9 jobs found

Job Description Job Description Reimbursement Specialist - Insurance Verification (UTMC Program) Help Others, Make a Difference, Save a Life. Do you want to make a difference in people's lives every day? Or help people navigate the tough spots in their life? And do it all while working where your hard work is appreciated? You have a lot of choices in where you work make the decision to work where you are valued! Join the McNabb Center Team as the Reimbursement Specialist - Insurance Verification (UTMC Program) today! The Reimbursement Specialist - Insurance Verification (UTMC Program) JOB SUMMARY The purpose of the Reimbursement Insurance Verification Specialist is to obtain and verify a client's commercial insurance coverage and to ensure procedures are covered by an individual's insurance. Specialist will be responsible for entering data in an accurate manner and updating client benefit information in the organization's billing system and verifying that existing information is accurate. The Specialist will perform a variety of auditing and resolution-centered activities, answering pertinent questions about coverage to internal and external sources, identifying insurance errors, and recommending solutions. Will be required to work regular office hours at the designated facility. JOB DESCRIPTION Employees in this job complete and oversee a variety of professional assignments to evaluate, review, enter, monitor, and update client insurance and billing information. JOB DUTIES/RESPONSIBILITIES NOTE: The job duties listed are typical duties of the work performed. Not all duties assigned to every position are included, nor is it expected that all positions will be assigned to every duty. Reviews the center's Commercial Notification Forms and returns an Insurance Verification Forms to the requesting staff within designated program timeframe. Verifies insurance information is up to date for the next day's client roster and updates any applicable pop-ups in the system For new clients, gives contact information, obtain client photo, updates the EMR with correct information and ensures the appropriate intake packet paperwork has been signed and verified to ensure clients understanding of policies. Prepares and updates the designated facility facesheets with insurance issues, patient responsibilities, outstanding balances, and any non-payment status changes for the next day and places them in HIPAA compliant blue folders for the appropriate providers. Analyzes designated eligibility reports on a daily basis. Communicates with and advises Insurance Verification Team Leader of all problems related to insurance verification. Advises other departments of updated or new insurance information as needed. Adheres to all policies and procedures related to compliance with all federal and state billing regulations. Communicates with billing representatives regarding any insurance issues that may arise. Review and update the Non-Payment status documents for both Med appointments and Therapy appointments Maintains a positive and professional attitude. Reads all emails and responds accordingly in a timely manner. Listens to all voicemails and responds accordingly in a timely manner. Works with members of various teams and/or departments on identifying process improvements. Possess flexibility to work overtime as dictated by department/organization needs. Communicates with clients regarding any benefit and/or billing questions they may have. Performs specified client benefit duties to ensure all required information is obtained for insurance verification, billing, and claims follow-up. Collects all client responsibility balances via cash, check, money order or credit card and issues receipts for payments. Assists in determining proper courses of action for successful resolution to insurance issues. Completes all program related paperwork required for reporting purposes. Possesses problem-solving skills to research and resolve discrepancies, denials, appeals, collections. Reviews patient bills for accuracy and completeness and obtains any missing information. Sets up patient payment plans and works collection accounts. Submits monthly recommendations to supervisor for write-offs with complete documentation by first of the following month all while following the A/R Reference Guide on how to complete write offs. Performs additional duties as requested by Team Leads or Management Team. This job description is not intended to be all-inclusive; and employee will also perform other reasonably related job responsibilities as assigned by immediate supervisor and other management as required. This organization reserves the right to revise or change job duties as the need arises. Moreover, management reserves the right to change job descriptions, job duties, or working schedules based on their duty to accommodate individuals with disabilities. This job description does not constitute a written or implied contract of employment. JOB QUALIFICATIONS Advanced use of computer system software, Excel, Outlook and Microsoft (word processing and spreadsheet application). Knowledge of insurance guidelines for all Commercial, Medicare, Medicare Advantage, TennCare, Federal Medicaid and Private Pay financial classes. Exceptional customer service skills for interacting with patients regarding medical claims and payments, including communicating with patients and family members of diverse ages and backgrounds. Ability to work well in a team environment and alone. Being able to triage priorities, delegate tasks if needed, handle conflict in a reasonable fashion and analyze and resolve claims issues and related problems. Strong written and verbal communication skills. Maintain patient confidentiality as per the Health Insurance Portability and Accountability Act of 1996 (HIPAA). Maintain a good understanding of the state, federal, and payer guidelines on billings, collections, refunds, and overpayments. Knowledge of the center's Policies and Procedures. Ability to maintain records and prepare reports and correspondence related to the position. Ability to work directly with upper leadership regarding claims issues and resolutions. Possess effective communication skills for phone contacts with insurance payers to resolve issues and to communicate effectively with others. COMPENSATION: Starting salary for this position is approximately $19.54/hr based on relevant experience and education. Schedule: Monday - Friday 8am - 5pm Travel : N/A Equipment/Technical Competency : Advanced use of computer system software, Excel, Outlook and Microsoft (word processing and spreadsheet application). QUALIFICATIONS - Reimbursement Specialist - Insurance Verification (UTMC Program) Experience: Extensive knowledge of insurance in relation to proper billing, follow-up and verification duties. Education / License : High school diploma or equivalent required. Location: Knox County, Tennessee Apply today to work where we care about you as an employee and where your hard work makes a difference! Helen Ross McNabb Center is an Equal Opportunity Employer. The Center provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment. Helen Ross McNabb Center conducts background checks, driver's license record, degree verification, and drug screens at hire. Employment is contingent upon clean drug screen, background check, and driving record. Additionally, certain programs are subject to TB Screening and/or testing. Bilingual applicants are encouraged to apply. Compensation details: 19.54-19.54 Hourly Wage PI73f2ce5-

