Role Description Trillium Health Resources has a career opening for a Provider Support Service Specialist to join our team! This position provides non-clinical administrative support to network providers, staff, community stakeholders, state and local entities, and/or other managed care organizations. This position requires significant knowledge in Trillium Health Resources procedures, policies, workflows, and the Trillium Provider Manual. Primary job duties and responsibilities are to support network providers with accuracy and promptness and provide effective and efficient customer service. This support can vary in forms such as, but not limited to, telephonic support and/or electronic mail (email) through the Provider Support Service Line. Provider Support Service Specialist answers inbound calls and assists callers by connecting them to the appropriate party, sharing information, providing technical assistance, and answering questions. The Provider Support Service Line may often be the first interaction with the organization; therefore, the Provider Support Service Specialist must respond to the person’s needs in a professional service-oriented manner and maintain the highest level of customer satisfaction by triaging the emails and calls, and ensuring the questions, concerns, or issues get directed or transferred to the appropriate Trillium unit or department. On a typical day, you might: - Answer inbound calls for a call center, focusing on customer service. - Process sensitive, confidential and complex information with discretion and professionalism. - Responsible for functions related to a support specialist that extends to the entire scope of operational activities. - Prepare, process, and review oral and written material. - Assist in the preparation of informational documents, reports and/or special projects. - Answer and resolve caller’s questions, concerns, inquiries and complaints. - Perform general clerical work such as, but not limited to, scheduling meetings and/or events, conducting research and reporting findings, and documenting meeting minutes. Qualifications - High School Diploma or GED and one (1) year clerical experience. OR Equivalent combination of education/experience. - Must have a valid driver’s license. - Must reside within North Carolina. - Must be able to travel within catchment as required. Requirements - Two (2) years clerical/direct customer service with six months of call center experience (preferred). - One (1) year of experience in behavioral/mental health, substance abuse and developmental disabilities field or physical health/medical field (such as Doctor’s office, Pharmacy or related health care field) (preferred). Benefits - Typical working hours: 8:30 am – 5:00 pm; flexible work schedules with some roles with management approval. - Work-from-home options available for most positions. - Health Insurance with no premium for employee coverage. - Flexible Spending Accounts. - 24 days of Paid Time Off (PTO) plus 12 paid holidays in your first year. - NC Local Government Retirement Pension (defined-benefit plan). - 401k with 5% employer match and immediate vesting. - Public Service Loan Forgiveness (PSLF) qualifying employer. - Quarterly stipend for remote work supplies.

Role Description Accuris is looking for a Deal Management Specialist to support sales teams in the EMEA region by guiding them through the sales cycle, ensuring deals are structured correctly, and compliant with company policies. This role acts as a liaison between sales, legal, finance, and other departments to facilitate and streamline the process of quoting, contracting, and approving sales transactions. Key Responsibilities: - Manage deal flow: - Coordinate the end-to-end process for deals, from initial creation and quoting to final approval and contract management, ensuring deals move efficiently through the sales cycle. - Review and Validate Sales Opportunities: - Ensure compliance with company policies and pricing guidelines. - Ensure that deal-related information in Salesforce is complete and accurate to facilitate the booking process. - Assist in Deal Structuring: - Provide guidance to sales representatives with pricing quotes, policy interpretation, and terms and conditions for deals. - Manage Approval Processes: - Ensure timely and accurate routing of deals to appropriate stakeholders. - Maintain Documentation: - Keep pricing guides, approval workflows, and contract templates up to date. - Implement Process Improvements: - Streamline operations to enhance efficiency and effectiveness. - Provide Training and Support: - Support enablement efforts by helping educate Sales on deal processes and best practices. - Track and Report Metrics: - Monitor deal cycle time, approval rates, and pricing compliance. - Collaborate with Cross-Functional Teams: - Work closely with departments like sales, finance, legal, order management, pricing, and customer success to ensure smooth and timely transaction processing. - Serve as the subject-matter expert on deal policies, approval workflows, and discount thresholds. - Identify bottlenecks and proactively escalate issues that could delay deal closure. - Analysis & Optimization: - Analyse deal trends and provide insights to improve pricing discipline, win rates, and deal velocity. - Recommend process improvements that reduce friction and enhance the end-to-end deal experience. - Support forecast accuracy by ensuring high-quality deal data. Qualifications - Fluent English (written and verbal) essential. - Proficient in Salesforce. - Strong communication and interpersonal skills. - Attention to detail and accuracy. - Experience in SaaS or subscription-based business models. - Familiarity with legal terms and contract review. - Analytical mindset with the ability to interpret data and identify trends. - Strong stakeholder-management skills. - Ability to analyze, problem solve and balance competing priorities. - Project management and organizational skills. - Ability to work independently and as part of a team. - Must be able to take initiative and make decisions. - Business and financial acumen. - Problem-solving abilities. - Ability to work in a fast-paced environment and manage high-volume periods. - Minimum 3 - 5 years experience working in Deal Desk/Deal Management or Sales Support/Operations environment. Company Description Accuris, a company long-known for accelerating innovation in engineering workflows and supporting the vibrancy of the engineering community, launched in May 2023 as a standalone company. Accuris was formerly known as S&P Global’s Engineering Solutions division. The Company is valued for its standards content and workflow solutions like Engineering Workbench, Goldfire, Haystack, and Parts Management Solutions. Under its previous owners, including S&P Global, IHS, and IHS Markit, Accuris has been an integral part of the engineering ecosystem for more than 60 years. Accuris delivers essential intelligence that powers decision making. We provide the world’s leading organizations with the right data, connected technologies, and expertise they need to move ahead. We think differently, combining the knowledge and resources of an established company with the unapologetic boldness of a startup. Our mission: build an evolvable knowledge and data platform that enables STEM professionals to unlock and deliver innovation to the world’s most complex problems. Accuris 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, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.

