Massgeneralbrigham

Analyze and improve healthcare denial prevention processes to enhance operational efficiency and patient care. | Bachelor's degree and 1-2 years of process improvement or quality management experience, with skills in data analysis, healthcare operations, and project management. | Site: Mass General Brigham Incorporated Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham. Job Summary As a member of the Denial Prevention Team, the Denial Prevention Process Improvement Specialist will drive continual improvement efforts to prevent insurance rejections and related write offs. Responsible for analyzing, designing, and implementing process improvement initiatives to enhance the quality of patient care, operational efficiency, and patient safety by identifying areas for improvement, streamlining processes, and promoting a culture of continuous improvement within the hospital. Essential Functions -Utilize knowledge of revenue cycle and hospital operations to interpret denial data, identify trends and translate findings into actionable prevention strategies. Analyze existing denial prevention healthcare processes, workflows, and procedures to identify inefficiencies, bottlenecks, and areas for improvement. -Develop and implement performance metrics and key performance indicators to measure process effectiveness and track improvement initiatives. -Lead or participate in quality improvement projects to optimize patient care, patient safety, and healthcare outcomes. -Gather and analyze data related to process performance, patient outcomes, and other quality-related indicators to inform improvement efforts. -Conduct root cause analysis to identify the underlying factors contributing to process issues or adverse events. -Collaborate with cross-functional teams to design and implement redesigned processes that are efficient, standardized, and aligned with best practices. -Facilitate change management efforts to ensure successful implementation of process improvements and promote staff buy-in. -Continuously monitor and evaluate the effectiveness of implemented improvements and make adjustments as needed. Qualifications Education • Bachelor's Degree in a related field of study required Experience • 1-2 years of process improvement/quality management experience preferred Knowledge, Skills and Abilities • Strong data analysis and statistical skills to interpret performance data and identify trends. • Familiarity with healthcare operations, patient care processes, and healthcare quality standards. • Excellent communication and interpersonal skills to collaborate with various stakeholders and present findings and recommendations. • Strong problem-solving and critical-thinking skills to identify process issues and implement effective solutions. • Proficiency in project management to lead and coordinate improvement projects from initiation to completion. • Skilled in Excel functions, formulas, and pivot tables. Additional Job Details (if applicable) Remote Type Remote Work Location 399 Revolution Drive Scheduled Weekly Hours 40 Employee Type Regular Work Shift Day (United States of America) Pay Range $63,648.00 - $90,750.40/Annual Grade 6 At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package. EEO Statement: 0100 Mass General Brigham Incorporated is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran's Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at (857)-282-7642. Mass General Brigham Competency Framework At Mass General Brigham, our competency framework defines what effective leadership "looks like" by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.

Design and implement clinical data reports and dashboards, collaborate with stakeholders to meet reporting needs, and ensure data quality and accuracy. | Requires experience with PowerBI, SQL, and healthcare reporting tools; Epic certification preferred but not confirmed from your resume. | Site: Mass General Brigham Health Plan Holding Company, Inc. Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham. Job Summary Under the direction of the Manager of Clinical Reporting and BI, Responsible for designing and implementing data analysis and reporting solutions to meet the data and reporting needs of the enterprise's clinical department. Work closely with customers from clinical department and population health management to identify and maximize opportunities to utilize Epic Payer Platform and underlying data structures namely Clarity and Caboodle and Epic Cogito dashboards to improve business processes, quality and regulatory reporting. Essential Functions Designs, develops and supports high-quality dashboard visualizations which provide a consistent user experience and highlight key data elements determined by stakeholders Take part in the iterative process of designing , developing, refining, and testing dashboards and reports with a special focus on clinical reports. Work with stakeholders to identify data needs, develop data models, and build and maintain reporting systems. Responsible for ensuring that data is accurate, timely, and accessible to support business decisions and improve outcomes Offer best practices in distributing content via PowerBI and Epic reporting tools Interpret the business needs of the key stakeholders and develop actionable and accessible dashboards and reports, leveraging data visualization tools e.g. PowerBI Retrieve, organize, and manipulate data from the Enterprise Data Warehouse, Epic's Clarity database and other databases. This will require programming (SQL or similar) to prepare data for reporting and analysis. Responsible for completing thorough quality assurance procedures ensuring accuracy, reliability, and validity of work Build strong customer relationships and deliver solutions that meet customer expectations; establish and