IT Epic Analyst II- Willow Ambulatory and/or Inventory Position Summary Serves as a key Epic resource within the Ambulatory Clinical Applications team, with a significant focus on Epic Willow Ambulatory and Inventory. Will support EpicCare Ambulatory and related ambulatory clinical applications, including Epic and third-party integrated systems. This role partners with operational, clinical, pharmacy, revenue cycle, vendor, and technical stakeholders to design, configure, test, implement, support, and optimize solutions that improve ambulatory workflows and advance organizational priorities. The ideal candidate has Epic build and troubleshooting experience, can work across application boundaries, and is comfortable supporting both day-to-day operational needs and broader optimization efforts. Experience with Willow Ambulatory and/or Inventory is strongly preferred. Oerational outpatient pharmacy experience preferred, but the role is intended to provide flexible ambulatory optimization and support capacity rather than function as a single-application position . Key Responsibilities Serve as a subject matter resource for assigned Epic applications and related operational workflows. Partner with end users to gather requirements, analyze business processes, identify root causes, and recommend system solutions. Scope requests, estimate work effort, and support projects from design through implementation while collaborating with Epic representatives, technical teams, and operational leaders. Analyze and resolve moderately complex support tickets, identify enhancement opportunities, and troubleshoot application issues. Independently perform Epic configuration and build activities, including rules, templates, security, and workflow modifications, while following change management and documentation standards. Conduct unit testing, coordinate quality assurance testing, document build decisions, and support build migrations between environments. Assist with Epic upgrades by reviewing release notes, developing test plans, executing testing, and implementing required changes. Coordinate and support integrations with third-party applications, interfaces, devices, and vendors. Communicate project status, milestones, risks, and solutions with leadership, team members, and stakeholders. Build relationships with super users, provide user support and training, facilitate meetings, and present information to technical and non-technical audiences. Mentor less experienced team members and provide technical guidance on build, testing, and workflow optimization. Participate in ongoing professional development, Epic forums, and continuous process improvement initiatives. Knowledge & Skills Knowledge of Epic Willow Ambulatory and/or Inventory application configuration, maintenance, and support. Strong analytical, troubleshooting, and critical thinking skills. Ability to identify root causes and develop practical, data-driven solutions. Knowledge of project management principles and ability to manage multiple priorities. Excellent organization, attention to detail, and time management skills. Strong verbal and written communication skills with the ability to explain technical concepts to non-technical users. Customer-focused with strong collaboration, facilitation, and relationship-building skills. Ability to lead projects, guide team members, and adapt in a fast-paced environment. Education Bachelor's degree required. An Associate's degree with two additional years of related experience or a high school diploma/GED with four additional years of related experience may substitute for the bachelor's degree. Required Epic certifications: Willow Ambulatory and/or Inventory Experience Minimum of one year of experience supporting or implementing Epic applications, including application configuration, template management, or system build. The posted pay range is Boston Children's reasonable and good-faith expectation for this pay at the time of posting. Any base pay offer provided depends on skills, experience, education, certifications, and a variety of other job-related factors. Base pay is one part of a comprehensive benefits package that includes flexible schedules, affordable health, vision and dental insurance, child care and student loan subsidies, generous levels of time off, 403(b) Retirement Savings plan, Pension, Tuition and certain License and Certification Reimbursement, employee discounts and discounted commuter benefits at certain locations. Experience the benefits of passion and teamwork.

Job Description Job Description Help Others, Make a Difference, Save a Life. Do you want to make a difference in people's lives every day? Or help people navigate the tough spots in their life? And do it all while working where your hard work is appreciated? You have a lot of choices in where you work make the decision to work where you are valued! Join the McNabb Center Team as the Reimbursement Specialist program today! The Reimbursement Specialist JOB SUMMARY The purpose of the Reimbursement Insurance Verification Specialist is to obtain and verify a client's commercial insurance coverage and to ensure procedures are covered by an individual's insurance. Specialist will be responsible for entering data in an accurate manner and updating client benefit information in the organization's billing system and verifying that existing information is accurate. The Specialist will perform a variety of auditing and resolution-centered activities, answering pertinent questions about coverage to internal and external sources, identifying insurance errors, and recommending solutions. Will be required to work regular office hours at the designated facility. This job description is not intended to be all-inclusive; and employee will also perform other reasonably related job responsibilities as assigned by immediate supervisor and other management as required. This organization reserves the right to revise or change job duties as the need arises. Moreover, management reserves the right to change job descriptions, job duties, or working schedules based on their duty to accommodate individuals with disabilities. This job description does not constitute a written or implied contract of employment. JOB DESCRIPTION Employees in this job complete and oversee a variety of professional assignments to evaluate, review, enter, monitor, and update client insurance and billing information. JOB DUTIES NOTE: The job duties listed are typical duties of the work performed. Not all duties assigned to every position are included, nor is it expected that all positions will be assigned to every duty. Analyzes designated eligibility reports on a daily basis. Communicates with and advises Insurance Verification Team Leader of all questions problems related to insurance verification. Adheres to all policies and procedures related to compliance with all federal and state billing regulations. Communicates with billing representatives regarding any insurance issues that may arise. Maintains a positive and professional attitude. Reads all emails and responds accordingly in a timely manner. Listens to all voicemails and respond accordingly in a timely manner. Works with members of various teams and/or departments on identifying process improvements. Possess flexibility to work overtime as dictated by department/organization needs. Assists in determining proper courses of action for resolution to insurance issues. Possesses problem-solving skills to research and resolve discrepancies, denials, appeals, collections. Possesses strong ability to think outside the box. Has the ability to work in a high stress/demanding environment. Performs additional duties as requested by Team Leads or Management Team. JOB QUALIFICATIONS Advance use of computer system, software, Excel, Outlook and Microsoft (word processing and spreadsheet application). Knowledge of Centricity is a strong plus. Knowledge of insurance guidelines including HMO/PPO, Commercial, Medicare, Medicare Advantage, TN Care's, Medicaid and Private Pay. Ability to work well in a team environment and alone. Being able to triage priorities, delegate tasks if needed, handle conflict