Medical Staff Credentialing Assistant (Intake) Medical Staff Services- Corporate-Full-Time Days -Remote
New York, NY jobs
Medical Staff Credentialing Assistant (Intake) - Medical Staff Services- Corporate-Full-Time Days -Remote
Our flexible remote opportunities offer an excellent opportunity for those who flourish in a remote environment to achieve improved work/life balance as well as decrease annual commuting expenses.
Provide support for all credentialing functions within the Medical Staff Office.
Education
Bachelor's Degree in a health care related field or equivalent work experience, preferred
Experience
Minimum of 1 year of credentialing experience is required, preferably in a hospital setting.
Experience in an academic medical center, multi-entity health system and/or a CVO is strongly preferred.
Must have a home office set up conducive for remote work and preferably have experience working in a remote environment.
Compensation Statement
The Mount Sinai Health System (MSHS) provides salary ranges that comply with the New York City Law on Salary Transparency in Job Advertisements. The salary range for the role is $25.06 - $27.39 Hourly. Actual salaries depend on a variety of factors, including experience, education, and operational need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits.
Non-Bargaining Unit, 542 - HSO Medical Staff Services - MSH, Mount Sinai Hospital
Assists with the coordination of the application and reapplication process for all practitioners who are seeking to be granted membership and or clinical privileges at MSHS, including but not limited to: verifying all relevant information via the primary source; reviewing and analyzing potential issues and concerns; and preparing files for routing to the appropriate medical staff leaders, committees and the governing body.
Supports credentialing teams and the credentialing and privileging process to ensure compliance with medical staff bylaws and accrediting agencies (e.g., The Joint Commission, CMS, NCQA, etc.).
Maintains all credentialing related databases in accordance to medical staff policies and procedures.
Supports all other functions of the medical staff office and performs other duties as assigned by department leadership.
Auto-ApplyAccess Center Lead Agent - Call Center- Hicksville, Long Island, New York, HYBRID, Full Time, Days, Offsite
Huntington, NY jobs
The Lead Agent for the Access Center is a senior level individual, responsible for scheduling appointments, consults and follow-up appointments for patients, and who takes a lead role among this group, mentoring and managing all training for new and less experienced staff. This individual assists the Supervisor in oversight of front desk and office activity, or functions as point of contact in the Supervisors absence.
High School diploma/GED
3+ years of secretarial/clerical experience, preferably with some directly related experience, in a medical practice environment
1. Schedules patient FPA appointments and updates practice management system.
2. Collects patient demographics and insurance information and enters into practice management system.
3. Verifies patient insurance coverage prior to appointment and advises patient of any insurance referrals or authorizations needed.
4. May schedule patients appointments for tests or consults.
5. May initiate reminder calls for next days appointments.
6. Manages training and mentors less experienced Scheduling Coordinator and administrative staff, and discusses issues of concern with Supervisor.
7. May perform duty as liaison between Scheduling Coordinator staff and Administrative Assistants in addressing patient concerns.
8. Participates in customer service initiatives, patient satisfaction surveys, ACD and appointment reporting.
9. May participate and offer input into the Performance Appraisal process with the Supervisor.
10. Point of contact in the Supervisors absence.
11. Performs other related duties.
Auto-ApplyImmigration Coordinator-HR International Personnel-Mount Sinai Hospital-Hybrid-Full Time-Days
New York, NY jobs
** **Immigration Coordinator-HR International Personnel-Mount Sinai Hospital-Hybrid-Full Time-Days** The Immigration Coordinator is responsible for a range of client service, operational and administrative tasks in the International Personnel ('IP') Division of the Human Resources Department. This individual is often the first contact point with our foreign-national customers, and is a friendly and helpful communicator and problem-solver - an ambassador for the Mount Sinai Health System brand. Supports the early stages of the visa application process with document intake and preparation, data entry and records management. This individual also assists with billings and collections, and office management duties. The Immigration Coordinator is a self-starter, eager to learn, and detail-orientated, with often an interest in law, immigration, office operations, and/or human resources.
**Qualifications**
**Education Requirements:**
? Bachelor?s Degree.
**Experience Requirements:**
+ Some office experience, preferred, especially in law, immigration, academic healthcare, or human resources
+ Customer service; empathy; high emotional intelligence
+ Excel
+ Microsoft Office Suite
+ Experience with SEVIS and/or Immigration Tracker, preferred
**General Skills and Competencies:**
+ Ability to work with a diverse international clientele, multilingual a plus
+ Ability to seamlessly switch gears for one task to another
+ Strong customer service orientation
+ Pleasant and effective written and oral communication
+ Interest and aptitude for career growth and learning
+ Basic billing and collection skills
+ Strong organizational skills
+ Excellent judgment and ability to deal with difficult situations
Non-Bargaining Unit, 573 - HR International Personnel - MSH, Mount Sinai Hospital
**Responsibilities**
+ Assist in preparing forms for submission to the immigration service (e.g., applications for employment authorization, applications for change of status, applications for adjustment of status; assist with J-1 visa processing overflow, etc.)
+ Provide original documents i.e. approval notice, DS2019, and I-20 etc. to employees
+ Work with congressional and senate representatives to escalate urgent immigration matters such as pending employment authorization, change of status, and biometrics appointments as needed
+ Liaise with Dep't of State, USCIS, and CBP to facilitate corrections to records, obtain emergency visa appointments, and expedite pending matters
+ Notify USCIS of H-1B withdrawal
+ Complete I-9 and E-verify and re-verification processes for employees (visa and non-visa holders)
+ Manage department budget
+ Create records and maintain data in Immigration Tracker software system
+ Run monthly status maintenance reports to ensure visa compliance
+ Reconcile social security number reports for new hires with HRIS
+ Maintain closing files and archiving for storage
+ Work closely with Immigration Specialists to provide support where needed for case preparation and submission
+ Prepare consular packages for E-3, F-1, H-1B, J-1 visas and for USCIS
+ Order supplies and direct calls as needed
+ Oversee observer program for Health System
+ Perform other duties as assigned.
**About Us**
**Strength through Unity and Inclusion**
The Mount Sinai Health System is committed to fostering an environment where everyone can contribute to excellence. We share a common dedication to delivering outstanding patient care. When you join us, you become part of Mount Sinai's unparalleled legacy of achievement, education, and innovation as we work together to transform healthcare. We encourage all team members to actively participate in creating a culture that ensures fair access to opportunities, promotes inclusive practices, and supports the success of every individual.
At Mount Sinai, our leaders are committed to fostering a workplace where all employees feel valued, respected, and empowered to grow. We strive to create an environment where collaboration, fairness, and continuous learning drive positive change, improving the well-being of our staff, patients, and organization. Our leaders are expected to challenge outdated practices, promote a culture of respect, and work toward meaningful improvements that enhance patient care and workplace experiences. We are dedicated to building a supportive and welcoming environment where everyone has the opportunity to thrive and advance professionally. Explore this opportunity and be part of the next chapter in our history.
