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Configuration Management Analyst (ITS Analyst Int) CalOptima Join Us in this Amazing Opportunity The Team You'll Join We are a mission driven community-based organization that serves member health with excellence and dignity, respecting the value and needs of each person. If you are ready to advance your career while making a difference, we encourage you to review and apply today and help us build healthier communities for all. More About the Opportunity We are hoping you will join us as a Configuration Management Analyst (ITS Analyst Int) and help shape the future of healthcare where you'll be an integral part of our Medical Management team, helping to strive for excellence while we serve our member health with dignity, respecting the value and needs of each of our members through collaboration with our providers, community partners and local stakeholders. The Configuration Management Specialist will serve as a critical liaison between business and technical teams within the Clinical Operations Configuration and Application Configuration department, operating within an Agile framework. You'll oversee the clinical application configuration request lifecycle from intake to delivery, ensuring effective prioritization, capturing business requirements and coordination and alignment with organizational goals through iterative and collaborative processes. Additionally, you'll work closely with business stakeholders, Information Technology (IT), shared services and the JIVA vendor in Agile ceremonies to deliver high-quality configuration solutions. Together, we are building a stronger, more equitable health system. Your Contributions To the Team: 
<ul>
<li>60% - Feature Planning, Prioritization and Requirements Grooming
<ul>
<li>Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability.</li>
<li>Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department.</li>
<li>Backlog Management: Maintains and grooms the configuration request backlog in alignment with Agile principles, ensuring requests are logged, categorized and prioritized based on business needs and strategic objectives for inclusion in sprint planning.</li>
<li>Request Triage and Intake: Acts as the primary point of contact for business stakeholders submitting configuration requests. Triages requests to assess urgency, impact and feasibility, refining them into actionable user stories or tasks for Agile sprints.</li>
<li>Requirements Grooming: Collaborates with business stakeholders in backlog refinement sessions to gather, clarify and document business-level requirements ensuring user stories are well-defined, meet acceptance criteria and align with technical capabilities and organizational goals.</li>
<li>Vendor Collaboration: Participates in Agile ticket review meetings with the JIVA vendor to escalate issues, discuss complex tickets and ensure timely resolution of configuration-related challenges within sprint cycles.</li>
<li>Stakeholder Coordination: Facilitates communication between business units, IT and shared services teams during Agile ceremonies (e.g., sprint planning, daily standups and retrospectives) to establish delivery timelines, resolve dependencies and manage expectations.</li>
<li>Prioritization and Sprint Planning: Works with business stakeholders and the Agile team to prioritize configuration requests while balancing urgency, resource availability and strategic priorities to create sprint goals and optimize delivery schedules.</li>
<li>Task Oversight: Monitors and ensures configuration tasks are completed accurately and on time within sprints, coordinating with the team to address gaps or delays before release.</li>
<li>Daily Standups and Barrier Resolution: Actively participates in daily Agile standups to report progress, address barriers, refine requirements, size tasks and resolve questions, ensuring smooth sprint execution.</li>
<li>Risk and Issue Management: Proactively identifies risks or impediments impacting sprint delivery, escalates as needed during Agile ceremonies and collaborates with the team to implement mitigation strategies.</li>
<li>Documentation and Reporting: Maintains clear documentation of user stories, decisions and processes in Agile tools (e.g., Jira). Provides sprint metrics, backlog health updates and delivery performance reports to stakeholders and leadership during sprint reviews. </li>
</ul>
</li>
<li>30% - Coordinating and Collaborating With IT
<ul>
<li>Change Management Support: Coordinates user acceptance testing (UAT) within sprint cycles, support training efforts and ensure smooth adoption of configuration changes by business users.</li>
<li>Process Improvement: Contributes to Agile retrospectives to identify and implement opportunities to enhance request intake, prioritization and delivery processes, driving efficiency and team effectiveness.</li>
<li>Agile Collaboration: Actively engages in Agile ceremonies, including sprint planning, backlog refinement, sprint reviews and retrospectives to foster collaboration and continuous improvement. </li>
</ul>
</li>
<li>10% - Other
<ul>
<li>Completes other projects and duties as assigned.</li>
</ul>
</li>
</ul>
 Do You Have What the Role Requires? 
<ul>
<li>Bachelor's degree in healthcare administration, information technology, business administration or a related field PLUS 5 years of experience in business analysis, project coordination or clinical systems management, with at least 1 year working in an Agile, Kanban or other software delivery processes required; an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying. </li>
<li>1 year of experience with requirements gathering, documentation and Agile prioritization techniques.</li>
</ul>
 You'll Stand Out More If You Possess the Following: 
<ul>
<li>Agile and/or project management certifications (e.g., Certified ScrumMaster, SAFe Agilist).</li>
</ul>
 What the Regulatory Agencies Need You to Possess? 
<ul>
<li>n/a</li>
</ul>
 Your Knowledge &amp; Abilities to Bring to this Role: 
<ul>
<li>Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels and with diverse backgrounds. </li>
<li>Work independently and exercise sound judgment.</li>
<li>Communicate clearly and concisely, both orally and in writing.</li>
<li>Work a flexible schedule; available to participate in evening and weekend events.</li>
<li>Organize, be analytical, problem-solve and possess project management skills.</li>
<li>Work in a fast-paced environment and in an efficient manner.</li>
<li>Manage multiple projects and identify opportunities for internal and external collaboration.</li>
<li>Motivate and lead multi-program teams and external committees/coalitions.</li>
<li>Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment.</li>
</ul>
 Your Physical Requirements (With or Without Accommodations): 
<ul>
<li>Ability to visually read information from computer screens, forms and other printed materials and information.</li>
<li>Ability to speak (enunciate) clearly in conversation and general communication.</li>
<li>Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions.</li>
<li>Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting.</li>
<li>Lifting and moving objects, patients and/or equipment 10 to 25 pounds</li>
</ul>
 Ways We Are Here For You 
<ul>
<li>You'll enjoy competitive compensation for this role.
<ul>
<li>Our current hiring range is: Pay Grade: 312 - $84,092 - $134,548 ($40.43 - $64.6865). 
<ul>
<li>The final salary offered will be based on education, job-related knowledge and experience, skills relevant to the role and internal equity among other factors. </li>
</ul>
</li>
</ul>
</li>
<li>This position is approved for Full Telework (**If the position is Telework, it is eligible in California only**) </li>
<li>A <a href="https://apptrkr.com/get_redirect.php?id=6690109&amp;targetURL=https://www.caloptima.org/en/careers#benefits" target="_blank">comprehensive benefits package</a> </li>
<li>CalPERS pension program and additional retirement packages. </li>
<li>Additional benefits and perks including:
<ul>
<li>A generous PTO program</li>
<li>A quality work life balance</li>
<li>Various wellness programs</li>
<li>Tuition Reimbursement</li>
<li>Professional development opportunities</li>
<li>Career development opportunities</li>
<li>Flexible scheduling</li>
<li>And the satisfaction of knowing your work directly impacts and improves healthcare access for thousands of individuals and families.</li>
</ul>
</li>
</ul>
 Our Work Environment: If located at the 500, 505 Building or a remote work location: 
<ul>
<li>Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed.</li>
<li>There are no harmful environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate.</li>
</ul>
 If located at PACE: 
<ul>
<li>Work is typically indoors in a clinical setting serving the frail and elderly.</li>
<li>There may be harmful or hazardous environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate to loud.</li>
</ul>
 If located in the Community: 
<ul>
<li>Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. </li>
<li>Employee will occasionally work outdoors in varied temperatures.</li>
<li>There may be harmful or hazardous environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate to loud.</li>
</ul>
 Why Join Us? We believe that diverse perspectives drive innovation. Each employee brings a unique perspective to the overall team and we value everyone's input and we are committed to creating an inclusive environment where you and every team member can thrive while making a meaningful impacts on our community members. Our team reflects and represents the communities we serve, and we welcome candidates from all backgrounds who share our commitment to accessible, quality healthcare. What's Your Next Step? All Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. Do NOT miss out. If you want to join our team, the deadline for the first review of applications is November 12, 2025 at 9:00 PM (PST). We are encouraging you to apply early. If you apply after the first review date, your application is not guaranteed to be considered for this recruitment. This recruitment may close at any time without notice after the first review date. Our Commitment to You Your application and resume will be reviewed by a dedicated recruiter to this position. If your experience matches what we need, we will reach out to you to discuss the next steps. The selection process may include, but is not limited to, a skills assessment, phone screen and interview. If you make it through the steps above and are selected for this exciting role, you will be required to undergo a reference and a background check (to include a conviction record) and if applicable also pass a drug screening and/or a post-offer pre-employment medical examination (for specific positions) If you are an Internal CalOptima Health applicant, please apply through the internal portal on InfoNet. We will make sure to keep you updated through each step of the process on your candidate portal. Please make sure to watch for updates on your candidate portal and you emails which will be sent to the email address you listed on your application. Please check your email, including your SPAM folder, regularly throughout the recruitment process. CalOptima Health is committed to attracting, hiring, and retaining a diverse staff, where we will honor your unique experiences, identity, and perspectives. Our organization strives to create and maintain a workplace environment that is inclusive, equitable and welcoming so we can truly be Better Together. CalOptima Health is an equal opportunity employer and makes all employment decisions on the basis of merit. CalOptima Health wants to have qualified employees in every job position. CalOptima Health prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima Health also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics. If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation at (714) 246-8400 if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability. To apply, please visit: <a href="https://apptrkr.com/6690109" target="_blank">https://jobs.caloptima.org/jobs/configuration-management-analyst-its-analyst-int-505-city-parkway-west-california-united-states</a> Copyright 2025 Jobelephant.com Inc. All rights reserved. <a href="https://www.jobelephant.com/" target="_blank">Posted by the FREE value-added recruitment advertising agency</a> jeid-fbbc5fdf6f1905409041aa43c02ebef8

