The Solution Architect shall act as a technical expert for Manufacturing Execution System (MES) and L3/L4 Solutions in the basic design and analysis of systems architecture and enabling readiness towards Systems-of-Systems (SoS) integration. The SA will play a crucial role in the L3 business expansion. They will provide expert advice and guidance to project teams for systems of the most complex nature, evaluation of new technologies and develop departmental practices.

Responsibilities

• Design comprehensive and scalable architectural integrated solutions and the associated validation process to enable the realization of a design brief (e.g., in terms of functionality, aesthetics, and cost) that conforms to organizational specific needs and regulatory standards.
• Work with Subject Matter Experts (SMEs) to maximize usage of Yokogawa industry solutions to enhance Yokogawa L3 business.
• Play an important part in the development of quality procedures and standards by certifying technological processes, qualifying products, and supervising tests.
• Post-deployment of solution, monitor its performance and gather feedback to identify areas for improvement.
• Manage digital product/service portfolio life-cycle management, planning and aligning with relevant cross-functional product teams, procurement, and distribution.
• Evaluate the feasibility/relevance of proposed solutions, working in cross- functional teams with other SMEs to develop and deliver significant aspects of the development program.
• Select appropriate technologies, frameworks, platforms and tools based on customer / SME requirements, considering factors like scalability, performance, security and cost.
• Act as subject matter expert in an area of MES, Data Integration sharing insights, best practices and lessons learnt for entire global network.

Requirements

• Bachelor of Information Technology or equivalent level
• Domain knowledge of either Energy and Sustainability / Material / Life Business
• Experience in SQL, C#, .NET, OPC Classic, OPC UA, Angular, office 365, Edge Technology
• Solution architectural design, requirement specification, testing Specification, software life cycle management, ISA95, ISA 88, Industry 4.0, MES Best practices and Data security, data availability
• Excellent problem-solving and analytical skills
• Strong communication and collaboration skills

Careers at Yokogawa

We regret to inform that only shortlisted candidates will be notified.

By responding to Yokogawa’s advertisement, consent is considered given to Yokogawa to collect the required personal data for the purpose of recruitment with expectation that Yokogawa will protect personal data with security safeguards that are reasonable and appropriate to the sensitivity of the personal data, to protect it from unauthorized access, use or disclosure and complies with applicable regulatory requirements with respect to the retention of personal data.

What you will be doing:

• Attend site meetings and site walks with Owner, consultant and contractors.
• Conduct inspection and keep records for QA/QC. Including EHS matters.
• Administer the Hospital’s safety procedures and conduct periodic inspection on the provision of safety measures together with the Contractor’s site safety supervisor or representatives to ensure that the Contractor complies with the safety requirements.
• Generate “Site Observation Reports” to record findings and close out. Keep Register for easy tracking and reporting.
• Monitor project progress schedules and qualities standards, track Main Contractor’s program and report delay and/or work not start on planned start date.
• Issue Site Memo on the standard form and are to be copied to the Consultant/Owner.
• Report all unauthorized works carry out by the Main Contractor or any subcontractors immediately to Consultant/Owner including work carry out without approved drawings, Permit, PTW and or WMS.
• Inspect and monitor quality of materials delivered to site.
• Check all drawings (including working drawings, shop drawings, authority submission drawings and as-built drawings.
• Check and verify all work conform to drawings, specifications and instructions.
• Check and verify materials and workmanship conform to drawings and specifications.
• Ensure all installations are in accordance with the Tender Specification/Working/Shop Drawings and applicable local Codes, Regulation and Standards.
• Submit daily reports to the following day.
• Submit weekly reports every Monday.
• Keep and maintain QP attendance register.
• Keep and maintain BCA and all other authorities approved drawings, permit, NOA and the like at site office for easy verification.
• Keep and maintain all documents, drawings and/or permit issued by the Consultant/Owner. Keep a Register to ensure documents are latest and updated.
• Immediately notify Consultant/Owner any difficulties arising, decision required, variations required.
• Verify contractor’s progress claim.
• Conduct off-site testing and/or inspection in Contractor’s/Sub-Contractor’s/Supplier’s workshops, as directed by the Consultant/Owner.
• Check and report discrepancies found in drawings and/or specifications to the Consultant/Owner.
• Supervise tests or techniques specified in Contract or required Consultant/Owner.
• Check and verify dayworks sheets submitted the main contractor and keep copy for record.
• Report on site safety and housekeeping.
• Conduct site inspection for Phase completion and handling over purposes. Compile Defect List.
• Witness on all necessary testing at site.
• Perform other job-related duties as assigned.

