Duke Careers

The Business Process Consultant supports revenue cycle processes across multiple departments and systems, focusing on business process improvement and data reporting. Responsibilities include developing documentation, optimizing workflows, and leading cross-functional teams to resolve complex issues. | A bachelor's degree is required, with a preference for a master's degree. Candidates should have at least 7 years of experience in system design, process workflow design, or business/systems consulting, preferably in the revenue cycle. | At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together. About Duke Health's Patient Revenue Management Organization Pursue your passion for caring with the Patient Revenue Management Organization, which is Duke Health's fully integrated, centralized revenue cycle organization that supports the entire health system in streamlining the revenue cycle. This includes scheduling, registration, coding, billing, and other essential revenue functions.  Duke University Health System - Patient Revenue Management Office (PRMO) seeks to hire a Business Process Consultant who will embrace our mission of Advancing Health Together. The Business Process Consultant supports revenue cycle processes that span multiple departments, multiple workflows and systems or supports analytic efforts of the revenue cycle through report development, data quality assurance, and analysis. The position also supports business process improvement efforts including projects to enhance automation, quality, and efficiency through report writing, analysis, business case development and data validation Work Performed   Revenue Process Support, Workflows and Systems   Develop and maintain written documentation for processes that exist between departments, systems, external vendors and payers.   Act as a high level business process consultant between operations, performance improvement and IT for needs that cross boundaries.   Implement processes and practices that can adapt quickly to changing organization, business, and payer demands. The position does not replace normal relationships between various departments but rather acts as a compliment to existing relationships to enhance and expedite performance improvement activities.   Reviews business process, system or other changes that might impact existing workflows and recommends methods to optimize to desired state and improve efficiency.   Review system or process architecture in scope of assigned projects.   Perform business impact reviews of test plans that span across departments, workflows or systems or to assess impact, efficiency and effectiveness.   Create, optimize and support implementation of processes which link closely to system work flows. Determine how these work flows will impact existing staffing, how to continuously refresh and monitor these flows and recommend optimal change management processes.   Communicate information clearly and create an environment where people can engage in open dialogue and reach effective solutions together to optimize workflow or process.   Direct cross-functional teams to resolve complex issues related to automated workflows or other complex processes or lead discussions with the business and operational leaders to analyze reporting needs, configure and model data and develop reports using specialized knowledge of reporting applications and software applications.   Data Reporting and Analysis   Responsible for creating and managing the financial and operational reports generated on regular and an ad hoc basis using software applications for report writing and data warehousing; provides consultation and assistance to ensure end users and operational reporting needs are met through report development and design.   Primary liaison to various internal and external user groups within PRMO and Duke in terms of revenue cycle data reporting and analysis.   Assist PRMO or DHIP Senior leadership, management and staff in analyzing, interpreting, and presenting data and information to various parties both internal and external to DUHS Develop and build reporting solutions that monitor and benchmark cost, utilization and other quality and performance indicators; Act as primary support to senior leadership in accessing relevant data necessary to develop strategic and operational business plans, and process improvements.   Develop business case analysis to support process optimization and change.   Perform troubleshooting, problem solving activities related to business intelligence reporting as necessary. Analyze data and reports to understand business impact, correlations/discrepancies, and to propose changes/alternate solutions. Work closely with the Information Technology teams to resolve issues, and perform analysis in a timely manner.   Minimum Qualifications Education   Bachelor's degree required. Master's degree preferred   Experience   Extensive knowledge of work flow and/or system design is required. Minimum of 7 years of experience with system design, process work flow design or business/systems consulting. Revenue cycle experience preferred. Extensive knowledge of analytical tools, business intelligence tools and statistical packages.   Degrees, Licensures, Certifications   Lean or Six Sigma certification a plus but not required.     Knowledge, Skills and Abilities   Strong analytical and communication skills. Strong computer skills to include database analysis. Statistical software experiences a plus. Level Characteristics   Strong analytical and communication skills. Strong computer skills to include database analysis. Statistical software experiences a plus.   Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex (including pregnancy and pregnancy related conditions), sexual orientation or military status. Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas—an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values. Essential Physical Job Functions: Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.

