Wellpath Remote jobs - 126 jobs

The Revenue Cycle Clinician for the Appellate Solution is responsible for: a) Recovering revenue associated with disputed/denied clinical claims or those eligible for clinical review b) Preparing and documenting appeal based on industry accepted criteria. ESSENTIAL DUTIES AND RESPONSIBILITIES Include the following. Others may be assigned. * Performs retrospective (post -discharge/ post-service) medical necessity reviews to determine appellate potential of clinical disputes/denials or those eligible for clinical review. * Demonstrates proficiency in use of medical necessity criteria sets, currently InterQual or other key factors or systems as evidenced by Inter-rater reliability studies and other QA audits. Constructs and documents a succinct and fact based clinical case to support appeal utilizing appropriate module of InterQual criteria (Acute, Procedures, etc). If clinical review does not meet IQ criteria, other pertinent clinical facts are utilized to support the appeal. Pertinent clinical facts include, but are not limited to, documentation preventing a safe transfer/discharge or documentation of medical necessary services denied for no authorization. * Demonstrates ability to critically think and follow documented processes for supporting the clinical appellate process. * Adheres to the department standards for productivity and quality goals. Ensuring accounts assigned are worked in a timely manner based on the payor guidelines. * Demonstrates proficiency in utilization of electronic tools including but not limited to ACE, nThrive, eCARE, Authorization log, InterQual, VI, HPF, as well as competency in Microsoft Office. * Demonstrates basic patient accounting knowledge i.e. UB92/UB04 and EOB components, adjustments, credits, debits, balance due, patient liability, denials management, etc. * Additional responsibilities: * Serves as a resource to non-clinical personnel. * Provides CRC leadership with sound solutions related to process improvement * Assist in development of policy and procedures as business needs dictate. * Assists Law Department with any medical necessity reviews as capacity allows up to and including attending mediation hearings, other litigation forums, etc. KNOWLEDGE, SKILLS, ABILITIES To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Demonstrates proficiency in the application of medical necessity criteria, currently InterQual * Possesses excellent written, verbal and professional letter writing skills * Critical thinker, able to make decisions regarding medical necessity independently * Ability to interact intelligently and professionally with other clinical and non-clinical partners * Demonstrates knowledge of managed care contracts including reimbursement matrixes and terms * Ability to multi-task * Ability to conduct research regarding State/Federal appellate guidelines and applicable regulatory processes related to the appellate process. * Ability to conduct research regarding off-label use of medications. Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings. EDUCATION / EXPERIENCE Include minimum education, technical training, and/or experience required to perform the job. * Must possess a valid nursing license (Registered) * Minimum of 3 years recent acute care experience in a facility environment * Medical-surgical/critical care experience preferred * Minimum of 2 years UR/Case Management experience preferred * Managed care payor experience a plus either in Utilization Review, Case Management or Appeals * Previous classroom led instruction on InterQual products (Acute Adult, Peds, Outpatient and Behavioral Health) preferred CERTIFICATES, LICENSES, REGISTRATIONS * Current, valid RN licensure (Must) * Certified Case Manager (CCM) or Certified Professional in Utilization Review/Utilization Management/Healthcare Management (CPUR , CPUM, or CPHM) preferred PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Ability to lift 15-20lbs * Ability to travel approximately 10% of the time; either to facility sites, National Insurance Center (NIC) sites, Headquarters or other designated sites * Ability to sit and work at a computer for a prolonged period of time conducting medical necessity reviews WORK ENVIRONMENT The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Characteristic of typical office environment requiring use of desk, chair, and office equipment such as computer, telephone, printer, etc. OTHER * May require travel - approximately 10% * Interaction with facility Case Management, Physician Advisor is a requirement. As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities, and succeed at the business of healthcare. Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost, and access to healthcare. Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step! Compensation and Benefit Information Compensation * Pay: $30.85 - $46.28 per hour. Compensation depends on location, qualifications, and experience. * Position may be eligible for a signing bonus for qualified new hires, subject to employment status. * Conifer observed holidays receive time and a half. Benefits Conifer offers the following benefits, subject to employment status: * Medical, dental, vision, disability, and life insurance * Paid time off (vacation & sick leave) - min of 12 days per year, accrue at a rate of approximately 1.84 hours per 40 hours worked. * 401k with up to 6% employer match * 10 paid holidays per year * Health savings accounts, healthcare & dependent flexible spending accounts * Employee Assistance program, Employee discount program * Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance. * For Colorado employees, Conifer offers paid leave in accordance with Colorado's Healthy Families and Workplaces Act. Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship. Tenet participates in the E-Verify program. Follow the link below for additional information. E-Verify: ***************************** The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations. **********

Responsible for reviewing medical records to facilitate and obtain appropriate physician documentation for any clinical conditions or procedures to support the appropriate severity of illness, expected risk of mortality, and complexity of care of the patient, by improving the quality of the physicians' clinical documentation. Exhibits a sufficient knowledge of clinical documentation requirements, MS-DRG Assignment, and clinical conditions or procedures, Educates members of the patient care team regarding documentation guidelines, including attending physicians, allied health practitioners, nursing, and case management. Regional/National Travel Required for this position. ESSENTIAL DUTIES AND RESPONSIBILITIES Include the following. Others may be assigned. * Record Review: Completes initial medical records reviews of patient records within 24-48 hours of admission for a specified patient population to: (a) evaluate documentation to assign the principal diagnosis, pertinent secondary diagnoses, and procedures for accurate MS-DRG assignment, risk of mortality and severity of illness; and (b) initiate a review worksheet. * Conducts follow-up reviews of patients every 2-3 days to support and assign a working or final MS-DRG assignment upon patient discharge, as necessary. * Formulate physician queries regarding missing, unclear or conflicting health record documentation by requesting and obtaining additional documentation within the health record, as necessary. * Collaborates with case managers, nursing staff and other ancillary staff regarding interaction with physicians regarding documentation and to resolve physician queries prior to discharge. * Assist in training department staff new to CDI * Professional Development: Stays current with AHA Official Coding and Reporting Guidelines, CMS and other agency directives for ICD-9-CM and CPT coding. Attends mandatory coding seminars on annual basis (IPPS and OPPS, ICD-9-CM and CPT updates) for inpatient and outpatient coding. Quarterly review of AHA Coding Clinic. Attends Quarterly Coding Updates and all coding conference calls as well as any required CDI education. * CDI: Communicates/Completes Clinical Documentation Improvement (CDI) activities and coding issues (lacking documentation, physician queries, etc.) for appropriate follow-up and resolution * Other duties as assigned KNOWLEDGE, SKILLS, ABILITIES To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * CDI Specialist must display teamwork and commitment while performing daily duties * Must demonstrate initiative and discipline in time management and medical record review * Travel may be required to meet the needs of the facilities * Advanced knowledge of Medicare Part A and familiar with Medicare Part B * Intermediate knowledge of disease pathophysiology and drug utilization * Intermediate knowledge of MS-DRG classification and reimbursement structures * Critical thinking, problem solving and deductive reasoning skills * Effective written and verbal communication skills * Knowledge of coding compliance and regulatory standards * Excellent organizational skills for initiation and maintenance of efficient work flow * Regular and reliable attendance and time reporting per Conifer Telecommuting program requirements * Capacity to work independently in a virtual office setting or at facility setting if required to travel for assignment * Understand and communicate documentation strategies * Recognize opportunities for documentation improvement * Formulate clinically, compliant credible queries * Ability to maintain an auditing and monitoring program as a means to measure query process * Ability to apply coding conventions, official guidelines, and Coding Clinic advice to health record documentation Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings. EDUCATION / EXPERIENCE Include minimum education, technical training, and/or experience required to perform the job. * Preferred: Acute Care nursing and or Foreign trained relevant experience * One (1) to two (2) years experience * Graduate from a Nursing program, BSN, and/or medical school graduate CERTIFICATES, LICENSES, REGISTRATIONS * Active Registered Nurse license or relevant medical degree * Preferred: CDIP or CCDS PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Ability to sit for extended periods of time * Must be able to efficiently use computer keyboard and mouse * Good visual acuity WORK ENVIRONMENT The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. OTHER * Must be able to travel nationally as needed, 50-75% As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities and succeed at the business of healthcare. Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost and access to healthcare. Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step! Compensation and Benefit Information Compensation * Pay: $81,952.00 - $122,907.00 annually. Compensation depends on location, qualifications, and experience. * Management level positions may be eligible for sign-on and relocation bonuses. Benefits Conifer offers the following benefits, subject to employment status: * Medical, dental, vision, disability, life, and business travel insurance * Paid time off (vacation & sick leave) - min of 12 days per year, accrued accrue at a rate of approximately 1.84 hours per 40 hours worked. * 401k with up to 6% employer match * 10 paid holidays per year * Health savings accounts, healthcare & dependent flexible spending accounts * Employee Assistance program, Employee discount program * Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance. * For Colorado employees, Conifer offers paid leave in accordance with Colorado's Healthy Families and Workplaces Act. Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship. Tenet participates in the E-Verify program. Follow the link below for additional information. E-Verify: ***************************** The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations. **********