You are:

• Possess at least Degree/Diploma/Trade Certificate in Mechanical/Electrical/Building Services Engineering.
• Minimum 5 years of experience as RTO on local projects. Retrofit of ACMV system experience would be added advantage.
• Familiar with local codes and regulations.
• Registered Resident Technical Officer (RTO) with IES/ACES
• TDAP and MMR vaccination is compulsory before start of work

Why join Cushman & Wakefield?

As one of the leading global real estate services firms transforming the way people work, shop and live working at Cushman & Wakefield means you will benefit from;

• Career development and a promote from within culture
• An organisation committed to Diversity and Inclusion

We have a vision of the future, where people simply belong.

That's why we support and celebrate inclusive causes, not just on days of recognition throughout the year, but every day. We embrace diversity across race, colour, religion, gender, national origin, sexual orientation, gender identity or persons with disabilities or protected veteran status. We ensure DEI is part of our DNA as a global community - it means we go way beyond than just talking about it - we live it. If you want to live it too, join us.

Job Description

• Development of deep excavations monitoring and dynamic construction control software.
• Development of Land Reclamation Digital software.
• Applicate of automated construction techniques for deep excavations, such as automated monitoring, steel reinforcement actuators, and automated injection system.
• Research on refined modeling and dynamic construction control technology of NATM tunnels.
• Developed the new equipment of vibro-replacement stone column and automated construction technology, which can penetrate 15m gravel layer.
• Research on constitutive models of geotechnical materials and finite element models in soft soil.
• Plan a scheme corporate private Generative Pre-trained Transformer.

Requirements

• Min Master’s degree in Architecture Civil Engineering or equivalent
• Must possess min 7 years of relevant working experience in the construction industry of which minimum 5 years are in MRT projects
• Must possess all the training certificates required of a Construction Manager

We are looking for a Relationship Executive to introduce and nurture steady, mutually beneficial relationships with our clients. As a Relationship Executive, you should maintain contact with clients, work to understand their needs, and then advise them on which of our offerings could best support their objectives.

To succeed as a Relationship Executive, you should ensure alignment between our organization’s objectives and each client’s needs. Ultimately, an indispensable Relationship Executive will take ownership of their work, including their role in promoting clients’ interests.

Responsibilities

• Represent the organization in the client meetings.
• Meet potential clients and gauge the viability of a working relationship.
• Ensure regular contact with existing clients to maintain our company’s presence.
• Conduct in-depth needs assessments to better understand each client’s requirements.
• Identify a range of our offerings that could meet the goals and values of each client.
• Propose and deliberate potential solutions in consultation with clients.
• Settle clients’ concerns in a swift and professional manner.
• Harness internal relationships to better address clients’ needs and to maximize our profits.

Requirements

• Prior experience as a Relationship Executive will be a plus
• Familiarity with CRM software and procedures.
• Familiarity with sales and negotiation tactics.
• Outstanding verbal and written communication.
• Ability to forge profound working relationships.
• Strong interpersonal and collaborative skills.
• Bachelor’s degree
• Be presentable & confident

About the Role

We are seeking a passionate and experienced Design Project Manager to join our team and lead the successful execution of exciting design projects from inception to completion. You will be responsible for overseeing all aspects of the project, from understanding client needs to managing delivery within budget and timeframe.

A Day in Life

• Client Relationship Management:Collaborate with clients to clearly define their design aspirations and translate them into a formal design brief.
  Facilitate seamless communication between the client and internal design team, ensuring client expectations are met and exceeded.
  Proactively manage client expectations and navigate through any changes or challenges efficiently.
  
