers the opportunity to work in partnership with senior leadership and contribute to driving organizational quality goals. Primary Duties: Aggregate and analyze data from multiple sources, to generate insights, presenting findings through reports and dashboards that highlight...

Lifenet Health Location: Richmond, VA Department: Clinical Services Clinical Classification: Clinical Plus Job Type: Full-Time Shift: 12-hour shifts; 13 shifts per month; 2 weekends per month & some holidays LifeNet Health is searching for talented individuals who will embrace our mission of saving lives, restoring health, and giving hope. LifeNet Health, headquartered in Virginia Beach, Virginia, is the largest nonprofit organ procurement organization ("OPO") and tissue processor in the United States, as well as a leading innovator in tissue engineering and regenerative medicine. Our goal is to improve the quality of human life through the provision of organs, tissues and cells for transplantation; to provide innovation in the fields of bio-implants, regenerative medicine and research; and, to serve the community with educational and support services that enhance the donation process. LifeNet Health has over 1200 employees and has a growing global presence. How you...

Lifenet Health Position Title: Logistics Specialist Description AT LIFENET HEALTH, YOU ARE THE ADVANTAGE Every day, YOU help us to save lives, restore health, and bring hope to patients and families around the world. At LifeNet Health, we cultivate growth, innovation, and collaboration, where your contributions drive solutions that benefit humanity. Together, we are united by a mission greater than ourselves, a purpose rooted in healing. ABOUT THIS JOB Location: Virginia Beach, VA (Bayside Location) Department: Production & Logistics Schedule: Full Time | Monday Friday 9:00am 5:45pm Clinical Status: Clinical HOW YOULL MAKE AN IMPACT The Logistics Specialist position provides kitting/labeling, inventory and distribution services for all related ViviGen/CV products including cycle counting, assistance with reconciling discrepancies, put away of tissue, pre-etching graft for distribution, distribution of grafts to end users, and discard of tissue. Performs...

Lifenet Health Position Title: Clinical Referral Specialist Description Location: Roanoke, VA Department: Clinical Services Clinical Classification: Clinical Plus Job Type: Full-Time Shift: 12-hour shifts; 13 shifts per month; 2 weekends per month & some holidays LifeNet Health is searching for talented individuals who will embrace our mission of saving lives, restoring health, and giving hope. LifeNet Health, headquartered in Virginia Beach, Virginia, is the largest nonprofit organ procurement organization (OPO) and tissue processor in the United States, as well as a leading innovator in tissue engineering and regenerative medicine. Our goal is to improve the quality of human life through the provision of organs, tissues and cells for transplantation; to provide innovation in the fields of bio-implants, regenerative medicine and research; and, to serve the community with educational and support services that enhance the donation process. LifeNet Health has...

Aledade The Network Development Lead is responsible for driving Aledade's growth. This role serves to build relationships with independent primary care practices and local partners in order to establish and expand Aledade's network in key markets. Serving as an empathetic and consultative accountable care expert, this role will recruit practices to participate in government and commercial value-based care contracts with the backing of Aledade's industry expertise, hands-on support, and proprietary technology and analytics. This role will be accountable for achieving annual growth targets. Primary Duties: Engaging with prospective practices in a consultative manner in order to evaluate fit and secure commitment to participate in government and commercial value-based care contracts with accountability to defined growth targets Extending and negotiating participation agreements (contracts) using Salesforce CRM/Conga/DocuSign software. Capturing your knowledge and documenting...