**About the Mount Sinai Health System:**
Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 48,000 employees working across eight hospitals, more than 400 outpatient practices, more than 300 labs, a school of nursing, and a leading school of medicine and graduate education. Mount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time - discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high-quality care to all who need it. Through the integration of its hospitals, labs, and schools, Mount Sinai offers comprehensive health care solutions from birth through geriatrics, leveraging innovative approaches such as artificial intelligence and informatics while keeping patients' medical and emotional needs at the center of all treatment. The Health System includes more than 9,000 primary and specialty care physicians; 13 joint-venture outpatient surgery centers throughout the five boroughs of New York City, Westchester, Long Island, and Florida; and more than 30 affiliated community health centers. We are consistently ranked by U.S. News & World Report's Best Hospitals, receiving high "Honor Roll" status, and are highly ranked: No. 1 in Geriatrics, top 5 in Cardiology/Heart Surgery, and top 20 in Diabetes/Endocrinology, Gastroenterology/GI Surgery, Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung Surgery, Rehabilitation, and Urology. New York Eye and Ear Infirmary of Mount Sinai is ranked No. 12 in Ophthalmology. U.S. News & World Report's "Best Children's Hospitals" ranks Mount Sinai Kravis Children's Hospital among the country's best in several pediatric specialties. The Icahn School of Medicine at Mount Sinai is ranked No. 11 nationwide in National Institutes of Health funding and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges. Newsweek's "The World's Best Smart Hospitals" ranks The Mount Sinai Hospital as No. 1 in New York and in the top five globally, and Mount Sinai Morningside in the top 20 globally.
**Equal Opportunity Employer**
The Mount Sinai Health System is an equal opportunity employer, complying with all applicable federal civil rights laws. We do not discriminate, exclude, or treat individuals differently based on race, color, national origin, age, religion, disability, sex, sexual orientation, gender, veteran status, or any other characteristic protected by law. We are deeply committed to fostering an environment where all faculty, staff, students, trainees, patients, visitors, and the communities we serve feel respected and supported. Our goal is to create a healthcare and learning institution that actively works to remove barriers, address challenges, and promote fairness in all aspects of our organization.
**Compensation Statement**
Mount Sinai Health System (MSHS) provides a salary range to comply with the New York City Law on Salary Transparency in Job Advertisements. The salary range for the role is $64526.72 - $74250 Annually. Actual salaries depend on a variety of factors, including experience, education, and hospital need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits.
Process Improvement Manager I-Health System Operations-Corporate-Full-Time-Days (Hybrid)
New York, NY jobs
The Process Improvement (PI) Manager I leads improvement initiatives coordinated by the Office of Strategic and Business Planning, utilizing a wide range of improvement tools and methodologies that advance Mount Sinai Health Systems continuous improvement culture. The PI Manager I plans, manages and executes complex improvement initiatives and evaluates the impact of improvement efforts in order to achieve the mission and vision of the health system, effectively utilizing a wide range of project management skills and improvement tools and methodologies. The PI Manager I also acts as a leader for the department, serving as a mentor to junior PI Analysts and Engineers.
Bachelors' degree (Masters Preferred)
5-7 years of combined professional experience and/or graduate-level education relevant to healthcare operations, data analysis, strategic planning and process improvement including at least one year of directly managing staff as an operations manager or in a consulting model
Certification and/or working knowledge of Lean/Six Sigma methodologies
Non-Bargaining Unit, 614 - Health System Operations - MSH, Mount Sinai Hospital
Independently leads, designs, manages, and executes improvement initiatives through all project phases; able to effectively manage multiple concurrent projects and proactively identifies and mitigates resource constraints
Develops scope and plan for improvement initiatives, acquiring stakeholder buy-in and leadership support, and establishing metrics and milestones; Utilizes expertise in improvement methodologies to appropriately identify the correct design and approach for initiatives
Uses project management skills to: develop project plan and timeline for improvement projects; effectively track deliverables and delegate tasks; coordinate project summary presentations; and maintain oversight of all project related tasks necessary for project success
Coordinates and executes observational studies and evaluations to support improvement projects through interviews and in-person observations, and supporting data analysis
Performs or oversees complex data analysis to support leadership decision making. Types of data include but are not limited to: process measures and performance metrics, scheduling, labor and productivity, quality measures, patient satisfaction measures, and demographic data
Collaborates with team members and stakeholders to develop and test hypotheses related to scope of analysis
Designs presentations that distill and communicate analytical and observational findings to stakeholders, including creating figures and diagrams to illustrate clinical and administrative operations; able to provide constructive feedback to presentations developed by others
Effectively collaborates with stakeholders of all levels of staff, developing trusting working relationships with leadership, physicians, administration, and front line personnel. Considers context when presenting findings and recommendations
Creates training content and administers didactic training curriculum on improvement tools and methodologies. May administer training to all levels of the organization
Supports the professional development of junior staff, through constructive feedback on project deliverables and as a role model in all project activities, in leadership or supporting roles; actively identifies opportunities to informally mentor department staff
Maintains current knowledge of trends and evidence-based solutions for improving healthcare delivery and efficient operations
Supports continuous improvement within the department, contributing to the development of improved tools, project methods and internal knowledge base, and project evaluation
Performs other duties as required
Auto-ApplyInpatient Coding Specialist I - Medical Records - Mount Sinai Hospital - FT Days 8AM-4PM (Remote)
New York, NY jobs
Responsible for the review and coding of inpatient and/or ambulatory surgery records utilizing ICD-10-CM and ICD-10-PCS or CPT coding guidelines and conventions for the establishment of diagnoses and procedures. The coded data is utilized for reimbursement, clinical care assessment, education, research, case mix and health care statistical reporting.
Education Requirements
Coding certificate, CCA. CCS (inpatient) or CCS-P (outpatient) certification preferred.
Experience Requirements
Minimum of 2 years inpatient/outpatient coding experience in acute tertiary care hospital
Proficiency in the use of automated coding and DRG/AOC grouping software.
Licensing and Certification Requirements (if applicable)
Name: Certified Coding Specialist (CCS)
Issuing Agency: American Academy of Professional Coders (AAPC)
Collective bargaining unit: SEIU 1199-MSH
SEIU 1199 at Mount Sinai Hospital, 183 - Medical Records - MSH, Mount Sinai Hospital
1.Reviews, analyzes and codes inpatient and/or ambulatory (outpatient) surgery records utilizing all prevailing coding guidelines and conventions for the establishment of diagnoses and procedures.
2.Queries physicians for clarification of documentation if required.
3.Participates in the documentation improvement process on conjunction with Coding management and leadership.
4.Consistently meets or exceeds coding productivity standards as per department policies.
5.Ensures compliance with CMS and other regulatory compliance guidelines.
6.Participates in continuing education opportunities as set forth by Coding leadership. Acquires continuing education hours to maintain certification(s).
7.Promotes and contributes to the collaboration between HIM in a positive manner and serves as mentors to junior coding staff.
8.Other responsibilities as required.
Auto-ApplySocial Worker - WTC Monitoring (ROCKLAND COUNTY)
New York, NY jobs
Job Title: Social Worker - WTC Monitoring (ROCKLAND COUNTY)
Social Work Services at the Mount Sinai Hospital
The Mount Sinai Hospital is a 1,134-bed facility with an extensive outpatient and specialty care network and is the largest hospital in the Mount Sinai Health Care System. It offers comprehensive social work services and programming to meet the myriad needs of the diverse populations we serve. We believe that total patient care must emphasize the physical, emotional, and social needs of each patient and their care partners. Social Workers collaborate within interprofessional teams to serve patients and the larger community from both a micro and macro level including both direct care and prevention. Founded in 1907, the Department of Social Work Services at the Mount Sinai Hospital is one of the oldest hospital social work departments in the nation with over 450 licensed social workers employed across more than 65 different program/service areas. Employment in our department provides a pathway to LCSW licensure as well as access to a broad range of continuing education, professional development and extra-curricular opportunities.
