Duke University

Support revenue cycle processes by analyzing workflows, identifying improvement opportunities, and developing data-driven solutions. | Extensive experience in revenue cycle operations, proficiency with Epic systems, and strong analytical skills are required. | 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) • Kodiak RCA . 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 a portfolio of clinical research grants and contracts including pre-award budgeting, post-award financial reconciliation, compliance monitoring, and stakeholder communication. | Bachelor's degree, ability to complete required Duke research administration training, knowledge of federal and university grant regulations, strong analytical and communication skills, and experience or education in clinical research administration preferred. | School of Medicine Established in 1930, Duke University School of Medicine is the youngest of the nation's top medical schools. Ranked sixth among medical schools in the nation, the School takes pride in being an inclusive community of outstanding learners, investigators, clinicians, and staff where interdisciplinary collaboration is embraced and great ideas accelerate translation of fundamental scientific discoveries to improve human health locally and around the globe. Composed of more than 2,600 faculty physicians and researchers, nearly 2,000 students, and more than 6,200 staff, the Duke University School of Medicine along with the Duke University School of Nursing, and Duke University Health System comprise Duke Health, a world-class academic medical center. The Health System encompasses Duke University Hospital, Duke Regional Hospital, Duke Raleigh Hospital, Duke Health Integrated Practice, Duke Primary Care, Duke Home Care and Hospice, Duke Health and Wellness, and multiple affiliations. Are you a master of navigating complex grants and contracts? Join a team where your expertise in compliance, regulations, and strategic oversight fuels groundbreaking research and innovation. In this pivotal role, you'll manage a high-impact portfolio, applying your analytical skills and technical know-how to ensure success from start to finish. Candidates must reside in the following states: AL, AZ, CA CO, CT, DE, FL, GA HI, IL, IN, IA, KY, LA, ME, MD, MA, MI, MT, NH, NJ, NY, NC, OH, OR, PA, SC, TN, TX, VA, WA, & Washington, DC. Be You. This position will be located within the School of Medicine Shared Research Administration Resource Group and will play an active role in working with specifically identified departments to manage their portfolio of grants and contracts. • Pre-award activities include support for clinical research, including trials, for PI initiated and Sponsor initiated studies, for multiple clinical research programs. • Ensure all applications and contracts meet sponsor/agency and university guidelines adhering to the necessary internal and external deadlines. • Post-award activities include detailed reconciliation of assigned project budgets, preparing complex budget reports, preparing adjustments and corrections in assigned project budgets for further review and approval in order to meet project goals and federal requirements. You will effectively manage assigned projects and financial project portfolios using independent judgment and discretion to make decisions that impact the compliance and successful completion of the clinical research studies. You will build and maintain close collaborative working relationships with the Principal Investigators (Pls), key study personnel and colleagues throughout Duke to effectively manage the financial activities of research studies. This position is responsible for managing and overseeing an assigned portfolio of complex grants and contracts using knowledge of grant and contract management rules and regulations, technical expertise, and analytical skills. Work Arrangement – Remote; Candidates must reside in one of the approved states for remote work, which can be viewed here: https://remotework.duke.edu/policy/outside-nc/ Anticipated Pay Range - Duke University provides an annual base salary range for this position as USD $ 59,829.00 to USD $96,900.00. 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 y our 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/ DEPARTMENTAL PREFERENCES Successful candidates will have previous clinical research administration experience and/or pre-award AND post-award administrative and financial experience. Research or grants education and/or certification is preferred. University Sponsor and/or University setting experience strongly preferred. MINIMUM QUALIFICATIONS Education/Training – Work requires communications, analytical and organizational skills generally acquired through completion of a bachelor's degree program. Successful completion of Financial Services Introduction to R3, Introduction to Duke GL, Introduction to Accounting, Sponsored Research Reporting, Research Administration at Duke (online), Basic Compliance (online), Duke Human Research Training (online), Budget Development and Negotiation Training, and Industry Funded Clinical Research—Process for Contracts within first six months of hire is required. Successful completion of the Research Administration Academy (RAA) is expected. Employees hired into this classification without RAA training will work closely with their manager to schedule and complete the training within 12 months of start date. The expectation is that the staff member will maintain the requirements for their level. Failing to meet these requirements will be addressed through the performance review process. Upon successful completion of expected training, the employee must maintain certification(s) by completing continuing education requirements. Experience - No experience required for candidates who possess a Bachelor's or Master's degree in a field of study directly related to the specific position. Be Bold. Skills • Ability to analyze data and formulate conclusions. • Ability to learn changing technologies related to grants and contracts management. • Proficient use of computers; requires solid working knowledge of MS Office Suite (Word, Access, Excel, Power Point). • Ability to communicate both verbally and in writing with all levels of the organization. • Ability to manage and prioritize multiple projects/tasks simultaneously. • Ability to create verbal and written reports. • Knowledge of federal rules and regulations relating to research grant and/or contract activity. • Knowledge of Duke University policies and procedures relating to grant and contracts activity. • Knowledge of Duke University processes, systems and offices related to and/or involved in grant and contract submission and management. • Understand and be able to apply federal and university rules to