• Project Planning & Execution:Develop comprehensive project plans using MS Project or similar project management software, outlining key milestones, timelines, and resource allocation.
  Conduct regular meetings with client and internal teams to ensure clear communication, address design queries, and maintain project momentum.
  Coordinate effectively with internal designers, landlords, architects, engineers, and other stakeholders involved in the project.
  
• Procurement & Tendering:Identify and recommend qualified consultants to join the project team through a defined RFP process.
  Assist the client in the tendering process, responding to technical queries, and clarifying project requirements.
  Evaluate tender submissions, providing well-informed recommendations to the client for informed decision-making.
  
• Construction & Handover:Facilitate regular stakeholder meetings throughout the construction phase, ensuring open communication and alignment.
  Document meeting minutes for future reference and action tracking.
  Manage client change requests, translating them into clear instructions for the project team.
  Conduct regular site visits to monitor progress, oversee quality control, and address any logistical concerns.
  Manage testing and commissioning procedures for project readiness.
  Coordinate final inspections with landlord, consultants and contractors to ensure project compliance.
  Prepare punch-lists and diligently follow up with contractors to rectify deficiencies.
  Manage project close-out, including final accounts, handover documentation (as-built drawings, O&M manuals), and training sessions.
  Oversee reinstatement and move management activities, ensuring a smooth transition to project completion.
  

What we are looking for

• Minimum of 5 years of experience managing design projects in the Retail/Corporate industry. Junior candidates with demonstrably strong skills and relevant experience in design management may be considered.
• Proven track record of successfully delivering complex design projects on time and within budget.
• Excellent communication, interpersonal, and negotiation skills in both written and verbal formats.
• Strong organizational and time management abilities.
• Proven ability to prioritize tasks, manage multiple projects simultaneously, and adapt to changing circumstances while maintaining deadlines.
• Proficiency in design visualization software (e.g., AutoCAD, Revit), project management software (e.g., MS Project, Primavera), and communication tools (e.g., Microsoft Office Suite). Knowledge of BIM (Building Information Modelling) systems a plus.
• Experience with design procurement and tendering processes.
• Keen understanding of design constructability, able to identify potential constructability issues early in the design process and collaborate with designers to find solutions. Experience working with contractors and understanding how design decisions impact buildability and cost.
• Working knowledge of construction methods, materials, and regulations relevant to the industry. Ability to oversee construction activities, identify potential quality issues, and implement corrective actions promptly.
• PMP certification and/or LEED accreditation highly preferred. Demonstrates commitment to professional development and best practices in project management and sustainability.

We have been evolving our Enterprise Data Warehouse (EDW) over the past few years and are looking for an individual who will help us determine its future state. Our data warehouse needs to be the single source of truth when it comes to financial data produced throughout the firm. You will be responsible for planning, leading, coordinating, and monitoring activities of one or more projects covering various facets of the project life cycle ranging from project initiation to analysis and implementation. The current technology stack is Linux based, utilizing Vertica, Python, Perl, Tableau, and a Service Oriented Architecture for data distribution. The creation of the roadmap for the future technology stack is in progress and it will certainly leverage AWS for all or portions of the platform.

Principal Responsibilities

* Manage the delivery of multiple projects while keeping all stakeholders and sponsors informed

* Determine business and technology requirements, time frames and procedures for successful delivery of projects

* Build relationships with key stakeholders across the organization and use those relationships to problem solve holistically.

* Appropriately orchestrate the necessary involvement of various disciplines to contribute to project success

* Influence large teams of stakeholders across multiple organizations to drive the execution of complex projects

Qualifications/Skill Required:

• 10+ years of work experience as a PM in the IT industry with specialization in Data Warehousing
• Excellent written and oral communication skills.
• Experience with project management and analytics; ability to partner with technology, and business stakeholders to implement initiatives
• Experience with Agile Development methodology
• Good team player with a strong willingness to participate and help others.
• Able to prioritize in a fast moving, high pressure, constantly changing environment; High sense of urgency
• Self-motivated, be able to define new processes, socialize with stakeholder groups and gain consensus.
• Time management skills with strong attention to detail; ability to work independently and manage multiple project assignments.