This position is in the World Trade Center Health Program (WTCHP), which provides medical and mental health monitoring and treatment to rescue, recovery, and clean-up workers who responded to Ground Zero following 9/11, many of whom are diagnosed with World Trade Center (WTC)-related physical and mental health conditions.
Social Workers in the WTCHP at the main MSH campus, and at satellite clinics, are responsible for providing clinical services to responders being seen at the WTCHP for monitoring and treatment.
Excellent engagement and assessment skills.
Excellent collaborative skills, with ability to work flexibly in a high-volume, fast paced setting.
Knowledge of public benefits programs and interest in learning about issues specific to population, including e.g., occupational safety and health issues, unions, workers? compensation, employees? rights
preferred.
Experience conducting risk assessments, mental health assessments and/or mental health treatment, especially with PTSD,
preferred.
Excellent documentation and organizational skills.
Minimum one year in current position.
Non-Bargaining Unit, 191 - SOCIAL WORK WTC - MSH, Mount Sinai Hospital
The responsibilities of the social worker in this position include, but are not limited to:
Conducting mental health interviews with responders during their annual monitoring visits including safety and risk assessments/crisis management
Identifying patient need for referrals for WTCHP mental health intake
Identifying patient need for social services and referring to social work case management as appropriate
Offering information and immediate referral for patients with urgent resource-related needs (e.g., food pantry)
Providing information about WTC-related benefits, including Workers' Compensation and Victim's Compensation Fund
Actively collaborating with interdisciplinary team members around patient care needs and issues
Maintaining timely and clear documentation of patient contacts and visits
Participating in general staff meetings
This position is based at a satellite clinic of the WTCHP in the Rockland County town of Suffern, New York. Initial training (2-3 months) will take place at the MSH campus in Manhattan. The position may also require the ability to work remotely 1 day/week with access to basic technological equipment (e.g., computer with webcam, high-speed internet, and reliable cellphone service in private space established for confidential work)
. Evening and weekend hours may be required.
Auto-ApplyIT Systems Administrator II - Data Protection Backup - Digital and Technology Partners - Hybrid
New York, NY jobs
This is a Hybrid position. Requires some onsite as needed to various locations at Mount Sinai Hospitals and Mount Sinai South Nassau locations
We are seeking a Data Protection Backup Engineer to manage and optimize our enterprise backup and recovery systems. This role is critical to ensuring the integrity, availability, and security of our data across on-premises and cloud environments. The ideal candidate will have expertise in Veritas NetBackup and Azure backup technologies, with a strong understanding of compliance and storage optimization.
Associate degree in Computer Science or a related discipline or an equivalent combination of education and work experience; Bachelors degree preferred.
5 years experience in systems operations and administration, telecommunications network installation, operation and maintenance.
1-2 years of experience in backup and recovery administration
Proficient in backup tools such as Veritas NetBackup and Azure Backup
Familiarity with Microsoft Azure backup servers or similar cloud backup solutions
Strong understanding of storage technologies and protocols (SAN, NAS, DAS)
Familiarity with scripting and automation tools (e.g., PowerShell)
Certifications such as ITIL, CCNA, or vendor-specific backup/storage credentials are a plus
Non-Bargaining Unit, 297 - DTP Infrastructure Planning - MSH, Mount Sinai Hospital
• Assist in the administration, monitoring, and maintenance of backup and recovery systems to ensure data protection for critical hospital operations.
• Execute and troubleshoot backup jobs, including scheduling, monitoring, and validating successful completion.
• Support disaster recovery processes, including testing and documentation, to ensure rapid data restoration in case of system failures.
• Manage and maintain backup storage systems, ensuring efficient use of resources and compliance with healthcare regulations (e.g., HIPAA).
• Collaborate with IT teams to integrate backup solutions with on-premises and cloud-based infrastructure, including Microsoft Azure.
• Perform routine maintenance tasks, such as tape management, backup policy updates, and capacity planning.
• Document backup procedures, configurations, and recovery processes to ensure operational continuity.
• Stay informed about emerging backup technologies and contribute to recommendations for system improvements.
Auto-ApplyData Science Analyst III - Enterprise Data Analytics - Digital and Technology Partners - Hybrid
New York, NY jobs
that requires onsite occasionally at 150 E 42nd Street Corporate Offices
The Data Science Analyst III is a senior role, collaborating with stakeholders from across the organization to develop sophisticated analytics to provide information, insights and BI (Business Intelligence) solutions that contribute to sound strategic planning, decision-making, goal setting, and effective performance measurement. The Data Science Analyst III demonstrates sound and a more advanced understanding of the healthcare domain, technical data manipulation and analytic development skills and impact the patient community of the Mount Sinai Health System. Serves as mentor to others in the Data Science team and takes the lead role in project initiatives.
BA or BS degree minimum, in a relevant field of study; Masters degree preferred.
7 years minimum, higher preferred, in analytics development expertise, preferably in health care, or for a health provider, health plan or accountable care organization, including either:
Working knowledge of a health care EMR such as Epic/Clarity, eCW, etc.; a payor claims system such as Facets, Amisys, etc.; or a hospital/provider system such as IDX, Soarian, etc.
Experience working in a health plan or consulting actuarial, financial reporting or medical economics departments highly valuable.
Experience as a nurse informaticist highly valuable.
Experience working in healthcare provider analytics related to revenue modeling, managed care contracting, population management, case management, clinical or financial decision report
PhD, MD or DO program may be substituted for three years of experience.
General Skills and Competencies
Demonstrates the ability to assure compliance with regulatory, insurance and ethical standards regarding safety of patients, employees and property. Identifies contingency plans for potential risks.
Strong data processing / transformation skills using tools like SQL, R, Python, PySpark, etc.
Strong project or process management skills.
Strong analytical skills, with the ability to perform complex analysis and make recommendations based on statistical inferences. Experience with and an understanding of a wide variety of analytical or statistical methods.
General understanding of ETL/ELT tools like Azure ADF/Databricks, or similar tools.
Working knowledge of Business Intelligence products such as Tableau, PowerBI, etc a plus.
Experience in LLM Prompt Engineering / AI assisted development a plus.
Experience in JavaScript/TypeScript a plus.
Exposure to Palantir Foundry platform a plus.
Advanced analytical, financial and technical skills needed to perform complex analysis and data modeling using sophisticated report writing and data management tools.
Ability to exercise critical thinking and logical reasoning, and understand the conceptual framework and database relationships underlying health care data.
Ability to think creatively; demonstrated excellent problem solving skills.
Excellent oral and writing skills characterized by the ability to communicate effectively with varying audiences.
Demonstrated ability to articulate goals, plan and implement processes to achieve those goals, recognize and assess the implications of confounding variables, anticipate consequences, and meet deadlines.
Advanced interpersonal (e.g., mediating, mentoring, teaching) skills required to service internal and external clients effectively, and manage relationships and activities that are diverse and complex.
Self-motivated and resourceful, with a demonstrated ability to think and work independently, and to exercise independent judgment in originating or developing complex techniques or programs in a complex and dynamic environment.
High level of integrity as demonstrated by 1) appropriate treatment of confidential or protected health information, 2) adherence to policies, procedures, rules, and regulations, 3) professional conduct in dealing with persons internal and external to the organization, and 4) sensitivity to populations served by the organization.
, 223 - DTP Enterprise Data & Analytics - MSH, Mount Sinai Hospital
Analyzes data requests using information technology, enrollment, claims, pharmacy, clinical, contract, medical management, financial, administrative and other corporate data from both modeled and disparate internal and external sources.