The Insurance A/R - Call Center Representative serves as the initial point of contact for customers, addressing inquiries, resolving issues, and delivering high-quality service to ensure a positive customer experience. This entry-level role requires excellent communication skills, attention to detail, and the ability to manage a variety of customer requests through multiple channels, including phone, email, and chat. The Representative works in a performance-driven environment, adhering to established service metrics and standards, while collaborating with other departments to ensure timely and effective resolution of customer concerns. As a Insurance A/R - Call Center Rep at Community Health Systems (CHS) - SSC Nashville, you'll play a vital role in supporting our purpose to help people get well and live healthier by providing safe, quality healthcare, building enduring relationships with our patients, and providing value for the people and communities we serve. Our team members enjoy a robust benefits package including medical, dental and vision, insurance, and 401k. Essential Functions Responds to customer inquiries through phone, email, chat, or other communication channels, providing accurate and timely information. Clarifies and resolves customer issues by identifying their needs, determining root causes, and implementing effective solutions. Escalates complex or unresolved issues to appropriate team members or departments, ensuring prompt follow-up and resolution. Provides triage support for common issues related to platforms, applications, and back-office processes. Documents all interactions accurately and thoroughly in the customer relationship management (CRM) system, ensuring detailed records of inquiries and resolutions. Adheres to quality standards and key performance indicators (KPIs), including productivity, response times, and customer satisfaction ratings. Delivers exceptional customer service by maintaining professionalism, patience, and a customer-focused attitude in all interactions. Contributes to a team-oriented work environment by sharing insights, offering assistance, and collaborating effectively with peers and supervisors. Performs other duties as assigned. Maintains regular and reliable attendance. Complies with all policies and standards. Qualifications H.S. Diploma or GED required Associate Degree or some college coursework in a related field preferred 1-2 years of customer service experience required, preferably in a call center or help desk environment required Familiarity with CRM software and customer service tools preferred Knowledge, Skills and Abilities Strong verbal and written communication skills, with the ability to clearly convey information and resolve customer concerns. Proficient in using computer systems, including Microsoft Office Suite and CRM platforms. Excellent problem-solving and critical-thinking abilities. Ability to manage multiple tasks and prioritize effectively in a fast-paced environment. Detail-oriented with a strong focus on accuracy and quality. Demonstrated ability to work independently and as part of a team. Strong interpersonal skills and the ability to build rapport with customers and colleagues. We know it's not just about finding a job. It's about finding a place where you are respected, valued and where your work is purposeful and fulfilling. A place where your talent is recognized, professional development is encouraged and career advancement is possible. The Shared Services Center - Nashville provides business office support functions like billing, insurance follow-up, call center customer service, data entry and more for hospitals and healthcare providers. But we're not only about work. We know employing a skilled and engaged team of professionals is vitally important to our success, so we make sure to offer competitive benefits, recognition programs, professional development opportunities and a fun and engaging team environment. Community Health Systems is one of the nation's leading healthcare providers. Developing and operating healthcare delivery systems in 40 distinct markets across 15 states, CHS is committed to helping people get well and live healthier. CHS operates 71 acute-care hospitals and more than 1,000 other sites of care, including physician practices, urgent care centers, freestanding emergency departments, occupational medicine clinics, imaging centers, cancer centers and ambulatory surgery centers.

The Chief Operations Officer (COO), Shared Service Center (SSC) Sarasota, FL provides executive leadership to ensure operational efficiency, financial performance, and growth. This role is focused on the newly centralized Pre-Arrival Unit. The COO drives strategic initiatives, manages operational departments, and implements processes to achieve the mission and core values of the SSC. This role is responsible for establishing operational controls, reporting procedures, and people systems that align with the organization's objectives. As the Chief Operations Officer (COO) at Community Health Systems (CHS) - Shared Service Center (SSC) Sarasota, FL, you'll play a vital role in supporting our purpose to help people get well and live healthier by providing safe, quality healthcare, building enduring relationships with our patients, and providing value for the people and communities we serve. Our team members enjoy a robust benefits package including medical, dental and vision insurances, 401k, and a variety of other elective options Essential Functions Provides day-to-day leadership and management of operational departments, ensuring alignment with the SSC's mission, values, and strategic goals. This includes direct leadership over the Centralized Pre-Arrival Unit. Drives the SSC to meet and exceed key performance indicators (KPIs), such as operational metrics, Net Revenue, Denials Rate, EBITDA, and Positive Cash Flow. Develops, implements, and monitors operational infrastructure, including systems, processes, and personnel, to accommodate growth objectives and maintain high service standards. Ensures the measurement and effectiveness of internal and external processes, providing timely, accurate, and comprehensive reports on the SSC's operational performance. Leads the development, communication, and execution of growth strategies, fostering a results-oriented and accountable environment within the SSC. Collaborates with the management team to establish plans for operational infrastructure, ensuring continuous improvement in efficiency and effectiveness. Motivates, mentors, and leads a high-performing management team, focusing on attracting, recruiting, and retaining talent to support career development and succession planning. Acts as a key liaison between the SSC, other corporate functions, and external partners to enhance collaboration, service delivery, and operational outcomes. Requires ability to engage in high-level, fast-paced dialogue with hospital C-suite members. Performs other duties as assigned. Maintains regular and reliable attendance. Complies with all policies and standards. This is a fully remote opportunity. Some travel will be required. Qualifications Bachelor's Degree in Health Administration, Business Administration, or a related field required Master's Degree in Health Administration (MHA), Business Administration (MBA), or a related field preferred More than 10 years of experience in operations management, with at least five (5) years in a senior leadership role required 8-10 years Prior experience in a shared services environment preferred Patient Access / Pre-Arrival Unit (PAU) experience, including oversight of scheduling and insurance verification for at least 2 years strongly preferred Knowledge, Skills and Abilities Strong understanding of shared services operations, healthcare regulations, and performance improvement methodologies. Ideal candidate has COO experience from a 150+ bed hospital with a PAU under their purview. Proven strategic planning, project management, and analytical skills, with a focus on operational efficiency and growth. Excellent communication, leadership, and interpersonal skills, with the ability to engage and influence internal teams and external stakeholders. Proficiency in operational management software, data analysis tools, and Google Suite. Strong financial acumen, with experience managing budgets and optimizing resource utilization. We know it's not just about finding a job. It's about finding a place where you are respected, valued and where your work is purposeful and fulfilling. A place where your talent is recognized, professional development is encouraged and career advancement is possible. Community Health Systems is one of the nation's leading healthcare providers. Developing and operating healthcare delivery systems in 40 distinct markets across 15 states, CHS is committed to helping people get well and live healthier. CHS operates 71 acute-care hospitals and more than 1,000 other sites of care, including physician practices, urgent care centers, freestanding emergency departments, occupational medicine clinics, imaging centers, cancer centers and ambulatory surgery centers.

