Sentara

Sentara

14 open positions available

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Sentara

Lead IT Analyst - Community Connect - Remote

SentaraAnywhereFull-time
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Compensation$91K - 152K a year

Lead and support Community Connect IT projects including application builds, upgrades, troubleshooting, workflow alignment, and mentoring analysts. | 6-10 years relevant experience, Epic Ambulatory certification and build experience required, leadership and Microsoft Excel/Project preferred. | Overview The Community Connect Lead IT Analyst will help support the day-to-day operations of the Community Connect team and projects. The ability to lead other analysts, multitask, and think ahead/outside of the box is crucial. This role reports to the Community Connect IT Manager and is responsible for maintaining and enhancing enterprise software applications, including Epic and third-party integrations. Key duties include: • Performing application builds, upgrades, and system optimizations. • Troubleshooting and resolving application issues with minimal disruption. • Evaluating software updates for business and clinical impact. • Conducting workflow assessments and aligning technology with operational needs. • Leading IT projects, mentoring analysts, and supporting process improvements. • Managing incidents, problems, and changes to ensure smooth application performance. This role requires strong collaboration with stakeholders and a proactive approach to driving strategic IT initiatives. Education • 6-8 years of relevant experience with a degree (Required) or • 8-10 years of relevant experience without a degree (Required) Certification/Licensure • EPIC Certification – Ambulatory (Required) Experience • Experience with an Epic Community Connect program is preferred • Microsoft Excel and/or Project experience is preferred • Prior experience in a leadership role is preferred • Current Epic Ambulatory certification and build experience is required Keywords: EPIC Community Connect, EPIC Build, EPIC Ambulatory, Resolute Professional Billing, O365, Microsoft O365, EPIC Ambulatory certificate, Resolute Professional Billing, Professional Billing, EPIC We provide market-competitive compensation packages, inclusive of base pay, incentives, and benefits. The base pay rate for Full Time employment is: $91,416 - $152,380.80. Additional compensation may be available for this role such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

Epic Ambulatory Certification
Epic Build Experience
Application Builds and Upgrades
System Optimization
Incident and Change Management
Leadership and Mentoring
Workflow Assessment
Microsoft Excel
Project Management
Verified Source
Posted 10 months ago
Sentara

Premium Billing Specialist I

SentaraAnywhereFull-time
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Compensation$40K - 60K a year

Accurately balance and reconcile health plan accounts receivables. | High school diploma and at least 1 year of related healthcare experience. | Premium Billing Specialist I • Responsible for accurately balancing and reconciling health plan accounts receivables. If Bachelor's Level Degree in Finance, there is not an experience requirement. Education • High School Diploma Certification/Licensure • No specific certification or licensure requirements Experience • 1 year related healthcare experience required

Healthcare billing
Accounts receivable reconciliation
Insurance claims processing
Data accuracy
Patient account management
Verified Source
Posted 10 months ago
Sentara

Senior Business System Analyst - Remote

SentaraAnywhereFull-time
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Compensation$70K - 100K a year

Support, enhance, and implement software applications while overseeing intermediate scale projects or components of large-scale projects with planning and resource coordination. | Bachelor's degree in related field and 5+ years of related experience with no specific certification required. | Overview This position is responsible for support, enhancement and implementation software applications used within the organization. Oversees and directs intermediate scale projects or components of large-scale projects; develops project plans and timelines and coordination of project resources. Education • Required to have a bachelor's degree in any of the following disciplines - ​Computer Science, Business, Technical, Education, Information Systems, Finance, Business/Administration, Accounting, Engineering, Information Technology. Certification/Licensure • No specific certification or licensure requirements Experience • Required to have 5+ years of related experience.

Project Management
Software Application Support
Project Planning
Resource Coordination
Software Implementation
Verified Source
Posted 10 months ago
Sentara

Program Manager Compliance - Remote

SentaraAnywhereFull-time
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Compensation$106K - 177K a year

Oversee and coordinate multiple inter-related technical projects ensuring alignment with business objectives and adherence to best practices in program and project management. | Bachelor's degree preferred, 3+ years of IT program/project management experience with degree or 5+ years without, no specific certifications required. | Overview The IT Program Manager is responsible for overseeing and coordinating multiple inter-related technical projects within the Technical Program Management Office (PMO). This role ensures that projects align with business objectives, meet strategic goals, and adhere to best practices in program and project management. The IT Program Manager provides centralized expertise, governance, and support, driving efficiency and ensuring successful project execution. The IT Program Manager is responsible for overseeing and coordinating multiple inter-related technical projects within the Technical Program Management Office (PMO). This role ensures that projects align with business objectives, meet strategic goals, and adhere to best practices in program and project management. The IT Program Manager provides centralized expertise, governance, and support, driving efficiency and ensuring successful project execution. Education • Bachelor's Degree (Preferred) Certification/Licensure • No specific certification or licensure requirements Experience • Required to have a minimum of 3 years of relevant experience in IT program/project management with a degree • Required to have 5 years of related experience without a degree We provide market-competitive compensation packages, inclusive of base pay, incentives, and benefits. The base pay rate for Full Time employment is: $106,080 - $176820.80. Additional compensation may be available for this role such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

IT Program Management
Project Coordination
Governance
Business Alignment
Technical Project Oversight
Verified Source
Posted 10 months ago
Sentara

Customer service rep 1 for CAC

SentaraAnywhereFull-time
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Compensation$70K - 120K a year

Provide strategic leadership and conduct market research to support innovation and product development. | Bachelor's degree with relevant experience or equivalent, plus certification or licensure as required. | Overview This is where the paragraphical Job Description summary goes. This is where the paragraphical Job Description summary goes. This is where the paragraphical Job Description summary goes. This is where the paragraphical Job Description summary goes. This is where the paragraphical Job Description summary goes. This is where the paragraphical Job Description summary goes. Education • Name of Degree (Required) • Name of Degree (Preferred) this line is optional or • No specific education requirements or • Bachelors Degree + 2 years relevant experience may be accepted in lieu of degree Certification/Licensure • Certification or License (Required) • Certification or License (Preferred) this line is optional or • No specific certification or licensure requirements Experience • Bulleted • List • Of • Experience • Requirements (try to use approximately 5 bullets)