Works with departmental staff to identify requirements for reporting and / or business intelligence tools.
Identifies necessary data, data sources and methodologies.
Collects, organizes, integrates, analyzes and interprets data.
Leverages advanced statistical analysis methods to create insightful recommendations and conclusions that may be communicated to the stakeholder.
Identifies and addresses expected and unforeseen data complexities to mitigate their impact on the analytic outcome and associated business decisions. Works to improve data quality where possible within created analytical models. Feeds data quality issues back to IT or identified data stewards to facilitate creation of high quality metrics.
Develops and may present reports, analyses and findings to senior management and others as scheduled or requested.
Responsible for one or more of the following stakeholder groups:
Contracting and Commercialization - May assist in the modeling and forecasting contract scenarios, measuring ongoing performance and identify trends in performance to inform our clinical or contracting staff to improve contract outcomes.
Care Management - Helps to identify, understand and prioritize at-risk members in need of care management. Helps stratify our membership to optimally use resources to focus on the patients most in need, currently or in the future.
Medical Directors - Helps to identify utilization trends and variations across the different categories of health care services to assist the Medical Directors to focus their efforts to maximize contract performance and clinical effectiveness.
Quality and Documentation - Helps to link payer quality and documentation opportunities into operational analytic processes to maximize our quality scores, top line revenue and optimize the use of resources in concert with MS Health System contracts.
I.T. / High Performance Computing in any ongoing projects.
Acts as liaison/analyst for internal stakeholders, understands their needs and translates them into reporting and analytic solutions.
Effectively communicates with stakeholders and customers and ensures all requests are properly triaged, recorded and tracked.
Adheres to corporate standards for performance metrics, data collection, data integrity, query design, and reporting format to ensure high quality, meaningful analytic output.
Helps identify and understand data from internal and external sources for competitive, scenario and performance analyses, and financial modeling to gain member/provider insight into new and existing processes and business opportunities.
Works closely with IT on the ongoing improvement of Mount Sinai's integrated data warehouse, driven by strategic and business needs, and designed to ensure data and reporting consistency throughout the organization
Develops and maintains project work plans, including critical tasks, milestones, timelines, interdependencies and contingencies. Tracks and reports progress. Keeps stakeholders apprised of project status and implications for completion.
Provides technical support to data analytics functions as they relate to varied business units, and technical expertise on the selection, development and implementation of various reporting and BI tools tied to business unit reporting requirements. Creates new BI reports and interactive dashboards as required.
Prepares clear, well-organized project-specific documentation, including, at a minimum, analytic methods used, key decision points and caveats, with sufficient detail to support comprehension and replication
Ensures customers are adequately trained to use self-service BI tools and dashboards.
1Assists and may teach others within the organization on how to a) define meaningful process and performance measures, b) develop BI queries, and c) generate and use management reports effectively.
Shares development and process knowledge with other analysts in order to assure redundancy and continuously builds a core of analytical strength within the organization.
Demonstrates proficiency with the principles and methodologies of process improvement. Applies these in the execution of responsibilities in support of a process focused approach.
Other duties as assigned.
Auto-ApplySpecialty Pharmacy Financial Access Coordinator, Lead; Mount Sinai Health System; Full Time; Hybrid
New York, NY jobs
Under direct supervision of the Director of Specialty Pharmacy, the Specialty Pharmacy Manager and the Specialty Pharmacy Clinical Liaison, the Specialty Pharmacy Access Coordinator Lead supervises Financial Access Coordinator staff and interacts with clinical employees on multiple levels, including pharmacists, nurses, medical/clinical staff, Finance personnel, department managers, access services staff, and Billing Assistants. External contacts may include third party payers, accrediting bodies, insurance /PBM companies, government peer review organizations, accrediting bodies,external partners, and referring physicians. The relationships are inherent to the success of this position. The Lead is primarily responsible for, but not limited to, oversight of staff responsible for the prompt attention to prior authorization of specialty medications, oversight of the quality of work done in key department systems, support of medical staff, assistance in obtaining financial support for patients, and timely communication with medical providers, including mail correspondence, messaging, telephone correspondence and EHR documentation.
3+ years of retail pharmacy technician experience or related health care administrative, and a strong familiarity with the prior authorization process preferred. Working knowledge of third party payer plans and how they are processed, of medication reimbursement, including the prior authorization process, proficiency in the procurement of financial assistance for patients with government-sponsored health plans including Medicare , Medicaid and TriCare.
Preferred:
3 years of health care related billing and benefits investigation
1 year of retail pharmacy experience
1 year of PBM payer operations
1 year of hospital/institutional pharmacy
Non-Bargaining Unit, 600 - HSO Pharmacy - MSH, Mount Sinai Hospital
1.Organizes the duties of subordinate technical and clerical personnel, including less experienced Specialty Financial Pharmacy Access Coordinators, and billers.
2.Maintains thorough documentation on all authorization requests, prescription verifications and other data by facility.
3.Supports supervising Pharmacists.
4.Supports manages and directors in the training and mentoring of new pharmacy personnel; nurtures a teamwork environment.
5.Periodically meets with and manages vendors and pharmaceutical manufacturers.
6.Supports, facilitates, and reviews departmental projects, initiatives, and partner programs
7.Works with department pharmacists and administrators to design, administer, and support quality assurance and related tasks
8.Accesses and reviews work in all key department systems (dispense, clinical management, EMR)
9.Organizes and presents reports and analytics as requested.
10.Reviews and evaluates outpatient take-home prescriptions and determines feasibility of processing through patient and payer-preferred specialty pharmacy and, if not, coordinates service with the correct pharmacy group.
11.Obtains prior authorizations from intermediaries and payers, including managed care companies, insurance companies or others as appropriate. Ensures completion of activities that maximize revenue capture for high-cost medications.
12.Facilitates a high level of customer service by the completion of applications, including those for the Patient Assistance Program (PAP) and co-pay assistance.
13.Interacts with medical and professional staff on a case by case basis to obtain appropriate clinical documentation to ensure accurate indications in the patient's medical record before completion of third party authorization. This may include contacting referring physicians for information.
14.Communicates with appropriate individuals (i.e., patient, providers, and pharmacy staff) regarding outcomes of prior authorizations and responds to complex questions from third party payers and clinical staff regarding medication-related issues and reimbursement.
15.Adjudicates approved prescriptions through the pharmacy software system or begins the appeal process for denied prescriptions.
16.Processes PAP (Patient Assistance Program) requests. Documents actions taken, runs weekly reports, keeps open lines of communication by facilitating between pharmacy, other healthcare professions, the patient, medication manufacturers and third party payers.
17.Runs Pharmacy benefit checks at the providers' requests; periodically performs software tests for proper functionality to ensure coverage for specific medications.
18.Maintains compliance with all pertinent regulations and laws (HIPAA, Board of Pharmacy, etc).
19.Other duties as assigned.
Education Requirements Associates degree (Bachelor's degree preferred)
Auto-ApplyDirector Pre Appeals Management-HSO Appeals Management -Corporate 42nd Street-Full-Time-Days -Remote
New York, NY jobs
The Director, Pre Appeals Management is a strategic enterprise leader who provides strategic leadership and operational oversight for the hospital's pre-appeals management program. This role ensures the appropriate use of medical resources, compliance with regulatory standards, and coordination of care to improve patient outcomes while controlling costs. The Director collaborates closely with medical staff, vendors, case management, and payers to secure payment and benefits for beneficiaries that is in alignment with the clinical care provided.
