Methodist Hospital for Surgery jobs - 51 jobs

Baptist Health is seeking a Legal Operations & Automation Manager to support the modernization of workflows and automation initiatives within the Legal Department. This hybrid role, based in Miami, FL, is ideal for a tech-savvy professional with 2 years of experience in operations, project coordination, or IT systems support. The Legal Operations & Automations Manager will play a key role in designing and implementing solutions using Microsoft 365 tools - particularly SharePoint, Power Automate, and Teams - to streamline legal processes and enhance efficiency. Familiarity with legal operations, compliance, or corporate support functions is preferred. The ideal candidate will also bring experience with additional automation platforms such as Power Apps or third-party workflow tools and have exposure to process improvement methodologies like Six Sigma. This is a high-impact opportunity to collaborate across departments and drive innovation in legal operations. Estimated salary range for this position is $63, 918.68 - $83,094.28 / year depending on experience. Join a growing Healthcare legal department modernizing its operations using Microsoft 365 (SharePoint, Power Automate, Forms, Teams). this role owns hands-on design and rollout of legal workflows, intake systems, and automation - not just coordination. This is a hands-on role. You will personally design SharePoint sites, build Power Automate workflows, and prototype intake tools. Degree: * Bachelor's degree Additional Qualification: * Bachelor's degree in business, information systems or other relevant field * Possess advanced proficiency in Microsoft 365, including SharePoint design and administration, Power Automate for workflow automation, and Microsoft Teams - preferably with experience in advance features * Experience with automation tools such as Power Apps, Microsoft Forms, or third-party workflow solutions * Exposure to process improvement initiatives

Make an impact at Baptist Health South Florida by leading high-visibility projects that improve patient care and organizational performance. Enjoy a flexible hybrid schedule, robust benefits, and a culture that values innovation. Gain hands-on experience with transformational Lean Six Sigma and High-Reliability practices, and take the chance to influence initiatives at the leadership level and drive meaningful change. The High-Reliability Coach will lead/facilitate cross-functional teams in the implementation of process improvements utilizing Lean Six Sigma methodologies. The role requires strong coaching, facilitation, and leadership abilities to guide team members in the development and execution of actionable plans for process improvement and process optimization. The ideal candidate will possess excellent communication skills, and be experienced in leading kaizen events. Estimated salary range for this position is $88478.97 - $115022.66 / year depending on experience. Degrees: * Bachelors. Additional Qualifications: * Minimum of 3 years of experience in leading Lean Six Sigma projects, continuous improvement or operational excellence / lean programs. * Lean Six Sigma Black Belt certification,external certification from an approved training program preferred. * Project Mgmt Professional (PMP) preferred. * Bronze / Silver Level Lean Certification preferred. * Strong knowledge of project mgmt and change mgmt, preferably in a healthcare setting. * Strong facilitation and coaching skills. * Demonstrated ability to lead and influence cross-functional teams. * Proficient in data analysis and statistical tools. * Knowledge of BI tools and data visualization is a plus. * Excellent presentation and communication skills. * Proficiency with Office computer tools (e.g. Visio, PowerPoint, Excel, Access, and Word) and project management software. * Willing to learn other applications such as Minitab, Sigma Excel, Engine Room, and Traction among others. * High degree of customer sensitivity and attention to detail, outstanding communication skills, including listening skills, demonstrated formal/informal leadership skills, demonstrated track record of results from project management, team facilitation, and time mgmt skills. * Strong proven business acumen and ability to translate improvements into financial impact and communicate project work to the leadership level. Minimum Required Experience: 3 Years

