Applications Analyst jobs at Shriners Hospitals for Children - 2328 jobs
Payroll Systems Analyst
Prisma Health 4.6
Greenville, SC jobs
(Expertise in Payroll tax and Multistate)
Works with and analyses the payroll financial management information systems to achieve business objectives including coordination of bi-weekly payroll, preparing statistical and financial reports, providing system documentation and training, resolving business process issues and identifying process enhancements required to improve operational effectiveness.
Accountabilities
Responsible for managing and processing bi-weekly payroll that includes but is not limited to creation of all new payroll jobs; coordination with I/S, H/R and Financial Systems; monitoring output for accuracy and correction of errors; payroll information generated in appropriate format and sent to outside agencies, internal accountants and management. -20%
Responsible for training, ongoing consultation and assistance to timekeepers and managers. Conducts Prisma Health user training. Proficiency in PowerPoint. Responsible for maintaining the timekeeper security aspect of timekeeping system. -8%
Responsible for creating and generating bi-weekly and ad hoc financial reports for management, staff and outside agencies including outside auditors. Responsible for completion of analysis requirements generated by these reports. Proficiency in use of system application tools including multiple report writers used by payroll and GL system, import/export features, Access and Advanced Excel. -15%
Manages identification and monitoring of automation of secondary jobs. Manages the processing of special pay requests. Works closely with H/R for review of those requiring H/R approval. Coordinates with H/R, I/S and Financial Systems. -20%
Responsible for account reconciliation, analysis and reporting of payroll accounts. Responsible for updating HR/Payroll system to maintain accuracy with GL system. Coordinates with Payroll Manager, Director and Manager of accounting, accounting staff, H/R, I/S, employees and outside agencies. -15%
Responsible for analyzing repayments due to over-payments or underpayments. Prepares all necessary documentation to comply with IRS regulations and Prisma Health policy. Works closely with payroll manager to ensure that the process has been completed and follows up to ensure complete repayment. -10%
Responsible for quarterly and yearly reconciliations and multiple state filing requirements for payroll reporting on multiple companies including but not limited to IRS, State Departments of Revenue, SC Economic Development, Employment Security Commission, Workers Comp. Responsible for coordination of payroll audits and inquires regarding these filings. -5%
Develops documented procedures for payroll staff, timekeepers and managers. Works closely with H/R, Financial Systems and I/S. -3%
Evaluates and recommends system enhancements to improve business process and support business objectives exploring innovative solutions to achieve process efficiencies and maintain cost effectiveness. Works closely with H/R, Financial Systems and I/S. -2%
Attends meetings and participates on committees as directed. Represents department at conferences. Assumes responsibility for operational decisions in Manger's absence. Maintains and upgrades education and technological skills. -2%
Supervisory/Management Responsibilities
This is a non-management job that will report to a supervisor, manager, director, or executive.
Minimum Requirements
Bachelor's Degree in accounting, finance, or management.
5 years of experience in payroll- Healthcare experience preferred.
Required Certifications/Registrations/Licenses
CPA or CPP
In Lieu Of The Minimum Requirements Listed Above
Bachelor's degree in another field of study will be considered with 7 years of payroll, accounting, or finance experience
7 years financial accounting/analyst/payroll experience will be considered in lieu of CPA/CPP requirement.
10 years financial accounting/analyst/payroll experience and a CPP certification will be considered in lieu of a bachelor's degree.
Other Required Sills and Experience
Master's degree or equivalent formal training in field of specialization - preferred
Knowledge and experience with: INFOR financial software; Lawson H/R Payroll software system; Kronos Timekeeping system; Crystal report writing; Training of end users; Account analysis and reconciliation - preferred
$81k-105k yearly est. 2d ago
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Perioperative Analyst - Surginet and Anesthesia
Midland Memorial Hospital 4.4
Midland, TX jobs
Performs the essential duties and responsibilities and the primary functions of the Clinical Informatics Analyst. Responsible for the coordination and oversight of all activities associated with the implementation and application of the organization's clinical software and the medical data gathered by that software. Responsible for coordinating the creation of continuous value in the application of clinical software and data to clinical practice, in response to the needs of the organization's various practitioners and caregivers, as well as overall organizational goals specific to the application of clinical practice. Responsible for promoting team work with co-workers, subordinates and personnel of other departments. Responsible for solving nonroutine problems, dealing with a variety of non-routine issues and interpreting a variety of instructions furnished in written or oral form. The application support analyst will communicate effectively verbally and via written forms. Additionally, analyst will demonstrate and maintain industry specific knowledge and judgment associated with the specific area of expertise.
SHIFT AND SCHEDULE
Full Time: 8:00 AM - 5:00 PM; scheduled on-call
(This is an on-site position)
ESSENTIAL FUNCTIONS/PERFORMANCE EXPECTATIONS
General Responsibilities:
Install, configure, support, and maintain software applications and tools as assigned.
Cultivate and maintain excellent relationship with clinical staff and leadership in pursuit of constant improvement in the application of clinical IT assets, as defined by appropriate quality measures and objectives.
Work with hospital departmental staff and super-users to continuously optimize and improve the functionality of the hospital application and clinical practice in general
Develop and maintain documentation of all clinical applications as assigned, including that specific to the implementation, maintenance, end-user training, departmental workflows, quality measures, and other associated performance indicators associated with the successful use of the clinical tool or software package.
Develop and maintain adequate configuration documentation to ensure rapid deployment or repair of existing software components to ensure business continuity.
Work to ensure excellent application security of all protected information in accordance with hospital policies and procedures, including those defined by HIPAA and other industry standards.
Monitor software capacity, performance, and lifecycle to ensure continuity of adequate functionality.
Research and recommend new technologies to facilitate the performance of the hospital's business objectives.
Ensure that all software and associated workflows meet hospital and industry standards.
Undertake routine preventative measures to implement, maintain, and monitor software security and performance.
Provide input to projects, training or information to individuals on tasks and projects which include a software component.
Analyze and resolve faults, including those of both major and minor impact to the clinical application, utilizing the tools and documentation standards defined by HIS departmental policies and procedures.
Work with other departments, including those within and outside the HIS department, in fulfillment of hospital tasks and projects.
Monitor the use, by hospital employees, of software resources to ensure compliance of hospital standard use policies.
Daily Operations:
Resolve assigned support and service requests in a timely, effective, and courteous manner; utilizing tools and documentation as defined by HIS policy.
Perform maintenance activities in pursuit of all general responsibilities specific to position.
Participate in assigned meetings, committees, etc. in accordance with assigned responsibilities.
Participate in projects at a level in accordance with respective job responsibilities.
Contribute to the departmental knowledge base, in order to improve documentation of existing systems and problem resolutions.
Coordinate productively with other hospital employees, including those within and outside the HIS department.
Provide routine updates on ongoing tasks and projects to stakeholders, in accordance with HIS policies and procedures.
Identify, research, and work to implement on areas of improvement within the assigned areas of expertise.
Provide excellent customer service to all stakeholders who rely on service from the HIS department.
Maintain excellent industry knowledge respective to the area of expertise
EDUCATION AND EXPERIENCE
Bachelor's degree in a relevant field (Computer Science, Life Science, Business or Informatics) required; will consider analyst and/or healthcare experience in lieu of degree.
Registered Nurse with current Texas license preferred.
