Mount Sinai Health System Remote jobs - 116 jobs

The Supervisor VI over Supplies is critical to implementing and maintaining the Charge Description Master (CDM) for accurate and timely billing for supplies/implants. Supervisor VI retrieves and reviews operational and financial information to analyze current Supply charge methodologies and makes recommendations for improvement as appropriate. This position reports to the Director of Charge Capture and has requisite skills to meet departmental objectives regarding development and maintenance of systems, processes, and workflows to ensure timely, accurate and compliant recording of hospital device-related revenue and maintenance of the CDM for all Mount Sinai Health System sites. This position ensures consistent supply charging practices across departments and facilities, compliance with clinical research and free device set-ups, and the review of device warranties and recalls. Supervises four analysts and Utilizes Advanced Excel skills to complete maintenance for corporate Device-related Charge Description Masters. Supports Director of Charge Capture in verifying IT production jobs, following up on error reports and completing data entry for weekly additions and modifications to production CDM files. Completes data queries to proactively verify ongoing quality and accuracy of production CDM and to resolve charge capture errors. Performs Charge Capture in daily activities related to coding and billing for all supplies and implants purchased by clinical departments. Reviews Clinical Research documentation for appropriate CDM charge set-ups. Review and processes special adjustments that are not automated. (e.g. LVAD, Hip systems) Supports department in collaboration with IT to develop and maintain consistent standards and timelines for additions, modifications and deletions to the CDM files. Researches devices for accurate HCPCS classifications. Participates in an ongoing coordination and resolution of revenue cycle issues as they arise. Identify revenue enhancement opportunities to prevent denials/underpayments. Supervise and train new employees in all aspects of Charge Description Master Procedures. Processes and distributes reports. Resolves problems that cause payer denials. Associates degree, Bachelors preferred, or a combination of equivalent work/educational experience. 5 years of directly related experience with 1 year in a supervisory role or an equivalent combination of relevant education and/or experience. Computer skills MS Office Suite (Advanced) Preferred Experience: Financial, analytical and problem solving skills, flexibility, and ability to work in a fast-paced environment needed Preferred Strong computer skills Preferred Knowledge of EHR and financial systems, EPIC preferred. Three or more years of experience in a related hospital billing department Preferred EPIC or other relevant Chargemaster Certification Preferred Preferred Knowlege, Skills & Abilities : Technological skills Advanced skills in Microsoft Office applications, especially Excel. Knowledge of EHR Software, EPIC CDM Coding skills understands Healthcare Common Procedure Coding System (HCPCS) for supplies. Financial Analysis skills proficient at collecting, interpreting and analyzing financial data. Advanced research skills creative and resourceful in researching devices. Regulatory knowledge of legal and fiscal requirements in the healthcare industry. Communication communicates clearly and concisely, verbally and in writing. Interpersonal skills able to work effectively with other employees and external parties, as well as, independently. Demonstrates knowledge and understanding of organizational policies, procedures and systems. 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 this role is $64,747.28 - $97,790.00 Annually. 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, 506 - Chargemaster/Projects - MSH, Mount Sinai Hospital Schedules and assigns work to ensure proper distribution of assignments and adequate staffing and service delivery. Ensures adequate staffing for unexpected/emergency coverage. Provides guidance, coaching and training for staff. Assists in the creation, review and update of office processes and procedures to ensure efficient and effective administrative activity and operation. Makes recommendations regarding fiscal and staffing requirements of assigned department and participates in budgetary oversight and preparation. Compiles information reflecting expenditures and develops comparisons. Assists in the development of new methods, procedures and/or processes to increase efficiency and to improve service deliver, production, equipment performance, scheduling and quality control. Establishes and maintains liaison with other departments, units or care centers, as well as within own department, to ensure effective coordination of work activities. Fosters an environment of open communication and team work in support of the department and organization's goals and objectives. Ensures compliance with department and organization policies and procedures. Supervises and coordinates various personnel activities including, but not limited to, hiring, performance appraisals, training, disciplining and making salary increase recommendations. Performs other related duties

Neuroradiologist - REMOTE 7on/14off Remote Work schedule: Work one week, off two weeks THE BEST CAREERS. RIGHT HERE @ BROOKLYN'S LEADING HEALTHCARE SYSTEM. MAIMONIDES: TOP TEN IN THE U.S. FOR CLINICAL OUTCOMES We're Maimonides Health, Brooklyn's largest healthcare system, serving over 250,000 patients each year through the system's 3 hospitals, 1800 physicians and healthcare professionals, more than 80 community-based practices and outpatient centers . At Maimonides Health, our core values H.E.A.R.T drives everything we do. We uphold and maintain Honesty, Empathy, Accountability, Respect, and Teamwork to empower our talented team, engage our respective communities and adhere to Planetree's philosophy of patient-centered care. The system is anchored by Maimonides Medical Center, one of the nation's largest independent teaching hospitals and home to centers of excellence in numerous specialties; Maimonides Midwood Community Hospital (formerly New York Community Hospital), a 130-bed adult medical-surgical hospital; and Maimonides Children's Hospital, Brooklyn's only children's hospital and only pediatric trauma center. Maimonides' clinical programs rank among the best in the country for patient outcomes, including its Heart and Vascular Institute, Neurosciences Institute, Bone and Joint Center, and Cancer Center. Maimonides is an affiliate of Northwell Health and a major clinical training site for SUNY Downstate College of Medicine. The Radiology department is seeking a remote Board Certified/Fellowship trained Evening Neuroradiologists to join our team. You will read 100% Neuroradiology. At Maimonides, we are continuously expanding our services and remain at the forefront of innovative medicine. Our Comprehensive Stroke Center was recently ranked #1 in the United States for patient survival. We are a Level One Trauma Center and Brooklyn's first fully accredited Cancer Center treating patients of all ages. We perform a high volume of imaging for our busy spine services and otolaryngology practices affiliated with the hospital and for other groups seeking high-level imaging services in the borough. In addition to its hospital-based practice, the Radiology department has 2 outpatient imaging centers and a third under construction. We have state-of-the-art imaging equipment and post-processing technology with integrated PACS and Voice Recognition and remote access via VPN for all radiologists. In this role, you will: Provide accurate, timely, and high-quality diagnostic reports during evening shifts (typically 4pm-12am Mon-Fri and weekend coverage). Participate in emergency and trauma imaging interpretation, supporting the hospital's Level One Trauma and Comprehensive Stroke Center. Collaborate with clinical teams (neurology, neurosurgery, ENT, spine services) to provide consultative expertise on imaging findings. Participate in resident teaching and training, providing feedback and educational support as part of the department's academic mission. We require: Board Certified in Diagnostic Radiology A Completed Fellowship in Neuroradiology from an accredited institution Valid New York State Medical License REMOTE: 7 on/14 off. Salary: $415,000 - $475,000/yr. We offer comprehensive benefits including a 403 (b) retirement plan. For immediate consideration, please forward a resume to Daniel Masri at ****************. Maimonides Medical Center (MMC) is an equal opportunity employer.

