Compliance

• Provide strategic compliance guidance to Select Health leaders.
• Develop training and educate stakeholders on compliance and ethics.
• Lead investigations and projects within assigned portfolio.
• Establish communication channels with internal and external stakeholders.
• Promote a culture of compliance and reporting.
• Evaluate risks and develop corrective action plans.
• Monitor changes in regulatory environment and assess implications.
• Support legal counsel and coordinate with HR and other departments.

Senior Partner, PBM Compliance

Account Executive

• Provides extraordinary care to our customers through friendly, courteous, and professional service
• Researches, validates and makes adjustments to payment postings
• Follows up in accordance with procedures and policies with an overall goal of account resolution
• Utilizes resources to find payment documentation and interprets payer contracts
• Initiates payer recoupments, payer refunds, and patient refunds where applicable
• Trains new and existing associates

Patient Account Associate, Tier II - Credit Balances

• Provides extraordinary care to our customers through friendly, courteous, and professional service through a broad understanding of account handling processes.
• Initiates payer recoupments, payer refunds, and patients refunds where applicable.
• Researches, validates and makes adjustments to payment postings.

Patient Account Associate, Tier 1 – Credit Balances

Accounts Payable

• This role is responsible for the timely and accurate processing of payment requests to Intermountain Health's (IH) suppliers for goods and services.
• Ensures that all payment requests are processed in compliance with IH policies and procedures.
• Provides excellent customer service and has a thorough understanding of IH’s Accounts Payable (AP) systems, processes, and controls.
• Solves problems within AP systems.
• Performs routine, repetitive tasks in recording day-to-day transactions related to payables, reconciliations, systems, and reports.
• Resolves errors and notifies appropriate personnel to prevent future occurrences.

Payables Specialist

Call Center Representative

• Responsible for driving standardization, strategy, and execution of telecommunications systems unique to Safety Management across Intermountain Health
• Provide leadership, management, budgetary controls, and continuous improvement across call centers / dispatch / PBX for the system
• Provide high-level oversight for call center operations, ensuring efficient and effective service delivery across all regions
• Lead and enhance quality and service delivery standards across the program
• Assure processes and resources are deployed for planning, installing, servicing, and maintaining appropriate systems
• Leverage data analytics to monitor and evaluate performance, identifying trends, areas for improvement, and opportunities for innovation
• Partner with key stakeholders across the enterprise to ensure best practices are embedded at all levels
• Drive continuous improvement initiatives to enhance the efficiency and effectiveness of security systems and call center/dispatch services
• Develop and implement strategic workforce plans to ensure the team is appropriately staffed, skilled, and prepared to meet current and future needs
• Ensure financial accountability and the cost-effective use of resources while maintaining high standards of service
• Lead change management efforts to drive successful implementation of new initiatives and programs

Director – Emergency Call Center Operations

Client Partner

• The Product Development Partner leads development and management of Medicare products
• Collaborates with cross-functional teams including clinical, compliance, operations, and sales
• Identifies market opportunities and shapes product features
• Monitors financial performance and ensures products meet regulatory requirements
• Directs and guides project and product managers

Product Development Partner – Medicare

Cancer Registrar

• Maintains oncology data in compliance with state and national standards
• Collects, analyzes, and interprets health information to support care sites and accreditation initiatives
• Identifies eligible oncology cases
• Abstracts and reports according to the coding, regulatory and accreditation guidelines at the facility, local, state, and national levels
• Applies case identification and coding rules as is mandated
• Monitors, maintains and ensures quality of abstracts and cancer registry data
• Completes follow up that provides accurate recurrence information
• Supports Care Sites accreditation programs through accurate research and abstraction of diagnostic, treatment and disease status
• Performs real-time and retrospective data review
• Fulfills data requests and generates reports utilizing the cancer registry database
• Prepares tables, graphs, and reports utilizing appropriate benchmarks
• Disseminates information in accordance with professional ethics