Support revenue cycle process analysis, identify improvement opportunities, and lead projects to optimize workflows and financial performance. | Minimum 7 years of experience in revenue cycle analytics, proficiency with Epic and BI tools, and strong analytical skills. | At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together. About Duke Health's Patient Revenue Management Organization Pursue your passion for caring with the Patient Revenue Management Organization, which is Duke Health's fully integrated, centralized revenue cycle organization that supports the entire health system in streamlining the revenue cycle. This includes scheduling, registration, coding, billing, and other essential revenue functions.  Duke University Health System - Patient Revenue Management Office (PRMO) seeks to hire a Business Process Consultant who will embrace our mission of Advancing Health Together. The Business Process Consultant (BPC) serves as the primary analytical resource supporting all revenue cycle processes, systems and workflow.  The BPC is a subject matter expert in Epic (Maestro Care), data analytics, payer reimbursement and demonstrates a broad spectrum of operational expertise across many areas of the Revenue Cycle.  The BPC supports the Revenue Cycle departments and operational leaders within the Patient Revenue Management Organization (PRMO) by identifying opportunities to improve operational efficiency and performance.  The BPC has a system focus through monitoring of dashboards and key metrics to pro-actively identify, analyze, and trend issues.  The BPC strategically supports operations by identifying opportunities to improve workflow and effectiveness through projects and innovative solutions to enhance automation, quality and efficiency through enhancement requests, report writing, analysis and business case development and data validation. Work Performed   Identification and Analysis of Financial Opportunities:   Identify existing and future revenue cycle-based improvement opportunities Lead PRMO discussions, evaluations, selections and prioritization of improvement opportunities, including the development of an ROI analysis to better understand and determine potential impact on overall PRMO performance Work closely with PRMO leadership to understand operational goals and challenges to identify opportunities for enhancements Perform and prepare regular root cause analysis of performance of the revenue cycle function to identify areas of opportunity utilizing various data systems including Slicer Dicer and Tableau Responsible for various standard, recurring reporting functions to support revenue cycle operational business needs Assists revenue cycle senior leaders in working closely with organizational stakeholders to improve financial performance based on analytic findings Monitor key performance indicators for internal and external parties Cultivates internal relationships to assist in understanding department workflows Provides analytics for and supports special projects as needed (e.g. new payer policy financial impact) Support investigation into claims/denials patterns, payer policy changes, collection rate shifts, avoidable write-off’s, and payer mix evaluation to optimize payer performance. Develop analytical models that are well-documented containing advanced formulas and functions that are used to evaluate historical trends, forecast future expectations, or draw conclusions Point person for month-end Revenue Cycle Net Revenue Review   Revenue Cycle Strategic Initiatives and Project Management:     Create, design, lead, and implement strategies that will reduce AR, improve aging AR, improve net collection rate, eliminate waste through    automation or optimization of workflows, reduce denials, and reduce avoidable write -offs, for all areas of the Revenue Cycle Develop, maintain, and enhance knowledge of Revenue Cycle systems and third-party vendors to support recommendations  for optimal workflows. Leverage technology and best practices to recommend process improvements   Collaboration:     Effectively communicate trends to influence all levels of leadership for   process improvements Partner with leaders and teams to review and establish improvement opportunities Perform project management duties to align multi-disciplinary groups across the revenue cycle and clinical departments, corporate finance, DHTS, and hospital service line leadership Communicate and track progress of identified issues and action  items Partner with Operations Improvement on outstanding optimization and automation projects Other:   Promote PRMO strategic vision, mission, and purpose while emphasizing teamwork and results. Create and foster a department culture that provides a satisfying and enriching environment in which staff can be developed and retained. Interact with and provide timely verbal/written responses to all stakeholders (patients, providers, payors, and departmental personnel). Acknowledge management requests and emails in a professional, timely manner. Attend meetings and participate in Work Culture initiatives, committees or workgroups, as assigned. Accomplish all tasks as assigned.     Minimum Qualifications   Education    Bachelor's degree required. Master's degree preferred.   Experience    Minimum of 7 years work experience. Extensive knowledge of Revenue Cycle analytical tools, business intelligence tools and statistical packages. Proven experience with Revenue Cycle workflows to include but not limited to overall claims processing spanning the life cycle of the revenue cycle, denials management, insurance follow up, and net collection rate impacts and calculations. Experience can be supplemented with Master's degree with a Masters being equivalent to two years of experience   Degrees, Licensures, Certifications    None   Knowledge, Skills and Abilities   Knowledge of:   Epic System (Revenue Cycle Applications) Revenue Cycle operations   Ability to:   Understand revenue cycle operational performance goals/metrics Strong analytical skills Perform root cause analysis with accuracy Identify and implement optimization opportunities within Epic Investigate and analyze information and provide recommend solutions for identified issues Develop, implement and oversee project teams comprised of IT and operational resources Communicate effectively, both orally and in writing Demonstrate strong interpersonal and communication skills Work effectively with a wide range of constituencies in a diverse community Foster a positive work environment Multi-task   Systems   Epic MS Office Applications (Word, Excel, Visio, PowerPoint) . Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex (including pregnancy and pregnancy related conditions), sexual orientation or military status. Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas—an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values. Essential Physical Job Functions: Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.