Site: The General Hospital Corporation Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham. Home Base, a Red Sox Foundation and Massachusetts General Hospital program, is dedicated to healing the invisible wounds - including post-traumatic stress, traumatic brain injury, anxiety, depression, co-occurring substance use disorder, family relationship challenges and other issues associated with Military service - for Veterans of all eras, Service Members, Military Families and Families of the Fallen through world-class clinical care, wellness, education, and research. The Home Base Veteran Outreach Coordinator is a point of contact for veterans and their families seeking care and/or education regarding Post Traumatic Stress (PTS), Traumatic Brain Injury (TBI) and other combat-related stress. When not assigned to the Intensive Clinical Program, the Veteran Outreach Coordinator role changes to educate and provide outreach to New England-based veterans and their families about Post Traumatic Stress (PTS), Traumatic Brain Injury (TBI), and encourages the community to take advantage of services available through the Home Base Program. The Coordinator is an employee of MGH and works alongside a team of world class medical professionals to help educate veterans, their families, social workers, employers, community service providers, veterans' groups, and others as to how to recognize symptoms of PTS/TBI and the ways in which they or their loved ones can seek help. The Veteran Outreach Coordinator guides veterans through the treatment evaluation process in the Home Base Clinic and works closely with the clinical staff in the Home Base Program around patient case management and ongoing monitoring of patient needs. The Coordinator provides active patient outreach, including phone, email, in-person meetings and text messaging. Job Summary Summary Responsible for community outreach, engagement, and support to enhance access to behavioral health programs. The Outreach Coordinator collaborates with community partners, healthcare professionals, and social service agencies to promote mental health awareness and address the behavioral health needs of individuals. Does this position require Patient Care? Yes Essential Functions * Conduct proactive outreach within the community to identify individuals in need of behavioral health services. * Establish relationships with community organizations, schools, primary care providers, and other relevant stakeholders to enhance outreach efforts. * Conduct initial assessments to identify the behavioral health needs of individuals. * Provide information and referrals to appropriate behavioral health services and resources. * Respond to crisis situations and provide immediate support and intervention. * Collaborate with crisis intervention teams, law enforcement, and emergency services as needed. * Advocate for individuals with behavioral health needs to ensure they receive timely and appropriate care. * Conduct community education and awareness programs on mental health topics. Qualifications Education Bachelor's Degree preferred Experience * minimum of 1-3years of military experience with at least one deployment preferred but not required * must have honorable discharge (proof of DD 214 required). Knowledge, Skills and Abilities * Strong knowledge of behavioral health services, resources, and crisis intervention techniques. * Excellent communication, interpersonal, and organizational skills. * Ability to work independently and collaboratively within a team. * Sensitivity to the understanding of the social determinants of health. * Proficiency in using electronic health records and documentation systems. * Valid driver's license and reliable transportation for community outreach. Additional Job Details (if applicable) Physical RequirementsStanding Frequently (34-66%) Walking Frequently (34-66%) Sitting Occasionally (3-33%) Lifting Frequently (34-66%) 35lbs+ (w/assisted device) Carrying Frequently (34-66%) 20lbs - 35lbs Pushing Occasionally (3-33%) Pulling Occasionally (3-33%) Climbing Rarely (Less than 2%) Balancing Frequently (34-66%) Stooping Occasionally (3-33%) Kneeling Occasionally (3-33%) Crouching Occasionally (3-33%) Crawling Rarely (Less than 2%) Reaching Frequently (34-66%) Gross Manipulation (Handling) Frequently (34-66%) Fine Manipulation (Fingering) Frequently (34-66%) Feeling Constantly (67-100%) Foot Use Rarely (Less than 2%) Vision - Far Constantly (67-100%) Vision - Near Constantly (67-100%) Talking Constantly (67-100%) Hearing Constantly (67-100%) Remote Type Hybrid Work Location One Constitution Wharf Scheduled Weekly Hours 40 Employee Type Regular Work Shift Rotating (United States of America) Pay Range $20.43 - $29.21/Hourly Grade 4 At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package. EEO Statement: The General Hospital Corporation is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran's Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at **************. Mass General Brigham Competency Framework At Mass General Brigham, our competency framework defines what effective leadership "looks like" by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.

Research Assistant, Psychiatry (STEPPS/RESTORE Studies) Schedule: Per Diem, REMOTE ABOUT BMC: At Boston Medical Center (BMC), our diverse staff works together for one goal - to provide exceptional and equitable care to improve the health of the people of Boston. Our bold vision to transform health care is powered by our respect for our patients and our commitment to ensure everyone who comes through our doors has a positive experience. You'll find a supportive work environment at BMC, with rich opportunities throughout your career for training, development, and growth. POSITION SUMMARY: This position is part of a study entitled, “Stepped Care for Posttraumatic Stress Disorder (PTSD),” which aims to provide a stepped care model for PTSD in BMC primary care patients 18+. The Research Assistant will assist with data collection by conducting clinical interviews and administering surveys; participant scheduling and correspondence; reviewing recorded clinical interviews; and attending team meetings. STEPPS duties include recruitment of individuals with PTSD, pre-screening/scheduling, data collection through interviews, surveys, and electronic medical record data extraction, and coordination of study visits and meetings associated with conduct of a clinical trial study. The RA will have the unique opportunity to collaborate with a multidisciplinary team across primary care and psychiatry. There will also be opportunities to collaborate on posters and papers, if interested. JOB RESPONSIBILITIES: Recruits individuals to participate in the study; conducts the enrollment of study participants, including explaining research procedures & protocols, and obtaining informed consent of participants. Identify participants with significant clinical concerns and relays this information to the Principal Investigator. Schedules appointments of study participants; conducts reminder phone calls and/or sends mailouts. Administers questionnaires and assists study participants in navigating through questionnaires. Reviews the data collection forms for each participant for completion and quality; checks work of junior staff performing data entry to ensure timely and accurate entry (reviews protocols, abstracts secondary data from existing records, notes, etc.) Performs a variety of data management procedures (e.g., data entry, producing basic reports, data cleaning, database maintenance). Provides assistance in the development of reports, grants, presentations and data analysis. Assists with manuscript and grant preparation and research. Conducts literature searches and synthesizes information in requested formats. Administrative Perform administrative duties associated with the study's Data Monitoring and Safety Board, tracking and reporting adverse events and collecting data specified by the DSMB. Responsible for other administrative duties related to research activities as assigned. Prepares and maintains Institutional Review Board (IRB) approvals and correspondence, including amendments and renewals as necessary. Performs office-related duties such as answering phones, picking up and delivering mail, storing and distributing office supplies, handling faxes, scanning, filing, photocopying, collating materials, maintaining the update of policy manuals, etc. Supports measurement-based care implementation in RESTORE, and pulls reports to support panel management with the interdisciplinary team Supports coordination of clinical training and consultation programs. Supports coordination of patient and clinical advisory boards The above statements in this job description are intended to depict the general nature and level of work assigned to the employee(s) in this job. The above is not intended to represent an exhaustive list of accountable duties and responsibilities required. JOB REQUIREMENTS EDUCATION: Bachelor's degree is required by time of hire. Degree in Psychology is preferred. EXPERIENCE: 1-2 years of research or relevant clinical research experience is preferred. Experience in Psychological Research or Mental Health clinical studies preferred. KNOWLEDGE AND SKILLS: Ability to read and write fluently in English required. Ability to speak Spanish is preferred. Must have the ability to take initiative and handle multiple priorities and tasks. Ability to communicate effectively (listen and build trust) and be non-judgmental with people of different gender, sexual orientation, socio-economic status, ethnic, language and cultural backgrounds. Proficiency with Microsoft Office applications (i.e. MS Word, Excel, Access, PowerPoint, Outlook) and web browsers. Experience with statistical software (SPSS) a plus. Must successfully complete training in human subjects research certification. ABOUT THE DEPARTMENT: As the primary teaching hospital for Boston University Chobanian & Avedisian School of Medicine and BU schools of public health and dentistry, intellectual rigor shapes our inquiries. Our research is led by a belief that skin color, zip code, and financial circumstances shouldn't dictate health. Boston Medical Center is an Equal Opportunity/Affirmative Action Employer. If you need accommodation for any part of the application process because of a medical condition or disability, please send an e-mail to ************************* or call ************ to let us know the nature of your request. Compensation Range: $15.14- $21.15 This range offers an estimate based on the minimum job qualifications. However, our approach to determining base pay is comprehensive, and a broad range of factors is considered when making an offer. This includes education, experience, skills, and certifications/licensures as they directly relate to position requirements; as well as business/organizational needs, internal equity, and market-competitiveness. In addition, BMCHS offers generous total compensation that includes, but is not limited to, benefits (medical, dental, vision, pharmacy), discretionary annual bonuses and merit increases, Flexible Spending Accounts, 403(b) savings matches, paid time off, career advancement opportunities, and resources to support employee and family well-being. NOTE: This range is based on Boston-area data, and is subject to modification based on geographic location. Equal Opportunity Employer/Disabled/Veterans According to the FTC, there has been a rise in employment offer scams. Our current job openings are listed on our website and applications are received only through our website. We do not ask or require downloads of any applications, or “apps” job offers are not extended over text messages or social media platforms. We do not ask individuals to purchase equipment for or prior to employment.