Bachelor?s degree in Nursing (BSN) or related healthcare field required
Master?s degree in Nursing, Healthcare Administration, Business, or related field strongly preferred
Licensure/Certification:
Active RN license in the state of employment required
Certification in Case Management (CCM, ACM) or Utilization Management preferred.
7+ years of experience in clinical acute clinical, utilization management, appeals management or related operations
3+ years in a leadership or management role
Strong understanding of payer policies, utilization management
Skills & Competencies :
Proven ability to lead cross-functional teams and manage complex workflows
Strong analytical and problem-solving skills
Knowledge of relevant laws and regulations (e.g., HIPAA, CMS, utilization management standards)
Experience with EHR/EMR systems, payer portals, or access control tools
Excellent communication and interpersonal skills
Preferred Qualifications (Industry-Specific):
Healthcare: Experience with utilization management for medical services, procedures, or medications
Insurance: Understanding of benefits verification, coverage determination, or claims workflows
Fintech/IT: EPIC
Describe Work Environment
Office-based
May require occasional travel to regional offices or conferences
Non-Bargaining Unit, 416 - HSO Appeals Management - MSH, Mount Sinai Hospital
Lead and manage the pre appeals department and related vendors , including supervision of pre appeals nurses, and support staff.
Develop and implement pre appeals strategies, policies, and procedures to ensure regulatory compliance (CMS, The Joint Commission, NCQA, etc.).
Oversee daily pre appeals activities including admission and continued stay, and discharge reviews using CMS guidelines and payer contract terms.
Ensure timely and appropriate communication with payers for authorization, denials, and appeals.
Collaborate with physicians and clinical teams to ensure appropriate levels of care and efficient resource utilization.
Analyze utilization data and key performance indicators to identify trends, variances, and opportunities for improvement.
Serve as a liaison between hospital administration, payers, medical staff, and external partners.
Lead denial management and appeal processes to minimize revenue loss.
Conduct staff education and training on denial avoidance processes, documentation, and compliance.
Participate in hospital quality and performance improvement initiatives.
Maintain current knowledge of healthcare regulations, reimbursement models, and best practices.
Manage departmental budget, staffing levels, and performance evaluations.
Key Outcomes of Success:
Enhanced patient satisfaction and financial transparency
Measurable reduction in clinical submission errors and denied level of care.
Alignment with organizational goals and regulatory requirements
Demonstrated leadership in enterprise-wide initiatives that advance access, equity, and financial stewardship
Auto-ApplyPharmacy Finance Intern; Mount Sinai Health System; Per Diem (HYBRID)
New York, NY jobs
The management of pharmacy finance is critical to our success and goals at Mount Sinai Health System.
Reporting to a pharmacy finance leader, MSHS Pharmacy Finance, this role will support process improvements and strategic initiatives related to the finance and accounting of pharmacy medications.
A minimum of a high school diploma or GED is required as per MS Health System hiring policy. Otherwise, Bachelors, Masters or Ph.D as applicable.
Excellent written, verbal and interpersonal communication skills. Strong critical thinking, data analysis, and problem-solving skills with project management ability; attention to detail; use of Microsoft Office (Excel, Word), database software, and preferred knowledge of inventory management software
The role will be based at one of the health system?s acute care sites or at the Corporate Services Center, within the New York City metropolitan area
Non-Bargaining Unit, 600 - HSO Pharmacy - MSH, Mount Sinai Hospital
Major Responsibilities
1. Support the MSHS Finance and Accounting Teams, alongside Inventory Planning & Procurement teams, that manages the revenues, costs, and replenishment of medications across the system.
2. Support the deployment of inventory management practices that will achieve drug availability expectations in an optimal / cost-efficient manner.
3. Data analytics and reporting to generate key insights in driving Pharmacy supply chain performance improvement.
Key Focus Areas include, but are not limited to,
· Mitigation and management of medication shortages leveraging technology and predictive ordering processes
· Automation related to pharmacy stockroom inventory management,
· Pharmaceutical contracting and GPO optimization activities,
· New product introduction and lifecycle management of pharmaceuticals.
· Ensuring compliance with DSCSA provisions.
Scope of Responsibilities
a. Research and benchmarking of best practices in pharmacy finance, accounting, and supply chain optimization
b. Analysis of Data, Developing Core Metrics and Reports for performance measurement
c. Participate in the ideation / deployment / implementation of system SC initiatives
d. Assessing and improving Procure-to-Pay and Inventory Mgt process & workflows
Auto-ApplyEpic Willow Ambulatory Applications Analyst III-Digital and Technology Partner - Remote
New York, NY jobs
The Applications Analyst III supervises and provides technical guidance to the staff in the development of specifications for new or revised systems.
Education:
Bachelor degree in Computer Science or a related discipline or an equivalent combination of education and work experience. Advanced degree preferred.
Experience:
Five years of solid, diverse work experience in IT
Epic Willow Ambulatory and/or Willow Inpatient Certification and experience required.
Willow Ambulatory experience highly preferred.
Non-Bargaining Unit, 291 - DTP Clinical Applications And Training - MSH, Mount Sinai Hospital
1. Has full technical knowledge of applications analysis and has supervisory duties of instructing, assigning, directing and checking the work of the other Applications Analysts.
2. Assists in planning, organizing and controlling the activities of the section.
3. May work with client management to identify and specify the complex business requirements and processes, and in the application design, testing and implementation process (e.g., diverse development platforms, software, hardware, technologies and tools, etc.).
4. Coordinates the activities of the section with other IT sections (e.g., database, telecommunications, operations, technical support, etc.).
5. Acts as expert technical resource to development staff in all phases of the development and implementation process.
6. Assists in all levels of supervision and may perform management function in the absence of the Manager.
7. May act as a project leader.
8. Performs related duties as assigned or requested.
Auto-ApplyTechnology Specialist I (Senior Engineer) - Digital and Technology Partners - Hybrid/Onsite
New York, NY jobs
- requires onsite 2 to 3 days a week
Technology Specialist I (AKA Senior Engineer) provides supervision, engineering, operational support and problem resolution for systems or an environment required to support a large, complex institutional IT system, a segment of that system or a process. Assist Managers and Directors in completing projects and maintaining environments. Support enterprise network of 50,000 users, 8 hospitals, 4 data centers, and multi cloud operations.
Bachelor degree in Computer Science or a related discipline, or an equivalent combination of education and work experience. Masters degree preferred.
Eight years of diverse work experience in IT with a minimum of six years experience in systems analysis and application program development, or an equivalent combination of education and work experience.
Strongly Preferred:
10+ years of experience with major project in an enterprise LAN/WAN
10+ years of experience in engineering and support of an institutional IT system, a segment of that system or a process, as assigned.
10+ years configuring, upgrading, and managing Cisco network equipment.
5+ years supporting and deploying Ansible playbooks.
Must have technical experience in networking and relational and demonstrate seasoned IT skills and competency in most aspects of software activities, multimedia and/or data communication. Must have excellent trouble-shooting, documentation and communication skills.
Working knowledge of VoIP and WiFi infrastructure and controllers
Working knowledge of UDP/TCP protocols and able to diagnosis problems via packet analyzer
Working knowledge of WAN protocols including MPLS, SIP, BGP etc
Very good communication skills, judgment and analytical/problem solving skills, and the ability to work effectively with client and IT management, staff and vendors.