Healthcare Informatics experience or equivalent clinical knowledge and\or licensure may be considered.
1-4 years of experience as a clinical informatics analyst required; consideration given for industry specific training. Preferred 4-10 yrs as a Clinical Informatics Analyst.
Demonstrated skillset in Cerner Millennium, Nursing and Physician Documentation systems, Pharmacy and Medication Administration system.
Demonstrated customer-service and communication skills required
PHYSICAL REQUIREMENTS
To perform this job successfully, an individual must be able to perform each essential responsibility satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The individual must be able to:
Stand, walk, sit, stoop, reach, lift, see, speak and hear. Lifting is limited to 35 lbs. for clinical staff and to 50 lbs. for non-clinical staff. The individual must use an assisted-lift device or get another individual(s) to assist with the lift that is over these maximum limits.
$45k-71k yearly est. 3d ago
Applications Analyst III - Epic Resolute Billing, Hybrid Role
Alameda Health System 4.4
Oakland, CA jobs
SUMMARY: Implements and supports assigned applications from both the application-user and technical perspectives; provides application support for their assigned application, in addition to providing triage and troubleshooting assistance to the application customers and Service Desk staff.
DUTIES & ESSENTIAL JOB FUNCTIONS: NOTE: The following are the duties performed by employees in this classification. However, employees may perform other related duties at an equivalent level. Not all duties listed are necessarily performed by each individual in the classification.
1. Obtains and documents software design specification based on user requirements.
2. Analyzes systems compatibility and configures system in accordance with operation and technical requirements.
3. Actively participates in the installation, configuration, and problem resolution for the product.
4. Provides end-user support and training either remotely from the system or onsite.
5. Provides consultation, analysis, evaluation, options, and implementation of workflow changes and improvements.
6. Coordinates follow-through on user requests using established reporting structure. Makes recommendations as needed for system changes and enhancements.
7. Documents and prioritizes all problem reports and documents resolution in accordance with application and Service Desk triage policies, procedures, and Change Control processes.
8. Follows established application support and IS department policies and procedures for change control processes.
9. Is encouraged to participate in and is an active member of appropriate national and local application User or Support groups.
10. Provides trend analysis of problems and documents suggested resolutions to management.
11. Provides application-specific guidance, training and documentation to the Service Desk.
12. Responsible for general problem identification and resolution working with project staff, IS staff, other applicationanalysts and vendors during implementations, upgrades and support.
13.May review and manage various system log files, error reports, alert audit logs, and security access logs, as assigned.
14. Works with Alameda Health System IS and application testing, technical, product, and interface teams to perform assigned testing activities supporting upgrades, enhancements, new functionality, application and system changes, and modifications.
15. Performs other duties as assigned.
Any combination of education and experience that would likely provide the required knowledge, skills and abilities as well as possession of any required licenses or certifications is qualifying.
MINIMUM QUALIFICATIONS:
Required Education: High School diploma or equivalent.
Preferred Education: Bachelor's degree in business, information systems, healthcare or other related field.
Required Experience: Four years of experience in a related area; experience with project and cross-functional team coordination, in highly complex, diverse environments; experience with application testing methods and practices; experience communicating across the organization to both IS/ Operational Leaders and customers; hospital and/or other health care application experience.
Preferred Experience: Experience in application implementation using diversified application lines of information systems; experience providing support, training, and/or implementation support for complex projects that require coordination of resource and project planning; experience with electronic health record systems; experience working in a matrix environment with a matrix reporting relationship.
Required Licenses/Certifications: If position is for Epic, certification required within 6 months in the application being supported.
PAY RANGE: $52.46 - $87.44/ hour
The pay range for this position reflects the base pay scale for the role at Alameda Health System. Final compensation will be determined based on several factors, including but not limited to a candidate's experience, education, skills, licenses and certifications, departmental equity, applicable collective bargaining agreements, and the operational needs of the organization. Alameda Health System also offers eligible positions a generous comprehensive benefits program.
Information Systems
SYS IS Apps Rev Cycle
Full Time
Day
Business Professional & IT
FTE: 1
$52.5-87.4 hourly 15h ago
Epic Orders Application Analyst, Core Clinical Applications Remote Eligible, Baptist Medical IT Digital Solution Center.
Baptist Health-Florida 4.8
Jacksonville, FL jobs
Epic Orders ApplicationAnalyst, Remote Eligible, Baptist Medical IT Digital Solution Center. Epic Orders ApplicationAnalyst acts as a vital link between operations and information technology, ensuring that Epic functions seamlessly. This role demands an understanding of healthcare processes and technical systems. Analysts must translate operational needs into system functionality. By doing so, they help maintain system integrity, promote automation and efficiency, and improve user experience across the organization. A significant portion of an analyst's day is devoted to resolving break-fix issues and performing routine maintenance tasks. These activities include troubleshooting issues, applying Epic quarterly updates, working with Epic technical support, and validating workflows to prevent disruptions or follow-up, which also includes support of complementary workflows. Much of the coordination and follow-up for these responsibilities is conducted through structured communication channels, including email, Teams chat, and scheduled meetings.Epic applicationanalysts also spend time collaborating with cross-functional teams. Their day typically begins with a team huddle-either a weekly group meeting or a smaller session with their team lead. Throughout the day, they attend various meetings with operational leaders to clarify requirements and understand pain points from the end-user perspective.
For more than 25 years, health care consumers have named Baptist Health the "most preferred healthcare provider" in the region. At Baptist Health, we are proud to be local, providing multigenerational care to our community. We are the hospital Jacksonville trusts most. Our employees can take pride in their Baptist badge, knowing the impact they make on their friends, family, and neighbors. Baptist was recently recognized by Forbes magazine as one of America's top employers for diversity.
Baptist Health offers competitive pay & comprehensive benefits packages as well as opportunities for professional growth & advancement. At Baptist Health, we provide an exceptional employment experience where team members can bring their authentic selves and belong to a larger purpose together. By fostering connections with our team members and our community, we offer a fulfilling and personal career.
Epic Orders ApplicationAnalyst, you will be responsible for:
* The role ensures the operational effectiveness of enterprise applications, addressing user needs while assisting with incidents, updates, and upgrades to maintain system health.
* Provide ongoing analysis and trouble-shooting support of application system components to meet needs and clinical/business requirements.
* Perform applications testing and participates in integrated testing of current and newly released vendor functionality to ensure system reliability.
* Contribute to updates, upgrades, and projects within and across applications and develops application specific solutions.
* Provide 24/7 customer support for applications within accountability. Certification Note:
* If supporting an Epic application, appropriate EPIC Certification is required within 6 months.
If you are interested in this Full-Time Epic ApplicationAnalyst opportunity, please apply now or contact ***********************.
Full/Part Time
Full-Time
Shift Details
Days
Education Required
High School Diploma/GED
Education Preferred
Bachelor's Degree
Experience
* 2 years Clinical Applications and Systems - design, build, integration, activation Required
* Minimum 2 years of related experience required
* Strong understanding of Emergency Services, Infection Disease OR Orders, Provider within the Epic environment preferred
* Proficiency in Microsoft 365, Teams, and ServiceNow preferred
* Ability to map and document workflows using Visio preferred
* ASAP OR Care Everywhere OR Orders OR Bugsy experience preferred
* Clinical background highly preferred
Licenses and Certifications
* Certified - EPIC Preferred
Location Overview
Baptist Health, founded in 1955, is North Florida's most comprehensive health care system and the area's only non-profit, mission-driven, locally governed health care provider. Baptist Health has over 200 points of care throughout the Northeast Florida region, including our six award-winning hospitals: Baptist Medical Center Jacksonville, Wolfson Children's Hospital, Baptist Medical Center Beaches, Baptist Medical Center Clay, Baptist Medical Center Nassau and Baptist Medical Center South. The most preferred health care system in the region, Baptist Health also includes 57 primary care offices, as well as home health, behavioral health, pastoral care, rehabilitation services, occupational health and urgent care.