Site: The General Hospital Corporation Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham. Home Base, a Red Sox Foundation and Massachusetts General Hospital program, is dedicated to healing the invisible wounds - including post-traumatic stress, traumatic brain injury, anxiety, depression, co-occurring substance use disorder, family relationship challenges and other issues associated with Military service - for Veterans of all eras, Service Members, Military Families and Families of the Fallen through world-class clinical care, wellness, education, and research. The Home Base Patient Service Coordinator (PSC) serves as a key member of the team that provides superior care and exceptional service to its patients. One critical dimension of this service focuses on patient check-in process and improving the human experience upon our patients' arrival to our practice and throughout the duration of their visit. The Home Base PSC will play an important role in redefining and reinvigorating the patient welcome and check-in experience. The PSC will be the crucial "face and attitude" of this patient-centered practice. While also providing medical scheduling services, the PSC will have the unique opportunity to work within a supportive team setting enabled by systems and technologies that will allow the employee to provide patient care and services at their highest levels. In addition, the PSC will be responsible to assist in special projects when skillset and capacity allow, as deemed appropriate by the Practice Manager. Job Summary Summary Performs both administrative and clinical functions to support smooth and efficient clinical service or practice operations under general supervision. Performs basic clerical work and tasks that are repetitive and routine. Administrative duties related to patient visits including scheduling, check-in, check-out duties. Actual job duties may vary by Department. Does this position require Patient Care? No Essential Functions * Perform routine administrative and clerical duties relating to a clinical service or physician practice office. * Make patient appointments and maintain appointment records. * Greet and assist patients. * Answer telephones, assist callers with routine inquiries, and schedule appointments. * File materials in patient folders and print appointment schedules. * Process patient billing forms and scan documents to patient medical record/LMR. * Call for patient medical records and laboratory test results. * Open and distribute unit mail or faxes. * Type forms, records, schedules, memos, etc., as directed. * Handles, screens and/or takes messages related to prior authorizations, provider questions, prescription refills, and test results. * Acts as "Super User" for scheduling, registration and billing systems. * Provides assistance and training to others in these areas. * May perform more complex or specialized functions (i.e. schedule changes/blocking) at more advanced competency level. Qualifications Education High School Diploma or Equivalent required Can this role accept experience in lieu of a degree? No Licenses and Credentials Certified Medical Administrative Assistant [CMAA] - Data Conversion - Various Issuers preferred Experience office experience 2-3 years required Knowledge, Skills and Abilities * Proficiency with all Office Suite, * Knowledge of office operations and standards and understanding of office procedures including filing, copying, scanning, printing and faxing. * Ability to use phone system and manage more non-routine phone calls and solve routine issues as appropriate. * Communicating effectively in writing as appropriate for the needs of the audience and talking to others to convey information effectively. * Understanding written sentences and paragraphs in work related documents, to correspond and communicate with others clearly and effectively (including composing/editing e-mail, memos and letters), and to take complete and accurate messages. * Managing one's own time and the time of others. * Well organized and good time management skills to manage multiple tasks effectively, follow established protocols, and work within systems. Additional Job Details (if applicable) Physical RequirementsStanding Occasionally (3-33%) Walking Occasionally (3-33%) Sitting Constantly (67-100%) Lifting Occasionally (3-33%) 20lbs - 35lbs Carrying Occasionally (3-33%) 20lbs - 35lbs Pushing Rarely (Less than 2%) Pulling Rarely (Less than 2%) Climbing Rarely (Less than 2%) Balancing Occasionally (3-33%) Stooping Occasionally (3-33%) Kneeling Rarely (Less than 2%) Crouching Rarely (Less than 2%) Crawling Rarely (Less than 2%) Reaching Occasionally (3-33%) Gross Manipulation (Handling) Constantly (67-100%) Fine Manipulation (Fingering) Frequently (34-66%) Feeling Constantly (67-100%) Foot Use Rarely (Less than 2%) Vision - Far Constantly (67-100%) Vision - Near Constantly (67-100%) Talking Constantly (67-100%) Hearing Constantly (67-100%) Remote Type Hybrid Work Location One Constitution Wharf Scheduled Weekly Hours 40 Employee Type Regular Work Shift Day (United States of America) Pay Range $17.36 - $24.45/Hourly Grade 3 At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package. EEO Statement: The General Hospital Corporation is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran's Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at **************. Mass General Brigham Competency Framework At Mass General Brigham, our competency framework defines what effective leadership "looks like" by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.

Site: Mass General Brigham Health Plan Holding Company, Inc. Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham. Job Summary Mass General Brigham Health Plan is an exciting place to be within the healthcare industry. As a member of Mass General Brigham, we are on the forefront of transformation with one of the world's leading integrated healthcare systems. Together, we are providing our members with innovative solutions centered on their health needs to expand access to seamless and affordable care and coverage. Our work centers on creating an exceptional member experience - a commitment that starts with our employees. Working with some of the most accomplished professionals in healthcare today, our employees have opportunities to learn and contribute expertise within a consciously inclusive environment where diversity is celebrated. We are pleased to offer competitive salaries, and a benefits package with flexible work options, career growth opportunities, and much more. Under the direction of the Senior Medical Director, the Medical Director leads as a senior physician at the health plan. This position works closely with the Senior Medical Director in providing medical management leadership for clinical services operations and programs. This role focuses on and has expertise in utilization management, health plan quality and accreditation, care management, and other health plan functions. Qualifications Licensure and Credentials: Must maintain an active full physician license in Massachusetts Experience: * 3-5 years of Health Plan experience * at least 5 years of clinical practice experience Job Duties: Handles utilization management initial determinations, appeals and grievances within the scope of their expertise as defined by Medicare, MassHealth, NCQA and the Division of Insurance and within the compliance requirements of key regulatory and accreditation entities * Reviews clinical services and quality incidents when sufficiently serious to merit physician involvement * Coverage of medical necessity determinations to support special investigations/fraud waste and abuse cases * Collaborates on health plan medical policy development * Assesses new, emerging, and existing technologies to determine appropriateness of health plan coverage * Partners with clinical leaders to ensure medical service expenditures remain within budget * Collaborates with business development, quality, finance and medical management teams to promote improvements in the quality and cost efficiency of care throughout the MGB Health Plan provider network * Delivers consultation to network management staff and deployment of education programs for network clinicians * Develops and delivers presentations for clinical staff on current topics relevant to MGB Health Plan members and network * May represent MGB Health Plan at a variety of external forums and committees * Interact, communicate and collaborate with network and community physicians, hospital leaders and other vendors regarding care and services for enrollees * Monitors performance metrics and audits to identify areas for continuous improvement and ensure compliance * Anticipates and meets or exceeds internal and/or external customer expectations and requirements; establishes and maintains positive relationships with customers and gains their trust and respect * Build strong relationships and infrastructure that designate MGB Health Plan as a people-first organization * Ensure diversity, equity and inclusion are integrated as a guiding principle * Other duties as assigned with or without accommodation Additional Job Details (if applicable) Primarily remote position, exempt * In person meetings as requested for business needs * Participates in after hours and weekend call rotation as assigned Remote Type Remote Work Location 399 Revolution Drive Scheduled Weekly Hours 40 Employee Type Regular Work Shift Day (United States of America) EEO Statement: Mass General Brigham Health Plan Holding Company, Inc. is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran's Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at **************. Mass General Brigham Competency Framework At Mass General Brigham, our competency framework defines what effective leadership "looks like" by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.

Are you a current UMass Memorial Health caregiver? Apply now through Workday. Everyone Is a Caregiver At UMass Memorial Health, everyone is a caregiver - regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day. Hiring Range: $175.48/hr - $209.13/hr Please note that the final offer may vary within this range based on a candidate's experience, skills, qualifications, and internal equity considerations. UMass Memorial Medical Group is seeking additional Per Diem ED Radiologists to either work onsite or remotely read. We are seeking additional per diem radiologists for all shift types (7a-3p, 3p-11p, 11p-7a). About our Department: Our department is comprised of ~80 Radiologists, 20 residents, 9 fellows and 15 PhDs. In our ED group we have a team of 15. Our health system covers over one million lives and is a Level 1 Trauma Center with 95,000 ED visits per year. Our department has over $6M/year in research funding. Academic pursuits are encouraged and supported both in the realms of research and education. Our department has state of the art imaging equipment, AGFA PACS system, EPIC EMR, Tera-Recon image processing software, Powerscribe 360 and is running several AI algorithms. Radiologist Requirements: ED Radiologists work at the University campus with one resident and/or one Emergency Radiology fellow, and remotely cover several other hospitals. Additional opportunities for internal moonlighting within the department are available if desired. We offer three shift types to include 7am-3pm, 3pm-11pm and 11pm-7am. We can offer hybrid schedules to include remote reading days but an onsite presence is required. You must be comfortable interpreting the following modalities: CT, MRI, ultrasound, and Basic nuclear medicine. Fellowship training in Emergency Radiology is desired but not required. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. We're striving to make respect a part of everything we do at UMass Memorial Health - for our patients, our community and each other. Our six Standards of Respect are: Acknowledge, Listen, Communicate, Be Responsive, Be a Team Player and Be Kind. If you share these Standards of Respect, we hope you will join our team and help us make respect our standard for everyone, every day. As an equal opportunity and affirmative action employer, UMass Memorial Health recognizes the power of a diverse community and encourages applications from individuals with varied experiences, perspectives and backgrounds. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, protected veteran status or other status protected by law. If you are unable to submit an application because of incompatible assistive technology or a disability, please contact us at ***********************************. We will make every effort to respond to your request for disability assistance as soon as possible.

