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What You’ll be Responsible For in this Role – Your Contribution & Career Journey The Business Intelligence Developer develops reports and warehouses to monitor Dignity Management Services Organization's key performance indicators and meet regulatory reporting requirements by providing the necessary to business stakeholders. This role is responsible for creating and maintaining computer-based analytics solutions to support the company's financial, clinical, and operational .     - The Business Intelligence Developer III Designs, develops, tests, documents, implements and maintains warehouses and reports. Consults with current and proposed users to discuss and document requests for new and/or modified system changes, identifies design alternatives and recommends computer-based solutions. - Performing validation on the warehouse , populating cubes for online analytical processing (OLAP) as required by company analysis needs. Writing SQL statements to generate proper extracts and train end users on 3rd-party OLAP tools. - Writing SQL statements to generate proper extracts. Monitors and works EDI transaction sets on a daily basis ensuring accurate and timely communication of . Prepares routine project descriptions and needs assessments for new and/or enhanced system modifications. #LI-DH #missioncritical
Job ID
2020-147599
Department
Information Technology
Facility
Dignity Health Management Services Organization
Shift
Day
Employment Type
Full Time
Location
CA-Bakersfield
The Case Manager, LVN is an integral part of Dignity Health Management Services Utilization Management team. The Utilization Management team improves the quality of clinical outcomes for members with complex care needs by coordinating care within the health care delivery system using a collaborative partnership approach. The Case Manager, LVN coordinates care and collaborates with multiple disciplinary team members across the continuum of care. The Case Manager, LVN implements the care plan collaborating with the RN and SW to identify patient knowledge gaps concerning disease management, and coordinates appropriate resources or services required to meet an individual's health needs.
Job ID
2021-173154
Department
Family Practice Clinic
Facility
Dignity Health Management Services Organization
Shift
Day
Employment Type
Full Time
Location
CA-Bakersfield
The Client Relations Account Manager is responsible for establishing and maintaining positive relationships with various clients building strong, cohesive business partnerships. Works with internal staff, client representatives, and other contracted entities to deliver contractual performance standards and ensure customer service objectives are continually met.
Job ID
2021-160887
Department
Member Services
Facility
Dignity Health Management Services Organization
Shift
Day
Employment Type
Full Time
Location
CA-Bakersfield
  Job Summary:  The Clinical Research Associate (CRA) position, is an office based position located at Barrow Neurological Institute, on the St. Joseph’s Hospital and Medical Center Campus. This position will report directly to the BNI Clinical Research Organization (CRO) Program Manager. The CRA position will independently be responsible for clinical monitoring activities and overall project administration to oversee the progress of multi-center, investigator initiated, or industry sponsored clinical studies throughout the United States and Canada.  The CRA will travel to assigned clinical research sties to conduct approx. 25-30 clinical trial monitoring visits each year, and will also complete remote/centralized monitoring visits to ensure clinical studies are conducted, recorded, and reported in accordance with the protocol, standard operating procedures (SOPs), International Conference on Harmonization- Good Clinical Practice (ICH-GCP) guidelines, and all applicable regulatory requirements. The CRA will be responsible for the timely reporting of all monitoring visit findings, and is expected to complete comprehensive monitoring reports and associated deliverables to provide back to the Sponsor and the clinical sites. Additionally, the CRA role will oversee clinical site training activities and, conduct remote webinar and onsite protocol trainings for Physician Site Investigators, Clinical Research Coordinators, Research Nurses, and other delegated healthcare study personnel. The CRA will be responsible for managing all monitoring visit travel arrangements and travel expense reporting activities in accordance with Dignity Health’s travel purchasing policy. The CRA role will actively participate in departmental quality control and program development activities as directed by the BNI CRO Program Manager   Located in Phoenix, AZ, this position is critical to the success of St. Joseph's Hospital Medical Center and requires the full understanding and active participation in fulfilling the Mission of Dignity Health.    
Job ID
2021-172231
Department
Research - Cro Activities
Facility
St Josephs Hospital and Medical Center
Shift
Day
Employment Type
Full Time
Location
AZ-Phoenix
The Paralegal/Contracts Specialist reviews and consults on a variety of contract templates, and certain client-form contracts (including drafting revisions thereto).  Paralegal/Contracts Specialist will coordinate with internal business stakeholders and external clients to ensure that contracts are efficiently and effectively entered into.  Paralegal/Contracts Specialist will work directly with legal team to provide recommendations to business on compromise positions and will elevate unresolved legal issues regarding to contract language to members of the legal department as appropriate.  The Paralegal/Contracts Specialist position reports to the Manager – Contracting, within the Contracting Department.
