field_job_occupational_field_parents_all

field_job_employment_type

job_organization_name

city

state

<h3>Job Description</h3>
Job Description
Position Type: Part-time, exempt
Company Overview
Theoria Medical is a comprehensive medical group and technology company dedicated to serving patients across the care continuum with an emphasis on post-acute care and primary care. Theoria serves facilities across the United States with a multitude of services to improve the quality of care delivered, refine facility processes, and enhance critical relationships. We offer a broad scope of services including multispecialty physician services, remote patient monitoring, and more. We currently operate primary care clinics and provide medical services to skilled nursing facilities in numerous states across the nation.
As a leading edge, innovative, and quality driven physician group, we continue to expand nationally. In pursuit of this, we continue to seek talented individuals to join our amazing team and care for our population. We wish to extend a warm welcome to all candidates interested in making a difference in healthcare delivery by joining the Theoria team
Theoria Medical is seeking dedicated physician assistants and nurse practitioners to join its team to provide high quality care at the skilled nursing facilities (SNF) it manages. We have a wide variety of roles available suited for providers in various stages of their careers with flexible scheduling in a positive work environment.
Job Location: In person
Job Highlights
<ul>
<li>6-Hour Shifts Daily: Short, balanced workdays.</li>
<li>Flexible Schedules: Work around your life.</li>
<li>No Overnight Requirements</li>
<li>Supportive Community: Access to physician/provider network.</li>
<li>Effortless documentation: Conversational and Dragon dictation.</li>
<li>Meaningful Connections: Establish lasting relationships with patients and staff.</li>
<li>Culture of Appreciation: Your work is valued and rewarded.</li>
<li>Full Gear: iPad with LTE, Apple Pen, AirPods provided.</li>
<li>Licensure Reimbursed: We cover your medical licensure costs.</li>
<li>Malpractice &amp; Tail Covered: Full insurance peace of mind.</li>
<li>Benefits: 401k match, Disability, Employer-paid Life Insurance.</li>
<li>Relocation Help: Assistance for a smooth move.</li>
<li>Referral Bonus: Earn more by expanding our team.</li>
<li>Travel Reimbursed: Gas and mileage for work travel.</li>
<li>Career Advancement: Leadership opportunities promoted.</li>
<li>UpToDate Subscription: Latest medical info at your fingertips.</li>
</ul>
Essential Functions &amp; Responsibilities
<ul>
<li>Provider is responsible for rounding and managing the clinical care of the population at the assigned SNF. </li>
<li>The provider is responsible for rounding daily and prescribing medications and treatments for residents residing at SNFs. </li>
<li>Provider will provide high quality, patient-centered, comprehensive primary care services to patients residing in SNFs. </li>
<li>Provider is responsible for timely documentation of all patient care/encounters </li>
<li>The provider will be available for phone/secure messaging consultations with facility nursing staff.</li>
<li>Provider documentation is completed in Theoria's proprietary electronic health record (EHR) system, ChartEasy™. </li>
<li>PointClickCare, MatrixCare, and American HealthTech are the most commonly used facility EHR systems. </li>
<li>Provider is expected to be on-site on and on time for their in-person scheduled shifts. </li>
<li>Timely attendance is imperative.</li>
<li>Reliable transportation required.</li>
</ul>
Shift Structure
<ul>
<li>Rounding time is 7AM-1PM local time, during which the provider must be available to nursing staff and address acute/emergent issues that arise. </li>
<li>Shifts begin around 7AM local time with flexibility within reason.</li>
<li>Shifts are daily Monday-Friday </li>
<li>Charting/documentation can be completed off-site. </li>
<li>This is an in-person position. </li>
</ul>
Compensation and Benefits
<ul>
<li>Salary based with monthly productivity bonuses. </li>
<li>401k with employer matching and participation. </li>
<li>Short term and Long term disability insurance.</li>
<li>Malpractice insurance covered by employer.</li>
<li>Medical licensure expenses reimbursed by employer.</li>
<li>Opportunities for training</li>
<li>All equipment and practice expenses covered.</li>
<li>Employer Paid - Life Insurance Policy (For employees working 30+ hours)</li>
</ul>
Employee must be able to perform the essential functions of this position satisfactorily, with or without a reasonable accommodation. Employer retains the right to change or assign other duties to this position. All benefits and job highlights are subject to and contingent upon availability. 
#LI-JT1 #LI-Onsite #IND-REFRESH-MULTI