Configuration Management Analyst (ITS Analyst Int)

Member Liaison Specialist (Customer Service) CalOptima Join Us in this Amazing Opportunity The Team You'll Join We are a mission driven community-based organization that serves member health with excellence and dignity, respecting the value and needs of each person. If you are ready to advance your career while making a difference, we encourage you to review and apply today and help us build healthier communities for all. More About the Opportunity We are hoping you will join us as a Member Liaison Specialist (Customer Service) and help shape the future of healthcare where you'll be an integral part of our CS - Member Liaison team, helping to strive for excellence while we serve our member health with dignity, respecting the value and needs of each of our members through collaboration with our providers, community partners and local stakeholders. You will provide member service to seniors, persons with disabilities or chronic conditions, persons without housing and persons under the age of twenty-one (21) who participate in the Whole-Child Model program. You will serve as a liaison between members, health networks, providers and community-based organizations to facilitate access to services and help resolve health care and psychosocial issues. Together, we are building a stronger, more equitable health system. Your Contributions To the Team: 
<ul>
<li>85% - Member Support
<ul>
<li>Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability.</li>
<li>Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department.</li>
<li>Assesses members' concerns to identify psychosocial or health care issues and facilitate an appropriate resolution.</li>
<li>Intakes information from members, both over the phone and/or in person, to complete requests for assistance cases, grievances and appeals, per departmental guidelines.</li>
<li>Coordinates members' health care and social service needs within and outside the health network and CalOptima Health during the original interaction.</li>
<li>Addresses member and provider inquiries, questions and concerns in all areas, including enrollment, claims, benefit interpretation, coordination of care and referrals/authorizations for medical care related to services covered under the Whole-Child Model program.</li>
<li>Guides members in understanding and accessing the benefits under the Whole-Child Model program.</li>
<li>Maintains documentation of member cases within the FACETS system.</li>
<li>Initiates referrals to internal and external care management departments and government agencies.</li>
<li>Communicates with community-based organizations, health networks, providers and vendors on behalf of members to resolve disputes, helps coordinate access to care and investigates issues preventing members from receiving medical benefits and services. </li>
</ul>
</li>
<li>10% - Administrative Support
<ul>
<li>Collaborates with interdepartmental staff in call resolution as needed.</li>
<li>Identifies calls needing case management or escalation to a supervisor, manager or director and routes them according to established guidelines.</li>
<li>Meets all regulatory key performance indicators, first call resolution requirements and business objectives of CalOptima Health. </li>
</ul>
</li>
<li>5% - Other
<ul>
<li>Completes other projects and duties as assigned.</li>
</ul>
</li>
</ul>
 Do You Have What the Role Requires? 
<ul>
<li>High school diploma or equivalent PLUS 2 years of experience as a call center agent or customer/member services representative in health care required; an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying.</li>
</ul>
 You'll Stand Out More If You Possess the Following: 
<ul>
<li>2 years of experience working with the needs of persons with disabilities and chronic medical conditions in a customer/member service capacity. </li>
<li>Health maintenance organization (HMO), Medi-Cal/Medicaid and health services experience. </li>
<li>Bilingual in English and in one of CalOptima Health's defined threshold languages (Arabic, Chinese, Farsi, Korean, Russian, Spanish, Vietnamese).</li>
</ul>
 What the Regulatory Agencies Need You to Possess? 
<ul>
<li>N/A</li>
</ul>
 Your Knowledge &amp; Abilities to Bring to this Role: 
<ul>
<li>Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels and with diverse backgrounds. </li>
<li>Work independently and exercise sound judgment.</li>
<li>Communicate clearly and concisely, both orally and in writing.</li>
<li>Work a flexible schedule; available to participate in evening and weekend events.</li>
<li>Organize, be analytical, problem-solve and possess project management skills.</li>
<li>Work in a fast-paced environment and in an efficient manner.</li>
<li>Manage multiple projects and identify opportunities for internal and external collaboration.</li>
<li>Motivate and lead multi-program teams and external committees/coalitions.</li>
<li>Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment.</li>
</ul>
 Your Physical Requirements (With or Without Accommodations): 
<ul>
<li>Ability to visually read information from computer screens, forms and other printed materials and information.</li>
<li>Ability to speak (enunciate) clearly in conversation and general communication.</li>
<li>Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions.</li>
<li>Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting.</li>
<li>Lifting and moving objects, patients and/or equipment 10 to 25 pounds</li>
</ul>
 Ways We Are Here For You 
<ul>
<li>You'll enjoy competitive compensation for this role.
<ul>
<li>Our current hiring range is: Pay Grade: 302 - $49,754 - $69,655 ($23.92 - $33.4880). 
<ul>
<li>The final salary offered will be based on education, job-related knowledge and experience, skills relevant to the role and internal equity among other factors. </li>
</ul>
</li>
</ul>
</li>
<li>This position is approved for Full Office (**If the position is Telework, it is eligible in California only**) </li>
<li>A <a href="https://apptrkr.com/get_redirect.php?id=6687129&amp;targetURL=https://www.caloptima.org/en/careers#benefits" target="_blank">comprehensive benefits package</a> </li>
<li>CalPERS pension program and additional retirement packages. </li>
<li>Additional benefits and perks including:
<ul>
<li>A generous PTO program</li>
<li>A quality work life balance</li>
<li>Various wellness programs</li>
<li>Tuition Reimbursement</li>
<li>Professional development opportunities</li>
<li>Career development opportunities</li>
<li>Flexible scheduling</li>
<li>And the satisfaction of knowing your work directly impacts and improves healthcare access for thousands of individuals and families.</li>
</ul>
</li>
</ul>
 Our Work Environment: If located at the 500, 505 Building or a remote work location: 
<ul>
<li>Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed.</li>
<li>There are no harmful environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate.</li>
</ul>
 If located at PACE: 
<ul>
<li>Work is typically indoors in a clinical setting serving the frail and elderly.</li>
<li>There may be harmful or hazardous environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate to loud.</li>
</ul>
 If located in the Community: 
<ul>
<li>Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. </li>
<li>Employee will occasionally work outdoors in varied temperatures.</li>
<li>There may be harmful or hazardous environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate to loud.</li>
</ul>
 Why Join Us? We believe that diverse perspectives drive innovation. Each employee brings a unique perspective to the overall team and we value everyone's input and we are committed to creating an inclusive environment where you and every team member can thrive while making a meaningful impacts on our community members. Our team reflects and represents the communities we serve, and we welcome candidates from all backgrounds who share our commitment to accessible, quality healthcare. What's Your Next Step? All Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. Do NOT miss out. If you want to join our team, the deadline for the first review of applications is November 11, 2025 at 9:00 PM (PST). We are encouraging you to apply early. If you apply after the first review date, your application is not guaranteed to be considered for this recruitment. This recruitment may close at any time without notice after the first review date. Our Commitment to You Your application and resume will be reviewed by a dedicated recruiter to this position. If your experience matches what we need, we will reach out to you to discuss the next steps. The selection process may include, but is not limited to, a skills assessment, phone screen and interview. If you make it through the steps above and are selected for this exciting role, you will be required to undergo a reference and a background check (to include a conviction record) and if applicable also pass a drug screening and/or a post-offer pre-employment medical examination (for specific positions) If you are an Internal CalOptima Health applicant, please apply through the internal portal on InfoNet. We will make sure to keep you updated through each step of the process on your candidate portal. Please make sure to watch for updates on your candidate portal and you emails which will be sent to the email address you listed on your application. Please check your email, including your SPAM folder, regularly throughout the recruitment process. CalOptima Health is committed to attracting, hiring, and retaining a diverse staff, where we will honor your unique experiences, identity, and perspectives. Our organization strives to create and maintain a workplace environment that is inclusive, equitable and welcoming so we can truly be Better Together. CalOptima Health is an equal opportunity employer and makes all employment decisions on the basis of merit. CalOptima Health wants to have qualified employees in every job position. CalOptima Health prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima Health also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics. If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation at (714) 246-8400 if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability. To apply, please visit: <a href="https://apptrkr.com/6687129" target="_blank">https://jobs.caloptima.org/jobs/member-liaison-specialist-customer-service-505-city-parkway-west-california-united-states-c3fb6d6c-517c-418f-8d64-895099286932</a> Copyright 2025 Jobelephant.com Inc. All rights reserved. <a href="https://www.jobelephant.com/" target="_blank">Posted by the FREE value-added recruitment advertising agency</a> jeid-de8018e655f9b64388465261ce5f3fed

Member Liaison Specialist (Customer Service)

