Unity Health jobs - 47 jobs

The RN Appeal Administrator will be responsible for the Pre-denial/ Denial and appeal process in addition to Utilization Review, to validate the patient's placement to be at the most appropriate level of care based on nationally accepted admission criteria. The Appeal/ UR Administrator uses medical necessity screening tools, such as InterQual or MCG criteria, to complete initial and continued stay reviews in determining appropriate level of patient care, appropriateness of tests/procedures and an estimation of the patient's expected length of stay. The The Appeal/ UR Administrator secures authorization for the patient's clinical services through timely collaboration and communication with payers as required. The Appeal/ UR Administrator follows the UR process, in addition to the pre-denial and denial/appeal process as defined in the attached job description and in the Utilization Review Plan in accordance with the CMS Conditions of Participation for Utilization Review. Position: Denials and Appeals Administrator Department: Denials Access Schedule: Full Time JOB REQUIREMENTS EDUCATION: Requires Bachelor's Degree in Nursing or related field. Graduate degree preferred. EXPERIENCE: Minimum 5 years or more related experience preferably in a healthcare case management and patient insurance/billing environment 3-4 years supervisory experience preferred. Medical records coding experience.is desirable. KNOWLEDGE AND SKILLS: Work requires a comprehensive knowledge of clinical documentation and medical coding, and a working knowledge of patient financial billing regulations/requirements, reimbursement, managed care in order to understand the clinical and billing systems; review, interpret, and analyze clinical and patient financial reports and data; and plan, coordinate and prepare for corrections to accounts. Such knowledge is generally acquired through completion of a Bachelor's degree and 5 years of experience in Case Management and an HMO setting. Work requires a comprehensive understanding of medical records coding, patient billing policies and procedures and health insurance standards, as well as knowledge of supervisory/managerial techniques and principles in order to control hospital financial billing activities. Establish and implement financial policies and plans; assist with the install of new modules; provide training for staff at various levels. Such knowledge is normally acquired during 5 years or more progressively responsible experience in clinical areas and patient financial management environment. Work requires advanced interpersonal skills necessary to work with physicians, hospital directors and managers to affect changes in clinical and fiscal operations, policies and procedures; to provide guidance, communicate and interpret complex patient billing and compliance information. Compensation Range: $31.97- $46.39 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.

Working as a drug access liaison specialist, supports patients, caregivers, providers, and pharmacies in navigating insurance benefits for all medications that are administered in hospital clinics, infusion centers, and/or home settings. The drug access liaison specialist's role must understand how to navigate payer medical benefits policies and procedures to ensure patients appropriately receive their prescribed injectable therapies. This person needs to have a strong understanding and ability to identify patient medical information. This role requires the ability to independently interpret medical terminology, which may include but is not limited to an understanding of past medical histories, diagnosis, laboratory, and pathology results. Additionally, this person should have knowledge of medical billing coding in three areas of the site of care: provider, home infusion, and hospital billing. Under the direct supervision of the Manager of Drug Access, this person will identify patient insurance benefits, submit all required medical documentation to the payer for approval, and assist the patient in accessing the drug through the most appropriate site of care. Position: Patient Intake Coordinator Department: Specialty Pharmacy Schedule: Full Time ESSENTIAL RESPONSIBILITIES / DUTIES: An understanding of basic clinical skills related to medical terminology and coding for different disease states or medical conditions Skilled communicator with interpersonal communication skills that interact with carrier representatives, patients, and providers Comprehensively review patient insurance benefits to navigate drug access barriers Understands significant major medical policies as they relate to site of care, medical necessity and, if applicable, pharmacy benefits Triage and coordinate patients to the appropriate site of care to ensure patients are accurately prescribed, and receive prescribed drug promptly Includes understanding of drug access through hospital, home infusion, and pharmacy points of access Ability to review patient medical information through the hospital's electronic medical records Liaise with patient's relevant health care providers to support patient's access to therapy and support services. Gather medical information and submit timely prior authorization for medications based on payer medical policies Including but not limited to, the oversight of all authorizations and benefits related to medications that a healthcare provider administers Understand prior authorization requirements, including dates of expiration, maximum units/doses Gather and assist in the management of data reports related to reimbursement and drug access services Identify and understand medical coding billing errors Provide assistance to management for all payer audits, collect and distribute pertinent patient information Have a strong understanding of Medicare payment policies Ability to screen patients for medical necessity based on Medicare LCD and NCD requirements Support the Drug Access Hub as needed Refer patient to pharmacy Financial Assistance Team when appropriate Multitasking; ability to complete multiple projects on time. Establish milestone and checkpoints to ensure successful work/project completion; follows up on work efforts and takes corrective steps when needed to ensure work remains on track (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: High school Diploma or equivalent is required Associate or Bachelor's degree (preferred) CERTIFICATES, LICENSES, REGISTRATIONS REQUIRED: Prior Authorization Certified Specialist program completion within the first 12 months of hire. Pharmacy Technician National Certification (preferred) EXPERIENCE: Requires at least five years of experience working with insurance companies on appropriate billing for private or third party reimbursement, managed care, or clinical support Experience within a healthcare setting, such as a physician practice, patient assistance program, or similar pharmaceutical/biological support program, is preferred. Knowledge of private payer, Medicare and Medicaid structure, and specialty pharmacy and retail pharmacy processes Knowledge of operational processes within a physician's office and/or infusion center, specifically related to prior authorizations Ability to communicate reimbursement and access topics concisely and clearly to provider staff Reviewing patient insurance benefit options and validating prior authorization requirements Identifying alternate funding/financial assistance programs Coordinating with hospital patient support services programs representatives Proven ability to collaborate and work in teams to achieve results in a complex, fast-paced service environment KNOWLEDGE, SKILLS & ABILITIES (KSA): Excellent English oral and written communication skills are required, as well as the ability to communicate professionally over the phone. Excellent interpersonal skills to provide superb personalized customer service and to instill confidence and to advocate for patients; ability to explain required information to customers in a comprehensible manner. Other professional skills and qualities: proactive demeanor, independently problem solve, organized, detail oriented, ability to self-direct through multitasking and prioritizing, dependable, empathetic, focused on quality service, goal-oriented. Cultural sensitivity, understanding, and comfort with of various social, racial, and ethnic populations. Must practice discretion and confidentiality as the position deals with highly sensitive and private data. Ability to understand, explain, and actively promote the hospital's objectives through direct coordination and commitment to the program's goals. Flexibility to adapt to changes in the departmental needs, including but not limited to offering assistance to other team members, adjusting assignments, etc. Highly proficient in Microsoft Office, particularly Excel, Word, and Outlook. Ability to quickly learn other relevant applications that support patient care management and assigned responsibilities; and ability to extract necessary information. Must adhere to all of BMC's RESPECT behavioral standards Compensation Range: $29.57- $43.03 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.

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.