Physician Assistant

<h3>Job Description</h3>
Job Description
Position Type: Part Time, exempt
Compensation: Up to $165,000 annually
Job Location: In person
Company Overview
Theoria Medical is a comprehensive medical group and technology company dedicated to serving patients across the care continuum with an emphasis on post-acute care and primary care. Theoria serves facilities across the United States with a multitude of services to improve the quality of care delivered, refine facility processes, and enhance critical relationships. We offer a broad scope of services including multispecialty physician services, remote patient monitoring, and more. We currently operate primary care clinics and provide medical services to skilled nursing facilities in numerous states across the nation. 
As a leading edge, innovative, and quality driven physician group, we continue to expand nationally. In pursuit of this, we continue to seek talented individuals to join our amazing team and care for our population. We wish to extend a warm welcome to all candidates interested in making a difference in healthcare delivery by joining the Theoria team
Theoria Medical is seeking dedicated physician assistants and nurse practitioners to join its team to provide high quality care at the skilled nursing facilities (SNF) it manages. We have a wide variety of roles available suited for providers in various stages of their careers with flexible scheduling in a positive work environment. 
Shift Structure
<ul>
<li>In-person rounding shifts start around 7AM local time with flexibility within reason;</li>
<li>Shifts are typically available Saturday and Sundays and major holidays </li>
<li>This role is responsible for covering weekend needs and two holidays per calendar year</li>
<li>Charting/documentation can be completed off-site</li>
<li>This is an in-person position </li>
</ul>
Essential Functions and Responsibilities 
<ul>
<li>Provider is responsible for rounding and managing the clinical care of the population at the assigned SNF </li>
<li>The provider is responsible for rounding daily and prescribing medications and treatments for residents residing at SNFs </li>
<li>Provider will provide high quality, patient-centered, comprehensive primary care services to patients residing in SNFs </li>
<li>Provider is responsible for timely documentation of all patient care/encounters </li>
<li>The provider will be available for phone/secure messaging consultations with facility nursing staff</li>
<li>Provider documentation is completed in Theoria's proprietary electronic health record (EHR) system, ChartEasy™ </li>
<li>PointClickCare, MatrixCare, and American HealthTech are the most commonly used facility EHR systems </li>
</ul>
Physical Requirements
<ul>
<li>Must be able to move inside a facility frequently and briskly in order to see patients, meet with managers and facility staff, and attend to patient needs.</li>
<li>Punctual in-person attendance (typically between 7 a.m. and 1 p.m. is required (for rounders).</li>
<li>Continuous operation of app-based EMR/notes system either through a computer or on a mobile device (iPad, Phone etc.).</li>
<li>Ability to ascend and descend stairs in a facility.</li>
<li>Some ability to position oneself to obtain records, tools, medical equipment and other items that may be in locations that are below the knee or above the shoulder.</li>
<li>Effectively communicate with patients, managers, and Facility staff.</li>
<li>Ability to observe details in close range (within a few feet of the observer) in order to provide accurate and appropriate medical recommendations, treatment, and to provide timely updates to Managers regarding facility or patient concerns.</li>
<li>Must be able to lift or move at least 25 pounds.</li>
</ul>
Requirements and Qualifications
<ul>
<li>Candidate must hold a valid PA/NP license in the state in which they will practice </li>
<li>Candidate must hold a valid NP/PA degree from an accredited institution</li>
<li>Candidate must have an active DEA license (If new graduate, Theoria will assist with your application) </li>
<li>General Post-Acute/SNF knowledge or experience preferred </li>
<li>Candidate must be familiar with EMR systems and charting practices </li>
</ul>
Compensation and Benefits
<ul>
<li>wRVU productivity</li>
<li>Malpractice insurance covered by employer</li>
<li>Opportunities for training (i.e. wound care)</li>
<li>Equipment is not provided</li>
<li>All practice expenses covered </li>
</ul>
Employee must be able to perform the essential functions of this position satisfactorily, with or without a reasonable accommodation. Employer retains the right to change or assign other duties to this position.
#LI-JT1 #LI-Onsite #IND-REFRESH-MULTI

