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Job Description R&D Partners is seeking to hire a Quality Control Analyst I in Fort Worth, TX. Your main responsibilities as a Quality Control Analyst I: · Ensure that lab cleanliness and safety standards are maintained. · Develop and qualify new testing methods. · Train other analysts to perform laboratory procedures and assays. · Perform visual inspections of finished products. · Participate in internal assessments and audits as required. Why Choose R&D Partners? As an employee, you have access to a comprehensive benefits package including: • Medical insurance – PPO, HMO &, • Dental & Vision insurance, • 401k plan, • Employee Assistance Program, • Long-term disability, • Weekly payroll, • Expense reimbursement, • Online timecard approval Pay Scale: $49,920 - $62,400 Dependent on Experience) R&D Partners is a global functional service provider and strategic staffing resource specializing in scientific, clinical research & engineering. We provide job opportunities within major pharmaceutical, biopharmaceutical, biotechnology, and medical device companies. R&D Partners is an equal-opportunity employer. Company DescriptionR&D Partners is a national staffing firm focused in the areas of: Scientific, Clinical Research and Engineering. Our team offers well over 200 years of combined staffing experience providing consulting, direct hire & outsourcing solutions with our west coast offices in San Francisco, Redwood City and San Diego, CA and our east coast offices located in Harrisburg, PA and Tampa, FL. The cornerstone of our success: a knowledgeable and experienced recruiting team. Our life sciences recruiters, clinical research recruiters and engineering recruiters are uniquely specialized. After a detailed assessment of our clients’ needs, we can then identify appropriate candidates utilizing our established network of professionals. R&D Partners takes a proactive approach to recruiting, establishing relationships with experienced passive candidates so when the time is right, we can combine our candidates’ talents with our clients’ opportunities.R&D Partners is a national staffing firm focused in the areas of: Scientific, Clinical Research and Engineering. Our team offers well over 200 years of combined staffing experience providing consulting, direct hire & outsourcing solutions with our west coast offices in San Francisco, Redwood City and San Diego, CA and our east coast offices located in Harrisburg, PA and Tampa, FL.\r\n\r\nThe cornerstone of our success: a knowledgeable and experienced recruiting team.\r\n\r\nOur life sciences recruiters, clinical research recruiters and engineering recruiters are uniquely specialized. After a detailed assessment of our clients’ needs, we can then identify appropriate candidates utilizing our established network of professionals. R&D Partners takes a proactive approach to recruiting, establishing relationships with experienced passive candidates so when the time is right, we can combine our candidates’ talents with our clients’ opportunities.

BCBA - Clinical Director Why Thrive? Thrive Behavior Centers is a locally owned company that offers personalized, center-based ABA therapy to children with autism. Our centers are fun, inclusive, and give our first-class clinical staff the opportunity to positively impact their clients' lives. Our leadership respects the important work our team does every day and values the unique contributions of every team member. We give our team members the support and tools they need to thrive! • Realistic Caseloads and Billing Requirements!, • Flex Scheduling!, • Administrative Support! (including scheduling), • Professional Growth and Advancement Opportunities!, • Clinical Collaboration and Support, Especially for New BCBAs!, • Competitive salaries based on experience!, • Up to $5,000 welcome bonus, • Performance Bonuses based on true performance goals rather than billable hours!, • 401(k) Retirement Plan with company matching funds, • 29+ Paid Days Off – Includes 10 vacation days, 11 paid holidays (including one paid week off at Christmas), 8 Paid Sicks Days, and unlimited Flex-time-off Your Benefits: • Health Benefits: Medical, Dental, and Vision Insurance Packages; Life Insurance; Supplemental Insurance (Hospital Care, Accident, and Critical Illness)., • Family Leave Care: Paid Maternity/Paternity Leave; Free Short-Term Disability (which can be used with maternity leave), • Professional Support: All Certification Renewals and Applications Costs; Comprehensive CEU & Training Package, • Staff Recognition & Rewards: Social Rewards Platform (points are given and received to be exchanged for merch, gift cards and more); Door Dash Pass, • Team Building: Quarterly Staff Social Events (paid for by the company) What Our Team Says About Us: We care about our people at Thrive, and we survey our team to see how we are doing. Here are some anonymous responses from our staff: • “The mission statement of the company is great, and everyone really cares about what they’re there to do. You can always rely on your coworkers to help you out whenever needed.”, • “I would gladly recommend TBC to others because of the amazing work environment.”, • “The company is good at understanding when life happens. They also really value the clients and staff.”, • “Thrive is a great company to work for because every day they show how much they care for their clients and employees.”, • “While each center is different, we have a group culture of support that I love!”, • “I like that we provide quality and ethically sound ABA.”, • “The community feels like family!”, • “I truly feel like I am able to provide therapy and make a difference in my clients lives.”, • “I like the company's core values and standards that they uphold. Everyone is a team player and always willing to help.”, • “Working at Thrive is like being a part of a family that’s doing amazing things!”, • “Thrive has people who care about people, I think there is effort made from all angles to make Thrive a great place to work.”, • “Thrive a supportive environment with opportunities to grow!” Our Locations: • Alliance Center (North Fort Worth): 5340 N. Tarrant Pkwy., Fort Worth, TX 76244, • Aledo Center (Aledo, Willow Park, Weatherford): 161 J.D. Towles Dr., Willow Park, TX 76087, • Burleson Center: 12333 Bear Plaza Ste. 200, Burleson, TX 76028, • Sycamore Center (Southwest Fort Worth): 5520 Sycamore School Rd., Fort Worth, TX 76123, • Flower Mound Center: Opening Soon! Job Duties: Clinical Directors report directly to the Regional Clinical Director. Managing a reduced caseload, they oversee and supervise the staff team in the center. Some specific duties and responsibilities include, but are not limited to: • Creating personalized treatment plans with measurable goals using the Thrive Behavior Centers Treatment Model:, • Provide ongoing and responsive case management which meets the client's unique needs., • Demonstrate leadership qualities while providing effective training and learning opportunities for employees., • Provide training and supervision for Behavior Technicians, Behavior Analyst Interns, • Provide practical and compassionate caregiver education and training to assist families in supporting the client's needs., • Demonstrate understanding of initial and ongoing authorization requirements, • Demonstrate fluency in the use of Central Reach Clinical Management Software, • Model behaviors consistent with the mission and core values of Thrive Behavior Centers., • Model behavior consistent with the BACB ethical code, TBC policies and procedures, privacy regulations and respect for client dignity., • Manage clinical schedule to ensure optimal clinical outcomes, • Effectively lead your center to ensure client and employee wellbeing., • Complete any additional assigned tasks as directed. Requirements: • Current BCBA certification and LBA license, • At least two years’ experience as a practicing BCBA, • At least one year of experience with early intervention (managing client cases who are working on acquiring early learner skills including functional communication, play and adaptive skills) with children with autism., • Masters’ Degree in ABA, Special Education, or another related field, • Supervisory, leadership or management experience – 2 years, • Current CPR/AED and/or BLS certification