UPMC Health Plan has an exciting opportunity for a SIU Investigator! This is a remote, full-time role working daylight hours Monday through Friday. Experience as a Dental Hygienist to perform dental audits and investigations highly preferred. Under the direction of the manager, the Special Investigations Unit (SIU) Investigator is responsible for investigating assigned dental fraud, waste and abuse (FWA) cases, as well as researching and analyzing claims data in order to identify potential dental FWA. The SIU Investigator is also responsible for maintaining the FWA case system with accurate and detailed investigative activities related to assigned cases. Responsibilities: - Investigative actions include member/provider outreach, financial tracking, adhering to compliance regulations, and making healthcare oversight referrals. - Plan, organize and execute dental investigations or dental audits utilizing document review, witness interviews, and data analysis to identify, evaluate and measure potential healthcare fraud, waste and abuse to determine valid cases for appropriate action. - Risk Assessments on FWA dental trends using fraud detection software and/or as assigned by Manager. - Present FWA training to internal staff. - Perform dental chart reviews to assess compliance with dental coding and billing regulations. - Utilize standard coding guidelines, principles, and coding clinics to monitor the appropriate ICD-10, CDT and CPT codes for all record types to ensure accurate reimbursement. - Document and track activity in an internal database, provide case updates on the progress of the dental audit and dental investigation and coordinate with management recommendations and further actions and/or resolutions. - Conduct detailed research to identify and apply appropriate regulatory, contractual, and industry requirements to the different dental benefits and products within investigations. - Maintain or exceed designated quality and production goals. Understand and adhere to HIPAA privacy requirements. Perform special projects assigned by Management. Bachelor's Degree preferred or 2-4 years of related experience in investigations, claims, medical coding, auditing, compliance, risk management and/or data analysis required. The ability to problem solve and communicate professionally. Detail oriented individual with excellent organizational skills. High degree of oral and written communication skills. Proficiency in MS Office/PC skills including Microsoft Excel and Word. Preferred Skills: Experience conducting investigations within a healthcare environment preferred. Knowledge of CPT and ICD-10 coding of procedures and diagnosis is preferred. Knowledge of medical terminology, human anatomy/physiology, pharmacology, and pathology is preferred. Licensure, Certifications, and Clearances: + Act 34 UPMC is an Equal Opportunity Employer/Disability/Veteran

**Join Our Team at UPMC: Physician Assistant or Nurse Practitioner** **The University of Pittsburgh Physicians (UPP) Division of Gastroenterology, Hepatology, & Nutrition is hiring a full-time remote Physician Assistant (PA) or Certified Registered Nurse Practitioner (CRNP) for our Greenville practice, located in a welcoming small-town community. The APP will provide care in a remote setting with Monday-Friday daylight hours, no weekends, and no call.** Why You'll Love This Role + Balanced Schedule + Provide care for new and returning patients and participate in GI consults at UPMC Horizon-Shenango Valley. + Be part of a team that values communication, mentorship, and professional growth. + Conduct remote telemedicine visits. + Collaborate with physicians and APPs to deliver high-quality GI care. See what being an Advanced Practice Provider can do for UPMC and what UPMC can do for Advanced Practice Providers - it's _more_ than just a job! What Can You Bring to UPMC? + Contribute to UPMC's mission of Life Changing Medicine + Set the standards for the level and quality of care for the care delivery team + Provide patient care activities for a group of patients and their families through the application of independent judgment, communication, and collaboration with all team members. + Establish and maintain collaborative relationships with physicians, other health care providers, patients, and their families, to achieve desired patient outcomes throughout the continuum of care. + Demonstrate a commitment to the community and to your health care profession What Can UPMC Do for You? + A career path that provides you with the right experience to be successful in the position you want to obtain now and, in the future + Health and welfare benefits like medical, vision, dental, and life and disability, and an exceptional retirement program + Work life balance to help manage other important aspects of your life such as: PTO, wellness programs, paid parental leave + Competitive pay for the work that you do - base pay, merit, and premium pay + Sign-on Bonus available if applicable Staff/Senior Level: The Staff or Senior Advanced Practice Provider (APP) is a Physician Assistant or Certified Registered Nurse Practitioner and a member of the care delivery team. The APP is responsible to set the standards for the level and quality of care. The APP has responsibility, authority, and accountability for the provision of care through supervision by and collaboration with a physician. The APP manages and provides patient care activities for a group of patients and their families through the application of independent judgment, communication, and collaboration with all team members. The role of the APP encompasses the beginnings of leadership, partnership, collaboration, and supervision. The APP establishes and maintains collaborative relationships with physicians, other health care providers, patients, and their families, to achieve desired patient outcomes throughout the continuum of care. The APP begins to demonstrate a commitment to the community and to their healthcare profession. _The successful candidate will be placed according to years and months of experience for employment purposes._ Responsibilities: + Applies basic professional practice knowledge and skills appropriate for practice setting. Communicates effectively, both verbally and in documentation. Demonstrates critical thinking in all areas of professional practice. Learns to incorporate acceptable standards of professional practice as well as business unit and health system's goals to improve patient safety, quality, and satisfaction. Formulates a plan of care that considers individual patient needs. Demonstrates initiative and seeks formal and informal opportunities to improve clinical practice. Seeks guidance and asks questions to continuously improve professional practice. Builds relationships with patients, families, and colleagues. Identifies ethical situations within patient care or within the workplace and seeks assistance. Professionally accepts assignments that gradually increase patient load and complexity. + Actively engages in clinical development of all members of the healthcare team. Requests opportunities to learn advanced professional practice techniques from senior healthcare team members. Seeks, accepts, and utilizes performance feedback from peers, preceptors, and unit/department Leaders as a learning opportunity and to improve practice. Demonstrates enthusiasm for continuous learning and identifies and creates a plan for the continuation of learning and development. Identifies patient and family needs for education and provides basic education to support the episode of care. Seeks professional development and involvement through membership in a professional organization and/or reading professional literature on a regular basis. + Demonstrates a basic knowledge of research, how it affects practice and who/what resources are available to assist with evidence-based practice by asking questions, demonstrating interest, participating in journal clubs. Clinical practice demonstrates knowledge of how quality and innovation impacts patient satisfaction, safety, and clinical quality outcomes. Identifies opportunities for improvement in the clinical area. + Demonstrates the ability to communicate clearly and effectively with all members of the health care team. Begins to demonstrate awareness of cultural diversity, horizontal violence, and impairment in the health professions. Cares for patients and self by supporting safety in the workplace. + Demonstrates accountability for professional development that improves the quality of professional practice and the quality of patient care. Makes recommendations for the improvement of clinical care and the health of the workplace and welcomes and participates in change initiatives. Leads by investing and building healthy relationships among colleagues and other disciplines. Shows the ability to set priorities. Begins to serve as an engaged member of a team supporting colleagues in service to patients and families and may participate in task forces or other initiatives. + Demonstrate the knowledge and skills necessary to provide care and/or interact appropriately with the patients served as specified below + Demonstrate knowledge of the principles of growth and development over the life span + Possess the ability to assess data reflective of the patient's status and interpret the appropriate information needed to identify each patient's requirements relative to their age-specific needs + Provide the care needs as described in the department policy and procedures **Special Skills and Abilities Required** + Ability to establish and maintain positive, caring relationships with executives, managers, physicians, non-physician providers, ancillary and support staff, other departments, and patients/families + Ability to work productively and effectively within a complex environment + Handle multiple/changing priorities and specialized equipment + Critical thinking, analytical and problem-solving abilities required as related to various aspects of patient care + Good clinical judgment + Critical thinking skills necessary to exercise and lead others in application of acceptable standards of practice + Mobility and visual manual dexterity + Physical stamina for frequent walking, standing, lifting, and positioning of patients This position is dependent upon successful attainment and maintenance of hospital privileges, if applicable to the Business Unit practice. **Licensure, Education, Certifications, and Clearances** **Certified Registered Nurse Practitioner (** **CRNP):** ** ** + The successful completion of an approved nurse practitioner program is required + BSN, MSN is preferred + Professional nursing experience and/or nurse practitioner experience is preferred + Current state RN license and CRNP certification are required + National certification, eligible for licensure by Pennsylvania board of nursing, eligible for certification as a CRNP by Pennsylvania state board of nursing + Current CPR certification is required + Act 33 Clearance will be required + Act 73 Clearance will be required + Act 34 Clearance required **Physician Assistant (PA):** + A graduate of a physician assistant program accredited by the Accreditation Review Commission on Education for the physician assistant (ARC-PA) is required + BS or MS candidate is preferred + Experience as a physician assistant and/or experience in a clinical setting is preferred + Current state PA license certified by the National Commission on Certification of Physician Assistants (NCCPA) is required + Current CPR certification is required + Act 33 Clearance will be required + Act 73 Clearance will be required + Act 34 Clearance required **Senior Level** + Minimum 3 years of experience or Completion of a post-graduate residency + The successful completion of an approved Nurse Practitioner or a graduate of a physician assistant program accredited by the Accreditation Review Commission on Education for the physician assistant (ARC-PA) program is required + BSN, MSN preferred for CRNP, BS or MS preferred for PA + Completion of National Certification + Must achieve a Solid/Strong/Good performance rating or higher on annual performance evaluation for consideration and to maintain status annually + Completion of an OAPP approved professional contribution within one year of hire or promotion into the position. + Must have department chair approval for promotion + ACLS or ITLS or NALS or PALS or ACLS or other certifications listed must meet AHA standards that include both a didactic and skills demonstration component within 30 days of hire. OAPP: If practicing in an outpatient or other non-inpatient setting, APPs can use one of the certifications above or use a business unit approved certification which is relevant, and value added to the practice setting. **UPMC is an Equal Opportunity Employer/Disability/Veteran**