Job ID
2021-171563
Department
Managed Care Contract & Administration
Facility
Dignity Health Management Services Organization
Shift
Day
Employment Type
Full Time
Location
CA-Bakersfield
Position Summary:   The Director of Utilization Management is the senior lead over the utilization management nursing teams. They are responsible for the day-to-day operations of the UM nursing teams including preservice utilization review, concurrent inpatient review and retro claim  review. The UM director is also responsible for the oversight of utilization management auditing, both internal and external, for all DH MSO service areas as well as the developmentof UM work plans for submission to health plans as needed. They are the operational lead for bringing on new lines of business into the UM workflow. The Director is responsible for reviewing and providing program metrics to senior leadership as well as analysis of program and utilization statistics as well as delivering reporting to both UM and quality committee meetings. The director has direct leadership over teams of managers and direct reports across the service area.   #missioncritical #casemanagement #utilizationmanagement
Job ID
2021-174421
Department
Utilization Review
Facility
Dignity Health Management Services Organization
Shift
Day
Employment Type
Full Time
Location
CA-Bakersfield
Assist with all credentialing activities associated with all IPAs and product lines managed by DHMSO. Works with Credentialing Supervisor, Medical Directors, Provider Relations Department, Contracting Department, health plans, providers, provider office staff, and other persons or businesses as necessary to ensure that all providers are properly credentialed according to NCQA and health plan standards. Where appropriate, makes recommendations regarding improvement of processes and procedures.
Job ID
2021-172899
Department
Credentialing
Facility
Dignity Health Management Services Organization
Shift
Day
Employment Type
Full Time
Location
CA-Bakersfield
What You’ll be Responsible For in this Role – Your Contribution & Career Journey The Information Technology Compliance Analyst applies knowledge of industry-specific information security regulations and principles of information systems management and security to ensure compliance and achieve optimal information security.  The Information Technology Compliance Analyst will be called upon to coordinate all compliance related activities in support of the corporate HIPAA Security regulations and the IT department’s policies and procedures.  What We’re Looking For - Proactively identifies and escalates incidents as well as operational performance concerns. - Manage workload, prioritizing tasks and documenting time, and other duties as directed by management. - Assists in Continual Service Improvement efforts by identifying opportunities for process improvement - Pursue continuing education to grow and maintain knowledge of best practices, compliance requirements, threats and trends in information security, translating into operational action items, policies, procedures, standards and guidelines as part of the IT Security team - Act as a security advocate for IT operations team’s adherence to Dignity Health policies and industry best practices. - Participate in the collection and documentation of departmental knowledge artifacts, participant in the population of knowledge management and collaboration systems for the IT Security team. - Communicates technical information to team members. - Assists Management in identifying knowledge gaps and providing training to Analysts and Technicians in the IT Security organization as directed. #LI-DH    
Job ID
2021-166747
Department
Information Technology
Facility
Dignity Health Management Services Organization
Shift
Day
Employment Type
Full Time
Location
CA-Bakersfield
The Manager is external facing and manages Quality Data Abstrction and Value Based Coding staff. Oversee the daily, onsite, management activities of the Quality Data Abstraction and Value Bassed Coding staff. Act as liaison for ACN with appropriate involvement and escalation to ACN director and executives. Adhearing to policies related to quality metric achievement, clinical performace improvement and population health activities. Facilitate stakeholder participation in program with on-going education and technical assistance. Act as a subject matter expert/liaison for quality metrics value based coding activities related to ACN business operations. Other duties as assigned.  
Job ID
2021-168929
Department
Clinical Integration
Facility
Dignity Health Management Services Organization
Shift
Day
Employment Type
Full Time
Location
AZ-Phoenix
The Manager, Utilization Management conducts medical reviews for necessity, level of care, and benefit reviews rendered in the inpatient and outpatient setting to ensure the patient receives the highest level of care. Coordinates with providers, provider staff, and hospital staff, patients and patient family members to establish an appropriate level of care.
Job ID
2021-164856
Department
Utilization Review
Facility
Dignity Health Management Services Organization
Shift
Day
Employment Type
Full Time
Location
CA-Bakersfield
The Member Services Representative is responsible for answering incoming telephone calls from health plan members, employers, providers and health plans. Assesses purpose of call and provides appropriate information to callers, including calls of a complex nature.
Job ID
2021-172926
Department
Member Services
Facility
Dignity Health Management Services Organization
Shift
Day
Employment Type
Full Time
Location
CA-Bakersfield
The Member Services Representative is responsible for answering incoming telephone calls from health plan members, employers, providers and health plans. Assesses purpose of call and provides appropriate information to callers, including calls of a complex nature.
Job ID
2021-160542
Department
Member Services
Facility
Dignity Health Management Services Organization
Shift
Day
Employment Type
Full Time
Location
CA-Bakersfield
    KEY RESPONSIBILITIES & ACCOUNTABILITIES: - Collaborates with ACN leadership to strategize provider recruitment activities. - Under direction from the Provider Network Development Manager, provides local support activities to address adequacy needs in the ACN participating provider network by maintaining targeted recruitment list and pipeline, and securing meetings with targeted physicians/provider groups to gain their participation in the network. - Identifies synergy between ACN and potential new providers, and develops and maintains positive, mutually successful relationships with potential network providers and their key administrators; rounds on potential new providers to develop and maintain relationship-building, including local travel. - Provides feedback in the form of progress reports to Director of Provider Network of current contract negotiations, meetings and pipeline. - Processes provider applications for participation in the network, ensuring that all required information, supporting documentation and signed agreements are in place for ACN Network Development Committee review, and ensures relevant data for approved providers is entered in to the Physician Relationship Management Tool SalesForce.com. - Contributes to the preparation of monthly Network Development Committee meeting agendas, and presents applicants for Committee review. - Submits necessary documentation to CMS for approval of provider/group as a Participant in the Medicare Shared Savings Program ACO; monitors CMS application review process and performs resubmissions as required. - Performs monthly non-par provider reconciliation with contracted CI payers to facilitate alignment of ACN provider network with contracted CI provider networks. - Assists with the ongoing maintenance of ACN network including provider communications and in person visits as set forth by ACN. - Other duties as assigned.