Company Description The Behavioral and Speech Institute of Texas, PLLC is a specialized ABA agency owned and operated by a Board Certified Behavior Analyst (BCBA) and a Speech-Language Pathologist. The institute focuses on providing high-quality early intervention services designed to meet the unique needs of individuals while promoting a healthy work-life balance for our clinical and support staff. Services are offered in various settings, including in-home, community, and clinic-based environments. The organization is dedicated to promoting positive behavioral changes and improving outcomes for children and their families. Our moto is small case load = Big Impact! Role Description The Behavioral and Speech Institute of Texas, PLLC is seeking a dedicated Board Certified Behavior Analyst (BCBA) for a full-time, on-site role in the Greater McAllen Area. The BCBA will be responsible for developing and implementing behavior intervention plans, conducting assessments, and supervising behavior technicians. Regular responsibilities include evaluating client progress, providing parent education and training, collaborating with other professionals, and ensuring adherence to evidence-based practices. Qualifications • Expertise in Behavior Analysis and Applied Behavior Analysis (ABA), • Strong skills in Behavior Management and implementation of intervention strategies, • Experience in providing Parent Education and supporting caregivers, • BCBA certification and licensure in the state of Texas (or eligibility for licensure), • Excellent communication and organizational skills, • Experience working with children, particularly children diagnosed with Autism Spectrum Disorder, • Team-oriented and committed to collaboration, • Bilingual (English and Spanish)

Job DescriptionJob Title Epic Application Systems Analyst -- Tapestry Job Description Both Senior (5+ years experience) and Associate-level Analyst (3+ years experience) positions are available. We have roles for Benefits, Provider, Eligibility and Enrollment, Referrals and Healthy Planet, Portals and CRM. Jobs in this family are responsible for developing, testing, maintaining, installing, and/or deploying of applications and related information technologies. In addition, they are responsible for the establishment, development, and promotion of standard architectures, as well as hardware and software components. This role provides consulting services regarding how to integrate information technologies into clinical and business processes and the effective application of industry and organizational technology standards. This position is an independent contributing information technology professional within the Systems Analyst family. This position develops and applies their expertise in two or more application areas, striving to ensure that applications and the related information technologies continue to meet the ever-changing clinical and business requirements of the organization. Expected activities include but are not limited to: Monitoring the effectiveness of applications and related information technologies in meeting user requirements. Modification of applications as needed to meet user requirements. Definition and development of reports, performing application upgrades, resolution of problems and issues associated with installed applications and related information technologies, diagnosis of failures encountered in application software and related technologies and quality control of all application implementations/enhancements prior to release to customers. Maintaining an awareness of vendor and industry developments/plans in area(s) of responsibility. Communication and documentation of all relevant items and activities. This position will also consult with personnel in the organizational units within the area of responsibility to analyze current operational procedures, identify problems, learn specific input and output requirements and recommend solutions that improve operations. Required skills & experience (the “must haves” to be considered) • Position requires at least 5 years (Senior) or 3 years (Associate) of direct experience (this can be a combination of clinical and Epic. For example, 2 years of clinical and 1 year of Epic, or some other combination thereof) and a high school diploma or equivalent., • BA/BS degree in IS or Business is preferred., • May have an equivalent combination of education and/or experience in lieu of education and/or experience stated above. Licensure, Registration, and/or Certification: Epic Tapestry certification What you need to know • This position is based in Fort Worth, Texas., • This is a three-month contract-to-hire position. However, the client will consider permanent candidates, as well as contractors., • For full-time candidates that will be relocating, there is a relocation bonus paid on a case-by-case basis. It is a $2,000 lump sum paid on the first paycheck.