Under the direction of the Manager of Pre-Service Center, the Supervisor will direct the daily operations and personnel of the pre-registration and financial clearance functions for both the hospital, Boston Medical Center and medical group, Boston University Medical Group. Supervise the day to day operations of pre-registration and financial clearance, ensuring compliant patient interaction and timely and accurate workflow processes. Monitors performance and quality measures. The Supervisor has expert level knowledge in patient access, registration and scheduling processes, policies and procedures and an expansive understanding of Epic applications and system edits. Collaborates with all levels of the organization to ensure policies and procedures support both operational needs and service standards to support the organizational vision and mission. The Supervisor is self-directed and ensures projects and initiatives align with departmental goals and oversees development and implementation of best practice policies for Pre-Service Center operations, patient registration, and education/training. The Supervisor is responsible for assisting Pre-Service Center Leadership with quality and productivity assessments and training team members. Performs internal quality assessment reviews on internal processes to ensure compliance with policies and procedures. Monitor and ensure team members efficiently work accounts within EPIC, deliver an exceptional patience experience with each interaction and effectively leverage relevant tools for timely resolution resulting in appropriate reimbursement and data integrity. The Supervisor promotes continuous improvement of the overall performance of the team by proactively identifying problems and proposing solutions, and serving as a role model for customer service and team member engagement at all times. The Supervisor provides moderate level analytical support, leads middle level projects/campaigns and develop detailed resolution plans. The Supervisor creates a positive, constructive, and supportive relationship between revenue cycle colleagues and internal and external customers. Position: Pre-Service Center Registration Supervisor Department: Ambulatory Schedule: Full Time ESSENTIAL RESPONSIBILITIES / DUTIES: Perform on-going quality assessments for the Pre-Service Center employees to ensure accurate completion of accounts being held due to EHR system edits and exceptional customer service is delivered with every interaction. Act as a Tier 1 support resource for the Pre-Service Center representatives for complicated scenarios and if/when compliance issues occur. Intervenes to handle sensitive patient issues or situations when a patient is not satisfied with a team member's response to a particular problem. Escalates problems to Pre-Service Center Manager when appropriate. Analyzes and monitors key performance metrics to effectively identify key trends, implement corrective actions and effectively communicating outcomes to senior management. Monitors the accuracy and build of Epic workflows and partners with Epic IT to implement system workflow changes. Develops and maintains process workflows, presentations or other educational material on correct patient registration and customer service processes. Leverages functionality of revenue cycle EPIC application to increase accuracy of the registration process, reduce denial rates and increase cash collections, through implementation of rules and edits. Uses data and reports to perform root cause analysis to identify areas of opportunities and recommend solutions to drive process improvement on the front end revenue cycle and collaborate with other revenue cycle teams to ensure successful implementation. Monitors daily performance including team member coaching, quality, speed, accuracy and customer service (both internal and external). Collaborates with cross-functional teams across Operations, Reimbursement, Compliance and Revenue Cycle to drive Patient Registration priorities. Participates as a team member on cross-functional project teams in support of moderate projects related to existing and new revenue initiatives to increase reimbursement and provides support for projects in which Revenue Cycle leadership and key stakeholders are involved. Effectively communicate issues and results via multiple media including in-person meetings, workgroups, verbal communication, email and presentations. Track Epic workqueue data metrics, and associated issues. Executes workflow processes to correctly identify deficiencies. Formally prepares and presents findings in an efficient and effective format to Pre-Service manager with recommendations on corrective actions. Helps to develop and mentor Pre-Service Center Representatives to ensure optimal performance and service delivery excellence. Personally provides staffing coverage when needed, effectively performing the duties and responsibilities of the position(s) he/she oversees. Serves as a patient registration subject matter expert to internal and external team members. Assists department leadership with administering corrective action to employees when necessary. Assists with the recruitment of team members by interviewing candidates and providing feedback to departmental leadership. Provides training and orientation to new team members. Contributes to colleague annual performance appraisals and competency assessments with measurable data and/or specific examples of performance. Utilize Hospital's Core Values as the basis for decision making and to facilitate hospital mission. Follow established hospital infection control and safety procedures. Perform other duties as needed and required. Must adhere to all of BMC's RESPECT behavioral standards. (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: Associates Degree in Business/Healthcare related field or equivalent work experience required. A Bachelor's degree in Business/Healthcare related field preferred. CERTIFICATES, LICENSES, REGISTRATIONS REQUIRED: NAHAM's CHAA or CHAM certification preferred or must obtain within 12 months of employment. EXPERIENCE: Minimum 5 years' experience in the Revenue Cycle; Patient Access and/or Patient Financial Services and experience with hospital registration and scheduling systems required. 5-8 years of experience in a lead, supervisory or management role. KNOWLEDGE AND SKILLS: Technical Extensive working knowledge of patient access and how it relates to the Revenue Cycle and supporting applications to include but not limited to EPIC, Avaya, etc. Proven track record of successfully promoting quality, accuracy and exceptional customer service. Highly skilled experience and knowledge of Windows-based software required, including but not limited to Microsoft Outlook, Word, PowerPoint and Excel. Solid understanding of supervisory/managerial techniques and principles, in order to manage patient registration activities. Proficient skills to collect, organize and analyze data, produce actionable reports and recommend improvements and solutions. Leadership Experience mentoring and guiding team members whose focus is on patient registration and customer service initiatives, workflows and processes. Proven track record of success in improving revenue cycle performance and customer service. Demonstrated leadership skills, with ability to work with multi-departmental teams, peers and third party vendors. Demonstrated ability to set vision and motivate stakeholders to realize the vision. Solid understanding of business environment and operations. Experienced in auditing, training and communicating revenue cycle registration and scheduling regulations and concepts. Ability to lead cross-departmental and cross-functional team, and participate in the organization and execution of projects. Excellent oral and written communication skills. Ability to communicate effectively with both technical and non-technical people. Management Demonstrated leadership skills including project management, prioritization, team building, time management, customer service, and conflict resolution. Demonstrated ability to supervise all aspects of revenue cycle patient registration, access and scheduling operations in partnership with leadership. Ability to manage effectively across multiple tasks and projects under time and resource constraints. Ability to guide individuals and groups toward desired outcomes, setting high performance standards and delivering high quality services. Ability to lead a diverse group of team members, including managing through difficult situations, valuing differences, and leveraging strengths. Compensation Range: $49,500.00- $71,500.00 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.

Department/Unit: Health Information Services Work Shift: Day (United States of America) Salary Range: $55,895.80 - $83,843.71 The Hospital Coder applies skills and knowledge of currently mandated coding and classification systems, and official resources to select the appropriate diagnostic and procedural codes (including applicable modifiers), and other codes representing healthcare services (including substances, equipment, supplies, or other items used in the provision of healthcare services). This position is responsible for selecting and sequencing the codes such that the organization receives the optimal reimbursement to which the facility is legally entitled, remembering that it is unethical and illegal to increase reimbursement by means that contradict requirements. Essential Duties and Responsibilities * Use a computerized encoding system to facilitate accurate coding. Sequence diagnoses and procedures by following the ICD-10-CM/PCS, CPT4, Uniform Hospital Discharge Data Set (UHDDS), Medicare, Medicaid and other fiscal intermediary guidelines. * Support the reporting of healthcare data elements (e.g. diagnoses and procedure codes, hospital acquired conditions, patient safety indicators) required for external reporting purposes (e.g. reimbursement, value based purchasing initiatives and other administrative uses, population health, quality and patient safety measurement, and research) completely and accurately, in accordance with regulatory and documentation standards and requirements, as well as all applicable official coding conventions, rules, and guidelines. * Query the provider (physician or other qualified healthcare practitioner), whether verbal or written, for clarification and/or additional documentation when there is conflicting, incomplete, or ambiguous information in the health record regarding a significant reportable condition or procedure or other reportable data element dependent on health record documentation (e.g. present on admission indicators). Advance coding knowledge and practice through continuing education, including but not limited to meeting continuing education requirements. * Demonstrate behavior that reflects integrity, shows a commitment to ethical and legal coding practices, and fosters trust in professional activities. * Advances coding knowledge and practice through continuing education, including but not limited to meeting continuing education requirements. * Utilizes official coding rules and guidelines apply the most accurate coding to represent that patient services on the hospital claim. * Comply with comprehensive internal coding policies and procedures that are consistent with requirements. * Attends coding meetings and roundtable sessions. * Participates in daily huddles and LEAN problem-solving activities. * Focused with no distractions while working and participating in meetings. * Ensures camera on while attending Teams calls. * Assists with organizing the shared drive for the medical coding department. * Other duties as assigned by manager. Qualifications * High School Diploma/G.E.D. - required * Prior experience in hospital medical coding - preferred * Prior experience with 3M 360 and EPIC system - preferred * Applicants must receive a score of 80% or above on assessment. Will consider new coders with a higher assessment score. (High proficiency) * Excellent computer skills, navigating multiple systems at once, troubleshooting. (High proficiency) * Must be able to work independently as position is fully remote. Maintain a remote coding work area that protects confidential health information. (High proficiency) * Excellent written and verbal communication skills. (High proficiency) * Knowledge of ICD-10-CM, and ICD-10-PCS or CPT-4 Coding classification system, depending on the position being hired for. (High proficiency) * Detail-oriented and efficient while maintaining productivity. * Coding certification / credential through AHIMA or AAPC and be in good standing. - required Equivalent combination of relevant education and experience may be substituted as appropriate. Physical Demands * Standing - Occasionally * Walking - Occasionally * Sitting - Constantly * Lifting - Rarely * Carrying - Rarely * Pushing - Rarely * Pulling - Rarely * Climbing - Rarely * Balancing - Rarely * Stooping - Rarely * Kneeling - Rarely * Crouching - Rarely * Crawling - Rarely * Reaching - Rarely * Handling - Occasionally * Grasping - Occasionally * Feeling - Rarely * Talking - Frequently * Hearing - Frequently * Repetitive Motions - Frequently * Eye/Hand/Foot Coordination - Frequently Working Conditions * Extreme cold - Rarely * Extreme heat - Rarely * Humidity - Rarely * Wet - Rarely * Noise - Occasionally * Hazards - Rarely * Temperature Change - Rarely * Atmospheric Conditions - Rarely * Vibration - Rarely Thank you for your interest in Albany Medical Center! Albany Medical Center is an equal opportunity employer. This role may require access to information considered sensitive to Albany Medical Center, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes. Workforce members are expected to ensure that: Access to information is based on a "need to know" and is the minimum necessary to properly perform assigned duties. Use or disclosure shall not exceed the minimum amount of information needed to accomplish an intended purpose. Reasonable efforts, consistent with Albany Medical Center policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification. Thank you for your interest in Albany Medical Center! Albany Medical is an equal opportunity employer. This role may require access to information considered sensitive to Albany Medical Center, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes. Workforce members are expected to ensure that: Access to information is based on a "need to know" and is the minimum necessary to properly perform assigned duties. Use or disclosure shall not exceed the minimum amount of information needed to accomplish an intended purpose. Reasonable efforts, consistent with Albany Med Center policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.