maintain effective customer relationships - both internal as well as external Performs other duties as assigned Complies with all policies and standards Qualifications Education Bachelor's Degree Information Systems preferred Epic Certification or Accreditation in Reporting Modules, preferably Cogito, Clarity and Caboodle Data Model Required experience designing reports and dashboards using PowerBI and other data visualization tools 2-3 years required Required experience with programming languages and/or statistical software including SQL and SSIS 2-3 years required Preferred experience with programming languages and/or statistical software including SAS, Python, SSRS, or R 2-3 years preferred Two or more years of progressive, post baccalaureate experience in a professional healthcare setting, working with business users in developing analytical solutions to meet clinical and operational/ business needs 2-3 years preferred Prior experience with Epic's Cogito suite 1-2 years preferred Prior experience building reports using Epic's reporting tools, including Radar, Reporting Workbench and SlicerDicer 1-2 years preferred Knowledge, Skills and Abilities Ability to function effectively and independently in a fast-paced environment, organize and prioritize work independently, and meet tight deadlines. Ability to interpret and document regulatory and business reporting requirements Possess strong interpersonal skills to effectively communicate with cross functional teams including staff at all levels of the organization. Practical problem-solving abilities, i.e. the ability to formulate hypotheses and test options. Strong visualization and usability design skills. Intermediate programming language and/or statistical software skills (SQL, SAS, Python, SSIS, SSRS or R) Ability to build reports using Epic reporting tools such as Radar, Reporting Workbench and SliceDicer. Additional Job Details (if applicable) Working Conditions While this position is designated as Remote, all employees, including those classified as Remote, may be required to attend meetings, trainings, or other necessary functions onsite at a Mass General Brigham location on an as-needed basis. Reasonable notice will be provided for any required in-person attendance. Remote Type Remote Work Location 399 Revolution Drive Scheduled Weekly Hours 40 Employee Type Regular Work Shift Day (United States of America) Pay Range $75,275.20 - $109,553.60/Annual Grade 6 At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package. EEO Statement: 8925 Mass General Brigham Health Plan Holding Company, Inc. is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran's Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at (857)-282-7642. Mass General Brigham Competency Framework At Mass General Brigham, our competency framework defines what effective leadership "looks like" by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.

Provide administrative and operational support to the MGH Center for Immigrant Health and Asylum Clinic, including managing referrals, coordinating volunteers, organizing events, data collection and reporting, and supporting program growth and outreach. | Bachelor's degree required, strong organizational, communication, and multitasking skills, ability to manage data systems, experience with grant and budget administration, and cultural humility working with diverse populations. | Site: The General Hospital Corporation Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham. Job Summary Background on MGH Center for Immigrant Health and Asylum Clinic The MGH Center for Immigrant Health (CIH) is an interdisciplinary team whose mission is to foster excellence in clinical care, education, advocacy, and research to improve the health and wellbeing of immigrants across all departments and clinical sites at MGH and within the community. The MGH Asylum Clinic (AC) coordinates teams of volunteer MGH clinicians with specialized training to provide forensic medical and psychological evaluations to asylum applicants for the purposes of documenting evidence of prior trauma or abuse, in close collaboration with local attorneys and legal partners. The Role of the Immigrant Health Program Coordinator The MGH Center for Immigrant Health and Asylum Clinic are jointly seeking a highly motivated individual to provide administrative and operational support to both programs. This unique role will report directly to the MGH CIH Program Manager, with an indirect report to the MGH AC Director and CIH leadership. The Program Coordinator will assist with the MGH CIH's diverse activities including growth and development, education, community outreach, monitoring and evaluation, qualify improvement, and communication. The Program Coordinator will be responsible for organizing and facilitating Asylum Clinic referrals from legal partners to appropriate clinical providers and supervising administrative volunteers and interns. They will collaborate with Asylum clinic volunteers, leadership, administrative staff, and research personnel to create a nurturing, welcoming environment, helping to implement clinic policies to reflect trauma-informed care. The Program Coordinator will work to support the CIH and AC's engagement and outreach activities, which include coordinating the joint quarterly Community Advisory Board and monthly Immigrant Health Coalition meetings, organizing the annual Migration is Beautiful inclusivity campaign, and collaborating with partner centers and institutions. The Program Coordinator role will require strong critical thinking, independence, superb organizational skills, strong written and verbal communication skills, and a sense of accountability. The candidate should demonstrate analytical skills and ability to resolve technical problems and would benefit from a basic knowledge