Job DescriptionCompany Description Therapy & Beyond is one of the largest BCBA-owned ABA organizations, founded and led by Dr. Regina Crone, BCBA-D, since 2006. At Therapy & Beyond, we approach the needs of each patient both individually and as part of a dynamic interdisciplinary team working with experts in applied behavior analysis (ABA) therapy, speech-language pathology, occupational therapy, and counseling. We love helping individuals reach their full potential by supporting not only the patient but also their family. We are passionate about what we do while remaining true to our defining core values of: Putting People First, Doing Our Best Together, Making Therapy Fun, and Above All, We grow potential! Job Description The Occupational Therapist position is responsible for the direct implementation and collaboration of the assigned patients and will work closely with the behavior analyst to ensure that each patient in the agency receives quality therapeutic care. This role will be a Full-Time position supporting clients on-site at our Colleyville, TX facility. • Perform clinical assessment; identify patient needs and appropriateness of patient., • Document, prepare/revises, and complete a Plan of Care, progress notes, and other clinical record documentation on an ongoing basis., • Assess and facilitate the patient’s ROM, strength, coordination, need for and use of adaptive equipment and environmental modifications, functional mobility, and safety issues as related to the patient’s ADL performance needs., • Perform other duties as assigned., • Implement, monitor, collect and evaluate data., • Evaluate the efficacy of the treatment, • Effective demonstration of the implementation of therapy, • Demonstration of professional behavior, • Competence with Crisis Intervention, • Facilitate effective training with parents and staff.Qualifications, • Bachelor of Science in Occupational Therapy, • Current State License as an Occupational Therapist, • Two years of direct service work in a treatment setting for patients preferred, • Experience working with individuals with autism preferred. Additional Information This is a Full-Time role including available medical benefits, 401(k) with company match, and PTO.

Job Description Join our Team NOW! We are currently seeking Candidates who would like to obtain their certification and be part of a great team! We offer Competitive Hourly Rate Pay, Flexible schedule, PAID training, Benefits and much more! The role: Behavior Technician Behavior Technicians work one-on-one with children diagnosed with autism using ABA methods and techniques that you will learn during training and with the ongoing support, mentorship and supervision of a Board-Certified Behavior Analyst. Paid Mandatory Clinical Training/Certifications All ABAE employees, regardless of employment status, are required to attend the following mandatory trainings or provide proof of the following active certifications: • CPR Certified, • PCM Certification, • Ability to work part time in the afternoons after 2pm-8pm, • Have reliable transportation and a valid driver’s license with current auto insurance, • Ability to travel up to 25 miles from your place of residence to provide therapy, • Ability to pass background checks and provide proof of negative tb test, • 401(k), • 401(k) matching, • Dental insurance, • Health insurance, • Life insurance, • Paid time off, • Monday to Friday from 8am-8pm ABAE is a community resource specializing in effective, research-based applied behavioral analysis strategies designed to enhance self-advocacy, independence, and the overall quality of life for our clients — children and their families — who are neurodiverse, have been touched with autism spectrum disorder, or other behavioral and mental health challenges. Who we are looking for: We are looking for humble and confident individuals who want to make an impact on the families we work with. At ABAE you are more than just an employee, you are a valued member of our team! What we offer: • Competitive hourly rate, • An environment where employees feel valued while doing impactful work that helps the children in our communities., • Paid new hire training and certification as a Registered Behavior Technician, • Reimbursement for mileage between clients with paid drive time, • Earn paid time off (PTO), • Flexible schedule with shifts between 8am-8pm, • Part-time schedule -12 hour minimum to 30 hours per week (12 hours per week minimum), • Tablets provided - No paperwork, everything done online!, • Medical benefits for full time employees (30+ hours per week), • SQUAD Hangouts, LEVEL UP nights, and PAID Trainings!! What you will do: Provide direct 1:1 therapy to individuals diagnosed with autism in their homes, center or school setting. Teach children how to communicate, socialize, and play using researched based techniques that will be taught to you during training. Implementing Behavior Intervention Plans created by our Board-Certified Behavior Analysts and Clinical Supervisors. These are detailed plans you follow when working with your client. Encouraging your clients and helping them to reach their highest potential. Record data on goals and progress during each session on your electronic device

Job Description The IT Compliance Analyst supports the organization’s compliance and risk management programs by coordinating assessments, audits, and certifications across frameworks such as HITRUST, SOC, HIPAA, and NIST. This role helps maintain a strong IT compliance posture by managing evidence, monitoring control performance, maintaining documentation, and partnering closely with IT, Security, Privacy, Legal and external auditors. The Analyst also contributes to continuous improvement efforts, compliance automation initiatives, and reporting that supports leadership visibility and informed decision-making. Key Responsibilities Assessment & Audit Support • Coordinate internal and external compliance assessments, audits and certifications., • Prepare, organize, and manage evidence to meet control and audit requirements., • Track remediation activities and ensure timely closure of identified gaps., • Maintain audit-ready documentation and support readiness reviews., • Additional duties as assigned Compliance Program Management • Support development and maintenance of compliance frameworks, policies, and procedures., • Monitor regulatory and framework changes, updating controls and documentation as needed., • Participate in risk assessments and control evaluations to identify opportunities for efficiency, automation and continuous improvement., • Conduct and/or support periodic control testing and continuous monitoring to validate control effectiveness and compliance readiness., • Contribute to compliance metrics, dashboards and trend reporting for leadership visibility. Collaboration & Communication • Partner with IT, Security, Privacy, Legal and Operations to ensure consistent compliance practices., • Collaborate with Privacy and Data Governance teams to ensure alignment with HIPAA, CCPA, GDPR and other data protection regulations., • Communicate compliance requirements, audit findings and remediation progress clearly to stakeholders at all levels., • Support awareness and training initiatives promoting compliance and data protection., • Promote a culture of accountability and continuous improvement. Qualifications • Bachelor’s degree in Business Administration, Risk Management, Healthcare Administration, Legal/Paralegal Studies, Information Security or related field (or equivalent experience)., • 2–5 years of experience in compliance, audit, or information security., • Working knowledge of regulatory frameworks (HITRUST CSF, SOC, HIPAA)., • Familiarity with healthcare regulatory authorities and governance areas (CMS, HHS, OCR, OIG)., • Experience coordinating audits and managing evidence requests across diverse teams., • Strong organizational, analytical, and communication skills; detail-oriented and adaptable. Preferred Skills • Experience supporting HITRUST certification or readiness assessments., • Collaboration with legal teams and practices including regulations, policies and contracts., • Familiarity with GRC tools (e.g., Archer, ServiceNow GRC, ProcessUnity, OneTrust)., • Utilization of compliance automation tools (e.g., Conveyor, Drata, Vanta, Winify AI)., • Certifications such as HITRUST CCSFP, CISA, CISM, CRISC, CGEIT, or CISSP. PAY RANGE: CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time. For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process. Pay Range: $59,681 – $96,123 A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first. About CERIS CERIS Inc., a division of CorVel Corporation, a certified Great Place to Work® Company, offers incremental value, experience, and a sincere dedication to our valued partners. Through our clinical expertise and cost containment solutions, we are committed to accuracy and transparency in healthcare payments. We are a stable and growing company with a strong, supportive culture along with plenty of career advancement opportunities. We embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!). A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off. CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable. #LI-Remote