Medical Assistant - 3,000 Sign On Bonus Benefited 36 Hrs Per Week REQ-2025-224 Scarborough Health Center Join Martin's Point Health Care - an innovative, not-for-profit health care organization offering care and coverage to the people of Maine and beyond. As a joined force of "people caring for people," Martin's Point employees are on a mission to transform our health care system while creating a healthier community. Martin's Point employees enjoy an organizational culture of trust and respect, where our values - taking care of ourselves and others, continuous learning, helping each other, and having fun - are brought to life every day. Join us and find out for yourself why Martin's Point has been certified as a "Great Place to Work" since 2015. Position Summary Clinical Support staff work collaboratively with all members of the care team providing world class service to both the patients and staff of Martin's Point. This is accomplished by: Working to actively enhance patient relationships and loyalty Pre-planning for patient visits Managing visit cycle time, office workflows, and patient access (phone, scheduling) Assisting assigned provider and care team with rooming and patient care procedures, including electronic documentation Coordinating patient activities that support managing the targeted population's health Clinical Support staff will receive day-to-day clinical direction from the on-site RN Clinical Operations Leads, Clinical Managers or Clinical Quality Specialists Job Description Key Outcomes: 
<ul>
<li>Facilitates patient-centered visit by ensuring proper screening, documentation, and/or testing has been completed.</li>
<li>Ensures all consults and charts are scanned, downloaded and communicated in preparation for patient contact.</li>
<li>With provider supervision, work in provider desktop, review and assist in Health Matrix and other population health management functions.</li>
<li>Coordinates and manages provider's desktop activity (i.e., lab result reporting, phone calls, order entry, RX processing, and outreach efforts) following standard processes and protocols in oversight of meeting provider and patient needs.</li>
<li>Triages as directed by protocols.</li>
<li>Performs direct patient care services in accordance with clinical protocols in a patient-centered manner.</li>
<li>Ensure provider schedule meets the needs of patients (visit and non-visit).</li>
<li>Participates in daily huddles and regular team meetings to improve workflows and contribute to improving patient population outcomes.</li>
<li>Performs and documents necessary ancillary tests such as EKGs, PFTs, Peak Flow Rates, Rapid Strep, HCG's, Glucose Checks, INR's, and H. Pylori Testing. May perform various waive lab tests as ordered by provider. Performs and documents lab specimen collection/processing, eye screening and audiology screening in accordance with current protocols and policies.</li>
<li>Depending on level of licensure, may administer immunizations, allergy shots and medications in accordance with current protocols ensuring level and scope of practice standards.</li>
<li>Ensure exam rooms are prepared for patient visits, including equipment operability, supply inventory, and cleanliness utilizing standard stocking procedures.</li>
<li>Ensure patient care equipment operates in accordance with quality standards.</li>
<li>Provides patient education in support of patient visit and ongoing care.</li>
<li>Assist with orientation and training of new staff members.</li>
<li>Maintain clinical/technical skills and knowledge through ongoing development and continuing education.</li>
<li>See attached Scope of Practice Addendums related to certification and licensure.</li>
</ul>
 Education/Experience: 
<ul>
<li>High School diploma or equivalent</li>
<li>For Clinical Support I : Must hold a current MA certification by AAMA, AMT, NHA or NCCTand retain active certification for duration of employment. Completion of a two year accredited Medical Assistant Program/Associate Degree is preferred. </li>
<li>For Clinical Support II : Completion of Licensed Practical Nurse program and an active, unrestricted LPN license required. </li>
<li>Basic Life Support (BLS) certification is required</li>
<li>Related experience in a physician's office, medical setting or outpatient clinic required.</li>
</ul>
 Clinical Skills, Knowledge and Abilities - Demonstrated ability to: 
<ul>
<li>Identify necessary equipment and materials for patient visits</li>
<li>Room patients in accordance with established protocol and visit purpose</li>
<li>Obtain and record vital signs.</li>
<li>Prepare and conduct EKGs, PFTs, eye and auditory screening, and ear lavage</li>
<li>Assist patient with peak flow</li>
<li>Prepare patient health information via electronic records</li>
<li>Schedule patient appointments</li>
<li>Proper preparation of lab specimens</li>
<li>Perform and document immunizations and injections</li>
<li>Administer allergy shots; assess patient response (with or without provider direction depending on license) and document.</li>
<li>Perform prescription refill per protocols</li>
<li>Report lab results per protocol</li>
</ul>
 Scope of Practice for Clinical Support I (aligned with Medical Assistant) MAs work under the license of their supervising physician. MA's may report to Clinical Leadership staff for tasks that do not require clinical judgment. Tasks requiring clinical judgment and health counseling must be overseen by the physician they are supporting. 
<ul>
<li>MA's may assist Physicians, Physicians Assistants and Nurse Practitioners with patient preparation and treatment, patient chart organization, dissemination of reports; referrals, telephone calls, inventory, ordering and general organization.</li>
<li>MA's may be required to have an authorization by the state to perform needle injections and venipunctures. MA's may be required to demonstrate knowledge and demonstrate competence in vaccine/medication administration prior to and/or ongoing in their regular assignment of duties.</li>
<li>Some states require that the medical assistants who draw blood for lab tests are certified and have passed a practical exam as part of phlebotomy training. </li>
<li>Duties vary according to state law and include taking medical histories and recording vital signs, explaining treatment procedures to patients, preparing patients for examination, and assisting during diagnostic examinations.</li>
<li>Medical assistants collect and prepare laboratory specimens or perform basic laboratory tests on the premises, dispose of contaminated supplies, and sterilize medical instruments.</li>
<li>MA's may instruct patients about medications and special diets as directed, prepare and administer medications as directed, authorize drug refills according to protocols as directed, telephone prescriptions to a pharmacy, draw blood, prepare patients for X-rays, take electrocardiograms, remove sutures, and change dressings.</li>
<li>MA's serve as direct link and communicator between patient and other health care professionals.</li>
</ul>
 This position is not eligible for immigration sponsorship. We are an equal opportunity/affirmative action employer. Do you have a question about careers at Martin's Point Health Care? Contact us at: <a href="https://apptrkr.com/get_redirect.php?id=6620407&amp;targetURL=mailto:jobinquiries@martinspoint.org" target="_blank">jobinquiries@martinspoint.org</a> We invite you to also visit <a href="https://apptrkr.com/get_redirect.php?id=6620407&amp;targetURL=http://martinspoint.org/careers" target="_blank">martinspoint.org/careers</a> to explore Medical Assistant opportunities in other Maine and New Hampshire locations. To apply, visit <a href="https://apptrkr.com/6620407" target="_blank">https://apptrkr.com/6620407</a>. Copyright ©2025 Jobelephant.com Inc. All rights reserved. <a href="https://www.jobelephant.com/" target="_blank">Posted by the FREE value-added recruitment advertising agency</a> $GUIDad-logos/L5013353.gif jeid-ee0b61764106904bb4ba2dbc111a51b0