The TD Project Manager - Lead will be responsible for managing projects directly related to emerging technologies and digital transformation initiatives at BHSF. The TD Project Manager will be responsible for transforming the core business of the Strategic Digital Transformation Roadmap to directly impacting the consumer and patient access framework. The TD Project Manager will be responsible for modernizing, aligning, and elevating specialized resources, priorities, processes, methods, skills, knowledge, and experience to consistently and expeditiously achieve BHSF project goals. The TD Project Manager will be responsible for managing TD projects and will play a transformational role in the TD PRIME Strategy frequently involving multiple technology and organizational domains ranging in size, complexity, duration, risks factors and spend. The TD Project Manager will be held responsible for the timely completion and the quality of the work produced by the project teams including change management and post-live support. Estimated salary range for this position is $105647.55 - $137341.82 / year depending on experience. Degrees: * Bachelors. Additional Qualifications: * BS & 8 years equivalent experience or 10 years equivalent experience required. * MS preferred. * Project Management Professional (PMP) certification preferred. * Epic EHR Implementation experience strongly preferred. * Experience focused on technology project management. * 10 years' experience managing concurrent projects of varying complexity and scale with demonstrated experience leading and influencing cross-functional teams and individual contributors inclusive of senior leaders, stakeholders, developers, engineers and analysts. * Ability to deliver executive summaries for assigned projects. * Must be self-motivated and multi-task oriented with an aptitude for rapidly assimilating new concepts, practices, methods and skills. * Must have excellent written and verbal communication skills with the ability to convey technical information, decisions, and approaches to technical and non-technical audiences. * Proven working knowledge with Project Management tools such as Jira, Confluence, Smartsheet, MS Projects. Minimum Required Experience: 10 Years

Accurately codes Outpatient Surgery and Observation records for the classification of all diseases, injuries, procedures, and operations using the ICD10CM and CPT4 coding system for BHSF facilities. Ensures compliance of coding rules and regulations according to Regulatory Agencies (CMS, OIG). Works as a team to meet departmental goals and AR goals. Abstracts prescribed data elements from the medical records. Estimated pay range for this position is $26.50 - $34.45 / hour depending on experience. Degrees: * High School,Cert,GED,Trn,Exper. Licenses & Certifications: * AHIMA Certified Coding Specialist. CCS or RHIT * AHIMA Registered Health Information Technician. Additional Qualifications: * Required Coding Certificate. * With extensive relevant experience and not CCS or RHIT certified upon hire they must obtain within 2 years, except for BRRH employees. * Knowledge of encoder system, outpatient prospective payment system (OPPS), APCs and Ambulatory Surgical Center payment system (ASC). * Knowledge and thorough understanding of National and Local Coverage Determination, NCD and LCD, Policies. * Competency in Word and Excel. * Ability to communicate effectively with coworkers, management staff and physicians. Minimum Required Experience: 3 years of outpatient Same Day Surgery SDS coding

Vail Health has become the world's most advanced mountain healthcare system. Vail Health consists of an updated 520,000-square-foot, 56-bed hospital. This state-of-the-art facility provides exceptional care to all of our patients, with the most beautiful views in the area, located centrally in Vail. Learn more about Vail Health here. Some roles may be based outside of our Colorado office (remote-only positions). Roles based outside of our primary office can sit in any of the following states: AZ, CO, CT, FL, GA, ID, IL, KS, MA, MD, MI, NC, NJ, OH, OR, PA, SC, TN, TX, UT, VA, WA, and WI. Please only apply if you are able to live and work primarily in one of the states listed above. State locations and specifics are subject to change as our hiring requirements shift. About the opportunity: Responsible for independently assisting providers and clinical teams with patient care, maintaining patient records, and completing administrative duties that assist in the management of patient care. What you will do: • Fields patient phone calls and voicemails promptly and in a professional manner. • Addresses patient portal and electronic health record (EHR) messages through the drop box within an acceptable timeframe established by providers and leadership. • Communicates with necessary provider or team member regarding patient questions and concerns. • Receives patient refill requests and processes appropriately based on appropriate workflow based on qualifying factors for refill. • If refill cannot be processed by the clinical assistant, the clinical assistant sends the request to the provider with necessary information to process the request. • Manage provider's patient portal messages, sort to appropriate inboxes within the EHR or address messages as needed. • Closes loop with patient on requests, questions, results, or concerns. • Ensures accuracy and proper documentation in the patient's electronic health record. • Communicate with clinical care team as needed. Role models the principles of a Just Culture and Organizational Values. Must be HIPAA compliant This description is not intended and should not be construed to be an exhaustive list of all responsibilities, skills and efforts or work conditions associated with the job. It is intended to be an accurate reflection of the general nature and level of the job. What you will need: Experience: • Basic knowledge of medical terminology, medical equipment, HIPAA compliance, and OSHA rules and regulations required • 2 years of experience with applicable patient care and administrative duties preferred License(s)/ Certification(s): • One of the following is required: Medical Assistant: Certified Medical Assistant (CMA) by the American Association of Medical Assistants (AAMA) Registered Medical Assistant (RMA) by American Medical Technologist (AMT) National Certified Medical Assistant (NCMA) by the National Center for Competency Testing Certified Clinical Medical Assistant (CCMA) by the National Healthcare Association Medical Assistant Certification (MAC) by the American Medical Certification Association Nationally Registered Certified Medical Assistant by the National Association for Health Professionals State of Colorado Emergency Medical Technician license State of Colorado Licensed Registered Nurse or valid compact state license State of Colorado Licensed Practical Nurse or valid compact state license State of Colorado Certified Nurse Aide license Benefits at Vail Health (Full Time) Include: Competitive Wages & Family Benefits: Competitive wages Parental leave (4 weeks paid) Housing programs Childcare reimbursement Comprehensive Health Benefits: Medical Dental Vision Educational Programs: Tuition Assistance Existing Student Loan Repayment Specialty Certification Reimbursement Annual Supplemental Educational Funds Paid Time Off: Up to five weeks in your first year of employment and continues to grow each year. Retirement & Supplemental Insurance: 403(b) Retirement plan with immediate matching Life insurance Short and long-term disability Recreation Benefits, Wellness & More: Up to $1,000 annual wellbeing reimbursement Recreation discounts Pet insurance The posted salary range for this position is the anticipated hiring range in Colorado and will be adjusted based on geographic location. Vail Health considers a variety of factors in making compensation decisions which influence the offer a candidate receives. Hourly Pay:$22.10-$29.52 USD