of data management programs and statistical software. The individual will comply with all data collection, data entry, and data integrity needs for facilitation of clinical care and reporting requirements to funders. This position is well suited for an individual interested in pursuing graduate studies or a career in the fields of medicine, public health, social work, health administration, or nonprofit management. Career development activities include participation in AC and CIH program development, research and training initiatives, and participation in hospital-wide educational opportunities. Qualifications Administrative Responsibilities: • Responsible for managing multiple calendars, including scheduling meetings and events; creating and distributing agendas and meeting minutes; etc. • Manages multiple email inboxes and distribution lists, receiving and triaging incoming telephone calls and email messages. • Assists with, develops, and distributes internal and external communications, including website content, priorities and task lists, PowerPoint presentations, memos, newsletters, quarterly and annual reports, publication content, etc. • Assists with organizational budget and management of grants and awards, including expense tracking; facilitating payments and reimbursements; completing and submitting reports; etc. • Develops and plans inventory for materials for distribution to patients/staff in clinical programs and at internal and community-facing events • Organizes both in-person and virtual outreach activities including community events, tabling, etc. • Organizes and completes administrative tasks relating to quarterly meetings of Community Advisory Board including recruitment, agenda setting, communication, and remuneration of participants. • Supervises administrative volunteers and interns at the Asylum Clinic. • Oversees collaboration with the MGH Patient Support Corps (PSC) and education of PSC volunteers, undergraduate students providing outreach and support to AC patients prior to their appointments. Program Coordination responsibilities: • Maintains online Asylum Clinic referral systems, triaging and responding to referrals, liaising with attorneys, recruiting clinicians, scheduling interpreters, and scheduling participants' evaluations. • Organizes volunteers to adapt to changing programmatic needs, including AC clinical evaluations, administrative responsibilities, advocacy projects, and research. • Conducts data entry and collects, organizes, maintains, and analyzes clinical and program data. • Uses software to generate graphs and reports. • Works creatively to establish program efficiencies through technology, including REDCap, Microsoft Office Suite, Microsoft Teams, and Zoom. • Assists with writing and managing grant proposals and IRBs for program evaluation, quality improvement, and research projects, grant preparation and administration. • Assists the team in managing relationships with key stakeholders and community and institutional partnerships, including community agencies, other hospital systems, legal service providers and Community Advisory Board members. • Assists with recruitment strategies and hiring/onboarding process for program staff and volunteers, including vetting applications, coordinating interviews, etc. • Conducts library/literature searches. • Assists with implementation of clinical programming. • Engages in other activities to support the Center for Immigrant Health and Asylum Clinic leadership as needed. Maintain professional standards and follow protocols • Maintain HIPAA standards and confidentiality of protected health information. • Adhere to departmental/organizational policies and procedures. • Engages in learning and growth opportunities including attending hospital-wide educational events such as Grand Rounds and pursuing relevant training opportunities with the approval of supervisor. Additional Job Details (if applicable) Skills/Abilities/Competencies • Bilingual candidates preferred. • Possesses an awareness of immigration-related trends and issues at the state and national level. • Careful attention to detail, superb organizational and time-management skills. • Demonstrates flexibility, adaptability, the ability to multitask and to follow through on longitudinal programs. • Excellent interpersonal skills and ability to work both independently and collaboratively. • Self-management skills, including ability to prioritize and set goals. • Excellent written and verbal communication. • Ability to maintain professional boundaries. • Demonstrated ability to approach diverse, multilingual, vulnerable client population with respect and cultural humility. • Accountability to self and others, including colleagues, patients, and the communities with whom we partner. • Creative problem solver. • Ability to manage shared file and database systems including RedCap, Microsoft Teams, Google Docs, Microsoft Office Suite. Education • Bachelor's Degree required, advanced degree holders also welcome to apply. New graduates with some relevant course/project/volunteer work are welcome to apply, as are candidates with prior professional administrative or healthcare experience. Remote Type Hybrid Work Location 100 Cambridge Street Scheduled Weekly Hours 40 Employee Type Regular Work Shift Day (United States of America) Pay Range $52,000.00 - $74,401.60/Annual Grade 5 At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package. EEO Statement: The General Hospital Corporation is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran's Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at (857)-282-7642. Mass General Brigham Competency Framework At Mass General Brigham, our competency framework defines what effective leadership "looks like" by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.

