by Terrance Ellis | Oct 21, 2025 | Uncategorized
Make a direct impact on patient care while working from home. Ensemble Health Partners is hiring Virtual Utilization Review Specialists to evaluate medical necessity, manage resource utilization, and support revenue integrity for hospitals and health systems nationwide.
About Ensemble Health Partners
Ensemble Health Partners is a recognized leader in revenue cycle management, serving hospitals, health systems, and physician groups across the U.S. We deliver technology-enabled solutions that keep hospitals financially healthy so they can focus on keeping communities healthy.
Our culture is built on trust, collaboration, and innovation, with a strong commitment to people-first values. Ensemble has been named Best in KLAS, Fortune Best Workplace in Healthcare, and a Monster Top Workplace for Remote Work.
Schedule
- Full-time, remote (nationwide)
- PRN and part-time weekend roles also available
- Pay range: $28.90 – $35.45 per hour (based on experience)
What You’ll Do
- Conduct medical necessity reviews for admissions, continued stays, and observation status using approved criteria
- Identify potential over/under-utilization of services and collaborate with physician advisors and care teams
- Work with financial clearance, patient access, and business office staff on payer-related billing issues
- Assist with denial management, including documentation, appeals coordination, and trend monitoring
- Record accurate clinical and statistical data in systems (ConnectCare, ADT work queues)
- Monitor for readmissions and collaborate on quality and revenue integrity initiatives
- Maintain timely and professional communication with physicians, nurses, payors, and interdisciplinary teams
- Educate staff and providers on utilization review processes and coverage determinations
- Participate in process improvement teams, departmental meetings, and training sessions
What You Need
- Bachelor’s degree in Nursing or related field (or equivalent experience)
- Current unrestricted LPN or RN license (RN compact license preferred)
- At least 3 years of acute care nursing experience required
- Utilization review or discharge planning experience preferred
- Strong knowledge of medical necessity criteria, quality improvement processes, and CMS guidelines
- Excellent communication, negotiation, and collaboration skills
- Proficiency in clinical assessment, organization, and problem-solving
- Ability to work independently and manage multiple priorities in a fast-paced environment
- High-speed internet access for remote work
Benefits
- Bonus incentives and recognition programs
- Paid certifications and tuition reimbursement
- Comprehensive medical, dental, vision, and retirement plans
- Paid time off, parental leave, and wellness programs
- Career advancement in an award-winning healthcare organization
- Supportive, people-first culture with strong work-life balance
Join a top-ranked healthcare company that empowers you to grow your skills and make a difference.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Oct 21, 2025 | Uncategorized
Take the lead in ensuring accurate premium billing operations for health plan members. UST HealthProof is hiring a Billing Team Lead to oversee invoice processing, payment reconciliations, delinquency management, and continuous process improvements that keep healthcare accessible and efficient.
About UST HealthProof
UST HealthProof partners with health plans to simplify and streamline administrative operations through BPaaS solutions. With a global workforce of 4,000+, we focus on enabling affordable, equitable healthcare by helping our clients prioritize member well-being. Rooted in simplicity, integrity, people-centricity, and leadership, we deliver operational excellence backed by innovation and trust.
Schedule
- Full-time, remote (US-based)
- Collaborates with cross-functional teams and attends billing-related meetings regularly
- Requires flexibility to manage deadlines and operational priorities
Responsibilities
- Provide leadership and oversight to production teams handling member premium billing
- Ensure invoices, delinquency processes, and disenrollments are processed accurately and on time
- Manage premium payment reconciliations (e.g., SSA, ACH) and month-end reporting
- Support audits, regulatory reporting, and CMS-driven software updates
- Draft departmental policies and desk-level procedures to strengthen internal controls
- Monitor and resolve billing process issues, coordinating technical fixes through JIRA
- Serve as a liaison with clients, leadership, and external stakeholders
- Participate in system testing, requirements gathering, and operational readiness for enhancements
- Support continuous improvement initiatives across billing operations
Requirements
- Bachelor’s degree or equivalent experience required (Accounting/Finance preferred)
- 3+ years of experience in billing or healthcare insurance operations (premium billing strongly preferred)
- Prior leadership or team lead experience highly preferred
- Knowledge of Medicare Advantage and CMS guidelines
- Proficiency in Excel, Word, and standard business applications
- Strong analytical, organizational, and communication skills
- Familiarity with GAAP principles
- Ability to manage multiple priorities independently while meeting strict deadlines
- Skilled at engaging stakeholders with professionalism and clarity
Compensation & Benefits
- Salary range: $49,000 – $57,000 annually (location and experience dependent)
- Comprehensive benefits including medical, dental, and vision insurance
- 401(k) retirement plan with match
- Paid holidays, vacation, and sick leave
- Family and parental leave
- Professional development and growth opportunities within a global organization
Join a company committed to simplifying healthcare operations and making quality care more affordable.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Oct 21, 2025 | Uncategorized
Join the team that keeps healthcare payment systems running smoothly. Performant is hiring a Healthcare Operations Support Specialist to support audits, client reporting, and claims re-pricing while ensuring accuracy and compliance.
About Performant
Performant is the nation’s leading independent healthcare payment integrity company. We partner with Medicare, Medicaid, and commercial healthcare organizations to identify improper payments, recover losses, and strengthen overall financial performance. Our mission: to deliver innovative payment accuracy solutions so clients can focus on quality care and healthier lives.
