Roche fosters diversity, equity and inclusion, representing the communities we serve. When dealing with healthcare on a global scale, diversity is an essential ingredient to success. We believe that inclusion is key to understanding people’s varied healthcare needs. Together, we embrace individuality and share a passion for exceptional care. Join Roche, where every voice matters.
The Position
Regional Systems Support Engineer 2
A healthier future. It’s what drives us to innovate. To continuously advance science and ensure everyone has access to the healthcare they need today and for generations to come. Creating a world where we all have more time with the people we love. That’s what makes us Roche.
The Opportunity
As a Regional Systems Support Engineer 2, you will drive innovation and keep Roche at the forefront by demonstrating a broad knowledge and experience of relevant E2E processes and systems, the Roche organization, and awareness of new technologies/practices. To achieve this, you will communicate with other groups outside of the team to build strong partner relationships enabling seamless collaboration between Product Development, Sales, Marketing and Support to ensure outstanding customer experiences.
In this position, you will:
Provide advanced level of technical expertise and support to customers, field sales and support teams, as well as key internal Roche and global stakeholders, by consulting on highly complex inquiries and IT issues involving function, usage and specification of Roche products
Contribute to new product commercialization in North America by representing implementation and support technical interests (key service and support initiatives and special projects)
Serve as the technical leader/SME on local and global project teams responsible for generating technical solutions to ensure customer/business requirements, needs, and project deliverables are met
Develop, analyze, and provide system support and process improvement recommendations to key Support/Business groups with regards to customer business review assessments
Execute project management and ensure IPS readiness for large, complex product launches
Who You Are
Minimum Requirements
Bachelor’s degree in Medical Technology, Microbiology, Information Technology, or related discipline OR equivalent work experience
6 years of progressive experience with 5 years of specific experience with industry or diagnostics products
Preferred Qualifications
3 or more years of experience successfully demonstrating technical aptitude of complex IT system issues and understanding Roche product interdependencies
Digital Pathology experience (nPLA, nHub, nDP)
Extensive knowledge of customer needs/requirements within a laboratory setting, internal systems, and Roche’s end-to-end implementation processes
Ability to foster and sustain effective interpersonal relationships with internal, global and external stakeholders and successfully influence people at various organization levels internally and within the customer site
Ability to work on multiple projects while concurrently managing time and expectations
Highly proficient organization and analytical skills to uncover key technical, operational and strategic issues
Additional Information
This is a US-based, remote position with up to approximately 30% travel.
Company car is not provided with this job posting.
Relocation benefits are not provided with this job posting.
The expected salary range for this position based on the primary location of Indiana is $91,700 – $170,300. Actual pay will be determined based on experience, qualifications, geographic location, and other job-related factors permitted by law. A discretionary annual bonus may be available based on individual and Company performance. This position also qualifies for the benefits detailed at the link provided below.
At Roche, more than 100,000 people across 100 countries are pushing back the frontiers of healthcare. Working together, we’ve become one of the world’s leading research-focused healthcare groups. Our success is built on innovation, curiosity and diversity.
As a global leader in healthcare, Roche Diagnostics offers a broad portfolio of products, tools and services that help in the prevention, diagnosis and management of diseases like HPV, HIV, hepatitis and diabetes as well as other medical conditions, such as fertility and blood coagulation. These products and services are used by researchers, physicians, patients, hospitals and laboratories worldwide to help improve people’s lives.
Roche is an equal opportunity employer and strictly prohibits unlawful discrimination based upon an individual’s race, color, religion, gender, sexual orientation, gender identity/expression, national origin/ancestry, age, mental/physical disability, medical condition, marital status, veteran status, or any other characteristic protected by law.
A career in public service awaits you. COME JOIN OUR TEAM!
A great benefit of working for the State of Arizona is a fantastic work/life balance. State employees enjoy challenging work, popular remote work options, comprehensive health and wellness benefits, and career growth opportunities.
What You’ll Do:
This position manages operations support to ensure efficiency and continuity within ISD Business Operations. This position provides high-level managerial work of considerable complexity and will manage all ISD projects and products, the Agency’s IT budgets of a significant nature. Will also represent the agency in some ISD contract negotiations.