More than a career - a chance to make a difference in people's lives.

Build an exciting, rewarding career with us – help us make a difference for millions of people every day. Consider joining the Duke Energy team, where you'll find a friendly work environment, opportunities for growth and development, recognition for your work, and competitive pay and benefits.

This posting is for one position, multiple location options.  Location will be determined at time of offer and based on availability.

Job Description

The Senior Engineer manages work in engineering areas of specialization, with minimal supervision. The Senior Engineer is expected to develop advanced skills and to have the ability to work independently, with guidance limited to unusual or complex projects or issues. Employees in the Senior Engineer position are fully competent in the use of concepts and procedures. The Senior Engineer identifies problems, develops solutions, and takes action to resolve.

The Lead Engineer is at the specialist level of the Engineering classification hierarchy. Employees at this level solve complex problems, manage work, and provide leadership to others in engineering areas of specialization, with minimal supervision and increased latitude for un-reviewed work. The Lead Engineer serves in lead roles providing guidance to others. They are also expected to have advanced skills and have the ability to work independently.

Responsibilities

• Provides engineering/technical expertise and guidance in the identification, analysis and resolution of problems of increasing scope and complexity in both inside as well as outside the scope of typical responsibility.
• Ensures accomplishment of business goals and objectives through effective planning, organizing, estimating, scheduling and monitoring of work activities; decisions may affect the operations or results of the work group and may have some impact on major projects or department results.
• Prepares thorough and accurate technical reports, correspondence, documentation, calculations and sketches related to defined problems and analysis of increasing scope and complexity.
• Conducts engineering and related studies; completes non-routine engineering projects with minimal oversight with the ability to independently manage project schedules and interfaces; competent to design, operate and maintain systems with moderate impact on existing systems.
• Possesses and applies the fundamental concepts, practices and procedures; proficient in technical and analytical competencies necessary to handle assignments of increasing complexity.
• Develops positive working relationships to effectively coordinate work activities.  Demonstrates effective oral and written communication skills.  Maintains accurate records and files.
• Supports the company's goals and represents the company positively and professionally.
• Install Power Quality Monitors safely at the Utility level and occasionally at the customer if needed.
• Provide Technical Support to internal Distribution and transmission organization on potential solutions for Power Quality issues.
• Provide engineering recommendation to industrial, commercial, and residential customers.
• Formulate solutions to both Duke Energy and its customers based on data evaluations and information gathered. 
• Ability to collaborate and communicate with local field personnel.

Basic/Required Qualifications

Note: This posting is for one position. Dependent on relevant experience, the level to which a candidate is aligned is outlined below.

Senior Engineer

• Graduation from a four-year college or university with a Bachelor of Science in Engineering from an ABET accredited program or state registration as a Professional Engineer. A Master's degree in engineering will be considered in lieu of the B. S. engineering degree.
• Minimum of 6 years of engineering experience

Lead Engineer

• Graduation from a four-year college or university with a Bachelor of Science in Engineering from an ABET accredited program or state registration as a Professional Engineer. A Master's degree in engineering will be considered in lieu of the B. S. engineering degree.
• Minimum of 8 years of engineering experience
• Registration as a Professional Engineer may be required by some departments. (e.g. Transmission, Distribution, Gas Engg, RRE).

Additional Preferred Qualifications

• Proficient in engineering theories and principle
• Proficient in practices of researching engineering and design issues, evaluating alternatives, making sound recommendations, and preparing and presenting recommendations.
• Demonstrated effective verbal and written communication skills.
• Proficient in principles of project management
• Registered Professional Engineer (PE)
• Experience in the utility industry
• Certified to hook up instruments to live power equipment.
• Experience with troubleshooting VFD’s (Variable Frequency drives), Motor soft starts, PLC’s and various industrial equipment

Working Conditions

• Hybrid Mobility Classification – Work will be performed from both remote and onsite locations after the onboarding period. However, hybrid employees should live within a reasonable daily commute to a Duke Energy facility.

