Jobs in Orange County, CA

SUMMARY: The Contract Coordinator is responsible for assisting the Contracting and Legal Department for the coordination and review of all contracts. The Contract Coordinator is also responsible for implementing, organizing, and maintaining contract related documents. This is a collaborative role requiring critical thinking skills, independence, a strategic mindset, and attention to detail.

ESSENTIAL DUTIES AND RESPONSIBILITIES include the following.

• Manage and maintain Astiva’s contracts, including all day-to-day data entry, permissions/access and reporting, in an efficient, accurate and exceptionally organized manner.
• Review a wide range of commercial contracts and distill key pieces of data (e.g., expiration date and type, restrictive provisions, and assignability).
• Understand the contracting process, policies and procedures, requirements, fee schedule, including contracting support for ancillary services contracts, contract implementation and other duties as required.
• Manage reporting process for communicating and tracking contract expirations/renewals and additional reporting obligations to all areas of the business.
• Serve as liaison between the Contracting/Legal Department and other departments including, fielding and responding to various requests from the business and external parties.
• Manage electronic signature processes and contract workflows for the Contracting/Legal Department.
• Assist in developing the direct network of providers.
• Make recommendations to department leadership for improvement of any and all procedures and systems at Astiva Health.
• Other duties may be assigned.

QUALIFICATION REQUIREMENTS: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily, including regular and consistent attendance. 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.

EDUCATION and/or EXPERIENCE:

• Bachelor’s degree from an accredited college or university with a focus on Business Administration, Healthcare Administration or Finance or equivalent combination of education and experience.
• Be able to work effectively with all levels of employees and management.
• Excellent written and verbal communication skills with experience presenting to various audiences.
• Have a practical, business-oriented approach to problem-solving and be able to effectively work with teams to meet business needs.
• Able to manage multiple priorities in a fast-paced environment.

Preferred but not required

• Minimum of one (1) year of experience in Medical Group/IPA, Managed Care, and HMO.
• Minimum of one (1) year of experience in provider network development and/or provider network management capacity, account management, or provider relations experience in a managed care organization.
• In-depth knowledge of contracting, reimbursement, credentialing, and operations, and must be proficient with MS Office Suite and other database software.
• Knowledge of Medicare regulations, NCQA, HIPPA compliance

BENEFITS:

• 401(k)
• Dental Insurance
• Health Insurance
• Life Insurance
• Vision Insurance
• Paid Time Off
• Catered lunches

100% Remote Radiologist – All Subspecialties | FT, PT, Weekends

Physician-led radiology group in Florida seeking remote Diagnostic Radiologists for Pacific Time evening and overnight coverage. Flexible W-2 or 1099 options available. Ideal for West Coast physicians or moonlighters seeking high-quality specialty work.

Subspecialties Needed:

• Body Imaging

• Neuroradiology

• MSK

• Cardiothoracic

Requirements:

• ABR or AOBR certified

• U.S.-based

• Active U.S. license (IMLC a plus)

Highlights:

• $2,700 evenings | $3,560 nights (PST)

• 2 shifts/week ≈ $283K–$374K

• 4 shifts/week ≈ $567K–$747K+

• Uncapped production + quality bonus (100+ shifts/year)

• Reasonable RVU expectations

• Full benefits + malpractice with tail

Structured support, predictable shifts, and meaningful upside without excessive volume pressure.

Easy Apply encouraged or email CV directly to:

Job: Pediatrician & Pediatrics Supervisor

Pay: $240,000.00 - $283,875.00 per year

Job description:

We are seeking a compassionate, engaging Pediatrician and Pediatrics Supervisor to join our primary care clinics on a full-time basis. You are likely to be a good fit for this role if you have a passion for increasing health care access and outcomes for underserved communities.

This role requires a confident pediatrician to serve as a direct patient care pediatrician and supervisor for our pediatric team (currently includes 1 pediatrician and 2 nurse practitioners).