in a reasonable fashion and analyze and resolve claims issues and related problems. Strong written and verbal communication skills. Maintaining patient confidentiality as per the Health Insurance Portability and Accountability Act of 1996 (HIPAA). Knowledge of the center's Policies and Procedures. Ability to maintain records and prepare reports and correspondence related to the position. Ability to work directly with upper leadership regarding claims issues and resolutions. Possesses effective communication skills for phone contacts with insurance payers to resolve issues and to communicate effectively with others. JOB EXPECTATION All employees must be clean and well-groomed. Styles dictated by religion and ethnicity aren't restricted. Business casual dress code required. Employees can use their phones during breaks or at lunch hour. Employee must observe and be respectful of co-workers and should never use obscene, discriminatory, offensive, prejudicial or defamatory language in any way. The use of cameras on cell phones during work time is prohibited to protect the privacy of the clients as well as fellow employees, unless permission is granted by fellow employees or managers. Employees are permitted two 15-minute breaks and one hour lunch. Employees must work the agreed upon work schedule. Enter hours worked daily. Request leave in advance to your supervisor for approval. Schedule: Monday - Friday 8am - 5pm Travel : N/A Equipment/Technology : Basic computer skills are required for email, timekeeping, scanning, and fax machine. Advance use of computer system, software, Excel, Outlook and Microsoft (word processing and spreadsheet application). QUALIFICATIONS - Reimbursement Specialist Education: High school diploma or equivalent required. Experience / Knowledge : Extensive knowledge of insurance in relation to proper billing, follow-up and verification duties. Location: Knoxville, Tennessee Apply today to work where we care about you as an employee and where your hard work makes a difference! Helen Ross McNabb Center is an Equal Opportunity Employer. The Center provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment. Helen Ross McNabb Center conducts background checks, driver's license record, degree verification, and drug screens at hire. Employment is contingent upon clean drug screen, background check, and driving record. Additionally, certain programs are subject to TB Screening and/or testing. Bilingual applicants are encouraged to apply. PI0b5c1283dd27-1027

Job Description Job Description SUMMARY: The Revenue Cycle Specialist is responsible for researching, correcting, resubmitting, and resolving medical claims that have been rejected, denied, underpaid, or otherwise not processed correctly by insurance payers. This position focuses on identifying the causes of claim issues, coordinating necessary corrections with internal departments and external payers, and following claims through to resolution. The Medical Billing Specialist works closely with the Billing Technician, Business Office Manager, providers, coding staff, clinical departments, and insurance representatives to resolve billing issues, reduce preventable denials, and support appropriate reimbursement for services provided by the Health Center. ESSENTIAL DUTIES AND RESPONSIBILITIES will include the following: Electronic Clearinghouse Rejections Monitor the designated electronic clearinghouse for rejected claims, submission errors, and other claim transmission issues. Review and address electronic clearinghouse rejections promptly upon receipt. Research rejection reasons and determine the appropriate corrective action. Correct and resubmit claims when issues can be resolved within the scope of the position. Coordinate with the Billing Technician, registration, coding staff, providers, or other departments when additional information or corrections are required. Document rejection reasons, actions taken, outstanding issues, and follow-up plans. Monitor unresolved rejections until corrected and resubmitted or otherwise appropriately resolved. Ensure no rejection remains unaddressed or without documented follow-up. Denied Claims and Corrected Claim Submission Review remittance advice, explanations of benefits (EOBs), denial reports, and claim status information to identify denied or incorrectly processed claims. Research denial codes, payer explanations, claim history, billing requirements, and supporting documentation to determine the reason for denial. Correct claim information and coordinate necessary documentation or coding clarification. Prepare and submit corrected claims, resubmissions, reconsiderations, and appeals as appropriate. Verify that corrections address the original rejection or denial reason before resubmission. Track corrected claims to confirm receipt and monitor payer processing. Maintain documentation of denial reasons, corrective actions, resubmission dates, payer responses, and outcomes. Escalate claims requiring management review, clinical clarification, or additional intervention. Denial Research and Resolution Investigate recurring and complex denials to identify root causes and prevent repeated billing errors. Research payer policies, eligibility issues, authorization requirements, filing limits, coding requirements, and documentation requirements relevant to denied claims. Contact insurance representatives and use payer portals to clarify denial reasons, claim status, payment decisions, and required corrective actions. Coordinate with providers, coding staff, and clinical departments to obtain missing or corrected information. Prepare and submit appeals or reconsideration requests within applicable payer deadlines when appropriate. Monitor appealed claims until a determination is received. Identify recurring denial trends and report significant issues to the Business Office Manager. Unpaid and Incorrectly Processed Claims Research unpaid, pending, underpaid, and incorrectly processed claims to determine the cause and appropriate resolution. Follow up with payers regarding claims that remain unpaid or have not been processed correctly. Review discrepancies between billed amounts, payer adjudication, remittance advice, and expected reimbursement. Determine whether claim correction, resubmission, additional documentation, reconsideration, or appeal is appropriate. Monitor claims approaching timely filing limits, appeal deadlines, and other payer-specific timeframes. Maintain a tracking system documenting claim status, actions taken, outstanding issues, and follow-up dates. Escalate unresolved claims with significant financial impact or barriers to resolution to the Business Office Manager. Continue follow-up until the claim is resolved, appropriately escalated, or closed with documented justification. Prior Authorization-Related Claim Issues Research claim denials related to missing, incomplete, expired, or mismatched prior authorizations. Coordinate with appropriate clinical or administrative staff to obtain authorization information or supporting documentation. Communicate authorization-related claim issues to the responsible department. Monitor corrected claims related to authorization issues to determine whether the payer has processed them. Document actions taken and escalate unresolved issues as appropriate. This responsibility focuses on authorization issues affecting claim payment. Routine prior authorization requests remain with designated staff unless otherwise assigned. Documentation and Process Improvement Maintain accurate records of rejections, denials, corrected claims, appeals, payer communications, and resolution efforts. Ensure unresolved items have documented actions, next steps, and follow-up dates. Coordinate with the Billing Technician and other departments to address recurring claim issues. Identify opportunities to reduce preventable