Market Research
Consumer Insights
Innovation
New Product Development
Strategic Leadership
Verified Source
Posted 10 months ago
SE

Registered Nurse, Cath Lab

SentaraAnywherePart-time
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Compensation$60K - 90K a year

Provide competent nursing care in the Cardiac Cath Lab including assessment, diagnosis, planning, implementation, coordination, teaching, and evaluation. | Requires RN license, degree or diploma in nursing, BLS certification within 90 days, and ability to work onsite with no experience required. | City/State South Boston, VA Work Shift First (Days) Overview: Sentara Halifax Regional Hospitalin South Boston, Virginia is hiring an experienced Registered Nurse for the Cardiac Cath Lab Hours/Shift:Full-Time Day Shift - Weekends and Holidays May be Required Due to call requirements candidates must live within 30 minutes of the hospital Overview The Registered Nursing (RN) is responsible to perform a competent level of nursing care as demonstrated by the critical thinking model known as the nursing process. The standards of practice (assessment, diagnosis, outcomes identification, planning, implementation, coordination of care- teaching and health promotion and evaluation) along with the standards of professional performance (ethics, culturally congruent practice, communication, collaboration, leadership, education, evidence- based practice /nursing research, quality, evaluation, resource utilization, and environmental health) encompass the actions and foundation of professional nursing. The RN possesses clinical knowledge and skills to meet standards as required by specific clinical areas. Education • Degree or Diploma in Registered Nursing (required) • Bachelor of Science Nursing- BSN or MSN (Preferred) • Students in the process of completing an accredited nursing program. Certification/Licensure • Registered nursing License (Required) • Students in the process of obtaining a Registered Nursing License. • BLS required within 90 days of hire Experience • None required Talroo-Nursing, Monster, Cath Lab RN, Cardiac Cath, Pre-Post Op RN, Scrub RN Benefits: Caring For Your Family and Your Career • Medical, Dental, Vision plans • Adoption, Fertility and Surrogacy Reimbursement up to $10,000 • Paid Time Off and Sick Leave • Paid Parental & Family Caregiver Leave • Emergency Backup Care • Long-Term, Short-Term Disability, and Critical Illness plans • Life Insurance • 401k/403B with Employer Match • Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education • Student Debt Pay Down - $10,000 • Reimbursement for certifications and free access to complete CEUs and professional development • Pet Insurance • Legal Resources Plan • Colleagues may have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met Sentara Halifax Regional Hospital is fueled by the expertise of a well-established medical staff representing more than two-dozen specialties, while remaining focused on excellent care. Services at this hospital include cardiovascular services, emergency services, family birthing center, hospitalist program, imaging/radiology services, laboratory services, nephrology services, orthopedic services, rehabilitation services and surgical services. We improve health every day, come be a part of the community. Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves. In support of our mission "to improve health every day," this is a tobacco-free environment. For positions that are available as remote work, Sentara Health employs associates in the following states: Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming. City/State South Boston, VA Work Shift First (Days) Overview: Sentara Halifax Regional Hospitalin South Boston, Virginia is hiring an experienced Registered Nurse for the Cardiac Cath Lab Hours/Shift:Full-Time Day Shift - Weekends and Holidays May be Required Due to call requirements candidates must live within 30 minutes of the hospital Overview The Registered Nursing (RN) is responsible to perform a competent level of nursing care as demonstrated by the critical thinking model known as the nursing process. The standards of practice (assessment, diagnosis, outcomes identification, planning, implementation, coordination of care- teaching and health promotion and evaluation) along with the standards of professional performance (ethics, culturally congruent practice, communication, collaboration, leadership, education, evidence- based practice /nursing research, quality, evaluation, resource utilization, and environmental health) encompass the actions and foundation of professional nursing. The RN possesses clinical knowledge and skills to meet standards as required by specific clinical areas. Education • Degree or Diploma in Registered Nursing (required) • Bachelor of Science Nursing- BSN or MSN (Preferred) • Students in the process of completing an accredited nursing program. Certification/Licensure • Registered nursing License (Required) • Students in the process of obtaining a Registered Nursing License. • BLS required within 90 days of hire Experience • None required Talroo-Nursing, Monster, Cath Lab RN, Cardiac Cath, Pre-Post Op RN, Scrub RN Benefits: Caring For Your Family and Your Career • Medical, Dental, Vision plans • Adoption, Fertility and Surrogacy Reimbursement up to $10,000 • Paid Time Off and Sick Leave • Paid Parental & Family Caregiver Leave • Emergency Backup Care • Long-Term, Short-Term Disability, and Critical Illness plans • Life Insurance • 401k/403B with Employer Match • Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education • Student Debt Pay Down - $10,000 • Reimbursement for certifications and free access to complete CEUs and professional development • Pet Insurance • Legal Resources Plan • Colleagues may have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met Sentara Halifax Regional Hospital is fueled by the expertise of a well-established medical staff representing more than two-dozen specialties, while remaining focused on excellent care. Services at this hospital include cardiovascular services, emergency services, family birthing center, hospitalist program, imaging/radiology services, laboratory services, nephrology services, orthopedic services, rehabilitation services and surgical services. We improve health every day, come be a part of the community. Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves. In support of our mission "to improve health every day," this is a tobacco-free environment. For positions that are available as remote work, Sentara Health employs associates in the following states: Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.