Medical Assistant - 3,000 Sign On Bonus Benefited 36 Hrs Per Week

Sr. Configuration Analyst (ITS Analyst, Sr.) CalOptima Join Us - Where Your Talent Meets Opportunity. We're Better Together The Team You'll Join We are a mission driven community-based organization that serves member health with excellence and dignity, respecting the value and needs of each person. If you are ready to advance your career while making a difference, we encourage you to review and apply today and help us build healthier communities for all. More About the Opportunity We are hoping you will join us as a Sr Configuration Analyst (ITS Analyst Sr) and help shape the future of healthcare where you'll be an integral part of our CM - Clinic Ops Admin team, helping to strive for excellence while we serve our member health with dignity, respecting the value and needs of each of our members through collaboration with our providers, community partners and local stakeholders. The Configuration Analyst Sr will lead the design, development, and implementation of configuration solutions within the JIVA system to support enhancement and configuration requests for clinical applications, operating within an Agile Framework. You will collaborate with Configuration Management Specialist, business stakeholders, Information Technology (IT), and 3rd party vendors hosting the SAS solution in Agile ceremonies to deliver high-quality, compliant, and efficient configuration solutions iteratively. You will ensure configurations meet business needs, system capabilities, and regulatory requirements while contributing to sprint goals. Together, we are building a stronger, more equitable health system. Your Contributions To the Team: 
<ul>
<li>60% - Configuration Implementation and Delivery
<ul>
<li>Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability.</li>
<li>Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department.</li>
<li>Configuration Implementation: Executes configuration tasks within the JIVA system during sprints, creating and modifying assessments, letters, and business rules to align with business needs and system standards.</li>
<li>Vendor Collaboration: Engages in ticket review meetings to escalate issues, discuss complex tickets, and ensure timely resolution of challenges.</li>
<li>Cross-Team Collaboration: Works closely with IT, shared services, and Configuration Management Specialists in Agile ceremonies to address complex requests, resolve dependencies, and ensure seamless integration of configurations with other systems.</li>
<li>Testing and Validation: Conducts unit testing during sprints and support user acceptance testing (UAT) in sprint reviews to validate configurations meet acceptance criteria and business requirements.</li>
<li>Documentation: Maintains detailed documentation of configuration changes, technical specifications, and processes in Agile tools (e.g., Jira) to ensure traceability, compliance, and knowledge sharing.</li>
<li>Issue Resolution: Troubleshoots and resolves configuration-related issues within sprints, escalating to the JIVA vendor or IT teams when necessary to maintain system stability and sprint commitments.</li>
<li>Compliance and Standards: Ensures all configurations adhere to organizational standards, regulatory requirements (e.g., HIPAA), and JIVA system best practices throughout the Agile delivery process.</li>
<li>Knowledge Sharing: Serves as a subject matter expert and shares expertise with team members through mentoring, training, or documentation during sprints, enhancing team capabilities and maintaining consistency in configuration practices.</li>
<li>Process Improvement: Contributes to Agile retrospectives to identify opportunities to optimize configuration workflows, tools, or processes within the JIVA system, improving efficiency and quality of sprint deliverables.</li>
<li>Agile Collaboration: Actively participates in Agile ceremonies, including sprint planning, daily standups, sprint reviews, and retrospectives, to foster collaboration and continuous improvement. </li>
</ul>
</li>
<li>30% - Feature Planning
<ul>
<li>Solution Development: Collaborates with Configuration Management Specialist during backlog refinement and sprint planning to design and develop configuration solutions (e.g., assessments, letters, business rules) that meet user story acceptance criteria within the JIVA system.</li>
<li>Initial Request Review: Assesses incoming configuration and enhancement requests during sprint planning to determine feasibility, compatibility with JIVA system capabilities, and resource requirements, providing input for user story sizing.</li>
<li>Sizing and Planning: Participates in Agile ceremonies (e.g., sprint planning, backlog refinement) to size configuration tasks, provide technical insights on feasibility, and helps establish sprint delivery timelines and priorities. </li>
</ul>
</li>
<li>10% - Other
<ul>
<li>Completes other projects and duties as assigned. </li>
</ul>
</li>
</ul>
 Do You Have What the Role Requires? 
<ul>
<li>Bachelor's degree in healthcare administration, information technology, business, or a related field PLUS 7 years of experience in application configuration, software development, or clinical systems support, of that, 5 years must be in a healthcare operations setting required; an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying. </li>
<li>5 years of experience with troubleshooting, testing, and documentation in an Agile or Kanban setting required. </li>
<li>5 years of experience with Software Management Applications such as Service Now (SNOW), JIRA, SharePoint required. </li>
<li>3 years of experience in application configuration, software development, or clinical systems support, preferably with the JIVA system required. </li>
</ul>
 You'll Stand Out More If You Possess the Following: 
<ul>
<li>Agile certifications (e.g., Certified Scrum Developer, SAFe Developer). </li>
<li>2 years of JIVA application experience in application configuration, software development. </li>
<li>Experience with vendor coordination and cross-functional Agile team collaboration.</li>
</ul>
 What the Regulatory Agencies Need You to Possess? 
<ul>
<li>n/a</li>
</ul>
 Your Knowledge &amp; Abilities to Bring to this Role: 
<ul>
<li>Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels and with diverse backgrounds. </li>