The Educator is responsible for designing, delivering, and assessing training and educational programs to support the development of employees within the organization. This role works closely with department leaders to identify training needs, create curriculum, and ensure that educational initiatives align with organizational goals. The Educator delivers in-person and virtual training sessions, develops training materials, and evaluates program effectiveness to support continuous improvement in skills and knowledge across departments. Essential Functions Develops, implements, and evaluates training programs to meet departmental and organizational needs. Collaborates with department leaders and subject matter experts to identify training gaps and recommend educational solutions. Designs training materials, including presentations, handouts, manuals, and digital content to support effective learning. Facilitates training sessions, workshops, and orientations, using a variety of instructional methods to engage diverse learners. Assesses training effectiveness through participant feedback, assessments, and performance data, implementing improvements as necessary. Maintains accurate records of training activities, attendance, and participant progress, ensuring compliance with organizational policies. Adapts training content for different learning styles and department-specific needs to maximize knowledge retention. Supports onboarding and orientation programs to ensure new employees are equipped with essential knowledge and skills. Performs other duties as assigned. Maintains regular and reliable attendance. Complies with all policies and standards. Qualifications Bachelor's Degree in Education, Human Resources, Business, or a related field required 2-4 years of experience in training, instructional design, or education required ***25% Travel required*** Knowledge, Skills and Abilities Strong knowledge of adult learning principles and instructional design techniques. Excellent presentation and facilitation skills, with the ability to engage a variety of audiences. Strong written and verbal communication skills to create clear and effective educational materials. Analytical skills to evaluate training effectiveness and make data-driven improvements. Organizational skills to manage multiple training programs and maintain detailed records. Licenses and Certifications E-Learning Instructional Design Certification preferred

Remote ~ California Opportunities for you! Consecutively recognized as a top employer by Forbes, and in 2025 by Newsweek Free Continuing Education and certification Tuition reimbursement, education programs and scholarships Vacation time starts building on Day 1, and builds with your seniority Free money toward retirement with a 403(b) and matching contributions Commitment to diversity and inclusion is a cornerstone of our culture at Community. All are welcome as valued members of our community. We know that our ability to provide the highest level of care is through taking care of our incredible teams. Learn more on our Benefits page. Responsibilities This role serves the entire Community Health System as part of a team of over 30 people made up of coders, clerical support and educators. This team works together to meet and exceed common goals. In this remote position, you will assign ICD-10-CM/PCS and CPT-4 codes for statistical and reimbursement requirements to inpatient and/or outpatient accounts. We use the most current and up-to-date technology and software, meaning you will have the constant opportunity to grow and learn in your role! Qualifications Education: High School Diploma, High School Equivalency (HSE) or Completion of a CHS Approved Individualized Education Plan (IEP) Certificate Completion of courses in Medical Terminology, Anatomy and Physiology Experience: 5 years of recent inpatient coding experience in an acute care setting Proficient in ICD-10-CM/PCS and CPT-4 coding, DRG and APRDRG assignment Licenses and Certifications CCS - Certified Coding Specialist Disclaimers • Pay ranges listed are an estimate and subject to change. • If any bonuses are noted, they are only applicable to external hires meeting criteria.

CHSPSC, LLC seeks an IT Imaging Support & Process Analyst to assist with leading escalated support activities and provide process improvement initiatives. The role will be involved with the facilitation of application services management processes pertaining to analyzing value, evaluating risk, prioritizing projects and onboarding new technology requests to ensure alignment with organizational strategies for the imaging service line. Key responsibilities include: Alignment with the imaging team to address escalated support issues Review transition materials from the Project Management Office for application product ownership Develop and maintain application support plans Document current state and contribute to the direction of the application lifecycle management (LCM) roadmap to reduce costs, mitigate risks, and drive growth and revenue Participate in imaging related efforts such as Disaster Recovery exercises, Cyber Table Top exercises, etc. Present to executive leadership on support-related issues Understand current processes and propose more efficient methods Strategic analysis of the enterprise application portfolio including lifecycle management, application rationalization, consolidation and standardization to achieve the department objectives of the organization including reducing variation of redundant or unused applications Understand the definition, implementation and support of portfolio management standards, policies and processes Understand the data driven decisions pertaining to IT project investments Participate in the structure, attributes, taxonomies and nomenclature of service line elements and categories within the repository toolset (ServiceNow) to ensure completeness and accuracy of the list of enterprise IT business applications Collaborate with business partners, technology leaders and department directors to identify and promote adoption of enterprise standards and rationalization of application systems to achieve economic and patient experience improvement goals Provide expertise on decisions and priorities regarding the overall enterprise application portfolio Track application and vendor trends and maintain knowledge of new technologies to support the organization's current and future needs Maintain an awareness of industry standard best practices and apply relevant methodologies for process improvement Participate in application rationalization feasibility analysis and proposals for management and business partners which support the organization's clinical and economic objectives Review and support applications' advantages, risks, costs, benefits and impact on the enterprise business process and goals Develop and maintain productive relationships of trust both within and outside CHS and embrace the authoritative role in respect to maintaining enterprise standards and align others to the strategic direction Collaborate with Audit teams to respond to and mitigate audit findings and manage audit controls related to application systems and LCM Educate peers and business partners on department methodologies and drive adoption of standard process Support and evaluate portfolio risks and recommend mitigation plans Support business impact analysis and application criticality assessments Partner with key business and delivery stakeholders to conduct application and service line reviews including scope, metrics, expenses and net promoter scores to determine the disposition of existing and proposed solutions Communicate timely and accurate status to appropriate levels and stakeholders including the development and delivery of status reports and presentations Required: Results oriented mentality to drive accurate deliverables with appropriate time to market while taking responsibility for the outcomes Customer focused to align services with customer needs Creativity in developing and executing innovative strategies to meet unique customer needs Excellent verbal and written communication, presentation and customer service skills Ability to handle pressure to meet business requirement demands and deadlines Expertise in analyzing and presenting large volumes of data to senior leadership Critical thinking in developing proposals with sound analysis and achievable outcomes Ability to prioritize tasks and quickly adjust in a rapidly changing environment Exceptional analytic problem solving skills Ability to work independently and in a team environment Organizational awareness and the ability to understand relationships to get things accomplished more effectively Preferred: Experience with APM, CMDB and CSDM components within the ServiceNow platform Application product ownership experience Strong relationship management experience Project management experience/certification 4 or more years in an application portfolio/services management role Lean / Six Sigma Green Belt ITIL certifications Qualifications and Education Requirements: Bachelor's degree in Clinical Informatics, Health Science, Information Systems, Computer Science or a related discipline, or 2 years of relevant experience