The Contract Specialist is responsible for the lifecycle management of low to moderate risk vendor goods and services agreements, maintains applicable contract records, correspondence, and files, and monitors contracts for expiration taking action to amend, extend, or close-out as appropriate. Position: Contracts Specialist Department: Supply Chair Corp Procurement Schedule: Full Time ESSENTIAL RESPONSIBILITIES / DUTIES: Handles routine or standard form contract agreements and related documentation in accordance with established contract policies and procedures; executes low to moderate risk contracts. Able to negotiate basic business terms in accordance with prescribed templates and guidelines. Reviews solicitations and prepares routine response for proposals, bids, and contract modifications. May prepare basic requests for proposal, information or quotation as directed. Prepares and administers routine correspondence, negotiation memoranda, and contract documentation to ensure timely and coordinated submittal. Prepares, organizes and maintains contract records and files to ensure business continuity and optimization of the contract lifecycle management and ERP systems. Documents contract performance and compliance where required, escalates non-conformance to leadership for follow up. Communicates contract policy and practice to internal business teams; ensures contract review, approval and execution in accordance with guidelines and policies. Assists internal or external business teams on issues and developments relative to assigned contracts. Coordinates with Supply Chain and Accounts Payable teams to rectify pricing discrepancies; ensures accurate and timely processing of vendor payments utilizing purchase orders. (The above statements in this job description are intended to depict the general nature and level of work assigned to the employee(s) in this job. The above is not intended to represent an exhaustive list of accountable duties and responsibilities required). JOB REQUIREMENTS EDUCATION: Bachelor's degree or equivalent education and experience preferred CERTIFICATES, LICENSES, REGISTRATIONS REQUIRED: Certification from National Contract Management Association (NCMA) or International Association for Contract and Commercial Management (IACCM) or similar credential preferred. EXPERIENCE: 1-3 years related business or contract experience KNOWLEDGE, SKILLS & ABILITIES (KSA): Strong written and verbal communication skills; detail oriented in all notes and documentation. Intermediate to advanced skill in use of Microsoft products including Word, Excel, PowerPoint, Forms, etc. Proficient using contract lifecycle management and ERP systems. Basic analytical skills necessary to make sound recommendations based on data. Able to develop accurate and precise summary information. Compensation Range: $50,500.00- $73,000.00 This range offers an estimate based on the minimum job qualifications. However, our approach to determining base pay is comprehensive, and a broad range of factors is considered when making an offer. This includes education, experience, skills, and certifications/licensures as they directly relate to position requirements; as well as business/organizational needs, internal equity, and market-competitiveness. In addition, BMCHS offers generous total compensation that includes, but is not limited to, benefits (medical, dental, vision, pharmacy), discretionary annual bonuses and merit increases, Flexible Spending Accounts, 403(b) savings matches, paid time off, career advancement opportunities, and resources to support employee and family well-being. NOTE: This range is based on Boston-area data, and is subject to modification based on geographic location. Equal Opportunity Employer/Disabled/Veterans According to the FTC, there has been a rise in employment offer scams. Our current job openings are listed on our website and applications are received only through our website. We do not ask or require downloads of any applications, or “apps” job offers are not extended over text messages or social media platforms. We do not ask individuals to purchase equipment for or prior to employment.

Site: The General Hospital Corporation Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham. LCSW: starting pay rate $68,224 LICSW: starting pay rate $92,227 SIGN ON BONUS AVAILABLE for eligible Non-MGB employees: $3,000 FOR LCSW, $10,000 FOR LICSW/LMHC, Please ask about the details! Job Summary Home Base, a Red Sox Foundation and Massachusetts General Hospital program, is dedicated to healing the invisible wounds - including post-traumatic stress, traumatic brain injury, anxiety, depression, co-occurring substance use disorder, family relationship challenges and other issues associated with Military service - for Veterans of all eras, Service Members, Military Families and Families of the Fallen through world-class clinical care, wellness, education, and research. The Massachusetts General Hospital seeks a dynamic Licensed Clinical Social Worker (LCSW)/Licensed Independent Clinical Social Worker (LICSW) to serve on the Special Operations Team. In this role, the LCSW/LICSW will provide and oversee the provision of psychiatric, psychosocial, and overall mental health services and referrals for military Special Operators into the Home Base program. They will also be dedicated to supporting the Special Operations Forces (SOF) program and will provide coverage to other clinical operations as needed. The LCSW/LICSW may help cover approximately 2-3 weekend shifts per year. Summary This position will collaborate with other professionals to evaluate patients' medical or physical condition and to assess client needs as part of the interdisciplinary team. They work collaboratively with all healthcare team members to develop and implement treatment plans that support patient-centered plans of care for both individual patients and the medical community. Does this position require Patient Care? Yes Essential Functions * Provides psychosocial assessments of patients and families with social, emotional, interpersonal, and/or environmental issues. Formulates biopsychosocial assessment, disposition, and treatment plans. * Collaborate with other professionals to evaluate patients' medical or physical condition and to assess client needs as part of the interdisciplinary team. * Monitor, evaluate, and record client progress according to measurable goals described in the treatment and care plan. * Coordinate care for Special Operations Forces (SOF) veterans and military-connected family members seeking care at Home Base with the appropriate internal or external clinicians in a multi-disciplinary team, coordinated care model. * Serve as a contact point for accepting and triaging SOF referrals from internal clinicians, outside clinicians and self-referred patients. * Serve as primary case manager for patients in SOF admissions process in collaboration with Admissions Coordinator, including, but not limited to, the following responsibilities: conduct pre-screening to assess treatment and evaluation needs for SOF patients referred; coordinate signing of Release of Information forms, acquire relevant medical records, and coordinate with SOCOM where applicable; serve as point of contact for ongoing questions from the patient as they arise. * Monitor patient's status in admissions process using appropriate documentation. * May be asked to collaborate with SOF/ComBHaT team, patients, clinical team, and Resource Specialist to identify clinical and psychosocial needs in patients' home communities and identify appropriate resources. * May provide direct clinical services to Veterans and/or family members, which may include group or individual therapy. * May provide psychoeducation regarding PTSD, TBI, and related conditions to Veteran patients and family members as clinically appropriate within the context of the Intake and triage duties. * Collaborate with an inter-disciplinary team of clinical staff (social workers, psychologists, nurses, psychiatrists, physiatrists, physical therapists, etc.) to coordinate patient care and plan for discharge/aftercare when needed. * Consult with team to facilitate mandated assessments when abuse is suspected (child, disabled adult, elder), and safety assessment when violence is reported. Collaborates with MGH resources (HAVEN and Child Protection Team). * May assist with crisis intervention and management. * Documents timely and relevant information in patient electronic medical record and Home Base database. * Provide coverage for social work responsibilities in Outpatient Clinic as needed. * For LICSWs: provide clinical supervision to LC-level and/or MSW students as needed. * Additional responsibilities as assigned. Qualifications Education Master's Degree Social Work required or Master's Degree Mental Health & Behavioral Medicine required Can this role accept experience in lieu of a degree? No Licenses and Credentials Current professional licensure in Massachusetts (LCSW required, LICSW preferred). Experience Clinical Social Worker I Clinical Experience in a medical setting 0-1 years required Clinical Social Worker II Clinical Experience in a medical setting 2-3 years required Knowledge, Skills and Abilities * Excellent organizational and time management skills. * Excellent crisis intervention skills. * Good problem solving and conflict resolution skills. * Ability to work well collaboratively and independently. * Strong written and verbal communication skills. * Knowledge of community resources and the aging process. * Demonstrates basic foundational skills, showing fundamental knowledge and a commitment to the application of professional values and ethics. * Demonstrates fundamental skills in formulation, assessment of risks, crisis intervention completion of psychosocial treatment plans, and appropriate documentation. * May need assistance and guidance in ensuring the patient's needs, safety measures, and concerns are brought forward. Emerging knowledge of internal and external resources. * Developing and demonstrating interpersonal collaboration in a medical setting- inpatient or outpatient. * May need coaching/guidance in this area. * May provide some assistance and support with onboarding for new team members. * Aware of opportunities in department/service initiatives; participates in initiatives at an entity level. Uses data to measure progress. * Demonstrate fundamental skills under supervision. May need assistance in promoting collaboration among healthcare team members, other colleagues, and the organization to support and enhance patient care. Additional Job Details (if applicable) Physical Requirements * Standing Frequently (34-66%) * Walking Frequently (34-66%) * Sitting Occasionally (3-33%) * Lifting Frequently (34-66%) 35lbs+ (w/assisted device) * Carrying Frequently (34-66%) 20lbs - 35lbs * Pushing Occasionally (3-33%) * Pulling Occasionally (3-33%) * Climbing Rarely (Less than 2%) * Balancing Frequently (34-66%) * Stooping Occasionally (3-33%) * Kneeling Occasionally (3-33%) * Crouching Occasionally (3-33%) * Crawling Rarely (Less than 2%) * Reaching Frequently (34-66%) * Gross Manipulation (Handling) Frequently (34-66%) * Fine Manipulation (Fingering) Frequently (34-66%) * Feeling Constantly (67-100%) * Foot Use Rarely (Less than 2%) * Vision - Far Constantly (67-100%) * Vision - Near Constantly (67-100%) * Talking Constantly (67-100%) * Hearing Constantly (67-100%) Remote Type Hybrid Work Location One Constitution Wharf Scheduled Weekly Hours 40 Employee Type Regular Work Shift Day (United States of America) Pay Range $56,992.00 - $82,992.00/Annual Grade 6 At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package. EEO Statement: The General Hospital Corporation is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran's Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at **************. Mass General Brigham Competency Framework At Mass General Brigham, our competency framework defines what effective leadership "looks like" by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.

