4 open positions available
Oversee enterprise revenue cycle reporting, analytics, and process improvement initiatives, including AI development, for a healthcare system. | Extensive experience in healthcare revenue cycle management, proficiency in Epic and third-party analytics tools, leadership skills, and project management expertise. | Director Process Improvement System job at Boston Medical Center. Quincy, MA. POSITION SUMMARY: Reporting directly to the Executive Director, Revenue Cycle Transformation, the Director, Process Improvement - System is responsible for providing the enterprise revenue cycle reporting, process improvement and analytical support at the BMC and BUMG system, including the Community Hospitals. This will encompass but not limited to the implementation/management of all reporting/process improvement initiatives, AI development, and analytic tools to support data analysis, and operational excellence. The Director, Process Improvement - System must possess a thorough understanding of revenue cycle operations along with reporting expertise in Epics Slicer Dicer, and Cubes reporting technology, and will provide leadership and mentoring of managers/leads and other revenue cycle staff. The Director, Process Improvement - System will oversee the design, implementation, and operation of all enterprise revenue cycle reporting, analytic, and process improvement initiatives including AI. The Director, Process Improvement - System will also provide oversight to a team of managers and analysts to ensure that revenue cycle reliable metrics, reporting, analytics, and process improvement implementations are provided to BMC & BUMG system customers in a timely manner ensuring relevant information is encompassed to aid with decision-making and process change analysis. Position: Director Process Improvement System Department: Revenue Cycle Schedule: Full Time ESSENTIAL RESPONSIBILITIES / DUTIES: The Director, Process Improvement - System will engage with leadership within the BMC System and third party vendors to ensure that reporting, analytic, and process improvement resources are optimally aligned to meet specific strategic needs of the System. The Director, Process Improvement - System will be a key contributor to the overall Revenue Cycle leadership team and will participate in planning and organizational improvement initiatives. • Directs a team of 2 managers (and indirectly 4 analysts) with the intent to grow. Plans and directs the activities of the Process Improvement team as performed by the Managers & analysts. Responsible for recruitment, hiring, performance management, training, professional development • Coordinate internal and external resources to ensure that reasonable goals are established, adequate time is allotted to achieve optimal integration, and deadlines are met • Oversees reporting and analytic training to BMC & BUMG System staff • Responsible for the production and distribution of enterprise revenue cycle performance reporting; serves as a subject matter expert on data analytics • Serves as a member and acts as a resource to various committees including but not limited to Revenue Cycle Council & Denials Management teams • Implement reporting and analytic strategy to decrease cost, maximize quality, and identify opportunities for improvement within revenue cycle financials • Oversee, implement, and maintain processes for analyzing aging for all payers, and identifies opportunities for accelerating cash and reducing AR >90 days. Identifies trends denial/delay by payer • Oversee, implement, and maintain processes for analyzing payer denials, identifies and implements prevention opportunities for reducing denials and increasing revenue • Work with revenue cycle vendors to discover and document the root cause of any related risk management deficiencies and formulating and documenting corrective action plans and related monitoring and reporting to protect against occurrence of such failures. • Manages the prioritization efforts for analytics & reporting through the Revenue Cycle prioritization structure • Understands the evolving business and analytics needs at BMC, BUMG and at peer organizations within the system • Keep abreast of the latest advances in reporting and analytics across all industries and set the vision for how the toolset in the BMC and BUMG System should evolve • Plans, manages and oversees projects, utilizing recognized project management methodologies • Wherever possible, develops plans to reduce redundancy between hospital and physician billing. • Responsible for developing, reviewing, reporting, monitoring, and enhancing performance on matters pertaining to revenue cycle management • Oversees the creation of customized reports as requested by system leaders, and coordinates training for core users on reporting tools • Devises and recommends new or modified approaches to reporting to improve financial and statistical reporting • Leads projects outside original scope of work as needed to maintain a high performing revenue cycle • Performs other duties as assigned by the Executive Director, Revenue Cycle Transformation (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 finance, business, healthcare or related field; and at least 10 years’ experience in finance, revenue cycle management, or information systems, of which at least 5 years must be leadership experience. Or equivalent combination of education and experience. • Experience within healthcare required PREFERRED EDUCATION AND EXPERIENCE: • Master's degree CERTIFICATES, LICENSES, REGISTRATIONS