management of effort allocation for individuals compensated whole or in part from federal awards. • Understand and be able to apply costing rules and regulations to federally funded projects. • Experience with/Ability to perform required functions in SPS, R3, grants.duke and SES relating to assigned duties. • Understand financial processes and controls including the reconciliation process. Work Performed Pre-award Job Responsibilities (10%) • Develop budgets and budget justification in collaboration with PI/Research Team which include proofing the budget for inconsistencies, ensuring accuracy and compliance with study protocol. • Arrange and participate in budget discussions. • Prepare and submit grants and contracts through pre-award process utilizing both Sponsor and Duke regulations. Follow through to submission to Sponsor. • Submit contracts through the SPS system for approval. Ensure receipt of sponsor signatures on final agreement. • Advise the faculty/PI on administrative requirements in preparing proposal submissions. • Assist faculty/PI and study team with development of internal cost assessment including the use/implementation of the Clinical Research Management System, if applicable. • Obtain management approval on external and internal budgets before sending to the sponsor for review. • If required prepare, coordinate and review proposal elements such as biosketches, justifications and facilities & resources for consistency, accuracy, and completeness. • Monitor compliance with agency and University regulations regarding submission; verify all financial information, including the application of the appropriate overhead rate for the project. • Negotiate budget and payment terms with the approval from the Principal Investigator, research team and Grants and Contracts Manager. • Review informed consent to ensure it is consistent with the budget and financial terms outlined in the agreement. • Interpret contractual payment terms and prepare final contract and associated budget and documents for initial invoice. Post-award Job Responsibilities (80%) • Read and develop a full understanding of the terms and conditions of the executed budget and payment schedule in order to set-up and effectively manage study finances. • Manage the patient reimbursement process in a timely manner. Monitor and determine appropriate charging of patient care expenses to the study fund codes. • Promptly invoice, collect, deposit and record funds to the appropriate fund code according to the executed study budget and payment schedule for study start-up, ongoing per patient revenue, and all other earned invoice able payments. Follow up as needed to ensure invoices are paid promptly. • Manage overdrafts. • Ensure that the Clinical Research Unit (CRU) Management Fee is transferred from study revenue to the applicable research infrastructure codes. • Close-out studies in a timely manner in compliance with School of Medicine (SOM) policy and the requirements of the funding agency, as applicable. Transfer any residuals in accordance with Departmental and School of Medicine (SOM) policy. • Work closely with the study team to manage effort and make adjustments as needed to ensure that funding sources are properly aligned with the effort of faculty and study staff, while maintaining compliance with funding agencies policies. • Monitor proposal and contract status and advise faculty/PI on requirements and deadlines associated with research protection protocols. • Reconcile monthly budget reports and inform faculty/PI and/or supervisor of potential corrections/adjustments that have been made. • Monitor compliance with agency and University regulations regarding reporting. • Maintain financial records per the institutional documents’ retention guidelines. Administrative Job Responsibilities (10%) • Produce reports and fiscal forecasts for the study team regularly during the study with enough detail for study teams to make informed decisions about their research portfolio, Hub accounts and funds available to support effort and other expenses. • Develop project management plan for review by the faculty/PI or senior level grants administrator. • Serve as primary liaison with sponsors, study personnel and PIs. Collaborate, and communicate with other study personnel as required. Communicate concerns clearly in a professional manner. Respond timely to emails, phone calls and questions. Refer more complex questions and escalate issues to others as appropriate. • Interpret departmental policies and procedures, making decisions on specific operating problems and issuing instructions on behalf of unit. • Apply federal and university rules to appropriately manage effort for individuals compensated, in whole or in part, from sponsored awards. • Submit reports to the Divisional Administrator/Business Manager/Leadership when requested. Tier Structure Associate: Proficient as a grants and contracts administrator. Advanced: Experienced, highly capable, and requires minimal oversight of work. Experience - 3 years of relevant experience (2 years for internal employees who have received 2 Exceeds Expectations on performance reviews). Training - RAA required in addition to 2 electives to prepare for AGM is required. AGM must be completed within 12 months. Lead: Advanced tier competencies as well as responsibilities for mentoring and developing staff. Oversees work of others. May or may not carry same responsibilities as a full supervisor. Experience - 3 years of relevant experience (2 years for internal employees who have received 2 Exceeds Expectations on performance reviews). Training - RAA and AGM required. Expected to attend all the appropriate internal updates. Senior: Subject matter expert. May be responsible for mentoring and developing others. Experience - 6 years of relevant experience (5 years for internal employees who have received 4 Exceeds Expectations on performance reviews. CRA certification can also reduce the years of experience requirement to 5 years). Training - RAA and AGM required. Expected to attend all the appropriate internal updates. The intent of this job description is to provide a representative and level of the types of duties and responsibilities that will be required of positions given this title and shall not be construed as a declaration of the total of the specific duties and responsibilities of any particular position. Employees may be directed to perform job-related tasks other than those specifically presented in this description. Choose Duke. Ready to Make a Difference? Step into a role where your expertise fuels academic excellence and your impact is felt across disciplines. If you're passionate about supporting research, empowering faculty, and grants and contract compliance—apply now! 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.