Perform prospective, retrospective, and concurrent utilization reviews for Southern California ministries. Conduct daily clinical reviews and medical record assessments for all payers during patient admission.
Providence
30 Remote Job Openings at Providence
The Program Coordinator manages the daily operations of agency, per-diem, and international nursing contract staffing. This role serves as an expert resource for traveler needs and partners with Managed Service Providers to ensure effective recruitment and on-boarding.
The Data Engineer I designs and develops modern, data-centric applications to support clinical and operational workflows using cloud technologies and big data platforms. Responsibilities include building scalable data pipelines, automating production processes, and ensuring the reliability and security of the enterprise data platform.
The Senior Patient Accounts Representative is responsible for the accurate preparation, editing, and submission of electronic and manual insurance claims to various regulatory payers. They also review and resolve billing edits in EPIC and the claims scrubber system while identifying and reporting recurring billing errors.
Patient Authorization and Referral Representative - Authorization
Providence
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Full Time
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6 days ago
Providence
The Pre-Authorization Specialist manages referrals and pre-authorizations for outpatient services while acting as a liaison between providers, patients, and health plans. The role requires performing duties independently in accordance with established departmental and hospital policies.
The virtual nurse will deliver patient-focused, whole-person care while utilizing specialized training to provide world-class health services. The role involves multitasking across various digital platforms to support inpatient care remotely.
Lead the design and implementation of automation, AI-enabled services, and data analytics to optimize HR operations and service delivery. Partner with HR leaders and IT to streamline workflows, reduce complexity, and improve the overall caregiver experience.
Patient Services Specialist - Patient Access 0.5 FTE
Providence
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Full Time
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11 days ago
Providence
Coordinates inpatient and outpatient surgical cases while working with RNs and providers to ensure quality patient care. Responsible for financial counseling, researching billing and referral issues, and completing encounter form coding.
Coordinate inpatient and outpatient surgical cases while working with RNs and providers to ensure quality patient care. Provide financial counseling to patients and handle complex referral, billing, and encounter form coding issues.
The Senior Manager leads the enterprise pharmacy procurement strategy across all service lines. This includes strategic oversight of medication purchasing, contracting, inventory optimization, and compliance.
Senior Security Engineer IS- Identity and Access Management - Remote
Providence
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Full Time
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11 days ago
Providence
Design, implement, and maintain secure, scalable IAM solutions across hybrid environments while driving modernization toward Zero Trust models. Engineer automated identity processes and integrate AI-enabled capabilities to enhance security and operational efficiency.
The Senior Manager of Finance provides financial analysis and modeling to evaluate new programs and achieve budgetary targets. They are responsible for strategic planning, forecasting, and supervising finance staff to enhance operational efficiencies.
Clinical Research Budgeting Analyst - Clinical Trials
Providence
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Full Time
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19 days ago
Providence
Responsible for preparing and maintaining budgets for sponsored clinical trials and setting up payment milestones in the CTMS. Collaborates with contract analysts and regulatory teams to integrate budget information into clinical trial agreements and manage study billing.
Charge Description Master Specialist - Full time, Day, Remote
Providence
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Full Time
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20 days ago
Providence
The CDM Specialist ensures the Chargemaster is consistent with coding and billing regulations while acting as a liaison between hospital ministries and the Revenue Integrity department. They are responsible for researching maintenance requests, training staff on charge capture, and documenting policies and procedures.
Acts as a liaison between Revenue Cycle operations and Information Services to optimize Epic Professional Billing applications and workflows. Responsibilities include monitoring work queues, identifying system inefficiencies, and implementing solutions to reduce denials and improve revenue capture.
Lead the evolution of the enterprise data platform strategy, architecture, and governance framework. Drive Snowflake platform maturity and migrate legacy data assets into a scalable, governed enterprise ecosystem.
Manager Service - Program Management Office - Remote
Providence
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Full Time
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a month ago
Providence
Lead the strategic delivery of enterprise-wide endpoint services, including data platforms, mobile, and print services. Orchestrate complex initiatives using Agile and PMO practices to ensure operational stability and alignment with clinical priorities.
The role involves serving as an interim Chief Nursing Officer to lead professional nursing practice, oversee operations, and implement nursing policies across various ministries. Key duties include mentoring aspiring nurse leaders, managing fiscal resources, and partnering with executive teams to drive quality and patient safety initiatives.
Supervisor Care Management RN - Administrative Services
Providence
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Full Time
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a month ago
Providence
Leads and supervises the daily clinical and administrative operations of the care management team, including nursing and social work staff. Collaborates with inpatient and ambulatory clinicians to ensure cost-effective, high-quality medical services.
Lead cross-functional teams in the design, development, and maintenance of technical applications and data services for health research and precision medicine. Manage the full product life cycle, from assessing customer needs and designing roadmaps to validating and iterating on analytic products.
Develop, implement, and maintain information systems for the management and analysis of research and clinical trials data. Collaborate with researchers to design and implement infrastructure supporting modern software development methodologies.
Directly handle Employment Practice Liability (EPL) claims, including coverage analysis, investigation, and resolution. Collaborate with defense counsel and business partners to manage litigation activities and mitigate loss exposures.
Manage large, complex IT projects focusing on Revenue Cycle applications across multiple divisions. Lead teams, report to senior leadership, and facilitate collaboration among stakeholders to align with project objectives.
The consultant designs and manages provider compensation programs to ensure they are fair, competitive, and compliant with regulatory standards. They act as a strategic partner to leadership, integrating compensation strategies with broader organizational goals and workforce planning.
Collects and maintains demographic and clinical data for cancer cases diagnosed or treated at Providence facilities. Prepares data for state and NCDB submissions in compliance with American College of Surgeons standards.
Lead the end-to-end architecture, design, and development of enterprise-scale ServiceNow solutions across ITSM, HRSD, and ITAM modules. Drive digital workflow transformation and provide technical leadership to developers and administrators to ensure platform governance.
Design and build modern data-centric software applications and pipelines to support clinical and operational processes in healthcare. Mentor junior data engineers and collaborate with Product, Platform, and Architecture teams to deliver scalable data solutions.
The Revenue Cycle Auditor provides standardized and compliant revenue cycle support to help the organization meet financial objectives. This includes identifying and resolving inefficiencies in charge capture and revenue cycle processes.
Charge Description Master Specialist - Full time, Day, Remote
Providence
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Full Time
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3 months ago
Providence
Ensure the Chargemaster is consistent with coding and billing regulations while acting as a liaison between hospital ministries and the Revenue Integrity department. Responsible for researching maintenance requests, training staff on charge capture, and coordinating technology projects impacting charge interfaces.
The AVP of Financial Counseling will lead the Financial Counseling team, ensuring regulatory compliance and overseeing financial assistance programs. This role involves strategic decision-making, operational leadership, and driving innovation within the revenue cycle.