The incumbent will be responsible for obtaining and verifying necessary demographic and insurance information, including authorization/referrals/notifications (diagnostic, surgical, therapy, admissions/observations, and other procedures/treatments). Responsible for scheduling patients' appointments/procedures (initial, follow-up, and/or add-on), as applicable. This position requires the incumbent to be in a call center type environment and responsible for meeting individual quality metrics (e.g., productivity, accuracy, customer service QA, etc.). Responsible for coordinating patient flow, timely processing, maintaining knowledge and deployment of practices used within the department/physician practice/hospital to address patient questions or concerns. Maintaining knowledge of insurance requirements, Baptist Health South Florida (BHSF) pricing, financial assistance options, and overall BHSF Revenue Cycle operations. Practices the Baptist Health philosophy of service excellence in providing professional, compassionate and friendly service to patients of all ages, families, employees, physicians and community members. Degrees: * High School,Cert,GED,Trn,Exper. Additional Qualifications: * Complete and successfully pass the Patient Access training course. * Ability to work in a high volume, fast-paced work environment. * Ability to perform basic mathematical calculations. * Detail oriented, organized, team player, compassionate, excellent customer service and interpersonal communication skills . * Desired: Basic knowledge of medical and insurance terminology. * Experience with computer applications (e. * g. * , Microsoft Office, knowledge of EMR applications, etc. * ) and accurate typing skills. * Knowledge of regulatory guidelines to include, but not limited to, HIPAA, AHCA, EMTALA, and Medicare coverage structure, including medical necessity compliance guidelines. * Bilingual English, Spanish/Creole. Minimum Required Experience: Less than 1 year

Systems Engineer supports a large-scale Distributed Infrastructure, providing technical leadership in problem solving, maintenance, and project build situations, formulating solutions for improvement, and working with peers to establish a strategic direction for the environment. This position will install, maintain, and configure systems infrastructure on both on premise and Cloud platforms. Estimated salary range for this position is $108,816 - $141,460 / year depending on experience. Degrees: * Bachelors. Additional Qualifications: * Masters preferred. * 10 yrs of exp in Comp Science, Comp Engineering or comparable industry exp. * Strong, demonstrated skills needed in AWS, GCP or Azure; Kubernetes, Terraform, Ansible and Python. * Extensive experience with IaC * Hands-on, proven expertise with developing tech solutions involving multiple apps to solve business/production needs. * Excellent communication & interpersonal skills, particularly in working within teams/stakeholders. * Expertise in Linux, MacOS, &/or Windows sys admin. * Exp managing cloud-based solutions using VMware, AWS, GCP, & Kubernetes. * Exp with LDAP, DNS, SSO, MDM, SMTP, sys performance-monitoring tools, virtualization, HTTP, email routing & admin, interacting with REST APIs for app integration & automation, & familiarity with authentication standards. * Strong ability to query & visualize data using tools like Grafana, Kibana, &/or ElasticSearch. * Excellent troubleshooting & problem-solving skills, example: Understanding of TCP/IP networks, troubleshooting & related tech. * Nice to have experience with F5, Couchbase, Apache, Nginx, Tomcat, ElasticSearch, Rabbit MQ, Angular. * Required knowledge & understanding of technical architecture, app sys design & integration in a large enterprise environment. Minimum Required Experience:10 years