Non-Bargaining Unit, 294 - DTP Network Services - MSH, Mount Sinai Hospital
Duties and Responsibilities:
Develop, test, and maintain Ansible playbooks, roles, and modules for infrastructure automation.
Collaborate with cross-functional teams to define automation requirements and implement effective solutions.
Optimize existing Ansible-based solutions for performance and scalability.
Provide detailed documentation for Ansible scripts, workflows, and processes.
Troubleshoot and resolve issues in Ansible scripts and automation workflows.
Proven experience with Ansible development, including writing custom playbooks, roles, and modules.
Proficiency in scripting languages such as Python or Bash.
Experience with infrastructure-as-code principles and tools.
Familiarity with Windows-based Ansible development
Excellent problem-solving and debugging skills.
Strong communication and collaboration abilities.
Auto-ApplyProduct Manager I - AI - Digital and Technology Partners - Clinical Data Science Onsite/Hybrid
New York, NY jobs
is Onsite/Hybrid - currently 1 day a week onsite
Location: 150 E 42nd Street location. Prefer candidates that reside in tri-state area NY, NJ, CT or a commutable distance to meet onsite/hybrid requirements for this position.
The Product Manager - AI is a key leadership role responsible for defining, prioritizing, and delivering AI-driven solutions to optimize clinical effectiveness and improve patient safety across hospitals and diverse care settings. This role will lead the deployment and operationalization of AI products in collaboration with cross-functional stakeholders, including clinicians, operational leaders, data scientists, engineers, and compliance teams. The Product Manager will ensure these products deliver measurable impact, meet regulatory and ethical standards, and integrate seamlessly into clinical workflows.
Minimum Education
Bachelor's degree; Master's in Healthcare, Data Science, or related field preferred
Minimum Related Experience
Four or more years of related experience
Background in analytical and strategic roles
Familiarity with EHR systems, healthcare interoperability, and clinical workflows.
Technical, design, and data fluency preferred
Understanding of healthcare preferred
Desired Qualities:
High-agency: Strong sense of ownership, accountability, and urgency in delivering AI products that make a real-world clinical impact.
Healthcare AI expertise: Understanding of machine learning/AI development, deployment, and monitoring in clinical settings.
Results-oriented: Committed to measurable improvements in patient safety, care quality, and operational efficiency.
Effective communicator: Able to explain complex AI concepts and clinical workflows to diverse audiences, including executives and frontline clinicians.
Advanced social-emotional skills: Relationship-driven, collaborative, humble, and patient
Quality decision maker: Curious, analytical, and critical thinker with top-tier acumen. Strong product, design, and business instincts
Collaborative leader: Skilled at aligning data science, engineering, and clinical teams toward shared goals.
271 - DTP Clinical Data Science - MSH, Mount Sinai Hospital
Identify AI Product Opportunities
o Conduct workflow analysis, stakeholder interviews, and data reviews to define and prioritize opportunities
o Translate clinical requirements into AI product specifications and success metrics
Oversee AI Product Lifecycle
o Lead product vision, strategy, and roadmap for AI solutions from concept to implementation
o Collaborate with data science and engineering teams to develop and validate models, ensuring compliance with institutional policies and regulatory requirements
o Partner with clinical and operational leaders to ensure seamless integration into hospital and care setting workflows
Launch and Operationalize AI Products
o Develop adoption and change management plans to support clinician engagement and sustained use
o Ensure deployment aligns with clinical workflows, DTP infrastructure, and patient safety protocols
Demonstrate Impact
o Define KPIs for safety, quality, efficiency, and adoption; measure ROI
o Prepare business cases and assurance reports for leadership and governance committees.
o Drive ongoing stakeholder engagement to sustain product effectiveness.
Manage Stakeholders and Governance
o Serve as the primary point of contact for AI product governance, including compliance, risk, and assurance activities.
o Build cross-functional coalitions, seek feedback, and drive decision-making.
o Participate in institutional AI governance committees and working groups.
Other responsibilities: This role involves ambiguous, complex problem solving and will require flexibility in the scope of responsibilities. Other responsibilities include, but are not limited to, becoming a subject matter expert on various product, operational, and technical domains, participating in governance committees and working groups, and executing diverse initiatives
Auto-ApplyRadiology - Abdominal / Body Imaging - Physician - Mount Sinai South Nassau - Oceanside, NY
New York, NY jobs
Mount Sinai South Nassau is looking for a Body Imager with Strong General Skills.
The Department of Radiology at Mount Sinai South Nassau, an extremely high-quality 16-person radiology group in the New York metro region, is expanding. Increasing volumes, both at existing sites and at a new imaging center, have created a need for us to recruit an additional full-time radiologist with subspecialized training in Body Imaging.
The ideal candidate will be up to date in all areas of advanced body imaging techniques while still maintaining their interest and skill set in general radiology. Our practice encompasses all sub-specialties, with all radiologists providing general diagnostic coverage on call.
Our hospital boasts an accredited cancer center, an accredited trauma center, and an accredited stroke center. We are a 450+ bed academically oriented community hospital with state-of-the-art equipment that also provides radiology services at nearby standalone imaging centers. We are affiliated with a major academic center and have free-standing residency programs in many specialties, although not in Radiology. Our department offers teaching rotations, gives multiple monthly conferences, and staffs weekly tumor boards to further the hospital's teaching mission.
We are an extremely collegial group of physicians and our teamwork, along with our support staff and clinical services, is exceptional. We are a fully digital department with flexible work hours and schedules. Many shifts work from home. We provide competitive compensation with an excellent benefit package.
Position will remain open until filled. Recent graduates and fellows in training are acceptable.
Medical Degree from an Accredited University
New York Medical License
Board Eligible or Board Certified in Radiology
A clinical background in General Radiology and/or a fellowship training in Body Imaging
Interventional Radiology is not required
Breast Imaging is not required
Committed to Mount Sinai and the communities we serve
Excellent communication and organizational skills
A strong work ethic and desire to participate in a team-oriented, performance-driven Health System
Compensation range from 275K to 575K (not including bonuses / incentive compensation or benefits)
Salary Disclosure Information:
Mount Sinai Health System provides a salary range to comply with the New York City law on Salary Transparency in Job Advertisements. Actual salaries depend on a variety of factors, including experience, specialties, historical productivity, historical collections, and hospital/community need. As such, an actual salary may fall closer to one or the other end of the range, and in certain circumstances, may wind up being outside of the listed salary range. The salary range listed is for full-time employment and does not include bonuses / incentive compensation or benefits.
Please specify Job Title of interest and send CV with Cover Letter to:
Physician Recruitment Department
Mount Sinai Health System
************************************
Collaborate with colleagues as an integral part of a health system
Significant opportunities for career development
Dedicated support staff
Auto-ApplyUKG Solution Architect- Digital and Technology Partners - Hybrid
New York, NY jobs
The Solutions Architect of Information Technologies is responsible for planning, designing, and implementing organization-wide information systems and technologies. Other responsibilities include research, development and application of new information system technologies to support the goals of managing and operating the organization.
Education:
Bachelor?s degree in Business Administration and/or Information Systems with coursework in Computer Science or equivalent; Master?s preferred.
Experience:
10+ years of experience in building solutions for greater adoption by the user community
Should have built at least three solutions supporting more than 10K user base
5 + years of building work force management solutions like UKG
5+ years? experience in building productivity solutions
5 years of progressive information systems management experience preferably in a health care field.
Should have 5+ years experience in stakeholder management
Experience in developing SaaS solutions.