$77k-104k yearly est. Easy Apply 1d ago
Epicor CPQ Consultant
ICM America LLC 4.3
Media, PA jobs
Benefits:
401(k)
Dental insurance
Health insurance
ICM America is looking for Epicor consultants ICM America is looking for Epicor CPQ Consultants to support us in various implementation projects.
We are looking for someone who ideally has a background in manufacturing, six-sigma, lean and 5- years+ of Epicor experience (v9, v10, Kinetic). In essence, we are looking for a Continuous Improvement Specialist who can relate process improvement (in a manufacturing environment) back to the Epicor processes *and vice versa. This will also feed into a Centers of Excellence approach. This initiative will be spread among several locations and will require some travel.
Overview
Epicor CPQ (formerly KBMax) is a cloud solution that simplifies and automates sales, engineering, and manufacturing processes for complex, customizable products. Sales reps, partners, and online customers can configure products in 2D, 3D, and augmented reality (AR). The system then generates prices, quotes, proposals, sales drawings, CAD files, BOMs, and more for the unique configuration. Epicor CPQ streamlines an otherwise lengthy and laborious Engineer-to-Order process, driving speed, efficiency, and accuracy.
Job Description (Summary)
The successful candidate will build custom user interfaces and advanced product rules that automate the design/quote process using advanced configuration and pricing algorithms. You will use your enterprise software knowledge to dig deep into customers issues and goals, learn about their products and business processes, and then develop a fully integrated solution.
Requirements
Duration: Permanent, full-time
US Citizen, no sponsorships
Experience with KBMax/Epicor CPQ required.
Experience with Snap / Snaplogic
Experience automating CAD models with macros or any other CAD automation technology
Ability to use toolsets (BAQ, BPM, SSRS, Application Studio)
Strong communication skills
Working with manufacturing companies
Flexible work from home options available.
$77k-95k yearly est. 14d ago
EPIC CLINICAL APPLICATION ANALYST PHARMACIST
Moffitt Cancer Center 4.9
Tampa, FL jobs
At Moffitt Cancer Center, we strive to be the leader in understanding the complexity of cancer and applying these insights to contribute to the prevention and cure of cancer. Our diverse team of over 9,000 are dedicated to serving our patients and creating a workspace where every individual is recognized and appreciated. For this reason, Moffitt has been recognized on the 2023 Forbes list of America's Best Large Employers and America's Best Employers for Women, Computerworld magazine's list of 100 Best Places to Work in Information Technology, DiversityInc Top Hospitals & Health Systems and continually named one of the Tampa Bay Time's Top Workplace. Additionally, Moffitt is proud to have earned the prestigious Magnet designation in recognition of its nursing excellence. Moffitt is a National Cancer Institute-designated Comprehensive Cancer Center based in Florida, and the leading cancer hospital in both Florida and the Southeast. We are a top 10 nationally ranked cancer center by Newsweek and have been nationally ranked by U.S. News & World Report since 1999.
Working at Moffitt is both a career and a mission: to contribute to the prevention and cure of cancer. Join our committed team and help shape the future we envision.
Summary
Clinical ApplicationAnalyst Pharmacist
Position Highlights:
* The Clinical ApplicationAnalyst Pharmacist is responsible for the design, build, optimization, and support of Epic pharmacy and clinical applications across inpatient, ambulatory, and oncology settings. This role ensures safe, efficient, and compliant medication-use workflows, integrates best practices and regulatory standards, and drives innovation and operational excellence. The individual collaborates with pharmacy operations, clinical teams, research personnel, and IT stakeholders to deliver enterprise-wide medication safety and effective technology adoption.
Responsibilities:
* Lead the design, build, and maintenance of Epic pharmacy and clinical application functionality, including medication workflows, treatment plans, formulary management, and automation integration.
* Configure and optimize interfaces for retail, specialty, inpatient, oncology, and investigational pharmacy services, including inventory, dispensing, billing, and adjudication systems.
* Translate clinical and research protocols into Epic build requirements, ensuring integrity, safety, and compliance with institutional and regulatory standards
* Lead workflow analysis, documentation, and validation sessions to ensure Epic solutions meet clinical and business operational needs.
* Collaborate with pharmacy, clinical, and research teams to streamline prescription fulfillment, medication administration, prior authorization, and patient communication workflows.
* Support integration of medication therapy management, adherence programs, and specialty protocols (e.g., REMS, cold chain logistics).
* Participate in system validations, downtime planning, and development of clinical decision support (CDS) tools.
* Serve as the primary liaison between pharmacy/clinical services and IT/EHR teams for medication-related initiatives.
* Lead project teams, mentor analysts, and train end users on Epic best practices and workflow alignment.
* Provide input into Epic change control, governance committees, and regulatory documentation.
* Assign operational tasks, coordinate project lifecycles, and ensure alignment with organizational priorities and strategic goals
* Develop and execute comprehensive testing plans for Epic applications, document results, and lead system support including troubleshooting, issue resolution, and enhancement implementation.
* Analyze and propose optimization opportunities for workflow and documentation with each Epic update or upgrade.
* Collaborate with report writers to ensure operational and regulatory reporting needs are met.
* Ensure Epic build complies with research billing guidelines, IRB/clinical trial protocols, ASCO/ONS standards, and institutional policies.
* Participate in QA testing, research readiness, and go-live validation activities.
* Contribute to innovation and safety by integrating CDS tools, risk mitigation alerts, and treatment response documentation workflows.
Credentials and Experience:
* Education: Pharm D
* Five (5) years of pharmacy practice, applicationanalyst, or related experience, with demonstrable engagement in clinical, informatics, or automation initiatives.
Or *A Bachelor's degree in Pharmacy with an additional 6 years of experience may be considered, In lieu of a Pharm D.
Certifications:
* Licensed Pharmacist (RPh/PS)
* EPIC Certification in designated application within 6 months of filling position.
Preferred Experience:
* Post-graduate training in pharmacy, oncology, or related specialty.
* Experience with Epic build in inpatient, ambulatory, or oncology settings.
* Familiarity with regulatory standards (e.g., NCCN, ASCO/ONS, USP /, Joint Commission, URAC, ACHC, NIH, FDA, OHRP).
* Experience with pharmacy automation and technology.
* Experience in academic medical center or NCI-designated cancer center initiatives.