Baptist Health South Florida is seeking a Director of Digital Engineering to lead engineering strategy, execution, and team development across our most critical digital products, including but not limited to the award winning PineApp patient-facing app, internal applications, kiosks, and enterprise web initiatives. This leader will own end-to-end digital engineering delivery within an ambitious and fast-moving ecosystem, partnering closely with Product, UX/UI, Data, AI, and Clinical/Operational leaders to bring innovative, AI-powered solutions to life. The ideal candidate is a transformative engineering leader with deep experience in healthcare, modern architectures, agentic AI workflows, and digital systems that meet enterprise-scale reliability and regulatory standards. Key Responsibilities Engineering Leadership & Strategy * Lead and grow the Digital Engineering organization responsible for mobile, web, internal applications, kiosks and more. * Define and execute a forward-looking engineering strategy with a strong focus on AI-driven, personalized patient and employee experiences. * Partner with Digital Product to manage and execute on the digital roadmap Product Delivery & Technical Execution * Oversee sustainment and new development of the PineApp, used by the majority of BHSF patients for scheduling, records, communications, virtual visits, and self-service tools. * Lead engineering for internal and operational applications that improve clinical workflows, communication, and business efficiency. * Own the development and modernization of kiosk and other digital experiences across facilities. * Oversee enterprise web engineering and integration work to ensure consistently high performance, accessibility, and reliability. AI, Automation, and Agentic Systems * Drive the adoption of AI/ML across digital products-including conversational agents, decision-support workflows, personalization engines, and next-generation patient enablement tools. * Work closely with Data Science, AI Engineering, and Product teams to design, implement, and scale agentic AI workflows, LLM-driven features, and intelligent automation. * Ensure all AI-enabled features meet safety, regulatory, ethical, and cybersecurity standards. Healthcare Systems Expertise * Lead engineering efforts related to EMR integration, interoperability, data pipelines, and clinical interfaces. * Act as a senior engineering partner in Epic conversion activities, bringing expertise in digital ecosystem readiness. Operational Excellence & Team Leadership * Build and mentor high-performing engineering teams, establishing a culture of ownership, partnership, innovation, accountability, and continuous improvement. * Partner with Digital Product and UX/UI to ensure commitments are delivered on time, within scope, and with exceptional quality. * Build and foster effective relationships with operational partners to ensure enhanced quality of delivered products, and smooth digital adoption. * Manage vendors, SOWs, budgets, and engineering governance. * Represent engineering in executive updates, steering committees, and strategic planning. What We Offer * The opportunity to shape the future of digital healthcare for one of the most awarded health systems in Florida. * Leadership of a high-impact engineering portfolio with direct visibility across the C-Suite. * A mission-driven environment that values innovation, compassion, excellence, and continuous learning. * Competitive compensation, comprehensive benefits, and professional development opportunities. Join Us If you are an engineering leader excited by the opportunity to build intelligent digital experiences that improve lives, we'd love to meet you. Estimated salary range for this position is $193964.45 - $252153.79 / year depending on experience. Degrees: * Bachelors. Additional Qualifications: * Master's degree in computer science or related field preferred. * 10 years of progressive software engineering experience, with at least 5 years leading engineering teams. * Proven success leading engineering for high-traffic mobile and/or web applications at enterprise scale. * Demonstrated experience implementing AI/ML solutions, including LLMs, generative AI, and agentic AI workflows in production. * Strong knowledge of cloud environments (Azure preferred), modern application architecture, API development, microservices, and DevSecOps. * Healthcare system experience. * Expertise in EMR integration and data interoperability. * Experience partnering in or leading portions of Epic implementations or conversions. * Ability to translate business needs into technical strategy with clarity and influence at the executive level. * Experience with mobile app development ecosystems (iOS, Android, hybrid frameworks). * Background in kiosk or digital front door technologies. * Understanding of digital product management, UX/UI design collaboration, and human-centered design. * Experience with vendor management and large multi-year program delivery. Minimum Required Experience: 10 Years