rejections and denials and improve claim resolution. Assist with billing reviews, payer audits, and quality improvement activities as assigned. Maintain knowledge of payer policies, claim correction procedures, appeal requirements, and applicable billing guidelines. Confidentiality and Compliance Protect patient confidentiality and the security of health records and other confidential information. Comply with applicable privacy and security laws, including HIPAA and the Privacy Act of 1974 when applicable, and Health Center policies. Follow applicable payer requirements and established Health Center procedures. Perform other related duties within the scope of the position as assigned by the Business Office Manager. QUALIFICATION REQUIREMENTS: To perform this job successfully, an individual must be able to perform the essential duties satisfactorily. The requirements listed below represent the knowledge, skills, and abilities needed for the position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential duties. EDUCATION AND EXPERIENCE: Associate of Arts (AA) degree or at least two (2) years of relevant work experience in medical billing, healthcare administration, insurance claims processing, accounts receivable, or a related field. Ability to research billing issues, identify errors, follow established procedures, and complete corrective actions accurately and promptly. Strong attention to detail and ability to organize work, meet deadlines, maintain accurate documentation, and communicate effectively with internal departments and insurance payers. Ability to learn and apply insurance payer requirements, claim correction procedures, and denial resolution processes. Experience reviewing electronic clearinghouse rejections, insurance denials, and payment discrepancies. Experience correcting and resubmitting claims, researching unpaid claims, or assisting with appeals and reconsiderations. Familiarity with electronic clearinghouses, payer portals, electronic health records, or practice management systems. Knowledge of Medicare, Medicaid, commercial insurance, managed care plans, and payer billing requirements. Familiarity with ICD-10-CM, CPT, and HCPCS coding concepts. Medical billing certification, such as Certified Professional Biller (CPB), or medical coding certification, such as Certified Professional Coder (CPC). Experience working in a Tribal Health, Indian Health Service (IHS), community health center, or similar healthcare setting. CERTIFICATES, LICENSES, AND/OR REGISTRATIONS: Medical billing or coding certification is preferred but not required. KNOWLEDGE, SKILLS, AND ABILITIES: Ability to research and resolve claim rejections, denials, and billing discrepancies. Ability to learn payer-specific correction, resubmission, reconsideration, and appeal requirements. Strong organizational, analytical, and problem-solving skills. Effective written and verbal communication skills. Ability to recognize recurring billing issues and communicate potential solutions. Ability to maintain accurate records and protect confidential patient information. Proficiency with standard computer applications, including Microsoft Word and Excel, and the ability to learn designated billing systems and electronic clearinghouse tools. Ability to work independently, manage competing priorities, meet deadlines, and seek assistance when necessary. Ability to coordinate professionally with internal departments and external insurance representatives. PLEASE NOTE: P.L. 93-638, Indian Preference and Tribal Employment Rights Ordinance, (TERO), will be practiced, however all qualified applicants will be considered. IF YOU ARE INTERESTED . click apply for full job details

Job Description Job Description Company Description About AbbVie AbbVie's mission is to discover and deliver innovative medicines and solutions that solve serious health issues today and address the medical challenges of tomorrow. We strive to have a remarkable impact on people's lives across several key therapeutic areas including immunology, oncology and neuroscience - and products and services in our Allergan Aesthetics portfolio. For more information about AbbVie, please visit us at . on LinkedIn, Facebook, Instagram, X and YouTube. Job Description The Principal Data Scientist is the senior technical and scientific leader for AbbVie's omnichannel engagement analytics, a data and analytics-driven engagement optimization program spanning channel mix, content, field representative call planning, and orchestration. Operating within the APEX Enterprise Advanced Analytics and Innovation team, this role sets the multi-year science vision for personalized commercial engagement and is accountable for the technical strategy, methodology, and scientific rigor of the AI/ML and statistical solutions that power it. Reporting to the Associate Director, Data Science, the Principal is a thought partner to commercial and analytics leadership: shaping which problems are worth solving, forming and defending a point of view on how AI creates measurable business value, and partnering with product owners to turn that vision into scalable solutions. The role combines deep, hands-on expertise in applied machine learning, generative AI, causal inference, and experimentation with the consultative skill to align a complex stakeholder ecosystem around the right answer. Key Responsibilities Define the Data Science vision: Own the multi-year Data Science vision and technical roadmap for omnichannel engagement analytics, anticipating where both the business and the field of AI are heading. Shape how AI creates business value: identify, size, and prioritize opportunities where AI can drive measurable commercial impact, build the business case, and influence senior leadership decisions on where to invest. Lead hands-on with Gen-AI: Personally use AI-assisted development and agentic tools to prototype, test hypotheses, and demonstrate value quickly; build LLM-backed systems using advanced RAG and context engineering, paired with rigorous scientific evaluation frameworks to scale highly reliable omnichannel recommendations. Lead the design of predictive and causal models: Develop next-best-action, recommendation, and sequential decision models that inform customer engagement and resource allocation using complex, multi-source data. Own measurement science: set the standard for measuring effectiveness, incrementality, and business impact using experimental and quasi-experimental methods, so that AI investments are evaluated rigorously. Partner with product owners to shape problems, not just fulfill requirements: co-define business outcomes, scope, and success metrics, and translate them into scalable technical solutions. Navigate a complex stakeholder ecosystem: build alignment across brand and marketing leaders, field sales and operations, Medical, Legal and Regulatory (MLR), Compliance, BTS, Digital Lab, and external vendors; reframe requests into well-posed problems and resolve competing priorities. Communicate with executive impact: translate complex methods and findings into clear recommendations and compelling narratives for executive and non-technical audiences. Productionize at scale: Partner with BTS, Digital Lab, engineering, and platform teams to deploy, monitor, and manage the lifecycle of AI/ML solutions. Raise the bar for scientific rigor: establish best practices in model development, code quality, reproducibility, peer review, and responsible AI across the data science community. Be a thought leader: stay at the forefront of research and practice in machine learning, generative AI, and causal inference; bring new ideas into the team; provoke rigorous analytical debate; and represent AbbVie's point of view internally and in the broader analytics community. Supervisory / Management Responsibilities This role does not carry formal