Key Responsibilities & Details:

• Committed to providing high-quality care to underserved patients in central Orange County, California.
• Delivery high-quality pediatric care, including Well-Baby/Child Checks and Sick Visits primarily in Orange and Anaheim, California.
• This position reports to our Chief Medical Officer and leads our pediatric team.
• St. Jude Neighborhood Health utilizes EPIC for our Electronic Medical Records (EMR) system.
• Ambulatory (outpatient) care environment
• Daytime work schedule, with after-hours call for critical labs. Requires working in-clinic one Saturday per month (Saturday is swapped for a weekday).
• Preferably bilingual (English/Spanish).

Who We Are.

We are a collaborative community practice, with locations in Fullerton, Anaheim, Orange, and San Bernadino County's High Desert. We believe that everyone should have access to high quality comprehensive medical care, regardless of their ability to pay. Our health centers use a team-based model of care that includes family medicine, obstetrics, women’s health, oral and vision care, preventative and educational health, mental health, patient advocacy, case management, and community health. Most of our patients live below 200% of the Federal Poverty Level and are best served in Spanish. Through our origins with Providence St. Joseph Health, we have provided care to low-income families since the 1980s, maintaining a commitment to serving our most vulnerable neighbors with high-quality, nationally recognized care. Our work is rooted in our values of Justice, Excellence, Dignity, and Compassion.

Your Working Environment & Team.

Clinic hours are Monday through Saturday, 8AM – 5PM. You would be joining a team of family physicians, nurse practitioners, RNs, pediatricians, OB-GYNs, dentists, specialists (optometrist, podiatrist, infectious disease), licensed clinical social workers, mental health professionals, case managers, health educators, and promotoras. This position is assigned to two locations; these locations are approximately 5 miles apart (Orange location is near to St. Joseph Hospital / Anaheim location is near the Ponderosa Park neighborhood).

You'd be a great fit here if the following applies to you:

• You are mission-centered – you are committed to improving the health of underserved individuals
• You are patient-centered – you exhibit warmth, friendliness, calm, and take initiative to solve problems
• You treat others with dignity and respect
• You have a high regard for ethical practices, care, and patience
• You are collaborative, adaptive, and diligent
• You know the balance of being light-hearted, professional, and can prioritize competing tasks
• You can use computers (Microsoft Word, Excel, Outlook) and are open to learning what you do not know
• You are reliable
• You strive toward excellence

About the position:

The position requires a general, broad-scope Pediatrician, that will care for children of all ages (Birth to 18) and perform office-based procedures. The provider will partner with our CMO, COO, and Medical Services Manager to develop and achieve a robust pediatric practice across our growing organization that has an established reputation for delivering high quality, culturally sensitive patient care. Our ideal candidate will be interested and excited to work collaboratively with Family physicians, OB/GYN physicians, nurse practitioners, dentists and clinical social workers. Position expectations:

• Provide direct preventive and acute patient care, within approved scope of practice, to children from birth through adolescence, from all backgrounds and with diverse medical conditions.
• Ensure timely and complete documentation of patient care, review and act upon reports, results and electronic tasks. Submit correct billing codes for each patient encounter.
• Lead the development, maintenance and implementation of standardized pediatric procedures, scope of care, pediatric clinical policies and new pediatric clinical initiatives and services ensuring a high-quality, safe patient care.
• Supervise, develop and hold accountable pediatric providers.
• Build and maintain a robust pediatric practice that is both productive and a quality leader.
• Complies with regulatory agencies and third-party payor sources (for example: Child Health Disability Program (CHDP), Medi-Cal/Comprehensive Perinatal Services Program (CPSP), NCQA-PCMH, and DHCS).
• Using a team-based model of care, collaborates with and support other providers and caregivers in the wide network to effectively improve the overall health of our communities.