The Sr Customer Success Manager is responsible for aligning an organization's strategic objectives with its operational processes. This role focuses on understanding business needs, translating those into business architecture frameworks, and ensuring that technology initiatives support and drive business success. The Sr Customer Success Manager works closely with business leaders, technology teams, and other stakeholders to optimize business processes and improve the alignment between technology and business goals. Estimated salary range for this position is $105,647.55 - $132,059.70 / year depending on experience. Degrees: * Bachelors. Additional Qualifications: * The ideal candidate holds a bachelor's or advanced degree (or equivalent combination of education and experience) in Business, Information Systems, or a related field, with over 4 years of experience in business analysis, process improvement, or a similar role that enhances organizational efficiency. * Must have experience with ITSM and ITIL certification strongly preferred. * They have proven expertise in Business Architecture tools and processes, along with a comprehensive understanding of business architecture principles and methodologies to support strategic objectives. * Familiarity with healthcare payer business processes and strategic planning is highly desirable. * The candidate is skilled in business process modeling and aligning business strategies with operational goals and managing stakeholder relationships to drive successful outcomes. * With excellent communication and leadership skills, they can effectively translate complex technical concepts into clear, actionable business language for diverse audiences. * They demonstrate the ability to develop and present project proposals and design concepts. * Additionally, the ideal candidate brings curiosity to foster innovation, humility to thrive as part of a team, and a strong commitment to delivering impactful customer experiences in every interaction. * This is a hybrid role, with both virtual work and on-site visits as needed. Minimum Required Experience: 5 Years

The Physician Advisor (PA) serves as a clinical resource to the medical staff and CM/SW by providing identification, facilitation and resolution of utilization issues. The PA role has a matrix reporting structure which includes Corporate Physician Advisor and Corporate CQIO , as well as entity CMO and CEO. The Physician Advisor addresses the following issues: Federal and state compliance, documentation supporting coding/medical necessity/clinical validation, appropriate level of care, length of stay, hospital utilization and quality issues. In collaboration with admitting physician, healthcare team, and case management , the PA proactively manages cases at the point of entry and through the hospital stay , to ensure the patient is placed in the proper level of care classification based on medical necessity, severity of illness and risk of mortality . The PA ensures compliance with CMS for appropriate billing . The PA conducts post-discharge reviews related to payer audits. Promotes understanding and cooperation between the medical staff through communication, collaboration and education. Facilitate improvements in clinical practice to achieve better performance, improved cost, reduced length of stay, fewer readmissions, and superior patient care .Relocation assistance available. #LI-POST Degrees: Doctor of Medicine / DO Licenses & Certifications: ABQAURP Physician Advisor Sub-Specialty Certification Additional Qualifications: Certification as Physician Advisor by a national physician advisor organization or American Board of Quality Assurance and Utilization Review Physicians [ABQAURP] certification or similar must be obtained within one year of hire. A minimum of 3 years work experience as practicing physician , with experience performing case reviews, and experience using MCG and/or Interqual criteria . Knowledge on application of CMS 2 Midnight Rule, and Condition of Participation, and inpatient billing requirements . Ability to analyze, organize and prioritize work accurately while meeting multiple deadlines. Ability to communicate effectively in both oral and written form. Ability to handle difficult and stressful situations with critical thinking and professional composure. Ability to understand and follow instructions. Ability to exercise sound and independent judgment. Knowledge and skill in use of job appropriate technology and software applications. Maintains additional education in CMS guidelines, quality and utilization management through continuing medical education programs and self-study.