Role Description We are looking for a detail-oriented Credentialing Specialist to own the end-to-end execution of our provider credentialing lifecycle. Reporting to the Credentialing Manager, you will be the engine behind our provider network’s compliance, ensuring that every clinician on our platform meets NCQA, state, and federal standards. You will manage the relationship with our Credentials Verification Organization (CVO), resolve complex enrollment bottlenecks, and ensure our data integrity remains high to prevent RCM claim denials. What You'll Do - End-to-End Credentialing Execution - Pipeline Management: Manage the full credentialing and re-credentialing cycle for providers across delegated and non-delegated payer arrangements. - Primary Source Verification: Ensure all provider files (Licensure, DEA, Board Certs, Malpractice) are verified and maintained in accordance with NCQA standards. - CAQH & System Maintenance: Serve as the internal expert on CAQH ProView; ensure provider profiles are accurate, attested, and synchronized with internal databases. - CVO Partnership: Act as the primary day-to-day contact for our CVO partners, monitoring their SLAs and auditing their work for accuracy before committee review. - Monitoring & Compliance Maintenance - Expirables Management: Proactively track and manage upcoming expirations for licenses and certifications to prevent provider "dark time" or insurance department. - Ongoing Monitoring: Execute monthly checks against OIG, SAM, and Medi-Cal/Medicaid sanction lists; investigate and document any "flags" for Manager review. - Committee Support: Prepare high-quality credentialing packets and summary reports for the Credentialing Committee to ensure efficient decision-making. - RCM Collaboration & Process Improvement - Denial Resolution: Partner with the Revenue Cycle Management (RCM) team to troubleshoot claim denials linked to credentialing or enrollment errors. - Workflow Optimization: Identify repetitive manual tasks within the credentialing funnel and suggest automation or process shifts to increase "speed to lead" for new providers. Qualifications - Experience: 4+ years of hands-on healthcare credentialing experience, including directly managing processes end-to-end (Behavioral Health experience is a major plus). - Regulatory Knowledge: Solid understanding of NCQA standards and the primary source verification process. - Systems: Proficiency with CAQH and experience working with a CVO. - Education: Bachelor’s degree preferred, or equivalent years of specialized experience. - Certification (Preferred): CPCS (Certified Provider Credentialing Specialist). Benefits - We’re a remote-first company - Health insurance plans through Aetna (medical and dental) and MetLife (vision), including FSA and HSA plans - 401K plan (ADP) - Lifestyle Spending Account for health, wellness, and family care - Monthly co-working space membership stipend - Monthly work-from-home stipend - Financial wellness benefits through Northstar - Pet discount program through United Pet Care - Financial perks and rewards through PerkSpot - EAP access through Aetna - One-time home office stipend to set up your home office - Inclusive family and medical leave plans - 12 paid holidays and 1 Alma Give Back Day - Flexible PTO - Salary Band: $70,000 - $90,000

Inpatient Audit Specialist PRN    Remote - United States Part-time regular   Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world’s health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient’s request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health.  By joining Datavant today, you’re stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. As an Inpatient Auditing Specialist you will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, interim coding management, and coding workflow operations reviews. In this role, you will offer meaningful information tailored to exceed customer expectations, actively identifying and presenting solutions for customer issues. This role is fully remote with a flexible schedule, allowing you to help shape the future of healthcare from your own workspace! Seeking: PRN IP Audit Specialist 3+years' experience.  Experience with Streamline evaluator, Cerner, 3/m a plus.  Will be responsible for onboarding and monthly IP coding QA; CCS certification. You Will: - Conduct inpatient coding audits on medical records, utilizing ICD-10-CM, CPT, and appropriate coding references for accurate DRG and APC assignment. - Review non-CC/MCC records to assess proper coding or identify the need for additional documentation. Scrutinizes all HCPCS and CPT codes influencing APC assignment. - Provide coder education through the auditing process. - Prepare preliminary results for review by the facility or CCS HIM director. - Review disagreements on APC/DRG changes with the appropriate manager. - Prepare the final reports for the coding audit and actively participates in the resolution of audit findings. - Provide coder education via email and/or