Salary: $240,000.00 - $283,875 yearly, based on a 5-Day Work Week

Professional Development & Continuing Education

• Professional Development Days
• Reimbursement for CME costs

Paid Time Off:

• Approximately 3 weeks based on a 5-day work week

Healthcare & Childcare Benefits: available first of the month following start date

• Medical (BlueShield Trio HMO & PPO)
• Dental (Guardian)
• Vision (Guardian)
• FSA - Pre-tax benefit for health care expenses
• FSA Dependent Care - Pre-tax benefit to put toward childcare or other dependent expenses
• Mental Health - Employee Assistance Program & access to meditation resources through Calm

Financial Wellness - Retirement & Investment:

• 401(k) (Vanguard) - eligible first of the month following 30 days, with company match after 1 year of service.
• Profit-sharing

Other Benefits:

• Pet Insurance
• Student Loan Forgiveness through National Health Service Corps (If applicable.)

Requirements:

Education: Doctorate in Medicine from accredited institution

License / Certifications:

• California State MD/DO license in good standing (Preferred)
• Board Certified Pediatrician
• DEA Certified
• DEA License (Preferred)
• Provider level basic life support (BLS) from AHA approved program

Experience:

• Pediatric: 3 years (Preferred)
• Leadership: 2 years (Preferred)
• Experience providing direct patient care, preferably in an outpatient or community-based setting preferred.
• Experience supervising medical providers preferred.

Training:

• Completion of an accredited residency program in Pediatrics.

Knowledge/Skills/Abilities:

• Proficiency in EMR Systems, with EPIC experience preferred
• Demonstrated ability to read, write and speak English fluently
• Willingness to use a translator or translation services to best serve patient treatment needs
• Proficient in computer programs and systems, including email, internet, and Microsoft Office suite
• Expertise in applying evidence-based medicine to treat and diagnosis. Demonstrated ability in applying methods of scientific inquiry and exercising clinical judgment in challenging situations.
• Exemplar communication and leadership skills, including active listening, taking initiative, following guidance, and setting examples for excellent care of patients.
• Commitment to continuous learning and professional development, remaining current on medical practices and professional credentialing and licensure necessary for continuous employment with St. Jude Neighborhood Health Centers.
• Ability to interface effectively with all caregivers across all levels and departments.
• Demonstrated commitment to interpersonal and cultural sensitivity, valuing diversity, equity, inclusion and belonging, promoting high quality care to diverse populations.
• Demonstrates the ability to read, write and speak English and Spanish without an interpreter, preferred.

St. Jude Neighborhood Health Centers is an equal opportunity employer. We are committed to developing a diverse workforce and cultivating an inclusive environment. We value diversity and believe that we are strengthened by the differences in our experiences, thinking, culture, and background. We strongly encourage applications from candidates who demonstrate that they can contribute to this goal. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, disability status or any protected basis.

St. Jude Neighborhood Health Centers follows the Religious and Ethical Directives for Catholic Healthcare. We do not participate in activities that would end or diminish life. We do not provide non-medically indicated contraception, abortions, or assist in life-ending procedures.

Benefits Summary:

• 401(k) matching
• Dental insurance
• Employee assistance program
• Health insurance
• Health savings account
• Malpractice insurance
• Paid time off
• Professional development assistance
• Retirement plan
• Vision insurance

Application Question(s):

• Are you currently Board Certified in Pediatrics?

Work Location: In person

Job Title: Quality Improvement Coordinator

Target Compensation Range: $23.00-$25.00/hour, depending on relevant qualifications and experience

About Us:

Astiva Health, Inc., located in Orange, CA is a premier healthcare provider specializing in Medicare and HMO services. With a focus on delivering comprehensive care tailored to the needs of our diverse community, we prioritize accessibility, affordability, and quality in all aspects of our services. Join us in our mission to transform healthcare delivery and make a meaningful difference in the lives of our members.

Summary:

The Quality Improvement Coordinator will be responsible for coordinating and implementing quality improvement initiatives related to HEDIS measures and risk adjustments/HCC. This individual will work with internal and external stakeholders to ensure compliance with HEDIS specifications, data collection, reporting, and improvement strategies.

ESSENTIAL DUTIES AND RESPONSIBILITIES: include the following. Other duties may be assigned.