Analyze and resolve patient data discrepancies, maintain data integrity across systems, collaborate on correction plans, provide education on policies, and participate in on-call support. | 2-3 years healthcare IT or health information management experience, Associate's degree in Health Information Management or related Bachelor's degree preferred, knowledge of Epic software preferred, ability to work remotely with a secure workstation. | Site: Mass General Brigham Incorporated Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham. Job Summary Reporting to the EMPI Operations Manager, the Data Integrity Specialist is responsible for ensuring the integrity and accuracy of patient records within the EMPI at Mass General Brigham (MGB). This position requires a high level of analytical skills and investigative abilities to maintain data integrity across MGB entities and affiliates. The ideal candidate for this role possesses strong analytical skills, can work independently and in a group setting, and excels in a fast-paced environment. They play a vital part in maintaining patient identity and data integrity by using their skills and tools to resolve identity discrepancies to support patient care delivery, data exchange, analytics, and critical business processes throughout the MGB network. Analyze and resolve complex data discrepancies presented in various work queues (i.e., potential duplicates, patient overlays, data conversion, and data integration models) utilizing various identity applications Determine root cause of data integrity issue, develop appropriate and comprehensive correction plan, and participate in the correction process collaborating with others as necessary. Observe and report operational trends or issues, communicate relevant findings to management and team members. Actively contributes to process improvement plan or initiative. Provide education to end users on established MGB policies and procedures regarding data integrity and patient identity to support standardization throughout the organization Deliver excellent customer service to patients and advocates patient rights to confidentiality through interaction with MGB entities, affiliates, community practices, and the public. Maintain comprehensive knowledge of departmental policies, procedures, and all job-related applications. Shows ability to work independently as well as cooperatively with others, contributing to a cohesive team environment Participates in on-call support rotation, providing 24/7 availability to address and resolve any urgent system issues or concerns that may arise. This involves promptly responding to calls, diagnosing problems, and implementing effective solutions to remediate the issue. Uses the MGB values to govern decisions, actions and behaviors. These values guide how we get our work done: Patients, Affordability, Accountability & Service Commitment, Decisiveness, Innovation & Thoughtful Risk; and how we treat each other: Diversity & Inclusion, Integrity & Respect, Learning, Continuous Improvement & Personal Growth, Teamwork & Collaboration Performs other duties as assigned and Complies with all policies and standards Qualifications Education • Associate's Degree Health Information Management required • or Bachelor's Degree in a Related Field of Study preferred Experience • Health information management, data analysis or healthcare information technology experience 2-3 years required • Epic software knowledge preferred Additional Job Details (if applicable) M-F Eastern Business between the hours of 7AM - 5PM EST required Remote role: a quiet, secure, stable, compliant work station required Remote Type Remote Work Location 399 Revolution Drive Scheduled Weekly Hours 40 Employee Type Regular Work Shift Day (United States of America) Pay Range $25.00 - $35.77/Hourly Grade 5 At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package. EEO Statement: Mass General Brigham Incorporated is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran's Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at (857)-282-7642. Mass General Brigham Competency Framework At Mass General Brigham, our competency framework defines what effective leadership "looks like" by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.