REQUIRED: • N/A CERTIFICATES, LICENSES, REGISTRATIONS PREFERRED: • N/A KNOWLEDGE, SKILLS & ABILITIES (KSAs): Technical • Demonstrated ability in Epic • Demonstrated super user ability in third party analytic applications • Comprehensive knowledge of accounting, finance and business administration, and a practical knowledge of patient financial billing regulations/requirements, reimbursement, and managed care in order to understand the billing systems; review, interpret, and analyze patient financial billing reports and data; and plan, coordinate and prepare for audits • 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 hospital financial billing activities Project Management • Strong demonstrated project management skills, from vision through implementation. Ability to manage multiple complex projects simultaneously • Ability to ensure work assignments for team are completed in accordance with an established project timeline • Ability to negotiate and acquire resources as necessary to appropriately execute on projects Leadership • Demonstrated leadership skills, with ability to work with multi-departmental teams and peers • Demonstrated ability to set vision and motivate stakeholders to realize the vision • Solid understanding of business environment and operations • Strong analytical, problem-solving and conceptual skills • Ability to be part of a 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 ability to motivate staff to perform at the highest possible level • 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, organize, and maintain documentation • Ability to take lead on projects outside original scope of work to maintain a high performing revenue cycle 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.
Aligning technology solutions with business strategies, analyzing systems, and supporting project implementation. | Requires 2+ years in business systems analysis or related experience, strong technical communication, and understanding of IT-business linkages. | POSITION SUMMARY: The Applications Analyst II is a business specialist and technology generalist responsible for aligning technology solutions with business strategies. The Applications Analyst II is responsible for proactively identifying opportunities to apply technologies to business processes by informing and advising customers on information system technologies' functionality, costs, benefits, and implementation requirements. The Applications Analyst II functions as technical liaison and broker of services with various vendors. The Applications Analyst II must develop and maintain credibility and effective working relations with both customer management and IT personnel. The Applications Analyst II must demonstrate an understanding of business problems, as well as IT strategies, issues, and priorities. This position requires forward-thinking individuals who seek opportunities to apply technology to improving business processes within strategic system goals. Position: Applications Analyst II - Epic Inpatient ClinDoc/Stork Department: EHR Schedule: Full Time - Some night and weekend hours required as needed Location: Remote- Local There will be occasional travel to BMC locations in the greater Boston area required as needed JOB REQUIREMENTS • Bachelor's Degree OR equivalent education and experience? • Requires at least 2 + years relevant experience in either of the following: * Business systems analysis, preferably across multiple hardware and software platforms or * Business unit experience that includes working closely with IT in the development and implementation of systems. • Strong technical knowledge and ability to express complex technical concepts in terms that is understandable to the business. • Understanding of project management concepts in planning and implementing multiple projects in a cross functional environment. • Strong written communication skills, including project documentation and technical writing. • Strong verbal communication skills while interacting with team members, other teams in the IT department, end users, and/or other departments throughout the organization. • Strong analytical and conceptual skills; a demonstrated track record in new concept development for various projects and complex technical plans. • Ability to solve problems often spanning multiple environments in a business area. • Understanding of how IT affects an organization and ability to link it to redesigned business process. • Ability to be a team player; flexible, friendly, congenial, and enthusiastic. • Proficiency in Microsoft Office products. • There will be occasional travel to BMC locations in the greater Boston area required as needed • Upon hiring, successful completion of Epic's proficiency program must be completed within 90 days. Additional experience desired: • Previous experience in business process re-engineering or process improvement is desirable, involving broad-based information systems and utilizing tools and techniques to effect business change. • Experience in the strategic use of technology in managing and growing a business. • Experience in organizing, planning, and executing projects from vision through implementation, involving internal personnel, contractors, and vendors. • Knowledge of inpatient nursing and ancillary service clinical workflows • Experience with labor and delivery workflow and systems including the GE Centricity Perinatal (CPN) application • Experience implementing or maintaining EHR device integration middleware • HL7 knowledge . 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.