<li>Work independently and exercise sound judgment.</li>
<li>Communicate clearly and concisely, both orally and in writing.</li>
<li>Work a flexible schedule; available to participate in evening and weekend events.</li>
<li>Organize, be analytical, problem-solve and possess project management skills.</li>
<li>Work in a fast-paced environment and in an efficient manner.</li>
<li>Manage multiple projects and identify opportunities for internal and external collaboration.</li>
<li>Motivate and lead multi-program teams and external committees/coalitions.</li>
<li>Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment.</li>
</ul>
 Your Physical Requirements (With or Without Accommodations): 
<ul>
<li>Ability to visually read information from computer screens, forms and other printed materials and information.</li>
<li>Ability to speak (enunciate) clearly in conversation and general communication.</li>
<li>Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions.</li>
<li>Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting.</li>
<li>Lifting and moving objects, patients and/or equipment 10 to 25 pounds</li>
</ul>
 Ways We Are Here For You 
<ul>
<li>You'll enjoy competitive compensation for this role.
<ul>
<li>Our current hiring range is: Pay Grade: 314 - $99,902 - $159,843 ($48.03 - $76.8476). 
<ul>
<li>The base pay offered will take into account internal equity and also may vary depending on the candidate's job-related knowledge, skills, and experience among other factors. </li>
</ul>
</li>
</ul>
</li>
<li>This position is approved for Full Telework (**If the position is Telework, it is eligible in California only**) </li>
<li>A <a href="https://apptrkr.com/get_redirect.php?id=6631734&amp;targetURL=https://www.caloptima.org/en/careers#benefits" target="_blank">comprehensive benefits package</a> </li>
<li>CalPERS pension program and additional retirement packages. </li>
<li>Additional benefits and perks including:
<ul>
<li>A generous PTO program</li>
<li>A quality work life balance</li>
<li>Various wellness programs</li>
<li>Tuition Reimbursement</li>
<li>Professional development opportunities</li>
<li>Career development opportunities</li>
<li>Flexible scheduling</li>
<li>And the satisfaction of knowing your work directly impacts and improves healthcare access for thousands of individuals and families.</li>
</ul>
</li>
</ul>
 Our Work Environment: If located at the 500, 505 Building or a remote work location: 
<ul>
<li>Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed.</li>
<li>There are no harmful environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate.</li>
</ul>
 If located at PACE: 
<ul>
<li>Work is typically indoors in a clinical setting serving the frail and elderly.</li>
<li>There may be harmful or hazardous environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate to loud.</li>
</ul>
 If located in the Community: 
<ul>
<li>Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. </li>
<li>Employee will occasionally work outdoors in varied temperatures.</li>
<li>There may be harmful or hazardous environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate to loud.</li>
</ul>
 Why Join Us? We believe that diverse perspectives drive innovation. Each employee brings a unique perspective to the overall team and we value everyone's input and we are committed to creating an inclusive environment where you and every team member can thrive while making a meaningful impacts on our community members. Our team reflects and represents the communities we serve, and we welcome candidates from all backgrounds who share our commitment to accessible, quality healthcare. What's Your Next Step? All Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. Do NOT miss out. If you want to join our team, the deadline for the first review of applications is October 20, 2025 at 9:00 PM (PST). We are encouraging you to apply early. If you apply after the first review date, your application is not guaranteed to be considered for this recruitment. This recruitment may close at any time without notice after the first review date. Our Commitment to You Your application and resume will be reviewed by a dedicated recruiter to this position. If your experience matches what we need, we will reach out to you to discuss the next steps. The selection process may include, but is not limited to, a skills assessment, phone screen and interview. If you make it through the steps above and are selected for this exciting role, you will be required to undergo a reference and a background check (to include a conviction record) and if applicable also pass a drug screening and/or a post-offer pre-employment medical examination (for specific positions) If you are an Internal CalOptima Health applicant, please apply through the internal portal on InfoNet. We will make sure to keep you updated through each step of the process on your candidate portal. Please make sure to watch for updates on your candidate portal and you emails which will be sent to the email address you listed on your application. Please check your email, including your SPAM folder, regularly throughout the recruitment process. CalOptima Health is committed to attracting, hiring, and retaining a diverse staff, where we will honor your unique experiences, identity, and perspectives. Our organization strives to create and maintain a workplace environment that is inclusive, equitable and welcoming so we can truly be Better Together. CalOptima Health is an equal opportunity employer and makes all employment decisions on the basis of merit. CalOptima Health wants to have qualified employees in every job position. CalOptima Health prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima Health also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics. If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation at (714) 246-8400 if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability. To apply, please visit: <a href="https://apptrkr.com/6631734" target="_blank">https://jobs.caloptima.org/jobs/sr-configuration-analyst-its-analyst-sr-505-city-parkway-west-california-united-states</a> Copyright 2025 Jobelephant.com Inc. All rights reserved. <a href="https://www.jobelephant.com/" target="_blank">Posted by the FREE value-added recruitment advertising agency</a> jeid-585b800158f1e74394600ded10c30129