Non-Bargaining Unit, 290 - DTP Business Applications - MSH, Mount Sinai Hospital
A technology leader who can grasp complex customer requirements and translate them into precise technical requirements and solutions.
Ability to articulate and explain complex issues in written form and orally.
Design and test technical architecture and solutions
Create and deploy successful creative solutions for wider adoption using the latest technology.
Ensure that relevant technical strategies, policies, standards and practices have been applied correctly to the proposed solution.
Drive innovation, such as changes in the methods, processes, and guidelines within the customer organization or internally.
Oversee the work of a team responsible for designing, building, testing, deploying, maintaining, and supporting applications.
Works to establish functional application requirements and reviews solutions to ensure organizational needs are met.
Select and oversees the implementation of one or more application development methodologies.
Develops short- and long-term product maps to ensure continuous improvement of applications
Leads and directs other employees' work and is responsible for personnel actions, including hiring, performance management, and termination. Supervision is often provided through a team of subordinate managers.
Contributes to strategic planning, direction, and goal setting for the department or function in collaboration with senior management.
Establish departmental policies, practices, and procedures that significantly impact the organization.
Ensures that the team follows best software development and deployment practices
Ensures the timeliness of delivery for the customers
Solutions of UKG are the latest and keep abreast of the technology and trends
Takes initiative in building relationships with vendors and technologists across the enterprise
Collaborates with product manager and project manager to provide daily and weekly updates on the work
Create roadmaps, identify opportunities and execute on them for improving user experiences, efficiency , and effectiveness of the solutions
Is well versed with AI and is able to adapt and learn the tech to apply in the area
Auto-ApplyClinical Revenue Auditor-CDM Patient Financial Services-Corporate-Full-Time-Days-Hybrid
New York, NY jobs
Clinical Revenue Auditor-CDM Patient Financial Services-Corporate-Full-Time-Days- Hybrid.
The Clinical Revenue Auditor for the Mount Sinai Health System (MSHS) and the Icahn School of Medicine at Mount Sinai (ISMMS) (which includes the MSHS and the Faculty Practice Plan) is responsible for reviewing and verifying that all billable services and procedures provided to patients are accurately documented, coded, and submitted for payment. This position plays a key role in ensuring the financial health and compliance of the organization and bridges the gap between clinical care and medical billing and reimbursement. This position will report to the Senior Director.
This role will serve as a crucial link in the revenue cycle, ensuring that patient care translates into accurate and timely reimbursement, safeguarding the financial well-being of the organization and contributing to improved patient care standards. This role requires a unique blend of clinical expertise and financial acumen to ensure compliance with healthcare regulations and collaborate with staff to resolve issues and provide education.
Bachelors in an applicable healthcare-related profession; Masters is preferred
3-5 years of clinical experience is required. Key skills include a strong understanding of medical terminology and patient care, expertise in medical coding systems and healthcare regulations, analytical and problem-solving abilities, excellent communication skills, and proficiency with EHR systems and audit software. Attention to detail and ethical judgment are also important.
Demonstrated success in a large not-for-profit/academic health system facility or multi-entity revenue cycle environment.
Extensive knowledge of medical billing software and electronic medical records. Must have experience working with Epic.
Knowledge of insurance and governmental programs, regulations, and billing processes (e.g., Medicare, Medicaid, etc.), managed care contracts and coordination of benefits is required. Working knowledge of medical terminology, and medical record coding experience are highly desirable.
Excellent interpersonal skills and experience working with senior management and other leaders, along with the ability to communicate concepts to others.
Knowledge of and experience in health care including government payers, applicable federal and state regulations, healthcare financing and managed care.
Expected to stay updated on current medical billing and coding processes, clinical procedures, and relevant disease states.
Demonstrated ability to engage in positive, powerful persuasion with individuals or groups with diverse opinions and/ or agendas, leading to outcomes that meet identified goals.
Excellent verbal and written communication and organizational abilities. Accuracy, attentiveness to detail and time management skills are required.
Ability to interact effectively with multidisciplinary teams, including physicians and other clinical professionals internally and externally.
The ability to maintain a high level of positive energy/creativity during periods of elevated work demands.
Ability to prioritize multiple objectives in a rapidly changing environment and deliver quality outcomes.
Ability to develop and maintain effective relationships at all levels throughout the organization.
Licensing and Certification Requirements:
Current NYS licensure (RN, OT, PT, SLP, PA, Social Worker, Laboratory Technologist, Radiological Technologist and related professions).
Certifications such as Certified Professional Medical Auditor (CPMA), Certified Inpatient Coder (CIC), Certified Coding Specialist (CCS), or Certified Healthcare Auditor (CHA) can be beneficial.
Computer Skills:
MS Office Suite (Intermediate)
, 518 - PFS 633 Third Avenue - MSH, Mount Sinai Hospital
Conduct thorough charge capture/clinical audits to assess the effectiveness of the billing process.
Identify and rectify missing or incorrect charges, coding errors, and inconsistencies between documentation and billing.
Perform root cause analysis to understand the underlying issues contributing to revenue leakage and develop corrective action plans.
Optimize revenue capture by ensuring all billable services are appropriately charged, ultimately maximizing reimbursement for services rendered.
Ensure adherence to coding guidelines and compliance regulations set by entities like the Centers for Medicare and Medicaid Services (CMS).
Mitigate the risk of compliance violations, audits, and potential penalties related to billing errors.
Streamline charge capture processes to improve efficiency and reduce administrative burden.
Collaborate with clinical, billing, coding, and IT departments to address documentation issues and optimize workflows.
Leverage charge capture software and analytics tools to identify gaps and areas for improvement in the charge capture process.
Coordinate with payers to ensure timely handling of audit requests, review technical payer denials, determine if an appeal is warranted, and write and track appeal letters.
Educate clinical teams and other stakeholders on appropriate documentation and charge capture practices to promote adherence to standards and improve overall process efficiency.
Build effective, collaborative relationships with key stakeholders across departments.
Resourceful in creating or fine-tuning the processes necessary to complete the work along with the ability to organize people and activities.
Challenge existing norms or courses of action to facilitate fully informed decision-making. Help institute balanced decision-making by identifying risks and opportunities.
Establish and maintain strong working relationships with revenue cycle leaders, key stakeholders, and foster a strong working relationship with key strategic partners.
Create feedback loops and enhancement pipelines informed by stakeholders and data.
Ensure compliance with all HIPAA privacy and security standards.
Conform to the established policies/ procedures/ processes/ Standards of Behavior.
Performs other duties as required by the Senior Director
Auto-ApplyAssociate Dir, Health Systems & Process Improvement-Health System Operations-Full-Time-Days -Hybrid
New York, NY jobs
The Associate Director of Health Systems and Process Improvement is responsible for supporting the day-to-day operations of the Health Systems and Process Improvement department. This individual ensures that the complex performance improvement initiatives across the health system are executed in a high quality, timely, and effective manner. Reporting to the Director of Health Systems and Process Improvement at The Mount Sinai Health System, the Associate Director Systems and Process Improvement Manager directly manages and develops departmental analysts, engineers, and managers. In conjunction with the Director, this individual also contributes to the strategic vision of Health Systems and Process Improvement.
Bachelors' degree in Business, Industrial Engineering, Health Care-clinical or administration, or related quantitative field required; Masters Degree preferred.