conference calls, utilizing the audit spreadsheet findings and comments. - Attend coding workshops as necessary. - Stay current with regulatory changes. - Organize and prioritize multiple cases concurrently to ensure departmental workflow and prompt case resolution. - Demonstrate versatility and exceptional work across a wide range of coded services. - Meet with client facility representatives to discuss issues and trends identified in audits. - Develop and implement education for physicians, nursing, and other clinical staff to enhance documentation. - Communicate effectively with co-workers, management, and hospital staff regarding clinical and reimbursement issues. - Function in a professional, efficient, and positive manner. - Adhere to the American Health Information Management Association’s code of ethics. - Maintain a customer-service focus and exhibits professionalism, flexibility, dependability, a desire to learn, commitment to excellence, and commitment to the profession. - Conduct audits on external coding staff as needed and provides reports to the manager as directed. - Handle a high complexity of work functions and decision-making. - Demonstrate strong organizational, teamwork, and leadership skills. Seeking: PRN IP Audit Specialist 3+years' experience.  Experience with Streamline evaluator, Cerner, 3/m a plus.  Will be responsible for onboarding and monthly IP coding QA. What you will bring to the table:  - 3+ years experience coding and auditing - Associate or Bachelor's degree from an AHIMA-certified HIM or Nursing Program, or completion of a certificate program from AAPC with a preference for CCS - Preferred: CCS, RHIT, or RHIA credentials. - Recent experience in academic/level 1 trauma centers - Experience coding and auditing inpatient and outpatient records for various facilities - Track record of acceptable productivity standards - Maintain 95% accuracy rate for APC assignment and 95% productivity rate - Experience with various software including EMR, Encoder and Auditing software   Perks:   - Benefits for Full-Time employees: Medical, Dental, Vision, 401k Savings Plan w/match, 2 weeks of paid time off, and Paid Holidays, Floating Holidays - Free CEUs every year  - Stipend provided to assist with education and professional dues (AHIMA/AAPC) If Applicable - Equipment: monitor, laptop, mouse, headset, and keyboard - Comprehensive training led by a credentialed professional coding manager  - Exceptional service-style management and mentorship (we’re in this together!)   We are all responsible for stewarding a high-performance culture in which all Datavanters belong and thrive. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. Our compensation philosophy is to be externally competitive, internally fair, and not win or lose on compensation. Salary ranges for this position are developed with the support of benchmarks (competitive San Francisco rates for US-based roles) and industry best practices.    We’re building a high-growth, high-autonomy culture. We rely less on job titles and more on cultivating an environment where anyone can contribute, the best ideas win, and personal growth is driven by expanding impact. This means we default to simple job titles (e.g., Software Engineer) rather than complex ones (e.g., Senior Software Engineer).  Pay ranges for this job title may differ based on location, responsibilities, skills, experience, and other requirements of the role.  The estimated base pay range per hour for this role is: $35—$45 USD To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and determined on a case-by-case basis. Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion. This job is not eligible for employment sponsorship. Datavant is committed to a work environment free from job discrimination. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. To learn more about our commitment, please review our EEO Commitment Statement here. Know Your Rights, explore the resources available through the EEOC for more information regarding your legal rights and protections. In addition, Datavant does not and will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay.  At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your answers will be anonymous and will help us identify areas for improvement in our recruitment process. (We can only see aggregate responses, not individual ones. In fact, we aren’t even able to see whether you’ve responded.) Responding is entirely optional and will not affect your application or hiring process in any way. Datavant is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need an accommodation while seeking employment, please request it here, by selecting the ‘Interview Accommodation Request’ category. You will need your requisition ID when submitting your request, you can find instructions for locating it here. Requests for reasonable accommodations will be reviewed on a case-by-case basis. For more information about how we collect and use your data, please review our Privacy Policy.