This position will also develop and implement policies, procedures and practices designed to ensure compliance with all applicable Federal and State rules, regulations, guidelines, and standards, as well as AHCCCS policies, procedures, and ethical requirements; and effectively and efficiently identify, prevent, detect, and correct compliance deficiencies.
Major duties and responsibilities include but are not limited to: • Budget Oversight: Manages and monitors the department’s budget, ensuring funds are allocated appropriately and expenditures are tracked accurately. Coordination between AHCCCS CMS and ADOA. • Team Management: Manages and directs administrative staff and provides guidance for priorities, strategic goals and performance targets for a large and complex department. Offers feedback, and implements training programs to improve skills and productivity. • Contract Management: Represents the department in negotiations with vendors and service providers. Prepares, and monitors and maintains contracts. • Project/Product Management: Manages special projects, ensuring they are completed on time, within budget, and meet organizational goals. Participates in strategic discussions with leadership to promote and advise on project management. Monitor all production level ISD product to track defects and report issues as they arise. • Policy Implementation: Establish and implement standards and procedure to ensure that organizational policies and procedures are followed, and updating policies and procedures as necessary to comply with new regulations or improve efficiency. • Compliance Monitoring: Ensuring the organization complies with local, state, and federal regulations, and preparing for audits or inspection.
Knowledge, Skills & Abilities (KSAs):
Knowledge: • Proven experience with business management • Office management systems, procedures, and office equipment like printers and fax machines • Federal and State laws, regulations, guidelines, and standards related to compliance, privacy, and security
Skills: • Proficiency in MS Office (MS Excel and MS PowerPoint, in particular) • Excellent time management skills • Attention to detail and problem-solving skills • Excellent written and verbal communication skills • Strong organizational skills with the ability to multi-task
Abilities: • Prioritize work • Communicate effectively, both orally and in writing, with internal and external stakeholders, including senior management • Manage multiple projects and tasks, and prioritize competing deadlines • Work independently and collaboratively, and exercise sound judgment and discretion • Maintain confidentiality and integrity of sensitive information • Develop, implement, and evaluate compliance policies, procedures, and practices
Qualifications:
Minimum Qualification: • Bachelor’s degree in health care administration, business administration, or a related field.
Preferred Qualification: • Master’s degree, MBA, or higher and certification in health care compliance. Five years of experience in health care compliance, budgeting, and project management.
Pre-Employment Requirements:
• Successfully complete the Electronic Employment Eligibility Verification Program (E-Verify), applicable to all newly hired State employees. • Successfully pass fingerprint background check, prior employment verifications and reference checks; employment is contingent upon completion of the above-mentioned process and the agency’s ability to reasonably accommodate any restrictions. • Travel may be required for State business. Employees who drive on state business must complete any required driver training (see Arizona Administrative Code R2-10-207.12.) AND have an acceptable driving record for the last 39 months including no DUI, suspension or revocations and less than 8 points on your license. If an Out of State Driver License was held within the last 39 months, a copy of your MVR (Motor Vehicle Record) is required prior to driving for State Business. Employees may be required to use their own transportation as well as maintaining valid motor vehicle insurance and current Arizona vehicle registration; however, mileage will be reimbursed.
A high school diploma or GED and three years of multi-specialty coding experience. The senior coder must be proficient in coding Professional services, and/or Outpatient professional and hospital technical services. Must also have experience with communicating, training, and educating providers in proficiency. Knowledge of coding guidelines, anatomy and physiology, biology and microbiology, medical terminology and medical abbreviations is a plus.
Licenses, Registrations, or Certifications:
CCA – Certified Coding Associate American Health Information Management (AHIMA) Or
CCS – Cert-Cert Coding Specialist American Health Information Management (AHIMA) Or
CCS-P – Cert-CCS-P Physician Based American Health Information Management (AHIMA) Or
RHIA – Cert-Reg Health Inform. Admins American Health Information Management (AHIMA) Or
RHIT – Cert-Reg Health Inform. TECH American Health Information Management (AHIMA) Or
CIC – Certified Inpatient Coder American Academy of Professional Coders (AAPC) Or
COC – Certified Outpatient Coder American Academy of Professional Coders (AAPC) Or
CPC – Cert-Cert Professional Coder American Academy of Professional Coders (AAPC) Or
CPC-A – Cert Prof Coder – Apprentice American Academy of Professional Coders (AAPC) Or
CRC – Cert Risk Adjustment Coder American Academy of Professional Coders (AAPC)
*One of the above certifications is required.