Manage radiation oncology insurance authorizations, coordinate with clinical staff, handle denials and appeals, and support billing and scheduling processes. | Minimum 5 years healthcare experience, knowledge of third-party payers, basic medical terminology and coding knowledge, and strong organizational and communication skills. | Site: The General Hospital Corporation Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham. Are you passionate about healthcare operations and patient advocacy? Join our Radiation Oncology team as an Insurance Specialist, where your expertise will directly impact patient care and treatment access. In this role, you'll be an integral part of the authorization process for radiation procedures, working closely with nurses, physicians, and clinical staff to ensure timely and accurate insurance approvals. Job Summary Under the general supervision of the Administrative Manager and according to the established policies and procedures, the Insurance specialist is responsible for overseeing the Radiation Oncology authorization process. Working very closely with nurses, physicians and other clinical staff members to ensure a quality-based, customer-oriented flow of work throughout the practice. Handles all aspects of insurance issues and assists patients with all the financial aspects of their visit. Serves as the subject matter expert in radiation oncology authorizations, and is the resource person for support staff, intake manager and all clinical staff. Key Responsibilities Serve as the department's subject matter expert on insurance authorizations for radiation treatments (e.g., Proton, IMRT, VMAT, SRS, SBRT, 3D). Determine patient eligibility and secure prior authorizations and pre-determinations from third-party payers. Collaborate with physicians to coordinate peer-to-peer reviews and draft letters of medical necessity. Proactively inform patients and providers of coverage issues before appointments are scheduled. Manage denied claims, guide staff on appeals, and work to overturn denials successfully. Maintain accurate records of referrals, authorizations, and billing transactions using Epic and other systems. Attend weekly Proton rounds and managed care meetings to communicate insurance updates and treatment availability. Optimize patient scheduling and treatment slot utilization using departmental tools. Support billing and charge review processes, including generating cost estimates for international patients. Qualifications EDUCATION: High School Diploma or GED required. Associates Degree or higher preferred EXPERIENCE: -Minimum of 5 years of healthcare experience -Knowledge of third party payers Knowledge of ICD10 and CPT coding a plus -Must have basic knowledge of Anatomy and Physiology Medical terminology and medical coding knowledge desired. -Willingness to continually learn and grow as a member of a Team and Department SKILLS/ ABILITIES/ COMPETENCIES REQUIRED: -Basic knowledge of Outlook, word and excel. Will train in department database system. -Ability of work independently and prioritize work. -Excellent customer service and communication skills -Good organizational skills required to handle multiple tasks in a busy environment The right candidate must have a positive attitude, quick mind, and thrive with working under strict timelines. Additional Job Details (if applicable) Remote Type Remote Work Location 100 Blossom Street Scheduled Weekly Hours 40 Employee Type Regular Work Shift Day (United States of America) Pay Range $18.99 - $27.17/Hourly Grade 4 At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package. EEO Statement: The General Hospital Corporation is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran's Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at (857)-282-7642. Mass General Brigham Competency Framework At Mass General Brigham, our competency framework defines what effective leadership "looks like" by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.

Develop and maintain pricing strategies and models, analyze revenue impact of pricing changes, support hospital CDM pricing schedules, and collaborate with stakeholders to ensure competitive and compliant pricing. | Bachelor's degree in Finance or related field, 3-5 years pricing or financial analysis experience including 2-3 years in healthcare, strong analytical and communication skills, proficiency with Excel, SQL, CDM tools, and understanding of healthcare reimbursement and regulatory requirements. | Site: Mass General Brigham Incorporated Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham. Job Summary This position is responsible for revenue analytics, and calculating the financial impact of Revenue Integrity initiatives. Develops, analyzes, and maintains pricing strategies and models for the organization. This involves evaluating cost structures, market conditions, and reimbursement methodologies to ensure competitive and compliant pricing. Essential Functions: - Responsible for strategic pricing analysis, including calculating the gross and net revenue impact associated with price changes and conducting what-if scenarios to evaluate various pricing models. - Develop and maintain Charge Description Master (CDM) pricing models and analytics that incorporate enterprise strategies and relevant data points (including market differentiation, competitive market prices, cost, payment, etc.). - Provide