Job Description The Payment Integrity Analyst is responsible for accurately reviewing pre and post pay claim audits based on client, policy, industry standards and/or CMS guidelines. This is a remote position. ESSENTIAL FUNCTIONS AND RESPONSIBILITIES: • Reviews, analyzes, and completes internal audits and/or appeals in accordance with client policy, CMS guidelines and industry standards in clear and professional written communication., • Ability to use clinical judgement and analytical skills to appropriately review documentation submitted for claim audits., • Utilize clinical judgement to appropriately interpret and apply client policies along with CMS guidelines as it relates to reviews done by CERIS such as itemized bill, DRG and/or specialty audits., • Utilize applicable tools and resources to complete internal audits and/or appeals., • Timely completion of internal audits and/or appeals., • Attends Clinical Team Meetings, All Company Meetings, Education Opportunities, Trainings, and other potential meetings, • Additional duties as assigned. KNOWLEDGE & SKILLS: • Ability to demonstrate understanding of CMS and commercial payer policy in written and verbal format, • Strong understanding of claims processing, ICD-10 Coding, DRG Validation, Coordination of Benefits, • Strong understanding of healthcare revenue cycle and claims reimbursement, • Proficient in Microsoft Office including Pivot Tables and Database Management, • Comfortable interfacing with clients and the C-Suite, • Demonstrate ability to manage multiple projects, set priorities and adhere to committed schedule, • Strong interpersonal skills and adaptive communication style, complex problem solving skills, drive for results, innovative, • Excellent written and verbal communication skills, • Proven track record of delivering concrete results in strategic projects/programs, • Strong analytical and modeling ability and distilling data into actionable results, • Superb attention to detail and ability to deliver results in a fast paced and dynamic environment EDUCATION/EXPERIENCE: • Must maintain a current LPN, LVN and/or RN licensure, • Preferred experience with health insurance denials and/or appeals, payer audits, or vendor audits, • Previous experience in one or more of the following areas required:, • Medical bill auditing, • Experience in the acute clinical areas of facilities in O.R., I.C.U., C.C.U., E.R., Telemetry, Medical/Surgical, OB or L&D, Geriatrics and Orthopedics, • Knowledge of worker's compensation claims process, • Prospective, concurrent and retrospective utilization review, • Bachelor’s degree in healthcare or related field preferred, • 1+ years healthcare revenue cycle, • 1+ years of relevant experience or equivalent combination of education and work experience, • 1+ years hospital bill audit PAY RANGE: CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time. For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process. Pay Range: $65,436 – $98,982 A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first. About CERIS CERIS, a division of CorVel Corporation, a certified Great Place to Work® Company, offers incremental value, experience, and a sincere dedication to our valued partners. Through our clinical expertise and cost containment solutions, we are committed to accuracy and transparency in healthcare payments. We are a stable and growing company with a strong, supportive culture along with plenty of career advancement opportunities. We embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!). A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off. CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable. #LI-Remote