• Regular and consistent attendance. In office attendance is requested 5 days a week.
• Coordinate and partner with IPA/MSO delegates for HEDIS and risk adjustment data reporting
• Identify gaps and opportunities for improvement
• Collaborate with internal departments to review and implement projects and interventions to improve delivery of services and quality of care.
• Assist with audits and reviews to ensure data accuracy and validity
• Review and summarize collected data with trend analysis for additional provider educational opportunities.
• Attend health plan meetings as requested by department leadership.
• Stay updated on HEDIS and risk adjustment specifications, guidelines, and industry trends

EDUATION and/or EXPERIENCE:

• 3+ years of quality improvement or healthcare related experience
• Familiarity of HEDIS measures, specifications, and reporting requirements
• Proficient in data analysis, Excel, and quality improvement methodologies
• Excellent communication, presentation, and interpersonal skills
• Ability to work independently and collaboratively in a fast-paced environment.
• Detail-orientated, organized, and problem-solving skills.

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance
• Free lunches on site

Summary

The Senior Manager of Marketing will play a critical role in shaping and executing the company’s marketing strategy during its next growth phase. This leader will drive the next phase of BladderCARE growth while refining and executing the marketing strategy for the company’s laboratory services aimed at clinical laboratories and biopharma partners.

This position requires a strategic, hands-on and data driven marketer who can design and implement plans, build foundational marketing infrastructure, and work effectively across Sales, Clinical, and R&D. Although initially an individual contributor role, with some agency support, the ideal candidate has prior experience managing marketing teams and/or agencies and is comfortable operating in a fast-paced, roll-up-the-sleeves startup environment.

Essential Duties and Responsibilities

• Strategy & Execution: Develop and execute marketing plans and campaigns for LDTs and services to different target audiences including patients, providers, pharma, and other laboratories.
• Strategy & Execution: Own both strategic planning and day-to-day execution of marketing initiatives aligned with company priorities.
• Marketing Infrastructure & Operations: Build and maintain core marketing infrastructure, including: a) Performance dashboards and reporting systems, b) Defined KPIs and analytics framework, c) Regular review processes and continuous improvement cadence.
• Brand & Positioning: Refine and strengthen company and product positioning through VOC and data
• Brand & Positioning: Ensure consistent messaging across all channels, materials, and stakeholders.
• Product Marketing: Develop clear value propositions for Bladder CARE and laboratory services for each audience
• Product Marketing: Partner closely with Sales and Clinical teams to align messaging with market needs.
• Digital & Content: Oversee website and digital presence in collaboration with the external agency.
• Digital & Content: Guide content strategy to support brand, product, and demand objectives.
• PR & Communications: Support internal and external communications, announcements, and thought leadership initiatives.
• PR & Communications: Assist in developing clear, compelling external messaging that supports credibility and growth.
• Demand Generation: Support lead generation and pipeline development initiatives.
• Demand Generation: Collaborate with Sales to align marketing efforts with revenue goals.
• Field Marketing & Partnerships: Support select conferences, industry events, and key partnership initiatives.
• Field Marketing & Partnerships: Coordinate marketing support for strategic collaborations.

Education and Experience

• Bachelor's degree in Marketing, Communications, Business Administration or Management, or related field.
• 5+ years of marketing experience at a life sciences company (Laboratory or Pharma ideal). Diagnostics/Laboratory experience strongly preferred.
• Oncology experience preferred. Experience with urologic oncology products or urologists ideal.
• Target audience experience mix of clinicians and patients.
• Demonstrated experience managing marketing teams and/or agencies, even if this role begins as an individual contributor.
• Strong copywriting skills.

Compensation

The estimated base compensation range for this position is $110,000-$135,000 annually at the time of posting. Actual compensation details will be provided in writing at the time of offer, if applicable, and is based on several factors we believe fairly and accurately impact compensation, including geographic location, experience, knowledge, skills, abilities, and other job permitted factors.