<h3>Job Description</h3>
Job DescriptionMinimum 1+ years speech therapy experience required. 
Job Details: Location: Milpitas, CA Position: Speech-Language Pathologist (SLP) Start Date: August 2025 End Date: June 2026 Hours: Full-time Caseload: Elementary school caseload with approximately 4050 students Pay: $57$62/hr and up depending on experience
Qualifications:
<ul>
<li>
Masters degree in Speech-Language Pathology
</li>
<li>
Active California SLP license (CCC preferred)
</li>
<li>
School-based experience preferred
</li>
</ul>
Benefits for Onsite Candidates:
<ul>
<li>
W-2
</li>
<li>
Health, Dental, and Vision
</li>
</ul>
Travel Benefits: For qualified candidates who may be interested in relocating, we offer travel stipends to cover housing and food expenses.
Send Resumes to: Ashlynn Hodges ? (470) 664-6458 | ? <a href="mailto:AshlynnAshlynn.hodges@procaretherapy.com" target="_blank">AshlynnAshlynn.hodges@procaretherapy.com</a>

Schools - Speech Language Pathologist

<h3>Job Description</h3>
Job Description
Position Type: Part-time, exempt
Compensation: Up to $165,000 annually and this position is eligible for a SIGN-ON BONUS to welcome you to the team!
Job Location: In person
Job Highlights
<ul>
<li>6-Hour Shifts Daily: Short, balanced workdays.</li>
<li>Flexible Schedules: Work around your life.</li>
<li>No On-Call: Free weekends</li>
<li>No Overnight Requirements</li>
<li>Supportive Community: Access to physician/provider network.</li>
<li>Effortless documentation: Conversational and Dragon dictation.</li>
<li>Meaningful Connections: Establish lasting relationships with patients and staff.</li>
<li>Culture of Appreciation: Your work is valued and rewarded.</li>
<li>Full Gear: iPad with LTE, Apple Pen, AirPods provided.</li>
<li>Licensure Reimbursed: We cover your medical licensure costs.</li>
<li>Malpractice &amp; Tail Covered: Full insurance peace of mind.</li>
<li>Benefits: 401k match, Disability, Employer-paid Life Insurance.</li>
<li>Relocation Help: Assistance for a smooth move.</li>
<li>Referral Bonus: Earn more by expanding our team.</li>
<li>Travel Reimbursed: Gas and mileage for work travel.</li>
<li>Career Advancement: Leadership opportunities promoted.</li>
<li>UpToDate Subscription: Latest medical info at your fingertips.</li>
</ul>
Essential Functions &amp; Responsibilities
<ul>
<li>Provider is responsible for rounding and managing the clinical care of the population at the assigned SNF. </li>
<li>The provider is responsible for rounding daily and prescribing medications and treatments for residents residing at SNFs. </li>
<li>Provider will provide high quality, patient-centered, comprehensive primary care services to patients residing in SNFs. </li>
<li>Provider is responsible for timely documentation of all patient care/encounters </li>
<li>The provider will be available for phone/secure messaging consultations with facility nursing staff.</li>
<li>Provider documentation is completed in Theoria's proprietary electronic health record (EHR) system, ChartEasy™. </li>
<li>PointClickCare, MatrixCare, and American HealthTech are the most commonly used facility EHR systems. </li>
<li>Provider is expected to be on-site on and on time for their in-person scheduled shifts. </li>
<li>Timely attendance is imperative.</li>
<li>Reliable transportation required.</li>
</ul>
Company Overview
Leading the charge in healthcare innovation, Theoria Medical offers a unique blend of medical excellence and technological advancement, primarily serving the post-acute and primary care sectors. Our extensive network includes multispecialty physician services and RPM, covering skilled nursing facilities across the country. In our national push for expansion, we're scouting for the brightest nurse practitioners and physicians eager to drive change and deliver superior care. Join us for a rewarding career that promises professional growth, flexibility, and the chance to shape the future of healthcare.
Shift Structure
<ul>
<li>Rounding time is 7AM-1PM local time, during which the provider must be available to nursing staff and address acute/emergent issues that arise. </li>
<li>Shifts begin around 7AM local time with flexibility within reason.</li>
<li>Shifts are daily Monday-Friday </li>
<li>Charting/documentation can be completed off-site. </li>
<li>This is an in-person position. </li>
</ul>
Compensation and Benefits
<ul>
<li>Salary based with monthly productivity bonuses. </li>
<li>401k with employer matching and participation. </li>
<li>Short term and Long term disability insurance.</li>
<li>Malpractice insurance covered by employer.</li>
<li>Medical licensure expenses reimbursed by employer.</li>
<li>Opportunities for training</li>
<li>All equipment and practice expenses covered.</li>
<li>Employer Paid - Life Insurance Policy (For employees working 30+ hours)</li>
</ul>
Employee must be able to perform the essential functions of this position satisfactorily, with or without a reasonable accommodation. Employer retains the right to change or assign other duties to this position. All benefits and job highlights are subject to and contingent upon availability. 
#LI-JT1 #LI-Onsite #IND-MULTI