Job Description The Payment Integrity Analyst (Team Lead) assists with leading the Policy and Payment Integrity (PPI) team while maintaining the regular duties and responsibilities of this role which is accurately reviewing pre and post pay claim audits based on client, policy, industry standards and/or CMS guidelines. The Team Lead must also be knowledgeable of the application of client policy and industry standards within reviews conducted by CERIS including but not limited to itemized bill review, professional review, hospital outpatient; trend analysis of internal auditing, appeals of pre and post payment claims, and any other claim or record that requires quality review to determine claim accuracy; assist with development of internal quality assurance measures based on client policy and industry guidelines; perform quality assurance reviews; assist in researching and implementing best practices related to payment policy, and/or policy initiatives; researching various healthcare policies. This is a remote position. ESSENTIAL FUNCTIONS AND RESPONSIBILITIES: • Assists with staff communication, providing updates, resolving issues, setting goals and maintaining standards as well as dialogue with team members in efforts to answer their questions and resolve barriers., • Oversees team member work for quality and compliance and communicates deadlines and productivity goals to team members while providing ongoing training and education to staff to ensure policies and procedures are followed., • Verifies and corrects as necessary, the audit work completed by PPI QC analysts and clinical appeal review teams as needed., • Reviews, analyzes, and completes internal audits and/or appeals in accordance with client policy, CMS guidelines and industry standards in clear and professional written communication., • Ability to use clinical judgement and analytical skills to appropriately review documentation submitted for claim audits., • Utilize clinical judgement to appropriately interpret and apply client policies along with CMS guidelines as it relates to reviews done by CERIS such as itemized bill, DRG and/or specialty audits., • Utilize applicable tools and resources to complete internal audits and/or appeals., • Timely completion of internal audits and/or appeals., • Attends Clinical Team Meetings, All Company Meetings, Education Opportunities, Trainings, and other potential meetings., • Ability to demonstrate understanding of CMS and commercial payer policy in written and verbal format, • Strong understanding of claims processing, ICD-10 Coding, DRG Validation, Coordination of Benefits, • Strong understanding of healthcare revenue cycle and claims reimbursement, • Proficient in Microsoft Office including Pivot Tables and Database Management, • Demonstrate ability to manage multiple projects, set priorities and adhere to committed schedule, • Strong interpersonal skills and adaptive communication style, complex problem-solving skills, drive for results, innovative, • Excellent written and verbal communication skills, • Proven track record of delivering concrete results in strategic projects/programs, • Strong analytical and modeling ability and distilling data into actionable results, • Superb attention to detail and ability to deliver results in a fast paced and dynamic environment EDUCATION/EXPERIENCE: • Must maintain a current LPN, LVN and/or RN licensure, • Preferred experience with health insurance denials and/or appeals, payer audits, or vendor audits, • Previous experience in one or more of the following areas required:, • Medical bill auditing, • Experience in the acute clinical areas of facilities in O.R., I.C.U., C.C.U., E.R., Telemetry, Medical/Surgical, OB or L&D, Geriatrics and Orthopedics, • Knowledge of worker's compensation claims process, • Prospective, concurrent and retrospective utilization review, • Bachelor’s degree in healthcare or related field preferred, • 3+ years healthcare revenue cycle or payment integrity experience, • 3+ years of relevant experience or equivalent combination of education and work experience PAY RANGE: CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time. For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process. Pay Range: $70,016 – $108,106 A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first. About CERIS CERIS, a division of CorVel Corporation, a certified Great Place to Work® Company, offers incremental value, experience, and a sincere dedication to our valued partners. Through our clinical expertise and cost containment solutions, we are committed to accuracy and transparency in healthcare payments. We are a stable and growing company with a strong, supportive culture along with plenty of career advancement opportunities. We embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!). A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off. CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable. #LI-Remote

Job Description 💵 Starting at $18/hour ($20 once RBT certified) | 🎓 Paid Training & Certification | 🕒 Daytime shifts needed At Pine Cone Therapies (PCT), we do more than provide therapy—we create spaces where autistic children are respected, supported, and empowered. We don't believe in one-size-fits-all care or outdated models. Our approach is assent-based, neuroaffirming, and team-driven, with deep respect for each child's individuality, autonomy, and potential. As a Behavior Technician, you'll be part of that mission. You'll help kids build communication, independence, and confidence—and you'll be supported every step of the way by a team that values your growth just as much as theirs. What a Day Looks Like: Being a Behavior Technician is active, hands-on, and deeply meaningful. You'll spend most of your day working 1:1 with kids (ages 2–12), helping them build skills that support their growth at home, school, and in everyday life. Here's what that actually looks like: • Playing games on the floor to work on language or social skills, • Helping a child learn how to ask for help, tie their shoes, or transition between tasks, • Managing tough moments like meltdowns or elopement with patience and a calm presence, • Tracking progress and taking session notes so your BCBA can update therapy plans, • Communicating with your team throughout the day to problem-solve, celebrate wins, and adjust support as needed, • Assent-based care that honors boundaries and centers the child's voice., • Collaborative, interdisciplinary teamwork—you'll work alongside OTs, SLPs, and mental health professionals., • Supportive leadership and mentorship, with real-time coaching and thoughtful feedback., • Behavior Therapist (BT) → Registered Behavior Technician (RBT) – Certified with hands-on experience and real mentorship, • RBT → Clinical Fellowship Student (ACC) → Lead ACC → Board Certified Behavior Analyst (BCBA) – For BCBA students, we help with restricted and unrestricted hours, test prep, and becoming a strong, compassionate clinician., • 💪 Real-time support and mentorship from experienced clinicians, • 📆 Flexible schedules (start times at 8am, 9am, 1pm, or 3pm) that fit your life, • 🧘️‍♀️ Free Calm app + Teladoc access for you and 5 loved ones, • 🎉 Monthly team events, shoutouts, and a clinic culture that genuinely cares, • 💥 A career that makes a tangible impact on the lives of kids and families, • 🩺 Health, dental, and vision insurance for full-time team membersYou're a great fit if you:, • Have experience working with children (babysitting, coaching, camps, classrooms, etc.), • Are calm, flexible, and eager to learn—even in tough moments., • Believe in supporting kids through respect and empathy, not compliance., • Want to work somewhere that feels good and does good., • Are curious about long-term careers in ABA, education, child psychology, OT, SLP, or mental health.Requirements:, • Starting at $19/billable hour, with increases for experience, education, and certification. You'll increase to $22.50 once you receive your RBT certification., • Must be able to lift 45 lbs and engage in physical play and activity If you're ready to make a difference, grow a career, and be part of a team that's changing what care can look like—we'd love to meet you. Per hour$18—$20 USD