is Hybrid or Remote.** **Requires ability to come onsite to New York 42nd Street location as needed for hybrid or at least one time a year for 100% remote.** Mount Sinai's Enterprise Data Cloud team is seeking a Cloud Data Operations Engineer with both problem-solving and Cloud engineering skills to assist in various Cloud Services and Data Management projects. The focus of this role is to support Director of Data Cloud Engineering in planning, design, implementation and support deployments. To ensure Data Cloud implementation is aligned with the Digital Technology Partner (DTP) strategy and Enterprise architecture. The Cloud Engineering Lead will be responsible for providing technical support for Data Cloud deployment, primarily on Microsoft Azure and/or support in the creation and delivery of technology solutions designed to meet Mount Sinai business needs. Candidate should be a self-driven individual who can work with internal and external stakeholders and also mentor other junior resources on Cloud adoption within the current or extended DTP team. **Qualifications** + 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. **General Skills and Competencies** + Expert knowledge in following technology areas: + Cloud infrastructure, virtualization and systems (Windows, Linux, Storage, Networking) + Azure Cloud solutions (Public, Private, Hybrid, Azure networking) + Data Services (Azure Data Factories, Azure Databricks, Azure Syanpse, Azure Data Lake storage) + Cloud computing (Virtual Machines, SQL Server, Cosmos DB, AKS, etc.,) + Network and security (Load balancers, Vnet, Subnets, FWs, VPN Gateways) + Mobility and WAN + Identity management (ADFS, AAD) + Good understanding of Data services, working with Data engineers in supporting the infrastructure needs. + Capable of building enterprise Knowledge base systems. + Excellent technical documentation and reporting skills + Detail-oriented self-starter, with the initiative to articulate goals, plan and implement efforts to achieve those goals, identify issues and impacts, and meet deadlines. + Able to work independently and within a team environment. + Excellent interpersonal and organizational skills required to work alongside a diverse team of multidisciplinary professionals. Non-Bargaining Unit, 223 - DTP Enterprise Data & Analytics - MSH, Mount Sinai Hospital **Responsibilities** + Clear understanding of Azure cloud stack including Serverless, Managed and custom deployments. + Experience in PowerShell, Shell script or any other scripting language to implement IAC methodology where applicable which translates into consistent delivery efficiency + Technology and business enablement advocate advising the best practice methods in how to utilize cloud services to drive competitive advantage. + Provide support to DTP Enterprise Data cloud team to develop complex solution designs, detailed project plans and work breakdown structures. + Provide support to DTP Enterprise Data cloud team to develop Architecture Specification deliverables that map business requirements to solution / technologies. + Provide support to DTP Enterprise Data cloud team to create a migration roadmap to move services from Enterprise Data Cloud subscription to Enterprise tenant including all Azure resources + PaaS services like ADF, ADB, AKS, Azure Synapse Analytics instances. + Provide support to DTP Enterprise Data cloud team to help create and implement a solution roadmap and select the right infrastructure and technology platform or product based on in-depth knowledge of one and broad knowledge of other technologies and/or alliance product landscape. + Able to independently complete solution implementation or application design deliverables. + Able to learn quickly and keep pace with the rapid changes in the IT industry particularly in cloud and mobility. + Mentor others and assist them with their professional development. **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 $109000 - $163695 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.

The Vice President of Finance and Chief Financial Officer (CFO) for Ambulatory Services must have the requisite skills and characteristics to be both an advisor and partner with key stakeholders across the Johns Hopkins Health System and Johns Hopkins Medicine enterprise including appropriate Boards and Finance Committees. As a key member of the executive team, the CFO will provide functional and business leadership through financial acumen and strategic experience. The CFO will work as a peer with healthcare executives and functional heads, developing, overseeing, and tracking strategic and operational plans and results; suggesting improvements; and re-examining assumptions as needed. At the enterprise level, the CFO may lead initiatives to implement best practices, consolidate operations, influence allocation of resources, manage costs, and improve revenues. As such, the CFO will bring strong persuasive, collaborative, and influencing skills forward. Key aspects of the role include: * Serves as a strategic thought partner to support all financial leadership activities proactively advises stakeholders on relevant factors impacting financial performance * Works closely with and as part of the broader executive finance team reporting across Johns Hopkins Medicine * Oversees the administration, planning, and coordination of Ambulatory Care financial activities * Participates in and influences institution-wide financial planning and decision-making, leveraging financial expertise and knowledge of best practices in a way that is consistent with and supportive of the overall mission, vision, and strategy of the affiliate sites, the Johns Hopkins Health System (JHHS), and Johns Hopkins Medicine (JHM) * Drives efficient and effective delivery of financial services, acting as a catalyst for change to ensure the needs of service lines and leaders are aligned and fulfilled including fiscal management, capital planning, contract management, and executing strategic initiatives * Develops the workforce of the future, hiring team members and accelerating performance through clear expectations and goal setting and ensuring that career conversations, succession planning, and development plans are embedded in the work culture REPORTING RELATIONSHIP: Reports directly to Vice President Corporate Finance, Johns Hopkins Health System KEY RESPONSIBILITIES The Vice President of Finance and Chief Financial Officer for Ambulatory Services will have a broad set of responsibilities that will encompass the following: * Plans, develops, and provides financial oversight of the JHHS ambulatory sites, including Johns Hopkins Community Physicians, Johns Hopkins Regional Physicians, Johns Hopkins Ambulatory Surgery Center Series, and Johns Hopkins Care at Home * Works closely and collaboratively with senior leadership, clinical, and administrative colleagues to provide leadership in the identification and implementation of performance improvement initiatives across areas of responsibility to help drive improved patient safety and satisfaction, as well as cost savings and efficiencies * Cultivates, nurtures, and builds strong relationships across the JHM eco-system and helps develop metrics and measures to monitor, track, and maintain the positive impacts of key initiatives * Advises leaders across the enterprise to help develop and manage operating and capital budgets * Leads month-end and quarter-end financial close activities relative to their areas of responsibility * Collaborates with peers and business leaders (i.e. revenue cycle, supply chain, contracting and payer relations, and financial and accounting services) to establish and coordinate service line initiatives as appropriate * Assists affiliate leaders in real time, serving as a key partner to the executive team * Drives performance improvement within the ambulatory enterprise; aligns with shared services across JHHS and JHM to ensure actions are taken and plans are made, in context of the greater good, with transparency and mutual accountability * Provides oversight of the financial performance of all aspects of the ambulatory business; monitors trends and performance and develops corrective action plans as needed. Ensures that affiliate Presidents and the JHHS Vice President of Corporate Finance are provided with accurate and timely financial and statistical information - as well as any systemwide reports -- regarding all subsidiaries assigned to the CFO. Appropriately escalates areas of concern EXPERIENCE & QUALIFICATIONS * CPA or Master's Degree in Accounting, Finance, Business or related field required. * Minimum ten years' experience in Business and Financial Planning as well as program development in complex environment. Physician practice management experience desirable * Experience in a large academic health system preferred * Sitting CFO experience highly preferred * Significant senior management experience in healthcare financial planning, budget management, financial reporting, general accounting, financial controls, and information systems, or equivalent * Knowledge of current physician and ambulatory reimbursement and clinical issues confronting complex healthcare organizations * Demonstrated success serving in a complex, multi-stakeholder environment * Experience with capital budgeting, FP&A/operational finance, financial control, and reporting * Advanced knowledge of budget development, control and evaluation, financial forecasting, planning and analysis Salary Range: Minimum /hour - Maximum /hour. Compensation will be commensurate with equity and experience for roles of similar scope and responsibility. In cases where the range is displayed as a $0 amount, salary discussions will occur during candidate screening calls, before any subsequent compensation discussion is held between the candidate and any hiring authority. We are committed to creating a welcoming and inclusive environment, where we embrace and celebrate our differences, where all employees feel valued, contribute to our mission of serving the community, and engage in equitable healthcare delivery and workforce practices. Johns Hopkins Health System and its affiliates are drug-free workplace employers.

