Providence

Claims Specialist

• Follow up on insurance denials and aged claims
• Submit claims to secondary payers and ensure accurate billing information is submitted
• Answer all information requests from payers
• Trace all claims to ensure they have been paid or denied appropriately
• Re-submit claims to government agencies and insurance companies
• Submit claims appeals with supporting documentation as necessary
• Resolve aged insurance balances
• Act as a resource for billing office staff

Senior Claims Specialist – Physicians Billing

Financial Planning and Analysis

• Play an integral role driving financial impact across the organization.
• Provide enterprise-wide financial planning and analysis.
• Join a culture of patient-focused, whole-person care.

Senior Finance Manager

Manager

• Care Management is a collaborative practice model including the patients, nurses, social workers, physicians, other practitioners, caregivers and the community.
• The care management process encompasses excellent communication, both verbal and written, and facilitates care along a continuum through effective resource coordination.

Care Manager, RN – Weekend Per Diem

Call Center Representative

• Responsible for triaging incoming calls, assessing needs and providing appropriate healthcare options
• Facilitate referral to primary providers, health care facilities and community resources
• Educate the caller regarding immediate health care advice, possible health related risks, wellness/prevention behaviors and opportunities

Advice RN – Call Center

Counselor

• Handles direct interaction with patients and their families providing financial insurance and payment information.
• Educates patients on various sponsorship programs.
• Liaison to the PBO/RBO and the sponsoring hospital.

Patient Financial Counselor – Hematology Oncology

QA Engineer

• Provides assessment, evaluation and support for all quality initiatives within PHS Oregon
• Provides concurrent and retrospective support managing initiatives to comply and in accordance with Center for Medicare and Medicaid requirements
• Adheres to The Joint Commission (TJC) requirements
• Works with administrative and program personnel, and third party payors
• Supports quality initiatives and manages related projects

RN – Quality Assurance

Business Analyst

• Responsible for embedded Application support and/or Business Analysis for solutions in use by ORC Customers
• Provide general troubleshooting and system support, implementation planning, testing, communication, and training for assigned IT solutions in ORC
• Provide continuous support and analysis for various simple to moderately complex ORC issues

Business Intelligence Developer

• Design, create, and manage BI and analytics solutions to turn data into knowledge.
• Enhance business intelligence capabilities to help Providence make informed decisions.
• Collaborate within the team to support better data-driven decisions.

Business Intelligence Analyst

Systems Engineer

• responsible for day-to-day monitoring and support of the revenue cycle automations
• responsible for troubleshooting, testing, error remediation
• reviewing and implementing automation modifications needed
• acts as consultant, facilitator, and teacher for department staff with respect to automation opportunities
• works closely with Providence IS resources to facilitate large system alterations
• acts as the primary system support for RPA applications

Senior Revenue Cycle Systems Analyst

Community Manager

• Developing and implementing strategic sales and marketing initiatives specifically aimed at increasing enrollment in Dual Eligible Special Needs Plans (DSNP) for Providence Health Plan.
• Networking and building relationships within the community with organizations and influencers that serve dual-eligible beneficiaries.
• Enhancing Providence Health Plan's visibility in the service area through travel within assigned territories.
• Actively participating in targeted professional and/or community groups, provider groups, health fairs, and community events.
• Effectively communicating Providence's mission, values, and vision to community influencers focusing on dual-eligible individuals.

Community Liaison

Clinical Operations

• Leads the alignment, standardization and ongoing improvement of ministry length of stay for designated patient populations
• Serves as designated ministry liaison with providers and ministry Care Coordination teams
• Plans and develops reporting tools for sharing of information between division and ministry teams

Clinical Program Manager, RN

Program Manager

• Serve as a strategic data and report consultant to local HR and operational leaders.
• Facilitate best practice approaches to labor and employee relations.
• Prepare data metrics and dashboards and make recommendations for workplace environment improvement.
• Provide expertise and appropriate data systems to support regulatory and agency requirements as well as all federal and state employment laws.

HR Program Manager – Labor Relations

• Plays a key role in creating, managing, and executing diversity, equity, and inclusion strategic priorities.
• Leads Diversity, Equity, and Inclusion communications efforts, crafting and executing campaigns that support the deployment of DEI strategies, programs, and initiatives across the Providence family of organizations.
• Possesses project management skills and change management skills.
• Develops DEI communications and performs all duties in a manner which promotes an environment where everyone feels they belong and that supports the values of compassion, dignity, justice, excellence, and integrity.
• Expected to work onsite 2 to 3 days a week rotating among locations in the greater Portland area as needed.

Diversity, Equity and Inclusion Manager

Learning and Development

• Provide an effective education program to advance the quality and production level of the Claims Department
• Develop and delivery claims training programs that continuously improves the Claims Department performance
• Coordinate, plan, prepare, schedule, deliver, and evaluate staff education, manuals, and materials
• Assist with the orientation, education and integration of new employees in the Claims Department

Education and Training Specialist – Claims Processing

Field Engineer

• Lead AI architecture initiatives that transform IT service delivery at scale
• Design and implement AI-driven guardrails, governance, and solutions to optimize workflows
• Translate complex caregiver, business, and technical requirements into resilient, compliant service architectures
• Design the future of reliable, scalable, caregiver and patient-focused AI services