Share:
$82k-105k yearly est. 37d ago
Clinical Applications Analyst II - EPIC HIM
Moffitt Cancer Center 4.9
Tampa, FL jobs
At Moffitt Cancer Center, we strive to be the leader in understanding the complexity of cancer and applying these insights to contribute to the prevention and cure of cancer. Our diverse team of over 9,000 are dedicated to serving our patients and creating a workspace where every individual is recognized and appreciated. For this reason, Moffitt has been recognized on the 2023 Forbes list of America's Best Large Employers and America's Best Employers for Women, Computerworld magazine's list of 100 Best Places to Work in Information Technology, DiversityInc Top Hospitals & Health Systems and continually named one of the Tampa Bay Time's Top Workplace. Additionally, Moffitt is proud to have earned the prestigious Magnet designation in recognition of its nursing excellence. Moffitt is a National Cancer Institute-designated Comprehensive Cancer Center based in Florida, and the leading cancer hospital in both Florida and the Southeast. We are a top 10 nationally ranked cancer center by Newsweek and have been nationally ranked by U.S. News & World Report since 1999.
Working at Moffitt is both a career and a mission: to contribute to the prevention and cure of cancer. Join our committed team and help shape the future we envision.
Summary
The Clinical ApplicationsAnalyst II - HIM - Gallery, Deficiency Tracking, Hospital Coding, ROI, and Identity Analyst advances Moffitt's mission to prevent and cure cancer by contributing to the design, implementation, and support of clinical and enterprise applications that improve patient care, research, and operational performance. This mid-level role manages technical solutions for moderately complex projects, collaborates with clinical and operational teams, and provides guidance to junior analysts. By ensuring effective and reliable technology solutions, the Analyst II empowers staff and clinicians to deliver exceptional cancer care and research outcomes.
The HIM Clinical ApplicationsAnalyst II will:
Plan, design, configure, build, test, implement and maintain clinical and enterprise applications, including moderately complex system components.
Troubleshoot multifaceted issues spanning software, hardware, interfaces, and databases.
Monitors system performance
Perform quality assurance and integrated testing to ensure application reliability and alignment with organizational standards.
Supports projects and develop application-specific enhancements and reports to support clinical and operational priorities.
Develops and maintains system documentation for build specifications.
Mentor and guide Analyst I team members on technical tasks and processes.
Provide 24/7 operational support for assigned applications and participate in on-call rotations as needed.
Minimum Education:
Bachelor's Degree (Business, IS, Healthcare, or related field of study required)
Certification:
Epic Certification in HIM- Gallery, Deficiency Tracking, Hospital Coding, ROI, and Identity Analyst is required
Minimum Experience Required
5 years applicable system build experience; high level complexity
Variable Applications:
Epic HIM Coding Applications (Gallery, Deficiency Tracking, Hospital Coding, ROI, and Identity)
Revenue Cycle Systems
Minimum Skills/Specialized Training Required
Advanced knowledge of application support and development.
* Experience in project management and team leadership.
* Strong problem-solving and critical thinking abilities.
* Experience with workflow analysis or development of application solutions preferred.
* If supporting an Epic application, experience in Epic applications, other electronic health record applications, and/or healthcare operations background (e.g., clinical, billing, scheduling, access services, health information management, etc.) preferred.
* Must hold EPIC certification in HIM related modules (Gallery, Deficiency Tracking, Hospital Coding, ROI, and Identity)
* Knowledge of clinical, business, and/or operational healthcare hospital/clinic workflows preferred.
* Strong understand of HIM workflows, regulatory requirements, and medical record standards.
* Proficient in Microsoft Visio preferred.
* Strong project management and presentation skills preferred.
* Professional level certification from an accredited organization in relevant informatics, health information
technology, clinical or business specialties preferred.
* Excellent presentation and documentation skills.
Variable Skills:
Epic Modules related to HIM workflows
Revenue Cycle Systems
Experience with healthcare information systems including application and data layer management
preferred.
* Experience with systems provisioning/security and Active Directory structures preferred.
* Experience with integration platforms including middleware and application interfaces preferred.
* Experience working with project life cycle and project management methodologies preferred.
Share:
$82k-105k yearly est. 14d ago
CLINICAL APPLICATIONS ANALYST PHARMACIST
Moffitt Cancer Center 4.9
Tampa, FL jobs
At Moffitt Cancer Center, we strive to be the leader in understanding the complexity of cancer and applying these insights to contribute to the prevention and cure of cancer. Our diverse team of over 9,000 are dedicated to serving our patients and creating a workspace where every individual is recognized and appreciated. For this reason, Moffitt has been recognized on the 2023 Forbes list of America's Best Large Employers and America's Best Employers for Women, Computerworld magazine's list of 100 Best Places to Work in Information Technology, DiversityInc Top Hospitals & Health Systems and continually named one of the Tampa Bay Time's Top Workplace. Additionally, Moffitt is proud to have earned the prestigious Magnet designation in recognition of its nursing excellence. Moffitt is a National Cancer Institute-designated Comprehensive Cancer Center based in Florida, and the leading cancer hospital in both Florida and the Southeast. We are a top 10 nationally ranked cancer center by Newsweek and have been nationally ranked by U.S. News & World Report since 1999.
Working at Moffitt is both a career and a mission: to contribute to the prevention and cure of cancer. Join our committed team and help shape the future we envision.
Summary
Clinical ApplicationAnalyst Pharmacist
Position Highlights:
* The Clinical ApplicationAnalyst Pharmacist is responsible for the design, build, optimization, and support of Epic pharmacy and clinical applications across inpatient, ambulatory, and oncology settings. This role ensures safe, efficient, and compliant medication-use workflows, integrates best practices and regulatory standards, and drives innovation and operational excellence. The individual collaborates with pharmacy operations, clinical teams, research personnel, and IT stakeholders to deliver enterprise-wide medication safety and effective technology adoption.
Responsibilities:
* Lead the design, build, and maintenance of Epic pharmacy and clinical application functionality, including medication workflows, treatment plans, formulary management, and automation integration.
* Configure and optimize interfaces for retail, specialty, inpatient, oncology, and investigational pharmacy services, including inventory, dispensing, billing, and adjudication systems.
* Translate clinical and research protocols into Epic build requirements, ensuring integrity, safety, and compliance with institutional and regulatory standards
* Lead workflow analysis, documentation, and validation sessions to ensure Epic solutions meet clinical and business operational needs.
* Collaborate with pharmacy, clinical, and research teams to streamline prescription fulfillment, medication administration, prior authorization, and patient communication workflows.
* Support integration of medication therapy management, adherence programs, and specialty protocols (e.g., REMS, cold chain logistics).
* Participate in system validations, downtime planning, and development of clinical decision support (CDS) tools.
* Serve as the primary liaison between pharmacy/clinical services and IT/EHR teams for medication-related initiatives.
* Lead project teams, mentor analysts, and train end users on Epic best practices and workflow alignment.
* Provide input into Epic change control, governance committees, and regulatory documentation.
* Assign operational tasks, coordinate project lifecycles, and ensure alignment with organizational priorities and strategic goals
* Develop and execute comprehensive testing plans for Epic applications, document results, and lead system support including troubleshooting, issue resolution, and enhancement implementation.
* Analyze and propose optimization opportunities for workflow and documentation with each Epic update or upgrade.
* Collaborate with report writers to ensure operational and regulatory reporting needs are met.
* Ensure Epic build complies with research billing guidelines, IRB/clinical trial protocols, ASCO/ONS standards, and institutional policies.
* Participate in QA testing, research readiness, and go-live validation activities.
* Contribute to innovation and safety by integrating CDS tools, risk mitigation alerts, and treatment response documentation workflows.