Registered Nursing License
BLS Certification
Cardiac Cath Lab Nursing
Critical Thinking
Patient Assessment
Care Coordination
Health Promotion
Evidence-Based Practice
Verified Source
Posted 11 months ago
SE

Registered Nurse -Hospital Resource Pool

SentaraAnywherePart-time
View Job
Compensation$59K - 98K a year

Provide competent nursing care including patient assessment, medication administration, care coordination, and communication with families in a hospital float pool setting. | At least 18 months inpatient acute care RN experience, valid Virginia RN license, and required certifications including BLS and ACLS. | City/State Williamsburg, VA Work Shift Third (Nights) Overview: • SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER • REGISTERED NURSENIGHTSHospital Wide Float Pool Full Time with BENEFITSPREMIUM PAY!!!!!Up to $20,000 bonusREQUIREMENTS:MUST HAVE AT LEAST 18 months of inpatient bedside RN acute care hospital experience in Intermediate Care Stepdown and or med/surg - willing to cross-train and float to both Med/surg and Stepdown. Meets and maintains any requirements defined by specific specialty; ACLS, BLS, NIHH EDUCATION: RB Degree: RN Diploma, ADN, BSN or MSN CERTIFICATIONS and or LICENSURE: RN License valid to work in the State of Virginia The Registered Nurse (RN) is responsible for performing a competent level of nursing care as demonstrated by the critical thinking model known as the nursing process. The standards of practice (assessment, diagnosis, outcomes identification, planning, implementation, coordination of care- teaching and health promotion and evaluation) along with the standards of professional performance (ethics, culturally congruent practice, communication, collaboration, leadership, education, evidence- based practice /nursing research, quality, evaluation, resource utilization, and environmental health) encompass the actions and foundation of professional nursing. The RN possesses clinical knowledge and skills to meet standards as required by specific clinical areas. Meets and maintains any requirements defined by specific specialty; All Direct Care RNs are required to have BLS within 90 days of hire. As aRegistered Nursewith Sentara, you can excel in your career. There are many different specialties where you can perform and grow your nursing skills in your areas of interest. If you desire, there are promotional opportunities in leadership or to advance your level of care in a variety of settings. This position's primary duties include assessing/admitting patients, rounding checks, giving medications, talking with family members, and being responsible for the overall care of your patients. You will find that teamwork is exceptional, with everyone working together to ensure the best care for our patients. Click to hear Felicia tell us about a day in the life of a Registered Nurse (RN) with Sentara Healthcare. Be a part of an excellent healthcare organization that cares about our People, Quality, Patient Safety, Service, and Integrity. Join a team with a mission to improve health every day and a vision to be the healthcare choice of the communitieswe serve! Keyword: #Indeed, Talroo-Nursing, #hiring, Registered Nurse, RN, Med/Surg, Tele, Telemetry, Williamsburg, Full-time, Monster, LinkedIn, Google, Glassdoor, SD, Stepdown, IMCU, Intermediate We provide market-competitive compensation packages, inclusive of base pay, incentives, and benefits. The base pay rate for Full Time employment is:$28.16 - $46.94. Additional compensation may be available for this role such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.Benefits: Caring For Your Family and Your Career • Medical, Dental, Vision plans • Adoption, Fertility and Surrogacy Reimbursement up to $10,000 • Paid Time Off and Sick Leave • Paid Parental & Family Caregiver Leave • Emergency Backup Care • Long-Term, Short-Term Disability, and Critical Illness plans • Life Insurance • 401k/403B with Employer Match • Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education • Student Debt Pay Down - $10,000 • Reimbursement for certifications and free access to complete CEUs and professional development • Pet Insurance • Legal Resources Plan • Colleagues may have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met Sentara Williamsburg Regional Medical Center, a Certified Primary Stroke Center, has 145 licensed beds and features the latest healthcare technologies, serving the region with the life-saving capabilities of an ultra-modern medical center. The hospital offers a full range of medical care from emergency heart catheterization to all-inclusive obstetrics care where patients can stay in one room. The hospital also provides advanced imaging and "smart" operating rooms. Sentara Williamsburg Regional Medical Center has also achieved Magnet recognition, the nation's highest honor for excellence in nursing. We improve health every day, come be a part of the community. Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves. In support of our mission "to improve health every day," this is a tobacco-free environment. For positions that are available as remote work, Sentara Health employs associates in the following states: Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming. City/State Williamsburg, VA Work Shift Third (Nights) Overview: • SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER • REGISTERED NURSENIGHTSHospital Wide Float Pool Full Time with BENEFITSPREMIUM PAY!!!!!Up to $20,000 bonusREQUIREMENTS:MUST HAVE AT LEAST 18 months of inpatient bedside RN acute care hospital experience in Intermediate Care Stepdown and or med/surg - willing to cross-train and float to both Med/surg and Stepdown. Meets and maintains any requirements defined by specific specialty; ACLS, BLS, NIHH EDUCATION: RB Degree: RN Diploma, ADN, BSN or MSN CERTIFICATIONS and or LICENSURE: RN License valid to work in the State of Virginia The Registered Nurse (RN) is responsible for performing a competent level of nursing care as demonstrated by the critical thinking model known as the nursing process. The standards of practice (assessment, diagnosis, outcomes identification, planning, implementation, coordination of care- teaching and health promotion and evaluation) along with the standards of professional performance (ethics, culturally congruent practice, communication, collaboration, leadership, education, evidence- based practice /nursing research, quality, evaluation, resource utilization, and environmental health) encompass the actions and foundation of professional nursing. The RN possesses clinical knowledge and skills to meet standards as required by specific clinical areas. Meets and maintains any requirements defined by specific specialty; All Direct Care RNs are required to have BLS within 90 days of hire. As aRegistered Nursewith Sentara, you can excel in your career. There are many different specialties where you can perform and grow your nursing skills in your areas of interest. If you desire, there are promotional opportunities in leadership or to advance your level of care in a variety of settings. This position's primary duties include assessing/admitting patients, rounding checks, giving medications, talking with family members, and being responsible for the overall care of your patients. You will find that teamwork is exceptional, with everyone working together to ensure the best care for our patients. Click to hear Felicia tell us about a day in the life of a Registered Nurse (RN) with Sentara Healthcare. Be a part of an excellent healthcare organization that cares about our People, Quality, Patient Safety, Service, and Integrity. Join a team with a mission to improve health every day and a vision to be the healthcare choice of the communitieswe serve! Keyword: #Indeed, Talroo-Nursing, #hiring, Registered Nurse, RN, Med/Surg, Tele, Telemetry, Williamsburg, Full-time, Monster, LinkedIn, Google, Glassdoor, SD, Stepdown, IMCU, Intermediate We provide market-competitive compensation packages, inclusive of base pay, incentives, and benefits. The base pay rate for Full Time employment is:$28.16 - $46.94. Additional compensation may be available for this role such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.Benefits: Caring For Your Family and Your Career • Medical, Dental, Vision plans • Adoption, Fertility and Surrogacy Reimbursement up to $10,000 • Paid Time Off and Sick Leave • Paid Parental & Family Caregiver Leave • Emergency Backup Care • Long-Term, Short-Term Disability, and Critical Illness plans • Life Insurance • 401k/403B with Employer Match • Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education • Student Debt Pay Down - $10,000 • Reimbursement for certifications and free access to complete CEUs and professional development • Pet Insurance • Legal Resources Plan • Colleagues may have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met Sentara Williamsburg Regional Medical Center, a Certified Primary Stroke Center, has 145 licensed beds and features the latest healthcare technologies, serving the region with the life-saving capabilities of an ultra-modern medical center. The hospital offers a full range of medical care from emergency heart catheterization to all-inclusive obstetrics care where patients can stay in one room. The hospital also provides advanced imaging and "smart" operating rooms. Sentara Williamsburg Regional Medical Center has also achieved Magnet recognition, the nation's highest honor for excellence in nursing. We improve health every day, come be a part of the community. Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves. In support of our mission "to improve health every day," this is a tobacco-free environment. For positions that are available as remote work, Sentara Health employs associates in the following states: Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.