analytic support for the development of hospital CDM pricing (Epic fee) schedules by assessing and recommending pricing. Evaluate the estimated budget impact of recommended and implemented pricing. - Contribute presentation materials to inform and facilitate leadership decision-making, setting the context of discussion, analytic findings, options, and recommendations. - Serve as an administrator for the CDM software, including maintaining users, reporting, and performing data reconciliation. - Provide information needed to identify fluctuations in revenue and collaborate with Revenue Integrity team members, clinical departments, and other key stakeholders to investigate variances. - Prepare annual charge master change notifications to insurers per contractual requirements by acquiring all necessary inputs from various hospitals in a timely manner and accurately updating charge based rates in alignment with reported changes. - Develop, maintain, and implement Pricing and CDM Management policies, procedures, and training materials. - Performs other duties as assigned - Complies with all policies and standards Qualifications Education • Bachelor's Degree required with concentration in Finance, Accounting, Business Administration or a related field of study Experience • 3-5 years of experience required in pricing analysis, financial analysis, or revenue management or related areas • 2-3 years of experience in a healthcare or hospital setting required Knowledge, Skills and Abilities • Strong analytical and quantitative skills with the ability to interpret complex data and generate actionable insights. • Proficiency in financial modeling, cost analysis, and understanding healthcare market research. • Effective communication and presentation skills, with the ability to convey complex information to diverse audiences. • Advanced proficiency in Microsoft Excel, financial analysis, relational database and business intelligence tools, and relevant software (e.g., SQL, Enterprise Resource Planning systems, CDM tools). • Understanding of healthcare reimbursement models, payer contracts, and regulatory requirements. • Organizational and project management skills, demonstrated ability to manage concurrent projects and deadlines • Customer service commitment, building and maintaining effective working relationships, anticipating needs by viewing work from customer perspective • Intellectual ownership: accepting responsibility for successful completion of work • Strategic and Critical thinking: understanding work in context of organizational goals and external environment, identifying implications and consequences of options presented Additional Job Details (if applicable) Remote Type Hybrid Work Location 399 Revolution Drive Scheduled Weekly Hours 40 Employee Type Regular Work Shift Day (United States of America) Pay Range $78,000.00 - $113,453.60/Annual Grade 7 At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package. EEO Statement: Mass General Brigham Incorporated is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran's Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at (857)-282-7642. Mass General Brigham Competency Framework At Mass General Brigham, our competency framework defines what effective leadership "looks like" by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.

Develop, implement, and oversee clinical research educational programs, collaborate with stakeholders and SMEs, manage course content and delivery, and assess program effectiveness. | Bachelor's degree required with Master's preferred, 7+ years clinical research experience including 3+ years in educational program development, knowledge of clinical trial operations and regulatory compliance, experience with LMS and adult education. | Site: The General Hospital Corporation Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham. Job Summary The mission of the MGB's Office of Clinical Research (OCR) is to increase the quantity, quality, and efficiency of clinical research at MGB. The MGB OCR nurtures and empowers the next generation of clinical research investigators and study staff by providing educational courses, guidance, and resources to the MGB clinical research community. Faculty-led consultation services and the project management support service core advise and provide logistical support to clinical research teams. The Center for Clinical Research Education (CCRE) in the Office of Clinical Research (OCR) at MassGeneral Brigham (MGB) offers over 200 live and online courses annually with approximately 6,000+ participants. The CCRE is a well-regarded asset to MGB's clinical and translational research community. Qualifications Principal Duties and Responsibilities: In collaboration with the Executive Director, the Manager is responsible for the strategic development, implementation, and oversight of educational and training programs that support clinical research staff, investigators, and trainees. The incumbent will engage in a wide range of efforts to design and implement clinical research educational programs aligned with institutional goals, regulatory, and industry standards. Along with a strong understanding of curriculum design principles, they must possess the ability to work collaboratively with a wide range of stakeholders and Subject Matter Experts (SMEs) to develop high-quality educational courses that are engaging and offer effective