Key Responsibilities: * Configure, build, and maintain the Epic ClinDoc module, including clinical workflows, documentation tools, and templates. * Collaborate with clinicians, IT staff, and hospital leadership to optimize nursing , ancillary and provider documentation workflows. * Analyze system needs, gather user requirements, and implement enhancements or new features. * Perform testing, troubleshooting, and system upgrades to ensure optimal performance and minimal downtime. * Develop and maintain training materials, user guides, and workflow documentation for end-users. * Ensure compliance with regulatory requirements, clinical best practices, and hospital policies. * Work closely with other Epic teams, including Orders, HIM, and Reporting, to ensure system integration. * Provide end-user training, support, and troubleshooting assistance as needed. * Participate in on-call support for critical system issues and go-live events. Estimated salary range for this position is $85901.44 - $111671.87 / year depending on experience. Qualifications: Bachelor's degree in Computer Science, MIS, Information Sciences or related discipline or equivalent work experience. * Epic ClinDoc Certification (Required). * Epic Regulatory Reporting Badge (Required) * Epic Clinical Case management Certification (Desired) * Epic Rehab and Behavioral Health Certification (Desired) * Epic device integration knowledge desired * Bachelor's degree in Nursing, Health Informatics, IT, or a related field (or equivalent experience). * 2-5 years of experience working with Epic ClinDoc. * Strong understanding of clinical workflows, nursing documentation, and provider charting. * Experience with Epic SmartForms, SmartLinks, SmartTexts, OPA and flowsheet development. * Knowledge of clinical informatics, healthcare compliance, and patient safety best practices. * Strong analytical, problem-solving, and communication skills. Minimum Required Experience: 5 Years

Responsible for working/editing daily download of assigned Governmental Program claims while adhering to all regulatory, contractual, compliance and BHSF mandates/guidelines. Optimizes timely transmittal of accurate and clean claims to achieve daily set thresholds. Protects payer filing deadlines by utilizing all available resources to resolve held claims. Communicates effectively with all BHSF Departments responsible for Revenue Cycle delays and works with Billing Management to achieve resolution. Responsible for training new employees and assisting management with auditing queues during the probation period. Must be willing to take on additional queues as back up to bill all carriers. Estimated pay range for this position is $20.02 - $24.22 / hour depending on experience. Degrees: * High School,Cert,GED,Trn,Exper. Additional Qualifications: * BA preferred or equivalent Medicare or Medicaid Billing experience required. * 4-7 years prior experience in Billing of claims. * CPC, CPC-H, CCS, RMC certifications a plus. * Current BHSF employees must have a high fully meets or exceeds merit rating 3. * 5 - 4. * 0. * Ability to train personnel a must. * Know all required fields on a 1500 and UB for hospitals and diagnostic facilities a must. * Extensive knowledge with Govt related regulations National, State, and Local, for Medicare, Medicaid,Champus/Tricare. * Medical Necessity and Correct Coding Initiative a must. * Exp in other related Business Office functions incl Government Funded programs. * Adjudication of claims is desirable. * Working knowledge and understanding of: medical terminology ; Revenue Codes ; DRG guidelines ; ICD9/10, CPT4, Modifiers & HCPC codes ; HIPAA ; Online verifications DDE ; Internet savvy ; Knowledge of Microsoft Suite a must. * Extensive analytical ; critical thinking ; detail oriented ; problem solver ; good math, writing, and interpersonal skills required. * Must be able to report issues to management, IT support. * Communicate with other depts in order to resolve pending or missing inf on the claim to meet daily transmissions. * Excellent Time Management skills. * Ability to multi-task and work under press. Minimum Required Experience: 4 Years

Manages the daily operations and work activities for the Miami Cancer Institute's Cancer Data Center. Ensures compliance with oncology program accreditation standards, Florida Cancer Data System reporting regulations and standards related to oncology information management and documentation requirements. Scope of responsibility includes all Baptist Hospital South Florida hospital entities and Baptist Outpatient Service facilities. Estimated salary range for this position is $88478.97 - $115022.66 / year depending on experience. Bachelor's Degree required. Must be Certified Tumor Registrar (CTR) through the NCRA. Three years of leadership experience required. Possess at least three years experience in supervising Oncology Data Specialists, developing relationships, assisting or interacting with physician groups and product lines in a complex health care organization. Experienced in strategic planning for a hospital cancer registry with proven innovation and system improvements. Skilled in registry software including running complex reports and data dissemination. Proficiency in Microsoft office products required including communication tools with ability to learn new applications as required. Skilled in written and oral presentations. Proven ability to work well with physicians and multi-disciplinary groups.