Job ID
2021-175419
Department
Clinical Integration
Facility
Dignity Health Management Services Organization
Shift
Day
Employment Type
Full Time
Location
AZ-Phoenix
The Population Health Analyst supports DHMSO population health initiatives by analyzing and compiling data from multiple systems and presenting the analysis in a meaningful format. The analysis will cover many areas of health care data including clinical, quality and financial. The Population Health Analyst has an understanding of population health analytics, and an understanding of clinical and claims based data systems and measures. This position will use DHMSO claim data warehouse, population health tools, electronic health record, and other reporting systems to provide clinical and claims related reporting and analytics. The Population Health Analyst will provide support for data integrity and data validation in the production of data that drives operations, financial and quality queries.
Job ID
2021-174237
Department
Population Health Management
Facility
Dignity Health Management Services Organization
Shift
Day
Employment Type
Full Time
Location
CA-Bakersfield
The Quality Management Coordinator will be a part of the Quality Management department. The department works to measure and improve clinical quality functions across the enterprise. This consists of monitoring and analyzing electronically submitted digital representations of clinical services, and auditing to assure accuracy in reporting.
Job ID
2021-171583
Department
Quality Management
Facility
Dignity Health Management Services Organization
Shift
Day
Employment Type
Full Time
Location
CA-Bakersfield
Arizona Care Network (ACN) is a clinically integrated physician network and is a Dignity Health and Abrazo Health (Tenet) physician collaboration. The Senior Population Health Analyst supports ACN’s population health initiatives by analyzing and compiling data from multiple systems and presenting the analysis in a meaningful format. The analysis will cover many areas of health care data including clinical, quality and financial. The Senior Population Health Analyst has an understanding of population health analytics, and an understanding of clinical and claims based data systems and measures. This position will use ACN’s claim data warehouse, population health tools, electronic health record, and other reporting systems to provide clinical and claims related reporting and analytics. The Senior Population Health Analyst will provide support for data integrity and data validation in the production of data that drives operations, financial and quality queries.   #missioncritical  SQL, Qlik/Tableau/Power BI, Midas, naviHealth, Athena, Point Right, Strategic Healthcare Programs (SHP), Cerner, McKesson HPM, SAS, SQL, PHM
Job ID
2021-163504
Department
Population Health Management
Facility
Dignity Health Management Services Organization
Shift
Day
Employment Type
Full Time
Location
AZ-Phoenix
This role  will assist the Customer Service Manager with daily operations of the Customer Service department to ensure goals and standards are met, including personnel management, production control, and compliance of health plan and CMS regulations.
Job ID
2021-170894
Department
Member Services
Facility
Dignity Health Management Services Organization
Shift
Day
Employment Type
Full Time
Location
CA-Bakersfield
The utilization review LVN uses clinical judgement in providing utilization management services. The focus is to provide high quality, cost-effective care which will enable patients to achieve maximum medical improvement while receiving care deemed medically necessary.
Job ID
2021-169289
Department
Utilization Review
Facility
Dignity Health Management Services Organization
Shift
Day
Employment Type
Full Time
Location
CA-Bakersfield
As a part of the Utilization Management team the Utilization Review RN is a member of the Care Coordination team. The goal of care coordination is to assist in managing care, cost, and outcomes across the continuum of patient care as it relates to acute inpatient stay and post-acute facility stay. The Utilization Review RN Coordinates continuing care/outside services for value based risk members (HMO members) in collaboration with the hospital and primary care physician. The Utilization Review RN is responsible to repatriate stable members from nonmember facilities in the emergency department and inpatient setting. This role monitors the patients in Skilled Nursing Facilities and out of network admissions using InterQual and makes assessments regarding appropriate lengths of stay. The process also involves screening for appropriateness of care and talking to the outside physicians to establish stability to and appropriateness of transfer. The Utilization Review RN coordinates and promotes an appropriate post-hospitalization treatment plan and evaluates effectiveness. The position possesses proficient knowledge of evidenced based criteria such as Interqual to review for appropriate care. The implementation of sound clinical, fiscal, and operational strategies is critical to the continued delivery of quality services. Care coordination principles provide an opportunity to balance care with cost. The Utilization Review RN interacts with multiple disciplines to assure high quality, cost efficient care utilizing available resources for Dignity Health members.
Job ID
2021-167420
Department
Utilization Review
Facility
Dignity Health Management Services Organization
Shift
Day
Employment Type
Full Time
Location
CA-Redlands

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