About City of Hope, City of Hope's mission is to make hope a reality for all touched by cancer and diabetes. Founded in 1913, City of Hope has grown into one of the largest and most advanced cancer research and treatment organizations in the U.S., and one of the leading research centers for diabetes and other life-threatening illnesses. City of Hope research has been the basis for numerous breakthrough cancer medicines, as well as human synthetic insulin and monoclonal antibodies. With an independent, National Cancer Institute-designated comprehensive cancer center that is ranked top 5 in the nation for cancer care by U.S. News & World Report at its core, City of Hope's uniquely integrated model spans cancer care, research and development, academics and training, and a broad philanthropy program that powers its work. City of Hope's growing national system includes its Los Angeles campus, a network of clinical care locations across Southern California, a new cancer center in Orange County, California, and cancer treatment centers and outpatient facilities in the Atlanta, Chicago and Phoenix areas. The successful candidate: Under the supervision and leadership of the Executive Director of Pharmacy, the Program Director of Clinical Pharmacy Programs is responsible for programmatic and strategic oversight and coordination of all aspects of the Pharmacy Clinical Programs across CAP pharmacy, in conjunction with the counterpart incumbent, to enhance patient outcomes and safety in the most efficient and optimal fashion. The Program Director of Clinical Pharmacy Programs collaborates closely with the Executive Director and other pharmacy leaders to establish the vision for the clinical services provided at City of Hope CAP. Responsibilities include but are not limited to planning and executing new clinical programs, partnering to standardize and optimize medication utilization across the System, leading the regional Formulary/Pharmacy and Therapeutics/other related committees, and developing and implementing policies, guidelines and best practices related to medication therapy. Position is also responsible for management of the CAP pharmacoeconomic program to ensure cost effectiveness of treatments provided. Additionally, the Program Director is responsible for developing strategies to mitigate drug shortage impact to patients treated at all CAP sites. Collaboration is imperative to the success of this position, so routine communication with providers, nurses, pharmacists, and other clinical leaders is essential. This resource will work very closely with clinical pharmacists and pharmacy leadership at each CAP site, helping to guide and lead the development of consistent clinical programs across the System. Essential Functions: Clinical Program Oversight and Compliance: Strategically plan and provide leadership for all aspects of Enterprise Clinical Pharmacy Program across all CAP sites. Developing new programs based on patient needs and optimizing existing programs and practices. Standardizing clinical practices, medication management policies/guidelines, and treatment plans across all CAP sites. Leading the Formulary, Pharmacy and Therapeutics (P&T), and other related committees. Providing drug formulary oversight. Developing and coordinating implementation plans for the use of new products in compliance with institutional policies and regulatory guidelines (e.g. FDA, The Joint Commission) Developing metrics to measure staff productivity and program effectiveness. Liaising between internal affiliated departments and external stakeholders to ensure program integrity. Pharmacoeconomics Program: Leading pharmacoeconomic initiatives to enhance patient care and optimize cost effectiveness of treatments provided. Monitoring the pharmaceutical marketplace for cost saving opportunities. Implementing and tracking therapeutic conversions. Other Responsibilities: Clinical development of pharmacy staff to promote practice at top of their license. Supporting research, publication, and presentation opportunities for the staff at local and national level. Collaborating with schools of pharmacy to oversee pharmacy student training during City of Hope rotations. Representing City of Hope-CAP Pharmacy Department at professional and community organizations at the local, state, and national level. Follows established City of Hope and department policies, procedures, objectives, performance improvement, attendance, safety, environmental, and infection control guidelines, including adherence to the workplace Code of Conduct and Compliance Plan. Practices a high level of integrity and honesty in maintaining confidentiality. Performs other related duties as assigned or requested. The following Pillars in Action are the behaviors that accelerate our impact as we deliver on our Vision and Strategic Priorities: Position Qualifications: Minimum Education: Doctor of Pharmacy Degree (Pharm.D.) Minimum Experience: 6 years of experience planning and executing pharmacy programs with 10 years of experience in a hospital setting Req. Certification/Licensure: Current Pharmacy license Board Certified Oncology Pharmacist (BCOP) Preferred Education: ASHP accredited PGY-1 or PGY-1 and PGY-2 Residencies Preferred Experience: 5 years of experience in Oncology Skills/Abilities: Personal computer approximately 75% of time Working/Environmental Conditions: Work is primarily performed within an office setting. Frequent meetings & walking to meeting sites as required City of Hope is an equal opportunity employer. To learn more about our comprehensive benefits, click here: Benefits Information City of Hope employees pay is based on the following criteria: work experience, qualifications, and work location. This position is eligible for an annual incentive bonus.

The Spec, Application Support is tasked with the optimization and management of specified technology. This position will work closely with various vendors, ensuring the most up-to-date information and changes are evaluated for use and effectiveness in the process. Will work with the process team to determine what technology changes and needs are required to drive process improvements. Will own the development and follow through of any service requests or new implementations. ESSENTIAL DUTIES AND RESPONSIBILITIES Include the following. Others may be assigned. * Stays current and has deep, ingrained knowledge of systems, including end user applications, reporting and enhancements. Can demonstrate full understanding of how the technology supports and is used within specific processes and brings technology driven ideas to the process team. * Reviews all ISB's for procedural impact. Edits and works with process leaders and trainers to develop procedural and training documentation. Clarifies system processes and responds to additional requests for information. * Works closely with peers to reduce redundancies and ensure there are no conflicts between multiple technologies within processes. * Ensures that Software Transfer Implementations are completed accurately and develops test plans. Meets user deadlines for system changes and other requested information. * Coordinates with IS to ensure that facility IS departments have the knowledge required to ensure the front-end system is set up appropriately. KNOWLEDGE, SKILLS, ABILITIES To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. * Understands workflow and technology needs within the business. * Excellent grammar and writing skills * Must have good organizational skills * Able to work independently with little supervision * Able to communicate with all levels of management * Must have general computer skills and be proficient in Word, Excel, and PowerPoint * Excellent working knowledge of Patient Financial Services operations with specific focus on applicable discipline. * Ability to work and coordinate with multiple parties * Ability to manage projects * Knowledge of AR management technology tools being utilized to deliver on key performance * Knowledge of healthcare regulatory rules and how they apply to revenue cycle operations and outsourcing service providers * Excellent verbal and written communication skills EDUCATION / EXPERIENCE Include minimum education, technical training, and/or experience required to perform the job. * 4-year college degree in Healthcare Administration, Business or related area or equivalent experience * 2 - 6 years of experience in Healthcare Administration or Business Office * Lean, Six Sigma or other process improvement certification is a plus PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Must be able to work in a sitting position, use computer and answer telephone WORK ENVIRONMENT The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Office Work Environment As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities, and succeed at the business of healthcare. Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost, and access to healthcare. Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step! Compensation * Pay: $21.70 - $34.70 per hour. Compensation depends on location, qualifications, and experience. * Position may be eligible for a signing bonus for qualified new hires, subject to employment status Benefits Conifer offers the following benefits, subject to employment status: * Medical, dental, vision, disability, and life insurance * Paid time off (vacation & sick leave) - min of 12 days per year, accrue at a rate of approximately 1.84 hours per 40 hours worked. * Discretionary 401k match * 10 paid holidays per year * Health savings accounts, healthcare & dependent flexible spending accounts * Employee Assistance program, Employee discount program * Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance. * For Colorado employees, Conifer offers paid leave in accordance with Colorado's Healthy Families and Workplaces Act. #LI-NO3 Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship. Tenet participates in the E-Verify program. Follow the link below for additional information. E-Verify: ***************************** The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations. **********