Inpatient bedside RN acute care
Intermediate Care Stepdown
Med/Surg nursing
ACLS
BLS
NIHH
RN licensure in Virginia
Verified Source
Posted 11 months ago
Sentara

Integrated Nurse Case Manager/RN/Maternity/OBGYN

SentaraAnywhereFull-time
View Job
Compensation$70K - 95K a year

Manage and coordinate care plans for maternity/OBGYN patients remotely, including assessments, care coordination, and collaboration with healthcare teams. | Requires RN license, 3+ years nursing experience, preferably with case management and maternity/OBGYN background, and strong communication skills. | Sentara Health Plans is hiring an Integrated Nurse Case Manager/RN/Maternity/OBGYN - Remote in Virginia! Status: Full-time, permanent position (40 hours) Standard working hours: 8am to 5pm EST, M-F Location: Remote in Virginia! Primary responsibilities include: • Responsible for case management services within the scope of licensure; develops, monitors, evaluates, and revises the member's care plan to meet the member's needs, with the goal of optimizing member health care across the care continuum • Performs telephonic or face-to-face clinical assessments for the identification, evaluation, coordination and management of member's needs, including physical and behavioral health, social services and long-term services • Identifies members for high-risk complications and coordinates care in conjunction with the member and health care team • Manages chronic illnesses, co-morbidities, and/or disabilities ensuring cost effective and efficient utilization of health benefits; conducts gap in care management for quality programs • Assists with the implementation of member care plans by facilitating authorizations/referrals within benefits structure or extra-contractual arrangements, as permissible • Interfaces with Medical Directors, Physician Advisors and/or Inter-Disciplinary Teams on care management treatment plans • Presents cases at case conferences for multidisciplinary focus. Ensures compliance with regulatory, accrediting and company policies and procedures • May assist in problem solving with provider, claims or service issues. Education: • Associate or Bachelors Degree in Nursing REQUIRED Certification/Licensure: • Registered Nurse (RN) License (Compact or Virginia) REQUIRED Experience: • 3 years experience in Nursing REQUIRED • Case Management experience preferred • Managed Care or Health Plan experience preferred • With experience in Maternity/OB/Labor & Delivery/Mother Baby/Postpartum/Pregnant population experience preferred • Strong knowledge of physical, psychological, socio-cultural, and cognitive patient needs. • Excellent communication skills, both oral and written, as well as strong problem-solving and analytical Sentara Health Plans provides health plan coverage to close to one million members in Virginia. We offer a full suite of commercial products including employee-owned and employer-sponsored plans, as well as Individual & Family Health Plans, Employee Assistance Programs and plans serving Medicare and Medicaid enrollees. Our quality provider network features a robust provider network, including specialists, primary care physicians and hospitals. We offer programs to support members with chronic illnesses, customized wellness programs, and integrated clinical and behavioral health services—all to help our members improve their health. Our success is supported by a family-friendly culture that encourages community involvement and creates unlimited opportunities for development and growth. Be a part of an excellent healthcare organization that cares about our People, Quality, Patient Safety, Service, and Integrity. Join a team that has a mission to improve health every day and a vision to be the healthcare choice of the communities that we serve! To apply, please go to www.sentaracareers.com and use the following as your Keyword Search: JR-85844 #Indeed Talroo - Nursing Care Coordination, Case Management, RN, Case Manager, Registered Nurse, BSN, ADN, Nursing, Managed Care, MCO, Health Plan, high-risk pregnant members, Maternity, OBGYN, Labor and Delivery, Mother and Baby, Postpartum, L&D, Labor and Delivery, Pregnant, Remote, Virginia

Registered Nurse (RN) License
Case Management
Maternity/OBGYN Nursing
Telephonic Clinical Assessments
Care Plan Development
Chronic Illness Management
Health Plan Coordination
Communication and Problem Solving
Verified Source
Posted 11 months ago
SE