Lead projects to enhance case management and patient engagement, coordinate community resources, facilitate patient groups, and ensure compliance with clinical documentation and ethical standards. | Bachelor’s degree or equivalent, 2+ years in substance use counseling or case management, strong facilitation and organizational skills, and preferred LADC II or CARC certification. | Position: Project Management Specialist, GIM Research (START Clinic) Location: Boston, MA Schedule: 40 hours per week 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 practice environment. POSITION SUMMARY: This position will function as the Project Management Specialist with the Stimulant Treatment and Recovery Team (START). This role combines patient engagement with strong project management skills to oversee initiatives focused on case management, resource connection, community engagement, and group facilitation. The ideal candidate will demonstrate leadership, collaboration, and creativity in building and managing patient-centered programs that improve access to care and strengthen community partnerships. JOB RESPONSIBILITIES: Key Responsibilities Project Management Functions • Lead and manage projects that enhance case management services, resource linkage, and patient engagement. • Develop project plans, timelines, and deliverables to ensure successful implementation of initiatives. • Coordinate cross-functional teams to streamline workflows and reduce barriers to care. • Monitor and evaluate project outcomes, preparing regular progress reports for leadership and stakeholders. Case Management & Resource Connection • Provide direct support to patients through needs assessments, service planning, and coordination of care. • Build and maintain a robust network of community resources, ensuring timely referrals for housing, healthcare, employment, and recovery supports. • Collaborate with internal staff and external partners to improve patient access to critical services. Community Engagement • Represent the program in community meetings, coalitions, and outreach events. • Strengthen partnerships with local organizations, healthcare providers, and social service agencies. • Develop and implement engagement strategies to enhance patient participation and community awareness of services. Group Facilitation • Facilitate patient groups focused on recovery, life skills, and wellness using evidence-based practices. • Foster a supportive, inclusive, and educational group environment. • Adapt group content to meet diverse patient needs and stages of recovery. Documentation & Compliance • Maintain accurate and timely clinical documentation in accordance with state, federal, and organizational requirements. • Ensure adherence to ethical guidelines, confidentiality standards, and professional codes of conduct. • Contribute to audits, quality improvement initiatives, and compliance reviews. Team Building and Participation • Promotes project team efforts and shares sense of purpose so that work is synchronized and concurrent, knowledge is shared, and seamless services are provided. • Fosters an environment of camaraderie. • 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 RESPECT values as the basis for decision-making and to facilitate the hospital mission. • Follows established hospital infection control and safety procedures. (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 administration or equivalent experience CERTIFICATES, LICENSES, REGISTRATIONS REQUIRED: • LADC II, CARC are strongly preferred EXPERIENCE: • Minimum 2 years of experience in substance use counseling, case management, or related field. • Demonstrated ability to manage multiple projects simultaneously. • Strong facilitation, communication, and organizational skills. KNOWLEDGE, SKILLS & ABILITIES (KSA): • Leadership and teamwork in collaborative settings. • Strong interpersonal and motivational skills. • Ability to engage diverse patient populations with empathy and cultural humility. • Knowledge and experience working with patients who use substances • Proficiency in project management tools, electronic health records, and standard office software. • Commitment to evidence-based and patient-centered care. 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. • 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 Talentacquisition@bmc.org or call 617-638-8582 to let us know the nature of your request. 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.
Oversee and audit clinical documentation specialists to ensure compliance and accuracy, and collaborate on education programs. | Bachelor's degree in nursing or related field, RN license, 5+ years clinical documentation experience, with preferred master's and certifications. | A company is looking for a CDI Validation Specialist who assists in the oversight and evaluation of clinical documentation functions. Key Responsibilities • Monitor CDI staff accuracy, data quality, and integrity • Audit clinical documentation specialists for compliance and accuracy in documentation practices • Collaborate with management to develop and implement ongoing education for CDI specialists Required Qualifications • Bachelor's degree in nursing, health information management, or related field • At least five years of experience in clinical documentation or equivalent education and experience • Licensed RN • Master's degree preferred • CCDS or CDIP certifications preferred
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