8+ years direct operations management, performance improvement, or consulting experience in one or more of the following areas: Strategic planning, operations management, quality improvement, process improvement
Non-Bargaining Unit, 614 - Health System Operations - MSH, Mount Sinai Hospital
Manages and deploys Health and Systems Process Improvement analysts, engineers, and managers in conjunction with director to drive successful execution of PI initiatives from project scoping, selecting an appropriate methodology, identifying KPIs, monitoring/supporting progress, implementation and re-measurement
Directly manages HSPI resources by measuring and tracking productivity, monitoring assigned projects and deploying resources as needed to meet needs of organization
Supports professional development and mentorship of HSPI resources
Manages and develops internal standard operating procedures to ensure the timely and effective completion of PI initiatives
Responsible for monitoring/documenting detailed process metrics (i.e. cost, quality, throughput, etc.) and project status of PI initiatives as well as updating key leadership and stakeholders on status of PI initiatives; effectively meets deadlines and/or communicates constraints
In conjunction with director, responsible for soliciting projects from all levels of organization and ensuring alignment with strategic plan of Mount Sinai Health System
In conjunction with director, provides technical guidance on continuous process improvement methodologies to leadership
Provides guidance on the development of continuous process improvement education and training programs for all levels of staff (Lean, Six Sigma, PDSA)
Creates and administers didactic training curriculum on a performance improvement tools. May administer training to all levels of the organization.
Responsible for detailed documentation and record keeping of all completed and active PI initiatives to ensure sharing of best practices throughout organization
Responsible for the calculation and development of measures related to the ROI of Health Systems and Process Improvement
May serve as mentor to Health Systems and Process Improvement Analysts, Health Systems and Process Improvement Engineers, and junior Health Systems and Process Improvement Managers
Maintains current knowledge of health care delivery trends and evidence-based solutions for improving the delivery of care and services
Leads and facilitates initiatives as needed
Performs other duties as required
Auto-ApplySenior Financial Analyst/CDM Chargemaster -Corporate-Full-Time Days (REMOTE)
New York, NY jobs
We seek an experienced Senior Financial Analyst / CDM Chargemaster with strong medical coding expertise to support the maintenance, compliance, and optimization of the hospital Charge Description Master (CDM). The ideal candidate will possess advanced knowledge of Epic (required) and Meditech (preferred) systems, and collaborate cross-functionally with clinical, financial, coding, and IT teams to ensure accurate and regulatory-compliant charge capture.
Bachelors degree in Accounting or an equivalent combination of education and experience
5+ years of experience in hospital chargemaster maintenance and medical coding.
Certified Professional Coder (CPC) or equivalent credential required
Proficient in CPT, HCPCS, revenue codes, and Medicare billing regulations.
Advanced proficiency in Epic, especially in EAP configuration and charge workflows.
Strong analytical skills and proficiency in Excel and related tools.
Epic certification in Charging or Billing is highly desirable.
Experience with Meditech and legacy systems preferred.
Background in Revenue Integrity, Health Information Management, or financial analysis preferred.
Strong interpersonal skills with the ability to communicate across clinical, financial, and IT departments preferred.
Up-to-date knowledge of payer regulations and healthcare compliance standards preferred.
Non-Bargaining Unit, 506 - Chargemaster/Projects - MSH, Mount Sinai Hospital
New Charge Requests & Clinical Documentation Review:
Review clinical documentation to validate appropriate charge code builds and resolve charge suspense issues
Process and evaluate new charge requests across departments and facilities
Ensure correct billing configuration across Epic and Meditech modules
Chargemaster Maintenance:
Builds new charges by reviewing, assigning, and validating CPT/HCPCS and revenue codes and setting prices
Review CPT-4, HCPCS, and revenue code updates regularly
Maintain the CDM with timely updates driven by regulatory changes and department requests
Ensures the ongoing accuracy and integrity of the CDM by making sure all charges are communicated and coordinated with the performing departments
Charge Capture Auditing & Compliance:
Audit charge capture for inpatient, outpatient, clinic, ED, and ambulatory services
Work with HIM and billing teams to support rebilling and correction processes as needed
Coding & Billing Accuracy:
Audit and validate charge integrity in Epic and Meditech systems
Coordinate billing code corrections with PFS, HIM, and clinical stakeholders
Monitor compliance with CMS and third-party payer requirements
System Administration & Regulatory Support:
Support implementation of regulatory coding changes and ensure CDM compliance across systems
Assist in resolving problems causing payer denial or failed Medicare edits as they involve the chargemaster
Coordinate with IT and clinical departments to ensure alignment of charging workflows
Ensures all impacted systems are updated with new /revised charge codes
Ensures deleted charge codes are removed from charging workflows and systems
Other duties and/or projects as assigned
Auto-ApplyPatent Manager - Intellectual Property - Mount Sinai Innovation Partners (Hybrid)
New York, NY jobs
The Patent Manager at Mount Sinai Innovation Partners (MSIP) is a member of the Intellectual Property Team. Reporting to the Director, Intellectual Property, the Patent Manager is responsible for managing the development and protection of an assigned portfolio of intellectual property assets. Working closely with inventors, outside counsel, and MSIP's internal teams, the Patent Manager coordinates the preparation and prosecution of patent applications, ensures timely execution of IP-related documents, and supports strategic decision-making related to the institution's IP portfolio. The Patent Manager assists the Director and Senior Manager, Intellectual Property, with patent strategy meetings, budget and invoice management, and communication with internal stakeholders. This role supports the mission of MSIP by aligning patent activities with commercialization goals and institutional priorities, while promoting best practices in IP operations.
Bachelors degree in Science or Engineering
3+ years experience (5 preferred) in a scientific research and development environment or in a law firm setting, academic technology transfer experience preferred
Demonstrated ability to work effectively with an intermediate level of oversight; strong attention to detail and accuracy
Experience interacting with internal stakeholder, such as inventors, business development and licensing professionals, and/or attorney, in a matrix, customer-focused organization
Awareness of patent terminology and intellectual property concepts
Experience resolving issues proactively and following up across teams
Preferred experience with Minuet, CPI, or other intellectual property management software
Intermediate to advanced computer skills in MS Office and Patent Management databases (such as Inteum)
Ability to work on site in Manhattan Office 3 days/week
Licensing requirement: Candidate must meet the qualifications for registration as a Patent Agent; USPTO Registered Patent Agency preferred
Non-Bargaining Unit, 872 - Mount Sinai Innovation Partners - ISM, Icahn School of Medicine
IP Portfolio Management
• Under the direction of the Director, Intellectual Property, manages the preparation and prosecution of an assigned portfolio of U.S. and foreign intellectual property assets; coordinates directly with outside counsel and inventors to ensure timely and high-quality filings; facilitates execution of patent-related documents including declarations, assignments, and powers of attorney.
• Collaborates with internal stakeholders across MSIP-including Business Development & Licensing, Strategic Alliances, Finance & Operations, and Administration-to ensure IP activities support commercialization strategies and institutional priorities.
• Assists the Director and Senior Manager, Intellectual Property with the preparation of agendas, materials, and follow-up actions for patent strategy meetings.
IP Operations
• Assists with the financial administration of the IP portfolio, including opening financial matters with outside counsel, reviewing invoices, and coordinating annuity and maintenance fee payments through external providers.
• Maintains accurate and up-to-date IP records in internal databases (e.g., Inteum); supports periodic audits and resolves discrepancies in coordination with relevant stakeholders.
• Supports the development and implementation of internal procedures and best practices that promote operational efficiency, data integrity, and compliance with institutional and legal standards.
Auto-Apply