Registered Nurse Float Pool

SentaraAnywherePart-time
View Job
Compensation$65K - 85K a year

Provide competent nursing care across multiple hospital units, including assessment, diagnosis, planning, implementation, coordination, and evaluation of patient care. | Requires RN diploma, valid RN license, minimum 18 months med/surg acute care experience, BLS certification within 90 days, and ability to work night shifts and multiple units. | City/State Hampton, VA Work Shift Multiple shifts available Overview: RN Regional Resource Pool: Flexible Work Schedule, Self-Scheduling, Premium Pay, and Resource Pool Differential Sentara Hospital Support Services is hiring a Registered Nurse to work in our Regional Resource Pool covering four hospitals in Western Tidewater and Peninsula regions. Offers Premium Differential Pay, Flexible Self Scheduling: (work up to Full-time hours if desired). Only required to provide the availability to work no more than two weeks in advance. Requires a minimum of 48 scheduled hours per pay month. Requires 4, 12-hour night shifts, one of which must be a 12-hour weekend night shift per month. Requires minimum RN experience of 18 months.* Requires nurses to work in all units for which they are qualified and a minimum of two different units. • Must reside Within 75 miles and 90 minutes of all four hospitals in Hampton Roads: Sentara Williamsburg Regional Medical Center, Sentara Careplex, Sentara Obici, Sentara Albemarle Medical Center, Sentara Norfolk General, Sentara Leigh, Sentara Princess Anne, Sentara Virginia Beach General Check out this video from Lyn about nursing roles in the Resource Pool: The Registered Nursing (RN) is responsible to perform a competent level of nursing care as demonstrated by the critical thinking model known as the nursing process. The standards of practice (assessment, diagnosis, outcomes identification, planning, implementation, coordination of care- teaching and health promotion and evaluation) along with the standards of professional performance (ethics, culturally congruent practice, communication, collaboration, leadership, education, evidence- based practice /nursing research, quality, evaluation, resource utilization, and environmental health) encompass the actions and foundation of professional nursing. The RN possesses clinical knowledge and skills to meet standards as required by specific clinical areas. Education • Registered Nurse Diploma (Required) Certification/Licensure • Registered Nurse License (Required) • All Direct Care RN's required to have BLS within 90 days of hire. Experience • Requires minimum RN experience of 18 months med/surg acute care.* Requires nurses to work in all units for which they are qualified and a minimum of two different units. • Available to work Nights PRN status, a minimum of 48 hours per month Keywords: Monster, Nursing All, Talroo-Nursing, Nursing-Critical Care, Nursing-Medical-Surgical, Nursing-Other, Step-down-other, Stepdown-Vascular, Charge Nurse, Resource Pool, Flexi, PRN, Self-schedule, Nights, IMCU, Intermediate Care, Progressive Care, PCU, Stepdown, RN, registered nurse, self-scheduling, IMC, med/surg, cardiac, BSN, ASN, RP, as needed, #LinkedIn, Norfolk, Virginia Beach, Chesapeake, Portsmouth, Suffolk, Hampton, Newport News, Williamsburg, Elizabeth City, Indeed Benefits: Caring For Your Family and Your Career • Medical, Dental, Vision plans • Adoption, Fertility and Surrogacy Reimbursement up to $10,000 • Paid Time Off and Sick Leave • Paid Parental & Family Caregiver Leave • Emergency Backup Care • Long-Term, Short-Term Disability, and Critical Illness plans • Life Insurance • 401k/403B with Employer Match • Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education • Student Debt Pay Down - $10,000 • Reimbursement for certifications and free access to complete CEUs and professional development • Pet Insurance • Legal Resources Plan • Colleagues may have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met Sentara CarePlex Hospital, located in Hampton, VA, is a 224-bed technologically advanced, acute care facility, and Certified Primary Stroke Center. Other features include specialized services in heart and vascular, urologic care, along with advanced diagnostic and surgical capabilities, a hospitalist program, and one of the state's busiest emergency departments. We are also home to the Orthopedic Hospital at Sentara CarePlex Hospital, the area's first dedicated orthopedic hospital. We improve health every day, come be a part of the community. Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves. In support of our mission "to improve health every day," this is a tobacco-free environment. For positions that are available as remote work, Sentara Health employs associates in the following states: Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming. City/State Hampton, VA Work Shift Multiple shifts available Overview: RN Regional Resource Pool: Flexible Work Schedule, Self-Scheduling, Premium Pay, and Resource Pool Differential Sentara Hospital Support Services is hiring a Registered Nurse to work in our Regional Resource Pool covering four hospitals in Western Tidewater and Peninsula regions. Offers Premium Differential Pay, Flexible Self Scheduling: (work up to Full-time hours if desired). Only required to provide the availability to work no more than two weeks in advance. Requires a minimum of 48 scheduled hours per pay month. Requires 4, 12-hour night shifts, one of which must be a 12-hour weekend night shift per month. Requires minimum RN experience of 18 months.* Requires nurses to work in all units for which they are qualified and a minimum of two different units. • Must reside Within 75 miles and 90 minutes of all four hospitals in Hampton Roads: Sentara Williamsburg Regional Medical Center, Sentara Careplex, Sentara Obici, Sentara Albemarle Medical Center, Sentara Norfolk General, Sentara Leigh, Sentara Princess Anne, Sentara Virginia Beach General Check out this video from Lyn about nursing roles in the Resource Pool: The Registered Nursing (RN) is responsible to perform a competent level of nursing care as demonstrated by the critical thinking model known as the nursing process. The standards of practice (assessment, diagnosis, outcomes identification, planning, implementation, coordination of care- teaching and health promotion and evaluation) along with the standards of professional performance (ethics, culturally congruent practice, communication, collaboration, leadership, education, evidence- based practice /nursing research, quality, evaluation, resource utilization, and environmental health) encompass the actions and foundation of professional nursing. The RN possesses clinical knowledge and skills to meet standards as required by specific clinical areas. Education • Registered Nurse Diploma (Required) Certification/Licensure • Registered Nurse License (Required) • All Direct Care RN's required to have BLS within 90 days of hire. Experience • Requires minimum RN experience of 18 months med/surg acute care.* Requires nurses to work in all units for which they are qualified and a minimum of two different units. • Available to work Nights PRN status, a minimum of 48 hours per month Keywords: Monster, Nursing All, Talroo-Nursing, Nursing-Critical Care, Nursing-Medical-Surgical, Nursing-Other, Step-down-other, Stepdown-Vascular, Charge Nurse, Resource Pool, Flexi, PRN, Self-schedule, Nights, IMCU, Intermediate Care, Progressive Care, PCU, Stepdown, RN, registered nurse, self-scheduling, IMC, med/surg, cardiac, BSN, ASN, RP, as needed, #LinkedIn, Norfolk, Virginia Beach, Chesapeake, Portsmouth, Suffolk, Hampton, Newport News, Williamsburg, Elizabeth City, Indeed Benefits: Caring For Your Family and Your Career • Medical, Dental, Vision plans • Adoption, Fertility and Surrogacy Reimbursement up to $10,000 • Paid Time Off and Sick Leave • Paid Parental & Family Caregiver Leave • Emergency Backup Care • Long-Term, Short-Term Disability, and Critical Illness plans • Life Insurance • 401k/403B with Employer Match • Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education • Student Debt Pay Down - $10,000 • Reimbursement for certifications and free access to complete CEUs and professional development • Pet Insurance • Legal Resources Plan • Colleagues may have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met Sentara CarePlex Hospital, located in Hampton, VA, is a 224-bed technologically advanced, acute care facility, and Certified Primary Stroke Center. Other features include specialized services in heart and vascular, urologic care, along with advanced diagnostic and surgical capabilities, a hospitalist program, and one of the state's busiest emergency departments. We are also home to the Orthopedic Hospital at Sentara CarePlex Hospital, the area's first dedicated orthopedic hospital. We improve health every day, come be a part of the community. Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves. In support of our mission "to improve health every day," this is a tobacco-free environment. For positions that are available as remote work, Sentara Health employs associates in the following states: Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.

