Job Listings

The Director of Strategic Sourcing for the Health Plan will lead sourcing strategy, supplier management, contracting, and cost optimization initiatives for all categories of spend supporting Presbyterian Health Plan. This includes categories such as third-party administrative services, pharmacy benefit management (PBM), behavioral health, IT and digital, care coordination, population health programs, marketing, consulting, and other non-clinical categories. This individual will work closely with internal business owners, finance, legal, compliance, and vendor partners to ensure value-driven, performance-oriented sourcing decisions that align with the strategic and...

Presbyterian is seeking a Medical Assistant to provide direct patient care to an assigned group of patients in an Outpatient Clinic. Common responsibilities include preparing the patient for the visit, maintaining efficient patient flow, assisting the provider with treatments and procedures, medication administration, support for clerical functions to include scheduling, referrals, authorization and in-basket support with the EMR.   Type of Opportunity: Full Time...

Presbyterian is seeking a Unit Secretary/Nurse Tech for the Adult Medical Unit at Presbyterian Hospital to perform secretarial/clerical duties while acting as a communication center for the nursing unit. Performs specific patient care procedures (such as bedside testing) under the direction of a licensed Nurse and / or performs specific support-procedures for the operation of a Nursing or Clinical Department. Operates patient monitoring systems   How you grow, learn and thrive matters here.  - Educational and career development options, including tuition and certification reimbursement, scholarship...

  Presbyterian is seeking a Radiology Clinical Support Student to join our dynamic team. This position offers a unique opportunity to gain hands-on experience in a clinical setting, working alongside experienced professionals to support and enhance patient care. You will provide clinical assistance and support to the Radiology X-RAY department by performing a variety of clinical and clerical support functions under the direct supervision of a Licensed Radiology Professional.   Type of Opportunity:...

The Sonographer performs general diagnostic ultrasound exams and related data for subsequent evaluation and treatment by the attending physician. You will perform all cardiac ultrasound (echocardiograms). This role also performs all routine vascular exams for evaluation of possible abnormal vascular defects or disease. Exams are digitally acquired, and measurements are obtained per each specific modality. The ultrasound tech ensures patient safety through the use of procedure protocols and policies. Takes call as needed. Type of Opportunity: Part Time FTE: 0.6 Exempt: No Work Schedule: Weekend Schedule Friday-Sunday  

Summary: Provides primary support to the provider by proactively anticipating the provider needs, preparing the patient for the visit using established patient preparation guidelines, maintaining efficient patient flow, and assisting the provider with treatments and procedures. Performs procedures with completed and documented competency, within organizations MA scope of work, PHS policy and under the supervision of a provider. Administers approved medications under the order and supervision of the provider. Provides support for clerical functions to include scheduling, referrals, and prior authorizations. Performs activities to maintain a clean, stocked, safe, and well-organized patient care environment. Provides in-basket support with the EMR.

Presbyterian is seeking a Patient Financial Advocate- HS General Surgery   Performs financial screening on hospital, Pre-registration, ER and outpatient account, high-deductible plan participants and self-pay patients. Requires thorough knowledge of assistance programs to include Financial Assistance application, Medicaid (PEMOSSA) application and other alternate resource programs in addition to full competency of Presbyterians policy for payment plan application. In depth understanding of benefits administration of PHS contracts and their respective in and out of network arrangements. This role requires comprehension of...

Presbyterian is seeking a dedicated and compassionate Clinic Manager to join our leadership team!   The Clinic Manager coordinates and manages clinic workflow activities and staff to achieve continuous and optimal patient care. Oversee operational aspects of provider practice to ensure clinical quality and financial viability. Responsible for day-to-day operations of clinic practice within a single department and 30 or less staff FTEs.  

Presbyterian is seeking a dedicated and compassionate Clinic Manager to join our leadership team!   The Clinic Manager coordinates and manages clinic workflow activities and staff to achieve continuous and optimal patient care. Oversee operational aspects of provider practice to ensure clinical quality and financial viability. Responsible for day-to-day operations of clinic practice within a single department and 30 or less staff FTEs.  

Presbyterian is seeking a dedicated and compassionate Clinic Manager to join our leadership team!   The Clinic Manager coordinates and manages clinic workflow activities and staff to achieve continuous and optimal patient care. Oversee operational aspects of provider practice to ensure clinical quality and financial viability. Responsible for day-to-day operations of clinic practice within a single department and 30 or less staff FTEs.  