Schedule
- Full-time, remote role (with occasional hybrid or on-site options available)
- Standard business hours, with flexibility for ad hoc projects
- Reliable high-speed internet required for telework
Responsibilities
- Monitor internal and external reports, taking corrective actions where needed
- Respond to client inquiries and correspondence professionally and promptly
- Maintain and update provider information
- Re-price claims using client contracts and systems
- Create and document processes for new and existing clients
- Prepare client inventory status reports and support ad hoc reporting needs
- Participate in special projects and business initiatives
- Contribute to team success by completing assignments on time and with accuracy
Requirements
- High School Diploma or GED required (Associate’s or Bachelor’s degree preferred)
- Strong written and verbal communication skills
- Detail-oriented with excellent problem-solving, questioning, and critical-thinking skills
- Proficiency with Microsoft Office, especially Excel
- Ability to manage multiple priorities and adapt to shifting needs
- Experience with healthcare data analysis, claims, or reporting a plus
- Strong technical aptitude and organizational skills
- Ability to work independently while collaborating effectively in a team environment
Benefits
- Pay range: $18.85 – $22.00 per hour
- Medical, dental, and vision insurance
- Disability and life coverage
- 401(k) with company match
- Paid parental/family leave
- 11 paid holidays per year
- Paid vacation and sick leave
- Flexible vacation policy after 90 days
- Educational assistance and career development opportunities
Support healthcare integrity operations while gaining exposure to Medicare, Medicaid, and commercial client processes.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Oct 21, 2025 | Uncategorized
Help secure contracts that shape healthcare’s future. Performant is looking for a skilled Government Proposal Writer to lead the development of high-quality, compliant, and competitive proposals for state and federal clients.
About Performant
Performant is the premier independent healthcare payment integrity company in the U.S., working with Medicare, Medicaid, and commercial healthcare partners. We provide technology-enabled solutions that identify improper payments and prevent losses from billing errors. Our mission: improve payment accuracy so clients can focus on what matters most—quality of care and healthier lives.
Schedule
- Full-time, remote-first employer (with hybrid/on-site options available)
- Occasional cross-functional collaboration across time zones
- Reliable high-speed internet required for telework
What You’ll Do
- Lead full proposal lifecycle for federal and state solicitations (RFPs, RFIs, RFQs, ITBs, etc.)
- Manage cross-functional proposal teams to ensure compliant, competitive submissions
- Interpret complex procurements and develop outlines, schedules, and project plans
- Write compelling, compliant proposal content aligned with FAR/DFARS and agency guidelines
- Collaborate with legal, finance, and subject matter experts to produce cohesive responses
- Ensure final submissions meet deadlines via electronic portals (SAM.gov, state systems)
- Maintain and improve proposal templates, boilerplate content, and reusable assets
- Support business development efforts through presentations and unsolicited proposals
What You Need
- Bachelor’s degree in business, marketing, public administration, or related field (or equivalent experience)
- 5+ years of proposal writing experience, with a strong focus on government procurements
- Deep knowledge of procurement processes, compliance, and regulations
- Familiarity with healthcare programs (Medicare, Medicaid, public health) strongly preferred
- Experience with Loopio or other proposal management tools
- Skilled in Shipley proposal management process (preferred)
- Excellent writing, editing, and communication skills
- Strong project management skills under tight deadlines
Benefits
- Salary: $80,000 – $92,000 annually
- Medical, dental, and vision insurance
- Disability and life coverage
- 401(k) with company match
- Paid parental/family leave
- 11 paid holidays + sick and vacation time
- Flexible vacation policy after 90 days
- Educational assistance & leadership development programs
Drive proposal efforts that fuel Performant’s mission to improve healthcare payment accuracy nationwide.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Oct 21, 2025 | Uncategorized
Shape culture-shifting content that helps millions care for their minds as much as their bodies. The Mind Company is seeking a creative and strategic social leader to grow vibrant online communities and deliver viral content across TikTok, Instagram, Facebook, and Reddit.
About The Mind Company
The Mind Company is at the forefront of mental fitness. Our award-winning, science-backed apps — Elevate (Apple’s App of the Year), Balance (Google Play’s Best App), and the upcoming Spark — help millions worldwide improve cognitive health, mindfulness, and learning. As a fully remote company, we’re driven by a mission to bring mental fitness to every mind, every day.
Schedule
- Full-time, remote (North America)
- Preference for candidates in or around NYC, Boston, or Los Angeles
What You’ll Do
- Lead creative direction and strategy across Instagram, TikTok, Facebook, and Reddit
- Rapidly spot and capitalize on social trends with content that resonates and goes viral
- Independently produce written, visual, and video content at a high creative standard
- Manage the social calendar while staying agile for real-time opportunities
- Grow and engage authentic communities, participating directly in online conversations and AMAs
- Use analytics and AI tools to measure impact and optimize content strategies
- Collaborate cross-functionally with marketing leadership and creative teams
What You Need
- A portfolio showcasing social media growth and viral content (especially Instagram, TikTok, Facebook)
- Strong writing and storytelling ability across mediums
- Proven ability to independently create engaging, trend-driven content
- Data-driven approach with success in optimizing content strategies
- Excellent project management and communication skills
- Genuine passion for mental fitness, wellness, and helping people improve their lives
Bonus Skills:
- Experience with influencer marketing or affiliate partnerships
- Familiarity with LinkedIn and YouTube Shorts
- SEO knowledge for cross-channel growth
- Leadership or people management experience
Benefits & Compensation
- Salary range: $93,000 – $137,000 USD (final offer based on skills, experience, and location)
- Market-based, pay-for-performance model with annual reviews
- No-negotiation policy: candidates receive a “first and best” offer
- Opportunities for consistent compensation increases based on contribution and impact
Help us build a world where mental fitness is as essential as physical fitness. Bring your creativity, strategy, and cultural fluency to a mission that matters.
Happy Hunting,
~Two Chicks…
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