Manage credentialing processes for medical providers ensuring compliance with regulatory standards and maintain accurate credentialing databases. | Bachelor's degree or equivalent experience, one year of medical staff credentialing experience, knowledge of regulatory standards, and preferred NAMSS certification. | At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together. Job Band D1 General Description of the Job Class Under the supervision of the Manager of DUHS CVO and the Lead Credentialing Specialist, the Credentialing Specialist is responsible for all aspects of the credentialing for all medical providers who provide patient care at Duke University Health System (DUHS), Responsible for ensuring providers are credentialed in accordance with The Joint Commission, NCQA, CMS, and AAAHC Standards for health plans, hospitals, ambulatory care centers, and patient care facilities. Maintain up-to-date data for each provider in credentialing databases and online systems; ensure timely renewal of appointments and all-time limited credentials. Duties and Responsibilities of this Level • Processes Initial applications for DUHS, ensuring compliance with regulatory requirements. • Obtains verification from primary sources for all regulatory requirements and monitors all applications assigned credentialing to provide updates to applicants and documents in the credentialing system in compliance with regulatory standards. • Researches and maintains current and accurate data for all providers for the Health System within the Credentialing database. • Verifies the legitimacy of practitioner information with the primary source of the credentials and in accordance with the accreditation regulatory standards, and state/federal laws for universities, licensing agencies, hospitals, and certification bodies. • Maintains a complex credentialing database with up-to-date practitioner information, including medical license, drug enforcement administration (DEA) certificate professional liability insurance, board certifications, and renewal period expiration dates. • Executes queries for the National Practitioner Data Bank (NPDB) for initial applications through NPDB Continuous Query in the Credentialing database. • Ensures that any reports received through the queries are flagged for the Medical Staff Offices • Presents complete Health System applications with credentialing verification materials and flags any concerns for initial applications for the Medical Staff Offices to act upon. • Ensures data integrity within the Credentialing database for physician practice demographic information and ensures it is compliant with health plans, agencies, and other entities. • Analyzes complex information in the credentialing application process, ensuring there are no time gaps, we are obtaining the documentation required for compliance with policies, regulatory standards, and State and Federal laws. • Maintains confidentiality of all provider information within our credentialing database, as well as documentation gathered through the credentialing process. • Provides credentialing and privileging verifications in accordance with regulatory standards, and state/federal laws. • Composes, proofreads, or edits formal correspondence, memoranda, and short reports for internal and external circulations. Assembles attachments and corresponding materials. Reviews outgoing materials for completeness, dates, and signatures. • Serves as a credentialing subject matter expert with internal and external contacts on the administration of the program and/or program policies and procedures. • Applies office standards, policies, procedures, and authority levels when responding to questions from both internal and external customers. • Organizes and maintains resource information and job procedures pertinent to responsibilities. • Prepares a variety of documents, records, reports, etc. as needed to perform job responsibilities. • Performs other duties as assigned. Required Qualifications at this Level Education: Work requires analytical, communication and organizational skills generally acquired through the completion of a bachelor's degree program. In lieu of a bachelor's degree, four years of relevant experience in Medical Staff Credentialing/Privileging (in addition to the experience requirement for the role) Experience: One year of experience in a Medical Staff credentialing office. Degrees, Licensure, and/or Certification: Certification by NAMSS (CPCS and/or CPMSM) preferred Knowledge, Skills, and Abilities: Maintains knowledge, as the Subject Matter Expert for compliance of delegated credentialing contracts of current health plan and agency requirements in the managed care contracts for credentialed providers. Maintains knowledge, as the Subject Matter Expert of state/federal laws, regulatory standards for accreditation purposes, and DUHS Bylaws, policies, and procedures. Distinguishing Characteristics of this Level N/A Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex (including pregnancy and pregnancy related conditions), sexual orientation or military status. Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends onthe robust exchange of ideas—an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values. Essential Physical Job Functions: Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.