Job Summary/Description: Properly codes and/or audits professional services for inpatient and/or professional and hospital outpatient technical services for multiple specialty areas to ensure accuracy and optimal reimbursement from all third-party payers.
Job Duties:
• Reviews documentation in EPIC and/or on paper as provided to appropriately assign ICD-10-CM, PCS and CPT codes.
• Communicates with and provides feedback to the education team and/or provider for query opportunities for documentation clarification or missing elements in the medical record.
• Utilizes the encoder and/or Optum software to correctly assign all appropriate ICD-10-CM, ICD10-PCS and CPT codes for diagnosis and procedures.
• Sequences diagnoses and procedures to generate clean claims in accordance with the Coding Guidelines based on the type of coding being reviewed.
• Verifies all ADT information is correct on all charge sessions; date of service, billing provider, service provider, place of service, referral information and claim form if required.
• Attends and participates in coding education sessions.
• Obtains required CEU’s for certification and completes any required education.
• Works coding related charge reviews/claim edits daily to ensure timely and accurate billing within filing deadlines.
• The coder is responsible for productivity and quality standards to adhere with coding compliance and federal regulations.
• Work all PB/HB claim edits and reject errors daily.
• Hospital DNB’s will be worked as assigned per Specialty.
• Work charge reconciliation to ensure all services provided are captured for coding in a timely manner.
• Adheres to internal controls and reporting structure.
Knowledge/Skills/Abilities:
Strong written and oral communication skills
Salary Range:
Actual salary commensurate with experience or range if discussed and approved by hiring authority.
Work Schedule:
Remote position. 8am to 5pm, and as needed on occasion.
Equal Employment Opportunity
UTMB Health strives to provide equal opportunity employment without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, genetic information, disability, veteran status, or any other basis protected by institutional policy or by federal, state or local laws unless such distinction is required by law. As a VEVRAA Federal Contractor, UTMB Health takes affirmative action to hire and advance women, minorities, protected veterans and individuals with disabilities.
Req #:235217Department:FACULTY PRACTICE PLAN SERVICES (UWP)Job Location:Remote/HybridPosting Date:09/09/2024 Closing Info:Closes On 11/06/2024Salary:$3,861.00 – $5,521.00 per month Other Compensation: Union Position:YesShift:First Shift Benefits:Choose from top medical and dental insurance programs Plan for your future with tax-deferred investing through the UW retirement options Enjoy generous vacation and sick leave policies and protect yourself and your family with life and long-term disability insurance. Receive UPASS Benefits, which includes free public transportation in the Puget Sound region on participating transit services
For detailed information on Benefits for this position, click here.
Faculty Practice Plane Services (FPPS) has an outstanding opportunity for an Insurance Follow-Up Coding Denials Specialist.
WORK SCHEDULE 40 hours per week Day Shift This position is Remote
POSITION HIGHLIGHTS The Insurance Follow-Up Coding Denials Specialist (Patient Account Representative 2) is responsible for the optimal payment of coding related denied claims from commercial insurers, managed care plans, and state and federal plans and other guarantors through work queues throughout the Revenue Cycle including but not limited to Follow-up, Claim Edit, Charge Review, Account, Router Review, Retro Review and Case Rate.