Credentials and Experience:
* Education: Pharm D
* Five (5) years of pharmacy practice, applicationanalyst, or related experience, with demonstrable engagement in clinical, informatics, or automation initiatives.
Or *A Bachelor's degree in Pharmacy with an additional 6 years of experience may be considered, In lieu of a Pharm D.
Certifications:
* Licensed Pharmacist (RPh/PS)
* EPIC Certification in Willow required.
Preferred Experience:
* Post-graduate training in pharmacy, oncology, or related specialty.
* Experience with Epic build in inpatient, ambulatory, or oncology settings.
* Familiarity with regulatory standards (e.g., NCCN, ASCO/ONS, USP /, Joint Commission, URAC, ACHC, NIH, FDA, OHRP).
* Experience with pharmacy automation and technology.
* Experience in academic medical center or NCI-designated cancer center initiatives.
Share:
$82k-105k yearly est. 2d ago
APPLICATION COORDINATOR EPIC CHARGEMASTER
Riverside Healthcare 4.1
Kankakee, IL jobs
Riverside Healthcare is seeking a highly skilled and detail-oriented Application Coordinator with expertise in Epic Chargemaster to join our dynamic team in Kankakee, Illinois. The ideal candidate will be responsible for the effective management and optimization of the Epic Chargemaster application, ensuring accurate and efficient charge capture processes across our healthcare system. This role is pivotal in supporting our mission to provide high-quality care by maintaining compliance, optimizing revenue generating workflows, and enhancing overall system functionality
Essential Duties
Epic Chargemaster Management:
Oversee the implementation, maintenance, and optimization of the Epic Chargemaster application.
Ensure accurate and timely updates to the Chargemaster to reflect changes in regulatory requirements, coding practices, new service and payer policies.
Collaborate with clinical and financial staff to ensure accurate charge capture and billing processes.
System Integration and Support:
Coordinate with IT and application support teams to resolve system issues and implement enhancements.
Conduct regular system audits and analyses to identify and address discrepancies or inefficiencies.
Managing, updating and resolving IT tickets for chargemaster.
Provide end-user training and support to ensure effective utilization of the Epic Chargemaster system.
Regulatory Compliance:
Stay abreast of relevant regulations and industry standards to ensure compliance with federal, state, and payer requirements.
Implement and monitor internal controls to safeguard against billing errors and compliance issues.
Data Analysis and Reporting:
Generate and analyze reports to monitor charge capture accuracy, revenue integrity, and overall system performance.
Use data-driven insights to recommend improvements and drive operational efficiencies.
Collaboration and Communication:
Act as a liaison between clinical departments, billing teams, and IT to facilitate effective communication and problem resolution.
Participate in interdisciplinary meetings and contribute to strategic planning initiatives related to charge capture and revenue cycle management.
Non-essential Duties
Project Management:
Assist in the management of special projects related to charge capture and Epic Chargemaster enhancements as needed.
Documentation:
Maintain up-to-date documentation of system configurations, procedures, and best practices.
Professional Development:
Attend relevant training sessions and workshops to stay current with industry trends and advancements in Epic applications.
This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.
Our Commitment to You:
Riverside Healthcare offers a comprehensive suite of Total Rewards: benefits and nationally rated employee well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more - so your journey at and away from work is remarkable. Our Total Rewards package includes:
Compensation
Base compensation within the position's pay range based on factors such as qualifications, skills, relevant experience, and/or training
Premium pay such as shift differential, on-call
Opportunity for annual increases based on performance
Benefits and more
Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Health Savings and Flexible Spending Accounts for eligible health care and dependent care expenses
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program
Responsibilities
Preferred Experience
Minimum of 3 years of experience working with Epic systems, specifically in Chargemaster management or similar roles.
Experience with charge capture, billing processes, and regulatory compliance within a healthcare setting.
Strong analytical and problem-solving skills with the ability to manage multiple tasks and priorities effectively.
Excellent communication and interpersonal skills, with the ability to work collaboratively across departments.
Proficiency in Epic applications, Microsoft Office Suite, and other relevant software tools.
Knowledge of APC, CPT, HCPC, ICD modifier and Rev Code preferred.
Required Licensure/Education
High school diploma or equivalent required.
Epic certification in Chargemaster or related module(s) required within 6 months of hirer, maintaining certification thereafter.
Preferred Education
Bachelors degree in Health Information Management, Healthcare Administration, Computer Science, or a related field preferred.
Additional certifications such as Certified Professional Coder (CPC) or Certified Revenue Cycle Specialist (CRCS) preferred.
Employee Health Requirements
Exposure/Sensory Requirements:
Exposure to:
Chemicals: None
Video Display Terminals: Extreme
Blood and Body Fluids: None
TB or Airborne Pathogens: None.
Sensory requirements (speech, vision, smell, hearing, touch):
Speech: Needed for presentations/training, telephone communication, facilitate meetings.
Vision: Needed to read memos and literature.
Smell: N/A
Hearing: Needed for telephone communications, meetings, and listening to employee concerns.
Touch: Need to write, do computer entry, filing.
Activity/Lifting Requirements:
Percentage of time during the normal workday the employee is required to:
Sit: 85%
Twist: 0%
Stand: 5%
Crawl: 0%
Walk: 5%
Kneel: 0%
Lift: 2%
Drive: 0%
Squat: 1%
Climb: 0%
Bend: 1%
Reach above shoulders: 1%
The weight required to be lifted each normal workday according to the continuum described below:
Up to 10 lbs: Occasionally
Up to 20 lbs: Occasionally
Up to 35 lbs: Not Required
Up to 50 lbs: Not Required
Up to 75 lbs: Not Required
Up to 100 lbs: Not Required
Over 100 lbs: Not Required
Describe and explain the lifting and carrying requirements. (Example: the distance material is carried; how high material is lifted, etc.): Lifting is not usually required.
Maximum consecutive time (minutes) during the normal workday for each activity:
Sit: 408
Twist: 0
Stand: 24
Crawl: 0
Walk: 24
Kneel:0
Lift: 9
Drive: 0
Squat: 8
Climb: 0
Bend: 8
Reach above shoulders: 4
Repetitive use of hands (Frequency indicated): Simple grasp up to 10 lbs. Normal weight: 5- 10# frequent
Pushing &pulling Normal weight:
Fine Manipulation: Terminal entry, calculator.
Repetitive use of foot or feet in operating machine control: None
Environmental Factors & Special Hazards:
Environmental Factors (Time Spent):
Inside hours: 40
Outside hours : 0
Temperature: Normal Range
Lighting: Average
Noise levels: Average
Humidity: Normal Range
Atmosphere: Dust &Poor Ventilation
Special Hazards:
Protective Clothing Required: None
Pay Range USD $28.54 - USD $36.40 //Hr
$28.5-36.4 hourly Auto-Apply 27d ago
Clinical Application Analyst
The Neuromedical Center 4.5
Baton Rouge, LA jobs
Requirements
Education:
Associate's or Bachelor's degree required (preferred fields: Nursing, Computer Information Systems, or other clinical fields)
Experience:
Minimum 4 years of experience in a healthcare environment
Experience with EHR systems required
Skills & Competencies:
Strong analytical, organizational, and problem-solving skills
Ability to work independently and manage multiple priorities
Effective communication and interpersonal skills
Knowledge of healthcare regulations and compliance standards
Proficiency in Microsoft Office Suite and other productivity tools
Willingness to collaborate and contribute to team success
Epic Cadence ApplicationAnalyst, Revenue Cycle Clinical Applications, Jacksonville, Baptist Medical Center. Epic Cadence applicationanalysts act as a vital link between operations and information technology, ensuring that Epic functions seamlessly. This role demands an understanding of healthcare processes and technical systems. Analysts must translate operational needs into system functionality. By doing so, they help maintain system integrity, promote automation and efficiency, and improve user experience across the organization. A significant portion of an analyst's day is devoted to resolving break-fix issues, performing routine maintenance tasks and/or monitoring and troubleshooting error logs related to interfaces. These activities include troubleshooting issues, applying Epic quarterly updates, working with Epic technical support, and validating workflows to prevent disruptions or follow-up, which also includes support of complementary workflows. Much of the coordination and follow-up for these responsibilities is conducted through structured communication channels, including email, Teams chat, and scheduled meetings.