<h3>Job Description</h3>
Job Description
Position Type:Full-time, exempt
Compensation: Up to $165,000 annually 
Job Highlights:
<ul>
<li>6-Hour Shifts Daily: Short, balanced workdays.</li>
<li>Flexible Schedules: Work around your life.</li>
<li>No On-Call: Free weekends</li>
<li>No Overnight Requirements</li>
<li>Supportive Community: Access to physician/provider network.</li>
<li>Effortless documentation: Conversational and Dragon dictation.</li>
<li>Meaningful Connections: Establish lasting relationships with patients and staff.</li>
<li>Paid Time Off! No holidays!</li>
<li>Culture of Appreciation: Your work is valued and rewarded.</li>
<li>$1,500 CME and Conference Allowance: Invest in your growth.</li>
<li>Full Gear: iPad with LTE, Apple Pen, AirPods provided.</li>
<li>Licensure Reimbursed: We cover your medical licensure costs.</li>
<li>Malpractice &amp; Tail Covered: Full insurance peace of mind.</li>
<li>Benefits: 401k match, Medical/Dental/Vision, Disability, Employer-paid Life Insurance.</li>
<li>Relocation Help: Assistance for a smooth move.</li>
<li>Referral Bonus: Earn more by expanding our team.</li>
<li>Travel Reimbursed: Gas and mileage for work travel.</li>
<li>Career Advancement: Leadership opportunities promoted.</li>
<li>UpToDate Subscription: Latest medical info at your fingertips.</li>
</ul>
Essential Functions &amp; Responsibilities
<ul>
<li>Provider is responsible for rounding and managing the clinical care of the population at the assigned SNF. </li>
<li>The provider is responsible for rounding daily and prescribing medications and treatments for residents residing at SNFs. </li>
<li>Provider will provide high quality, patient-centered, comprehensive primary care services to patients residing in SNFs. </li>
<li>Provider is responsible for timely documentation of all patient care/encounters </li>
<li>The provider will be available for phone/secure messaging consultations with facility nursing staff.</li>
<li>Provider documentation is completed in Theoria's proprietary electronic health record (EHR) system, ChartEasy™. </li>
<li>PointClickCare, MatrixCare, and American HealthTech are the most commonly used facility EHR systems. </li>
<li>Provider is expected to be on-site on and on time for their in-person scheduled shifts. </li>
<li>Timely attendance is imperative.</li>
<li>Reliable transportation required.</li>
</ul>
Company Overview
Leading the charge in healthcare innovation, Theoria Medical offers a unique blend of medical excellence and technological advancement, primarily serving the post-acute and primary care sectors. Our extensive network includes multispecialty physician services and RPM, covering skilled nursing facilities across the country. In our national push for expansion, we're scouting for the brightest nurse practitioners and physicians eager to drive change and deliver superior care. Join us for a rewarding career that promises professional growth, flexibility, and the chance to shape the future of healthcare.
Shift Structure
<ul>
<li>Rounding time is 7AM-1PM local time, during which the provider must be available to nursing staff and address acute/emergent issues that arise. </li>
<li>Shifts begin around 7AM local time with flexibility within reason.</li>
<li>Shifts are daily Monday-Friday </li>
<li>Charting/documentation can be completed off-site. </li>
<li>This is an in-person position. </li>
</ul>
Compensation and Benefits
<ul>
<li>Salary based with monthly productivity bonuses. </li>
<li>Paid Time Off.</li>
<li>401k with employer matching and participation. </li>
<li>Medical, vision, and dental insurance </li>
<li>Short term and Long term disability insurance.</li>
<li>$1,500 CME allowance. </li>
<li>Malpractice insurance covered by employer. </li>
<li>Medical licensure expenses reimbursed by employer.</li>
<li>Opportunities for training </li>
<li>All equipment and practice expenses covered. </li>
<li>Employer Paid - Life Insurance Policy</li>
</ul>
Employee must be able to perform the essential functions of this position satisfactorily, with or without a reasonable accommodation. Employer retains the right to change or assign other duties to this position. All benefits and job highlights are subject to and contingent upon availability.
#LI-SM1 #LI-Onsite #TCAP1