Job Description Kyo is a leading provider of child-centric Applied Behavior Analysis (ABA), serving thousands of children and teens across 11 states. Every day, we seek to achieve the unachievable for our clients. Kyo's BCBAs work with each client to create customized treatment plans and target the skills that are most meaningful to them and their families. They utilize assessments and advanced technology to measure outcomes and ensure maximum results. As a Kyo BCBA, you will receive 1:1 mentorship and the opportunity to collaborate with like-minded clinicians nationwide, in order to foster your personal and professional development. We are seeking an enthusiastic and talented BCBA to join our growing Dallas/Forth Worth team! Pay Range: $80,000 - $100,000 $10,000 Sign-on Bonus! RESPONSIBILITIES include, but are not limited to: • Direct Kyo client programs and manage staff implementation of ABA services., • Supervise Kyo's Behavior Therapists and Program Supervisors., • Serve as a Responsible Supervisor for BCBA Trainees., • Conduct observations and assessments in settings such as schools, homes, or communities, developing individualized treatment plans for clients., • Inform client of behavior plans and goals for client, monitor, track and report on client progress, communicating frequently with families, teachers and staff about client needs and progress., • Design and deliver training to parents, professionals and staff., • Assist with regional or company-wide clinical or operational projects while caseload is building., • Model program implementation for caregivers and staff., • Attend and facilitate client and staff meetings, as needed., • Make all reasonable attempts to ensure efficacious development of programs for our clients. This may include job related tasks and duties not listed above., • Meet and maintain all Kyo directed performance metrics., • Perform other duties as assigned, including direct therapy as needed. MENTORING RESPONSIBILITIES Kyo recognizes the critical role that effective mentorship plays in promoting staff retention and development. Within our mentorship model, BCBAs will: • Oversee Behavior Therapist mentorship group., • Deliver Quarterly Performance Review to mentees., • Act as the Responsible Supervisor for any BTs in your mentor group that are enrolled in BACB coursework, maintaining responsible supervision duties., • Provide individualized mentorship to mentees by responding to and coaching them through their duties. KYO OFFERS YOU: • A collaborative, supportive and cutting-edge work environment with weekly individually tailored mentorship and monthly trainings., • The opportunity to make an amplified impact on your clients' lives by delivering comprehensive, effective, and individualized treatment., • Reasonable workloads with seasonal billable targets and quarterly bonuses., • Comprehensive medical benefits, including dental, vision, and life insurance., • Access to our Employee Assistance Program (EAP) and monthly wellness events., • Generous vacation time and paid holidays., • Matching 401K., • Company provided laptop and cell phone reimbursements., • Wide spread administrative support systems allowing BCBAs to focus on their clients., • Relocation assistance for select areas. REQUIREMENTS: • Certification as a Board Certified Behavior Analyst (BCBA)., • MA degree in Psychology, Special Education, or related field., • Excellent interpersonal and communication skills., • Outstanding responsiveness and operational skills., • Ability and willingness to drive from client to client and to leadership and various business meetings., • Ability and willingness to occasionally work longer than 8 hours/day (only applies to full-time roles)., • Reliable transportation, a valid state driver's license from state of residence and automobile insurance., • Flexibility to support clients between 3:00pm–7:00pm, Monday through Friday, based on client needs., • Individuals in this role may not be employed by, provide services to, or hold any ownership interest in another organization that offers ABA therapy services to children during their employment with Kyo. This includes independent contracting or private practice work in the field of ABA with child clients. This restriction exists to maintain ethical standards, protect client confidentiality, and prevent conflicts of interest. PHYSICAL REQUIREMENTS: • Have the ability to regularly walk, kneel, crawl, bend, crouch, stand up from the ground, and sit on the floor or in child-sized chairs for extended periods of time. Must also have the ability to lift and carry or otherwise move a pediatric population (up to 50 pounds). Occasionally may require running or otherwise moving quickly., • Exhibit manual dexterity to regularly use and enter data into a computer/tablet/phone., • Specific vision abilities/visual acuity required include close vision, distance vision, peripheral vision, and ability to adjust focus. Be able to read and comprehend written communication through computer, electronic devices, and paper means., • Specific auditory abilities required include perceiving the nature of sounds at normal to below normal speaking levels with or without correction, ability to receive detailed information through oral communication and to make discrimination in sound, spatial awareness of sounds and speech at a variety of volume levels, often in background noise., • Be able to speak in a manner easily understood and receive detailed information through oral communication., • If required by a Behavior Intervention Plan, must be willing and able to utilize safe & appropriate procedures, including quick body movements. WORK ENVIRONMENT Work is performed in a parent's / caregivers home, a school or community location or in a "center" office and clinical environment. Work may be stressful at times due to client behavior, or a busy office/center environment with patients, where interaction with others is constant and interruptive. BCBAs in the Dallas area may serve clients in these locations: Arlington, Azle, Burleson, Carrollton, Dallas, Denton, Forney, Fort Worth, Garland, Grapevine, Irving, Keller, Lancaster, Lewisville, Mansfield, McKinney, Plano, Prosper, Royse City • The above statements reflect general functions of this job and shall not be construed as a detailed description of all work requirements inherent in this job. Management may elaborate on or add to the above list if the duties come within the employee's realm of responsibility.

Job DescriptionJob Title Epic Application Analyst - Wisdom Dentistry Job Description Wisdom Dentistry-certified analyst responsible for developing, testing, maintaining, installing, and/or deploying of applications and related information technologies. In addition, they are responsible for the establishment, development, and promotion of standard architectures, as well as hardware and software components. This role provides consulting services regarding how to integrate information technologies into clinical and business processes and the effective application of industry and organizational technology standards. This position is an emerging information technology professional within the Systems Analyst family. This position participates in the implementation, testing, installation, and support of clinical and business applications. Expected activities include but are not limited to: Modification of applications as needed to meet user requirements. Definition and development of reports. Participation in application upgrades. Participation in the resolution of problems and issues associated with installed applications and related information technologies. Diagnosis of failures encountered in application software and related technologies, quality control of all application implementations/enhancements prior to release to customers. Maintains an awareness of vendor and industry developments/plans in the area(s) of responsibility. Communication and documentation of all relevant items and activities. Required skills & experience (the “must haves” to be considered) Position requires at least 3 years of direct experience (this can be a combination of clinical and Epic. For example, 2 years of clinical and 1 year of Epic, or some other combination thereof) and a high school diploma. BA/BS degree in IS or Business is preferred. Epic Wisdom General Dentistry Certification. Licensure, Registration, and/or Certification: • Relevant Information Technology certifications., • Epic Certification required - Wisdom Dentistry What you need to know • This position is based in Fort Worth, Texas., • This is a three-month contract-to-hire position. However, the client will consider permanent candidates, as well as contractors., • For full-time candidates that will be relocating, there is a relocation bonus paid on a case-by-case basis. It is a $2,000 lump sum paid on the first paycheck.