Provides initial and ongoing workflow-based training and adoption support for providers and clinical support staff in accordance with position-specific clinical and business needs. Serves as an advisor to providers as the health care industry transforms in order to impact improved performance outcomes. Participates in innovation sessions with internal stakeholders to identify and support continuous improvement initiatives and provide subject matter expertise. Participates in developing, maintaining, and updating the Computer Based Training modules on all required platforms used across BHSF. Travels to various BHSF sites as assigned to conduct ongoing rounding and workflow assessments. Conducts EHR coaching and refresher sessions for medical specialties/clinical staff. Uses analytical/evaluation tools to review and predict data. Facilitates and supports multiple clinical systems go-lives across BHSF as directed, including weekends and night shifts as needed. Estimated salary range for this position is $55,137.29 - $71,678.47/ year depending on experience. Degrees: * Bachelors. Additional Qualifications: * 3 years of clinical experience. * Bachelors degree in related field OR 3 years of equivalent clinical experience. * Certified Associate in Healthcare Information and Management Systems (CAHIMS) certification preferred. * Ability to work independently, using project management methodology to establish priorities, organize multiple projects and plan work to satisfy established Informatics timeframes. * Ability to create and maintain Computer Based Training (CBT) resources, provide virtual and in-person training and workflow adoption support to end users in accordance with position-specific clinical and business needs. * Strong understanding of clinical workflows in order to recommend and help implement improvements to EHR usage to enhance efficiency, productivity, and patient/provider workflow. * Ability to use analytical/evaluation tools to review and predict data. * Excellent oral and written communication skills. * Exceptional customer service and support skills. Minimum Required Experience: 3 Years

The purpose of this position is to conduct initial, concurrent, retrospective chart review for clinical financial resource utilization. Coordinates with healthcare team for optimal/efficient patient outcomes, while decreasing length of stay (LOS) and avoid delays and denied days. They are accountable for a designated patient caseload and provides intervention, coordination to decrease avoidable delays, denial of reimbursement. Specific functions within this role include: Screens pre-admission, admission process using established criteria for all points of entry. Facilitates communication between payers, review agencies, healthcare team. Identify delays in treatment or inappropriate utilization and serves as a resource. Coordinates communication with physicians. Identify opportunities for expedited appeals and collaborates to resolve payer issues. Ensures/Maintains effective communication with Revenue Cycle Departments. Estimated salary range for this position is $73860.80 - $96019.04 / year depending on experience. Degrees: * Associates. Licenses & Certifications: * MCG Care Guidelines Specialist. * Registered Nurse. Additional Qualifications: * RNs hired prior to 2-2012 (10/1/2017 at Bethesda or 7/1/2019 at BRRH) with an Associates Degree in Nursing are not required to have a BSN to continue their non-leadership role as an RN. * however, they are required to complete the BSN within 5 years of job entry date. * MCG Specialist Certification ISC/HRC required within 12 months of job entry date. * 3 years of Nursing experience preferred. * Excellent written, interpersonal communication and negotiation skills. * Strong critical thinking skills and the ability to perform clinical/chart review abstract information efficiently. * Strong analytical, data management and computer skills. * Strong organizational and time management skills, as evidenced by capacity to prioritize multiple tasks and role components. * Current working knowledge of payer and managed care reimbursement preferred. * Ability to work independently and exercise sound judgment in interactions with the health care team and patients/families. * Knowledgeable in local, state, and federal legislation and regulations. * Ability to tolerate high volume production standards. Minimum Required Experience: 3 Years of Utilization Review in an acute care setting required

Under minimal supervision by the Vice President & Chief Innovation Officer, performs and/or manages project work of a generally complex nature aimed at improving operations and performance within BHSF with responsibility for project planning, the coordination and execution of collaborative activities. Budgets and allocates resources for multiple projects within scope of responsibility. Prepares reports, presentations and recommendations for management and coordinates implementation where assigned. Supervises tasks of external support staff relative to assigned projects. Estimated salary range for this position is $85901.44 - $111671.87 / year depending on experience. Degrees: * Bachelors. Additional Qualifications: * Master's degree is preferred. * Significant project management experience and outstanding analytical, communication, multi-tasking and interpersonal skills are required. * Ability to apply innovative solutions. * Works independently to manage complex projects from concept through analysis, design and execution. * Coordinates multiple participants and teams. * Maintains a high level of responsibility for completion of projects within BHSF Innovations. * The project manager has the following responsibilities: providing input for budget preparations, guiding day-today activities of project teams, facilitating and/or leading meetings and teams, supplying periodic project updates to BHSF administration, preparing project management reports and when asked, communication materials related to innovation activities. Minimum Required Experience: 2 Years