Epic Ambulatory applicationanalysts also spend time collaborating with cross-functional teams. Their week may include a team huddle, weekly group meeting or a smaller session with their team lead. Throughout the day, they may attend various meetings with operational leaders to clarify requirements and understand pain points from the end-user perspective. In addition, they will contact end-users via various communication methods to clarify end-user incidents to resolve incidents
For more than 25 years, health care consumers have named Baptist Health the "most preferred healthcare provider" in the region. At Baptist Health, we are proud to be local, providing multigenerational care to our community. We are the hospital Jacksonville trusts most. Our employees can take pride in their Baptist badge, knowing the impact they make on their friends, family, and neighbors. Baptist was recently recognized by Forbes magazine as one of America's top employers for diversity.
Baptist Health offers competitive pay & comprehensive benefits packages as well as opportunities for professional growth & advancement. At Baptist Health, we provide an exceptional employment experience where team members can bring their authentic selves and belong to a larger purpose together. By fostering connections with our team members and our community, we offer a fulfilling and personal career.
Epic Cadence ApplicationAnalyst, you will be responsible for:
* The role ensures the operational effectiveness of enterprise applications, addressing user needs while assisting with incidents, updates, and upgrades to maintain system health.
* Provide ongoing analysis and trouble-shooting support of application system components to meet needs and clinical/business requirements.
* Perform applications testing and participates in integrated testing of current and newly released vendor functionality to ensure system reliability.
* Contribute to updates, upgrades, and projects within and across applications and develops application specific solutions.
* Provide 24/7 customer support for applications within accountability. Certification Note:
* If supporting an Epic application, appropriate EPIC Certification is required within 6 months.
If you are interested in this Full-Time Epic Cadence ApplicationAnalyst opportunity, please apply now or contact ***********************.
Full/Part Time
Full-Time
Shift Details
Days
Education Required
High School Diploma/GED
Education Preferred
Bachelor's Degree
Experience
* 2 years Clinical Applications and Systems - design, build, integration, activation Required
* Minimum 2 years of related experience required
* Strong understanding of Epic Cadence, MyChart, Referrals, and Ambulatory preferred
* Epic scheduling preferred
* Previous experience with the Information system service ticketing process and technology is preferred
* Strong understanding of Epic workflows and basic Epic build concepts preferred
* Possession of (or working toward) an industry-recognized certification is preferred
* Ability to map and document workflows preferred
Licenses and Certifications
* Certified - EPIC Preferred
* Epic Cadence preferred
Location Overview
Baptist Health, founded in 1955, is North Florida's most comprehensive health care system and the area's only non-profit, mission-driven, locally governed health care provider. Baptist Health has over 200 points of care throughout the Northeast Florida region, including our six award-winning hospitals: Baptist Medical Center Jacksonville, Wolfson Children's Hospital, Baptist Medical Center Beaches, Baptist Medical Center Clay, Baptist Medical Center Nassau and Baptist Medical Center South. The most preferred health care system in the region, Baptist Health also includes 57 primary care offices, as well as home health, behavioral health, pastoral care, rehabilitation services, occupational health and urgent care.
$77k-104k yearly est. Easy Apply 26d ago
Health Care Analyst (Medicare)
Ra 3.1
Columbus, OH jobs
About Client:
They help in transforming the leading organizations and communities around the world. Organizations infrastructure and culture is amazing. Best place!!
Job Title: Health Payer Technology Medicare Consultant
Job Level: Senior Level
Job Description:
THIS IS WHAT YOU WILL DO...
You will be adapting existing methods and procedure to create possible alternative solutions to moderate complex problems.
You will design and implement solutions that are Medicare complaint.
You will be understanding the strategic direction set by senior management as it relates to team goals.
WE ARE LOOKING FOR SOMEONE.!!
Who holds 4 years of experience as a consultant!
Who holds consulting experience in US Healthcare Payer market!
Who holds 2+ years' experience in US Payer operations & US Payer system implementations!
Who is experienced in systems and processes required to support health plan!
Who is currently in Medicare/ Medicaid!
Who holds 2+ years Program management, full lifecycle project, SDLC, Agile, Waterfall, SCRUM experience!
Who holds 2 years experience with Medicare systems and technologies with formal consulting!
Qualifications
Who holds 4 years of experience as a consultant!
Who holds consulting experience in US Healthcare Payer market!
Who holds 2+ years' experience in US Payer operations & US Payer system implementations!
Additional Information
All your information will be kept confidential according to EEO guidelines.
$57k-81k yearly est. 60d+ ago
System Applications Coordinator, Resource Pool
Self Regional Healthcare 4.3
Greenwood, SC jobs
Essential Job Functions: * Key Responsibilities: * Create, update, and maintain item records in the hospital purchasing system * Assist Purchasing Agents with routine and high-volume data entry tasks * Run and distribute standard purchasing reports as requested
* Verify data for accuracy, completeness, and compliance with departmental standards
* Perform basic research to confirm product details, pricing, or vendor information
* Communicate with team members regarding discrepancies or required clarifications
* Support other administrative tasks within the Purchasing Department as needed
Qualifications:
* High school diploma or equivalent required
* Strong attention to detail and accuracy
* Proficiency with computers and data entry software
* Ability to manage multiple tasks and meet deadlines
* Strong communication and organizational skills
* Ability to maintain confidentiality and follow hospital policies
Schedule:
* Resource/PRN (as needed); work hours and schedule may vary based on departmental needs.
Reports To:
Manager of Value Analysis, Supply Chain Management
$87k-109k yearly est. 60d+ ago
Health Care Analyst (Medicare)
Ra 3.1
Seattle, WA jobs
About Client:
They help in transforming the leading organizations and communities around the world. Organizations infrastructure and culture is amazing. Best place!!
Job Title: Health Payer Technology Medicare Consultant
Job Level: Senior Level
Job Description:
THIS IS WHAT YOU WILL DO...
You will be adapting existing methods and procedure to create possible alternative solutions to moderate complex problems.
You will design and implement solutions that are Medicare complaint.
You will be understanding the strategic direction set by senior management as it relates to team goals.
WE ARE LOOKING FOR SOMEONE.!!
Who holds 4 years of experience as a consultant!
Who holds consulting experience in US Healthcare Payer market!
Who holds 2+ years' experience in US Payer operations & US Payer system implementations!
Who is experienced in systems and processes required to support health plan!
Who is currently in Medicare/ Medicaid!