Job DescriptionJobs in this family are responsible for developing, testing, maintaining, installing, and/or deploying of applications and related information technologies. In addition, they are responsible for the establishment, development, and promotion of standard architectures, as well as hardware and software components. This role provides consulting services regarding how to integrate information technologies into clinical and business processes and the effective application of industry and organizational technology standards. Expected Activities Include But Are Not Limited To This position is an emerging information technology professional within the Systems Analyst family. This position participates in the implementation, testing, installation and support of clinical and business applications. • Modification of applications as needed to meet user requirements., • Definition and development of reports., • Participation in application upgrades., • Participation in the resolution of problems and issues associated with installed applications and related information technologies., • Diagnosis of failures encountered in application software and related technologies, quality control of all application implementations/enhancements prior to release to customers., • Maintains an awareness of vendor and industry developments/plans in area(s) of responsibility., • Communication and documentation of all relevant items and activities. Required skills & experience (the “must haves” to be considered) Qualifications • Position requires at least 3 years of direct experience (this can be a combination of clinical and Epic. For example, 2 years of clinical and 1 year of Epic, or some other combination thereof) and a high school diploma or equivalent., • BA/BS degree in IS or Business is preferred., • Epic Nurse Triage Certification strongly preferred. Licensure, Registration, And/or Certification • Relevant Information Technology certifications preferred., • Epic Certification required What you need to know • This position is based in Fort Worth, Texas., • This is a three-month contract-to-hire position. However, the client will consider permanent candidates, as well as contractors., • For full-time candidates that will be relocating, there is a relocation bonus paid on a case-by-case basis. It is a $2,000 lump sum paid on the first paycheck.

Job Description The Provider Management Analyst is responsible for verifying provider information and requests for documentation to audit claims including but not limited to itemized bills, medical records, UB04’s, HCFA’s, etc. Responsibilities include verifying patient information, provider contact information, and client information for accuracy to ensure proper delivery of requests. This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: • Communicate with respective leadership on any issues or problems identified, • Maintain production standards, production requirements, and quality of work, • Assist coworkers, supervisor, or management to accomplish product goals; report potential issues in a proactive manner, • Timely forward misdirected requests to the correct recipient, • Ensure strict confidentiality of all medical records, PHI, and PII, • Outbound calling may be needed, • Punctual and consistent attendance required, • Additional duties as assigned KNOWLEDGE & SKILLS: • Ability to work independently, • Strong organization skills, • Strong analytical and problem-solving skills, • Excellent attention to detail, • Ability to deliver results in a timely manner, • MS Office including Word, Excel, and Outlook; Windows operating system, • Outbound call experience EDUCATION & EXPERIENCE: • High School Diploma or equivalent required, • Demonstrated knowledge of office experience PAY RANGE: CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time. For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process. Pay Range: $17.93 - $26.79 per hour A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first. ABOUT CERIS: CERIS, a division of CorVel Corporation, a certified Great Place to Work® Company, offers incremental value, experience, and a sincere dedication to our valued partners. Through our clinical expertise and cost containment solutions, we are committed to accuracy and transparency in healthcare payments. We are a stable and growing company with a strong, supportive culture along with plenty of career advancement opportunities. We embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!). A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off. CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable. #LI-Remote

Job Description As an EDI Support Analyst with CERIS, you will provide technical support during and after implementation of healthcare electronic data interchange (EDI) solutions. These implementations will involve interaction with internal field offices as well as outside clients and third-party vendors. You will also conduct analysis of EDI transactions and are responsible for documentation and related reports. You will also be responsible for the daily monitoring of file processing and troubleshooting of issues impacting successful receipt or delivery of client files. Qualified candidates for this position will be a detail-oriented, hands-on, results-driven individual with proven communication skills and a strong work ethic to work in a challenging, fast-changing, and energetic environment. This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: • Interpret business needs and contribute to the overall design of EDI implementations, • Partner with development in creating and executing testing plans for new implementations, • Identify process gaps and areas where improvements can be made, • Actively monitor, audit, and report on the processing of newly implemented trading partners to confirm a successful transition to the production environment, • Support Account Management with operational EDI issues that are raised, or escalated by clients or vendors, • Effectively manage multiple projects while ensuring the accuracy and timeliness of daily production processes, • Provide production support through EDI operations processes for CERIS trading partners (customers, vendors, carriers, etc.), including troubleshooting and communication with trading partners, internal business users and IT colleagues, • Test, and utilize EDI layouts – including but not limited to XML and delimited flat files, • Create, review and maintain documentation related to EDI operations implementations and processes, • Monitor the production environment and proactively prioritize, communicate and help to resolve any operational EDI process or system issues, • Lead implementation calls or meetings with clients and vendors committed to establishing an EDI Partnership with CERIS, • Communicate project scopes, timetables, and deliverables to all echelons of CERIS' organization, • Additional duties as assigned KNOWLEDGE & SKILLS: • Knowledge of scripting languages such as JavaScript, VB Script, etc., • Solid understanding of relational databases and basic database design/concept (SQL Server or similar), • MS Access database skills, including importing and manipulating data, • Knowledge of command line operating systems, • Strong analytic problem solving and resolution ability, • Ability to understand complex relationships between systems and data, • Ability to work independently and in a continuously changing environment, • Ability to plan, prioritize, balance, and review a variety of projects that must be completed simultaneously, accurately, and on time, • Strong interpersonal and communications skills, both verbal and written, • Ability to interact at a high level with persons of both technical and non-technical backgrounds EDUCATION & EXPERIENCE: • Experience testing software, • Experience writing SQL queries, • Experience in using data transmission tools such as FTP and encryption tools such as PGP, • Exposure to the healthcare industry PAY RANGE: CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time. For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process. Pay Range: $54,075 – $80,926 A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first. ABOUT CERiS: CERiS, a division of CorVel Corporation, a certified Great Place to Work® Company, offers incremental value, experience, and a sincere dedication to our valued partners. Through our clinical expertise and cost containment solutions, we are committed to accuracy and transparency in healthcare payments. We are a stable and growing company with a strong, supportive culture along with plenty of career advancement opportunities. We embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!). A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off. CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable. #LI-Remote