Travel Requirements

Relocation Assistance Provided (as applicable)

Represented/Union Position

Visa Sponsored Position

Posting Expiration Date

All job postings expire at 12:01 AM on the posting expiration date.

Please note that in order to be considered for this position, you must possess all of the basic/required qualifications.

Privacy

Do Not Sell My Personal Information (CA)

Terms of Use

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Number of Job Openings Available:

Date Posted:

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Shift Length:

Hours Per Week:

Union Contract:

Weekend Rotation:

Job Summary:

Key Position Details:

Allina Health's Neuroscience, Spine, and Pain Institute is seeking a Nurse Practitioner or Physician Assistant who is passionate about helping people who are dealing with chronic pain lead healthier, happier lives. We are open to recent graduates for this position, and also welcome candidates with previous NP/PA experience. Pain management experience is preferred, but not required.

• This opening could either be Outpatient, working in our United Pain Center clinic, or Inpatient, working with pain patients at United Hospital depending on your experience and practice preferences
• Monday through Friday schedule, 7am - 3:30pm (with some flexibility)
• No evenings, weekends, or holidays
• Ability to train to do botox or trigger point injections, if desired
• Average of 8 to 10 patients per day

Job Description:

Provides help with all aspects of patient care, including diagnosis, treatments and consultations as part of a physician/nurse team in accordance with the designated specialty. Works in both inpatient and outpatient situations and can perform independently or as part of a treatment team. Serves as an educator, case manager, consultant to staff and multidisciplinary health care team.

Principle Responsibilities

• Provides clinical care for patients
  • Completes comprehensive patient assessments.
  • Determines diagnosis and treatment of illness.
  • Orders and interprets medical diagnostics in tandem with attending physician.
  • Prescribes medications, treatments, therapy and medical equipment.
  • Conducts patient education when working to manage chronic illness or wellness care.
  • Refers for specialty care when determined.
  • Consults with physician when patient needs outside of Nurse Practitioner scope of practice, diagnosis or treatment plan is unclear.
• Participates in health care team
  • Promotes communication within the team and other interdisciplinary health care staff.
  • Acts as resource to members of the team.
  • Works with primary care team for program development.
  • Acts as liaison with outside agencies as needed.
  • Collaborates with hospital staff by consulting and rounding on patients if designated by the specialty.

• Other duties as assigned.

Required Qualifications

• Master's degree - Completion of accredited Nurse Practitioner program

Licenses/Certifications

• Licensed Registered Nurse - MN Board of Nursing required upon hire
• Certified Nurse Practitioner - American Nurse Credentialing Center (ANCC) certification within specialty required upon hire
• ACLS-BLS Tier 2 - Multisource required within 180 Days
• Drug Enforcement Administration required upon hire

Physical Demands
Medium Work*:
Lifting weight Up to 32 lbs. occasionally (*Allina Safe Patient Moving Policy), Up to 25 lbs. frequently

At HCSC, we consider our employees the cornerstone of our business and the foundation to our success. We enable employees to craft their career with curated development plans that set their learning path to a rewarding and fulfilling career.

Come join us and be part of a purpose driven company who is  invested in your future!

Job Summary

Required Job Qualifications: 
*Bachelor’s degree and 5 years TDM Technology experience utilizing TDM tools OR Technical Certification and/or College Courses and 7 years in Information Technology OR 10 years Information Technology experience.
*Experience providing technical direction to project teams.
*Knowledge of infrastructure technologies such as Network, Database, Server, Storage etc. preferred.
*Knowledge of process discipline and IDLC methodology.
*Experience with proprietary and open-source databases, include SQL, Oracle, Mongo, DB2, etc.
*Experience in writing SQL queries, triggers, stored procedures, investigating and mitigating performance issues, testing and verifying results.
*Working knowledge of APIs and Synthetic Data generation.
*Ability to create Architectural workflows and diagrams.
*Proficient in data strategy planning.
*TDM integration within CI/CD.