Who holds 2+ years Program management, full lifecycle project, SDLC, Agile, Waterfall, SCRUM experience!
Who holds 2 years experience with Medicare systems and technologies with formal consulting!
Qualifications
Who holds 4 years of experience as a consultant!
Who holds consulting experience in US Healthcare Payer market!
Who holds 2+ years' experience in US Payer operations & US Payer system implementations!
Additional Information
All your information will be kept confidential according to EEO guidelines.
$82k-114k yearly est. 60d+ ago
Health Care Analyst (Medicare)
Ra 3.1
San Francisco, CA jobs
About Client:
They help in transforming the leading organizations and communities around the world. Organizations infrastructure and culture is amazing. Best place!!
Job Title: Health Payer Technology Medicare Consultant
Job Level: Senior Level
Job Description:
THIS IS WHAT YOU WILL DO...
You will be adapting existing methods and procedure to create possible alternative solutions to moderate complex problems.
You will design and implement solutions that are Medicare complaint.
You will be understanding the strategic direction set by senior management as it relates to team goals.
WE ARE LOOKING FOR SOMEONE.!!
Who holds 4 years of experience as a consultant!
Who holds consulting experience in US Healthcare Payer market!
Who holds 2+ years' experience in US Payer operations & US Payer system implementations!
Who is experienced in systems and processes required to support health plan!
Who is currently in Medicare/ Medicaid!
Who holds 2+ years Program management, full lifecycle project, SDLC, Agile, Waterfall, SCRUM experience!
Who holds 2 years experience with Medicare systems and technologies with formal consulting!
Qualifications
Who holds 4 years of experience as a consultant!
Who holds consulting experience in US Healthcare Payer market!
Who holds 2+ years' experience in US Payer operations & US Payer system implementations!
Additional Information
All your information will be kept confidential according to EEO guidelines.
$80k-114k yearly est. 60d+ ago
Application System Analyst - Revenue Cycle
University Health 4.6
San Antonio, TX jobs
AND RESPONSIBILITIES Provides computer technical expertise, project management, technical guidance, and direction in the implementation and operation of computer systems used for financial, clinical, and/or administrative systems. Organizes and schedules a variety of major and/or complex computer system tasks, including programming, in a timely and proficient manner and in compliance with departmental and University Health policies and procedures. Individuals must maintain a good working relationship with co-workers and other UH staff and perform other duties as assigned or defined in the performance evaluation and in the UH policies and procedures.
EDUCATION/EXPERIENCE
A bachelor's degree in information technology or another work-related field for the Epic implementation project is required. Experience in a healthcare setting is preferred but not required. Work experience may be substituted for formal education requirements.
Will be required to successfully pass the Epic pre-assessment testing.
$78k-100k yearly est. 8h ago
Health Care Analyst (Medicare)
Ra 3.1
Cleveland, OH jobs
About Client:
They help in transforming the leading organizations and communities around the world. Organizations infrastructure and culture is amazing. Best place!!
Job Title: Health Payer Technology Medicare Consultant
Job Level: Senior Level
Job Description:
THIS IS WHAT YOU WILL DO...
You will be adapting existing methods and procedure to create possible alternative solutions to moderate complex problems.
You will design and implement solutions that are Medicare complaint.
You will be understanding the strategic direction set by senior management as it relates to team goals.
WE ARE LOOKING FOR SOMEONE.!!
Who holds 4 years of experience as a consultant!
Who holds consulting experience in US Healthcare Payer market!
Who holds 2+ years' experience in US Payer operations & US Payer system implementations!
Who is experienced in systems and processes required to support health plan!
Who is currently in Medicare/ Medicaid!
Who holds 2+ years Program management, full lifecycle project, SDLC, Agile, Waterfall, SCRUM experience!
Who holds 2 years experience with Medicare systems and technologies with formal consulting!
Qualifications
Who holds 4 years of experience as a consultant!
Who holds consulting experience in US Healthcare Payer market!
Who holds 2+ years' experience in US Payer operations & US Payer system implementations!
Additional Information
All your information will be kept confidential according to EEO guidelines.
$58k-82k yearly est. 60d+ ago
RCM Coordinator-Payment Application
Metrocare Services 4.2
Dallas, TX jobs
Are you looking for a purpose-driven career? At Metrocare, we serve our neighbors with developmental or mental health challenges by helping them find lives that are meaningful and satisfying.
Metrocare is the largest provider of mental health services in North Texas, serving over 55,000 adults and children annually. For over 50 years, Metrocare has provided a broad array of services to people with mental health challenges and developmental disabilities. In addition to behavioral health care, Metrocare provides primary care centers for adults and children, services for veterans and their families, accessible pharmacies, housing, and supportive social services. Alongside clinical care, researchers and teachers from Metrocare's Altshuler Center for Education & Research are advancing mental health beyond Dallas County while providing critical workforce to the state.
:
GENERAL DESCRIPTION
The mission of Metrocare Services is to serve our neighbors with developmental or mental health challenges by helping them find lives that are meaningful and satisfying. We are an agency committed to quality gender-responsive, trauma-informed care to individuals experiencing serious mental illness, development disabilities, and co-occurring disorders. Metrocare programs focus on the issues that matter most in the lives of the children, families and adults we serve.
The RCM Coordinator-Payment Application is responsible for the accurate and timely posting of all payments, adjustments, and denials to patient accounts for primary care, behavioral health, intellectual and developmental disability (IDD), early childhood intervention (ECI), applied behavior analysis (ABA) therapy, and LIDDA services. This position ensures that financial records reflect true account balances, supports accurate reporting, and plays a key role in the reconciliation of revenue to support Metrocare's mission of delivering high-quality, integrated care to the community.
ESSENTIAL DUTIES AND RESPONSIBILITIES
The essential functions listed here are representative of those that must be met to successfully perform the job.
Post all payments, adjustments, and denials from payers (Medicaid, Medicare, MCOs, commercial insurance and self-pay) into the billing system accurately and in a timely manner.
Reconcile daily deposits to posted payments to ensure accuracy between bank activity and accounts.
Review electronic remittance advice (ERAs) and explanation of benefits (EOBs) for accuracy before posting.
Identify and report payer underpayments, denials, and contractual discrepancies.
Collaborate with the claims and eligibility teams to resolve denials and payment variances.
Research unapplied cash and ensure timely resolution.
Maintain accurate records of posting activity for audit and reporting purposes.
Prepare monthly reconciliation reports for management.
Assist with training staff on payment posting processes as needed.
Performs other duties as assigned.
COMPETENCIES
The competencies listed here are representative of those that must be met to successfully perform the essential functions of this job.
Conducts job responsibilities in accordance with the ethical standards of conduct, state contract, appropriate professional standards and applicable state/federal laws.
Analytical skills, professional acumen, business ethics, thorough understanding of continuous improvement processes, problem solving, respect for confidentiality, and excellent communication skills.
Knowledge of healthcare payment posting, ERA/EOB processing, and reconciliation.
Familiarity with payer-specific rules for Primary Care, Behavioral Health, IDD, ECI, ABA therapy, and LIDDA services.
Strong attention to detail with high accuracy in data entry.
Analytical skills for identifying payment discrepancies and trends.
Ability to meet deadlines in a fast-paced environment.
Effective communication and teamwork skills.
Professionalism and confidentiality when handling financial and patient information.