direct report responsibilities but is expected to act as a technical leader and mentor across the broader data science community, raising the bar on scientific rigor and hands-on AI practice. The Principal Data Scientist may lead technical workstreams with external analytics vendors and partners, including oversight of deliverable quality and methodology validation. Key Competencies Scientific Engineering Depth: Deep expertise in machine learning, causal inference, and generative AI, combined with strong engineering discipline in reproducibility, deployment, and enterprise integration. AI Fluency and Bias to Action: Uses AI hands-on in daily work to prototype, analyze, and build; critically evaluates AI output; and turns ideas into working solutions quickly. Business Judgment and Problem-Framing: Translates ambiguous business challenges into well-scoped problems, connects technical choices to commercial value, and sets long-term technical direction while staying close to delivery. Stakeholder Navigation and Executive Influence: Reads organizational dynamics to build alignment across commercial, regulatory, and technology partners, earning trust as a thought partner to win support from senior leaders. Thought Leadership: Challenges conventional thinking and sparks meaningful analytical debate with peers and executives. Qualifications Education Bachelor's Degree in Statistics, Mathematics, Computer Science, Engineering, or another quantitative discipline required; Master's or PhD in a quantitative field strongly preferred. Required Experience 8+ years of experience in data science, machine learning, or applied science (or 6+ years with a PhD), with a track record of delivering production-quality models that drove measurable business impact. Demonstrated experience setting technical direction for a portfolio of AI/ML solutions and influencing decisions of senior business leaders. Experience building personalization, recommendation, decision-optimization, or marketing-science solutions, in any industry. Deep hands-on expertise in causal inference and experimentation, including A/B testing and quasi-experimental methods, to measure business impact. Demonstrated hands-on experience using generative AI and AI-assisted development tools (e.g., LLM APIs, AI coding assistants, agent frameworks) to prototype and deliver solutions, with concrete examples that can be walked through during the interview process. Expert proficiency in Python and SQL, with experience in deep learning frameworks (e.g., PyTorch, TensorFlow) and distributed data processing. Experience productionizing AI/ML solutions in cloud environments, including deployment, monitoring, and lifecycle management. Track record of leading initiatives across complex, cross-functional stakeholder environments and presenting to executive audiences. Preferred Experience Commercial analytics experience in pharmaceutical, biotech, healthcare, or life sciences, including familiarity with data sources such as IQVIA, Symphony Health, APLD, or similar Rx, claims, and engagement data. Experience in omnichannel analytics, such as journey analysis, touchpoint measurement, closed-loop measurement, or next-best-action for HCP or patient engagement. Experience with advanced ML and optimization methods, including reinforcement learning, multi-armed bandits, transformers, and other approaches for sequential or recommendation use cases. Experience building LLM-based and agentic AI systems, including orchestration frameworks, evaluation, and integration through APIs and pipelines. Experience with cloud ML platforms and MLOps tools such as Azure ML, Databricks, and MLflow. External visibility through conference talks, publications, patents, open-source contributions, or recognized industry thought leadership. Experience working in agile product development environments. Additional Information Applicable only to applicants applying to a position in any location with pay disclosure requirements under state or local law: The compensation range described below is the range of possible base pay compensation that the Company believes in good faith it will pay for this role at the time of this posting based on the job grade for this position. Individual compensation paid within this range will depend on many factors including geographic location, and we may ultimately pay more or less than the posted range. This range may be modified in the future. We offer a comprehensive package of benefits including paid time off (vacation, holidays, sick), medical/dental/vision insurance and 401(k) to eligible employees. This job is eligible to participate in our long-term incentive programs. Note: No amount of pay is considered to be wages or compensation until such amount is earned, vested, and determinable. The amount and availability of any bonus, commission, incentive, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole and absolute discretion unless and until paid and may be modified at the Company's sole and absolute discretion, consistent with applicable law. AbbVie is an equal opportunity employer and is committed to operating with integrity . click apply for full job details

Job Description Job Description Company Description About AbbVie AbbVie's mission is to discover and deliver innovative medicines and solutions that solve serious health issues today and address the medical challenges of tomorrow. We strive to have a remarkable impact on people's lives across several key therapeutic areas including immunology, oncology and neuroscience - and products and services in our Allergan Aesthetics portfolio. For more information about AbbVie, please visit us at . on LinkedIn, Facebook, Instagram, X and YouTube. Job Description The Principal Data Scientist is the senior technical and scientific leader for AbbVie's omnichannel engagement analytics, a data and analytics-driven engagement optimization program spanning channel mix, content, field representative call planning, and orchestration. Operating within the APEX Enterprise Advanced Analytics and Innovation team, this role sets the multi-year science vision for personalized commercial engagement and is accountable for the technical strategy, methodology, and scientific rigor of the AI/ML and statistical solutions that power it. Reporting to the Associate Director, Data Science, the Principal is a thought partner to commercial and analytics leadership: shaping which problems are worth solving, forming and defending a point of view on how AI creates measurable business value, and partnering with product owners to turn that vision into scalable solutions. The role combines deep, hands-on expertise in applied machine learning, generative AI, causal inference, and experimentation with the consultative skill to align a complex stakeholder ecosystem around the right answer. Key Responsibilities Define the Data Science vision: Own the multi-year Data Science vision and technical roadmap for omnichannel engagement analytics, anticipating where both the business and the field of AI are heading. Shape how AI creates business value: identify, size, and prioritize opportunities where AI can drive measurable commercial impact, build the business case, and influence senior leadership decisions on where to invest. Lead hands-on with Gen-AI: Personally use AI-assisted development and agentic tools to prototype, test hypotheses, and demonstrate value quickly; build LLM-backed systems using advanced RAG and context engineering, paired with rigorous scientific evaluation frameworks to scale highly reliable omnichannel recommendations. Lead the design of predictive and causal models: Develop next-best-action, recommendation, and sequential decision models that inform customer engagement and resource allocation using complex, multi-source data. Own measurement science: set the standard for measuring