Hoag Health, the top-ranked health system in Orange County, CA is seeking a Cardiology/Cardiovascular Surgery Advanced Practice Provider (Physician Assistant or Nurse Practitioner) to join our to join our multidisciplinary team in the Matranga Aortic Center in Newport Beach/Irvine, California! This is a wonderful opportunity to join a reputable organization and contribute towards providing high-quality care to the community. This position presents a unique opportunity to work alongside nationally recognized physicians and genetic counsellors in the diagnosis, treatment, and research of complex aortic conditions. As a key member of our program, you will support patients across the continuum of care with outpatient consultations, long-term surveillance management, and postoperative follow-ups. You will develop long-lasting relationships with the hundreds of patients who are being managed at the Matranga Aortic Center on an annual basis. There will be regular opportunities for education and continued learning.

Jeffrey M. Carlton Heart & Vascular Institute has achieved international and national accreditation for many of its programs. Our physicians take a personal approach to taking care of patients and treat them as family. Seeing the progress of Hoag patients after their surgeries reminds the staff why they went into medicine. Jeffrey M. Carlton Heart and Vascular Institute has earned the highest distinction possible, a three-star out of three stars rating, from the Society of Thoracic Surgeons (STS) for three categories of surgery – isolated aortic valve replacement (AVR), isolated mitral valve replacement and repair (MVRR) and isolated coronary artery bypass grafting (CABG).

Highlights:

• Competitive compensation package
• Guaranteed base annual salary
• Comprehensive benefit package: Medical, dental, vision, retirement (with a match)
• Malpractice and tail coverage provided
• Generous Paid time off and sick time policy
• CME Stipend
• Seasoned support staff (clinical and administrative)
• Strong mentorship from reputable and renowned Cardiovascular Surgeons
• Strong support from executive leadership team
• Collegial group that welcomes fresh, innovative approaches and ideas

Qualifications:

• Graduate of an accredited Nurse Practitioner (NP) or Physician Assistant (PA) program
• Current California NP or PA license
• DEA Controlled Substance Registration Certificate (CSRC)
• Current BLS certification
• Current ACLS certification
• Additional certifications as required by department
• New graduates with a strong interest in complex cardiovascular care or specialized training are encouraged to apply

Responsibilities:

• As a key member of our program, you will support patients across the continuum of care with outpatient consultations, long-term surveillance management, and postoperative follow-ups
• You will develop long-lasting relationships with the hundreds of patients who are being managed at the Matranga Aortic Center on an annual basis
• Coordination of aortic procedures and perioperative care, imaging, diagnostics, and surgical planning
• Participate in multidisciplinary case conferences and collaborate with Cardiovascular surgery, Vascular surgery, and Cardiology teams
• Conduct telehealth visits and manage patient communications via the Epic platform
• Facilitate continuity of care through coordination with referring providers and subspecialists
• Educate patients and families on aortic disease, treatment options, and long-term management
• Support clinical quality, safety, and patient experience initiatives
• Engage in opportunities for clinical research and program development

Contact:

Steven Yi

Physician Consultant

Please find below the details:

Position: Registered Nurse/RN

Department: BHI - BH Utilization Management

Location: Onsite – Orange, CA 92868

Duration: 6 months (Possibilities of extensions/conversion)

Shift: Day 5x8-Hour (40-hours)

Schedule : Monday to Friday, 7:00 a.m. - 3:30 p.m

Work Arrangement: Full Office

Position Summary:

This role focuses primarily on Utilization Management Services (85%), with additional administrative and project responsibilities. The Medical Case Manager will review medical requests for appropriateness and medical necessity using established clinical protocols while ensuring compliance, accuracy, and timely communication.

Key Responsibilities:

Utilization Management (85%)

• Review requests for medical necessity using established clinical guidelines.
• Screen inpatient and outpatient cases for Medical Director review.
• Gather pertinent medical documentation and communicate determinations.
• Mail rendered decision notifications to providers and members.
• Document all activity in the utilization management system.
• Complete authorization updates and required data entry.
• Review ICD-10, CPT-4, and HCPCS codes for accuracy and coverage.
• Participate in Transition Care Management (TCM) activities.
• Identify and report complaints or utilization concerns.
• Collaborate with internal teams to support departmental goals.