<h3>Job Description</h3>
Make up to $51 an hour as a Licensed Practical Nurse (LPN) in Joppatowne, MD and the wider region with the freedom to work when you want. That's right, at IntelyCare you get to choose shifts at any of our facility partners in your area when — and however often — you want. But there's more. As a W2 employer, IntelyCare also offers the stability, benefits, and support you deserve.
\n
For far too long, nursing professionals have had to work in a system that deprioritizes their needs. From extended shifts to inflexible hours, our colleagues have had to sacrifice their personal lives and life milestones due to their jobs. As a nurse-founded company, we're ready to change how things are done. With a business model built around nurse work-life balance, we're finally giving nurse professionals the career they love and a life they can truly live.
\n
What would this look like for you? How about the ability to just work evening shifts so you can wake up with refreshing hikes at Mariner Point Park? Or maybe you'd like to scale back your summer hours to spend more time kayaking or soaking in the sun at Gunpowder Falls State Park? However you spend your free time, at IntelyCare you can finally have a job that won't get in the way. Learn more about our company and awesome team below.
\n\nBenefits\n
<ul>\n
<li>Licensed Practical Nurse (LPN) hourly pay range: $37-$51 (25% higher than average)</li>
\n
<li>Choose from a wide variety of facilities and shifts to create your own schedule</li>
\n
<li>Health benefit eligibility for your and qualifying family members, including vision and dental</li>
\n
<li>Options for frequency of pay, including weekly and even daily pay</li>
\n
<li>Work shifts in multiple states, based on where you're licensed</li>
\n
<li>Employer-paid malpractice insurance, workers' compensation, and taxes</li>
\n
<li>Generous discounts on tuition (up to 34%) through Excelsior University</li>
\n
<li>Track pay, shifts, and perform other key functions on our mobile app</li>
\n
<li>Access to hazard, travel, and holiday pay, plus overtime</li>
\n
<li>Retirement savings through eligibility for IntelyCare's 401k program</li>
\n
<li>Free access to training and continuing education on our app</li>
</ul>
\n
We understand that changing jobs can be an uncertain time. That's why we thought you might like to hear directly from the nursing professionals who've joined our team. Here's what a some of them wanted to share:
\n
"I love IntelyCare because I can choose where and when I want to work, get paid on a weekly basis, and take vacation whenever I want."
\n
"I love how professional everyone is at this company – it makes me feel safe and supported! The pay is also great and having a flexible schedule makes a huge difference."
\n
"I love being part of the IntelyCare team because I’m able to make my own schedule and spend more time with my family."
\n
"I joined IntelyCare looking for an extra source of income and I fell in love with it! I have a full-time Home Care job, but I don’t always have enough clients for the week. Thanks to the flexibility this job offers, I am able to take some per diem shifts on the side and complement my income. I am extremely grateful!"
\n\nJob Responsibilities\n
<ul>\n
<li>Providing compassionate nursing care as an LPN in post-acute facilities in the area</li>
\n
<li>Monitoring residents' physical and mental conditions and tracking their vital signs</li>
\n
<li>Performing resident intakes, documenting their medical histories and any health concerns</li>
\n
<li>Helping with the administration and proper verification of medications, tracking their use and effects</li>
\n
<li>Cultivating a comfortable, safe facility for residents</li>
\n
<li>Tracking residents' medical records and charts</li>
\n
<li>Assisting with the set up of IVs, immunizations, and phlebotomy procedures</li>
\n
<li>Keeping track of medical supplies and maintaining a proper inventory</li>
\n
<li>Being accountable to follow and adhere to resident care plans</li>
\n
<li>Working with staff in the orientation and training of new colleagues </li>
</ul>
\n\nQualifications and Skills\n
<ul>\n
<li>Current Maryland state license to practice as a Licensed Practical Nurse (LPN)</li>
\n
<li>Completion of approved Licensed Practical Nurse (LPN) educational program</li>
\n
<li>H.S. diploma or GED (or equivalent)</li>
\n
<li>Ability to lift a minimum of 50 lbs</li>
\n
<li>Minimum of 6 months of experience (LPN or related role)</li>
</ul>
\n\nReady to Advance Your Career — and Live a Balanced Life?\n
Are you passionate about your nursing career, but want an LPN job that fully supports you? At IntelyCare, we know that a healthy work-life balance is a key reason our team of nurses is ranked #1 in quality. See how you can get access to competitive benefits, true flexibility, and a professionally supportive environment by reaching out to us today.
\n\n
COVID-19 Considerations: COVID-19 vaccination requirements vary by state.
\n
 We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.\n
\n\n
Location: Joppatowne, Maryland 21085