The Director of Revenue Integrity serves in a senior leadership capacity and demonstrates client and unit-specific leadership to Revenue Integrity personnel by designing, directing, and executing key Conifer Revenue Integrity processes. This includes Charge Description Master ("CDM") and charge practice initiatives and processes; facilitating revenue management and revenue protection for large, national integrated health systems; regulatory review, reporting and implementation; and projects requiring expertise across multiple hospitals and business units. The Director provides clarity for short/long term objectives, initiative prioritization, and feedback to Managers for individual and professional development of Revenue Integrity resources. The Director leverages project management skills, analytical skills, and time management skills to ensure all requirements are accomplished within established timeframes. Interfaces with highest levels of Client Executive personnel. * Direct Revenue Integrity personnel in evaluating, reviewing, planning, implementing, and reporting various revenue management strategies to ensure CDM integrity. Maintain subject-matter expertise and capability on all clinical and diagnostic service lines related to Conifer revenue cycle operations, claims generation and compliance. * Influence client resources implementing CDM and/or charge practice corrective measures and monitoring tools to safeguard Conifer revenue cycle operations; provide oversight for Revenue Integrity personnel monitoring statistics/key performance indicators to achieve sustainability of changes and compliance with regulatory/non-regulatory directives. * Assume lead role and/or provide direction/oversight for special projects and special studies as required for new client integration, system conversions, new facilities/acquisitions, new departments, new service lines, changes in regulations, legal reviews, hospital mergers, etc. * Serve as primary advisor to and collaboratively with Client/Conifer Senior Executives to ensure requirements are met in the most efficient and cost-effective manner; provides direction to clients for implementation of multiple regulatory requirements. * Serve as mentor and coach for Revenue Integrity personnel and as a resource for manager-level associates. * Maintain a high-level understanding of accounting and general ledger practices as it relates to Revenue Cycle metrics; guide client personnel on establishing charges in appropriate revenue centers to positively affect revenue reporting FINANCIAL RESPONSIBILITY (Specify Revenue/Budget/Expense): Adherence to established/approved annual budget SUPERVISORY RESPONSIBILITIES This position carries out supervisory responsibilities in accordance with guidelines, policies and procedures and applicable laws. Supervisory responsibilities include interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems. Direct Reports (incl. titles) : Revenue Integrity Manager/Supervisor Indirect Reports (incl. titles) : Charge Review Specialist I-II, Revenue Integrity Analyst I-III, Charge Audit Specialist To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Ability to set direction for large analyst team consistent with Conifer senior leadership vision and approach for executing strategic revenue management solutions * Demonstrated critical-thinking skills with proven ability to make sound decisions * Strong interpersonal communication and presentation skills, effectively presenting information to executives, management, facility groups, and/or individuals * Ability to present ideas effectively in formal and informal situations; conveys thoughts clearly and concisely * Ability to manage multiple projects/initiatives simultaneously, including resourcing * Ability to solve complex issues/inquiries from all levels of personnel independently and in a timely manner * Ability to define problems, collect data, establish facts, draw valid conclusions, and make recommendations for improvement * Advanced ability to work well with people of vastly differing levels, styles, and preferences, respectful of all positions and all levels * Ability to effectively and professionally motivate team members and peers to meet goals * Advanced knowledge of external and internal drivers affecting the entire revenue cycle * Intermediate level skills in MS Office Applications (Excel, Word, Access, Power Point) Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings. EDUCATION / EXPERIENCE Include minimum education, technical training, and/or experience required to perform the job. * Bachelor's degree or higher; seven (7) or more years of related experience may be considered in lieu of degree * Minimum of five years healthcare-related experience required * Extensive experience as Revenue Integrity manager * Extensive knowledge of laws and regulations pertaining to healthcare industry required * Prior healthcare financial experience or related field experience in a hospital/integrated healthcare delivery system required * Consulting experience a plus CERTIFICATES, LICENSES, REGISTRATIONS * Applicable clinical or professional certifications and licenses such as LVN, RN, RT, MT, RPH, CPC-H, CCS highly desirable PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * While performing the duties of this job, the employee is regularly required to sit for long periods of time; use hands and fingers; reaching with hands and arms; talk and hear. * Must frequently lift and/or move up to 25 pounds * Specific vision abilities required by this job include close vision * Some travel required WORK ENVIRONMENT The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Normal corporate office environment TRAVEL * Approximately 10 - 25% Compensation and Benefit Information Compensation Pay: $104,624- $156,957 annually. Compensation depends on location, qualifications, and experience. * Position may be eligible for an Annual Incentive Plan bonus of 10%-25% depending on role level. * Management level positions may be eligible for sign-on and relocation bonuses. Benefits Conifer offers the following benefits, subject to employment status: * Medical, dental, vision, disability, life, and business travel insurance * Management time off (vacation & sick leave) - min of 12 days per year, accrued accrue at a rate of approximately 1.84 hours per 40 hours worked. * 401k with up to 6% employer match * 10 paid holidays per year * Health savings accounts, healthcare & dependent flexible spending accounts * Employee Assistance program, Employee discount program * Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance. * For Colorado employees, Conifer offers paid leave in accordance with Colorado's Healthy Families and Workplaces Act. Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship. Tenet participates in the E-Verify program. Follow the link below for additional information. E-Verify: ***************************** The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations. **********

may qualify for a sign-on bonus. Performs imaging procedures with the use of radioactive isotopes. Responsible for preparation, calculations, and administration of isotope products in various diagnostic and therapeutic procedures. Performs under the direction of the physician during therapeutic procedures. Minimum Education: Completion of an accredited educational program in nuclear medicine or radiologic technology. Minimum Experience: 1-year radiologic technology diagnostic and/or nuclear medicine experience Required Certification: BLS Required Licensure: TDH (MRT), NMTCB FLSA Status: Salary Grade: Skills: ** Note - Required certifications are to be completed by 3 months of employment. #LI-NS1

Regional Corporate Coding Supervisor (Remote based in US) Reporting to the Corporate Coding Director, the Regional Corporate Coding Supervisor will be responsible for supervising coding, data abstraction and associated coding activities. Ensures accurate and timely coding of records according to Tenet Health policies and procedures. Manages workflow related to coding and abstracting, provides direction for coding activities and productivity standards required to reach unbilled targets at all hospitals in the region. Performs duties as necessary to support the coding quality improvement process both in the region and at corporate. Position will support Tenet corporate located in Texas. Required: Must have a comprehensive knowledge of ICD-10-CM/PCS coding classification systems. The analytical abilities necessary to prepare various reports and records. The interpersonal skills necessary to interact with all levels of department personnel, other departments, physicians and individuals from outside the Hospital. Must have above average general office and computer skills. Associate degree in HIM related field RHIT Certification 5+ Years Coding Experience Preferred: Experience managing large teams and driving process improvement activities at the corporate level in a complex healthcare organization. Bachelor's Degree in HIM Related field RHIA Certification 2+ Years of Leadership Experience Compensation Pay: $66,768- $106,704 annually. Compensation depends on location, qualifications, and experience. Position may be eligible for a signing bonus for qualified new hires, subject to employment status. Benefits The following benefits are available, subject to employment status: Medical, dental, vision, disability, life, AD&D and business travel insurance Paid time off (vacation & sick leave) Discretionary 401k match 10 paid holidays per year Health savings accounts, healthcare & dependent flexible spending accounts Employee Assistance program, Employee discount program Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, auto & home insurance. For Colorado employees, paid leave in accordance with Colorado's Healthy Families and Workplaces Act is available. #LI-CM2