PRIMARY JOB RESPONSIBILITIES Conduct timely and accurate work with the goal of resolving outstanding claims quickly and maximizing appropriate revenue. Accurately decipher denial reason and decides follow-up steps utilizing the Epic billing system by analyzing rejection issues. Identify and resolve payor specific coding issues and provide feedback to Coding and Charge Capture team as appropriate. Display sound judgment in choosing the most efficient and effective method of follow-up (includes appealing denials, taking adjustments, e-mail, payor websites and telephone inquiries). Effectively communicate verbally and in writing with payers to bring resolution to claims as quickly as possible Keep current with payor updates and policies to assist in payment of claims. Document clear and concise narrative using smartphrases in Epic of steps taken to facilitate resolution of outstanding claims/issues. Take accountability for meeting productivity standards and department required quality measures. Work collaboratively with UW Medicine and UWP departments including Compliance, Charge Capture, Patient Accounts & Inquiry, Claim, Payment & Credit, Payor Relations, and Physician Services. Actively seeks and recommends process improvement opportunities through daily work. Perform other duties, as assigned. Identify payor trends to recommend charge review, claim or follow-up edits in Epic Work all coding denials from all payor groups within Insurance Follow-Up Workqueues Have an inherent understanding of Insurance Follow-Up, along with billing and coding guidelines Understand which editing structures Payors utilize (ex: McKesson vs CCI vs Payor Specific), and have knowledge of Payor Tools and/or EncoderPro to verify to assess denials and appropriately identify the next step(s) required If applicable, make coding updates based on payor policy after reviewing provider notes
REQUIRED POSITION QUALIFICATIONS High School graduation or equivalent AND two years of experience in patient accounting, customer service, or a related office environment OR
GovCIO is currently hiring for a Sr. Business Analyst for a new program award. This position will be full-time and fully remote.
Responsibilities
Coordinates with business and technology teams, ascertaining system requirements, such as program functions, output requirements, input data acquisition, and system techniques and controls. Provides technical/functional expertise in identifying, evaluating, developing, and supporting systems. They have the business knowledge and perspective of a particular business, and the IT needs of that customer. Requires knowledge of computer system capabilities, business processes, and workflows. May also be functional experts in financial, program control or logistical areas.
Analyzes business and technical process to formulate and develop new and modified business information processing systems.
Interfaces between systems architects/programmers and users located in a specialized area to ensure that information technology designs meet the needs of the end users within the organization.
Documents product/service requirements and assists test team to develop test procedures to ensure user requests are carried out.
Interacts with testing requirements to ensure traceability and test coverage.
Requires general-logic knowledge of system capabilities without necessarily the ability to program.
Collaborates with business partners to determine project scope and vision.
Identifies and establishes scope and parameters of requirements analysis on a project-by-project basis to define project impact, outcome criteria, and metrics.
Works with stakeholders and project team to prioritize collected requirements.
Works directly with business partners to track customer needs, questions, and related work items.
Analyzes and verifies requirements for completeness, consistency, comprehensibility, feasibility, and conformity to standards.
Develops and utilizes standard templates to write requirements specifications and can modify them to support specific systems objectives accurately and concisely.
Translates conceptual customer requirements into functional requirements in a clear manner that is comprehensible to developers/project team.
Creates process models, specifications, diagrams, and charts to provide directions to members of the scrum to help guide execution of activities.
Qualifications
Required Skills and Experience:
Bachelor’s with 5 – 8 years (or commensurate experience)
Experience gathering requirements, writing requirement documentation, and working with developers to assess business needs
Extensive Jira experience building epics, issues, bugs etc., and managing writing comprehensive user stories that meet definition of ready/done
Extensive experience with SharePoint, Confluence, and Microsoft Suite
Experience working with a team of Business Analysts and Technical Writers
Preferred Skills and Experience:
Experience with VA and/or other Federal Agencies
Demonstrated experience in a remote work environment
Clearance Required: Ability to obtain and maintain a Public Trust clearance.
Company Overview
GovCIO is a team of transformers–people who are passionate about transforming government IT. Every day, we make a positive impact by delivering innovative IT services and solutions that improve how government agencies operate and serve our citizens.
But we can’t do it alone. We need great people to help us do great things – for our customers, our culture, and our ability to attract other great people. We are changing the face of government IT and building a workforce that fuels this mission. Are you ready to be a transformer?
We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender, gender identity or expression, sexual orientation, national origin, disability, or status as a protected veteran. EOE, including disability/vets.
Posted Pay Range
The posted pay range, if referenced, reflects the range expected for this position at the commencement of employment, however, base pay offered may vary depending on multiple individualized factors, including market location, job-related knowledge, skills, education, experience, and internal equity. The total compensation package for this position may also include other compensation elements, to be discussed during the hiring process. If hired, employee will be in an “at-will position” and the GovCIO reserves the right to modify base salary (as well as any other discretionary payment or compensation program) at any time, including for reasons related to individual performance, GovCIO or individual department/team performance, and market factors.
Recent Comments