Administrative Support (10%)

• Assist with staff training needs.
• Maintain current data resources.
• Comply with tracking and reporting protocols.

Other Duties (5%)

• Complete additional projects and assignments as needed.

Minimum Qualifications:

• Current unrestricted California license (LCSW, LPCC, LMFT, or RN).
• Minimum 3 years of clinical experience.
• Utilization Management reviewer experience required.
• Equivalent combination of education and experience may be considered.

Preferred Qualifications:

• Managed care experience.
• Behavioral health clinical experience.

Required Skills & Abilities:

• Strong clinical judgment and independent decision-making skills.
• Excellent verbal and written communication skills.
• Ability to work in a fast-paced environment and manage multiple priorities.
• Analytical and problem-solving skills.
• Proficiency in Microsoft Office (Word, Excel, Outlook, PowerPoint) and relevant systems.
• Ability to build rapport with diverse internal and external stakeholders.

Our mission at Interface Billing Solutions is to empower healthcare organizations through the art and science of Revenue Cycle Management. We believe in a future where financial stability and patient care excellence coexist seamlessly. With unwavering dedication, innovative solutions, and a relentless commitment to integrity, we inspire our clients and employees to thrive, driving positive change in the healthcare industry. Together, we reimagine possibilities, ensuring that every patient's journey is met with financial clarity, and every organization's vision becomes a reality.

Job Summary:

We are seeking a dedicated and passionate individual to join our team as a Jr. Account Manager, focusing in serving our clients in the mental health and substance abuse industry. This is an excellent opportunity for someone looking to further their career in healthcare finance and revenue cycle management with a focus on these specialized areas.

Responsibilities:

·     Client Relationship Management: Build and maintain strong relationships with clients, ensuring client satisfaction and addressing any concerns promptly.

·     Account Coordination: Work closely with senior Account Managers to coordinate and execute account plans, assist in overseeing the revenue cycle process, and ensuring seamless communication between the client and internal teams.

·     Problem Resolution: Identify and resolve client issues in a timely manner, collaborating with cross-functional teams to deliver effective solutions.

·     Revenue Optimization: Support the analysis of financial data and performance metrics to assist in identifying opportunities to optimize revenue cycles for clients, supporting their financial success.

·     Learner Mindset: Stay updated on industry regulations and compliance requirements relevant to the mental health and rehabilitation sector.

Qualifications:

Bachelor’s degree required. ∙Excellent interpersonal skills and strong communication.

∙Results-oriented with a focus on meeting deadlines.

∙Ability to work independently and collaboratively in a team-oriented environment. ∙Proficient in working in a digital environment and using multiple software for productivity, communication, and documentation.

∙Excellent organizational and time-management skills.

∙Works with a sense of duty – values strong attention to detail. ∙Works with a sense of urgency and prioritizes time-sensitive deadlines.

∙Ability to multitask, prioritize, and remain organized.

∙Interest in healthcare finance and revenue cycle management, with a specific focus on the mental health and rehabilitation industry.

∙Excellent analytical, communication, and problem-solving skills. ∙Ability to work in a fast-paced environment and willingness to learn and adapt.

What We Offer:

·     Competitive pay and performance-based incentives with accelerated opportunities for growth based on meritocracy with less focus on seniority.

·     Comprehensive benefits package, including health/dental/vision insurances, and 401(K).

·     Ongoing professional development opportunities.

·     A positive and collaborative work environment focused on making a difference.

About Us: Astiva Health, Inc., located in Orange, CA is a premier healthcare provider specializing in Medicare and HMO services. With a focus on delivering comprehensive care tailored to the needs of our diverse community, we prioritize accessibility, affordability, and quality in all aspects of our services. Join us in our mission to transform healthcare delivery and make a meaningful difference in the lives of our members.