This job is responsible for ensuring that all appropriate billing charges are being captured, documented, charged and reimbursed for the assigned department in accordance with policies and procedures, and applicable regulatory standards and requirements. Plans, conducts and evaluates reviews and audits of clinical documentation and billing practices for conformity with applicable regulatory requirements. Identifies proactive opportunities to strengthen charge capture processes, enhance regulatory compliance and facilitate appropriate revenue capture. Responds to third-party audits as well as charge recovery vendor solution audits. Provide training and education to clinical/charging staff & management on appropriate documentation and charge capture processes. ESSENTIAL DUTIES AND RESPONSIBILITIES Include the following. Others may be assigned. * Conducts reviews/audits to identify potential charging & billing issues including lost revenue opportunities; prepares reports based on findings, and provides summary of findings to impacted departments. * Works with clinical departments and other impacted departments to ensure audit findings are addressed and to assist in implementing best charging practice moving forward. * Identifies, researches and analyzes billing errors and/or omissions, working with appropriate staff/team members; ensures that revisions/corrections forwarded and incorporated in processing systems in timely manner. * Provides training to staff engaged in billing data entry and related charge-capture/reconciliation activities to ensure procedures are understood and that charges booked are timely, appropriate, accurate, complete and properly documented. * Stays current with CMS, AHA & state coding/charging & reimbursement guidelines. * Other duties as assigned to meet client expectations that would include root cause analysis, research of complex charging issues, implementation of corrective actions & provide subject matter expertise during system upgrades & implementations. KNOWLEDGE, SKILLS, ABILITIES To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Knowledge of audit principles and guidelines. * Knowledge of the accepted principles, practices and tools relating to general healthcare billing, cost accounting and reimbursement. * Knowledge of policies, standards and methodologies pertaining to charge capture and reconciliation, reporting, documentation and general compliance. * Knowledge of CPT/HCPCS codes. * Knowledge of the content and application of published health information management coding conventions, e.g., as referenced in 'Coding Clinics' and/or other nationally recognized coding guidelines. * Ability to recognize, research and correct charging/documentation discrepancies. * Knowledge of the standards and regulatory requirements applicable to matters within designated scope of authority, including medical/legal issues. * Working knowledge of medical terminology and abbreviations, and health care nomenclature and systems. * Ability to use office equipment and automated systems/applications/software at an acceptable level of proficiency. * Ability to establish and maintain effective working relationships as required by the duties of the position. * Strong communication skills. * Strong Excel/Powerpoint/Outlook Skills Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings. EDUCATION / EXPERIENCE Include minimum education, technical training, and/or experience preferred to perform the job. * Five years recent directly related work experience in a healthcare environment with significant exposure to healthcare coding/billing/reimbursement or completion of a recognized course of study for health information practitioners or coding specialists and three years coding experience in an acute hospital health information management department * Applicable clinical or professional certifications and licenses such as LVN/LPN and RN highly desirable * Hospital charge audit experience highly desirable PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Must be able to work in sitting position, use computer and answer telephone * Ability to travel * Includes ability to walk through hospital-based departments across broad campus settings, including Emergency Department environments WORK ENVIRONMENT The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Office Work Environment * Hospital Work Environment As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities and succeed at the business of healthcare. Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost and access to healthcare. Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step! Compensation and Benefit Information Compensation * Pay: $30.85 - $46.28 per hour. Compensation depends on location, qualifications, and experience. * Position may be eligible for a signing bonus for qualified new hires, subject to employment status. * Conifer observed holidays receive time and a half. Benefits Conifer offers the following benefits, subject to employment status: * Medical, dental, vision, disability, and life insurance * Paid time off (vacation & sick leave) - min of 12 days per year, accrue at a rate of approximately 1.84 hours per 40 hours worked. * 401k with up to 6% employer match * 10 paid holidays per year * Health savings accounts, healthcare & dependent flexible spending accounts * Employee Assistance program, Employee discount program * Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance. * For Colorado employees, Conifer offers paid leave in accordance with Colorado's Healthy Families and Workplaces Act. Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship. Tenet participates in the E-Verify program. Follow the link below for additional information. E-Verify: ***************************** The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations. **********

The Project Manager independently manages multiple projects involving OracleHealth EHR, information systems, and database management. This role requires experience with multi-facility design, planning, execution, and oversight of complex initiatives. The Project Manager will be responsible for technical components of system projects, coordinating with departmental and cross-functional teams to deliver expert-level customer support. They must possess comprehensive knowledge of all phases of the EHR system, deployments, and ongoing support. The ideal candidate is confident in leading projects, managing vendor resources, and ensuring delivery on time and within budget. Strong communication skills and adherence to corporate and departmental policies are essential. Essential Functions This role requires a strong team leader capable of coordinating efforts across multiple stakeholders. Successful implementation involves managing hospital executives and physician expectations, collaborating with local medical staff (nurses and technicians), engaging local technical resources (systems analysts and programmers), and working closely with vendor support teams. Ensures projects are executed with precision by applying strong organizational skills, attention to detail, and consistent follow-through to drive tasks, deliverables, and milestones to completion. Develops and maintains project management tools and documentation to ensure comprehensive planning, execution, and tracking of all project activities, from business requirements through project completion. Develop, implement, and maintain project plans, including schedules, milestones, and deliverables. Document and manage business requirements, ensuring alignment with stakeholder expectations. Facilitate definition success metrics to measure project performance and outcomes. Monitor and manage resources, including allocation, utilization, and capacity planning. Maintain scope documentation and ensure scope changes are evaluated, approved, and communicated. Use project management tools to centralize and organize project information for team access and reporting. Skilled in partnering with stakeholders to streamline processes and promote continuous improvement. Develops and delivers clear, concise, and professional communications-including presentations, written reports, and executive summaries-to engage stakeholders, convey project status, highlight key decisions and risks, and support informed decision-making. Tailors content to the audience, facilitates discussions, and maintains credibility while ensuring clarity and alignment. Demonstrates adaptability by remaining effective and solution-focused in ambiguous situations, and confidently navigates complex, evolving environments to drive projects forward. Applies CHS project management methodology and standards to ensure consistent, disciplined, and successful project execution, including adherence to established processes, documentation requirements, and governance practices. Responsible for proactively identifying, assessing, and managing project risks and issues to minimize impact on scope, schedule, and budget. Ensures that risks and issues are documented, mitigated, and communicated to stakeholders in a timely and effective manner. Coordinates and maintains all project documentation and communications, ensuring information is accurate, accessible, and escalated appropriately when issues or decisions require attention. Serves as a trusted escalation point for project issues and incidents, providing guidance, support, and resolution to ensure project continuity and team confidence. Foster trust and credibility with project team members to encourage open communication and timely reporting of issues. Promote a proactive culture of problem-solving and accountability within the project team. Facilitates effective team and stakeholder meetings, ensuring clear communication, productive collaboration, and the establishment of credibility and trust with all participants. Qualifications Bachelor's Degree in Business Administration, Project Management, Healthcare Administration, or a related field required At least 5 years of experience with EHR Implementation. A Bachelor's degree or equivalent professional experience. PMP Certification from the Project Management Institute (PMI) is preferred but not required. Preferred Experience: At least 3 years of experience with SmartSheet. Licenses and Certifications Certified Project Management Professional (PMP)-PMI preferred