Preferred Job Qualifications: 
*Data Engineering Certification.
*Healthcare industry experience.
*Experience in automation using Excel Macros and similar tools.
*Experience and subject matter software development expertise spanning across several technical disciplines, capabilities, services, technologies, domains, or systems or equivalent experience working directly with software development teams.
*Demonstrated success in upskilling and broadening skills of software development teams.

Note: This hybrid role, 3 days a week in office, can be located in CHICAGO IL or RICHARDSON TX, sponsorship is available.

Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!

HCSC Employment Statement:

HCSC is committed to diversity in the workplace and to providing equal opportunity and affirmative action to employees and applicants. We are an Equal Opportunity Employment / Affirmative Action employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Drug screening and background investigation are required, as allowed by law. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.

We are seeking a passionate and experienced Design Project Manager to join our team and lead the successful execution of exciting design projects from inception to completion. You will be responsible for overseeing all aspects of the project, from understanding client needs to managing delivery within budget and timeframe.

A Day in the Life

Client Relationship Management:

• Collaborate with clients to clearly define their design aspirations and translate them into a formal design brief
• Facilitate seamless communication between the client and internal design team, ensuring client expectations are met and exceeded
• Proactively manage client expectations and navigate through any changes or challenges efficiently

Project Planning & Execution:

• Develop comprehensive project plans using MS Project or similar project management software, outlining key milestones, timelines, and resource allocation
• Conduct regular meetings with client and internal teams to ensure clear communication, address design queries, and maintain project momentum
• Coordinate effectively with internal designers, landlords, architects, engineers, and other stakeholders involved in the project

Procurement & Tendering:

• Identify and recommend qualified consultants to join the project team through a defined RFP process.
• Assist the client in the tendering process, responding to technical queries, and clarifying project requirements.
• Evaluate tender submissions, providing well-informed recommendations to the client for informed decision-making.

Construction & Handover:

• Facilitate regular stakeholder meetings throughout the construction phase, ensuring open communication and alignment
• Meticulously document meeting minutes for future reference and action tracking
• Effectively manage client change requests, translating them into clear instructions for the project team
• Conduct regular site visits to monitor progress, oversee quality control, and address any logistical concerns
• Manage testing and commissioning procedures for project readiness
• Coordinate final inspections with landlord, consultants and contractors to ensure project compliance
• Prepare punchlists and diligently follow up with contractors to rectify deficiencies
• Manage project close-out, including final accounts, handover documentation (as-built drawings, O&M manuals), and training sessions
• Oversee reinstatement and move management activities, ensuring a smooth transition to project completion

We are looking for

• Minimum of 5 years of experience managing design projects in the Retail/Corporate industry. Junior candidates with demonstrably strong skills and relevant experience in design management may be considered
• Proven track record of successfully delivering complex design projects on time and within budget
• Excellent communication, interpersonal, and negotiation skills in both written and verbal formats
• Strong organizational and time management abilities
• Proven ability to prioritize tasks, manage multiple projects simultaneously, and adapt to changing circumstances while maintaining deadlines
• Proficiency in design visualization software (e.g., AutoCAD, Revit), project management software (e.g., MS Project, Primavera), and communication tools (e.g., Microsoft Office Suite). Knowledge of BIM (Building Information Modelling) systems a plus
• Experience with design procurement and tendering processes
• Keen understanding of design constructability, able to identify potential constructability issues early in the design process and collaborate with designers to find solutions. Experience working with contractors and understanding how design decisions impact buildability and cost
• Working knowledge of construction methods, materials, and regulations relevant to the industry. Ability to oversee construction activities, identify potential quality issues, and implement corrective actions promptly
• PMP certification and/or LEED accreditation highly preferred. Demonstrates commitment to professional development and best practices in project management and sustainability

Where compassion meets innovation and technology and our employees are family.