Registered Nurse License
Med/Surg Acute Care
BLS Certification
Self-Scheduling
Night Shift Nursing
Flexible Work Schedule
Critical Thinking Nursing Process
Verified Source
Posted 11 months ago
SE

Radiology Services Coordinator

SentaraAnywherePart-time
View Job
Compensation$Not specified

Provide outpatient radiology services with a focus on patient comfort, staff training, and operational excellence. | Relevant experience and possibly a degree or certification, with rotating shifts and ability to work in a healthcare environment. | City/State Chesapeake, VA Work Shift Rotating Overview: Overview This is where the paragraphical Job Description summary goes. This is where the paragraphical Job Description summary goes. This is where the paragraphical Job Description summary goes. This is where the paragraphical Job Description summary goes. This is where the paragraphical Job Description summary goes. This is where the paragraphical Job Description summary goes. Education • Name of Degree (Required) • Name of Degree (Preferred) this line is optional or • No specific education requirements or • Bachelors Degree + 2 years relevant experience may be accepted in lieu of degree Certification/Licensure • Certification or License (Required) • Certification or License (Preferred) this line is optional or • No specific certification or licensure requirements Experience • Bulleted • List • Of • Experience • Requirements (try to use approximately 5 bullets) Pay Range: Benefits: Caring For Your Family and Your Career • Medical, Dental, Vision plans • Adoption, Fertility and Surrogacy Reimbursement up to $10,000 • Paid Time Off and Sick Leave • Paid Parental & Family Caregiver Leave • Emergency Backup Care • Long-Term, Short-Term Disability, and Critical Illness plans • Life Insurance • 401k/403B with Employer Match • Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education • Student Debt Pay Down - $10,000 • Reimbursement for certifications and free access to complete CEUs and professional development • Pet Insurance • Legal Resources Plan • Colleagues may have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met The Advanced Imaging Center at Sentara Greenbrier HealthPlex provides a convenient, modern option to outpatient radiology procedures, with the latest technology and staff radiologists who offer sub-specialist expertise. Every detail, from the facility's design to personnel training, focuses on patient comfort, convenience and reassurance. Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves. In support of our mission "to improve health every day," this is a tobacco-free environment. For positions that are available as remote work, Sentara Health employs associates in the following states: Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming. City/State Chesapeake, VA Work Shift Rotating Overview: Overview This is where the paragraphical Job Description summary goes. This is where the paragraphical Job Description summary goes. This is where the paragraphical Job Description summary goes. This is where the paragraphical Job Description summary goes. This is where the paragraphical Job Description summary goes. This is where the paragraphical Job Description summary goes. Education • Name of Degree (Required) • Name of Degree (Preferred) this line is optional or • No specific education requirements or • Bachelors Degree + 2 years relevant experience may be accepted in lieu of degree Certification/Licensure • Certification or License (Required) • Certification or License (Preferred) this line is optional or • No specific certification or licensure requirements Experience • Bulleted • List • Of • Experience • Requirements (try to use approximately 5 bullets) Pay Range: Benefits: Caring For Your Family and Your Career • Medical, Dental, Vision plans • Adoption, Fertility and Surrogacy Reimbursement up to $10,000 • Paid Time Off and Sick Leave • Paid Parental & Family Caregiver Leave • Emergency Backup Care • Long-Term, Short-Term Disability, and Critical Illness plans • Life Insurance • 401k/403B with Employer Match • Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education • Student Debt Pay Down - $10,000 • Reimbursement for certifications and free access to complete CEUs and professional development • Pet Insurance • Legal Resources Plan • Colleagues may have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met The Advanced Imaging Center at Sentara Greenbrier HealthPlex provides a convenient, modern option to outpatient radiology procedures, with the latest technology and staff radiologists who offer sub-specialist expertise. Every detail, from the facility's design to personnel training, focuses on patient comfort, convenience and reassurance. Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves. In support of our mission "to improve health every day," this is a tobacco-free environment. For positions that are available as remote work, Sentara Health employs associates in the following states: Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.