Community Health Systems is seeking an Application Systems Programming Specialist to join its Integration Services team. This advanced technical role is responsible for leading the analysis, design, development, and support of complex system interfaces within a healthcare environment. The specialist will demonstrate expertise in industry trends, best practices, and interface programming using tools such as Mirth, Intersystems, and Rhapsody. Key responsibilities include ensuring seamless data integration, maintaining comprehensive documentation, and providing proactive solutions to optimize system performance. This role requires collaboration with internal and external stakeholders to achieve business objectives and the ability to manage complex technical projects in dynamic environments. Essential Functions Mirth Connect (Primary Focus) Develop, maintain, and monitor HL7/FHIR interfaces using Mirth Connect. Manage channels, transformations, filters, and communication protocols (TCP, SFTP, REST, etc.). Handle Mirth upgrades, performance tuning, and participate in Disaster Recovery/High Availability (DR/HA) documentation and validation. Collaborate with platform specialists to ensure high availability and platform integrity. Troubleshoot production issues and lead root cause analysis across a diverse ecosystem of clinical systems and vendors. Coordinate with offshore/onshore teams for 24x7 support coverage. InterSystems HealthShare (Strategic Focus) Participate in the pilot deployment of HealthShare Health Connect. Build and configure message routes, transformations, and business processes using HealthShare components (IRIS, Ensemble). Support platform consolidation planning across fragmented integration engines. Assist in evaluating cloud-hosted options (e.g., Google Cloud Platform) for future-state deployment. Interoperability & Standards Work closely with the Technical Integration Manager and enterprise architecture team. Implement and support workflows involving HL7 v2/v3, FHIR R4, X12, Continuity of Care Document (CCD), and Clinical Document Architecture (CDA). Contribute to roadmap planning for advanced Health Information Exchange (HIE) participation, API adoption, and care coordination use cases. Documentation & Communication Develop and maintain documentation including design specifications, test cases, support runbooks, and DR plans. Communicate effectively with hospital IT teams, vendors (Cerner, Medhost, Athena), and state agencies. Qualifications Bachelor's degree in Computer Science or Information Technology. 8+ years of hands-on integration engine experience in a healthcare integration environment. 5+ years of hands-on Mirth Connect experience in a healthcare integration environment. Strong working knowledge of HL7 v2.x, FHIR, CCD/CDA, and interfacing protocols. At least 2 years of experience with InterSystems HealthShare (Health Connect or Ensemble). Experience supporting production interfaces in mission-critical hospital or HIE environments. Familiarity with EMRs such as Cerner, Athena, Medhost, or Epic. Basic scripting experience (JavaScript, XSLT, or Python preferred). Ability to contribute to a 24x7 on-call rotation. Preferred Qualifications: Experience with cloud-based integration (Google Cloud Platform preferred). Familiarity with Carequality/CommonWell networks, immunization registries, and HIE frameworks. Understanding of HIPAA, HITECH, and healthcare compliance.

The Oracle Finance Functional Analyst serves as a key resource in implementing, supporting, and enhancing complex enterprise applications, which may include Oracle Cloud Infrastructure (OCI) development and support. This role collaborates with cross-functional teams to understand business needs, configure and develop systems, and resolve incidents while contributing to long-term system strategy and optimization. The Senior Analyst ensures operational readiness, drives product vision in partnership with stakeholders, and mentors junior team members. In addition, the Oracle Finance Functional Analyst specializes in Oracle Fusion Financials and PPM modules (GL, Cash Management, Fixed Assets, Project Costing, Subledger Accounting, BI, and Payroll). The role is responsible for implementing, configuring, and supporting Oracle Finance modules, bridging the gap between business needs and technical teams, and driving efficiency and effectiveness in financial operations. As an Oracle Finance Functional Analyst at Community Health Systems (CHS) - Shared Business Operations, you'll play a vital role in supporting our purpose to help people get well and live healthier by providing safe, quality healthcare, building enduring relationships with our patients, and providing value for the people and communities we serve. Our team members enjoy a robust benefits package including health insurance, flexible scheduling, 401k and student loan repayment programs. Essential Functions Evaluates and corrects system incidents, ensuring configurations and customizations align with business needs and corporate standards. Serves as a subject matter expert and escalation point for application upgrades, issue resolution, OCI development, and/or high-impact projects. Designs, develops, tests, and deploys OCI-related solutions, integrations, reports, and system enhancements. Collaborates with product management, technical teams, and business stakeholders to define requirements, develop solutions, and measure success through key performance metrics. Supports the development and refinement of strategic application roadmaps and process improvements, including OCI and other enterprise applications. Ensures operational readiness for new features and technology implementations, including documentation, user training, and knowledge transfer. Mentors junior analysts and contributes to knowledge-sharing across the team. Participates in planning and execution of complex initiatives requiring coordination across multiple teams. Performs other duties as assigned. Complies with all policies and standards. Position-Specific Responsibilities Conducts requirements gathering workshops and stakeholder interviews to document business processes, BRDs, FDDs, and Visio diagrams for Oracle Fusion Finance and PPM modules. Configures Oracle Fusion Financials and Subledger Accounting across FIN, PPM, SCM, and Payroll to meet business requirements. Leads or participates in functional, system integration, and user acceptance testing to ensure solutions meet business needs. Develops training materials and delivers training for Oracle Fusion Finance and PPM end-users. Provides production support, troubleshooting, and resolution of service requests for Oracle Fusion FIN and PPM modules. Designs and develops OTBI reports and dashboards, customizing them to meet business requirements. Supports personalization and customization efforts using Page Composer, VBS/VBCS, and other Oracle tools to adapt solutions to client needs. Stays current on industry best practices and Oracle Fusion updates, recommending enhancements to optimize financial processes. Qualifications Bachelor's Degree in Information Systems, Computer Science, or a related field required. 5-7 years of experience in application systems analysis, development, or enterprise system support required. Experience with enterprise-level application implementations, enhancements, or OCI development required. Position-Specific Qualifications Minimum of 5 years of proven experience as a Techno-Functional Analyst or similar role, with direct responsibility for Oracle Fusion Financials and PPM modules. Strong ability to analyze complex business problems, develop effective solutions, and configure Oracle Fusion Financials and SLA across FIN, PPM, SCM, and Payroll. Experience in requirements gathering, solution design, configuration, testing, and documentation for Oracle Fusion Financials. Proficiency in Oracle reporting tools, including OTBI and BIP, and familiarity with SQL and Oracle Fusion tables. Knowledge, Skills and Abilities Advanced understanding of system development lifecycle, OCI services, integrations, and application support models. Strong analytical and troubleshooting skills with attention to detail. Proficiency with development tools, OCI architecture, and enterprise application platforms. Excellent interpersonal and communication skills, with the ability to translate complex technical concepts to non-technical users. Ability to manage multiple priorities in a fast-paced environment. Proven ability to work both independently and collaboratively in cross-functional teams. Licenses and Certifications Certified Scrum Product Owner (CSPO) or Professional Scrum Product Owner (PSPO) preferred Certified in Oracle Cloud Infrastructure preferred Oracle Fusion Financials Module Certification preferred This is a fully remote opportunity This position is not eligible for immigration sponsorship now or in the future. Applicants must be authorized to work in the U.S. for any employer. We know it's not just about finding a job. It's about finding a place where you are respected, valued and where your work is purposeful and fulfilling. A place where your talent is recognized, professional development is encouraged and career advancement is possible. Community Health Systems is one of the nation's leading healthcare providers. Developing and operating healthcare delivery systems in 40 distinct markets across 15 states, CHS is committed to helping people get well and live healthier. CHS operates 71 acute-care hospitals and more than 1,000 other sites of care, including physician practices, urgent care centers, freestanding emergency departments, occupational medicine clinics, imaging centers, cancer centers and ambulatory surgery centers.