The Manager of Risk Adjustment Coding manages the day-to-day operations of the Risk Adjustment Coding Team. This position is responsible for the development, implementation and performance of workflows for auditing electronic medical records aimed at improving the health and well-being of patients and proper identification of Chronic Disease Conditions as well as working to create a unique data and reporting model to capture and optimize ICD-10 reporting to Payers to improve quality for our patients and reduce healthcare costs. The incumbent is a working Manager and determines the appropriate ICD10-CM diagnoses codes based on clinical documentation that follows the Official Guidelines for Coding and Reporting and Risk Adjustment guidelines for risk adjustment and Hierarchical Condition Categories (HCC). Risk adjustment coding relies on ICD-10-CM coding to assign risk scores to patients. Position: Manager, Risk Adjustment Coding Department: Clinical Documentation Schedule: Full Time ESSENTIAL RESPONSIBILITIES / DUTIES: In partnership with key stakeholders, supports management of oversight of Coders and continuously works to improve people, process, and technology across the function Works in partnership with Value Based Care Team to manage accurate and compliant coding practices, find opportunities for documentation improvement, optimize risk adjustment processes, and support revenue cycle management Applies knowledge of key business drivers and the factors that improve the Risk Score Management departmental performance and anticipates business and regulatory issues and trends to identify improvements Actively contributes to the strategic direction for Risk Coding and collaborates with internal and external partners to lead volume and ensure adherence to agree upon SLAs Communicates relevant changes in performance, market trends, health care delivery systems, and legislative initiatives impacting execution of team goals to team(s) Establishes KPIs for Risk Coding functions; ensures the implementation of action plans where performance is not meeting expectations Maintains current knowledge of regulatory and compliance changes impacting Risk Coding operations, and ensures all employees are appropriately educated Provides guidance and oversight for Risk Coding methodology, performance, and workflows Identifies and solves complex, operational, or cross-functional problems using the appropriate resources within or outside the department Facilitates projects and conversations within BMCHS to share and develop standard processes Develop and implement quality improvement initiatives, examples include; conducting regular audits, educating coders/clinicians, and monitoring KPIs for improvements Ensure compliance with all applicable Federal, State and/or County laws and regulations related to coding and documentation guidelines for Risk Adjustment. Conduct reviews for clinical indicators and query providers to capture the severity of illness of the patient. Measure Providers' performance on important aspects of care and service. Facilitates and coordinates reporting to leadership within the organization as requested Provides clear, concise and professional communication to varying audiences depending on the project and its goals. Supports the RA Team in a positive manner with emphasis on providing excellent service to all patients, providers, internal and external customers. Communicates to Manager and IT Department regarding defects identified in the reporting systems or data base, suggests performance improvement opportunities and tracks through completion to insure revenue capture. Demonstrates excellent time management, attends and contributes to required meetings. Demonstrates the ability to train new staff or provide ongoing education and training to existing staff along with regularly performing quality reviews and including feedback on opportunities for improvement to the Risk Coding team. Additional duties as required. Must adhere to all of BMC's RESPECT behavioral standards (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: Associates degree required, Bachelor's degree preferred CERTIFICATES, LICENSES, REGISTRATIONS REQUIRED: Coding Certification from American Academy of Professional Coders (AAPC) or American Health Information Management Association (AHIMA) is required. Certification may include Certified Risk Adjustment Coder (CRC) or Certified Professional Coder (CPC) and/or Certified Clinical Documentation Specialist- Outpatient or Certified Documentation Expert Outpatient (CDEO) Certified Coding Specialist (CCS), or Certified Coding Specialist Physician-Based (CCS-P), or a Certified Coding Associate (CCA), or Risk Adjustment Coder (RAC), or Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA) required EXPERIENCE: Minimum of four (4) years progressive coding and/or coding leadership experience in Risk Adjustment Coding KNOWLEDGE AND SKILLS: Willing to work as a team - innovation and collaboration is a priority Experience with an Electronic Medical Record (EMR), EPIC preferred Knowledge of AHA coding guidelines and methodologies: HCC's and other RA methodologies, ICD-10-CM coding guidelines, Office of Inspector General (OIG) and Federal and State regulations Extensive knowledge of medical terminology, anatomy, and pathophysiology, pharmacology, and ancillary test results Strong organization and analytical thinking skills - detail oriented Proficient with Microsoft Office applications (Outlook, Word, Excel) Demonstrates critical thinking skills, able to assess, evaluate, and teach Self-motivated and able to work independently without close supervision Strong communication skills (interpersonal, verbal and written) Medical Record audits and review Familiarity with the external reporting aspects of healthcare Familiarity with the business aspects of healthcare, including prospective payment systems Proficient with computer applications (MS Office etc.), Excellent data entry skills Strong knowledge of health records, computerized billing and charging systems, Microsoft applications, data integrity, and processing techniques required. Excellent organizational skills, including ability to multi-task, prioritize essential tasks, follow-through and meet timelines. Ability to work with accuracy and attention to detail Ability to solve problems appropriately using job knowledge and current policies/procedures. Ability to work cooperatively with members of the healthcare delivery team and staff, ability to handle frequent interruptions and adapt to changes in workload and work schedule and to respond quickly to urgent requests. Must be able to maintain strict confidentiality of all personal/health sensitive information and ensure compliance of HIPAA rules and regulations. Compensation Range: $72,500.00- $105,000.00 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.

Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across all disciplines. Today at Penn Medicine, someone will make a breakthrough. Someone will heal a heart, deliver hopeful news, and give comfort and reassurance. Our employees shape our future each day. Are you living your life's work? Summary: · The Access Services Associate (ASA) is a customer service position supporting Penn Medicine ambulatory practices in a call center environment. This phone based, high volume role supports several patient interactions including registration, appointment scheduling, referrals and pre-authorizations. The position requires superior and compassionate customer service skills with a focus on Productivity to satisfy financial and operational targets of the Health System. This is primarily a work from home position. This position requires the agent to learn and execute several protocols for a limited number of UPHS Departments. Responsibilities: · Strives to understand and anticipate patient needs to improve the patient encounter and overall Penn Medicine experience, manages service recovery efforts when needed, enlisting management assistance as appropriate. · Answer phones supporting Access Center SL goals and follow department protocols to manage patient requests. · Communicate patient need by thoroughly completing encounter documentation, taking detailed notes and route appropriately through the electronic medical record (EMR). · Maintain knowledge of basic Medical terminology, Computer and EMR skills. Accurately communicate and set patient expectations in a clear, empathetic manner to help ensure they arrive for their appointment with all pertinent information and care coordination (medical records, test results, referrals, copays). · Solves telephone issues and timely reports problems related to volume to manager. Follow established downtime procedures for registration. · Maintains up to date knowledge of insurance requirements pertinent to patient service and billing procedures: including basic knowledge of all managed care plans and which insurers require a copayment or referral. Education or Equivalent Experience: · H.S. Diploma/GED (Required). · Associate's or Bachelor's may be considered in lieu of experience. We believe that the best care for our patients starts with the best care for our employees. Our employee benefits programs help our employees get healthy and stay healthy. We offer a comprehensive compensation and benefits program that includes one of the finest prepaid tuition assistance programs in the region. Penn Medicine employees are actively engaged and committed to our mission. Together we will continue to make medical advances that help people live longer, healthier lives. Live Your Life's Work We are an Equal Opportunity employer. Candidates are considered for employment without regard to race, ethnicity, color, sex, sexual orientation, gender identity, religion, national origin, ancestry, age, disability, marital status, familial status, genetic information, domestic or sexual violence victim status, citizenship status, military status, status as a protected veteran or any other status protected by applicable law. REQNUMBER: 301588