Provides AR/follow up including denial management support to collect on outstanding accounts receivables. Complies with payer filing deadlines by utilizing all available resources to resolve held claims, Assures all known regulatory, contractual, compliance, and BHSF guidelines are adhered to with regards to claim billing processes. Communicates with various teams within the organization. Utilizes coding compliance and understanding of ICD-9, CPT-4 and associated modifiers to resolve claims management issues. Estimated pay range for this position is $18.87 - $22.83 / hour depending on experience. Degrees: * High School,Cert,GED,Trn,Exper. Additional Qualifications: * One of the following certifications is preferred: CPC-A (AAPC Certified Professional Coder), CCA (AHIMA Certified Coding Associate), CCS (AHIMA Certified Coding Specialist), CCS-P (AHIMA Certified Coding Specialist - Physician-Based), NCIS (NCCT,National Certified Insurance Specialist) ,Other recognized coding and billing certifications may also be considered. * Excellent verbal and written communication skills, including ability to effectively communicate with internal and external customers. * Excellent computer proficiency (MS Office - Word, Excel, and Outlook). * Knowledge of physician billing, regulatory and compliance guidelines. * Knowdledge of ICD-10, HCPCS, CPT-4 and modifiers. * Must be able to work under pressure and meet deadlines, while maintaining a positive attitude and providing exemplary customer service. * Ability to work independent and carry out completion of workload. Minimum Required Experience: 2 Years

Responsible for detailed ServiceNow solution architecture and designs, as well as delivery of estimations for technology projects. Coordinate with other architects and designers from various disciplines to define the most cost-effective and efficient design. Must excel at planning, communicating and driving architecture, engineering and infrastructure while driving changes that increase technology performance and availability, reduce time to market, new capabilities across the enterprise, decrease complexity and optimize revenue and cost. Analyze current technologies used within the company and determine ways to improve. Document and monitor requirements needed to institute proposed updates. Work closely with Tech and Digital professionals within the company to ensure hardware is available for projects and working properly. Propose and establish framework for necessary contributions from various departments. Account for possible project challenges on constraints including, risks, time, resources and scope. Work closely with project and product management teams to successfully monitor progress of initiatives. Provide detailed specifications for proposed solutions. Define clear goals for all aspects of a project and manage their proper execution. Estimated salary range for this position is $96682.12 - $125686.76 / year depending on experience. Degrees: * Bachelors. Additional Qualifications: * Bachelors degree in computer science, Engineering or related field. * Masters degree preferred. * ServiceNow Solutions experience required. * Proven project management knowledge and skills. * Experience developing IT and cloud infrastructure. * Current understanding of best practices regarding system security measures. * Experience in software engineering and design architecture. * Advanced understanding of business analysis techniques and processes. * Professional experience working with and analyzing computer hardware and software. Minimum Required Experience: 5 Years

Reporting directly to the Director, AR Reimbursement and Statutory accounting, the Sr. Analyst, Reimbursement Medicare is responsible for providing accurate information for Medicare cost report preparation, cost report appeals, audit preparation and other duties related to the regulatory reimbursement services. The position maintains current knowledge of Medicare, Medicaid and other State and Federal regulations. The Sr. Analyst interacts with customers and ensures value is delivered and customer satisfaction is achieved. The Sr. Medicare Reimbursement Analyst also assists in the AR closing processes and meeting future reimbursement service needs. Estimated salary range for this position is $65,835.36 - $85,585.97 / year depending on experience. Degrees: * Bachelors. Additional Qualifications: * Bachelor's degree in Accounting or Finance. * MBA or Master of Accounting degree preferred. * Strong analytical and quantitative thinker. * Five years of accounting and or financial analysis experience in healthcare environment. * Possess knowledge of Medicare Cost report and Medicare, Medicaid and other State and Federal regulations. * Experience with Graduate Medical Education (GME) and Indirect Medical Education (IME) preferred * Strong budget and analytical skills required, including knowledge of management information systems, proficient skills in Excel, Word, JDA, Epsi, Cerner, ProDiver, RCA and excellent communication skills. Minimum Required Experience: 5 years