Radiology procedures
Patient comfort and care
Staff training
Diversity and inclusion
Healthcare compliance
Verified Source
Posted 11 months ago
Sentara

Sr. Director Operations and Program Integration

SentaraAnywhereFull-time
View Job
Compensation$140K - 180K a year

Lead end-to-end strategic planning and execution of health plan claims data migration, coordinate cross-functional teams, ensure data integrity, compliance, and provide leadership throughout integration lifecycle. | 7-10 years healthcare experience with 5+ years in leadership managing complex data migration projects in health plans, proficiency in claims processing platforms and project management methodologies, and strong cross-functional collaboration skills. | Sentara Health is seeking to hire a qualified individual to join our team as Director Health Plan Integration . Position Status: Full-time, Day Shift Position Location: Remote. Standard Working Hours: 8:00AM to 5:00PM (ET). Sentara Health is seeking to hire a qualified individual to join our team as Director Health Plan Integration. Expectations for this Role: Health Plan Integration Director Sentara Health Plans (SHP) is actively seeking a seasoned and strategic Health Plan Integration Director to orchestrate the seamless transition of M&A activity into the health plan infrastructure and shared services model. This role will also be responsible for leading the SHP Commercial claims migration to its future state platform - QNXT. This pivotal role is central to the organization's strategic initiatives to modernize its infrastructure, enhance operational efficiency, and ultimately improve member and provider experiences. It will serve as the central point of coordination across all functional areas including but not limited to: Operations, Sales, Network Management, Clinical, Finance, Communications, HR, IT, Vendor relationships, and Legal, ensuring strategic alignment and operational continuity during post-merger integration. The ideal candidate will be a meticulous planner with an operational mindset and an expert in data-intensive system migrations within the healthcare insurance landscape. They will assume ownership of the entire integration lifecycle, from initial strategy and planning through to execution, validation, and post-migration support. This position demands a unique blend of technical and business acumen, project management mastery, cross-functional leadership experience, and a deep understanding of health plan operations to deliver synergies, mitigate risks, and accelerate value creation. Key Responsibilities: • End-to-End Strategic Migration Planning: Develop and execute a comprehensive, end-to-end migration strategy and detailed project plan. This includes defining scope, timelines, resource requirements, risk mitigation strategies, KPI tracking framework, and rollback procedures. • Stakeholder Collaboration: Serve as the primary point of contact for all integration activities across people, process, and technology, fostering strong relationships and ensuring clear communication with internal and external stakeholders. Partner with executive leadership and functional leads to align integration strategy with corporate goals. • Data Integrity and Governance: Uphold the highest standards of data integrity, accuracy, and security throughout the migration process. This includes overseeing data mapping, transformation, cleansing, and validation to ensure a flawless transition. • System and Process Analysis: Conduct thorough analysis of existing claims processing systems and workflows to ensure all functionalities and business rules are accurately translated and configured in the new environment. Identify, prioritize, and execute synergy opportunities (cost savings, process optimization) • Testing and Validation: Lead all testing phases, including unit, user acceptance testing (UAT), claims comparison, and end-to-end testing to identify and resolve any discrepancies before and after the migration. • Team Leadership and Mentorship: Guide and mentor a cross-functional team of business leads, IT professionals, and PMO resources ensuring transparency and accountability while fostering a collaborative and high-performance environment. • Compliance and Regulatory Adherence: Ensure all migration activities comply with relevant healthcare regulations and standards, including but not limited to HIPAA, and state and federal mandates. • Documentation and Reporting: Maintain meticulous documentation of the migration process, including plans, procedures, and outcomes. Provide regular, transparent progress reports to senior leadership. Required Qualifications and Experience: • Bachelor's degree in Information Technology, Health Information Management, Business Administration, or a related field; MBA or equivalent preferred • A minimum of 7-10 years of experience in the healthcare industry, with at least 5 years in a leadership role managing large-scale, highly complex, data migration or system implementation projects in a matrixed environment for a health plan. • Proven experience in migrating claims data between major claims processing platforms (e.g., Facets, QNXT, HealthEdge). • Deep understanding of business functions (finance, HR, IT, sales, etc.) and how they interrelate during integration. • Ability to work under pressure and manage multiple workstreams simultaneously to achieve project goals on time and within budget. • Demonstrated expertise in project management methodologies (e.g., Agile, Waterfall) and proficiency with project management software. Desired Skills and Competencies: • Exceptional analytical and problem-solving abilities with a keen attention to detail. • Excellent communication, interpersonal, and presentation skills, with the ability to effectively communicate complex technical information to both technical and non-technical audiences. • Strong leadership and team-building skills, with a proven ability to motivate and guide teams to successful project completion. • Proficiency in data analysis and ETL (Extract, Transform, Load) concepts and tools. • A proactive and results-oriented mindset with the ability to manage multiple priorities in a fast-paced environment. This is a critical, high-visibility role that offers the opportunity to make a significant impact on the future of the health plan's operations. The successful candidate will be a strategic thinker, a hands-on leader, and a subject matter expert in the intricate world of health claims data.