Senior Manager, Clinical Data Warehouse Research Department: Research - Support Services Schedule: 40 hours per week, Remote (must be able to work Eastern Standard Time business hours) The Senior Manager, Clinical Data Warehouse for Research (CDW-R), reporting to the Director of Research Analytics and Reporting, leads and manages an Operations Manager and a team of analysts responsible for high-quality, compliant, and efficient data extraction, provisioning, and reporting to support research initiatives. This role provides technical guidance in Structured Query Language (SQL) query development, implements and maintains data warehouse solutions, and ensures adherence to research and hospital data policies. The Clinical Data Warehouse Research consolidates data from a wide range of legacy and current clinical systems, including Epic, using SQL Server; and works to ensure secure, accurate, and reproducible data retrieval for investigators across the Health System. Proficiency in leveraging electronic medical record (EMR) data through Epic Clarity and Caboodle to extract, transform, and manage clinical research data is required. JOB RESPONSIBILITIES: Manage an Operations Manager and a team of analysts: Manage performance of direct reports and team as a whole, prioritize and assign workloads, allocate resources, conduct performance appraisals, discipline staff as needed Train and support analysts in Structured Query Language (SQL) query development, complex data extraction, and data provisioning, providing guidance on best practices, query optimization, and fostering skill development to ensure all datasets are accurate, high-quality, and compliant for research initiatives. Manage team performance and resources to oversee data warehouse extractions and data provisioning for the research community, translating complex data requests into clear, impactful datasets that support organizational goals. Design, develop, and implement data warehouse solutions, including views, stored procedures, and code blocks to access and transform large volumes of structured and semi-structured data. Facilitate project completion by coordinating communication, developing documentation and specifications, performing testing, and consulting with research and IT teams. Establish governance and prioritization processes for the Clinical Data Warehouse for Research (CDW-R), including overseeing timely responses to Privacy and Compliance data disclosure requests. Manage CDW-R user relationships, serving as the primary point of contact for escalated user issues and setting clear expectations regarding data extraction capacity, research regulations, governance, and timelines. Collaborate with enterprise stakeholders, including researchers, clinicians, IT, Analytics Infrastructure, Institutional Review Board (IRB), Human Research Protection Program (HRPP), Privacy, Legal, and Compliance teams, to implement solutions that improve data collection, quality, and accessibility. Provide guidance and technical support to teams on system interfacing, platform usage, and implementation of data warehouse strategies. Stay current with trends and best practices in data analytics, informatics, and research methodologies to enhance team capabilities and CDW-R platform performance. (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 REQUIRED EDUCATION AND EXPERIENCE: Bachelor's degree in computer science, Computer Information Systems, Applied Biostatistics, Public Health, Systems Improvement, Information Science, Research, or related field; and 5+ years of hands-on experience designing, writing, and optimizing complex Structured Query Language (SQL) queries, stored procedures, views, and code blocks within data warehouse or enterprise analytics environments, including performance tuning and query plan analysis. At least two years of the above experience must include working with clinical healthcare data and implementing and supporting enterprise-wide data warehouses. Or equivalent combination of education and experience. Experience leading initiatives to enhance workflows, optimize data-related processes, and improve operational efficiency Proficiency in leveraging electronic medical record (EMR) data through Epic Clarity and Caboodle to extract, transform, and manage clinical research data. PREFERRED EDUCATION AND EXPERIENCE: Master's degree Experience working in clinical research Experience supervising staff or project teams KNOWLEDGE, SKILLS & ABILITIES (KSAs): Ability in process development and system-level improvement, Skilled in developing processes or policies for data use and governance to ensure consistency, compliance, and data quality. Ability to supervise teams, providing guidance and mentorship to ensure work aligns with data standards and organizational goals. Adept at collaborating with scientific oversight committees to enhance the rigor, quality, and reproducibility of data-related processes. Advanced knowledge of enterprise-wide data warehouses, including design, integration, implementation, and optimization of large-scale datasets. Skilled in Structured Query Language (SQL) and at least one programming language (e.g., Python, R) for querying, transforming, and analyzing research data. Ability to implement and support data integrations and Application Programming Interfaces (APIs) within a Data as a Service (DaaS) environment to enhance research data accessibility. Expert knowledge of clinical data warehouses and research regulations JOB BENEFITS: Competitive pay Tuition reimbursement and tuition remission programs Highly subsidized medical, dental, and vision insurance options Career Advancement/Professional Development: Access a wealth of ongoing training and development opportunities that will not only enhance your skills but also expand your knowledge base. Pioneering Research: Engage in groundbreaking research projects that are driving the forefront of biomedical science. 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: $104,000.00- $151,000.00 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.

Director Research Analytics & Reporting, Research Executive Services Schedule: 40 hours per week, 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 and where you'll have the tools you need to take charge of your own environment. POSITION SUMMARY: The Director of Research Data Analytics & Reporting leads the design and execution of data strategies that support the goals of Research & Sponsored Programs (RSP) and position Boston Medical Center Health System Research as a leader in using patient data to drive inclusive science. This role oversees enterprise-wide data management and analysis, ensures data quality and accessibility, and delivers actionable insights through advanced visualization and clear communication to stakeholders. Reporting to the Chief of Staff to the CSO - Chief Scientific Officer, the Director provides vision and technical leadership to move the health system toward next-generation clinical health informatics and data science. The position guides the preparation of high-quality clinical datasets, establishes data governance standards, and enables collaboration with internal and external partners, including those engaged in predictive algorithms using AI, LLM, and NLP tools. The Director exercises full supervisory and administrative responsibility for a multidisciplinary analytics team that collects, analyzes, and interprets research awards, proposals, expenditures, and clinical data to inform strategic decisions and research initiatives across RSP and the broader Health System. This role requires extensive collaboration with other data leaders throughout the organization to promote data-driven decision-making and ensure investigators have access to reliable, well-curated datasets. JOB RESPONSIBILITIES: Develop and Implement Research Data Strategies: Define and execute an enterprise-wide data strategy aligned with organizational goals; establish research data governance policies; collaborate with IT and data leaders across the health system to integrate research data programs into a cohesive, accessible data science platform. Oversee Data Management and Analysis: Direct the collection, storage, and maintenance of research data, including patient clinical and claims data, to ensure accuracy, integrity, and security; lead advanced data analysis to generate actionable insights and guide research and operational decision-making. Lead the Clinical Data Warehouse for Research (CDW-R): Supervise the CDW-R team, including a Manager and data analysts, to provide high-quality, comprehensive datasets for researchers; continuously update data structures, functions, and processes to maintain best-practice standards. Develop Reporting and Visualization Solutions: Design and deliver analytics and reporting tools using visualization platforms to support RSO and Health System Leadership in strategic planning and operational monitoring. Provide Strategic Leadership and Team Development: Lead a multidisciplinary team of research and analytics professionals, including managers and technical experts. Oversee recruitment, performance management, and workforce planning to build and sustain a high-performing team. Collaborate across clinical and non-clinical areas to implement data strategies that advance research priorities and promote data-driven decision-making across the health system. Advance External Data Partnerships: Partner with IT leaders to prepare clinical data for collaboration with external organizations engaged in predictive algorithms, artificial intelligence, and other advanced analytics for key health initiatives. Promote Data-Driven Decision Making: Advocate for and enable the use of data analytics in research and clinical strategies; communicate data-driven metrics and insights to internal and external stakeholders to inform organizational planning and outcomes. Monitor Emerging Trends: Stay current on developments in data analytics, informatics, and research methodologies, and apply best practices to continuously improve research data strategies and operations. (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 require JOB REQUIREMENTS REQUIRED EDUCATION AND EXPERIENCE: Master's degree in Computer Science, Health Informatics, Information Science 5-7 years' experience working in an academic or healthcare setting working with clinical, public health, or research operations data, including developing data visualizations and leading teams; OR equivalent combination of education and relevant experience. PREFERRED EDUCATION AND EXPERIENCE: Experience working with Epic. Leadership experience in building and managing cross-disciplinary teams. Experience working in a health system and academic setting. Experience with proposal, award, and expenditure grant data. KNOWLEDGE, SKILLS & ABILITIES (KSAs): Strategic, system-level thinker with strong financial, technical, analytical, and implementation skills. Excellent written and verbal communicator able to present effectively to diverse audiences, including executive, clinical, and non-clinical staff Leadership and project management abilities and advanced analytical and problem-solving skills Proficiency in data visualization and reporting tools such as Tableau Working knowledge of SQL; familiarity with SAS, Stata, Python, R, and OLAP/cube structures Knowledge of research data management systems (e.g., InfoEd, Cayuse) Strong interpersonal and organizational skills, with the ability to prioritize multiple initiatives, meet aggressive deadlines, and operate independently with sound judgment in a fast-paced environment Ability to manage multiple data projects simultaneously in a fast-paced environment JOB BENEFITS: Competitive pay Tuition reimbursement and tuition remission programs Highly subsidized medical, dental, and vision insurance options Career Advancement/Professional Development: Access a wealth of ongoing training and development opportunities that will not only enhance your skills but also expand your knowledge base especially for individuals pursuing careers in medicine or biomedical research. 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: $130,500.00- $189,000.00 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 Automation Developer will build efficient, reliable automation solutions using UiPath to support operational workflows for Boston Medical Center office staff. Executing on plans designed by the Automation Architect, the Automation Developer will design, develop, test, and deploy automation workflows that streamline business processes and enhance operational performance. This role will collaborate with business stakeholders and technical teams to identify and understand the workflows, and will then translate requirements into scalable solutions that align with organizational goals. Position: Automation Developer Department: IT Admin Schedule: Full Time ESSENTIAL RESPONSIBILITIES / DUTIES: Process Analysis: Collaborate with stakeholders to analyze business processes, identify automation opportunities, and define project scope and objectives. UiPath Development: Design, develop, configure, and deploy automation workflows and bots using UiPath Studio, Orchestrator, and related products. Solution Design: Create maintainable automation solutions that meet business needs while following development and governance best practices. Data Integration: Work with structured and unstructured data sources to support automation use cases and improve solution capabilities. AI & ML Integration: Implement basic AI, machine learning, or natural language processing (NLP) capabilities into workflows to enable intelligent decision-making. Testing & Deployment: Conduct unit testing, troubleshoot issues, and support production deployment of automation solutions. Performance Optimization: Monitor and optimize automations for efficiency, reliability, and scalability. Documentation & Reporting: Maintain documentation of workflows, configurations, and technical specifications; prepare regular updates and reports for stakeholders. (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 REQUIRED EDUCATION AND EXPERIENCE: Bachelor's degree in Computer Science, Engineering, Information Technology, or a related field; and 3-5 years of related experience, at least 2 years of which must be hand-on UiPath RPA development experience designing, building, and deploying automation solutions; or equivalent combination of education and experience PREFERRED EDUCATION AND EXPERIENCE: Advanced degree Background in healthcare Experience with other RPA platforms or automation tools (e.g., Power Automate, Blue Prism, Automation Anywhere). CERTIFICATES, LICENSES, REGISTRATIONS REQUIRED: N/A CERTIFICATES, LICENSES, REGISTRATIONS PREFERRED: UiPath Developer Certification (Associate or Advanced). Additional certifications in automation, AI, or cloud technologies KNOWLEDGE, SKILLS & ABILITIES (KSAs): Familiarity with cloud platforms such as AWS, Azure, or Google Cloud. Understanding of process mining, process optimization, and workflow analysis. Strong analytical and problem-solving skills with attention to detail. Excellent communication and collaboration abilities across business and technical teams. Compensation Range: $66,500.00- $96,500.00 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.