Presbyterian is seeking a dedicated and compassionate Clinic Manager to join our leadership team!   The Clinic Manager coordinates and manages clinic workflow activities and staff to achieve continuous and optimal patient care. Oversee operational aspects of provider practice to ensure clinical quality and financial viability. Responsible for day-to-day operations of clinic practice within a single department and 30 or less staff FTEs.  

Presbyterian is seeking a dedicated and compassionate Clinic Manager to join our leadership team!   The Clinic Manager coordinates and manages clinic workflow activities and staff to achieve continuous and optimal patient care. Oversee operational aspects of provider practice to ensure clinical quality and financial viability. Responsible for day-to-day operations of clinic practice within a single department and 30 or less staff FTEs.  

Performs a variety of routine duties related to environmental services. Maintains cleanliness according to established standards Type of Opportunity: Full Time FTE: 1.000000 Exempt: No Work Schedule: Weekday Schedule Monday-Friday

Presbyterian is seeking a talented Coder-Healthcare Fraud Investigator.   The SIU Investigator III supports Program Integrity efforts at Presbyterian Health Plan by conducting complex investigations into suspected healthcare fraud, waste, or abuse across providers, pharmacies, employees, members, and brokers. Responsibilities include reviewing medical records, identifying improper billing or coding practices, interviewing involved parties, coordinating overpayment recovery, and educating on documentation standards. Ideal candidates bring strong experience in healthcare claims investigations, especially within Medicaid, Medicare, Marketplace, and commercial health plans. - This is a...

Presbyterian is seeking a talented Coder-Senior Healthcare Fraud Investigator The Senior Investigator supports the Program Integrity Manager and department investigators. This role assists with developing, implementing, and performing fraud, waste, and abuse related auditing and monitoring activities. This includes the identification, investigation and correction of fraudulent, wasteful, and/or abusive billing and coding practices; coordination of recovery of overpayments related to fraudulent and/or abusive billing and coding practices; and providing education related to coding, medical record documentation requirements. The Senior Investigator must develop excellent professional relationships with internal and...

Presbyterian is seeking an Assistant Privacy Officer to participate in and support ongoing activities related to the development, implementation, maintenance of the organization's Privacy Program. Support the Presbyterian Healthcare Services (PHS) Privacy Officer in furthering the PHS commitment to protecting the health information privacy and confidentiality of patients, members, and other members of the PHS community. Participates in and supports ongoing activities related to the development, implementation, maintenance of the organization's Privacy Program in order to ensure the protection of patient and member protected health information and other sensitive information in accordance with federal and state laws, other privacy laws...

Now hiring a Patient Access Advocate I-ED   The Patient Access Advocate I provides primary registration of patient accounts for self-pay, government and commercial accounts on date of service for scheduled and unscheduled visits. Perform registration functions, including updating of demographics, insurance verification, collection of point of service liabilities and documentation of registration information within the ADT system. Confirm account being registered has accurate information to ensure clean billing. Must possess basic knowledge of Medicare (CMS) guidelines, as well as other Compliance Regulatory guidelines applicable to Patient Access. Provide...

Presbyterian is seeking a Patient Access Account Specialist I   The Patient Access Account Specialist I provides basic functions to financial clear patient accounts for government and commercial accounts prior to the date of service. Performs basic financial clearance functions, including insurance verification, authorization, collection and documentation of patient demographics, benefit analysis, and pre-service collections. The Patient Access Account Specialist I will ensure follow up on authorizations for scheduled and Urgent/Emergent procedures and admissions until date of service or discharge for admissions. The Patient Access Account Specialist I must...

Now hiring a Patient Access Advocate I-ED   The Patient Access Advocate I provides primary registration of patient accounts for self-pay, government and commercial accounts on date of service for scheduled and unscheduled visits. Perform registration functions, including updating of demographics, insurance verification, collection of point of service liabilities and documentation of registration information within the ADT system. Confirm account being registered has accurate information to ensure clean billing. Must possess basic knowledge of Medicare (CMS) guidelines, as well as other Compliance Regulatory guidelines applicable to Patient Access. Provide...

Now hiring a Patient Access Advocate I   The Patient Access Advocate I provides primary registration of patient accounts for self-pay, government and commercial accounts on date of service for scheduled and unscheduled visits. Perform registration functions, including updating of demographics, insurance verification, collection of point of service liabilities and documentation of registration information within the ADT system. Confirm account being registered has accurate information to ensure clean billing. Must possess basic knowledge of Medicare (CMS) guidelines, as well as other Compliance Regulatory guidelines applicable to Patient Access. Provide the...