General Purpose of Job:

Under direct supervision, the Denial Management Analyst will assist with the Billing, Follow-Up, Collection, Root Causing, Recovery, and Reporting of assigned Insurance or Self-Pay claims. Applying a scientific approach, to include research and analysis, the Denials Management Analyst will assist with the discovery of denials or denial trends and offer recommendations for solutions as a denial preventive. Additionally, the Denial Management Analyst will serve as a liaison between entities, promoting opportunities for inclusion and awareness, through communication to stakeholders, as denials or denial trends are discovered.

Essential Duties and Responsibilities:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.  The requirements listed below are representative of the knowledge, skill, and/or ability required.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. This job description is not intended to be all-inclusive; employees will perform other reasonably related business duties as assigned by the immediate supervisor and/or hospital administration as required.

The above statements should be included on all job descriptions.

List the job's essential or most important functions and responsibilities. Include all important aspects of the job -- whether performed daily, weekly, monthly, or annually; and any that occur at irregular intervals.  Standard functions listed below should be included on all job descriptions.

• Maintains utmost level of confidentiality at all times.
• Adheres to hospital policies and procedures.
• Demonstrates business practices and personal actions that are ethical and adhere to corporate compliance and integrity guidelines.
• Assist with the Billing, Follow-Up, Collection, Root Causing, Recovery, and Reporting of assigned Insurance or Self-Pay claims.
• Familiarity and adherence to payer timely filing, corrected claim, and appeal deadlines, and apply to assigned claims as necessary.
• Familiarity and adherence to payer reimbursement policies and apply to assigned claims as necessary.
• Familiarity and adherence to payer clinical policies and apply to assigned claims as necessary.
• Familiarity and adherence to Health System contractual agreement(s) and apply to assigned claims as necessary.
• Familiarity and adherence to Texas Administrative Code(s), or Bylaws, and apply to assigned claims as necessary.
• Root cause claim denials and offer recommendation for prevention.
• File appeals as appropriate to resolve payer denials and work with payers to monitor appeals in process.
• Document efforts, conversations as correspondences with clarity and comprehension, within the Electronic Medical Record System.
• Track and trend denials and recovery efforts by utilizing various departmental tools and appropriately reporting on-going problems specific to payers, health system departments, and/or contracts.
• Collaborate with clinical personnel as needed to appeal and resolve assigned claims.
• Ability to communicate effectively with all stakeholders across the health system, furthermore, disseminate denial efforts to key stakeholders as appropriate.
• Maintain a comprehensive payor and managed care intelligence database; to source research and analysis as needed.
• Recommends appeal templates for denial trends, as appropriate.
• Evaluates opportunities and financial terms for the health system.
• Assist with the strategic and financial judgment necessary to achieve profitable growth with payors.
• Supports and participates in the continuous assessment and improvement of the quality of care and services provided.
• Assist departmental leadership in resolving managed care operational issues and provide interpretation of managed care contract language, terms, and conditions.
• Consistently meet the current productivity standards in addressing and resolving denied accounts.
• Consistently meet the current quality standards in taking appropriate actions to identify and track root causes, successfully appeal denied accounts, and trend issues.
• Gather, verify, and evaluate confidential and sensitive organizational information, consistent with assigned claims.
• Provide individual contribution to the overall team effort of achieving departmental goals.
• Demonstrate proficient use of systems and execution of processes in all areas of responsibilities.
• Maintains a sense of professional and self-validation.
• Assure patient privacy and confidentiality as appropriate or required.
• Maintain professional relationships and convey relevant information to other members of the healthcare team, within the facility and any applicable referral agencies.
• Assist with special projects as assigned.
• Other duties as assigned.

EDUCATION AND/OR EXPERIENCE:

Bachelor's degree (B. A.) from four-year college or university; or one to two years related experience and/or training; or equivalent combination of education and experience.

Minimum of one year healthcare experience in a healthcare setting. Outstanding analytical ability and financial skills. Working knowledge of managed care operations and practices preferred. Working knowledge of health system admitting, billing, and utilization review as well as physician office practices, physician credentialing and physician billing practices preferred. Effective communication, organization, and interpersonal skills essential. Work independently. Excellent oral and written communication skills. PC skills necessary with experience in Microsoft Office products, including PowerPoint.