is responsible for adhering to established service standards Provides advanced analysis support to the Director of Clinical Engineering. Works in coordination with Clinical Engineering team to implement and maintain cost-effective, centralized processes and reporting that support all departmental functions. POSITION SUMMARY: This Clinical Engineering Analyst provides advanced analysis support to the Director of Clinical Engineering. They work in coordination with Clinical Engineering team to implement and maintain cost-effective, centralized processes and reporting that support all departmental functions. The position is responsible for adhering to established service standards. Position: Clinical Engineering Analyst Department: Clinical Engineering SVC MP Schedule: Full Time ESSENTIAL RESPONSIBILITIES / DUTIES: Researches, collects, compiles and ensures accuracy and validity of data for Clinical Engineering operations Researches, collects, compiles and ensures accuracy and validity of data for support of capital budget processes Completes financial and operational analyses of various Clinical Engineering projects/programs, including cost-benefit analysis and vendor services that support best service option recommendations Assists in cost-benefit analyses of vendor services that help determine best practice options Analyzes and assesses vendor performance and compliance with contract terms and conditions Maintains effective communications with medical staff and other healthcare professionals throughout the healthcare system as it relates to Clinical Engineering services Assists in the development and management of medical equipment database to facilitate effective asset management Assists in the development and ongoing maintenance of asset management programs for the organization to assist departments in the acquisition of clinical capital equipment Creates ah-hoc reports for Environment of Care, Finance, Administration, or other leadership roles Monitors and implements changes to current policies and procedures of Clinical Engineering processes Works in conjunction with Clinical Engineering leadership to develop and maintain financial reporting tools, including but not limited to, reports of cost savings and cost avoidance achieved through Clinical Engineering cost-reduction efforts Works in conjunction with Clinical Engineering leadership to develop and maintain operational reporting tools, including but not limited to, service response times and customer satisfaction Works in conjunction with Clinical Engineering leadership to prepare and monitor the departmental operating and capital budget Works in conjunction with Clinical Engineering leadership on special projects as assigned Compiles professional reports, executive summaries, written communication, and presentations in collaboration with Clinical Engineering leadership Assists in Cybersecurity operations and standardization with the Information Security Team Works in conjunction with Clinical Engineering leadership to develop, update, and maintain the Clinical Engineering website Performs other duties as assigned or as necessity dictates (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 in business preferred or equivalent in demonstrated ability and experience CERTIFICATES, LICENSES, REGISTRATIONS REQUIRED: None EXPERIENCE: 2+ years of experience in a hospital setting and familiar with hospital assets KNOWLEDGE AND SKILLS: Familiarity with electrical/electronic and medical terminology. Computer literacy of Microsoft Office (Word, PowerPoint, Excel, Access) and experience with large-scale automated systems required. Expertise preparing, importing, and manipulating information in spreadsheets, databases, and PowerPoint presentations required Excellent organizational, prioritization, analytical, and problem-solving skills involving established methods or practices; demonstrated ability to make appropriate decisions Excellent written and verbal communication skills Ability to work with a high degree of autonomy throughout the workday 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.

Under the general direction of the Director of Revenue Cycle Pharmacy. The Revenue Cycle Pharmacy Supervisor will perform functions to supervise the reimbursement functions of multiple retail, infusion and specialty pharmacy business units. This role will include focus on referral intake, authorizations, billing, and collections functions. This role can be complex due to the responsibility for ensuring that the financial systems are operational and effective in collecting payments from patients, insurance companies, and government programs. Will cultivate an environment of outstanding customer service in all interactions with internal business partners, payers, and patients. Includes development of a highly effective team that can meet the critical challenges of timely, and successful reimbursement from payers. The Revenue Cycle Supervisor Pharmacy acts as a liaison between clinic operations leadership, third party billing vendor and other departments with Boston Medical Center. Position: Supervisor - Pharmacy Revenue Cycle Department: Pharmacy Revenue Cycle Schedule: Full Time ESSENTIAL RESPONSIBILITIES / DUTIES: Supervise the day-to-day operations of Pharmacy Revenue Cycle staff, this includes but is not limited to: interviewing and hiring qualified staff, orienting new employees, coaching and mentoring staff on job requirements, policies and work procedures, developing training programs, counseling staff on performance/behaviors, and general planning and coordinating of the team's activities. Maintain high-performance in reimbursement team metrics, including day's sales outstanding, percent of open claims, percent of unapplied cash, and percent of bad debt. Support the pharmacy leadership team and organization by producing reports that share key information and provide guidance on fiscal and revenue cycle performance. Monitor daily operating activity of department; conduct huddles with staff to review department performance and goals and make necessary adjustments in work assignments. Provide leadership, direction and guidance; Set departmental goals and priorities and assign management oversight for the daily office operations. Develop and maintain operating procedures to support standardization and efficiency within the pharmacy fiscal team and pharmacy billing systems. Update as appropriate with changes in regulation, technology, or payer guidance. Monitor status of staff workload using reports that identify weekly activity performed, trends in activity and impact of unworked accounts. Provide feedback to staff regarding the status of assignments and instruction in processes that will resolve balances and meet or exceed best of practice standards. Work collaboratively with departments, practices and third party billing vendor to drive organizational efficiencies and alignment and to ensure processes and systems are standardized and optimized for efficient and effective flow of patient accounts Participate in department sessions to explain billing and follow-up procedures and how the entry of information to various computer applications affects the pharmacy and hospital A/R. Support the pharmacy leadership team and organization by producing reports that share key information and provide guidance on fiscal and revenue cycle performance. Responsibilities also include maintaining accurate systems for payment collection including cash, checks, ACH payments, payment cards, patient accounts and payroll deduction. This position interacts and collaborates routinely with the finance and treasury departments for posting pharmacy details to the GL, coordinating retail pharmacy financial assistance processes, and procedures for billing adjustments and write-offs. Other duties as assigned. Staffing and Development Oversees activities to ensure goals and objectives of the organization are met by specified target dates Creates and fosters a work environment that encourages productivity and work loyalty and employee satisfaction. Conducts performance appraisals for direct report staff and ensures all performance appraisals in department are completed timely. Maintains appropriate staffing levels by planning and working closely with recruiters in Human Resources and the Revenue Cycle Human Resources Business Partner Ensures proper employee orientation, supervision and productivity monitoring Administers coaching and disciplinary measures as needed Evaluates opportunities to automate work functions to reduce cost of doing business associated with labor costs. Meets hospital-wide standards in the following areas: Conforms to hospital standards of performance and conduct, including those pertaining to patient rights, so that the best possible customer service and patient care may be provided. Utilizes hospital's Values as the basis for decision-making and to facilitate the hospital mission. Follows established hospital infection control and safety procedures Develops competencies as related to position. Performs other tasks as needed. Must adhere to all of BMC's RESPECT behavioral standards. (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 in Business / Healthcare related field preferred. CERTIFICATES, LICENSES, REGISTRATIONS REQUIRED: Certified Pharmacy Technician (preferred) Certified Coder CPC or RIHT (preferred) EXPERIENCE: Minimum of 10 years management or supervisory experience required. Specifically, experience in an academic medical center supervising billing, collection functions. Demonstrated leadership experience in the medical field required. KNOWLEDGE AND SKILLS: Technical Demonstrated ability in Epic and Epic Cubes. Highly skilled experience and knowledge of Windows-based software required, including but not limited to Microsoft Outlook, Word, PowerPoint and Excel. Comprehensive understanding of patient billing policies, procedures and health insurance standards, as well as familiarity of supervisory/managerial techniques and principles, in order to control professional financial billing activities. Proficient skills to collect, organize and analyze data, produce actionable reports and recommend improvements and solutions. Leadership Proven track record of success in improving revenue cycle performance and customer service. Ability to implement change in a positive, sensitive and forward-thinking manner Effective analytical ability to develop and analyze options, recommend solutions to and solve complex problems and issues. Shown critical thinking skills. Knowledge of coverage of various types of insurance and their allowable benefits; regulations governing alternate sources of payment; and other regulations governing alternate sources for funds. This includes all Medicare and Medicaid regulations related to claims processing. Knowledge of pharmacy and medical billing conventions including NCPDP D.0, HCFA 1500 forms, EDI 837 claims, ACH payments, 835 remits and Medicare crossover payments. Experienced in auditing, training and communicating revenue cycle regulations and concepts. Ability to be part of a cross-departmental and cross-functional team, and participate in the organization and execution of projects. Knowledge of medical terminology and abbreviations. Able to read the medical and pharmacy records to find required claims information and appropriate payer for services provided. Positive attitude and ability to promote effective teamwork Management Demonstrated ability to create an inspiring team environment with an open communication culture Demonstrated ability to motivate staff to perform at the highest possible level by listening to team members' feedback and resolve any issues or conflicts Demonstrated ability to set appropriate priorities for self and staff, and to delegate appropriately. Ability to manage effectively across multiple tasks and projects under time and resource constraints Ability to carefully monitor processes and organize and maintain documentation. Demonstrated the ability to recognize high performance and reward accomplishments Demonstrated the ability to communicating the strategy and guiding the team towards targets 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.