effectiveness, incrementality, and business impact using experimental and quasi-experimental methods, so that AI investments are evaluated rigorously. Partner with product owners to shape problems, not just fulfill requirements: co-define business outcomes, scope, and success metrics, and translate them into scalable technical solutions. Navigate a complex stakeholder ecosystem: build alignment across brand and marketing leaders, field sales and operations, Medical, Legal and Regulatory (MLR), Compliance, BTS, Digital Lab, and external vendors; reframe requests into well-posed problems and resolve competing priorities. Communicate with executive impact: translate complex methods and findings into clear recommendations and compelling narratives for executive and non-technical audiences. Productionize at scale: Partner with BTS, Digital Lab, engineering, and platform teams to deploy, monitor, and manage the lifecycle of AI/ML solutions. Raise the bar for scientific rigor: establish best practices in model development, code quality, reproducibility, peer review, and responsible AI across the data science community. Be a thought leader: stay at the forefront of research and practice in machine learning, generative AI, and causal inference; bring new ideas into the team; provoke rigorous analytical debate; and represent AbbVie's point of view internally and in the broader analytics community. Supervisory / Management Responsibilities This role does not carry formal direct report responsibilities but is expected to act as a technical leader and mentor across the broader data science community, raising the bar on scientific rigor and hands-on AI practice. The Principal Data Scientist may lead technical workstreams with external analytics vendors and partners, including oversight of deliverable quality and methodology validation. Key Competencies Scientific Engineering Depth: Deep expertise in machine learning, causal inference, and generative AI, combined with strong engineering discipline in reproducibility, deployment, and enterprise integration. AI Fluency and Bias to Action: Uses AI hands-on in daily work to prototype, analyze, and build; critically evaluates AI output; and turns ideas into working solutions quickly. Business Judgment and Problem-Framing: Translates ambiguous business challenges into well-scoped problems, connects technical choices to commercial value, and sets long-term technical direction while staying close to delivery. Stakeholder Navigation and Executive Influence: Reads organizational dynamics to build alignment across commercial, regulatory, and technology partners, earning trust as a thought partner to win support from senior leaders. Thought Leadership: Challenges conventional thinking and sparks meaningful analytical debate with peers and executives. Qualifications Education Bachelor's Degree in Statistics, Mathematics, Computer Science, Engineering, or another quantitative discipline required; Master's or PhD in a quantitative field strongly preferred. Required Experience 8+ years of experience in data science, machine learning, or applied science (or 6+ years with a PhD), with a track record of delivering production-quality models that drove measurable business impact. Demonstrated experience setting technical direction for a portfolio of AI/ML solutions and influencing decisions of senior business leaders. Experience building personalization, recommendation, decision-optimization, or marketing-science solutions, in any industry. Deep hands-on expertise in causal inference and experimentation, including A/B testing and quasi-experimental methods, to measure business impact. Demonstrated hands-on experience using generative AI and AI-assisted development tools (e.g., LLM APIs, AI coding assistants, agent frameworks) to prototype and deliver solutions, with concrete examples that can be walked through during the interview process. Expert proficiency in Python and SQL, with experience in deep learning frameworks (e.g., PyTorch, TensorFlow) and distributed data processing. Experience productionizing AI/ML solutions in cloud environments, including deployment, monitoring, and lifecycle management. Track record of leading initiatives across complex, cross-functional stakeholder environments and presenting to executive audiences. Preferred Experience Commercial analytics experience in pharmaceutical, biotech, healthcare, or life sciences, including familiarity with data sources such as IQVIA, Symphony Health, APLD, or similar Rx, claims, and engagement data. Experience in omnichannel analytics, such as journey analysis, touchpoint measurement, closed-loop measurement, or next-best-action for HCP or patient engagement. Experience with advanced ML and optimization methods, including reinforcement learning, multi-armed bandits, transformers, and other approaches for sequential or recommendation use cases. Experience building LLM-based and agentic AI systems, including orchestration frameworks, evaluation, and integration through APIs and pipelines. Experience with cloud ML platforms and MLOps tools such as Azure ML, Databricks, and MLflow. External visibility through conference talks, publications, patents, open-source contributions, or recognized industry thought leadership. Experience working in agile product development environments. Additional Information Applicable only to applicants applying to a position in any location with pay disclosure requirements under state or local law: The compensation range described below is the range of possible base pay compensation that the Company believes in good faith it will pay for this role at the time of this posting based on the job grade for this position. Individual compensation paid within this range will depend on many factors including geographic location, and we may ultimately pay more or less than the posted range. This range may be modified in the future. We offer a comprehensive package of benefits including paid time off (vacation, holidays, sick), medical/dental/vision insurance and 401(k) to eligible employees. This job is eligible to participate in our long-term incentive programs. Note: No amount of pay is considered to be wages or compensation until such amount is earned, vested, and determinable. The amount and availability of any bonus, commission, incentive, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole and absolute discretion unless and until paid and may be modified at the Company's sole and absolute discretion, consistent with applicable law. AbbVie is an equal opportunity employer and is committed to operating with integrity . click apply for full job details

Help Others, Make a Difference, Save a Life. Do you want to make a difference in people's lives every day? Or help people navigate the tough spots in their life? And do it all while working where your hard work is appreciated? You have a lot of choices in where you work make the decision to work where you are valued! Join the McNabb Center Team as the Reimbursement Specialist program today! The Reimbursement Specialist JOB SUMMARY The purpose of the Reimbursement Insurance Verification Specialist is to obtain and verify a client's commercial insurance coverage and to ensure procedures are covered by an individual's insurance. Specialist will be responsible for entering data in an accurate manner and updating client benefit information in the organization's billing system and verifying that existing information is accurate. The Specialist will perform a variety of auditing and resolution-centered activities, answering pertinent questions about coverage to internal and external sources, identifying insurance errors, and recommending solutions. Will be required to work regular office hours at the designated facility. This job description is not intended to be all-inclusive; and employee will also perform other