Certified Cancer Registrar

Revenue Operations

• This position has responsibilities for the accounting for net patient services revenue, primarily from the hospitals (Hospital Billing or HB) and medical group clinics (Physician Billing or PB) of Intermountain Health.
• This position also ensures financial accounting and reporting follows U.S. generally accepted accounting principles (U.S. GAAP); maintains a strong system of internal controls; hires, trains, develops and retains competent personnel; and provides excellent service to internal stakeholders.
• Manages the day-to-day operations and performance of net revenue accounting processes and procedures.
• Manages the inputs, assumptions and outputs of the Kodiak RCA net revenue valuation tool.
• Coordinates with Revenue Cycle, Finance, Payer Contracting and Kodiak to maintain accuracy and completeness of revenue valuation.
• Supervises the net revenue department during the month-end close process and prepares or reviews assigned balance sheet account reconciliations.
• Prepares and supports the reporting of monthly net revenue results to the regional finance teams.
• Works closely with accounting managers to ensure net revenue numbers are properly reported each month.
• Reviews all month-end journal entries prepared by the net revenue analysts prior to posting and analyzes results (including understanding variances to forecast, trend and plan).
• Ensures the net revenue analysts adhere to the month-end processes, timelines, and quality expectations.
• Mentors analysts to produce accurate and timely work.
• Collaborates with reimbursement, revenue cycle, and regional finance teams to develop and support net revenue forecasts and plans.
• Participates in the preparation of operational and capital budgets for hospitals and medical groups.
• Maintains effective and appropriate staffing and staff scheduling to ensure goals are met.
• Promotes staff flexibility and cross-training.
• Provides communication to associates through huddles, staff meetings and other forms of communication to relay updates regarding department updates, organizational activities, financial performance, educational opportunities and interdepartmental activities.
• Supports enterprise initiatives related to net revenue through detailed analysis and execution support.
• Identifies and implements process improvements within net revenue accounting workflows to enhance efficiency, accuracy, and timeliness.

Manager, Revenue Management

Accountant

• Safeguards Intermountain Health's assets through monthly accounting operations and internal controls
• Ensures accurate and compliant financial reporting
• Understanding account balances, completing reconciliations, performing data analysis
• Supporting the companies assigned to their team and manager
• Acts as an accounting technical resource to others
• Provides expertise in applying generally accepted accounting principles to all phases of accounting operations
• Responsible for in-depth analysis of accounting tasks, critical accounting entries and financial statement review
• May have responsibility for the month-end close of a company

Senior Accountant

Social Worker

• Utilizes clinical expertise to perform psychosocial assessments
• Develops and implements care plans in collaboration with the care team
• Assesses crisis situations to provide clinical counseling and resources
• Provides individual and family treatment as indicated
• Works collaboratively with patients, their support persons, healthcare providers, and community resources
• Develops and monitors care plans addressing social determinants of health
• Promotes mental health care including women’s services and trauma-informed care
• Facilitates clinical goals of care discussions with patients and families

Manager

• Identifies patients for proactive interventions using specific screening criteria, medical record review, payor models, medical risk scores, or referrals.
• Assesses patients' medical, functional, and social conditions per department policy/guidelines to develop individualized care plans and connect them with community resources.
• Develops, maintains, and monitors patient care plans consistent with NCQA and department policies/guidelines, ensuring adherence to medical plans and focusing on prevention measures.
• Supports patient self-management and behavior change using motivational interviewing and coaching techniques.
• Educates healthcare team members about case management processes, appropriate referrals, and advocates for patient rights.
• Collaborates with physicians and other healthcare team members on the patient’s behalf to ensure quality and timely care.

RN Ambulatory Care Manager

• Leads and collaborates with care management operations across utilization review, acute and emergency department care, and ambulatory/community settings
• Oversees multiple disciplines at various care sites within a market or region
• Works collaboratively with medical staff, nursing, clinical, and revenue cycle leaders to optimize patient care and financial performance
• Manages departmental services, including social work and complex care planning, transitions of care, and utilization management
• Ensures compliance with state, national, and regulatory requirements while fostering workforce development
• Plays a crucial role in shaping enterprise-wide strategies to deliver safe, high-quality, patient-centered, and equitable care
• May require travel to various locations for operational oversight and leadership support

Manager, Care Management

• partners with all SelectHealth departments to build and maintain strong relationships with brokers, employers, providers, members and Select Health Stakeholders.
• participates in actual Care Management and leads special projects for related programs, serves on committees for process improvement and serves as a care management subject matter expert / mentor in Healthy Connections and Select Health.
• provides interdepartmental and leadership support for line of business leaders.
• communicates, collaborates, educates, and demonstrates the value of SelectHealth Utilization and Care Management services and programs to new and existing employer groups, brokers, providers, partners, networks, and other Select Health departments.
• responsible for creating and presenting Utilization and Care Management reports and content that is compelling and resonates with our target audience.
• monitors, evaluates, and assess clinical and claims data related to client groups' employee's information and identifies members unable to adhere to a medical plan or requiring complex additional assistance and refers or enrolls these members to care management services.

RN Care Management, Sales Consultant

Records Clerk

• Provides support and various tasks related to the patient record system
• Greets customers, answers telephone calls, takes messages and forwards calls
• Distributes and explains paperwork or forms to customers
• Collects, copies or processes items from customers
• Ensures customers requests are triaged and handled appropriately and timely
• Responds to requests for information and appropriately processes information per policy
• Professionally handles difficult situations with customers
• Provides clerical support

Office Records Clerk

Associate

• Shape and lead new opportunity sourcing, funding, and development process
• Temporarily serve as business leader of early-stage businesses that are under development
• Support the development of an ecosystem of entrepreneurs, business ideas, and other relationships to support new opportunity development.

IMH