Job Description The Software Quality Assurance Analyst will be responsible for the testing new and existing software applications that support the CERiS product. This includes identifying, reporting, and tracking software defects for the company’s proprietary software suite throughout the software development life cycle (SDLC). This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: • Execute test and QA phases to verify application readiness for production implementation, • Work closely with development team to analyze functionality and to help identify, analyze, and resolve issues, • Rapid testing responses to fixed defects, • Create and execute complex SQL scripts to manipulate and validate data in a test environment, • Additional projects and duties as assigned, • Produce quality products under tight and strict deadlines KNOWLEDGE & SKILLS: • Excellent written and verbal communication skills, • Strong computer proficiency and technical aptitude, • Strong interpersonal, time management and organizational skills, • Ability to work both independently and within a team environment, • Basic knowledge and/or experience with SQL, generating queries and using SQL scripts to create or validate testing data EDUCATION & EXPERIENCE: • 2+ years of equivalent experience related to application testing, creating and executing test plans, test cases, documentation and managing defects, etc., • Experience or exposure to standard reporting packages (i.e. Business Objects), relational databases (SQL Server, Access, SSIS), programming (XML, JavaScript, or ETL frameworks) PAY RANGE: CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time. For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process. Pay Range: $45,078 – $72,505 A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first. ABOUT CERiS: CERiS, a division of CorVel Corporation, a certified Great Place to Work® Company, offers incremental value, experience, and a sincere dedication to our valued partners. Through our clinical expertise and cost containment solutions, we are committed to accuracy and transparency in healthcare payments. We are a stable and growing company with a strong, supportive culture along with plenty of career advancement opportunities. We embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!). A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off. CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable. #LI-Remote

Job Description The Payment Integrity Analyst is responsible for accurately reviewing pre and post pay claim audits based on client, policy, industry standards and/or CMS guidelines. This is a remote position. ESSENTIAL FUNCTIONS AND RESPONSIBILITIES: • Reviews, analyzes, and completes internal audits and/or appeals in accordance with client policy, CMS guidelines and industry standards in clear and professional written communication., • Ability to use clinical judgement and analytical skills to appropriately review documentation submitted for claim audits., • Utilize clinical judgement to appropriately interpret and apply client policies along with CMS guidelines as it relates to reviews done by CERIS such as itemized bill, DRG and/or specialty audits., • Utilize applicable tools and resources to complete internal audits and/or appeals., • Timely completion of internal audits and/or appeals., • Attends Clinical Team Meetings, All Company Meetings, Education Opportunities, Trainings, and other potential meetings, • Ability to demonstrate understanding of CMS and commercial payer policy in written and verbal format, • Strong understanding of claims processing, ICD-10 Coding, DRG Validation, Coordination of Benefits, • Strong understanding of healthcare revenue cycle and claims reimbursement, • Proficient in Microsoft Office including Pivot Tables and Database Management, • Comfortable interfacing with clients and the C-Suite, • Demonstrate ability to manage multiple projects, set priorities and adhere to committed schedule, • Strong interpersonal skills and adaptive communication style, complex problem solving skills, drive for results, innovative, • Excellent written and verbal communication skills, • Proven track record of delivering concrete results in strategic projects/programs, • Strong analytical and modeling ability and distilling data into actionable results, • Superb attention to detail and ability to deliver results in a fast paced and dynamic environment EDUCATION/EXPERIENCE: • Must maintain a current LPN, LVN and/or RN licensure, • Preferred experience with health insurance denials and/or appeals, payer audits, or vendor audits, • Previous experience in one or more of the following areas required:, • Medical bill auditing, • Experience in the acute clinical areas of facilities in O.R., I.C.U., C.C.U., E.R., Telemetry, Medical/Surgical, OB or L&D, Geriatrics and Orthopedics, • Knowledge of worker's compensation claims process, • Prospective, concurrent and retrospective utilization review, • Bachelor’s degree in healthcare or related field preferred, • 1+ years healthcare revenue cycle, • 1+ years of relevant experience or equivalent combination of education and work experience, • 1+ years hospital bill audit PAY RANGE: CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time. For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process. Pay Range: $63,902 – $96,662 A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first. About CERIS CERIS, a division of CorVel Corporation, a certified Great Place to Work® Company, offers incremental value, experience, and a sincere dedication to our valued partners. Through our clinical expertise and cost containment solutions, we are committed to accuracy and transparency in healthcare payments. We are a stable and growing company with a strong, supportive culture along with plenty of career advancement opportunities. We embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!). A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off. CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable. #LI-Remote