Health claims data migration
Project management (Agile, Waterfall)
Cross-functional team leadership
Data integrity and governance
Operational strategy and execution
Stakeholder collaboration
Compliance with healthcare regulations (HIPAA)
ETL concepts
Business process analysis
Verified Source
Posted 11 months ago
Sentara

Finance Consultant, Strategic Transformation - Remote

SentaraAnywhereFull-time
View Job
Compensation$70K - 100K a year

Provide financial and analytical support to business areas, conduct financial analysis for strategic initiatives, collaborate with FP&A, and create executive reporting to support senior leadership decision-making. | Bachelor’s degree in finance or related field, 4 years finance or accounting experience, 1 year healthcare experience, proficiency in Microsoft Excel. | Sentara Health is hiring for a Finance Consultant, Strategic Transformation- Remote! Status: Full-Time, permanent position (40 hours) Standard working hours: 8am to 5pm EST, M-F. Location: For local candidates, this is a hybrid position where you will work remotely 2 x a week and report onsite 3 x a week at Sentara Park 1300 in Virginia Beach, VA. Candidates must reside within driving distance of the office, preferably within the Hampton Roads area, including Norfolk, Portsmouth, Newport News, Chesapeake, Hampton, Virginia Beach, and Suffolk. Remote opportunities available in the following states: Virginia (outside of Hampton Roads), North Carolina, Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington (state), West Virginia, Wisconsin, Wyoming. Will need to be onsite approx 1-2 x a year at Sentara Park 1300 in Virginia Beach, VA. Job responsibilities: • We are seeking a detail-oriented and proactive professional to provide financial and analytical support to assigned business areas, helping them meet strategic and financial goals. • This role works closely with the Director of Finance, Transformation and Corporate finance team. • Strategic finance partner to the Transformation Office, providing financial insights and support. • Conduct in-depth financial analysis to evaluate and track the performance for strategic initiatives, ensuring alignment with organizational objectives. • Collaborate with FP&A to assess and communicate the financial impact of Transformation across the organization. • Create and maintain executive-level reporting to support decision-making by senior leadership. Education: • Bachelor’s Degree, preferably in Finance, Accounting, Economics or Business Administration or related field REQUIRED Certification/Licensure: • None required Experience: • 4 years Finance or Accounting experience REQUIRED • 1 year in Healthcare REQUIRED • Proficient in Microsoft Excel Sentara Health, an integrated, not-for-profit health care delivery system, celebrates more than 130 years in pursuit of its mission - "we improve health every day." Sentara is one of the largest health systems in the U.S. Mid-Atlantic and Southeast, and among the top 20 largest not-for-profit integrated health systems in the country, with 30,000 employees, 12 hospitals in Virginia and Northeastern North Carolina, and the Sentara Health Plans division which serves more than 1 million members in Virginia and Florida. Sentara is recognized nationally for clinical quality and safety, and is strategically focused on innovation and creating an extraordinary health care experience for our patients and members. Sentara was named to IBM Watson Health's "Top 15 Health Systems" (2021, 2018), and was recognized by Forbes as a "Best Employer for New Grads" (2022), "Best Employer for Veterans" (2022, 2023), and "Best Employer for Women" (2020). Our success is supported by a family-friendly culture that encourages community involvement and creates unlimited opportunities for development and growth. Be a part of an excellent healthcare organization that cares about our People, Quality, Patient Safety, Service, and Integrity. Join a team that has a mission to improve health every day and a vision to be the healthcare choice of the communities that we serve! To apply, please go to www.sentaracareers.com and use the following as your Keyword Search: JR-84524 #LI-PM1 #Indeed Healthcare, Hospital, Finance, Accounting, Economics, Business Administration, Norfolk, Portsmouth, Newport News, Chesapeake, Hampton, Virginia Beach, and Suffolk, Hybrid, Virginia, Hampton Roads, Remote, Virginia, North Carolina, Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington (state), West Virginia, Wisconsin, Wyoming.

Financial analysis
Microsoft Excel
Strategic finance partnership
Executive-level reporting
Healthcare finance
Verified Source
Posted 11 months ago
Sentara

Senior Business Analyst, Benefit Configuration

SentaraAnywhereFull-time
View Job
Compensation$60K - 80K a year

Implement and support quality initiatives, act as liaison between customers and IT, and improve business practices through analysis and reporting. | Bachelor's degree and at least 3 years of related experience in quality initiatives and operational knowledge. | Overview This position is responsible for the implementation and support of quality initiatives within assigned areas. Provides subject matter expertise related to quality initiative implementation, reporting and analysis. Is a liaison between internal/external customers and Information Technology for business definition, scope, testing and implementation to ensure quality, efficiency, effectiveness, and customer knowledge to improve business practices. Possesses a high degree of operational knowledge as it relates to customer operations in claims, system administration, expansion business, and member enrollment. Education • Bachelor's Level Degree (Required) Certification/Licensure • No specific certification or licensure requirements Experience • Required to have three years of related experience.

Quality initiative implementation
Reporting and analysis
Business process improvement
Liaison between IT and business
Operational knowledge in claims and system administration
Verified Source
Posted 11 months ago
Sentara

Implementation Manager, Benefit Configuration

SentaraAnywhereFull-time
View Job
Compensation$60K - 90K a year

Manage system benefit development and implementation, contract administration, compliance, auditing, and process improvements to increase operational effectiveness. | Bachelor's degree with 3 years of healthcare and health insurance industry experience required; no specific certifications required. | Overview The Ops Support/Systems Administration manager manages all activities involving system benefit development and implementation, contract administration, coding compliance, fee schedule implementation, provider network database management and quality assurance, internal and external auditing of the key processes, system compliance and acceptance testing, and process improvements designed to increase operational effectiveness. Education • Bachelor's Degree (Required) Certification/Licensure • No specific certification or licensure requirements Experience • Required to have three years of experience in the health insurance industry. • Required to have three years of healthcare experience.

System benefit development
Contract administration
Coding compliance
Fee schedule implementation
Provider network database management
Quality assurance
Internal and external auditing
System compliance
Acceptance testing
Process improvements
Verified Source
Posted 11 months ago

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