The Senior IRB Specialist will advise and assist faculty, students, staff, and administrators in the design of ethical research and ensure compliance with regulations. They will conduct preliminary reviews of protocol submissions and act as a liaison between the IRB and the Duke community. | Candidates must have a Bachelor's degree and a minimum of two years in an administrative or regulatory environment related to human research protections. A related master's degree may substitute for experience on a 1:1 basis. | Duke University: Duke University was created in 1924 through an indenture of trust by James Buchanan Duke. Today, Duke is regarded as one of America’s leading research universities. Located in Durham, North Carolina, Duke is positioned in the heart of the Research Triangle, which is ranked annually as one of the best places in the country to work and live. Duke has more than 15,000 students who study and conduct research in its 10 undergraduate, graduate and professional schools. With about 40,000 employees, Duke is the third largest private employer in North Carolina, and it now has international programs in more than 150 countries.  Be You. Be Bold. Choose Duke. Be You. At Duke, we celebrate individuality and the unique perspectives that each member of our community brings. As the IRB Specialist, Senior, you’ll be a vital part of a collaborative, interdisciplinary team that supports ethical research practices across Duke’s diverse academic landscape. You’ll work closely with faculty, students, staff, and administrators to ensure human subject research is conducted with integrity and in compliance with all applicable regulations. Be Bold. What You’ll Do: Campus IRB Support Advise and assist faculty, students, staff, and administrators in the design of ethical research, providing discipline-specific guidance using pre-review and consultation. Provide regulatory interpretation (federal, state, and local law, Duke and IRB policy) for faculty, students, staff, and administrators preparing research protocols. Conduct preliminary reviews of protocol submissions, including risk/benefit analyses and determination of the appropriate level of review. Write memoranda for researchers summarizing the outcome of pre-review, including rationale for proposed changes. Act as liaison between the IRB and Duke faculty, students, staff, and administrators. Program Development Assist the Program Director in the development of policy and resource materials. Conduct seminars and workshops for students, staff, and faculty. Develop in-service training for the IRB. Assist the Program Director with initiatives and projects as needed. Constituent Support Prepare agreements with other institutions engaged in collaborative research with Duke. Correspond with external agencies regarding research. Respond to inquiries from research subjects. Choose Duke. This is a remote position, open to candidates residing in California, Florida, Georgia, Maryland, New York, North Carolina, South Carolina, Tennessee, Texas, Virginia, or Washington, DC.   Preferred Experience: Social, behavioral, and educational research IRB experience is strongly preferred. Required Qualifications: Bachelor’s degree with strong communication, analytical, and organizational skills. Minimum of two years in an administrative or regulatory environment, preferably within human research protections in the social and behavioral sciences. A related master’s degree may substitute for experience on a 1:1 basis. Anticipated Pay Range: Duke University provides an annual base salary range for this position as USD $61,535.00 to USD $95,880.00. Duke University considers factors such as (but not limited to) scope and responsibilities of the position; candidate's work experience, education/training, and key skills; internal peer equity; as well as market and organizational considerations when extending an offer. Your total compensation goes beyond the dollars on your paycheck. Duke provides comprehensive and competitive medical and dental care programs, generous retirement benefits, and a wide array of family-friendly and cultural programs to eligible team members. Learn more at: https://hr.duke.edu/benefits/ Essential Physical Job Functions: Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.   Ready to Make a Difference? Apply now and help us build a stronger, smarter, and more connected future.    Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex (including pregnancy and pregnancy related conditions), sexual orientation or military status.   Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends onthe robust exchange of ideas—an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.   Essential Physical Job Functions: Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.