Licensed Practical Nurse (LPN) - State Licensed & 6+ Months Experience Preferred

Licensed LPN with 6+ Months Experience Preferred

Licensed Practical Nurse (LPN)

<h3>Job Description</h3>
Job Description
Bedford Post Acute is a 72-bed facility located at 136 Donahue Manor Rd., Bedford. Our long-term staff members know the value of mutual respect, empowerment, and teamwork. Their dedication to uplifting each other has created an environment where work begins but love never ends.
What we offer:
<ul>
<li>up to $25/hr. (includes shift diff.)</li>
<li>no mandate</li>
<li>PTO for your birthday</li>
<li>nursing school loan repayment program</li>
<li>gym, activity, &amp; weight loss program discounts</li>
<li>employee appreciation events &amp; prizes monthly</li>
<li>choose the healthcare plan that best suits your budget</li>
<li>HSA &amp; FSA available</li>
<li>dental, vision, and supplemental insurance available</li>
<li>401k w/ match</li>
<li>PRN opportunities within our network</li>
</ul>
Additional information about our facility:
<ul>
<li>under new management</li>
<li>strong clinical team</li>
<li>tenured staff members</li>
<li>family-like environment</li>
</ul>
 
Successful candidates will have the following: 
<ul>
<li>At least 18 years of age</li>
<li>A CNA certification in good standing in PA</li>
<li>Experience with PCC is preferred</li>
<li>Compassion for a vulnerable population</li>
</ul>
 
Your day to day: 
You'll provide assistance in caring for our residents by aiding them with their activities of daily living. You'll work under supervision of our nursing staff to ensure compliance with current state, federal, and local standards.
 
More about us: 
As a member of the PACS network, you'll be part of America's fastest-growing network of post-acute care facilities. We pride ourselves on redefining healthcare through love, excellence, trust, accountability, mutual respect, and fun.
 