Are you a current UMass Memorial Health caregiver? Apply now through Workday. Exemption Status: Non-Exempt Hiring Range: $19.74 - $30.80 Please note that the final offer may vary within this range based on a candidate's experience, skills, qualifications, and internal equity considerations. Schedule Details: Monday through Friday Scheduled Hours: 8-430 Shift: 1 - Day Shift, 8 Hours (United States of America) Hours: 40 Cost Center: 99940 - 5436 Med Specs Ancillary Pod Ar Union: SHARE (State Healthcare and Research Employees) This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process. Everyone Is a Caregiver At UMass Memorial Health, everyone is a caregiver - regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day. Responsible for follow-up of complex claims for payment. I. Major Responsibilities: 1. Calls insurance companies and utilizes payor web-sites while working detailed reports to secure outstanding payments. 2. Reviews rejections in assigned payors and plans to determine validity of rejection and takes appropriate action to resolve the invoice. 3. Calculates and posts adjustments based on third party reimbursement guidelines and contracts. 4. Makes appropriate payor and plan changes to secondary insurers or responsible parties. 5. Inputs missing data as required and corrects registration and other errors as indicated. Standard Staffing Level Responsibilities: 1. Complies with established departmental policies, procedures and objectives. 2. Attends variety of meetings, conferences, seminars as required or directed. 3. Demonstrates use of Quality Improvement in daily operations. 4. Complies with all health and safety regulations and requirements. 5. Respects diverse views and approaches, demonstrates Standards of Respect, and contributes to creating and maintaining an environment of professionalism, tolerance, civility and acceptance toward all employees, patients and visitors. 6. Maintains, regular, reliable, and predictable attendance. 7. Performs other similar and related duties as required or directed. All responsibilities are essential job functions. II. Position Qualifications: License/Certification/Education: Required: 1. High School Diploma Experience/Skills: Required: 1. Previous Revenue Cycle knowledge in one of the following areas including PFS, Customer Service, Cash Posting, Financial Assistance, Patient Access, HIM/Coding and/or 3rd party Reimbursement. 2. Ability to perform assigned tasks efficiently and in timely manner. 3. Ability to work collaboratively and effectively with people. 4. Exceptional communication and interpersonal skills. Preferred: 1. One or more years of experience in health care billing functions. Unless certification, licensure or registration is required, an equivalent combination of education and experience which provides proficiency in the areas of responsibility listed in this description may be substituted for the above requirements. Department-specific competencies and their measurements will be developed and maintained in the individual departments. The competencies will be maintained and attached to the departmental job description. Responsible managers will review competencies with position incumbents. III. Physical Demands and Environmental Conditions: Work is considered sedentary. Position requires work indoors in a normal office environment. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. We're striving to make respect a part of everything we do at UMass Memorial Health - for our patients, our community and each other. Our six Standards of Respect are: Acknowledge, Listen, Communicate, Be Responsive, Be a Team Player and Be Kind. If you share these Standards of Respect, we hope you will join our team and help us make respect our standard for everyone, every day. As an equal opportunity and affirmative action employer, UMass Memorial Health recognizes the power of a diverse community and encourages applications from individuals with varied experiences, perspectives and backgrounds. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, protected veteran status or other status protected by law. If you are unable to submit an application because of incompatible assistive technology or a disability, please contact us at ***********************************. We will make every effort to respond to your request for disability assistance as soon as possible.

UPMC Health Plan has an exciting opportunity for a Clinical Auditor/Analyst Intermediate! The Clinical Auditor/Analyst Intermediate is an integral part of the Special Investigations Unit (SIU) and is responsible for conducting clinical audits and reviews regarding the analysis of care and services related to clinical guidelines, coding requirements, regulatory requirements, and resource utilization. This role also acts as a SME for the department in representing management in meetings, training new staff and auditing peers. Collects program data to monitor/ensure compliance requirements and establishes and revises better best practice within the department. The Clinical Auditor/Analyst Intermediate creates, maintains and analyzes auditing reports related to their assigned work plan and communicates the results with management. Other responsibilities include but are not limited to analysis of controlled substance prescribing and utilization to identify potential clinical care issues; prepayment review of claims, and prepayment review of unlisted codes. Claims analysis and the use of fraud and abuse detection software tools will be an integral part of the function of this position. Responsibilities will involve working in collaboration with appropriate Health Plan departments including Quality Improvement, Legal, and Medical Management to facilitate the resolution of issue or cases. Responsibilities may involve multiple line of business focused reviews, or ad hoc reviews as needed; analysis of billing by providers/physicians, and providing trending, analysis and reporting of auditing data. The Clinical Auditor/Analyst Intermediate will routinely interact with providers, law enforcement and/or regulatory entities in the course of their duties. Responsibilities: + Respond to fraud, waste, and abuse referrals and/or complete data analysis and related audits as assigned. + Utilize fraud detection software to assess and monitor for potential FWA. + Review and analyze claims, medical records and associated processes related to the appropriateness of coding, clinical care, documentation, and health plan business rules. + Provide a clinical opinion for special projects or various issues including appropriate utilization of controlled substances, prescribing of controlled substances, or medically appropriate services. + Query medical and/or pharmacy claims and conduct a risk assessment by performing data analysis and applying applicable coding guidelines, Health Plan policies and any applicable National Coverage Determination (NCD) or Local Coverage Determination (LCD). + Evaluate referrals from Pharmacy Benefit Manager (PBM) by analyzing medical and pharmacy claims and associated clinical documentation in HealthPlaNET, Mars, Epic and/or Cerner. + Complete audits by utilizing standard coding guidelines and principles and coding clinics to verify that the appropriate CPT codes/DRGs were assigned and supported in the medical record documentation. + Attend in person or virtual recipient restriction hearings. + Review Medical Pended Queue claims to understand and resolve claim referral issues through research and interaction with other Health Plan Departments including Medical Management, Medical Directors, various committees, and other appropriate Health Plan departments. + As necessary, assist in the development of new policies concerning future Health Plan payment of identified issue. + Assess, investigate and resolve complex issues. + Write concise written reports including statistical data for communication to other areas of UPMC Health Plan and to communicate with department heads for identification of various problem issues, how they affect the Health Plan, and to make recommendations for resolution of the issue. + Identify error trends to determine appropriate training needs and suggest modifications to company policies and procedures. + Conduct provider education, as necessary, regarding audit results. Communicate effectively with Medical Directors and ancillary departments as necessary to address issues and concerns. + Participate as needed in special projects and other auditing activities. Provide assistance to other departments as requested. + Understand customers including internal Health Plan Departments (i.e. Claims staff, Customer Service, Marketing, etc.) and external customers (i.e. Health System Internal Audit, Client Audit teams) to understand issues, identify solutions and facilitate resolution. + Serve as an SIU representative at internal and external meetings, document and present findings to SIU Staff and document as appropriate in the SIU FWA Case Management Database. + Assist in the development and revision of SIU policies and procedures. Identify trends for improvements internally, such as claims payment, to determine appropriate training needs and suggest modification to company policies and procedures. + Perform audit peer reviews for Clinical Auditor/Analysts. + Provide new-hire training to Clinical Auditor/Analysts. Performing administrative appeals/preparing medical necessity appeals for Medical Directors for second level appeals. Participate in training programs to develop a thorough understanding of the materials presented. + Obtain CPE or CEUs to maintain nursing license, and/or professional designations. + Design and maintain reports, auditing tools and related documentation. Maintain or exceed designated quality and production goals. Maintain employee/insured confidentiality. Registered Nurse (RN). Bachelor of Science in Nursing (BSN) or the equivalent combination of education, professional training and work experience. Five years of clinical experience. Three years of fraud & abuse, auditing, case management, quality review or chart auditing experience required. Ability to analyze data, maintain designated production standards, and organize multiple projects and tasks. In-depth knowledge of medical terminology, ICD-10 and CPT-4 coding. Knowledge of health insurance products and various lines of business. Detail-oriented individual with excellent organizational skills. Keyboard dexterity and accuracy. High level of oral and written communication skills. Proficiency with Microsoft Office products (Excel, Access, OneDrive, OneNote and Word). Licensure, Certifications, and Clearances: AAPC or AHIMA Certified (CPC, CPMA, CIC, CCA, CCS, CCS-P) or AHFI designation required. + Registered Nurse (RN) + Act 33 with renewal + Act 34 with renewal + Act 73 FBI Clearance with renewal *Current licensure either in the state where the facility is located or, if the facility is in a state covered by the multistate Nursing Licensure Compact (NLC) agreement, a multistate license issued by a participating NLC state. Hires and current employees working on an out-of-state NLC license who later change their residency to the state where the facility is also located will have 60 days upon changing their residency to apply for licensure within that state. UPMC is an Equal Opportunity Employer/Disability/Veteran