learning experiences. • Designs, implements, and develops a comprehensive curriculum for clinical research educational courses, incorporating best practices for curriculum design. • Works closely with the CCRE's Education Coordinator to plan and map out the academic year's curriculum. • Works with the CCRE's Instructional Designer to create, review, and revise curriculum and course content to meet changing regulatory and industry requirements. • Is responsible for thinking proactively about the program, identifying gaps and emerging trends in clinical research education and training to build a well-rounded and premier educational program. • Maps course plans and creates course outlines for production of online modules, works with subject matter experts to assist with live/online course development. • Promotes educational offerings within and outside the institution. • Organizes webinars, workshops, seminars, and conferences related to clinical research education. • Keeps track of and maintains a list of accomplishments and highlights for the CCRE Annual Report • Works closely with the CCRE's Application Analyst and Moodle Specialist on enrollment data and other projects. • Ensures that courses are announced through appropriate channels so learners have advanced notice and time to register for courses. • Assesses program effectiveness through feedback, evaluations, and key performance metrics. • Implements continuous quality improvement based on learner outcomes and stakeholder input. • Is responsible for planning and maintaining lists of course subscriptions and supplies required for hands-on skills classes and other courses. • Participates in additional responsibilities, programs, meetings and other activities as needed. Qualifications: Required • Bachelor's Degree required with Masters' degree preferred in a health-related field, clinical research, public health, education, or equivalent. • Minimum of 7 years of experience in clinical research, with at least 3 years in an educational program development role. • In-depth knowledge of clinical trial operations, GCP, IRB/Human Subjects Protection, and regulatory compliance. • Experience designing, delivering, and evaluating adult education programs. • Experience with Moodle or similar Learning Management System/s. • Preferred • Professional certification (e.g., ACRP, SOCRA) • Experience in instructional design, curriculum development, or adult learning theory. • Experience with e-learning platforms and learning management systems (e.g., Canvas, Moodle, Cornerstone). • Experience in academic or healthcare research settings. • Knowledge of training evaluation models (e.g., Kirkpatrick model, ADDIE framework). Skills/Abilities/Competencies Required • Strategic thinking and ability to translate vision into program design. • Ability to develop and foster collaborations across multidisciplinary teams within MGB and the Harvard Medical School System. • Attention to detail and problem-solving capabilities. • Adaptability to evolving regulatory requirements and institutional priorities. • Willingness to receive and incorporate feedback from learners and faculty. • Excellent verbal, oral, and written communication. • Experienced with Microsoft Suite of applications (Teams, Word, Excel, PowerPoint, etc.) • Demonstrated project management and organizational skills. • Strong written and verbal communication skills with experience presenting to diverse audiences. Financial Responsibilities • Prudent use of hospital resources. Supervisory Responsibilities • None. May provide orientation and training to new department members as well as serve as a resource and subject matter expert to others. Working Conditions • Normal office conditions within an office suite at Massachusetts General Hospital. May have the opportunity to work remotely on a periodic basis. May need to attend meetings and trainings outside of regular hours and work location. Additional Job Details (if applicable) Physical Requirements • Standing Occasionally (3-33%) • Walking Occasionally (3-33%) • Sitting Constantly (67-100%) • Lifting Occasionally (3-33%) 20lbs - 35lbs • Carrying Occasionally (3-33%) 20lbs - 35lbs • Pushing Rarely (Less than 2%) • Pulling Rarely (Less than 2%) • Climbing Rarely (Less than 2%) • Balancing Occasionally (3-33%) • Stooping Occasionally (3-33%) • Kneeling Rarely (Less than 2%) • Crouching Rarely (Less than 2%) • Crawling Rarely (Less than 2%) • Reaching Occasionally (3-33%) • Gross Manipulation (Handling) Constantly (67-100%) • Fine Manipulation (Fingering) Frequently (34-66%) • Feeling Constantly (67-100%) • Foot Use Rarely (Less than 2%) • Vision - Far Constantly (67-100%) • Vision - Near Constantly (67-100%) • Talking Constantly (67-100%) • Hearing Constantly (67-100%) Remote Type Hybrid Work Location 185 Cambridge Street Scheduled Weekly Hours 40 Employee Type Regular Work Shift Day (United States of America) Pay Range $62,400.00 - $90,750.40/Annual Grade 6 At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package. EEO Statement: The General Hospital Corporation is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran's Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at (857)-282-7642. Mass General Brigham Competency Framework At Mass General Brigham, our competency framework defines what effective leadership "looks like" by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.