SUMMARY: The Junior Quality Improvement Coder is responsible for providing director support to all departmental QI initiatives. In this role, the Junior QI Coder will partner with the Director to collaborate with network providers and IPA’s to improve the quality of care through quality improvement activities that will include RAF, HEDIS, CMS Star Ratings and other health plan reporting.

ESSENTIAL DUTIES AND RESPONSIBILITIES include the following:

• Analyze data from contracted IPA network providers that allows for proper review of data to evaluate HEDIS and Risk Adjustment Factor.
• Conduct internal reviews of documentation and billing on a timely basis.
• Identify coding and billing risk areas, conduct focused reviews. Ensure accurate coding by utilizing official coding resources, Medicare manual and policies.
• Collaborate and educate provider practices on CMS guidelines for Star Measures (Part C & D). Review and advise on appropriate documentation and coding for HEDIS and RAF reporting.
• Prepare summary reporting of the coding review results as requested.
• Participate in ongoing discussions concerning data collection and analysis for HEDIS gaps in care. Re-educate providers as needed.
• Apply official CPT/HCPCS and ICD10 coding guidelines, internal guidelines, and state specific Medicare/Medicaid coding instructions to review and analyze professionally coded services and coding queries.
• Collaborate with internal departments and external partners to review and implement projects to improve delivery of services and quality of care.
• Participate in provider and interdepartmental conference calls and meetings that support exceptional customer service.
• Attend health plan meetings as requested by department leadership.
• Regular and consistent attendance.
• Other duties as assigned.

EDUCATION and/or EXPERIENCE:

• 0 - 1 year of prior experience as a coder in a quality improvement role within a health plan, IPA or medical group.
• Certified Coding certificate required.
• Strong understanding of coding principals including, HEDIS, Medicare Star ratings and Risk Adjustment.
• Strong understanding of the principals of HIPAA and able to maintain confidentiality.
• Able to build rapport with external providers and partners and internal teams.
• Professionally present data and findings that support internal goals and objectives.

BENEFITS:

• 401(k)
• Dental Insurance
• Health Insurance
• Life Insurance
• Vision Insurance
• Paid Time Off
• Free catered lunches

KYA Services is looking for a motivated and versatile individual to join our expanding team in a position that offers opportunities for career advancement in Sales or Operations.

This entry level role will assist our sales & operations team in enhancing current client relationships and laying the groundwork for attracting new clients and opportunities. It is a support role in sales and operations, offering career training and opportunities for planned growth within our organization.

Essential Duties and Responsibilities - Year ONE

• Familiarize yourself with all programs and tools to support KYA Sales / Operations Team
• Respond to research requests and initiate value add research for Sales / Operations Team
• Proactively research new target markets and populate our CRM system contact information for Regional Advisors
• Utilize our Hubspot CRM lists for effective communication and timely response on all task and action items
• Attend various events, conventions, presentations, etc. as a representative of The KYA Group
• Learn and maintain an understanding of product knowledge & reference marketing materials to support RA’s to inform potential clients and identify needs
• Shadow RA sales calls: record as much information as possible from clients and/or site surveys (product, color, style, lead time, DDD, size of area, etc)
• Assist Project Managers and learn how to accurately measure areas on site surveys (and take photos, when applicable)
• Accurately enter requests from Sales Team on new opportunities into Hubspot
• Build relationship with Services Team and have an understanding of action steps to support the job cycle
• Maintain accurate records of time management and recording practices with Trinet
• Visit installs, as requested by Sales Team
• Support RA’s to have work releases signed by client in a timely manner, then deliver to Services department
• Take before and after photos of installs, as requested
• Assist Services department with contacting subcontractors to acquire quotes, as necessary
• Networking to build trusting relationships with potential customers
• Word-of-mouth marketing techniques to build a customer base
• Assist in organizing marketing events
• Research target markets and identifies the point of contact for prospecting
• Provide Customer feedback to the Marketing and Sales departments
• Ensure consistent brand messaging
• Posting company content on social media platforms
• Travel for trade show support and client/salesperson account management
• To provide accurate, supporting sales records on a quarterly basis
• Have a basic understanding of all KYA purchasing contracts