Sr. Configuration Analyst (ITS Analyst, Sr.)

<h3>Job Description</h3>
Job Description
Make it Happen at Hopkins!
Join our Team | Apply NOW | Hiring for Experienced Clinical Documentation Specialist
PLEASE NOTE: This position requires a Certified Professional Coder (CPC) or Certified Risk Adjuster Certification (CRC)
At Johns Hopkins Community Physicians (JHCP), we bring the excellence of Johns Hopkins Medicine to our communities. With over 40 locations across Maryland, Virginia, and Washington, DC, your next incredible career opportunity is right in your neighborhood. 
As a Clinical Documentation Specialist, you’ll play a critical role in improving the quality and accuracy of inpatient medical records. By collaborating with physicians and staff, you’ll ensure proper documentation for coding, risk, and severity assessments.
If you are an RN, PA, NP, Foreign Medical Graduate or M.D., with the following experience, license, and certifications, APPLY NOW!
Qualifications
<ul>
<li>Education: Completion of an accredited advanced clinical program (RN with BSN or higher, AMA-approved Physician Assistant program, or other advanced medical training such as MD-BS). Master’s or Doctoral degree (MSN, DNP) preferred.</li>
<li>Licensure/Certification:</li>
<ul>
<li>Current RN license (MD or compact state), PA license (NCCPA certified), or other advanced medical degree.</li>
<li>CPC or CRC - Advanced clinical documentation certification and/or risk adjustment certification (AAPC or AHIMA) required.</li>
</ul>
</ul>
Work Experience:
<ul>
<li>RN: Requires a minimum of 3 years Registered Nurse clinical experience in healthcare setting. Minimum of 2 years as a Clinical Documentation Specialist. In lieu of healthcare setting experience, a minimum of 3 years of CDI experience, and/or other relevant clinical experience may be considered. </li>
<li>PA or NP: Requires a minimum of 3 years Physician Assistant or NP experience in a healthcare setting. Minimum of 2 years as a Clinical Documentation Specialist. In lieu of healthcare setting experience, a minimum of 3 years of CDI experience, and /or other relevant clinical experience may be considered</li>
<li>Other Advanced Clinical Degree (i.e. MD or MD-BS): Minimum of 3 years' experience in a healthcare setting. Minimum of 2 years of Clinical Documentation Improvement experience preferred.</li>
</ul>
Why Choose JHCP? When you join our team, you’ll enjoy:
<ul>
<li>Comprehensive Benefits: Medical, dental, and vision insurance.</li>
<li>403B savings plan with employer contributions.</li>
<li>Work-Life Balance: Generous paid time off and holidays.</li>
<li>Tuition Assistance: Employee and dependent education benefits.</li>
<li>Free parking</li>
<li>Extra Perks: Referral bonuses and health &amp; wellness programs.</li>
</ul>
Position Details
<ul>
<li>Shift: Full-Time, Day Shift (40 hours/week) - Monday - Friday</li>
<li>Location: Fully Remote (must reside or relocating to the following states within 90 days of hire): MD, DC, VA, PA, DE, and FL</li>
</ul>
For any questions, please email Radina Haggard @<a href="mailto:rhaggar3@jh.edu" target="_blank">rhaggar3@jh.edu</a> 
Salary Range: Minimum 38.49/hour - Maximum 59.66/hour. Compensation will be commensurate with equity and experience for roles of similar scope and responsibility.
In cases where the range is displayed as a $0 amount, salary discussions will occur during candidate screening calls, before any subsequent compensation discussion is held between the candidate and any hiring authority.
JHM prioritizes the health and well-being of every employee. Come be healthy at Hopkins! 
Diversity and Inclusion are Johns Hopkins Medicine Core Values. We are committed to creating a welcoming and inclusive environment, where we embrace and celebrate our differences, where all employees feel valued, contribute to our mission of serving the community, and engage in equitable healthcare delivery and workforce practices.
Johns Hopkins Health System and its affiliates are drug-free workplace employers.