Under the general direction of PFC Manager, the Quincy Outpatient Financial Counselor (OPFC) has a dual role to help vulnerable BMC patients to access healthcare coverage and to preserve and protect BMC revenue by securing payors to reduce uncompensated care. The Quincy OPFC serves as an advocate and navigator, assisting low-income, uninsured and underinsured patients apply for financial assistance programs and secure healthcare coverage. As a Certified Application Counselor, the Quincy OPFC will respond to call center inquires and manage self-pay patient work ques to identify and contact patients in need of financial counseling services. The Quincy OPFC will engage patients, by phone and/or in writing, to screen for eligibility and provide enrollment assistance to secure insurance coverage through MassHealth, Out of State Medicaid, HSN, or BMC's Charity Care Program. The Quincy OPFC is responsible for initiating new applications and assisting with program renewals; for educating patients about health insurance options and eligibility requirements; and for updating patient demographic information, opening financial trackers, and documenting all efforts made to assist patients in applying for insurance coverage. The Quincy OPFC will embody BMC's mission, vision, and values and follow policy and procedure regarding BMC's billing and collection practices and the Certified Application Counselor Designation Agreement between BMC and MassHealth. Position: Outpatient Financial Counselor Quincy Department: Financial Counseling Schedule: Part Time, 24 Hours M-W 8:30AM-5P U ESSENTIAL RESPONSIBILITIES / DUTIES: Demonstrates respectful personal conduct and utilizes AIDET when engaging patients and visitors. Completes MassHealth's curriculum for Certified Application Counselor and renews certification annually. Provides information about the full range of medical and dental insurance programs available through the Health Insurance Exchange (HIX). Interviews patients, in a language and manner best understood, to determine eligibility and communicate enrollment options and plan benefits for which patients qualify. Answers questions about Qualified Health Plans (QHP) and Qualified Dental Plans (QDP). Explains subsidized Qualified Health Plans available through premium tax credits or informs patients of expected out-of-pocket expenses, co-pays, and deductibles when applicable. Utilizes protected software programs to determine patient eligibility for MassHealth, Health Safety Net, ConnectorCare, and other insurance carriers and assists with enrollment process. Initiates communication with patients, by phone, mail, or email, , to initiate new applications or plan renewals for health insurance coverage. Informs patients of important deadlines, effective dates for coverage, and required documentation to determine eligibility. Scans MassHealth applications and supporting verification documents into HIX and patients' Epic record. Documents in Epic the status of all applications initiated by adding a financial tracker and recording actions taken and follow-up efforts required to complete and submit for processing. As requested, assists patients with enrolling in an ACO or changing selection of ACO, to ensure continued access to covered services. Provides voter registration information and registration assistance as needed; completes appropriate patient declination form for applicants as requested. Validates and updates active insurance coverage in the hospital registration and billing system on accounts with covered dates of service. Assists patients with billing questions or concerns. For patients deemed ineligible for financial assistance programs, provides information regarding self-pay discount and payment plan options. Collects and posts payments for balances related to self-pay, Ad-Hoc, and Flat Fee contracts in accordance with BMC policy and procedure for collection practices. Interacts with numerous departments to resolve insurance and billing questions e.g., Customer Service, Pharmacy, Social Service, Case Management, Patient Accounts ,Clinic Staff, Unit Nursing staff, professional billing etc. Provides pricing estimates for elective services, as requested, if patient is uninsured or if services are uncovered by payor. Understands and adheres to rules established by the BMC Credit and Collection Policy. Assists patients with confidential applications for protected services, adding account notes to notify others of the patient's protected status. Assists patients with medical hardship and confidential applications, obtaining and submitting verification documents and applicable medical bills required to apply and make a determination of eligibility. Responds to telephone calls in a courteous manner. Responds promptly to all inquiries from staff, patients, and general public. As needed, refers callers to other departments or resources deemed appropriate for resolution. Presents and interacts respectfully and professionally with BMC patients, visitors, and other team members; works cooperatively and respectfully with other departments and disciplines across the organization. Maintains daily written reports of work activity to document patient enrollments and outcomes; patient complaints and resolutions; patient declinations, etc. Demonstrates superior customer service standards. Participates in regular staff meetings and scheduled trainings to maintain required core competencies. Serves as a resource and subject matter expert regarding financial assistance programs. Provides education and advisement on health insurance options and enrollment requirements for other hospital departments, community health centers, community leaders and other personnel as needed. Under the direction of PFC Manager, assists with the orientation, including shadowing of new staff as assigned. Validates and/or updates demographic and income information in HIX portal for “known” patients with prior history of program eligibility. Validates patients' active insurance coverage and updates current plans in Epic. Collects and posts payments on accounts with outstanding balances. Maintains and closes Epic Cash Drawer and documents transactions in patients' financial trackers. Schedules tasks for Financial Counseling Enrollment Coordinators, (FCECs) to conduct patient follow-up on pending applications to ensure that required documents are obtained and applications are completed and submitted timely to secure retroactive coverage. Protects patient and family confidentiality. Performs other duties and tasks as assigned. JOB REQUIREMENTS EDUCATION: High School diploma with 3-5 years of strong customer service experience in healthcare or human services setting required; Bachelor's degree strongly preferred. Bilingual persons and persons with hospital and/or healthcare experience strongly preferred. CERTIFICATES, LICENSES, REGISTRATIONS REQUIRED: Must complete MassHealth's curriculum for Certified Application Counselor, (CAC) and maintain certification renewal annually. Individual must complete training and obtain CAC certification within 45 days of hire date. EXPERIENCE: Work experience to include 2-3 years of strong customer service experience, preferably in a healthcare or human services setting; Bachelor's degree strongly preferred. Bilingual persons and persons with hospital and/or healthcare experience strongly preferred. KNOWLEDGE AND SKILLS: Demonstrates professionalism, maturity, and confidence needed to work effectively in a diverse, multi-cultural, and decentralized environment. Displays strong, consistent communication skills, (oral and written), interpersonal skill, and record keeping skills. Demonstrates knowledge and understanding of eligibility criteria and application process for programs offered through MassHealth, Health Safety Net, ConnectorCare, and BMC's Charity Care Program. Displays strong organizational skills with ability to manage multiple tasks simultaneously; prioritize work assignments appropriately; and complete follow up task timely. Demonstrates strong work ethic and ability to meet performance goals for productivity and outcomes with minimal direct supervision. Demonstrates critical thinking and sound judgment in addressing and resolving barriers, issues, or concerns identified. Requires strong technical computer skills and proficiency in utilizing Epic and external database systems to research cases and successfully assist patients in securing active coverage. Displays exceptional customer skills and the ability to engage patients, family members, and team members respectfully, with empathy and cultural sensitivity. 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.

Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across all disciplines. Today at Penn Medicine, someone will make a breakthrough. Someone will heal a heart, deliver hopeful news, and give comfort and reassurance. Our employees shape our future each day. Are you living your life's work? + Entity: Corporate + Department: IS-EPIC + Location: Remote based out of 3535 Market Street. Philadelphia, PA + Hours: 8hr Days **Summary** : Responsible for leading and managing multiple cross-functional work teams relating to the development of innovative application solutions that achieve successful performance goals and oversee project plans to ensure milestones and project deliverables are met. Develops working knowledge of application systems and business processes and identifies process improvement initiatives and opportunities for improvement in the application. This role will manage the Willow Ambulatory and Specialty Pharmacy team analysts. **Responsibilities:** + Manages team members through the project management life cycle to ensure that overall progress and management of application project tasks are on track. + Manages cross-functional team members to determine and define specific analytical and technical systems information requirements, objectives and solution sets for the enhancements and configuration of the application. Manages the day to day operations of the assigned application team including but not limited to employee mentoring, timecard retrieval, team meetings and communicating operational requirements of UPHS to all team members. + Manages and coordinates the development of new functionality, testing and implementing scheduled vendor releases and system upgrades and fixing system defects. Develops the change management procedures and protocols for the department creates and maintains all policies and procedures for all assigned applications and develop, plan and execute testing for supported applications. + Defines system requirements and develops logical data models using best practices for build and configuration, maintenance and data integrity. + Communicates all necessary application changes, enhancements and procedures to all necessary internal department teams. + Coordinates, creates and maintains all documentation for assigned applications in order to establish standards for configuration and enhancements within the application. Develops the education and delivery to internal team members, system users and other stakeholders in the utilization of functionality within the application. Delivers customer service to IS clients seamlessly across system boundaries. Ensures safety, confidentiality and security of all data. **Credentials:** + Vendor Certification (Preferred) **Education or Equivalent Experience:** + Bachelor of Arts or Science (Required) + And 5+ years Information Technology experience (Required) We believe that the best care for our patients starts with the best care for our employees. Our employee benefits programs help our employees get healthy and stay healthy. We offer a comprehensive compensation and benefits program that includes one of the finest prepaid tuition assistance programs in the region. Penn Medicine employees are actively engaged and committed to our mission. Together we will continue to make medical advances that help people live longer, healthier lives. Live Your Life's Work We are an Equal Opportunity employer. Candidates are considered for employment without regard to race, ethnicity, color, sex, sexual orientation, gender identity, religion, national origin, ancestry, age, disability, marital status, familial status, genetic information, domestic or sexual violence victim status, citizenship status, military status, status as a protected veteran or any other status protected by applicable law. REQNUMBER: 296735

Department/Unit: PCI - Internal Medicine Work Shift: Day (United States of America) Salary Range: $0.00 - $0.00 We are seeking a dedicated and compassionate Nurse Practitioner (NP) to join our academic home-based primary care practice, serving approximately 200 homebound older adults across an 11-county region in the Greater New York Capital Region. This position will work in close collaboration with a full-time board-certified geriatrician to provide comprehensive, longitudinal care to medically complex, homebound patients. The NP will manage a personal panel of approximately 40 patients and provide cross-coverage for an additional 160 patients in the practice. The role includes home visits, telehealth support, and the management of chronic and acute medical conditions, with a strong emphasis on geriatric syndromes, care coordination, and diagnostic oversight. Essential Duties and Responsibilities Clinical Care: * Provide primary care services to a panel of ~40 homebound patients through in-person home visits and virtual encounters as appropriate. * Collaborate closely with the geriatrician to co-manage patient care across the full practice panel (~200 patients). * Cross-cover the remaining 160 patients, including addressing urgent clinical needs, medication adjustments, and patient/caregiver inquiries. * Conduct comprehensive assessments and develop individualized care plans that reflect patients' goals, preferences, and functional status. * Manage acute and chronic conditions, focusing on geriatric syndromes (e.g., falls, dementia, polypharmacy, frailty). * Coordinate with caregivers, visiting nurses, specialists, and other home-based service providers. * Provide palliative and end-of-life care consistent with best practices and patient wishes. Diagnostic & Lab Oversight: * Order and interpret laboratory tests, imaging, and other diagnostic studies. * Track and review results for the entire patient population in collaboration with the geriatrician. * Ensure timely communication of clinically significant findings and follow-up planning. Team Collaboration & Communication: * Participate in regular team meetings and interdisciplinary case conferences. * Maintain thorough, accurate documentation in the electronic medical record (EMR). * Educate patients and caregivers regarding health conditions, medications, and treatment options. * Contribute to quality improvement and academic initiatives within the practice. Qualifications Required: * Master's or Doctorate degree from an accredited Nurse Practitioner program * Current NY State NP license and board certification (Adult-Gerontology Primary Care or Family NP) * DEA license and BLS certification * Minimum of 2 years of experience in primary care, geriatrics, or home-based care * Valid driver's license and reliable transportation for home visits Preferred: * Experience with home visits and medically complex, frail older adults * Prior experience in academic or teaching settings * Familiarity with value-based care models and interdisciplinary care approaches Skills & Competencies * Strong clinical judgment and autonomous decision-making capability * Excellent interpersonal and communication skills with patients, families, and care teams * Ability to manage a large panel and track results for a broad patient population * Comfortable with mobile technology, EMRs, and virtual communication tools * Compassionate, patient-centered, and team-oriented Working Conditions * Home visits required across urban, suburban, and rural areas in an 11-county region (travel reimbursed) * Flexible schedule with support for remote administrative work * Participation in a collaborative academic environment with opportunities for teaching and quality improvement Thank you for your interest in Albany Medical Center! Albany Medical Center is an equal opportunity employer. This role may require access to information considered sensitive to Albany Medical Center, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes. Workforce members are expected to ensure that: Access to information is based on a "need to know" and is the minimum necessary to properly perform assigned duties. Use or disclosure shall not exceed the minimum amount of information needed to accomplish an intended purpose. Reasonable efforts, consistent with Albany Medical Center policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification. Thank you for your interest in Albany Medical Center! Albany Medical is an equal opportunity employer. This role may require access to information considered sensitive to Albany Medical Center, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes. Workforce members are expected to ensure that: Access to information is based on a "need to know" and is the minimum necessary to properly perform assigned duties. Use or disclosure shall not exceed the minimum amount of information needed to accomplish an intended purpose. Reasonable efforts, consistent with Albany Med Center policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.

Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across all disciplines. Today at Penn Medicine, someone will make a breakthrough. Someone will heal a heart, deliver hopeful news, and give comfort and reassurance. Our employees shape our future each day. Are you living your life's work? Entity: Corporate Services Department: IS-Corporate Applications Location: 3535 Market Street Hours: (Remote Eligible), M-F, Daylight **The role involves on-site presence for the first 6 months with the possibility of remote work after the introductory period is complete** **Senior Technical Analyst** The **Senior Technical Analyst** is responsible for creating and delivering technical resolutions to create workflow, process design and programming solutions to business problems. Provides technical expertise to ensure that the design, implementation and end results meet the business requirements. Utilizes strong analytical, programming and communication skills to balance technical and business objectives to improve quality outcomes. **Accountabilities** + Responsible for daily monitoring, maintaining a high degree of performance, coordinating system behaviors, using existing and creating new tools for managing multiple environments. + Maintains, creates, and monitors databases. + Creates and implements project plans and routinely communicate status of work. + Ensures system integrity of the application. + Assists in the education and training of new hires and other team members and be available as a resource for the team. + Identifies problem definitions and make recommendations regarding refinements and decisions throughout the product life cycle. + Participates in disaster recovery planning, testing and be available off hours for production support. + Attends planning and status meetings with key client personnel to understand project requirements and communicate our implementation methodology to the client. + Ensures information system functionality meets all clinical and business requirements of Integration and UPHS organization. + Performs duties in accordance with Penn Medicine and entity values, policies, and procedures + Other duties as assigned to support the unit, department, entity, and health system organization **Minimum Requirements** **Required Education and Experience** + Bachelor's Degree is required + 3+ years of Information Technology experience is required + Healthcare IT experience is preferred **Required Skills and Abilities** + Ability to communicate technical information and ideas + Ability to communicate effectively with all levels of staff + Demonstrated customer service skills + Demonstrated interpersonal/verbal communication skills + Knowledge of basic hardware configurations and database management tools **Technical Analyst** The **Technical Analyst** is responsible for creating and delivering technical resolutions to create workflow, process design and programming solutions to business problems. **Accountabilities** + Responsible for daily monitoring, maintaining a high degree of performance, coordinating system behaviors, using existing and creating new tools for managing multiple environments. + Maintains, creates, and monitors databases. + Utilizes industry standard processes to generate specifications for implementation and for specification review process. + Identifies problem definitions and make recommendations regarding refinements and decisions, throughout the product life cycle. + Attends planning and status meetings with key client personnel to understand project requirements and communicate our implementation methodology to the client. + Ensures information system functionality meets all clinical and business requirements of Integration and UPHS organization. + Participates in disaster recovery planning, testing and be available off hours for production support. + Ensures system integrity of the application is the primary responsibility of the administrator. + Assists in the education and training of new hires and other team members and be available as a resource for the team. + Performs duties in accordance with Penn Medicine and entity values, policies, and procedures + Other duties as assigned to support the unit, department, entity, and health system organization **Minimum Requirements** + Required Education and Experience + Bachelor's Degree is required + 2+ years of Information Technology experience is required + Healthcare IT experience **Required Skills and Abilities** + Demonstrated customer service skills + Demonstrated interpersonal/verbal communication skills + Ability to communicate effectively with all levels of staff + Knowledge of basic hardware configurations and database management tools + Ability to communicate technical information and ideas **Associate Technical Analyst** **The Associate Technical Analyst** is responsible for assisting with the creation and delivery of technical and programming solutions to previously identified needs and business problems under the direction of a senior analyst. Ensures system changes follow change management procedures and protocols. **Accountabilities** + Works with key clients to understand project requirements and communicate implementation methodology. + Consults with senior team members to ensure that system functionality meets clinical and business requirements of Integration and UPHS organization. + Follows established documentation and project status procedures. + Assists in the monitoring of projects and maintains open communication with manager. + Develops new Interfaces according to specification. + Follows established documentation and change control procedures related to user requests, system design and development, modifications, testing, and on-going production support. + Provides on-call and production support as necessary. + Performs duties in accordance with Penn Medicine and entity values, policies, and procedures + Other duties as assigned to support the unit, department, entity, and health system organization **Minimum Requirements** + Bachelor's Degree is required + 1+ years' experience in an Information Technology setting is required + Healthcare IT experience is preferred **Required Skills and Abilities** + Demonstrated customer service skills + Demonstrated interpersonal/verbal communication skills + Ability to communicate effectively with all levels of staff + Ability to troubleshoot, research and solve technically challenging problems + Knowledge of basic hardware configurations and database management tools **Additional Information:** + Experience with Infor CloudSuite modules and tools desired, such as GHR, FSM, LPL, IPA, Columnar, Birst, and Async + Experience with Lawson on-premise system administration preferred + Experience in supporting business systems a plus, such as HR, Payroll, Supply Chain, and Finance + Experience with report development and query tools a plus, such as SSRS, Crystal Reports, and SQL (Oracle/SQL Server) + Experience with system administration of time & attendance tools a plus, such as Kronos **Department: IS-Corporate Applications** **Address: 3600 Civic Center Blvd** **As part of our COVID-19 response, this position may currently be offering partial or full remote work. However, in the near future this position will require full or partial on-site work.** **Be a part of the exciting and ground-breaking upcoming years for the Penn Medicine Information Services department!** **Because growth is essential to continuing to meet the current and future needs of patients, Penn Medicine continues to expand its capabilities.** **Penn Medicine's Information Services (IS) Department** focuses its efforts on the clinical and financial systems that support the day-to-day operations of four hospitals, several satellite practices, and more than 2,000 physicians. Learn more about Information Services We believe that the best care for our patients starts with the best care for our employees. Our employee benefits programs help our employees get healthy and stay healthy. We offer a comprehensive compensation and benefits program that includes one of the finest prepaid tuition assistance programs in the region. Penn Medicine employees are actively engaged and committed to our mission. Together we will continue to make medical advances that help people live longer, healthier lives. Live Your Life's Work We are an Equal Opportunity employer. Candidates are considered for employment without regard to race, ethnicity, color, sex, sexual orientation, gender identity, religion, national origin, ancestry, age, disability, marital status, familial status, genetic information, domestic or sexual violence victim status, citizenship status, military status, status as a protected veteran or any other status protected by applicable law. REQNUMBER: 139799

Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across all disciplines. Today at Penn Medicine, someone will make a breakthrough. Someone will heal a heart, deliver hopeful news, and give comfort and reassurance. Our employees shape our future each day. Are you living your life's work? **Job Title:** Accounts Resolution Specialist I **Department:** RAD-O-BRO Data Acct Receivable **Location:** Fully Remote **Hours:** Mon-Fri office hours per department needs **Summary:** + The Account Resolution Specialist I reports to the Supervisor of Billing; primary responsibilities are to facilitate activities necessary to a successful resolution of accounts. This position will work out of assigned work queues handling claim edit work queue resolution as well as follow up work queue denials transferred from Professional Billing Office that require department intervention. Individuals will be responsible for investigating claim denials and underpayments by insurance carriers and appeal for payment or make appropriate adjustment. Exercising good judgement in escalating identified denial trends or root cause of denials to mitigate future denials, expedite the reprocessing of claims and maximize opportunities to enhance front end claim edits to facilitate a first pass resolution. **Responsibilities:** + Responsible for patient account research in relation to working accounts within the claim edit work queue and follow-up work queue. + Identifying untimely accounts and performing accurate and timely write offs adhering to policy guidelines. + Responsible for maintaining the highest level of billing standards following current guidelines from Medicare, Medicaid, and other insurance entities. + Answering revenue cycle patient inquiries as well as front desk questions regarding patient accounts. + Meets or exceeds established performance targets (productivity and quality) established by the Supervisor of Billing. **Education or Equivalent Experience:** + H.S. Diploma/GED (Required) + 3+ years Working in health care (professional) billing, health insurance or equivalent (Required) We believe that the best care for our patients starts with the best care for our employees. Our employee benefits programs help our employees get healthy and stay healthy. We offer a comprehensive compensation and benefits program that includes one of the finest prepaid tuition assistance programs in the region. Penn Medicine employees are actively engaged and committed to our mission. Together we will continue to make medical advances that help people live longer, healthier lives. Live Your Life's Work We are an Equal Opportunity employer. Candidates are considered for employment without regard to race, ethnicity, color, sex, sexual orientation, gender identity, religion, national origin, ancestry, age, disability, marital status, familial status, genetic information, domestic or sexual violence victim status, citizenship status, military status, status as a protected veteran or any other status protected by applicable law. REQNUMBER: 251795

This position requires someone outgoing and friendly who can interact with a wide range of people. This person must be caring and sympathetic, with a genuine interest in others. They will be able to put other people's interest before their own. The work requires patience, stability, and consistency, with plenty of social interaction for long periods of time. As a result, it may also require working in one space, or with one group of people, for most of the day. The work is relatively unstructured, with freedom from rigid rules and boundaries. Someone in this role must be informal, influential, and warm in how they communicate. Their work environment will be relatively free from competitive pressures. Although the requirements of the position are relatively unstructured, they suit a person who responds positively to the security of stability and familiarity. The role would benefit from someone whose approach to work is steady, methodical, and thoughtful, especially when under pressure. Team interaction and involvement is especially important, and there's a strong requirement for collaboration and building rapport with others. JOB SUMMARY: Provides the following range of services for mental health treatment: diagnostic assessment; individual, family and group counseling/psychotherapy; crisis intervention; case management. Job Responsibilities: Demonstrate unwavering compassion and empathy toward clients facing various challenges, such as mental health issues, trauma, or life transitions. Foster a safe, empathetic, respectful, culturally sensitive and non-judgmental environment where clients feel heard, valued, and supported in their journey toward improved well-being. Collaborate with clients to set achievable goals and empower them to overcome obstacles. Advocate for clients' rights and access to essential resources within the community. Promote trauma-informed care utilizing the core values of Unity with both clients and personnel Continuously expand your knowledge and skills through ongoing professional development to stay at the forefront of best practices. Collaborate with a multidisciplinary team to ensure holistic care and integrated services for clients. Provide Clinical Services (These services may vary by location such as in the client's home, within the community, at the client's school, etc. This will be determined in collaboration with your supervisor and the client/family) Utilize your expertise in mental health and social work to assess, diagnose, and develop comprehensive client centered and individualized treatment plans tailored to each client's unique needs. Conduct crisis assessments, behavior risk assessments, safety plans, and crisis intervention as applicable ensuring the safety and well-being of clients at all times Provide individual, family, and group counseling services Assess child and family functioning, environmental risk factors, and client, family and environmental strengths as exhibited by appropriate goals delineated in the treatment plan Understand and apply evidence-based principles of psychotherapy, behavior, and change to assist client in problem solving and facilitate change and growth Documentation/Caseload Management Maintain up to date client records, including client centered treatment plans & diagnostic assessments Complete progress notes through concurrent documentation Manage assigned caseload Maintain units of service as determined by agency standards Supervision Attend scheduled supervision meetings Respond to supervisor directives and present cases for discussion Utilize supervision when crises or issues arise Comply with rules of supervision Conduct oneself in a professional manner Demonstrating respect for other professionals and disciplines In appearance and demeanor Promoting agency mission, core commitments and cultural commitments Express self in an articulate, organized, and grammatically correct fashion in both oral and written communications Requirements: QUALIFICATIONS: · Degree in Counseling, Social Work, or related field. · Active Licensure as a Counselor or Social Worker in Ohio · Experience with children/adolescents and families with an understanding and willingness to work with multi-problem, crisis oriented, and often economically disadvantaged families · Strong dedication to ethical practice and client confidentiality. OTHER QUALIFICATIONS: · Satisfactory criminal records check · Physical Demands: o The physical demands described here are representative of those that must be met by personnel to successfully perform the essential functions of this job. Such as: § Walking, sitting, occasionally lifting/moving up to 10 pounds § Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. o Ability to utilize computer programs such as: Microsoft programs such as Teams, Word, Excel, PPT, etc · Flexibility in working hours to best meet the needs of clients served (i.e. having evening and/or weekend availability) · Willingness and dedication to upholding Unity's Cultural Commitments: Open Communication, Social Responsibility, Safety & Security, Integrity, Growth & Change

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.