reasonably related job responsibilities as assigned by immediate supervisor and other management as required. This organization reserves the right to revise or change job duties as the need arises. Moreover, management reserves the right to change job descriptions, job duties, or working schedules based on their duty to accommodate individuals with disabilities. This job description does not constitute a written or implied contract of employment. JOB DESCRIPTION Employees in this job complete and oversee a variety of professional assignments to evaluate, review, enter, monitor, and update client insurance and billing information. JOB DUTIES NOTE: The job duties listed are typical duties of the work performed. Not all duties assigned to every position are included, nor is it expected that all positions will be assigned to every duty. Analyzes designated eligibility reports on a daily basis. Communicates with and advises Insurance Verification Team Leader of all questions problems related to insurance verification. Adheres to all policies and procedures related to compliance with all federal and state billing regulations. Communicates with billing representatives regarding any insurance issues that may arise. Maintains a positive and professional attitude. Reads all emails and responds accordingly in a timely manner. Listens to all voicemails and respond accordingly in a timely manner. Works with members of various teams and/or departments on identifying process improvements. Possess flexibility to work overtime as dictated by department/organization needs. Assists in determining proper courses of action for resolution to insurance issues. Possesses problem-solving skills to research and resolve discrepancies, denials, appeals, collections. Possesses strong ability to think outside the box. Has the ability to work in a high stress/demanding environment. Performs additional duties as requested by Team Leads or Management Team. JOB QUALIFICATIONS Advance use of computer system, software, Excel, Outlook and Microsoft (word processing and spreadsheet application). Knowledge of Centricity is a strong plus. Knowledge of insurance guidelines including HMO/PPO, Commercial, Medicare, Medicare Advantage, TN Care's, Medicaid and Private Pay. Ability to work well in a team environment and alone. Being able to triage priorities, delegate tasks if needed, handle conflict in a reasonable fashion and analyze and resolve claims issues and related problems. Strong written and verbal communication skills. Maintaining patient confidentiality as per the Health Insurance Portability and Accountability Act of 1996 (HIPAA). Knowledge of the center's Policies and Procedures. Ability to maintain records and prepare reports and correspondence related to the position. Ability to work directly with upper leadership regarding claims issues and resolutions. Possesses effective communication skills for phone contacts with insurance payers to resolve issues and to communicate effectively with others. JOB EXPECTATION All employees must be clean and well-groomed. Styles dictated by religion and ethnicity aren't restricted. Business casual dress code required. Employees can use their phones during breaks or at lunch hour. Employee must observe and be respectful of co-workers and should never use obscene, discriminatory, offensive, prejudicial or defamatory language in any way. The use of cameras on cell phones during work time is prohibited to protect the privacy of the clients as well as fellow employees, unless permission is granted by fellow employees or managers. Employees are permitted two 15-minute breaks and one hour lunch. Employees must work the agreed upon work schedule. Enter hours worked daily. Request leave in advance to your supervisor for approval. Schedule: Monday - Friday 8am - 5pm Travel : N/A Equipment/Technology : Basic computer skills are required for email, timekeeping, scanning, and fax machine. Advance use of computer system, software, Excel, Outlook and Microsoft (word processing and spreadsheet application). QUALIFICATIONS - Reimbursement Specialist Education: High school diploma or equivalent required. Experience / Knowledge : Extensive knowledge of insurance in relation to proper billing, follow-up and verification duties. Location: Knoxville, Tennessee Apply today to work where we care about you as an employee and where your hard work makes a difference! Helen Ross McNabb Center is an Equal Opportunity Employer. The Center provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment. Helen Ross McNabb Center conducts background checks, driver's license record, degree verification, and drug screens at hire. Employment is contingent upon clean drug screen, background check, and driving record. Additionally, certain programs are subject to TB Screening and/or testing. Bilingual applicants are encouraged to apply. PIf5-

Job Description Job Description Benefits: 401(k) 401(k) matching Dental insurance Health insurance Paid time off Vision insurance Position Summary The Digital Marketing and Communications Specialist is responsible for developing, implementing, and managing NJPNI's digital marketing strategy to strengthen the organization's online presence, increase brand awareness, support patient acquisition, and promote the Practice's physicians, programs, and services. This position serves as the primary steward of NJPNI's digital identity by managing social media platforms, website content, online provider profiles, search engine optimization (SEO) initiatives, digital advertising campaigns, and reputation management. This person works collaboratively with physicians, executive leadership, IT, and external partners to create engaging content, analyze digital performance metrics, identify growth opportunities, and execute marketing initiatives that align with the Practice's strategic goals. This role requires creativity, initiative, strong communication skills, and the ability to independently manage multiple projects while maintaining a consistent and professional brand image across all digital platforms. Key Responsibilities Develop and execute comprehensive digital marketing campaigns that increase patient referrals, promote physician services, and support organizational growth. Manage NJPNI's online reputation by monitoring and responding appropriately to Google reviews and other public review platforms in collaboration with leadership. Develop and maintain an annual digital marketing calendar that aligns with organizational initiatives, physician recruitment, community outreach, awareness campaigns, and strategic priorities. Coordinate the promotion of new providers, specialty programs, clinical services, events, and community partnerships across all digital platforms. Monitor website traffic, search rankings, conversion rates, and engagement metrics; prepare monthly analytics reports with recommendations for continuous improvement. Ensure all website and digital content is accurate, current, HIPAA-compliant, and consistent with NJPNI's branding standards. Capture and create high-quality photo and video content highlighting providers, patient education, office activities, community events, and organizational milestones. Identify emerging digital marketing trends, technologies, and opportunities to improve patient engagement and brand visibility. Ensures that NJPNI has a consistent presence on social media (daily, weekly etc.) Create, curate, and manage all published content (images, video, written). Engage with patients when questions arise via email, reviews, social media etc , reaffirming their concerns, and being active as a brand representative in organic conversations. Analyze Google data with SEO and IT and tailor strategies that may enhance or maintain positive metrics. Collaborate with the IT department (and physicians) in building Google Business