Proficient in eligibility verification systems, clearinghouses, and payer portals.
QUALIFICATIONS
Required Education, Experience, Licenses, and Certifications
Required: High school diploma or GED; at least 5 years of experience in medical billing, claims processing, or revenue cycle management.
Preferred: Associate's degree in healthcare administration, business, or related field; experience with Medicaid/Medicare payment posting; familiarity with waiver program payments (HCBS, LIDDA, IDD services)
A bachelor's degree may be accepted in place of experience.
Preferred Education, Experience, Licenses, and Certifications
DRIVING REQUIRED:
No
WORK LOCATION:
This role is remote, except for 6 weeks of onsite training and quarterly meetings.
MATHEMATICAL SKILLS
Basic math skills required.
Ability to work with reports and numbers & Ability to calculate moderately complex figures and amounts to accurately report activities and budgets.
REASONING ABILITY
Ability to apply common sense understanding to carry out simple one or two-step instructions.
Strong reasoning and problem-solving skills with the ability to make informed decisions in a dynamic and client-centered environment.
COMPUTER SKILLS
Use computer, printer, and software programs necessary to the position (i.e., Word, Excel, Outlook, and PowerPoint).
Ability to utilize Internet for resources.
PHYSICAL DEMANDS & WORK ENVIRONMENT
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations can be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the incumbent is regularly required to talk and hear, use hands and fingers to operate a computer and telephone.
Due to the multi-site responsibilities of this position the incumbent must be able to carry equipment and supplies.
Demand-Frequency
Sitting-Frequent
Walking-Frequent
Standing-Frequent
Lifting (Up to 15 pounds)-Occasional
Lifting (Up to 25 pounds)-Occasional
Lifting (Up to 50 pounds)-Occasional
Travel-Frequency
In county travel may be required-N/A
Overnight travel required-N/A
NOTICE ON POSITIONS THAT REQUIRE TRAVEL TO/FROM VARIOUS WORKSITES
Positions that are “community-based,” in whole or part, require the incumbent to travel between various worksites within his/her workday/workweek. The incumbent is required to have reliable transportation that can facilitate this requirement. The incumbent is further required to meet the criteria for insurability by the Center's risk management facilitator; and produce proof of minimal auto liability coverage when applicable. Failure to meet these terms may result in disciplinary action up to and including termination of employment, contract or other status with Metrocare.
Current State of Texas Driver License or if you live in another state, must be currently licensed in that state. If licensed in another state, must obtain Texas Driver License within three (3) months of employment.
Liability insurance required if employee will operate personal vehicle on Center property or for Center business. Must be insurable by Center's liability carrier if employee operates a Center vehicle or drives personal car on Center business. Must have an acceptable driving record.
WORK ENVIRONMENT
The work environment describe here is representative of that which an employee encounters while performing the essential functions of this job. Reasonable accommodation can be made to enable individuals with disabilities to perform the essential functions.
Employees in this role are expected to maintain composure under pressure, exercise sound judgment, and follow established protocols to ensure a safe and secure work environment. Ongoing training in crisis intervention, de-escalation techniques, and workplace safety is provided. Additionally, employees have access to resources such as the Employee Assistance Program (EAP), Telehealth Counseling, and Supportive Management.
Remote Work Eligible - May work remotely for documentation and administrative tasks, through some in-person meetings or fieldwork is required.
DISCLAIMER
This is a record of major aspects of the job but is not an all-inclusive job contract. Dallas Metrocare Services maintains its status as an “at-will” employer and nothing in this job description shall be interpreted to guarantee employment for any length of time. Additional tasks may be assigned as deemed necessary by the immediate supervisor. The position's status conforms to the Fair Labor Standards Act of 1939 as amended, and the employee has agreed to the standards methods of compensation in compliance with Center's procedures and Federal Law.
Benefits Information and Perks:
Metrocare couldn't have a great employee-first culture without great benefits. That's why we offer a competitive salary, exceptional training, and an outstanding benefits package:
Medical/Dental/Vision
Paid Time Off
Paid Holidays
Employee Assistance Program
Retirement Plan, including employer matching
Health Savings Account, including employer matching
Professional Development allowance up to $2000 per year
Bilingual Stipend - 6% of the base salary
Many other benefits
Equal Employment Opportunity/Affirmative Action Employer
Tobacco-Free Facilities - Metrocare is committed to promoting the health, well-being, and safety of Metrocare team members, guests, and individuals and families we serve while on the facility campuses. Therefore, Metrocare facilities and grounds are tobacco-free.
No Recruitment Agencies Please
$34k-54k yearly est. Auto-Apply 27d ago
Health Care Analyst (Medicare)
Ra 3.1
Atlanta, GA jobs
About Client:
They help in transforming the leading organizations and communities around the world. Organizations infrastructure and culture is amazing. Best place!!
Job Title: Health Payer Technology Medicare Consultant
Job Level: Senior Level
Job Description:
THIS IS WHAT YOU WILL DO...
You will be adapting existing methods and procedure to create possible alternative solutions to moderate complex problems.
You will design and implement solutions that are Medicare complaint.
You will be understanding the strategic direction set by senior management as it relates to team goals.
WE ARE LOOKING FOR SOMEONE.!!
Who holds 4 years of experience as a consultant!
Who holds consulting experience in US Healthcare Payer market!
Who holds 2+ years' experience in US Payer operations & US Payer system implementations!
Who is experienced in systems and processes required to support health plan!
Who is currently in Medicare/ Medicaid!
Who holds 2+ years Program management, full lifecycle project, SDLC, Agile, Waterfall, SCRUM experience!
Who holds 2 years experience with Medicare systems and technologies with formal consulting!
Qualifications
Who holds 4 years of experience as a consultant!
Who holds consulting experience in US Healthcare Payer market!
Who holds 2+ years' experience in US Payer operations & US Payer system implementations!
Additional Information
All your information will be kept confidential according to EEO guidelines.
$54k-81k yearly est. 60d+ ago
Health Care Analyst (Medicare)
Ra 3.1
Minneapolis, MN jobs
About Client:
They help in transforming the leading organizations and communities around the world. Organizations infrastructure and culture is amazing. Best place!!
Job Title: Health Payer Technology Medicare Consultant
Job Level: Senior Level
Job Description:
THIS IS WHAT YOU WILL DO...
You will be adapting existing methods and procedure to create possible alternative solutions to moderate complex problems.
You will design and implement solutions that are Medicare complaint.
You will be understanding the strategic direction set by senior management as it relates to team goals.
WE ARE LOOKING FOR SOMEONE.!!
Who holds 4 years of experience as a consultant!
Who holds consulting experience in US Healthcare Payer market!
Who holds 2+ years' experience in US Payer operations & US Payer system implementations!
Who is experienced in systems and processes required to support health plan!
Who is currently in Medicare/ Medicaid!
Who holds 2+ years Program management, full lifecycle project, SDLC, Agile, Waterfall, SCRUM experience!
Who holds 2 years experience with Medicare systems and technologies with formal consulting!
Qualifications
Who holds 4 years of experience as a consultant!
Who holds consulting experience in US Healthcare Payer market!
Who holds 2+ years' experience in US Payer operations & US Payer system implementations!
Additional Information
All your information will be kept confidential according to EEO guidelines.
$62k-86k yearly est. 60d+ ago
Learn more about Shriners Hospitals for Children jobs