CLINICAL DOCUMENTATION SPECIALIST

<h3>Job Description</h3>
Job DescriptionDepartment: Health Information Management Schedule/Status: 7:30am -4pm; Full Time Standard Hours/Week: 40 General Description: Under the general supervision of the Director of HIM, the Clinical Documentation Specialist (CDS) is responsible for coordinating the review of concurrent inpatient clinical documentation and data. The CDS facilitates accurate documentation for severity of illness and quality documentation in the medical record. This involves extensive record review, interaction with physicians, health information management professionals, clinical informatics, and nursing staff. The CDS works with providers to ensure clinical disease processes are accurately documented and that the documentation appropriately reflects the patients severity of illness and DRG. Active participation in team meetings and education of staff in the CDI process is a key role. Key Responsibilities: 
<ul>
<li>Analyzes documented data and information to assist in determining areas for improvement in documentation and proper DRG selection. Provides concurrent reviews of inpatient medical records, identify potential documentation deficits, and clarifies with providers (physicians, PAs, ARNPs, etc.) to ensure the appropriate severity of illness is documented.</li>
<li>Has a working knowledge of correct principal diagnosis and principal procedures. Understands ICD-10 coding and DRG principles in accordance with coding and reimbursement guidelines. Is able to validate DRG grouping and relate grouping methodology to documentation needs.</li>
<li> Utilizes documentation software and EMR templates to maintain accuracy of data for tracking purposes.</li>
<li>Formulates appropriate documentation clarification queries using established guidelines to clarify questionable or incomplete documentation.</li>
<li>Identifies clinical or system/process breakdowns and improvement opportunities and refers them to the appropriate areas (CM, Risk, Quality) for resolution.</li>
<li>Acts as a documentation resource for Nursing, Case Managers, Coding, and Physicians. Actively participates in the education of healthcare team members on current healthcare economic issues impacting practice patterns, reimbursement and positive patient outcomes.</li>
<li> Attends professional in-services and coding in-service programs.</li>
<li>Participates on hospital committees as assigned. Performs similar or related duties as assigned. Knows fire, disaster and safety procedures and regulations as pertains to the work area.</li>
</ul>
Requirements: Formal Education: 
<ul>
<li>Associates degree, or other two year college equivalent. Major required: Nursing. Graduate of an accredited RN Education Program, BSN preferred </li>
</ul>
Work Experience: 
<ul>
<li> Minimum of five (5) years nursing experience in Med/Surg., Critical Care, or similar nursing experience.</li>
</ul>
Required Certifications / Licenses: 
<ul>
<li>State of Florida RN license. ICD-10 training and certification preferred.</li>
<li>Certified Documentation Improvement Practitioner (CDIP) or Certified Clinical Documentation Specialist (CCDS) credentials preferred.</li>
</ul>
Full Time Benefits: Eligible to participate in a number of PMC-sponsored benefits, including: 
<ul>
<li>Benefits Start on Day 1</li>
<li>Health, Dental and Vision Insurance</li>
<li>403(b) Retirement Program</li>
<li>Tuition Reimbursement/Educational Assistance</li>
<li>EAP, Flex Spending, Accident, Critical and Other Applicable Benefits</li>
<li>Annual Accrual of 152 Personal Leave Bank (PLB) Hours</li>
</ul>