The Clinical Utilization Review Specialist is responsible for evaluating the necessity, appropriateness, and efficiency of hospital services to ensure compliance with utilization management policies. This role conducts admission and continued stay reviews, supports denials and appeals activities, and collaborates with healthcare providers to facilitate efficient patient care. The Clinical Utilization Review Specialist monitors adherence to hospital utilization review plans and works to optimize hospital resource utilization, reduce readmissions, and maintain compliance with payer requirements. Essential Functions Performs admission and continued stay reviews using evidence-based criteria, clinical expertise, and regulatory guidelines to ensure appropriate utilization of hospital services. Collaborates with physicians and clinical teams to obtain necessary documentation for medical necessity, discharge planning, and payer requirements. Documents all utilization review activities in the hospital's case management software, including clinical reviews, escalations, avoidable days, payer communications, and authorization details. Works with insurance companies to secure coverage approvals and mitigate concurrent denials by submitting reconsiderations or coordinating peer-to-peer reviews. Communicates effectively with utilization review coordinators, case managers, and discharge planners to ensure a collaborative approach to patient care. Analyzes trends in hospital admissions and extended stays, identifying opportunities for process improvements to enhance utilization management. Serves as a key contact for facility staff and insurance representatives regarding utilization review concerns. Supports training initiatives within the department and escalates complex issues to management as needed. Performs other duties as assigned. Maintains regular and reliable attendance. Complies with all policies and standards. Qualifications Associate Degree in Nursing required Bachelor's Degree in Nursing preferred 2-4 years of clinical experience in utilization review, case management, or acute care nursing required 1-3 years work experience in care management preferred 1-2 years of experience in utilization management, payer relations, or hospital revenue cycle preferred Knowledge, Skills and Abilities Strong knowledge of utilization management principles, payer guidelines, and regulatory requirements. Proficiency in case management software and electronic health records (EHR). Excellent communication and collaboration skills to work effectively with interdisciplinary teams and external payers. Strong analytical and problem-solving skills to assess utilization trends and optimize hospital resource use. Ability to work in a fast-paced environment while maintaining attention to detail and accuracy. Knowledge of HIPAA regulations and patient confidentiality standards. Licenses and Certifications RN - Registered Nurse - State Licensure and/or Compact State Licensure required CCM - Certified Case Manager preferred or Accredited Case Manager (ACM) preferred

The Collections Specialist I - Medicaid is responsible for performing collection follow-up on outstanding insurance balances, identifying claim issues, and ensuring timely resolution in compliance with government and managed care contract terms. This role requires effective communication with insurance payers, documentation of account activity, and adherence to applicable regulations to support revenue cycle operations. As a Collections Specialist I at Community Health Systems (CHS) - SSC Nashville, you'll play a vital role in supporting our purpose to help people get well and live healthier by providing safe, quality healthcare, building enduring relationships with our patients, and providing value for the people and communities we serve. Our team members enjoy a robust benefits package including medical, dental and vision, insurance, and 401k. Essential Functions Performs follow-up on outstanding insurance balances within the required timeframe, obtaining payment confirmation or required documentation. Documents all actions taken on accounts within the appropriate system, ensuring a clear and traceable resolution process. Makes the required number of outbound calls to insurance payers while maintaining professional and courteous communication. Handles and resolves incoming correspondence within five days of receipt, updating the system with relevant information. Analyzes assigned accounts using AS400, Meditech, Accurint, Cerner, directory assistance, and credit reports to maximize collection efforts. Processes inbound and outbound calls professionally, providing exceptional customer service while resolving outstanding balances. Ensures proper application of account dispositions and follows self-pay policies and procedures. Adheres to all local, state, and federal laws and regulations, including FDCPA, TCPA, FCRA, CFPB, PCI, UDAAP, and HIPAA compliance standards. Performs other duties as assigned. Maintains regular and reliable attendance. Complies with all policies and standards. Qualifications H.S. Diploma or GED required Associate Degree in Business, Finance, Healthcare Administration, or a related field preferred 0-2 years of experience in medical collections, accounts receivable, billing, or healthcare revenue cycle operations required Experience working with insurance follow-up, claim resolution, and payer communication in a healthcare setting preferred Knowledge, Skills and Abilities Strong understanding of medical collections processes, payer reimbursement policies, and insurance claim resolution. Proficiency in electronic medical record (EMR) systems, patient accounting systems, and collections software. Knowledge of insurance contracts, denials management, and accounts receivable workflows. Excellent problem-solving and analytical skills to research and resolve outstanding claims. Effective verbal and written communication skills to interact with insurance payers, patients, and internal teams. Strong attention to detail with the ability to document account activity accurately. Ability to work independently in a fast-paced environment while meeting productivity and quality standards. Knowledge of regulatory compliance, including HIPAA, FDCPA, and applicable healthcare finance laws. We know it's not just about finding a job. It's about finding a place where you are respected, valued and where your work is purposeful and fulfilling. A place where your talent is recognized, professional development is encouraged and career advancement is possible. The Shared Services Center - Nashville provides business office support functions like billing, insurance follow-up, call center customer service, data entry and more for hospitals and healthcare providers. But we're not only about work. We know employing a skilled and engaged team of professionals is vitally important to our success, so we make sure to offer competitive benefits, recognition programs, professional development opportunities and a fun and engaging team environment. Community Health Systems is one of the nation's leading healthcare providers. Developing and operating healthcare delivery systems in 40 distinct markets across 15 states, CHS is committed to helping people get well and live healthier. CHS operates 71 acute-care hospitals and more than 1,000 other sites of care, including physician practices, urgent care centers, freestanding emergency departments, occupational medicine clinics, imaging centers, cancer centers and ambulatory surgery centers.

The Patient Care Technician (PCT) provides high-quality, patient-centered care by performing delegated tasks in alignment with the PCT's training and the department's needs. Under the direct supervision of a Registered Nurse (RN) or Licensed Practical Nurse (LPN) (LVN at Texas facilities), the PCT supports patient care by assisting with activities of daily living, maintaining a safe and organized care environment, and ensuring effective communication within the healthcare team. Essential Functions Assists nursing staff in delivering care, performing delegated basic patient care services, and ensuring a clean, safe, and well-organized environment. Collects and records patient data, including vital signs, height, weight, oxygen saturation, intake/output, and calorie counts, reporting findings to the RN/LPN/LVN. Supports patients with meals, feeding, bathing, oral care, grooming, linen changes, skin care, elimination assistance, and urinary catheter care. Assists with patient positioning, repositioning, dangling, ambulating, and using mobility aids such as walkers, crutches, canes, and wheelchairs. Collects urine and stool samples and performs blood glucose monitoring via finger sticks, documenting and reporting results to the RN/LPN/LVN. Communicates patient information effectively to the care team, adapts to change, and maintains professionalism in all interactions. Maintains a clean, neat, and safe environment for patients and staff, adhering to infection control and safety protocols, including appropriate use of personal protective equipment (PPE). Participates in performance improvement initiatives, risk management reporting, and compliance with National Patient Safety Goals and Core Measures. May be required to maintain continuous visual observation of the patient and remains with them at all times unless relieved by appropriate personnel. Performs other duties as assigned. Maintains regular and reliable attendance. Complies with all policies and standards. Qualifications 0-2 years of experience in an acute care setting or currently enrolled in a Nursing program preferred Knowledge, Skills and Abilities Basic knowledge of patient care practices and equipment. Strong organizational skills with the ability to multitask in a fast-paced environment. Effective communication and interpersonal skills. Ability to follow detailed instructions and work collaboratively within a team. Commitment to maintaining patient confidentiality and adhering to safety protocols. Licenses and Certifications BCLS - Basic Life Support within 90 days of hire required CNA - Certified Nursing Assistant preferred or Certified Patient Care Technician (CPCT) preferred