profiles, website updates, and reports containing pertinent data that help the marketing team reach more tailored metrics. Collaborate with executive leadership and the Board of Directors to develop, implement, evaluate, and refine digital marketing strategies that support organizational objectives. Take pictures of in-office activity, outside events that involve NJPNI or celebratory/festive gatherings and ensure posting as appropriate on our social media platforms. Ensures that all providers have an online presence and their information is validated and updated frequently as needed (Healthgrades, USA Docs, US News and Health Reports, Google Business Reviews, In-House surveys etc ) Stay updated with the latest social media trends, tools, and technologies. Provide regular reports on social media performance and suggest improvements. Prepared and always ready to add updates to our website and socials as needed. Demonstrates social networking experience and social analytics tool knowledge Knowledge of web design, web development, CRO, and SEO. Perform other duties as assigned. Performance Expectations Maintain an active and consistent presence across all NJPNI social media platforms. Ensure content is posted according to the approved marketing calendar. Monitor and respond to online reviews and digital inquiries in a timely manner. Provide monthly analytics reports demonstrating engagement, website traffic, audience growth, and campaign effectiveness. Demonstrate initiative by proactively identifying opportunities to enhance NJPNI's digital presence and marketing effectiveness. Maintain a professional, collaborative, and highly responsive approach while managing multiple priorities. Demonstrates initiative, creativity, accountability, and the ability to work independently with minimal supervision while consistently meeting deadlines and organizational objectives Qualifications Bachelor's degree in Marketing, Digital Marketing, Communications, Public Relations, Business Administration, Graphic Design, or a related field required. Master's degree or professional marketing certifications (Google Analytics, Google Ads, HubSpot, Meta Blueprint, etc.) preferred. Minimum of 3 years of progressively responsible experience in digital marketing, social media management, brand development, or communications. Experience developing and implementing successful digital marketing campaigns across multiple platforms. Experience creating professional written, graphic, and video content for business or healthcare organizations preferred. Healthcare or medical practice marketing experience strongly preferred. Work Environment & Physical Requirements Standard office environment within a medical practice. Frequent use of computers and telephones. Occasional lifting of files, office supplies, or equipment (up to 20 lbs).

Job Description Job Description Company Description At Mercedes Benz of Calabasas, a Sonic Automotive family dealership, you'll find the opportunities, resources, and support you need to grow and develop professionally. Our 100+ dealerships are concerned with more than moving inventory; they're committed to your success and invested in your future. So read on, and consider a rewarding career with Sonic Automotive, Inc. Hourly pay: $18.00 (The Mercedes-Benz Digital Experience Specialist Position has a Pay Scale consisting of the following elements and ranges. Wages include Base Hourly Compensation of $18.00) Our associates are happy to work here because: We boast the lowest turnover in the industry. We provide award winning training (Training Magazine Top 125, and Brandon Hall Awards). We are committed to developing and promoting within the company. Our benefits are extremely competitive with Medical, dental, vision, HSA, 401k and PTO. We encourage peer to peer teamwork and recognition. Special benefits to purchasing and leasing a car. Personal Automotive Concierge Service. If you want to find out more about the types of jobs we have here, we've highlighted a few. We're proud of what we're doing here. Come and join us! Job Description The Mercedes-Benz Digital Experience Specialist is responsible for assisting dealership customers with the setup, activation, and ongoing use of the Mercedes-Benz me Connect app and connected vehicle services. This position serves as the dealership's primary resource for helping customers understand and maximize their vehicle's digital and connected features. The representative will work closely with the Sales and Service departments to ensure customers have seamless digital experience from vehicle delivery through ownership. Responsibilities include guiding customers through app installation and account registration, pairing vehicles with their Mercedes-Benz account, explaining available connected services, troubleshooting common issues, and providing exceptional customer support. Responsibilities: Assist customers with downloading, registering, and setting up the Mercedes-Benz me Connect app. Guide customers through vehicle pairing, account activation, and connected-service enrollment. Educate customers on Mercedes-Benz digital features, remote vehicle functions, vehicle status, navigation, and other applicable connected services. Troubleshoot common app, account, connectivity, and activation issues and escalate technical concerns when necessary. Partner with Sales Consultants to ensure every new and pre-owned Mercedes-Benz customer receives a complete me Connect introduction during vehicle delivery. Maintain accurate customer and activation information while following dealership and Mercedes-Benz privacy and security procedures. Stay current on Mercedes-Benz connected technology, software updates, app functionality, and new digital products or services. Provide a high level of customer service while creating positive and technology-focused dealership experience. Qualifications Previous experience in customer service, automotive, dealership, technology, or product-support role preferred. Strong understanding and comfort with smartphones, mobile applications, Bluetooth connectivity, and digital technology. Excellent communication skills with the ability to explain technical information clearly to customers with varying levels of technology experience. Strong problem-solving and troubleshooting skills with a patient, solutions-oriented approach. Ability to work effectively with Sales, Service, and management teams in a fast-paced dealership environment. Highly organized, detail-oriented, and capable of managing multiple customer interactions while maintaining accurate records. Professional appearance and demeanor with a strong commitment to delivering an exceptional Mercedes-Benz customer experience. Additional Requirements: Valid driver's license with an acceptable driving record. Must be legally authorized to work in the United States. Ability to successfully complete pre-employment requirements, including background check, motor vehicle record (MVR) review, and drug screening. Additional Information Schedule: Full Time Monday through Saturday availability Sundays off What We Offer: Comprehensive benefits package, including medical, dental, and vision coverage Company-paid life insurance 401(k) retirement plan with company match (Traditional and Roth options) Generous paid time off and paid parental leave Ongoing training and professional development to support career growth A collaborative, performance-driven work environment Learn more: Sonic Automotive is a Fortune 500 leader and one of the largest automotive retailers in the U.S., powering a nationwide network of top-brand dealerships. We're transforming the car-buying experience with a fast-paced, people-first culture, innovative technology, and a relentless drive to win-for our guests and our teammates. All your information will be kept confidential according to EEO guidelines.