Clinical Documentation Specialist

<h3>Job Description</h3>
Job DescriptionAre you ready to join a passionate community of people who are changing how health care is delivered?&nbsp; A place where you will find a career you love while truly making a difference building healthier communities.&nbsp; If this sounds like you, we would love to have you apply as Clinical Documentation Integrity Specialist, with Medical Home Network!&nbsp;Since 2009, Medical Home Network (MHN) has partnered with Federally Qualified Health Centers (FQHCs) nationwide to transform care in the safety net, reduce health disparities, and build healthier communities. A mission-driven public benefit corporation, MHN helps FQHCs succeed in value-based care through technology, care model innovation, and strong partnerships. Our proven approach delivers leading health outcomes, lower costs, and elevated quality performance. We’re expanding our reach and impact to help more FQHCs enhance care for their patients. Modern Healthcare has named MHN one of the Best Places to Work in Healthcare for four years running (2021–2024). MHN was recently recognized as a Great Place to Work in 2025. THE OPPORTUNITY:The Clinical Documentation Integrity Specialist supports accurate and compliant documentation of patient conditions by collaborating with Primary Care Physicians (PCPs) at FQHCs and the MHN clinical team. The role focuses on chart review, documentation support, and compliance checks to ensure that patient records reflect the complexity of care, which supports both quality outcomes and regulatory requirements.THE PERKS
<ul>
<li>Fun, challenging, and collaborative work environment with passionate colleagues that care deeply about healthcare delivery.</li>
<li> Recognized as One of the Best Places to Work in Healthcare by Modern Healthcare.</li>
<li>Competitive benefits programs including Medical, Vision, Dental, HSA, FSA, and 401k.</li>
<li>Fitness reimbursement, commuter benefits, and tuition assistance.</li>
<li>Great work life benefits- Paid time off, sick time, and 12 paid holidays.</li>
<li>Schedule: For candidates within 50 miles of the office, this role follows a hybrid schedule, onsite Tuesday and Wednesday, with remote work the remaining three days. While we prefer a hybrid arrangement, we are open to considering fully remote candidates.</li>
</ul>
WHAT YOU CAN LOOK FORWARD TO:
<ul>
<li>&nbsp;Pre-visit support: Review patient charts prior to PCP visits to identify opportunities for more accurate documentation of chronic and complex conditions.</li>
<li>Documentation Education: Educate PCPs in capturing complete and accurate patient information in their notes, ensuring appropriate coding for risk adjustment and why this is critical in value-based care</li>
<li>Chart Review: Review provider documentation for compliance with CMS guidelines and confirm HCC-related conditions are captured accurately. Identify missed opportunities and how to optimize claims submission process. </li>
<li>AI + NLP Review: Review AI/NLP tool outputs for accuracy and relevance, flagging appropriate suggestions for integration into the patient chart.</li>
<li>Compliance Monitoring: Support compliance efforts by following internal guidelines and helping minimize audit risks.</li>
<li>Team Collaboration: Work closely with PCPs and MHN clinical staff to reinforce documentation best practices and support overall care quality.</li>
</ul>
WHAT YOU’LL NEED TO SUCCEED:
<ul>
<li>Bachelor’s degree in Health Information Management, a related discipline or equivalent work experience required.</li>
<li>3+ years of experience in HCC coding, CDI, or clinical documentation review.</li>
<li>Experience in value-based care or risk adjustment settings preferred.</li>
<li>Experience with FQHCs a plus</li>
<li>Strong attention to detail and organizational skills.</li>
<li>Effective communication skills to support provider collaboration.</li>
<li>Certified Professional Coder (CPC) required.</li>
<li>Certified Risk Adjustment Coder (CRC)strongly preferred.</li>
<li>Skilled in HCC coding, risk adjustment, and CMS documentation guidelines.</li>
<li>Ability to review and interpret clinical information and apply coding standards accurately.</li>
<li>Experience collaborating with providers and clinical teams to improve documentation quality.</li>
<li>Experience with various electronic health records (EHRs) and coding tools; exposure to AI/NLP tools a plus.</li>
<li>Microsoft excel and PowerPoint proficiency required&nbsp;</li>
</ul>
Medical Home Network is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other protected characteristic. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.
We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.

Clinical Documentation Integrity Specialist

<h3>Job Description</h3>
Job DescriptionThe Clinical Documentation Integrity Specialist (CDIS) plays a vital role in ensuring the precision and completeness of clinical documentation and coding to optimize patient data accuracy. This position involves performing both retrospective and prospective chart reviews. The CDIS will conduct provider education and training related to complete and accurate diagnostic documentation and coding, in accordance with ICD-10 CM coding guidelines, internal protocols and CMS and payer guidelines. The CDIS will deliver tailored education at the individual provider-level; complete end-to-end workflow assessment and optimization; and perform chart reviews to identify specific opportunities for improved accuracy. There will be opportunity to travel periodically to practices as well as engage in remote work.&nbsp; The CDIS must be detail-oriented, service-minded, possess strong verbal and written communication skills, and be fluent in (or willing and able to master) Google Suite tools.Primary Duties:
<ul>
<li>Perform chart reviews to identify opportunities for better accuracy in clinical documentation and coding.&nbsp; Evaluate and optimize end-to-end practice clinical documentation, billing and coding workflows. Develop and implement action plans to improve the completeness and accuracy of clinical documentation and coding </li>
<li>Work directly with Aledade practices and providers on continuous improvement of complete and accurate documentation and diagnosis coding. Facilitate clinical documentation and coding communication amongst key internal and external stakeholders. Provide guidance to field staff and practices regarding general documentation and coding best practices and risk adjustment</li>
<li>Deliver internal and external-facing education and training on clinical documentation and diagnosis coding to support value-based contracts.</li>
</ul>
Minimum Qualifications:
<ul>
<li>Bachelor’s degree in a healthcare related field or equivalent work experience required</li>
<li>Current certification as a Certified Professional Coder (CPC), or equivalent</li>
<li>Certified Documentation Expert Outpatient (CDEO®) from AAPC or Certified Clinical Documentation Specialist-Outpatient (CCDS-O) from ACDIS.</li>
<li>3+ years of recent, relevant work experience in CDI or 5+ years as a risk adjustment auditor; 3+ years RCM or billing experience</li>
<li>Familiarity with anatomy and physiology, disease processes and medical terminology</li>
<li>Thorough understanding of medical coding guidelines and regulations including compliance, reimbursement, and the impact of diagnosis documentation on risk adjustment payment models</li>
<li>Subject matter expertise on the CMS HCC Risk Adjustment program, methodology, and impact to value-based contracts</li>
<li>Ability to identify and communicate opportunities to improve documentation and diagnosis capture for accurate risk adjustment coding</li>
<li>Experience working directly with physician practices and individual providers to achieve demonstrable improvement in increasing the accuracy and completeness of documentation and diagnosis coding</li>
</ul>
Preferred Qualifications:
<ul>
<li>Successful track record in outpatient coding and billing through previous experience</li>
<li>Self-directed and solution oriented</li>
<li>Strong understanding of value-based care principles, particularly as they relate to the impact of clinical documentation and coding on risk adjustment payment models in value-based contracts</li>
<li>Strong understanding of outpatient coding and billing</li>
<li>Solution-oriented individual who can execute tactical continuous quality improvement work to deliver results in value-based contracts</li>
<li>Excellent communicator who can articulate the impact of documentation and diagnosis initiatives to Aledade ACO member practices and their key staff (e.g., office managers, practice billers, etc.), and internally within the company. </li>
<li>Ability to work collaboratively across Aledade clinical and non-clinical teams to gain buy-in and implement key documentation improvement initiatives</li>
<li>References demonstrating high degree of integrity and professional accountability</li>
</ul>
Physical Requirements:
<ul>
<li>Prolonged periods of sitting at a desk and working on a computer</li>
</ul>

9,175 clinical-documentation-specialist Jobs