Once onboarded, you'll have the opportunity to work PRN within our network (8 facilities regionally). Share your interest in this option at your interview.
 
Dream of pursuing a degree or specialty? We want to hear about it! Be sure to share your goals with us as we value helping our staff members grow.
 Job Posted by ApplicantPro

CNA, no mandate

<h3>Job Description</h3>
Job Description
Let’s do great things, together!
About Moda Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we’re focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, compassionate support to our community and comprehensive benefits to our employees. It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda values diversity and inclusion in our workplace. We aim to demonstrate our commitment to diversity through all our business practices and invite applications from candidates that share our commitment to this diversity. Our diverse experiences and perspectives help us become a stronger organization. Let’s be better together.
 Position Summary Responsible for utilizing resources to efficiently review, price and process medical claims with outside vendors. Handle complex file reviews related to network pricing. This is a FT WFH role. Pay Range $19.05 - $21.43 hourly (depending on experience). Actual pay is based on qualifications. Applicants who do not exceed the minimum qualifications will only be eligible for the low end of the pay range. 
 Please fill out an application on our company page, linked below, to be considered for this position.
<a href="https://j.brt.mv/jb.do?reqGK=27758451&amp;refresh=true" target="_blank">https://j.brt.mv/jb.do?reqGK=27758451&amp;refresh=true</a> 
Benefits:
<ul>
<li>Medical, Dental, Vision, Pharmacy, Life, &amp; Disability</li>
<li>401K- Matching</li>
<li>FSA</li>
<li>Employee Assistance Program</li>
<li>PTO and Company Paid Holidays</li>
</ul>
Required Skills, Experience &amp; Education:
<ul>
<li>High School diploma or equivalent.</li>
<li>2 – 3 years medical/dental claim processing or customer service dealing with all types of plans/claims.</li>
<li>Professional and effective written and verbal communication skills.</li>
<li>Good analytical, problem solving, decision making and organizational, and detail-oriented skills with ability to shift priorities.</li>
<li>10-key proficiency of 105 spm.</li>
<li>Type a minimum of 45 wpm.</li>
<li>Good organizational ability to work under pressure to handle variety of functions and meet timelines.</li>
<li>Ability to maintain confidentiality and project a professional business image.</li>
<li>Ability to come into work on time and on a daily basis.</li>
<li>Proficient with Facets, Word, and Excel.</li>
</ul>
 Primary Functions:
<ul>
<li>Prices and processes medical claims with outside vendors including First Choice, IPN, Healthy Directions, PHCS-PPO, and First Health.</li>
<li>Work closely with Medical Professional Relations, Customer Service, and Support on pricing requests.</li>
<li>Able to differentiate between all plan types when processing claims for multiple groups.</li>
<li>Identify inconsistencies with network setups.</li>
<li>Contacts outside vendors related to pricing and website issues.</li>
<li>Review, analyze and resolve claims through the utilization of available resources including P&amp;Ps, member handbooks, provider contracts, and EBT.</li>
<li>Complete complex file reviews associated with network pricing.</li>
<li>Handle claim adjustments related to network pricing.</li>
<li>Assist with Member and Providers Appeals related with network pricing.</li>
<li>Other duties as assigned</li>
</ul>
 Working Conditions &amp; Contact with Others
<ul>
<li>Office environment with extensive close PC and keyboard work, constant sitting, and phone work. Must be able to navigate multiple screens. Work in excess of 40 hours per week, including evenings and occasional weekends, to meet business need.</li>
<li>Internally with Medical Claims, Customer Service, Support, Medical Professional Relations. Externally with outside vendors.</li>
</ul>
 Together, we can be more. We can be better. Moda Health seeks to allow equal employment opportunities for all qualified persons without regard to race, religion, color, age, sex, sexual orientation, national origin, marital status, disability, veteran status or any other status protected by law. This is applicable to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absences, compensation, and training. For more information regarding accommodations, please direct your questions to Kristy Nehler &amp; Danielle Baker via our <a href="mailto:humanresources@modahealth.com" target="_blank">humanresources@modahealth.com</a> email.

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