Under the direction of and guidance from the Manager of Revenue Operations & Business Intelligence, the Financial Analyst II - Reimbursement is responsible for assisting the department management in identifying, establishing, implementing and monitoring business and financial related processes that contribute to the successful operations of BMC. This role will identify areas for reimbursement and revenue cycle improvement through analysis of various data streams with the goal of improved reimbursement from government and commercial payers, denials. This role will also ensure compliance with payer requirements, support revenue cycle operations, collaborate with all service lines across BMC - medical records, revenue integrity, coding/compliance, hospital and professional departments, and modify and maintain policies and procedures as needed. Position: Financial Analyst II - Reimbursement Department: Payment Systems and Reporting Schedule: Full Time ESSENTIAL RESPONSIBILITIES / DUTIES: Provides direct support and leads the projects designed to reinforce the reimbursement and revenue cycle strategic goals and increase operational efficiencies through analysis & reporting. Responsible for leading many of the large deliverables (recurring reports & analysis) that come out of the Revenue Operations and Business Intelligence department. Serves as an organizational resource for VisiQuate BI Suite. Assists in the proliferation and training of the BI Suite, assists organizational leadership in creation of custom reports, dashboards and reporting documents. Takes a lead in weekly VisiQuate meetings and assists management in making decisions and implementing necessary improvements in custom reporting. Works in collaboration with members throughout the organization to coordinate audit schedules and prepare data for internal and external audits. Acts as liaison to auditors to address questions and additional data requests. Completes monthly reconciliation for EPIC and other data feeds received in VisiQuate. Provides complex Ad Hoc reporting for BMC customers and vendors. Gathers and analyzes data; interprets results using a variety of techniques ranging from data aggregation to complex data mining. Performs other duties as directed or assigned by management. JOB REQUIREMENTS REQUIRED EDUCATION AND EXPERIENCE: Minimum a Bachelor Degree in Business Administration, Accounting/Finance or a related field; and at least 2 years of prior experience in at least one of the following: Healthcare finance and reporting with a strong background in SQL and data analysis EPIC billing system and VisiQuate/or any other Business Intelligence (BI) system with strong skills in data analysis PREFERRED EDUCATION AND EXPERIENCE (If none, please enter “N/A”): N/A CERTIFICATIONS, LICENSES, REGISTRATIONS REQUIRED (If none, please enter “N/A”): N/A KNOWLEDGE, SKILLS & ABILITIES (KSAs) (If none, please enter “N/A”): Strong analytical skills to evaluate/synthesize processes and large data sets for trend analysis and operations improvement. Strong reporting skills, accuracy and detail-oriented focus. Logical Data Analysis, understanding data relationships is critical for this position. Advanced experience in MS Excel, Access and Power BI. Excellent organizational skills and ability to manage multiple priorities. Excellent communication and problem solving skills. Ability to follow and develop detailed policies and procedures. Ability to analyze data for operational efficiency, auditing and root cause analysis. Advanced MS skills, ability to write SQL queries to extract and analyze large datasets. Ability to test and research data in EPIC and VisiQuate as needed. Familiarity with medical terminology and revenue cycle processes. Compensation Range: $58,000.00- $84,000.00 This range offers an estimate based on the minimum job qualifications. However, our approach to determining base pay is comprehensive, and a broad range of factors is considered when making an offer. This includes education, experience, skills, and certifications/licensures as they directly relate to position requirements; as well as business/organizational needs, internal equity, and market-competitiveness. In addition, BMCHS offers generous total compensation that includes, but is not limited to, benefits (medical, dental, vision, pharmacy), discretionary annual bonuses and merit increases, Flexible Spending Accounts, 403(b) savings matches, paid time off, career advancement opportunities, and resources to support employee and family well-being. NOTE: This range is based on Boston-area data, and is subject to modification based on geographic location. Equal Opportunity Employer/Disabled/Veterans According to the FTC, there has been a rise in employment offer scams. Our current job openings are listed on our website and applications are received only through our website. We do not ask or require downloads of any applications, or “apps” job offers are not extended over text messages or social media platforms. We do not ask individuals to purchase equipment for or prior to employment.

The Clinical Dietitian works collaboratively with a multi-disciplinary health team to promote wellness, maintain current health, and/or intervene in acute or chronic illness Plans and calculates nutrition support for therapeutic diets based on patients' health care needs Instructs patients and their families on nutrition Charts and documents patients' progress and performs other professional duties Shift: REMOTE!!!! PRN- Casual/On-Call (Based on the Need of the Dept) Every other Weekend of Work Day Shift: 8:00am - 4:30pm Location: Suburban Hospital, 8600 Old Georgetown Rd, Bethesda, MD 20814 Education: Requires a Bachelor degree from an accredited college or university Licensure/Certification: Requires registration with the Commission on Dietetic Registration Must be a Licensed Dietitian-Nutritionist within the State of Maryland or be eligible to apply for licensure prior to hire Salary Range: Minimum 38.00/hour - Maximum 38.00/hour. Compensation will be commensurate with equity and experience for roles of similar scope and responsibility. In cases where the range is displayed as a $0 amount, salary discussions will occur during candidate screening calls, before any subsequent compensation discussion is held between the candidate and any hiring authority. JHM prioritizes the health and well-being of every employee. Come be healthy at Hopkins! Diversity and Inclusion are Johns Hopkins Medicine Core Values. We are committed to creating a welcoming and inclusive environment, where we embrace and celebrate our differences, where all employees feel valued, contribute to our mission of serving the community, and engage in equitable healthcare delivery and workforce practices. Johns Hopkins Health System and its affiliates are an Equal Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law. Johns Hopkins Health System and its affiliates are drug-free workplace employers.

Johns Hopkins All Children's Hospital is a premiere clinical and academic health system, providing expert pediatric care for infants, children and teens with some of the most challenging medical problems. Ranked in multiple specialties by U.S. News & World Report, we provide access to innovative treatments and therapies. With more than half of the 259 beds in our teaching hospital devoted to intensive care level services, we are the regional pediatric referral center for Florida's west coast. Physicians and community hospitals count on us to care for critically ill patients and perform complex surgical procedures. Join us in making a difference in the lives of our littlest patients. Apply today! What Awaits You? Free onsite parking Career growth and development Tuition Assistance Diverse and collaborative working environment Comprehensive and affordable benefits package POSITION SUMMARY: The Patient Financial Services Representative I is responsible for a variety of roles, including but not limited to customer service, claim processing, and cash posting. Assists with all facets of the hospital billing process to meet deadlines and to be timely in reducing unbilled inventory, accounts receivable, cash posting, and account inquiries. Work Hours: Full-Time, Monday-Friday, 8:00 AM - 4:30 PM No weekend work required This position is 90% work from home; occasional on-site work as needed KEY ACCOUNTABILITIES: Handles assigned business office related functions of straightforward, low complexity; including intermediate focused level problem solving, in a timely and efficient manner to ensure individual, departmental and organizational quality and productivity goals are met Takes appropriate action on matters and/or escalates to designated party for timely resolution. Continued follow-up as appropriate matter is resolved Performs data entry functions consistent with department requirements to ensure individual and departmental goals are met Reviews assigned work to validate and reconcile accuracy to ensure quality and integrity of information handled Researches information for proper resolution within designated timeframes to complete assigned responsibilities. Effectively plans daily workload to ensure maximum productivity consistent with individual and departmental requirements QUALIFICATIONS: A minimum of a High School diploma, GED, Certificate of Completion or equivalent achievement. 1 year of relevant work experience with basic understanding of medical, billing and coding terminology for physician and/or hospital facility Ability to read, write, speak and understand English Basic computer skills, working in multiple systems and proficient in Microsoft Office Applications Applicant must live local to Johns Hopkins All Children's Hospital, St. Petersburg, FL Salary Range: Minimum 16.05/hour - Maximum 25.69/hour. Compensation will be commensurate with equity and experience for roles of similar scope and responsibility. In cases where the range is displayed as a $0 amount, salary discussions will occur during candidate screening calls, before any subsequent compensation discussion is held between the candidate and any hiring authority. JHM prioritizes the health and well-being of every employee. Come be healthy at Hopkins! Diversity and Inclusion are Johns Hopkins Medicine Core Values. We are committed to creating a welcoming and inclusive environment, where we embrace and celebrate our differences, where all employees feel valued, contribute to our mission of serving the community, and engage in equitable healthcare delivery and workforce practices. Johns Hopkins Health System and its affiliates are an Equal Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law. Johns Hopkins Health System and its affiliates are drug-free workplace employers.

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. **Qualifications** + High School diploma/GED + 3+ years of secretarial/clerical experience, preferably with some directly related experience, in a medical practice environment **Responsibilities** 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. **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 $21 - $34 Hourly. 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.